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Home My WebLink About3233 IOWA ST - Building PermitsAPPLICATION FOR A BUILDING PERMIT BUILDING PE MIT NO. Eiectnwi m Tract Block Lot Pormit No. � n Bulltlln9 Plumbing , • Atltlrezs � � . Pormll No. e Clo55 MUChdnlCdl a Area Street Permlt No. m pwner � TY�e of Projetl: ❑ aw ❑ Alter ❑ Atltll[ n tt Atltlress � F� ❑ Rnpalr ❑ Con rt ❑ Dnmo ❑ Occupancy P t. CIIY 210 Phono � 3/� A.P. SuP. Dist./ Inip. Area Arthltect/ Zp�e SPI. Pmt. No. Designar LJtense No. SetbaCks P/L Fron[ C/L SL Street itlth Atltlress VarCs LG t gh edr ��ty Zip PhonB ave ro�, e 9 . « Engineer L/C¢n5e No. � arkin9 Spaces eQu re rov e ove aQQdfE55 m Qty 21P Phon< Struct No. of NO.Of Halght Storles Family � LICENSEU CONTRACTOR'S DECLARATION Park Fees Ves Fea �° Requlretl No C.T. Recelpt m I hareby etiirm that I em licensad under provislons of Cheptor 9 t (commonctng with Section 7000 of Division 3 of theu uainesf and Zoning Approvetl By: Date Profes:iore C e ontl � icensa is in full torca an if � lleonse Clas ' L' se Number > Date o ractor Mlsc. E Aa rass a000sed Uze iy Ci[y antl 2ip Pho af Strutture •n CONSTRUCTIO ENDING AGENCY N � I hereby affirm that thare is a constr�ction lentling aBency for the d performance ol the work for which this permit is issuatl (Soc. 3097, Oc0. TyDe Cotle ' Civ. C.1. Class Const. Vear y Lentlar'z Nema USE/OCCUPANCV IZE S�. FT. 5 �o�ee.•s naa.o.: � OWNER-BUILDER OECLARATION y 3. I hereby effirm that I am exempt from tho Contractor's Licnnse Law tO for xhn following reaaan: � ❑ 1, as owne� of tha proper[y, or my employeas with waBes ea [huir 2. solo cOmponsa[IOn, will do the work, entl the srcucturo Is not t intontletl or olferatl for selo. �' 3. � ❑ I, es owner of tha praperty, am exclusively contraain0 w��h Iicensatl con[ractorsto conrtruct Ma project. .d., ❑ I am azampt �ntlor Sec. , 6&PC tor this roawn 4� m a Det� Owner E � VYORKERS' COMFENSATION DECLARATION Total Valuatlon � 1 horaby nHirm [hot I hava a cartificata Ot cOnaont to �alfinsuro, Encroachment Pormlt Requlro� ❑ Vos No o� o cmtificoto of Workan' Compensation Irovrenca, or e curti(iatl C copy therooL Gratling Pmt. GraGing � Policy No, Company ReqWrttl ❑ V!5 ❑ No Vml. No Q�' Cariifiotl copy is heroby furnis�etl. Rough GraCing y G e/r/ fia copy' ilad with OranOe County� EMA. qpp�ovetl Gy: ate f0 a Date/� PPlitnnt, �1--� - ��"`—`+ 3 CER7IFICATE OF EXEMP710N — FROM WORKERS'COMPENSATIONINSURANCE Z (ThiS eaction noad not �e completad it permit is tor $100 or bzal. � I tortify Ihe[ in Mo parformanca of Ne work for which Ihis permlt i� P Issuad, 1 shall not amploy eny porson in any mennor so ns ro bacomo 1 sub7ect to the Workars' Companzation Laws of Celifornia. PERMIT FEE Daiw APPlicnnt YOTICE TO APPLICANT: I(, after making this Certiticata of SVuc[ural S Pla Check E Exempcion, you shoultl become subject to tha Workari Componsntion provisions of tho Labor Catle, you murt forthwith comply with such EletlriWl 5 Cial provisionc or thiz pormit sholl bo tleametl revokaG. s I sL s I CERTIFV THAT I HAVE READ THIS APPIICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO P�umbing E COMPLV WITH AlL COUNTY OROINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBV AUTH� MethaniWl E ORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABOVE MENTIONED PROPERTV FOR INSPECTION PUR- pre-Gratle /�. ` -3 ^ J P SES. l InsDectlon s �/ ``� � Pre-Gratle Permit Signa�u.o of �applican[ or Agan� Date Rec. No. $ luue s i�1r�P 13 ,. Pr�nt Applicent's/Agont's Name All s aces within this boz mus[ 6e com leted to roceu Plan Issuance P P P Ghack By: ApPrOv¢E: CMF 0335•46 (BV28) rav. 6/80 OwNER gp00D. MFRIE JOB ADORESS 3233 Iowa S� GENERAL CONTRACTOR Insu APNo. 139-101-14 LOT 9 INSPECTIONS SOIL Gn5 WATER ROUGH PLUM9ING PROP. SWR. LINE � HOl15E CON. � SPRINNLING SVSTEM MISCELLANEOUS ROUGM HEnTING ANO �IR CONDITIONING TEMPORARY SEFVICE OR POLE UNOERGROUNO � POWEH � ROUGH WIRING TRENCHES FORMS STEEL RE FLOOR SYSTEM ' BOND BERM �� STEEL REINFOPCE [ SHEATHING FRRME AND F�ASHING LATNING — IN OUT PLFSTER,BROWN CORT 'STRUCtURAL. FIN4� HEATING, VENT., HEFRIG. �NO A.C., FI _PLUMBING. FIN4L ANO GAS TEST � ELECTRIC. FINAL �BUILOING. FIN4L DATE BUIL[ SUBCONTRACTOR i R C l ' COSo soxE,zoo c�os�r�aM SAFCA I ORNFlIA9 626T APPLICATIONFq�TI��C� PERMITT, 6;.66. RECEIVE BV PERMIT N� �OHHO For Applicant to Fdl in Completely — Use Ink Only BUILDING.•ti A.P.NO. /Jq� �O � ADDRESS , BUILDING ^5 � OWNER OR � ADDRE55 0< TENANT UNIT OR MAILING � SPACENO. ADDRE55 TR.NO. LOT BLK. TEL. •� CITV NO. f NEW ADD ALTER REPAIR MOVING DEMOLISH CONS�RUCTION LENDER BRANCH %L 1 OWNEft � // ADDflESS us ALUES� �� ARCHITECT TEL. OR ENGINEER NO. �ty,/� AODRESS 20NE /� I TVPE GROUP APPROVED CONTRACTOR BV DATE ADDRE55 Sl � TEl CITV NO STATE GTV APPROVEDSETBACKS LIQ NO. � �� LIC. NO. SIZE NO.OF BI.DGS. (FFOM C/L STREET) OF LOT NOW ON LOT RONT FT. USE OF EXISTING BLDG. n�v E FT. Separate permits are required for L SIDE FT. elec[ric, plumbing and heating work. REAR FT. USE OF BUILOING AND WORK TO BE PERFORMED PIAIVNING ACTION � � DATE APPROVED APPROVED I haraby acknowledge that I have reatl this application and state � that the above information is correct antl agree to comply with all laws regulatin8 builtling consttuction, entl I shall not amploy � any person in violation of the workman's compensation laws oi � the State of California. m I hereby certify that I am properly licensetl as a coniractor under SQ. FT. � tha State of California Business antl Protessions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro Chapter 9, antl that such licenses ere in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: � am exempt from She provisions of the Stata ot California Business sn q antl Protessions Cotle, Division 3, Chapter 9. VALUATION PERMIT FEE ffi • � v m Signature of „�i� _ /� . � � �% ` � PLAN CHECK $ � �n � o Permittee � �� ^--�Q— s $ �� , � TAX $ f AuthorizetlAgent �ate�Q� �� TOTALPAID $ U TL � " g��3 � � COSTA MESA BUILDING•SAFETY DEPARTMENT P. O. BOX 917 C09TA MEBA. CALIFORNIA For Applicanf to Fill In Complefely TYPE OR PRINT � MAIL � $�� COSTA MESA. CALIFORNIA Jevr York Avenue Properties� 419 E, 17th St. %osta Mesa No`LH3 8 ' C3I']_SOII lYC TEL. '.ER zz1��,.,1,.,,",1. NO. Garcien Grove �e Dike & Colegrovei Inc. 419 �. 17th St. CnC�'.�1 1MTPSf1 57299 No: Li 8-1159 �O' � X lOO � I NOWOON LOT fLDG. nnnq 6 FfiON �T�eT S2� REAR YARD ILEFT S� IRIGHT S� DESCRIPTION OF WORK EXTERIOR WALL ROOF COVHRING g'�'.tyCCO COVERII USE OF BUILDING AND WORK TO BE �� .�-��-�� ' APPLICATION FOR PERMIT BUILDIPIG For Offiee Use Only R8C81PT NO. •QPP.P euao�Nc ADDRESS COSTA MESA. ZONING ZONH NO. OP U86 OP N R�l PUNB r� BUIlDiN6 �.eo�� YARDS APPROVED 1C6NT[a uNs aTJ APPROVED EVES 1 HEREBY ALKNOWLEDGB THAT I XAVB RGD TXIB MPLIGTION THE AMOUM BNOWN UNDER VALUATION 10 IOR TXE AND BTATH THAT TH8 ABOVE 19 CORRER ANO AOR86 TO COM- pUFP08H OP E9TABLIBHINa A PERMIT FEE ONLY. GLY WITM ALL CITY ORDINANCC9 ANO 9TATE LAW6 HBpULATINO Bu1tDINa GONBTRUCTION. VALUATION SIGNATURE OF PERMIT FEE $ PERMI7TE s 15,�45• P�AN CHECK $ ]%.SO AUTHORIZED AGENT Dike & oleRi'ove, Inc. t„ �n