HomeMy WebLinkAbout1630 IOWA ST - Building Permits OWNER MODULAR Technology, Inc. DATE 5-6-71
JOB ADDRESS 1630 Iowa Street, Units A-DBUILDING PERMIT NO. 83046
GENERAL CONTRACTOR Same DESCRIPTION of WORK 4 Plex w/at .garages
AP No. LOT 32 TRACT 6614 FIRE ZONE . VALUE $ 50,700.00
INSPECTIONSSi Signature Date GROUP H&J TYPE V ZONE RUU-CP
SOIL - ter ,/ _51,11/-7/ SUBCONTRACTOR PERMITS ISSUED
GAS
Date Number Signature
WATER p, A Plumbi q
ROUGH PLUMBING / WI- yv7-7/ () ,J/4.,,,' , .0//7/ ..577 --s---
PROP.
SWR. LINE HOUSE CON. IEK / LOA-17/ ,/p ,r AD� 'J� „�}73�
SPRINKLING SYSTEM / "'/
MISCELLANEOUS ��r,//
ROUGH HEATING AND AIR CONDITIONING
e97.7.7/
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER E IIAA// [�
ROUGH WIRING /Y7r ?rl( Heating and Vent.
TRENCHESfE -FORMS STEEL REINF. ((]. / , �L.-? A _ ' p �n (P 7/ 7/3
FLOOR SYSTEM 4 ��0�" etof IE ,O [(�T 8ao-7/ R/4rr
BOND BEAM 7 STEEL REINFORCE n �/
SHEATHING re 7-7g/y/
FRAME AND FLASHING'y9- 3_72
LATHING - IN Y2� OUT 9.J_
PLASTER. BROWN COAT /CSS
-17
STRUCTURAL, FINAL.Fctric ^NNn
HEATING, VENT., RPfi.G�AINDl.L:
- , FINALrez,..etir,++ ,([! 2-,7_7/ .� /�(a
PLUMBING, FINAL AND GAS TEST y/'J� /l /
ELECTRIC, FINAL
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, 330116
PAI.'R
MAY -6-71cws�OO 232* ***?29.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT
RECEILlyED 7fwTE?CFINED' DATE CJC
BUILDING l1
ADDRESS 6O4 e- Iowa St, JJ
=7/
PERM1 9
OWNER Modular Technology, Inc. A.P.NO. .• 'S tihi
MAIL BUILDING
Z ADDRESS 1104 E. 17th St. ADDRESS/40 Q /lee 1' Iowa St.
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CITY Santa Ana NOL'547-9673 TRACT 6614 LOT 32 BLOCK
Z Q CONSTRUCTION NEW ADD ALTER REPAIR I MOVING DFMOI ISH
-
O cr LENDER X
am
_ID BRANCH
J N OWNER MOdu ar Technology, Inc.
m J ADDRESS // VALUES_Ar iM, �. '
J.03 ARCHITECT Q OR ENGINEER Kermit Dorius, AIANOLL 675-1164, USE Plxt$�$ ti
U Cr FIRE .� /r.�
W m ADDRESS 3111 2nd Ave., Corona Del Mar ZONE TYPF� GROUP /Y✓
a W APPROVED /VI
W Z CONTRACTOR Owner BY DATE
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ma
J D: ADDRESS Same
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Z CITY -- NO. 2 V-C' P PLANOSF,� BUILDING EW�
eat
TEL. __
U STATE CITY YARDS APPROVED YARDS ROVE
to 2 LIC. NO. 252549 B-1 LIC.NO. 1690 MAIN BUILDING ACCESSORY BUILDING
O (FROM C/L S TRE ETI / -
SIZE �NO.OFBLDGS. 'j3x�.v- ///,,
OF LOT 72 x 118 NOW ON LOT - FRONT • FT. 'J Ism FT.
USE OF I__ IR
EXISTING BLDG. R SE FL FT.
I- SIZE OF 2094 S.F. NO.OF 10 2 /
Z NEW BLDG. ROOMS STORIES L.SIDE y�FT.��J FT. _
U EXTERIOR WO/141-e Shakes ROOF Built-Up �/ /
COVERING COVERING REAR FT.�� FT.
-i USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
d' MAIN BLDGS. ACCESS. BLDGS.
a
Q DATE
Construct residential #1194with VAR... 35-7LOAP ROVED 4—(9-7D
O _
zattached garages @ front of lot. _APPPROVED tib V! _OATF 9-s 9
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U I hereby acknowledge that I have read this application and state
D that the above information is correct and agree to comply with
li all laws regulating building construction, and I shall not employ HOLD FOR SPECIAL REQUIRED'IENTS
any person in violation of the workman's compensation laws of
gn the State of California. /p��(]�.� nr co
? I hereby certify that I am properly licensed as a contractor under �" - JSO. FT. �t'J D o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDEIVALUATION IS FOR
Chapter 9, and that such ' enses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: c
am exempt from the p v Ions of the Stat f California Business 2
VALUATION /-
and Professions Code ' ision 3,C apt / ` 3. N
PERMIT FEE $ J
Signature of _ /'y CO m
Permittee ,(ivy? $ \ PLAN CHECK $ /�! �� E
Authorized Agent f .11 -- --b
LL
TOTAL FEE
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9397 10.50 •TLU
•
•fCOSTA MESA BUILDING-SAFETY DEPARTMENT APPLI ATION FOR STRUCTURAL PERMIT
Iii . At.BOX 1200 COSTA MESA,CALIFORNIA 92626
�REC BYPERMIT N° 48128
For Applicant to Fill in Completely —Use Ink Only
, `� * A.P. NO.
ADDRESSBUILDING/(L1_/O 'JJ ,rOwi9 �TPEET A9z, -0 7 - 0,-)2
OWNER OR I _ BUILDISS �(0.3o XQw#I STeEET
TENANT SCsSE i .[ EE m CLL'IQ(AshUNIT \
'7�
MAILING SPACEOR NO. tr D/f
ADDRESS Sr9rhE ft irt GO U TR MO�/ z / LOI�� \ BLK.
fres() TEL. ST�� G r (�J/f c�
CITY C'O T� I r les() laU$ NO. ($7'-4232 Q
CONSTRUCTION, - NEW A D. ALTER REPAIR MOVING DEMOLISH
LENDER NONE ((``/(�/.
BRANCH AJONE (�/' j l� TT
OWNER I`i) t,L1 101,ty1] JESSE E Zt�.
ADDRESS �f VALUE
ARCHITECT TEL, ,� USE ' ESi 0ENCE $
OR ENGINEER NO. ry
ADDRESS y ZONE/es TYPE GROUP J
CONTRACTOR NONE v / APBYP ROVED DATE 5/31`74
{` MVV/ ///
ADDRESS
TEL.
CITY ' NO.
FSTATE CITY APP RO D SETBACKS/
gLIC.NO. - LIC. NO. 7P a ` l kyr e e ter
SIZE NO.OF BLOCS.
IF C/L e p (i,',(/�/�
04 OF LOT (ON 00 NOW ON LOT FRONT F/�^/-
y • USE OF `^/ //'
EXISTING BLDG. REs r OE NCE B-SIDE O FT, t 1 Orc�X )
FSeparate permits are required for L.SIDE/.S FT. — �Q/PnD x r
electric,plumbing and heating work; REAR FT >1e:2/Doc/LS
��JTr / /f /�J
Li.,
- USE OF UI DING AND'WO TO BX PERFORMED PLANNING ACTION /
o yl \Iqq? l
'-� O V R AATE
PPR .
l9T/ O /�/�/� APPROVED J/ G�
›. _9Y APPR(YC� zf`�«e"' -DAT JC /-7/
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aI hereby acknowledge that I have read this application and state 0
p( that the above information is correct and agree to comply with
Cla all laws regulating building construction, and I shall not employ i
Z any person in violation of the workman's compensation laws of
1 the State of California. q /a
3 I hereby certify that I am properly licensed as a contractor under ��' SO.FT. `�CL / Z '•P D
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN U TION IS FOR M
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHIN IT FEE ONLY:
am exempt from the provisions of the State of California Business a
VALUATION 06 PERMI
and Professions Code,Division 3,Chaptern9. (COr $ O •Q
Signature of 'f U PLAN CHECK $ • '°
///� LL �.'/� .4
J o
Permittee �(�• '• �j —`�(} $ TAX $ °OD F
Authorized Agent Date _/��7 TOTAL PAI D $/pr�/'' U
--r Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
PERMIT NO - TRACT NO. LOT NO. UNIT NO.
G1TV OF COSTA MESA CONSTRUCTION PERMIT 13•y+•1 loo
b) ( A.P.qW Zone
Project Address I LO q CVJ aj y� .J t b `'1" S Main Building: Accessory Building:
Applicant's Mailing Address. 5-d IID Y • C. 11 "'C Ca-p • s TYPE OF CONSTRUCTION 0 NEW U ADD U ALTERATIO U REPAIR E Main Z
r ❑ CONVERSION ❑ DEMOLISH �.OTHER - Cs �. TF O
Owner's Name • • - 'hone DESCRIPTION`- ` Y
OF WORK/USE•1�•� QF BLDG.r move ex ii- i Y1 r 1 Rear
•
Address Ane'YI1 C. 1 , l'l $:rip 1&{4 11)1 I/)u 1,}-up YDCIC r!k`iF ' B N
LY
N
GRADING License No. TYPE OF PERMIT GRADING LiFOUNDATION u ST UCTURAL K Right G
Address -•s��� �p�O 0 TENANT 0 ELECTRICAL PLUMBING 0 MECHANICAL S. Left R
Contractor's Nam- en r.11.0.- 1 Phone_L.2tfr 1G1•v 5.4'OTHER r{ 1(�� yl 17 '� I Ping. Ref.$ Parking Req./Provided E
,�SS R PROJECT DESCRIPTION SQ. FT. OCCUPANCY�L_. O
Address lmailing1114• PG1-Fl. C 1 no?r1 ` I Planning Notes: M
a{ CONSTRUCTION TYPE y VALUATION$ �/7Q. on
City License No. J��1 ZONE _ GRADING CU.YDS. ACRES T
LICENSED CONTRACTOR DECLARATI• • �s,y S.
I hereby affirm that I am licensed under • o•islons • C. arter 9 (commencing Remarks: urs C,M be c ^hr-rP tb-il i � �T
with section 7000) of Division 3 of th B loess .ntl •rofessl•.4 Code, and f�' st{l/fi VC I Cl�l-V�t,�
my license is in full force and effect , - //s� f yf ELECTRICAL FEES
License Class _ (mord Ic/e No7 .rt �t emr` '^
Date 7 2.7F 4 Signature - - :/.' /• '- 01.-074..1; PLUMBING FEES Automatic Washer Transformer 0 15-50 KW -
WORKERS'COMPENSATION DEC..- •ATIO - Bar Sink Showers Construction Pole Sub. • 0 50+ KW
I hereby affirm that I have a certificate of consent to self-insure or a certificate
of Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer - Service Sink Cooking Unit Meter ❑up to 100 amps
3800, Lab. C.) r II •
Policy No. I07&'1E Comps 7 ^ Backflow Irrigation Sewer Cap Dishwasher • Meter Clover 100 aps
Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel
Cer le ,c�p y Ll ed with the city Bu MOM o rr�'J - Bathtubs Sewer Connection
Date yr / Applicant `"'L+" Fan '
EXEMPTION 51=RO WORKERS'COMPS TIO ECLARATION Clarifiers Solar Collectors Motors❑0-1HP ❑1h-8
(This section need not be completed if the permit is for one hundred($100)or
less). Dishwasher Solar Piping F.A.U. Inc-Solar 09-15 HP 016-15+ " '
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 Microwave
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light
NOTICE:If,after making this declaration, you should become subject to the Outlets Range, _
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 9
comply with such provisions or this permit shall be deemed revoked. Outlets
I CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Swithes Sign -
I hereby affirm that there Is a construction lending agency for the performance Garbage Disposal
_• of the work for which this permit is issued (Section 3097 Clv. C.) Interceptors Water Heater • 9 P Standing Sections
1 Lender's Name
Lender's Address Kitchen Sink Water ServiceGenerator 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
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 $ 3
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). DEVELOPMENT SERVICES REQUIREMENTS:
LJ I, as owner of the property or my employees with wages as their solo Reinspection Fee , I $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 FEES Building Approved By ` _ Date
License Law does not apply to an owner of a property who builds or improves L7/S7f��
thereon, and who does such work himself/herself or through his or her own BoilerlHOOd or Type I CIAPPII Application Issued By Date-2-7)-151
employees, provided that such improvements are not intended or offered foryP
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMAgYp�FE ES
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground SS(C...11{L }�
grove for the purpose of sale). BUILDING PERMIT $ 4 D
SMTP $
112
LI I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK
tractors to construct the project (Section 7044,Business and Professions Code: $ PERMIT
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.1 00,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $
builds or Irtiproves thereon. and who contracts for such oroiects 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 PLAN CHECK 25% $ ENERGY P.C. $
proof o/, their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $
0 l am exempt under Section B.& P.C.far this reason Firepl/Fact.Blt.ICBG* Fire Dampers
PLAN CHECK 50% $ MICROFILM $
Date Owner Heating System&Ducting Registers
I hereby certify t t I have d this a-•Iication and state that the above ❑o-100,000 BTU 0100,00067E MECHANICAL $ v—
��{{,,,, TOTAL FEE $
• information is cor c I agr.'air• comp • ith all city and county ordinances PLAN CHECK 25% $
and state la r ' 9 • .�LIm1.ins-to struction,and hereby authorize repre-
sentatives of I citya• .nter the above-mentioned property f
Inspection pur �e • /
Signature F.
-/( Dates`
Drivers' Licen or$5 - �/ Reinspection Fee $15 Issue Fee $ 3 •
01 00021038-00027089 TOT 54.50
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor DATE: 02/27/89 TIME: 10:03
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • _„
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement •
3. Electrical Conduit Utility-Undrgrnd: 54. Forms
4.'Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5.,Steel Reinforcement r 56. Rough Plumbing & Pressure Test
6' Electrical UFER Grnd. 1 57. APPROVAL TO COVER-GUNITES I
7. Footings - . 58. Electrical Conduit-Undrgrnd.
8. Foundation , • 59. Gas Pipe, ❑ Undrgrnd., Test
9. Water Pipe-Undrgrnd. _ 60. Backwash Lines, P-Trap, El Undrgrnd.
10. Structural Floor System ` • 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection • , 62. Backwash & Receptor-Final
12. Sewer Cap • 1 , 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. POOL/SPA SYSTEMS FINAL
19. Rough,Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in,Structure 70. Underground Hydro
22. Ducts, Ventilating • _. 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Rocif Framing 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
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final • 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
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
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 �-Z7 4/ 6U/#
48. Special Requirements Completed
41,49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY -
No. Date
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO. (pr /Cf / DATE is --/---7/
LOT N0. £o-
ADDRESS /& 3 0 cD cz7 -z cia ,_. i' •
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)vfi (was or were) ttJ-&-t 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 �/el
/j
-10r- _4 ,
•urc aser /
RECEIVE
CITY F COSTA MESA D
PLANNING
DEPT. BY c-0 - Qc,c
B
DEC 1 Developer and/or tali horized
AM 1971 representative
718'9'(Oa 4 idUI¢1518
4 BY
-_..---
PATIO COVER DETAIL 6/ 1/67 TYPICAL JOIST ANCHOR
0
It Benin S TotaL ..."
STATE—N------0.- �G
SPAC� SPAN (;� Nfltt•Sd jr,N ' ,''
SIZE �y4Li�ttzQS �£rwFeN
OVERHANG f
G
RAFTERS:® c_D bF- ,l ��
I l0 ttztt FTE ...._‘44' 1
ENGTH s---SLOPED FOR DRAIN ,
STATE L I SPAN % JY._ P---
2. O
MAXIMUM /a CONTINUOUS x i3 x 5'La s 32° ---/8 9 /c LEDGER if �4• %o MAXIMUM Predrill Ledger %/, Predrill Existing A-3 Deep
i\ mo
` JOIST HANGER
or other approved methods NOTE : USE REVERSE SIDE FOR PLOT PLAN.
I
BEAM _ of support a tie.
(lex T
iir
L SN•p ...°X a'1STATE SIZE T' No EIGG
— CHAR NO 2
5•J ALL LUMBER DOUGLAS FIR FOR OPEN EGG CRATE
F0 - SOLID SHEATHING.
��� V 3/IG'X2"-T-STRAP CONSTRUCTION` GRADE ALUMINUM OR PLASTIC SHIN ES OR BUILT -
O ROOF COVERING ROOFI
C 1 MAXIMUM SPAN SIZE SPACING MAXI M •AN
I 17' 0" 2x6' I2 % 15
7 16' 0" 2'x 6` 16% 13' •
,6 Z POST-BEAM I 5' 0 2`x 6 24'% I
, ; 1n,.P �s CONNECTION 12' 0" 2"x 4" 12% 9' Ii"
t-4
1 ^ > II ' 0" 2`x4IC% 8' 8"--I POST
'' 10' 0" 2 x 4' 24% 7' I"
`+ 14"x 4`J •
u NOTE: FOR PROPOSED OR FUTURE ROOM,OR WHERE PATIO
` 1
�j - SHOS SHOW LOCATION ON REVERSESIZE SHOW ACINGSIDE. „no ���w Eh-C RS WALLS ARE TO BE BUILT. USE NO. 2 CHART ONLY.
WIDER RAFTER SIZE MAY BE INTERPOLATED FOR
I Pr"
8W SPACING ONLY.
PLATE _
�— SLOPE TO DRAIN DROP PATIO FLOORZ
FOR PROPOSED OR FUTURE ROOM OR WHERE PATIO
WALLS ARE TO BE BUILT SUBMIT COMPI FTF }IOUSE
I �—" AND ADDITION PLANS
../ PUDDLED PUDDLED , SAND FILL A
S
tax 2 - Remove Grass And Weeds Down To Natural Grade
SrwlAP ' I .:
CONCRETE MIX 1:3:4 MAXIMUM WATER CONTENT
POST ANCHOR I I �•.• '. 7i GALLONS PER SACK CEMENT.
For Pipe Post. embed r12.--1 Provide 26 Ga G.I. Flashing At Wood Floor Const. C •
OSTA MESA BUILDING DEPT.
Pipe In Footing•
Provide Flange Or Weld Plate Screwed Or Bolted To Frame.
77 FAIR DRIVE . • 834-5273
CMF 00012-46 (FIU 40) —
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L . STRUCTI RAL APPROVAL ( NLY
SEPARATE PERMITS ARE REQ'TIRED
O Li-56 FOR E( ECTRICAL, PLULMBIU G, .
HEAT'. G, VE-TILATING At 0
REF iIGERATION WORK
+-- ,3 THIS• ;;L. 3[R :.:11ST ACCOMI ANY W
ALL If SPECTION REQUEST i �I
I • S a
. FOR BUILD, C; : ,;E.,E PERSONS ;E A TO N
BE EMPLOY :D, .tE SUGGEST FHA' THE 171\
STATE OF C.LIFORiflA DWISIOI OF ✓ J
INDUSTRIAL SUETY BE CONSULTEE FOR I
ADDITIONAL REQUIREMENTS.
tu
$ f c,
APP1. oTi2
}APP r ' 1•�1 f City_ Costa Mesa Buil��Tg Dept.
G ro^�
E,&T4`I6F COS A/M SA ` BY. �L �— - 3// . 7j
PLANNING DEPT. THESE PLANS MUST BE ON JOB AT ALL TIMES O
SUBJECT TO BLDG. DEV[. REG MAKE NO CHANGES WITHOUT PRIOR APPROVAL M
�7 OP DEPT.
BYaa-DATE JO /�j (�' THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL �'
DIRECTOR OF PLANNING / OF PLANS A; D SPL"IFICATIOHS SHALL NOT BE CONSTRUED
TO BE A PER;''T FOR, OR AN APP:' i OF, ,N' VIOLATION
CO O OF ANY Of r PROVISIONS OF THIS COOL NO PERMIT PRE-
SUMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL TG:
! PROVISIONS OF THIS CODE SHALL BE VALID, FY;;:."T IN SO
-Z j I Rh AS THE W'i OR USE WHICH IT AUTHORIZES IJ U WFUL. -
G �n � W-
�' :I THE AN.,� .,r !. P_n,M1., ,SES. UPON rwjN.. too
/ IT FICATIONS SHALL NOT PREVE. THE �'IILOING OFFICIAL
�'l IEREAFTER REQUIRING THE CORRHd i01' OF ERRORS
, 'LANS 'NO SPEC?FICATIJ,'S OR FROM PREVENTING
I n,t ' " "P,RaTTG:l: BEING CARRIED ON THEREUNDER WHEN
.F T' .. CODE OR OF ANY OTHER ORDINANCE
.1 • ' S -
v CITY OF COSTA MESA
4Oa 9 BUILDING DIVISION
F • DEVELOPMENT SERVICES DEPARTMENT PER NUMBER
Te. IPPM1 • PERMIT
,m 07-00685
'`
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.usNG PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDIJob Address: 1630 IOWA ST Status: ISSUED
Suite: Applied: 05/14/2001
Vicinity: MESA VERDE VILLAS HOA Issued: 05/14/2001
Parcel Number TPN980105 Zoning:
Applicant: SESLER, MARK . _ ISSUED BY: Lailk____
Address: 5396 RANCH GATE RODE .
Phone: 800-810-7288
ALTA LOMA,CA Zip: 91701
Owner: MESA VERDE VILLAS HOA
Address
Phone:
Zip:
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/O EXISTING SHAKE'ROOF, 1 IAYER`30#.FELT,REROOF WITH"'GERARD"LIGHT STEEL TILES(NER-423) '
1.5 PSF - •
1700 SQ FT • -- ,' ..
•
___ - FEE SUMMARY' __ _. .
Plan Check: $0.00 , Calc Valuation: , . - $6,860.00
Permit: $139.25 -_ _ Claim Valuation: $6,800.00
SMIP-Res: $0.68 - --- {
SMIP Com: ' $0.00 /1' j
Other:- $0.00 r?
Inspection: $0.00; p
�� . - -
Total: $13e.93 \\'-':' :
\� 7
=`\ u7, ;> ��\ v ', / r`: �/2 ,/,'/ / , �
\' ' `./2,' PLANNING &ZONINGS% /-,,N\',71,','v '1/7/
SETBACKS
/
MAIN STRUCTURE Front . 0-0 \ i Rear., 0-, Left 0.D \ Righh 0 0,0,c, ,
ACCESSORY Front 0-0 -- - Rear 0-0 - Left 0-0 - -- Rightjj0-0
PARKING Existing: 0 ''Required: -, 0- - Proposed:, :0- _.
NOTES:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§ 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446x6(aroo)
r
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 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: .
Cerner: 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 C lifoml and a ree that If I should become subject to the workers'compensation provisions of Secton 37 0 of the Labor Code,I shall forthwith
comply with these pr ons. `,Gtil I
Applicant Signature: .- t!� Date: S/LC O I
WARNING:FAILURE TO SECUR WORKERS'COMPENSATION COVERAGE is UNLAWFUL MD SHALL SUBJECT MI EMPLOYER TO CRIMINAL ENAL IES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and
ddbPPrrofessions Code,and my license is In full
force and Lic. Class
Contractors Signature: t✓ Date: 1-
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).):
❑ 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 Cede for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes ❑No Drivers 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 wit 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:
I 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? ❑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).
........o...or ll the applicant
.r present
..o.f.t future
.l.i g occupant
p..t...eo.
2 Does will applicant or peor re building occupant need to file a registration form for acutely hazardous materials? 0 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 en RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the Califomia 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? ❑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 aapermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? PI Yes IJ 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 California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If y
es",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 COMPUANCE 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 end 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.
Signatu .9(Leel Ow :r(s) / Date
Ail _I
And/O-uthonzed Applicant Date
LODE L , ' h1•, 1' PATE 110:08.1.5 LOBE! INSPECT NTYPE PETE INTITLAL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 206 Final Plumbing
r
200 Final Re-Roof J 2 y-® "'��
( 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