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HomeMy WebLinkAbout1593 BAKER ST - Building Permits • 9 CITY OF COSTA MESA a BUILDING DIVISION > •� ,II a DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER • PERMIT B02-01958 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ccaUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 BJob Address: 1593 BAKER ST Status: ISSUED Suite: Applied: 12/03/2002 Vicinity: ROOF Issued: 12/03/2002 Parcel Number: 13919316 Zoning: R1 R1 Applicant: ROGER COON ISSUED BY: i,t Address: 11782 REVA DR - ,,/�-- _ Phone: (714)534-6205 GARDEN GROVECA ; Zip: 92640 • Owner CO REA;GINA - - / `, . Address /1593 BAKER ST - - / //7 '. \V Phone: - _\ / ` -, , „/,� COSTA MESA,CA _ _ - Zip: 92626 Contractor: 'R C ROOFING COMPANY -;,. �.;' • / Address:. 11782 REVADR \ , v, %�,� Phone:' (714)534-6205 � , GARDEN GROVE,CA Zip: 92640- License:' 456490 - ' - Arch : _ i' - Eng: - vA �>,_ - Address:, Address: - - ' /. 7 - Phone: - - A `y' �/` Phone ' ' Zip: / = License: - ` License: N . / - p- ,,_ . SCOPE OF PERMIT_, ;_;,_ ' TEAR OFF EXISTING ROOF.INSTALL 30 YEAR,C OMPOSITION SHINGLES415#'FELT,REPLACEDAMAGED SHEATHING ONLY.2,500 S.F. INCLUDES ATTACHED GARAGE. - ,',r v.-' FEE SUMMARY/I,' ; ' Plan Check: $0.00 -- - - . - Calc Valuation "$3,000.00 ' Permit: $83.25 '` ' - - - .r ' / :Th Claim Valuation: ' ' $3,000.00 'SMIP Res: ' ' $0.50 �� U SMIP Corn: $0.00 ,' ' Other: $0.00 ,Inspection:.- v$0:00 `'- Total: , $83.75 _ .r: moi>' , . PLANNING/8 ZONING - , /jam' '` /� i SETBACKS MAIN STRUCTURE Front 0-0 Rear - 0-0 Left 0-0 - " Right 0,0--� J ' . _ 1 '/ ACCESSORY Front -0-0 - 7- Rear 0-0 , Left 0-0 ' Right, ' 0-0i' I-/ - PARKING Existing: ' '0 - Required: 0 Proposed: _0 - • 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 fora 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 2448-48(8/00) DECLARATION" as WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain 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 which this permit Is issued. :y71 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 permit is issued. My workers'i copeens'atl- uu r'crier and policy number are: —� U r.it l / 7 _Carrier, 1edn Q( P Number: ,28-2°-)— D (This section need not be completed if the permit Is valued at one hundred dollars(POO)or less) ❑ I certify that In the performance 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 California d agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. v z _ CDa- / 3 2- 1nL : ..—_,— WARNING:FAILURE TO SECURE WORKERS' ENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000).IN ADDITION 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 un r o iv of Chapter 9(commenting with Section 7000)of Division 3 of the Business nd Pr4�elions Code,and my license is in full :face�and.effectaic-e—_ Cel-a;;;--1 —' —1 Contractors.Slgnature: ^ DateL _ /2.—3 —0 2._. 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). Lenders 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 penally of not more than five hundred dollars($500).): El 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 properly 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 drivers license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-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(38)feet high.(Chap.3.2,Gip 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 Flre 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 of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑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 en RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4JIt en RMPP is presently required,has Section 25534 Of the California Health and Safety Code been fully complied with? 0 Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this[application appemiit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? O Yes 0 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 facility to 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 meat 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 contra district or agency is required for the work which is the subject of this application,have all of the disrosures prescribed by California Health and Safety Code Section 42303 been made? ❑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 AUTHORUATION 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.Is{P / Si Lure Of Legal Owner(s) Date f re-- /a_ .3�z e_AndfOr AuVarzed Appucam cOate�� cODE I. than= PAIL INIlLB BODE t INSPECTION TYPE DAIL IIS 1818 Fixed System Final Fire Prevention _ 206 Final Mechanical 1266 Pool Spa Final , / 208 Final Plumbing 200 Final Re-Roof /)'/ "02_ ( t ' 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 OWNER HONOJC>S Fr.T2ABFRII DATE 11/26/80 JOB ADDRESS 1593 Baker Street BUILDING PERMIT NO. 51087 GENERAL CONTRACTOR ,.CAJner-builder DESCRIPTION of WORK Blockwall ' No, 139-193-16 LOT 106 TRACT 2822 FIRE ZONE VALUE $ 1,960.00 aPECTIONS Si.nature Date TYPE V GROUP f•1-3 ZONE ILL SOIL 'M T I • GAS SUBCONTRACTOR Date N mber Si.nature WATER Plumbin. ROUGH PLUMBING PROP. SWR. LINE 0 HOUSE CON. L_] SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 0 PDWER 0 lini 4)ROUGH WIRING5Vent Heatin. and Ve O) L1 TRENCHES FORMS LI STEEL REINF, 0 I ,.iriale �L;�� ()FLOOR SYSTEM IOII LIBONO BEAM r] STEEL REINFORCE n Au.. - SHEATHING • �'SlIiE InLATNI AND FNA5HINC - 41 date r�U NLAT RING -- IN n OUT n PLASTER, BROWN COAT CTURAL, FINAL ,ING, VENT_ REFRIG. AND A.C., FINAL 'Ill PLUMBING. FINAL AND GAS TEST f FIN ELECTRIC, FINAL .�N,,,,aa�� ,�•• BUILDING, FINAL tenet/ J -'v-rj OWNER MARY HONCJOS DATE 11/4/R0 JOB ADDRESS 1593 Baker Street BUILDING PERMIT NO. 50932 -NERAL CONTRACTOR Owner-builder DESCRIPTION of WORK Rlnrkwal1 No. 139-393-36 LOT 306 TRACT 2B22 FIRE ZONE VALUE $ 2,144.00- INSPECTIONS Signature Date TYPE GROUP ZONE R1 SOIL PERMITS ISS ED GAS SUBCONTRACTOR Date Number 1 Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. n - SPRINKLING SYSTEM , u MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND n POWER ❑ ROUGH WIRING Heating and Vent. • TRENCHES n FORMS ❑ STEEL REINF. E .I-I FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n _. &SHEATHING FRAME AND FLASHING .LATHING - IN n OUT n TER. BROWN COAT ID R UR VE, FINAL 4�, � Electric CHEATING. VENT., REFRIG. AND A.C., FINAL " aPLUMBING. FINAL AND GAS TEST ❑_ ELECTRIC, FINAL ...... .....� �,.... /.0 A/ J/_n L.LL!e tM OWNER EDWARDS E. J. DATE 2/1073 c"--JOB ADDRESS 1593 Baker St. BUILDING PERMIT NO. a • 9 'ENERAL CONTRACTOR Anthony Pooles DESCRIPTION of WORK Pvt. Swim Pool .P Na.139 J93-16 LOT TRACT FIRE ZONE VALUE $ 21900.00 INSPECTIONS Signature Date GROUP TYPE ZONE R-1 Pool Location ,eze 3-G-13 SUBCONTRACTOR 'E-NIT IS _D Date N mber Si.not re Forms Main Drain • Steel Reinforce Elec. Bond r7 Electric �" d Approval to Cover /?9/I" i�'�3 �erc'-�iu�r oC 7? 7O Underground Electric 3_6.. .3 Gas Piping Test ,Bye 9( .73 Plumbing /J Filtering System Lines JP,,/ 3'69' p a./ al/7Z? � 3 Backwash Lines and Recep. I('/C 3.13.73 firip_20 ea" .ii?2.(', .%'.7r-73 O '770 Electrical Final /fes ,J%zr''2 . der and Vent Final wiiter System Final Backwash and Recep. Fi al Fencing Final 1' '/f' . OWNER ADAMS ACRE, INC. ' DATE 6-3-59 JOB ADDRESS 1593 Baker St. BUILDING PERMIT NO. 9480 3NERAL CONTRACTOR Dike & Colegrove VALUE $ 14,552.00 AP. No. LOT 106 TRACT 2822 FIRE ZONE DESCRIPTION OF WORK Res.Watt•Gar• Hi INSPECTIONS fr,/S--31 DATE GROUP - & J TYPE V ZONE Underground Soil M45 U.G. Water/14/5 c.-/et PERMITS ISSUED Underground Gas SUBCONTRACTOR DATE NUMBER Overhead Water and Gas Rough Heating )-30-SW 4oi l/-vca ZY 7.1.2/-.5 y .,1.6%6Y'f ----- cp. Rough Plumbing = 7-7-.3-5./ ✓/-�.,e As) 9,--C/ &'V o 1 /5'5/4/(--- Miscellaneous Prop. Swr. Line—Hou& St. Swr. ,(5�+ p_x...--N- 70-1A-47( '4 /h'3- 3`.r - — e'.�'o i. Sprinkling System ` S.— _,.... Heating, Final AWS gti2-.STJ Plumbing Fixtures A/1715 Q S r0 Final Gas Test IC l�'1 Construction Pole Underground Power Rough Wiring Y^7S' Xaa MY-/l//w;flih . 7xr-.57 • 96 9c /V) Trenches //Forms '—Steel /li}fs 6 -/6-0 T"-or System I Reinforce Chimney Re-Rod ...,,id Beam Sheathing Frame and Flashing '�i'f) JY-S-i1 Lathing, In Out - 1ti tfl- 8--AI' Plaster, brown coat /Mt 4-tq -. 7 Plumbing Fixtures, Final S to /-..SQ Electric Fixtures, Final 7/f� 'ri5 FC/ Building, Final 4---.-• 'h'S x/ OCCUPANCY I Form 210-3M-4-59 I• . 9480 - L� ifI L U E L I.) It @it JUN 3 1959 COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P.O.BOX 317 COSTA MESA. CALIFORNIA Cie, nc rfCTA MEGA FOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ADDRESS 1593 Baker St. COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY I RECEIPT NO. I 4crO H l OWNER Adams Acres, Inc. ,BERMIT MAIL 419 E. 17th St. RECEIVED BY DAT/E RECEIVED /DATT, ISSUED ADDRESS ( J C/ -.7- 1 Cr^,j J CITY Costa Mesa TEL. �g11G0 BUD ADDRESS / ARCHITECT Carlson & LIC. /]] COSTA MESA, CALIFORNIA OR ENGINEER Middleb>.ouk NO. ADDRESS Garden Grove FIRE Type+Ty ye Group .j-� CONTRACTORDie & Colegrove, Inc. LIC.STATE ND. 167293 APPROVED BY DATE ADDRESS 419 E. 17th St.. Costa Mesa ZONING LEGAL LOT ��j$,T ZONE NO.OP USE OP NEW '//p DESCRIPTION I NO. 106 I BLOCKI TRAP2 �/ I PLANS I BUILDING Pp V A.P.NO. APPROVED BY DATE(// 7-A SIZE NO,OF DLDGS. EVES OF LOT 63 x 105 I rvow ON LOT none REQUIRED ALLOWED USE OF - (CENTER LINE ST.) /� EXISTING BLDG. • none FRONT /v_ FT. IN. SETBACK LINE FROM CENTER oP BTREET 671 REAR YARD 241 R.SIDE S- FT. IN. SIDE YARD I LEFT 81 I RIGHT g I L.SIDE 3' FT. IN. DESCRIPTION OF WORK - / REAR FT. IN. NEW I x II ALTERATION I II ADDITION I REPAIR I II MOVING I II DEMOLISH I BUILDING 1450NO.OF ROOMS 6 SIZE STORIES 1 EXTERIOR WAIL ROOF COVERING Stnrrn COVERING RhinQlq USE OF BUILDING AND WORK TO BE PERFORMED" Single family residence with attached double garage. _Plan 1403 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. BUILDING MITTE CONSTRUCTION. VALUATION SIGNATURE OF�� PERMIT FEE $3L.00 PERMITTEE S 14,552 PLAN CHECK $17.00 AUTHORIZED AGENT Dike & Colegrove, Inc. TOTAL FEE $51.00 1 t 36050 / _ SPA 10 r I-B -1-7_,Lf;,.00 0811* ****35.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVED BY DA CEIVED -DATE ISSUED BUILDING / 7A ADDRESS 1593 BAKER ST el# PERMIT NO. OWNER E J ELWARDS A.P.NO./..121'77„_;-',/4 BUILDING MAIL SADDRESS 1593 BAKER ST Zill llj TE ADDRESS SAME 0-0 CITY NOL TRACT 28 2 I LOT 106 BLOCK ZNEW ADD ALTER REPAIR MOVING DFMOI ISH Cash 0u, CONSTRUCTION LENDER aDC J O BRANCH E J EIWARDS -JO" OWNEfl III Q w ADDRESS fD m ARCHITECT TE $ U sWirn pool VALUE 2900. J N OR ENGINEER R. Kolodzi e j NO�p32210 0 C FIRE W 2 ADDRESS ZONE TYPE GROUP CL w APPROVED ILI JO CONTRACTOR Anthony Pools BY DATE WmCc ADDRESS 5871 Firestone Blvd. UI ZONE / NO.OF USE OF NE 0= CITY NO. ,! PLANS BUILDING BUILDING ' // zl South Gate p-32210 w0 STATE CITY YARDS APPROVED YARDS APPROVED N 2 LIC.NO. 190179 LIC.NO. MAIN BUILDING ACCESSORY BUILDING O O (FROM C/L STREET) SIZENO.OF BLOCS. it oma.' OF LOT I NOW ON LOT FRONT FT. / FT.,56/. USE OF () f EXISTING BLDG. residence and garage R SLOE ET. j? FT I- SIZE OF NO.OF �j Z NEW BLDG. ROOMS STORIES L.SIDE FT. O`D FT. V EXTERIOR WALL I ROOF11111 COVERING COVERING REAR FT. FT. J USE qF BUILDING AVD WORK QE PERFORMED DISTANCE BET. BET.MAIN& CL private swim pool in rear MAIN BLOCS. ACCESS BLOCS. 0. QVAR.$ DATE 0 of single family dwelling - C.U.P.# APPROVED I- APPROVED/) �J CO SAY {'`�(/ f(/ DATEflZ/ 73 z o HI hereby acknowledge that I have read this application and state STATE Dthat the above Information is correct and agree to comply with cc all laws regulating building construction, and I shall not employ ' 56 H any person In violation of the workman's compensation laws of y the State of California. Z ....DO 50.FT. I hereby certify that I am properly licensed as a contractor under TAX to the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and •-t•such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: • CC am exempt •m the.provisions of the State.• elifornle Business VALUATION and Profe ons Code,Division 3,Chapter 9. 49e) N PERMIT FEE $ . Slgnatu, of/ ^ to Permitt: - _ $ / 9QOrgl PLAN CHECK $ ///L50 E / / o Authorized Agent ��j/ _ TOTAL FEE . a LL Ll/I ••••• L ?244 11 /04/80 36.50 TLI COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATIONWOR STRUCTURAL PERMIT ' ' "" P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 RE EI D 'PERMIT N° • - - - — - For Applicant to Fill in Completelyly- Use Ink Only /� AD32 BUILDING DRESS X593 W Y�kac A.P.NO. ' ���V t�3 — 1 kQ `� BUILDING/375 4 yrs,--,C'.SI OWNER OR „ rib u/�/, &`r^ ra y) ADDRESS TENANT �fN `�`il./• t�' ,9 V`I MAILING c UNIT OR L SPACE NO. ADDRESS ✓D (O Cc 0j -kr---�' TR.N LOT voG BLK. �s �� n f5yeNO.5145 K/5-4 CITY i NEW ADD ALTER REPAIR MOVING DEMOLISH CONSTRUCTION LENDER r ,} ' BRANCH 1 j?t / /Iv'oi./DI.s OWNE0. �Y/f`V/!y ADDRESS ft ARCHITECT '/' TEL. p, USE NCtI]le DAgatc.. VAWESoerOc. OR ENGINEER /'eA/r ONJn/E� NO. NME...- r ADDRESS 94al'1 Q-- ZONE 1:21 TYPE GROUP APPROVED CONTRACTOR OwN£K - 8 3 ILpp-/G BY DATE ADDRESS 57,4/11 E. n 'n TEL `-Cr( CITY . NO.JAirf F F. STATECITY APPROVED SETBACKS ixxLIC. NO. LIC.NO. ia SIZE LOT F 3 X NO.OF BLDGS. (FROM C/t.STREET) NOW ON LOT FRONT FT. G USE OF �y� / 6�/ VI EXISTING BLDG. �g/o• ' fC R SIRE © FT. _ CA 2 Separate permits are required for 1.,sIDkCD FT, - electric,plumbing and heating work. —7 REAR ` 4- FT. f. F USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION Qal _ ,¢ aCZK' ( — R(}VEp �\ APPROVED /� @�� Aa RATE k\/4/80 CC ral I hereby acknowledge that I have read this application and state o' p, that the above information Is correct end agree to comply with C 4• all laws regulating building construction, and I shall not employ > Z any person In violation of the workman's compensation laws of the State of California. SQ.FT. m I hereby certify that I am properly licensed as a contractor underN the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and th ch licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e am exempt fr the p •visions of the State of California Business VALUATION PERMIT FEE S v4s and Professio s Code,D- I •n 3 n^-.�}- p 'p`"" Di .,cam 2 © PLAN CHECK 5 re Signature ••i.., o Permittee S4// (LG TAX S Li Of V Authorized Agent Date TOTAL PAID S8( COSTA MESA BUILDING-SAFETY DEPARTMENT ADPL ATION�OR.STRUCTURL PERMIT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 �/• Rl i I IJ?C/ "a(i. �(] ��:�� 1RE �/ O aV PERMIT � �;�wy�...0-�� For Applicant to Fill in Completely—�Ussee Ink OnlyBUILDING 1 GI Q N° 51 0 8 7 ADDRESS is/ i 13' 4- K. .]'/ AP NO /07. I /J �{,y/��. OWNER OR BUILDING /�jJ� l�r` '•—�+�" TENANT OCJjJE K ADDRESS 77 UNIT OR MAILING 5,74- � /� SPACE NO. ADDRESS Jjf-/.'I ,L n TR.N OQ`— LOT 1 0'/^- BLK. CITY em S-44_ wf sqk- NO.IS'fS /SL E//� (�w CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH LENDER s BRANCH OWNER _�Jowato5„)-hA & QY i_/u+®no- ADDRESS /I"'�� ��yy�� VALUE 60 ARCHITECT /n(� I/^�2 i•^ TEL. USE r.(„�L[Jf� — $ OR ENGINEER fit✓ ,..-roc NO. -���LI� ff �. ADDRESS f / ZONE g," TYPE t GROUP _ p� CONTRACTOR �{c_fro/i Can/. f p..`g_prKite BYAPDATE DATE ii Zt/Q'O_ ADDRESS / a p�"/_'p Eit,, . "-- TECITY ea Q/73.- /rlfQ 54— NO.L. F" STATE CITY APPROVED SETBACKS LIC.NO. LIC.NO. SIZE NO.OF BLDGS. (FROM C/L STREET Q. A,5 r Cil NOW ON LOT FRONT FT OOF LOT / //�� /// USE OF /�-� J /p� ' EXISTING BLDG. �R.SIDE t(/FJTT'tx,`'Yt if IIP Q SF Separate permits are required for _L.SIDE _ C electric,plumbing and heating work: _REAR _ H USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION 1 /!/ G + / ats'L 7fl Q — APPROVED .�/� - } ///�p�K/C�/�LL1/`-L•C/�L�•" _9Y ROVEDAPP �i.�h. /I-26 CC Gra QI hereby acknowledge that I have read this application and state ed that the above information Is correct and agree to comply with 0• all laws regulating building construction, and I shell not employ '• Z any person in vtoletton of the workman's compensation laws of ° S_ILI the State of California. SO. FT. m��� t/ I w I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: to am exempt from .• .ns • the i? : Callf�a Business and Signature ode,Divisl• p/ �• VALUATION PERMIT FEE $ r20.0O ' r /„‘o PLAN CHECK $ / C Signature o _r// . /7 ` co LL Permittee — �t� S / TAX $ G/ S-� uthoritad ge Date / 2-6 iii TOTAL PAID $ 0 U _ _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMI NO. TRACT NO. LOT NO. UNIT NO. OF COSTA MESA CONSTRUCTION PERMIT ( p y blas ` A.P.# Zone -_, .oject Address 1593 Baker Street - 1 S Main Building: Accessory Building: Applicant's Mailing Address TYPE OF CONSTRUCTION NEW U ADD U ALTERATION U REPAIR E Z +'* H7 E CONVERSION ❑ DEMOLISH ID OTHER T Front o Owner's Name RP ]+ nt)es Phone545-4156 DESCRIPTION OF WORK/USE OF BLDG. � Aear N Address 1591 Raker Gtrent Arch/Eng. License No. TYPE OF PERMIT U GRADING U FOUNDATION U STRUCTURAL I C Right G Address - ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S' Left R �' Phone ❑ -OTHER I Ping. Ref.# Parking Req./Provided E Contractor's Nam aen®Sad, =F18�ald: 753 2541 (-_ a _ - Q MO Q PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: V Address(mailing) 6558 West Blvd. (14513) s CONSTRUCTION TYPE VALUATION$ RECE%VEO MAR T City License No. 006453 ZONE -- GRADING CU.YDS. ACRESS, LICENSED CONTRACTOR DECLARATION 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 and effect. ELECTRICAL FEES \ µicense Class/ Date 4/ 91 Signature wear ��iii;_•— I PLUMBING FEES , Automatic Washer Transformer 0 15-50 KW \ WORKERS'COMPENSATION DECLARATION `- Construction 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 (SectionBackflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps DO, Lab. C.) • • Jlicy No. 60469-nnnit CompanNMTr Backflow Irrigation Sewer Cap _ Dishwasher Meter Dover 100,amps s�-.I{ Certified copy is hereby furnished. �J`_�LF� Dryers ❑Gas ❑Electric Sub Panel y(Certified copy is filed with the city Liv Bathtubs Sewer Connection Date 4/1/90 Applicant `/(/ I� / ✓ Fan Motors❑0-1HP ❑1%-8 EXEMPTION FROM WORKERS'COMPENSATION D LARATION Clarifiers Solar Collectors . (This section need not be completed ifthepermit is for one hundred ($100)or F.A.U.less). Dishwasher Solar Piping Inc.Solar 09-15 HP 016-15+ 1 certify that in the performance of the work for which this permit Is issued, IFixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. Date Signature - Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this declaration, you should become subject to the ¢Outlets Ran Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal - g comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign 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 q 00 Garbage Disposal Standing Sections Lender's Name •-•t 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 $15 Issue Fee $ 3 Reinspection 'herefrom and the basis for the alleged exemption. Any violation of Section P 131.5 by any applicant for a permit subjects the applicant to a civil natty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: L) I, as owner 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 Date License Law does not apply to an owner of a property who builds or improves • [LH/ thereon, and who does such work himself/herself or through his or her own Application Issued By a Dat 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 FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). • - BUILDING PERMIT $ SMIP $ 0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors 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 BTUPLUMBING $ ISSUANCE $ builds or Improves thereon.and who contracts for such oroiects with a con- ENERGY P.C. $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple❑ System Repair/Alteration I PLAN CHECK 25% $ proof of their Worker's Compensation insurance should be provided to me. - ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit.ICBO# Fire Dampers MICROFILM $ PLAN CHECK 50% $ Date Owner Heating System&Ducting Registers MECHANICAL $ TOTAL FEE $ (.57Q 0 I hereby certify that I have read this a•• 'cationand state that the above ❑0-100,000 BTU 0100,000 BT PLAN CHECK 25% Information is correct. I agree to co allwit all city andcounty ordinancess $ and state laws relating to uild' g •nstru •n,and hereby authorize repre- sentatives of this ty to e u•on - above-, entioned Pro arty for • Inspection purpos . 3/16/90 Signature •Gate Reinspection Fee $15 Issue Fee $ 3 - - D 01 00057924-00057924 TOT • 5.00 Driver:'s' license or s5 DATE: 04/05/90 TIME: 11:59 . . .- 0865-46, 0865-46,rev. 5/88 white - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor N. lit ONSTRUCTION AND PLANNING - - POOL A 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-Undrgrnd. . 54.. Forms • ' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel'Reinforcement ; 56. Rough Plumbing& Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE •7"Footings' 58. Electrical Conduit-Undrgrnd. u 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 'i i, 64. Plumbing System - Final • , 14. Rough Plumbingi • 65. Electrical-Final L 15. Rough Electrical-Conduit - 66. Solar System-Final I 16. Rough Electric Wiring 67. Fencing & Access Approval or 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 20,1 Rough Factory Fireplace APPROVALS Permit# r:r 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough &Test72. 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 , 1 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 1 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 ' 611,06. Leo ' - ' ' . - 39. Water Service-Final 40. Gas Service-Final _ - _ - 41. Solar Domestic-Final c.,.._ 42. Backflow Preventer ' -i) 43. Backflow Irrigation I Q =1 44. Landscape IrrigatioiiiSystem w 45. Sound Attenuation 46. Handicap Regulatio`ris 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release(Or-Edison ..... 50. Gas Release to Southern California Gas Co " r' 51. CERTIFICATE OF OCCUPANCY No. Date CI 1