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Home My WebLink About143 BROADWAY - Building Permits ~ Y City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. 9OC7G6 Building Safety Division P.O.Box 1200 Costa Mesa,California The Building located at 143, 145,147 & 149 BROADWAY has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B-2 Occupancy. Use of Building RETAIL STORES Legal Description 117-103917 (See reverse side for Metes and Bounds) Building Permit No BP-6550 Electrical Permit No. E-6443 Plumbing Permit No.P-6520,BP-6550 Mechanical Permit No. Number of apartments ,J' kit guest rooms ISSUED TO: Building Official ✓U i r tgu.etom'&dC- /, MR. PINKLEY ---� / by V. C 143-149 BROADWAY, OCTA MESA, CA. Date / -Th.•l -/ i YY 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. 307 lel U.B.C. CMF 1015-46 rev.1/83 White-Owner;Canary-Numerical File;Pink -Bldg.Permit File lcilitisT\ • Applicant to flit In all spaces except those within heavy border lines and sign all appropriate declarations. X OF COSTA MESA PrANO. TRACT NO. LOT NO. BLDG.NO. • CONSTRUCTION'PERMIT p �SOS �'Q\rl� (o a7 'el3v o�4 35 3/(79/9; l �P6S 'T . Applicant's Mailing Address — " a • '/• 0 i - " r TYPE OF CONSTRUCTION LJ NEW IJ ADD IJ ALTERATION, EPAI R - Project Address- ` AC 3) A‘d°aa, / i // 0 CONVERSION 0 DEMOLISH 0 OTHER - ' • DESCRIPTION OF WORK Owner's Name /p�J/�l Ley( - Phone DP�y ),AIL Ace-T. , - r/ ZONING REGULATIONS Address /� �fp,Kivcr ✓ _ • TYPE OF PERMIT U GRADING_,LFJ•"FOU_NaD-ATION TR,UCTTURAIL A.P.,* 'i / • /—;/O a — ( ZONE 2_ .- t _ Arch/Eng.- �— License No. 0 TENANT 0 ELECTRICAL LLUMBING ❑ MECHANICAL ^ r 7 .�— BUILDING 'e PLNG.REF.9W GFTR err rn g-r. • Address -- /[ ' /��7 . - . ❑,OTHER " - -. TO BUILDING REAR YARD(TO P/L) Contractor's Name �• CCS?I" J1*-!7i- Phone--5•'KC' PROJECT DESCRIPTION' SO. FT. - OCCUPANCY• PROPERTY LINE �• ' CONSTRUCTION TYPE .VALUATION toe 1.) LEFT SIDE YARD RIGHT SIDE YARD Address(mailing) 2-4-s7 2.. /,LL 171- ' Lid 7.1"4-- V4,,. f - 3y_ '3[r 4,rfifth • ZONE GRADING CU.YDS. ACRFS PKC.SPACE REQ. PROVIDED License No, ' LICENSED CONTRACTOR DECLARATION Remarks: - . STREET WIDTH • r PARK FEE$ I hereby affirm that I am licensed under provisions of Charter 9(commencing _ - 1� A with section 7000) of Division 3'of the Business and Professions Code,and • SPECIAL CONDITIONS:/_ -' �(\ - - ' my license is in full p e a &effect. leer/ ��/_��-_��-y.`""„, n Q L•Ican Class - - Nn A• 1 �C PLUMBING -' VtiO i4�”-/l.+-•C'e%r�.Lit-L�'`-•"�' -.^-'r"S•ri?-tee. Date - , ••--/en Signature Bar Sink Sewer Cap 1 • ELECTRICAL - U e WORKERS'COMPENSATIO '• •EC • RATION ; - - - 1 ' I hereby.affirm..that I have a certificate of consent to self-insure ora certificate 1 Automatic Washer ,Meter •❑over 100 amps -,i. I of Workers' Compensation Insurance, or a certified copy thereof (Section BeckflOW •preV¢nf¢r - --Sewer Connection - - - - - J - • - Construction Pold' Sub Panel ^000, Lab. C.) i + r Backflow Irrigation Solar Collectors - - - - 'cy No. Company - - • Cooking Unit Sub Pole , , -- Certified copy is hereby furnished. i i Bathtubs Solar Piping 1 - : _ Li Certified copy li filed with the city Building Division. Dishwasher Motors ❑0-1 HP ❑114$ • Date ' i Applicant ; ( - Clarifiers Solar Tank ' - •° • EXEM PTIO N,FROM WORKS RS',COMPENSATION DECLARATION Dishwasher Swimming Pool w/Spa Dryers ❑Gas' ❑Electric InC.Solar.❑9-15 HP.016-15-i- - - • (This section need not be completed if the permit is for one hundred ($100)or less). , - Fan • .Mi I certify that in the performance of the work !which this p rmit Is issued. I Drinking Fountains Urinal - f� .Microwave ' ' shall.not employ any person In any manna as to bac to the - • - , F.A.U. Pole:Li ht • work" Como nsatlon Laws of California. _ /7 I Floor Drains, ' Water OOset _ _ g DateOf�pp^ malA) Signature Fixtures NOTICE: ter rev declaration,you should bete a blest to the Floor Sinks .. ... / Water Heater - G- OQ - -_ .- _ _ Range ._ -- - Workers' Compensation provisions of the Labor Code, yo ust forthwith Device Boxes , 1 -r 1 comply with. such provisions'.or this' permit shall be deemed revoked, r.. ' Gas Service Outlets ' _ Water ServiceSign f . CONSTRUCTION LENDING AGENCY ' Outlets ' • I hereby affirm that there is a construction lending agency-for the performance Interceptors - Standing Sections ' • of the work for whlhh.y�s permit Is /s$u tl j§acNon 3097' Civ. C.), _ - - -- - - - -- — .-- . , Lender's Name �Ld / �/(+[ 4 V ye, - Kitchen,Sink Switches Trash Compactor i 's Address L20,VON / - - - - • - - Garbage Disposal , • OWNER BUILDER DECLARATION - ' Lavatories. . , - - 1 hereby,affirm-that I am exempt from the Contractor's-License Law for the . - Generator 00-5 KW 05-15 KW following reason (Section 7031.5 Business and Professional Code: Any city or • p-Trap; _ ' • . i, . county which requires a permit-to construct,alter improve,demolish or repair _ Transformer ❑15-50 KW , - any structure, prior to its,issuance,also requires the applicant for such permit Roof Drains . I - - - i ' to file a signed statement that he/she is licensed pursuant to the,provisions of - - - -- ❑50+KW -the Contractor's License Law(Chapter 9(commencing!with,Section 7000)of 1 i i C -• - - : Reinspection Fee $15 Division 3 of the Business and.Professions Code) or that he/she is-exempt Showers .^ - - Reinspection Fee . therefrom and the,basis for the alleged exemption,-Any violation'of Section - I Meter Pup to 100 amps Issue Fee. -$ 3 '7031.5 by any applicant fon a I permit subjects the applicant to a-civil - + i - ! $ 3. . - 1�� __ aanalt of not more than five hundred dollars $500 . i .. Service Sink _ leas Fee.: ` r Y ( ) , Zoning Approved By�� ". 6 Date I, as owner of the,property or my employees with wages'as their sole , - -- - , / 1 I 1 pensatlon 'Mild° the work,and the structure Is not Intended or offered _ MECHANICAL I I Appliiation Approved By 1 Date I sale t(5ac/Ion 7044', Business, arid;Professional Code: The Contractor's i - . r License Law does not apply to an owner of a property who builds or Improves ' Boiler -1 1 '� i Refrigeration System 1 `1 pppB®tion Issued By Date thereon,•antl ,who does such work himself/herself or through his or her own j employees, provided that such Improvements are not Intended or offered for • - ❑0-100,000BTU ❑100,00OBTU' • ` - - sale, If, however, the building or improvement Is sold within one year'of com- ' : Duct-Under Ground ; i i -� SUMMARY OF FEES I I pletion, the owner,will have the burden of proving he/she did not build or im- . -: ; rove for the purpose of,sale). , Duct-Structural System Repair/Alteration -BUILDING PERMIT $ 754 to I SMTP $ b(.3 I I,as owner of the property,am exclusively contracting with licensed con- / ; - + 1 t' tractors to construct the project (Section 7044,Business and Professions Code:_ _ + Duct_Ventilating __• - _ _ • .PLAN CHECK. $ T8 Cg- ; PERMIT L ,s , The Contractor's License Law does not apply to an owner of property who • , - - , 1 1 /•� j ISSUANCE ; $ • , builds or Improves thereon,and who contracts for such projects with a con• Exhaust System 0 Multiple 0 i PLUMBING 1 $ - N•-00 , ; tractor(s)license pursuant tope Contractor's License Law), j PLAN CHECK' $ + - GRADING $ • W 0 I am exempt under Section B.& P.C.for this reason • Firepl/Fact.BI t. ICBG dh • • •• • Heetin �S stem& Ducting - ELECTRICAL I $ ( $' „ ' Date • ` Owner, 9 Y 1 MICROFILM $ Q I-hereby certify that-I have•read this pplication and state that the above•' '' ❑0-100,000 BTU 0100,000BTL - - .PLAN CHECK $ - information is corr 1 agree to com with all city and county ordinances - t - ' , TOTAL;FEE• $ and•state laws re ing to building nst Uction,-and hereby authorize repro- _ - . . MECHANICAL $ ! sentatives of•th 'city.to an o above-mentionedproperty Hood or T e I ❑ • Reinspection Fees $15 • LESS ' y ,faryp PLAN CHECK $ i • inspection Duro°of'th Canopy Type II 0- ADVANCED PC $ • • Signature �'+� ] Data g'Y f"y. 1 r S Drivers' L cense or•SS � 1 Reae gisters • • Issue Fee , $ 3 - • FINAL FEE S. 1 /�-•�e CMF 0865-46 rev.12/82 White-Building:Canary-Applicant Pink-Accounting;Goldenrod -Assessor - . . -- .--- - - ' .- . 1 CONSTRUCTION AND PLANNING' 't , , - - _ .POOL&SI - - - - - • ' .Date ' ,Ins Inspector ,.: APPROVALS „ Permit •- - - P APPROVALS Permit ,.- Date Inspector 1 Temporary,Electrical Service or Pole • - , 52, Pool & Equipment Location • 2; Soil Pipelndrgrnd: - ,I :41: ,i__ 53. Steel Reinforcement _ 31 Electrical,r',onduit Utility,Undrgrnit: 1 ' _ i 'v- . 54, Forms . , - 3y4. Eleoyical Conduit-Undrgrnd?= , a �, I • _ : ro 55: Electrical Boriding - • 5. Steel Reinforcement ^! - - - ,_ -. ° 56, RouyhPlumbing& Pressure Test 6: Electrical OF ER Grnd.' - - 57. APPROVAL TO COVER-GUNITE: , ' 7. Footings - t .` .-el '- 58. ElectricalConduit-Undrarnd. _ ' 8, Foundation _ l 1• .f.1"!. - 'r • • 59, Gas,Pipe, 0 Undrgrnd.,Test 9, Water Pipe-Undrgrnd, i I '11 ' '' 60. Backwash Lines,P-Trap,O Undrgrnd. • 10. Stn ural Floor System , _ I r . . 61. APPROVAL TO DECK 11. Property Sewer Line &.House Connection : -j- '- Y •62, Backwash & Receptor-Final 12. Sewer Cap ' ' • ; • 'r 63. Heater& Vent-Final . ' , . _ - - 13. RoofDrains ' ; ,• I - .` -64. Plumbing System,-Final'- - - „ 14. Rouh Plumbing _ - . • 9 65. Electrical-Final • 15. Rough Electrical=Conduit : --- "-" ."'-F--- ' -T .1 - . "66, Solar Systein-Final_- - - - ' ' ` . . - - =16: Rough Electric'Wiring , - ' L ' :67, Fencing &Access Approval - -- '- - O. Rough Wiring Sign' r• • ' - - t - 68. APPROVED FORPLASTERING - . • 18. Rough Electrical-T,Bar Ceiling I. i • - i 69. POOL/SPA SYSTEMS FINAL - ' 19; Rotigh'Heating & Air Conditioning r ' 'FIRE DEPT.'REQUIREMENT - 20: Rough.Factory Fireplace : ' , , ; APPROVALS • Permit# 21: Ducts;in Structure. i . ' 70. Underground Hydro 22r Ducis„Ventilating i 71. Product Piping ID Gas OOiI , 23. Gas'Pipe-Rough &Test I , , ,.^72- Underground Flush „ 124. Roof Framing' I r. ,• „ ; - 73. Undergrnd:Storage Tank O 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 r ' , • t 28. Lathing&Siding - : I If ' , I 77. FIXED SYSTEM FINAL , • , ' I t , 29. Insulation . 78. FIRE PREV. FINAL - • r•., • p may, f q .,,,, l '30„O.ywafl_'Nailing _ ' : 7-f7%3 Ig " l Notes: plu.w4o H- stys,, 4 - Pt Are 31./Plaster Brown Coat ` • , - - -: -j--y�J_ ft.a � _ 'R.0. ._c43 32. Electrical Power Meter-Final ,� 33. Final Electric - - _ _ . ;- n,,,•, es')6* - /94.-441-01 .e.g , 34. Final Heating&Air Conditioning I ' /9.442,1444441 ea. / nc � r iCA.�L-/ 7 35. Final Gas Pipe=Test I Y�-�l.�-a. iscc>/ • 36. Hogd or'Canopy.. r' 4 - . I _ - I. ' ( I.' .- -44--ctn..„s c r.vr..c f--t ojar�,.vv- 37. Final •Factory Fireplace( 1 I: I ^F jug " �j ,1 ��iJ // gflr 38. Final Plumbiri�q' ( ( i ! _: H I -004/#67 mrr i _ �"`._ �{" j . 39. Water`Sdrvice1Finai i I • r , -- 40. Gas Service-Final 41, Solar Domestic-Final _ _ __ _ ,� ;? 42. Backflow Preventer I 1 I / , .+r ' 43. Backflow Irrigation , • 1 44, Landscape Irrigation System; ^ - - , 45, Sound 'Attenuation *"..i '' i ::: ,. • .7. r.- _ 1 46. Handicap Regulations '• , • t i 1 47. FINAL STRUCTURE'& BUILDING ' %��:y ; die / ' 48. Special Requirements Completed , _ • ; _ : ' , I 49. Electric Release to Edison , .- - - I50. Gas Release to Southern California Gas Co „r ` _� 51. CERTIFICATE/rDF OCCUPANCY-, _ .- r _� 1 , `l )!: No 7[o6 Date 7 �� _-� • 1 Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. _ _ _ ' CITY OF COSTA MESA l PEI3 4lT NO,. �' ' TRACT NO. I ,LOT NO. BLDG.NO. t� r - Kj442. .. /.19/-E3 ! - 1 14 Du 1. CONSTRUCTION PERMIT !L/, — (p 2O 1 i ' - !?- - L651-4"; . TYPE OF CONSTRUCTION . U NEW U ADD,ALTERATION LI REPAIR L r , Applicant's Mailing Address �f'� Tom, - _ L Project Address /4 I /Sc'(• -- /u7 ' ��y 8E04h .41 ❑ CONVERSION •❑ DEMOLISH ❑ OTHER ' �1 I ,� - ' • /0 // / - • DESCRIPTION OF WORlC ern-C- //�T 4 SPD iiL� Owner'slName 1�le ,(Lpa./ Phone - - - • I _ _ �. _ ZONING'REGULATIONS 1 ' ' " Address �`' - le is cl't fe. - I I_ - • - - . • y I - - ' TYPE OF PERMIT_ U GRADING FOUNDATION LIST RUCTU RAL A.P.sW ZONE - ._ . Arch/Eng.: I - License No. - ❑ TENANT ❑ ELECTRICAL PLUMBING ❑;MECHANICAL PLNG. RE F.9W' - 4 ' BUILDING -- ' • 1 • I •'• , ' • - ' 'SFT APV r/1 ST Address - I - • ' ❑ OTHER ' i r ' - . - TO BUILDING - 4 '1-7 PROPERTY LINE • REAR YARD(TO P/L) ... ' Contractors Name F S��s(7 , • 'PJ t�<r' Phone JZl(�tr' • PROJECT DESCRIPTION 5Q:FT. - •• ' OCCUPANCY - ' , • , 1 'CONSTRUCTION TYPF VALUATION I •LEFT SIDE YARD RIGHT SIDE YARD' Address(mailing) 12-F('11. Y}'L'T/Y 1 'rck I - w I?' - _ - - - - .D c; -a. r ' ZONE - GRADING CU.YDS: ••ACRES PKG.SPACE REQ. I PROVIDED t . _ - License No.D _ - .- ' - ' LICENSED CONTRACTOR DECLARATION Remarks: _ 'g, pAs-0c. STREET WIDTH I � PARK FEE$ _ 1 I hereby,affirm that I am Ilcensed under provisions of Charter 9 (commenting ' _ . - witli.section 7000) of Division 3 of the Business and Professions Code,and SPECIAL CONDITIONS: ( ' ' - ' my license'is In ful orce and effect. 1 ' , I Ucense Class' / l ycr . :� _ I PLUMBING •• I I ^- I I :- Date " --. • Signature / ' - - • ��jjJ��j - ❑ ' Bar Sink Se war Cap I • ELECTRICAL I • WORKERS'Co P.I have O • C • RATION - - • - I herebyers' l.that.I have a.Insurance,: consent to salt-insure.or a•f (Se irate_- - Backflow Preventer - - - ' Sewer COrinection'-' - --- Automatic Washer-L. __ ._ _ :Meter ,Dover 100 amps.'_ - . ' of Workers' Compensation Insurance,:or a certified copy thereof (Section ' - - Construction Pole' 3800, Lab. C%) —. - Backflow Irrigation Solar Collectors- I ' ,- ; I Sub Panel; Policy No. Company • - , Cooking Unit :'- Sub Pole ECertified copy Is hereby furnished. i i Bathtubs Solar Piping ; Certified copy Is flied with the city Building Division. • I Solar Tank , Dishwasher 1U Motors DD-1 HP D 1&A Date - Applicant - _ Clarifiers _ I - • -- __ , EXEMPTion dee OM WORKERS'OOMPENSATION DECLARATION Dishwasher ! I Swimming Pool vv/Spa Dryers DG• es l DElectric- I 1 'Inc,Solar D9-15 HP D16-15+ (This section need not be completed if the permit is for one hundred($100)or - - ; Iess): • •r Fan 'Microwave I I certify'that In the performance of the w rk f r which this Is issued,I t 1 Drinking Fountains Urinal I shallr o as to me su ject.to the - F.A.U. '�<. Pole Light ' l Workercs5., Compensation Laws of Californi Floor Drains• Water Closet, ' ' - ' : Data q-(O� 7 Signature ' i I / �� '-- -NOTICE:If,after making this der rat , ou 5 uld-bato-the Floor Sinks 1 _' - - '- '-_-- - - Water Heater - , -' _ Fixtures I - - • Workers' Compensation provisions of the Labor Code,.you_must.forthwith I - Device Boxes ~' r comply with such provisions,'or this permit shall be deemed revoked. , Gas Service ! hOutlets• - . Water-Service p .-• r ,200• :Sign I , CONSTRUCTION RENDING AGENCY / ' thereby affirm that there is a construction IenQjn9 agency for the,performance, ,y Interceptors : C , - �E/IITSi�A.4OY/ ; .2 O.7 Outlets _ , •Standing Sections ,• of the work for which.,this, permit Is Issued s(Section 3097. Civ C:), I - , , Landers' Name• " - - - • - J 1 KJ4chen Sink - - , : 1 ' - ! - l i ; s- . Switched: ( Trash Compactor J , Lender's Address• _(/lin'!, ptr'es1-/4/eI ' ' - , - - - r - _ • • Garb a Di oral ' ' OW NE RIBUILDER DECLARATION I i r 1 -. I I Lavatories i • 52. ----•.,-4g Disposal 1 • , I , I hereby affirm that I am exempt'from the'Contra-tor's License Law for the - _ - ' ! Generator DO-5 KW DS-15 KW ' following reason-(Section 7031:5 Business and Professional Code: Any city or I _ ; P-Trap I • I . - ,- - , p ` • ' - I •- I 'county which'requires a permit to construct,alter improve,demolish or.repair • Transformer (]15-50 KW ' • 'any structure,prior to Its issuance, also requires the applicant-for such permit I . i _Roof Drains; , ' •„ - , , , -- ' , , I - �-'i Ir 1 - i ' ) to file a signed statement that he/she Is licensed pursuant to the:provisions of - .. '' D504 KW the Contractor's License Law.(Chapter 9(commencing with Section 7000)of - - - ' - ', - • 'Reinspection Fee $15 Division!3-of the Business and-Professions Code)`or that he/she is exempt ' - Showers r • . - - Reinspection•Fee jt5` - - therefrom and the basis for the alleged exemption. Any violation of Section _ _ "' ' . Meter,yup to 100 amps I 'Issue Fee 1 ' '$ 3 .7031.5 by'any applicant for a permit subjects'the-applicant to a. dvil { ` ' - I -- "malty of of not more than five,hundred dollars($500). I .. . IT Service Sink: , , ; • Issue Fee $ 3 - I I j I - I - - Zoning'Approved By Date 1 'co I,'as owner of.the'property or7my employees with wages,as their sole , . , t• f, ! I compensation' will'0o the work,and the,structure is not intended or offered •` . % - MECHANICAL 1 ' ' I ' I , / I for nssale'(Sac{Ion 7044, Business addProfessional perty Contractor's • - - - Application Approved ey ' ate J// t License Law does not apply to'an owner of a property who builds or improves 1 Boiler: -' I . I I I Refrigeration System `V �Q/'tte thereon,.and who does.such work himself/herself or through his or her own 1 y^ - Application Issued By i Date !!! employees, provided that such Improvements are not intended or offered for ; ' 1 DO-100,000 BTU ❑100,000 BTU - - I sale- If, however, the building or improvement is sold within one year of cam- ' I Duct-Under Ground I , - - Y '+� : ' SUMMARY OF FEES ' ' , piano d, the will have the burden of proving he/she did not build or im- yl, - * I t 1 I I I I prove for thepurpose of,sale). i ' ' 1 • Duct-Structural S stem Repair/Alteration _! ; I U i Y p , ;BUILDING POMIT $' - I SMTP I $ I I,as owner of the property am exclusively contracting with licensed con• . t 1 tractors to construct he'p oject• Ses not 044,Business.and Professions Code:_' . .-. Duct_Ventilating- - „ ••- , I-4 - -_, __ , PLAN CHECK) $ PERMIT • r The Contractor's License Law does not apply to an owner of property who - - - !'' • ' r I ISSUANCE I $ builds or improve; thereon,and who contracts for such projects with a con- I Exhaust •System ❑ •Multiple❑. .'PLUMBING , $' • ��' I ' t I r • I ' tractor(s)license pursuant to the Contractor's License Law). I ' GRADING $ --PI:'AN CHECK' $ 0 Lam exempt under Section ' • B.&P.C.for this reason i Firepl/Fact.BIt. ICBG# ! r I , I , I Date - ion 1 owner% i i I Heating'System& Ducting ' • ELECTRICALS' I $' J $ I S; J g - $ ' MICROFILM . $ i . I hereby-certify-that-1-have-read this'application and-state-that y the above- - DO.100,000 BTU D100,000 BTL•- - y- - - PLAN CHECK' , ' information is cor agree to comp ,Ith all cit hand county ordinances ; , J • - I ' . I J TOTAL-FEE• I $ t ! antl state laws • atim to9builtline • strm tion,and yhereby authorize repro- , 1 ..I MECHANICAL $ r 4 • ( , sentatives of, is• to pon the above-mentioned property for Hood or Type I ❑' I inspection Pur•, i : ' Canopy! Type 11 Di I Reinspection Fee' $15 'PLAN CHECK' $I • LESS I I Slgnatur• "�_s,ar _� ' Data —/0--5r3 • , i r i • I , _ •, !r', I • 1 ADVANCED PC $ ' ' Drivers' License or - , •i Registers , Issue Fee $ 3 .77,.7 I r FINAL FEE I I $ ,71)• 0 CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor _ ' ' c POOL&SPA : r 2 ("CONSTRUCTION AND;PLAN ING; ,, _ - - - -_ _ - I . - U - s c c -•r• Date Inspector ` r - : ' - - - - Date Inspector - >. 5:APP,ROVALS t, Permit# .Sad' c }•- APPROVALS Permit'# ' Ir 'i1. Temporary'Elect�ical Service or`Pole i :at •'•0 ' -;? . El ,': 52`'!Pool & Equipment Location - _ - r. 2. ;Soil Pipe-Undrgrnd. ` , c r I �; r_ ` 'S - 'Act: , 153: Steel Reinforcement .- -3! Elecirical Conduit Utility Undrgrnd: ' -4 1 •"• 54..'Forms - ' -' . - : .2-':) $ - .J 4c Electrical Conduit-Undrgrnd'.,, 2 .• - „' '155:, Electrical Bonding - - - ,-, • 5: Steel tReinforcement . '• ' i - ' £7 A 1.1.G.: ,;56., RoughPlumbing & Pressure;Test - • - - 6: (ElectricalLIFERGrnd_' ' ri2::- 1 $j `, ?z r>= - ,.57.; APPROVALT0COVE R-GUNITE- 7. Footings ' - i ;"_ j .:58. Electrical'Conduit-Undrarndl2. _ - 8. Founda _tion i j' j I _ I ' o • ' y - a« '.. ' 59. Gas Pipe`, D:Undrgrnd;;Test , 9. Water Pipe-Undrgrnd. a - 1 « ! ;60. Backwash Lines,'P:Trap, O Undrgrnd. -' - I 10. Structural Floor System j , ' �, _, 61. APPROVAL TO DECK : " - ' - I - 11. Property Sewer Line&(House Connection _ Cr ;.62. Backwash'&-Receptor-Final : • - - 12. Sewer Cap 1 i - 1 =n .1 ; , . '63. Heater &Vent-Final 13- Roof•Drains 64. Plumbing System,- Final 1:1' ? ,, 14. Rough Plumbing! ! I ' 7I:1 I ' 1yilcc? 4�� 65. Electrical-Final 7--' ^ - • c r _r. - ',-15.:'RoughElectrical:Conduit---!--;"--,7-1 r- _- _ - _ T '66.�S'olar_Sya'tein=Final - -._ __ - - _ _ __ `- _ _ ,. I I i , Al C:=Rough,Elecrric Wiring-, I1' II '}n -,t •_ • '_ __=. 67.,Fencing&Access Approval J 'J i• - -,� 3 i117! Rough Wiring Sign;' - I ! II v I ' c 1 • I i 68: APPROVED FOR PLASTERING - ' 18. Rough Electncal,T.Ba`nCeilingi ll I } i' I '69.j POOUSPA SYSTEMS FINAL q •, „ ;, 19. 'Roug Heating& Air Conditi9ning �I I - I g : I I FIRE DEPT. REQUIREMENT: ; • _ •• ? 20.!(Rough'Factory Fireplace '' iI ji . I i - I I I i I APPROVALS , Permit# ' i 1 • •-1 y 21((Ducts,;in Structure` ' , } I ,70., Underground Hydro - ',22. !Ducts',Ventilating r i • j ,3 I: ' I I 1 , I 71. Product Piping O Gas OOil • I ' 23. Gas:Pipe-Rough & Test '_ I ' 72., Underground Flush' ', x'24. Roof Framing: , n I- 'i _ iv I : ., 1 it - I 73. 'Undergrnd-Storage Tank Odes' OOil, 25_•Roof Sheathing , i :I ,'' 1. ! - I 'I t. ; ' - 74.'Overhead Hydro - ' / - 26. T-Bar Ceiling (Structural]',& Monocoat' ; : - T - ' ' ' . 75. ;Dry Chemical - - - 1.27. !Frame and Flashing if ' 1 !, II 15 ' ; i . 76.P6.1-y Standpipe i 1 28. (,Lathing& Siding; c c i ; II ,' 1 I I i '� I I I 77. -P�IXED SYSTEM FINAL. I f 9 29. .Insulation = _ I • `i ± I { I' 1 ' ' ' ' I ' ; 78. FIRE PREV. FINAL ., • i 5 1`30. Dry• wall Na• iling I r' I '1 I 'j ' j I , I Notes) - - - • - _ - r 31. Plaster Brown Coat I i 'ill 11 I ! I • 1 / ^ • ^ 32. �Electncal'Power Meter-Final k II ' , „; I 1 ; I ,'.L/I ,. ti _�&/ 33. Final Electric I I . •31-19�,krj - e•gcaXd atou. `se.2A, 34. Final Heating &IAIr Conditioning ; ; ' i , I 1 1 Ap /n 35. Final Gas Pipe Testa •••• ;`.! i i : _ I 2 r I ` I - se•i;44-% /¢2- /4Sp 141' 36. Hood or Canoyp :•': m,n i • ,l ° I ` , i : i : ' . ' . i ° 37. Final Factory Fireplace,' 1 - ;i: i j I _ c I iI - ._ D%38. Final Plumbing i %I , j ,�/jq/,� 39. Water Service-Final! i ' ' -' ; I f 1 ' r 40. Gas Service-Final I i ' � 'i I I I i I I ' 41. Solar Domestic-Final I I I " ;_ I I ! H 42. BackflowlPreventerj i 1 I I '-T� ! j i I I I I - -;I 1.1, ' 43. Backflow)Irrigation] - 1>,'I_ !.q 'I I 1t. 1 I -I I , 44. Landscape IrrigetioncSystem 1i.. , , , •0 1 I I ' 1 1 ' - Sound • j - I I i _ I i 1 - - 46. Handicap'ReguIations'i ' ' I i_ I 1 1 - _ 47- FINAL STRUCTURE& BUILDING ;, I - I ' 48. Special Requirements Completed. + 49. Electric Releaselto Edison' i i „. L _' .:._.•___ � .__ __ __ : i __. i-_. _ -- - . ' • ii 50. Gas Release to Southern California Gas Co ; I 1 I , 1 I I I �-� 51. CERTIFICATE OF:OCCUPANCY ' - .- _ _ '_ i_ -1___'....4_ _'_.-{_ - _ _ . 1 •II r No Date . ' . Applicaa�n'+ttt to fill In�'II spaces except those within heavy border Ii nes and sign all appropriate declarations- , CITY OF CQSTA,MESA' P. iT—NJO TRACT NO. ' LOT NO. BLDG.NO. I ''rCONSTRU(TION'PERM 1113-!HS i'1? -.1L{9 _g Cf 443 • •'Applicant's Mair Address w'' - li Is ^ //�1 TYPE OF CONSTRUCTION U NEW U ADD-U ALTERATION erREPAIR - 4917 2/25LB9• 3�e�1� T� Project Address �3 stDAbU.,eS 0 CONVERSION ❑ DEM ',ASH ❑ OT ER • - - Owner s Name ftLt4S) P?Mg-l-t•y 'Phone .DESCRIPTION OF WORK S L$ek1 ' P 810 2c g • - I ZONING REGULATIONS Address e ( �--I - - TYPE OF PERMIT /L-I GRADING U FOUNDATION U STRUCTURAL ' . A.P.* ZONE - : Arch/Eng. - License No. • ❑ TENANT ®r ELECTRICAL 0 PLUMBING 0 MECHANICAL PLNG.REF.gY• BUILDING ' , Address' �J A • • ' ❑ OTHER - ' _ . TO BUILDING - - Scranrk rn-er' Contractbr s Name He-IA.) £L T Phonon, PROJECT DESCRIPTION SQ.FT. ' ' - OCCUPANCY • PROPERTY LINE REAR YARD(TO P/L) - . Address(mailing)^2�6Is I. •� ebb;sLH 13R • CON STRUCTI ON TYPE ' VALUATION$ ; LE FT SIDE YARD RIGHT SIDE VARD License No. :__?S 7� ` I ' - ZONj3 • - I - GRADING CU.YDS. ACRES • f PKG.SPACE REQ. PROVIDED • LICENSED CONTRACTOR DECLARATION - • Remarks: - I 1 / ..----O � - STREET WIDTH '- PARK FEE$ • I:hereby affirm that Pam Ilcensed,under provisions of Charter.9 (commencing - l • ' with'section 7000) of Division 3 of the Business and Professions Code,and SPECIAL CONDITIONS: - , . ' my license li In full forcj•'ntl off _ ) - I -- c titan CI ` lice No. •r i •• PLUMBING i '- DateEN Signature Bar Sink . Sewer Cap ELECTRICAL WORKERS'COMPENSATION DEC - • ' •',hereby affirm that I have a certifis'ate.of c nsent to salt-insure ora certificate _-. , Automatic Washer Meter Clover 100 amps - • ' ' of Workers' Compensation Insurance,'or a certified•copy thereof (Section Backflow Prevanter — Sewer COnneCt-- - - .•. _ - - _ . ' '800, Lab. c,.l • • Backflow irrigation - • Solar Collectors Construction Pole Sub Panel 'icy •No. 7o-Ce—i�/t Como ny `rte �ft l - - - • -Cooking Unit Sub Pole i �.Centified CODY Ii hereby TurnlShed. �� a ( Bathtubs Solar Piping ' ',..3tektifleQ p1�i}[lee with the city = II•ing I s)( • I Solar Tank Dishwasher Motors ❑0.1 HP 01 X-S 1 1 , Date` -i 6J ADPIIWnt t` ♦ : Clarifiers • __ — - - - - EXEMPTIONFROMWORKERS COM•Ilt.A I• . • LARAT •N - Dryers ❑Gas'❑Electric -Inc:Solar ❑9-15 HP-❑16-15+" • , •. : Dishwasher , Swimming Pool w/Spa i - 'I (This section need not be completed If t :- It - for one hundred ($100j or . 1 less)? ' I I ) Fan ( I I I Microwave j ' , 1 certify that In the performance of the work for which this per u is issued,I . . Drinking Fountain's - Urinal , I , , ot employ any person in any manner so as t0 become subject.to the - - - - F.A.U. ' • , • Pole Light ! Workers' Compensation Laws of California.• ) I Floor Drains: Water Closet' , c •- 1 , Date Signature - , NOTICE:If,after-making this tleclarf the you tDecome subject-tonth the-4. - 1 FIOOr Sinks ..-' Fixtures •Range _Water Heater - _ - , Workers', Compensation provisions Tot the Labor. Code, deemst1f revoked.: th • :� Device Bozos comply with; such provisions{or.this permit shall be,sseemetl revoketl.: Gas Service • ;Outlets ' 'Water Service • I _ ' - . Sign - 1 ' CONSTRUCTION 'LENDING AGENCY I - I ! 7 Outlets ' I hereby affirm that there is.a construction lending agency for the performance• a ' Interceptors ' _ , 1- . _ R Standing Sections t of the work for' which this permit -is 'Issued •(Section 3097, Civ: C.) - , - . Lender's: Name '* - ' - Switches Trash Compactor I I : I , ; ' r ' I Kltchen)Sink + p Lenders Address .. ; Garbe a Disposal • • OWNER BUILDER DECLARATION ' I ( C ( - I • - Lavatories;: ,j i _ �, I t. ] I 9 ' ( e - t iC,7 ;�L/ ! followiI ngaffirinreason(Sehatdtlon-'7031 exempt am frOrti Businesse d Professional lCode:Law y citthe , r ' P—Trap , � _ - _ .- I • , Generator 00-5 KW ❑5-15 KW county whlcli requires a permit to-construct,alter,Improve,demolish or repair I - ` I , , 'Transformer ❑15-50 KW , / ' ., 4, ��I I qq O' •any structure, prior to its Issuance,also requires the appncant for such permit , Roof Drains i i v' I - j , -• I i , '- i I / I Fid .to file a signed statement that he/she is licensed pursuant to the provisions of ' - , . the Contractor's License Law(Chapter 9 o comm) or with Sectson.7000)of , - ' " - I _ 1 - ❑5U 4 KWI I / IReinzpeetign Fee I I $15 Division 3'of the Business and,Professions Code) or that he/she.is.exempt t ! Showers T, ' - Reinspection'Fee $15 � . � ' rom•and the basis for the alleged exemption. Any violation of Section - - -- Meter ❑up t0 100 amps �/ 'Issue Fee: I '$ 3 7031.5 by" applicant for a permit'subjects the'applicant to a:dvil f ' _ _ --_malty of not more than five hundred dollars($500)- � -. - •' ' Service Sink _ • Issue Fee . $ 3 Zoning Approved By ' Date I I,'as'owner of the property or-my employees with wages as their sole MECHANICAL r . •-„enpensation will do the work,and.the structure-Is not intended or offered • •• - - Application Approved By ' Date • ' - . sale'(Section 7044, Business and,Professional Codecs The Contractor's - -- - - — -- - - -- - -- I License Law does not apply to-an owner of a property,.who builds or improves Boiler Refrigeration System g3 . thereon„and who does such Work himself/herself or through his or her own . - Application Issued By • ' I C-✓ Date !�•' ^” , employees, provided that such improvements are not intended or offered for ❑0-100,000 BTU ❑100,000 BTU- ' sale. If, however, the building or improvement is sold within one'year-of cpm- - Duct-Undee Ground , I 1 . SUMMARY OF FEES • ' pletion, the owner,will"have the burden of proving he/she did not build or im- rove for the.purpose of sale). - Duct-Structural ' ; System Repair/Alteration BUILDING PERMIT $ r SMIP ' • • $ ' I, as owner of the property,am exclusively contracting with licensed con- •' Duct-.Ventilating .i I .tractors to construct the prcject,(Section 7044„Business and Professions Code: g ,^.- _. - •- -.y 'PLAN CHECK, $ ' ' PERMIT The Contractor's License Law does not apply to an owner of property who 1 - I l i ISSUANCE:' $- i builds or improves thereon,and who contracts' for such projects with a con- - ) Exhaust System ❑ Multiple ❑ .. [PLUMBING $ - - I tractors) license pursuant to the Contractor's License Law). 'I - t GRADING • 1 $ ' - - PLAN CHECK' $ ', `I • ❑'I am.exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG ! $ ' Date - ' owner - I - , . Heating System&Ducting 1 ELECTRICAL I $ -3k � ' • 'P hereby--certify-that I have r•.d-this'application and state that the above -- -00.100,000.BTU 0100,00061E -- _- _-•. . . • "•PLAN CHECK $ ,' MICROFILM • $ information is cor .ct- I ag ee o comply with all ity and county ordinances 'MECHANICAL • $ TOTAL FEE' $ c and,state laws re-ling to td •Ing constr -6. hereby authorize repro- Hood Or Type I ❑ I • sentatives off •city'td : ter upon I ove mentioned property for yD , ' Reinspection Fee • $15- LESS inspection p .sec. ` y Canopy Type II ❑ - I 'PLAN CHECK $ ADVANCED PC - $ - Signatura si7 1 _ Date �1�C1�; ( 1 I , I Drtvers•'LI•,I' 5S /� ' I Registers ! - - I mise Fee $ 3' I - I FINAL FEE - $ ' -3 CMF 0865-46 rev.12/82- White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - - - - -- -- - - - - `7 t�aCONSTRUCTIONAND PLANNING ` _ - - _--- -` -- --' - ;,POOL&SI - /` ;,Date - Inspector _ Date Inspector it_,gPPROVALS Permit#`s' -�°``'`�J' APPROVALS . P.erMit# -`t Temporary _,1. Electrical Service or:Pole - 1, - :t ' 52.. Pool &_Equipment,Location - . - - - 7'1•2`. Soil Pipe Undrgrnd:' I. •.>v' I' ,. r53,SteeReinforcement - 3. Electrical Conduit Utility-Undrgrnd- -- c : 54r Forms -- " . •� '4: Electrical Conduit-Undi• grnd - -_ - - '55. Electrical Bonding - • lam. ( 5:.SteeliReinforcement ' .' ' - __ I.56. Rough Plumbing-& Pressure Test : - .. &+-"Electrical UFER Grnd. ` " - I - • ' ' 57- APP,ROVALTO•COVER-GUNITE Yi :7,. F,00tings '' ' : ' -' -ri ::58. Electrical-Con ' duit-Undrarnd. 8. •Fodndation ! I ,59. Gas Pipe,-.0 Undrgrnd-,Test :9. Water Pipe-UndrgrndI .4 - i ; 60. Backwash Lines,P-Trap, 0 Undrgrnd. t l 10. Structural Floor System i I .� , 61- APPROVAL TO-DECK - - it.. 'Propert'y Sewer Line &,House'Connection .: 62. Backwash'& Receptor-Final 12. 'Sewer Cap' 1 ; • , , p • i = : • 63. Heater 81 Vent-Final ,'13. Roof;Drains • . ' . ' *•64. Plumbing;System,-Final ,, • [14. 1Rough'Plumbing!% I -65. Eledtrical-Final • • _l=C .15:'iRough Electiiceonduit! - ., ; ---- -- , 66.,-S&Iar System-Final • --. - ' 16:#Rough,Electric Wicmg, & s-ct N1 67.1 Fencing &-Access Approval- t- - 17-rRough:WiringSign; ` 1 ; •68! APPROVED FOR,PLASTERING • • - ' 18.tRough:Electrical-T:Bar Ceiling . ; . ' I':. ! • ;69! POOL/SPA SYSTEMS FINAL 19: Rough.Heating& Air:Conditfoning ' - . , ' _ , i FIRE DEPT. REQUIREMENT . 29. RouglrFa6tory Fireplace ' r 1 I - ; APPROVALS Permit# , 21_.'Ducts in Structure, •' 4 ,70., Undergr• ound Hydro ' -22. Ducts,1Ventilatin . I 9 , I , i .71. Product Piping 0 Gas 0 Oil 23.;Gas•Pipe-Rough&Test ` i,! ' _ ! .72. Underground Flush -24. Roof-Framing• I , i-�I I ' - " i - !73. lJndergrnd Storage Tank U Gas 0 Oil , 25.,!RoofSheathing - 1 -• . ' - : 74! Overhead Hydro , - _ B 26.; ,' '� ' 17790 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT SEP 1 4 1962 P. O. 00X`317 - COSTA MESA. CALIFORNIA FINANCE For Applicant to Fill In Completely X4LICAcirlt5 8kSPERMIT TYPE OR PRINT BUILDING ADDRESS /4"5; /45./47 /4-7 EAz,o41210 Ad I COSTA MESA. CALIFORNIA / For Office Use Only /, 'Pi ‘/ RECEIPT NO. PERMIT NO. OWNER A L , L1�L� j I . j77 MAIL �/ RECEIVED BY DA RECEI O DATE ISSUED ADDRESS/�IgZO Aj FVfloR-' L'LVD, /y,--j l 9//L4 Z /-_7d-6 k CITY COST A MESA NOLI.Si 5°5 BUILDING ADS ARCHITECT 1ZEAH Ail k, TEL.'A1_6,-163(1 COSTA MESA. CALIFORNIA OR ENGINEERS IROEIAANE-R- NO. • ADDRESS 5 42. W EST I JT14 Cos-rr MESA FIORE �'�` ZONE .f�•`� TYPE GRO�J BUILDING SAFETY DEP/ ./CENT X.0:Bos No. 317_ N? 1671 c Cpsta Mesa, California Date /2 — "` tg -‘2.- CITY OF COSTA MESA CERTIFICATE OF OCCUPANCY Building Permit No/9 TM Electric Permit No Plumbing Permit No Use of:Building 1/4- Y)L124/ - A/44 ,,da. /4/3 - / VS' - / V7 / /5/ L aei The building lova at /5/3/ St -/1 `' / 5� 94 e..zoralter-rt-tek-• Legal Description 023 . GN 4.724/ - �f , // . Pi' /12 - /to 3 - ii (See reverse side for Metes and Bounds) has been inspected and found to comply with the provisions of all City of Costa Mesa Ordin- ances applicable thereto for a Group 7 Occupancy. IsstrED,JI'O;/J/2 •� City >�ding OfficJ�+a1 !// (Owner of Bui lug) By (rah �' 4 CC: I3Original—Owner0 1st copy—Gas Co. 0 2nd copy-' 'soCo. 0 3rd c y—File Form 200 S-B P inc 1-80