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Home My WebLink About1811 IOWA ST - Building Permits F CITY OF COSTA MESA ons a BUILDING DIVISION / F41 $ DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER rigalr PERMIT Ittbaftms 1-00021 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 MECHANICAL PERMIT Job Address: 1811 IOWA ST Status: ISSUED Suite No Applied: 01/17/2001 Issued: 01/17/2001 Vicinity: CLOSET OF RESIDENCE Parcel Number: 13905214 ISSUED BY: Applicant: BENSON, ALESHA Address: 3801 LENAWEE AV Phone: (310)253-5229 CULVER CITY,CA Zip: 90232 Owner ARGIL, JACQUELINE R Address: 1811 IOWA ST Phone: COSTA MESA,CA Zip: 92626 Contractor: GEORGE BRAZIL PLUMBING, HTG. Address: 3801 LENAWEE AV Phone: (310)253-5229 CULVER CITY,CA Zip: 90232 License: 679898 Arch/Eng: Address: Phone: Zip: License: SCOPE OF PERMIT 1 FURNACE CHANGE-OUT. 1 FAU< 100K BTU FEE SUMMARY Quantity Quantity ISSUE FEE $23.50 Repair/Alt Absorbtion Unit $0.00 0 Inst FAU<100 k BTU $14.80 1 Repair/Alt Refrigeration Unit $0.00 0 Inst FAU>100 k BTU $0.00 0 Ventillation System $0.00 0 Repair/Alt Cooling/Heat $0.00 0 Evaporative Cooler $0.00 0 Inst/Rep.Recess Wall Htr $0.00 0 Commercial Incinerator $0.00 0 Refrig Sys<100 k BTU $0.00 0 Domestic Incinerator $0.00 0 Refrig Sys>100 k BTU $0.00 0 Compressors/Absorption Systems Gas Piping $0.00 0 Up to 3 hp/100 k BTU $0.00 0 Factory Fireplace $0.00 0 3 To 15 hp/500 k BTU $0.00 0 Hood w/Mech Exhaust $0.00 0 15 To 30 hp/1,000 k BTU $0.00 0 VAV Box $0.00 0 30 To 50 hp/1,750 k BTU $0.00 0 Vent Fan/Single Duct $0.00 0 Over 50 hp/Over 1,750 BTU $0.00 0 Appliance $0.00 0 Boilers Fire Dampers $0.00 0 Up to 3 hp $0.00 0 Smoke Dampers $0.00 0 3 To 15 hp $0.00 0 Inst or Relocate Appl Vent $0.00 0 15 to 30 hp $0.00 0 Air Handlers< 10000cfm $0.00 0 30 to 50 hp $0.00 0 Air Handlers> 10000cfm $0.00 0 Over 50 hp $0.00 0 Floor Furnace $0.00 0 Other Mechanical Fee Floor or Suspend Heater $0.00 0 Investigation Fee $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES $38.30 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)7545626 2446-46(6/00) DECLARATIONS 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 wo fah this permit Is issued. have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number. (This section need not be completed it the permit is valued at one hundred dollars(5100)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 1 should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with thes/e�/p_revisions. Applicant Signature: V`- Date: I t b WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CNIMINAL PNANAL11ES D CIL FINES UP TO ONE HUNDRED THOUSAND DOUARE($100.000),IN ADDTION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is In full force and effect.Lie.A Class a Contractors Signature: �yL Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,CMI Code). Lenders Name: 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 DMslon 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 property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑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,faisework,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 wit 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 epDlicant 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 Caste 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 jaermit 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 U 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 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 Califomia 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. Q Signature Of Le al Owner sJ_ J ate And/Or Authorized Applicant Date DODE 1 INSPECTION TYPE RAIL INTDIAI, coos INSPECTION TYPE q ^, 1616 Fixed System Final Fire Prevention 206 Final Mechanical r I`. 'nI IU 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Flre Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG.NO. CONSTRUCTION PERMIT R — y ,. az p ,*S7✓ 30 3013 7/16/82 41 .75 TI • Project Address / 7- 0 . TYPE OF CONSTRUCTION rq� 'Owner - /� _Paw Phone gyp J 0 NEW IUADD 0 ALTERATION t tt �/ Addres45/2/10#-- Z� �/17• 2Si—$9SL 0 REPAIR 0 CONVERSION ODEMOLISH }1/ 0OTHER ZONING REGULATIONS Arch/Eng. Z 102 License No. JJ A P 5 115q — (K7 -.I 9 Address - DESCRIPTION OF WORK �r(d �iPCKT bD C (/L�1./4eAl ZONE ti• PLNG. REF. Contractor QWlly,eK U77 e� Phone TYPE OF PERMIT \ ' BUILDINI"� To gtllLplryG 2G�I it SETBACK C/LST. PROPERTY LINE ,SCJ ' Address GRADING la FOUNDATION- (] STRUCTURAL AID TYA RD �} - • LICENSED CONTRACTOR DECLARATION. -O TENANT 0 ELECTRICAL OPLUMBING ❑MECHANICAL -- IEII�FH YARDY - ^`' Orr I hereby affirm that I am licensed under provisions of Charter 9(corn- R N r ' • mencing -with section 7000) of Division 3 of the Business and 0 OTHER ' ^ _ Professions Code, and my license Is In full force and effect. PROJECT DESCRIPTION - REAR YARD(TO P/L) 1:t License Class • License No. - PKG.SPACE REQ. PROVIDED Date Signature SQ. FT. �. -• ,STREET WIDTH PARK FEE $ WORKERS'COMPENSATION DECLARATION _OCCUPANCq CO SJRUCTION TYPE —r } I hereby affirm that I have a certificate of consent to self-Insure or a VALUATION' [Icno — ZONE ZONING APPROVED BY f'l� I l f 1Nl DATE.7 1151 fQZ certificate of Workers' Compensation Insurance, or a certified copy l7 0. r d�4� r thereof(Section 3800, Lab.C.). GRADING CU.YDS. ACRES SPECIAL CONDITIONS: P"Iicy No• . - Company - - - -- - erti(ied-copy is hereby furnished. REMARKS: vs,/,./ �7 / /// .ertlfied copy Is filed with the city Building Division. /'Yt-( c( 7��Ot/� boec'a /tyz _. " ' "- EXEMPTION'FROM WORKERS' COMPENS•- DON DECLARATION - -' - r / ` - - - -- - - - (This section need not be completed if • •ermlt is for ire hundred _ - - - ($100) or less). I / ' - _ - - ._ _ _ I certify that in the performance o e w•-• for . Ic•�fhis permit is Ass uetl, I sh n t employ any p on - nyy��jjTTs• erg o as t• become PLUMBING PLAN CHECK ELECTRICAL ' PLAN CHECK - sllbj0<t to PfZ�S'(,'pmpena�/ 111• - . UWtLLINc• - _ -OAHAGE %oate 7� ` Signal r- 4 / ' BATHTUBS SHOWERS 50 FT SO FT • NOT, : If after making this declaration, you sh• Id become subject TOILETS- r r + i URINALS" ' _ - ,GENERATOR 0-1 KW_1-10 KW to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER .. forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE'LAVS' APPLIANCE - 10.50 KW-50 + KW revoked. CONSTRUCTION LENDING AGENCY -KIT.SINKS -•' - DISHWASHERS -MOTORS' 0-1 HP 1-10 HP I hereby affirm that there is a construction lending agency for the per- SERVICE SINKSSUMPS (INC. •SOLAR) 30-50 HP_50+ HP formance of the work for which this permit Is issued (Section 3097 - - - Civ. C.). FLOOR SINKS .FLOOR DRAINS FIXTURES" OUTLETS ' SWITCHES • Lender's Name - - Lender's Address • -DRINKING FOUNTAINS - - ' GAS TUBE SIGNS - - ' OW NER.BUILD ER DECLARATION -INTERCEPTORS CLARIFIERS POLE LIGHTS -- - - I hereby affirm that I am exempt from the Contractor's License Law for • the following reason (Section 7031.5 Business and Professions Code: SWIMMING'POOL 'P TRAP - - .LUNS I Hut-LtmN Any city or county which requires a permit to construct, alter, - - . 'POLES METERED SUB , improve,demolish or repair any-structure, prior to its issuance,also re- WATER SERVICE - ' ALTERATION -•- ' '.PANELS - MAIN - SUB ' - quires the apslicant for such permit to file a signed statement that he is'licensed pursuant to-the provisions of the Contractor's License Law 'GAS SERVICE OUTLETS SERVICE -- - AMP - - - (Chapter 9 (commencing with Section 7000) of Division 3 of the ' Business and Professions Code)-or that he Is exempt therefrom-and the WATER HEATERS BTU OUTPUT - - - basis for the alleged exemption. Any violation of Section 7031.5 by • - - • ark pplicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS - c�a . more than five hundred dollars ($500). 1(-41" s owner of the property,or my employees With wages as their SOLAR TANK COLLECTORS • - sd;t'tompensallon, will do the work, and the structure is not intended _ ' or offered for sale. (Section 7044, Business and Professions Codei The SOLAR PIPING SYS. ISSUE FEE - - • Contractor's License Law does not apply to an owner of a property _ _ who builds or improves thereon, and who does such work himself or ISSUE FEE. - APPLICATION APPROVED BY s' DATE " - through his own employees, provided that such improvements are not Intended or offered for sale. It, however, the building or improvement MECHANICALPLAN CHECK SUMMARY OF FEES Is Sold within one year of completion, the owner will have the burden __ _ of proving he did not build or Improve for the purpose of sale). NBUILDI HEATING SYSTEM 0-100,000 BTU_ PERMIT G $ 2Se'7 SMIP $ 0;SO O I, as owner of the property, am-exclusively contracting with AND DUCTING ' - ' -' _ - '� - / - , licensed contractors to construct the project (Section 7044, Business 100,0001+BTU PLAN CHECK $ IL')r ,PERMIT and Professions Code: The Contractor's License Law does not apply to - -- - --ISSUANCE -$ an owner of property who builds or improves thereon,and who con- REFRIGERATION 0.100,000 BTUPLUMBING $ 'tracts-from-such projects with a contractor(s)-licesned pursuant to- SYSTEM - • - GRADING $ the Contractor's License Law). 100,000 +BTU :\ -Ns•, PLAN CHECK $ r&I am exe pt der Section i BSP:C:for this 1 BOILERS BTU ELECTRICAL $ $ reason - _ • ' MICROFILM $ ' O/ SYSTEM REPAIR,ALTERATION PLAN CHECK $ r�C Date Owner v'�l"�� - ' TOTAL FEE$ IV/ /? I hereby ce lily that •. e read his application an. tate that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $ - PLAN CHECK $ LESS AD- ordina ccs is c•atela I agree- •-comply with all city and county ' VANCE PC $_ -- ordinances and ate laws relate yyy to const uction,and hereby authori e entativ• •f--th' ci enter pon the above ntio -d - - property • n •e -n •u s• �j/ Signa • e �� ISSUE FEE CMF 0865-46 White-But ding;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL&SPA a -d Date Inspector APPROVALS Permit # • Date Inspector APPROVALS Permit# __ - 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location -- - • - 2. Soil Pipe-Undrgrn 44. Steel Reinforcement - • 3. Electrical Conduit Utility-Undrgrn , _ . 45. Forms 4. Electrical Conduit-Undrgrn _ . 46. Electrical Bonding , 5. Steel Reinforce - 47. Rough Plumbing& Pressure Test 6.. Electrical UFER Grn _ 48. APPROVAL TO COVER-GUNITE 7. Footings 7_ I 4_92 '$ rill 49. Electrical Conduit-Undrgrn . 8. Foundation -. . - 50. Gas Pipe, 0 Undrgrn,Test .9. Water Pipe-Undrgrn - , - 51. Backwash Lines. P-Trap. ❑Undrgrn 10. Structural Floor System52. APPROVAL TO DECK . 11. Property Sewer Line & House Connection 53. .Backwash & Receptor-Final 12. Street Sewer Connection _ . 54. Heater & Vent-Final ' 13. Rough Plumbing - 55. Plumbina System •Final • ' 14. Rough Electric-Conduit +,- - , `•56. ' Electrical-Final , 15. Rough Electric-Wiring 57. Solar System-Final ' 16. Rough Heating & Air Conditioning - bU. -Fencing & Access Approval • 17. Ducts, in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating . - _ ., 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing . 21. Roof Sheathing f -%s 11_ 2.1.--81-- - • 22. Frame and Flashing ft / -j-2 i NOTES: • 23. Insulation - - - • 24. Lathing & Siding tj ..L'O / 2-4; 2- i • 25. Drywall Nailing . 26. Plaster Brown Coat fl.-2 0-f-1- !� - / • '. 27. Electrical Power Meter-Final . 28. Final Electric - - 29. Final Heating & Air Conditioning - 30. Final Gas Pipe-Test . 31. Final.Plumbing . • 32. Water Service-Final . _ 33. Gas Service-final - . 34. Solar Domestic-Final 35. Landscape Sprinkling System 36. Sound Attenuation - 37. Handicap Regulations ' 38. FINAL STRUCTURE & BUILDING • /16/9.2 ny 39. Special Requirements Completed • 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. . 42. CERTIFICATE OF OCCUPANCY 1 No. Date Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. MESA PERMIT NO. TRACT NO. LOT NO. BLDG.NO. r O��). I t �.'r'/ l04 -T� UCTION PERMIT L -6-67 so • ` _ I "dject Address jk" w ,Tow,A ST TYPE OF CO NXIRUCTION . ' - • ' Owner �,o". A9 (L •�-Phone 7j'�-y7jr6 0 NEW ADD 0 ALTERATION • �^�, Address 751/ `_i • ZV' Cz//4 S. 0 REPAIR 0 CONVERSION 0 DEMOLISH Y,O ,R,— • Arch/Eng. LL" altejpJ License No. ()Mai( 0 OTHER ZONING REGULATIONS 7 � DESCRIPTION OF WORK A.P.ir 1 Address .7l.' I (s G -r$(2imj/r,T ZONE PLNG. REF.y/ Contractor `n_s.Nn. �Witi•2-(,1 Phone(45. )-TYPE OF PERMIT - BUILDING AddressTp BI�j DING + • SETBACK C/4 ST. PROP TY LINEi. • >c$\ - I�.k,.s.-.�-s itt_ ". etni 4tJ cT�C - • 0 GRADING /J FOUNDATION 0 STRUCTURAL 'S(IDE YARD • LICENSED CONTRACTOR DECLARATION LEFT ❑ TENANT •L7. ELECTRICAL ❑PLUMBING ❑MECHANICAL SIDEEYARD I hereby affirm that I am licensed under provisions of Charter 9 (corn- RIGHT IG { mencing with section 7000) of Division 3 of the Business and 0 OTHER 'Professions Code, and my license is In full force and effect. REAR YARD(TO P/L) PROJECT DESCRIPTION. . Licensee - ClassaG' Licens o. O IP 1S• PKG.SPACE REO.. PROVIDED Date Alli 'f H� Signature ` SQ.FT. • 'WORKERS'COMPENSATION DECL RATION - OCCUPANCY_CONSTRUCTION TYPE STREET WIDTH - PARK FEE$ I hereby affirm that I have a certificate of consent to self-insure or a .VALUATION - ZONE ZONING APPROVED BY, DATE, certificate of Workers' Compensation Insurance, or a certified copy - - 'reef (Section 3890, Lab. C.). -GRADING CU.YDS. ACRES SPECIAL CONDITIONS: .- • y No. Company ' - -Certified copy is hereby furnished. REMARKS: - Th ^—� 1 • � Certified copy is filed with the city Building Division. +o 1 ✓/EXEMPTION FROM WORKERS' COMPENSATION DECLARATION . '(This section need not be completed if the permit is for one hundred - - - • _ ' .($100) or less).- . 'I certify that in the performance of t e work for w ' h this per • is - _ issued. 'I"shall not employ a y person in any mann' so as to • PLUMBING PLAN CHECK ' ELECTRICAL PLAN CHECK • subject O the Woelcer5'Comp nsation .ws of Call • la. - UWtLLINb GARAGE • 1, _ BATHTUBS SHOWERS 'Date 3 Signature - - _ SQ.FT SO FT . ' - ' (NOTICE: If after making this declal'on, you 5 ould become subject TOILETS• URINALS - • GENERATOR - - 1 to the Workers' Compensation provisio' of the Labor Code,you must .TRANSFORMER 0-1 KW-1.10 KW , ,forthwith comply with such provisions or this permit shall be deemed LAVATORIES • - DOUBLE LAVS APPLIANCE 10-50 KW 50 + KW - - I revoked. • CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS 0-1 HP 1-10 HP ' ' . I hereby affirm that there Is a construction lending agency for the per-. SERVICE SINKS SUMPS (INC.SOLAR) 10-50 HP 50 + HP • • .formance of the work for which this permit is issued (Section 3097 .- - . ' - ' FLOOR SINKS FLOOR DRAINS FIXTURES 41 OUTLETS �s�•1 Lender's Name Q SWITCHES . - 1 W Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS - . OWNER BUILDER DECLARATION • INTERCEPTORSCLARIFIERS POLE LIGHTS - •-- • I hereby affirm that I am exempt from the Contractor's License Law for . . - the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP ,LUNS I RUL.I JUN - Any city or county which requires a permit to construct, alter, • POLES METERED SUB ' improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION .PANELS MAIN SUB - ' - quires the ap,Ilcant for such permit to file a signed statement that he is.licensed pursuant to the provisions of the Contractor's License Law .GAS SERVICE OUTLETS I SERVICE - AMP- - (Chap(Chapter 9 (commencing with Section 7000) of Division 3 of the - - - ter and Professions Code) or-that he is exempt therefrom and the WATER HEATERS' • BTU OUTPUT ' - • ' ' 'is for the alleged exemption. Any violation of Section 7031.5 by s ii;./ applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS- - -- . - ot not more than five hundred dollars (§500). - - ft ❑ I, as ownei of the property, or my employees with wages as their •'SOLAR TANK COLLECTORS - - • -C - • sole compensation, will do the work,and the structure is not intended or offered for sale:(Section 7044, Business and Professions Cotle:-The 'SOLAR PIPING SYS. • - ISSUE FEE - • ' ' .5 to • Contractor's License Law does not apply to an owner of a property APPLICATION APPROVED BY -DATE who builds or improves thereon, and who does such-work himself or ISSUE FEE -" through his Own employees, provided that such improvements are not "' ' intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK - - ' Is sold within.one year of completion, the owner will have the burden SUMMARY OF FEES of proving he did not build or improve for the purpose of sale). • HEATING SYSTEM 0-100,000 BTU BUILDING • - - - ❑ 1, as owner of the property, am exclusively contracting with AND DUCTING-• • .PERMIT , $ - • 'SMIP• $ _ licensed contractors to construct the project (Section 7044, Business 100,000+BTU PLAN CHECK $ PERMIT and Professions Code: The Contractor's License Law does not apply to, ISSUANCE $ an owner of property who builds or improves thereon, and who con- REFRIGERATION' 0-100,000 BTU ' PLUMBING $ tracts from such Protects with a contractor(s) licesned pursuant to SYSTEM . _ GRADING $ - the Contractor's License Law). 100,000+ BTU - PLAN CHECK $ , 0 I am exempt untler Section B.& P.C.for this ' ILERS BTU ELECTRICAL $ 4.400 $ eason PLAN CHECK $ MICROFILM $ • Date Owner SYSTEM REPAIR,ALTERATION • TOTAL FEE$ I herepy certify that 1 have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $ - information is : ect. I agree to comply with all city and county PLAN CHECK $ VANCE PC $_ ordinances 5 slat• laws relating to c• truction nd hereby authorize represent ves o this city to er U••• bo mentioned . propeft for in section p Signature ar _�« �J -- /�/t j_nia FINAL FEE $4-66 .rivers'Licen-e or SS yf &'. ^ ISSUE FEE -CMF 0865-46 White-Building; Canary-Applicant; Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL ar pA - APPROVALS Permit# Date Inspector Date Insp ctor 06. 9";579-3° APPROVALS Permit# '• , 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - 2. SoilPipe-Undrgrn 44. Steel Reinforcement - - 3. Electrical Conduit Utility-Undrgrn . 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding . 5. Steel Reinforce -' 47. Rough Plumbing & Presiure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE '•' -- - 7. Footings 49. Electrical Conduit-Undrgrn 8. - Foundation50. Gas Pipe, 0 Undrgrn,Test 9. Water Pipe-Undrgrn 51. Backwash Lines. P-Trap. 0 Undigrn - 10. Structural Floor System 52. APPROVAL TO DECK "-" _ l 11. Property Sewer Line & House Connection - 53. Backwash & Receptor-Final 12. Street Sewer Connection 54. •Heater & Vent-Final 13. Rough Plumbing • 55. - Plumbing System -Final 14. Rough Electric-Conduit 56. ^Electrical-Final 15. Rough Electric-Wiring /Z'3 t'z - 57. Solar System-Final • 16. Rough Heating &Air Conditioning - 56. Fencing&Access Approval • 17. Ducts, in Structure 59. APPROVED FOR PLASTERING . 18. Ducts, Ventilating -. - _ . 19. Gas Pipe-Rough &Test - 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing 21. Roof Sheathing NOTES: 22. Frame and Flashing . . 23. Insulation _. . • 24. Lathing &Siding _ - 25. . Drywall Nailing 26. Plaster Brown Coat - 27. Electrical Power Meter-Final . _ 28. Final Electric - • 29. Final Heating &Air Conditioning - - - 30. Final Gas Pipe-Test 31. Final Plumbing _ 32. Water Service-Final 33. Gas Service-Final • - 34. Solar Domestic-Final - / ' 35. Landscape Sprinkling System - 36. Sound Attenuation . ' • 37. HandicapFINALS Regulations gA/n. ' ' 38. FINAL STRUCTURE & BUILDING/?% 39. Special Requirements Completed •_ 40. Electric Release to Edison ' 41. Gas Release to Southern California Gas Co. ' , 42. CERTIFICATE OF OCCUPANCY . No Date - ' itiptlicitED 13095 'EE COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P. O. BOX 917 COSTA MESA. CALIFORNIA C1tt OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING 1811 Iowa St. ADDRESS COSTA MESA. CALIFORNIA For Office Use Only OWNER Amherst Development Co. I RECEIPT NO. 41.0,17„NO. 1 7NO. MAIL 1533 Baker St. RECEIVED BY DAR RECEIVED DATE ISSUED ADDRESS (� % I A�/1/&v I OCT i a -men Np CITY Costa Mesa KI9BUILDING ING Carlson & ADDRESS ARCHITECT TEL. COSTA MESA. CALIFORNIA OR ENGINEER Middlehrnnk NO. ADDRESS Garden Grove FIRE ZONE TYPE ✓/� GROUP J /1w Y//,/ CONTRACTOR Dike & Colegrove, Inc. APPROVED (/ BY DATE ADDRESS 1533 Baker St. ZONING Costa Mesa, Calif• =GNE Ause OF NEW iUSPam .CITY Pa . CITYPLNS rY R-1 I PLANE 2 I BUILDING w/ att gar. STATE 167293 NO. KI 9-1151 LEGAL DESCRIPTION Lot 30. Tr. 3875 SIZE 60 x 95 I No. OF SLOGS.(loaf OF LOT NOW ON LOT A.P.NO. none USE OFnone YARDS EVES EXISTING BLDG. APPROVED ALLOWED - SETBACK LINE FROM 501 8 1 (CENTER LINE BT.) ( CENTER OF STREET 28 REAR YARDFRONT . , 0 FT. IN. SIDE YARD I LEFT 51 I RIGHT 181 R.SIDE / 7 FT. t IN. _ DESCRIPTION OF WORK L/ L.SIDE ��JT FT. IN. NEW I X II ALTERATION I II ADDITION REAR 3, !( FT. IN. 111 REPAIR I D MOVING I II DEMOLISH I APBYPROVED W. L. D. DATE 10-17-60 S ZE DING 1465 sq. fCO; 6 STORIES 1 COVERING EXTERIOR WA1. 13 COVERING wood shingle - 120_ a USE OF BUILDING AND WORK TO BE PERFORMED -- - Single family residence with (///f� attached garage. Plan 11B I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH AU. CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONNTRUCTION. VALUATION SIGNATURE OF 1/4--271e., `� /0----- PERMIT FEE S 35.00 PERMITTEE 17.50 R s 13,139. PLAN CHECK S ak AUTHORIZED AGENT Dike & ' le:rove Inc. 52.50 c TOTAL FEE t 0