HomeMy WebLinkAbout3220 IOWA ST - Building PermitsAOP���ant to fill in all spaces exceo� inose witnin neavy Doreer lines antl sign all appropriate tleelarationz.
PER T NO. � TRACT NO. LOT NO. UNIT NO.
AM^ESA C STRUCTIO P R-�MIT �. �S��s ,q.P.# zone
�ddress ��'`� � � '•^� �� _
'7 M7_. _ TYPE OF CONSTRUCTION 'NEW /aDD ALTERATION REPAIR S M2in Building: AcCesiory Building:
t's Mailing Ad ess / t[ea— . E Z
❑ CONVER510N ❑ DEMOLISH ❑ OTHER T Ffont Q
er's Name /y� Phone�'6 " DESC(iIPTION F WORK/USE OF BLDG. I B R¢ar N
Address � n� e�� ' /���� n <A P i�i '�' � �
Arch;�Eng. License No. TVPE OF PERMIT GRADING FOUNDATION STRUCTURAL I K Ri9ht G
Address ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL g� Left '
R
❑ �OTHEa Pln Ref. dk Parkin
,Contractor'sNam Phone� 9� gReq./Provided E
�y1� PRQIECT DESCRIPTION Sa. FT, oCCUcaNcv �
Address (mailing) ~!�g w�� v%//^da- �/� Planning Notes: M
�/� 1� CONSTRUC710N TVPE VALUATION $.�'1yp�.�0 T
City License No.;� 4i ZONE GRADING C. VDS. ACRES
LICENSED CONT �ACTOR DECLARATION S'
I hereby a/lirm Ihdi I am licensetl untle� p�ovi5iOn5 of Chdrte� 9(commencln9 Remarks:
witn seclion 7000� oi DIvi5lon 3 of Ihe Bu5ine55 antl Prp{e�p" n Cp.tl� antl
my license Is in twi torce antl eftect. ��Y�Y ELECTRICAL FEES
�icense Class � �cenz
�Date ^ " Si9nature PLUMBING FEES Automatic Washer Transfoimer ❑ 15-50 KW
WORKERS' COMPENSATION DECLARATION Constluction PoleSu6. ❑ 50+ KW
\1 hereby a(firm that I nave a certificate ot consent to selt-insure or a certlilcate gar Sink ShOwen .
` ot Workers' Compenzation Insurance, or a certifietl coOY tnere f(Section CoOking Unit Meter ❑up to 100 amps
\Backflow Preventer Service Sink
3800, Lab. C.) p Dishwasher Meter �over t00amps�
� Policy No.B%�7i��-D7 Company Backflow IrrigatiOn � Sewer Cap _�
CertifieU copy i5 hereby furnishetl. Dryers ❑Gas ❑El2ctric Sub P3nel
CertifiCtl copy �5 f etl with the city y�1� Di i�Q Bdthtub5 Sewer Connection
Date_�^ 7'�� Applicant �o6A�, (�(� s Fen �
EXEMPTIONFpOMWORKERS'COMPENSATIO DEC RATION Clarifiers^ SolarCollectOrs Motor5O0-1HP��T'h-8
(Tnis zection neetl hot be Completetl it lhe pe�r�it is to� One huntlretl (5100) o� F,A.U.
less . Dishwasher Solar Piping Inc.Solar 09-15 HP.��6-75+
I c¢rtify Ihat in [hC Per/o�mance ot Ihe work 10r which th15 pe�mk is issuetl I , ,
zhall not empioy any person in any manner so as to betome subject to tf�e Drinking Fountains Solar Tank FiXtures Microwave -
Workers' Compen52tiOn, LuwS of California. - .
Date Signalure Floor Dreins Swimming Pool w/Spa Devite Boxes Pole Light
NOTICE: II, aiter rhakinq this tleUaratlon, yoU shoultl become subjec[ t0 Ne -
Wo�ken' Compensdtlon provisions Of the Labo� Cotla, you must fo�Nwi[h FI001$ink5 U�ipol Outlets.;��_'-. Range .
complY with sucl+ Provislons or tnis perm�t shall be tleemetl revoketl. . . '
CONSTRUCTION LENDING AGENCV GasServiee -Outlets WaterCloset Switches '� Sign �
I nereby aHirm tnat there is a construction lentl��9 a9ency tor the per(ormance - �
of (he work for which t�is permit is issuetl (SecHon 309] Civ. CJ InterceptOrs � - � Water Heater G3rhage Disposal $tanding $CctiOns .
Lentler'z Name _
�entler's Adtlress Kitchen Sink Water Service Generator �0.5 KW �5�15 KW Trash Compactor
OWNER BUILDER DECLARATION ' .
I hereby atfl�m lh5t I am ezempt frOm Ine Contractor'S LlcenSe Law f0f [he Lavatories AUtO-WeSh
followin9 reason (5ectfon 7031.5 Buslness and Professional Cotle: Any citY or
county whicb reqWrez a permit [o conslruct, alter, improve, Uemolish or repair P-Trap Leundry T�ays "
any slruGlur¢, prio� to its issuance, al5o rlquir¢5 Me applicant for SUCh permit ,
to file a si9netl statement tnat he/she is Iicensea pursuant lo the provisions of Roof Drains ,- � - -
the Conttactor's Li�e�se Law (ChaOter 9(commencing with Se[fion 7000J of '
� Division 3 ot [he Business antl Professions Cotle) or that he/she is exampt ... , qeinspeetian Fee §15 Issue Fee � �
thereirom antl the basis tor the allegetl exemption. Any viola[ion of Sectlon ' . $ 3
]031.5 by any apP�iGant fo� a permlt Sublects [he applicant to a civil .' .
penatty oi not more than ilve nuntlretl Aouars (5500). - DEVELOPMENT SERVICES REnUIREMENTS: '
❑ I, as owner of tne Droperty or my emploYees with wages as meir sole Reinspectian Fee $15 laue Fee, $ 3
compensalion, will tlo the work, antl the st�ucture IS not intentletl o� otte�etl 20ni�g App�OVBd By DetB
for sale (Section �044. Business antl Proteszional CoEe: The Contractor's MECHANICAL FEES Building ApP�o`Rd By
License Law tlo¢5 Pot apOty to an own¢r 01 a p�operty wh0 builtls Or imp�oves DdtB
thereon, antl-who'does such work'M1imsolf/herself or thrOugh his or he� own . qpp���tion Issued By
employees, proviCCtl that such improvements are not fntentletl or offered for Boiler ' HoOd Of Type I ❑ Dat
sale. If, hOwever, (he bulltling or improvemenf is Soltl wltnin one year of com- Canopy Typ¢ I I ❑
pletion, the owner will have the burtlen ol provin9 he/she tlltl nol builtl or.im- Duct - Under Ground SUMMARV O FEES
prove tor the purpose of saie). .' BUILDING PERMIT $� SMIP $ •��
❑ I, as owner o( �he proper[y, am exclusively ton[rattin9 with' Iicensetl con- Duct - Structural Refrige�a[fon SyStem -
tractors to conztruG< <�e project (Section 7044, Businesz antl Protessions Cotle: P�N CHECK $ ' PERMIT
The Coniiactor's L�cenu law tloez not app1Y to an awner ot Oroperty who DucF Ventila���g �a1W,0U� 6TU ❑�U0,�0� 6TU � ISSUANCE $
builtls or improve4 ihe�eon: antl �who cont�acts �ar such oroiects with a con- . PLUMBWG $
tractor(s1 license pursuan[ �o me Contractors License Law). I am aware that Exhaust System ❑ Multiple ❑ � System Repair/Alteration . P�N CHECK 25% $ ENERG�' P.C. $
pwof o/ tneir Worker's Compensatlon insurance showtl be provltletl to me. ELECTRICA� $ GRADING $,
❑ I am ezempt untler Section B. & P. C. tor thls reason Firepl/Fatt. Blt. ICBO # Fire Dampers MICROFILM �$
Date owner Heating System & Ducting Registers P�N CHECK 50% $
n ❑0-100,000 BTU 0100,OOOBT MECHANICAL $ TOTAL FEE $%a S�
I hereby certity t at I have rea0 this application antl state that Ne above
iniormatlon is wrrect. I agree to comply with all city antl county ortlinances PLAN CHECK 25% $
antl� 5tate laws rela��ng to Du'Itlinq c nz uctlon, antl hereby authoriza repre-
s¢n[atives of ry�s ity o er the above-mentionetl property for
Inspection p 6s . � �
Si9nature b� Date/D• � �� '
Drivers' License or'S5 � Heinspection Fee $15 Isue Fee $ 3
�1 OOOld492-00016493 TiIT %;�,g1J
- - � �nnrc �n.n-irnn
0865-46, rlv. 5/98 wnite - tluuaing; Canary - qPpncanq Vink - ACCOunun9; uoia¢nroa - n5ses5or -•��-- ��• �• i �v i tnG• U] • 1l
UCTION�AND PLANNING POOL & SPA
OVAtI� permit# Date Inspector AppROVALS Permit# Date Inspector
1. Temporary Electric8l Service or Pole 52. Pool & Equipment Location
.2. Soil Pipe•Undrgrnd. � 53. Steel Reinforcement - �
3. Electrical Conduit Utili y-Undrgrnd. 54. Forms ' ,
4. Elect'rical Conduit-Undrgrnd. 55. Electrical Bonding "
5. Steel;ReinforcemenY I 56. Rough Plumbing & Pressure Test ��� ��
�6. ElectiicalUFERGrnd.l , � 57. APPROVALTOCOVER-GUNITE ;;.
7. Footings � ; j 58. Electrical Conduit-Undrgrnd. '
8. Foundation , �� � 59. Gas Pipe, O Undrgrnd., Test
9. Watei Pipe-Undrgrnd. i .' � -:� 60. Backwash Lines, P-Trap, O Undrgrnd.
10.•Structural Floor System ., ��� 61. APPROVAL TO DECK
�
11.�Property Sewer Line &�House Co i nection I 62. Backwash & Receptorfinal ,
72.�Seyoer Cap ' •; � 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final �
14. Rough Plumbing � 65. Electrical-Final
15. Rough EICCVical-Conduit 66. Solar System-Final
16. Rough El�ctric Wiring 67. Fencing & Access Approval
� 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Fleating & Air Conditioning 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-pough & Test 72. Underground Flush
24. Roof Framing -(� � � 73. Undergmd.StorageTank OGas ❑Oil
25. Roof Sheathing ; � � 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical �
27. Freme and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing ti � HEALTH DEPT. REQUIREMENT
31.•Plaster Brown Coat 79. FINAL INSPECTION
32. Electriral 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. Landscaps Irrigation System
45. Sound At2enuation
46. Handicap Regulations '
47. FINAL S7RUCTURE & BUILDING � �
48. Soecial Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co •
51 ��CERTIFIGATE�OF OCCUPANCY .
No. Date
OWNER AARTbIAN, Lord N, DATE 1-4•77
JOB ADDRE55 owa treet BUILDING PERMIT N0. 43254
E ZONE
SUBCONTRACTOR
PLUM8ING
iWR. LINE ❑ HOUSE CON.
ROUGH ME�TING �NO R�R CONOITIONING
ROUGM WIRIHG
TRENCHES FORMS STEEI REINF.
FLOOp SVSTEM
SXEATHING
FRpME �ND
1 . .
43
COSTA MESA BUILDING-SAFETV DEPARTNiENT �
P.O. BOX 1200 COSTA MESA, CALIFORN�A 92626
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For Applicant to Fill in Completely — Use Ink Only
ADDRESS .�7� � /JCIA/Jl.� 1 �d�'J.LL4//{:
OWNEF �,/J
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MAII /,
ADDRESS �
CITV (��
ODf�bTRUCIION
LENDER
BRANCH
ADDRESS
ARCHITECT
OR ENGINEER
ADDRESS
CONTRACTOR
ADDRESS 3
CITV ��^
¢TATE
LIC. NO.
$12E
OF LOT �
USE OF
TE
CITV
LIC. NO.
NO. OF BLDGS
NOW ON LOT
Separate permits are required for
electric, plumbing and heating work.
UILDING AND WORK TO 8E VERFORn
� heraby acknowl�dpe t�at I hava r�etl this epplication entl stnte
thoa tha ebova Intormetlon 7� correct antl apr�e to �omply with
ell law� rpulatin0 OuilCinp conrtruction, entl I Mell not employ
mny perwn In violetlon of Me warkman'� comp�nseUon lew� of
�ha Stan of CalitOmle.
� horaby cartlty t0at I em proPe�ly �Iceniad as a eonveetor untlar
tha State of Californla Businau entl Proi�pions Code, Dlvislon 3,
Chapmr 9, antl t�et �uc� Ilcenaes ara In full foree end effxt, or I
em exampt irom Ms provisiona of tha Stet of Celifornia Budnau
entl Professlons Cotle, Dlvi�lon 3, Chepmf .
S�p�etura of
Parmlttee
Authorizatl Apmt
�av -L�-���n�, �0 oR7� �, � �3G.5G
APPLICATION FOR STRUCTURpL PERMIT
ECEIVEOBV DATERECEIVED neTciceiicr
A.P. NO.I. � 1 —
BUILDING �7
ADDRESS ,..,( �
TRACT
FIRE
APPROVED
eEr.
VAR. F
C.U.P.�
THE AMO
T}IE PUR%
VAIUATION
E l,�P1
APPROVED
MAIN &
JN VNDER VALUATION IS FOR
'ABLSHING A PERMIT FEE ONLV:
PERMITFEE y D��,
PLAN CHECK S /� ��
TAX E �
TOTALPAID E
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JOB ADDRE55 3220 Iowa Street BUILDING PERMIT N0.
VALUE E l,bt50.00
SUBCONTRACTOR
WPIGH
� ROUGH PLUMBING
y`. PROP. SWR. LINE MOUSE CON.
�Y SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH NEATING AND AIR CONDITI
TEMPORARV SE0.VICE OF POLE
UNDERGROUNO � POWEft �
ROUGH WIRING
TRENCHES FORMS STE
FLOOR SYSTEM
BOND BEAM ❑ STEEL REINFC
SXEATXING
FRAME ANO FLASHING
LATHING - IN n OUT n
PLASTER, BRO'MN COFT
STRUCTURAL, FINRL
HEATING, VENT., REFRIG. ANU A.
PLUMBING, FINAL ANO GRS TEST
ELECTRIC, FINAL
BUILDING, FINAL
� PAIU
. �v,R -F-7-<�.,�=00 t59•�. ;.,::r;.zo �G
: 3618.1
, COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
ForApplicant to Fillin Completety REc iv o av DATE RECEIVED
onreissuE
BUILDING �/ �/� _ �J
ADDRE,^r5 ��� 1 OG(I/J „S I r J—
OWNEF V�GK � r�AN A.P. NO. �,J �1 O.n "O S PE�� 1
MAIL �J T �y BUILDING '7��Q I,G�;A �
ADDRE55 (J ZZ-V � ,�/ /aDDPESS ..� rQ
d U CITV �� �J�S,�" NOL TRACT •�o r U LOT �� BLOCI
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Z Q CANSiRUCiION N ON C� W A D
O N LENDER
am
J � BRANCH /�
Jy OWNER •JhY
a W ADDRE55
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m ARCHITECT y pN� TEL. S
J a OR ENGINEER
U Q FIFE
w Q ADDRESS ZONE
aw
APPROVE
W Z CONTRACTOF � BY
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J � AODRESS
W w TEL. ZONE„/) I NC
Z� GTY NO. f` P�'
W � STATE CITV �'ARDS APPRI
N Q LIC. NO. LIC. NO. MAIN BUILC
�� SI2E y NO.OF BLOGS. IFROM C/L E(
OF LOT O �\ �� NOW ON LOT / ONT GV�F
USE OF rs� �GNG � 3�
EXISfING BLOG. ��
f 512E OF �/� � �{�/� NO. OF
Z NEWBLDC./�X2I JiY'fQROOMS / STORIES L.SIDE 7 F
EXTERIOR WALL ROOF %d' q
V COVERING COVERING LY �•n'e REAF O F
J USE OF 6UILDING AND WORK TO BE PERFORMED DISTANCE BET.
a MAIN BLDGS.
a
VALUE
Z USE OF NEw �'< <
BUILDING ,
D YARDSAPPROVED
BET. MAIN &
O / /�T{JD C��4/�- C.V.P.qW APPROVED
F APPROVED �I,�� �^T 3 -6'7�
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VI hareby acknowletlee thet I have reetl this application antl sie�e
� thai ihe above intormacion is correct antl aBree to comply with
� oll laws regulating builtlinB consttuc�ion, antl I shall not employ
F ony p¢rson in violation Of the wo�kmen's compensstiOn laws of
y tha Stata of Califomio.
zI heroby cer[ify that I em prOperly Ilcensetl as a conbactor untlnr Sn' �
Me Stete of Californio Businass entl Profazz(ons Cotle, Divisicn 3, THE AMOVNT
Chapter 9, antl c�ac such licanses ere in full force entl af(eci, or I TNE PUftPOSE i
am exempt fron ll e provision5 of ihe State of California Busineu VALUATION
and Professions Cnne, Divi/sion 3, Chaptar 9.
SiBnatureol ` /j��.�/ �`)7 (�
Parmlttea \�Gr" t A`��✓JVL $ � / (jO
Authorized ABent � � a
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SHpWN UNDER VA�UA ICTOAa$ F �
�F ESTABLISHING A PERMR m
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PERMIT FEE S �"
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PLAN CMECK 5 � � E
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TOTAL FEE $ �/ I7� CJ
Vermon� Ave. Land Co., Inc. DATE
JOB ADDR.FSS
GENERAL COt
PERMIT
AP. No. LOT l�� TtiACT 3oUo FIRE ZONE DESCRIPTION OF WORK xes.w,�att.Gar.
INSPECTIONS 7_/2,{� DATE I GROUP I Ft S TYPE — V ZONE �R-1
Underground SOil /V/,/�s U.G. WateP ,C�� PERMITS ISSUED
„ � ,, „ 4r;��- I SUBCONTRAGTOR I
OCCUPANCY
Form 210—SM-11-59 S�B P
- � ' 12�u0
COSTA �v1E5A BUILDING-SAFETY DEPARTMENT
• P. O. BOX S77 G��A MEBA. CALIPORNIA
For Appl)canf fo Fill In Complefely
TYPE OR PRINT
COSTA MESA. CALIFORNIA
' ARCHITEGT Ca2'ZSOn
� STATE _ . �_ _ _ TEL.
NO. OP
FEE RECEIVED
�,� �uri 2 i �ss�
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
PECEIPT NO. PGgMI} [i0�
1OA�0
G�Fl/
RECEIVEO BY OATE pECEIVED DATE IBBU
__ /_.�n�(DIUN�1 iy��
FIRE
COSTA MESA. CALIFORNIA
ZONING
NO.OP UBE OF
PLANB �/ BUILDI!
6HTBACN LJNB PROM (CENTew uN! BT.1
GHNRR oP BTReeT � REAR YARD 2E31 FRONT
SI�E YARD ILEFT � IRIGHT � R.SIDE
DESCRIPTION OF WORK
L. SIDE
NFW I A IIAITGRATION I IIAOOITI�N I __._
ROOF
coveau
K TO BE
I XeREBV ACKNOWLE�GE THAT � HAVB PCAD TH19 APPl�GT10N
AND HT�T¢ THAT THE ABOV6 IB CORHER AND ApREH TO CON-
PLY WITN ALL CIiY OHCTiIN�A�N,.U-'8 AND BTAT6 LAWB p80ULATINO
HUiLDiNO fANBTAllLTI� `
SIGNATURe OF
PERMITTE
AUTHORIZED AGENT �ike &� leerove. Inc.
APPROVED
136� °'—
��
THE MfOUNT BHOWN IINDER VALUATION 18 FOH TNE
PYRP08E OP EBTABLIBXING A P¢RMIT FEE ONLY.
s 14,179.
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