HomeMy WebLinkAbout1614 IOWA ST - Building Permits •
CITY OF COSTA MESA
BUILDING DIVISION.
°44a)
77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL:(714)754-5626
%` rem PERMIT NUMBER: 609-00238
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 93207060 DATE ISSUED: 1012212009
ISSUED BY: BJK
JOB ADDRESS: 1614 IOWA ST CM Suite/Unit:
Vicinity: REROOF CONDO BLDG
Squares: 2500 Valuation: $10,000.00
SCOPE OF WORK: REROOF 1600 IOWA CONDO BLDG:I/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 $182.25
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord.No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
CODER IN$PECfON TYPE LAM INTITIALS CODE 1 INSPECTION TYPE DATE IN10144
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Root li 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
•
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivernse. ❑Yes ❑No
I hereby affirm under penalty of perjury one of the following declarations: Drivers License No. Expires:
❑ I have 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):
compens on, as provided for by section 3700 of the Labor Code, for the
perform once 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 pert ance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issue workers' compen i mance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
t/�/' person is required to descend,will be made in connection with work authored
number are: /, by this permit,and that no building structure,scaffolding.falsework,or demolition
Carrier r �� or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2.Grp
(tors seam not be pk1ed;%G��/= atone ha,&ed dollars(flod)akss) 2,Art 2,Sec.341,Title B,California Administrative Code).
Policy Number: /�y� �/ 7 /weed
0 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 i any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compens. • California, an. -= that if I should
become subjec "ompensati.• . 'visions of Section 3700 of
Applicant's Signature Date
the Labor ..: 'th corn! these provisions.
/ ,G/)//b.A7 Division of Industrial Safety Permit Number:
Apd is Signature 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 CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes D 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. Q a registration form for acutely hazardous materials? 0 Yes 0 No
Lic.# t £ GZ- Class# J (Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
✓/�/��- 1�� 1� each business which at any one time has on hand a quantity of acutely
-coven= . .t - Dale 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
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)? 0 Yes 0 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 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be fumished 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? 0 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 California
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 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 corltractor(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.
Sgnatur>: e• - �a��
Signature Date
3057-06(3/07) •-.tor Autnodie Applicant Date
• 1
CITY OF COSTA MESA
4r, r BUILDING DIVISION
k r. ,,,, DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
�
. PERMIT
, io V/
' 601-00598
st
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa. fiLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1614 IOWA ST Status: ISSUED
Suite: Applied: 05/01/2001
Vicinity: 4-UNIT RESIDENCE ONLY Issued: 05/01/2001
Parcel Number: TPN980105 Zoning:
...._*___
Applicant: SESLER, MARK __ ISSUED BY:
Address: 5396 RANCH GATE RODE - - - .. r -
'Phone: 800-810-7288
ALTA LOMA,CA Zip: 91701
Owner. MESA VERDE VILLAS HOAr
Address 1604 IOWA ST -
Phone:
COSTA MESA,CA Zip: 92626
Contractor: CALIFORNIA PACIFIC
Address: 5396 RANCH GATE RODE
Phone:4 800-810-7288
ALTA LOMA,CA -
Zip: 91701 .License: ' 519073 •�
Arch : • ---7"::- Eng:
Address: _ - - . Address: ' ,
Phone: Phone:
Zip: • License: License:
-'' / ,'•") SCOPE OF PERMIT[, w"'"•- -
REROOF:T/O EXISTING SHAKE ROOF-, 1 LAYER'30#FELT,REROOF WITH'..GERARD"LIGHT STEEL TILES I -
(NER-423). 1.5 PSF - --- --- ,n
1700 SQ FT \ -
"/ �,
— _. _FEE SUMMARY / T:.1—:
, .
Plan Check: $0.00 - 7 Calc Valuation: f ' $0,800.00
' Permit: ' $139.25 KT /
Claim Valuation:,;/: , $e,80o.00
SMIP Res: . $0.68
•SMTP Com: $0.00 _ �
v f
Other: ' '$0.00 .;x.1 4:, _ �!/ - /
Inspection: - $000:, a :$4.71"
�j/
_ , d F '+ - a
Total: $139.93\- , "„ j , \
C,//- -/` ��.Alr," h - �, u _ i i /)(t//)
�� /272----- „_:->., \,.-':>,:1/4-,-,',/,,#`-- -\\`-/1-)c-7/ jJ ,
SETBACKS - i - - ;' - , 7
MAIN STRUCTURE Front Z0-0 \• i -Rear 0 0 Left 0-.0 ;I"-n'\ Right,�0-0';
i
ACCESSORY Front 0-0 �_ _ Rear 0-0 Left 0 0,- )t -' Right 1- o-0
PARKING Existing: 0 Required -0, - Proposed (12
-
•
NOTES: .. - "
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord.No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2441346(6/00)
DECLARATIONS �^
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit Is Issued.
pe.-1 have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed if the permit is valued at one hundred dollars($f00)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 lifom and agree that if I should become subject to the workers'compensation provisions of Sectl 3700 of the Labor Code,I shell forthwith
comply with these p Ions. (l r`( `
Applicant Signature: (k/ � \U Date: Cit
(
WARNING:FAILURE TO SECURE ORNERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUSPECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOILARE($100,000),IN ADDmON 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 Professions Code,and my license is in full
force and effect. Class#
Contractor's Signature: cSiCI Date:
B L O C
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: 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 end Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. 0 Yes ❑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 Califomia Health and Safety Cale 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? 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 greeter 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 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes D 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 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? ❑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.
iaetignegILEE)1,9wner(s) C (ato l
And/Or Authorized Applicant D
PODE 0 INSPECTION TYPE PATI ItfIIIIALI ;ODE r INSPECTION TYPE PAIS INTmALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 5--3-I9
n � 208 Final Plumbing
`/
200 Final Re-Roof —1-7-V' 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
OWNER MODULAR Technology, Inc. DATE 5-6-71
JOB ADDRESS 1614 Iowa Street, Units A-D BUILDING PERMIT NO.33054
GENERAL CONTRACTOR Same DESCRIPTION of WORK 4$ Plex w/att.garages
AP No. LOT 40, TRACT 6614 FIRE ZONE VALUE $50,700.00
INSPECTIONS f,,rr''Sig.nn/ature Date GROUP H & J TYPE V ZONES R4-CP
SOIL 9 - 1:231-7/ SUBCONTRACTOR PERMITS ISSUED
GAS Date _ Number I Signature
WATER Plumbing,
ROUGH PLUMBING / //A �1 �/ L%70/ 3/J'L/7Q VJ •��3/
PROP. SWR. LINE MOUSE CON. I,h,/ P74<') /l;/t 7/ /� '.CLC,/' a /`/; ; 1`/"
SPRINKLING SYSTEM /
MISCELLANEOUS // ry
ROUGH HEATING AND AIR CONDITIONING /T(��%( ?'d_7/
TEMPORARY SERVICE OR POLE /v
UNDERGROUND ❑ POWER O
ROUGH WIRING r� / ''-N ! l$ / Heating and Vent.
TRENCHES FORMS l STEEL REINF. In n �� - /,/ I -/3_7/ P• /4•1
FLOOR SYSTEM _ C�y ��, y/JJ�r� �-
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHINGmri
LATHING — IN Y .� OUT n/ e-
PLASTER, BROWN COAT r4 =' _'u•r'i777
STRUCTURAL, FINAL pAA �J �CtriC�J f�� � t-/7-7/
H
HEATING, VENT., REFRIG. AND A,C., FINAL '� 7 - ./L •t/• ryfin I, A/7 J/ t?r�/ n
PLUMBING, FINAL AND GAS TEST --
ELECTRIC,
_ / / J
EELECn RIS r.NAL '/ 'X
•
9-. - .t.
1)30.54 PAID
COSTA MESA BUILDING-SAFETY DEPARTMENT
HAV -6-71tns:•O� 243* ***224.50
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEIVED BY DATE RECEIVED DA ISJSUED
BUILDING 1614 A) f fB C D Iowa St. FJH 3-16-71 54,-7/
ADDRESS
OWNER Modular Technology, Inc. A.R.NO. PER •4
MAIL 1104 E. 17th St.
ADDRESS 1BUILDING 614 A,B,C,D Iowa St. (1
ZLU L1.1 ADDRESS
• 0 CITY Santa Ana TEL
2
47-9673 TRACT 6614 LOT 140 BLOCK
Z NEW ADD ALTER REPAIR MOVING DFMOLISH
Z Z CONSTRUCTION
O-N LENDER X _
0. 03
..N BBRANCH OWNER Modular Technology, Inc.
ADDRESS
J m ARCHITECT Kermit Dorius, AIATE1675-1164 USE 4 plea/ y1 •
CO HALU 347oT
Q OR ENGINEER N . X
Ya en FIRE
W m ADDRESS 3111 2nd Ave., Corona Del Mar ZONE TYP/ GROUP/44
O.IL APPROVED
w Z CONTRACTOR Owner BY DATE
J 0
CO
r ADDRESS All
W 1>/(LLw TEL. ZONE NO.QF USE OFNEW
Zr CITY NO. -CP FLAP*: BUILDING 4 plex
W-0 STATE 252549 CITY 1690 YARDS APPROVED YARDS APPROVED
rn m LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
70 (FROM C LSTREET)
SIZE NO.OF BL .
OF LOT 72 X 110 NOW ON LOT FRONT 40 Fes, FT.
USEOF
EXISTING BLDG. R SIDE �'4 FT FT.
I- SIZE OF 2094 s.f. NO.OF 10 2 14
Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT.
UEXTERIOR WALIstuccO ROOF Built-up1U
_ COVERING COVERING - REAR FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
fl
0. MAIN BLDGS. ACCESS. BLDGS.
a 4 - Flex w/att.Gar. VAR.# SE 35-70 DATE 4-6-70
0
C.U.P.# / APPROVED
O —ELY ED / //1/ DATE c-S - (/'7
/
� 0v
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 REQ E IS
F any person in violation of the workman's compensation laws of
m
the State of to
Z I herebycertifythat I am 3852 SD. FT. 88o 0
properly licensed as a contractor under
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such I' -s are in f II force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: R
am exempt from the pr., sof the S to li nia Business m
VALUATION S3- w
, ..
and Professions Code, •. ion 3,C p r
PERMIT FEE $ / N
Signature of 2& a m
Permittee 0)044. $4-27 9 M\ PLAN CHECK $ / E
/ V V o
Authorized Agent u.
TOTAL FEE $-22.19
u
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO. h7471---- DATE /O — / a -2 /
LOT NO. 2-
ADDRESS /I/4-(S) £c
C./14r,
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 Or
/ rcha-� //
AR!! tidigiRnme
,-/e7
e7 3,0 1,1 y % Developer and/.r au orized
representati e
RECEIVED
/�f � CITY OF COSTA MESA
o'J/ PLANNING, DEPT. Lender
OCT 2T 1971
AM PM
718,9,1(41. i,1124141516
a
I- .
•
PROJECT ADDRESS: 1614 IOWA ST 0NIT B CITY OF COSTA MESA — BUILDING PERMIT PERM NO; P 054065
OWNER'S NAME: CENTURY 21 — SURF
A+ 19126 MAGNOLIA PERMIT NO: P 054065 PLAN CHECK NO: N GOVT: N SUPP; N
5I•E, 101
HUNTINGTON BEACH CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU • PURPOSE: OTH
962-7873/850-1641
ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION : CHANGE OUT WATER HEATER SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 /
PERMITTEE: WATER HEATER MAN, INC. ( 714 ) 538-5201
ADDRESS: 1445 W. COLLINS AVE. COMMENTS: SMOKE DETECTOR REQUIRED IN THE HOME
- ORANGE CA 92667 ***+E****EE*Tr**TE�ETr*�6�E+E****** **************************kE**************+E*+E*******
LICENSED CONTRACTOR DECLARATION: I hereby affirm that 1 tensed under provisions of pier 9(commencing with Section Z ONING REQUIREMENTS '
7000)of Division 3 of the Business and Professions Code,an y cense is in f c and SETBACK S
CITY LIC.: ( 91 STATE LIC.: 372108 G 6
S��j 721 MAIN BUILDING ACCESSORY BUILDING
S' MPExS IOx EDIARATIDN: I hereby affirm that lhave acemlicatdofconsent tosel4ins eoracertBicaleofWorkers'
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Cgmpensati Insurance gf,3.cqg[[u11ieQQcopymereof(Section 3RDD.Lab.C�. LEFT: FT IN RGHT: FT IN LEFT: 1 FT IN RGHT: FT IN
POLICY NO.: WCO Insurance,
, EXP.DATE: 81 /01 /92 '
COMPANY: GENERAL PARKING REQ PROV: PARCEL : 00000000 ZNE: REF NO: •
Certified copy herebyJdrnished. '0 Certified copy is fit 'h the city B' g Division. PLANNING N V TES>
NE i? maim /f�( *******************************************************************************
XEMPTION OM WOR RS'COMPENSATION I BI RATION: (This section need not be completed if 1 permit is for one hundred WOO)or less). DEVELOPMENT SERVICES ' REQUIREMENTS
I certify that in the performance of the work for which this permit is issued.I shall not employ a person in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY • DATE:
Date: Signature:
NOTICE:II,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : I DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. .�� (
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lensing agency for the performance of the work for APPLICATION ISSUED BY: - ��i DATE:
whim this perms is issued(Section 3097.Civ.C). ************************************ e,� ***)e****** *.*.
LENDER: ************************************** *************************************
ADDRESS: LEGALIZATION:N FEE „SU MARY STRUCTURAL SEGMENT:N
i .
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason • BLDG PMT PLUMBING ELECTR% C' MECHANIC FIRE SMI P/RES GRADING
(Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve.demolish.or PERMIT 2 . 00
='
repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 25% n (;.- •2 SM I P/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN �%
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by k.:
any applidanl for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 3,00 "''t'. /
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE P.LAIS.—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 2 . 00 3 , 00 `.=' '�� 4,0. 00 5 . 00 5, 0 0 . 00
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 employees, provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS——> • .(, S.1LI C"i. su g-D:, OVER/SHORT• 00
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve
for thepurposeofsale). BLDG PMT PLUMBING ELECTR '' ' '"t c FI„” P/TOT GRADING PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 5. OO
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon .
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware 0*********************************OE**********X********if************************
that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A 1', ' F E E BREAKDOWN
•
❑ I am exempt under Section: B.8 P.C. j'
for this reason: TYPE QTY D E S C R I P T I .O N UNIT COST TOTAL COST
Date: Owner: PLU 1 WATER HEATER AND/OR VENT 2 , 00 2. 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction on modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions. .
Date: Applicant: f a
I hereby certify that I have read this application and state that e above information is correct.I agree to comply with all city and county et '
ordinances and slate ws rel g to building construction an- • ' authorize rt e1—natives of this city to enter upon the above-mentioned - : •if 04 0009144[19-12^098409 ' T e..7T 4
property fur on p / ' I. DATE: 09/30/91 TIG:.'. 01:01
Drivers Lice se or dal Security a: ,
1641-46 White—Budding:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
A
r
CONSTRUCTION AND PLA NTNG ., POOL& SPA "`^
"-" bate Inspector Date Inspector
APPROVALS • Permit# APPROVALS Permit# .
1,fTemporary Electrical Servicee s,,P le ‘,../2,2 52. Pool & Equipment Location f%„...
2.'Soil Pipe-Undrgrnd. jtVt , ' tr1 53. Steel Reinforcement /2 '
3.°ElectriCal Conduit Utility- (tdrgrnd.' ' .,,,r1,-,C. 54. Forms .
•
4..•Electrical Condu.iteundrgrnd( . - f" 55. Electrical Bonding - ,/"
5.'Steel Reinforcementfr.,,, ..,•, 56. Rough Plumbing & Pressure Test ..
5'6.'.'Electfical UFEA;Grnd. . _I 57. APPROVAL TO COVER-GUNITE
. 7. Footings 58. Electrical Conduit-Undrgrnd.
8.'Foundation f 59. Gas Pipe, 0 Undrgrnd., Test ' ' L `.•
!1/2
9. Water Pipe-Undrgmd.Ey,%'j j.'4, 60. Backwash Lines, P-Trap, 0 Undrgrnd, /l
� 1 ��w
10. Structural Floor System r"1 :. /. 61.-APPROVAL TO DECK //1%j
11. Property Sewer Line & Houk Connection, /' 62. Backwash & Receptor-Final ' h
1 , .-. i 7
12. Sewer Cap �� '�63. Heater & Vent-Final 7
13. Roof Drains c rJ/� 7 IV 64. Plumbing System - Final - el
14. Rough Plumbing % ri) • ':" 65. Electrical-Final
15. Rough Electrical-Conduit "
�% 66. Solar System-Final
16. Rough Electric•Wiring 7 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 '
207.Rough Factory Fireplace :. ,- • ,-. - •APPROVALS 'i`Permit# - �-
)' S c .,- I .1 • - .
21'Ducts, in Str@ctute,. c !. `70. Underground Hydro
22. Ducts, Ventilating;, n _ t . 71. Product,Piping O'Gas 0Oi1
23.-:Gas QipthRough &Test ,,`'� ,; : . t 72. Underground Flush:' ;
24. Roof Framing - 73.-73., Storage Tank 0 Gas 0 Oil
25. Roof Sheathing ;,-. '� , ' _ - '_ '74 Overhead Hydra- .
26;1%14r Ceiling (Structural) & Monocoat _ 1. -2 r •" 75.. Dry Chemical - .
27aFrame and Flashing1, ; r. - 76. Dry Standpipe '' ' •,
,- .
28. 'Lathing;& Siding 1..c, i .o. „• .. . .. , 77,- FIXED SYSTEM F-INAL•
'29. Insulation .' 78; FIRE PREV. FINAL L '2
--30. Drywall-Nailing rl t� -HEALTH.DEPT. REQUIREMENT
-,31. Plaster Brown Coat • ' r FI 79.T NAL-INSPECTION ,• '
r r • t
.32.:ElectricA Power Meter-Final - 80. FOOD CERTIFICATE ISSUED-
- f
33.jFinal Electric I a %) ' Notes:jQ/, of its°nit fro, ntextresz) (op
.:34, Final Heating & iii Conditioning, ,`: > ' - n
1-7 /AiV t gel»_ TI EXPI P Q s c'�kn 20.3
J35.1-Final Gas Pipe-Test - 1. : %
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO. a /4— DATE /1— 12- ? 1
IAT NO. 40 (4-) {�//
ADDRESS /61¢ 0J AN
c. /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) 040664-. 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
Purchaser
RECEIVED
CITY Of COSTA MESA
PLANNING DEPT. B • - aCarat
Developer and or authorized
NOV 16 1971 representative
AM Pm
718,91104.84 Mi3141516 aim Lender