HomeMy WebLinkAbout1808 IOWA ST - Building Permits O CITY OF COSTA MESA Y. i
I 4 4 '°A BUILDING DIVISION
>• ,,' k-4r DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
1.. 1 Wr�%� I PERMIT
E01-00751 •
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
ELECTRICAL PERMIT
Job Address: 1808 IOWA ST Status: ISSUED
Suite No Applied: 08/23/2001
Vicinity: METER AT REAR OF PROP Issued: 08/23/2001
Parcel Nunmber: 13905107
Applicant: FRALEY, LESA W ISSUED BY: '
Address: 1808 IOWA ST
Phone: 714-546-2944
COSTA MESA,CA Zip: 92626
Owner: FRALEY, SEAN D & LESA W
Address 1808 IOWA ST
Phone: '
COSTA MESA,CA Zip: 92626 ID
at Ali
Contractor: OWNER-BUILDER jb-t
Address: 9W
Phone:
Zip:
License: 0
•
SCOPE OF PERMIT
ELEC PERMIT TO UPGRADE ELEC SERVICE TO AN EXISTING SFD. 1 SERVICE TO 200A. 2
OUTLETS.
-- • 12 LIGHT FIXTURES,7 RECEPTACLE OUTLETS,8 10 SWITCHES ADDED TO EXISTING PERMIT ON
9/7/01.
c.
FEE SUMMARY
Quantity Quantity
ISSUE FEE $23.50 Temp Dist System/Lighting $0.00 0
Temp service test $0.00 Busway/100 ft $0.00 0
Res.a/c package $0.00 Standing Section $0.00 0
New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0
New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0
Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0
Lighting Fixts $13.20 12 up to 50 kva/kw $0.00 0
Recept Outlets $9.90 9 up to 100 kva/kw $0.00 0
Switches $11.00 10 over 100 kva/kw $0.00 0
Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0
Res Appl $0.00 0 Low Volt Wiring System/Ckt $0.00 0
Service to 200a $30.50 1 Misc.Conduit $0.00 0
Service to 1000a $0.00 0 Misc.Conductor $0.00 0
Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0
Motors to 1 hp $0.00 0 Circus(mech ride or lights) $0.00 0
Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0
Motors to 50hp $0.00 0 Fireworks Stand $0.00 0
Motors to 100hp $0.00 0 Other Electrical Fee $0.00
Motors over 100hp $0.00 0
Communication drops $0.00 0 Investigation Fee $0.00
Sub panel to 200a $0.00 0 Plan Check Fee $0.00
Pole Light Pkg $0.00 0 Reinspection Fee $0.00
Sign Circuits $0.00 0
Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $88.10
Intermed Pole $0.00 0
COMMENTS/ SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with an 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. I
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./ 1
FOR INSPECTIONS CALL: (714)754-5626 7/
2448-46(6/00)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION: - • 1
I hereby affirm under penalty of perjury one of the following declarations:
o 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.
o I have and will maintain workers'compensation insurance,es required by section 3700 of the tabor Code,for the performance of the work for which this permit Ls Issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed if the permit/s valued at 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 California,end 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 provisions.
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100.000),IN ADDITION 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,and my license Is in full
force and effect.Lie.# Class#
Contractors 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,Civil 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 end 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
Busine nd 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 pert*'
subje the applicant to a civil penalty of not more than five hundred dollars($500).):
I 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 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 ex m,i�t under c. Business end Professions Code for this reason:
i Signature:' ( Q ate:---C1f 1/A'
Owner ID v rifled by drivers license. ❑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(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
o 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 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 Cale 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 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 a permit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes up 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 Cale).
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 reed 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 pro rty for Insp tion pu es.I agree not to occupy or allow occupancy of any building authorized by this permit u II fi(n(¢/�/II inspection.
�ig rWW Leg Owner(s) liUafe�
And/Or Authorized Applicant Date
CODE 0 INSPECTION TYPE fga IN ALS CODE I lNSPEDTION nnn MI IIEMALX
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing 1 v
200 Final Re-Root 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 .° . s,
• a , .'D BUILDING DIVISION
, DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
fi .2....r.,_). 1
PERMIT
4. ria� E01-00751
(714)754-5273 • Fax(714)7544856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
ELECTRICAL PERMIT
Job Address: 1808 IOWA ST Status: ISSUED
Suite No Applied: 08/23/2001
Vicinity: METER AT REAR OF PROP Issued: 08/23/2001
Parcel Nunmber: 13905107
•
Applicant: FRALEY, LESA W ISSUED BY: _41......,_
Address: 1808 IOWA ST
Phone: 714-546-2944
COSTA MESA,CA Zip: 92626
Owner: FRALEY, SEAN D & LESA W
Address 1808 IOWA ST
Phone:
COSTA MESA,CA Zip: 92626
Contractor: OWNER-BUILDER
Address:
Phone:
Zip:
License: 0
SCOPE OF PERMIT
ELEC PERMIT TO UPGRADE ELEC SERVICE TO AN EXISTING SFD. 1 SERVICE TO 200A,2 OUTLETS
FEE SUMMARY
Quantity Quantity
ISSUE FEE $23.50 Temp Dist System/Lighting $0.00 0
Temp service test $0.00 Busway/100 ft $0.00 0
Res.a/c package $0.00 Standing Section $0.00 0
New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0
New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0
Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0
Lighting Fists $0.00 0 up to 50 kva/kw $0.00 0
Recept Outlets $2.20 2 up to 100 kva/kw $0.00 0
Switches $0.00 0 over 100 kva/kw $0.00 0
Non Res Appl $0.00 0. Low Voltage Equipment $0.00 0
Res Appl $0.00 0 Low Volt Wiring System/Ckt $0.00 0
Service to 200a $30.50 1 Misc.Conduit $0.00 0
Service to 1000a $0.00 0 Misc.Conductor $0.00 0
Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0
Motors to 1hp $0.00 0 Circus(mech ride or lights) $0.00 0
Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0
Motors to 50hp $0.00 0 Fireworks Stand $0.00 0
Motors to 100hp $0.00 0 Other Electrical Fee $0.00
Motors over 100hp $0.00 0
Communication drops $0.00 0 Investigation Fee $0.00
Sub panel to 200a $0.00 0 Plan Check Fee $0.00
Pole Light Pkg $0.00 0 Reinspection Fee $0.00
Sign Circuits $0.00 0
Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $56.20
Intermed Pole $0.00 0
COMMENTS/SPECIAL CONDITIONS
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
244848(6/00)
DECLA ' • TIONS
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.
❑ 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 carder and policy number are:
Carrier: Policy Number:
(This section need not be completed it the permit Is valued at 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 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 provisions.
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(5100,000),IN ADOrt1ON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I em 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.4 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,Civil Code).
Lender's Name: Lender's 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 pent*:
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 of 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 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: Poo Date: '/22/O
Owner ID verified by driver's manse. 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 structtire,scaffolding,falsework,or demolition or dismantling thereof,will be more then 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 e
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 Safely 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,ora 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 ❑No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Flre 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 0 N
(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 and 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 apermit for such construction or modification
from the South Coast Air Duality Management District or from any other air pollution control district or agency? PI Yes L"I 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 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 and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-descri d fo insp ion purposes.I agree not to occupy or allow occupancy of any building authorized by this rmit until final inspection.
property1 Q23 6
Ignaiur Of Legal Owner(s) O/ J Date
And/Or Authorized Applicant Date
900E I INSPECTION TYPE 26.1I MALE CQDEI INSPECTION TYPE PAIL 1tf1IDELS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing 94 Q t
200 Final Re-Roof 210 Final Electrical IILD—bl.
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
•
•
`enMF,s9 CITY OF COSTA MESA
4 ct P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200
)/t:
i
V a DEVELOPMENT SERVICES DEPARTMENT
BUILDING DIVISION
COURTESY NOTICE OF PERMIT EXPIRATION
June 2, 2006
Sean & Lesa Fraley
1808 Iowa St
Costa Mesa CA 92626-2003
PERMIT NUMBERS: E01-00751
FOR: Upgrade Electrical Service
PROJECT ADDRESS: 1808 Iowa St., Costa Mesa
Our records indicate the above listed permits were obtained for property improvements or
alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4
Expiration, permits are valid for 180 days from the date of such permit, or the date of your
last inspection for the project and additional fees will be required to finalize expired permits.
According to our records, the permits listed above have not had an inspection for a period
exceeding 180 days. If you have a signed inspection card indicating an inspection was
conducted within 180 days from the date of this letter, please contact this office so we may
correct our records.
If you need to request an inspection please call our Inspection Request Line at
714-754-5626. If you wish to request an extension, requests must be made in writing
addressed to Ed Petros, Chief of Inspection, at the above address, detailing circumstances
and listing an estimated date of completion. If you do not have an approved final inspection,
your permits will expire on June 12, 2006.
If you have any questions, please contact the Building Division at 714-754-5273, between
8:00 a.m. and 4:30 p.m., and a staff member will be happy to assist you. The accuracy of
records affecting your property is our goal and we appreciate your working with us to resolve
this matter.
Sincerely,
•
Mary Jane Weidenkeller
Office Specialist II
Building Division(714)754-5273 • Code Enforcement(714)754-5623 • Planning Division(714)754-5245
FAX(714)7544856 • TDD(714)754-5244 • www.ci.costa-mesa.ca,us
BUILDING DIVISION
EXPIRED PERMITS
February 13, 2007
Sean Fraley
1808 Iowa St
Costa Mesa CA 92626-2003
PERMIT NUMBER: E01-00751
FOR: Upgrade Electrical
PROJECT ADDRESS: 1808 Iowa St., Costa Mesa
This is to advise you that the fee to reinstate the expired permit listed above will be 1 hour of
inspection time per Ed Petros. You may come in to the Building counter to take care of this
matter. Once the permit has been reinstated, you may call for an inspection.
If you have any questions, please contact the Building Division at 714-754-5273, between
8:00 a.m. and 4:30 p.m., and a staff member will assist you. We appreciate your working
with us to resolve this matter.
Sincerely,
Mary Jane Weidenkeller
Office Specialist II
` • f r
February 5, 2007
Mr. Ed Petros
Chief of Inspection
City of Costa Mesa, Building Division
RE: Permit Extension Request
Permit#E01-00751
Upgrade Electrical Service
For 1808 Iowa Street, CM 92626
Dear Mr. Petros:
I am requesting an extension for the above referenced permit. The project is complete,
and the work is ready for final inspection. For personal family reasons, which can be
disclosed if necessary, I allowed the permit to expire since the last inspection this past
summer.
If your department has any questions please feel free to contact me at 714-264-5740
(cell), or at 714-546-2944(home). The best days and times for an inspection are
Monday's anytime, or Wednesday through Fridays after 1:00pm.
Sincerely,
�� Sean Fraley
Home Owner
PROJECT ADDRESS: —UNIT'
1808 IOWA ST CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 060801
OWNER'S
ADDRESS:DUDLEY, PATRICK
ADess'DUDLEY JUDI J PERMIT NO: B 060801 PLAN CHECK NO: N GOVT: N SUPP: N
27941 LUCERO
'A MISSION VIEJO,CA 92692 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
AflCNIENDIRES : ( 714 ) $55-9231 gEG.NO.: UNIT:
ADDRESS: JOB DESCRIPTION : REROOF W/COMPO 0/1 LAYER OF WOOD SHINGLE SQFT: 2, 500
0
PERMITTEE: CLAIM VALUE: 2, 500 . 00 CALL—VALUE: 2, 500 . 00 GROUP OCC: R-3 /M-1
ADDRESS:ADAMS ROOFING ( 714 ) 965-0245
1925 ANAHEIM AV B-2 COMMENTS: SMOKE DETECTORS REQUIRED PER THE 1991 EDITION OF C C ��
sp�E�L� T 1 eb CA 92§77 **�E*******�E****�N*�E***�E**�E+t�E� g***�N�E�E*********�E�P�N*�d***�E�E*FE�k* "41A51 E a5TECTOR
LICENSED CONTRACT I ere y affirm that I am licensed under provisions o apter 9(commencing with Section Z ONING REQUIREMENTS ��•.)
70001 of Division 3 of the Business and Prolessions Code.and my license is in lull force and effect. SETBACKS REQUIRE
CITY uc.:9944 22 STATE uc '524341 -D�s�s:/y`�� 9
�' Date:�L'37/7I Signature: CLW^ MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ PROV: PARCEL: 13905107 ZNE: REF NO:
II Certified copy is hereby furnished. ❑ Certified copy is filed with the city Buil' g Division. PLANNING N TES>
t >
.. . • Applicant: iii *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($1110)or less). DEVELOPMENT SERVICES R E Q U I R E M E N,iT. S
I certify that in the performance of the work for which this permit is issued, shall not eylploy any person in any manner so as to become 0
subject to theWorker)kforkery Compensation Laws of California. 7 � ZONING APPROVED BY
) • DATE:
1.---"-1.---"- Dale'. z/q J Signature: •
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY ; /va1 DATE: .
°
Code,you must NAth compI hther such firm that this permit shall be deenca revoked. % Cil. X
CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency fur the penormance of the work for APPLICATION ISSUED B Y• DATE'; �F;FIr� L -74-
LENDER:
�
which this permit is issued)Section 3097,Civ.C). * .****.*****.*.***.**.*.**.****.**r **.*.** * ***.****,, * y..** ***.k****.K,*.*.*.*** 4 l **
• LENDER: ********************************************* ********************4***********
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL' SEGMENT:Y
OWNER BUILDER OECLARATION: I hereby affirm that l am exempt Iron the Contractors'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 of county which requires a permit to construct,alter,improve,demolish,or PERM I T 54 . 00 5 0
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)01 Division 3 of the Business SMIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by pLAN
any applicant for a permit subjects the applicant to a civil penalty al not more than five hundred dollars($5001. ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Prolessianal Code: The Contractors'State License Law TOTALS----> 54 . 50 0 . 00 0 . 00 54 . 50 54 . 50 . 00
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 employees,provided that such improvements are not intended or offered for safe.If,however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• 54 . 50 OVER/SHORT! 00
tar 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 54 . 00 . 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds ar improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B.&P.C. INDIVIDUAL F E E BREAKDOWN
for this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST
Date: Owner:
I do hereby cerlity that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 2500 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 500. 00
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the An Duality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
Ordinances and state laws relating to building construction and hereby authorize representaliv sof this city to enter upon the above•menti00ed
property for in�'peTiff
purposes.
•--- Dale: f/in`riff Signature:
Driver's License or Social Security 0: • _ _
1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor
.1 ` ,
P "& SPA
CONSTRUCTION AND PLANNING
'Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit#•
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location -
2. Sail Pipe-Undrgrnd. .1 53. Steel Reinforcement
3.'Electrical Conduit Utility-Undrgrnd. 54. Forms
4.EIectical Conduit•Undrgrnd. 55. Electrical Bonding
5, Stael Reinforcement' 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
rt-
1.'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 Link& House Connection 62. Backwash & Receptor-Final .
12. Sev:ar 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. Rotgh Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning , FIRE DEPT. REQUIREMENT
20. 'Rouah Factory Fireplace 1 - i. - APPRQVAL-S`: - Permit # -
21.l Ducts,in Structure" - t
_ _ , . . j0. Underground,6-Hydro
22. }Ducts, Ventilating - -
.. - _ , ,. I -71. Product Piping0Gas 0 Oil
23. Gas Pipe-Rough & Test c - .72. Underground,Flush •,
24. Roof Framing - . 73. Undergrnd.Storage Tank O Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro •
26. T-Bar Ceiling (Structural) & Monpcoat 75. Qry Chemical
27: frame and Flashing - 76. Dry Stand) pe -
28. Lathing& Siding . . ' i ' 77. FIXED SYSTEWFINAL
29. Insulation • I 78. FIRE PREY. FINAL a�
30. Drywall Nailing I I, HEALTH DEPT,`REQUIREMIENT
31. Plaster Brown Coat - I { 79. FINAL INSPECTION
32. Electrical Power Meter-Final I 80. FOOD CERTIFICATE ISSUED , ,
33. final Electric . . Notes: s,4,90,ite. Dett<-dA.- 2//64
7fr
• 34. Final Heating& Air Conditioning - ,, 1 ,
35 Final Gas Pipe-Test I4 .
36. Hood or Canopy ' . - I : f'
I ; -- -c,
37. Final-Factory Fireplace - W I - .
38. Finat Plumbing - I r
39. Water Se+vice-FinalI i . ti, - .
•
'40. Gas Service-Final •
I I
i
41. Solar Domestic-Final - I} I-IjI� ,-
:
I
42. Backflow Preyenter - - - •
43. Backflcw Irrigatiot^- -
i
44. Landscape IrrigatiS. System a r • _ -
45.'Sound Attenuatidr: • ,
t
-516. Handicap•Regulatittni i f 1J I - = - - -
47.'FINAL STRUCT E BUILDING .•// ' ( '
48. FINAL PLANNINGs !!! I I.
-
49. Electric Release to'Edison I L. I. •
50. Gas Release to Southern California Gas Co I 1 I •
51. CERTIFICATE CIF OCCUPANCY •
No. Date
FEE RECEIVED
13699JAN 19 E31
vii-
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant fo Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING
ADDRESS 1808 Iowa St.
COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT NO. 1 PERMIT NO.
OWNER Trojan Land Co.
•
MAIL RE VED SY Iea
DATE/ -RECEIVED JNNTy IOOBQ
ADDRESS 1533 Baker St. /7. b� I 1 1
Costa Mesa No.KI91151 BUILDING
CITY ADDRESS
ARCHITECT Carlson,MiddlebroolFEL
OR ENGINEER Fjpgp NO. COSTA MESA. CALIFORNIA
ADDRESS Garden Grove FIRE ,/ ��
ZONE TYPE I/ GROUP
CONTRACTOR Dike & Colegrove, Inc. APPROVED
BY DATE 1
ADDRESS 1533 Baker St. ¢-� ZONING( USE OF .0�`It
op!)r1*
CITY Costa Mesa ZON IR —3 I PLANS 1_,BUILDING IIIIj�C
J`
STATE LEGAL O. 167293 TEL. 9.115oKLot 70, Tr. 3h03
SIZE [� DESCRIPTION
OF LOT 60 X 100 I NO. OP BLOT..Qne /�
NOW ON L A.P.NO. ` 1-t-Ch
USE OF YARDS EVES
EXISTING BLDG rTy��.eA�. C� _ APPROVED ALLOWED
SETBACK
OFI LINE FROM
JVn 50 1 REAR YARD� 28 (CENTER LINE BT.1
CENTERFRONT I- 0 FT. IN.
SIDE YARD I LEFT 51 I RIGHT 51
R.SIDE .5FT. IN.
DESCRIPTION OF WORK
L.SIDE II 5 FT. IN.
NEW I x II ALTERATION I II ADDITION I REAR �cp �/1 -. FT. IN.
II MOVING I II DEMOLISH I DYPROVEq i/ y // / DATE �/_- .4 /
REPAIR r Ll !l` LsY
SIZEBUILDING, 67 Sq.ft.ROOMS 6 STORIES 1 /y`�
EXTERIOR WALL, ROOF
COVERING stucco I COVERING wood Shingle
USE OF BUILDING AND WORK TO BE PERFORMED f
¢ ygD
Single family residence with 0
attached garage. Plan 118
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 CON- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTHU VALUATION C
SIGNATURE OPERMIT FEE $ 35.00
PERMITTER --- 15,139. 5
$ ) PLAN CHECK $ 17. O a
AUTHORIZED AGENT Dik COlegrQve. Inc. 52.50 cc
0
TOTAL FEE $ y