HomeMy WebLinkAbout1786 IOWA ST - Building Permits i
ADDRESSCE SALDINO: 1786 IOWA ST OMT: CITY OF COSTA MESA — BUILDING PERMIT
CWNERSNIMEIR KNOWN:ARNETT, JERRY C FLOOD : AE-37 `PERM NO: M 077497
�R�:ARNETT BRENDA K /
1781 IOWA ST PERMIT NO: M 077497 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA, CA 92626
APPL,MMUNO ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: 0TH
ARCHRECT DR ENGINEER: UC.NO.: JOB DESCRIPTION : INSTALLNEW A/C & F.A. U. SQ FT:
ARCH.OR ENC.'S ADDRESS: WMT:
CLAIM VALUE: CALC—VALUE: GROUP OCC : R-3 /
COHTRACTOWSNAME:AIRDUCT MECHANICAL ( 714 ) 495-1238
CONTRACTORS MARINO 3249 PO BOX COMMENTS : X
ADDRESS:LAGUNA HILLS CA uCNO.: 576261 *****************HE+P+h1EHEiE**-+r*1f1f1E****H(-St****HE*#HE)t**HEfEiEfE♦E)t-1EHE*jtN*ik*iEHESE♦E1E+t3t-+EIEx-IEit#**1H'1d'*
92654 uMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affim under penaky of perjury that I an.licensed under provisions of Chapter e SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code.and my scone is in full force and effect.
tI
cIJc.NO.: UC.CLASS:C_ _UOrn EXP: MAIN BUILDING ACCESSORY BUILDING
/ \ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN//��J/\� S Z �(, contractor > LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
pydNER BUILDER EC RATION:I hereby affirm under penaky of perjury that I am exempt from the Cons License law for the
ollowi g reason(Section 7031.5 Busies,and Profession Code:Any cryo county whits requires a permit to construct,alter,improve. PARKING REQ: PROV: PARCEL : 13905118 Z N E: REF NO:
demis licensed purssair uani o structure.
of its
Contractorso Lie Law(Chapter s(�e�to file
Savors 77ned 00)of statement he or she
PLANNING NOTES> .
Business and Professions Code)or that he or she is exempt therefrom end the basis for the alleged exemption.My violation of Section > ••
7031.5 by any applicant for a perms subMts theappfx:a4 to a civi penalty dnal more than fee hundred daan(S:AOjh. *******************************************************************************
ElI.aowwer OH"propenyonryempioyeea with wages as Nei sole compensation,wa do the work and to structure is not intended DEVELOPMENT V E L O P M E N T S E R V• I C E S R E U I R E M E N T S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not applyto an owner of property - Q
who budds or inproves thereon,and who does such oak Nursed or herself or through his or her own employees,provided that such
improvements are ret intended or offered for sale.U.however.the building or inpmemem a sold wnhin«).year d completion,the ZONING APPROVED BYDATE:
owner'builder will have the burden of proving he or she did not build or improve for the purpose of sale).
o l.asCoe::The Conraracorselusive&contracting
does not Iappy°oto an oftener of EOpety o prods or imlon 44.eoniend BUILDING APPROVED BY : DATE:
gently who b roje (inpien thereon and enc
contracts for such projects with a contracto(s)licensed pursuant to the Contractors License Law).
El I am exempt under Section: B.8 P.C.,for this reason: APPLICATION ISSUED BY: A DATE: h,i�
1
********************** 1, **********. . . **
DatOwner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N
I do hereby cantly that I am aware of and understand the requirements of California Heath and Safety Code Sections 25505,"WWM.and
25534.and that I or any building occupant will/wilm(circle«w)need comply with said mala codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
e permit for coat or n future inion from the Ai emu eu anecemente)nee. tooential construction appi,etion are exempt from these
provisions. PERMIT 18,00
Date: Applicant: 25% SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty w decimations:y of perjury the followidecimations: PLAN
ISSUE FEE 15 . 00
o Coda,fndapertoranacerMoeleofconsenttoselitmiforwokericompenwkm.asproidedforbySetion37a3ofthelabor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
code,i«Iha»rfomarpeofhaw«kl«which Nspemmeissued. TOTALS----> 18 , 00 15 . 00 0 . 00 33 . 00 33 . 00 . 00
❑ I have end will maintain waken'compensation insurance,es required by Seton 3700 of the Labor Code,for the performance of the
work for which this permit is issued.My workers'compensation insurance canter end poky number are:
Carrier: REVENUE DIVISION TOTALS--> COLLECTED : 33 . 00 OVER/SHORT: . 00
Poky Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
( 'stadia.,need nit be completed A'the permit is for one hundred dollars(SIX)or beat 33 . 00
...4 I certify that in the performance of the work for which this permit Is issued,I stall not employ any pecten in any manner so as to
*******************************************************************************penaef. provisionsaSetion3700at nwithih se«ovteioe. I N D I V I D U A L F E E B R E A K D O W N
$ omesutoihetpenIaofc& tfl . meaulothewo &
_ Appfrant:
g:Failure '•secure workers'compensation coverage Is unlawful,and shall subject an emplo W11nal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil nm w lo one hundred thousand dollars(SfO0000A it add/don to the coat of cpmpernstio4 dartos a as provided for In
Section 3700 of the Labor Coda,request and airomay'a fees. MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9 . 00 9 . 00
• CONSTRUCTION LENDING AGENCY: I hereby tfutn undo pens a perjury that then is a construction lending agency for the MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9 . 00 9 . 00
performance of the work for which the permit is issued(Section 3007,Civ.C).
LENDER'S NAME: END OF FEES
LENDER'S ADDRESS:
I certify that I have read the application and sate that the above information a correct.I agree to comply with all city end county ordinances
and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentoned properly
for inspection purposes.
JOE WINSTON
me Oi 0.;_G°
----- Date: 1 VA 1 6 ii 01 0: -
Signature SOwTrer/AgenUA••m.. • tract.
(5151 dd.WP) White-Buioip 6 Safety Green-file:Canary-Appiwnt;Pink-Revenue:Goldenrod-Assessor
•
CONSTRUCTION AND PLANNING POOL & SPA
t APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector
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 OF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation - 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, O 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.StorageTank OGas ❑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 B0. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning ••
349G rid
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
I _
42. Backflow Preventer
43, Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
r
I
ADDRESS OF SWAM: 1786 IOWA ST UHT: CITY OF COSTA MESA — BUILDING PERMIT
OWNW5NAMEIFMCWNARNETT, JERRY C FLOOD : AE-37 PERM NO: E 077498
ADOREss:ARNETT, BRENDA K /
1781 IOWA ST PERMIT NO: E 077498 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA, CA 92626
APDL.MARINO ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE : 0TH
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : INSTALLNEW A/C & F.A.U. SQ FT :
ARCH,OR ENG.'S ADDRESS: UHT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
CONTRACT0RSNAME:AIRDUCT MECHANICAL ( 714 ) 495-1238
C I1BACTOR'sMAILING 3249 PO BOX COMMENTS: REF-M-77488
ADDBEss:LAGUNA HILLS CA UC.NO.: 576261 +t****at*****it*4****anter -******+eats-s(-its-it*at*at***atx-atK-* -**x-*****M***at***atat-eE**K-ssx-->FatseM*itrt
92654 INT: ZONING REQUIREMENTS
UCENS ED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code.and my license S in full face and effect.
CITY IC.NO.: LIC.CLASS: . LIC.No.: 576261+WdMOMMIIEXP : MAIN BUILDING ACCESSORY BUILDING
SV-( 4c contact«. FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
` LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT : FT IN
B BUILDER DECLARATION:I hereby affirm under penalty of perNty that I am exempt from the on radon License Law for the
following reason(Section 7031.5 Business and Professions Code:Any cry cc county which requires a permit to construct,alter,improve. PARKING REQ: PROV: PARCEL: 13905118 Z N E: REF NO:
demolish,or repair any stmcture,prior to its issuance.also requires the applicant for such permit to fib a signed statement that he or she
is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Section 7000)of Division 3 of the PLANNING NOTES>
Business end Professions Codel or that he or she S exempt therefrom and the basis for the alleged exemption.Any violation of Sawn >
7031.5 by any applicant for a permit subjede the applicant to a civil away of not more than foe hundred dollars 135001). ,K.*)E.KK,*****,IE,IE***,IE**,1f,1E********iF*****;9 k**1E**********,IE*,**,If,K,*****,iF****************1E*
o I,a9 owner of the properly or my empbyeee with wages as their sole compensation,will do the work,and the structure a not intended D EVEL OPMEN T S E- R VICES REQUIREMENTS
Of offered ler sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property ]--
who buds or improves thereon.and mho does such work himself or herself or through he ix her own employees.provided that such •
improvements are not intended or offered for sale.If,however,the building or improvement is add within one year of completion.the ZONING APPROVED BY DATE:
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I,as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and
Profession Code:The Contradors License Law does not appy to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : • DATE:
contracts for such projects with a contradorls)licensed pursuant to the Contractors License Law).
•
❑ I am exempt under Section: B.8P.C.,for this reason: APPLICATION ISSUED BY: DATE:
*************************************** ************************� 6
Date: Owner: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT: N
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and
25534,and that I or any future building oaupant will/wit not(circle one)need to comply wih said state codes and the requirements for
aperma for construction or modicationh«ntheAi Duality Management District.Residential construction are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
Provisions. ePERMIT 9 . 0 0
Date: Applicant: 5 0% SMIP/NON—RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declaration: ISSUE FEE 15 . 00
o Ihave and wilmaintenacenaioatedconsent toself-insure for workers'compensaton,asprovi
compensation,as Section oft
byS3700heLabor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,for the performance of the work for which this permit is issued. TOTALS----> 9 . 00 15 . 00 0 . 00 24 . 00 24 . 00 . 00
❑ I have and vii 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 canter and policy number are:
Carrier: REVENUE DIVISION TOTALS--> COLLECTED : 24 . 00 OVER/SHORT: . 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(m; section need not be completed I Me perm4 is for one hundred dollars(5100/or less.) 24 . 00
P. t 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 '
hied to the workers'compensation laws of California. and agree that if t should become subjectto e weter ***************************************************************
1 mpen98tion lepn9 Of Section3700 Of the ,ro�dana. the iINDIVIDUAL D I V I D U A L F E E BREAKDOWN
Warning:Failure to secure wolfram'compensation coverage la unlawful,and shall subject an employer ro criminalpena/tles and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up ro one hundred thousand dollars(SI04000),In=Winton to the cost of compensation,damages as provided for In
secffon 3705 of the tabor cPW,Interest,and atromey'A fees. ELE 1 RECEPT/OUTLET 1 ST 20 EA. . 75 . 75
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a construction lending agency for the ELE 1 REC EPT/SWITCH 1 ST 20 EA. . 75 . 75
performance tithe woof f«wnid,this permieissued(Section 3097.cv.c). ELE 1 MOTOR/POWR APPARATUS 1 . 1 — 10 .0 HP 7 . 50 7 . 50
LENDER'S NAME: END OF FEES
LENDER'S ADDRESS:
I certify that I have read this application end pate that the above Information is coned.I agree to comply with all dry and county ordinances
end state laws relating to building construction and hereby authorize representatives of this thy to enter upon the above-mentioned proper
for inspection purposes.
JOE WINSTON
Print Name 1.0.47: ••".1. .r —, .
/ .21 - I_'JC. 2E S i
Date�,Z�� G OAT,' . r-.E:
Signature of iron pt.,'ppbcan 'ontrador r
(5151'46 WP) While-Building 8 Safety:Green-File:Canard--Applicant;Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING . POOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
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 OF ER 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 I 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 ❑Gas 0 Oil
23. Gas Pipe-Rough & Test - 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Root 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 y/3(crb p.tJ 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
48. FINAL PLANNING
49. Electric Release to Edison .
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
OWNER S_TRIEBY, ROBERT H. DATE NOV 1 0 1964
JOB ADDRESS 1'7$6 IOWA St. BUILDING PERMIT NO. 23190 ..-
7 GENERAL CONTRACTOR OWNER-Builder VALUE $ 100.00
AP No. 139-051-2 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORKCOIIRn• Block Wal.
INSPECTIONS Signature DATE GROUP J TYPE T ZONE
Solt PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Com. Refrig. :❑ Air Cond. []
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line 0 House Con.0 St. Swr. 0
Sprinkling System
Construction Pole
Underground -0 Power:❑
Rough Wiring �i.
Trenches i,®/Forms ❑ Steel Reinf.a� 4% :-/9'-v
Floor System
Bond Beam ❑ Steel Reinforce ❑
Sheathing
Frame and Flashing
Lathing— In ❑ Out ❑
Plaster, brown coat
Refrig. 0 Air Con. ,❑ Final
Heating, Final
Plumbing Fixtures, Final
,--
; FEE RECEIVED
23190
COSTA MESA BUILDING-SAFETY DEPARTMENT NOV 10 1964
P.O.BOX 917 COSTA MESA,CALIFORNIA ((!!����FIINn(AFFNCEEn jD��EPMMT..����
For Applicant to Fill In Completely APP T AYIOI�f9b12•I+� it
TYPE OR PRINT BUILDING
BUILDING / 7f/ _v_' _ For Office Use Only
ADDRESS n ✓1 ( J`SIZfJ�
0-7-
RECEIPT NO. P�q�^{T�yQ
MESA. CALIFOR�11}1 2J rim
I
f{)� CSX(-��//_.^�
Z l P[C[ OOY II RECEIVED O/y�/c188 EO
OWNER l/JIo 1 I///oIG4/
BUILDING p / C1
MAIL / / , ADDRESS I V �P ,1(� ��� ST
--
ADDRESS
// p
TEL //Q /(� ZONE 3 PE I GROUP
CIT NO.' rl D` I`I/ . f /lQ/G/
APPROVED
(,T/, ��// - / ( `�A
ARCHITECT TEL. BY DATE
OR ENGINEER NO.
ZONING 30 r
ADDRESS 6?2tea4
CONTRACTOR Arles �/'vj24 �"1I SULDNDEW
LEGAL
DESCRIPTION 6s• r& 13 , 'F�
ADDRESS J 2
CITY A.P.NO. 13 7 on —
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL 90"TO SIDE B REAR P.L.
LIC.NO. 0 X(0-"6 NO.
EAVES
SIZE _J�_ � I NO.OF BLOCS ALLOWED (U.B.C.REQUIREMENT)
OF LOT NO •
�•N T YARDS APPROVED YARDS APPROVED
USE OF I MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.- ..„,/ l�� fn&�- _ it,. N/-/ :
(FROM C/L STREET)
SETBACK LINE FROM FRONT 'P
CENTER OF STREET / R ARD ��. FT.
SIDE YARD I LEFT I RIGHT R.SIDE Orr. FT.
DESCRIPTION OF WORK L.SIDE ‘--FT. FT.
II .
NEW ALTERATION _ ADDITION REAR / FT. FT.
( DISTANCE BET. BET.MAIN B
REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.BLOCS.
BUILDING NO.OF VAR.OF DATE
SIZE ROOMS STORIES ,C.U.P.S APPROVED
EXTERIOR WALL I ROOF APPRcW D (9
COVERING COVERING BY W •O' 1 1�IFf
TE I -( b-�y
USE OF BUyrD0INO AND WORK TO BE PERFORMED
[
01- (`? / >Ike 6 (A J�K SQ.FT.
I HEREBY ACKNOWLEDGE TH AVH READ THIS APPLIC ON THE AMOUNT SHOWN UNDER VALUATION IS FOR THE s',
AND STATE THAT THE ASOI
RRECT AND AGREE OM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. D
PLY WITH ALL CITY ORD ND STATE LAWNS RE TING VALUATION OO O m
BUILDING CONBTgU•' •J �/ A / / I
•!//__JT/// .5C`�//./([\/ /(�yFT(/ PERMIT FEE $ "� D
SIGNATURE OF / •e/ ) D
PERM ITTEP KiY
7 S / PLAN CHECK $
AUTHORIZED AGENT 31
PO 2
TOTAL FEE $ 2
,
._ 13694 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT a JAN 19 1961
P. O. BOX 917 COSTA MESA. CALIFORNIA FINANCE DEPT.
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
ADDRESS 1786 Iowa St.
COSTA MESA. CALIFORNIA For Office Use Only
OWNER Trojan Land Co. I RECEIPT NO. 11tSI R-O.+,
MAIL - RECEIVED BY I DAVI RE6E VED DATE ISSUED[
ADDRESS 1533 Baker St. {�//`�O !/ I JAN 1R if,r,1
CITY Costa Mesa TE X191151 BUILDING
NO. JJ ADDRESS
ARCHITECT Carlson,MiddlebrOokEL. COSTA MESA. CALIFORNIA
OR ENGINEER Rosa NO. ?
ADDRESS Garden Grove FIRE o
ZONE 'TYPE GROUP0�1
CONTRACTOR Dike & Colegrove, Inc. APPROVED
BY DATE A/ , ,r/)
ADDRESS 1533 Baker St. ZONING ��-'''AAAAA6 I�/lfyw/A��IIj/71"�/�'.
ION/��) NO.OF /� USE OF Ngpy-n `
CITY Costa Mesa (t/ _ I
I PUNS �/ I BUILDING/ id
STATE TEL.
LEGAL
O
LIC.NO. 167293 No.KI. 9-1151 DESCRIPTION Lot 65, Tr. 31103
SIZE I NO. OF BLOCS. ,�,, /)
OF LOT 60 X 100 NOW ON LOT none A.P.NO. r\-terr•-9---)
USE OF YARDS EVES
EXISTING BLDG. rn���A/�A APPROVED ALLOWED
SETBACK LINE FROM SW REAR YARD 28 (CENTER LINE BT.)
CENTER OF STREET FRONT A�., FT. IN.
SIDE YARD I LEFT 51 I RIGHT 51 R.SIDE / FT. IN.
DESCRIPTION OF WORK FT. IN.
L.SIDE `�
NEW I X II ALTERATION I II ADDITION I REAR (' FT. IN.
BUILDING •II II MOVING
OFI �DEMOLISH I BYPROVED/i. 0 D (A 9-6
– /
SIZE 1+165 SCI. ROOMS 6 STORIES 1 LCA ///��� •/ f!/
EXTERIOR WALL ROOF
COVERING stucco I COVERING comp. rock
USE OF BUILDING AND WORK TO BE PERFORMED
A P4
Single family residence with
attached garage. Plan 11CR
I HEREBY ACKNOWLEDGE THAT 1 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 CONBTRUCTIOj/�I�f- VALUATION
PERM IITTEF OF- v /�—' PERMIT FEE $ 35.00 N
11
$ 15,139. PLAN CHECK $ 17.50 i
AUTHORIZED AGENT Dike & e rove Inc. 52.50 e
TOTAL FEE u