HomeMy WebLinkAbout1363 BAKER ST - Building Permits •. 8930
COSTA MESA BUILDING-SAFETY DEPARTMENT FEE l'SE EIVED
P.O.BOX 317 COSTA MESA, CALIFORNIA ���� Sn9C pl
FOR APPLICANT TO FILL IN COMPLETELY APPLIcJttIo F� TPERMIr
TYPE OR PRINT CITYBUILDI?ORNGESA
BUILDING .
ADDRESS 1363 A, B, C Baker St
COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. �P�M�NQ.
OWNER Kendon Homes, Inc. iI(/U
AMAIL 81555 Placentia, Newport Beach R�ECJEIVE� BY �DfTE/ RJECEIVED p.1,TE ISSUED C/'
CITY - NI 6-3241 TN O. BUILDING
ADDRESS
ARCHITECT -
LIC. COSTA MESA, CALIFORNIA
OR ENGINEER same NO.
ADDRESS same Co. ZONE type '/ group /J it/�/p/
�( 4it OR Const. CSTATE 61195 BBYPROVED.7�V DATE �e;;1 j /
iCLSISTR CTOR LIC.NO. i //
r+ADDRESS same ZONING
LEGAL Razrcel tt 1644 ZONE— NO.OF USE OF NEW
DESCRIPTION NO. I BLOCK I TRACT 1.11 ).... PLANS BWLDING ,/J /�(�A�j�
A.P.NO. BYPROVED /i, G. DATE �J' �('� `S, '
SIZE OF LOT 50 x 130 I NOW OF BLOT o YARDS REQUIRED ALLOWED
NOW ON LOT •
USE OF (CENTER LINE ST.)
EXISTING BLDG. FRONT FT. IN.
SETBACK LINE FROM 50
^5
CENTER OF STREET REAR YARD^/ R.SIDE FT. IN.
•
SIDE YARD I LEFT 8 RIGHT 16 L.SIDE C FT. IN.
DESCRIPTION OF WORK ++��
vp REAR e "' FT. IN.
NEW I d II ALTERATION I II ADDITION I '
REPAIR I II MOVING II DEMOLISH I
SIZIEDING 2710 OMS RO12 STORIES 2
EXTERIOR WALLROOF
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. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STA HAT THE ABOVE IS CORRECT AND AGREE TO COM-
PLY WIT$ CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BU I LOIN -TRUCT)DN VALUATION
S IGNAT UR-4.�' x46 /ice I PERMIT FEE $ ,[' ;00
PERMITT1 L` _
$ 23,060.00 PLAN CHECK $ 21•50
AUTHORIZED AGENT TOTAL FEE $ 64*50•50
\
PROJECT ADDRESS: 1363 BAKER ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 07024:
owNE NAME:• BAINE, J THOMAS
ADDRESS: BRINE, MARY E PERMIT NO; B 070242 PLAN CHECK NO; N GOVT; N SUPP: N
oC F G INVESTMENTS INC
17220 NEWHOPE ST #224 CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE; ALT
FOUNTAIN VALLEY,CA 92708
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O & APPLY BILT UP & COMPOSITION SQ FT; 3, 900
ADDRESS: UNIT:
PERMITTEE: CLAIM VALUE: 3, 900 . 00 CALC-VALUE: 3, 900 , 00 GROUP OCC: R-3 /
ADDRESS: CHRISTOPHER ROOFING CO, ( 714 ) 839-6088
915 t4 COLLINS COMMENTS - T/OFF & APPLY BILT UP OVER GARAGE AREA/COMPOSITION OVER PITCHED
ORANGE CA 92667 ***+E*yt* -ai- -+tr*+a*** kir***+E**********4******+r•+ , **ac**it**********+t,r-****4.***********ar*
LICENSED CONTRACTOR DECLARATION: I hereby affirm that 1 am licensed under provisions of Chapter 9(commencing with Section Z ONI NG 'R EQU IR EMEN TS
70001 of Divisio f M n/p�and Professions Code.and my license is in full force and effect. S E T BA C K S
CITY LIC.: 'BTNFF LIC.: 524118 CIASS: r 9 EXP : i
Date: / _es. �� Signature: <�---ne-*--. MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
POLICY NO.: 285-94UNIT00625 EXP.OATE: 01 /01 /95
COMPANY: STATE FUND„ PARKING REQ- PROV; PARCEL ; 14119110 ZNE; REF NO:
7 Certified copy is hereby furnished. Certified copy is f with the city Builds Division. PLANNING NOT ES,> -
>
cyte: JL—L —`14/ Applicant: �'..� � *******************4*********+t*************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT S ER VICES R E Q U I R E M E N. T S
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 the Workers'Compensation Laws of California. ZONING APPROVED- BY DATE:
Date'. Signature:
NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: -: :
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. /
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY : {7 t
which this permit is issued(Section 3097,Civ.C). DATE:
LENDER: *************************** ****************************************46*********
ADDRESS: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT :Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANICFIRE ,SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 63 . 00
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed - 5 t�
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business •"' 'SMIP/NON-RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by p LAN . -.
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I. as owner of the properly or my employees with wages as their sole compensation, will do the work, and the BUILD ING—DIV-> PERMIT ISSUE PLAN—CHECK TOTAL -- PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 63 . 50 0 . 00 0 . 00 63 . 50 ,'63 . 50 . 00
does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or Y
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 63 . 50 OVER/SHORT: . 00
• for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT ,-GRADING PLAN-CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 63 , 00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon .�
and who contracts for such projects with a contractors)license pursuant to the Contractors'State License Law).l am aware *.**,K.*,.*.**,µ****.*.M**********,**.**********.*.**.**,****.*****,**,******:***,*,*,***************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E B R E A K D O,.W N
o I am exempt under Section: B.Si P.C.
• for this reason: •
TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: owner: SFR 3900 ALTER BY VALUE RESIDENTIAL NOZONE 1 :00 3, 900 . 00
Ido hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a '
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from _;a
I
these provisions. i 1 I
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
/2 ordinances and state laws relating to building construction and hereby authorize repr atives of this city to enter upon the above-mentioned
r property for inspection purposes
.A 1 -L—q� ((1 00172958-00172959 TOT 53.50
Dale l� signawre. �9�1•+� GATE: 12/06/94 TIME: 15:06
`\ Driver's License or Social Security#:
1641-46 White—Building,Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor
} CONSTRUCTION AND PLANNING POO SPAD
APPROVALS Permit ate Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service.or Pole ' 52. Pool & Equipment Location s�
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement i
3. Electrical Conduit Utility-Uniirgrnd. 54. Forms '2
4. Electrical Conduit-Undrdrrld. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test j
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GIJNITE
7. Footings 58. Electrical Conduit-Undrgrnd. {l
8. Foundation r. 59. Gas Pipe, 0 Undrgrnd.,Test ( t
9. Water Pipe-Undrgrnd. 60. Backwash Lines,,P-Trap,C3 Undrgrnd,
10, Structural Floor System r I 61. APPROVAL TO DECK ' - j
11. Property Sewer Line & Ho6;e Connection 62. Backwash & Receptor-Final
12. Sewer Cap r. ' 63. Heater & Vent-Final •
el
13. Roof Drains 64, Plumbing System - Final 1
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 Electricai-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning_ FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit le
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas Ci Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil '(
( 25. Roof Sheathing ��-B�qU �w�- 74. Overhead Hydro _ I
ll
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical j
27. Frame and Flashing 76. Dry Standpipe
28, Lathing & Siding 77. FIXED SYSTEM FINAL
29. insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat - '79. FINAL INSPECTION
32. Electrical Power Meter-Final _ _ 80. FOOD CERTIFICATE ISSUED i
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 .
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42, Backflow Preventer
43. Backflow Irrigation 1 2--=7_.cr t
S -
44. Landscape Irrigation System •
relief.
elief Voaa " fy ` 6cae_
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 2.--47-1 5- b✓le
48. FINAL PLANNING - I
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co � �--
51. CERTIFICATE OF OCCUPANCY
' No. Date