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HomeMy WebLinkAbout1251 BAKER ST - Building PermitsJ CITY -OF COSTA MESA �QNS UCS TJPN PERMIT Project Address /�$�// Applicant's Ma' g Addres T` Owner's Name hone Address OUX Arch/Eng. JLicense No. Address Contractors Nam _ ��" ne Address (mailing) City License No. LICENSED CONTRACT R DECLARATION 1 hereby affirm that I am licensed under provisions of Charter 9 (com with section 7000) of Division 3 of the Business and Professions C my license is in full for antl c License class LicensNo. ` Date Signature WOR KEftS' COMPENSATION DECL R ION hereby affirm that I have a certificate of consent to s¢ f-insur or a ct Workers' Compensation Insurance, or a certif ietl p thereof V .00, Lab.�O. Policy No. Com pony erti fled copy is hereby turn is lied. ertif' d py Is i with the city Bui ivision. Date /- Applicant EXEMPT ON FROM ORKE RS' CO ENSATION DECLARATI C I 01 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations (This section need not be completed if the permit is for one hundred ($100) or less). 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. Date Signature - NOTICE: If, aftermakingthis declaration, you should become subject tothe Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDINGAGENCY 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.) Lender's Name Lender's.Address - ' OWNER BUILDER DECLARATION I hereby affirm that.l'am' exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional 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/she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9'(commencing with Section 7000) of nivision 3 of the Business and Professions Code) or -that he/she is exempt vefrom and the basis for the alleged exemption. Any violation of Section 31.5 -by any applicant for a permit subjects the applicant to a civil natty -of not more than five hundred dollars ($500). ❑ I, as owner of the •property or my. employees with wa9¢s as their sole C,4 will do the work, and the structure is not intended or offered forsale (Section 7044', Business and Professional Code: The Contractor's 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 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- Brove for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed con- 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 builds or improves thereon; and who contracts for such projects with'a con. tractor( license pursuant to the Contractor's License Law),I am aware that proof of( their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Date Owner' Signature ense or SSS Drivers' cense or have read this application and state that the above agree to comply with all city and county ordinances obu��tJJ of nstruction, and.hereby authorize repre- to a/ter on the above-mentioned. property ffor oO1- Date -4v -V7 CMF 0865-46, rev. 10/84 White - Bui Bar Sink - Backflow Preventer, Backflow Irrigation Bathtubs Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service 'Outlets Interceptors Kitchen Sink ' Lavatories P—Trap Roof Drains , 0 Reinspection Fee Boiler Duct- Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multi Firepl/Fact. Bit. ICSO.# Heating System & Ducting ❑0-100,000 BTU 1:11 00,C Reinspection Fee Canary - Applicant; Pink - Accounting; Goldenrod - Assessor PE2ST NOO TRACT NO. LOT NO. UNIT NO. l Showers ELECTRICAL - -' - TYPE OF CONSTRUCTION EW ADD ALTERATION REPAIR '❑ ❑DEMOLISH ❑ Service Sink - CONVERSION' OT — �� A.P.A,P-# _ Zone Transformer D 15.50 KW ❑ � 50+KW ' DESC PTION OF WOR K/USE p6SLD�a. LD Sewer Cap - � - , Sewer Connection ¢`' (�"!�! S Main Building: Accessory Building: TYPE OF PERMING FOUNDATION STRUCTURAL T Front Dishwasher O Meter ❑over 100 amps Imo❑ ❑ TENANT ❑ ELE RICA Irl PLVMµµ6,,,I MECHANICAL B Rear ! N e ❑ OTHER A _ I .! PROJECT OESC R!PT!_.J Sq. T. L' J Occ UPAN C K Right Motors 00-1 HP ❑l Y. - 8 N G CON STRUCTION TYPE 'VALUATION$ a�'�L� S Left F.A.U. R Inc. Solar 09-15 HP 1:116:1 5+ ZONE GRADING CU! YDS. ACRES Pl ng.Ref. # Parking Req./Provided E Fixtures Microwave Remarks: - Planning Notes: - M Pole Light Water Heater (This section need not be completed if the permit is for one hundred ($100) or less). 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. Date Signature - NOTICE: If, aftermakingthis declaration, you should become subject tothe Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDINGAGENCY 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.) Lender's Name Lender's.Address - ' OWNER BUILDER DECLARATION I hereby affirm that.l'am' exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional 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/she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9'(commencing with Section 7000) of nivision 3 of the Business and Professions Code) or -that he/she is exempt vefrom and the basis for the alleged exemption. Any violation of Section 31.5 -by any applicant for a permit subjects the applicant to a civil natty -of not more than five hundred dollars ($500). ❑ I, as owner of the •property or my. employees with wa9¢s as their sole C,4 will do the work, and the structure is not intended or offered forsale (Section 7044', Business and Professional Code: The Contractor's 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 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- Brove for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed con- 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 builds or improves thereon; and who contracts for such projects with'a con. tractor( license pursuant to the Contractor's License Law),I am aware that proof of( their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Date Owner' Signature ense or SSS Drivers' cense or have read this application and state that the above agree to comply with all city and county ordinances obu��tJJ of nstruction, and.hereby authorize repre- to a/ter on the above-mentioned. property ffor oO1- Date -4v -V7 CMF 0865-46, rev. 10/84 White - Bui Bar Sink - Backflow Preventer, Backflow Irrigation Bathtubs Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service 'Outlets Interceptors Kitchen Sink ' Lavatories P—Trap Roof Drains , 0 Reinspection Fee Boiler Duct- Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multi Firepl/Fact. Bit. ICSO.# Heating System & Ducting ❑0-100,000 BTU 1:11 00,C Reinspection Fee Canary - Applicant; Pink - Accounting; Goldenrod - Assessor PLUMBING FEES Showers ELECTRICAL - -' - FEES Service Sink - Automatic Washer Construction Pole Sub. -_ Transformer D 15.50 KW ❑ � 50+KW ' Sewer Cap - � - , Sewer Connection Cooking Unit Meter ❑up to 100 amps Solar Collectors Dishwasher Meter ❑over 100 amps Solar Piping - Dryers ❑Gas ❑Electric Suli Panel _ Solar Tank Fan Motors 00-1 HP ❑l Y. - 8 Swimming Pool w/Spa' F.A.U. Inc. Solar 09-15 HP 1:116:1 5+ _ Urinal Fixtures Microwave Water Closet Device Boxes Pole Light Water Heater Outlets Range 'Water Service - - - -- SwitchesSig n - •Auto -Wash Garbage Disposal Standing Sections Laundry Trays Generator ❑0-5 KW 05-15 KW Trash Compactor I $15 Issue Fee' $ 3 ( I Reinspection Fee ' •$15 Issue Fee $ 3 - • MECHANICAL FEES Hood or Type I ❑ Canopy Type 11 ❑ - DEVELOPMENT SERVICES Zoning Approved By Building Approved By Application Issued By REQUIREMENTS: Date Date _ Date—: r �-' p y �� Refrigeration System ❑0-100,000 BTU E1100,000BTU PERMIT PLAN CHECK _ PLUMBING - PIAN CHECK 25% � - ELECTRICAL PLAN CHECK 50% MECHANICAL - PLAN CHECK 25% - SU $ $ t '$ $ $ $ $ $ R^V� F FEES .. W SMIP $ r _ , PERMIT, ISSUANCE,- $ ENERGY P.C. $- - 'GRADING $ - -MICROFILM $ _TOTAL FEE ' de El System Repair/Alteration -BUILDING Fire Dampers - )0BT Registers ' - $15 _ Issue Fee, $ 3 CONSTRUCTION AND, PLANNING 'APPROVALS Permit# n Date Inspector POOL & SPA APPROVALS Permit# Date Inspector 1..=Temporary Electricil 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 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 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. Ducts, in Structure 70. Underground Hydro - 22. Ducts, Ventilating 71. Product Piping 0 Gas EJ Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0Gas 0Oil 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 Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED t 33. Final Electric Notes: 34. FinalHeating& Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing N `i �:' • { I',.'- '� t'i ., , ' 39: Water Service -Final 40. Gas Service -Final ,:41. Solar Domestic -Final - f" 42. Backflow Preventer ' S '• 143. Backflow Irrigation ;44: Landscape Irrigation System 45. Sound Attenuation - r. l 'i '46.- Handicap Regulations ' •y - �, 47. FINALSTRUCTURE&BUILDING r r ' 48. -Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date - _• ' } ~OWNER RUBIN HOWARD P DATE 9/8/59 JOB ADDRESS ��� jrj� Raker S}BUILDING PERMIT NO. 10iI2_-__ GENERAL CONTRACTOR R/ -chard A. Huff VALUE 9 1il.�3$6.00 _ Ar No. LOT6 TRACT jAqQ FIRE ZONE DESCRIPTION OF WORK), -p] pr y4/att.—gar. -ECTIONS DATE I GROUP H y„ ,T TYPE V ZONE Rp Underground Soil/V/-/S U.G. Water ,S %-/G-SYJ SUBCONTRACTOR PERMITS ISSUED Underground Gas DATE NUMBER Overhead Water and Gas Rough Heating //-2/ _ _ _ _ - Q;$=� ,y 19 7 Rough Plumbing S' /lett Miscellaneous Prop. Str.,Line- Hou n._ St. Swr. � adder q(L �/G'—do�-STj dai90 Sprinkling System Heating, Final Plumbing Fixtures Q G i Final Gas Test Construction Pole Underground Power Rough Wiring 0� '..2 Trenches Forms Steel �$� Floor System Steel Reinforce Chimney Re -Rud Bond Beam L le and Flashing — .� i� !n -3a' -? Lathing, In Out Plaster, brown coat Plumbing Fixtures, Final . Electric Fixtures, Final i Building, Final OCCUPANCY / Form 210-3M-4-59 r ' I / UNC A OWNER RUBIN, HOWARD P. DATE 9/8/59 JOB ADDRESS 1951 W. R.tro, R+. BUILDING PERMIT NO. in�io GENERAL CONTRACTOR VALUE $ _ AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK i SECTIONS G_/ DATE I GROUP TYPE ZONE Underground Soil /iy/S' U.G. Water S 9 /G -semPERMITS SUBCONTRACTOR ISSUED Underground Gas DATE NUMBER Overhead Water and Gas Rough Heating Rough PlumbingO Miscellaneous Prop_Swr. Line House Con. St. Swr. Sprinkling System Heating, Final - Plumbing Fixtures _ Final Gas Test ,S 0'�h L Construction Pole Underground Power Rough Wiring o-iy-r9 _� /O ,:L poi Trenches Forms Steel %-2 -' 11 Floor System Steel Reinforce Chimney Re -Rod Bond Beam S<-<sifiing and Flashing -30 Lathing, In Out /% - Plaster, brown coat /L ^_i G n -q' Plumbing Fixtures, Final ! Electric Fixtures, Final Building, Final OCCUPANCY Form 410-3M-4-59 / UNIT B J,4 ,S OWNER RUBIN, HOWARD P. DATE 9/8/59 JOB ADDRESS 3.251 W. Baker St. BUILDING PERMIT NO. 10319 GENERAL CONTRACTOR VALUE $ _ AP, No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK 'ECTIONS DATE GROUP TYPE ZONE Underground Soil 1pm_r U.G. Water —I SUBCONTRACTOR PERMITS ISSUED Underground Gas DATE NUMBER Overhead Water and Gas Rough Heating :S Rough Plumbing_ Miscellaneous �U-210-2 7-3T/ i, b g 7-. Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final (.✓ Plumbing Fixtures Lp/ Final Gas Test Construction Pole Underground Power Rough Wiring 0 '1 / I --- Trenches Forms Steel Trenches 7-.7 Floor System Steel Reinforce Chimney Re -Rod Bond Beam S' hing F_ .,e and Flashing Lathing, In Out Plaster, brown coat O ` Plumbing Fixtures, Final Electric Fixtures, Final 09 Building, Final OCCUPANCY 1 Farm 410-3M-4-59 UNIT C OWNER RUBINp HOWARD P_ DATE 91SZ54 JOB ADDRESS 1251. W, Baker St_ BUILDING PERMIT NO. 103,19 GENERAL CONTRACTOR VALUE $ _ AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK I SECTIONS DATE I GROUP TYPE ZONE Underground Soil A44S U.G. Water 1/-/G SUBCONTRACTOR PERMITS ISSUED Underground Gas — DATE NUMBER Overhead Water and Gas Rough Heating - Rough Plumbing O Miscellaneous ' Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test Construction Pole Underground Power Rough Wiring 0-.2 illd.Z2c� -i _ - /D-7 a- , Trenches Forms Steel Floor System Steel Reinforce Chimney Re -Rod Bond Beam c'3.hing T^I'!4'-le and Flashing Vii" S Lathing, In Out y Plaster, brown coat , -Act I "91 Plumbing Fixtures, Final Electric Fixtures, Final Building, Final OCCUPANCY form 210-3M-4.59 r jJTjTT D OWNER RUBIN, HOWARD P. DATE 9059 JOB ADDRESS 1251 W_ Anka, St._ BUILDING PERMIT NO. znzio GENERAL CONTRACTOR VALUE $ _ AP No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK i SECTIONS S DATE—I GROUP TYPE ZONE Underground Soillt¢tS U.G. Water SUBCONTRACTOR PERMITS ISSUED Underground Gas — DATE NUMBER Overhead Water and Gas Rough Heating Rough Plumbing /Iq-1-5 /O -�7- Miscellaneous Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final Plumbing Fixtures K/ Q r Final Gas Test 14- • -/!J i Z-0^ -2 ;z Construction Pole Underground Power _ Z77i Rough Wiring /Da Y"f Trenches Forms Steel 9/ S91 Floor System Steel Reinforce Chimney Re -Rod Bond Beam F hing I,- .le and Flashing Lathing, In Outer//' Plaster, brown coat // -j If Plumbing Fixtures, Final Electric Fixtures Final Building, Final OCCUPANCY 1 Form 210-3M-4-59 - - LAUNDRY 13319 COSTA MESA BUILDING -SAFETY DEPARTMENT / P.O. BOX 317 COSTA MESA. CALIFORNIA MR APPLICANT TO ALL /N COMPLETELY BUILDING TYPE OR PRINT ,! /, \ ` ADDRESS \ COSTA MESA, CALIFORNIA MAIL ADDRESS LEGAL I LOT BLOCK NO. OF BLDGS. NOW ON LOT SETBACK LINE FROM nr��� CENTER OF STREET L_REAR YAI 1 SIDE YARD I LEFT r7 RIGHT DESCRIPTION OF WORK BUILDING NO. OF SIZE ROOMS 'EXTERIOR WALL (ROOF 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ T AND STATE THAT THE ABOVE IS CORRECT AND PLY WITH ALL CITY ORDINANCES ANP STATE L, BUILDING CONSTR SIGNATURE PERMITTEEin k�l AUTHORIZED AGENT —a EE�pRECO ". 's L 0 v4S 'LICATION FORI�PERMI*T PITY 0!- cus.A MESA BUILDING FOR Off/CE USE ONLY RECEIPT NO. I PERMIT NO COSTA MESA, APPROVED BY DATE Z NING ZONE -T ,.NO. OF USE OF Ni rla Y FLANE. )'j BUILDING HGQWKftU (CENTER LINE ST.) FRONT R. SIDE On COM THE AMOUNT SHOWN UNDER VALUATION 19 FORTHE TING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION PERMIT FEE $ z PLAN CHECK S .3� �5 . TOTAL FEE 5 5' j l T:-) T; i 77 ! r j "> j : L E D3 /]a I DATA c COM THE AMOUNT SHOWN UNDER VALUATION 19 FORTHE TING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION PERMIT FEE $ z PLAN CHECK S .3� �5 . TOTAL FEE 5 5' j