HomeMy WebLinkAbout1690 IOWA ST - Building Permits Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
CITY,OF COSTA MESA CONSTRUCTION PERMIT I PERM NO. TRACT NO. LOT NO. - UNIT NO. A P # Zone
Project Address _ 66 9e) o IA Il . 6 _ v 7 79A
55- , _ �, _ 'ere 4 t Y S Main Building: Accessory Building:
Applicant's Mailing Address (_r�/�' //(�,�'G/ -P TYPE OF CONSTRUCTION LJ NEW ❑ ADD U ALTERATION LAREPAIR E -
Z
OJaher's Name las �5// Phone� 17/ CI CONVERSION CI DEMOLISH ❑ OTHER T
\� Iasi/ i B Front N
DESCRIPTION OF WORK/USE OF BLDG. A Rear
Address
NC
Arch/Eng. License No. TYPE OF PERMIT CI GRADING FOUNDATION ❑ STRUCTURAL K.. G
Address ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL $ .f LeftRight R
Contractor's Nam. 1Lr'ti_ .US ZIP // re Les f/_ ❑ OTHER !Ping. Ref.# Parking Req./Provided E
,/fir Phone • Q
Address(mailing) $8 rfrai gia. (//ia/7 -/i PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: M
/�07a_ CON ST RUCTION TYPE VALUATION$ _ T
City License No. �fZONE GRADING CU.YDS. _ ACRES S.
LICENSED CONTRACTOR DECLARATION
•
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks:
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in Id,l nd effect. adr ELECTRICAL FEES •
CJ Licens I ss it e . • A 7/
QN Date Signature �en
✓ y PLUMBING FEES Automatic Washer Transformer 0 15-50 KW
0 50+ KW
WORKERS'COMPENSATION DECLARATION Bar Sink Showers Construction Pole Sub.
I hereby affirm that I have a certificate of consent to self-Insure or a certificate
of Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps
( 3800, Lab......X; // Q/I /_ Dishwasher Meter Dover 100 amps
Policy No. . 4 ' Company �i e lo� Backflow Irrigation Sewer Cap
r�,`.-ertified copy Is hereby furnished. Dryers ❑Gas' ❑Electric Sub Panel
L Cer ifi a Is filed with the city 1iy� IVIsi / Bathtubs Sewer Connection
Date • - Applicants !�L/ �e J Fan - Motors 00.1 HP 011-8
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors -
(This section need not be completed if the permit is for one hundred($100) or F.A.U. Inc.Solar 09.15 HP 016-15+
less). Dishwasher Solar Piping
I certify that in the performance of the work for which this permit is issued, I - ' Fixtures '
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave
Workers' Compensation Laws of California. Device Boxes / -Pole Li ht
Date _Signature Floor Drains Swimming Pool w/Spa 9
NOTICE: If,after making this declaration, you should become subject to the e Outlets Ran
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal g
comply with such provisions or this permit shall be deemed revoked. Switches
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Sign
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater , . Garbage Disposal Standing Sections
Lender's Name Generator 00-5 KW 05-15 KW Trash Compactor
Lender's Address Kitchen Sink Water Service p
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays
any structure, prior to its issuance, also requires the applicant for such permit
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 Reinspection Fee $15 Issue Fee $ 3
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). 3 DEVELOPMENT SERVICES REQUIREMENTS:
U I, as owner of the propertyor myemployees with wages as their sole Reinspection Fee $15 Issue Fee
P e $ Zoning Approved By Date
compensation, will do the work,and the structure is not intended ered
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date �4 /�,
License Law does not apply to an owner of a property who builds or improves N/'Y,7
thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 �- Application Issued By Date
employees, provided that such improvements are not Intended or offered foryP
sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES
p , the owner will have the burden of proving he/she did not build or im- Duct- Under Ground
prove for the purpose of sale). - BUILDING PERMIT $ SMIP $
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT L
tractors to construct the project (Section 7044,Business and Professions Code: ,s7� /
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU PLUMBING $ —5,W ISSUANCE $
builds or Improves thereon,and who contracts for such oroiects with a con-
tractor s licenseENERGY P.C. $
( 1 pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK 25% $ GRADING $
proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers EPLECAN CHECK 50% $ MICROFILM $
Date Owner Heating System& Ducting Registers MECHANICAL $ - TOTAL FEE $ `S---
" "
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL PLAN CHECK 25% $
information Is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize repre-
sentatives of this city to enter upon the above-mentioned propert for
inspection pur es. may/ ��ys G�
Signature a l-- ( — ( g /� �� Date zr�7 O
Drivers' License or 55 al
-(/(� ��../ Reinspection Fee $15 Issue Fee $ 3 01 000`188128-CDD28122 T S�T �,D!1
0865-46,rev. 5/88 White - Building: Canary -Applicant;_ Pink -Accounting; Goldenrod - Assessor DATE: 0`s/SDIsOi) TItic: i,'=�U
•
CONSTRUCTION AND PLANNING POOL &SPA
4' 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 UFER Grnd. % - 57. APPROVAL TO COVER-GUNITE
7.'Footings ( / 58. Electrieal'Condui£'Undrgrnd.
•
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ 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 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
4
'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, 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 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 r
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
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing s/I5ar tCo
39. Water Service-Final I
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer ,,k.
43. Backflow Irrigation
44. .Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
UWNEK MUURIZUKI, DOUGLAS IJAl[ b-29-11
JOB ADDRESS 1690 Iowa Street BUILDING PERMIT NO. 44238
GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Patio Cover
AP No. 139-061-19 LOT TRACT FIRE ZONE VALUE S 500.00
INSPECTIONS Signature Date TYPE V GROUP J ZONE R-1
SOIL SUBCONTRACTOR PERMITS MO,
GAS Date Number I Signature
WATER Plumbing _
ROUGH PLUMBING - _
PROP. SWR. LINE HOUSE CON. 0
SPRINKLING SYSTEM _
MISCELLANEOUS
222 ROUGH HEATING AND AIR CONDITIONING
,�+ TEMPORARY SERVICE OR POLE
�`1 UNDERGROUND f] POWER 0
pp ROUGH WIRING Heating and Vent.
TRENCHES [J FORMS fl STEEL REINF. n
FLOOR SYSTEM
\ BOND BEAM H STEEL REINFORCE n
� SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL _ __�Eleet•'F I
HEATING, VENT., REFRIG. AND A.C., FINAL _ - I4
PLUMBING. FINAL AND GAS TEST n r
ELECTRIC, FINAL , [ .
BUILDING, FINAL_ _ -
fifr, t 7•-1
77 fud 29-77PA, Qn477g-r ****
4 4,x.,:8 � S.SC
Y
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only 9
/- ��j''`•� ��yy RECEI DATE RECEIVED I(/ EISBU /
ADDRESS
/((/�O F�l�f}' car
OWNER ./.��Ltis 17) h' 2.u4f A.P.NO. /37 06/ /7 PERMIT NO�
MAIL _/
.---
BUILDING O _e ? - Al �j
ADDRESS c�9nr-- ADDRESS �j'1 '� �J (�(/(f/F/
CITY mss* TENOL'7,S/-Z 4 TRACT„J)2 LOT 7, BLOCK
CONSTRUCTION ,r---- NEW ADD, ALTER REPAIR MOVING r)FMOLISH
LENDER
1,7 /'/ �/ {�J�/ /-/
BRANCH OWNER OOLo L/y c MOCjv//3q
ADDRESS --- `�/' _
ARCHITECT TEL. USE ,/ 2O ,Cv LUE
ENGINEER ---- NO. - '
✓ FIRE
ADDRESS ZONE 7�jTTYYPPE GROUP.`/
CONTRACTOR QWjt 1�',. VlLoce BVPROVED/L%W DATE L�7/
ADDRESS r---
TEL. ZONE.�y INO.OF USE OF NEW�� �
CITY NO.
KK PIANS BUILDING jj
F STATECITY YARDS APPROVED YARDS APPROVED
LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
(FROM C/L STREET)
W SIZE NO.OF BLDGS h�n it i
L OF LOT NOW ON LOT / FRONT/9 /f9.Fl`'"& FT.
Q USE OF
EXISTING BLDG. /)ot/st--/ii, R.SIDF'7 "f FT. FT.
to 1 (_�
E Separate permits are required for L.SIDE J FT. FT.
electric,plumbing and heating work. '
W - REAR kr -A- FT. FT.
[.. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
QMAIN BLOCS. ACCESS. BLOCS.
<
/��� �2 VAR.# DATE
Q RE02E))6/Vtl� Sr70 WYE-A- C.U.P,# �1 �// APPROVED
^//,�/J
//f r/// APPROVED/��J _DATE L" '-4-/ :,7
a LJ/ Fi /F� C� C
W
O I hereby acknowledge that I have read this application and state e.N
X that the above Information is correct and agree to comply with m
0. all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of 2
14 the State of California. /del coI hereby certify that I am properly licensed as a contractor under SQ. FT. N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m
am exempt from t provisions of the State of California Business 5
VALUATION PERMIT FEE E OQ y
and Professions Divisl 3,Chapte 9. I
• 00
PLAN CHECK Sen
in
Signature of n
U.
Permittee o
S OD TAX E S.V 2
� U
a
Authorized Agent TOTAL PAID E 26-0
Lot 97
Tr 3722
1305 SEE RECEIVED ,{{'��,
COSTA MESA BUILDING-SAFETY DEPARTMENT /� l� �
� d-`ma y
P. O. BOX 317 COSTA MESA. CALIFORNIA V
FINANCE DEPT.
For Applicant to Fill In Completely FFo $PEN
RMIT
TYPE OR PRINT BUILDING
BUILDINGESS 1690 Iowa Street
ADDR
COSTA MESA. CALIFORNIA For Office Use Only
OWNER K & E Development Co .Inc. I RECEIPT No. �IY yS 1
MAIL 1555` PCA CN ET A RECEIVED/ BY DATE�)RECEITVED cl DwrE IBSUEID
ADDRESS - `AL° �// .r7c 64 °m 1 A SOM
TEL. M I 6-32, /BUILDING
CITY NCWrORT BEACHNO' ADDRESS
ARCHITECT TEL COSTA MESA. CALIFORNIA
OR ENGINEER NO. )
FIRE
ADDRESS /).-.
ZONE TYPE v GROOVY J
11
CONTRACTOR K.W. KOLL APPROVED
BY DATE
ADDRESS 1555 .PI AGENT IA AVE ZONING p
ZONE NO.OF USE OF NEW Siegle Earl.
CITY NEWPORT REACH R-1 I PUNS 2 I BUILDING W/ att gar.
STATE / TEL.
LIC.NO. n 1195 NO. M I �i- 227 LEGAL
V
DESCRIPTION Lot 97, Tract 3722
SIZE 6/3x100 I NO. OF BLDGS. .O
OF LOT NOW ON LOT A.P.NO. none
USE OF YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK
ROLINEPSFROM
SOT
(CENTER LINE ST.) /�
CETRER • 251 /FRONT 7 FT. IN.
SIDE YARD I LEFT 6,6" I RIGHT 6,61.1- R.SIDE (/.FT. .4. IN.
DESCRIPTION OF WORK - L.SIDE 6 FT. IN.
NEW IX II ALTERATION II ADDITION I REAR T. IN.
iREPAIR I LOVING I II DEMOLISH APPROVED JJ
`/3d BY W. L. D. 0Am 10-10-60
BUILDING L.DING 1597.5 ROOMS 6 STORIES I f�11�1.`
EXTERIOR WALL I ROOF Wood Shakes
COVERING STUCCO COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
SINGLE FAMILY RESDENCE
and Attached Garage
Plan 2-A
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AN STATE LAWS REGULATING
BUILDING CONSTRUCTION. ♦ VALUATION
SIGNATURE OF(14) /�yip J� PERMIT FEE $ �/�
PERMITTEE /- PA _4Z- '4� N
$ / PLAN CHECK 5
AUTHORIZED AGENT �i
TOTAL FEE $ .l o