HomeMy WebLinkAbout1748 IOWA ST - Building Permits Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA Co STRUCTI •N PERMIT T PER NO TRACT NO. LOT NO. UNIT NO.
Project Address� / •• / t S • - SS-7 41� l'T��`
Applicant's Mailin• •dd ess _ id - TYPE OF CONSTRUCTION ❑ NEW ❑ ADD U ALTERATION IL REPAIR
��� � ��/�� � ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A,P.# Zone
• Owner's Naive • . do . 1 a-- Phone f.C.7 DESCRIPTION OF WORK/USE OF BLDG.
Address - ll I I S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT LI GRADING V/FOUNDATION LI STRUCTURAL E Front p
Address / El TENANT ❑ ELECTRICAL /PLUMBING ❑ MECHANICAL B Rear N
Contractor's Nam. �1 a /1 AI 4 Pho ' • 905 ❑ OTHER
!MEP /h�'� xQ PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N
Addrescense(mailing) -'ME „a=/,�n�—•-" /Al CONSTRUCTION TYPE VALUATION$ S
c3/l C+ K Left G
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: M
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in full 1•r - nd effect. c�G T
sA L'cens' ' s z-r/ LI ens-No. ` 1 -St RECEIVED OCT 6 i93o $
cy-ty0_ Date *.' a Signature ���IL 4 - PLUMBING FEES I
WORK'R COMPENSATION DECLARATION ' Bar Sink Showers
I hereby affirm that I have a certificate of consent to self-Insure or a certificate ELECTRICAL FEES
\ of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink •
3800, Lab. C,1„//, Vis,
Automatic Washer Transformer 0 15-50 KW
Policy No. �y `�:� / pd Company( Y/e- Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW
edified copy is hereby furnished.
Cer "u�" is filed with the city By� }9 sl Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date ti) Applicant C /
-
EXEMPTIdNFROMWORKERS'COMPENSATION 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
Workers' Compensation Laws of California. Motors❑0-1 HP ❑1'h-8
—
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 09-15 HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal
comply with such provisions or this permit shall be deemed revoked. Fixtures Microwave
CONSTRUCTION LENDING AGENCYGas 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 Civ. C.) interceptors / Water Heater 2 - Outlets Name Range
Lender's Address Kitchen Sink Water Service Switches
OWNER BUILDER DECLARATION Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections
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 LaundryTrays
any structure, prior to its issuance, also requires the applicant for such permit Generator ❑05 KW❑5.15 KW Trash Compactor
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
7031.5 by any applicant for a permit subjects the applicant to a civil
enalty of not more than five hundred dollars($500).
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 - IDEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ ZoningApproved
sale. If, however, the building or improvement is sold within one year of corn- Canopy Type I I ❑ pp By Date
plebe for the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By ,—"Date
prove the se osale). ( A+�1--
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat
tractors to construct the project (Section 7044,Business and Professions Code: �l
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU 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 thatExhaust System 0 Multiple❑ System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to mo. PLAN CHECK 5 PERMIT /�
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers PLUMBING $ ISSUANCE $ s,Q -
L
Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above DO-100,000 _100,000 BTU 0100,000 BTL GRADING $
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ _
and state laws relating to building construction,and hereby authorize repre- MICROFILM $
sentatives of this city to ens u•on the above-mentioned property for PLAN CHECK 50% $
inspection pur•• •s.
Signature t /411. Date MECHANICAL $ TOTAL FEE $ 500
Drivers' License or SS# , - �'��� Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ _
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant: Pink -Accounting: Goldenrod - Assessor 01 00017144-00017 144 TOT 5.00
CONSTRUCTION AND.PLANNING POOL& SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # - - Date Inspector
•
L::Temporary1Electrical 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. Electricali1FER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings t'.' 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.`.Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Tra4`1:3 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 ❑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 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
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing /0,3/$3' LED
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation •
44. Landscape Irrigation System ,t J
45. Sound Attenuation
46. Handicap Regulations r1
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
' �1
t.
... ,Y .j sj w 1 '�':- F �4•S �� >: r.:-1:41 1 x 4.. Gu.���-+�u-?a= us '..-ap. .{ -
:7:".);,'-' 13;.&
. it 41 ' 42 ~ )t, "� rt , :9.::;::-:,t _ _ - tir••'
-- �•'` i 9-.--;- it,' ,;•7s:::--- - F•COSTA MESA �x
/74'? /6i47-04-::51-z;-Building Si. - ?. DEPARTMENT"''• , - }
�-
5' '•„ Address a �. li. =:0 :::•":
_ ` .
`t`. : '
'. ::+"+ _ , ':,-•s '-; a,.. =fi ,� t -+ .�BUI D NG SAFETY-._ - - 44a
5i79/ZG3e67Zse'VOwner - 1 / 1 _
E: jaC J-' •- Contractor Registered ep ty %t ding inspector
- - Certifi to of Compliance
' OPZ qic G e-' • . .Address •- - 9 .n ._7j - _
' Permit ' Date Date of. this Certificate
//Itdz/4Number .1-„t„.9 -,,,,'Assued - - - ..
•
To the Director of Building Safety: •
•
I hereby certify that the following portions of work on the 'buildings
at the above address which required continuous inspection and which I was
employed to inspect, were inspected by me and comply with the provisions
of the Building Code applicable thereto.•
1) Concrete • -3) Welding 5) Special Cases
2) Masonry 4)- Reinforced Gypsum
- Swimming Pool Size 34/ K, ? dunite it---- Hand Pack
Sacks Cement /7at Tons of Sand41.5"-
_
Approximate % of water in aggregate 5-42,
•
• This report covers work completed during week ending • /a—/- 77
REMARKS: •
4,4 : RE TE DE•MIL UILDING INSPECTOR
�1{
iName �
' . -�/ R. rL_-: 1u� .
, -
. Address - zoe%,,i t te.. c'
. �: .:� ;• •'-yam' , 4 • *_ . ; .�•. 1' .
Laborator -/• .- . Tele hone ,_5".3,;J -e'/2S
Y" •cui.vwJG. P '1
Form BU G' r,, r q� y�
- .. - :-, JtErri'Vrt .---'=, -,
G
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
PE IT NO. TRACT NO. LOT NO. UNIT NO. 3,25(] TL
I COSTA.
O STA141ESA CONSTRUCTION,PERMIT a �vo�� 04675 10/06/86
J74_r�Ou1 13tf
Pro, t Ad�ress ll--��1i � t ' r
pppyFanYs MaiIiJ�Address TYPE OF CONSTRUCTION LJ NEW U ADD LJ ALTERATION ❑ REPAIR - '
}I'/. eKiLJaa CELK166/04� $? qn.; ❑ CONVERSION ❑ DEMOLISH ❑ OTHER
-
A.P.# Zone _
(KA/.f'yS' 91'R1QQVRr.� - � �,, S.f/�p•�r",^'�i�s _Phone- DESCRIPTION OF WORK/USE OF BLDG.
Address I �TO t we._ XIV • en M. %Zee a co - $ Main Building: Accessory Building:
Arch/Eng._R./T License No. TYPE OF PE GRADING LI FOUNDATION LI STRUCTURAL T Front 0
Address - a1 mam ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING 0 MECHANICAL BA Rear N
Contractor's Name_i OL. 'O••`LTi' Phone-b a + 44
C Right • N
i4 - N PROJECT DESCRIPTIOSQ. FT. 92/1 Q OCCUPANc
Address(mailing). -- '- '-1'!.11 ile'.%'tt :spew..tr A.
IC
e - CONSTRUCTION TYPE VALUATION$ , JJ `f $ Left R
City• License No. @ �� . • r, ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR •ECLARATION Ping. Ref.# • Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code,and
my license Is In full force and effect. T
License Class • License No. • S
Date Signature • PLUMBING FEES`` '
WORKERS' COMPENSATION DECLARATION Bar Sink Showers -
I hereby affirm that I have a certificate of consent to self-Insure or a certificate . - ELECTRICAL FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
3800, Lab. C.) _— Automatic Washer Transformer 0 15-50 KW
- 050+ KW
•
Policy No. - Company Backflow Irrigation Sewer Cap Construction Pole Sub. '
8 Certified copy Is hereby furnished. —
Certified copy Is filed with the city Building Division. • Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
DateApplicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectorsamps
- Meter Dover 100 am s
(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
Workers' Compen; e, Laws of Calif�rntia a /J Motors 00-1 HP 01%-8
Date ate_ _1I(7 Signature•!/(/f.Js q '� •Der e✓ Floor Drains Swimming Pool w/Spa P.A.U.
NOTICE: If,after making this declaration,you should become subject to the Inc.Solar �9-15 HP ❑16-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal
comply with such provisions or this permit shall be deemed revoked. Fixtures Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet ' Pole Light
I hereby affirm that tfere is a construction lending agency for the performance _ 9
of the work for which this permit Is issued (Section 3097 Civ. C.) interceptors Water Heater
Outlets Name Range
Lender's Address - - Kitchen Sink Water Service Switches
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
county which requires a permit to construct,alter improve,demolish or repair P—Trap LaundryTrays
any structure, prior'to its issuance, also requires the applicant for such permit y Generator ❑0-5 KW ❑5.15 KW Trash Compactor
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 '
7031.5 by any applicant for a permit subjects the applicant tea civil i _
penalty of not more than five hundred dollars($500).
0 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 -
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL - --- l Reinspection Fee $15 Issue Fee $ 3 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:
Boiler Hood or
employees,If, ho ever, that such improvements eves aie not intended year
of c for Type I 0 ZoningApproved ByDate •
•
sale. If, thwown, the S:
ebuildingisonewill the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date
Provo for the purpose the of oe).
-tractorss owner o the the property,roject exclusively contracting ln9 witholicensedionscon- Duct-Structural Refrigeration System Application Issued By Dat
Te constructLicense project (Section 7044,Business onde Professions property
miens Code:
•
The Contractor's Law does not ato ran such
tht a who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU - • ' SUMMARY F FEES �x
builds or improves thereon, and who contracts tot such projects with aeon- O/ �
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I BUILDING PERMIT $ 3rd• SMTP $ • �y-+
proof of their Worker's Compensation insurance should be provided to me. -
PLAN CHECK $ PERMIT
0 I am exempt under Section- - 8.8 P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers - PLUMBING - $ ISSUANCE $
Date (O Owner 121 -6"a •KJ Heating System& Ducting Registers - PLAN CHECK 25% $ ENERGY P.C. 5
I hereby certify that I have read this application and state that the above 00100,000 BTU 0100,000BTLGRADING $
•
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $
and state laws relating to building construction, and hereby authorize repre-
sentatives of this city to enter upon the above-mentioned property for PLAN CHECK 50% $
p • es. 0 / r%a -- c7,. -----5—
Inspection Signature ' /i• 4 MECHANICAL Date/�-,(P-9�p MECHANICAL $ TOTAL FE -- ------_.
Drivers' License or 55# 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 ifemporary Electrical Service or Pole 52. Pool & Equipment Location
7. Feil Pipe-Undrgrnd. 53. Steel Reinforcement '
,cfectricaf Conduit Utility-Undrgrnd. 54. Forms
/ Electrical Conduit-Undrgrnd. 55. Electrical Bonding
. Steel Reinforcement 56. Rough Plumbing & Pressure Test '-
/ 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
/ 7. Footings 58. Electrical Conduit-Undrgrnd. !,
a
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
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
v
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 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
35. Final Gas Pipe-Test
36. Hood or Canopy Cr
37. Final Factory Fireplace ..;
38. Final Plumbing ^ iris: -.
39. Water Service-Final
40. Gas Service-Final fr
41. Solar domestic-Final I _ ,r 1
'42. Backflow Preventer l.'' '• `
�'43LBackflow Irrigation • ""
n54. Landscape Irrigation System 4ii -i
1
Y ,
45. Sound Attenuation .`i . ,
1.
'•46. Handicap Regulations ' r ' ;7
•47. FINAL.STRUCTURE & BUILDING /Q 90 CPr . , il'y,;..: '+
48'. Special Requirements Completed TCS - r ' Ir .4
49 Electric Release to Edison . • ,/
50. Gas Release to Southern California Gas CO {r
51. CERTIFICATE OF OCCUPANCY
No. ,Date
CITY OF COSTA MESA
BUILDING DIVISION
OWNER-BUILDER VERIFICATION }
4
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such
notice, and, as a condition precedent to issuing a building permit, require the completion and require
the return of, an owner-builder verification.
Attention Property Owner:
An 'owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity
to avoid unnecessary delay in processing and issuing your building permit. No building permit will be
issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement. 0 Yes le No
2. I ,taTio have not) .a4' 02- signed an application for a building permit for the
proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name TRI M D "��a1Otr!K Gr CA .
Address i 1 OG,G. 'AL McnL.-E is City DsuvA-i1in't'att
Phone g544- . Contractor's Lic. No. ?S !7c2 O
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address City
Phone ( ) Contractor's Lic. No
5 I will provide same of the work but I have contracted (hired) the following persons to provide
the work indicated:
Name Address Phone Type of Work
I hereby affirm that I have received a copy of the information set forth in Section 19830 of the
State of California Health and Safety Code and have completed the above information to the best of my
personal knowledge, in compliance with this State law.
Signed: �2Z4C4Ze♦ fl7. 42at-CL�-4 '4J Date: /0-6- re
Name: AAiIVA jr M ROAR Gade✓a-
(Printed or Typed)
C.D.L. #or S.S. #
•
754-5273
CMF 1042-46
OWNER STANSBURY, JACK DATE 10-9-77
•
JOB ADDRESS 1748 Tnwa Street BUILDING PERMIT NO. 44993
GENERAL CONTRACTOR
Blue Lagoon Pnnl s DESCRIPTION of WORK pool Reinspection
AP No. LOT TRACT FIRE ZONE VALUE $ -O-
INSPECTIONS Signature Date GROUP V TYPE T ZONE R-1
Pool Location I SUBCONTRACTOR PERMITS ISSUED
Date I Number Signature
Forms
O Main Drain •
Steel Reinforce
•
Elec. Bond Electric
Approval to Cover
-
Underground Electric
Gas Piping Test Plumbing
Filtering System Lines
Backwash Lines and Recep.
Electrical Final
Heater and Vent Final
Filter System Final
Backwash and Recep. Final
Fencing Final
OWNER STANSBURY, JACK DATE 8-26_77
JOB ADDRESS 174e Topa Street BUILDING PERMIT NO. 4.4546
GENERAL CONTRACTOR Blue Lagoon Pools DESCRIPTION of WORK Private Swt Pool—
APNo.139-061-06 LOT TRACT FIRE ZONE VALUE $4.920.o0
INSPECTIONS Signature Date GROUP TTT TYPE 3T ZONE R-1
C.L , q_?(-1T SUBCONTRACTOR PERMITSISSU ISSUED
Pool Location
Dare � Numb<_LSlan atura
GM
Forms
1
`E
Maainn Drain (\/ C/
1 Steel Reinforce
lec. Bond C.C. 9-1177 Electricle� /�
Approval to CoverI.
C.& 9-Z(-17 k�� /�s�'ii &4cr 05=77 142t3f.
Underground Electric C.C. /6-Y-1/ O
Gas Piping Test /jP Numbing o �/
Filtering System Lines C•e_ , 11.10•"11 or pfA.G'a P7,26--77s77 701 5-.4C
Backwash Lines and Recep.
Electrical Final I
Heater and Vent Final _
Filter System Final
Backwash and Recep. Final
Fencing Final C.C. It "16'11
r I
PAID
. AUG 26-77c1, 02169* ***mill,
44546
1. COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
A LICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely— Use Ink Only
RE I ED(Y DATE RECEIVED DATE ISSUED
BUILDING ''')
ADDRESS / ) y$ locus S �- , /` gyp/ /' RM /
OWNER C\e‘
L Skanc -;u`� A.P. NO. /3 1-66 /-06 PEITNO.
AMAIL
DDRESS ITh
lig I6 G1 /t St ,
BUILDING / 1 y` / (J n Si- r
"I ADDRESS a 1
'
CITY COs s s f14 TEL.ND. :51-1313 _r� i • LOT He L 14
CONSTRUCTION ' NEW ADD rALTER REPAIR MOVING DEMOLISH
LENDER -_) s1
BRANCH /
OWNER �IT QVcS q it .6UrV
ADDRESS
1 VALUE
ARCHITECT /^ J TEL. S/ 1 USE (A)I Pi M i h $ Q
OR E
ADDRESS ENGINEER 13 C A2 LIQ i'h�j ND. � �71}N-O 7
I al 5-) f,o4Au(r� l'- ZONE ���""}77TYP/ GROUP 77
CONTRACTOR Ig- 'iJt I,G]U 6e„ Pao /s
APPROVED �� DATE��2 _/ /
ADDRESS L, aS Cu , I{({-I te(Iq
1 TEL. 7 20NpE NO.OF USE OF NE
CITY opay\1(/y',t' e
NO. /79=13G k—i PLANS 2`BUILDINGLr_I$1/
STATE �� l Ct CITY C YARDS APPROVED YARDS APPROVED
LIC. NO. l y LIC.NO. MAIN BUILDING ACCESSORY BUILDING
O /L$TREET)
_
W SIZE NO.OF BLDGS. (FROM CG '
/��
O. OF.LOT NOW ON LOT FRONT re, L 6,445„ -V FT.
Q USE OF /` tee�,. EXISTING BLDG. R.SIDE 4T. FT.
//
F ,,,,..->„,,..->Separate permits are required for L.SIDE / &FT. FT.
electric,plumbing and heating work.
0 REARt/� FT. FT.
kd USE OF UILD NG AND WORK TO BE PERFORMED
F”' DISTANCE BET. BET.MAIN&
MAIN BLDGS.
ACCESS,BLDGS.G / / r��Q � VAR.#
C.U.P.# DATE
APPROVED
ROVE // / 4A-23 -22
yW
�� A4 DATF
aw
0 I hereby acknowledge that I have reed this application and state
n
Ig that the above information is correct and agree to comply with n
w
G all laws regulating building construction, end I shall not employ i
Z any person in violation of the workman's compensation laws of e
Sthe State of California.
3 I hereby certify that I an, properly licensed as a contractor under SQ. FT. ry
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
to
em exempt from the provisions of the State of California Business � DO e
VALUATION PERMIT FEE $ s. e
and Professio Code,Division 3,Cha er 9. n
�� �s PLAN CHECK $ /,OO o
Signature of r
sway
yI ser it
U.
Permittee l S/�/�// ) ^ TAX $ e So z
'` tVV/II`rrr F/ U
Authorized Agent TOTAL PAID $ B.So
Lor 710
TR 3722 I FEE RECEIVED
13160 a6 OCT 241930
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING 1748 IOWA STREET BUILDING
ADDRESS
COSTA MESA. CALIFORNIA For Office Use Only
OWNER K & E DEVELOPMENT Co., INC. RECEIPT NO. PERMIT�`INO.v
MAIL RECEI Br I �Tgy OEEME�� Q -1 B�i7Eb�
ADDRESS 155 -• _ , . _ o a/ I CT 9 7 lose
TEL BUILDING
CITY NEWPORT BEACH NOMI 6-V? , ADDRESS
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO. �,/
ADDRESS FIRE %.
ZONE TYPE GROUi 7//
CONTRACTOR K.W. KOLL APPROVED
BY DATE
ADDRESS ZONING
cinnl fGm
ZONE NO.OF USE OF NEW'gym
CITY NEWPORT REACH R-1 I PLANS 2 I BUILDING W/ att gar.
STATE TEL. // LEGALT�r�
LIC.NO. 6I 125 NO. MI A-4 'J') Lon
DESCRIPTION t O, TrSCt r I GG
SIZE 65x100 I RR EG I NO. OF BLDOS.0
OF LOT NOW ON LOT A.P.NO. none
USE OF YARDS EVES
EXISTING BLDG APPROVED ALLOWED
SETBACK LINE PROM 501 20' (CENTER LINE ST.)
CENTER OF STREET REAR YARD FRONT .5--°FT. IN.
/
SIDE YARD I LEFT V / I RIGHT O / R.SIDE 7 FT. IN.
DESCRIPTION OF WORK FT. IN.L.SIDE
NEW ' I X H ALTERATION I II ADDITION I REAR I b FT. IN.
REPAIR I II MOVING I IDEMOLISH I APPROVED W• L.
D.
BY V DATE 10-21-60
BUILD IN 4 GAR NO. OF
SIZE i6�3 - SE ROOMS 7 STORIES J
EXTERIOR WALL STU CGO IROOF WOOD SHINGLES
COVERING COVERING
AND ATTACHED GARAGE
PLAN 6-B
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATS THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND LAW= REGULATING
BUILDING CONSTRUCTION. VALUATION �j!
\ _� PERMIT FEE 5 J T/
SIGNATURE OF'� A / / 7<
PERMITTE -' i.�Sir.— /` /.J 0 Q o
S / PLAN CHECK S /O
AUTHORIZED AGENTG
TOTAL FEE 4