HomeMy WebLinkAbout3217 IOWA ST - Building PermitsAvo���ant to fill in all spaces exceo� enose within heavy bartler Iines ana sign an aco.00�iate eeciarations. 9�55
CITY OF COSTA MESA �ONSTRUCTION PERMIT P MIT NO. TRACT NOp. LOT NO. UNIT NO. I�O6/B% 64oOc� �
ProjectAddress �2/7 � 0 ti'"� 3 �? ��� �� ��� O � .
Applicant's Maili/ny1A-ddress � � � TVP60F CONSTRUCTION rvEw ADD ALTERATION REPAIR
Owner'SName "✓�VL�L YN IGLI,B'�S Phone�.lJ.lO2�Z+r�i �,��NVERSION ❑ DEMOLISH � OTHER �� A.P.# —.IO �'" I Z�^e I
+DESCRIPTIONOFWORK/USEOFBLDG. %f��'��
Address �� Z ��1 ��-V w A '- S Main Building: Accessory Building:
Areh/Eng. LicenSe No. TVPE OF PERMIT GRADING FOVN�ATION S7RVCTURAL T Front 5 � O
Address r • ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL � A Reaf lP � Q �{r L_ N
Contractor's NamP � WY�h:1+ i ������,..� 0'OTHER . . . _ .
� Phone:JZ 'n!1L3 C-Right � � pL - 5 i' o n ru
C' —� PROJECT DESCRIPTION 5Q. F7. oCCUaArv/c�v
Addresslmailingl—dI2� OP✓i�NY S�, CONSTRUCTIONTVPE VAWATION$ L �O S Left fl
CityLiCenSeNo.O�b�� ZOIVE GRA�INGCU.VOS. ACRES
LICENSED CONTRACTOR DECIARATION " ' Piny. R¢f. � ' Pd�king R¢q./P�Ovided E
I h¢reby atfirm that I am licensetl untl¢/ provlslons of Charte� 9(commencing qemarkf: - � � Pldnniny NOL¢5: (0 � b� � G� �Q� I 4�\ � h r-P • �-D e� M
with section ]000) of Division 3 ot lhe BuSinesz antl Prot¢z5ion5 COtlO, antl
my Iicense is ir�f�{ 1 forc antl e(tecL ' i ' ('✓�.Q ., ^J�Q�i'S �+---} ('e0.f � 4_1' T
License Class s' Z� Lice e No33 4 7'� 2 ' '�N10� �O "� � S
Date �-�+' g 1 519nature �PLUMBING FEES �T�'� Ff'011} QS� f0.(� W4i� 4-4reemcni- w i{�'1 '�j2%1
WORKEf15' COMPENSATION �ECLARATION ! jj,
I hereby a(tirm that I have a certificate o1 consent to selt-insure or a certificate Bar Sink . Showers _ ELECTRICAL . F��
, of Workers' Compensation Insurance, or a certHietl copy thereot (Section BackflOuvPrevent¢r ServiceSink
3800, lao. c.) Nuromatic Washer . Transformer � 15-50 KW
� Policy No. Company Batkflow Irrigation Sewer Ca ❑ 50+ KW
P Cons[ruction Pole Sub.
� ❑ Certiiletl copy is hereby turnishetl.
❑ Certifietl copy is filetl witn the tlly Buimin9 �ivision. Bathtubs Sewer-Connection Cooking Unit Meter ❑up to 100 amps .
Date AO�licant �
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifiero Solar Colleclors - - Dishwasher � Meter ❑over 100 amps
(This section neetl not be completetl if the Oermii is tor one nunaretl (5100) or
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certify tha[ in Ihe PerfOrmanGe of the �k I � wl�lch Lhls Oe�m�t is Issuetl, I -
snau not employ any oerson in any m n oy o t�c me subject lo lhe Drinking Fountains Solar Tank Fan . Momrs DO-7 HP �1'h- 8
Workets',Co p¢rycaUp n LawS of Califo -�
Date _�_.�j1-�1t'�—Signature — Floor Drains Swimming Pool w/Spa F.A.U.
NOTICE:It, te� making thii tleGldra[iOn, you shoultl bec e 5 �ect [o tM1e IncSOld� �9�15 HP �16-1$+
WOIkeIs' Co pens3tion provisions Of the Labo! Cotle, u mu5t forthwith FIOOI$iOkS lJlinal FixLuf25 '
comply with such p�ovi5lon5 0� thi5 Oe�mlt Shall be tleGm¢tl revoketl. MiC�Owdv¢
CONSTRUCTION LENO�NG AGENCV GasService Dutl¢l5 W2L¢fClOi2t DeviC¢BO%¢5
1 hereby attirm that there is a const�uction Ientling aqency for the perfo�mance P012 Light
of the work for which this permit is issuetl (Section 309] Civ. C.) InterceptOrs Water Heater ' Outlets Ran 2
Lentler's Name � 9
Lenaer's Atltlress Kitchen Sink _ Wacer Service '
� OWNER BUILDER DECLARATION SwitChES Siyn
I hereby attirm that 1 am exempt trom the COntraclo!'s LlcenSe Law �or the LdvdtO�i25 AU[O-Wdsh Ga�bd 2 Di5 OSdI
�ollowin9 reason (Section 7031.5 Business antl Protesslonal Cotle: Any city or 9 P Standing Sections
county wniU requires a permit to construct, alter, improve, aemolish or repalr P-Trap . Laundry Trays Generetor �0.5 KW �5-15 KW
any Structure, Otior to it5 issuance, alm requlre5 [be applicant for SUGh petmlt T�ash COrt�pdct0�
to tile a slgnetl statement that he/she is licensea pursuant to the provisions ot Roof Drains � .
the Contractor's License Law (Chapter 9(commencing with Sectlon 7000) of '
Division 3 of the Business antl Professions Cotle) or that h¢/she I5 exempt - -
. the�efrom antl [he basis for the all¢9etl exempliOn. Any violation of SeGtion
]031.5 by any applicant fOr a pe�mlt Subjects tM1e applicant to a civil
�endlty of not more Ihan five huntlretl tlollars (§500j.
1; as owner oi 'the property or my employees with wages as their sole ReinspBction Fee $15 ISSue Fee $ 3 '
compensation, wi11 tlo the work, antl the structure is not intenantl or offeretl Reinspection Fee $15 luue Fee $ 3
for sale (Section �044, Business antl Protessional Cotle: The Con(rattor's MECHANICAL' � FEES
License Ldw tloes no[ appty to an owner of a propertY who builtls o� im0�ove5 � -
tnereon, antl who aaes such work himself/herselt or through his or nor own , DEVELOPMENTSERVICES REQUIREMEN - �
employee5, provitletl that zucFl improvemen[5 are n0[ Intentletl or ottBretl fOr BOil2f HOOtl OI Typ2 I i] � ��� � ,p
sa1e. If, howeveq Ne builtlin9 or improvement is soltl within one year of mm- Canopy Type I I ❑ Zoning Approved By � Data.LSL�L
plelion, the ownet will have tne burtlen Of provin9 he/she tlitl nol builtl or im- DUct � Und¢r GrOUnd BUilding Approved By Date� (/ (_.�,.�.
p�ove for the OutpoSe of sale). , . ��
❑ I, as owner of th¢ property, am Ezclusively cont�acting wi[h Ilcensetl con- OUct � SVUCtU�dl Refrigeration System Appliration ISSU¢d By Dat
, t�actorsto wn5[ruct the pro�ecl (Sec[ion 7044, BuSinesS antl P�oteSSions COOn:
The Coneractor's License Lzw does not apply to an owner of prooerty who Duct - Ventilating �0�100,000 BTU ❑100,000 BTU M '
builas or improves thereon, antl who confracts tor such projects with a con- SU aARV OF FEES
tra<tor(s) ucenze pursuant to the Contractor's License �aw). I am aware tnat Exhaust $ystem ❑ MWtiple ❑ System Repair/Alteration .� � BUILDING PERMIT $ �6• �� SMIP $ �. r0 "
proof of their Worker's Compensation insurance shoultl be o�ovltletl to me. PLAN CHECK $- 2502 PERMIT
❑ I am exempt untler Section � B. & P. C. for this reason Firepl/Fact. Blt. ICBO �h Fire Dampers PLUMBING $ � ISSUANCE $
Data � Owner • Heating System & Ducting Registers � $ ENERGV P.C. $.
PLAN CHECK 25%
I hereby cerli(y that I have reatl tnis apb���ation antl sfate that the above ❑P100,000 BTU �100,OOOBT GRADING $
I� informaHon is correct. 1 agree ro comply with all city antl county orainances ELECTRICAL �$
antl state laws relating to builtling construction, antl hereby authorize repre- $ MICROFILM $
sentatives ot this city to enter upon the above-mentionetl pr� rty �or .. PLAN CHECK 50%
, inspectian pur s s I,S ,.�� MECHANICAL $ , TOTAI. PEE $ � �Z
Signature Date painspeetion Fee $75 Issue Fee $ 3 PLAN�CHECK 25% $- ' .
�Drivers' �icense or SS � •
C�aF OB65-46, rev. 10/94 W�R¢ - BW Itl��9; CdOdry - HppIlCdOh Pi�H - ACCOU�tlflg; GOI400100 - A5585S0I
� CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector qPPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings . � � 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final �
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Eiectrical-Conduit 66. Solar System-Final '
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T 8ar Ceiling 69. POOL/$PA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS � Permit #
21. Ducts, in�Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Test � 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
� 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding •�� - 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE 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 � �
48. Special pequirements Completed
49. Electric Release to Edison ' .
50. Gas Release to Southern California Gas Co
57. CERTIFICATE OF OCCUPANCY ,
No. Date
��� .
�.
SZ71TE CF' CALIF(7i89IA )
) ss.
OOUN'IY (lE' ORAN(� )
p� � 5/ � before me, the �mdersigned, a Notaty Public in
and for the Co�mty of Orarx,�e, State of California, personally appeared
lmown t�o me Go be the person(s) whose name(s) is subscribed tn the within
instrument arrl acknaaledged tr� me that (he/she/they) executed the samie.
WIZt9� S my hand anl official seal. ` (SEAL)
_ � , � � � _
-, � �' �) � �. ':
�' Slc�at�rc� OFfICI�LSEAL
vanfRtr� � Na�+t�
� • NOTnNY PUOUGC���FORNIA
�/yfT,yt ,�,v� /� ./g 2 m ST✓� N� ORANC� COU�Y
Nd(lle (�� OY' F7L'1(1tE'd) MY COlW. EXP. MAY 7� 1990
STP.TE �' CALIFOI8�77A )
) ss.
(bUN'IY � ORANC� )
On 5 /yr � , before me, the imdexsigned, a Notary
Public in and for the Co�mty of Orange, State of California, personally appeared
�7 . . ir i n. _ ,s . " ' ` '
]mown to me tn be the person(s) whose name(s) is subscribed tn the within
, ,
instrunent arci acknaaledged tr� me that (he/she/they) executed the same.
WI7NFSS my hand arx3 official seal.
(SEAL)
d �
(Signat�e) � ,
- ORFICiAL 50�L
KA1FERitE L lJr611dXG
s ' NOTAPY PU6UGC�4fOaN1A
,�f/ j,��= ¢i�v � �( -���4 m S � K O.� 6 ORANGf LOUNTY
Name (typed or printed) MY COIP1. ExP. NAV 7, 1990
�
j
: .�4 .4 a tt: 710017�.1
2HI5 AQ2EEMEN'P, made atti entered intn this �� ��%`� day of
c%�di , 198�,.by and between �'%,l�%'��S 'T�� /yJ/C/�f����
� ..
hereinafter referred tt> as "LAND (X^II�IER", and � � � '%' �,��s �ie �j.eYnv2
hereinafter referred to as "AA7ACQ� PR�ERIY GWNER".
It is hereby agreed that a party wall will be constructed on the
praperty line between 3
�322.1 L 0 u414 � T - - -
�
in the�CiEy.of C�ta Mesa, Coimty of Orange, State of California, as per map
� °i;-.., �• - .
i -'�'.a�.i ,. •.,: � ,.;�� ,
recoided�in.Book I .:1 Page_ of Miscellaneous Maps, in the office of the
.e�. r;�, . -
'� 4: a\••
Co�mty Recorder of said'Coimty. 7Y�e party wall shall be permitted to encroac3�
IN WI'iNESS �diEREOF, the parties ha�e entered into this Agreement the
day arc3 year first abwe written.
LAND ER �
L� yp`�
���� ' —/
Signature)
e�v��i�; /.�.�je/fst�-G
Name ('Ij�ped or Print )
3� � sor.�,� si�
(Address)
GOST/� /I�rSt�, �'//�
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AC PROPE3ZIY ER ,
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%( gnature
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�ne (Zj�ed or Print .)
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� � � � .-(-,� ���:
(Address) �c��� �PS�, C<r.
�j 2!`v 'L4�
(NpTE: Please see reverse side for notary's statement)
i APP QVEI� -
'� ��dF��i�'�7L.Q�
PLAPINING DEPT.
siie�ur ta �c. o�r. cEo.
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TYPICAL 6" CONCRETE BLOCK FENCE
c.mm� copre ov�a�w —
CMrurl Bbck WHh QM �%�¢
Mwl�oeW Too of W •
f�nas
m
Fa F�eoa 6' a L�a
Vm. Bm 3/�"¢ tl 1' -0" O.C.
Fa Fina� Nqlw Th�n 6' —
Wrt. B�n �18'� at 32" O.C.
FfU Glb So4d With Otout —
Wh�n Stwl Oaun
R.u�ro�a� s�«i.swu
Confotm to S�e.A•11L�Y
A.S.T.M.
All StMI a b� L�ppd
K"a to Cod�
NATUNA�L�GR�ADE
p��11 � :s
► ,�. '
e •�N
TWO ]!�^ lAAi ' O
BOTTpYW TO/ . O
-�i � WIDI
• p '� eeiaw
,ol•,
WAII MEIGNT
THICKNESS OF FOOT�NG
DEPTM OF EARTHTOOTY•
SPACIN� OF EARTHTOI)TH
6�
�4
�Q�
2�
0 FOtI ELECTRICAI. PLUMBING.
HEATING, VENTILATING AN�
,'_ { REfHiGERAT�QN WaAK
�, a � ,� - Z G 7S
� 5'a �
i0N 6UILOC:SS N1Hf .�0'� �Dc:S : FE TG 3;
FMPIOVF.�. \VE SUGG EO � AT THE SiAT: OF
UritF�NNlA DI':�ISiu 14� �US"iR!Al SAfETY
C�ly 01 VOS�Q Me:)Q� CQ�� REQUtHEh�EN�TS. OWNf a
6uiiding Department ;
• •
GENERAL- NOTES
MORTAR: On� Porf Plosfie Gm�d, and
GROUT: . q,� pu � Cem�nt TNtt onA
Om Hd� Ports S�md
60PING: On� Port Csmenl� Tlr��
Parft Sond
CONCRETE: w�ll MiYap I: fh t 3�
Mur. of 7/2 Gollo�s ot
Wot�� Per 5ock ot Ctmtn!
GROVr MAY BE IOURW FROM TNE TO►
Of THE FENCE
CEll6AliDANEAEOF IIOR120NTAL REIW
fONCEMENT iHAll RE CLEAR, CIEAN i
iNEE OF All MDRTAl10E6R1i. ETC.
lONDS
OE VTN Oi E
i/�7�I
6
•u 6[ movip�P�i.��ri►ic� � � �
� STNETCMER COUpSEi 60 TNAT
.�01N�,i1��$i"C.2T�Sf4��'a Buildin Dept.
BY �--- DATE � G 19 � /
iHE.j' ;'i.A!J's L:.�..%:3T E:. ^!`' 10� .4'7 Ail ;A�F� i-'� .YK
•'.�r''"�a:a'v�ES \i:il�if:�:'1 �'FfCR P,PFR.P:� i �_:` i '�
9iNfCOTN � "� � �
ME�GTM OF iENCE
OTTOM:'Oiri00TING:� ,�� ., , �: ,•�-^` , r=
t,': '.. . �,�.�;
sls.r:E�.ra„5�•d...��.1. . �=.it.l:':.• •.::7��a ��iiDi� �T:a
FEFpei; ::. p -c : .. ., .. . , . . ; . ' : H"'"i�: a !iF ' G
TH: P.!�iVSCALE i',IIGM ��. �I, � ' Fc. c,U ilaG - _ , ,
q�:ti',',:i:?v 1:) 1•.; _ .. :.t! ii., �. ^.:,. ;,,', -� a
G:JDF LNl�I: _,.`J ...,. "c>.:.. � d f J� !.�i. :.S �Ir:c vGnK OL �L�=
�iHE !�>J.�:•��O • ' '.',IT 9P.SE0 UPC;' FI `.'�': .Ct.!p
°.oEQFi.`.A'!: `�ti 1L n'L ":�fV°i:l �r p� �C '''flAl
rrn. '- r' ic.'l'�uPG IS•: li:-•,..'• . n IN
$n!D F'iAN' 12S 5"iLIFI[G11Uf<5 Ot r'�': i'tNi%:.i�n�G
GUlIDING Uy �>,•�: !45 BE:F:'v C=.kR.cJ GP� 7HEn ;N�2R v!L'EN
iN Vlpt.`.'.IC 8F' i15 :GDE OR OF hh'1' OiHER � 2UINANC� i�F
r.+e arr. � �•
� �g� ----I`�g=�--m---.,
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�� �'i0w3 � � � � � � — �
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C08TA M�A. GLIFORNIA
For Applicanf io Fill In Compleiely
TYPE OR PRINT
BUILDING ____ �. _. .
� ARGMI7ECT
� STATE
COSTA MESA CALIFORNIA
� ., inn�
I vnw�nvB�rBi
eBTBACK LINe PROM � REAR YARD �
CENRR OP 9TRC6T
SIDE YARD I LEFT S� I RIGHT S�
DESCRIPTION OF WORK
NO. OF
WA�L
PERFORMED
� ', _', ' �, . . ' .
�`�s-i�;-� �
"IVf'.'''(:� . � - .
/;S'. •
APPLICATION'FOR^PERMIT' ! `-
BUILDING
For Office Use Only
REC8IPT NO. PERMIT NO.
COSTA MESA, CALIFORNIA
FIRE
ZONING
ZON l � NO. OP ^ I O88 OR
��y PUNS G BUILDI�
LEOAL � , _ ,,, _ �
�c¢t�riw uwe sr.�
1 HEPEBY �GKNOWLHD6E TXAT 1 XAVE RBAD TH19 APPLIGTION THE �MOUNT BHOWN UNDEP VALUATION 18 FOR TM¢
AND BTAT¢ TNAT THE ABOVE I8 COH�� A�'ID AGFEH TO CAN. pUfiP08¢ OP EBTABLIBHINO A nEPMIT FEE ONLY.
PLY WITH ALL CIiY ORDINANCEB ANV �AtB IaWB p60UlATINO
emtmraa coNsirturno VALUATION
SIGNATURE OF�-�/ � _ _PERMIT FEE $ '3 .QQ
PERMI7TE�
Dike 8 Cole ove,,Inc. s 16,101• PLAN CHECK s 18.00
AUTHORIZED AGENT � . ..,.