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Home My WebLink About3202 IOWA ST - Building Permits(714) 754-5273 • Pan (77a) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIH UHIVt, GOS I A Mt5A, GA yLti2ti Job Address: 3202 IOWA ST Suite No Vicinity: Parcel Nunmber: 13910201 Applicant: ALAP ASSOCIATES GP Address: 7338 ETHEL NORTH HOLLYWOOD, CA Owner: DRISCOLL, J L TR Address 3202 IOWA ST - COSTA MESA, CA Contracmr. ALAP ASSOCIATES GP Address: 7338 ETHEL Arch / Eng : Address: ISSUE FEE Backflow irngation BackFlow Preventer Bathtub Clanfier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Ezpansion Tank Gas Earthquake Valve NORTH HOLLYWOOD, CA PLUMBING PERMIT Phone: 800-044-8865 Zip: 91605 Phone: Zip: 92626 Phone: 800-444-8865 Zip: 91605 License: 771905 Phone: Zip: License: SCOPE OF PERMIT C/O WATER HEATER SAME LOCATION. AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY AMT Laundry Tub / Washer $0.00 - -. Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 . Process Piping (per 10 fl) $0.00 ' Receptors $0.00 Septic Tank $0.00 ' Sewer Cap for Demo $0.00 Sewer Connect $0.00 � Sewer Private Line $0.00 , Shower $0.00 , Sink, bar � $0.00 �� Sink, commercial $0.00 Sink, Floor $0.00 �TY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Status: ISSUED Applied: 07/28/2003 Issued: 07/28/2003 ISSUED BY: Sump Pump Swimming Pool Trap Primer Urinal Vacuum Brkr BkFlow(1-4) Vacwm Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 II NOTICE: The work authorized by this permit shall compty with all applicable handicap access requiremerns under Califomia statutes and related � regulations. (Ord. No; 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 1 BO days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final epproval must be obtained. Failure to obtain inspections and final approval will resuA in the expiration of Ihis permit. FOR INSPECTIONS CALL: (714) 7545626 244fi36 (fi/00) WORKERS' COMPENSATION DECLAFATION: � I hereby aNirm untler penalty oi perjury one ot Ihe following tleclarations: ❑ I�ve and wlll maintein a cenificate ol consem to selbinsure tor workers' wmpensetion, es provitled tor by seaion 3700 of the Labor Code, lor the pertormance of the ork for which this permil is issuetl. 1 hev will melmain workors' compensation insurence, es reQulretl by section 3700 oi the LaDor_G e for the pertortnance of the work Por which ihis permit is issued. wodcar ' compensatlon Insurance a�rier entl policy number ere: arner: ic Numb : WG2�(7S"3fY0/ ction need nof be compleretl il (he permit is valued et one huntlre0 Uollers ($ f00) or /essJ ❑ I cenily thet in t�e pertormance ot the work For which this permit is issued, I shell not employ eny person in any manner so es to becoma subject to the workers' compensatlon laws of Californie, entl agree that ii I shoultl become sub�ect to the workers' compensation provisions ol Section 3700 0l the Lebor Cotle, I shall lorihwith LICENSED CONTAACTORS DECLARA710N: I herebv aNimsipe[I am licensed undar orovisic _'zy ^[ij ISATIdJ WVERAGE IS UNUWFUL M'D SHALL SUBIE�{p�IMIWIL PENALTIES AND dVIL FlNES UP TOONE HUNDRED CQST OF COMPENSATION, DAAMGES aS PROVI�ED FOR IN SECTIIXJ 3)OB OF THE UBOR CODE, INiEPEST, AND ATTORNE`fS FEES. oi Chapter 9(commencing with Section 7000) of Division 3 of the Business end Prolessions Code, entl my license is in full �� Class M L — � �i � �- �-s, GONSIAY9'HOIG LENOING AGENCY: ❑ I heroby aRirm ihat ihere is e consimction lending agency tor the peAormance ol ihe work br which this pertnit is issuetl. (Sec. 3097, Civil Code). Lendefs Neme: Lender's Address: SignaWre: Date: OWNER-BUILDER DECLARATIONS: I hereby aXlrtn Ihet under penelry ot perjury thal I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions Code: Any city or county which reduires a parmit to consfmc6 elter, improve, tlemolis�, or repair any structure, pnor to its issuance, also requires Ihe applicant for such permit to file e signetl siatement that he or she is licensed pursuem to the pmvislons at the Comreccore License Law (Chepter 9(commencing with Sectlon 7000) of Division 3 of the Business end Protessions Catle) or that �e or she is a:empt thereirom and Ihe besis for the alleged exemptlon. Any vlolation of Section 7031.5 by eny applicant for a Oertnit subjects ihe applicent ta e civil penalry ot not more Ihan fve hunCretl Aollars (5500).): ❑ I, as owner ol Ihe property, or my employees with wages as their sole compensatlon, WILL DO THE WORK, antl Iha siructure is not IntenOeC or ottered tor sale (Sec. 7044, Business end Professions Code: The Contractors License Law Ooes not epply to an owner of property who builds or improves thereon, and who tloes such work himsetl or herself or Ihrough his or her awn employees, provided that such Improvements ere not intended or oHered tor sale. If, however, Ihe builtling or Improvement is sold within one year ol completion, the owner-builder will heve�tha burden of proving ihat he or she did not build or improve for purpose of sale.). � ❑ I, as owner oi tha property, em E%CLUSIVELY CONTRACTING WIT1 LICENSED CONTRACTORS to construct t�e project (Sec. 7044, Business antl Professions Cotle: The contractors Licanse Law doas not apply to an owner of pmpeny who builds or improves Ihereon, antl who comracts tor such project with e contraaoqs) license pursuant to Ihe Cantractors License Lews.). ❑ I em esempt under sec. Business entl Professions Code for this reason: Signature: Date: Owner ID veniietl hy tlriver's license. ❑ Yes ❑ No Drivefs License No. Expires: Veriilcetion ol Ownership 6y (type of document, i.e. - property ta: hill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify that no ezcavation tive (5) or more feat in depih into which a person is required to descend, wiil 6e matle in connection wiih work authorized by Ihis permit, and the� no building stmcture, scattolding, falsework, or demolilion or dismantling the�eot, will ba more ihan ihirty-six (36) feat �ig�. (C�ep. 32, Grp 2, Art 2, Sec. 341, Title B, Califomla Adminl5trallve Code). ❑ As owner-builder, I will not employ anyone to tlo work which would require e permit from the Division ot Indusirial Safery, as noted ebove, unleu such person has e permit to tla suc� work irom the divisian. Signature: Data: Division of Industrial Salery Permit Number: ARDOUS MATERIALS AND EMISSIONS CERTIFICATION: Will �he epplicant or present or future building xcupant need to tile end cetlity e Business Plan lor emergency response to release or threetenetl release of a hazartlous metedel? ❑ Ves ❑ No (Section 25505 of tha Califomie Health and Satery Code requiros, with some exceptions, that a Business Plan �e tiletl with Ihe Coste Mesa Fire Department by every business which has et eny one time tluring a reponetl year a quantity of harerdous materials equal to or greater then a weight of 500 pounds, or e volume of 55 gallons, or 200 cuDic teet of compressed gas at standard temperature and Dressure). .............................................................................................................................................................................................................................................................................................................................................................................. Does or will the applicant or present or future building occupanl need �o lile e regis�retion form for aately hazardous materials? ❑ Yes ❑ No (Sectlon 25533 0l the Calitornla Health and Safery Code, with some exceptlons, requlres registration with the Costa Mesa Fire Department by each business which at eny ona lime hes on hantl a quentiry ot acutely hazerdous materiels equal to or greeter then e weight of 500 pountls, ar e volume oi 55 gellons, or 200 cubic feet ot Compressetl ges el stentlartl �emperature and pressure). .............................................................................................................................................................................................................................................................................................................................................................................. Does or will Ihe applicant or present or future builtling occupant need to prepare en RMPP (Risk Management and Pravention Progrem lor ecutely hazerdous melerials)7 ❑ vos ❑ No (Section 25534 of ihe Califomia Health antl Safety Code provides thet ine Cosla Mesa Fire Department may require ihe preparalion, certification and tiling wi�h the Fire department of en RMPP 6y businesses which are required to register aately hazardous matenals with t�e Fire Depenment. .................................................................................................................................................................................._...........................___..................................................... ........................ .............................................._............__.. II en RMPP is presently require4 has Section 25534 of the Calitornia Heelth end Safery Coda been fully complied wilh7 ❑ Yes ❑ No 5 Does ar will iha applicant or present or fuwre builtling occupant requlre lor Ine work wnicn Is tne sub�ect m Inis a pliceuon apertnn lor sucn conswcuon or irom Ihe South Coast Air Ouality Management Disidd or fmm any other air pollutlon contml tlistrict or agencyt � �es LJ No (Sectlon 658502 0l the Califomia Govemment Cotle requires Ihal lhe requeste0 intortnaiion be fumished on applicetions for non-residen�ial building parmits). .........._ ........................._...................................................._._...................._..........................................._................................. ............................................................................... ...................................... 6 Will eny pert ot the leciliry to be constructetl untler ��is pertnit be within 1000 feel tmm the outer bountlanes ot a schaol7 ❑ Yes ❑ No (II'yes", the faciliry must meet the reduirement ol Sections 25534 and a2303 of the Celifomia Health and Safery Cotle). 7 Qf'yes', attach ceni/iwta of com0�iance iwm ihe appropflate e CERTIFICATE OF COMPLIANCE: I cenity ihat untlar penelry regar0ing Hazardous Ma�enals antl Emissions. Signature: m comrol tlistnct or agenq is requuea wr ma v Seclion 423Q3 been medel ❑ Ves ❑ No perjury Ihe inlortnalion given above is correct. I agree to tompty with all stete laws and ciry ordinanCes Date: CERTIFICATE OF COMPLIANCE AND AUTHORVJITION OF ENfAV: I ceeity untler penalty of perjury that I have rea0 this epplication and state that the information given is correct I egree b comply with ell state laws and city ordinences relating to building consiruction, and authorize represemalives ol t�e Ciry ol Coste Mesa to enter upon Ihe above-descnbetl propetly tor Inspection purposes. I agree not to occupy or allow occupancy of any building authonzed by this permil umil final inspection. CODE 1. INSPECTIONTYPE `� �6�6 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Ra-Root 201 FInaI BIocWReteining Well 202 Final Factory Fire Place 203 Flnel Sign 204 Final Demolition QSjF ��j CQOEI 206 208 210 212 INSPECTIONTYPE Final Mechanical Final Plumbing Final Electrical Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building�Occupancy ate �,- 28' � e 17�I�I[IIIIrlb9 $-aG -0 3 � Costa hTesa, CaliPornia Build�ng Saftey Dept. Costa Mesa, Calif. Gentlemen; With xePerence by R, C, Eason, following: to the application Por permit subnitted dated 5/g/67 please be advised oP the InasmiZch as the above mentionBd, owner of lot 25, and the undersigned, owner of lot 1, ahare a sixty foot line on which the fence will be constructed, please be advised that .. this letter will serve as authorization on my part for request of permit. Thank you. Verq truly yours, cu'�C�'/�/�-�- riscoll f ! � Pfl0.1ECT A�DFESS: � � O� 1 U�NA .`.� 1 GNNEB'SNAME:-�fl-{.`�ry{, J i TR < A�O�HESS: 3 � O ^ +OJ.'H ..ciT + � COSTA NESA,CA r RFCHIENCINEEN: ROOFESS: UNIT: 92625 NEG.NO.: UNIT: PEHMITTEE:PRLCIS�OU IlOOFI\G (7i4)24E-$4:,F, FDDNESS: 27�02 �,ri%i B.`^J� �ii CAPTS�':�AtiO BEACH CA 92629 IICENSEU LONTFACTOP OECIABATION: I hereby ailirm tha� I am li[ensed unaer pr ' ions of Chapter 9(commencing wi� ion 7000� o� �ivision 3 oi the Business and Professions Code. antl my license is a orce and et�ec�. CITY LIC.: STRTE UG.:J q 4 j!j � uss: C_-1 o % Daie: '�� Z� � � � Signaiure: WONREFS' COMPENSATION OECLABATION: I hereby al�irm ��ai I h ita�e 0 en� to II-insure or a certiliCate o� Workers' Compensalion Insurance. or a certilietl copy Ihereol (Seciion .). POLICY NO.: E% . E: COMPRNY: ❑ Cetlifietl coOY is here�y �umishe0. ❑ Cehihed copy is �iled wi�h t�e city Builtling Division. Jate: ApD�ltam: E%EMPTION iBOM WOflNEHS' COMPENSPTION OECIAflRTION: (This seciion neetl I ceriify Ihat in �he pedormance o� �he work �or wAich Ihis permii is �ssu¢tl. Is sublett lo Ihe Warkers Com0en5aiion laws of Calibmia. j t I Daie' S` y "! SignaNre'. NOTICE: If, af�er making Ihis Aeclaraiion, you should become ti Code. yau mus� forthwi�h comply wilh such pmmsions or s permi CONSTNUCTION LENOING PGENCY: Ihereby aflirm Ihail�e - ons�n which ihis permil is i=.5ue0 �Sec�ion 3097. Civ. C) lENOEfl: nooecss: so ol Ihe Labor lending agency fo�fie peAormance o� Ne wark lor OWNEB BUILOEN OECIAHAiION: I hereby athrm �ha�l am exempilmm the ConVaclors' Stale License Law lor�he following reason �Seclmn 703L5 Bu5ine55 antl Pmlessional Code: Any city ol county whic� require5 a permii to con5tmci, alter, impmve, demolish, or repair any s�mdure. prior Io its issuance, also requires �he apDlicant br suth permit �o �ile a signetl 5taiement Ihal he/s�e is licensetl pursuani lo Ihe pmvivans a� the Con�racmrs� S�ale License Law �Chap�er 9(commencing wilh Section 7000) of Division 3 0l �he eusiness and P�oiessians Code� or Ihal he/she is e.vemp� �herelmm and Ihe basis for I�e allegetl exemp�ion. Any violation ot Section 7031.5 by any applicantior a permit sublec�s Ihe applicani�o a civil penalry ol no� more ihan five �untlretl Dollars ($500�. i, as owner o� t�e pmpetly ar my employees wit� wages as their sole compensation, will do the work, anA the ❑ slmciure is not intentled or otteretl �ar sale (Seclion 7044, Business an0 Pwlessional Catle: The Comracmrs' Sia�e License Law does no� apply lo an awnei o� a pmpetly who builds ar impmves Ihereon, an0 who Ooes such work himsel�/herself or ��mugh his or her own employees, provitled �hat such improvements are noi iniendea or olfereU lor sale. It, however t�e builtling or improvemeni is sold wi�hin one year a� comple�ioq Ihe owner will have Ihe 6urden of proving helshe tlid no� build or impmve lor ��e purpose ol sale�. I, as owner o� the pmperry, am exclusively contracting with licensed conirac�ors �o cons�mct ��e pmlec� (Sec�ian 7044. Business ❑ anU Pmfessions Co�e' The Conlractors' S�a�e License Law Ooes no� apDly to an owner o� pmperry wAo builOs or impmves Ihereon and who coNracis lor such Orole��s wit� a conVacior�s)license pursuan� to the Conlractor5' Slate Li[ense Law),I am awafe thal pmol o� ��eir Workefs ComDensa�ion insurance shauld be pmvitled to me. � I am exemp� untler Semion: 8. 8 P. C. for Ihis reasan: �a�e: Ownec I Ao hereby cenity Nal l am aware of an0 un0erstana t�e requiremenls of Califamia Health and $atety Cotle Sections 25505. 25539, antl 25534 antl i�a� I or any fuWre �uil�ing occupanl willlwill not (cucle ane) need to comply wiih said sla�e cotles and ihe requiremenls for a permil for constmciion ar moei�ication Imm �he Air Ouahty Management Oistricl. flesitlen�ial conslmction aOPlicaiions are exempt Imm ihese pmvisians. i� Date: AD�IicanC I hereby [eriity Ihat I havo reatl �Ns applicatlon antl slaie tha� the above orainances antl siale laws relaling lo bwltling mnsimction and hereby auih pmper�y fnr inspeclian purposes. Oale'.��z'� ✓� � SignaWre: Drive(s License or Social Securily a: � t6at�a6 Whi�e—Builtling: Green—Cotle correcl I Pink—Revenue; Galdenrod—Assessor C=:Y CF CO3=!? .._�A — PC�LJ�:i� ?� ::'_. *�cy.:. .:C: � „':3. Pr.3:!�. ?:�: H C5�3�9 �I.R:�: Cri�CP, \0: ?: GCV:. ?: �„?P: ?: �OtiS�R:.�:��ti :Y'Pt: 5-1 t'�RVI" ':Y?�. S:R ?;;A?OSE: A:,_ �03 ��ESCR�P:�O:� .:/Q EX,S:.N:?PLROCK, AP?�Y ��n 2�YR CO>:� �v ... 3,0�0 C�AIS: VA�;:=_: 3,000.00 CALC—VAY:;E: 3,000.00 GROJP CC�: 3-3 /.'a:—'_ CO"••"=:�:TS• S:�:O::t D`.T�CTORS R��liIRE�! PEP, ^3E 1991 :DI_'�Oti OF TH� ;..*BC. ,:u�>uvu��+�*t��u.**�*�*��t��*� '?�*+r?�**��r�;��,�t��;�#��.r.x�u�z>a�x��**+�**�,:,t+ �,:-;<:�x�,c�+�� Z �)i �:`i Ci R.t.. V. 'P u b.`{ t, .�� .$ �' S E: 9 A CyK S �----------- :4AIX BUI�U=:lG ---------- --------- ACC::��ORY E'-'�Di?;G --------- =Rti: r: �:ti R�AR: FT ::�: FR\"'• F':' -?' ?E1:R: : '�' ;.,EF": _T I�i RG:i.. Fi iV L�FT: Fi ;A RG;';'. F'" !1 PARK_:vG R�p: PROV: PARCEL: i39;G20: ZRE: REF +in; p�a�::a�tic �:�i�_s> 7 - 1E # if ?f 1E iF if Y?E iF?E ?E 3e z#�F 1E.}?f ?F ?F � 34 # iE iF #! i!� 1F ?E ±!� ie iC ?L?E �+F;F?f if iE u?f if �Y.� k' "b #:�'. =} #!E #�t iE # R'' 1� fi L=X � if iE?F K' 1E jf ^.s %-:: ti x{} i%if +f iF � D E V,E, f., O P h: E N. S E R V I l' _ S R E Q:J i R E:: E:�; ,. S jUti�?:G AP?RGVEU' BY �, �% DATE: •- � �ui�D_tiG APPROVEJ B1��: DAiE: �- \ APP:.'CAT.' 0!e ISS'iJED BY: �� •`�� ilATS: �2C�/�y'3 i�iE?FiFjf?FiF±E?E3Ei�iF3F3F3F#:F#i!�iEiFii�i�i'e'Firfe'�ir,F�.-n�r�'£iFx�� G"�Y<"x;. u w##i�iRiF.�eaciex?-i.z�. �^:^r � z- Fxit+c if'.F iE � f if Y} if ix jf { fii-dE # jE F# iE ic iE',c iE 3E 3F if iE 3E ?f 3F # 3i ib i?E u if?f ?? �# iF �k ic �Y; .. iE if iF if # ic iE 3i {i iF 7F }• iF # iElF E i� it � K� i! w� •.. i:� G'� ay i' dE {}+t iR LEGALiZATIOti:N : E E S U�! ?, A R Y STRL'CTUkAL 5EGuEX:';Y BiUG P�43 Pi,JN3�NG ELEriRl� MECHANIC FZRE S�:IP/RES GR�::�G PER:!�T 59 . ^o `0 ° SN.IPI�ON'RLS P:.A:� zsscF F�e HL' :.�:�:G-DIV-> PER"!I �SS;JE Pi,AV-CriECH TOTA:. r�A�'" ��liE TOiAiS----> 54,50 D.00 G,00 54.50 54,50 .CO R�VPNUE DIVISION TOTALS--> COiLECTEU: 54.50 OVER/S'r"OR�: .00 B�U59�50 PiU:�:B:tiG ELECTRIC MECHA:�IIC F�RE SvZP/':0o G:tAUI1G P:.AK-CHEC:{ �k x if �!f �7F?e � iF � if ?E if 3f #' if 1F # iE iF #�# iF # 3f #'�f ?i. �lE 3E iF if if if E iE iF-1E # iE-ii�#�',E ie iF k;i if #!F iE # 7f 3h # lf 3f �,�r iF ]£ iE ?E iE iE #F #�!-i� :' #�- i' !E :f iE;�. ## iF ;:v D � V I D J P. � P E E B R E A R D O iJ ti :YPE U:Y D E S C R I � T I 0 N U2�IT COS; � .O:AL COS� SFR 3000 REROOe HY VALL'E RESIUE\':IAL 2�OZUNE 1,00 3,OU0.00 EtiD UF FE'a5 �MAYD �� e_ 1993 2 � ��! CITY OF GUSTA f��ES � _'! � C0�3:= RUCTION AND PLANNING `/,�PPROVALS Permit ,�r _� t. temporary Electrical Service or Pole 2. Soil Pipe-Undrgrr.d. 3. Electrical Conduit Uii)ity-Undrgrnd. 4. Electrical Condu:t•Undrgrnd. 5. Steel Reinforcement 6. Electrical UFER Grnd. 7. Footings 8. Foundation 9. Water Pipe�Undrgrnd. � 10. Structural Floor System 17. Property Sewer �ine & House Connection 12. Se�ver GaP . � • 13. Roof Drains � 14. Rough Piumbing 75. Rough Eleclrical-Conduit 16. Rough Electric Wiring 17. Rough Wiring Siyn 18. Rough Electrical-T Bar Ceiling 79. Rough Hearng & A�r CGndition�ng 20. Rough Factary Firep:ace 21. Ducts,in Structure 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test 24. Foof Framing 25. Roof Sheathin,y 26. T�9ar Ceiling (Structurall & MonocoaT 27. Frzme and Fiashing 2$. �athing & Siding 29. insulation 30. Drywa!I NaiLng ' 3t. Plaster Brown Caat . 32. Electrlcal Power Meter�Final 33. Final Electric 34. Fi�al HeaUng & Air Conditionir,� 35. Finai Gas Pipe�Test 36. Hood or Canopy 37. Fi�al Factory Fireplace 38. Finai Plumbing 39. LVater Service•Final 40. Gas Service-Flna� � 41. Solar pomestic-Final 42. Backfiow Preventer 43. Backfiow Irrigaiion 44. Landscape irriqation SYsiem 45. Sound Attenuation 46. Handiwp Regulations 47. FINALS7RUC7URE&BUILDING 48. FINAL PLANNING 49. Elec[ric Release to Edison 50. Gas Release to Southern California Gas Q 51. GERTiFICATE OF 4CCUPANCY Jo.-- _- _ Date ___ � Dace 0 POO L 'A Inspector qppROVALS Permit,� 52. Poof & Equipment Locat�on 53. Stee� Reinforcement 54. Forms 55. Electricai Bonding 56. Rough Plumbing & Pressur=_ Test 57. APPROVA�TOCOVER�GU�ViTE 58. Electncal Cor,duit-Undrgrnd. 59. Gas P�pe, � Unurgrnd., Test 60. 8ackwash Lines, P�Trap, :7 Undrpmtl - 67. APPROVAL TO DECK 62. Backv.ash & ReceptorFina� � 63. Heater & Vent•Finai 64. Plumbing System � F�nai � 65. ElectricabFlnal � 66. Soiar System-Finai 67. Fencing & Aceess AP�rova! 68. APPROVED FOR PLASTEFING 69. POOUSPASYSTEP.7SFINAL FIRE DEPT. REQUIREMCNT APPROVALS Permit-r � Date � I�spector : -- ' 70. Underground HYdro i , 71. Product P(pinq C G:is ❑ Od ' 72. Underg�ound Fiush ' 73. Undargrnd. StoragP Tank O Gas .'_1 Od 1 �_� 74. Overhead Hydro � 75. Dry ChemiCal i 76. Dry Stantipipe ~'� 77. FIXED SYS7EM FINAL � _, 78. FIRE PREV. FINAL I HEAITH DEPT. REQUIREMENT - - --� 79. FINAL IPIS^@CTICN , 80. FOOD CEHTIfICATF. ISSUED��_ _ � Notes: � GENERAL CONTRACTOft AP. No. LOT INSPECTIONS -»i,n OCCUPANCY Form 210—SM-11-59 SB P Vermont Ave. Land Co., Inc. nATE 3202 Iowa St. sutLt CT }040 FIRE ZONE DESCRIPTION OF WORK DATE I GROUP I& J TYPE V '��I SUBCONTRACTOR � PERMI'1 � �6 � .. 12404 ;OSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA. CALIPORNIA For Applicanf fo Fill In Complefiely TYPE OR PRINT D E'SS 3zp2 Iowa St. COSTA MESA CALIFORNIA l� cin �osta Tdesa gicTrEio. 167293 NEo. �• g��-1Jr9 OF LOT p J �[ 1Q5 I NO. OF BLD68A NOW ON IAT y+�ne USE OF E%1 ING BLDG BHTBAGK lJNB PROM / eeHiew ov sTtaaY O� REAR YARD 40� BIDE YARO LE 8� RIGHT 12� DESCRIPTION OF WORK _._... I x II..__..._._..I II.__._._.. I 'EXTERIOR WALL I ROOF GOVERING ��.ncrn COVE U8E OF BUIL�ING AND WORK TO' FECEIVED APPROVED �EE. RECEIVED �,� JUr^� 21196G FiNANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only �iE RECEIVEO � %l% ��i COSTA MESA. CALIFORNIA ZONING O�,_ I PLANS �, BUILp�NpEW `E`"` Lot 1L0� Tr. 3 , DESCRIPTION A. P. NO. YARDS EVES APPROVED ALLOWEO (CENTfiR LIN! 6TJ L FRONT � )�FT. R. SIDE I YFT. APPROVEO u 1 XlPEBY AGNNOW�DGB TXAT � HAVE RBAD THIB APPLIWTION }He /�MOUNT 6HOWN UN�EF VALUATION IB FOR THE ANO eTATE TNAT TH8 ABOVB IB COFAECT AND AGREE TO COM- pURP08E OP EBT�OLIBHING A PERMIT FEE ONLY. PLY WITH ALL CIn ORDINANCE9 AND BTATE LAWe R¢OULATN6 9UILDIN6 CONBTNUGTON./I � VALUATION 81GNATURE OP �(./ v(' /I _ I PERMIT FEE $�/�.. s 14,179• PLAN CHECK P$ 11 • AUTHORIZED AdENT Dike & olegrove, Inc. ' _, � � or SUBCONTfLACTOR �s� _ 6 i�1,0 I l COSTA MESA BUILDINGSAFEfY DEPARTMEPIi P.O. BOX 7200 � COSTA MESA, CALIFORNIA Y2020 For Appllcant to Fill /n Completaly TYPE OR PRINT eui�oiNo . 3 � wooResa CO$Tp MESA. CALIFORNIA xo. or ��.ow. � Y[TlACNLIX�l110N DBSCRIPTION OF WORK BUILDINO SIZE EXTERIOR WALL u] 1 HBPEBY ACKNOWL6 TXAT I�V@ R6AD TNIB APPLICAT�ON AND BTATB T11AT Ap V8 1 ORR6CT AHD AOpCL TO COM. PLY WITN ALL CI ORD) N NiG iTAT[ LAWY RIOYLATIHO BUILDINOCONBT UCr10 . / SIGNATUREOP �/�/ ^� iIAY-8-67�F;�1�� 3E1� c�SvYuitii'r3.�jo APPLICATION FOR PERMR BUILDINO Fo� o�� u,� o��y n�ceirre+o. �i � Ho.—o� •una �.[ont UD[ OR NI emto�Ha A.P.NO. /J / —/ G � �/ N0T6: NO 6AV6 OViRHAN6 SHALL B8 LE88 THAN YARDB MPflOVHD MAIN BUILDINO {PHOM GLQTRR[T) FRONT �'F�` i/ R. GIDi / Ff. �. aioc rr. // RGR D �• oierwnc� err. MAIN BLD6$. VM.� VARDSAPPROV6U ACGE980RY BUILDINO DATH er "'""� owre J ' /(o a w � � so. Rr. � 0 TXB AMOUNT BHOWH YNDBR VALtI/�TIOH 16 rOp TH8 j �URPO88 OP fBTABLiBXINO A PERMIT PEH ONLY. 1� VALIlAT10N —, � /�� PERMIT FEE � p s X �1 k� TOTALFEE $ � ��