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�� �–