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HomeMy WebLinkAbout1626 BAKER ST - Building Permits CITY OF COSTA MESA BUILDING DIVISION ).i " 411 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT 4• "' B03-01011 % • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.l3UILDING'PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1626 BAKER ST Status: ISSUED Suite: Applied: 06/13/2003 Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 06/13/2003 Parcel Number: 13919233 Zoning: R1 R1 Applicant FANCHER, JEREMY J - ISSUED BY: Address: 1626 BAKER ST _ - / - '' - - Phone: 714-4444165 COSTA MESA,CA'",- " Zip: 92626-3702 - - Owner: FANCHER, JEREMY,J E Address A626.BAKER ST _ _ EX Y N '(1 //!� Phone: , T� LIJ / - COSTA MESA 6A1-:---- Zip: 92626-3702 IPS y, ERS, Contractor: \ \-- ;,,;� \P /Address:• , % =� , j EXPIRES - . ;, �,>-„ Phone: Zip: License: � S " YYY �1 i Arch Eng: ts ' • Wirt Address: - .� - Address: oA Phone: , , - - Phone: j _ Zip: /' - , License: License: , - SCOPE OF PERMIT TEAR OFF EXISTING,RE-SHEATH,-FELT AND COVER WITH-25 YEAR-COMP SHINGLES. '\ , FEE SUMMARY Plan Check: $0.00Calc Valuation: $5,674.00 Permit: - $125.25 • -- - - - Claim Valuation: $5,674.00 - `. SMIP Res: $0.57 - .i '-SMTP Corn: • , $0.00 /' Other: ' ',, $0.00 - Inspection: -. ,A0.00 •Total: $125 .82 7 , .c:- ; \,� PLANNING &ZONING ° SETBACKS, MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ," ACCESSORY +runt- 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existin 0 - Required: -0 Proposed:, 0 ' NOTES: - - NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. • INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-48(Nee) DECLARATIONS r. • WORKERS'COMPENSATION DECLARATION: . I hereby affirm under penalty of perjury one of the following declarations: . ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. My workers'compensatipG�q I u n carder and bet are: Carrier: vPolicy Number: (This section need not be complet if the permit is ued at one hundred dollars(8100)or less.) certify that in the performance of the work for w ich this permit is Issued;I shall,not employ any person in any manner so to become subject to the workers' compensation laws of` alitomia,and agy�that ifI sh•uld become subject to the workers'compensation provisions of$e on 3700 of the Labor Code,I shall forthwith comSig with these pr•/sis. /-� ( � t ( /"h ,�J�T -Applicant Signature: 11. ♦ C./ ► i1_ Date: V1 ✓ 1 'WARNING:FAILURE TO SECUR: WORK ',COMPE SATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000), 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 Professions Code,and my license Is In full force and effect.Lic.N Class# Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ 1 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). Lenders Name: Lenders 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 end 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 rubje 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 0f 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 puisu:nt td,the Contractors License Laws.). 0--1 am exempt Is d:'sec. %1 , !i Business and Professions Code for this reason: CSignature:' ♦ i t Expires: Verification of Ownership by(type of documen,Le.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: 9 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? ❑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? ❑Yes ❑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_aPermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? DI Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be fumished 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 ❑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 COMPUANCE 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 com y 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 grope for" spection pu s,I agree no occupy ar allow occupancy of any building authorizer)by thiA Fit u it final inspection. Signe Of legal mer s) Q Date And/Or Authorized Applicant Date CODE 1 iNSPECTTN)N TYPE PAIL RILLS CODE! INSPECTION TYPE PETE II(IIDALP 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical 1266 Pool Spa Final _ 208 Final Plumbing 200 Final Re-Roof _ 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 '10WNER •.11 C q DATE 10-20-78 OB ADDRESS _ BUILDING PERMIT NO. 46903 • `IERAL CONT•A 0' Villarreal M.E.C. DESCRIPTION of WORK Elockwall • 439-192-33 LOT TRACT FIRE ZONE VALUES 2.000. 'INSPECTIONS Signature Date TYPE TTT GROUP .T ZONE R-1 4DIL SUBCONTRACTOR PEJiMIT5 ISSUED A5Data I Number I Signa ATER Plumbing OUCH PLUMBING PROP. SWR. LINE fl HOUSE CON. 9 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING • TEMPORARY SERVICE OR POLE UNDERGROUND 9 POWER 9 ROUGH WIRING Heating and Vent. . TRENCHES U FORMS U STEEL REINF. I I 19K i6af'lir FLOOR SYSTEM < BOND BEAM F-1 STEEL REINFORCE f SHEATHING FRAME AND FLASHINGIEl l I�I I LATHING - IN r OUT TER, BROWN COAT ,TUBAL. FINAL Electric • HEATING. VENT., REFRIG. AND A.C., FINAL PLUMBING. FINAL AND GAS TEST n ELECTRIC, FINAL ,/'� � Pill! MN!:Nr. V1144.1LL)/1 /oLiii,C/y OWNER todME3Ay11Wi ;4C. DATE 6-3-59 JOB ADDRESS 1626 Baker St. BUILDING PERMIT NO. 9503 - ' 4,V,IERAL CONTRACTOR Dike & Colegrove VALUE S 15,571.00 - P.P. No. LOT 91 TRACT2822 FIRE ZONE DESCRIPTION OF WORK Res.W/att.Gar. INSPECTIONS b _g h-9 DATE GROUP 1 & J TYPE V ZONE R1 Underground Soil M-'9 U.G. Water/24K .(.-/O-tY/ PERMITS ISSUED Underground Gas r SUBCONTRACTOR DATE NUMBER Overhead Water and Gas Rough Heating y 7- fir/ aaart/7t/f.�• , .,Z✓�,c/ -).7,4 es LTT Rough Plumbing / }-S ,-/`/-S% c-- e •rA.) ^•. /.n., 77-4,-7-5-7 /9Y?/ Miscellaneous • , , _ Prop. Swr/Line Hpv(e'Con. St. Swr. 7/'i/-{sty /jL- .w s .4 7724./S-, 7 s-5- J \ ,17_ Sprinkling-System . Heating, Final 4*1; .Q--/e-51 Plumbing Fixtures NNc q-/g-$9 _ OO Final Gas Testi.7 /VHS 4-/rr- -4 r '51 Construction Pole Underground Power 10'-' Rough Wiring, 74Pel) 7 )C'S2/ :ice,.,,, r 6stixC 2 jY_ 7-/-SP 5.3-5-- Trenches .,-5- Trenches ggt#Forms be Stee11r-- Gin/fl -''or System :l Reinforce Chimney Re-Rod nand Beam Sheathing Frame and Flashing IY8¢/ 7-a 9 -a'/ Lathing, In Out ( t.1 4S-1r -c514 brown coat Plumbing Fixtures, Final _ s .>7�7-yy Electric Fixtures, Final _ ////7 %.J-er57' Building, Final /-v .l,.44+5 7" OCCUPANCY I Form 210-3M-4-59 95©U ttw.." 'J COSTA MESA-BUILDING-SAFETY DEPARTMENT g✓s" 3 P.O.BOX 317 COSTA MESA,CALIFORNIA FINPJ\'CE DEPT. 011• "' 'M1Qo-I "CQ. fOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ADDRESS 3626 Baker St. COSTA MESA, CALIFORNIA fOR OFFICE USE ONLY OWNER Corneae, Inc. I RECEIPT NO. I ^.PFZHMIT NO. J MAIL REEIV9 BY DATE RECEIVED .DATE ISSUED ADDRESS 419 E. 17th St. I 6 -.2-571 G--5-5 9 CITY Costa Mesa TEL 1181159 BUILDING ADDRESS ARCHITECT Carlson & LIC. COSTA MESA, CALIFORNIA OR ENGINEER NO. Middlebrook ADDRESS Garden Grove FIRE E Q� Type Group;g /J Dt a Colegrove, Inc. STATE 167293 APPROVED CONDM ry e Costa NO. BY DATE ADDRESS 419 E. 17th St., Costa Mesap^ ZONING LEGAL LOT p822 ZONE /n I NO.OF I USE OF NEW ./) DESCRIPTION I NO. 91 I BLOCK I TRACT / PLANS BUILDING ,-C/i('JD A P NO. APPROVED /,,�, ‘1/44",L (ccc... _ BY (1y DATE b�i/j, SIZE I NO.OF BLOCS. YARDS EVES OF LOT 53 x 104 NOW ON LOT none REQUIRED ALLOWED USE OF (CENTER LINE ST.) EXISTING BLDG. none FRONT FT. IN. SETBACK LINE FROM [/� CENTER OF STREET 601 REAR YARD 351 R.SIDE ` FT. IN. SIDE YARD I LEFT 51 . I RIGHT 5! . . L.SIDE FT. IN. DESCRIPTION OF WORK . `/1 9p REAR go- j FT. • IN. NEW JL II ALTERATION I II ADDITION REPAIR I II MOVING II DEMOLISH BUILDING NO.OF SIZE 1560 ROOMS 7 STORIES 1 EXTERIOR WAhj.L ROOF COVERING DLUCC0 I COVERING ShinJJ1P USE OF BUILDING AND WORK TO BE PERFORMED Single family residence with - attached double garage. Plan 120B R 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 ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONSTRUCTION. �J��� VALUATION PSIGNATURE ERMITTEE OF 4/�����'�k1r PERMIT FEE . $ 36.00 a $ PLAN CHECK $ 18.rv0 AUTHORIZED AGENT Dike & ColeQrave. Inc. -5,571 5/x,.00 TOTAL FEE $ 046903 COSTA MESA BUILDING-SAFETY DEPARTMENT 7345 10/20/70 30.50 .TL' P.E.BOX 1200 COSTA MESA,CALIFORNIA 92626 t 7343 '10/20/70 3.0.50CAT0 APPLICATION01430'3RUCERBI a9F$MIT I A For Applicant to Fill in Completely -Use Ink Only RECEIVED BY [TATE`t2ECEIVED DATE ISSUED BUILDING/� ^ ‘ 89A k rtc � ine'leg VADDRESS `�j''�� Cyd .. , ...L_1.1 PERMIT NO. CCUJJ OWNER /off} /\ / / N 0 /�Vl L AP. NO. 1 3 9-192- 33 �5,�{�/Jy//� ADD BUILDING �/ 0 /_ /�/��1 ,/`_ _ ADDRESS ADDRESS (Q'f (rP CITY r 0 S / /J- M 65 n NOL/yr/-S TRACT GZ�.2a LOT 9/ BLOCK CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOI ISH LENDER BRANCH `�, OWNER --� ADDRESS Owe VALUE /A�z //�t��./� ARCHITECT TEL. USEism that $al.Lrf0 OR ENGINEER NO. FIRE ADDRESS ZONE TYPE GROULir P �/ APPROVED /� /� /� /J CONTRACTOR Y/L LAL/'(KE,Z .L /9,. f% G BY DATE�f//CW �a ADDRESS yd 4 _ 5 _ /` /3_ R C N TEL. ZONE x/ NO.OF USE OF NEW 6&O CC' 7 � CITY 559- Arn A- N A. NO. PLANS -Z BUILDING W 4-1-4,., # STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO.2 q -,q LIC.NO. MAIN BUILDING � 1A�CCESSORY BUILDING W SIZE I NO.OF BLDGS. (FROM C/L STREET) ' V+ l -/ L OF LOT I NOW ON LOT FRONT F.T. n -rr, W,Ut G USE OF I VI EXISTING BLDG. �'LC�C/c W j-LL __$.SID - FT. e FT. cn f/J p n F Separate permits are required for L.SIDE `t'FT. ire- FT. O electric,plumbing and heating work. REAR FT. pre-9P FT. [w. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& • Q0BLDGS. BLDGS. ACCESS. laflo n� VAR.. - AATE PPR Q ,-,.0 VAR. #E APPROVED / �/ } APPROVED/), 10 I DATE /O/2�[ 7d .c S UJ^ MM a w . a0I hereby acknowledge that I have read this application and state n rg 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 E Sthe State of California. . I hereby certify that I am properly licensed as a contractor under SQ.FT. coa the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR w Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: to - am exempt from the provisions of the State of California Business $ 2e�.ao a and Professions Code,Division 3,Chapter 9. VALUATION PERMIT FEE fi '^ rn PLAN CHECK $ en 0 Signature of �'/ //I/Cr// _ �D m r^, fQ.�Q LL Permittee /v4/ %L07?.`G6cr( $ yt e'f l% /✓ TAX $ s'0/ U Authorized Agent 2.e2 TOTAL PAID $ 30.61,