HomeMy WebLinkAbout1663 IOWA ST - Building Permits •
v: :CITY OF COSTA MESA
°y k% BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
"CO R9A10
�'*�r�wPERMIT PERMITTNUMBER
(714)754-5273 • Fax(714)754.4856 • 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1663 IOWA ST Status: ISSUED etA8
Suite: Applied: 05/18/1998
Vicinity: PITCHED ARE OVER HOUSE Issued: 05/18/1998
Parcel Nunmber: 13907216 Zoning:
Applicant: GRONAU, RAY
Address:
Phone:
Zip:
Owner LOHAN, PATRICK A
Address 1663 IOWA ST
Phone:
COSTA MESA,CA Zip: 92626
Contractor: RAY'S ROOFING • Q��
Address: 14571 HIGHCREST CI S,1Y
Phone: 714-559-9369
IRVINE,CA Zip: 92604 t '
License: 361042 OA
Arch/Eng:
Address:
Phone:
Zip:
License:
SCOPE OF PERMIT
•
PARTIAL ROOF: REPLACE ONE AREA OF THE PITCHED ROOF OVER THE EXISTING HOUSE, REPALCE WITH TIMBERLINE
COMP. SHINGLE
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: So.00
Permit: $62.25 Claimed Valuation: $2,000.00
Other: $0.00
Inspection: $0.00
•
Total: $62.75
PLANNING 8 ZONING •
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
•
• NOTES:
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
.J44V•►:7Ifr[•]:E
WORKERS'COMPENSATION DECLARATION:
•
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed if the permit Is valued at one hundred dollars($100)or less.)
❑ I certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject'to the workers'
compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
• comply with these pro ns. Q./
Applicant Signature: C tT+24_-^� Date:
WARNING:FAILURE TO SE E AKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYE O CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3 OF THE LABOR CODE.INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION: •
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business end Professions Code,end my license is In full
force and effect.Lic.x Class p
Contractors Signature' a:i.. 411t. • Date $" /J _P
CONSTRUCTION LENDING AGENCY: • .
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS: •
I hereby affirm that under penalty of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its Issuance,also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and,Prpfessions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicanvt-too�aAcivil penalty of not more than five hundred dollars($500).):
❑ I,as owner of.lne'Property or myemployees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business andProtessions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through lilsogher own employees,provided that such improvements are not intended or offered for sale.If,however,the building or Improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property,am'EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044• Business and Professions
Code: The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason: '
Signature: - Date:
Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet In depth Into which a person Is required to descend,will be made In connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more then thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2.Sec.
341,Title 8,California Administrative Code),
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greeter than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas et standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which et any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire •
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP Is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution Control district or agency? 0 Yes ❑No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). •
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signaegal Owner(s) c /O 7 Date
et' '2 And/Or Authorized Applicant Date
CODE L INSPFCTION TYPE DATE RI1ID&W. CQEE1 IBsPFrTInN TYPE DEE UIImAIS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final •p _ ,/ 208 Final Plumbing
6
200 Final Re-Root '46-gylp 1/kt 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Flre Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
244648
•
,�qy'1�' • G'IT`!OF COSTA MESA r
4 BUILDING DIVISION
). • , DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
v /�� PERMIT £ /B05-00967
4kb(714)754-52739• Fax(714)754-4856 • www.ci.costa-mesa IL PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1663 IOWA ST Status: ISSUED
Suite: Applied: 06/13/2005
Vicinity: Issued: 06/13/2005
Primary Occ: U1 Type of Construction: V-N
Parcel Number: 13907216 Zoning:
Applicant: RAY GRONAU
Address: 14571 HIGHCREST CI ISSUED BY:
Phone: 949-559-9369
IRVINE,CA ' Zip: 92604 ,
Owner: LOHAN,PATRICK ATTR
Address 1663 IOWA ST
Phone:
COSTA MESA,CA Zip: 92626-2016
Contractor: RAY'S ROOFING
Address: 14571 HIGHCREST CI
Phone: 949-559-9369
IRVINE,CA
Zip: 92604 License: 361042
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT - •
GARAGE ONLY.TEAR OFF WOOD SHINGLES,INSTALL - _
1/2 OSB, 1-15LB FELT AND 30 YR COMP.SHINGLES 700SF
FEE SUMMARY
•
Plan Check: $0.00 Calc Valuation: $2,300.00
Permit: $83.25 • Claim Valuation: $2,300.00
SMIP Res: $0.50
SMIP Corn: . $0.00
Other: $0.00
Inspection: $0.00 •
Total: $83.75
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 clays.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain Inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446.46(6/00)
DECLARATIONS
U -
•
WORKERS'COMPENSATION DECLARATION: '
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is Issued.
❑ I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
Cartier: Policy Number:
(77ys section need not be completed if the permit is valued et one hundred dollars($100)or less.)
pfl�`II certify that in the performance of the work for which this permit Is issued,I shall not employ any person In any manner so as to become subject to the workers'
ompe, : • laws of California,an agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
-1T•icant Signe .. Date: i
. ALLURE TOSECU WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN E -TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(Mom,IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I h.„.....as•• _.::.:::_. - I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 o r: Business and Professions Code,end my license Is in full
fo * 'c.0 eilaD — r V2— CC--
c•- --tura: 4 - ti
a '-- 7- Z/-O 6
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant fore permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not Intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such Improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). •
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person Is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure). _
2 Does or will the applicant or present or future building occupant need to file a registration form for acutety hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
._._.._ or il ._.o-�_..._._—_ an RMPP(Risk
_..ement._.._ o .__ _ .__ __
3 Does or will the applicant or present future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
—
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully compiled with? 0 Yes ❑No
_._._..._...t..____ _.. requir___t_ _ _ ..
5 Does or So the oast Air or ior n building occupantIram other for the work ntch the subject of this application apermit for such construction or modification
-
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes []No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feel from the outer boundaries of a school? 0 Yes 0 No
(If yet,the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If yes,attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the Information given above Is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signature Of Legal Owner(s) Date
4J .a.,./.4a-— lr ly"c`�
/ AIDOr Authorized App T t Q_ oate
MODE I, INSPECTION TYPE PATE IIIIIIISLS Oaf INSPECTWN TYPE PATE It
1616 Fixed System Final Flre Prevention 206 Final Mechanical
1266 Pool Spa Final n� 208 Final Plumbing
&
200 Final Re-Roof G-/519y It- 210 Final Electrical •
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
71/
PROJECTADORESS: 1663 IOWA ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: EM 049295
OWNERS NAME:-LOHAN PATRICK A
AODRESs: 1663 IOWA ST PERMIT NO: EM 049295 PLAN CHECK NO: N GOVT : N SUPP : N
COSTA MESA,CA 92626
• CONSTRUCTION TYPE: PERMIT TYPE: ELE MEC PURPOSE: OTH
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : 3 TON A/C UNIT W/A 3HP MOTOR SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: /
PERMITTEE: DW PAYNE ( 714 ) 545-5542
ADDRESS: 1701 E EDINGER AV J3 COMMENTS: ELECT WORK INCIDENTAL TO MECH WORK .
SANTA ANA CA 92705 ********************** E***grit*************if******>,r****it****+anon*************+r****
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commending with Section ZONING R EQU IR EMEN TS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and nd effect. SETBACKS
cmuc.:050472 ATu :587036 u> /
Signature.
Date: ,5—QQ tJQ
MAIN BUILDING ACCESSORY BUILDING
"ORNERS'COMPENSATION DECLARATION: I hereby affirm that I hay di Mutate of c.. sent to elf-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT; FT IN REAR: FT IN
ipensationln r c girl oyB�ereof(Section3800,L. ) LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
JCY NO.:W 0���f—fib V 4 EXP.DATE: • 2/0 1 •
COMPANY: PAC COMP PARKING REQ: PROV: PARCEL : 42533116 ZNE: REF NO:
❑ Certifie copy is hereby furnished. DI Certified copy is filed the c Building Division. PLANNING NOTES>
10 3--900 >
Date: Applicant: *******************************************************************************
"v. D E V E L O P M E N T S E .R 'V ICES R E U I R E M E N T S
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (ibis ' ed not be completed' is for one hundred($100)or less). r , Q
I certify that in the performance of the work for which this permit is issu ,I shall not emplo son in any manner so as to become
subject to the Workers Compensation Laws of California. ZONING APPROVED BY • /• . DATE:
Data signature: BUILDING APPROVED BY
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor : DATE
Code,you must lonhwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work/or APPLICATION ISSUED BY: - DATE• el o
which this permit is issued(Section 3097,Civ.C). *****************************************iE***********************{F** E** ******
LENDER: ******************************************************************************* _
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
•
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 7 • 50 9 , 00
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 5 O% 25% SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15 . 00 15. 00
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
..J structure's not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 16 . 50 30 . 00 0 .00 46 . 50 46 . 50 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
h1-or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 4 6 . 50 OVER/SHORT: . 00
for purpose of
improvement
l�e)hin one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 22 . 50 24 . 00
❑ and Professions Code: The Contractors'Sate License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractors)license pursuant to the Contractors'State License Law).I am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
o I am exempt under Section: B.&P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST •
TOTAL COST
Date: Owner: ELE 1 MOTOR/POWR APPARATUS 1 . 1 10 . 0 HP 7 . 50 7. 50
I do hereby certify that l am aware of and undersand the requirements of California Health and Safety Code Sections 25505,25533,and MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9 . 00 9. 00
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions.
I
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and esqat�e��la�ws��relating
to building construction and hereby authorize representatives of this city to enter upon the above-mentioned 41 00071095-00071096 '1 C;1096
properly fi un /V
DATE: 10/03/90 TIt;E• z3:39 .. ' .
Date: /I V Signature: /
Driver's License or Social Security e:
1641-46 White—Building:Green—Code Enforcement;Canary—Applicant;Pink—R: denrod—Age}Ser
•
CONSTRUCTION AND PLANNIr._ .JOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole C 52. Pool & Equipment Location
0• T et
rt:C.
.2....Soil Pipe-Undrgrnd:; �- u 53. Steel Reinforcement
-)3rElectrical ConiuirUiility-Undrgrndr 7 54. Forms
' 4._ lectrical Conduit-Uhdrgrnd.- a' -1
' 55. Electrical Bonding
C5aSteel Reinforcemerff • x 56. Rough Plumbing & Pressure Test
, '"-a-,; me . _. -•
6. Electrical UFER_Grnd. a 57. APPROVAL TO COVER-GUNITE
t7•. Footings _ 58. Electrical Conduit-Undrgrnd. v
$. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrg`rnd. •
60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System '� 61. APPROVAL TO DECK
11. Property Sewer Lirie;& House Connection 62. Backwash 84 Receptor-Final
12. Sewer Cap a.
= •
63. Heater & Vent-Final
13. Roof Drains -. •
-0 - • - 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-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 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19.RRough Heating &"Air Conditioining r„ , 4: .p �* r _ ,-.FIRE-DEPT. REOUIREMENT r^
t. r O S J m `.
ZO:--.="1 Factory Fireplace • Sr*' t�C * 1" . x. - a."
c-,-, i;-Permit #
21.-DuctY,in Stru`•cture " •• .-;
• ocsuLMNO: 1663 IOWA ST
�ax
EMIL' Elvaoxm: LOHAN, PATRICK A FLOOD : AE 37 PERM NO; B 072072
•
ewe:: 1663 IOWA ST
COSTA MESA, CA 92626 FERMIT NO; B 072072CITY OF COSTA MESA - BUILDING PERMIT
PLAN CHECK NO: N GOVT: N SUPF ; tJ
AWL.MAIUNO ADDRESS CONSTRUCTION TYPE; 5-N PERMIT TYPE: STR PURPOSE; ALT
ARCHITECT OREJGNEER: UC NO.: JOB DESCRIPTION ; T/O & REROOF W/ROCK ROOF" FLAT AREA " SQ FT; 1 , 500
ARCH OR ENG.'S ADDRESS: UHT:
CLAIM VALUE : 1 , 800 , 00 CALC-VALUE : 1 , 500 . 00 GROUP OCC; R-3 /
cONWACTDIrsNAME: RAY' S ROOFING ( 714 ) 559-9369
canncrowsuNUNG 14571 HIGHCREST CI COMMENTS: SMOKE DETECTORS REQUIRED PER 91UBC
ADDREss: IRVINE CA ucND.: 361042 *******************************************************4**gyp*************+c .x K >F*
92714 UMT: Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I sat licensed under provisions of Chapter 9 SETBACKS
(comma eing with Section 7000)of Division 3 of the Business and Professions Code.end my license is in lull force end effect.
C • NO.: 019427 UC.CLASS: C39 UC.N • 361042 EXP ; 05/95 MAIN BUILDING ACCESSORY BUILDING
�_ FRNT; FT IN REAR: FT IN FRt7T; FT IN REAR; FT It7
t: , ag —IP contractor: GL'f LEFT; FT IN RGHT; FT LEFT; FT RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penally of perjun#&I am exempt from the Contractors License Law for the
following reason(Section 7031.5Business and Pmfenions Code:Any city«county which requires permit lo oonrerew«.alley improve. PARKING REQ: PROV: PARCEL : 13907216 ZNE; REF NO;
demolish,or repair any structure,prior to is issuance.also requires the applicant for such permit to fib a signed statement that he or she
is licensed pursuant to the provalons of the Contractors License Law(Chapter 9(commencing with Section 7000)d Oivsion 3 of the PLANNING NOTES> ' •
Business end Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section >
7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than lee hundred dollars(5500W **************************,K,**,y,**********************Y.**i********€**:t.***********
❑ I.as owner of the property or my employees wlh wages as their sole compensation,will do the work,and the structure is not intended D E V E L O P M E N T SERVICES R E U I R E M E N T S
or offered for sale(Section 7044,Business and Professions Coda:The Contractors License Law does not epptytoan bwnetof properly Q
who builds or improves thereon.and who does such work Nmset or herself or through he or her own employees.provided that such
improvements are not intended or offered for sale.ff.however,the building«improvement is sad within one year of completion,the ZONING APPROVED. BY
owner-busier will have the burden of proving he or she did not build or improve for the purpose of sale). DATE:
❑ I.as owner of the properly,am exclusively contractile with licensed contractors to construct the project(Section 7044,Baines.and
Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY ; DATE:
contracts for such projects with a IVtl
Vreor(s)licensed pursuant to the Contractors License Law). //'. n (� p _
❑ Iamexempt under Seoton: B.AP.C. reason: APPLICATION ISSUED BY; DATE: �"1 " 1 S
**************************3C********** ************Ie***************** **** **
Dat Owner: LEGALIZATION: N F E E SUMMARY STRUCTURAL EGME T: Y
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and
25330, orinI oramuociiorntiwin/wunot
(circleoe) s tmpyw[hsaid
Stele pcdessnnsa the requirementsfr
2permfor construction
s ctionormoeifialnhorn uheAs Quality Management District.Residly conmrud' naexempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 35 . 00 . 50
Date Applicant PLAN • SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one al the following declarations:
ISSUE F E E
o I have and will maintain a certificate of consent to seff-insure for workers'compensation,as provided for by Section 3700 of the Labor BUILDING DIV FERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code.fa the performance of the work for which the permits issued.
❑ Ihave and wmaintainworkers' as
compensationinsurance, requiredbySection370ofthelaborCode,fortheperformanceofthe TOTALS > 35 , 50 0 , 00 0 , 00 35 , 50 35 . 50 00
a
work for which this permit is issued.My workers compensation insurance carder end policy number are:
Carrier: REVENUE DIVISION TOTALS--> COLLECTED ; 35 , 50 OVER/SHORT; , 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This seedion need not be completed!the permit is for one hundred dollars j$fOD)or less.) 35 , 00 S 0
it7I certify that in the performance of the work for which this permit is issued,I shall not employ any parson in any manner so as to
become subject•o the workers'compensation laws of California. d agree that if should become subject to the workers' ***********?k*****1F******************** ******** *******************************
compensation provisions of Section 3700 of the Labor Code,I rlhwith complyhhosey7,provisions.
` CI N D I V I D U A L F E E B R E A K D O T^I N
.2 S Apdoanc Clef' — '- - "lt/ti
Warning:Failure to secure weaken'compensation coverage la un and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
clvll Ons up to one hundred thousand dollars(AIOR000A In addidon to the coal of conwe satlon,danregea as provided for In
Section 3706 of Ms labor tole,Interest,and attorneys fees. SFR 1500 REROOF BY VALUE RESIDENTIAL �p��p�'� 1 , 500 , 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction lending agency for the END OF FEES`�I VI V D E ACTOR
performance of the work for which this permi is issued(Section 3097.M.C),
LENDER'S NAME:
LENDER'S ADDRESS: REQUIRED
I certify that I have road this application and state that the above information is coned.I agree to comply with all city and county ordinances - ..
and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned properly
for inspection purposes.
�mY 4c2oNAtc
Pn IName g-2-9-9CCl
0012D83:3-130180836 'TOT 3:.50
/e ✓_-rll+l - a Date: -/' Z9 gC' DATE: 04/25/9.5 TIDE: 14:1?
I if Signature of Owner/Agent/App: : r • rac•
15151-46.WP) White-Building A Safely;Green-File;Canary-Applicant Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING PO. y 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 Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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 I 65. Electrical-Final
15. Rough Electrical-Conduit - 66. Solar System-Final 0
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOUSPA 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 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 5`y-etc ei..44 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 r
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Batkf low Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING - .G G
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co _
51. CERTIFICATE OF OCCUPANCY
No Date
OWNER MOWLAR Technology, Inc. DATE 7-15-71
JOB ADDRESS 1663 Iowa Street BUILDING PERMIT NO. 33323
GENERAL CONTRACTOR Same DESCRIPTION of WORK Res.w/att.gar.
AP No. LOT 15 TRAC16614 FIRE ZONE VALUE $26,000.00
INSPECTIONS Signature Date GROUP I & J TYPE V ZONE R—) _
SOIL V4 ?ft/-7/ SUBCONTRACTOR PERMITS ISSUED
GAS �{JA Date I Number I Signature
WATER PI
ROUGH PLUMBING �C�/ /2-,W!j 4q CLQ--) in •I /� ) 7.fl 7J 4-57f615-3 8' 5'3
PROP. SWR. LINE Il"HOUSE CON. -// r ,`I'JJ��.,sP,µ[/a(�T �O y_iy- / syor77
SPRINKLING SYSTEM ��++��
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING f.�' )t ,
TEMPORARY SERVICE OR POLE 7
UNDERGROUND ❑ POWER Er
ROUGH WIRINGrn - • Heatin• ant.Vent.
TRENCHES V�- FORMS [Ky STEEL REINF. G ArraleAdW ��j�� �a/�blwe�ryp�• �6-�-�� �q/ay
FLOOR SYSTEM t.11Sfl /1Zi5/tSt�Jf/!.� AT21✓;=z7/atparg -
BOND BEAM n STEEL REINFORCE n /
SHEATHING /7c,a /�f/ 71
FRAME AND FLASHING Id / .11
LATHING - IN i OUT arar: / • /
PLASTER, BROWN COAT - -77,9,
STRUCTURAL, FINAL -
HEATING, VENT., REFRIG. AND A.C., FINAL / Or /)���/�e((_i�ir/E frit / n / -�/ e�n�Jed/ y,•••••a '
PLUMBING, FINAL AND GAS TEST I 7-. / , •,_ �y • J .0 -.2 -Z/ 4S/0?-J _
ELECTRIC, FINAL ,/` Z• / •'1'/ L/ 7
33323
101. 20-71cH,jOO1764* °' ,D7.7.5
•
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEVE V D FjfCEIVED DAIE ISSUED
BUILDING
/ / V J-V Y—O/ y/5r7
/
PER33OWNER Modular Technology, Inc. A.P. NO. J.J
BUILDING /
MAIL ADDRESS CGy, a�..• r
Z ADDRESS 1104 E. 17th Street ,
TRACT 6614 LOT 15 BLOCK
a Z 4 CONSTRUCTION CITY Santa Ana NO. 547-9673, NEW ADD ALTER REPAIR MOVING' DEMDI LSH
Z
ON LENDER X .
am
J D BRANCH
J N OWNER Modular Technology, Inc.
< W ADDRESS VALUE c
mm ARCHITECT TEL. USE Residence/ . e.-- $4.0,000
--i< OR ENGINEER Kermit Darius, A7AN 644-7111 ��` """
w Q FIRE y
WN v �y1—Jv'i
K ADDRESS 31I1 2nd Ave., Corona Del Mar ZONE TYPE GROUP I `/
a W APPROVED
J O CONTRACTOR Owner BY DATE
co Z
J cr ADDRESS Same •
W WZO NO.OF USE OF NEW LU r
0= CITY Same NpL I PLANS 2 BUILDING
Z♦
STATE CITY YARDS APPROVED YARDS PROVED
co O LIC. NO. 252549 LIC. NO. 1690 MAIN BUILDING ACCESSORY BUILDING
I
SIZE NO.OF BLDGS. (FROM GL STREET)
OF LOT 6o x 100 NOW ON LOT FRONT 40 FT. FT.
USE OF
EXISTING BLDG. -- R.SIDE / FT. FT.
1 SIZE OF NO.OF
2 NEW BLDG. 1770 SF ROOMS 5 STORIES 1 L.SIDE SFT. FT.
Q EXTERIOR WAW, .„, ROOF ^^
U COVERING rer ans COVERINGWOOd Shingle REARP—Or3�7�F T. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
1 MAIN BLDGS. ACCESS. BLDGS.
0
Construct new residence with VAR.. #V.S-10 Q APPROVED5' 77j' j y
0
F / �-7
en attached garage. 3 RC/VEDy , —DATE...7 7--7/1
2 GI-00'77
0
~ I hereby acknowledge that I have read this application and state HSI
that the above information is correct and agree to comply with D FOR LF'CCIAL REQUIREMENTS
CC all laws regulating building construction, and I shall not employ
~ any person in violation of the workman's compensation laws of
Ci) the State of California. .2? � m
'9
zI hereby certify that I am properly licensed as a contractor under /� SO. FT. ( 5 / 0
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER'VALUATION TI IS FOR a
Chapter 9, and that suc����yyyy enses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT
T FEE ONLY: ¢
am exempt from the ••vi cions of the tate of rnia Business VALUATION $ Q/, C'�'
and Professions Cod: • vision 3,C a er 9. / J ¢
PERMIT FEE ) D
Signature of �n" �t �" ,/C- m
Permittee /�Vli] �/� /�/ $ - PLAN CHECK $ E
`/y/ o
Authorized Agent r ��1.
u.
, TOTAL FEE $