HomeMy WebLinkAbout1648 IOWA ST - Building Permits CITY OF COSTA MESA
+ BUILDING DIVISION
F ) 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
4 FOR INSPECTIONS CALL: (714)754-5626
S`""°"4PERMIT NUMBER: B09-00217
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: TPN980105 DATE ISSUED: 09/30/2009
ISSUED BY: RMD
JOB ADDRESS: 1648 IOWA ST CM Suite/Unit:
Vicinity: CONDO ROOF
Squares: 1800 Valuation: $7,500.00
SCOPE OF WORK: TEAR OFF(E)ROOF MATERIALS, INSTALL NEW BUILT UP ROOF SYSTEM ON CONDO BUILDING,APPROX 1800
SF. REPAIR AND REPLACE SHEATHING AS NEEDED.
OWNER: MESA VERDE VILLA HOA Address: - Unit:
PHONE: City/State/Zip:
APPLICANT: BEATTIE,TOM • Address: Unit: :
PHONE: 562-209-4735 City/State/Zip:
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CONTRACTOR: ROYAL ROOF CO License No. 289222
Address: 1144 N ARMANDO STREETUnit: PHONE: ' 714-764-1100
City/State/Zip: ANAHEIM,CA 92806 CELL:
ARCHITECT: License No. • PHONE:
ENGINEER: License No. PHONE:
FEE SUMMARY •
Reroof Plan Check: $0.00
Reroof Permit Fee: $15325 •
Reinspection Fee: $0.00 •
Bldg Std Admin Fund $1.00 •
TOTAL FEES $154.25
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.92-28,§ 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE S. INSPECTION TYPE GATE lNTff1ALS CODE INSPECTION TYPE PATE INTITIAL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 4 / M 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
•
4110
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. ❑Yes ❑No,
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
O I have and will maintain a certificate of consent to self-Insure for workers Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Ilf---4 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
577/91--C 2 t.4•`-✓ by this permit,and that no building structure,scaffolding,falsework,or demolition
rner or dismantlingthereof,will be more than thirty-six 36 feet hi h.(Chap.3.2,Grp
'Ise1 ) 9
OKI section need not be completed lthe pen*avalued of arehundred ct9ars($100)or less.) 2 Art 2 Sec.341,Title 8,California Administrative Code).
Pol tuber: 1 R 04 01 1 --ZOO,
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California. and agree that if I should
become subject to the workers'compensation provisions of Section 3700 of
Applicant's Signature Dale
the Labor I shall forthwith comply with these provisions.
30-o2 o-o(9 Division of Industrial Safety Permit Number:
Ap to $Signature Dale HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE SECURE WORKERS'COMPEN TIONCOVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS (Section 25505 of the California Health and Safety Code requires.with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST.AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. �7 a registration form for acutely hazardous materials? 0 Yes 0 No
Lic. '?j 7 S 2Z��^ CIa C" • J 7 (Section 25533 of the California Health and Safety Code, with some
S.—3 U — f oexceptions, requires registration with the Costa Mesa Fire Department by
la _ each business which at any one time has on hand a quantity of acutely
Contraddis5igwe•r--,. easrr•:pa@�,,,,,,�= .,[,:, hazardous materials equal to or greater than a weight of 500 pounds, or a
( 4✓'•'r�"' � volume of 55 gallons, or 200 cubic feet of compressed gas at standard
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes ❑No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by Califomia
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No
(hereon,and who does such work himself or herself or through his or her own
8. (If'Yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for control officer).
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 CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
0 I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
Signator I Legal O er(s) Date
T--:30-
Signature Date /—44 -3J" U
3057<6(3/07)
ArINorLLltliw2eC'ApVtic$�I"••-• ..••'-
r , -
•
•
CITY OF COSTA MESA
• v, •
BUILDING DIVISION
>:� ,,,, ; DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
�
. PERMIT
re�, •
• / 601-00810
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.usING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDJob Address: 1648 IOWA ST Status: ISSUED
Suite: Applied: 06/05/2001
Vicinity: MESA VERDE VILLAS HOA Issued: 06/05/2001
Parcel Number: TPN980105 Zoning:
Applicant: SESLER, MARK _ _ ISSUED BY: _647ao___
Address: 5396 RANCH GATE RODE • . / ---.
Phone: 800-810-7288 -
ALTA LOMA,CA Zip: 91701 -
•
Owner: MESA VERDES VILLAS HOA
Address 1604 IOWA ST - -
Phone:
COSTA MESA,CA Zip: 92626
Contractor: CALIFORNIA PACIFIC
Address: 5396 RANCH GATE RODE
Phone: 800-810-7288
ALTA LOMA,CA
Zip: 91701 •License: 519073. -
Arch : - Eng:
Address: Address:
- Phone: Phone:
Zip: License: • License:
n SCOPE OF PERMIT: `"''
REROOF:-PO EXISTING SHAKEROOF; 1 LAYER"30#-FELT, REROOF WITH:I:GERARD"LIGHT STEEL TILES(NER-423) ,
1.5 PSF _- -
1700 SQ FT •
FEE SUMMARY i-: . _- , - . -
Plan Check: $0.00 Calc Valuation: f, : • $6,800.00
Permit: $139.25 _ Claim Valuation:-:/." $6,800.00
SMIP Res: , $0.68
SMIP Com: - $0,00 � "
Other:- '$0.00 :::, w ;j/ '-
Inspection: $0.00 _
Total: $139.93- N y ` �% � N
%' \\�A L-. j/-C /
PLANNING &ZONING-% )
MAIN STRUCTURE Front '10-0 ' � ' Rear -0-0 Left 0 0 ,\ Right 70
ACCESSORY Front 0-0 N> Rear 0-0 Left I 0-0 - - ' Right 0-0
PARKING Existing: 0 ''Required: _ O--. Proposed:-„o> '
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
244646(6/00)
DECLARATIONS n
WORKERS'COMPENSATION DECLARATION;
I hereby affirm under penalty of perjury one of the following declarations:
❑ 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 performance of the work for which this permit is Issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Cam and agreq that if I should become subject to the workers'compensation provisions ofSe tion 700 of the Labor Code,I shall forthwith
comply with these prooydi ons. /�(�
Applicant Signature: /i- Date: to i d(
WARNING:FAILURE TO SECUR WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO GRIM PENALTIES AND CIVIL RNES 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 affirm that I am licensed unser pr• slon5 of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.A I r Class x
air Signature: � 1�ci Date: /470
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).):
❑ 1,as owner of the property,Or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is nol Intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sac. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 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
material? 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? ❑Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application akermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits).
6 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 ❑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 property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Si.. fO Leg. Owner (-0 ,e(
Owner(s) to
� . aar
And/Or Authorized Applicant ate
CODE I INSPECTIONTYPE DdIE gIIg1dL9 CODE! INSPECTION TYPE DATE MEOW
1616 Fixed System Final Fire Prevention _ 206 Final Mechanical
1268 Pool Spa Final -fit-or �,/ 208 Final Plumbing
200 Final Re-Roof 6/IYO( 4-wY( 210 Final Electrical
201 Final BtocldRetaining 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
OWNER MODULAR Technology, Inc. DATE 5-6-71 - .
JOB ADDRESS 1648 Iowa Street, Units A-D BUILDING PERMIT NO. 33037
GENERAL CONTRACTOR Same DESCRIPTION of WORK 4 Plex w/att.garages
AP No. LOT 23 TRACT 6614 FIRE ZONE VALUE $50,700.00
INSPECTIONS Sign rule Date GROUP H & J TYPE V ZONE R-4CP
SOIL S�'44��` G•-i 7/ SUBCONTRACTOR PERMITS ISSUrED
GAS Date Number [Signature
WATER y// r'� Plu •bi •ROUG __
niirn
PROP.SwR.M LING INE HOUSE CON. V lar
frifiElfatial MI W a
SPRINKLING SYSTEM -
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONINGd al SINtan
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER fl
ROUGH WIRING
/ / / Heatin• and Vent.
LH . / gy�pp FORMS EI STEEL REINF. p' � S�_ -alai �� - ./
FOOR SYSTEM
BOND BEAM n STEEL REINFORCE n _ /j
SHEATHING e r Q 0...4647/
FRAME AND FLASHING7;� �
LATHING IN OUT ® /1"1-c, 1. 7
PLASTER, BROWN COAT n'6 /1lei i
STRUCTURAL, FINAL is
HEATING, VENT., REF RIG. AND A.C., FINAL ff PS 5fld Z ' i
PLUMBING, FINAL AND GAS TEST IA--
r j�/'/
ELECTRIC, FINAL //'/U'"7i -
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO. (7 (y / 41— DATE / - ?- -2
IAT NO. 2 (A
ADDRESS f 4 4 X A p'Z« .1--' , C7 A'
The developer of the above entitled tract desires to sell the above set
forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
(he-she-they) (was or were) advised that this tract has
notbeen given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the City
at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless from
any claim resulting in damage or personal injury to the undersigned by reason
of the aforementioned uncompleted condition.
BY -rd's C.C— 400(-7
1
'urchaser
Developer and/ adt razed
representativ
Lender
33037 NAY -6-71a-,00 227* *A*229.50
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEI D/@GY O TE RECEIVED DATE ISSUED
BUILDING /r7 3 3-7
ADDRESS 1648 ABCD Iowa Street 3-r--4-?/
OWNER Modular Technology, Inc. A.P. NO.
BUILDING
MAIL ADDRESS 1648 ABCD Iowa Street
ADDRESS 1104 E. 17th St.
L.
a U CITY Santa Ana NO.. 547-9673 TRACT 6614 I LOT 23 BLOCK
l- Z NEW ADD ALTER_
Z Q CONSTRUCTIONEPAIR MOVING DFMOI ISH
a m
LENDER The Trustees of Mort_ane %
J 7 BRANCH Trust of America
o/NER M.dui:r 'e hnoloe;-v, Ind
COa LII ADDRESS 141 Battery St. , San Francisco Ll ✓VALUE .50 od
m 'ARCHITECT TEL. T =. C $
J Q OR ENGINEER Kermit Dori u S NO. 644-7111 '
U Q FIRE .% -
Z ZONE TYPE GROUP I-
W M ADDRESS 3131 and. Ave., Corona Del Mar
d W
W Z APPROVED
J O CONTRACTOR Owner BY DATE
al
JQ ADDRESS
W W INO.OF , SSE OF NEW
LICE,
TEL. � PLANS 14
BUILDING
i3= �
ZCITV NO.
STATE CITY YARDS APPROVED YARDS APPROVED
w CC LIC.NO. 252549 B-1 LIC.NO. 1690 MAIN BUILDING ACCESSORY BUILDI G
7 0 (FROM C/L STREET)
SIZE (NDW NO.OF BLDGS.
OF LOT oN LOT - FRONT 4V FT. FT.
USE OF
EXISTING BLDG. -- R.SIOF I 4/ FT. FT.
I- SIZE OFp NO.OF V
Z NEW BLDG. 4188 ROOMS 20 STORIES 2 L.SIDE / FT. FT.
UEXTERIOR WALL ROOF tu
_ COVERING Stucco COVERING Built-1 REAR /0 FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
1 MAIN BLOCS. ACCESS.BLOCS.
C- ^� ' ) / l DATE
a0 Construct 4 condominium units C URP.*K 7 j �r/ APPROVED /L- 6 -7 0
—EtY ROVED ( / / DATE S C- /
H with attached garages. IAI
Z
a /13C'
VI hereby acknowledge that I have read this application and state
D that the above information is correct and agree to comply with
cc all laws regulating building construction, and I shall not employ HOLD FOR SPECIAL REQUIREMENTS
any person in violation of the workman's compensation laws of
CO the State of California. r a)
�y o
Z I hereby certify that I am properly licensed as a contractor under 3657,5->s a. FT, Piot"v o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UND VALUATION IS FOR 5
Chapter 9, and that su licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: .
am exempt from th pr visions of the St alifornia Business 2
and Professions e, 'vision 3, ha r 9 VALUATION /��
PERMIT FEE $ •on,
Signature of a
// �T . m
Permittee 1.-vi syr $ t5-V 700 PLAN CHECK $ ./ (S E
o
LL
Authorized Agent , TOTAL FEE $ L.2 9i 3d
•
like
PAID U *****
4421.9 nFl 2P-77-00486*CMS, . 5.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
A PL A ON FOR STRUCTURAL PERMIT
For Applicant to Fill inLompletely — Use It�c Only
BG RE E DATE RECEIVED DtTE ISSEED
ADDRESS
BUILDING / 42 .To WA S s •� _ /
•�/' /�j'` �// �J meq/ Q�(,
OWNER / 6, 4 �Wi A.P. NO'3`2—/ar/'/�U / /J9 11 1 711
• ••- 48-8 • A i ADDRESS/to BUILDING ) 7'S -y"�xl S • /Jr(
• ^ 2
TE• TRACT'e/1 LOTo�J BLOCK
•• • NEW ADD ANTER REPAIR MOVING DFMOLISH
LENDER /L/C7 Air
BRANCH
OWNER ICObeI+ K-1 //kr, ech
ADDRESSr
(/���� VALUE �
ARCHITECT TEL. USE &I S / 0
• ENGINEER NO.
-
FIRE /
. •.- ZONE PE _ 1!/ GROUP
APPROVED ',I� ///�pQ r
•- BY v DATE le' LV "TT
Z . F S E OF NA/ /J ��
CITY •ADDR ESS
TELPLANS / BUILDIN // /]`— .
E' STATE CITY YARDS APPROVED YARDS APPROVED
• LIG.NO. MAIN BUILDING ACCESSORY BUILDING
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(..i USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
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.1 WV—4a )34ZouVL -A W/nzi91.0C.U.P.# APPROVED
✓ APPROVE �/(Q/ --9-1-77
/am 77 Iy serzAID F206 ie1/0064/ __ELY DATF
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0 I hereby acknowledge that I have read this application end state o
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p: that the above Information is correct and agree to comply with m
G• all laws regulating building construction, and I shall not employ
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z any person in violation of the workman's compensation laws of m
E, the State of California.
1-hereby certify that I am properly licensed as a contra • • •er SQ. FT. N
the State of Cntiforn': Business and - - - • - ode, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR re
Chapter 9, and •- • icen : : : full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE$SLY: to
am axe • -om the provisions of the State Ito ness
(l
-rofessions Code,Division ,Che er 9. VALU ATION PERMIT FEE $ L/ m
PLAN
/ /�f /V $0110 TAX CHECK $ U
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Signature of��R)Z
Permittee '��`—"'✓'(r
Authorized Agent TOTAL PAID $ 6- ty7)
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OWNER MacEWAN, ROBERT G. DATE 6-28-77
JOB ADDRESS 1648 Iowa Street, B & C BUILDING PERMIT NO. 44219
GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Install Louvered windows
AP No.932-07-118 LOT TRACT FIRE ZONE VALUE E 500.00
INSPECTIONS et al Signature Date TYPE V GROUP T ZONE P3-CP _
SOIL PERMITS ISS&(ED
GAS
SUBCONTRACTOR I I .
Dote Number Signature
WATER Plumbing
ROUGH PLUMBING I
PROP, SWR. LINE ❑ HOUSE CON, ❑
SPRINKLING SYSTEM
MISCELLANEOUS
OUCH HEATING AND AIR CONDITIONING •
TEMPORARY SERVICE OR POLE •
/ iUNDERGROUND ❑ POWER 0
ROUGH WIRING d. r g •fer-9i Heating and Vent. .
JTRENCHES 0 FORMS Li STEEL REINF.
FLOOR SYSTEM
BOND BEAM f STEEL REINFORCE fl
SHEATHING
FRAME AND FLASHING Q8- 7-2Z-77
LATHING - IN n OUT n
PLASTER. BROWN COAT
STRUCTURAL, FINAL Flertria
HEATING. VENT.. REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC. FINAL
BUILbING, FINAL e--j —W.
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. — - -
CITY OF COSTA MESA CO STRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO.
• //�/fib ,3 2 _a 13 6 0219 I I/24/p7 I 5 00
_Project Address r{/'7O LI
� p Ti,
Applicant's Mallin Address T TYPE OF CONSTRUCTION IJ NEW H ADD U ALTERATION REPAIR
a Phone ei ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - - A.P.# _ - Zone.
Owner's Name DESCRIPTION OF WORK/USE OF BLDG. �_
Address S Main Building: Accessory Building: -
E Z
Arch/Eng. License No. _ TYPE OF PERMIT U GRADING FOUNDATION ❑ STRUCTURAL T Front 0
Address pop n,,qq����,, ❑ TENANT ❑ ELECTRICAL PLUMBING El MECHANICAL B Rear N
Contractor's Nam- �'�z ' .d���� A 'hon Kr/}T—� El OTHER C Right A
- N
• ''/Y'1 y PROJECT DESCRIPTION SQ. FT. OCCUPANCYK G
Address lmailing) /y // ICON ST RUCTION TYPE - VALUATION$ s Left
City License No. 3n'/35R
ZONE GRADING cU.YDs. ACRES Ping. Ref. # Parking Req./Provided E
L ICENy ED CONthatTRACTOR Iam DEC under provisionsON9 R ECEIVh.0 NOV 2 3 1987 M
I with hereby Ionaffirm 7 ) I licensedion under Busnsand Charter i (commencing Remarks: PlanningNotes:
sense is n fu of c- and 3 of the Business Professions Code,and
my license is in lu fo and effect. • � • _ T
License Cl. .6 . en••• No LAP 't - s
Date -st t' Signature -CAWt -, t f l' PLUMBING FEES - '
r\ _ WORKERS'COMPENSATION DECLARATION Bar Sink Showers - \�
".\\4 I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES
`-'n of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
( 3800, Lab. /� ...n Eck..., ,�p ,,r,z/ . Automatic Washer Transformer 0 15-50 KW
�� Policy No. �y'�'/ 87 company .all-k. _h/fYL,_ Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW
I Certified copy Is hereby furnished.
CCerfie o is filed with the city B •' In i Bathtubs • Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date P/' Applicant ( � // 4—1
EXEMPTION FR M WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter (Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100)or ' �{�
less). Dishwasher Solar Piping pt,y1/ 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❑0.1 HP ❑1'/:-8 -
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP 016.15+
NOTICE: If,after making this declaration,you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked.
•
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater e Outlets Ran
Lender's Name g
Lender's Address __ 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 Disposal Standing Sections
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 Generator 90.5 KW 05-15 KW
any structure, prior to its Issuance, also requires the applicant for such permit Trash Compactor
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 '
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). $ 3
LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee
compensation, will do the work,and the structure is not intended or offered — - Reinspection Fee I $15 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 Hr T
Canopy oDEVELOPMENT SERVICES REQUIREMENTS:
ood o
employees, provided that such improvements are not intended or offered for Boiler Type II 0 Zoning Approv@d By Date
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- Duct- Under Ground Building Approved By � Data
E01/8 for the purpose of sale). . (/))
I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By /IQ2 Dat
tractors t0 construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU SUMMARY OF FEES
builds or improves thereon, and who contracts for such protects with a con- -
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT
' 0 i am exempt under Section B. & P. C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ -S s 0 0 ISSUANCE - $ - -
Date Owner Heating System& Ducting Registers ■ PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL.
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ GRADING $
and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50°b $ MICROFILM $
sentatives of this city to ent upo the above-mentioned property for
inspection pu se t� Date //4-81 MECHANICAL S, TOTAL FEE $ 1$�.
Drivers'Siriverure Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% •
$
License or SS >.„ . .
CMF 0865-46,rev. 10/84 White - Building: Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
U
CONSTRUCTION AND PLANNING POOL&SPA - - _ _.
Date Inspector ' " Date. Inspector
APPROVALS Permit.# APPROVALS Permit#
1. Temporary Electrical'Service or Pole 52. Pool & Equipment Location `
2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement J 1
3. Electrical Conduit Utility-Undrgrnd. 54. Forms f.rr
. s 3
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ,
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test '
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUBITE •
7. Footings 58. Electrical Conduit-Undrgrnd";
8. Foundation )-. 59. Gas Pipe, 0 Undrgrnd.,Test::-_ • .
r,•
9. Water Pipe-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. P.QOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT r
20. Rough Factory Fireplace APPROVALS Permit# - ._
•
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑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 & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY:FINAL -
30. Drywall Nailing HEALTH DEPT. REQUIREMENT •
1 -
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED • • r ' , '
33. Final Electric Notes:
34. Final Heating & Air Conditioning 0
35. Final Gas Pipe-Test •
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing /2,-/C-07 LEO ,
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 - •
48.,Special Requirements Completed . . - I '
49. Electric Release to Edison - it
50. Gas Release to Southern California Gas Co • - ,
51. CERTIFICATE OF OCCUPANCY - -
No. Date - • - F
, i
•
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO. h G /N— DATE / — ,?-- 7 2--
LOT NO. 2 3
ADDRESS /G 4 () card 4-17
0
The developer of the above entitled tract desires to sell the above set
forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
(he-she-they) (was or were) advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the City
at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless from
any claim resulting in damage or personal injury to the undersigned by reason
of the aforementioned uncompleted condition.
BY V £
Purchaser
BY l/� OLOAllir
Developer and/or 1tor�ized
representative
Lender