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HomeMy WebLinkAbout1585 BAKER ST - Building Permits`'DRESS: 1585 BAKER ST UNIT: D naRSNAME: MAXFIELD, DALE W ADDRESS: MAXFIELD TARI L 1585 BAKER ST COSTA MESA,CA 92626 714) 641-5181^ ARCH/ENGINEER: ��/j>✓{ �/ ,yDi�,P`� ADDRESS: REG.ND.: /�// (�J/ UNIT: PERMITTEE: DALE MAXFIELD �( 714) 641-5181 ADDRESS: 1585 BAKER ST C.M. CA 92626 LICENSED CONTRACTOR DECLARATION: I hereby affirm that ) am licensed under Provisions of Chapter 9 (commencing who Rection 70110) of Division 3 of the Business and Professions Cade, and my license is in fall force and eDecl. CITY LIC.: STATE LIC.: CLASS: EXP: Date: Signature: WORKERSCOMPENSATION DECLARATION: I hereby affirm that I have a Certitude of Consent to self -insure or a certificate of Workers Compensation Insurance. or a certilied copy thereof (Section 3810. Lab. Q. POLICY NO.: EXP. DATE: COMPANY: ' �3 Certified copy is hereby furnished. ❑ Certified coin is filed with the City Building Division. Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: eetw need rpt be completed it the p¢rmt is tor one hundred ($100) or less). I certify that in the performance of the work for which this pe it i I is5 d. I shag not emplo an ¢ ILi6 aAy manner so as to become I Norkers' Compensation Laws of Califomi Signal 940TIE: I. alter making this declaration, you shoultl me subject to the Workers Compensation provisions of the Labor ode, you must forthwith comply with such provisions r IMS 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 Mich this permit is issued (Section 3097. Civ, Q. LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' Slate License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of 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/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commending with Section 7000) of Division 3 of the Business and Professions Code) or that helshe 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 live hundred dollars ($500). I, as owner of the property or my empployees with wages as their sole compensation, will do the work. and the ❑ s0uclure is not intended or ollered for sale IS fiction 7044, Business and Professional Code: The Contractors Stale License Law does not apply to an owner of a progeny 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 lot sale. If, however the building Or improvement is sold within one year of completion, the Owner will have the burden of proving he/she did nor build or improve for the purpose of salel. .Y I. as Owner of the property, am exclusive contracting with licensed Contractors to construct the project (Section 7044, Business LI and Professors Code: The Contractor3' Sate LiCens a Law does mr apply to an owner of groperry who hullos or improves thereon and who contracts for such projects with a cgodraClor(S) license pursuant to the Contractors' State License Law),I am aware that proof of their Worker's Compensation insurance should be provided to M. [�}^� I am exempt under Section: 0. d P. C. / for rhiy reason: hereby Say In Y 11 am aware of and understand the requirements of Ca dorms Health and Safety Code Sections 25505. 25533, and 25534 and that I or any future building occupant wilUvnll no; (cir one) need to comply with said slate codes and the requirements for a permit for construction or modification from the Air Duality he eme,I Bush! I. Residential construction applications are exempt from these provisions. Date: Apph n I hereby certify that I have read this application and state that above information is Correct. l agree to comply, wi all city and county ordinances and state lays relating to building Conswction and h ret au or¢e rep esentative tyHrz pon the above-mentioned pr^ly for ipspection purposes. License or Lial Security a: 164146 White—Building; Green—Code Enforcement: Canary—Applicant: Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: E 068574 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: NEW JOB DESCRIPTION ; PORTABLE SPA SQ FT: CLAIM VALUE; 3,200,00 CALC—VALUE; GROUP OCC; R-3 / COMMENTS: ELCTRICAL WORK RELATED TO PORTABLE SPA Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING---------- FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR; FT IN LEFT; FT IN RGHT; FT IN PARKING RE • PROV: PARCEL: 13919318 ZNE: REF NO: PLANNING N TES> * *** * * * * * ** * * *** * * ** ** * * * * * * * * * * *** * ** * ** * * * * *** * * * * *** * ** *** * ** * * * * * * * * * * ** * * * D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE, BUILDING APPROVED BY ; DATE: �" APPLICATION ISSUED BY: DATE: (/ +tyr*yFirxitirir�ritiE�N�N*�NyN+t* �6i6 yr +t �E er t NDN i6yErt�ritpf **�E�E*�r** *************************************** ******************************* ******* LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 11.75 50x SMIP/NON—AES PLAN ISSUE FEE 15,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 11,75 15,00 0,00 26,75 26,75 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 26,75 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 26.75 ******************************************************************************* I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 RECEPT/OUTLET 1 ST 20 EA, ELE 1 MISC CONDUIT NOT LISTED REQ PERMIT END OF FEES ,75 .75 11,00 11.00 til 00166444-00166444 T1] T 26.75 DATE: 08/22/94 TIME: 15:06 CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POO 'PA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Ut i lity•Undrgrnd. 54. Forms .4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding �.' Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER rarnd. 57. APPROVAL TO COVER-GUNITE 7. Footings - 58. Electrical Conduit-Undrgrnd. ' 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgend, 60. Backwash Lines, P?rap, O 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. Electrica I -Final 15. Rough Electr ice) 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 APPROVALS Permit # ' 20.; Rough Factory Fireplace 21. -Ducks, in Structure - 70. Undeigrround Hydro 22. Ducts, Ventilating 71. Product, Piping O Gas 0 Oil 23. Gas PiprRough &Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Stor e Tank O Gas ❑ 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 I HEALTH, DEPT. REQUIREMENT 31. Plaster Btown Cba; 79. FINAL INSPECTION 32. Electrical Pm'ver Meter -Final - P;. -DOD CERTIFICATE ISSUED 33. Final Electric /z oyes: I . , 34. ,Final Heating & Air Conditioning 35' Final Gas Pipe -Test ,36. Hood or Canopy' �15+✓2.t.'- �� v�cl/ ,� 137. Final Factory Fireplace b J•.el_J-j 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final Solar Domestic -Final. 42. Backflow Preventer 43, Backflow Irrigation '44. Landscape Irrigation System 45. Sound Attenuation - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING I , 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co _ 51. CERTIFICATE OF OCCUPANCY No. Date _ UWNtR Cgptj>3ERS, R. A. DATE 6-19-68 JOB ADDRESS i_S85 Raker Rtreei: BUILDING PERMIT NO. 28716 A.:_tl„o. LOT 108 TRACT 2822 FIRE ZONE VALUE $ 2110.00 lm -FICTIONS Signature Date GROUP J TYPE 112 ZONE g-1 SOIL SUBCONTRACTOR PERMITS ISS ED Date Number Si nature GAS WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE I] HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND POWER L] ROUGH WIRING Heatingand Vent. TRENCHES ® FORMS 0 STEEL REINF. / 7_1y FLOOR SYSTEM BOND BEAM STEEL REINFORCE ({ < SHEATHING FRAME AND FLASHING LATHING — IN OUT PLASTER, BROWN COAT S_T-TURAL, FINAL H. IG, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST ELECTRIC, FINAL BUILDING, FINAL OWNER ADAMS ACRES, INC. ' DATE 7-17-59 _ JOB ADDRESS 1585 Baker St. BUILDING PERMIT NO. 9926 GENERAL CONTRACTOR Dike & Uolegrove, Inc. VALUE S 14,552.00 AP. No. LOT -LVO TRACT 40e, FIRE ZONE DESCRIPTION OF WORK res.w/att. Rar. CTIONS DATE I GROUP TYPE ZONE Rl ir"F.', Z ground Sod A4fS U.G. Water 2W5 SUBCONTRACTOR PERMITS ISSUED__ Underground Gas DATE NUMBER Overhead Water and Gas Rough Heating Rough Plumbing �Y-6 - 7- ,.,„„m. -,E(7-Sp d Miscellaneous _ Prop. Swr Line—Hous!' n. St. Swr. Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test Construction Pole Underground Power Rou h Wg TrenchesirinForms Steel 7-2 - ' 1� - Floor System Steel Reinforce Chimney Re -Rod Bond Beam Sb^-, thing E, e and Flashing d tillng Iny' Out L S' S-2 y - Plaster, brown coat •y P-15'-ti4 Plumbing Fixtures, Final Electric Fixtures, Final /U �S'4 Building, Final 1210=o Sr 5y I OCCUPANCY I J Form 210-3M-4-59 9926 COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA. CALIFORNIA fOR APPLICANT TO RU /N COMPLETELY TYPE OR PRINT BUILDING ADDRESS 1585 Baker St. COSTA MESA. CALIFORNIA L 17 FINANCE DEPT. 1959 CIfY OF COSTA, NIFSA APPLICATION FOR PERMIT BUILDING foR offOr Of ONLY Adams Acres Inc. OWNER , I RECEIPT NO. ow. MAIL 419 E. 17Th St. RKCEIVEDY DAE-7 ISSUED ADDRESS J -IVSIDATE •- 5 - TND: 8 IN CITY Costa Mesa 59 BDDRESS Carlson & ARCHITECT LIC. OR ENGINEER T!.j(j(11p.Ih,nok NO. COSTA MESA, CALIFORNIA Garden Grove FIRE ADDRESS ZONE Dike & Colegrove, Inc. STATE 167293 PROV AP ! - CONTRACTOR LIC. NO. BY rr DATE 419 E. 17th St., Costa tiesa ZONING ADDRESS LEGAL I LOT -1 0� 2822 ITRACT ZONE14Q NO. OF I USE OF NEW DESCRIPTION NO. 1 BLOCK PLANS BUILDING APPROVED BY DATE SIZE 6o y. 104 IND. DP BLDGB.none YARDS EVES OF LOT rvow ory Loi REQUIRED ALLOWED USE OF(CENTER LINE ST.) EXISTING BLDG. FRONT FT. IN. SETBACK LINE FROM I CENTER OF STREET REAR YARD 331. R. SIDE FT. IN. ILEFT 6" (RIGHT 5' SIDE YARD L. SIDE FT. IN. DESCRIPTION OF WORK REAR FT. IN. NEW I}[� "I ALTERATION ADDITION REPAIR I MOVING DEMOLISH BUILDINGI� NO.OF 6 1 SIZE -L450 ROOMS STORIES EXTERIOR WAL ROOF Rock COVERING $ COVERING USE OF BUILDING AND WORK TO BE PERFORMED Single family residence with attached garage. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION 18 FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRU VALUATION SIGNATURE OG+ PERMIT FEE Is 34.00 _ PERMITTEE I 1-4,552 PLAN CHECK $ 17.00 51'00 AUTHORIZED AGENT Dike & Colegrove, Inc. ,552 TOTAL FEE 5 COSTA MESA o tDMWAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92628 For Applicant to Fill In Completely TYPE OR PRINT COSTA MESA, CALIFORNIA SETBACK LINE FROM DESCRIPTION OF WORK 6Z1 a� USE ' SA .i ' 19 ISoo KATION FOR PERM For cw f c APPROVED By ZONING R[C[IFT NO. P[RMIr No. YS[01 N[W E/ PLY WITH ALL CITY ORDI WAND RATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE OR PERMITTER— PLANE R[Cy "17R[C[DfED� �GG//// IY/!///.� DA CATE ISSUE ISSUED BUILDING _ A. P. NO. NOTE: NO OR OVERHANG SHALL BE LESS THAN ADOR S EAVES ALLOWED (U. B. C. REOUIREMENT)"- FIRE - YARDS'APPROVED��,f MAIN BUILDING ZONE TYP GROUP APPROVED By ZONING ZO! NO. OF YS[01 N[W E/ PLY WITH ALL CITY ORDI WAND RATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE OR PERMITTER— PLANE BUILDING , LEGAL DESCRIPTION J C _ A. P. NO. NOTE: NO OR OVERHANG SHALL BE LESS THAN 3MOSI DE S REAR .L EAVES ALLOWED (U. B. C. REOUIREMENT)"- YARDSAPPROVED - YARDS'APPROVED��,f MAIN BUILDING - ACCESSORY'BUILDINTi (FROM C/LSTREEr) - / L NT PT. R. 10 '�iT-- L SID FT. Ff. VAR.* DATE 1 H8R85YAACKNOWLSD0KJIAT.1 HAVE READ THI8 APPLICATION THE AMOUNT SHOWN UNDER VALUATION IB FOO TH8 AND STATE THAT THE ASQW.IS CORRECT AND ACRE[ TO COM. PURPOSE OF [STABLISHING A PERMIT FR ONLY. PLY WITH ALL CITY ORDI WAND RATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE OR PERMITTER— VAWATION ,�{z� h PERMIT FEE i 1 U PLAN CHECK AUTHORIZED AGENT TOTAL PEE c�� �–