HomeMy WebLinkAbout1678 IOWA ST - Building Permits � ' :.. _ 2/ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
0267 10/ 15/84
' • COSTA MESA CONSTRUCTION PERMIT i Plc NO. TRACT TRACT NO. LOT NO. UNIT NO. c�ae DCJ II.
Project Address ...---Bili--. .Tot. fty I h 5 7q
Applicant's Mailing Address Sd h.0TYPE OF CONSTRUCTION U NEW U ADD Li TERATION U REPAIR 0
1. q1� CI
❑ DEMOLISH ElOTHER() (Ke-
A.P.# Zone
Owner's Name rr''YFKc VT'wf"• Phone DESCRIPTION OF WORK/USE OF BLDG. e- f
Address .�o Mt S Main Building: Accessory Building:
Arch/Eng. -- -License No. TYPE OF PERMIT LI GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front O
Address Jeff Y p ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
Contractor's Name St) 'MEPC Phone71I-6/14- ❑ OTHER ) OOCCVPA V C Right N
Address(mailing) S p) 2 Cpr y,LI &t 1• PROJECT DESCRIPTION SQ. FT. o 00 q�� G
V CONSTRUCTION TYPE VALUATIONS flop $ Left R
City License No. 5-3/ 6-1/ ZONE GRADING CU.V.DS. ACRES
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: 0
with section 7000) of Division 3 of the Business and Professions Code,and T
my license is in full f. e effect. LI-(�O j •� S
License CI-ss / I i nse No. �1 5
Date Signature 'la , • PLUMBING FEES
WORKE'S'COMPENSATION DECLA'f i ION• Bar Sink Showers
I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink - •
3800, Lab. C.) Automatic WasherTransformer 0 15.50 KW ,
Policy No. -. Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW
8 Certified copy is hereby furnished. —
Certified copy is flied with the city Building Division. Bathtubs Sewer Connection Cooking Unit 'Meter Cup to 100 amps
Date Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps'
(This section need not be completed if the permit is for one hundred ($100)or -
less). Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel
I certify that in the performance of the wor f w h is permit is issued, I
shall not employpInc.any person in any mann a ecome subject to the Drinking Fountains Solar Tank Fan, Motors 00-1 HP ❑1'h-8
Workers' CRT
Galion Laws of California.
Date J Signature Floor Drains Swimming Pool w/Spa F.A.U. Solar ❑9-15 HP 016-15+
NOTICE: If,a ter making this declaration, 'should bee bject to the -
Workers' Compensation provisions of th or Code, you must forthwith Floor Sinks Urinal Fixtures
comply with such provisions or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet
I hereby affirm that there is a construction lending agency for the performance - Device Boxes Pole Light
of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range
Lender's Name - -
Lender's Address Kitchen Sink - • —Water Service Switches
OWNER BUILDER DECLARATION - I Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories •
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap
any structure, prior to its issuance, also requires the applicant for such permit Generator 00.5 KW 05-15 KW Trash Compactor
to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law (Chapter 9 (commencing with Section 7000)of
Division 3 of the Business and Professions Code) or that he/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 ,
enalty of not more than five hundred dollars($500).
I. as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered ~
- Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES
License Law does not apply to an owner of a property who builds or improves .S
thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for yP
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date
prove for the purpose of sale).
U I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct- Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY QF FEES
builds or improves thereon,and who contracts for such projects with a con- �q �) 5(,J
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ C�C.J• SMIP $ .
proof of their Worker's Compensation Insurance should be provided to me.' PLAN CHECK $ - PERMIT
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.alt. ICRO#
J PLUMBING $ ISSUANCE $
Date Owner. Heating System& Ducting PLAN CHECK 25% $ ENERGY P.C. $ -I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000 BT - • GRADING $
information is corre t. I agree to comply with all city and county ordinances ELECTRICAL $
and state laws rola I, " to • ildi•• construction,and hereby authorize repre-
sentatives of this 7 tog t- upon the above-mentioned pr erty f •
inspection purpose.' S MECHANICAL $ TOTAL FEE $ 79'Jv
Signature . a.Azt- Date
Drivers' License 001# .. Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev.4/84 White-Building; Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
I .
POOL &SPA
i CONSTRUCTION AND PLANNING
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole': . .52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. `54. Forms y
4. Electrical Conduit-Undrgrnd.' 55. Electrical Bonding • -
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ,
6. .Electiical UFER Grnd. 57. APPROVAL TO COVER-GUNITE :;
7. Footings s - - . 58. Electrical Conduit-Undrgrnd. •
8: Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. . i 60. Backwash Lines,P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
�
11. Property Sewer Line & House Connection r 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 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. P0OL/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, Ventilating 71. Product Piping O 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*j iiQ �5 isiasiiii y$ 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 PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ‘ 79. FINAL INSPECTION p
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 Domestic-Final
42. Backf low Preventer
43. Backflow Irrigation , .
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations '
47. FINAL STRUCTURE & BUILDING /62/4/8/ G µ[i
48.'Special Requirements Completed .
49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
Lor, 20 - TR 3723
-4154 FRECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT "BAR 2 4196111
P. O. BOX 917 COSTA MESA. CALIFORNIA FINANCE DEPT.
For Applicant to Fill In Completely APPLICATIOOlibRFPgigif MESA
TYPE OR PRINT
BUILDIN ;678 r-kBw/l-STREET BUILDING
COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT NO. I PER T
OWNER KWK INVESTMENT CO., INC . 1 (/1154
MAIL RECEyI�ED By DATE RECE})aV/�° DATE 183013
ADDRESS 1555 PLACENTIA AVENUE _ ( .- I ,-3%7C) („pg9. A 1951
CITY NEWPORT BEACH, CALIF. NOMI 63227 BUILDING
ADDRESS
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
ADDRESS FIRE �// �(/� p'�-/��'
ZONE TYPE / GROUP �(� I /y" -
CONTRACTOR K.W. KoLL CONST . CO . , INC. APPROVED U
- - BY DATE .
ADDRESS 1555 PLACENTIA AVENUE ZONING - /.
ZONE NO.OF USE OF NEW S1f16'1 1CWll.
CITY NEWPORT BEACH, CALIF . / R-1 IPLANS 2 IBUILDING W/ att gar.
LICNOLEGAL
TND. 61195 . MI 6-3227 DESCRIPTION Tot ?n '*'Ret 3723
SIZE 65x 1 00 I NO. OF BLDGB.
OF LOT NOW ON LOT Li A.P.NO. none
USE OF YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACCENTERKOF NSTREETM [501 REAR YARD 201 (CENTER LINE Si., '�/�
FRONT FT. IN.
SIDE YARD I LEFT 61 RIGHT 91 R.SIDE `J9//-_ FT. IN.
DESCRIPTION OF WORK L.SIDE FT. N.
NEW IX V ALTERATION I V ADDITION I REAR �}Vi 6 FT. IN.
REPAIR I II MOVING I V DEMOLISH
BY W. L. D. /DATE 3-16-61
BUILDING NO. OF
SIZE 1621 SF ROOMS 7 STORIES 1 Mr%f"�
EXTERIOR WALL ROOF ROCK
COVERING STUCCO 1 COVERING
USE OF BUILDING AND WORK TO BE PERFORMED ��
SINGLE FAMILY RESIDENCE AND j_ �J(s�2
ATTACHED GARAGE
PLAN No . 6-C
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT TME ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY'ORDINANCES A STAT {AWS REGULATING
BUILDING CONSTRUCTION , VALUATION
SIGNATURE OF///]�.///��/ry // PERMIT FEE $ 36--
PERMITTEE („ C�"� ,Q-� / 2«--4+^� 6 7/7-
y�r p_
$ �_I /" PLAN CHECK $ /O '� `:
AUTHORIZED AGENT ,5-4/"..- o
MagraNS TOTAL FEE 5