HomeMy WebLinkAbout1551 BAKER ST - Building Permits •
CITY OF COSTA MESA O P IJ
, BUILDING DIVISION
Fi 7 AI 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
cs FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: BC10-00284
PERMIT TYPE: B_COMBO STATUS: FINALED
Sub Type: COM ALT DATE ISSUED: 09/03/2010
ISSUED BY: RMD
JOB ADDRESS: 1551 A BAKER ST CM - Suite/Unit: A •
APN: 13920304 Zoning:CL, ,
Vicinity: Primary Occ:
Const Type: SQ. FT: 0 Valuation: $50,000.00
SCOPE OF WORK: INSTALLATION OF A NEW 45FT HIGH MONOPALM WITH 12 ANTENNAS, 1 GPS, 1 PARABOLIC DISH,6
EQUIPMENT CABINETS FORT-MOBILE". LANDSCAPE IRRIGATION SYSTEM. REVISED: 9/17/10-ELECTRICAL FEES PAID. 1
200 AMP SERVICE, 1 DIST. PANEL, MISC CONDUIT,2 LIGHT FIXTURES.
OWNER: HARBOR-BAKER PROFESSIONAL Address: BUILDING Unit: LAGUNA
BEACH,CA -
Phone: City/State/Zip: 476 EL BOSQUE •
APPLICANT: GALANTE,JOHN Address: Unit: :
Phone: 714-529-1123 - City/State/zZip:
CONTRACTOR: METROCELL CONSTRUCTION INC License No. 829469
Phone: 714-529-1123 Address: 8104 FREESTONE AVUnit:
Cell: City/State: SANTA FE SPRINGS,CA ZipCode 90670
ARCHITECT: License No. PHONE:
ENGINEER: License No. PHONE:
COMBINATION PERMIT FEE SUMMARY
Building Plan Check: $104.69
Building Fees: $644.25
Electrical Fees: $92.60
Mechanical Fees:
Plumbing Fees: $38.30
SMIP Residential: $0.00 • -
SMIP Commercial: $10.50 •
Bldg Std Admin Fund $2.00
TOTAL FEES: $892.34
-Refer to fee receipts for all fees paid for project
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279
Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibited all hours-Sundays and the following Federal holidays:
New Years Day,Memorial Day,Independence Day,Labor Day,Thanksgiving Day and Christmas Day
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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.
CODE S. INSPECTION TYPE DATE IN1111ALs CODE* INSPECTION TYPE DATE INTITIALs
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 I'ri �/�/
204 Final Demolition 250 Final Building/Occupancy X ib--ZZ—lb l�1,•"�
�n�n,�
WORKERS"COMPENSATION DECLARATION: Owner ID verified by drivers license, ❑Yes ❑No
I hereby affirmlunders.penalty"of perjury one of the following declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' ".Verification of Ownership by(type of document,i.e.-property tax bill'or deed):
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 . DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend, will be made in connection with work authorized
by this permit,and that no building structure,scaffdding,falsework,cc demolition
Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This secun need not be completed 4the penny is valued at one hundred dollars(SIM Orless.) 2,Ant Sec.341,Title 8,California Administrative Code).
Policy Number:
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers'compensation provisions of Section 3700 of gpq,cam's Signature Date
the Labor Code,I shall forthwith comply with these provisions.
Division of Industrial Safety Permit Number:
Applicant's Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes 0 No
Lic.# Class# (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
Contractor's Signature Date 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 al standard
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits),
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes ❑No
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 8. (If'yes",attach certificate of compliance from the appropriate air pollution
sale. If, however, the building or improvement is sold within one year of control officer).
completion. the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). ' - information given above is correct. I agree to comply with all state laws and
❑ 1, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. -
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
• ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: 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.
•
Signature of Legal Owneds) Date
Signature Dale
3057.46 i3/07)
And/or Autnonzed Applicant Date
•
CITY OF COSTA MESA
^wF'q BUILDING DIVISION
Ftp" ,, 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
'. FOR INSPECTIONS CALL: (714)754-5626
..""° °" PERMIT NUMBER: BC10-00284
PERMIT TYPE: B_COMBO STATUS: ISSUED
Sub Type: COM ALT DATE ISSUED: 09/03/2010
ISSUED BY: RMD
JOB ADDRESS: 1551 A BAKER ST CM - Suite/Unit: A
APN: 13920304 Zoning:CL,
Vicinity: Primary Occ:
Const Type: SQ. FT: 0 Valuation: $50,000.00
SCOPE OF WORK: INSTALLATION OF A NEW 45FT HIGH MONOPALM WITH 12 ANTENNAS, 1 GPS, 1 PARABOLIC DISH,6
EQUIPMENT CABINETS FOR"T-MOBILE". LANDSCAPE IRRIGATION SYSTEM.
OWNER: . HARBOR-BAKER PROFESSIONAL Address: BUILDING Unit: LAGUNA
BEACH,CA
Phone: City/State/Zip: 476 EL BOSQUE
APPLICANT: GALANTE,JOHN Address: Unit: :
Phone: 714-529-1123 City/State/zZip:
CONTRACTOR: METROCELL CONSTRUCTION INC License No. 829469
Phone: 714-529-1123 Address: 8104 FREESTONE AVUnit:
Cell: City/State: SANTA FE SPRINGS,CA ZipCode 90670
ARCHITECT: License No. PHONE:
ENGINEER: License No. PHONE:
COMBINATION PERMIT FEE SUMMARY
Building Plan Check: $104.69
Building Fees: $644.25
Electrical Fees: $0.00 ,
Mechanical Fees: $0.00
Plumbing Fees: $38.30
SMIP Residential: $0.00
SMIP Commercial: $10.50
Bldg Std Admin Fund $2.00
TOTAL FEES: $799.74
**Refer to fee receipts for all fees paid for project
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010- PER CMMC Sec. 13-279
Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibited all hours-Sundays and the following Federal holidays:
New Years Day, Memorial Day,Independence Day,Labor Day,Thanksgiving Day and Christmas Day
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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.
coot t INSPECTION TTPE tag IN1TnALS SOOE I INSPECTION TYPE, (AU !MINIS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing /', -17e43-0L.
^1r�'
200 Final Re-Roof _ 210 Final Electrical )e10-t610•
O-t 610 t/`�-�
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
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. 0 Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document.i.e.-property lax bill or deed):
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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. work ' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: /grs person is required to descend.will be made in connection with work authorized
—.-w //1 /f 5 /.. S by this permit,and that no building structure,scaffolding,falsework,a demolition
(Gamer /l7 > or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This sectun not be completed dthe //,^,,^ ,/aUis valued of one
re h�udo
hundred ears(510lest 2.Art Sec.341,Title 8,California Administrative Code).
Polircy'I tuber: 0/ IC /V/ [
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compen ,ion laws of California, and agree that if I should
become subject to the '�rkers' co penstionprovisions of Section 3700 of
Applicant's Signature Date
the Labor , I syrorthwith ' ply , t; these provisions.
-/ /A; _ `z/O Division of Industrial Safety Permit Number:
Applicant's signawre --/ -;-e HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
W -' ING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
I' UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one lime during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my >CA � in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No
air
Lic.# •car • C' __ (Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
��a '��� r(/ each business which at any one time has on hand a quantity of acutely
Contractor' /nature 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
CO. : RUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work fa which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
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 (Section 65850.2 of the California Government Code requires that the requested
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications fa non-residential building permits).
Business and Professions Code)or that he or she is exempt therefrom and 6. Will any pan of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No
thereon,and who does such work himself or herself or through his or her own
8. (If.yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property,am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code:The contractors License Law does not apply to an owner of signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s).license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
0 I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction,and authorize representatives of
Business and Professions Code for this reason: 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 pe it until final inspection.
Sig a of leg ens) 9 SDate
T 0
Signature Date
305146(Y07)
. / (aadlor AelM1onied Applicant {Delete
1 -1,to :.. II .- f�l _D
I
f ,BUILDING-SAFETY DEPARTMENT c:_,,,,:2, 'N r;P DEi i.
'i7 COSTA MESA. CALIFORNIA I
_ __ V'
i :? OF COSTA M -`^
� - '' pplieanf to Fill In Comple�;: V'A/PPLICATION FOR PERMIT
TYPE OR PRINT i'"/ { �O , / BUILDING
ADDREISS 1541 "i`UtintBaker St. AAAff �I/1�'
COSTA MESA CALIFORNIA / Ji ' ' For`Office Use Only
' OWNER Winfield Investment Co. I RECEIPT NO. I PRRMI O. I
ADDRESS 1533 Baker St. RECEIVED BY I DATE RECEIVED DATE MOOED .
�2-'- I .,7-/7_i / I 2 '=-/96i
JO
CITY Costa Mesa, Calif• NEO.%I 911UILDING
5 ADDRESS 154 . to 1555 Baker St. _
ART'"TECT Carlson-Middlebrook-in. �y�T COSTA MESA. CALIFORNIA
' OF '.1NEER Rose NO.LE7 T r
ADDRESS Garden Grove, Calif. FIRE o
` ZONE TYPE V { GFIOUP F2
{{11 CONTRACTOR Dike & Colegrove, Inc. APPROVED '%C) J DATE'" - 2 _6/
ADDRESS 1533 Baker� St. I ZONING'''���
r.
USE OFCITY Costa Mesa, Calif. ZONEC / Ir.,:
BUILDING NEW1� 4.
STLI . 167293 TEL.. RI 91151 LEGAL Parcel B Lot 2 Tr. 2822
_DESCRIPTION } }
I SIZE ,(� A.P.NO.
NO. OF BLDGS. C 9-- [`
OF LOT 150 X 300" NOW ON LOT 4 7/ 3 .-- 3 . - /
USE OF Office building and YARDS EVES
EXISTING BLDG. tar-gee APPROVED ALLOWED .
SETBACK LINE FROM Oo} I (CENTER LINE ST.) _
CENTER OF STREET BO REAR YARD14FRONT 1 O FT. IN.
SIDE YARD I LEFT 10 I RIGHT alle $ T R.SIDE 4Le FT. IN.
DESCRIPTION OF WORK SIDE /c FT. gitat IN.
NI I XII ALTERATION I II ADDITION I REAR 21/212- FT. IN.
REPAIR I II MOVING I II DEMOLISH I APPROVED /, /
BY /41. i L0 ; DATE J.F'(n/
8 ING5737 SLL.ft.ROOMS STORIES 1 (—)-77
EXTERIOR WALLROOF
COVERING StUCCO I COVERING rock H. 1 D FOR. SPECIAL REQUIREMENTS
USE OF BUILDING AND WORK BE PERFORMED
Professional Building /// ,.„--/---e--1-- is-71-co.!---
/
r
5 2 37 A' — A 2.—a) 3_.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UHING VALUATION lF
FOR THE
AND STATE THAT THE ABOVELY.
PURPOSE OF ESTABLISHING A PERMIT PEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION^. VALUATION
SIGNATURE OF /tr , = _Qv PERMIT FEE $ 4S.00
PERM ITTEF C LLLiii • ��' """'^^�^^`������444iWL( N
. $ 28,685.00 PLAN CHECK 5 24.00 M1
AUTHORIZED AGEr.trigrms Dike & Colegrove, Inc. TOTAL FEE $ 72.00 0
Tag #955
OWNER SUPERIOR OPTICAL CO. DATE SEP 1 8 1963
JOB ADDRESS 1551 Baker Street BUILDING PERMIT NO. 205814. --
GENERAL CONTRACTOR Walker Signs VALUE $ 100.00
AP No. 139-203.4 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Elec. Roof Sign
INSPECTIONS Signature DATE 1 GROUP J TYPE - ZONE Cl
Soil PERMITS ISSUED
SUBCONTRACTOR
iGas DATE NUMBER
Water
Rough Corn. Refrig. 0 Air Cond. ❑
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line 0 House Con.0 St. Swr. ❑
Sprinkling System
Construction Pole
Underground 0 Power 0
Rough Wiring `-%4"7e."-,.„C- ee•-•-,Ei 9-/7-6 3 x 0 7 79
Trenches t] Forms.0 Steel Rein!. 0
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing— In 0 Out 0
Plaster, brown coat
Refrig. 0 Air Con, ❑ Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Finaljy Q CZ 0
Building, Final [L(.{� 7 J
OCCUPANCY I .
Form BU4-6M v_n P nncAL
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CONST CTJ,ON PERMIT PERMIT oIg TRACT NO. LOT NO. UNIT 71
_ /SS _omit.- sr° c 3a97 9656 4/2^,/C . 3...0511 TI
Project Addr'Ms
Apsx;adnl s Mailing dAnddress PA , , r TYPE OF CONSTRUCTION.' U NEW LI ADD LJ ALTERATION REPAIR
'A ✓aj-• —"yet_c4 1#/tr/ 0 CONVERSION 0 DEMOLISH 0 OTHER A.P.# 1 Zone
Owner's Name �'/A iI/-i-(IQdJ[� a a P r� DESCRIPTION OF WORK/USE OF BLDG.
Address ilbo N• thAser 44,.y tic odi S Main Building: Accessory Building:
2
Arch/Eng. BOA Li
O cense No. P. TYPE OF PERMIT ❑ GRADING U FOUNDATION U STRUCTURAL E Front O
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B
C Right
N
Contractor's Name /i'�waDY Phone CI OTHER I
N
Address(mailing) PROJECT DESCRIPTION SO. FT, OCCUPANCY KG
CONSTRUCTION TYPE VALUATION S S Left R
City License No. ZONE GRADING CU.YDS. ACRESE
LICENSED CONTRACTOR DECLARATION � Ping. Ref.# Parking Req./Provided
I hereby affirm that I am licensed under provisions of Charter 9 (commencing ..�-y �,,�f� 0
Remarks: gtdal-IL
t.a�feta' hap �" Planning Notes: M
with section 7000) of Division 3 of the Business and Professions code, and !.L.e'n. + — T
my license is in full force and effect. i S
License Class License No.
Date Signature PLUMBING I FEES
WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES
' hereby affirm that I have a certificate of consent to self-insure or a certificate
Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink -
)0, Lab. C.) Automatic Washer Transformer 0 15-50 KW
Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. ❑ 50+KW _
8 Certified copy is hereby furnished. -
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Duo to 100 amps
Date Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher - I Meter Dover 100 amps t$• ST
(This section need not be completed if the permit is for one hundred ($100)or
less). Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel
I certify that in the performance of the work for which is permit is issued I - -
shall not employ any person in any manne o as to ecome subject to the Drinking Fountains Solar Tank Fan Motors 0o-1 HP E111/2-B
WorkertCp(nysn i n Laws Of Califor i
Date ^^7`5 Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+
NOTIC if,after making this declaration,you should become subject to the ,
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is Issued (Section 3097 Civ. C.) interceptors Water Heater Outlets Range
Lender's Name -
Lender's Address Kitchen Sink Water Service Switches Sign
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections
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-TrapLaundry Trays Generator 00-5 KW 05-15 KW
any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor
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
-
':dlerefrom and the basis for the alleged exemption. Any violation of Section
d31.5 by any applicant for a permit subjects the applicant to a civil - - —
enalty of not more than five hundred dollars($500).
- C I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure Is not Intended or offered - Reinspection Fee I $15 Issue Fee I ...S---- $ 4
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
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 DEVELOPMENT SERVICES REQUIREMENTS:
•
employees, provided that such improvements are not intended or offered for Boiler Hood or Type( 0
sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Date
Melon, the owner will have the burden Of proving he/she did not build or im- Duct- Under Ground Building Approved By a Date
r ve for the purpose of sale). -
I as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By A Dat
tra tors 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 00-100,000 BTU 0100,000 BTU 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 PERMIT $ SMIP $
proof of their Worker's Compensation insurance should a provided to me. PLAN CHECK $ PERMIT
•
0 i am+ " [exempt
under Section B. .C.for this reason Firepl/Fact Blt. ICBG# Fire Dampers
PLUMBING $ SS UA NCE $
e
Date / Z/ '_' Owner Heating System& Ducting Registers
PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application nd state that the above 00-100,000 BTU 0100000 BT ELECTRICAL $ S 3•-0 GRADING $
information is correct. I agree to comply with all city and county ordinances
and state laws relating to builds construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ D
sentatives of this 'ty to ent f upon the above-mentioned property for 2
inspection pure.-e. MECHANICAL $ TOTAL FEE $ 33's
Signature , J.- -�. �I/ ��
_
CMF 0865-46,rev. 10/84 White - Building: Canary - Applicant: Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL& SPA
'•• Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit#
T
1. •Tgmporary Electrical;Sgrvice 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. Electrical UF ER Grnd.. 57. APPROVAL TO COVER-GUNITE
7. Footings I4. 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# ;;I
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0
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 £. f'
28. Lathing& Siding 77. FIXED SYSTEM FINAL, A
29. Insulation 78. FIRE PREV. FINAL
f.
30. Drywall Nailing HEALTH DEPT. REQUIREMENT -C'
31. Plaster Brown Coat 79. FINAL INSPECTION la _ ';
32. Electrical Power Meter-Final SAA, efud 80. FOOD CERTIFICATE ISSUED fir
/,, P.�
33. Final Electric S.T Notes:
34. Final Heating & Air Conditioning I'
lam/
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace r
38. Final Plumbing •
39' Water Service-Final
40. Gas Service-Final
,
41. Solar.Domestic-Final A,
42. Backflow Preventer ; I
r
43. BackflOvv Irrigation •
x.44. Landscape Irrigation System f ri
45' Sound-Attenuation A.
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING •
48;Speciai Requirements Completed `+ 7 '
49. Electric Release to Edison , •
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY - .•0
No. Date -