HomeMy WebLinkAbout1635 CORIANDER DR - Building Permits 4`.STA M CITY OF COSTA MESA
BUILDING DIVISION
F .�)f
DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
PERMIT
J6. 1604-00726
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1635 CORIANDER DR 'Status: ISSUED
•
Suite: Applied: 04/13/2004
Vicinity: Issued: 04/13/2004
Parcel Number: 13949202 Zoning: R3 R3 .
Applicant: ROBERTSON, SAGE ISSUED BY:
Address: P 0 BOX 778
Phone: (949)235-9646
SAN JUAN CAPISTRANO,CA Zip: 92693
Owner: PARSONS, JAMES R
Address 2381 MESA DR .
Phone:
NEWPORT BEACH,CA - Zip: 92660
Contractor: ROBERTSON & SONS ROOFING INC
Address: P O.BOX 778 . ,
Phone: (949)235-9646
SAN JUAN CAPISTRANO,CA
Zip: 92693 License: 333067
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF; INSTALL 30 YR.COMP. ROOF OVER EXISTING 1 LAYER 20 YR.COMP ROOF W/15#FELT AND NEW FLASHING.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $6,800.00
Permit: $139.25 - - - Claim Valuation: $6,800.00
SMIP Res: $0.68
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $139.93
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left ,0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 • Required: 0 Proposed: 0
NOTES:
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(6/00)
DECLARATIONS ( ) { j
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
O I 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.
❑ 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 permit is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed if the permit Is valued at one hundred dollars($100)or less.)
•
❑ I certify that in the perfo •-nce 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'
i
cogipensation laws of :1 ornl , - • .- --that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
/ ply with these provi •ns. �'
NAL
' Applicant Signature: A , el.— Date::i) o RA/ i
WARNING:FAILURE TO SECURE W•QRS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMI PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby afflr that I am'icons, under' - ' '•is of Chapter 9(commencing with Section 7000)of Divislon•3'of theAC Business and Professions Code,and my license Is in full
force and effect.Lic.# \,Class# - - 19'
I
'Contractors Signature: ������ , nate c-//?/Q}[
CONSTRUCTION LENDING AGENCY: .
❑ I 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($500).):
O 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.).
❑ 1,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)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,I.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I 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 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
matedal? 0 Yes 0 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 building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safely 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? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application aPermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes L7 No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If 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 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? 0 Yes 0 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 ENTRY: 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 laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described operty for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
S' a al Owners Date
- �- � C t/i /c 51---
` �.-J nd/Or Authorized Applicant Date
CODE 1 INSPECTION TYPE Pp TF INTITIALS CODE# INSPECTION TYPE PAM INTrnALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
�/
200 Final Re-Roof ' Z.3 o f 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
J pp —
. - -- _ _. Co / A^,,,, V Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. -
PER •O. TRACT NO. ,LOT NO. UNIT NO. , • 8064 10/23/87
• 48.50 TL
oF -
�COSTA M/E-SA/C STRUCT ON•PERMIT 3 2'37 1 - -
rojeuddress �[o3S • �YJE f r ' •
• + i - .
girt) �!D t L"') • TYPE OF CONSTRUCTION H NEW LI ADD ❑ALTERATION - '
N.•PClicant'S Mailing A•dress 1 U REPAIR! /
1 / - S _ �/ r CONVERSION; ❑ DEMOLISH ❑ OT- ER - A,P,.# _I _ '
Owner's Name. �l • 4.4-4 - Phone:�� DESCRI'TION OF We• /US- OF .G. 'Al x '-s...•/��� w w- - -t -Address Y/ 01LCc/ + / �/.+�1. C ��.ss .14 _'. . 44 v _-4_, .� '/__ , r// _��. j' • S Main Building: Accessory Building:' , ; - Z
Arch/Eng,. License No. //77�i/c TVP OF PE' TIT ❑ GRADI •.F. .NDATION N STRU A RAL I T Front i _ t 0
• '❑ TENANT '❑ ELECTRICAL III PLUMBING CI MECHANICAL B ` ' N
Address - - Rear ,
Contractor's Name l i r L C • ••hone ❑ OTHER _. - - A .. _ '
• PROJECT DESCRIPTION SQ. FT, -• r • OCCUPAN�V, C Right 1 N
Address(mailing)/ •L 4•' A - - - A-• rN `f Jl�rr K , - C'
&' ' Al 'CON STRUCTION TYPE VALUATION$ /CGVv B Left 1 1 •
City License No. 7 Q i 96.127a 7 - _ R
ZONE GRADING CU.YDS. ACRES Ping. Ref. • 'Porking.Req./Provided E
LICENSED CONTRACTOR DECLARATION' - S Q
1 hereby affirm that am licensed under provisions of Charter 9 (commencing Remarks: la. . Planning Notes:' }�y , } 2 'f(�8? M
with section 7000) of Division 3 of the Business's nd Professions Code, and - " ' 1 I 'D�P �iv��,J:U ` T
my license.is in full orce and effect. ` ` • - - + - • _ • l) •R is _ 1 ,
License Class • ice- a No. -
to Date JO-7V—f(7 Signature / i PLUMBING ' • . ,�,I ,.FEES . - } - ) 1
010, WORKERS' COMPENSATION D • RATION • 1 •
Bar Sink - Showers ' , r __ - i' ELECTRICAL FEES
I hereby affirm that I atio a nsre of consent tofi Set copy ,t or a certificate '•� ,
il• ' Workers' Compensation Insurance, or a certified copy ther of (Sectio Backflow Preventer' Service Sink • - '
�"' ,j- Automatic Washer- Transformer 0:15.50 KW
t '400. Lab. C.)�/O�ab J�yC' r r ❑�50+'KW •' - I
icy No. Company O Backflow Irrigation - - Sewer Cap - ' •
Certified copy is hereby furnished. , Construction POIe Sub.,,; , _ a
• V Certified copy is filed with the city Buildi Qivisl Bathtubs _ _ '$ewer Connection 'Cooking Unit - Meter❑up to 100 amps -•
Date ' /0-111/-r7 7 Applicant '{ I
' EXEMPTION FROM WORKERS'COMPE SAN TION LAR Clarifiers 1 ,Solar Collectors - Dishwasher, ' . Meter Dover 100 amps_ 1 4
(This section need not be completed-if the permit is for one hundred ($100) or - _ -
less).' Dishwasher . . Solar Piping ' ' - Dryers ❑Gas DElectric _ • .Sub Panel - -
I certify that in the performance of the work for which this permit is issued,'I - - .
shall not employ any person in any manner so as to become subject-to the Drinking Fountains. • -Solar Tank - ' - Fan Motors 00-1.HP ❑1%-.8' •
• Workers' Compensation Laws of California. , , - _ �_ _ - _
i Date ' ' Signature Floor Drains' Swimming Pool w/Spa ' F.Q:U. - ' ' -
11 ...NOTICE: If,after making thistleclaration, you should become subject to the • - Inc •$Ola. ❑'9-15 HP ❑1B-,15+ -•- _ -
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal , Fixtures , '
comply with such .provisions or this permit shall be deemed revoked. Microwave i
' CONSTRUCTION LENDING AGENCY • Gas Service •Outlets • Water Closet •
l
Device Boxes Pole Li
I hereby affirm that there i5 a constructions issued,
agency for the performance • - • - _ Light T
of the work for which this permit is issuetl, (Section, 3097 Civ. C,)
• tInterceptors , o ,Water Heater •, t Outlefs Range,• Lender's Name " _. _. 9 . ,
' Lender's Address t - • - -- - --• - - - - - - Kitchen Sink. , - ' Water Service ,• ' . . - Switches' -- -' - - - Sign ' _--` -" ' --
' OWNER BUILDER DECLARATION _.
I hereby affirm that i-am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Di5 osal
Ig P Standing Sections
following reason (Section 7031.5 Business and Professional Coded Any'city or , ,
county which requires a permit to construct,alter,improve,demolish or repair P-Trap + ' Laundry Trays Generator ❑0-5 KW D5-15 KW Trash Compactor I
1.
any structure, prior to its that he/shesis requires the applicant provisionsthe of Roof Drains • ! , r ; , 1 1 ,
•
i the Contractor's License Law(Chapter 9(commencing with Section 7000) of - +
1 ;"Division, 3 and t e Business and-Professions Code) or that'he/she is exempt '- '- '-1 ^�'
I therefrom and the basis for the alleged exemption. Any violation of Section ) ,
, • 1703115.by any applicant for a permit Subjects the applicant to a civil _ _ ' ' _ i
galty„of not more than five hundred dollars ($500). 1 + :3 1 c l
• I, as•owner of the property or'my employees with wages as their sole Reinspection Fee I $15 ' . : Issue Fee $ • •
• mpensation, will do the work,and the structure is not intended or offered • - '' Reinspection Fee 1'$15 i Issue Fee -_$ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL : • FEES •
License Law does-not apply to an owner-of a property who builds or improves ' _ ' ' '
'thereon„and who does-such work:himself/herself or through his or her own - - DEVELOPMENT SERVICES REQUIREMENTS: I ) )
' employees. provided that,such improvements-are not Intended or offered for Boiler - Hood,or Type I ❑ ( -
.sale. If;however, the building-or improvement is sold within one year of com- Canopy Type I ❑ •i zoning Approved By •
' Date
%pletion;the owner will have the burden of proving he/she did nob build or im- Duct-Under Ground ) i
” -prove for the'p urpose of sale).' „ ' Building Approved yB - - Date / �
❑ I,-d5 owner of the property,aM exclusively contracting with licensed con- Duct-Structural • Refrigeration System ' • Application Issued By Dat
;tractors t:cct struct the project (Section,7044,Business and Professions Code: - ' _ _
' The Contractor's License Law does not apply to an such withty-who Duct-Ventilating ❑0-100,000 BTU.❑100,000 BTU l ' SUM A Y OF FEES - l
1 , builds or improves thereon, and:who contracts for such projects a con- ' �_ - _ i 1 •
tractor(s) ucense pursuant to the,Contractor's License Law}, I am aware that , Exhaust System •D Multiple,❑. •• System Repair/Alteration _ ' ' '' BUILDING PERMIT $ �(� SNIP _ $ �•..7 D:
, proof of their Workers Compensation insurance Should-be provided•to me. PLAN1CHECK $ 'PERMIT -
1 ' 0 .I'am exempt under Section' ,• ' ' •' 1 B.& P.C.for this reason ., Eirepl/Fact,Blt, ICBG# ' - Fire Dampers - • . PLUMBING $ - , ISSUANCE $ v
.Date" - •
, Owner - Heating System& Ducting- • 'Registers - ' _ •• • ENERGY P.C, $ z
PLAN CHECK 25%. $: ,
I hereby certifythat '1have read this application and:state that rdi above ❑0.100,000 BTU,0100,000 BT ' . • -GRADING • . $ '
information Is correcL;l agree to,comply with all city and county ordinances - - - ' , ELECTRICAL : _ $ _
and-state laws relating to but+;,ng cons ruction,and hereby authorize repre- - PLAN CHECK '50%„$ - • sMICROFILM _. $
,Sentatives of t • cit to +- er up. ,the above-mentioned ,property.for
inspection p r.,ses, / i ! •'/ - MECHANICAL ) $ ' TOTAL FEE l $ • ' • -
Signature e �• *.' 1 .ate Ji'7/7_�7 . n $ '3 PLAN CHECK -25% $
• Drivers'�ense or SS ' _. i Reinspection Fee • $15 Issue Fee ,
CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
1
CONSTRUCTION AtdR PLANNING POOL &SPA
APPROVALS Peri # - - - • Date Inspector• APPROVALS Permit# Date Inspector
1-. Temporary Electricaj:Service or Pole , 52. Pool & Equipment Locations •
2. Soil Pipe-Undrgrnd. . ' • 53. Steel Reinforcement .n*
3. Electrical Conduit Utility-Undrgrnd. '54. Forms c • ' '
4. Electrical Conduit-Undrgrnd. 55. 'Electrical Bonding .
5. Steel Reinforcement - 56. Rough Plumbing.& Pressure Test
6. Electrical UFER Grd.' 57. APPROVAL TO COVER-GUNITE
' 7. Footings 58. Electrical Conduit-Undrgrnd' -
I
8. Foundation- .. , 59. Gas Pipe, 0 Undrgrnd.,Test,• .
9. Water Pipe-Undrgrnd. • ,. 60. Backwash Lines, P-Trap, D..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 I 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 ConditioningFIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace - APPROVALS Permit# - - • _ •
21. Ducts, in Structure 70. Underground Hydro - •
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil .•' -
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro ••
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - ,
27. Frame and Flashing • 76. Dry Standpipe '
28. Lathing Si-Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL '
30. Drywall Nailing • HEALTH DEPT. REQUIREMENT ' i Ii
31. Plaster Brown Coat 79. FINAL INSPECTION -
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED if
33. Final Electric Notes: •
34. Final-Heating & Air Conditioning •'
35. Final Gas•Pipe-Test • '
36. Hood or Canopy
3T Final Factory Fireplace - - - .. {;
38. Final Plumbing • - -
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 • , -
47. FINAL STRUCTURE & BUILDING 1 VII y. 11,fT� ni12 - '
`
• -48. Special Requirements Completed / - 'i - .
49.'Electric Release to Edison ,
50. Gas Release to Southern California Gas Co • ;
J
51. CERTIFICATE OF OCCUPANCY ,
No. • Date ,_ _ - •,
July 19 , 1988
Mr . Dave Hartke
City of Costa Mesa '
Building Dept .
77 Fair Drive
Costa Mesa , Ca . 92626
Dear Mr . Ilartke :
We own an apartment at 1635 Coriander Dr . , Costa Mesa ,
and it has two smoke alarms in each unit .
Sincerely ,
6& ;�s,07
Jame R . P rsons
Alyce K . Parsons
2381 Mesa Dr .
Santa Ana , Ca 92707
Ph . (714) 756-9370
f.
City of Costa Mesa q
Building Safety Department CERTIFICATE OF OCCUPANCY N° 2358 C
P. 0. Box 317
Costa Mesa, California € ,'
The Building located at 115;15 C .1 it` - nit9VB
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group R A .1 Occupancy.
Use of Building 1 vat 019Zrtreat 911161338 lith Ott/trawl Ott/trawlgame tot0 ltwordre
Legal Description ItAot !TS, Lot 17
(See reverse side for Metes and Bounds)
•
Building Permit No. ' 05004 Electrical Permit No. - 25610 Plumbing Permit No. 116609
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 and/or guest rooms
ISSUED TO: Building Official
COM by.9 d.�//f"
Date___�AnlTtf�,atF� lj
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. Faun Bt734-1M—:1-63-_S-B P
• i
MESA
PCOSTA MESA BUILDING-SAFETY DEPARTMENT CITYCOSTA
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92520 -
��� 16 1965
For Applicant to Fill in Completely I AP ION FOR PERM
TYPE OR PRINT /\ '_ w my
ADDRLDESS 1635 Coriander Drive
/�'� - RECEIPT NO. -r O.
COSTA MESA, CALIFORNIA I 7 ll 4
REC[I D DAT RECy�VCD DA IBRO D
OWNER RAL-SOUTH DEVELOPMENT CORP /e/r 4�/Z /G�
q BUIL Ina )/' //54.2/4/ ��
MAIL 1442 S. EuC 1 id ADDREEIS 6 3 �C L/
ADDRESS
FIRE
CITY Fullerton 92632 Ho`. 871823`. ZONE TYPFi�� GROUP d
ARCHITECT TEL. APPROVED
DATE
OR ENGINEER ---- NQ. BY' •
ZONING
ADDRESS ---� ED [/ NO.OP USC OF NEVI
letiLb
• K I PLANS 77 I BUILDING` OJ'/
coNTRAC,TQR ALLIED CONSTRUCTORS _ v '`L/i111AAA S -In.
ADDRESS 1442 S. Euclid DESCRIPTION
(-o T /7 rOC 5 LOC—
A.
C—
CITY Fullerton - A.P.NO.
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LIC?NO. B 102-641 74 871-8235- EO'TO SIDE B REAR p.L.
EAVES
OFLOT 73 x 109.60 I NOWONLOT O ALLOWED (U.B.C.REQUIREMENT)
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. ----
(FROM C/LL RTRIIKT
SETBACK LINE PROM 1 FRONT cU FT. PT.
CENTER OP STREET 50 REAR TARO 1O'2t_
EFT S I
SIDE YARD I LRIGHT 9 R.SIDE FT. FT.
DESCRIPTION OF WORK L.SIDE FT. PT.
•
/1°14'
( / Q�\``/
NEW X ALTERATION ADDITION REAR/Q/.'FT. f""1" FT.
DISTANCE BET. ACT. S. a
REPAIR MOVING DEMOLISH MAINAINSLOGS. ACCESSB
S. LOGS.
.VAR.# DATE
ME—DING 46x79 NO.OK
ROOMS 25 STORIES 2 C.U.P.#/� •// (� APPROVED
EXTERIOR WALL I ROOF AFFROV DL/ �! 10 I 1 . _ �-
COVERING Stiiern COVERING Compo eY I� ATH 0- - - 6)
USE OF BUILDING;AND WORK TO S[PERFORMED ✓✓✓ ��/, p,
I / 01
.
4 unit apt & _
5 opt, garage 44 7ZsQQ.PT. 4S -t,4 l Cann 1
I HERESY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE O
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