HomeMy WebLinkAbout1335 BAKER ST - Building Permits I
CITY OF COSTA MESA •
BUILDING DIVISION
�.v�:.�I, 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714)754-5626
o •/
PERMIT NUMBER/B07-01007
PERMIT TYPE B_ROOF2 STATUS: ISSUED
DATE ISSUED: • 11/02/2007
• • .-ISSUED BY: RMD
•
JOB ADDRESS: 1335 BAKER STCM • Suite%Unit -1` , •
Vicinity: APT GARAGE ONLY
Squares: 500 . ‘41•-•-' Valuation. . .$2,000.00
/ 1 " '�'�
SCOPE OF WORK: PARTIAL REROOF,APT,GARAGE ONLY.TEAR OFF(E)ROOF MATERIALS REROOF:WITH 1 BASE,2 PLY AND
ROCK(HOT ASPHALT)ON FLAT ROOF GARAGE'ONLY,APPDX 5 SQUARES.
4Y,
OWNER: WARD,CAREY " ' Address: 25281 ,VIA.PIEDRA BLANCA Unit:
PHONE: - I - -+ • ,City/State/Zip: LAGUNANIGUEL,.CA -
APPLICANT: BLANKS,JERRY ,( -+ - 17,:- fi_ Address: ' '' 'i - -:, Unit :
PHONE: 714-573-0155 I - City/State/Zip:
CONTRACTOR: PREMIER ROOFING'AND BUILDING•CO INC -- - •- - License NO. 6.34404
Address: 17501 NORWOOD PARK PLUnit - • i i • PHONE: '� 714-573-0155
City/State/Zip: TUSTIN,CA( ` : 92780 - - - - "`- 'CELL
ARCHITECT:
ENGINEER: License No. - ' PHONE:;
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee: .$69.25'.2- - - ;
Reinspection Fee: $0.00 „ . •
TOTAL FEES • $69.25 •
•
•
•
NOTICE: The work authorized by this permit shall comply with all applicable handicap access,requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE I INSPECTION TYPE DATE INTTALS CODE# INSPECTION TYPE, D IN7flIAL$
1616 - Fixed System Final Fire Prevention • 206 Final Mechanical
1266 Pool Spa Final ,. ,(�— 208 Final Plumbing
200 Final Re-Roof 1(-7--197 64.44 210 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
i V -
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's .e. 0 Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
O I have and will maintain a certificate of consent to self-Insurefor workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
O I have and will maintain workers'compensation insurance,as required by DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:.
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 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: -�7� _ _ C person is required to descend,will be made in connection with work authorized
5/ ,,/ L / L`"y v 12 by this permit,and that no building structure,scaffdding,falsework,a demolition
Carrier:—1 / or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
1..�(ms seU.m need ea be rmrNered[sure pezrtl s.aOereaer one nrmmedmears(sroo/abss 1 2.Art 2,Sec.341,Title 8,California Administrative Code).
Policy Number: /I- Pia/r9 — c2 OO'
t_— 0 As owner-builder, I will not employ anyone to do work which would
o I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' • pensation laws of California. and agree that if I should
become subjec['• the worke•-'camp alien provisions of Section 3700 of
the Labor Coda I shallfo '/PI th these rovisions. Applicant's Signature Date
�/ e/ te /l a/O, Division of Industrial Safety Permit Number:
I
r�. cant's Signature e--
_ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNINe. FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code,and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No
Lic-#— ^•7l� i 04- (Class# —•
(Section 25533 of the California Health and Safety Code, with some
L���
_kale / O exceptions, requires registration with the Costa Mesa Fire Department by
V each business which at any one time has on hand a quantity of acutely
'PM-tractor's F---•to 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
CONS -UCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affum that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
O I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No
thereon,and who does such work himself or herself or through his or her own 8. (If yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code: The contractors License Law does.not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: 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 Date Signat./ al yew/ / Date
3057-413(3107) • /istLIf J..
err zed Applicant , /!` -
ADDRESSUPBMLDINO: 1335 BAKER ST ulr: C CITY OF COSTA MESA — BUILDING PERMIT
DANEBSNwEIPIww% EDLER, VERNON III TR PERM NO: P 086043
ADDNESS:C/O CFG INVEST
17220 NEWHOPE ST 224 PERMIT NO: P 086043 PLAN CHECK NO: N GOVT: N SUPP: N
• FOUNTAIN VALLEY,CA 92708
APPL.MAIUNDADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH
•
ARCHITECT OR ENGINEER: UD.NO: JOB DESCRIPTION : PRESSURE RELIEF VALVE SQ FT:
ARMOR ENDS ADDRESS: IMT:
CLAIM VALUE: CALL—VALUE: GROUP OCC: R-1 /
CONTRACTORS NAME:
c0N1nACTDRS MMIga COMMENTS. X
ADDRESS: UC.NO.: 4444444444444444444444444444444444444444444444444444444444444444444444444444444
upT: ZONING REQUIREMENTS
(LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I em lionised under provisions of Chapter 9 SETBACK S
(commencing with Section 7000)of Division 3 of the Business and Professions Coda,end my license is in full force end effect.
CITY UC.NO.: LIC.CLASS: LIC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Date: Conon LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Iiiih
OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I ern exempt from the Contractors License Law for the
following reason(Seaton 7031.5 Busmen end Professions Cede:Aly city or county which requires a permit to combust,alter,improve. PARKING REQ: PROV: PARCEL: 42405414 ZNE: REF NO:
demolish,«'We'Weirany structure.prior to is Swans.neo requires IM appltmd l«such WS to fib a signed'Waned that M«she
is licensed pursuant to IM provisions of the Contractors License Law(Chapter 9(mmmeneng with Saxer 7000)d Dbaion 3 d the PLANNING NOTES>
Business end Professions Code)or that he or she is exempt therefrom end the basis for the alleged exempcn.Army viddion of Section >
7031.5 by any applicant for a permit subjects the applicant to a civil penalty of rid more then five hundred dollen(S5001). 44444444444444444444444444444444444444444444444'44444444444444444444444444444444
O I.as 0Tmer SIM Pr0PedT n^TY emPloyess with wages as their sole compensmion,will do the work,and the stnthlure is not intended D E V E L O P M E N T S E R V I C E S - R E y� U I R EMENTS
or offered for sale(Section 7044.Business end Professions Code:The Contractors License Law does not appy to an owner of properly id
who hulas«improves thereon.and who does such work himself of herself or through he or her own employee'.provided that such
improvements are not intended«of«ed for sae.f,however.the buiding«inra
p « d is nesold wihin os yew d oonpaion,the ZONING APPROVED BY DATE:
rbwes
owndder erg hthe burden of proving he or she did not or buildimprove forthe purpal
ose of W . - -
----
IDa oenar d the popery. m"WW1 windingwith A" b wand the project(Swim7044,Braine"and
Professions Coda:TConot Contractors License law does rappyto dw
prenbuilds nd
y who b • • al.. . ewwhoBUILDING APPROVED BY
M DATE:
calends tor such with a mntmdor(s)fcensed Pursuant Lime Law). / s
pc under B 044 S.-AaoT,,,w��.. ._. M1,NE - ca. / •- -_ - APPLICATION ISSUED BY - . DATE: 0 -
/ y -•.l , 44444444444444444444444444444444444444444444 fE44 44444444444444 4 4 44 44
at°' ants �? /�//_ 4/ •r LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SE MENT:N .
I do nerdy that I awareof end understand the requirements of 1 ie , end Safety .,4, .ions 25505,P5svn.end
and that «any uro heildiag occupant will/wit not(circa me) to•• py wih'ald pale end IM rpuiremsn for
a pemm l«construction or modification from the Ar u anagement I'•,R..•entS construction epsomios en exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES • GRADING
provision. PERMIT 16 . 5 0
Date Applicant: 25% SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm undo Penalty one pua d the following decimo
atr: ISSN
IUILE FEE 22 . 00
• Code.edwDed',mac the wdconeeisperm red. npenWen.0 prondedf«tr/sedioe 37g° ichor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Cnde.for the penamepe of the work for which this permit S®rad.
0 Ihave and wilmeintanworkers'compensation insuurmwe.srequired bySection 3700of the Labor Code,for the performance ofthe TOTALS > 16 , 50 22 . 00 0 , 00 38 . 50 38 . 50 . 00
work for which this permit is issued.My woken'compensation insurance carrier and policy number are:
Carrier: REVENUE DIVISION TOTALS--> COLLECTED: 38 . 50 OVER/SHORT: . 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed I the permit is ler one hundred dollars/SIX)o.w..) 38 . 50
O I nerdy that in the performance of the work for with ihn pane S Issued,I shell not employ any person in any manner so as to
become subject to the waken'compensation laws of CeMornie,end agree ghat i wheel should became bled to the workers' 44444444444444444444444444444444 4 4 4 4 4 4 4 4
444444444444444444444444444444444444444
compensation provisions d Section 3700 d the Labor Code.I sheer forthwith comply with those provisions.
IND I V IDUAL F E E BR EAKD OW N
Date: Applicant
Warning:Failure to scup workers'compensation twenty Is unlawful,and shallst)s«an employer to criminal pru:es and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines tp to one hmdred thousand dollars(31og000A hi addition to the cosy of corrywa&n damage'as provided for In
Seaton 3706 of the Labor Code,interest,andaffOrnWs Ina PLU 1 WATER HEATER AND/OR VENT 11 . 00 11 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of pe ry that Then is a construction lending agency for the PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 5 . 50 5 . 50
performance S ihe work for a4mith this petrel is issued(Section 3097,Civ.C). END OF FEES
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and slate that the above information is correct.I agree to comply with all city and county ordirw'cee
and state laws reletkp to building con/enaction and hereby authorize representatives d this city to enter upon the above'menti ned property
for inspection purposes. A AGU I LERA 12-04-1997/03:04 PH/$38.50
•'ret Nana RCPT0:01-80164e4
_i �,'s/t /LJ Date: h/G1 /9 • PERMIT :086043
S'. =un . pl rail
(5151'46.WP) White-Building A Soley;Green-Fb:Canary-Applcanl;Pink-Revenue;Goldenrod-Senesce
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector •
APPROVALS Permit # Date Inspector
7. Temporary Electrical Service or Pole a 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 58. Rough Plumbing & Pressure Test
6. Electrical OF 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, O 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 f 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, 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
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 4(//7271----
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING t
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
Applicant to fill In all spaces except those within heavy border tines and sign all appropriate declarations.
•
.• - PERMIT NOACT NO. LOT NO. UNIT NO.
CITY OF COSTA MESA CONSTRUCT PERMIT . eg C /z6 A.P.# zone
"Project Address 3'7 Ea eat- SSir- - CoC' S Main Building: Accessory Building: I�
Applicants Maili A dress • TYPE OF CONSTRUCTION U NEW LJ ADD U ALTERATION I1 REPAIR E Front • Z
•-9r S. ❑ CONVERSION C DEMOLISH ❑ OT ///��L,,,,, T O
Owner's Name r"``� �" �MI Phone ��6e •D SCRIPTION OF, ORK/USE OF BLDG. -Keck( r v 'I IA Rear N
Address '7 e /[��p� L,Jy(G 1
TYPE PFYRMIT H GRADING ❑ FOUNDATION STRUCTURAL I C Right N
Arch/Eng. License No. \ K - G
'C TENANT WI ELECTRICAL ❑ PLUMBING ElMECHANICAL S • Left
Address
FA/^ 21'5 eci 5+' T�'" Ito • ❑ OTHER - Ping. Ref.# Parking Req./Provided - E
Contractor's Name Phone Q
R
^�Qp ,,//1� + G .. qq� keit.- p}po, PROJECT DESCRIPTION SQ. FIT`. O
Address(mailing)�n (� �• Ua��2Y J'k. [ ILtKa1 HN' CONSTRUCTION TYPE N�10 a VALUATION$ 560 Planning Notes: M
City License No. 2'7 6 3 7T
ZONE GRADING CU.VDS. ACRES S.
LICENSEDCONTRACTOR 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 lull f e and effect. 11I66L'I ELECTRICAL FEES
License plats 7 jepl�{//11 se' '? 7b -
Date 1 1 Signature '�jF PLUMBING FEES Automatic Washer Transformer 0 15-50 KW
WORKERS'COMPENSATION DECLARATION ' •
• Construction Pole Sub. 0 50+KW
I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Shdwers Q
'Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter-Sup to 100 amps - jfO So
.0, Lab. C. M y� r�1 .
Pol' No. oil- `/7`' /Company GSA
Backflow Irrigation Sewer Cap •
Dishwasher Meter Cover 100 amps
Certified co y is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel . ,"
Cer 'f' tl �t filetl with the city Bui.. • pf i Olt' Bathtubs Sewer Connection ;'
Date 71 I Y Applicant 'w (— 'ryv Fan Motors 00-1 HP 01 Y2.-B
EXEMPTION FROM WORKERS'COMPENSATION DELL RATION Clarifiers Solar Collectors
(This section need not be completed if the permit is for one hundred($100) or Dishwasher F.A.U.
less). Solar Piping Inc.Solar 9-15 HP 016-15+
I certify that in the performance of the work for which this permit is issued, IFixtures
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
Date Signature_ Floor Drains Swimming Pool w/Spa Pole Light
NOTICE: If,after making this declaration, you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks • Urinal • Outlets Rang¢
comply with such provisions or this permit shall be deemed revoked. - • -
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Sign
Switches Si n
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.) ' Garbage Disposal Standing Sections
Interceptors • Water Heater •
Lender's Name • 00.5 KW 05-15 KW-
Trash Compactor
Lender's Address Kitchen Sink - Water Service -
•
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 Gb
. 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 J $15 Issue Fee $4'
efrom and the basis for the alleged exemption. Any violation of Section .
1.5 by any applicant for a permit subjects the applicant to a civil
alty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
❑ I, as owner of the' property or my employees with wages as their sole Reinspection Fee d $15 Issue Fee $ 3 Zoning-Approved By Date
compensation, will do the work, and the structure is not Intended or-offered - q�
sale (Section Business and aProfessional Code: The Contractor'smroves MECHANICAL FEES ` Building Approved By Date
License Law doesionnot apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own Application Issued By Dat
employees, provided that such improvements are not intended or offered for Boiler - Hood or Type I 0 -
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ •
SUMMARY OF FEES '
pletion, 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 $ /5:00 SMTP $ 0's�
D I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ 7, 7s PERMIT
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 ❑o-100,000 BTU ❑100,000 BTU ' PLUMBING $ ISSUANCE $
builds or improves thereon. and who contracts for such oroiects with a con- - - _
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration -PLAN CHECK 25% $ y e• ENERGY P.C. $
proof of their Worker's Compensation insurance should be provided to me.
o I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# • Fire Dampers ELECTRICAL $ .3,3.5'0 GRADING $GICROFILM $
PLAN CHECK 50% $ �+D y
Date • Owner Heating System&Ducting • Registers MECHANICAL $ ire. /S
I. hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000BTL TOTAL FEE $
Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $
and state laws relating to uilding construction,and hereby authorize repre- - -
sentatives of t•is I i'
(IS Date�y t enter upon the above-mentioned pr per for
inspection pur-• %. /y,1 11�p!�/
Signature
__ Reinspection Fee $15 Issue Fee $ 3 . - 01 00042_520-20042523 TOT '.5.7:,
Drivers' Licen or 55 QfTE: (IS/141E' TIRE: 11107
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
.CONSTRUCTION AND PLANNING ) POO. SPA
' Date Inspector Date Inspector
1 APPROVALS Permit # APPROVALS Permit#
1 1 1. Temporary Electrical Service or Pole 'Z 52. Pool & Equipment Location
tee
. 1
Soil Pipe-Undrgrnd. - -e "
53. Steel Reinforcement t
: Electrical Conduit'Utility-Undrgrn
- fi
d. . • 54. Forms
:4: Electrical Conduit=Undrgrnd. 55. Electrical Bonding , -r
�5 Steel Reinforcement •,, 'V 56. Rough Plumbing& Pressure Test
16: Electrical OF ER Grnd. V 57. APPROVAL TO COVER-GUNITE :r'
7. Footings '-J i� 58. Electrical Conduit-Undrgrnd. _ '`t
8. Foundation t ,T; 59. Gas Pipe, 0 Undrgrnd.,Test �_
9: Water Pipe-Undigrnd. .. 1 60. Backwash Lines, P-Trap, 0 Undrgrnd.
17
10. Structural Floor System •-% -•
'7 61. APPROVAL TO DECK
11..Property'Sewer Line & House `Connection Y 3 - 62. Backwash & Receptor-Final
12. Sewef Cap \ Y ,' 63. Heater & Vent-Final -
rt.
'
13. Roof Drains '
� - 64. Plumbing System - Final - `
14. Rough Plumbing 'i 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
:16. Rough Electric Wiring 67. Fencing & Access Approval
i17. Rough•Wiring Sign 68. APPROVED FOR PLASTERING
,1A8. Rough•Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT
'20. Rough-Factory Fireplace APPROVALS Permit#
vi
r2.1. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating _i 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-Bai'C.eiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing Si'Sidirr Q1441 deir 77. FIXED SYSTEM FINAL
29. Insulation et 78. FIRE PREY. FINAL
30. Drywall Nailing II ,l HEALTH DEPT. REQUIREMENT
31FPlaster Brown Coat if''''') /79. FINAL INSPECTION
32. Electrical Power Meter-Final 1/A07at80. FOOD C RTIFICATE ISSUED//
33. FinallElectric Notes: �
CCC Ir,* „ q O✓ I
34. Final Heating & Air Conditioning ,C -x/L. '.- az- X9 ,
35. Final Gas Pipe-Test
�4� 1. I �' � `-
_
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 N "' ,s •
43. Backflow Irrigation 1 I C.. -_
44. Landscape Irrigation System ‘...• I" .
45. Sound Attenuation
t ,,
46. Handicap Regulations I
47. FINAL STRUCTURE & BUILDING /1027.-S5'
1,48. Special Requirements Completed 11'
1 49. Electric Release to Edison 41.- - rJ
50. Gas Release to Southern California Gas Co �' ;1'
:' r•
51. CERTIFICATE OF OCCUPANCY rJ 1- I , J., ' I ✓
No. - Date z!..._. I
-e ..
I3 3 J v A u C 2 Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
CIV OFAPDSTA MESA CONSTRUCTION PERMIT RMMIT NO. TRACT NO. LOT NO. UNIT NO. A P # Zone
Project Address /335 (g"«fr O ! 1 /�ks,�l�, f �/ $ Main Building: Accessory Building: l
7B�A,, ✓f(,((4 rdTYPE OF CONSTRUCTION ❑ NKr LJ ALTERATION L7 REPAIR . Z
Applicant's Mailing Address 2 111 CONVERSION ❑ DEMOLISH ❑ OTHER T Front . . O
�it7.
Owner's Name tdN '"��- Phone DESCRIPTION OF WORK/USE OF BLDG. I A -Rear N
•
Address �^-� . -
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING LJ FOUNDATION ❑ STRUCTURAL I C Right . N
Left G
Address - Sri
❑ TENANTXELECTRICAL ❑ PLUMBING ❑ MECHANICAL i S ' R
Contractor's NarrsC2 Penift' COLS Phonetic 77tty( El OTHER �Ping. Ref.# - •
. . - Parking Req./Provided . E
�+, PROJECT DESCRIPTION SQ. FT. OCCUPANCY -I PlanningNotes:
Address(mailing) U D /stilt in' �t�.�s� `` M
/ 37 / C ON ST RUCTION TYPE \(^IV .VALUATION$ T
City License No. C' ZONE GRADING CU.YDS. ACRES S.
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ��II���� L
with section 7000) of Division 3 of the Business and Professions Code,and FH+f+ % eK1,5780 f �i - 7u r' 4 iime ,
my license is in full torpg antl effect. it r f 6G xsys,7-
ELECTRICAL FEES
License C ss "Si an-41.4/
4/ . iHe No. ,/ycsio GTV Iv Automatic Washer Transformer 0 15-50 KW
Date (Ti Signature ^'✓/f�"i PLUMBING FEES
WORK RS'COMPENSATION DECLARATION Construction Pole Sub. 0 50+KW
- 'Sereby affirm that I have a certificate of consent to self-insure or a certificate Bar •
Sink Showers '
�, Workers' Compensation Insurance, or a certified copy thereof (SectionCooking Unit - srMeter Cup to 100 amps
Backflow Preventer Service Sink
00, Lab. C.) �. q'
Policy No. Company & 'Flara Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps
N • entified copy is hereby furnished. _ - - Dryers ❑Gas DElectric Sub Panel -
.� Certified copy is filed with the city in •vl ' - Bathtubs Sewer Connection .
Date Applicant ��� - Fan Motors Do-i HP 01%-8
EXEMP ION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors • —
(This section need not be completed if the permit is for one hundred ($100)or Dishwasher Solar Piping t- F'A.U. Inc.Solar 09-15 HP 016-15+
I certify that in the performance of the work for which this permit is issued, I — .r Fi XIUr¢a 1
4.0 shall not employ any person in any manner so as to become subject to the Drinking Fountains ,Solar Tank (� Microwave 1
Workers' Compensation Laws of California. .
Date Signature - Floor Drains - Swimming Pool w/Spa Device Boxes Pole Light
NOTICE: If,after making this declaration, you should become subject to the — -
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 4 Outlets Range 1 SV
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Switches Sign - •f
Gas Service Outlets Water Closet ( /[r-
I hereby-work that therewhiis a construction lending agency for the performance7iv. C.)
of the .work for which this permit is issued (Section 309] Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections
Lender's Name • . Generator 00-5 KW ❑5-15 KW Trash Compactor
Lender's Address Kitchen Sink Water Service
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
-vision 3 of the Business and Professions Code) or that he/she Is exempt Reinspection Fee ! $15 Issue Fee /
'efrom and the basis for the alleged exemption. Any violation of Section
,1.5 by any applicant for a permit subjects the applicant to a civil •
natty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
O 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 Zoning Approved By Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own Application Issued By a1`Te- Data° -a Jle)
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
sale. If, however,the building or Improvement is sold within one year of corn- Canopy Type II 0 SUMMARY 0 FEES
pletion, 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
tractorsto 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 ❑0-100,000 BTU 0100,000 BTUPLUMBING $ ISSUANCE $
builds or improves thereon.and who contracts for such oroiects with a con-
tractors) license pursuant to tne Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
1 proof of their Worker's Compensation insurance should be provided to me. -- — ELECTRICAL $ �'ii_zr GRADING
o am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers MICROFI r
PLAN CHECK 50% $
I Date Owner Heating System& Ducting Registers MECHANICAL -
I hereby certify that have read this application and state that the above ❑0-100,000 BTU 0100,000 BTL $ TOTAL FEE —y
PLAN CHECK 25% cS le
Information Is correct. I agree to comp with all city and county ordinances $ V e a►f[•1 ri
and state laws relating to building- action,and hereby authorize repre-
sentatives of this ity o este u.• the above-mentioned property for
inspection p ,c
�_ _ / Di E: 90- 01]42983 14; T
Signature - Date
. - Reinspection Fee $15 Issue Fee $ 3 BATE: 09/20/89 TIME: 14:37
Drivers' L cense or SS# ,
0865-46,rev.5/8B White - Building; Canary -Applicant; Pink - Accounting; Goldenrod - Assessor
-
CONSTRUCTION AND PLANNING ,, POO" SPA
4 APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
sk,.1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
!2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement :4
,,(
. 3.-Electrical Conduit'Utility-Undrgrnd. 54. Forms y1,
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel,Reinforcement I 56. Rough Plumbing & Pressure Test
•
- 6: Electrical UFER Grndl, i 57. APPROVAL TO COVER-GUNITE
' 7., Footings r, .. `1 t d 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 ,;1
/. . a
12. Sewer Cap ''
'1 63. Heater & Vent-Final
13. Roof Drains IL* 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 Ceili g 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 . -, T 71. Product Piping 0 Gas ❑Oil
23.1Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 1 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 -r 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
of
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coag � 79. FINAL INSPECTION -
32. Electrical Power Meter-Final 574 ,24 80. FOOD CERTIFICATE ISSUED
33. Final Electric - 1j+ ewes Notes:
34. Final Heating & Air Conditioning
l77 ��� ��!!'`�"''L\
_ .ter
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final 0 .
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer ,t 5 -7-
43. Backflow Irrigation
44. Landscape Irrigation System ,
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING . t,
48. Special Requirements Completed
49. Electric Release to Edison - ,
•
50. Gas Release to Southern California Gas Co `.'
51. CERTIFICATE OF OCCUPANCY - .. , '
No. Date i;e . . t '4)1;
: r
8987 •
L=EE RErEIVED
�IgiDE
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT
P.O.BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
FOR APPLICANT TO FILL /N COMPLETELY APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
ADDRISS
A 1335 A, B. C Baker St.
COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. 1
772 7
OWNER Kendon Homes, Ince
MAIL CEIVED BY I D TER EIVED I D7 J SUED
ADDRESS 1555 Placentia Newport BeachATWO
/i.�_ /�_ c`/j
CITY MI 6-3227TNEk BUILDING
ADDRESS •
ARCHITECT LIC.
_
OR ENGINEER$�e •
NO. COSTA MESA, CALIFORNIA
same
ADDRESS FIRE
n ZONE 5 type �'Oup �/J'/�/Q/./J
K [J. Koll Cont. Co. STATE 61195 ABVPROVED�" DATE L////
CONTRACTOR LIC.NO. / \
ADDRESS same p [ ZONING
LEGAL cel Rpt( 1644 ZONE (1 NO.OF USE OF NEW Y ?
DESCRIPTION NO. I BLOCK I TRACT K 9.--IPLANS /'�I BWLOING tl�L��
APPROVED/Ij/ /I / /- /a�A.P. 6
NO. BY APPROVED
/lam ✓ L DATE /f—
'� SIZE 50 X 130 NO.OF SLOGS. 0 YARDS C'EVES/
OF LOT NOW ON LOT REQUIRED ALLOWED
USE OF (CENTER LINE ST.)
EXISTING BLDG. FRONT .�FT. IN.
SETBACK LINE FROM 50 �C
CENTER OF STREET REAR YARD R.SIDE 5 FT. IN.
SIDE YARD LEFT 16 (RIGHT 8 L.SIDE SFT. IN.
DESCRIPTION OF WORK _REAR a- IN.
NEW I XI ALTERATION II ADDITION 1 ,
REPAIR I II MOVING II DEMOLISH I
BUILNO.OF
SIZE 2710
2710 ROOMS 12 STORIES 2.
EXTERIOR WALL ROOF •
COVERING Stucco • COVERING hot—mop
USE OF BUILDING AND WORK TO BE PERFORMED
Triplex residence and garage
I HEREBY ACKNOWLEDGE:THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH AL ITT ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING UCTION. / VALUATION
SIGNATUR _ [7e� PERMIT FEE $ 43.00
PERMITTEE
$ �3'DVlJ L^•00 PLAN CHECK $ 21 5f1
AUTHORIZED AGENT TOTAL FEE $ 64.,50