HomeMy WebLinkAbout1800 IOWA ST - Building Permits CITY OF COSTA MESA
BUILDING DIVISION
rf __.d DEVELOPMENT SERVICES DEPARTMENT PER NUMBER
F 1 ^7
`e. 111111411 . PERMIT
`e omnis B05-01164
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1800 IOWA ST Status: ISSUED
Suite: Applied: 07/12/2005
Vicinity: ROOF - Issued: 07/12/2005
Primary Occ: R-3 Dwellings/Gong Res<10 Type of Construction: V-N
Parcel Number: 13905105 Zoning:
Applicant: OSTORVA, FLORENTINO ISSUED BY:
Address: 906 S FIGUEROA ST •
Phone: (714)775-3375
SANTA ANA,CA Zip: 92704
Owner: HAMM;DAVID S -
Address -' 1800 IOWA ST
Phone:
COSTA MESA,CA Zip: 92626
Contractor: FIRST QUALITY ROOFING
Address: 906 S FIGUEROA ST
- Phone: (714)775-3375 •
/ SANTA ANA,CA
Zip: 92704 License:. 776969
Arch : - - — Eng:
Address: Address:
•
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT '
TEAR OFF EXISTING ROOF.INSTALL 2-LAYERS OF 304$FELT,30 YEAR COMPOSITION SHINGLES,CLASS A,AND REPAIR/REPLACE
SHEATHING AS NEEDED.2,688 S.F.INCLUDES ATTACHED GARAGE.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $6,000.00
Permit: $125.25 Claim Valuation: $6,000.00
SMIP Res: $0.60
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $125.85 -
PLANNING &ZONING
SETBACKS , -,N ,
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 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
2446-46(6/00)
DECLARATIONS v
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
.- '.
IF My w and will maintain ion nasaeInsurance,oli required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued.
r May wporkers'comp Insurancensation/� carrier and policy number are:
4Oerder, ( C 1.-A-7 . Policy Number. V 02(,5,79,_20�
uA�ection nee not be completed i1 the jprmit Is valued et one hundred dollars($100)or less.)
❑ 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 workers'
compensation laws of Califomla,and ag a that if I Id become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these p ' ns. -
RIpp anlSignatur (Da(6'Jp +:- .‘7-1 a-C7"--`WARNING:FAILURE T RE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLDYCRT/ANAL PENALTIES AND CML FINES UP TO ONE HUNDRED
THOUSAND DOLLAR 000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTJON 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
IA? by effinn thzt I am Jlcensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 e.Business and Professions Code,and my license Is in full
f rc afid:effect.Lica r - 1 1 Co RC. 4 jass:Y- _.",vC: 3 "I
' tr.0 i edor S ature: /_ ,, gni t;7 p-vs,. , Dete:--'----n "I Z.-OS-
c>---- L/✓+ Pa "--.
CONSTRUCTION LENDING AGENCY:
❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's 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:My 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 and Professions
Code:The contractors License Law does not apply to an owner of properly 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 driver's license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property 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 Code).
❑ 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:
1 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 Califomia 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).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California 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 end Safety Code been fully complied 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 aRermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes LI No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑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 duality 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 and 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 ,:gal Owner Date
a-i'•, .i: 7—?z=o S
And/Or Authorized Applican : ,;f . 77.: --z- • Cr"Date--r/
CODE j, iN$PECTION TYPE PAH HEM CODE f INSPECTION TYPE MATE MALE
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
^7
200 Final Re-Roof /'.igi-QC a Z-- . 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
' CITY OF COSTA MESA
4BUILDING DIVISION
>a ,1 I, 144r IIFIA DEVELOPMENT SERVICES DEPARTMENT PER IT NUMBER
• PERMIT
righ
PO4-00552
(714)754-5273 • Fax(714)754-4856 • www.ci,costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
PLUMBING PERMIT
Job Address: 1800 IOWA ST Status: ISSUED
Suite No 'Applied: 08/06/2004
Issued: 08/06/2004
Vicinity:
Parcel Nunmber: 13905105 ISSUED BY: I
Applicant: SZABO, KEVIN
Address: 17390 MT CLIFFWOOD
Phone: (714)241-1414
FOUNTAIN VALLEY Zip: 92708
Owner: HAMM, DAVID S
Address 1800 IOWA ST
Phone:
COSTA MESA,CA Zip: 92626
Contractor: COAST ROOTER PLUMBING HTG &A/C
Address: 17390 MT CLIFFWOOD
Phone: (714)241-1414
FOUNTAIN VALLEY Zip: 92708
License: 529127
Arch / Eng:
Address:
Phone:
Sir
Zip:
License:
SCOPE OF PERMIT
WATER HEATER CHANGE OUT.
•
FEE SUMMARY
AMT QTY AMT QTY AMT QTY
ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0
Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0
Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0
Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0
Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0
Connect(Ice,Soda,etc) $0.00 0 ' Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units $0.00 0 . Septic Tank $0.00 0 Wash Basin $0.00 0
Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0
Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0
Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0
Drain,Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1
Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0
Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 ,
Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 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 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
2446-46(6/00)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION: •
I hereby affirm under penalty of perjury one of the following declarations: •
0 I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
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:
Cartier: Policy Number:
(This section need not be completed i/the permit is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance he work for which this permit Is Issued,I shall not employ any person in any manner so as to be me subject to the workers'
compensation laws of !Hernia a d agree that If I should become subject to the workers'compensation provisions of Section 37 of the La r Cod ,I shall forthwith
comply with these o Ions. a/
Applicant Signature: ✓ / Date:
SHALL FAILURE TO SECURE E 'COMPENSATION COVERAGE IS UNLAWFUL AND SHL SUBJECT AN EMPLOYER TO CRIMINAL PE ES AND VIL FINES UP TOONE HUNDRED
THOUSAND DOLLARE(6100,000).IN ADDM TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S 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, ' d my license is in full
force and effect. # Class#
Contractors Signature: Date:
4,�K•
v
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,Civil Code).
Lender's Name: _ Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty 01 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,em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to en 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 driver's license. 0 Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property 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 B,California Administrative Code).
❑ 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:
1/11
Division of Industrial Safety Permit Number.
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 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 ❑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 al 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).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California 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 Califomia Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or wile applicant or present or future building occupant require for the work which is the subject of this.application a kerma for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? -P Yes U No
(Section 65850.2 of the Califomia 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? ❑Yes 0 No
(If yes-,the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 II 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
B (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 and 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.
Tature Of Legal Owner(s) Da - '
r� ♦ /
And/Or Authorized Applicant a to
900E t INSPECTION TYPE Qd1F ItiI!Dd45 CODES 9l5PECTtON TYPE PATE IKOMLfl
1616 Fixed System Final Fire Prevention 206 Final Mechanical t
1266 Pool Spa Final 208 Final Plumbing 3—3 7W— 6
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 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
PROJECT ADDRESS: 1800 IOWA ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 047240
OWNEWS NAME: EMMA MCGREGOR •
ADDRESS: 1800 IOWA ST PERMIT NO: B 047240 PLAN CHECK NO: 03912-90 S GOVT : N SUPP : N
COSTA MESA
CA 92626 CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: ALT
( 714 ) 751 -5323
e ARCN/ENOINEER: REG.NO.: JOB DESCRIPTION : 348#SQ PATIO COVER (TRELLIS TYPE) SQ FT: 348
ADDRESS: UNIT:
CLAIM VALUE: CALC-VALUE: 4 , 802 . 40 GROUP OCC : R-3 /
PERMITTEE: LANDCRAFTERS ( 714 ) 962-0839
4 ADDRESS: 19342 BROOKHURST COMMENTS : SMOKE DETECTOR( S) REQUIRED IN HOME.
oriEar
HUNTINGTON BEACH CA E1/46 ****************************** ************************ *+t*aE�r�r�r**�r�E**;,r+e**as*er*
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under Chapter 9(commencing with Section Z ON I N GS ERTEBQAUC I SETBACKS E M E N T S
7000)of Division 3 of the Business and Professions Code,and n II •n :is In lull I!® ed.
CITY uC.: 050559 STATEUC.:50973 •
Data:_r�9—pt Signature:_41. MAIN BUILDING ACCESSORY BUILDING
' "RKERS'COMPENSATION DECLARATION: Ihereby affirm t.tlha• acertfiateof•• ..tto self-insure oracertificate ofWorkers' FRNT: FT IN REAR: 20 FT IN FRNT: FT IN REAR: FT IN
npensabon Insurance.or a certified copy thereof(Section 3800.L b.C). LEFT: FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN
.OJCy NO.: EXP.DATE:
COMPANY: PARKING REQ: PROV: PARCEL: 13905105 ZNE: R1 REF NO:
❑ Certified copy is hereby furnished. ❑ Certified copy is feed with the city Building Division. PLANNING NOTES> ADD 348 SF PATIO COVER TO AN EXISTING SFR
>
Date: Applicant:* ******************************************************************************
E%EMPRON FROM WORKERS'COMPENSATION DECLARATION: (Ms j. reed not permit s for old hundred(5100)o less). DEVELOPMENT SERVICES R E Q U I R E M E f4 TS
I certify that in the performance of the work tor which this••' t .r -• I stall n employ person in any manner so as to become [+ q.
subject to the workers'Compensation Laws of Caen ZONING APPROVED BY J C CAr. .I'� DATE: ".�—! �'
Q
Date: S— 9 - ! d Signature: .1117. as—
NOTICE:II.after making this declaration.you should b Y s tea to the Workers Compensation provisions of the Labor BUILDING APPROVED BY % DATE: ;4'•�—�p0
Code,you must forthwith comply with such provisions•r the •-mat shall be dee :• revoked. /
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction leedlo• agency for the performance of the work for APPLICATION ISSUED B Y: _. - *,. DATE:- a,r----27.--,11:9
which this permit s issued(Section 3097,Civ.C). ***************************** ** ***** ** ***** ************** *** ***#**
UNDER: ******************************************** *********************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT :Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contactors State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city 01 county which requires a permit to construct,alter,Improve,demolish,or PERMIT 72 . 00 5 0
repair any structure,prior to its issuance.also requires the applcant for such permit to fie a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'Slate License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Businessp LAN 46 . 80
S M I P/NON-RES
and Professions Code)or that he/she is exempt therefrom and the basis
for the alleged exemption.My violation of Section 7031.5 by
y applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars(5500). ISSUE FEE
I. as owner of the property or my a qlayees with wages as their sole compensation, wit do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
I structures not Intended or offered for sale(Sectlon 7044,Boneless and Professional Code: The Contractors'State License Law TOTALS----> 72 . 50 0 . 00 46 . 80 119 . 30 119 . 30 . 00
• does nol apply to an owner of a properly who builds or improves thereon,and who does such work himself/hersell or through
his or her own employees.providedthat such imprtrvements are not Intended or offered for sale.If,however the Mang or REVENUE DIVISION TOTALS--> COLLECTED • 119 . 30 OVER/SHORT: , 00
improvement B sold within one year of completion•the owner will have the burden of proving he/she did not build or Improve
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 72 . 00 • 5 0 4 6 80
❑ aed Professions Cade: The Contractors'State License Law does not apply to an owner of property who builds or Improves thereon
and who contracts for such projects with acontractorls)license pursuant to the Contractors'State License Law).I am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BR EAKDOWN
❑ I am exempt under Section: B.&P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner SFR 348 RES-PATIO COVER-POST 6 TRELLIS 13 . 80 4 , 802 . 40
I do hereby certify that I am aware of and understand the requirements of California Health and Safely Code Sections 25505,25533.and END OF FEES
25534 and that I or any future building occupant wuWdll not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby ceN fy that I have read this application and state that the above informat• is correct..tree to comply with all city and county
ordinances and state laws relating to building construction and h.rep:•• natives of •city to enter upon the above-mentioned \\\
property for inspection purposes.
Date: LC-171r° Signature: / -
01 00060466-00060468 TOT 119.30
Driver's License or Social Security e: DATE: 05/09/90 TIME: 13:03
184146 White—Building;Green—Code Enforcement:Canery—Applicant:Pink—Re enue:Goldenrod—Assessor
a
• CONSTRUCTION AND PLANNh.� .1411 & SPA'
I. APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pdol & 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 . c-1 O--% 610 - 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 v
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 ❑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 i ' ' - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat i i . ' 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 ._ _ i
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 fitik
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
NOTE: SHOW AND DIMENSION PROPOSED
PATIO COVER AND YARD AREAS
11
6D SEE DETAILS ON REVERSE SIDE
'f T`--
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• . L •�� ROOF SHEATHING
"•. OVERHANG
P% I _X_RAFTERS J „'`•.........•
��� ,
t, I AT_0.C.
l � T
_CC)_CC) c5
t 0 _X_ BEAM
T-STRAP EA. SIDE
i•-9' Y / co FOR POST-BEAM re
0 .CONNECTION. W :0
Permit ## Bel zto • O.
R Z R
( THIS NUMBER MUSTT��3C/ •MPANY CO y I- .N 0 z
11111111116; ai:
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�$I City of Costa Mesa rI i n ng Dept. o_1 N o W
DROP PA 10' ILI i z x J z O
Qp Z m
Q BY f DAT - -1F9n o a � 0 3 a
7$ 90 z9 =, TH�jSE PLANS MUST BE ON JOB Al . TT'Lp19. VAtO D•AIN a rn I PLATE 1" �.'
NO ItHANGES WITHOUT JRIOR An ; aI ABOVE SLAB
App OVED Qt : :.,-':: �o:.:f:a. . . --oil, l
1 A dT044 THE ISSUANCE OR GRANS S 3 OF A PERM 'L •L14
PLAN: AND SPECIFICATIONS S LOLL NOT BE CO <;TRUED 10 BE AI
• CITY OF OSTA MEM I P{.RM r FOR, OH AN APPROV,L OF,ANY VIOLA, L'26),GA."1G:71: F ASHING -Al I I
• PLAN ,NO per, T:IE P IOvISIONS OF THIS COD NO PERMIT PRESUM' WOODVIFL.OR __5__L__ J
�A —10ot ik e:.L;''H .RITY TO VIOLATE OR C \NCEL THE PROVISICONSTRIJOTI n N PIERS 12" SOr—ji W
mina To ' ''. DT. MIL CODESHALL BE VALID EXCEP IN SO FATOAS THE WORK OR USE 0
b?. WI;ICI iT AUTHORIZES IS LA'Wr A. tr
_ 7� (,
It 1 71E ISSUANCE OF A PE :WIT BASED UPON PLANS AND Z
Ian CO RAMON/ srrc. IC..T,D1:S SHALL NOT I REVENT THE BUILDING OFFICIAL il
FROM THF.DEEAFTER PECUIRINt THE CORRECT V nF rRpn C'
pTn CC— S\O PLANS MA) SPECIE(.. TIONS OR F 'IDE. .tEEVATI0N
o-rn L c Ith\C..CPERATiONZ BE:'hi ;ARR:ED ON THEPE_L7-SER WHEN
1 CF THTC CODE C i Of AfY OTHER OR IN'A ICE CF
NOTA ,
pppIT10NS, DELETIONS, ' EPA1° " LN CONSTRUCTION DETAILS
tit. HrFft6' BY Tim P Q
20w5,ROOF CONNECTION DEVELOPMEIT PATIO COVER
DETAILS SERVICES DEPARTMENT
BUILDING SAFETY DIVISION T Y P PLANS
CONT, SOLID BLOCK
LEDGER a RA OWNER:OWNER: E'm WIA- M c 6 I2P(3-4eDATE : 5 9 9 0ft
.
' ADDRESS: (kms � uP\ PHONE: 7 S 7-- C3 2 3 /
I/2" DIA. X 5" LAG SCR. CONTRACTOR: LINAiDeckkF r e✓ZS LIC. NO. St 3 7 3 S
AT 32" O.C. ADDRESS: 03 V2 g t0tD< 1agii-S'r UI4 2 -c-N-3 ?
PHONE:
DETAIL I RAFTERS RAFTERS APPROVED FOR
CARPORT, PORCH OR PATIO LIGHT WEIGHT ROOF COVER OF BUILDING PERMIT
NOT SUPPORTING CEILING LATH, FIBERGLASS, ALUM.
By Date
SIZE SPACING SPAN SIZE SPACING SPAN
2"x4'! 12"O.C. 9' -6" 2"x4" 16"O.C. 9'-6-6"
CR B CL "TECO" GENERAL NOTES:
GRIPS OR JOIST 16" 8' -0" 24" 8'-0"
HANGER 24" 6' -6" 32" 6'-6" 1. These plans must be
CONT, kept on the job at
LEDGER 32" 5' -0" 48" 6'-6"
'fit 48" 6' -6" 2"x6" 16" 16'-6" all time during
2"x6" 12" 16'-6" 24" 14'-6" construction.
• 16" 14'-6" 32 12' -0" 2. All framing to be
24" 12' -0" 48" 10' -0" Douglas Fir N4 2 .
'3/g 6I ,C.. LAG SCR. 32" , 8' -0" 2"x8" 24" 19'-0' -0" 32" 15'-6"" grade minimum.
48" . 8
AT 16 " Oo. 3.. Rafters may not
DETAIL 2 2"x8" 24" 15' -6" 48" 13'-6" attach to facia ex-
32" 13'-6" . , . cept for l0roof:
48" 11'-6" as shown on details;
101ts.OR LIGHT WEIGHT ROOFS 4"x6" 24" 17' -0" HEADERS ; 201bsroofs .must use
, _ a continuous ledger
ONLY CONNECTION DETAILS 32" 15' -0" LIGHT WEIGHT ROOF ONLY
36" 14' -0" attached as shown
2" X FACIA-MIN. REO. 4"x8" 24" 21 ' -0" SIZE POST SPACING - on details filen.
32" 19' -O" 4x4 6' -0" ' 4:--LighC weight roofs
36" 18' -0" 4x6 9' -0" • may attach to facia
� 48" 16'-0" 4x8 12' -0" + "" "
•' '—lot 14'•-span-meic. ,
IMa 16 - 1 4"x10" 32" 22'-0" 4x10 15' -0" ' ,.......,. — . s, ars pvei„1'4 must
use a continuous
10 36” 21'-O"
CARPORT, PORCH OR PATIO . ledger as shown in
APPROVED METAL 48" 20'-0" SIZE • POST SPACING
HANGER 72" 17'-O" 4x4 5' -0"
detail 413.
4x6 i . 8' -0
DETAIL 3 4x8 -10' -0"
4x10 12' -6" nM m
. It
1
• A-?NsecoIiINvos 'LAp&ok W/
3/8f{S'L!1�SCRew3 t S'�DS
+ 21h! ~eRFfJt P-vlS whips'lsr,149,
£ f
' our% Co tW4% ,
2I $ (A'ryeitie�H .S«5p s.4/�•-
7y t'•y.24-x "-F4e(zs.
• s 7• t/.2.07D ' a e rfr.
j . M� 0 o0Ei %cO . . - • •
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\ 1.1/11 M o s•a9 Ci it l C i ; g.tt.0 _ ' '
•
- APPROVED
- I '�: .Ertl Elul Ilii! 11111
�+ �� jj • i City of.Costa Mesa Building Dept.
1./ DATE • ' l / 19 9�
'\ . ' l .. �I. .'' =13' ' B AT ALL TIMES MAKE
fid 771/x,/'ft NESE PLANS
A S1lI WITHOUT PRMJST BE IOR APPROVAL OF DEPT.
'• 'r � �'" [ IE ISSUANCE CU GRANTING OF A PERMIT OR APPROVAL OF
_ ;q�� - !_f _ _ P_r NS AND SPECIE CAT IONS SHALL NOT 3E CONSTRUED 10 BE A
: 7n _ T P=?MIT FOR, OR I N APPROVAL OE ANY VIOLA1 ION OF ANY OF
' + - s'f •- ' ;� - .T 1 PROVISIONS C "11.115 CODE.NO PERMIT PRESUMING10 GIVE
•' _ - .. / . �l"HOR:TV TO VI LITE CR CANCEL THE PROVISIONS OF THIS
• _. ` s ' , a .r,.•o+ • /..p,t, . .'y..)E SHALL BEVM.1 EXCEPT IN SOFARY.S THE WORK OR USE
"jT -Ljr,y, ,/e {�F�L� - • oa Jn ICH IfAUTHORL E,IS LAWFUL.
L l {f•.= JII ( ,( ��q ` THE ISSUANC ( DFA PERMIT BASED UPON PLANS AND
VaI t tf- A-r50,� X11 -'1 ,•;,E�. �.'�• 'YQT1tY cdc '.•`VItJ SPECIFICATIONS E IP_L NOT PREVENT THE BUILDING OFFICIAL
l�` FROM THEREAFIE I'=DURING THE CORRECTION OF ERRORS IN
ti"', P1 AA'O A'" PECIRCATIONS OR FROM PREVENTING
. . . S BEING CARRIED ON THEREUNDER WHEN
r_, r. .•" IN VIOL.;IION OF THI'- CODE OR OF ANY OTHER ORDINANCE OF
U
Frrc RECEIVED
136; (h JAN 19 1961
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
BADDRESS 1800 Iowa Street
COSTA MESA, CALIFORNIA For Office Use Only
La.
RECEIPT NO. R[1`T`NrO/
va
OWNER TT jan Land . I 4 .`Y7c
MAIL 1533 Baker 5t. RECEIVED BY I
DATE RECEIVED DATE ISSUED
ADORERS T � I//� i `/7''4/ JIM A S 19S1
CITY Costa Mesa NO. x191151 BUILDING
DDRESS
OR HITECTER Carlssoonn,,Niddlebroolk�Eo: COSTA MESA. CALIFORNIA
ADDRESS Garden Grove FIRE
I/ A [I�-
ZONE TYPE GROUP b
CONTRACTOR Dike & Colegrove, Inc. APPROVED
BY DATE
V�
ADDRESS 1533 Baker St. ZONING i,Qk �' b)
CITY Costa Mesa EOMH� NO.OF n_1 _ U88 OF NeYE1.NV p /1jAIN
PLANE T I BUILDING���"'f l)l I I
LICiuO. 167293 NOL: K1. 9-1151 LEGAL II Lot 68, Tr. 3403\ tl U
•
SIZE DESCRIPTION
OF LOT 60 X 100 I NO. OF BLDGII., p
NOW ON LOT sane A.P.NO. p-t-t I �/
USE OF YARDS I EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM OI 47 I lag REAR YARD 131, FOUR LINE ST.) FT. o R IN.
CENTER OF STREET
SIDE YARD I LEFT 51 I RIGHT 51 R.SIDE ,c-FT. IN.
DESCRIPTION OF WORK
X L.SIDE _) FT. IN.
NEW I X II ALTERATION I II ADDITION I REAR 3 1 FT. IN.
REPAIR I II MOVING VI DEMOLISH I APPROVED A. �' r'n DA E r-/g--6 /
SIZEILDING 11465 NO OF L STORIES 1 L� L1/-
sq.f JAM.
V
EXTERIOR WALIS.tucco
COVERING a I RCOVOOFERING P com rock
USE OF BUILDING AND WORK TO BE PERFORMED
Single family residence with L. /3 0p
attached garag
e. Plan 11C
I HEREBY ACKNOWLEDGE THAT I NAVE 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 CONSTRUCCT�ygl. - VALUATION
SIGNATURE OF f f % PERMIT FEE $ 35.00
PERMITTEF " A
$ 15,139• PLAN.CHECK $ 5
17. 0 `p'
AUTHORIZED AGENT Dike Colegrove, Inc. 52.50 z
TOTAL FEE $ 2