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Home My WebLink About1247 BAKER ST - Building PermitsAODNESS ap a1111OP40:_ 1247 B owNEas NAMEIP ID+Dwx: WHELAN ADDRESS 12 4 7 BE C. M. CA APPL. NAIL0+0 ADDRESS: ARCHITECT OR EN=EER: ARCX.OR FNO.'S ADDRESS: 92626 ES UC. NO.: UHT: coarRAcTmhAln:DAVIS ROOFING (714)636-4515 cohmAmwsvARO+p 11861 GAIL LN Ag,M:G.G. CAu,w.: 509824 92840 UNIT: LICENSED COWRACTORS DECLARATION: I hereby alum under panel, of perjury Rest I am licmesd seas prw ante d Chapter 9 ( drp war Section 7OD0) d Owr000n 3 tl tlhe Busmen end PMeseiom Cods, end m limns u N hlt lora god eaed. uc.+o.: uC.CLASS:C-39 uc.No 509872�4'---EXP: arad OWN BUILDER DECLARATION: I Mneby Baum raMw pinery d parlor, IMI I nth exempt ham the Cwdredm limroe law ler tlhe V naso. ($__ 7031.5 &Dime rd Proledwrs Code: MH W w mull' wfiidt remAse a parmC to mmauct. aGw. urorw+. duh, re,epee arty ebtsteas pier to,. ugoanm. der reAhmes IM epptkwm for ouch pmhm to fda a e9rhed atatalera tlhat M w she re homed purnunl to the orovions d Ne Costmeors limine law IChaper 9 (aanahnerhdrq wen Sedln 70aD1 d Oivcion 3 d the Buatoses enhd Prolessions Code) or that M or she is mempl therehom tud IM Mau ler the a lg.d exemption. My vbletion of Sersion 7031.5 by any applicaru for a permil abpra IM applicant to a dvil Penalty of rot more timm fora hundred doors It+DoU. ❑ I, a tweeter of the proiodyor my employees with wages a her sob commnsatkn, will doIM work, sot! par emmun u rot intended as offered W Bele (Sectim 7044, Budnee all PWessbns Cods: The Conlnators Limns. Lew dose red appy to m comer of properly who Wide or enstwes thereon. turd who closer s ch work Nmalf or herself or through his or her own employee, pwided lhm such im«wemems goo M ul.rded w dfered for set. 1, however, IM Milling or i iswernem is col within err year of completion, the owner-0.iler will have the Wrden of proving he or she dl ml Wil or improve for the Wr,me of ao). ❑ 1. as ower d 1M promry, art exduervely dWredkvg with liaeneed conbaeore to meWq the poled (Sedion 7044, eueiosas erd Prop. Code: The Cmimdors licerue law does real Apply W m owosr of property who Wilda or Lnpnove Ihenewh ell who omhaes for eudh popes with a co maeoRa) licensed paean to the Comr.eore Limina Law). ❑ I am esempl under Section: B. A P.C., for Nu n.aon: I do hereby candy Net I em ewer. of and wdentturd the so.isments of Callomu Health ell Salary Code Sedioa 25.505, 25500, .rel 45504, god Net I or achy Man WA&W actsmarm will I will W (dmo one) need to campy with said mice codes and the reqNmmmb for epmne lwmnstrunknwmodifratipnhwnlM Ar u y settlement Dirrim. RaaleraWoomones. spplahmsts. azamptf. Neva prceAsiar. Dine: Appboar: WORKER'S COMPENSATION DECLARATION: I hereby afirtn under pmulty of per'µ, one of dr following dedermions: ❑ IhevemdwiEmeirenneeed'd'ut otm toaetlaerefmvn 'compmW .mprovkWtwby Seeion3 dtMlebor Code, ter lM fmdamlmrro d tlr who for wlitlh Nu pemm u oeued. I haws god W mass. wo ken' mmpomser. vuuruue. a required by Sgion 5700 of the Labor Code. for IM mdwmmm of the waF 1« which INA Paine is ueued. AiY Carrier TpprM wvkan;{pypn kpylyyga4pniw ane Pdiey number an: EXPIRES Pd 'cyy Numlrr: 285-970-000t224 TTM 01/01/98 (This eanion need nm oecom&WY the parmil is Por one hmo dddun/$1001 or lass.) ❑ cenry that in the mdorme«a d ill work 1« whch thio mine is fo .pr ar, shell ml employ mY mann fn wry mamr le m twos subpe to the workers' a commaatim ero d CNRomie. e Rud If I shoal become abpe to the w«knn' co mnsatln provislm d 5 ion 3)00 d the labor Coda, I MI to wen campy Mwen qev/QWn. Dela: �_ f� Appticgot: Y I% Egan to secure w.ykwA'rornpmeatlon ccver+9e 1. aluwlul. and shell aub/ect An employer 1s wMlrwl to pens AM IVH toes W b . hundred rhouegod dols. (SIOROWA A, eddldon as the cal of comps, ali dearwge a preHOM W In Sector $105.1 the Lob., Cod$, ImwaL AM.morrWo fee. CONSTRUCRON LENDING AGENCY: I hereby affirrm r.rder randy of perjury that then is e corWrhMion kmd"og epenry to, the perform. of the work for which the perm, u owed (Sediun 3097. CW C). LENDER'S NAME: LENDER'S ADDRESS: I toddy that I haus mall this application arhd mate that the Move Wamours is cones. I Agree to campy vmh m city god oorury odugolosA all.m. lower rai to 1xd&lMo«Mrudion god hereby aMhorue represemNvw d Ino sly to emw upon the a meraiansd property for h ""ohon purpovea. SAM DAVIS iehah.a Wpl Whee-Buildyhe Plnk-ILrenue� (3olEennW-A u,.aw CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 08175 PERMIT NO: B 081757 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION T/OFF CAP SHEET & REROOF W/1LAYER SAME SQ FT: 4,157 CLAIM VALUE: 4,157.00 CALC—VALUE: 4,157.00 GROUP OCC: R-1 / COMMENTS: T/OFF EXISTING CAP SHEET LAYER & REROOF WITH 1 LAYER OF CAP SHEET dtdeREdE*itiERERFdE*REdEdk*ii*dtiE*iEkiEiEiEdEltiFdt9tdtitRtrtlE*ifiERfiE*iE*dEiEiEiEdEibklfdEdtklEdElf*RtdEiERt*RE 1E Rt Re Rt*iEdt REdE*1E itdEdEdt 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 ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 00000000 ZNE: REF NO: PLANNING NOTES.>� 1E dk 1E dE * 1E iE df if dE dE dE 1E dE dE dE df iE lE lE dF iE dE iE iF dE dE 1E k 1k 1E SE 1f dE * dF dE dE df dE dE dE dk * RE dE dE dE fE RF dE dE+E dE dF dE dE * dk dE iE iE RE dE dE dE 1E dE dE * * iE if' dk iE dk 4 Rt fF 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 A� ZONING APPROVED'BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: RF Rf iF i(RE RE dIRE RE RE RE IE**dE dE iE dE RE RF lF 1E RF RE iE *9E iE iF gF gk dF dE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 99,75 SMIP/NON—RES PLAN .87 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 100.62 0,00 0,00 100,62 100,62 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 100,62 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 99,75 ,87 �i�ir*+rte*�Sr�Ski��x�x�x�Eifakir**x �Ei(iE�E�iESE�E*�E*x SE�EiEiEiExx �E+k+�+��k�E+ESESESE*�rx+rxiEx iE+Ex ir+E�rx SExx sr*i�iEitir�ik 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 SFC 4157 ALTER BY VALUE COMMERCIAL NOZONE 1,00 4,157.00 END OF FEES 02-24-1997/09:09 AN/6100.62 PERMIT:081757 f '"r CONSTRUCTION AND PLANNING APPROVALS Permit # Date inspector POOL & SPA 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. APPROVALTO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. - 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P -Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House ConC ection - 62. Backwash & Reciptor-Final i 12. Sewer Cap 1 63. Heater & Vent -Final I 13. Roof Drains _ 64. Plumbing System - Final 1 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 APPROVALS Permit # 20. Rough Factory Fireplace .. 27.. Ducts, in Structure _ 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 13 Gas ❑Oil 23. Gas -Pipe -Rough & Test ,- _ 72. Underground Flush 24. Roof Framing 73. Undergind. Storage Tank OGas ❑oil 25. Roof Sheathing- ZZ9�-L)7 26. T -Bar Ceiling (Structural) & Monocoat o(' �p�/ 74. Overhead Hydro 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe- ' 28. Lathing & Siding- 77. FIXED -SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 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 ' 39. Water Service -Final: 40. Gas Service -Final - 41. Solar Domestic -Final - - 42. Backflow Preventer 43. Backflow Irrigation - 44, Landscape Irrigation System- -45: Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE&BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No. Date .t-.� Applicant h l L0.) t0 � ( to fill in all spaces except those within heavy border lines and sin all a p p y 9 appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT #3 Project Address 57' S% ['ofjil,/% Ftoplicant's Mailing Address 13j;2 57— t;.I197*U 7: P Zi? i/�A Owne1's Name LJ JrELA.� KCii/ �5 i/1 /(- P hone Address ��sID �c /1 AAF %ii j//Sb if2M_ PE IT NO. TRACT NO. LOT NO. UNIT NO. %Z g A.P. 4A Zone S Main Building: Accessory Building: TYPE OF CONSTRUCTION NEW �I /ADD ALTER TION REPAIR A ❑ CONVERSION ❑ DEMOLISH LWOTHER[� � ^ DE CRIPTION OF WO K/ SE OF B G. awr OLA TYPE OF PE FOUNDATION 5TR CTU RAL E T Front O A Rear N c,5 Akh/Eng. License No. Address K Right - G TENANT 1❑ EELLE'CpTRICAL ❑ LUMBING QME{'CII�/R!CL o�+�� - `-9 �PRJol PROJECT DESCRIPTION Sl OCCUPANCY' — ._ O N STRU CTI ON TYPE VALUATION$ ZONE R DINACRES G CU DS. Lef Contractor's Name /� 7�N+!. •r' !?Abu fti� Phone �iSj / Address (mailing) j`/-Z f. /rn>,,n Jnr !'Z A..IdA /A �� C City License No. Cof LICENSED CONTRACTOR DECLARATION Ping. Ref. # rking Req./Provided E Planning Notes: Q M T S' Remarks: J e I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License I ; Z N '�' �0/ c'/ ELECTRICAL 'FEES s M4 i3i D./ r /r\ C 1111 p� iI ` i ss ansa •/ �/ Date Signature $� WO RKERS' COMPENSATION DECLARATION % hereby affirm that I have a certificate of consent to self-insure or a certificate C '�r k ers' Compensation Insurance, or a certified copy thereof (Section Lab. C.) _ t Por cy No. 7-5 -+� /,^ cS Company/P%rT.91' iAo}/'%A ,,�� // l� PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. ❑50+KW Bar Sink Showers Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps _ Backflow Irrigation Sewer Cap Dishwasher Meter ❑over 100,amps (-,J/Certified copy is hereby furnished. LLII Certified copy i filed with the city Building Dlvisi �j Bathtubs Sewer Connection Dryers ❑Gas ❑Electric Sub Panel ,t+ Clarifiers Solar Collectors Fan Motors ❑0-1HP❑.1%-B Date 44L�—/�4 Applicant Cir,Jy�' EXEMPTION FROM WORKERS' COMPENSATION DECLAR 10l[T N Dishwasher Solar Piping F.A.U. Inc. Solar 09-15 HP El 16-15+ (Thissection need not be completed if the permit Is for one hundred ($100) or less). I j 1 certify that in the performance Of the work for which this permit is Issued, I shall. not employ any person In any manner o� to becom subject to the Workers' Co pensatlon Laws of California Data��.• / rS Signature JDrinking Fountains I Solar Tank Fixtures' Microwave Floor Drains Swimming Pool w/Spa Device Boxes "ne Light NOTICE: If, after making this declaration, you should becg&r abject to the Workers' Compensation provisions of the Labor Code, yb must forthwith comply with such provisions or this 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 which this permit is issued (Section 3097 Civ. C.) Le ntler's Name Lender's Address Floor Sinks Uri al' Outlets Range Gas Service Outlets - ater Closet , Switches Sign Interceptors Water Heater Garbage Disposal Standing Standing Sections Kitchen Sink Water Service Generator E10-5 KW E15-15 KW Trash Compactor - OWNER BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Cade: 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/she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that h¢/she is exempt 1 from and the basis for the alleged exemption. Any violation of Section 5 by any applicant for a permit subjects the applicant to a civil .ty of not more than five hundred dollars ($500). El I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's Li cense 'Law does not apply to an owner of a property who builds or improves thereon, and who tloes such work hlmself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of com- pletion, the owner will have the burden Of proving he/she did not build or im- rove for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed con- lractorsto construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improve$ thereon. and who contracts for such crolects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware thatExhaust proof of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Lavatories Auto-Wash IP—Trap I I LaundryTrays ROOF Drains Reinspection Fee $15 Issue Fee $ 3 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By Date Application Issued By _Dat Reinspection Fee $15 Issue Fee $ 3 MECHANICAL FEES Boiler Hood or Type I El Canopy Type I I ❑ SUMMARY16F FUS BUILDING PERMIT $ SMIP $ ._!� PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ .MICROFILM $ Duct - Under Ground Duct-Structural Refrigeration System CIG-100,00OBTU 1:1100,000 BTU Duct - Ventilating System ❑ Multiple ❑ Syste epair/Alteration Firepl/Fact. Bit. ICBO # F' a Dampers Date Owner 1 hereby certify that I have read this application and state that the above Information is correct. I agree to comply with all city antl county ordinances and state laws relating to building construction, and hereby authorize repre- Heating System & Ducting ❑P700,000 BTU ❑100,000BT Registers MECHANICAL1.� $ TOTAL FEE $ PLAN CHECK 25% $ - sentatNes of this city to en r upon a above-mentioned prop rty or Inspection purposes. Reinspection Fee $15 Issue Fee $ 3' Signature i Date Drivers' License or 55 � ✓ - ' 0100025077-00025078 TOT 15.50 - 0865-46, rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor DATE: 01/26/84 TIME: 10:01 4. COMSTRUCTION AND PLANNING ,y APPROVALS Permit# Date Inspector POOL o. SPA APPROVALS Pt. _..t# 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 -r 56. Rough Plumbing & Pressure Test ' 6. Electrical LIFER Grnd. ' 57. APPROVAL TO COVER-GUNITE 7. :Footings _ � ' 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 rt6' Rough Electric Wiring 67. Fencing & Access Approval 17. Rough•N,tring Sign t± 68. APPROVED FOR PLASTERING 18•. Rough EII'ctrical,-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating 81 Air Coriditionjhg FIRE DEPT. REQUIREMENT APPROVALS Permit# 20, Rough Factory-Fireplac(.'- 21. Ducts, in•Structure 70. Underground Hydro 22. Ducts, Ventilating ! -i + r 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe.Rough:& Testi';. 72. Underground Flush 24. Roof Flaming` " r• 73. Undergrnd. Storage Tank OGas 0Oil 25. Roof Sh'gathin ; •r7 74. Overhead Hydro ' 26. T -Bar Ceilin (Structural) WMonocoat 75. Dry Chemical 27. Fra ire,and Flashing I f 76. Dry Standpipe 28. Laihing &"Siding ^ .:" 77. FIXED SYSTEM FINAL 29. Insulation ;,.•�,' . 78. FIRE PREV. FINAL 30. Drywall"Nailing,. '' j , nr HEALTH DEPT. REQUIREMENT 31 Plaster Brown Coat_' 79. FINAL INSPECTION 32. Electrical PowerMeter-F nal' r` 80. FOOD CERTIFICATE ISSUED 33. Final Ellectric Notes: 34. Final Heating•& Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. -Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING •j 48. Special Requirements Completed 49. Electric Release to Edison .• 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date • ., i OWNER RUBIN. HOWARD P, DATE 9/8/59 JOB ADDRESS 19117 W, Bayer St. BUILDING PERMIT NO. 1031H GENERAL CONTRACTOR Rjrhard A. Huff VALUE S111,386_00 _ AP. No. LOT M / TRACT 11 9 FIRE ZONE DESCRIPTION OF WORK 1 nl ex a+/att Bar. PECTIONS DATE GROUP N R. .T TYPE p ZONE 6 underground Soil 61.1S U.G. Water — SUBCONTRACTOR PERMITS ISSUED Underground Gas DATE NUMBER Overhead Water and Gas Rough Heating Rough Plumbing /%/jf Miscellaneous Prop. Swr-Line—Ho Con. St. Swr. — 7— 027— Z'j%� i1 !F(.hne.✓� . /t"i la «`1 ✓ Sprinkling System Heating, Final Plumbing Fixtures Af Final Gas Test ♦ _/ Construction Pole Underground Power Rough Wiring n.3 Fr. t? Trenches Forms Steel Floor System Steel Reinforce Chimney Re -Rod Bond Beam 77 he and Flashing _ /— — Lathing, In Out ll .ZD" Plaster, brown coat �♦i .! Plumbing Fixtures, Final Electric Fixtures, Final Building, Final OCCUPANCY Form 21e -3M-4-59 UNIT A DATE JOB ADDRESS 1247-B. Pakpr BUILDING PERMIT NO. 10318 GENERAL CONTRACTOR VALUE $ _ AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK PECTIONS underground Soil IW_f U.G. Water $ DATE I GROUP TYPE ZONE 4-16741 — SUBCONTRACTOR PERMITS ISSUED Underground Gas DATE NUMBER Overhead Water and Gas Rough Heating Rough plumbing Miscellaneous d JL --t��- ' Prop. Swr. Line [louse Con. St. Swr. Sprinkling System _ Heating, Final Plumbing Fixtures Gas Test - -/ _Final Construction Pole Underground Power Rough Wiring T Trenches Forms Steel n.7fb r4 -2/-3 _ C - Floor System 2"^ Steel Reinforce Chimney Re -Rod Bond Beam "<uthing e and Flashing Lathing, In Out Plaster, brown coat 2 - Plumbing Fixtures, Final Plumbing ' Electric Fixtures, Final Building, Final OCCUPANCY Ar I ri Form 410-3M-4-59 jJjQjq' B JOB ADDRESS 12h7 W GENERAL CONTRACTOR VALUE $ AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK PECTIONS -,i _ DATE I GROUP TYPE ZONE �ederg[ound Soil U.G. Wate[ S —16-f' SUBCONTRACTOR PERMITS ISSUED Underground Gas DATE NUMBER Overhead_ Water and Gas Rough Heating 3-y Rough Plumbing Miscellaneous Prop. Swr, Line House Con. St. Swr. Sprinkling System Heating, Final W y Plumbing Fixtures ytI Final Gas Test mof _ -/A Construction Pole / Underground Power % Rough Wiring / Trenches Forms Steel Floor System Steel Reinforce Cbimney Re -Rod Bond Beam r-.--.„thing =`,;'be and Flashing — Lathing, In Out :2d Plaster, brown coat ✓I - Plumbing Fixtures, Final Electric Fixtures, Final I Building, Final OCCUPANCY Form 210-3M-4-59 / UNIT C RUBIN HOWARD P. JOB ADDRESS 120 W Baker St BUILDING PERMIT NO. }n:3}B GENERAL CONTRACTOR VALUE $ _ AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK PECTIONS _/y_s- DATE I GROUP TYPE ZONE U,Aerground Soil &2z -g U.G. Water - - SUBCONTRACTOR PERMITS ISSUED Underground Gas DATE NUMBER Overhead Water and Gas Rough Heating Rough plumbing Miscellaneous 0 "27 5Tj i �� _cyto , _ ' Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final P Plumbing Fixtures 1.� Z Final Gas Test i. -(B Construction Pole Underground Power Rough Wiring /0-1C(rS Trenches Forms Steel 7—w-5 5 Floor System S Steel Reinforce Chimney Re -Rod Bond Beam S'-t�-hing ie and Flashing Lathing. In Out Plaster, brown coat - Plumbing Fixtures, Final Electric Fixtures, Final �f+ Building, Final OCCUPANCY Form 110-3M-4-59 UNDP D OWNER RUBINp HOWARD P. DATE 9V59 _ JOB ADDRESS jaj- Baker Rt.- BUILDING PERMIT NO. GENERAL CONTRACTOR VALUE $ AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK PECTIONS q_/y s•y DATE I GROUP TYPE ZONE „-.derground Soil /y/{S U.G. Water I S -1'6'61 SUBCONTRACTOR PERMITS ISSUED Underground Gas DATE NUMBER Overhead Water and Gas Rough Heating ;d•J /—,g lY Rough Plumbing AH5 /0-27' Miscellaneous Prop. Swr. Line House Con. St. Swr, Sprinkling System Heating, Final -S Plumbing Fixtures Final Gas Test 4 A-. 1 v -20 - ei a i y y Construction Pole Underground Power Rough Wiring r Trenches Forms Steel O� —L-' a �-/ /6 1 .? Floor System ~( Steel Reinforce Chimney Re -Rod r Bond Beam S`, Y thing 1.i ,:;-e and Flashing / Lathing, In Out /0 Xid Plaster, brown coat ME —eP Plumbing Fixtures, Final O• ' Electric Fixtures, Final Building, Final OCCUPANCY Form 410-3M-4-59 T.AITAIDRV COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA /1 DO fOR APPLICANT TO F/LL /N COMPLETEZ TYPE OR PRINT 1 • COSTA MESA, CALIFORNIA FINANCE CITY OF COSTA MES TION FOR PERMIT BUILDING EOR MIME USE ONLY J RECEIPT NO. .PEQNA OWNER E MAIL RECEIVpDrBY OAT RECEIVED gAfH ISSUED I X �r7 ADDRESS _ �/�lV� - S -T-1 rL� c TNOL NG CITY ADDRESS KC2� ARCHITECT OR ENGINEER LIC NO.. COSTA MESA, CALIFORNIA ADDRESS FIRE ZONE 1 — TYPE r GROUP -7 STATEAPPROVED ✓//�yI CONTRACTOR Com. NO. BY DATE ADDRESS ,L�. /L'I ( NING LEGAL LOT p'7y DESCRIPTION NO. I/L BLOCK T ACj• I � ZONE / I PLA S I USE OF NEW •- PLANS BUILDING / I APPROV O L //')� A.P. NO.. _ BY % DATE SIZE (S I YARDS �v l OF LOT ryOW ON LOTS / REQUIRED ALLOWED USE OF (CENTER LINE ST.) rA� EXISTING BLDG.t�\�'C\L FRONT Cl FT. IN. SETBACK LINE FROM DENTER OF STREETREAR ` YARD R. SIDE (RIGHT SIDE YARD LEFT �.� L.SIDE 'v FT. IN. DESCRIPTION OF'WORK ' �-�FT. REAR IN. ' NEW SII ALTERATION I II ADDITION I R _ REPAIR I II MOVING I II DEMOLISH I IJ Aj 1: I� �� ! t 4 BUILDING NO.OF I SIZE ROOMS STORIES SSI ¢ i, i R. EXTERIOR WALLI ROOF I 4 y 11.4r li L y 17.I COVERING COVERING JI USE OF BUILDINP AND WOR TOe SE PERF M p VAIR Nin ne2T 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP IC ON AND STATE THAT THE ABOVE IS CORRECT AND AGR COM- THE AMOUNT BHOWNrUNOER VALUATION 18 FOR THE PLY WITH ALL CITY ORDINANCES AND STA LAWS EO LATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONSTRUCT ON. VALUATION (t(� F SIGNATURE OF� PERMITTEE PERMIT FEE $ _ PLAN CHECKld / AUTHORIZED AGENT TOTAL FEE $ J