HomeMy WebLinkAbout1722 IOWA ST - Building Permits Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
PER NOp. /�Q TRACT NO. LOT NO. UNIT NO.
rJSTA Esq;CANS : CTIO1 PERMI d•-7 / 06 I I A.P.# . Zone
wject Address ME,,
pp�L �w V� _7 -S Main Building: Accessory Building:
if Applicant's MailingAddres - GOO .z. / y/ de TYPE OF CONSTRUCTION U NEW H ADD H •, ERAT•• U • •Al•" E
pp ❑ OTHER ! �' �• _ T Front Q
/ / JfAir 4 . ❑ CONVERSION ❑ DEMOLISH �./`�,��'
Owner's Name7 • • 17/Ll✓: �� Phone 0.•: .•_ C 'i-/ a�..11 y�77./ Rear
// D -CRIPT •N •• WORK aS• • I G. �• •��� B N
Address I U' 7/i /'r./"(/ r /_/, xL a 4-0.44:0! �.% L '1i X11-i/.irr i / A . I
Arch/Eng. License No. T PE OF PERMIT GR•&ING MI FOUN• •TION II S RUCTURA I C Right N
Address j ❑ TENANT ❑ EL TRICAL. r❑ PLUMBING ❑ MECHANICAL s t Left R
Contractor's Name c./,e • i r Phone
El OTHER Cr �� Ping. Ref.# Parking Req./Provided E
-a. j/��j, p /•- PROJECT DESCRIPTION SQ.'FT. OCCUPANCY • Planning Notes: Q
Address(mailing) /,00 -• j/ T G, • CONSTRUCTION TYPE VALUATIONS 3'���z g M
/►1/V /yT
City License No. 7 pc-� 7) ZONE GRADING CU.YDS. ACRES $-
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 I
my license is In f I fore: -n, ffect. ELECTRICAL FEES
Licens lass i AOcen o. :4C �•� — Automatic Washer Transformer
:"I4i TTl/ ZrJPLUMBING FEES 0 15-50 KW
Date -- �� Signature r<��-.a :- L•arLCiiI'� _
WORKERS' COMP' SATION DECLARATION / Bar Sink Showers Construction Pole Sub. • ❑ $O+ KW
I hereby affirm that I have a certificate of consent to self-insure or a certificate ,
of Workers' compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter pup to 100 amps
3800, Lab. C.)
Policy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps-
8 Certified copy is hereby furnished. Dryers ❑Gas DElectric Sub Panel
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection
Date Applicant Fan
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors • Motors 0-1 HP ❑1'A-B
(This section need not be completed if the permit is for one hundred ($100) or F.A.U. Inc.Solar ❑9-15 HP ❑16-15+
less). Dishwasher Solar Piping ,
I certify that in the performance of the work for which this p: mit is sued I Fixtures
shall not employ any person in any man•-r so s to been/ subj:y the Drinking Fountains Solar Tank Microwave
D yylcpef a}Ify7 Si a CalifS. / /, j
Date sO a l y Signature f . -ie - I/al •-/% / Floor Drains Swimming Pool w/Spa Device Boxes Pole Light
NOTICE: If,after making this declaration, you 5 ould become subj-f to the -
Workers' Compensation provisions of the Labor Code, you must •rthwith Floor Sinks Urinal Outlets Range -
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
Gas Service Outlets Water Closet Switches Sign
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.) Interceptors Water Heater Garbage Disposal Standing Sections
Lender's Name
Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05-15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays
any structure, prior to its issuance, also requires the applicant for such permit
to file a Signed statement that he/she is licensed pursuant to the provisions of Roof Drains •
the Contractor's License Law(Chapter 9 (commencing with Section 7000)of
Division 3 of the Business and Professions Code) or that he/she is exempt .
Reinspection Fee ! $15 Issue Fee $ 3
therefrom and the basis for the alleged exemption. Any violation of Section
7031.5 by any applicant for a permit subjects the applicant to a civil
enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: •
1 Li I. as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
Zoning Approved By Date
compensation, will do the work,and the structure is not intended or offered . .
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES Building Approved ByDate
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 Application Issued By Dat
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 yearear ofof com- Canopy Type II ❑ SUMBr FEES
prove , the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground
prove for the purpose of sale). - BUILDING PERMIT $ O� SMIP $ •��
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT
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 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $
builds or improves thereon, and who contracts for such oroiects with a con- ENERGY P.C. $
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System D Multiple 0 System Repair/Alteration I PLAN CHECK 25% $
proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBO# Fire Dampers MICROFILM $
PLAN CHECK 50% $
Date Owner Heating System& Ducting n Registers MECHANICAL $ - -- TOTAL FEE $ ST `�
I hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,000 BTI.. PLAN CHECK 25%
information is correct. I agree to comply with all city and county ordinances $
and state laws relating o building cons ctlon, d h. eby authorize repre-
sentatives of t is cit to a terrupo `h- abf-- f IOned property for
inspection pot es. S /� /- p forj
Signature r I + / ,ae p OC✓a(J / /1 - '
• N I -
0865-46,rev.5/88 White - Building; Canary - Applica t; Pink - Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL & SPA
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit #
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 i 59. Gas Pipe, 0 Undrgrnd.,Test 1
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
191 Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rougli Factory Fireplace APPROVALS Permit#
21: Ducts,ih Structure 70. Underground Hydro
i
22. Ducts, Ventilating 71. Product Piping O Gas 0 Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing ' 73. Undergrnd.Storage Tank ❑Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Framerarid 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 'r 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41- Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System -
45. Sound Attenuation
46. Handicap Regulations f
47. FINAL STRUCTURE & BUILDING 7/,�1t� `)�
48. Special Requirements Completed •
//
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co - - -.
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER BURT, Verbin L. DATE 10-5-62
JOB ADDRESS 1722 Iowa St. BUILDING PERMIT NO.17972
GENERAL CONTRACTOR Owner-Bldr. VALUE $ 136.00
AP No. 139-061-11 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Con¢a.Blk.Wall
INSPECTIONS Signature DATE GROUP J TYPE III ZONE R-1
Soil SUBCONTRACTOR PERMITS ISSUED
Gas DATE NUMBER
Water
Rough Corn. Refrig. ❑ Ali Cond. ❑
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line 0 House Con. 0 St.Swr. 0
Sprinkling System
Construction Pole
Underground ❑ Power 0
Rbugh Wiring
Trenches U }brats U Steel Reint. ❑ 77/19 /0-7/`“..
Floor System
Bond Beam ❑ Steel Reinforce
Sheathing
Frame and Flashing
Lathing — In 0 Out 0
Plaster, brown coat
Refng. 0 Air Cond. 0 Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final
Building, Final rtM t-t-{ %
OCCUPANCY
FORM BU4-5M - 7-61 1772
1TI_ i �s72 FE _ Rrcrn/ED
I OCT s 1962
A MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
O. BOX 917 COSTA MESA. CALIFORNIA
CITY OF COSTA MESA
pplicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
COSTA MESA. CALIFORNIA For Office Use Only
/ p �j _/ / ./� RECEIPT NO. qn/p
OWNER z/CAC.- .UI/V /te • UN T I 1171,
AMAIL
DDRESS /.74A �O- to /7 �� �I ED./j Y ( DATE RECEIVED DATE ISSUED
/SS/• T� Reis-a.
TEL. ,C..-.Y- BUILD•WA/Gy �j •� p
CITY 1, a.a� ��. /"��� Q NO. 4/S L ADDRESS / /�p{ -Ind/71i
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER - NO.
C - FIRE
ADDRESS /,' p ZONE �/ TYPE,,((��'' GROU)P
CONTRACTOR DW/I/ ^ APPROVE®/N fr) /yiU DATE /O--S--6�
ADDRESS BY /7U�J I Z-O'•N/ING
ZON NO.OF USE OP NEW Q/DG/I/�
CITY / I PLANS L I BUILDING w,ATE o,
ST
NO. -_ NO. LE/GAL / 77� L 2.
DESCRIPTION K/Ic / O J 3 7`Y
SIZE /, -I. NO. OF BLDGS. / C]
OF LOT /On / le D NOW ON LOT A.P.NO. / 3 ( — co' C ( —sae 6/
USE OF YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK UNE FROM (CENTER LINK ST.)
CENTER OP STREET O REAR YARD FRONT SFT----- IN.
SIDE YARD I LEFT if> I RIGHT .--_-
R.SIDE \ FF. IN.
DESCRIPTION OF WORK L.SIDE o. FT. IN.
NEW I X II ALTERATION I II ADDITION I REAR IN.IN
REPAIR I II MOVING I II DEMOLISH I BYPROVED/-��2�� DATE 1.O/ / oC-
BUILDING NO. OF �-/ fr
SIZE ROOMS STORIES
EXTERIOR WALL ROOF
COVERING I COVERING _ _
USE OF BUILDING AND WORK TO BE PERFORMED
CEA/11-N7- ,ESLocE. G/42.4
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION
— Nd ele
SIGNATURE OF`P1( '`1 � "`^r- - PERMIT FEE $
PERMITTEF
N
R
$ / / Oe
PLAN CHECK S 4'
AUTHORIZED AGENT ! /V/n _ .y o
TOTAL FEE �C/ y
,705 -i- FEE RECEIVED
13155 OCT 241960
TA MESA BUILDING-SAFETY DEPARTMENT ` FINANCE DEPT.
0. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
pplicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT
s
BUILDING
1722 IOWA STREET
COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT ND. I fin [l0 I
OWNER K & E DEVELOPMENT CO., INC. • S
MAIL RECEJ fO eY I DATE RE rve� DATE ISSUED
ADDRESS 1555 PLACENT I A AVE v o !)I OCT 2 7 1560
TEL. 6-32--f
UILDING
CITY NEWPORT BEACH NO. MI DDRESS
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
ADDRESS FIRE Q '9
ZONE TYPE GROUIi/°
CONTRACTOR K.W. KOLL APPROVED
BY DATE
ADDRESS 1555 PIACFNTIA AVE ZONING
USE OF NEW .
ZONE NO.NO:
CITY NEWPORT BEACH j;-1 IPLANS 2 I BUILDING w/ att gar.
STATE ��yPy 6 TEL. LEGAL 2/�2
LIC.NO. in • NO. M •-
DESCRIPTION •t 10 Tract
SIZE ' • .52X100 IRREG I NO. or BLDGS. 0
OF LOT NOW ON LOT A.P.NO. none
USE OF YARDS • EVES
EXISTING BLDG Com\ •. APPROVED ALLOWED
SETBACK CENTER OF NSTREETI1 501 REAR YARD 23 I R(CENTER LINE aT.l // P
6 / FRONT -J//_ FT. IN.
SIDE YARD I LEFT ' I RIGHT 6 ' R.SIDE F� FT. IN.
DESCRIPTION OF WORK
L.SIDE FT. IN.
NEW I II ALTERATION I II ADDITION I REAR 93 FT. IN.
REPAIR I II MOVING I II DEMOLISH I APPROVED //,��
1CU-(aAR BY W. T. T) DATE lO-fl-60
BUILDING NO. OF L /� ��/I
SIZE 161 L75_HGE ROOMS V STORIES I U/i'� L�
EXTERIOR '9t&c co I ROOF ROCK
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
SINGLE FAMILY RESIDENCE
AND ATTACHED GARAGE
PLAN 1-H
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS POR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COW PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND ST E LA B REGULATING
BUILDING CONSTRU N. f V LUATION _-
SIGNATURE OP�� � 22,0"...n G� / Ai PERMIT FEE 5 N
PERM ITTEF JJJJXX�����CCCC44----CCCCCC �•✓ $ 1 /2�7PLAN CHECK $ /�N`
AUTHORIZED AGENT V'riniiiiS -9
TOTAL FEE $ cl / LL