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