HomeMy WebLinkAbout1659 IOWA ST - Building Permits ApdRESS OF WILDING: 1659 IOWA ST UMT: CITY OF COSTA MESA - BUILDING PERMIT
Cn,1ERSNAMEIFKIMNM: SHRODE, BOBBIE. S FLOOD: AE-37 PERM NO: E 073863 '
ADDRESS: 1659 IOWA---ST
COSTA-Mt CA 92626 PERMIT NO: E 073863 PLAN CHECK NO: N GOVT: N SUPP : N
71,4) 751-4363
-� < •
' CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE : OTH
WWII-CT OREN°NEER: UC.NO.: JOB DESCRIPTION : T/OFF RESTHEATH & REROOF W/COMP . SQ FT:
ARCH OR ENG.'S ADDRESS: MIT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /
CONTRACTORS NAME CAMARILLO CONSTRUCTION ( 714 ) 544-9490
CCNTRACTORSMMUNG 12642 PANORAMA VIEW COMMENTS : REF:B-73862
ADBRESS: SANTA ANA uc, ... 523026 *******************************************************************************
92705 MMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under pea d. Y' licensed u II .,,••
;;•end Chapter 9 SETBACK S
(commencing with Section 7000)d Division 3 d the Business and Prof. + ' license is in
CITY UC.No,: 053122 UC.CLASS: B 026 it'i : 04 /96 MAIN BUILDING ACCESSORY BUILDING
����f c FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
R BUILDER DECLARATION:I hereby affirm under penalty perjury I ern exempt from the Contractors Law for the
ta
awen(S°d°n'°3''saa'iess&dPm., °"Code:An "aro n"" requiresape""°'°ron'"°•'°'•;nq"^, PARKING REQ: PROV: PARCEL : 13907214 ZNE: REF NO:
demolish,Of repel any structure,prior to its issuance,eio requires the applicant for such permit to file a sgned statement that he or she
is licensed pursuant to the provisions el the Contractors License Law(Chapter 9(°emmen;ng with Section 7000)of DNeldn 3 of the PLANNING NOTES>
Business and Professions Code)or that he or she is exempt therefrom and the basis or the alleged exempbn.MY violation of Section >
7031.5 by any applicant for a permit subjects the applicant to a civil pendlty of not mere than the hundred dollars POO. *******************************************************************************
o I.as owner of the property Or my empldyees with wages as then sole compensation,will do the work.and the structure is not intended DEVELOPMENT SERVICES R E Q!1 U I R E M E N T S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property M
who beads Of improves thereon,end who does such work Iimsef or hersel or through his or her own employees.provided that such
improvements are not intended Of offered for sate.il.however,the building or snprovement is sold within one year of completion,the ZONING APPROVED BY DATE :
owner-builder will have the burden of proving he or the did not build Or improve for the purpose of sale). •
❑ I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business end
Professions Code:The Contractors License Law does not apply wan owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE:
contracts kr such projects with a caaracta(s)licensed pursuant to the Contractors License Law).
o Ianexempt under Section: B.A P.C..for this reason: APPLICATION ISSUED BY: DATE: 3S
Date: Owner: *************************************** * ************************ **
LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT: N
I do hereby artily that I em aware d and understand the requirements of California Health and Safety Code Sections 25505,25533,and
25ap�a«roonawaioyane homing
bomtheAtvlt (sagmentrcle(Mindeneed tResid`daial amdwith said bn applications ae codes and ree"e>�lfmm nts . BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 11 . 0 0
Date: Applied: 50% SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under Pantry of perjury one of the following declarations: PLAN
en
❑ Ihave ed will maintain acendicae o consent toeef-insusbrwaken'compensation.as provided for by Section 3700°Mhe Labor BUILE FEE 15 , -0
Code,la the panne.of the work for which this permit is issued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Ihave and veil maintain workers'compensation immix*.as required by Section 3700 of the Labor Code.for the performance of the TOTALS----> 11 . 00 15 . 00 0 , 00 26 , 00 26 . 00 00
work for which this permit o issued.My workers'compensation insurance caner and policy number are:
Carrier: STATF FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 26 . 00 OVER/SHORT: . 00
Policy Number: 117S149-AS 01 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed 0 the permit is kr one hundred dame/stro/. ..) 26 . 00
❑ I cenay that in the performance of the work for whin this perms shell • employ any!tit; manner co as to •
became Sub*.to the wakes'compensation Laws d Cold. 00400 . 4 I should , to the workers' *******************************************************************************
compensay provnam d Section 3700 of the Labor Code. h t _.. .. "Ari/
cif 5,t Wlz—
INDIVIDUAL F E E BREAKDOWN
rrrMg:FegunrosseunwodairompwuatloncovopabunNMW.endshallarts/aefenanp/oyer toMMrn&paMltluand TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil ffnea up to one hundred thouud dollars(AIO0,000),In add/tldn to The cost of rorrpansaf/an damages es provided ler In
Sutton 3700 of the Labor COM,Interest,end attorneys/wit ELE 1 MISC APPARATUS NOT LISTED REQ PERMIT 11 . 00 11 . 00
n u
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that thea construction lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097,CN.C).
LENDER'S NAME:
LENDER 'DRE". .
I certify that I have d this .. :p ion and'ate that the �' correct.formation is l agree 0 comply with at city and county ordinances
and state la w. .. •', ed her . (Mize representatives of this arty to enter upon the above-mentioned properly EXPIRED
ft
ill..,.. /
RANO C •J�' ILLO
- °m'j 01 0D12s3S33-001886,3 TOT 'S CIC
y Date: �l1- 9C DATE 1 —IZ -.% DATE; OC/1=,9t TME: 07:43
S• re of OwperiA9ent/Applcan catnda
(515146.WP) White-Building&Safety;Green-File:Canary-Applicant;Pink-Revenue:Goldenrod-Assessor
NSTRUGTION AND PLANNING ...
;RODE &'SPA 1
- )111 t�,DVALS Permit# Date Inspector APPROVALS Permit# Date Inspebtor
1. Tempovary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil F,ipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms -
4. El ctrical Conduit-Undrgrnd. 55. Electrical Bonding
5. E'teel Reinforcement. 56. Rough Plumbing & Pressure Test
6/ElectricalUFERGrnd. 57. APPROVAL TO COVE R-GUNITE
A. Footings 58. Electrical Conduit-Undrgrnd. -
8. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Fitlal
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. 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. Roof Framing 73. Undergrnd.Storage Tank 0Gas ❑Oil
25. Roof Sheathing 74. Overhead Hydro ,
26. T-Bar Ceiling (Structural) & Monocoat • 75. Dry Chemical
27. Frame and Flashing - ' ' 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL .
30. Drywall Nailing . HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED --
33. Final Electric. - Notes:5-31-46 Casey 0jot
34. Final Heating& Air Conditioning,
. 35. Final Gas.Pipe-Test
36. Hood or Canopy - - - .
• h
37. Final Factory Fireplace .� *1 •
_
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 -
48. FINAL PLANNING --
49. Electric Release to Edison - -
50. Gas Release to Southern California Gas Co .
51. CERTIFICATE OF OCCUPANCY
No Date
ADDRESS OF BUILDING: • UNT:
w.NERS NAMEIF IDawrl: 1659 IOWA ST CITY OF COSTA MESA — BUILDING PERMIT
ADDRESS: SHRODE, BOBBIE S FLOOD: AE-37 PERM NO: P 073864
1659 IOWA ST
COSTA MESA CA 92626 PERMIT NO: P 073864 PLAN CHECK NO: N GOVT: N SUPP : N
APPL � � � 714 ) 751-4563
MBOCONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH
ARCHRECT ORENfat1ER: uC No.: JOB DESCRIPTION : PLUMBING WORK : WATER HEATER VENT" SQ FT:
ARCM.OR ENG.'S ADDRESS: UNIT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
CONTRACTOR'SNAME: CAMARILLO CONSTRUCTION ( 714 ) 544-9490
CRTTNACTORS HARM 12642 PANORAMA VIEW COMMENTS : X
ADDRESS: SANTA ANA Cu c.NO.: 523026 *******************3E3f***1E#fE#1tiEfElEiE***lEiflE1t1t1t***K-iFiEjf-dtiflE�E#3f***lE3Eif#iE3EiEifiEifiE3EiE5(-i ******
92705 / WE: Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty. that' ., licensed u der provelo s of Chapter 9 SETBACKS
(commenting with Section 7000)of Division 3 of the Business and Proles:''.. . .. . y license is in II .,/ d
e .
CITY LIG.NO.: 053122 LC.CLASS: B LIG. s / .026 04 /96 MAIN BUILDING ACCESSORY BUILDING
�e: O`'"`Ia Contractor: _/ � _ �i FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
ER BUILDER DECLARATION:I hereby affirm under penaly of perjury that I am exempt Irons the Contractors License Law for the
fottowkp reason(Section 7031.5 Buseess and Professions Code:Any city o county which requires a pennft to construct,alter,improve, PARKING REQ: P ROV: PARCEL: 13907214 Z N E: REF NO:
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 PLANNING NOTES>
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 penally of not more than five hundred dollen 1550011. ,K,3ElEiE3E,)EiEiEi(,ihl4iEiEihjbiflE3EiEihiE#IkiE,K,iE3f-if3Eif,i(,#dEifiEN,iEiElEiEifiE3l)E,)EiE3Ei4if3EiEjEi(-dflhiEiElF1h,********{E*iE3(-****i(***
1:1I,as owner of the properly or my employees with wages as their sole compensation.will do the wora,and the structure is not intended D E V E L O P M E N T S E R V I C E S REQUIREMENTS
I
or offered for sale(Section 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 Nmseff or herself or through ha or her own employees,provided that such
improvements ere not intended or offered for sale.ff.however.the building or improvement is sold within one year of completion,the ZONING APPROVED BY DATE:
wner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). • -
❑ I.as owner of the property,em exclusively contredkq with licensed contractors to construct the projed(Section 7044.Business and
Professions Code:The Contractors License Law does not appy to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : 7—.4,-,---) DATE:
contracts for such projects with a contrador(a)licensed pursuant to the Contractors License Law). r _.",1
o l am exempt under Section: B.&P.C.for this reason: APPLICATION ISSUED BY: `�\; � � DATE: #-
Date: owner: ************************************ ******************************* * ****
LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
I do hereby certify that 1 am aware of and understand the requirements of California Health and Safety Coda Sections 25505,25533,and
25534,and that I or any future building occupant will/will nor(circa one)need to comply with said state codes end the requirements for — t'
apermit Ior construction or modification from the Ai Quaky Management District.Residential construction application are exempt from these BLDG PMT PLUMBING EL ECTR IC' MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 7 . 00
Date: Applicant: 25* r SMIP/NUN—RES
WORKER'S COMPENSATION DECLARATION:l hereby affirm under penally of perjury one d the following declarations: PLAN h
ISSUE FEE 20 . 00 —❑ I have and will maintain athete d consent to sell insure for workers'compensation,as provided for by Section 3700 d the Labor
of
Code.for the performance oflheworkforwmdrthis i
permhissued. BUILDING—DIV—> PERMIT ISSUE .PLAN=CHECK TOTAL PAID DUE
/y�/�/I have and will maintain workers'wmpenselon insurance,as required by Section 3700 d the labor Code,ler the performance d the TOTALS----> 7 .00 20 . 00 0 . 00 27 . 00 27 . 00
i•. . 00
y work for whidr this permit is issued.My workers'compensation insurance ismer and policy number are:
Gather: STATF FUND EXPIRES REVENUE DIVISION TOTALS > COLLECTED: 27. 00 OVER/SHORT: . 00
Policy Number q.Jri147—q5 01 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(Phis section need not be completed 1 the permit is for one hundred dollars(Stool• 27 . 00
o I codify that in the performance of the work for which this permh is :mploy any. in y,,/(ner so as to
became subject to the workers'compensation laws d Calif. �... :- t : if I shouts .d, f to IM workers' *******************************************************************************
compensation provisions d Section 3700 of the Labor Code,I- : •s those p• o ,
ere r±��f-fc A _4rA'_. :r IF,., INDIVIDUA L, •
F E E BREAKDOWN
Warning:Failure to secure workers'compensation coverage Is unlawful,and shall sublecf anenp/oyar to criminalpenaldas end TYPE QTY D E S C R I P. T I Ort Nn.-- UNIT COST TOTAL COST
civil fires up to ons hundred thousand dollars(5100,OWA In addition to the cost of compensation,damages as provided for In
Section 3Ospithe Labor Labor Code,/nterest,and attorney'.fees. PLU 1 WATER HEATER AND/OR VENT 7 . 00 7 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a condnctian lending agency for the END t OF FEES
performance of the work for which the permit is issued(Section 3097,Civ,C), END !
LENDER'S NAME: 1
LENDER'S ADDRESS:
I certify that I have read ts application andel;• ^ the above information is cored.I agree to comp&with at city and county ordinances
and state awe -alitm o building construct'.'and h.reby author's .presentativea of the oily to enter upon the above-mentioned properly
arinsPe �,:a. CHA ! C ' A` 0 '
•
�1�j /� . a1 eai88e,&'•C0188636 TOT 2i.0a
`' ,�1 Date: DATE: D3/rS/SS TIME: 09:4;
Sgnelm r/Agent/Applican ontrado
(5151-46 WP) White-Building&Safety:Green-File:Canary-Applicant Pink-Revenue:Goldenrod-Assessor
POOL & SPA
CONSTRUCTION AND PLANNING j `, - •
APPROVALS Permit# - Date Inspector APPROVALS Permit# -• Date Inspector
r
1. Temporary Electrical.Service or Pole 52. Pool & Equipment Location: - r
2. Soil Pipe-Undrgrnd. , 53. Steel Reinforcement '
3..Electrical Conduit Utility-Undrgrnd. 54. Forms •-
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5.-Steel Reinforcement. 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Gtnd. 57. APPROVAL TO COVER-GUNITE _
.7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap;❑ Undrgrnd.
10. Structural Floor SJstem 61. APPROVAL TO DECK •'
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final:
12. Sewer Cap 63. Heater & Vent-Final ••
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing . , 65. Electrical-Final
15. Rough Electrical-Conduit _ 1 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;'Ve6tilating ; - .. . 71. Product Piping 0 Gas d Oil
23. Gas Pipe-Rough & Test - - _ 72. Underground Flush
_
r
24. Roof Framing - _73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing _ 74. Overhead Hydro"
26. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical
27. Frame and Flashing . - 76. Dry Standpipe -
28. Lathing& Siding - - - _ •• •' - . 77.. FIXED SYSTEM FINAL
29. Insulation - 78.. FIRE PREY. FINAL
30. Drywall Nailing . _ - . ' HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat , 79. FINAL INSPECTION
32. ElectricaPPower Meter-Final • ' 80. FOODFOCCE 5-FICATE ISSUED
33. Final-Electric- Not'+s: C P EO- • ,W t LG- ��-2/PE-
34. Final Heating & Air Conditioning. •"}. d
35. Final Gas Pipe-Test , -" -; Y .
36. Hood or Canopy F
37, Final Factory Fireplace - r
138. Final Plumbing _c.,C -
..
. . :
39. Water Service-Final
40. Gas Service-Fina' .
41. Solar Domestic-Final - . ..
42. Backflow Preventer . '
43. Backflow Irrigation .
•
44. Landscape Irrigation System " • -
45. Sound Attenuation • -
46. Handicap Regulations -
47. FINAL STRUCTURE & BUILDING _ ��. `
48. FINAL PLANNING -
49. Electric Release to Edison
•
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY I -
No. Date
ADDRESS OFSUILWA: WET:
ONM1659 IOWA ST CITY OF COSTA MESA BUILDING PERMIT
EIrRi1AMEIF gpWN: SHRODE, BOBBIE S FLOOD : AE-37 PERM NO: B 073862
ADDRESS: 1659 IOWA ST
COSTA MESA CA 92626 PERMIT NO: B 073862 PLAN CHECK NO: N GOVT: N SUPP : N
714 ) 751-4563
APPL.MAILP4G ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEEN: LK.fa.: JOB DESCRIPTION : T/OFF RESTHEATH & REROOF W/COMP . SQ FT: 2, 000
ARCH.OR ENO.'S ADDRESS: WIT:
CLAIM VALUE: 2, 000 . 00 CALC-VALUE: 2, 000 .00 GROUP OCC : R-3 /
C0Nf1ACi0WSNA1t CAMARILLO CONSTRUCTION ( 714 ) 544-9490
CO4ThADTD"SUAMG 12642 PANORAMA VIEW COMMENTS: SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM & HALLWAY
ADOREss: SANTA ANA CA L=CNo.: 523026 *************************+E*+PPE******+E***RESE***SE+P+E*********SR***SE************fE**RE**
92705 • Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby aRsm under penalty. .. . that I am f under motions sr S SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Proles y lice in fun a and
CITY LW.NO.: 053122 UC.CLASS: B LIC..• 302 P 4 /96 MAIN BUILDING ACCESSORY BUILDING
t�/4( FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
01 Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWN BUILDER DECLARATION:I hereby affirm under penalty of perjury that 1 em exempt from the Contractors License Law to the
I reason(Section 7011.5Business end Professions Code:Any clyor county which requires apermemconstruct,alter,improve, PARKING REQ: PROV: PARCEL: 13907214 ZNE: REF NO:
dish,or repel any suucture.prior to as issuance.also requires the applicant to such permit to fib a signed statement that he a she0...
is Ecensed pursuant to the provisions of the Consrareos License Law(Chapter 9(commencing with Sedlon 7000)of Division 3 d the PLANNING NOTES>
Business and Professions Code)or that he or she is exempt therefrom and the basis toe the alleged exemption.My violation of Sedan >1
7031.5 by any app iula lore perms subjects the applicant to a civil penalty of not more than five hundred dollars IMOD. *******************************************************************************
❑ I.adownerdthepropenyamyempgeeewihwagnntheisole compensation.wildothe work and the esn.ctureis not intended L O P M E N T S E R V I C E S R E Q IlU I R E M E N T S
or offered for sale ruction 7044,Business and Professions Code:The Contradaa License Law does nol apply lo an Owner of propertyD EV Ei
property
who builds or lupines thereon.end who does such work himself or hereof or through his employees,or her own provided that such '> 1
improvements ere not intended or offered for sale.If,however,the building or improvement is sold within one years completion, ZONING APPROVED- BY DATE:
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I.as owner of the property,em exclusively contracting with licensed contractors to construct the proied(Sedan 7044,Business and
Professions Code:The Canraddon License Law does net apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE: _
contracts for such projects with a c ntrado(s)licensed pursuant to the Contractors License Law). / �
❑ Iamexempt under Section: B.APC..fothis reason: APPLICATION ISSUED BY: kyf1E DATE:
Dae: Owner: **************************************** *********************** **
LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I em aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and
25534.
penia for orsthat vuctoonor many odi ionfron th Ait vnitlwill not ky•anageement Dicircle lneed to ddd.Residential constructwith said ion aand re eexe requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions' PERMIT 45 . 00 . 50
Dale: Applbanu SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following declarations: PLAN
ElIhave and will maintain acertificate ofconsent to self-insure for o
rkers'compensation.asprodSection ISSUE FEE
Code,forthepedomsncedtheworkfowlichNapermuoissued. BUILDING DIL > PERMIT ISSUE PLAN CHECK TOTAL PAID DUE
I have and wif maintain workers'compensation insurance.as required by Section 3700 o the Labor Cede fix the performance of the TOTALS----> 45 . 50
0 . 00
0 .0 0 45 . 50 4 5 . 5 0 , 0 U
work for which this permit is issued.My woken'compensation insurance carder and OILY number are:
Carder: STATE FttNTl EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 45 . 50 OVER/SHORT: . 00
Policy chamber: 13�ST a?-qs 01 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(7h section need not becompletedlthepermitisforooehundreddollam/SMOO • leis) 45 . 00 . 50
o I cenly Mei in the performance d the wok for which this perms' r u.•.I shell • employ any person i4y1 er so as to
become sailed to the workers'compensation laws al Cant .. .. .. . .I d should shoudl�r^.Io the workers' ************************************************ ******************************
compensation provisions d Section 3700 d the Labor Cafe y. . .......with t ... '.'�i {(.I N D I V I D U A L F E E B R E A K D O W N
ate 2'!f-9'0' A. . ��. ��.1.-. 111W1-.
eating:WWII to secure workers'compensation coverages unlawful,and shall sub/act an employer to criminal penalties end TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
rfvii fines up to one hundred thousand dollars(5104000A In addition to the coat of compensation,damages
as Provided for In
Section 3goythe Labor Coda.lnanat.end attorney's fen. SFR 2000 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 2 , 000 .00
• CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this perm/is issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDERS ADDRESS:
I certify that I have mad this applical• .. •slate that the above information is coned.I agree to comply wish an city and county ordinances
and state laws relating to• g.. maim and hereby authorize ... . •..lathy,of this city to enter upon the above'maaand property
for ire...'.
r_ C• •NO CAIARJ •
fra -._
-/1-5f 21 00138634-00120635 TOT
(5.50
�,� Date: 1
DATE: 08/_8!95 IIf?E: Oy:43
Signature of re
OwdApenVA••.747:1? redo
(5151'45 WP) Whae.Buitkg A Safety;Green-Flo:Conry-Appiam:Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING •--„, POOL & SPA --
i, 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 56. Rough Plumbing & Pressure Test
6. Electrical LIFER Grhd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
.8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test - )
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System ' 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 1 64. Plumbing System - Final
14. Rough Plumbing65. Electrical-Final
15. Rough Electrical-Conduit - 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
•
1'7. 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. Roof Framing' - .73. Undergrn8.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing x 1 ?-Z,2,-22 -b 74.-Overhead Hydro
26. T•Bar'Ceiling (Structural) & Monocoat •- 75. Dry Chemical
27. Frame and Flashing - 76. Dry Standpipe 28. Lathing & Siding •' '" ,. 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
- 31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final - ' 80, FOOD CERTIFICATE ISSUED
33. hhnal-Electric - Notes;
34. Final Heating& Air Conditioning "- - - - •
35. Final Gas Pipe-Test • - -
36. Hood or Canopy t
- 37. Final.Eactory Fireplace -
38. Final Plumbing
39. Water Service-Final ' .
40. Gas Service-Final
41. Solar Domestic-Finat -
42. Backflow Preventer •-
43. Backflow Irrigation
44. Landscape Irrigation System •
.
45. Sound Attenuation
46. Handicap Regulations -
47. FINAL STRUCTURE& BUILDING 2t-g5'th� . "
48. FINAL PLANNING VVV / - •
49. Electric Release to Edison ' -- - .
50. Gas Release to Southern California Gas Co _
51. CERTIFICATE OF OCCUPANCY
No Date
Applicant to fill In all spaces except those within heavy border lines and sign all approorlate declarations. 5
CITYOF COSTAMESA • - • a PERMIT NO TRACT NO. LOT NO. • BLDG.NO. I _
• CONSTRUCTION PERMIT �Po R -
•
•
Applicant's Mailing Address 7-6'Sezt —�'r<3.r9 TYPE OF CONSTRUCTION • 'U NEW U ADD- U ALTERATION LI REPAIR' } ' 5384 37,,Qy/83 - -• 5.00 TL
Protect Address �(% .--1
J�' ��/) i :�� ' �� • {-,/y' ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - • - ,
Owner S'Name ‘5•61X-0,2)4;a1 'Phone -C�'-'",/ DESCRIPTION •OF'WORK _ - ; ' I • - _ ,
` { ZONING REGULATIONS
Address �K ✓ 9 TOC&FI G0S74 �tS�. TYPE OF PERMIT U GRADING. FOUNDATION ElSTRUCTURAL A.P,# ' - ZONE - 1 - ••
Arch/Eng. License NO.' ❑ TENANT 0 ELECTRICAL PLUMBING.. ❑ MECHANICAL PLNG• .REF.sift - •
- BUILDING _ -
Address -�, ' ? ❑;OTHER - - ....`` •
, ' TO BUILDING -e Fr QA w nil er-•
I �• PROPERTY LINE
REAR YARD(TO P/L)
Contractor's Nem r / 'hone! �� PROJECT DESCRIPTION 50.F7. OCCUPANCY
j, • CONSTRUCTION TVPF ° V• ALUATION$ • , LEFT SIDE YARD RIGHT SIDE YARD •
Address(mailing/ �l.-1`fes �� q�yAr[JG -- -
•
LicenseNo. _ .1-y4F / // • l ZONE GRADING CU.YDS: ,ACRES - PKG.SPACE.REO. ! • PROVIDED -
LICENSED CONTRACTOR DECLARATION Remarks: .• ' " I • STREET WIDTH I.
FEE'$
I'hereby affirm that I am licensed under provisions of Charter 9(commencing ' ' - _•
-
With section 7000) of Division 3 of A usiness and Professions Code L and SPECIAL CONDITIONS:
mY license IS In full force and effect. / /J/�/)0 C' - -
License Clem • 1 - License No. '- d ! - • i • •
PLUMBING . . ; • - ,
Date 3—_\_ Signature ' �, Lt-c'-s Eta - •
WORKERS'COMPENSATION DECLARATION ' ( -
Bar Sink $ew8r Cap• ELECTRICAL ,• ,
I hereby•aftiren that I have a certificate'of consent to self-Insure or a certificate _ Backflow.Preventer _! __ ' ' _- Sewer Connection _ _ Automatic Washer Meter ❑over 100 amps 1 : '
of Workers' Compensation Insurance,-or a certif d'copy thereof-(Sectloo - - -
yy a___ - - Construction Pole Sub Panel •
3800, L . CJ r� `J ''�� - I - Backflow Irrigation Soler Collectors -
Ponce No. ...2639411' Com pa•ne` 1 ` T4�' 1 't-— - '
8Certified dopy Is hereby furnished. I I /�— • ' Bathtubs � l Solar Piping I ! • Cooking Unit 'Sub Pole
'certified copy I -filed with the city Builppjng Dlvlsiod.J �� - I Dishwasher Motors ❑0-1 HP O1 X$ • `
Date ,a'�_ , Applicant N r /�r� r 1 }�L 1'� Clarifiers Sotar Tank ' i I : I
'EXEMPTION FROM WORKERS'COMPENSATION'D ECLA RATION s' -'- • Dryers '❑Gas .OElettric- •'•-- - ''Inc:Solar•❑9'15 HP ❑16-15+-'' ` -'—'
(This section need not be completed if the permit is for one hundred(5300)or� Dishwasher ��� �+'� • Swimming Pool w/Spa 1 • -
: less), - , i - ^Fan I - Microwave 1
• I certify that In the performance Of the work for which this permit is issued,I Drinking OF untains Urinal
• shall not employ any person in any manner so as to become subject.to te • - F.A.U. ' 'POIe• ht , - - i
Workers' Compensation.Laws of California. ' Floor Drains. Water Closet ' - g I 1 i
Date. ' Signature ' , Fixtures ' ,Range ' ' I
__NOTICE:If,after-making this declaration,you should become subject to the Floor Sinks --_ . _ - - ___ .Water Heatef ___ _ _ __ ._._ -_. _ i 9 1
. -
Workers'- Compensation provisions of the Labor Code, you must forthwith - -
• comply :with',such provisions or .this permit shall be deemed revoked? Device Boxes ,
Gas Service Odtlets WaterService Sign 1 I ,
CONSTRUCTION -LENDING AGENCY t ''a --• - I . I I , ' ' - i ' I "- , i
Outlets •
' I hereby affirm that there li this truction lending agency for the'performance .. Interceptors •• n• - - • Standing Sections , I ;
of the work for which this permit 'Is 'issued•(Section' 3097 Civ. C.): ' ,
. Lender's* Name' l - - ! ' ' Kitchen Sink • r 1 Switches I '',Trash Compactor r 1 ••
Lender's Address' ' `- ' ' • I , - _ - ,
1 Layatoriez < _ _ Garbage Disposal I - I • i
OWNER BUILDER DECLARATION - '> T- - I , '
I hereby affirm that I am-exempt from the j Contractor's-License Law for the - iT - I r- � I Generator 00-5 KW 05-15 KW '
following reason:(Section,,7031.5 Business and Professional Code:Any city or 1 - ; P-Trap' ,• I _ - I I " ' •
'„county which'requires a permit.to construct,alter improve,demolish:or repair , r • I Transformer 015-50 KW i i I
any Structure'prior to its•issuance,.also requires the applicant for such permit i Roof,Drains `. 1 ° >-- , 1, / '.
Ito file a signed statement that he/she is licensed pursuant to the'provisions of _ - •� I 05U+KW; t - '
' the Contractor's Ucense•Law.(Chapter 9(commencing with Section,7000)of • 1' ' - s $15 I + I Reinspection Fee , , $15
! Division,3. of the Business and Professions Code) or that:he/she,is,exempt ' Showers L¶ _ • -,' i _ Reinspection Fee ; -
'therefrom and the'basis for the alleged exeinption.,Any,violation.of,Section . _ - ' ' , Meter Ono to 100 amps i :Issue Fee: I : • '$ 3. •
, 7031.5 by ;any applicant for•.a,permit-subjects-the•applicant to. a civil - - C - -
, peenalty of not more than five hundred dollars($500). ' , Service Sink I . I Issue Fee : i $ 3 I - ..
LJ l , I Zoning Approved ByDate I
L.as owner ofi the•property or;'my employees with wages as their•sole _ '
`:compensation wilfdo the work,and,theslr stun lIs not intended or offered t. ' - ' MECHANICAL - i - ! I
1 Application Approved By ' Date
: for sale-(Section7044', to ss'and Professional de:I The Contractor's ---- - -- ------ -- -- -- - ,
License LaW does not apply to an owner of a property who builds or improves Boiler. Refrigeration System I Len
I Xv3 '
'thereon,'and who'does thatsuch
such.work himself/herself or through his or her own , - I I Application Issued By -/ / •(� .Date • 3-8'V
• employees, provided that simprovoments is sol t Intended or offered for , I ❑0-100,000 BTU ❑100,000 BTU 1
sale. If, however,the building or Improvement Is sold within one year,of com• ' Duct-,Under Ground ! , I . I } • SUMMARY OF FEES i, 1 • 1
� pletion, the owner'w111 have the,burdem Of proving he/she did not build or im- • - 1' � - ,
.0 rove for the purpose of,sale). i { Duct-Structural • System Repair/Alteration, •
I, as owner of the property,am exclusively contracting with licensed con- • ` ' ,BUILDING PERMIT $, I SMIP J. $ ,
' tractors to construct theproject (Section 7044,Business and Professions Code: ( • Duct-Ventilating I I I - ' - PLAN CHECK' $• i. I PERMIT • -
:'The-Contractor's License'Law does not apply•to•an•owner•of property who 't _ , ; G C. i ISSUANCE i $ - 1
' builds or improves'thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 ,PLUMBING , , $ '•.J•- '-
tractor($) license pursuant to the Contractor's License Law), - 1' - 1 • I
7. 0 I am exempt unbar Section ' B.& P,'C.for this reason , Firepl/Fact.Bit. ICBG# I I I PLAN CHECK' ; $• is GRADING I $$
'Date'. ' Owner' - - • Heating:System& Ducting I ELECTRICAL $• • - - ,
'PLAN CHECK • $, • MICROFILM' ,. $ r
1 hereby' certi/y-lha II`pgre res --this application and state that.the above ❑U700,000 BTU ❑]00,000 B7U. ._ - __... •'
In d,stat ion'Is correct. I ogres t comply with all city and county ordinances I TOTAL-FEE $ •
and,staterlaws relattn to\puh Wyrig cbnst arch,and hereby authorize repro- • - MECHANICAL $ ,
sentativei of Ithl toy t r"u on - above-mentioned pro art for Hood or Type I ❑ 1 I
'/ Q P proper I Reins action Fee, $15 ' LESS
' Inspection purpos. • 1 y, ! ' O T✓ Canopy Type II ❑ P PLAN CHECK I $ 1 - I
Signature• 1^-� i Dates /d",�' - I - • i ADVANCED-PC $ !'
•
Drlders• Ucense or SS gtI - I' J Registers - Issue Fee $ 3 - • FINAL FEE' $ 1 5- I
CMF'086546'rev:'12/82• -White_Building;Canary rAPplicanti pink-Accounting;Goldenrod-Assessor -- - -- - ' - - -- '- ' ' - ---- _- --- — - --' — _-_ __- - ___----- , ._.., , • - _- • - • -- __ ,— __
T� Cts '..+:3 . -, _
2 r= CONSTRUCTION AND PLANNING Z' _ 'g *-C ;�'• POOL&SPA '
- ' 1, ,- ` r iipA5 ¢v , .Datei +Inspector Date Inspector
• S:AP,PROVALS,,; Permit#.. "" - - ;.[APPROVALS Permit#-" - ,
t.•Temporary Electrical Service:orr Pole-; r` -I-• 2; i? -'52 Poo! &,Equipment Location • ,! ;
u '-2.' Soil Pipe-Undrgrnd': _' I s; - _ - I r:' >2 -: �53:'Steel:Reinforcement •_ -
i
3.!Electrical Conduit Utility Undrgrnd. i s i 54i_Forms" •- G� _ - :I "
r4.!Electrical Conduit-Undrgrnd. -:: - - . ^ 1,i: 61-Electricalbonding J. ' • t
.5.'Steel R inforcement I : a v I r - T. - ,n - -•
r _ g „ ` , �= 56 Rough`.Plumtiing& Pressure Test- • � -
•
'6..Electrical UFER.Grndl: c ' a-' , ' ? . - ,57,1..:APPROVAL TO•COVER-GUNITE -
7.1Footings ,, ! 'Iti .•! `ii o•' • • +'...,: 7. - i.' ,r - I.'. 'E ^58. Electricel.Conduit-Undro:nd-' _
8. Foundation ? i 'I, A i dh ;; `g' ; {_ •L ' ;59.`Gas Pipe;D-Undrgrnd:,Test _ . , I' -
9.iWater Pipe-Undrgrnd. P I _ - 2''60. Backwash9Lines,P-Trap, D Undrgrnd. • !
10.1 Structural Floor,System Fr:: -.7. I _ _ ^�; : >61. APPROVAL_TO DECK- - .. - -
11.j Property Sewer Line & House Connection ; i'- ="F ` -62.-Backwash'&.Receptor-Final
12. Sewer Cap j ' • - _ - . • 63. Heater &Vent-Final- ' . - -
c-^.. , - a
13.!Roof Drains I '! ,i I g m,. , 2 _, i - '64.fPlumbing System_.Final_ -,
14. Rough Plumbing 7 ' I o-3 65. Electrical-Final- - -
'15".", Rough-Electricat-Conduiti_n 1' 2 1 - %I---4-''-' _ - ,--- 66; Solar Sysfeni=Firial�-- - -- - -
`16.' Rough Electric Wing r I tf I 11' tt„ s, " t t I.-: +67 Fencing&`Access Approval _
-- ' 1'7'.',Rough,Wiring_Sign_ ` n • ' i; jr: 1- in' . ` i- ;.. ,6& APPVE
ROD,FORPLASTERING ' -
18 ,Rough.E!ectncacTTBer Ceiling I! Ii i I c I I 1::-. 14,-". I ,. '69 (POOL/SPA,SYSTEMSFINAL 1 .
19.,;Rodgh Heating & Air,TConditioning ' ! j ! I., ' I , ' I FIRE DEPT,REQUIREMENT . - '
is ^
20.t Rough.Factory Fireplace ; I II II I ' 1 I ,I I ' 'APPROVALS i Permit# - •
-
m
0 21.uDucts7in Sircturel II II { j I Ii 1 t70� U.ndergrourid Hydro ' -
• y22.IDucts,IVeritilating� ;4 I { if " i j I 1 I I 71'. ProductPiping,OGas DOil •' ; , •' '
•
i723: Gas.Pipe:Rougli &Test ! I IIs; j I { h I { 1721 Underground Flush ":• • '
11 )24.'Roof Framing I 1 I ' I I Iln ii 1r, i c) I ..I m ,. • I 173. Undergrnd.StoragejTank•O Gas_,O Oil '
n -
c 25::Roof Sheathing I J_ 1 I Jr: I L _ 1 I T_ ' F. ! r I '74. Overhead Hydro ' •
,
-26.rT;Bar Ceiling'IStructuralhl& Monocoaf ! ` I � { :; I ;,I - ,75. Dry Chemical I i - • ' , -c.
r27.,.Frame and'F!ashin• g •-. I !• I 'I i' ; " • 76'. Dry Standpipe' ' - - •
r _
3 28.,,.hathirig&Siding ail I G II I I I I 's I ; ;77 FIXED;SYSTEM FINAL
29 . Insulation_ ' I I ;1 iI I I I i I 78, FIRE PR EV. FINAL • .
•
- ?30.i1Drywall Nailing I ,. ' `i I I I! I 1 I I I ; Notes; ; i - ,
n , - _ _ - . . _ .
''31.,Plaster'Brown Coat: I I i II II T I s I i ! I I + i I ' :
I I I
II
321E!ectrical, Power Meter-Final I I 1, I I I . I ' ' • . •
33 !Final Electric I I I : i il i L. I I ' I I I ' • •
34. Final Heating,&[Air Conditioning !'n I i 1 I I •
35. Final Gas Pipe.Te`st."'' " � 17 2 ic' IJ I. ! I ! - •• . - _ , � - - • . • , -
36. Hood'Ior0Canopvi, �'! 1 c i nl • ! .- (` i - I ! _ .. ,
37. Final Factory Fireplace; 1 ';,:i GI I - ! I = I r I i , ' I ��: I 1 - , .
38. Final Plumbing) I I r• I I ?."4 , 1:',J123-20-3 �/3 i ' 'Y ' I ._
39. Water Service-Final I I „ ,I I ,
! I I
40. Gas Service-Final ! I , I I . i I ; I ' , ! ! J- •
I
41. SolarOomestic=Final I ti I ! . , • I : 72. , . : , / ,, ,„ •
•
42. BackflowPreventer„I I I i:.,4 .. I 1 t I , ! I i C)"
43. Backflow Irrigation l: Itt, II i I' I- I 7,„ 1 y I ; _ - I I ! ' ! . _
44. Landscape Irrigation,Systeml ,-t k• - : I;. ,, 'I . 7,, I - ='I : • I ' ' . ,
45. Sound Attenuations I k: t{ I E , • I,_ ,lc I I t. - I _ -
IV -I46. Handicap Regujations1 I 'r 1 I J I ' I I`cl I I I =' - .
47. FINAL STRUCTURE'& BUILDi -
NGII j I . � i; ! ! I I , •
48. Special Re uirements�Completed ® I I i !' I
. • q1 i I I i • u 1 I "" I I �i J
49. Electric'Release to'Edison I I il I . t_ --_I- 7.i__4__.1._ -J_._�_I_', -.I - ---I is r,, ' '
50. Gas Release1to Southern California Gas Co I ' I ' I i
51. CERTIFICATE OF OCCUPANCY II L LA__ _I .2 _ _4 _ __I t :;_ii} ' , •
No, t. _' I I I •Date i I I! i I I L I J ! , i
► 1
PROJECT ADDRESS: 1659 IOWA ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 07007E
4tWNET NAME: SHRODE, BOBBIE S
ADDRESS: 1659IOWA ST 92626 PERMIT NO; B 070076 PLAN CHECK NO; N GOVT: N SUPP: N
A COSTA CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
744-1227
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION ; T/OFF & REROOF PART OF RESID W/BUILT—UP SQ FT: 1 , 750
ADDRESS: UNIT:
CLAIM VALUE: 1 , 750 . 00 CALC—VALUE: 1 , 750 , 00 GROUP OCC: R-3 /
PERMITTEE: LEE ROOFING OF COSTA MESA ( 714 ) 642-7223
ADDRESS: 1653 SUPERIOR COMMENTS : SMOKE DETECTORS REQUIRED IN EVERY BEDROOM & HALLWAY PER 91—UBC
COSTA MESA CA 92627 **+¢x*x*xx********x*+r+r*x+¢*x****xas**************ar-**xx-x*xxxrr.iyiVpi +�y�+T. `- -u'
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQU IR EMEN TL:$'JS lJ �,J C I E 1 bil
7000)of Diw ion I the Business and Professions Code.and my license is in full force and effect. S ETB ACK S
CITY LID.:
V4bg)51 STATE LIG.:3496: 39 AEXP: 03/95 IpFR
y Date: Signature: — t /.�', 1' — MAIN BUILDING ACCESSORY B i GR""K
�/ dgFRNT: FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
WORKERS' OMP SATIONDECLARATION: I hereby allirm that I•. e a certificate of consent to self-insure or a certificate of Workers' LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Compensation j snsa59 9 4eel:109 41:y thereof(Section 3:',,Lab.86/30/95
POLICY NO.: STATE FUND DME: PARKING REQ; PROV; PARCEL : 13913302 ZNE; REF NO:
COMPANY: ,}}[[ PLANNING NOTES>
[11 Certified copy is hereby furnished. Cl Certified copy is filed with the cit_/Bu(/iMi Division.
>
Date 9 Applicant: ***************
****************************************************************
DEVELOPMENT SERVICES REQUIR EMENTS
EXEMPTFRO! COMPENSATION DECLARATION: (This s ion need not be completed if the permit is for one hundred($100)or less).
I certify that in the performance of the work for which this permi issued,I shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of Calitornia. ZONING APPROVED BY DATE:
Date: Signature, BUILDING APPROVED BY :
NOTICE:If.alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor DATE;
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. II
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for AP PL I CATION ISSUED BY; DATE: [tie) (rill
which this permit is issued(Section 3097,Civ.C) '1e*x'x'***********x*'It******i('M"IE*'IF****'k***'tr**** *******xxx************a+}*****k*
*************************************************************************x*****
ADoess: REROOF 900SF PART OF PESI LECALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demolish,or PERMIT 41 , 00 . 50
repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/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 ISSUE F E E
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($5°0).
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I. as owner of the property or my employees with wages as their sole compensation, wig do the work, and the TOTALS----> 41 . 50 0 , 00 0 . 00 41 . 50 41 . 50 . 00
❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS——> COLLECTED; 41 . 50 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 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE $MIP/TOT GRADING FLAN—CHECK
for the purpose of sale).
I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 41 0 0 5 0
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who butlds or improves thereon *************************************************************#,*****************
and who contracts for such projects with a cantractor(s)license pursuant to the Contractors'State License Law).I am aware
that proof of their Worker's Compensation insurance should be provided to me. IND I V IDUAL F E E BR EAK D OWN
o I am exempt under Section: B.&P.C.
lot this reason: TYPE QTY DESCR IP T ION UNIT COST TOTAL COST
Date: Owner: SFR 1750 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 750 , 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 or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize rerr •ntativs of this city to enter upon the above-mentioned 0I 00172379-00172380 TOT
property for inspection pu poses. / DATE: 11/23/94 TIME: 09:44 41.50
e---t. Date:_l Z Signature: 4411000
Driver's (cense o Social Security 4:
•
1641'46 White—Building:Green—Code Enforcement:Ca .ry—Applicam;Pink—Revenue:Goldenrod—Assessor
` Y
Y,4
' CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit Date Inspector APPROVALS Permit # Date Inspector
1;1. TemporaryElectrical 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 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation - 59. Gas Pipe,0 Undrgrnd„Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System - 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63, Heater & Vent-Final
13. Roof Drains • 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. 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. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Hashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. 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 (,�/f3/9s-- W ka✓e / _ oC�Q a/r air
35. Final Gas Pipe-Test r "�`^ /t /'O
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 /,�2q_ ,y /L '!_ /r /_
I
43. Backflow Irrigation L�' [ Y 1�,�--'�P �D`�
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE& BUILDING - 4•4,f8-`l sop be
48. FINAL PLANNING t
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER MODULAR Technology, mac• DATE 7_15-71
JOB ADDRESS 1659 Iowa Street BUILDING PERMIT NO. 33321
GENERAL CONTRACTOR Same DESCRIPTION of WORK Res.w/att.gar.
AP No. LOT 13 TRACT 6614 FIRE ZONE VALUE $21,375.00
INSPECTIONS Signature Date GROUP I & J TYPE V ZONE R-1
SOIL ��C-7l SUBCONTRACTOR PERMITS ISSUED
GAS Date Number 1 Signature
WATER / PI ub' . /
ROUGH PLUMBING r Sat' // ��/Ilkweds!!? i%S,/lamoi ato
PROP, SWR. LINE ❑ HOUSE CON. p i . "7/- - _7/ S2'
SPRINKLING SYSTEM
MISCELLANEOUS '/
ROUGH HEATING AND AIR CONDITIONING isaro
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER 0 '�
ROUGH WIRING G✓s /•7Heatin• .nd c t
TRENCHES I� FORMS n/ STEEL REINF. Kt r�ar/_ 1_ warmi ran do_ - F al
FLOOR SYSTEM 4WSjt- "WT rn /lnws11zA/FI?6lii
BOND BEAM • STEEL REINFORCE •
SHEATHING Manir IMINIEMMIIIIMII
FRAME AND FLASHING (nra/8
LATHING - IN 21 OUT [!a`%r
PLASTER, BROWN COAT . Arao -
STRUCTURAL, FINAL •
''�� /����
HEATING. VENT., REFRIG. AND A.C., FINAL T1s i/ reArta wrFi7/LL•r1G1/-�l/a
PLUMBING, FINAL AND GAS TEST G /,�����/
ELECTRIC, FINAL virS.
_.... _..... at i /1 -./i --f
3332I
a20-71--1-5,001762* =-** 1 2C 2C
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
BUILDING ADDRESS /e �•9� �✓ r RECEI ED B]'Q G^E7REC=1�(EQ DATE Opp/
OWNER Modular Technology) Inc. A.P-NO �N1_ v/ /I PEERRMInn2I
BUILDING S / / C7 5J
MAIL ADDRESS (Q� / r
Z ADDRESS 1104 E. 17th Street
will TE
0- U CITY Santa Ana NOL547-9673 TRACT 6614 I LOT 13 BLOCK
Z< CONSTRUCTION NEW (ADD(ALTER REPAIR (MOVING DEMO( ISH
d m
LENDER
J 7 BRANCH
_JN oWNERModular Technology. Inc r
a J ADDRESS �J/rJ/}r���rVALUE��j- /`+/
-CO ARCHITECT TEL USE Residence / Lis $ 18@
J Q OR ENGINEER Kermit Dorius, AIA NO 644-7111 J
U N
FIRE
W 2 ADDRESS 3111 2nd Ave. , Corona Del Mar
ZONE TYPE GROUP-RI-1r
a.41
W Z APPROVED
J O CONTRACTOR Owner BY DATE
mZ 62.4-cr, W(
_Ifr ADDRESS Same
W W Z E NO.OF USE OF NEIN:v-/-
ZF CITY Same NO. \ PLANS-7"-- BUILDING Ll/t�l th+0� l,�
STATE CITY YARDS APPROVED YARDS APPROVED
LB O LIC.NO. 252549 LIC.NO. 1690 MAIN BUILDING ACCESSORY BUILDING
SIZE NO.OF BLDGS. (FROM C/L TREET)
OF LOT 60 x 100 I NOW ON LOT FRONT 0 FT. FT.
USE OF
EXISTING BLDG. -- (3.SIDE ) 5FT. FT.
I- SIZE OF NO.OF
Z NEW BLDG. 1440 SF ROOMS 5 STORIES 1 L.SIDE SFT. FT.
Q EXTERIOR WALL ROOF ��//
0 COVERING Per Plans COVERING Wood Shingles REAR?OtODFT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
0-
0-
MAIN BLDGS. ACCESS.BLDGS.
TE
Q Construct new residence & garage. u.P#y-,�S,68 °PROVED) Wit,-6:2(
0 f DJJ �) (—/�/
f/) __13_Y `- (J L�'el i DATE /
Z
0
UI hereby acknowledge that I have read this application and state HOLD FOR SP GAL REQUIR e
O that the above information Is correct and agree to comply with Ev.
m all laws regulating building construction, and I shall not employ
i- any person in violation of the workman's compensation laws of
C/) the State of California, 11.17/a0.
/ /,D 4) '9
y/ (Jl
Z /I hereby certify that I am properly licensed as a contractor under D. FT. Y o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER Vk/LUATION IS FOR s
Chapter 9, rind that such lie ses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
cc
am exempt from the pro ,io s of the State of California Business
VALUATION Uq �� 03
and Professions Code, v' on 3,Cha erg. PERMIT FEE $ d C/r N
Signature of /nJ //01
Permittee C`r m
ci
Permittee _ r..0 `1 A-4- $ ,0... PLAN CHECK $ /' r —, E
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Authorized Agent v'%a �� TOTAL FEE $/Joe " o