HomeMy WebLinkAbout1263 BAKER ST - Building Permits PROJECT ADDRESS: 1263 BAKER ST UNIT: GARAG CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 059115
OWNER'S NAME: JACOB LAFDJAIN
/, ADDRESS: p 0 BOX 893 PERMIT NO: B 059115 PLAN CHECK NO; N GOVT: N SUPP: N
SANTA ANA CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT
r. 1. 692-1093
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION ; T/OFF REROOF W/CLASS A BUILT—UP ROOFING SQ FT: 990
ADDRESS: UNIT:
CLAIM VALUE: 990 . 00 CALC—VALUE: 990 . 00 GROUP OCC: M-1 /
PERMITTEE: A-1 ATLAS ROOFING ( 714 ) 547-1988
ADDRESS: 1702 S TOWNSEND COMMENTS: REROOF 900SF GARAGE
SANTA ANA CA 92704 *****x*****-**-N******** l*'E********-****************NM**************x*************
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in lull force and effect. SETBACKS
CITYLI 038086 STATELIC.:245969 ss: C 9
Dater—74" -In Z- Srereture:_ — _ MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self= re or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT; FT IN REAR: FT IN
Compensation Insurance.oracendied copy thereol(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ• PROV; PARCEL: 00000000 ZNE: REF NO:
7 Certified copy is hereby furnished. Cl Certified copy is filed with the city Building Division. PLANNING NOTES>
> ...---,
Date: Appficant: *******************************************************************,,***********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the peril is for one hundred(5100)or less). DEVELOPMENT SERVICES R E Q U I R E M E'N.)T S
I cenity that in the performance of the work for which this permit is lss ed.I shall not employ any person in any manner so as to become " ,;r
subjecnpothe Workers'�pensation-- of California. I / rti€ � ��/uaG6 ZONING APPROVED BY _____ DATE:
` oat TI —�!a !� Z Signature' /7//
J NOTICE:If,after making this declaration,you sho become subject to the Wo ri cope n provisions of the Labor BUILDING APPROVED BY DATE(' i
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. q`I �" /
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the perlormance of the work for APPLICATION ISSUED BY: DATE c, . (sA' l
which this permit is issued(Section 3097.Civ.C). ***************************************k** ************************x * *** ***
UNDER: *****************************************************************#*.3f***********
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCT+URO SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractor)State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE 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 25. 00 . 50 '
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
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 property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'Slate License Law TOTALS----> 25. 50 0. 00 0 . 00 25 . 50 25 . 50 . 00
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 employees.provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED; 25. 50 OVER/SHORT; . 00
improvement is sold within one year of completion.the owner MI have the burden of proving he/she did not build or improve
, for me purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIFIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 25 . 00 . 50
❑ and Professions Code: The Contractors'State License Law does not apply loan owner of property 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 *******************************************************************************
h
that proof of their Worker's Compensation insurance shabe provided to me. INDIVIDUAL F E E BREAKDOWN
o I am exempt under Section: B.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner SFR 990 REROOF BY VALUE RESIDENTIAL N07.ONE1 . 00 990 . 00
I do hereby cenity that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and mat 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 litr7iialW Management District.Residential construction applications are exempt from
these provisions.
her n asit
I hereby certify that I have read this application and slate that the y prey is correct.I agree to comply with all city and county (//
ordinances and state laws relating t0 building construction and hereby authorize presentatives of this city to- r upon the above.mentioned
property 101 inspection purposes. ii
Date:9-2/6� z. Signature: �'/� / .41".....4/91.."-
rel el1:; ;_
CAT59:::0 —'2 T r-r
7 Driver's License or Social Security#:
164646 White—Building:Green—Code Enforcement:Canary—Aooticanc Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL& SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Urfdrgrnd. 54. Forms •
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings58. Electrical Conduit-Undrgrnd.
8. Foundationr 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 ,e .
�• 64. Plumbing System • Final
14. Rough Plumbing ''9 65. Electrical-Final ' I-
15. Rough Electrical-Conduit66. 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.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 i I 77. FIXED SYSTEM FINAL
29. Insulation I 78. FIRE PREV. FINAL
30. Drywall Nailing I HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final I ; 80. FOOD CERTIFICATE ISSUED
33. Final Electric j Notes:
34. Final Heating & Air Conditioning I
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. Backf low Preventer
43. Backflow Irrigation
44. Landscape Irrigation System - -
45; Sound Attenuation 1
46. Handicap Regulations - /
47i. FINAL STRUCTURE & BUILDING if jk ' /11,21•48. FINAL PLANNING {{ 111
49. Electric Release to Edison •
50. Gas Release to Southern California Gas Co I I
51. CERTIFICATE OF OCCUPANCY
No. Date
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
!+ PERBT NO. TRACT NO. LOT NO. UNIT NO.
`h:Y•OF COSTA M A. ?CO/NSTR TION PERMIT r/1 - A.P.ap Zone
P." Address /• / �J p40a1 reCc-...... �1 /� S Main Building: Accessory Building:
•`Applicant's Maili�r/y�lAddress Jr_/. • ,1 7/ 5,o,7d H•u,.c:, TYPE OF CONSTRUCTION U NEW U ADD U LXE RAT ON REPAIR E Z
r l'7wner•s Name . ,460e A:DJ/A+v PhOJ9 ' /9 7•1 ❑ CONVERSION ❑ DEMOLISH ❑ OT R - i T Front O
DESCRIPTION OF WORK/USE OF BLDG. /Zed* n++r ytcre A•c- C: BA Rear N
Address �nh•�y�•((04�e/eAtit U Ace_8 I C Right N
Arch/Eng, License No. TYPEE'OF/PERMIT GRADING U FOUNDATION ❑ STRUCTURAL K g G
Address LI TENANT 0.ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S Left
�j R
Contractor's Name}AASQ 4 Ti.. AS /eae). ,vt- Phonell�7 C/%X•? ❑ OTHER ,Cd'27,C Ping. Ref.dk Parking Req,/Provided E
Address(mailing) /' ��+,`1
. 5--"- PROJECT••vTp ry p GPr6 • ,9,?7E/� PROJECT DESCRIPTION SQ. FT. 3 Xdn OCCUPANCY
p Z.— ' Planning Notes: M
Jig CON ST RUCTION TYPE VALUATION$ ?/!anI
City License No. �" `� ZONE GRADING CU.YOS. ACREST
• LICENSED CONTRACTOR DECLARATION •
S'
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 full force aydsaffeet. - __7 I ELECTRICAL FEES
Licens Clas .� / LI se •
Date La - _ Automatic Washer Transformer 0 15.50 KW
?� Signature' - / PLUMBING I FEES
WORKERS' COMPENSATION • CLARATION DOOStrUCtlOn Pole Sub, 050+KW
' -reby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers
)orkers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps
J, Lab. C.)
Policy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps
Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection
Date Applicant Fan Motors 00-1 HP ❑1X-8
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors
(This section need not be completed it the permit is for one hundred ($100)or F.A.U. Inc.Solar 09-15 HP ❑16-15+
less). Dishwasher Solar Piping
I certify that In the performance of the work for which thi permit Is issued I
shall not employ any person in any man r so -s to •e • e sub t to the Drinking Fountains Solar Tank Fixtures Microwave j
Worker Corppen •.
Laws of CalifCalifo .
Date J V Signature .� �� Floor Drains Swimming Pool w/Spa Device Boxes Pole Light
NOTICE: If,after m king thisOutlets Range decia . Ion,you should beco e subject to the
• Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Switches
Gas Service Outlets Water Closet Sign
I hereby affirm that therewhiis a lis permit lending Sefor the performance Civ. C -
of the work for which this permit is issued (Section 3097 C.) Interceptors Water Heater Garbage Disposal Standing Sections •••-•lender's Name
Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05-15 KW Trash Compactor
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
Division 3 of the Business and Professions Code) or that he/she is exempt - Fee Reinspection
'herefrom and the basis for the alleged exemption. Any violation of Section P $15 Issue Foe $ 3
'031.5 by any applicant for a permit subjects the applicant to a civil
• aenalty of not more than five hundred dollars'($500). I $ 3 DEVELOPMENT SERVICES REQUIREMENTS: •y
U I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee'
'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 a-Date
License Law does not apply to an owner of a property who builds or Improves J/l /s�(�'
thereon, and who does such work himself/herself or through his or her own Application Issued By - Date- its"+ 6
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 0
pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground SUMMARY�] OE FEES V + TT
prove for the purpose of sale). BUILDING PERMIT $ C SMIP ' $ • SU
❑ I, as owner of the property, am exclusively contracting with licensed con-. Duct-Structural Refrigeration System
tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ PERMIT •
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU
builds or improves thereon,and who contracts for such oroiects with a con- PLUMBING $ ISSUANCE. $
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof o// their Worker's Compensation insurance should be provided to me.
$
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact,Blt, ICBG dk Fire Dampers ELECTRICAL $ GRADING
MICROFILM $
PLAN CHECK 50% $
Date Owner Heating System&Ducting Registers MECHANICAL 1,
I hereby certify that I have read this application and state that the above ❑0.100,000 BTU 0100,000 BT I $ TOTAL••FEE• $ •S -5U
Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ , ,
and state laws rel ing to buildin• construction, and hereby authorize repre-
sentatives of t ci to -rater upon the •ove-mentioned property foc
inspection p pies
Signatuar " - � Mg Date/ /Th.34t _f
01 00025256-00025257 TOT :54,50
0865-46,rev. 5/88 White ' Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 01/30/89 TIME: 09:22
CONaTRUCTION AND PLANNING POOL SPA
Date Inspector Date Inspector
PROVALS Permit# APPROVALS Permit#
1. Temporary Electrical Service or Pole 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 56. Rough Plumbing & Pressure Test •
6. 'ElectricalUFER-Grnd. 57. APPROVAL TO COVER-GUNITE
7: Footings P 58. Electrical Conduit-Undrgrnd. •
8:PFoUndation '; 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#
271. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas ❑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. Frarne 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
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 1.2
43. Backflow Irrigation
-
44. Landscape Irrigation System `)
45. Sound Attenuation
•
46. Handicap Regulations to �`} • 7gip1/_ �/�
47. FINAL STRUCTURE & BUILDING 3 3 CT 46,E c) t C °Vfff
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co '•' ��
51. CERTIFICATE OF OCCUPANCY • r :,
No. Date _
k
OWNER RUBIN, HOWARD P. • v� DATE 9/8/59
JOB ADDRESS 1263 Baker St. ,.J (: k9 0.11_,ILwv-stlY BUILDING PERMIT NO. 10322
GENERAL CONTRACTOR Richard A. Huff VALUE $ (1].,386.00
AR No. LOT;i 44 TRACT 33,99 FIRE ZONE DESCRIPTION OF WORK h_oleic w/att_vv.
I' 'ECTIONS 4 .n4 y1 DATE I GROUP H & J TYPE V ZONE R2
L_ ,;rground Soil'//14-c U.G. Water/VHS 1-/j-.R/ PERMITS ISSUED
Underground Gas SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas �J27Y, /O--2,/---5)1 - '
Rough Heating •
yam' /0 26 - 4 4fir3%r, _9-.3/Ji7l� a,09ti 7---
Rough Rough Plumbing / �'5 '�•1 i _z,_ t.. , / 9-N-S/ oZ o g /-
Miscellaneous ,. 2y., re,/e /0-do-.€"J" .al& I 1 ,
Prop. Swr`Line tdanse Con, St. Swr. Q/t,.//Rl 41-AAYr /F-t •• -- e//C141W ' /D 30 . r
Sprinkling System- ` - G.)
Heating, Final k/ — ��
Plumbing Fixtures 4j# .7tS
f /1—%'
Final Gas Test / C/It .it" 0 S/- 1-4
Construction Pole - .
Underground Power '
Rough Wiring /9...*'') /o �n:/f `..ter. . .-7..t• 9-/4"-S9 _L '410_ ,.C. 0 C.--'
Trenches Forms Steel bL Y-14'.:.i")'
' Floor System b-a 9-1/'-S5' I , r . °
Steel Reinforce Chimney Re-Rod a�
Bond Beam S,!i.;. �♦
_ •
thing �p.,1:1.4Jd.10 Y -s5N
,;r"":gne and Flashing Nit .G -2/ -Si1
L2 hing, In Out Fif/E /t -9-sr
Plaster, brown coat Y t-f 1/3.o YS 9
Plumbing Fixtures, Final _ , VI /XX fain?
Electric Fixtures, Final /fl /2lp1y
Building, Final ✓"�� / j5•�l
OCCUPANCY a/SJf e /y--, 1---5--1I
Form 210-3M-4-59 UNIT A '
OWNER RUBIN, HOWARD P. • DATE 9/8/59
JOB ADDRESS 1263 W. Baker St. BUILDING PERMIT NO. 10322
GENERAL CONTRACTOR VALUE $
AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK
II;;,*-,ECTIONS p_iy..sy DATE GROUP TYPE ZONE
tkc:f.frground Soil iy../6 U.G. Water
NNS 9-/s--6, SUBCONTRACTOR PERMITS ISSUED
Underground Gas DATE NUMBER
Overhead Water and Gas /OHO "2/-s3
Rough Heating ',/,g .24.- ski
Rough Plumbing jig'
/D./6 i;l/n'jni , Pm 9-14/-Sy - D . / A- �I
Miscellaneous
Prop. Swr. Line House Con. St. Swr.
Sprinkling System ,�1
Heating, Final ,(,.41/ -j �►'- S I
Plumbing Fixtures
�i -
Final Gas Test /fi A /� /9 telt
•
Construction Pole
Underground Power 111 ppp �,99
Rough Wiring /1 412-3 54/ {',,,,,, t h,.../7--„ ).. 9-/C-S7 - , ---
Trenches Forms Steel 6t't Y/la -3
Floor System � y ^ a/'S
Steel Reinforce Chimney Re-Rod
Bond Beam
b-,_e'thing
-
JD and Flashing • � '$G^.5 V
Lacking, In Out N- 3 -‘)"...
Plaster, brown coat t-t-b %/-I4 -45'
Plumbing Fixtures, Final �_/✓j2-3$c'b
ElectricuildiFixtures, Final _____/_._ _/pl/�,p /.
Building, Final �i�/��i // //// ��jj I _
OCCUPANCY e-- Z'.CI /2.-y5,,iry
Form 410-3M-4-59 / UNIT B
• OWNER RUBIN, HOWARD P. • DATE 9/8/59
JOB ADDRESS 1263 41 R_ Uor_Sor S+_ BUILDING PERMIT NO. 20_322_
GENERAL CONTRACTOR _ VALUE $ _
AP.No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK
I' `ECTIONS o..eactir. DATE I GROUP TYPE ZONE
1. .trground Soil 4,,,,c< U.G. Water/4}'S 9-1.5---.0 PERMITS ISSUED
Underground Gas SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas110 1/-b�
Rough Heating c,/�.. ./O-26 _.#49
Rough Plumbing /OW S9 7.12',-/"-bit) 11-yi..c) • 9-N-S-5 .. 0 , _
Miscellaneous
Prop. Swr. Line House Con. St. Swr. 4:1 Sprinkling System1,
A.Heating, Final 41 Q.
Plumbing Fixtures4{/ / $-cc'' 21
Final Gas Test /CO 4 G/�b9-4.S-p
Construction Pole
Underground Power q I,/,>
Rough Wiring / 4
140 /0 -c%' t,� .,2: Cic 1%, 9-/C-..s- 9 /020'7
Trenches Forms Steeli'r� t Q'- ,4, _7
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
S'-athing
ie and Flashing / ?l,-.s
• Laming; In Out �� i1 `.3` •
Plaster, brown coat --s0-.t9
Plumbing Fixtures, Final ���4 vt/ Q._Q.S1
Electric Fixtures, Final' c / /,/Qr cr
Building, Final + y
OCCUPANCY '• 40., /2-2-2—‘:31
Form 410-3M-4.59 UNIT C
OWNER RUBIN HQW p, DATE 9/8/59
JOB ADDRESS 7.263 W.-Bake,_St. BUILDING PERMIT NO. 10322
GENERAL CONTRACTOR VALUE $
AP. No. LOT TRACT _ FIRE ZONE DESCRIPTION OF WORE
V 'ECTIONS q-/N•S9 DATE I GROUP 'TYPE ZONE
SUBCONTRACTOR
_L. ._aground Soil gy4c U.G. Water/WS 14j r-�_ PERMITS ISSUED
Underground Gas DATE NUMBER
Overhead Water and Gas /YhiS _o / 1
Rough Heating 44-7,5-1,7G-u'/_ ���
Rough Plumbing i4+S 4-x �
10
'4 il r•J 51-4131 .a fl/6 _ k
Miscellaneous I."_
Prop. Swr. Line House Con. St. Swr. `�, A"f
Sprinkling System 'f
Iieating, Final Lw- Cl'Q^.S ^'
Plumbing Fixtures A t// 11-3-sq . i
Final Gas Test /4-. 1// ?2•$X9
Construction Pole
Underground Power
Rough Wiring ///h (O$RSG -s nt.Q , n etc. ?-15-5-2 -4C--€3 -7---
1
O
Trenches Forms Steel & i.,/-5(
Floor System
Steel Reinforce Chimney Re-Rod
bond Beam
Sh---gthing
:.),, to and Flashing 3i4. JO-21�`-r�'
Raibing, In Out f./Fj�{ P -:3 '41-41
Plaster, brown coat t1 c1 //--31n-8V
Plumbing Fixtures, Final ,
Electric Fixtures, Final
Building, Final
OCCUPANCY ,.Z-,2.2--‘11-7
Form 210-3M-4-5? UNIT d
• OWNER RUBIN, HOWARD P. DATE 9/8/59
JOB ADDRESS 12(0 W. PakPr St BUILDING PERMIT NO. 10322
GENERAL CONTRACTOR VALUE $
AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK
II ECTIONS q v$r-rtji DATE GROUP TYPE ZONE
L. ..rground Soil A..9.0.5 U.G. WaterM,1S /f439_ SUBCONTRACTOR PERMITS ISSUED
Underground Gas DATE NUMBER
Overhead Water and Gas 11/C 'p- ./---S9
Rough Heating
Rough Plumbing /0-Z/
Miscellaneous r
Prop. Swr. Line House Con. St. Swr.
Sprinkling System 1
Heating, Final A• yjl/ i
Plumbing Fixtures .LI Q(/ moi--�
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Trenches Forms Steel ¢5•.;X7 9."--P(4,4"-.:7
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
SFi, ;thing ,
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Labnmg, In Out e-g--£ a_,) J-.i-,
Plaster, brown coat
Plumbing uFinall �w/R^?�;/
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Building, Final �,rJ
OCCUPANCY .}C.[ /2.-2.-7)--J;
Form 110-3M-4-59 LAUNDRY
COSTA MESA BUILDING-SAFETY DEPARTMENT 9 tai
P.O.BOX 317 COSTA MESA. CALIFORNIA FINANCE EP f.
C119MTV p COSTA p.j1:G,
FOR APPLICANT TO FILL IN COMPLETELY PLICATION FOR PERMIT
TYPE OR PRINT J/�'{�.A' BUILDING
BUILDING
DRESS`��-S ct( Al
ADDRESS \��S,C �� I
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
�� �Q� O I RECEIPT NO. I PERMIT4109 NO.
9
OWNER Y
MAIL �Y'T SL C„Ks,
C \ a`�)r RECEIVE BY OAT(3/HEC¢y1yED� f�D�C'I�BEE y
ADDRESS 9' U \ \ i' I / / 57 .
CITY (` TEL.gC, BUILDING / rIL /,
2,S'L1vayy1 ktk.. C NO.
�•/j-G\(.� ADDRESS ��(/• �L�
ARCHITECT \ LIC. - COSTA MESA. CALIFORNIA OR ENGINEER NO. FIRE `f
ADDRESS
ZONE TYPE ! GROUP �`I{.• / /
11111,
STAT APPROVED A i/ S-,
CONTRACTOR , •, ,•, u. LIC.NO.,, A=m - BY / . p DATE * .
ADDRESS LV_`'` C.,�+t .'J\ C�\� \`{is- - •NING _ -,�? 4
LEGAL I'MI,
OT \�i(� I ZONE µ1 >I NO.OF I USEOF NEW�1�
DESCRIPTION NO.3' ick BLOCK TRACT /V,\EpPLANS
S//� /`YI'BUILDING
9//,�Qi /'l�
A.P.NO. ��) Z��- O BYPRO 1/// [J� DATE a/ / -- 121-45-
SIZE
2 ^4Y+..
SIZE N \ 1 NO.OF SLOGS. 6�'�/
OF LOTD ht State tsn ray x7.'I NOW ON LOT 0 YARDS 611---EVES/
REQUIRED ALLOWED
USE OF L ICENTER LINE ST.)
EXISTING BLDG.�1R L FRONT I. FT.. IN.
SETBACK LINE FROM ^ ((�� `•� /
CENTER OF STREET 5v REAR YARD\j� R.SIDE 7FT. (/`IN.
SIDE YARD ILEFT`% 2.c I RIGHT 'I/5- L.SIDE �Ll FT. IN.
DESCRIPTION OF WORK ,.y�
REAR ' L/FT. IN.
NEW I K I ALTERATION II ADDITION I _ 7 C
REPAIR I LOVING II DEMOLISH I 1 B II A !� 12
BUILDING NO.OF {A 1.0
SIZE ROOMS STORIES
EXTERIOR WALL ROOF C) 11 L 1 ci I ' ; E. D
COVERING COVERING • 'ICI II
USE OF BUILfqING AND WO K T BE PERF RME I
LE fca1\ L\ kpls-WrXe�'� / {/ '7 r� //
atv�s I PATF
LAR, No. ,,h - PPROVED _ -'a _riV71
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP ON THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGR - TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STAT AWS -EGU ATING
BUILDING CONS�TRUCyTI•N. VALUATION / .
SIGNATURES — PERMIT FEE S ((J /.. 00
PERMITTEE - = 1
V.
Sr /_ J
$ �/J 3 (L' PLAN CHECK S ','30.CO
AUTHORIZED AGENT TOTAL FEE S 9/. So