HomeMy WebLinkAbout3206 IOWA ST - Building PermitsAODlicant to flll in all spaees except tnose wltnin neavy bortler Ilnes ana sign all aooropdata aeclarations.
CITY OF COSTA MESA CONSTR UCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. A P*,, 2one
32 O G, /�� zow K� ��
Project Address // � - S Main Building: Aaessory Building:
ApplicanYs Mailing Address g� tp /�I � lf�%Cl )tN S}-. TVPE OF CONSTRUCTION NEw /�DD ALTERn7�orv REVAiR E Front Z
8AN �'I'/� ANAI �Ob�C: phone�yo-05,'�p ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T O
Owner's Name _ DE/�SqyR,�IP,T,I�ON� F WOR�S�_ OeF BLD A Rear N
Address 3��� �% � �"`�� _1.!"�—Y!T—�'Y��� �. C Ri ht N
Arch/Eng. License No. � C=I� zG TVPE OF PERMIT LJ GRADING OU�N 5T CTV RAL K 9
Address
❑ TENHNT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S Left , R
GE�eC�!"a A���ooF�`°"'s �sZ3� ❑oTHER �'�rMf{+...,u PIng.Ref.�WW ParkingReq./Provided E
Contractor's Nam Pho e
' PROJECT DESCRIPTION SO. FT. !�� oCCVPANCY �
AdAress (mailing) �� 6 N r�r�/��/!i $ - Planning Notes: M
c/ �- CONSTRUCTION TVPE VALUATION $_�Z.�) j. Un
City Licenu No. O yy a�' � ZONE GRADING CV. VDS. ACRES $,
LICENSEO CONTRACTOR DECLARATION
I'hereby af/irm thal 1 am li<en5etl untler provlSioni O1 Charte� 9(commencin9 Remarks: �S �
WI(h SCCI�00 i���) O� ��V�S�OfI J OI �e Business antl Protessions Coae, antl �
my licenze is in Iu11 tor a�q f! ct r `� ELECTRICAL PEES
License Class _LicenSe No � ��
Date i9nature / PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW
WORKERS'�TION DEC RATION Bar Sink Showets ConStrUC[iOn Pole Sub. ❑ 50+ KW
I hereby aftirm lhat I bava d certilicate ot con5¢N to selNnsure or a c¢rtitiw[e
o/ Workers' Compensation Insurance, or a certitietl topy Ihereof (Section Backflow Preventer ServiceSink Cooking Unit Meter ❑up m 100amps
3800, Lab. C.) Dishwasher Meter
Policy No. company Backflow Irrigation Sewer (:ap ❑over 100 amps
8 Certifietl copy is �eraby furnishea. - Dryers �GaS ❑Eleciric $ub P2nel �,
Certifietl copy i5 filetl with tne city Builtling Division. BBthtub5 Sewer Connection
Date APOIiGant ' Fd❑
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clafifier5 $olar C011¢cto�5 Mo[o�s O0.1 HP O1.'h-B
�Tnis section nee0 n0[ De com0�etetl ii [he pe�mll i5 tor One �untlretl (EI00) or F.A,U. -
less). Dishwasher Solar Piping Inc. Solar 9�15 HP �16�15+
1 certity that in the perlormance ot the w tor wnich this perm�t is Issuetl, 1 Fixtures ,
shall nol employ any Oerson in any ne so as lo become subject ro lhe Drinkin9 Fountains Solar Tank Microwave .
Work¢rz'�Corr�pk;nsatlpo LawS of Cdlil n _
Date (� �"� �� 5ignature Floor Drains Swimming Pool w/Spa Device eoxes Pole Light
NOTICE: If, aftet making Ihls tleClardliOn, you sh Itl b«Ome subject to the OutlEtS Re�y¢
Wo�ker5' CompensatlOn provlsions ol Ihe Labo� COtle, y0u mus[ fortM1with FI00! $i0k5 U�in01
comply witb such proWsionS Or this pe�mit Shall be tleemetl revOkOtl.
CONSTRUCTION LENOING AGENCV Ga55ervice Outl2t5 WyterClOset $wi[ChES Sign
I hereby a/flrm that there Is a constructlon lantling agency 1or [he performdnCO
ot tlm wo�k lor wnich this pa�mit is ISSuetl ($ection 309] Civ. CJ G3�bagE Di5pO5dl Standing Sections
Interceptors Water Heater
Lender's Name Generator �65 KW �5�15 KW '
Lenticr's Htltlress Kitchen Sink Water Service Trash Compacmr
OWNER BUILDER DECLARATION -
1 hereby a/firm lhat I am exompt Irom tne Contractor'z Licnnse Law for the Lavato�ies Auto-Wash
loilowin9 reason (Seclion 7031.5 Busine5s antl Profesilona� Cotle: Any clty or .
county which reauiros a permit to constru<t, alter, Improve, tlemolizn or repair p-Trap Laundry Tra'ys
any sVuclure, prlor to Its i55uance, alio requiras the applicant for such permit
lo /ile a 5i9nCa slat¢ment Ihdt ha/Sbe IS IicensOtl pU/SUanl l0 th¢ ProviiiOns Of Roof Drsins
the Coniractor's Ucense Law (CnaO�er 9(commoncing with Sectlon 7000) of
DiviSion 3 Of tlle BUslnost antl ProleSsiOns CotlC') o! Ibal h¢/She is ax8mpt R81115(lBC1i0O FBB $1�J ISSuO FBB § 3
lherefrom antl tne basis tor the alle9etl oxemption. Any vlolatlon of Section
7031.5 by any appli<an[ for a permit SUClects tho applicanl to a civll
�enalty ot not morc tnan (ive huntlretl tlollars (E500�. DEVELOPMENT SERVICES REQUIREMENTS:
U I, as owner oi tne property or my emp�oyees with wa9es as tnair sole Reinspeetion Fee $15 laue Fee � 3 ZoninB APProved By Data
mmpen5dtion, wlll tlo t�C work, antl lhC st�ut[ure ii not In[entlGtl o� o/i¢r¢tl
sa+- (Section 7044, Business ana Protessional Catle: The Contrattor's MECHANICAL FEES Building Approved By Dat
^ s�Law tloei nol apply to an Owner O� a propGrty who bulltl5 Or Improv85
thereon, antl wno tloez Suth work I�Imsclt/horialf o� Ih�Ougn hls or her own Applintion Issuad By Dat "'- �
employecs, provitletl that such improvements ara not Intentlea or oHumtl ro. Boiler Hood or Type I ❑
sale. It, howCve�, t�e builtling or Improvomenl is soltl within ona yoar of com- C2nOpy Type II ❑ SUM RV �F FEES �
pielic�the owner wiil nave the burOen o1 proving he/she Citl not builtl or im- Duct - Under Ground O
nrova�• r the purpose ol sale). BUILDING PEFMIT $ �T SMIP $
❑ 1, as owner of the property, am axclusively contractin9 with litensetl con- Dutt-Structural Re(rigeratiOn System PLAN CHECK $ PERMIT
Vactors to construct the pwject ISeclion 7044, Business antl Proiessions Cotle:
The Contractor's License Law does not apply to an owner o� property who Dutt � Ventilating 00.700,000 BTU ❑100,000 BTU PLUMBING $ �SSUANCE $
builtls or Improve5 tM1ereon. antl who con[racti lor Suth orOitGts wlth a con-
vactor(sl Lcense pursuan� to me ConVactors License Lnw). I am aware tnat Exhaust System ❑ Multiple ❑ System Repair/AI[eratiOn P�N CHECK 25% $ ENERGV P.C.' $
proof oi their Worker's Compensation insurance shoWtl be provltlea to me. ELECTFICAL $ GRADING $
❑ I am exempt untler SecNon e. 6 P. C. ror tn6 reason Firepl/Fact Blt. iCBO # fire Dampers MICROFILM $
Date owner Heating System & Ducting Registers P�N CHECK 50% $ y-.rn�
MECHANICAL $ TOTAL FEE $ �p� �v
I nereby certiry that I have reaa tnis application ana state tnat tne above ❑0.700,OOOBTU �100,000B .
iniormation is mrrect. I a9ree to tomply with all city antl county ortlinances PLAN CHECK 25% $
antl state laws r¢lating lo Duilding construction, antl h¢reby autnorize repre-
sentatives of ily to enter upon Ihe above-mentionetl pi operty for �
insoe<fion pu osej, -o / 6_� y_ �y
$ignature ll �" •"'� Date .,
Drivers'Licenseor55� —�� *-� ���-- ReinspectionFee $15 IssueFee $ 3 OZ UGU�S'JS-GaG.SS�S� �'_.�'
ilAfF: C5,'i^!C9 T'�''''� .' .
0865-46, rev. 5/88 Wh�l¢ - BWltling; Canary - ApPliGant; Pink - ACCOUnLn9; uoia¢nr00 - ASSe550�
CONSTRUCTION ANDPLANNING POOL&SPA
APPROVALS Permit # Date Inspector AppROVALS Permit #` Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement '
3. Electrical Conduit Utility�Undrgrnd. �� 54. Forms
4. Electrical Conduit-Undrgrnd. ,� 55. Electrical Bonding
5. Steel�Reinforcemen't _ 56. Rough Plumbing & Pressure Test
6. Elect�ical UFEFi Grnd. 57. APPROVAL TO COVER-GUNITE
7.. Footings . 58. Electrical Conduit-Undrgrnd.
8. •Foundation � 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnii. ' � 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor System ` 61. APPROVAL TO DECK ��
11.� Property Sewer Line & House Co�nection .' 62. Backwash & Receptor-Final �
��
12. Sewer Cap � 63. Hea[er & Vent-Final
13. Roof Drains �� ,, 64. Plumbing SYstem - Final
14. Rough Pl�mbing �. 65. Electrical-Final �
15. Rough Electrical-Conduit 66. Solar SYstem-Final
76. Rough Electric Wiring 67. Fencing & Access Approval
1�. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18; Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19_ Rough Fleating & Air Condit�oning FIRE DEPT. REQUIREMENT
20: Rough Factory Fireplace • APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating ' � 77. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test '. 72. Underground Flush
24. Roof Framing � -. . 73. Undergrnd.S[orageTank OGas ❑Oil
25. Roof Sheathing '_ 6 y • 74. Overhead Hydro
26. T-Bar Ceiling (Structurel) &�Monocoat 75. Dry Chemical
27. Frame and Flashing � � � 76. Dry Standpipe
28. Lathing-& Siding ' 77. FIXED SYSTEM FINAL
29. Insulatipn • 78. FIRE PREV. FINAL
30. Drywall Nailing +� -- HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat �' � 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer
�
43. Backflow Irrigation
44. Landscape Irrigation System �
�.
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING /� lC'�� � �� ��
48. Special Requirements Completed
�.
49. Electric Release to Edison
.
50. Gas Release to Southern California Gas Co �' � .
51. CERTIFICATE OF OCCUPANCY -
., "
No. Date `
JOB ADDRESS
., Inc. DATE
VALUE $
ZONE DESCAIPTION OF WORK
INSPECTIONS �-g-(�a DATE I GROUP I Hc J
Underground Soil/Ji/-/s U.G. Watery� � .,
„_,_____._, „__ —7fyr,�y p-T'--`�t-�ial SUBCONTRACTOR
c- 7—I/7 /
OCCUPANCY
Form 210-SM-11-59 S-B P
, ' �2403
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C08TA MEBA. CALIFORNIA
Fo� Applicanf fo Fill In Completely
TYPE OR PRINT
nooaEss 3z06 Iowa Street
GOSTA MESA. CALIFORNIA
OWNER Vermont Avenue Land Co. Inc.
MAII _ _ _ _ —"' _'
IS
SC 7EL.
TEL.
� 81ZE ,.... ..... I NO. OP BID08.
BeTBAGR LIN6 PRON
CHMEP OP eTHECT � REAR YARD
SIDE YARD LEFT � RIGH7 H�
DESCRIPTION OF WORK
urw i{ II airFwsrinn� I II aoo�rinu
BBZIELDING1S6O SQ�ft�00MS � STORIES 1
EXTERIOR WALL ROOF
COVeRING q'rllnf:0 COVEB�NG (�iCiIDn. �[ �OC�.
U8E OF BUILDING AND WORK TO BE PERFOR 1ED
Sin le f'amil resiaence tirltn
P 20AR
I HEP6BY ACKNOW���B TMAT I HAVE READ THIB �PPLJGTION
AND BTATE TMAT THB ABOVE 18 CORRECI ANO AGR¢E TO COM-
PLY WITX ALL CIT" OPDINANCEB AND BTATE I.�WB p80U4TN0
BUILDINO CONBTICUGTION. a
(I
81GNATURE OF A
PERMITfE
AUTHORIZED AGENT y1ke & CO� grove�
FEE RECEIVED
�� �uaz1is��
. FINANCE DEPT.
CITY Of COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Offic�e Use Only
RECEIPT NO. PORMIT_N.��
1 �41
HBCEIVED �Y I�DATE RECEIVEO I DATE IBBUEO
COSTA MESA. CALIFORNIA
FIRE
ZONE
APPROVED
ZONING
—' ! I NO. OF �I U6E OP �
� PLANB Bl11LDIN0
LINe 6TJ
D�
C� (
TXE AMOUNT eHOWN UNOEP VALUATION I8 FOR TX¢
PURPOBE OP EBTABLIBHINp � PBRMIT F6E OHI.Y.
'S 16�101•
Tnc.
PLANCHECK $�.H•