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Home My WebLink About1706 IOWA ST - Building PermitsDcosrA ESA// �r�0y1 CONSTRUCTION PERMIT YEH SI N J I HAII NV. `�' 'vim. UNI1 NO,. Of Workers' Compensation Insurance, Or a certified copy thereof (Section 3800, Lab. C.) _ -T_ policy No. �Y ;.:P�. If ; 1 - j'j _��-316 n y Company 1 )'� �Certified copy is hereby furnished. 11 _ H Backflow Irrigation Bathtubs Certified COPY Is filed with the city Building Division. } i - Date !L- 1' I Applicant ' - I.' - `; ori -�—� Y t :' %-% EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifiers (This section need not be completed if the permit is for one hundred ($100 or less,, ) DISh N05her wt Address Drinking Fountains Floor Drains Date Signature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks comply with such provisions or this -permit Shall. be deemed revoked. ' APOIiCanl'S Mailing Addresir. '- -r`/^ C"'`'gym of ` 'tet• :',� /: '_,I TYPE OF CONSTRUCTION NEW ADD ALTERATION .§ REPAIR El CONVERSION ❑ DEMOLISH P OTHER Owner's.Name P' r•..)�l r lY _l I't honey DESCRIPTION OF WORK/USE OF BLDG'.- - "'-i-- Adgres. 1 + Lavatories 0r Roof Drains AxplEng. License No. TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL •U'•' \ F-1TENANT❑ ELECTRICAL ❑ PLUMBING El MECHANICAL Address 1 % ^•":, O OTHER Contractor's Nam "'-r r -..t •- PhoneAd -' (. PROJECT DESCRIPTION SO. FT. - � OCCUPANCY dresslmauing) City License No. CONSTRUCTION TYPE VALUATION$ ` v. �'+ ZONE GRADING CU. YDS. ACR LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: with section 7000) of Division 3 of the Business and Professions Code, and MY license is in full force -and effect....-- " License Class -�'')r License No. i�%.J(1' 7/ 1 - . / l '] ' . ' iTit V Dale /� Signature r+' �� _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to selt4nsure or a certificate Bar Sink Backflow Preventer Of Workers' Compensation Insurance, Or a certified copy thereof (Section 3800, Lab. C.) _ -T_ policy No. �Y ;.:P�. If ; 1 - j'j _��-316 n y Company 1 )'� �Certified copy is hereby furnished. 11 _ H Backflow Irrigation Bathtubs Certified COPY Is filed with the city Building Division. } i - Date !L- 1' I Applicant ' - I.' - `; ori -�—� Y t :' %-% EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifiers (This section need not be completed if the permit is for one hundred ($100 or less,, ) DISh N05her 1 certify that in the performance of the work for which this permit is issued I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. Drinking Fountains Floor Drains Date Signature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks comply with such provisions or this -permit Shall. be deemed revoked. Gas Service Outlets 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 (Section .3097 Civ. C.) Lender's Name Interceptors .. Kitchen Sink _ .. - Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or County which requires a permit to construct, alter Improve, demolish or repair any structure, prior to Its issuance, also requites the applicant for such permit to fii le a signed statement.that he/she Is licensed Pursuant to the Provisions of e ............ .tee.,.. ..... ,.... o o -....,.....r..,, -11. em"I .,. ]nnm ,.f Lavatories P -Trap ' Roof Drains .therefrom and the .basis for the alleged exemption. Any violationofSection _7031.5 by any applicant for: a permit subjects' the applicant. to a civil �erhalty of not more than five hundred dollars ($500). 1, as owner -of the property or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or.offered for ., sale' (Section J044. Business and Professional Code: The Contractor's Litense'Law does not apply to an owner of a property who.bulds or improves thereon, and who does such work himself/herself or through his or her own employees,, provided that such Improvements are not intended or:offered for sale. -If, ,however, the building or Improvement Is sold within one year of com- pletion, the owner will have the burden ofproving he/she did not build Or Im- ove for the purpose of sale). LI I,'.a$ owner of the property, am exclusively contracting with licensed con- 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 .builds of improves thereon..and who contracts for such oroiects with a con. tractors1 license pursuant to the Contractor's License Law). I am aware that proof of their Worker's Compensation Insurance should be provided to me. ❑ Tam exempt under Section S. a, P. C. forahis reason Date- Owner '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 aulhorixe repre-.' sentatives of thiscityto enter upon the above-mentioned property for Inspection purpos<s. rr 1 SI 'rj.L.t 1.1+ 1-d l� i C' .Dat . Reinspection Fee toiler )uct_- Under Ground a Duct -Ventilating Exhaust System ❑ 'Multiple Firepl/Fact. Bit. ICBO # Heating System & Ducting = Do. 100,0001 BTU 0100,0001 Showers .Service Sink Sewer Cap Sewer Connectii Solar Collectors Solar Tank -Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service. .. Auto -Wash Laundry Trays Issue Fee $ 3 Type ❑ 'Type I I ❑ ition System ' ,000BTU 0100,0008TU Repair/Alteration- Registers A.P. qR S Main Buildi E T Front B Rear A C Right K S Left Ping. Ref. # Planning Notes: Parking Zone Building: O N I N G R E G M T S. - ELECTRICAL, - FEES Automatic Washer - Pole Sub. Transformer ❑15-50 KW E]Construction 50+KW Cooking Unit - Meter El up to 100 amps. - - Dishwasher -- Meter El over 100 amps Dryers ❑Gas ❑Electric. - Sub Panel Fan Motors 130-1 4011/.-B F.A.U. - Inc. Solar 09-15 HP 1316-15+ Fixtures - Microwave' Device Boxes Pole Light Outlets Range' Switches Sign Garbage Disposal Standing Sections ` Generator 00.5 KW 05-15 KW Trash Compactor §nature 1 e ---T_ - L'a sJ?J :•11`-OLfU.•iSc.r ."T i't v9 0865-46, rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor —_ - f CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector POOL & SPA APPROVALS Permit# Date Inspector i, 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 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, 0 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 APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ElGas OOil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ElGas 13 Oil 25. Roof Sheathing t 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 - 34. Final Heating & Air Conditioning �j v 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 Atteouation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 4 48. Special Requirements Completed t 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date 1 1 Lot 101 Tr 3722 13029 'COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA. CALIFORNIA fOR APPLICANT TO f/LL /N COMPLURY TYPE OR PRINT BUILD ISS ADD 1706 Iowa Street COSTA MESA, CALIFORNIA CITY IVLWYUHI DLA 1,11NOMi U - ARCHITECT LIC. STATE .W- KOLL LIC. NOTA 16 ■ LEGAL cawI LOT 1 NO. V_VaU-m 63x100INOvi..I OF TB. USE OF EXISTING BLDG. N(1 nIF SETBACK LINE FROM (� } CENTER OF STREET `GI REAR YARD 251 SIDE YARD I LEFT 5 } I RIGHT 51 DESCRIPTION OF WORK - BUILDING DING No. OF 161y.75ROOMS 6..aa STORIES EXTERIOR WALL (ROOF Wood Shakes COVERING STIIffO COVERING USE OF BUILDING AND WORK TO BE -PERFORMED ana Aiiacnea uarage Plan l -A 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CO RECT AND AGREE TO COM. PLY WITH ALL CITY ORDINANCES A O STATE LAWS REGULATING BUILDING ALL Cl U ION.//n SIGNATURE OF��//j_dx� PERMITTEE C �"CCCsG I FEE ECEIVED ()'j- i3 -6o- 9p, FINANCE DEPT. PPL �CATI ONJSFORiEPERMIT l BUILDING foR Off/CE USE ONLY M. RECEIPT NO.I PERMIT NO. RECEIVE -D BY I DAT��fiECFlly- EI 6Tv /U ^7 ,/ 10 1 1! BO BUILDING ADDRESS COSTA MESA, CALIFORNIA FIRE ZONE y/ TYPE GROUPJ- APPROVED BY DATE ZONING ZONE R I NO. OF I PLANS USE OF NEW sin e if BUILDING APPROVED BY ATE YARDSVE REQUIRED ALL WED (CENTER LINE ST.) FRONT O FT. IN. R.SIDE FT. IN. L.SIDE FT. IN. REAR FT. IN. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABL ISHI NO A PERMIT FEE ONLY. VALUATION / PERMIT FEE $3(f -- PLAN CHECK $ Ae/ TOTAL FEE S S i M.