HomeMy WebLinkAbout2933 BAKER ST - Building Permits OWNER WALZ, D. A. DATE 4-24-62 • /-
JOB ADDRESS 2933 Baker St. BUILDING PERMIT NO. 16931
GENERAL CONTRACTOR Continental Constr. VALUE $ 270.00
AP No. 113-652-08 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Comm.Bl.Wa11
INSPECTIONS Signature DATE GROUP Bl.Wa1TYPE ZONE R-1
Soil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line 0 House Con. ❑ St.Swr. ❑
Sprinkling System
on tion Pole
•
Underground 0 Power ❑
Rough Wiring,
Trenches &r Forms 0 Steel Rein . &
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing — In 0 Out 0
Plaster, brown coat
Refrig. 0 Air Cond. 0 Anal
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final ``yy
Building, Final L/�i 1'—c�—/, "'--
OCCUPANCY
FORM BU4.5M - 7-61 16931
OWNER WALy, ItAIVIS A DATE 7-21-61
JOB ADDRESS . _ _ -. BUILDING PERMIT NO. . ._
GENERAL CONTRACTOR Qrmnr-Thii1der VALUE $ 528_,Q0
AP No. 113_652_0 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Add pat.to re;
INSPECTIONS Signature DATE GROUP rt TYPE ZONE 11_1
Soil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBE1
Water •
Rough Com. Refrig. ❑ Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line 0 House Con. 0 St.Swr. 0
Sprinkling System
Construction l ole
Underground 0 Power 0 _
Rough Wiring lt ��
Trenches 0 Forms 0 Steel Reinf. ❑ S- bj O_46 47
Floor System II
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing — In 0 Out 0
A,yJPlaster, brown coat
P Refrig. ❑ Air Cond. 0 Final
V. Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final
Building, Final ¢r '�� 9 -4- Cl
OCCUPANCY
FORM BU4-5M ^ 7-61 11,950
i_ : : a.- _,
9. IIl 11732 - . ..: .n a�L.• L., 1
COSTA MESA BUILDING-SAFETY DEPARTMENT 7' Irl_ ;�
P.O.BOX 317 . COSTA MESA. CALIFORNIA ' ill•.".Lr • CI .•
ISI t ¶ \ -S1
FOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT
•
2TYPE OR PRINT • BUILDING
D E
ADIS: 2 /(� l- ' itI<tQ 5�� p
j. //COSST'A/1 MESA../C1 VI/6- •
FOR OFFICE USE ONLY
OWNER 5 reit)i // /V V 6-S / . C b • RECEIPT NO. I lEMn
6.4
MAIL /- L/„ 1( RECEIVED BY DATE.RECRIVED • DATE ISSUED/
ADDRESS 57 QL1}G�NTIU �1- /�j- ���%^///��/i(��)'d J`. y'-Jn�'6–
CITY
TEL.
NO. ADDRESS QL/ 3.3 /Ly�Sic�
ARCHITECT LIC. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
. ADDRESS FIRE
// W.
l.� ZONE TYPE GROUP
CONTRACTOR+K . //• P H._ LIC.NTO.�/I J� 1 BYPROVED DATE
ADDRESS " - ZONING
LEGAL LOT J� ,y�q Z., • ZONE NO.OF USE OF NEW ing e 1 1 . rel
DESCRIPTION NO. ' �/ I I BLOCK TRACT R-1 PLANS 2 I BUILDING /W! att.
g'rage
•
A.P.NO. �/ (NOyNE/� BYPROVED (1 !�n ,�-� Y}DDA/�TEE� I�.- -�/I
OF LOT 72,5 /- 7 !/1�-1�l a�bl+Ow ory LOTS
REQUIRED / I (ALLOW, / 666
USE OF (CENTER LINE ST.) pp(( c EO
` EXISTING BLDG. FRONT Y. I FT. IN.
SETBACK LINE FROM �J t.4• 11 I
3
'. CENTER OF STREET REAR YARD Ir• R.SIDE CFI'. IN.
0 1
SIDE YARD I LEFT •' I RIGHT 5 •
L.SIDE / FT. IN.
DESCRIPTION OF WORK
x' REAR FT. IN.
`
NEW • `II ALTERATION I II ADDITION I
' REPAIR I II MOVING I II DEMOLISH I • I
BUILDING NO.OF I
5 SIZE • V ROOMS ./ STORIES
• EXTERIOR'WALLROOF u ,+
COVERING (COVERING SHIWfr1
USE OF BUILDING ND WORK TO BE PERFORMED
a th• E c 5 •
ATT, C 4
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT HE AO
VE IS CORRECT AND AGREE TO CM.
PLY WITH ALL T ORDBINANCES AND STTE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING C STR TION../ _— VALUATION
SIGNAT E 0 F PERMIT FEE $ 3cr.�
PERMITTEE A ��//� .< �. /f _ �J
$ 95. — PLAN CHECK $ / /
AUTHORIZED AGENT TOTAL FEE $ Ag , • --
FEE RECEIVED
14936 �/ JUL 21 1961
I
COSTA MESA BUILDING-SAFETY DEPARTMENT I
P. O. BOX 917 COSTA MESA. CALIFORNIA FINANCE DEPT.
For Applicant to Fill In Completely CITYOF COSTA MESA
PP P Y APPLICATION FOR PERMIT
TYPE OR PRINT
• - BUILDING
ADD EISA 8933 BAKER ST
COSTA MESA. CALIFORNIA For
ALL
Office Use Only
OWNER DEMNIS A . 1/ lALL I RECEIPT NO. 'I ^ mut
ADDRESSMAIL aq3 s l3 A K ER Sr RICHE vQ�o BY DATE RECEIVED DATE IeBUEq
COSTA / ,ESp TEL RI a5-1�2 BUILDIN ^� nn /..
CITY ADDRESS 2 9 3 3 (bOAL �1 .
ARCHITECT TEL.
OR ENGINEER NO. COSTA MESA. CALIFORNIA
I
ADDRESS T� p ZONE TYPE GROUP /
CONTRACTOR UW►JER - yjVl/-D8�\ BYFROV� DATE 7 O '/I
ADDRESS ZONING
ZONE.n NO.OP USE OP NEW '�O
CITY R —I PUNS / BUILDING / �[ A/J
STATE TEL. LEGAL / 3S Z 9 Lp$ /a/
LIC.NO. 7 z S� X NO. DESCRIPTION '
SIZE 3;g: 9-Y.WNO. OP.L.,.. / �'2 — O s
OF LOT lam- ^ NOW DN LOT ' A.P.NO. l l - `�
USE OF nES IGEN CE YARDS EVES
EXISTING BLDG, o APPROVED ALLOWED
CENTERTBD UNE
FROM 6 O ' REAR YARD /QO' FRON`"UNE BT.)__"• -fe EertIrrinj
�� FT. IN.
SIDE YARD I LEFT 'J d "-et I RIGHT ir a' R.SIDE .5-1/" FT. IN.
DESCRIPTION OF WORK 1 3 1 -
L.SIDE FT. N.
X
NEW I II ALTERATION I II ADDITION I REAR 13 FT. ' " IN.
111
REPAIR I II MOVING I II DEMOLISH I APPROVED ��e9 DATE 7/zc%
SIZE LDING ISL X l ROOMS STORIES I aim I
/
BUICOVERING EXTERIOR
WALL A1C NE I COVERING FIBER - CLASS
USE OF BUILDING AND WORK TO BE PERFORMED
AD. IT Ohl OF • 'TIO • - D
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IE CORRECT AND AGREE TO COM-
PLY WITH ALL CITY O INANCE. AND STATE LAWS RE TING
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCT' . VALUATION
u
Y. c-
P
SIGNATUREIT /OF - � �• PERMIT FEE $ /
PERMN
o
we
S 3-28., PLAN CHECK $
•AUTHORIZED AGENT a'.�I -.• C
a TOTAL FEE $ ! ! a
FEE/ RECEIVED
16931 \N APR 2 41962
COSTA MESA BUILDING-SAFETY DEPARTMENT A FINANCE DEPT.
P. O. BOX SIT COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant fo Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT �/y� BUILDING
BUILDING 'lot
3� I.+ H KO
b: l�_a
ADDRESS COSTA MESA. CALIFORNIA Arra
For Office Use Only
`'\ , I RECEIPT NO. {IMI S ./
OWNER \ J. a, \'N
MAIL ^y-.�� RECE I DBY D7 RECEIV O/ OATTEA88 E,D/
ADDRESS Z9( .5---.0 1,J '\ k P !/V �"'�v( / `/-T/IX-
`/�' ` A TEL.`S BUILDING
CITY ` ' 1 . NO. �"�S"/i ADDRESS
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO. 1111
ADDRESS FIRE
ZONE TYPE GROUP
APPROVED
CONTRACTOR CO 11 .1Q_ +'. r..- \ n,.S BY DATE
ADDRESS S O, NI 4 1 I--.. ZONING
Zqp� / NO.OF UUI OP NEW /I �I I
CITY S 4 ,‘,4 4_ �ON ••� t tK .. I I tr.::
y I B)SE OF NEW )�
LIC TNO Z(Tl �g NO \ " 13 2 LI LEGA
L ` frV t `�I /f 1� JJ/
/}•� CRIPTI /' j'� ,
SIZE /� ` ,� `I 1 I NO. OF NOW ON LOTS // 3 — 6• l - 63
OF LOT ' t LLL 1111A.P.NO. Y/V
USE OF ` '� TAROS EVES
EXISTING BLDG. �. U P \A-'3 A \1 APPROVED ALLOWED
SETBACK LINE FROM (CENTER UNE ST.1
CENTER OF STREET REAR YARD FRONT -----Fir IN.
SIDE YARD I LEFT I RIGHT R.SIDE - Si-- IN.
DESCRIPTION OF WORK 0 IN.
L.SIDE FT.
NEW I ALTERATION I II ADDITION I REAR FT.
II MOVING I II DEMOLISH I APPROVED / Ii 0 DATE /� IN 4o
REPAIR \N '/ J� a"
BUILDING NO. OF /I• �f ��•
SIZE ROOMS STORIES
CIL"
EXTERIOR WALL 1 ROOF
COVERING COVERING
USE OF BUILDINNGA D WORK TO BE PERFORMED
GL
l,;� k Ve ,,, c 2
I HE EBY ACKNOWLEDGE THAT I HAVE R THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IB FOR THE
AND STATE THAT THE BOVE IS CORRE AND AGREE TO COM-
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY •INA ES AND ST TE LA B GULATING
BUILDING CONSTRU O.. / VALUATION
SIGNATURE OF I PERMIT FEE $
PERMITTEE k/ n n
$ Z 0.vo PLAN CHECK $ 4AUTHORIZED AGENT $ 0 .
TOTAL FEE 3 ' g,
S 9 CITY OF COSTA MESA
•
•
4 BUILDING DIVISION
.- • •:,:r ,1 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
V 1111PNI
PERMIT
.o„p B02-00463 ,'-
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
- .
Job Address: 2933 BAKER ST Status: ISSUED
Suite: Applied: 04/04/2002
Vicinity: DWELLING AND ATTACHED GARAGE Issued: 04/04/2002
Parcel Number: 13926208 Zoning: R1 R1 -
Applicant: BURR, STEVE ---- -- -__ ISSUED BY:
' Address: 711 WEELO DR 9
4,!! - PFone 949-5454
82965
COSTA MESA,.CA,.- - '," ( Zip: 92627 / /
Owner: WILSON JOSEPHINE B TR ; / �)
Address /2933 N BAKER \ � / _ - ,-, ��
\ ,,/ v A Phone: . ✓;- ` ,\v
1 /COSTA MESA,CA -------
i
"-
Contractor: BURR ROOFING '. *—Y) \-c -
"Address:, 711 WEELO DR \��i�C, /_ \ ,A
A/7;/i Phone:-"(949)548-2965 -\" / ' y-:A_
COSTA MESA, CA
Zip:-/ 92626 , License - 635586 -- �\ k.`: '' ` '��,
dd ,-s
Address` / • ! k.9 _ __: _. Address:, -
,
�j - Phone: '\ `�
A _ _
r.
''! ' '-- ''-. �-/
\Zip: -License: -' '-License:
N
\ _ -
�r :_.,.-�, .SCOPE_OF-PERMITrr , ! .\ '
/ TEAR OFF EXISTING ROOF,RE SHEATH AND APPLY 30 YEARICOMP SHINGLES INCLUDES ATTACHED GARAGE. k
FEE SUMMARY N ' I , '
Plan Check: $0.00 _ ' = N �\^ / Th, ' 7 Calc Valuation: N$7imago;r
Permit -' "$153.25 - _ t I'
j/ j ` Claim Valuation ,,, $�,a, .00
SMIP Res: , $0.78
NSMIP Corn: - $0.00 -' -
Other: , $0.00 •� ' . -
Inspection: - '$0.00
,
\ `yTotal: ,$154 03 - 7 i"'
i v ` -- " PLANNING &ZONING
//
MAIN STRUCTURE.Front 0-0 ' i
'Rear"-�-0-0 ' Left 0->0 - Right ' 0-
� 0.), j/'
. `\ ` 4/Y /
ACCESSORY Front 0 0 . 2 Rear-, 0-6 - Left 0 0 Right, 0-0/.% /
PARKING Existing 0-, Required: 0 - - Proposed: -0 -,
,,
NOTES: -->c� i,
^1i/^ 1 l
•
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia 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 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
244848(600)
DECLARATIONS
•
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
w or which this permit is issued.
I have and will maintai w ars' mpen ' insurance, required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'comp In ur order ntl policy n bar are: ! - �11(,1,/ cf
Carrier: w—� NL v_ r,Policy Number: �1,(fin '
(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 wdrk 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,an that if I should become subject to the workers'compensation provisions of Section 37 of the Labor nCode,I shall forthwith
comply with these• / ie.V
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND Df I ARE($1%,000),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 hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Pr sioq ,and my license is in full
force and effect.Lic.# Class#
cam-
Contractor's Signature: �...� Date: 41 - - a
CONSTRUCTION LENDING AGENCY: -
El 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 for a 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 driver's license. ❑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 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 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).
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? El 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 a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes DI No
(Section 65850.2 of the California Govemment 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). I
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 mply ate laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above- ed party foyi ction purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection',
�E U s Sigy lr bLeegal Owner(s) , r D'teOc
V lr
And/Or Authorized Applicant Date ,
CODE I. INSPECTION TYPE all INTIALS CODE l.. INSPECTION TYPE PATE IMIIDNLS
•
1616 Fixed System Final Fire Prevention' 206 Final Mechanical i
1266 Pool Spa Final , 208 Final Plumbing
200 Final Re-Roof / l.. 210 Final Electrical ,
201 Final BlocldRetaining 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 '