HomeMy WebLinkAbout1742 IOWA ST - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PERMIT NO. TRACT NO. LOT NO. UNIT NO.
CITY.OF COSTA MESA �QNSTRUCTION PERMIT 3+875— A.P.# Zone Projvc(6lddress �N� wQ .A�1 H¢ 426`f - S Main Building: Accessory Building:
,Applicant's Mailing Address I/°C,G. N4 l(MIJI*i`L sJ 7 TYPE OF CONSTRUCTION U NEW LI ADD U ALTERATION U REPAIR E Z'
/ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER . T Front O
Owner's Name Ml �<O�5 pPhone SsY-7P5� DE$CRIPTI NQF WORK/USE 0,E BLDG. ,5FR � s'-^ovt VIZ 1B N
Address /� y� 10Wq / CM 12102 �o / Z-/S W I�./MP-... � A Rear 1
:Li c%n1 5 srm.la SG/ /e� C Right N
TYPE OF PERMIT LI GRADING ❑ FOUNDATION ❑ STRUCTURAL
Arch/Eng. nJ�/i' License No. KG
Address /7 pp tq / Ip❑1 TENANT ELECT ICAL ❑ PLUMBING ❑ MECHANICAL 1 S Left
R
Contractor's Name-PP'11'10 /.0Gc1x __Phone ell' KY. 'OTHEP e-vcoI- I Ping. Ref. # Parking Req./Provided E
Address(mailing) I1 0e,� Q/vP1 L f 7 6 Q 7 PROJECT DESCRIPTION SQn FT. L' 6C2:1 OCCUPANCY S�� M
z G y rC PlanningNotes:
City License No. 00 -J S9 / CON ST RUCTION TYPE c4-00t- VALUATION$ 3339
ZONE GRADING CU.YDS. ACRES 1;.
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. ELECTRICAL FEES
License Cla s L--'J Y License No. $311 z 0 •
• Date e-�U- � Signature !,r'7- N-1��"� PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW
WORKERS'COMPENSATION DECLARATION ConStrUctiOn POIe SUb. 0 50+ KW
I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Slnk Showers
\ of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer . Service Sink Cooking Unit Meter Dub to 100 amps
3800, Lab. C.) -
•
\ Policy No. Company Backflow Irrigation Sewer Cap Dishwasher • -- Meter Dover 100 amps - —
� �led copy Is hereby furnished. -
Date ied sa: is filed with the city Buy/p�in l g�__ Bathtubs Sewer Connection Dryers ❑Gas ❑Electric Sub Panel
Date 0-/o-a5 Applicant / r Fan
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Motors 00-1 HP 01W-B
(This section need not be completed if the permit Is for One hundred ($100) or F.A.U.
less
I certify that in the performance of the work for which this permit is issued, I Fixtures
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave •
Workers' Compensation Laws of California. -
Date- _ Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light -
NOTICE: If,after making this declaration, you should become subject to the Outlets
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Range
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCYSwitches Si n
I hereby affirm that there is a construction lending agency for the performance Gas Service Outlets Water Closet 9
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater OM
Disposal Standing Sections
m
Lender's Nae //�� Generator ❑ KW 05.15 KW Trash Compactor
Lender's Address /T Kitchen Sink Water Service -
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt frost, 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
therefrom and the basis for the alleged exemption. Any violation of Section $ 3
7031.5 by any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars($5001. DEVELOPMENT SERVICES REQUIREMENTS:
• Ll 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 Zoning Approved By Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date
License Law does not apply to an owner of a property who builds or improves �j
thereon, and who does such work himself/herself or through his or her own Application Issued By Date r it--41-3
employees, provided that such Improvements are not Intended or offered for Boiler Hood or Type I 0 i
sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II ❑ SUMMARY OF FEES
•
pletion, 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 $ 43. °.l SMIP $ • s-)
LJ 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-
tractor(s) license pursuant to the Contractor's License Law). 1 am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ •
proof of'their Worker's Compensation insurance should be provided to me. -
ELECTRICAL $ GRADING $
❑ I am exempt under Section (
y,s VI
B.& P.C.for this reason Firepl/Fact.Bit, ICBG# Fire Dampers PLAN CHECK 50% $ MICROFILM $
Date Owner Heating System&Ducting Registers MECHANICAL $ 64, 5—c7
I hereby certify that I have read this application and state that the above CIO-100,000 BTU 0100,000 BTL, - - TOTAL FEE $
Information is correct. I agr:e to comply with all city and county ordinances - PLAN CHECK 25% $
and state laws inti ye • •WI. ng construction, and hereby authorize repre-
sentatives of •- y t• en -r upon the above-mentioned property for
Inspection u) e ig/ram('
Signatur� a/ , , date �r/c t
Drivers' License or SS%t. ? Reinspection Fee $15 Issue Fee $ 3
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 01 0001191/-00011918 TOT 63.50
DATE: 08/12/88 TInE: 12:12
,•-‘
•'CONSTRUCTION AND PLANNING - POOL &SPA
Date Inspector Date Inspector
e4PPROVALS Permit#. APPROVALS Permit #
J. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. i 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms - •
4. Electrlical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd: 57. APPROVAL TO COVER-GUNITE • •
7.lFootings :� 58. Electrical Conduit-Undrgrnd.
8. Foundation - 59. Gas Pipe, ❑ 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 Copnection 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
1.7 Rough Wiring Sign 68. APPROVED FOR PLASTERING
10. 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 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
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
42/A4141--
48. Special Requirements Completed •
49. Electric Release to Edison -
-i t
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER MATSON, M. D. DATE 5-17-62
JOB ADDRESS 171i2 Iowa St. BUILDING PERMIT NO. 17133
GENERAL CONTRACTOR Continental Const. VALUE $ 101.00
AP No. 113-801-07 LOT TRACT FIRE ZONE DESCRIPTION OF WORK 131k. Wall
INSPECTIONS Signature DATE GROUP TYPE ZONE 11-1
Soil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Com. Ref rig. 0 Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line ❑ House Con. ❑ St.Swr. 0
Sprinkling System
Construction Pole
Underground 0 Power ❑
Rough Wiring �
Trenches El— Forms 0 Steel Reinf."W a?. .C& {--2/_ FZ _
Floor System 00
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing — In 0 Out 0
Plaster, brown coat
Ttefng. 0 Air Cond. 0 Final
Heating, Final
Plumbing Fixtures,•Final
Final Gas Test
Electric Fixtures, Final
Building, Final 2 S. '4 4 7--
OCCUPANCY OCCUPANCY
FORM BU4.5M - 7-61 1(133
I 7 1s:3 F E RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT MAY 1 7 I961
P. O. BOX 917 COSTA MESA. CALIFORNIA FINANCE DEPT.
For Applicant to Fill In Completely CITY OFCOSTA MESA
PPP Y APPLICATION FOR PERMIT
. TYPE OR PRINT BUILDING
ES
ADDRS I f i�:7- 1l L4.) Q �"i-
COSTA MESA. CALIFORNIA For Office Use Only
M , M �� I RECEIPT NO. �PIRMIT ND.�
OWNER `\✓\ C � -✓C �
MAILO RECEIVE BY I DATE RECEIVED I
TES
D.
ADDRESS I y'�1 q- , [, GIL C it. -77-0
0. */1 TEL. BUILDING r� I IOise h -/7-F��
CITY 1-' NO. ADDRESS I ! '7
r—
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO.-
FIRE
ADDRESS `,L, ZONE TYPE GROUP
•
CONTRACTOR''00 H\1 L11 e ��
.. 0. \/�1,`a-1/4�4 , APPROVED . DATE
'
ADDRESS I'4 1 n M 4 ZONING %/J/.���
S Pt
, ZONE I I NO.OF UHE OF NEW �O �'
CITY ..II [J�T �'[� •L�� 1 PLANS BUILDING p, /STA /�.
E
LIC.NO. 2U Z- Li-' 1 NO. 1N 1 I SZ‘}-' DESCRIPTION Y4 /o (f 1 ,37,--2-----
VELDT
3 /Y7i
SIZE v 1 N.L. BLOCS. t / / j r
OF LOT /Q �� l� ., �� OW oN LOT I A.P.NO. I [ 3 1f- /
USE OF /a1' 1
EXISTING BLDG. t YARDS EVES
APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE 8T.1 r�
CENTER OF STREET REAR YARD FRONT J °FT. IN.
SIDE YARD I LEFT I RIGHT R.SIDE FT. 0 IN.
DESCRIPTION OF WORK _
L.SIDE FT. IN.
NEW ILTERATION I II ADDITION I REAR FT. IN./
REPAIR I MOVING I II DEMOLISH I APPROVEDI/. / / / I DATE �-/7-b�
BUILDING c-------- NO. OF �(/ Y
SIZE ROOMS STORIES
EXTERIOR WALL-----1 ROOF
COVERING COVERING
USE QING AND WORK TO BE PE FORMED
\ ac �v \\ (Ct- -
it
Plc) 1_: -. I Co rT LI
20 Li'1 ' 4 'i-4 i1-II
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT T� ABOVE IS CORRECT AGREE • COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CI �{{..��LLII•1 ANCES AND STA E W R:• TING
BUILDING CONSTRU• ' VALUATION
1 --
SIGNATURE OF Ji, PERMIT FEE $ .
PERMITTEE `'1'-4 _ • �' a_
S 1 O O 0 PLAN CHECK $ �-
AUTHORIZED AGENT �_� rc
TOTAL FEE $L
TRT 37 : gcc) caIVED
1.3 .59
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant fo Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING
ADDRESS 171+2 IOWA STREET
COSTA MESA. CALIFORNIA For Office Use Only
I RECEIPT NO. 13VJL .NI7)
J.
OWNER KE DEVELOPMENT CO. ,__INC_.
lJ
MAIL RECEI ED BYDA 'ECEIVED DATE ISSUED
ADDRESS I PLA CENT IA AVE t I J� / -•I AC . d G .n
v
TEL. BUILDING
CITY HEWEOPT BFA CH NOMI Fi_322 ADDRESS
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
FIRE
1.2
`/
ADDRESS ZONE TYPE GROUP 0 r1
CONTRACTOR K W KU? I APPROVED
BY DATE
ADDRESS 1555 PiACFNTIA AVF ZONING
ZONE NO.OP USE or Newn O
CITY NJWPORT REACH R-1 I PLANS 2 I BUILDING W/_____,
att gar.
STATE TEL. LEGAL
LIC.NO. • B NO. H S DESCRIPTION Lot 109, Tract 3722
SIZE 64.52x100 IRREG I NO. OF BLDUS. 0
OF LOT NOW ON LOT A.P.NO. none
USE OF YARDS EVES
EXISTING BLD . '__•_.• APPROVED • ALLOWED _
SETBACK UNE FROM 501 23 I (CENTER LINE STA
CENTER OF STREET REAR YARD J FRONT G.) FT. IN.
SIOE YARD ILEPT b RIGHT lD R.SIDE FT. IN.
DESCRIPTION OF WORK 6FT. IN.
L.SIDE
NEW I X II ALTERATION I II ADDITION I REAR 73 FT. IN.
REPAIR I II MOVING I II DEMOLISH I APPROVED
' .�- AR BY W. L. D. DATE 10-21-60
BUILDING NO. OF
SIZE 1611 .75 MSE ROOMS 6 STORIES 1 J� t/
EXTERIOR WAiCCU (ROOF ROCK - .
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
SINGLE FAI LY
AND ATTACHED GARAGE RES IDCNCC
'LAN 1-G •
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 AU. CITY ORDINANCES A AT LAWS REGULATING
BUILDING CONSTRR} ION VALUATION
SIGNATURE OF/ /yp� ��Q •4 ���O� PERMIT FEE $ - 3{�—
f� S e_
PERMITTEE "/' /j�
S /- " • PLAN CHECK $ /e -
AUTHORIZED AGENT , �./�� o
TOTAL FEE $ Y LL