HomeMy WebLinkAbout1273 BAKER ST - Building Permits PF t CITY OF COSTA MESA ---
4
9 BUILDING DIVISION -
F• (,,'fir �I DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER
/ PERMIT
B03-01470
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.cBUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1273 BAKER ST Status: ISSUED
Suite: Applied: 08/28/2003
Vicinity: Issued: 08/28/2003
Parcel Number: 14120103 Zoning: R3 R3A9L.. _±
) i
Applicant: TEMORES, LOURDES ISSUED BY:
Address: 2702 W POMONA ST
' Phone: 714-754-4107 -
SANTAANA,CA,�%-, -/, Zip: 92704 ,
Owner: LONG,BRYAN .
Address 1864-SWAN.CIR ' - ' "
Phone:
'COSTA MESA',CA/. '-r - Zip: 92626 ,
Contractor: --R B ROOFING ."
Address: 2702 W POMONA ST
'="'" Phone: , (714)754-4107
SANTA ANA,CA
Zip: 92704- .License: 772680
Arch : - Eng:
Address: - . Address:
,i Phone: - - ' Phone:
Zip: License: License:
SCOPE OF PERMIT '
TEAR OFF EXISTING ROOF. INSTALL BILK:APPROX-2952 SQ. FT:
FEE SUMMARY
Plan Check: $0.00 . . Calc Valuation: $7,250.00
Permit: $153.25 • Claim Valuation: $7,250.00
SMIP Res: $0.73 - • -
SMIP Com: $0.00 ,
Other: $0.00 .
Inspection: $0.00
Total: $153.98 r
PLANNING &ZONING
SETBACKS' / '// i,
MAIN STRUCTURE Front 0-0 Rear.-, 0-0 ' ' Left 0-0 Right 0-0
ACCESSORY ' Front 0-0 - • Rear 0-0 Left 0-0 Right 0-0
PARKING Existing:- ' 0" Requited: , 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
2446.46(6,00)
DECLARATIONS
WORKERS'COMPENSATION DECL/JiATION:
I hereby affirm under penalty of perjury one of theollowing declarations:
❑ I have and • aintain 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 w his permit is issued.
cAkezI have: •,aintain workers'compen tion insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued.
works corn ensatio Insurance r and policy numb r are: p
Cerra XJ Policy Number: 04(W-Sti/q
(This sectio Bed of be completed it fit ermit is valued at one hundred dollars($100)or less.)
❑ I certify that in the performa '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 CelF..,and agree that if I should come subject to the workers'compensation provisions of�tion 3 r of the Labor Code,I shall forthwith
comply with these pro '
Applicant Signature: / " Date: _ A
4(05
WARNING:FAILURE TO SECURE WO* RS'COMPENSATION RAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO GRIN PENALTIES AND CML FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(5100,1100),IN ADDRION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under groJJJggi ipppggqsss 9r'CQQQa,pter 9(commencing with Section 7000)of Division 3 of the Business and Profese.and my license is in full
force and effect.g Lic.# �/7� �(( lO Classat :a ' �
Contractor's Signature: V K.LI .pi Date: (5
v5
CONSTRUCTION LENDING AGENCY:
❑ I 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).
Lender's Name: Lender's Address:
Signature: __. Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and 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
subjects 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 of 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 pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. _ Expires:
Verification of Ownership by(type of document,Le.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 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:
I 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? 0 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 o1 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
_.._ �_..R_... k._...__.___ _._ _.___ _ .._._.........
Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous malerials)7
❑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? 0 Yes 0 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 ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facilityto be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If'yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7- II 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 prescnbed 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 COMPLIANCE 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 comply 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 property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit��� until final inspection.
�_ Signatur e Owner ail
And/ ulhonzetl Applicant
S7 VVV Datue
CODE I INSPECTION TYPE PATE 1111IDA15 CODE. INSPECTION TYPE PEE Itl
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final p ? 208 Final Plumbing
3w
200 Final Re-Roof 1 - to I 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
Applicant to fill in all spaces except those within heavy border lines and sign albappropriate declarations. :�
PERMIT NO. • TRACT NO. LOT NO. UNIT NO.
CITY OF COSTA MESA ONSTR UCTI ON PERMIT ` A,P.# Zone .
Prblect Address /`�" 7 3 (.3 i1-k'tit 3 1 Z_Bs -
Applicant's Mailing Address 3 £ TYPE OF CONSTRUCTION LI NEW U ADD ❑ ALTERATION U REPAIR •$ Main Building: Accessory Building:
g /�GGoA� � /rk7 vowingE Z
/ x.29 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER 1 - I T Front O
Owner's Name �'1 (!✓� p�A+'r-I Phone �iSoZ "r! DESCRIPTION OF WORK/USE OF D r ' l • OFF pGO�(tcvpt G { 6 Rear N
Address /S l�.tc.(Arnie /-f -f%f•� F ��sy
— ....JD . �,nnrcc a6 /I 1d-I.3 meta tis r 1C —✓ A I
Arch/Eng. 7. 4 License No. TYPE OF PERMIT . GRADING II FOUNDATION il STRUCTURAL I C Right G
Address I'✓n ro ❑ TENANT ❑y}-ECTRICAL 0 PI}1MBING ❑ MECHANICAL 1 S • Left R
Contractor's Name /'•-�y��- (2�F Phone S S/��rJ o •''OTHER /` r'O r- N (u Ping. Ref.# . Parking Req./Provided E
PROJECT DESCRIPTION SQ. FT,Z3oo S `�OCCUPAN Y_�4" J£_ O
Address(mailing/ S-7Og �LCc/� �fJ{ r1,Nn•N_ r �+ }�j Planning Notes: � M
y64Cg 1 C ON ST RUCTION TYPE U0 VALUATION$ r} T
City License No. 7 CJb ZONE GRADING CU.YDS. ACRES
I 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 forr- . •ffect. u a3S2 • ELECTRICAL FEES
License Class i I Automatic Washer Transformer 0 15-50 KW
i— ' '+ / ) PLUMBING FEES
Date - Signature /--.� �..•.•. •i '
WORKERS'COMPENSATION DEC '"ATION
Pole Sub. • 0 50+ KW
,I hereby 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 (Section Cooking Unit Meter ❑up to 100 amps
3, Lab. C.)/O G���� Backflow Preventer Service Sink
7 �f• (ai>*./YMAN,f Tr'S Cap • Dishwasher Meter Dover 100am s
1-uli No, Company Backflow Irrigation Sewer P
certified copy is hereby furnished. /eN0• Dryers ❑Gas ❑Electric Sub Panel
Certifie c Is ed with the city Building Ivision, �9� r Bathtubs Sewer Connection
Date — "C�% ApplicantLets /��`• Fan Motors 00-1 HP 01X-8
EXEMPTION FROM WORKERS'COMPENS TION DECLARATION Clarifiers Solar Collectors
(This section need not be completed if the permit is for one hundred($100)or F.A.U. Ina.Solar 09-15 HP 016-15+
•less). Dishwasher Solar Piping
0-- 1 certify that in the performance of the work for which this permit is� issued I I Fixtures
rshall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave
W Workers' Compensation Laws of California. - - 1
Date Signature Device Boxes Pole Light
9 Floor Drains Swimming Pool w/Spa 9
I NOTICE: , ter making this ondeclaration,you should becomesubject to ite Outlets
'� nf� comply
suchCompensation provisions the tr Code, you et forthwith Floor Sinks Urinal Range
-Y cO NST with such provisions or this permit shall b¢ deemed revoked. Switches
T CONSTRUCTION LENDING AGENCY Gas Service Outlets - Water Closet Sign
1 I hereby firm that therewhiis a erion lending Sefor the performance Garbage Disposal of the work for which this permit is issued (Section 3097 Cly. C.) 9 P Standing B¢Ctlbn$
cNI Lender's Name Interceptors Water Heater
—+ Lender's Address - Kitchen Sink Water Service Generator ❑0-5 KW ❑5-15 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 Reinspection Fee - $ 3
efrom and the basis for the alleged exemption. Any violation of Section P $15 Issue Fee
I.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:
U I, as 6wner of the property or my employees with wages as their sole Reinspection Fee ` $15 Issue Fee $ 3
Zoning Approved By • Date
' compensation, will do the work, and the structure is not intended or offered -
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 _ .. .-- _.—_ _ ���
thereon; and who does such work himself/herself or through his or her own Application Issued By Date
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 SUMMARY of-Epps
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground C:) ---
U
move for the purpose of sale). BUILDING PERMIT $ �t SMIP $ V
LJ 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: -- $ PERMIT
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑ PLAN CHECK 0-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $
builds or improves thereon. and who contracts for such oroiects with a con- -
tractors) 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;,exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers • ELECTRICAL $ GRADING $GICROFILM $
_ . PLAN CHECK 50% $
Date Owner Heating System& Ducting Registers _ MECHANICAL $ ,�3SO
I hereby ❑0.100,000 BTU 0100,000 BT - -• TOTAL FEE $
'certify that have read this application all and state that the above 'PLAN CHECK 25%
i &ryr1ate la is correct, agree tocomply cost with all anddy and y county irepre-
sentatives
$
and state laws helot it to building construction, hereby authorize repro-
sentetives of this Ity to enter upon he ve-men[io etl property r •
Inspection purpose (
Date Reinspection Fee $15 Issue Fee $ 3
01 00025060-00025061 Tel, 63.50
0865-46,rev. 5/88 White - Building; Canary -Applicant: Pink -Accounting; Goldenrod - Assessor DATE: 01/25/89 TIME: 16:31
_ s _
•
t. t
CONSTRUCTION AND PLANNING P001 'PA
•
Date Inspector - Date Inspector
APPROVALS Permit# APPROVALS Permit# yn
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd: 53. Steel Reinforcement
I Electrical Conduit Utility-Undrgr,nd. • 54. Forms
4; Electrical Conduit-Undrgrnd. • t 55. Electrical Bonding
5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd' _ 57. APPROVAL TO COVER-GUNITE
7. Footings ;9 � � 58. Electrical Conduit-Undrgrnd.
8. Foundation � $• 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 'i
10. Structural Floor System ; t• 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer)Cap '•-t' - 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
1:9. 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
l 31. Plaster Brown Coat' ' 79. FINAL INSPECTION
32. Electiical Power..Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
1.1 Le. `ter, ;l. ..0. •A t1nit 7t ltanrc .�
34. Final Heating & Air Conditioning
1 _ ;o_g
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
44. Landscape Irrigation System 1 -+
45. Sound Attenuation
t
46. Handicap Regulations /�9�9® f d30�0�
47. FINAL STRUCTURE & BUILDING lits' B � �
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
1
No. Date
OWNER RUBIN, HOWARD P. DATE 9/8/59 -
JOB ADDRESS l P73 W. Baker Street BUILDING PERMIT NO. 1028(1
GENERAL CONTRACTOR Richard A Huff ) VALUE $ ill ,386.00
B' No. LOT1-4 I A TRACT •• FIRE ZONE DESCRIPTION OF WORK t-- .lex Watt. •ar.
I. ECTIONS qyo 3Yj DATE GROUP H & J TYPE V ZONE . R2
Underground Soil/WS U.G. Water fr1' S 9-/6- 1_s PERMITS ISSUED
Underground Gas SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas
Rough Heating /1/k 5-M-.2-/-59 //r r- _ _ q-.Teb5_9_rii9Xs (-----
Rough Plumbing /✓t/-S /ow-caa' i4, - N'•• . / 4/-/I-S9 -D�-70 is
Miscellaneous /i s eiy_ 2 /O-coo-4 as /91/4.rProp. Swr. ILine-- Hod�0. pt/Con. St. Swr. ir._- ' .r) - Of/•v"-/4t. ,-./ VI-- ,.
Sprinkling System `
Heating, Final �,. dig '1 �,
Plumbing Fixtures L.G(/ I�
Final Gas Test A W fJ" -4- �'� S
Construction Pole
Underground Power e7-) 4/I •ori - -_
Rough Wiring `j/L, /6 g11.5,e/ r A,L4 i - f .A./r) `/-/d -Si /6 /cam/
Trenches Forms Steel Y/L�-2 / a' 57
Floor System E.C....-e Y %7 if,
Steel Reinforce Chimney Re-Rod
Pond Beam //
tithing 4L_ f /D/ 4'S9°'
...twine •
and Flashing r /0 -3-/-_Sr
Lathing, In Out ii.. ---s 10 -.2/P4-59"
Plaster, brown coat s--c---,e //-/2_5f/
Plumbing Fixtures, Final ' J�_W' I¢-f-57
Electric Fixtures, Final -- /1. tr,f-C/
Building, Final ' (ii jL-/J-cst
OCCUPANCY .0 ' '-/1-/d _ • '
Form 410-3M-4-59 UNIT A.
OWNER RTTATN, HOWARII•P, DATE 9/8/59
JOB ADDRESS 1273 W, Raker sic. BUILDING PERMIT NO. 1028h
GENERAL CONTRACTOR VALUE $
P^ No. LOT N /4 TRACT FIRE ZONE DESCRIPTION OF WORK
I. ECTIONS ergo--6-9 DATE GROUP TYPE ZONE
Underground Soil /445 U.G. Water $ 9-1.5--S9 PERMITS ISSUED
Underground Gas SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas
Rough Heating /W:5 /o-y/-SYj
Rough Plumbing /Y//c /a-i Y-5174,4',/.w '/,\Ap -S ryC e• 0:?..C�.3 IV
Miscellaneous
Prop. Swr. Line House Con. St. Swr.
Sprinkling System 00
Heating, Final tee L2-
Plumbing Fixtures {-.N! ��(�
Final Gas Test /t l.tt/ r'.•/-S 9_ _ f ,S
Construction Pole It 0
Underground Power ri,,S 1•/c --v 1 g y�`
Rough Wiring At _ u5'7 .--1-12.4.1(_ .i, cv /ee 3�G /G --S 7 /6/.a `-.L, l -A`'�
Trenches Forms Steel $'fit, 9! "V& "•J
Floor System Eif..¢ `C`/7 -
Steel Reinforce Chimney Re-Rod -y
pond Beam
thing t/C/4 /6-t4-31
i.came and Flashing g 4 j',-$'/
Lathing, In Out f0 -;c) -a-
Plaster, brown coat //—/,2---;I,`4
Plumbing Fixtures, Final - Iut"01
Electric Fixtures, Final
Building, Final -SS-e4' LZ-/o-
OCCUPANCY 4-C=•+ ' i=l -i o -7
Form 210-3M-4-59 ` / UNITT B •
OWNER RUBTN,}IOWAR11 P. ' DATE 9/8/49
JOB ADDRESS 1273 W. Baker St. BUILDING PERMIT NO. 102811
GENERAL CONTRACTOR VALUE $
r No. LOT /71,4 TRACT FIRE ZONE DESCRIPTION OF WORK
I, ECTIONS 940_1 DATE I GROUP TYPE ZONE
Underground Soil 4'1- U.G. Water*H-5 9-/C-Sf_ PERMITS ISSUED
Underground Gas SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas
Rough Heating Alb s /o-Zi tG M/ � /��
Rough Plumbing IS-IS io/y-1� - 9 d.di r ikne2 . 9-/4'-r�-"- / 2Ce35'f/
Miscellaneous -
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
Heating, Final r1' -err
Plumbing Fixtures u/ /�/�
Final Gas Test /�t' /,// /1-/- �p�/
Construction Pole ,
Underground Power S-1
Rough Wiring /4-, 7 9b-S �/,2,,m, i'Jiif,i-, 9-/6-S`1 14/Q., 3 7 7r W
Trenches Forms Steel gay 0-Ii-31
Floor System
Steel Reinforce Chimney Re-Rod
Band Beam
cathing
.came and Flashing 4_-_,,v___-.4_1_
Lathing, In Out /O-Jo 17
Plaster, brown coat // -/.P.._'"$T
Plumbing Fixtures, Final /91411)
Electric Fixtures, Final
Building, Final 4-C 12-/o-I/
OCCUPANCY 14-P'< /2 --GO-{-
Z/
Form 210-3M-4-59 / UNIT C
OWNER TIRTR N, ROWAPT1 P_ DATE 9/8/59
JOB ADDRESS 1273 W. Baker St, BUILDING PERMIT NO. 1028h
GENERAL CONTRACTOR VALUE $
P` No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK
I, ,ECTIONS 9_4-5 Y DATE GROUP TYPE ZONE
Underground Soil Ain- U.G. Water 4/97±5-9—A.5--S9 PERMITS ISSUED
Underground Gas - SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas
Rough Heating /lin- /D-y/-,S rj -
Rough Plumbing /V-/-5 i4/y z y " ani ,nc). 9 -/Vs7 -1-16-far-e—2 02 3 6,
Miscellaneous
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
Heating, Final /CM/ /:
Plumbing Fixtures ___ V it ,
Final Gas Test /AA F /,A/¢-(- - S
Construction Pole pp, cd
Underground Power
Jt
Rough Wiring "V", /o 1M t(e. ,,,a �/.-2 e 'tt' 9-4 -r 9 i I °'
Trenches Forms Steel
Floor System
Steel Reinforce Chimney Re-Rod
pond Beam
:athing A
rame and Flashing 9" !M" 3J—Ai
Lathing, In Out /0 '90 J ✓
Plaster, brown coat Y7 //- h
Plumbing Fixtures, Final LW'f,2-/-5'9 '
Electric Fixtures, Final
Building, Final ,}C'../ /1,--/0 -.a y
OCCUPANCY ,Qc,p J2 /rte __
Form 410-3M-4-59 . Min' T
•
10284
S-aI - sl yo\
COSTA MESA BUILDING-SAFETY DEPARTMENT ; OR.;
P.O.BOX 317 COSTA MESA. CALIFORNIA ,
FOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT
TYPE IS
PRINT`` �y //J/��1 �� 'o BUILDING
BUILDADDRESNG S `� 1 IJ .�4i�( f -- , N'- b eprad✓/
COSTA MESA, CALIFORNIA WW"�""'-- FOR OFFICE USE ONLY
w I RECEIPT NO. I PERMIT NO.
OWNER \\o,-I F \ -R.2�.‘\--,\Q
MAIL ^^�� RECEIVED"-r"
� BY D E RECEIVED DATE ISSUED
ADDRESS .a n Z -.5g
7E2,1 CfLA \Cl a /`r 2�S. I (�'—/Y,-5 j
/• - TEL BUILDING ^ ^T y
CITY 4aiS C\<\�a,\C \ il\.\ NO FC actskt, ADDRESS ^� / l/L�i �ll./1 F i' �C
I
ARCHITECT LIC. COSTA MESA. CALIFORNIA
OR ENGINEER NO. �^
FIRE -1/ _ /� 'J �/
ADDRESS ZONEIRTYPE �'/ GROUP V U�}{
r) .k `` STATE APPROVED
CONTRACTOR j[�am�. V LIC.NO.%\�S'55`l`) BY DATE
ADDRESS In `.� 2�.S�I cr.zz- q'\q ZONING
LEGAL NOT \ il I R %,,ket
ZONE ' 1 1. I PI USE DI NEW/-
DESCRIPTION
'64--77 I/
LEGALIPlION NO. oy BLOCK TRACT 1✓l" PLANS �� BUILDING N `/` r � -1/
APPROVED /� g 'l.I/__s-�_
A,P.NO. �s "�� BV /,{/ aYARDS s DATE /) I
ES
OF LOT r5R,25k lbI k -NYI.).4 NOW ON LOT1 NO OF S �i ALLOWED
,,, REQUIRED ALLOWED
USE OF (CENTER LINE ST.)
EXISTING BLDG. FRONT OFT. IN.
SETBACK LINE FROM --. .%,1 5 j ^� //
CENTER OF STREET .1-)Cl, REAR YARD o R.SIDE - FT. C. IN.
SIDE YARD I LEFT\`‘.2'"0 1 I RIGHT 1.c 1 L.SIDE // FT. „2.,IN.
DESCRIPTION OF WORK
NEW I ��// -EAR gI `` FT. ..� IN.I
/, II ALTERATION I II ADDITION I II (,k, j' li A 'k• t I 1 /7
REPAIR I II MOVING I II DEMOLISH I Are . G I7 I'---"
Y9 iii"' ,,
BUILDING NO.OF �T I '' 1.1 1 y 11pi • "L/
SIZE ROOMS STORIES2. 9C 3.--,7 N,
EXTERIOR WALLI ROOF �S1n..�LP lS , `- �/I �/
COVERING C..,1_,...4_, h COVERING'' ` i 7 ✓IY
USE OF BUILDING AND WORK TO BE PERFORMED • .CW..0 --
a
s
..' � �.- ��h,,C„drD i(KQre' 7
VA
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1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE T COM. THE AMOUNT SHOWN NDER VALUATION IB OT�•
PLY WITH ALL CITY ORDINANCES AND STATE LAWS RE L 0 PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCTION.
VALUATION /
SIGNATURE / �O 'Qa ` ^` PERMIT FEE s
PERM �
•
$ / 3 Y6- PLAN CHECK $ 3o.IS ;O
•
AUTHORIZED AGENT ,19 �/ TOTAL FEE $ / `SMI/'
/ e/�
OWNER RUBIN, HOWARD.P, DATE 9/8/59
JOB ADDRESS 1273 W. Baker St. BUILDING PERMIT NO. 10284
GENERAL CONTRACTOR VALUE $
P- No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK
I. ,ECTIONS DATE I GROUP TYPE ZONE
Underground Soil U.G. Water m4'.5 '/r- 7 SUBCONTRACTOR PERMITS ISSUED
Underground Gas DATE NUMBER
Overhead Water and Gas
Rough Heating
. Rough Plumbing Alis /b-/y- *
Miscellaneous
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
Heating, Final kW?,Eq Plumbing Fixtures y/ is-/-
it
Final Gas Test /h /V Iig-
.2106 ---4444-
q/6 -- 44'w -
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Construction Pole leP,'XJ'
Underground Power JO'
Rough Wiring _ .L/nw le_2721L'i 9-/o-c9 /O/,;ZC V d-1 .,,fl
Trenches Forms Steel 2.--e--1 yr"—i 4 —57
�
Floor System 7 /7 -S _
Steel Reinforce Chimney Re-Rod
pond Beam
athing r
creme and Flashing n- g r9
Lathing, In Out � �eiiR / `.STS
Plaster, brown coat ni -,tri.`..
Plumbing Fixtures, Final J K/ /34-SP
Electric Fixtures, Final
Building, Final A__ '
OCCUPANCY „/ /1 _/p- S;y
Form 210-3M-4-59 / LAUNDRY