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HomeMy WebLinkAbout1782 IOWA ST - Building Permits • CITY OF COSTA MESA t � :BUILDING DIVISION h '1 Stl 'DEVELOPMENT-SERVICES DEPARTMENT PERMIT NUMBER PERMIT B05-00802 (714)754-5273 • Fax(714)754.4856•.wonv.ci.costa-mesa.ra,F4SLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 BUI• Job Address: 1782 IOWA ST Status: ISSUED Suite: Applied: 05/19/2005 Vicinity: 2 ILLEGAL ROOMS AT REAR SFD Issued: 05/20/2005 Primary Occ: R-3 Dwellings/Cong Res<10 Type of Construction: Parcel Number: 13905117 Zoning: 0114/C-)�� � Applicant: FIGUEROA, GREGORIO ISSUED BY: V ` ' Address: 1782 IOWA ST _ - Phone: 949-244-8839 COSTA MESA,CA. Zip: 92626 Owner: ALVAREZ, ANAP Address 1782 IOWA ST Phone: - - COSTA MESA,CA, ;1,. Zip: 92626 Contractor: OWNER-BUILDER Address: Phone: Zip: - License: 000000 Arch : - - Eng: Address: • . Address: i - Phone: Phone: Zip: License: License: • ' SCOPE OF PERMIT DEMOLITION OF 2 ILLEGAL ROOMS AND REPLACEMENT OF THE PATIO ROOF TO FIBERGLASS((PERMIT 18497)AT THE REAR OF AN EXISTING SFD. REF:C05-1514 - FEE SUMMARY Plan Check: $0.00 Calc Valuation: s1,o0o.00 Permit: $38.75 Claim Valuation: $1,000.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 - Total: $39.25 • PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear -0-0 Left 0-0 Right 0-'0 ACCESSORY Front 0-0 - Rear 0-0 Left 0-0 . Right, 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related - regulations.(Ord.No.92-28,§1, 12.21.92) EXPIRATION: This permit shall automatically expire and become void If work Is not commenced!within 180 days,or If work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the-work authorized under this permit to be considered legal„such work must comply with all applicable codes, and all required Inspections and.flnal.approval must be obtained.-Failure to obtain inspectionsand final approval will result In the expiration of this permit. 'FOR'INSPECTIONS CALL: (714)7545625 2446-4e(&W) • DECLARATIONS f (` , WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations:. 4 ' ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensa ion:ag provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed it the permit Is valued at one hundred dollars($700)or loss.) ..I.ccertify that In the performance of the work for which this permit is Issued.I shall not employ any person in any manner so a3 to become subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provlsl �Ap _t-T_� J,., �rtraht'Slgnelure: Oar?, o7 — cc -lir/L WARNING:FAILURE TO RE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE(SID:LOCO),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full force and effect.Uc.a Class a Contractor's Signature: Date: 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.(Sec.3097,CMI Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or 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 penalty of not more than five hundred dollars($500).): ❑ I,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(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or 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 completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business end Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-properly tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet In depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Coda). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ;ad-lb—prepare ._____ _n Pro_...._ __ ._.._zardo 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program far acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP Is presently required,has Section 25534 of the California Health and Safety Code been fully compiled with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes LJ No (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (if"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (if'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws end city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Of Le al Ow r(s) Date OrAut 'zetl.AppNeent ''`B �.�. CODE I INSPECTION flat - PATE COOS f INSPECTION TYPE- ' PATE HMO 1616 Fixed System Final Fire Prevention _ . 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof • 210 Final Electrical • 201 Final Block/Retaining Wall 212 Final Fire Prevention • 202 Final Factory Fire Place 220 Final Planning Approval • 203 Final Sign n ^ 222 Final Site 204 Final Demolition �i/.7 1//Z5- Q 250 Final Building/Occupancy • • DECLARATION OF AUTHORITY Bldg. Permit# (� FOR AGENTS OF PROPERTY OWNER This Permit# 6 6 6---060.2- TO -a60.2-TO APPLY FOR PERMITS fy� �� lam` Street Address: l 7P2-- D2A Ct ✓ AP Number: 1. I (we), A6 _47 Vt(ite Z , declare that I am the Owner of Title of the above referenced real property,and that I (we)hereby authorize: PigC�Yl c2im PAD c JE4ZLD N Telae Number:c9 K�� 3°I St,e ddress: /7-g9 tow Ct '7 - 6vJlh \\ Cay 0&cry M tete c A _ czectqc 2cf to obtain permits in my behalf,as owner/builder,for / der) ���> �i a at the above referenced property. U// 2. Should any person become an employee engaged in the improvement of the property, I (we)shall immediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa,as required by State of California laws. 3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or corporation. 4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa. 5. I declare under th ..g alty of perjury that the foregoing is true and correct. rr Executed thi ay of line2,1 20 05--, at ,California. Print Name: flno1 R\vp(rez Signature: f'"'\nQ IUr Date: 5^ 2C ^\ J� Note: This authorization does not grant authorization to perform the work as owner, it solely provides for limited power of attorney to secure this permit in any behalf. 077946(rev.11100) .1 ".,-. Dcucdioa hoist. • (70- • t?,,i s'. t OWNER-BUILDER VERIFICATION 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 hearing 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 he issued until this verification is received. I. I personally plan to provide the mr labor and materials for construction of the proposed aj property improvement. ❑ Yes No 2. Sive not) / ` signed an application for a building permit for oposed work. . 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone ( ) Contractor's Lic. No. 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 Lie. No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work �n r 8 �.�o i7--gz_ — wSE / Oc, , 5, (741)29g- 'es,, - - -- 1 04216 (REV 9190/ 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: (�r 1 no, n \\f (l1�P Z Date: ` J -1 V -Os Name: RnC k P\U ac e z • //�� (Printed orTyped)Typed) C.D.L. # For more information call City of Costa Mesa Building Division at(714)754-5273. 1042-46 (REV.9/98) • 'F CITY OF COSTA MESA O ,p 4 QQQQQ BUILDING DIVISION > . CV DEVELOPMENT-SERVICES DEPARTMENT PERMIT NUMBER PERMIT ERMIT B05-00802 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.usNG PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDI• Job Address: 1782 IOWA ST Status: ISSUED Suite: Applied: 05/19/2005 Vicinity: 2 ILLEGAL ROOMS AT REAR SFD Issued: 05/20/2005 Primary Occ: R-3 Dwellings/Cong Res<10 Type of Construction: Parcel Number: 13905117 Zoning: '^ Applicant: FIGUEROA, GREGORIO ISSUED BY: V ` Address: 1782 IOWA ST Phone: 949-244-8839 COSTA MESA,CA Zip: 92626 Owner: ALVAREZ, ANA P Address 1782 IOWA ST Phone: COSTA MESA,CA Zip: 92626 Contractor: OWNER-BUILDER Address: Phone: Zip: License: 000000 Arch : Eng: Address: Address: Phone: Phone: Zip: License: • License: SCOPE OF PERMIT DEMOLITION OF 2 ILLEGAL ROOMS AND REPLACEMENT OF THE PATIO ROOF TO FIBERGLASS((PERMIT 18497)AT THE REAR OF AN EXISTING SFD. REF:C05-1514 FEE SUMMARY Plan Check: $0.00 Calc Valuation: 51,000.00 Permit: $38.75 Claim Valuation: S1,000.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: .$0.00 Inspection: $0.00 Total: $39.25 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations.(Ord. No.92-28,§ 1. 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result In the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 244648(8/%) OWNER BLACKSTOCK, Mr. & Mrs. Henry DATE 12-18-62 JOB ADDRESS 1782 Iowa St. BUILDING PERMIT NO.18497 GENERAL CONTRACTOR)caner-Bldr. VALUE $ 990.00 AP No.139-051-01 LOT TRACT FIRE ZONE DESCRIPTION OF WORl4d Pat.to Res. \INSPECTIONS Signature DATE GROUP j TYPE v ZONE R-1 • Soil PEFMITS ISSUED Gas SUBCONTRACTOR DATE NUMBER Water Rough Corn. Refrig. ❑ Air Cond. ❑ Rough Heating Rough Plumbing Miscellaneous Prop.Swr.Line 0 House Con. 0 St.Swr. [� Sprinkling System Construction Pole Underground 0 Power ❑ Rough Wiring Trenches [g' Forms [a' Steel Reinf. E('. 4 L 17.-"z I-41 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing — In 0 Out 0 Plaster, brown coat Refrig. 0 Air Cond. ❑ Final Heating, Final Plumbing Fixtures, Final it F )E RECEIVED 18497 DEC 181982 COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P. O. BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPEP/ OR PRINT BUILDING BUILDING ADDRESS /7J2 /0 I✓A .S r COSTA MESA. CALIFORNIA For Office Use Only ,H M ,/ .J� �p I RECEIPT NO. I 1e497 OWNER/'/R/4�Ai Rs.then !7. 11LAr SS 7-0 MAIL CX (V�Bi}+ ADDRESS �[/{(//At,li RECEIV BY I DAa.7.e-taro,- n ,- DATE Il D P TEL. BUILDING CITYcO$7A IIA-sA1 NO.Rm-2337 ADDRESS ORCHITENT -�- TEL. �T COSTA MESA. CALIFORNIA ' OR ARCHITECT NO. ---' FIRE � (I� ADDRESS ZONE TYPE GROUP /y' CONTRACTOR 0 W/I/,t/' APPROVED BY DATE ADDRESS ------• ZONING I ZOlIlffflll$$$JJE NO.OF USE OF NEW 07 , ' CITY --- , / ' I pLANJB+� 1� I BUILDING 9 I STATE N TEL. Le--_SA,(�RL L 1 /t (o tc ) (/d3 LIC.NO. NO. DESCRIPTION SIZE OF LOT 6a. X (0; I NOOW ON LOT / A.P.NO. X 3 9 - o 5/t o/ USE OF YARDS EVES EXISTING BLDG. DW,c«/N6 APPROVED ALLOWED SETBACK LINE FROM / / (CENTER UNE ST .)S-62Q }! a q CENTER OP STREET F . REAR YARD 1.2FRR FRONT T �l/APF-7,7_124 IN. p / / SIDE YARD I LEFT .ZO RIGHT S R.SIDE < FT. IN. DESCRIPTION OF WORK L.SIDE �FT. IN. • NEW I I ALTERATION I II ADDITION I !� REAR / ,//F/T. / I IN. REPAIR I II MOVING I II DEMOLISH I APPROVED 0242 / A 4 DATE I --1 y - SZEDING/ o / NO. OF " 20 ROOMS STORIES AA//VV YY J��',/'(A/Jul ( ff EXTERIOR WALL ROOF L COVERING COVERING(/PAR GhASS USE OF BUILDING AND WORK TO BE PERFORMED 0 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 COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION.RU, VALUATION SIGNATURE OP- �{�� PERMIT FEE $ PERMITTEF �Wlar9Q(/,/^ �-- o $ / / D / PLAN CHECK $ al AUTHORIZED AGENT r G. �i 0 TOTAL FEE $ V y • OWNER BLACKSTOCK, MR.&MRS. BENRY B. DATE NOV 1 0 1954 JOB ADDRESS 1782 Iowa St. BUILDING PERMIT NO.. 23189 . -- 1 GENERAL CONTRACTOR Owner-Builder VALUE $ 100.00 t AP No. 139-051-1 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORKCOffi0.B1OCk Wall INSPECTIONS Signature DATE GROUP J TYPE III ZONE El Soil PERMITS ISSUED Gas SUBCONTRACTOR DATE NUMBER Water Rough Corn. Refrig. O Air Cond. 0 Rough Healing Rough Plumbing Miscellaneous Prop. Swr. Line 0 House Con. 0 St. Swr. 0 Sprinkling System Construction Pole Underground 0 Power C _ Rough Wiring Trenches Ip- Forms 0 Steel Reinf.E' j/f Sly Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing— In,0 Out p Plaster, brown coat Refrig. .p Air Con. 0 Final 'Heating, Final Plumbing Fixtures, Final 23189 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DPI 4 P.O.BOX 317 COSTA MESA.CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUDRESS ILDING ry For Office Use Only AD1 i d9.P- ,IOWA �1• RECEIPT NO. COSTA MESA, CALIFORNIA �— ring RECEIy pT DAT RECVIVED D EIB ED OWNER MR2- MRS. J)IFNRy & B at HsT A' !^ 10(as V /! /o-16 sl MAIL I/�j� / ADDRESS 17252 -Lb( B '' n Jl ADDRESS/142 4+ 2 10 A/A StFIRE �r� //11 �} ( TEL. y ZONE TY E I GROUP CITY COS TA P1 ESA %Li- ags APPROVED /A� /( ARCHITECT TEL. BY ti(/ DATE //h°A.V OR ENGINEER•-----r-7.' NO. ZONING .:a-t, / ADDRESS ZONE/'1 I puNSF � BUILDINO wlll,CM.4 ode. CONTRACTOR .0,4-1/VER o!` �I ' fl--13140 IIVJJ---I ���-��. �"'C� DESCRIPTION ADDRESS L�� DeOCRIrtiON � CITY A.P.NO. I3 /p S- CITY 0 I^' / NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE TEL. 30'TO SIDE a REAR P.L. LIC.NO. " —�)''''��I�`���,NO. EAVES SIZE (�(/y���,�T�� NO.OF BLD / ALLOWED (U.B.C.REQUIREMENT) OF LOTUSE OF GO cY•{.y//� � F� I NOW ON IGT L YARDS APPROVED YARDS APPROVED EXISTING BLDG.{l1✓FLL/NS MAIN BUILDING ACCESSORY BUILDING (FROM C/__STT L STREET) SETBACK LINE FROM FRONT /(J�FT. FT. CENTER OF STREET REAR YARD SIDE YARD LEFT I RIGHT R.SIDE 1ST.'-" ' FT. DESCRIPTION OF WORK L.SIDE LOFT. FT. Pt NEW ALTERATION ADDITION REAR FT. FT. DISTANCE BET. BET.MAIN @ REPAIR MOVING DEMOLISH MAIN BOGS. ACCESS.QLDGS. BUILDING NO.OF - VAR.# DATE SIZE ROOMS STORIES C.U.P.# APPROVED EXTERIOR WALL I ROOF APPRQVgr/ COVERING COVERING BY WD . 0 1 DATE it"JO 67 y -77 USE OF �Np AND WORK TO BE PERFORMED On1 8/ c4 Tan rto/ 3otoFC ' C. XI/ or`� C1 see 8/n SO.FT. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE Z AND STATE THAT THE ABOVE IS CORRECT AND AGREEPURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION Oa m Com! BUILDING CONSTRUCTION.^ � G SIGNATURE OP ,r//A. PERMIT FEE $ PERMITTEE A /�� B $ I V 0 PLAN CHECK $ E AUTHORIZED AGENT OE G a • TOTAL FEE $ ,f 13693 F E RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT JAN 19 MIP. O. BOX 917 COSTA MESA. CALIFORNIA 1 For Applicant to Fill In Completely Ft ERR ��p E5A PP P Y APPLICAT I�R( IBIi� TYPE OR PRINT BUILDING ADDRESS 1782 Iowa St. COSTA MESA. CALIFORNIA For Office Use Only RECEIPT NO. 1 E IT,i OWNER Trojan Land Co. I "n cmh �•i AMAIL DDRESS 1533 Baker St. RECEIyEDe aY I DAM REC EIVED I IAN TE ISSUEDi CITY Costa Mesa Nox191151 BUILDINGDDR / / b ARCHITECT Car1SOn,MiddlebrvO1FEL. OR ENGINEER Rose NO. COSTA MESA. CALIFORNIAFIRE - / ( ADDRESS Garden Grove ZONE TYPE V GROUP (a r ;u- CONTRACTOR Dike & Colegrove, Inc. BYPROVED DATE a ADDRESS 1533 Baker St. ZONING ��'` AI'AI/rvJ(�. ZI NO.OF USE OP NE V' 41 CITY Costa Mesa }/ r In - I I PLANS 1�_ I BUILDING 1 J I/1I Q� Y ucTNO. 167293 TNEO. 1,I. 9-1151 DESCRIPTION Lot 64, Tr. 31.03 W °0� SIZE NO. OF BLDGS. OF LOT 62 X 2045100 I NOW ON LOT none A.P.NO. r'-\(111`-) USE OF YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK LINE FROM 1� (CENTER LINE ST.) {y-� (I� j� CENTER OF STREET 1+ I 48� REAR YARD ir� 30 FRONT C. FT. © �.o IN. SIDE YARD I LEFT 51 I RIGHT 51 R.SIDE 4 C FT. IN. DESCRIPTION OF WORK L.SIDE 5 FT. IN. NEW I X I ALTERATION I 1 ADDITION I REAR 3 D FT. IN.//� II MOVING I II DEMOLISH BYPROVED1� CO' ATE I •-(9 .U REPAIR SS// BUILDING 1 6 .CN O. OF Oz--y rU SIZE 1!< 5 SC;. ltODM9 6 STORIES 1 EXTERIOR WALL, - ROOF COVERING SLUCCO COVERING wood shingle USE OF BUILDING AND WORK OO�R KKsT� eO BE PERFORMED /� Si ngl- family rCl(Jenne with ` 1 �� p attached garage. Plan 11B UM 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 OP ESTABLISHING A PERMIT PEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCT VALUATION SIGNATURE O PERMIT FEE $ 3S.00 PERMITTEF / P $ 15,139. PLAN CHECK $ 17.50 w; F AUTHORIZED AGENT Dike 012 rOV 52.50 8 TOTAL FEE