HomeMy WebLinkAbout3244 IOWA ST - Building Permits---- —CN.1� t€rs��.�Ls � ��-rs� �-ti�T -„a�
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CityofCostaMesa iNSULQTION CERTIFiCATiON� euildingSafetyDivision
� 3244 �D1� 5-� Cor��1t/l� C�',�,v«
Number and Street City County
Subdivision
Lot Number
DESCRIPTION OF INSTALLATION
ROOF
Material Brand Name �
Thickness (inches) Thermal Resistance (R Value)
EXTERIOR WALL
Material � BrandName ��J��' �.i�.i�__J�ll/��
Thickness (inches) 3 2 Thermal Resistance (R Value�� �'��
CEILING
Batt or Blanket Type �'T-��/
Thickness (inches) %i
Loose Fill Type
Minimum Thickness (inches)
Area Covered (ft2)
FLOOR,ELEVATED
Material
Thickness (inchesL
F�OOR,SLAB
Material
Thickness (inches�.
Width (inches�_
FOUNDATION WALL
Material
Thickness (inches)
Brand Name J� nJ/
Thermal Resis[ance (R Value)
Brand Name _
Number of bags Weighi per bag Ib.
Thermal Resistance (R Value)
Brand Name
Thermal Resistance (R Val
Brand Name
Thermal Resistance (R Value)
Brand Name
Thermal Resistance (R Value)
DECLARATION
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current regulations setting Energy Conservation Standards for new residential buildings (located in Title 24
of the California Administrative Code).
I iE�+/lLi.fG. ��IJ/J`��TI� LXiT/Ol�! C,O �C3.-J G�'l?
� ,, Gene�al Contractor IBuilder) Licenze Number
Signature and Title
Sub Contractor (lnsulation
Signature and Title
CMF 7306-30
' r� z9��
. Date
License Numher
Dare
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AOP���ant to fill (n all spaces ezccot inose witnin heavy boraer Iines anE si9n all aoo�aDrlate aeclarations.
CITY OG COSTA MESA t: ' . PERMIT NOO. TRACT NO� LOT NO� BLD . . . .
RCONSTRUCTIONPER1�91T 7 3 - 2599 I/17/84 Ir�.30 T
PfOjCCI AddfM -� �A'' )�y �� ��—� TYPE OF CONSTRUCTION NEW ADO ALTERATION REPAIR �
Qpplicant's Mailing Address�% JL�F IVIiW J�. ��i1�M�/'�� ,� ❑ CONVER510N ❑ DEMO ISH ❑ OTHE q,p, q�6 'J% g �/ �--// Zone —
Owner's Name ��`� �^�J Phone��L_.(ePLL DESCRIPTION OF WORK ��ll �� � GL S Main Building: Acceuory Building: 2
Address �'Z�4' ��l.;�i0 �'% (,l�%�`/V%�-Q'. Cf� �
TVPE OF PERMIT�y'� GRADING FOUNDATIo� N7 STRVCTURAL T Front 3� 7�� i- N
Arth/Eng. Lic¢nSENo. ❑TENANT pLELECTRICAL P�UMBING 1�tMECHANICAL B Reaf �� a �" �
Address ❑ �OTtiER A N
Contractor's Nam r�L� !�'�� V��`� Phone �7 PROJECT DESCRIVTION S�. FT. oCCUVANCv — C Right G
Addresslmailingl j7��`��`���` �JlrA'2 GrM� �i�. CONSTRUCTIONTVPE VALUATION3 5 Left �` R
E
City LicPnu No. ZONE GRADING GU. VDS. ACRE �� Ping. Fief.'{� Park.Fees $ �
U
LICENSED CONTRACTOR DECLARATION Remarks: �f' �� S Parking Raq./Provided � �
t hereby affirm tha[ I am Iicensetl untler provislons of Charter 9(commandng R
wl(h SeGtiOn 7000j O1 DIVI51on 3 of the BuSiness antl P�otesslons Coae, antl - � U5e of Building: E
fily �ICCl152 IS �O (YII � B d fl C:(BCI.
License Cgss _ ��� � -- �-a�•a No.� 3� PLUMBING FEES Planning Notes: M
Oate I�•I Jxt �-I/ae�a� ,.a _ i12�tn.. � �K�Cd.��Y E
WORKERS'TCOMPENSATION DECLARATION Bar Sink $hoWas N
) 1 hereDy affirm tnat I have a certlticate ot consent to seliti sure or a certlflcate Backflow Preven[er Servite Sink S
of Workers' Compensatlon Insurance,- or a certifie0 copy [hereof (Sectlon -
' 3800, Lab. C.1 C��� Q� " Backilow Irrigation Sewer Cap � ELECTRICAL FEES
Po11cY No. �5 �'-'T��— �%Wmpany 5'��'jF+' �^'�
�Certitie cop u hereoy fumished �� _- ' Bathtuhs Sewer Connection � Automatic Washer Transformer ❑ 15-50 KW
Gert"ti iletl with the city�6 Ntling D�isi
oate Appiicanr' � Clarifiers SolarCollectors ' ConstructionPoleSub. �50+KW
EXEMF ION R WORKERS' COMPENSAT ON OECLA0. ION OiShwashe� Sola� Pipin
(This section neetl not bo completeQit tne permtt is for ane hu reG (E10 ) or ._ . 9 • CAoking Unit iNeter �up to 100 amps
less). . Orinkin Fountains � �
I certlty fhat in thC pC/fo�mance ot tne wo�k fo� which this pe�m�t Is ISsueU I 9 5012� T2nk � ' Di5hWd5h¢! Meter dOv2� 1�� dTpS
shall not employ any Derson in any manner so•as to become subject to t�a
Workers' Compensatlon Laws of California. Floor Drains Swimming Pool w/Spa � Dryers ❑Gas ❑Electric Sub Panel
�ato Si9nature
NO710E: If, after makin9 thii tleUaration, you shoWU Ge<oma subjeCt to [he FloOr Sinks Urin01 Fan . MotOrs �61 HP �iX -8
Workers' ComDensatlon provlsions oi the Labor COUe, you must iormwicn
comply with suc� provislons or this permit snall be Oeematl ravokeG. GaSService OuUets -I WaterCloset Z �
CONSTRUCTION LENDING AGENCV F.A.U. Inc.Solar 9-15 HP 016-15+
I hereby affirm lhat Ihere is a construction tentlin9 a9ency for tha performancc Intercepro�s � Water Heate� I Fiztures Microt+rave �
at [he work tOr whicn this permit Is ISSueA (Se[Han 30B7 Civ. CJ
Lenaer's Namn Kitchen Sink Water Service Device Boxes Pole Light
Lentler's Atltlress -
OWNER BVIIDER DECIARATION - 2 Lavatorie5 3 OuLICti Renge
I hereby affirm lhat I am exemp[ lrom Ihe Contractor's Licensa Law for tna p_Tra
following reason (Sactlon 7031.5 Builnesi antl•Prote551onaP.COEe: Any Nty or P - ' SwitchBs Sign ZQ
County which reqWres a pOrmit t0 ConStruct, alter, ImD�ove, demolis� Or mpair
any structure, prlor to Its Issuance, alzo raqWres the applicant for such parmit ROOf D�ains '
to tile a signetl stalement thal ho/she is Iicenmtl pursuant to the provisions of Garbage�Disposal Standing $ection5
the Contractor's Licenso Law (Cnao�er 9(commencing witn Sectlon 7000) of Generator �0.5 KW �5-15 KW Trash Com ctor
DlviSion 3 ot the Buzlnezs antl Protesslons Gotle) or tnat ha/shn Is exompt . Pa
thereirom antl tne basis for the allegatl axemptlon. Any vlolation of Snction
]031.5 by any apP����nt br a permlt subjects tha applitant lo a c7vil qeins etion Fee
�enalty of no[ moro than tivo �undretl tlollars (E500). DB $25 Issue Fee g 3
I, as owner of t�e property or my employees witn wagos as tnelr sole MECHANICAL Reinspee[ion Fea §25 . Issue Fee $ 3
compen5ation, wlll tl0 tha work, anG the StruGtur¢ IS not inlantlatl or oflerotl FEE$
for sale (Section ]044, ousinoss antl Professional Cotlo: The Contractor's PUBLICSERVICESREOUIRE�ENT
License Law tloe5 nol dpply to dn OwnBr oi a O�operry who builtls or Improva5 goiler HOOd O� Typf I ❑ �{� I , l
[hereon,. antl wh0 tloes such work hlTs¢If/h¢r5¢If or th�ough hI5 O� hor own � Zoning Approvad By +���G W�� DdtB
employCeS, p�ovltletl Ihat Such improvements a�e not IntenEetl O� ottero0 10/ CanOpy Typ¢ I I ❑
sale. If, howevor, the building or Improvamant Is toltl wlthin one yoar of com- Dutt - Unde� G�ound Appliration Approved By Date
pletlon, the ownor wlll havo lhe burtlen ot proving he/s�e tlitl not builtl or Im-
�row tor the purpoze of sale�. �uci - Struttural Refrigeration System Application luuad By Date
I, as owner ot the property, am exclusively contracting with Iicensetl con- ❑0.100,000 BTU �t00,000 8TU
tractors to constru<t the project lSettion 7044, Business antl Rofessions Cotle: I Duct - Ventilating � SUMMARY OF FEES
The Contractor's Llcense Law doe5 nOt apply to an Own¢r O1 Oroperty wh0
bullas or Improves tnereon, antl who contraces for sucn oro7ects witn a con- ExhaustSyscem ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ -
tractor(s) Iicense vursuant lo Na Contracmr's License Law). PLAN CHECK S PERMIT
❑ I am exempt untler Settion B. & P. C. for tnis reason Firepl/Fact. Blt. ICBO il� . PLUMBING $ q.�� ISSUANCE $
Date Owner Heating System & Ducting ENERGY P.C. $
PLAN CHECK $ � ��� .
I hereby certi/y tnat I hava reatl this aoPlication ana state tnat tne aoove ❑P100,O00 BTU �700,0006T ELECTFICAL $ �-i.� GRADING S
information is co ct. I agrea to comply with all city antl county ortlinances .
antl state Iaws r a in9 to in onstruction, ana hereby author ze r vra- � • � S� MICROFILM $
sentaiives of [ is city t e e n Ne above-mentlonetl pr er fo FL4N CHECK $
inspection purp s / �� MECHANICAL $ �.OU TOTAL•FEE S I�. Q D
S�gnature D te
orivers' License or 55 � Rainspection Fee $25 �aue Fee S 3 PLAN CHECK $ •� •
CMF 0865-46 rav. 7/83 White = Bulltling; Canary - Appliwnh Pink - Accounting; Goltlenrotl - Assessor -' - �
CONSTRUCTION AND PLANNING POOL & SPA
• � Date Inspector Date Inspector
,QPPROVALS Permit # APPROVALS Permit #
� i
' 1' Temporary Electrical Service or Pole 52. Pool & Equipment Location
�
' 2. Soil Pipe-Undrgmd. -,'�j�y��/ 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. � 1� � J'JS 57. APPROVAL TO COVER•GUNITE
�� 7. Footings ' i � 58. Electrical Conduit-Undrgrnd.
' 8. Foundation �p � ( 59. Gas Pipe, O Undrgrnd., Test
.� 9. Water Pipe-Undrgrnd. � , �' 60. Backwash Lines, P-Trap, � Undrgrnd.
70. Structural Floor System � ' � 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection " 9y �n 62. Backwash & Recep[or-Final
12. Sewer Cap �-� 63. Heater & Vent�Final
13. Roof Drains �� ,i 64. Plumbing System • Final
14. Rough Plumbing �Zy,y 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
1.6. Rough Electric Wiring �,�� C 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 Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace ' APPROVALS Permit #
21. Ducts, in Structure � 70. Underground Hydro
22. Ducts, Ventiiating 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing �'� �23� _ 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Fraine and Flashing � S 3/) $ 76. Dry Standpipe
28. Latliing & Siding .c�, g GYY�� 77. FIXED SYSTEM FINAL
29. Insulation j.Z•$a fr" 78. FIRE PREV. FINAL
30. Drywall Nailing 3,7.8 L►J�. HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat • 79. FINAL INSPECTION
32. Electrical Power Meter-Final . 80. FOOD•CERTIFICATE ISSUED
33. Final Elecvic l/7 J� Ge'�� Notes: � � ti}.0
� .� b j lt'iwA� CI`IL\g� -
34. Final Heating & Air Conditioning �� � �S L��/ �� p� , r�,.JCC - � T�� aop� C �}.C.p ��' �
35. Final Gas Pipe-Test J/7 d'S� Gi�> �`2 �- � a
�
36. Hoodor�Canopy � � � Z
37. Final Factory Fireplace
38. Final Plumbing -
39. Waier 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 ) �>/SS � �S
48. Special Requirements Completed � �
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co '
51. CERTIFICATE OF OCCUPANCY '
No. Date
oWNER Uermont Ave. Land Co., -Tnc. DATE
PERMIT N0.
AP. No. LOT ljU TH.ACT 364�s FIRE ZONE DESCRIPTION OF WOBK R85.w/3tt
INSPECTIONS �_�y.(�� � DATE I GROUP 1 Rt J TYPE V ZONE R-1
SUBCONTRACTOR I _ __ PERMITSISSUED__
OCCUPANCY
Form 410—SM-11-59 SB P
;
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1239�4
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. 80% 917 COBTA MEBA. CALIFORNIA
For Applieani io Fill In Complefely
TYPE OR PRINT
aooae�s"s 3244 zorra St.
CASTA MESA CALIFORNIA
� MAIL
ARCHITECT (�'yr�5011 8C
TEL.
' BiTBACK LINH PROM �n �
TEL.
NO. OP
I LEFT lO� I RIGHT 1O�
DESCRIPTION OF WORK
ROOF
lCP•O COVERIf
/WD WORK TO BE
FEE RECEIVED
,�..rau�+ G l ig6�
FINANCE DEPT.
APPLICATIC�Nl�F�E ��t�fl�f MESA
BUILDING
For Office Use Only
RECEIPT NO. �Pq�t'JJ [i0�
O�)(l
.G 1'7
RECHIVED BY OAiE NEC6IVED D�TE �BSUEO
�o G-20-CnlJ .IIIN'? 7 19RW
BUILDING
CASTA MESA. CALIFORNIA
FIRE
ZONING
No. oF ^ uae or n
PLANe L BUILDINO
�oeecx
ICHNT6N LINB 8TJ
APPROVED
1 HeqHBY ACI(NOWIPDGe TMAT 1 HAVE R6.M THIB MPLIGTION THg ANOUM BXOWN UNOER VALUATION IB POR THE
AND 6TAT8 THAT TH8 ABOVE IB CORRECT AND AGRE¢ TO COM- pUPP08E OP EHTABLIBHINO • PEHMIT PEE ONLY.
PLY W1TH ALL CIT' OSW�NANCEB AND STATe lJ�WB RL6ULATIN6
Bu1tDINo CONB'nturnOx/ �//'� VALUATION
SIGNATURB OF (�( �J�{�J�,/A��' _PERMI7 FEE $ �S.
I 's 15,045. IPVINGHECK s 17.50 j�
AUTHORIZED AGENT Dike �c olegrove� Inc. �
TOTAL FEE $ S2�SO IO
OWNER WOOD, Ralph DATE
reet
SUBCONTRACTOR
�p2 PROP. SWR. LINE Q MOUSE CON.
J SPRINKLING SYSTEM
MISCELLRNEOUS
ROUGH HE�TING �NO AIF CONOITIONING
TEMPORAqY SERVICE OR POLE
�UN�ERGROUND � POWER �
ROUGH WIAING
TRENCHES FORMS STEEL REINF.
FLOOR SVSTEM
BONO BE�M [�] STEEL FEINFORCE �
SMERTMING
FRAME AND FL�SNING
L�TMING - IN n OUT �J
PLASTER,BpOwN CO�T
STRUCTUR�L, FINAL
NEnTING. VENT., NEFPIG. �NO �.C., FIN�L
PWMBING. FIN�L ANO G�5 TEST I-I
2950
/ 42950
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
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CITV `u�I
STATE
LIC. NO. �'
SIZE
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NO.
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^i7(1.']n!'y.`V����2C1'� ':_i1'�Z�.i��
APPLICATIUN �OR STRUCTURAL PERMIT
RECEIV OATE RECEIVED DfQTE IS � EO
/� �� �
PERMIT O.
A.P. NO. � � D
BUILDING ��J - .�( ��
ADORE55 �"• �_
FIRE
ED
TE� ZONE NO.OF
N O. P��
CITV 1'ARDS APPflOV E
LIQ NO. MAIN BUILDWC
INO.OFBLDCS. (FFOM pl/'L'S"TREET)
NOW ON LOT � FROM IN 1[�
3lPG. �j—CS��/g��t
Separate permits are required for
electric, plumbing and heating work.
UILDING AND WORK TO BE PERFORMED
I hereby ack�owladga that I have reetl this appllcnilon antl stete
that the abO�e info�mecion is cO��Bct and a0ree t0 cOmply w(th
ell laws reg��aSinB buildin8 constructlon, entl I shall not employ
eny Derson In violatlon of the workman's compensation lawa of
Me Stete of Celitornle.
I hereCy Len�fy that I am propeAy licensetl as a eontraccor untler
Ne Sta2e of Califomia Business end Profassions Coda, oivision 3,
Chapter 9, and that such licanses are in full force antl effect, or I
am exempt the provisions of the Stete of Celifornia Business
and Prof m�s de, Divis(on 3, Chapt�9.
of
VAR. �
C.U.P.q
� VALUE /��
$ e�
'PE GFOUP `
� DATE rL
USE OF N
� BUILDING G
VARDS APPROV EO
ACCESSORY BUILDII
F T.
FT
i'
FT.
FT.
BET. MAIN &
ACCFSS. BIDGS.
DATE
APPROVED
�
n
m
>
m
m
SQ. FT. �v
THE AMOUNT SHOWN UNDER VALUATION IS FOR N�
THE PUFPOSE OF ESTABLISHING A PERMIT FEE ON�V: �
VA�UATION PERMIT FEE g QD a
m
PLAN CHECK $ � �' o
5 �OO TAX S LL
� � U
TOTAlPA1D S � bO