HomeMy WebLinkAbout1255 BAKER ST - Building Permits el
i- CITY OF COSTA MESA S ._
14r BUILDING DIVISION
iY AI. 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
cl- � - FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: B08-00327
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 14120107 DATE ISSUED: 11/24/2008
- ISSUED BY: RMD
JOB ADDRESS: 1255 BAKER STCM. Suite/Unit:
Vicinity: 4 PLEX - - _
Squares: 4000 Valuation $14,900.00
SCOPE OF WORK: TEAR OFF(E)ROOF MATERIALS INSTALL A NEW 4-PLY ROCK ROOF"CLASS A ASSEMBLY"ON A 4 PLEX WITH
ATTACHED GARAGE,APPROX 4000 SF. .
OWNER: DAVISON, NEAL LA VERNE TR . Address: 225 COSTA MESA ST Unit:
PHONE: - - ' - - City/State/Zip: COSTA MESA,.CA '
APPLICANT: FUNKE, KENNETH- _. Address: 18567 PLUMOSAST Unit:
,. -
PHONE: 714-964.7171 !-•' City/State/Zip: FOUNTAIN VALLEY:CA •
CONTRACTOR: K ANDR CONSTRUCTION . -- . License No. 348877
Address: 18567 PLUMOSA STUnit: ' - PHONE: - 714-964-7171
City/State/Zip: FOUNTAIN VALLEY,CA 92708 CELL:
ARCHITECT: -- License No.--. PHONE:
ENGINEER: License No. = PHONE:
FEE SUMMARY
Reroof Plan Check: $0.00; - .
Reroof Permit Fee: $251.25 '` - .
Reinspection Fee: $0.00 - - .
TOTAL FEES $251 25 ..
.- GA- - R E lia I N. 2 .
. . .
. •
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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.
CODE A. INSPECTION TYPE DATE INTTI1ALS CODE/ INSPECTION TYPE MI !MALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing '
200 Final Re-Roof a f 4 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention '
202 Final Factory Fire Pface 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition _ 250 Final Building/Occupancy
WORKERS'CO tAPENSATION DECLARATIOS Owner ID verified by driverense. ❑Yes ❑No J
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the -
•
performance of the work for which this permit is issued. -
❑ I have and will maintain workers'compensation insurance,as required by DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation No(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
by this permit,and that no building structure,scaffolding,falsework,a demolition
Cartier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This section need not be completed Ithe permit is valued at one bundled dollars(Sloo)orless)
2.Art 2,Sec.341,Title 8,Califomia Administrative Code).
Policy Number:
0 As owner-builder, I will not employ anyone to do work which would
tI certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
d,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of Califomia, and agree that if I should
become subject to the workers'compensation provisions of Section 3700 of
Applicant's Signature Dale
Labor Code, sha�nrth•mp with these provisions.
fTI / I(—.-/L_Vg Division of Industrial Safety Permit Number:
Applicant's Signal re Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: •
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes El No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes 0 No
L' 4# '-x — 34-8_ Class# "1; (Section 25533 of the California Health and Safety Code, with some
/) _7, ,Oo' exceptions, requires registration with the Costa Mesa Fire Department by
`T D each business which at any one time has on hand a quantity of acutely
Contractor's Signature - Dale 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work fa which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? I:1Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑ No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, i21prove, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes 0 No
issuance,also requires ttie applicant forsuch:pernit to file•a•signed statement requires that the requested
(Seclion 65650.2 of the California Government Code
that he or she is ee sed pursu2M to.the-provisions of-lhelIC lraCtors +. )
a-.:/*so —.=J r info alion be furnished on applications for non-residential building permits).
License Law(Chapter 9(comma th Secdon=7000).oLDivi ion 3 of�1(he
Business and Professions Cods))W th tt he`.or she t,exemp ther rorri and .40 Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any vlo)a i ne Section 3by 100 t from the outer boundaries of a school? 0 Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (I es",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I. as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No
thereon,and who does such work himself or herself or through his or her own B. (If"yes", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury-the
did not build or improve for purpose of sale.). . information given above is correct. I agree to comply with all slate laws:and
• city ordinances regarding Hazardous Materials and Emissions.
❑ I, as owner of the`'property, am EXCLUSIVELY CONTRACTING WITH UCENSED CONTRACTORS to construct the project(Sec.7044.Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date' '
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a corlractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
0 I am exempt under sec. the'•information given is correct. I agree to comply with all state laws and city
-- - ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: _ 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. .
Signatur f iiWirDate
3057-46(3/07)
Signature Date Mellor Aulhori etlpint 9 )I_ e
--c,
OWNER RUBIN1 HOWARD P. DATE 9/8/59
JOB ADDRESS , 1255 W. Baker St. BUILDING PERMIT NO. 10320
GENERAL CONTRACTOR Richard A. Huff VALUE $ h1.386.00
APNo. LOTS,Sg TRACT 3399 FIRE ZONE DESCRIPTION OF WORK H_D7ex Vat t-ear.
I.:''.$ --ECTIONS A may_ DATE I GROUP p R. j TYPE v ZONE p2
Underground Soil11q.,iLS U.G. Water/Y$-f,S SUBCONTRACTOR PERMITS ISSUED
Underground Gas DATE NUMBER
Overhead Water and Gas
Rough Heating les- ,s .9-d ./moi %TJIW 9 3O-5-7 .. 0 Fame -
Rough Plumbing ///-1 /o y{a-c� e , Zc'J./ �9-/4/-S-y - • 0,
Miscellaneous �•. . PX i� t /0-,.. o - � P 0?07 i 9f
Prop. Swr.1Line- H6u�ekoon. St. Swr. Q/yt�/fl ef/`#`LS-i; u O 2, IMIIM'
Sprinkling System 1
Heating, Final . 4. T / >.� rirr
Plumbing Fixtures / r.�f) 'r111.111,1
Final Gas Test / !'' %', / ani si
Construction Pole -
Underground Power '
Rough Wiring ''J1 7u%sY'Sef V i_2„4 h E?,7',r 9- r-S9 /0)./yL ✓
Trenches Forms Steel `�f-a ' 9 -/d'- .
Floor System Qe 1 9 -A2 v-..f7
Steel Reinforce Chimney Re-Rod
Bond Beam
�:,;
F ;?.:,le and Flashing rai' - , -2$ .s-r
Lathing. In Out -/2-
Plaster, brown coat 94.--E--1 E>1 //S1-1 t'
Plumbing Fixtures, Final Z11Ly yt `
Electric Fixtures, Final /r 4 1./p�
Building, Final 'ir on)
OCCUPANCY " !n ,'
Form 210-3M--I-59 I LIMIT A
OWNER RUBIN, HOWARD P. • DATE 9/8/59
JOB ADDRESS 1255 W. Baker St. BUILDING PERMIT NO. 10320
GENERAL CONTRACTOR Richard A. Huff VALUE $ 41.386.00
An No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK
I, ECTIONS 0.40.1.4 DATE l GROUP TYPE ZONE
Underground Soil/y-/S U.G. Water/14/5 f-16 59 PERMITS ISSUED
Underground Gas SUBCONTRACTOR DATE _ NUMBER
Overhead Water and Gas
Rough Heating AW-572d-.9Z'4
Rough Plumbing frM57o ff - 9 a l�gne 9-/[/-c-c _ 2.J
Miscellaneous
ik
Prop. Swr. Line House Con. St. Swr. r
Sprinkling System II^
Heating, Final f L.t/ a-10/Y, yr -V
Plumbing Fixtures YL U' g./i--4t . }
Final Gas Test /Wail. (i[/ ig44-5* '
Construction Pole
Underground Power
Rough Wiring fl -, /'2 3 5t' . <-.x ,}ice- 9-is-A-, .O b/,5 fr
Trenches Forms Steel `
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
F hing {./t /6 0-24`5Y
F._.ne and Flashing �ry�,y',yy /t ' 'S`I
Lathing, In Out ,Ev GAY- iS %
Plaster, brown coat Lr/�./ /- 11-4' '
Plumbing Fixtures, Final J.4gj tie-7
Electric Fixtures, Final ‘;‘),9A
Building, Final
OCCUPANCY a / I
Form 210-3M-4-59 UNIT B
OWNER RUBIN, HOWARD P. DATE 9/8/59
JOB ADDRESS 1255 W. Baker St. BUILDING PERMIT NO. 1113ZD
GENERAL CONTRACTOR VALUE $
AP No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK
I. ECTIONS q/y,;Y DATE GROUP TYPE ZONE
Underground Soil ,t4,e< U.G. Water44, Q-4,--.5.
PERMITS ISSUED
Underground Gas SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas
Rough Heating
71-A! a 29'- 9
Rough Plumbing 4 j/,�,Lcn, ;kSn , 51-/L/-S1
Miscellaneous
Prop. Swr. Line House Con. St. Swr.
Sprinkling System if(/
Heating, Final ! /716.4* - ,S1
Plumbing Fixtures kV 442. t
rlf—
Final Gas Test an.fkj.- r✓ adef- 9
Construction Pole
Underground Power -
Rough Wiring nio /o $rJ-/ i ,.u/. it _ ,tee -'S"- /D.J. .,
Trenches Forms Steel
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Stibsfling 2---1-/g ft—,...0—t.$1
'L?:ie and Flashing Q/�/£ to "Z ' - S `7
Lathing, In Out ' , / -
Plaster, brown coat /7 `27 `3'9
Plumbing Fixtures, Final f�/� 'it
Electric Fixtures, Final i J
Building, Final r rj
OCCUPANCY #441 17 I
Form 210-3M-4-59 UNI' C
OWNER RUBIN, HOWARD P. • DATE 9/R/59
JOB ADDRESS 1255 Wr Baker Sty BUILDING PERMIT NO, 10320
GENERAL CONTRACTOR VALUE $
AP No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK
I. ECTIONS Q./21_S7 DATE GROUP TYPE ZONE
Underground Soil,y{/S U.G. Water,496 9-la-_6-19 PERMITS ISSUED
Underground Gas SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas
Rough Heating /I/ff,, o zy—.240 /
Rough Plumbing /i S /o- 6 ,./ 02. Umei 9-/y-s—q --,2D,P,2/,. J
Miscellaneous 1 r
Prop. Swr. Line House Con. St. Swr. d '"
Sprinkling System _ iii'
Heating, Final L(J /1'/"^� J
Plumbing Fixtures 1/�}� ,v�S
Final Gas Test jag/Q IQ J '�
Construction Pole
Underground Power v,./„.„ 4 �i
Rough Wiring 'fin Al J-1•W /= f. n , E/C -C 9 /0 47/'7 ---
Trenches
Trenches Forms Steel
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
4.,si,thing
F:.i ne and Flashing t---1'... ih ',2X' Y
Lathing, In Out &YDS N—II—.4 7 _
Plaster, brown coat
Plumbing Fixtures, Final / gill?' IElectric Fixtures, Final ---
Building, Final A s.:/ r '
OCCUPANCY - }/4bs I
'
Form 210—aM-4-s9 / / UNIT D
OWNER RUBIN, HOWARD P. DATE 9/8/59
JOB ADDRESS 1255 W, Baker St. BUILDING PERMIT NO. 10320
GENERAL CONTRACTOR VALUE $
AP No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK
II ECTIONS q,.y�y DATE GROUP TYPE ZONE
Underground Soil/l.//,S U.G. Waterjflt5 ?—/6-,70
PERMITS ISSUED
Underground Gas SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas
Rough Heating /Ywc 'd-29-4-,
Rough Plumbing ,4 0-2-6 yMiscellaneous
Prop. Swr. Line House Con. St. Swr.
Sprinkling System 1
Heating, Final `L/tzit+SQ d�''
Plumbing Fixtures I,t/ D-30 I I 1
l�� -.me-. Jo-,2o-r- ,:r /,2= 2- 44 , 9.'1
Final Gas Test '17;4 L!//�Q-(,8�'Z � 9
Construction Pole
Underground Power
Rough Wiring -07-' ..n77-7-0i;-- 9-"--,..-7 /4?i/$7 4---
Trenches
Trenches Forms Steel
Floor System
Steel Reinforce Chimney Re-Rod
Bo{lld Beam _
c.:`.=.s'hing
-N rie and Flashing r /6 `e$-a7 \
Lathing, In Out 6-40-£ it---/.2_-.5?
Plaster, brown coat fi-/9c /1- a-7 -ci, _
Plumbing Fixtures, Final it/ -
, (7
ElectricFixtures, Final J
Building, Final / ////
OCCUPANCY 140/4
/ _// 4
Form 210-3M-4.59 LAUNDRY
10320
ri
COSTA MESA BUILDING-SAFETY DEPARTMENT /y C c�
P.O.BOX 317 COSTA MESA. CALIFORNIA dL
FINANCE EPT.
FOR'APPLICANT TO flu /N COMPLETELY APPLICATIONJIFORFpERM[MESA
TYPE OR PRINT I//1 ( / BUILDING
BUILDING ;\�J��5 f ynfn
AD
COSTA MESA, CALIFORNIAry, fOR Off/CE USE ONL;�Yp
a ( e--�cl\c,� u I RECEIPT NO. IActi-4r)
OWNER ��.'!� Y J Y
MAIL � £�` [ RECEIVED BY 9-I- —3 7 GATE 158=EO _
ADDRES (
Xi— TTGG YY /) lV �'/`/s
e Lam, BUILDING l �'7 `A
CITY�LT . l C NO.� VE'm[1ADDRESS / fes% a J id: .c T • .
ARCHITECT \ LIC. COSTA MESA. CALIFORNIA
OR ENGINEER NO. _ 4:„.ZONE TYPE'' GROUP �
FIRE
ADDRESS /)((��
1 IT: BYPROVED DATE �/ 7�
C.NO.
CONTRACTOR ei ADDRESS . 1 ONING
LEGAL NOT c I I���-{" ZONE 2- eLANS //!!''1111 USE DI NEW �.
DESCRIPTION NO.�'t't�--}` BLOCK TRA ` 1--VIP
/�J I BUILDING �/
A.P.NO: �,yII BYAPPROVEfJ/1// / y/ DATEDA7" Jf--'V6- �
SIZE qq r1 \ \ ( �y. NO.OF BLOCS. C) YARDS //�,II �/`I b` t'EVESrtit
OF LOTSI•rVS )Ckn �1 9(3S%`C1 NOW ON LOT A-, REQUIRED ALLOWED
USE OF1 (CENTER LINE ST.)
EXISTING BLDG.\ Clt FRONT 5-7)FT. IN. .
SETBACK LINE FROM J''� ` ( ` -C/�
CENTER OF STREET S REAR YAA/RD`�ly R.SIDE ��![/ FT. IN.
SIDE YARD I LEFT LikVa� I RIGHT 1 1 .-_/ L.SIDE /' / FT. IN. •
DESCRIPTION OF WORK .��/f/�
REAR ✓" FT. IN.
NEW I ALTERATION I II ADDITION I
REPAIR I II MOVING I ch_DEMOLISH I 71
[ A 1- u4 1i P\ pA, t
BUILDING NO.OF �J C�'yri
SIZE ROOMS STORIES � '.m 77 }~{I 1j I II D t.y fl
EXTERIOR WALL I ROOF L i II.� 3 u 9, ra tJn Z-41
RING COVERING /� i
USE1.�O.F flw LDI TO ��y)
\\\ \ I. DPPR I Ft S._
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP ION
AND STATE THAT THE ABOVE IS CORRECT ANO ACRE TO COM. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY ORDINANCES AND STATE S R GU ATIN PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCTIO . - VALUATION
SIGNATURE 0 .1 4.13 � k PERMIT FEE_ $ 1C1�i '
PERMITTEE .fl
, I -`i �I� ,l/ •'� +�
7 PLAN CHECK $ c✓.0, 'ro
$
AUTHORIZED AGENT TOTAL FEE $ 9 /tat