HomeMy WebLinkAbout1661 IOWA ST - Building Permits Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
6859 7/I8/115 2050 IL
CITY Of COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO.
Project Address 1661 IOWA t29 OS LI J2432
Applicant's Mailing Address 2'9(1 VTA MARTFNS, ANN 92806 TYPE OF CONSTRUCTION NEW U ADD U ALTERATION U REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P. yp. Zone
Owner's Narig F OE&SQpI Vane 9.79-0.803 DESCRIPTION OF WORK/USE OF BLDG. INSTALL HEATING AND AIR
Lb6 , C6STA MT=5�926.2� S Main Building: Accessory Building:
Address CONDITi01lINGxrSLING�FSTIFNCF E Z
Arch/Eng. License No. TYPE OF PERMIT u GRADING FOUNDATION U STRUCTURAL T Front 0
Address ❑ TENANT ❑ ELECTRICAL ® PLUMBING ® MECHANICAL
A Rear N
AIR MANAGEMENT 632-7590 ❑ OTHER A I
Contractor's Name PhoneN
Address(mailing) 2890 VIA MARTENS, ANAHEIM 92806 PROJECT DESCRIPTION SQ. FT. OCCUPANCY K Right G
029640 CONSTRUCTION TYPE VALUATION S s Left
City License No. ZONE GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: Y I... M
with section 7000) of Division 3 of the Business and Professions Code, and 4 T
my license is in f1911I t r e and effect. •2•6
a F�V�� $
License Class `i-4U Licen "No. 4 2 6 J +
it
)�` Date_774_1425/GS Signature - - - -� V - PLUMBING FEES U� I 7 fp
WORKERS'COMPENSATION DELL• RA IONtwa
I hereby affirm that I have a certificate of consent to self-insure or a certif cafe Bar Sink Showers ELECTRICAL !!J FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section
\ Backflow Preventer Service Sink - Automatic Washer Transformer 0 15-50 KW
1 3800, Lab. C.)
1 Policy No. C2430035-3 company INA Backflow Irrigation Sewer Cap I, Construction Pole Sub. ❑ 50+ KW
® Certified copy is hereby furnished. -
Certified copy Is filed with the city DI sion. Bathtubs Sewer Connection •_ Cooking Unit Meter ❑up to 100 amps
Date 07/11/ 5 Applicant ,..---..--3/4—
EXEMPTION FROM WORKERS'CO PE SATION DECLARATION Clarifiers Solar Collectors " Dishwasher Meter !Dover 100 amps
(This section need not be completed if the permit Is for one hundred ($100)or
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of the work for which this permit is Issued, I
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank . Fan Motors 00-1 HP 011/2-8
Workers' Compensation Laws of California. _
Date Signature Floor Drains Swimming Pool w/Spa F.A.U.
'NOTICE:If,after making this declaration,you should become subject to the Inc.Solar ❑B-15 HP 016.15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures
comply with such provisions or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is Issued (Section 3097 Clv. C.) Interceptors Water Heater Outlets Name Range
Lender's Address Kitchen Sink Water Service Switches Sign
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal !Standing Sections a
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW❑5-15 KW Trash Compactor
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
therefrom and the basis for the alleged exemption. Any violation of Section 1 RUN 220V LINE TO FUiE DISCONNECT 5 on
7031.5 by any applicant for a permit subjects the applicant to a civil
e natty of not more than five hundred dollars($500).
U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure is not Intended or offered - Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES -
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I ❑
sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By Date
prove for the purpose of sale).
❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-$Vuctural I Refrigeration System 4 H.P. Application Issued By 9eldilDatet
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 0o-100,000 BTU 100,000 BTU 7 50 SUMMARY OF FEES
builds or improves thereon, and who contracts for such projects with a con-
tractor(s) license pursuant'to the Contractor's License Law). I am aware that Exhaust System 0 Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. - PLAN CHECK $ PERMIT
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ PERMIT
ISSUANCE $
Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ _ ENERGY P.C. $
I hereby certify that 1 have read this application and state that the above 1 M0-100,000 BTU 0100.000 BT /+ 00 ELECTRICAL $ 8.00 GRADING $
information is correct. I agree to comply with all city and county ordinances
and state laws relating to b iding consru [lob,and hereby authorize repre-
sentatives of thi to rater upoyS e above- entioned property for 14.5U
inspection purp /G.� 7/11/85 MECHANICAL $ TOTAL FEE $ 22.50
Signature / Date_
Drivers' License r SS # Reinspection Fee $15 Issue Fee $ 3 • PLAN CHECK 25% $
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant: Pink - Accounting; Goldenrod - Assessor
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 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, ❑ Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
',11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
‘r'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 ❑Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74.t 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 //3e-87 1. P o,
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:'
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No, Date
OWNER MODULAR Technology/ Inc. DATE 7-15-71
JOB ADDRESS 1661 Iowa Street BUILDING PERMIT NO. 33322
GENERAL CONTRACTOR Same DESCRIPTION of WORK Res.w/att.gar.
AP No. LOT 14 TRACT 6614 FIRE ZONE . VALUE $ 30,900.00
INSPECTIONS Sign ture Date GROUP T & J TYPE `r ZONE R-1
SOIL 01110‘ 74/6.7 SUBCONTRACTOR PERMITS ISSUED
GAS Date Number I Signature
WATER if PI ,.bin!
ROUGH PL0/%y UMBING / 'll 7 -o'er f / ' _ _- A- i h U, cZ
PROP. SWR. LINE IF HOUSE CON. ►O]' O _2L , _7 rSD
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING /� l'�,0172
TEMPORARY SERVICE OR POLE / J' //J
UNDERGROUND fl POWER.0
ROUGH WIRING �.�/ -�' ./Heating a.• Ven JJ ���� ..//
TRENCHES al.-----FORMS STEEL REINF. q�q _ -Y/ / �`��J[p. �((i+7 a.
FLOOR SYSTEM p��%/'(J / / L� /ljY�G{/�X/��
BOND BEAM n STEEL REINFORCE
SHEATHING c�i/��
FRAME AND FLASHING G3.Y/ tt
LATHING - IN OUT !Pr ' /
PLASTER, BROWN COAT it _3 A
STRUCTURAL, FINAL
to
HEATING, VENT., REFRIG. AND A.C.. FINAL i' 2,/ r ..e� , p Lj��s� //k3/7/ S`S/�( •
PLUMBING. FINAL AND GAS TEST r
ELECTRIC, FINALI ' •2
_
.7 ...".&.- 9_ .4 -7-7/
33322 lUL. 20-71 we 001763+C156.C6
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
/` ' 'y,�
RECEIVED it DATE RECENT D E ISSUED
BUILDINGBUILDING /L!/C!// /'-/ liLie "� /'7,� ',�- 2 /t//7/
ADDRESS
OWNER Modular Technology, Inc. A.P. Na PE RJMJetjiO)2
BUILDING // 6/C
MAIL ADDRESS ((gyp r
Z ADDRESS 1104 E. 17th Street
0- U CITY Santa Ana NOL47-9673 TRACT 6614 ( LOT 14 BLOCK
Z < CONSTRUCTION NEW ADD ALTER REPAIR (MOVING DFMOI ISH
O H LENDER
am X
J D BRANCH
J N OWNER Modular Technology, nc
CnJ ADDRESS O.�rV.
mALU
JQ OR ENGINEER Kermit Dorius, AIANoL644-7111 USE Residencesidence $
UQ ZOE U / IV-
FIRE
Z
ADDRESS 3111 2nd Ave. , Corona Del Mar ZONE TYPE Y�GROUP� JU1
d W
APPROVED
LU J O CONTRACTOR Owner BY DATE
n'Z Samee , ct!7
J 0= ADDRESS
W W ZO�}E INO.OF USE OF NEWCL,f-.G/
TE0= CITY Same NO.
`f1 I PLANS BUILDING /'
Zf (j/��
U STATE CITY YARDS APPROVED YARDS Y['PROV
to cc LIC. NO. 252549 LIC.NO. 1690 MAIN BUILDING ACCESSORY BUILDING
D U SIZE NO.OF BLOCS. (FROM C/L STREET)
OF LOT 60 x 100 NOW ON LOT FRONT SDFT. FT.
USE OF /SF
EXISTING BLDG. --
R.SIDE / T. FT.
NO.OF
Z NEW BLDG.
SIZE OF 2100 SF ROOMS 7 STORIES 1 L.SIDE .JFT. FT.
U EXTERIOR WALL tr Plans COVERING Wood Shingle REAR 1 a _
_ COVERING Y g �(prlT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
n- MAIN BLDGS.
ACCESS. BLDGS.
Construct new residence with CUP# �oTn�-cog APPROVED .�.pp—
zattached garage. I BAR - j.y„_.AATE .7-7-7 l
O T��!
VI hereby acknowledge that I have read this application and state
✓ that the above information is correct and agree to comply with HOLD FOR SPEC AL REQUIREMENTS
cc all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California. CC Y// b
Z I hereby certify that am properly licensed as a contractor under /J SO. FT. / 1 z7 0
the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VaLUATION IS FOR
Chapter 9, and that such ' ses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: IL
am exempt from the p vi ons of the State of C 'fornia Business
VALUATION
and Professions Code i ' ion 3,Cha er 9. /04, 1
PERMIT FEE $ ~/- N
D
Signature of ,y C /✓ to
Permittee Chir O�^ $ /%' ro PLAN CHECK $ J.$ 4 _—v E
Authorized Agent //// ��/ �\ TOTAL FEE $/`5 �� P.__ u