HomeMy WebLinkAbout1347 BAKER ST - Building Permits •
/0 �7% _ - • - -- Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. . - - - -
ITTe Y/OF COSTA MESAL/CONSTRUCTION PERMIT m:77_,
„y�TPER NO. TRACT NO. -ILOT NO. UNIT NO. - •
50�4 �� I t,�`l� . - i,,
Project Address /3 T 7 . /'ie e• - -r # l” / �3 7 y6 _ _ -
Applicant's Mailing Address . TYPE OF CONSTRUCTION H NEW Li ADD ❑ ALTERATION ❑ REPAIR
Owner's Name 41 pg.6r) .1../- Phone 5 C,7'242 CICONVERSION, CI DEMOLISH El OTHER - A.P.# I Zone
3 �� ,TDESCRIPTION OF WORK/USE OF BLDG.
Address y 7 X -C T _74' -- C - - : S Main Building: -Accessory Building:
' Arch/Eng.' - - • License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION T . . . - Z
r ❑ STRUCTURAL FrontO, '
Address - ' ❑ TENANT ❑ ELECTRICAL CI PLUMBING ID MECHANICAL A Rear • N
Contractor's Name C e/ fd-J Tsf.S �Phone 7� �—�s�� ❑ OTHER - •
C Right N
PROJECT DESCRIPTION SO. FT. •
OCCUPANCY •
- G
Address(mailing) '�C����f�'�S7 �?�� K -
' .n � // CONSTRUCTION TYPE • •VALUATION$ $ Left
City License No. ' t1 �QY—.�3 L . ZONE . - - • GRADING CU.YDS. ACRES ' _ - - R
LICENSED CONT,RACTOR:DECLARATION - Ping. Ref.# - - - - ParkingReq./Provided E
I hereby affirm that-( am licensed under provisions of Charter 9 (commencing Remarks: ' . - , ` Planning Notes: RECEIVED APR M
with section 7000) of Division 3 of the Business and Professions Code, and T
my license is in full f•rce/an. effect. L� .
License CL•d P� s - it• No. 2,C7113✓ - 1 S
Date ' Y C431 Signature _. fl - PLUMBING, ,FEES ' ' l
• WORKERS'COMPENSATION DECLARATION I -- l Bar Sink Showers ELECTRICAL ' . FEES
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,(Section ' - . _ is
Backflow Preventer Service'Sink'
t�t ,, 3800, Lab. C.) /y / n Automatic Washer Transformer 0 15-50 KW •
`IV Policy No. ..--2/../.)/ % � (g- Company 5 C.S • Backflow Irrigation Sewer Cap0 50+ KW '
Construction Pole Suh.
Certified copy is hereby furnished. I
-..s.,„
yn'y�[ = le py i5 f' d with the city B ' •in• Division Bathtubs Sewer Connection • Cooking Unit ' • Meter ❑up to 100 amps '
Eatk��KERS'of r . Nl i ✓ .r -- j - H - 1
tel_
EXEMPT! N FRO ORKERS'COMPENSATION pSATION DEn Clarifiers Solar-Collectors + Dishwasher- ..,;-1-- - Meter- amps
(This section need not be completed if the permit is for one hundred ($100) or — , -
less). Dishwasher Solar Piping Dryers ❑Gas%�Electr is Sub-Panel
I certify,that in the performance of the work for which this permit is issued, I •
shall not employ any person in any manner so as to become subject to'te Drinking Fountains Solar Tank I •
` ' Fan i/ '
•
Workers; Compensation Laws of California. f Motors DO-1 HP D11/2:B
•
Date Signature I Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP 016-15+
'NOTICE:If,after making this declaration, you should become subject to the _- - _ - -
Workers' Compensation provisions of the Labor Code, you must forthwith - FIOOr Sinks' Urinal Fixtures '
comply with such. provisions; or, this •permit shall be deemed revoked. . . - - I Microwave
CONSTRUCTION, LENDING -AGENCY ' , : - Gas Service 'Outlets ' ''Water Closet t ' - 1
Device Boxes . Pole Light l
I hereby affirm that there is a construction lending agency for the performance i _ - l
of the work for 'which. this permit is issued (Section- 3097 Civ. C.) ' ' r. ' -
Lentler's Name - Inteiteptbrs Water Heater , -, ' a0 Outlets Range
Lender's Address - Kitchen Sink Water Service^ ,� l _ Switches- '
OWNER BUILDER DECLARATION - - I Sign
I hereby affirm that I am-exempt from the Contractor's License"Law for the Lavatories '� ' - -- l Auto-Wash -
following reason (Section 7031.5 Business and Professional Code: Any city or _ • `t - _ Garbage Disposal Standing Sections '
county which requires'a permit to construct,alter,improve,demolish or.repalr P±Trari ' • . , . . r . Laundi Tra s' i u 1 '
any structure, prior to Its issuance, also requires the applicant for such permit , - • Y V _ 1. Generator ❑0.5 KW ❑5-15 KW Trash Compactor 1
to file a signed statement that he/she is licensed pursuant to the provisions of . . -- -
...f.he Contractor's License Law(Chapter 9(commencing with Section]000).of ROOF Drains _ - l I
'e8'2:vision 3 of the Business and Professions'Code) or that he/she is exempt - . - -- - • _ -_ ---
refrom and the basis for the alleged exemption. Any violation of Section • . • _ . • - l
"i 31:5 by any applicant for- a permit subjects the. applicant to a civil , - '
•
t Penalty.sof-not more than five Hundred dollars($500). . . , •
L i I, as owner of the property'Cr, my'employees with wages as their sole Reinspection •
Fee . $15 Issue Fee ,• j $ 3 •
compensation, will do the work, and the structure is not intended or offered • - r Reinspection Fee 1 $15 Issue Fee ' $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's' , : • . • -MECHANICAL FEES - .
License-Law does:not apply to an owner ova property who builds or improves l
thereon, and who does such work himself/herself ort through his or her own - "' DEVELOPMENT SERVICES REQUIREMENTS: '
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 ❑' Zoning Approved By Date
pletion,•the owner will have the burden of proving-he/she did not build or im- , Duct•- Under Ground I i ' , Building Approved By ' Date -
rove for the purpose of sale). GE) 5-�r/�!7/
Ll I,'as owner of the property, am exclusively contracting with licensed con- ' Duct-Structural . Refrigeration System Application Issued By I Date J Y 4/O
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 . - X0.100,000 BTU ��100,0008TU • l 'SUMMARY OF FEES '
builds or improves thereon,and who• contracts for such projects with a con- -
tractor(s) license pursuant to the Contractor's License Law). I am aware that. • Exhaust System 0 Multiple 0 System Repair/Alteration • BUILDING,PER MIT $ l SMTP ( $ •
proof p their Worker's Compensation insurance should be provided to me. - ,
❑"I am'exempt under Section B.& P.C.for this reason PLAN CHECK $ I T PERMIT 4
Firepl/Fact:Blt. ICBG# Fire Dampers 5• D ��y� ISSUANCE $ '
- PLUMBING ' ' $ nF"��/�,
HeatingSystem& Dueling Register's , I PLAN CHECK 25%' $ -
Date • owner _ Y 9 9 - i ENERGY P.C. $ •
i hereby certify that I have read this application and state that the above ❑0-100,000 BTU ❑10Q000BTL , GRADING $
information is correct.] agree to comply with all city and county ordinances ' ELECTRICAL ' $ • -
and state laws relating,to building construction;and hereby authorize repre- I , 'MICROFILM 1 $ ' '
sentatives of this' city to enter on the above-mentioned property;for
1 i I ' I I PLAN CHECK '50%, $
inspection perp s. ''/) ' ' '
Signature �• /I�Z'--e-wL. Date 'T'�/•'Q� I MECHANICAL $ ,TOTAL FEE $ <�'p�
- Applicant; Pink.-Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POC SPA
`' APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
'r-
1i. Temporary Electrical Service or Pole 52. Pool & Equipment Location
1 �
--"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 UF 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, 0 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
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.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro •
26. T-Bar Ceiling (Structural) & Monocoai 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-r-n7 �fY
39. Water Service-Final ���•
40. Gas Service-Final to,
41. Solar Domestic-Final
42. Backflow PreventerFen
43. Backf low Irrigation O -
--C
44. Landscape Irrigation SystemO'
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 ,
•
8954 VEE kt iseAn� .
COSTA MESA'BUILDING-SAFETY DEPARTMENTA g,.,_
P.O.BOX 317 COSTA MESA, CALIFORNIA FINA DEPT.
FOR APPLICANT TO FILL IN COMPLETELY ABPLICifION FOcR PERMIT
TYPE OR PRINT
� BUILDING
BUILDPLETELNG Y 1347 A, B, C Baler St. /1 p p .
COSTA{ MESA, CALIFORNIA FOR OFFICE USE ONLY
OWNER Kendon Homes, Inc. I•
RECEIPT NO. I F/LP9ERMIT NO.
MAIL RE EIVED BY O TE RECEIVED DATE OISSSUUED
ADDRESS 1555 Placentia; NewporteBeach _ -sic I f-rS I y-/3-5�
CITY MI 6-322/ TNO. BUILDING
ADDRESS
ARCHITECT Same LIC. COSTA MESA, CALIFORNIA
OR ENGINEER NO.
typeFIRE
�/ �.
ADDRESS SSIIlan ZONE
3 group
C W" TOR Const. Co. STATE 61195 APPROVED ` / n LJ �
CONTRACTOR LIC.NO. BY /L^ \ DATE /
ADDRESS sameZONINGZONING i
LEGAL 'Parcel 11011 1644 ZONE. �INO.OF I USE OF NEW tW7!/
DESCRIPTION NO. BLOCK TRACT ((/(\ // PLANSAP ^ BUILDING �//_
A.P.NO. BYPROVE 2./ �` ' / /� DATE t!/
SIZE 50 x 130 NO.OF BLOCS. 0 YARDS ////���� cs� "/ /
EVES
OF LOT NOW ON LOT REQUIRED ALLOWED
USE OF (CENTER LINE ST.) �I
EXISTING BLDG. FRONT tFT. IN.
SETBACK LINE FROM 11
CENTER OF STREET 631-
2 REAR YARD.25 R.SIDE SFT IN.
SIDE YARD I LEFT O 1 RIGHT 5 L.SIDE 5 FT. IN.
DESCRIPTION OF WORK .
X
REAR ✓ FT. IN.
NEW II ALTERATION I II ADDITION I LY
A
REPAIR I II MOVING 1 II DEMOLISH
BUILDING 2710 NO.OF 12 2
SIZE ROOMS STORIES
EXTERIOR WALLL6 1 ROOF
COVERING S413=0 COVERING hot-mop
USE OF BUILDING AND WORK TO BE PERFORMED
Triplex residence and garage
•
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE T THE ABOVE IS CORRECT AND AGREE TO COM.
PLY WITH A TY ORDINANCES AND STATE LAWS R -ULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING • CTION. VALUATION
SIGNATUR: 1 / . //r PERMIT FEE _$4340Q
PERMITTEE
$ 23,060.00 PLAN CHECK $ 21.50
AUTHORIZED AGENT TOTAL FEE $ 64.50