HomeMy WebLinkAbout1626 IOWA ST - Building Permits OWNER MODULAR Technology, Inc. DATE 5-6-71 .
JOB ADDRESS 1626 Iowa Street TTnite A-D BUILDING PERMIT NO. 33048
GENERAL CONTRACTOR Same DESCRIPTION of WORK 4 Plex w/att.garages
AP No. LOT 34 TRACT 6614 FIRE ZONE VALUE $ 50,700.00
INSPECTIONS Signature Date GROUP H & J TYPE V ZONE R4-0P
SOIL c4%F SZ/7/ SUBCONTRACTOR PERMITS ISSUED
GAS
Date l Number Signature
WATER Plumbing
ROUGH PLUMBING lee ' 1� 2/7/77(/ ♦ -.5-%V/7/ 67s7,17
PROP. SWR. LINE HOUSE CON. I�/ �1>7/'/'{ / Q2 /Di.27i . `/
SPRINKLING SYSTEM �J��� / / ' O
MISCELLANEOUS �7
ROUGH HEATING AND AIR CONDITIONING ����/.�- ` i'/
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER 0
ROUGH WIRING . eatin• and Vent.
TRENCHES /7 OHMS Ea.-STEEL RE IN F. talrea a ;Q/ �'aonn r/��
FLOOR SYSTEM I t Yj,- bell/7i an. r'' 8xo_71 r7?
BOND BEAM n STEEL REINFORCE n ✓JJ
FRAATH ANG C2!{?'7 /A//
FRAME AND FL A,S_,H,I/N G, -47-W-
-7
LATHING — IN j. OUT -G�-77
PLASTER. BROWN COAT {' O /0/1711
STRUCTURAL, FINAL '
��j �
HEATING, VENT.,RLFR-GI . AAn'AT6., FINAL IArr �J/p ...MIMS- d"- dZPAI/f*Li�
PLUMBING, FINAL AND GAS TEST 71.-- or
CS.
ELECTRIC. FINAL C. Mii-
n.,
-I 7
CITY OF COSTA MESA
4a, BUILDING DIVISION
Fa A, 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)7544856 • v✓ww.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL:(714)754.5626
4iii A`
• PERMIT NUMBER: B09-00264
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: TPN980105 DATE ISSUED: 11/05/2009
ISSUED BY: RMD
JOB ADDRESS: 1626 IOWA ST CM Suite/Unit:, • •
Vicinity: REROOF CONDO BLDG
Squares: 2500 Valuation: $10,000.00
SCOPE OF WORK: REROOF 1626 IOWA CONDO BLDG:T/O EXISTING B.U.R.REPLACE WITH BASE,MODIFIED,2-PLY AND ROCK.
25 SQUARES
OWNER: MESA VERDE VILLAS HOA Address: 1604 IOWA ST Unit:
PHONE: City/State/Zip: COSTA MESA,CA
APPLICANT: PRICE, BOB Address: 17501 NORWOOD PARK PL Unit: :
PHONE: 714-573-0155 City/State/Zip: TUSTIN,CA
CONTRACTOR: PREMIER ROOFING AND BUILDING CO INC License No. 634404
Address: 17501 NORWOOD PARK PLUnit: PHONE: 714-573-0155 - -
City/State/Zip: TUSTIN,CA 92780 CELL:
ARCHITECT: License No. PHONE:
ENGINEER: License No. PHONE:
FEE SUMMARY
Reroof Plan Check: $0.00
Reroof Permit Fee: $181.25
Reinspection Fee: $0.00
.Bldg Std Admin Fund $1.00
TOTAL FEES $182.25
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
;ODE I, INSPECTION 1YPk OATS, INT111ALF CODEC INSPECTION TYPE DATF, IN7111AL$
1816 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 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 (a lahn ty Ms.) 442--)
MI MI
I
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivel b license. ❑Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
❑ 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.
❑ 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My rkers' co pensation 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
by this permit,and that no building structure,scaffolding,falsework,a demolition
Cartier: /' or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(Tivs sertxn need not be competed E we perme a vanred or one hundred dollars($100)or less) 2 Art 2,Set 341 Title B,California Administrative Code).
Policy Number: Isa r Or. _
0 As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for whic permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued,I shall not employ any person in a y manner so ., o become subject such person has a permit to do such work from the division.
to the workers' compe • alifomia - : agree that if I should
become subject t•�•'- e •mp�e t"" •rovisions of Section 3700 of
, s! /� Applicant's Signature Date
the Labor Co••, - to c•�.-oco�••••• provisions.
1� //C,-07 Division of Industrial Safety Permit Number:
Applont's' .•.ure Date _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 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 CML 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 wilt the applicant or present or future building occupant need to file
my license2n full force and effect. / a registration form for acutely hazardous materials? 0 Yes 0 No
Lic.# to _f a lass Si C� if (Section 25533 of the California Health and Safety Code, with some
/ !�
J/ /^Gr exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
or- Date 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
CONSTRUCTIOF(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)? 0 Yes 0 No
(Section 25534 of the Califomia 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 0 No
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 information
be fu i the California Govemment Code requiresbuildingnt the requested
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the be furnished on applications fa non-residential permits).
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? 0 Yes 0 No
thereon,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
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will hove 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 occup -r allow occupa f any building
authorized by this permit un -,'++ ion.„00000y
Sign.�•.- e t /� Da•
Signature Date Z/'�S//)
3057<6(3/07)
Andlor.Suture.: nt - Data
I
CITY OF COSTA MESA
4 BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT PER IT NUMBER
1- 1 PERMIT
01-00653
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT •
Job Address: 1626 IOWA ST Status: ISSUED
Suite: Applied: 05/09/2001
Vicinity: Issued: 05/09/2001
Parcel Number: TPN980105 Zoning:
Applicant: SESLER, MARK ISSUED BY:
Address: 5396 RANCH GATE RODE -
Phone: 800-810-7288
ALTA LOMA,CA Zip: 91701 •
'
Owner: MESA VERDE 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:
SCOPE OF PERMIT - "
REROOF:T/0 EXISTING SHAKE ROOF, 1 LAYER 30#FELT, REROOF WITH"GERARD"LIGHT STEEL TILES(NER-423)
1.5 PSF N -
1700 SO FT - -
•
FEE SUMMARY .
Plan Check: $0.00 , Calc Valuation: $6,800.00
Permit: $139.25 Claim Valuation:. $6,800.00
SMIP Res: $0.68 '
SMIP Com: ' $0.00
Other- $0:00
Inspection: $0.00 - ;
Total: $139.93" -• /
-‘±'N /77,/•:.) >- PLANNING & ZONING% /��, �� - /
SETBACKS ,
MAIN STRUCTURE Front 0-0 `- /// Rear, 0-0 Left 0-0V A Right ' 0-.0---
ACCESSORY Front 0-0 ;� Rear 00_ Left 0-0 ;)--� Righty _6-0
PARKING Existing: 0 -Required: 0 - Proposed:;,-,
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
I 2446.48(WOO)
DECLARATIONS
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�/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 carder and policy number are:
Carder: Policy Number:
(This section need not be completed il the permit Is valued at one hundred dollars($100)or less.)
❑ 1 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 Cal mit', nd agree that f I should become subject to the workers'compensation provisions of Sectin 37 of the Labor Code,I shell forthwith
comply with these pr s.
Applicant Signature: a 2e€, e7 Date: 6i to 0(
WARNING:FAILURE TO SECU RKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED
THOUSAND DOLLARE(5100,000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under revisions 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.Lac.I Class q _
Contractors Signature: Date:—�=fJJ�yv`�►ty,•,�I
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.CMI Code).
Lender's Name: Lenders 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).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ 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 sec. 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 eatery hazardous materials equal to or greater than a weight of 500 pounds, or a volume of SS 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 Safely 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 Califomia Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does will the tcAir or present ar emen building occupant require aur toe work which is the subject this a estion egermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? �Yes 8 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? ❑Yes 0 No
(If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? 0 Yes 0 No
6 (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.
a S natureL6DLeg1(J Owaer(ds)
<'ii fj
' Date
��
And/Or Authorized Applicant Date
CODE I INSPECTION TYPE DEE 10:13A15 CODE! INSPEC110N TYPE MAIL Itl=IDALS
1816 Fixed System Final Fire Prevention _ 206 Final Mechanical
1266 Pool Spa Final /' �/ 206 Final Plumbing
200 Final Re-Roof r Z/"oI j$ 4( 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
VTIINEK JANK, Michael H. BUILDING PERMIT NO. 41990
JOB ADDRESS 1626-D Iowa St.
`VGENERAL CONTRACTOR Owner-Bldr.. DESCRIPTION of WORK Patio Cover •
\\�AP No. 139-641-02 LOT 34 TRACT 6614 FIRE ZONE VALUE $ 960.00
1�INSPECTIONS Signature Date TYPE V GROUP j ZONE R—1 f P
asolL • PERMITS ISSUED
GAS SUBCONTRACTOR
WATER
Date
Number Signature
Plumbing
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. 0
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE •
UNDERGROUND ❑ POWER ❑
ROUGH WIRING heating and Vent.
A `•
TRENCHES O FORMS ❑ STEEL REINF. ❑ .' O li)b
FLOOR SYSTEM '
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING. FINAL AND GAS TEST n
ELECTRIC, FINAL
BUILDING, FINAL .Q e— ai-t5, _
4.1990SAY i3-76cr..PAs?00 670 ****10.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely- Use Ink Only
/ -s // TT ��]] RECEIVED BY DATE RECEIVED D E 1 SUE
BUILDING /626
626-b Ow4 Sr-
St/ -76 J .I -���
ADDRESS S / 777
tet/ � JJ T A.P. NO./S941//''.0). PERMIT NO.
OWNER M�GH,4� L H. �i4'11/k
,s BUILDING /
ADDRESS 16a/t--jD L OW�7 ADDRESS/�7GJ�� //_��,�� 1
CITY Cosn�4 �FS4 NOL-7r/�5i/7 TRAC�&f/t/ LOT39 BLOCK
CONSTRUCTION �CLr — NEW AD ALTER REPAIR MOVING DEMO!ISH
LENDER
BRANCH ..�-.....-- A --I II ,t
ADDRESS I OWNER ( f Ll HA `--I \�N IC
ARCHITECT �^ TEL. USE PRS O Cavern_VALUE ��a t
OR ENGINEER St L F NO �m 6
` ,r (- FIRE .}�
ADDRESS /( e.6 mO SOW A- eS'T ZONE TYPE GROUP J /
APPROVE s �' .�I7/_
CONTRACTOR .SEL /'� / .I G BY . DATE X/'
ADDRESS Set./Y1 6 NO.OF USE OF NEW
TECITY ���m•E NO. Sim C nee PLANS 2 BUILDING _
E• STATE CITY YARDS APPROVED YARDS APPROVED
g LIC. NO. .. :_IC.NO. MAIN BUILDING
(FROM�'L STREET) ACCESSORY BUILDING
W 512E NO.OF BLOTS /
d / �OF LOT NOW ON LOT FRONWrr
FT. FT.
Q USE OF
cn EXISTING BLDG. V6-5 �O1 Sr il9A)6 QS R.SIDE ✓{' FT. FT.
U
I-.
Separate permits are required for L,SIDE S FT. FT.
C electric,plumbing and heating work. REAR Z. FT. FT.
W USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET. BET.MAIN&
AMAIN BLDGS. ACCESS BLOCS.
.I OnAl L,¢r# -Ivo Ek 11,97-10 f C.U.P.
# APPROVED
} Co t/ C-IL I f-S /
-# RY 1/4 Yr DATE-5-7.3174
.1
C
W
0.. I hereby acknowledge that I have read this application and Rate 'n
N
C that the above Information Is correct and agree to comply with N.
I:L. all laws regulating building construction, and I shall not employ m
Z any person in violation of the workman's compensation laws of o
[y. the State of California.
3 I hereby certify that I am properly licensed as a contractor under V 7VSQ. FT, smv
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and affect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE O1,14:
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ f�1 o
and Professions Code, Division 3,Chapter 9. / l/ us
s ( ^
Signature Of 71i.9
. PLAN CHECK SCPermittee $ TAX E 5�Authorized Agent TOTAL PAID $ /0 5
23048
HAY -6-71P"—cBOO 234* ***229.50
COSTA MESA BUILDING-SAFETY DEPARTMENT �M'A
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely RECEIVED B DATER CEIVED
Q ` yy / DA IISSUED
BUILDING � o(''p) CJ Iowa St. c%i�Y (1 aq—ii- 7/ t� -7/
ADDRESS ��a� /if/7, l� V PERMIIIINOI
OWNER Modular Technology, Inc. A.P. NO. '— C, �
Jt;r3
MAIL BUILDING/6�/ Iowa St.
Z .
ADDRESS 1104 E. 17th St. ADDRESS (O rI
L.
00 CITY Santa Ana NO. 547-9673 TRACT 6614 LOT 34 BLOCK
ZZ NEW ADD ALTER REPAIR I MOVING DEMOLISH
Q CONSTRUCTIONI
--N LENDER
am X
J 0 BRANCH '
J to OWNER Mod lar Technology, Inc.
CO J ADDRESS / /n VAL ���
CO ARCHITECT Kermit Dorius,AIA N�L675-1164 USE
J < OR ENGINEER x $
ww Q FIRE
CL ADDRESS 3111 2nd Ave., Corona Del Mar ZONE TYPE GROUP
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APPROVED
W O CONTRACTOR Owner BV DATE �� �[/�
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J cc ADDRESS Same
LL W TEL. ZO E NO.OF USE OF NEW
ZI- CITY -- t1,‘ `�� PLANS BUILDING
W-O STATE CITY YARDS APPROVED YARDS APPROVE
N LIC. NO. 252549 B-1 LIC.NO. 1690 MAIN BUILDING ACCESSORY BUILDING
0 0 (FROM C/L STREET)
SI LOT 72 x 124 NO.OF BLOCS. r
OF NOW ON LOT - FRONT �J 5T. FT.
USE OF
EXISTING BLDG. -- R.SIDE /I- /F-T. FT.
Z NEW BLDG.2094 ROOMS- 10 STORIES 2 L.SIDE `-F T.� / FT.
Q Vj�� Stucco- //�
ROOF
V_ COVEERIINGMect.Shakes COVERING Built-Up _REAR ID FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
0.1:1-
'/�,, A// MAIN BLDGS. ACCESS.BLDGS.
Q / Y/ VAR.# DATE / -,
O Construct residential with C.U.P.#�F.3S7O APPROVEDu-6o/-70
garages APPROVED I /� //I DATE -S
attached era es @ front of lot. _...-_ELY tilc.„
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UI hereby acknowledge that I have read this application end state
D that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shell not employ HOLD FOR SPECIAL REQUIREMENTS
I- any person in violation of the workman's compensation laws of
co the State of California. (X ](� b
zI hereby certify that I am properly licensed as a contractor under 38.5;2 SO. FT. SID D�JJp/}/ O
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
CC
am exempt from the pr ' ions of the State of California Business VALUATION
and Professions Code, ry Ion 3,Cha er 9.
i/5
PERMIT
co
PERMIT FEE $ ✓.
3
Signature of �/ �(�
in
Permittee zO. 7c./ C2 $ PLAN CHECK $ '/ 4 rJE
Soa�\ ,: 2sa °
Authorized Agent 9 u
TOTAL FEE $