HomeMy WebLinkAbout189 SANTA ISABEL AVE - Building Permits • `— _-- Applicant to fill in all Spaces except those within heavy border lines antl sign all approp rials declarations.
t PERMIT NO. TRACT NO. LOT NO. UNIT NO.
t.— 'CIJV.� COSTA MESA _CO,N,,STR/UCTION PERMIT ` I - - A.P.•# zone ' Cld
Project Address /99 tufa 73/•1&J �"� _
Applicant's Mailing Address TYPE OF CONSTRUCTION' ❑ NEW LI ❑ ALTERATION ❑ REPAIR S Main Building: Accessory Building:
��SZ /�!• /G/j. MF/vE Z
./ n1 0 CONVERSION ❑ DEMOLISH ❑ OTHER 7F_JZoo T Front G
'Owner's Name QI.f$L�L Ly Phone XP-1- f'
( DESCRIPTION OF WORK/USE OF BLDG. 7-Star/La B Rear N
:Address 23/ GdL'Vlf •}G .4.44.,:t....-t-22,0...4. C.4.-1764.7 '/ A _ • I
/ - �/ C Right N
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING El FOUNDATION STRVCTU RAL K G
Address ' ' • ❑ TENANT ❑l ELECTRICAL7.� ❑ PLUMBING ❑ MECHANICAL n i S . Left • . - R
��11 // OTHER Y V IZCC1 ,`
Contractor's Name /�o rtNhc �e,: u�✓ Phone�n3 Z-7�G j Ping. Ref.# - Parking Req./Provided E
/ P OJECT DESCRIPTION SQ. FT._ ?SO it OCCUPANCY t O
Address(mailing) -.• - a' Planning Notes: • M
CifCON STRUCTION TYPE �� VALUATION$ 4 Z.,C i ,
City License No. ��•CG ZONE GRADI NG CU.YDS. ACR S $,
LICENSED CONTRACTOR DECLARAT Of N ///,,,///��'��' J ,Y
I hereby ionaffirm7 that I am licensedion under provisionsnCharter ions came,ting Remark -�L - _ _^l]v� n- 'ut rr�`,�� �f r
h yt ion of ic3 of the isioss and Professions rnme and NJ i i!CX r«ra TiiAll000 /C`�`aJ/�/ ic.^s9
my license is in full force ar1Q effect. '! c �j ELECTRICAL •FEES
License Class .S G. r+� _License No. L)y(p7 Z S / 4/ �l'�`"'�- ' �'4 S 0 15-50 KW
Date/Z-/ �F'� 'Signature en r-s �t/ ���
. PLIPLUMBING • Automatic Washer Transformer
I FEES 050+KW
WORKERS'COMPENSATION DF.GYA RATI NBar Sink Showers Construction Pole Sub. '
I hereby affirm that I have a certif.' to of consent to self-insure or a certificate
•
,. of Workers' Compensation Insurance, or a certified.copy thereof.(Section Backflow Presenter Service Sink Cooking Unit .Meter Duo to 100 amps _
3800, Lab. C,)
•
Policy No. /Y8' 73C Company . -,-- QL 'e) Backflow Irrigation Sewer Cap • Dishwasher Meter Dover 100 amps •
_Certified copy is hereby furnished. Dryers OGas ❑Electric Sub Panel
Certified copy is filed with the city ing Division. Bathtubs Sewer Connection
Date /1-/-0YFi Applicant Fan ' Motors❑0-1 HP ❑1%-B •
EXEMPTION FROM WORKERS'C ENS TION DECLARATION Clarifiers Solar Collectors _
(This section need not be completed if the permit is for one hundred($100)or F.A.U. Inc.Solar ❑9-15 HP ❑16-15+
less). Dishwasher Solar Piping _
I certify that in the performance of the work for which this permit is issued, I • - Fixtures -
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank icrowave
Workers' Compensation Laws of California. •
Date Signature Floor Drains Swimming '/Spa • Device Boxes Pole Light '
NOTICE: If,after making this declaration, you should become subject to:the •
Workers' Compensation provisions of the Labor Code, you must.forthwith Floor SinksUri Outlets _ Range ••-• '-
comply with such provisions or this permit shall be. deemed revoked. - .• _
CONSTRUCTION LENDING'-AGENCY . Switches Si n
Gas Service Outlets -Water Closet g
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued ,(Section 3097 Civ. C.) . Garbage Disposal Standing Sections •
Lender's Name - _ Interceptors Water Heater _ I
Lender's Address - Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor
•
OWNER BUILDER DECLARATION - '
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash .. .
following reason (Section 7031.5 Business and Professional Code: Any city or -
county which requires a permit to construct,alter,improve,demolish or repair P-Trap • - -Laundry Trays
any structure, prior to Its issuance, also requires the applicant for such permit ' - -
'to file a signed statement-that he/she is licensed pursuant to the provisions of Roof Drains H - 9;
the Contractor's License Law (Chapter 9(commencing with Section 7000)of
Division 3 of the Business and Professions Code) or that he/she is exempt • - Issue.
Fee Fee I $15 IssueFee $ 3
therefrom and the basis for the alleged exemption. Any violation of Section - •
7031.5 by any applicant for a permit sup)ects the applicant to a civil
enaIty of.not more than five hundred dollars($500). _ - I DEVELOPMENT SERVICES REQUIREMENTS:.^'+ ?3
U I, as owner of the property or my-employees with wages as their sole Reinspection Fe •e ` $15 Issue Fee $ 3
compensation, will do the work, and the structure is not intended or-offered Zpning ApprOVed By Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL • I FEES Building Approved B •( Date
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 1/
Application Issued By • nate_/ " ft-
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ��J
sale. If,Thowever, the building•or improvement is sold within one year of com- — Canopy Ty II ❑ SUMMARY OF F
pletion,the owner will have the burden of proving he/she did not build or im- Duct-Under Ground p • S72
prove for the purpose of sale). BUI LDING PERMIT $ p�• co SMIP - $ • J (/
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural . Refrig ion System
tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ PERMIT .^ •
The Contractor's-License Law does not apply to an owner of property who' Duct-Ventilating - - 100,000 B7 ❑100,000 BTU PLUMBING $
/B ISSUANCE $
builds or improves thereon.antl.who.contra Gts for such Oroiects with aces-
tractor($) license pursuant to me Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair Alteration PLAN C ECK 25% $ ' ENERGY P.C. $ _
proof of their Worker's Compensation Insurance should be provided to me. ELECT CAL $ GRADING $ -
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# .� Fire Dampers E p( P I R F I
PLAN CHECK 50% $ MICROFILM $
Date Owner ' - Heating System&Ducting Registers IDCGmFlete In$pel tlOnS MECHANICAL $
I hereby certify that I have read this application and state that the above '❑0100,000 BTU 0100,000 BTU TOTAL FEE $ /��V
Information is correct. I agree to comply with all city and county ordinances - PLAN CHECK 25% $
and state laws relating to building construction, and hereby authorize repre- - DateS` p
sentatives of this C. • enter upon the above-mentioned property for p ,. .
inspection purposes. � �nf • •
Signature a /L Dat -- "'. - �lltt"""
I - Reinspection Fee $15 lie Fee $ 3 01 00020840-00020841 TOT 21.50 ,�
Drivers' License or - a DATE: 12/01/8oi. TIME: 09:45 / ,
0865-46,rev.5/88 White - Building; Canary -Applicant Pink -Accounting; Goldenrod - Assessor
i / - -
ic.?\ .
• I CONSTRUCTION AND PLANNING VPOOL &SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
i
• 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location•
-
!'
+2. Soil Pipe:Undrgrnd. 53. Steel Reinforcement
3'../ on Conduitaitility-Undrgrnd. 54. Forms
Electrical Conduit-Undrgrnd. '. _, 55. Electrical Bonding
5-..Steel Reihforcement.(i, 56. Rough Plumbing & Pressure Test
6. iElectrical UFER Grnd. `• _ 57. APPROVAL TO COVER-GUNITE -
i
7.rtFdotings• • ! �� 58. Electrical Conduit-Undrgrnd. • '!
8. Foundation ( ; ' 59. Gas Pipe, 0 Undrgrnd.,Test _ ..
9.' Nater Pipe-Undrgrnd. 1 60. Backwash Lines, P-Trap, 0•Undrgrnd.
10'$tructuralFloor System + is 61. APPROVAL TO DECK- •
11: Property!Sewer Line & House Connection ,J 62. Backwash & Receptor-Final I
12. SewerHCap '- - '
'i •• ' 63: Heater & Vent-Final
13. Roof Drains •,. _' 64. Plumbing System - Final
14. $tough Plumbing ; I 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final -- -
.16:fRough Electric:Wiring - ,67. Fencing & Access Approval - - -
,.
17.(Rough Wiring Sign' n, 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling'.....• 69. POOL/SPA SYSTEMS FINAL - .
19:Rough Heating & Air Condi.qintirrig FIRE DEPT. REQUIREMENT • '
20. Rough Factory Fireplace 2 APPROVALS Permit# -
21. Ducts, in Structure2 I mit 70. Underground Hydro
22. Ducts, Ventilating 1,1, k.--.1.,,i).; 71. Product Piping 0 Gas ❑Oil i
23. Gas Pipe-Rough & Test �•'.' i 72/Underground Flush /'
24. Roof Framing ',..t.; ;4?), i? 73. Undergrnd_Storage Tank 0 Gas 0 Oil /
25. Roof Sheathing -/ - ' 74.. Overhead Hydro
26. T-Bar oeilirig (Structural) & Monocoat r 75. Dry Chemical �/
27. FramelandFlashingG • 76. Dry Standpipe / '�" "t
28. 6:
La`tiing &Siding 77. FIXED SYSTEM FINAL -
29. Insulation 78. FIRE PREV. FINAL •
30. Drywall Nailing i'�- �I HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coate ' � `�I - 79. FINAL INSPECTION ,.
32. Electrical Power Meter-Finals - 80. FOOD CERTIFICATE ISSUED .
33. Final Electric I - % Notes: .t t-
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 r ''i
ft/
40. Gas Service-Final / - - 'i
i
41. Solar Domestic-Final / 11�I
42. Backflow Preventer • / !� ;
I
43. Backflow Irrigation EXPIRED . ,
44. .Landscape Irrigation System InC0 iplet InspectipnS'
45. Sound Attenuation . �n
• _ Gate 7 _. -./ Sig 4-:7-4..4.-
4q.46. Handicap Regulations ,,
47. FINAL STRUCTURE & BUILDING ,..S .
ti
48. Special Requirements Completed - 'r
. 49. Electric Release to Edison '
50. Gas Release to Southern California Gas Co `
L51. CERTIFICATE OF OCCUPANCY
No. - Date .- - - w
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. •
PE IT NO. - TRACT NO. LOT NO. UNIT NO.
CITvo_F COSTA/N�jE�SA CONSTRUCTION PERMIT A.P. zone.
-Cject Address /V 7 ;e2 �fr At ./ - 52 4 7 3 : . ,
,/c/ie�//' f5 !W ���yyy S Main Building: Accessory Building: •
Applicant's Mailing Address //-S77 /V /11 - • TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION IH REPAIR ' E . . Z
/Yl0%/ ' • JAC/(� Phone/5-TX- •
❑ CONVERSION ❑ DEMOLISH ❑ OTHER / T Front _ N
Owner's Name DESCp1P N OF WORK/USES B1.9G. ,/ag0 - I-B Rear
' - Address x08 ��/�.0 S fits,-T7.:- -'7a� Isar 1 Tag r coo 7`-'
/(e_ A I'
' Arch/Eng. / License No. . TYPE OF PERMIT ' ❑ GRADING 0-FOUNDATION ❑ STRUCTURAL C Right • N
Address • ❑ TENANT. ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL . S'i Left - R
Contractor's Name .:) .vLt p 0 pet 0.- Phone(n P 7-74663 /`�"''TREK vrr- •
/�� I Ping. Ref.#' Parking Req./Provided E
Address(mailing) A%fZ N- .r/LR�M�Tv 9 PROJECT DESCRIPTION •SG. F //ere OCCUPANCY (-��/ - M
/�Na. ZE0 PlanningNotes:
CONSTRUCTION TYPE VALUATION$,�Oa�-a
T
City License No. � � 9 ZONE GRADIN CU.YDS. ACRES S.
LICENSED CONTRACTOR DECLARATION ^ .
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: �J• yam, s- IL_ 6% .XiSJde O'. .O#V/EO : 5� •
- _
with section 7000) of Division 3 of the Business and Professions Code,and Q 9�
my license is in full force and effect. y / ELECTRICAL FEES
Datea Class' - License No.‘ G •�CRtlefi �j 7 // M /L3Ys-s Ms ,a, �4 C IC, 04'11 Y - ✓p, - •
DateI7-)-FI$ Signature Qa PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW • ,
i WORKERS'COMPENSATION DE RATIO Iv Construction Pole Sub. - 0 50+ KW
•
�p` I herebyiaffirm that I have a certifi to of consent to self-insure or a certificate • Bar Sink Showers _
of Workers' Compensation Insurance, or a certified copy thereof (Section T - -. Cooking Unit - - Meter ❑up to 100 amps - -
�• 3800, Lab as...)-a 98 C�,�, Backflow i Preventer r Service Sink
Policy No. CompanySa 2re �cJN� Backflow Irrigation Sewer Cap Dishwasher Meter Clover 100 amps
` ertified copy is hereby furnished.
v Certified copy is filed with the city Ing Di y inion- �f • Bathtubs Sewer Connection Dryers ❑Gas DElectric Sub Panel ' •
v Date/'2'•/'-&lA Applicant B(y1.Wyo,r��Z Z9✓------ -
EXEMPTION FROM WORKERS'COA6PENSATION DECLARATION Clarifiers Solar Collectors Fan Motors 00-1.HP 01%-8
-
(This section need not becompletedi the permit is for one hundred ($100 or ,
less). ) Dishwasher • Solar Piping F.A.U. Ina Solar ❑9-15 HP ❑16-15+
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 Fixtures Microwave
Workers' Compensation Laws of California. Device B xes Pole Light Date Signature - Floor Drains Swimming Pool w/Spa9 .
NOTICE: If,after making this declaration,you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith - - - Outlets an e- - • •
comply with suchprovisions or thisFloor Sinks • Urinal 9 '+
permit. shall be deemed revoked. ..;
•
CONSTRUCTION LENDING.AGENCY - Gas Service OutletsSwitches / Sign
I hereby affirm that there is a construction lending agency for the performance Water/ Closet •
!/ 9
of the work .for which. this permit is' Issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal ' Standing Sections
Lender's Name.• • - -
Lender's Address - Kitchen Sink . Water Service. Generator ❑0-5 KW❑5.15 KW TrashCortipactor
OWNER BUILDER DECLARATION .
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories • Auto-Wash - l-. .0 Y
following reason (Section 7031.5 Business and Professional Code: Any city or •
county which requires a permit to construct,alter,improve,demolish or repair P-Trap ' Laundry Trays - ' v •'�
any structure, prior to its issuance, also requires the applicant for such permit r _
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - -
the Contractor's License Law(Chapter 9 (commencing with Section 7000) of - "' '
Division 3 of the Business and Professions Code) or that he/she is exempt - Reinspection Fee $15 Issue-.Fee c-) , $ 3
therefrom and the basis for.the alleged exemption. Any violation of Section
7031.5 by any applicant for a permit sulajects the applicant to a civil .- -- .
p�enalty of not more than five hundred dollars($500). ' • DEVELOPMENT SERVICES REQUIREMENTS:t:s
I,-as ownerI of the property or my employees with wages as their sole . Reinspection Fee $15 . Issue Fee $ 3 ,
compensation, will do the work, and the structure is not intended or-offered Zoning Approved By Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL '
License La W does not apply to an owner of a property who builds or Improves FEES Building Approved B Date ..,�)
thereon, and,who does such work himself/herself or through his or her own - Application Issued By Data 0-1--1 7S
employees, rovided that such improvements are not intended or offered for Boiler Hood or Type I 0
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0. ' SUMMARY�F FE
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground • •
prove for the purpose of sale). UILDING PERMIT $ Lf 9 • �- SMTP $ '.S-C)
❑ I, as.owner of the property, am exclusively contracting with licensed con- Duct-Structural Refr' ration System _.
tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK
The Contractor's License Law does not.apply to an owner of property who Duct-Ventilating 0-100,000 BTU ❑100,000 BTU v •� PLUMBING $ - ISSUANCE $
builds or improves thereon,and who contracts for such oroiects with a con- a
tractor(s) license pursuant to me Contractor's License Law). am aware that Exhaust System 0 Multiple 0 Syste Repair/Alteration - '7 PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation Insurance should be provided to me. GRADING $
0 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBO# Fire Dampers EXPI d ELECTRICAL $
• PLAN CHECK 50% $ _ _ MICROFILM $ •
Date 1• owner • Heating System&Ducting Registers Incomplete t, .1 MECHANICAL $ TOTAL FEE $ `tet/ e'S�
I hereby certify that I have read this application and state that the above -❑0100,000.BTU ❑100,000 BTL
Information is correct. I agree to comply with all city and county ordinances . C• 'PLAN CHECK 25% $
and state laws relating to building construction,and hereby authorize repro- - — 18
lnspe
sentatives • - city to enter upon the above-mentioned property for pate
inspectio • r•o s. `z�%�8� ,
Signature re, V ti u'1 Date 's
Drivers' ' -nse or S'S* _�' - Reinspection Fee $15 Issue Fee $ 3 Q1 00020842-00020843 TOT 50.50
0865-46,rev. 5/88 White - Building; Canary - Applicant; Plnk -Accounting; Goldenrod - Assessor r DATE: 12/01/83 TIME: Q9:45
;CONSTRUCTION.AND PLANNING l POOL&SPA
Date
'APPROVALS Permit / Inspector APPROVALS Permit# Date Inspector_
1. Tempor`y Electrical Service or Pole, i, - 52. Pool & Equipment Location •
A
2. Soil PiperUndrgrnd. : - -I /1 ?• 53. Steel Reinforcement .. ;
3(Flectrical Conduit,Utility-Undrgrrid. P 54. Forms • 'moi•'
4'.,Electr'ical:Conduit}Undryrnd. ...I v 55. Electrical Bonding
v
5. Steel Reinforcement '`. 56. Rough Plumbing & Pressure Test 4
6✓.:Eleatricai UF ER Grndf' , .'' 57. APPROVAL TO COVER-GUNITE
7.'Footings •�'' • I 58. Electrical Conduit-Undrgrnd. .
8'Foundation ) - .p 59. Gas Pipe, 0 Undrgrnd.,Test .
r I, .
' 9. Water Pipe-Undrgrnd: - - I (i • 60. Backwash Lines,P-Trap, 0 Undrgrnd.
i
10.'Structural Floor System �i -t - 61. APPROVAL TO DECK _ ,
11;-Property.Sewer Line'& House Connection r'' .41 - 62. Backwash & Receptor-Final -. ,I
12. Sewer,Cap • i ) '. °
I I• 63. Heater & Vent-Final
13. Roof Drains • •• ' ' .ii ^ 64. Plumbing System - Final '
•
14. Rough Plumbing 4, 1 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final •
- 16.E Rough Electric Wiring 'i 67%: Fencing & Access Approval
117.1Rough Wiring Sign - . - • 68. APPROVED FOR PLASTERING
•18." Rough Electrical-T Bar Ceiling , 69. POOL/SPA SYSTEMS FINAL
19. Rough`H'eating & Air Conditioning FIRE DEPT. REQUIREMENT - ,
r •
20. Rough Factory Fireplace :I "I APPROVALS Permit# _ •• •
21. Ducts, in;Structure • ' 9 ••••••• 70. Underground Hydro .
•
22. Ducts, Ventilating :, ` 71. Product Piping OGas 0 Oil
23. Gas Pipe!Rough•& Test **•••:„.":,•• 27
,; .,, 72 ...Underground Flush . '
•
24. Roof Framing ' 2 /1 i 73. Undergrnd.Storage Tank 0 Gas 0 Oil ;
iir25. Roof Sheathing '' • 74. Overhead Hydro• Lf".;
26. T-Bar Ceiling (Structural) &,Monpcoat 75. Dry Chemical ' _ i....
v'
•
27. Frame and Flashing _ 76. Dry Standpipe -
28. Lathing & Siding i 77. FIXED SYSTEM FINAL �i "
29. Insulation r /•' 78. FIRE PREV. FINAL qtr s •
30. Dryvvsll Nailing '' !' HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat . . " 79. FINAL INSPECTION � n: •
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ' • .
33. Final Electric 1 'y ' - Notes: vie/ }tics,.5‘... z' ,OQ,e
34. Final Heating & Air Conditioning j •,a
35. Final Gas Pipe-Test "7 /L_ _/_ /G�e! �
36: Hood or Canopy
37. Final Factory Fireplace ,
38. Final Plumbing • - .
39. Water Service-Final
1.:';')
40. Gas Service-Final
41. Solar Domestic-Final ='��-
42. Backflow Preventer , '� / -'
}^ 1
43. Backflow Irrigation . \ • 1
EXPIRFD f
44. ,Landscape Irrigation System " - Inco plet Inspection's''... I
45. Sound Attenuation �,._
,atP 7 1 Sigslefri`,:
46. Handicap Regulations 1
47. FINAL STRUCTURE& BUILDING I
t
48. Special Requirements Completed ' s
49. Electric Release to Edison -
.J
50. Gas Release to Southern California Gas Co • -" �'
t " '
51. CERTIFICATE OF OCCUPANCY . .i n, '
•No. - Date 'b !
City of Costa Mesa
Building Safety Department CERTIFICATE OF OCCUPANCY
P.O. Box 1200
Costa Mesa,California
The Building located at
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
Legal Description . _ -
• (See reverse side for Metes and Bounds)
Building Permit No Electrical Permit No. Plumbing Permit No.
Number of apartments and/or guest rooms
ISSUED TO: Building Official
by
Date
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.
Form BU 34 Rev. 11/70 N ,
N
4OWNER SHAVER, Paul DATE 3-15-71
JOB ADDRESS 189 Santa Isabel Avenue, B, C, D BUILDING PERMIT NO. 32815
GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK 3 Unit Apt.Bldg.w/garages
'APNo119-052-09 LOT TRACT FIRE ZONE . VALUE $ 32,800.00
INSPECTIONS Signature Date GROUPH & J TYPE V ZONE R-2
SOIL /�/ J 2-3-7/ PERMITS ISSUED
GAS SUBCONTRACTOR
Date 1 Number Signature
WATER/Mc-3_2.g-7/ 7} /�J/-,[ %��'�.Plumb ��_���///�I '/L
PROP. P LINE❑ ❑ J1 ,S / 2, /? tea% -_ �.CJ.71 ✓�V'6/
PROP. SWR. LINE HOUSE CON. d,p �71 5p�j�0(
SPRINKLING SYSTEM /
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING Al C6--i4.-77
TEMPORARY SERVICE OR POLE
UNDERGROUND fl POWER ❑
ROUGH WIRING ,n/Heating and Vent.
TRENCHES FORMS STEEL REINF. ,.�� S�il.�..c _i/� ft,t cccfff
FLOOR SYSTEM �(/ , .i� q �p /-%f- y��� �J
BOND BEAM n STEEL REINFORCE n / lei/•- •1-ti ���- `
1,6
SHEATHING / Q
FRAME AND FLASHING _' G cL // i
• LATHING — IN 1-11.-----"'OUT ` ` °
PLASTER, BROWN COAT r �' -S- fie?,
STRUCTURAL, FINAL j j ""� / �/e t i
HEATING, VENT., REFRIG. AND A.C., FINAL /tl .6 -'/O -7/ l'i`ry, .'-e / 14 2 -w�,7/ ,527;77/
PLUMBING, FINAL AND GAS TEST n i 5 6 'G'7/ J !!!
ELECTRIC, FINAL _ /f71 /,,7%
BUILDING, FINAL �C/�,/(
32815
cf-
f1AR 15 7lProIn00 379 **163.50
COSTA MESA BUILDING-SAFETY DEPARTMENT N.
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For AppllcaI t tp,Fill issompletelg,,, -Anna
BUILDING (/ �f �� �� DATE ISSV`ED�j
ADDRESS / 7 / ' / /� n v —J 7
I� ' �� , /'—V ..C'O` PE- sl g/ Cl
OWNER �, A.P. N•
BUILDING �rj�'/ /- //
MAIL }- �'J ,r ,/ �t ((�] `a�Evj
Z ADDRESS 3 o J �/ S /-A ,424/ ✓Y-�-r� y ADDRESS
d U CITY GD ) 14 .-n f- S /¢ /"NOL 6 7p �Qy TRACT CIU LOT,/ A BLOCK
Z ' NEW ADD ALTER REPAIR MOVING OFMOI LSH
Z Z CONSTRUCTION
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the State of California Business and Professions Code, Division,3, THE AMOUNT SHOWN UNDE ALUATION IS FOR
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OWNER LOPEZ, Nelson G. DATE 12-18-74:
JOB ADDRESS 189 St. Isabel Street BUILDING PERMIT NO. 39429
GENERAL CONTRACTOR Ownr.-Bldr. DESCRIPTION of WORK Legalize Carport & Storage Area
AP No. 119-052-09 LOT 109 TRACT 300 FIRE ZONE VALUE $ 700.00
INSPECTIONS Signature Date TYPE tV GROUP 2 ZONE R-2
SOIL SUBCONTRACTOR PERMITS ISSUED
GAS Date Number Signature
WATER Plumbing •
ROUGH PLUMBING
cp PROP. SWR. LINE 0 HOUSE CON. El
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING -
TEMPORARY SERVICE OR POLE
UNDERGROUND [J POWER fl
ROUGH WIRING Heating and Vent. •
TRENCHES d FORMS E STEEL REINF. `�//fjyn a ,'/. 7 C"
FLOOR SYSTEM
BOND BEAM (l STEEL REINFORCE in
SHEATHING
FRAME AND FLASHING
LATHING — IN n OUT El
PLASTER, BROWN COAT
STRUCTURAL, FINAL _ Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST Il
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ELECTRIC, FINAL !/4c- 7-.]r
BUILDING, FINAL
39429 PAID
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TFC 1 f3-74�r:�-�Q 911-` 1 a.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 -
For Applicant to Fill in Completely PP TION FOR BUILDING PERMIT
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the State of California Business and Professions C•••, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
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am exempt from the provisions of the St: - of California Business VALUATION '/ t� •-
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