HomeMy WebLinkAbout611 BAY ST - Building PermitsAPPLI �ION FOR A BUILDING PERMIT
BUILDING PERMIT NO. Eieccriwi ao
Trac[ Block Lot Pormit No. �
a
Builtlln9 Plumbing , ��
Aatlress L Permit No. �p
Cross � � / � " � Mechanlcal 6
Area Str¢et Pormit No. a
m
Owner ��// �+E � � �j � �j,Q N Type o/ Project: ❑ New ❑ Alter 6d�lietlition #
Atltlress � / � � � ❑ Repalr ❑ Convert ❑ Demo ❑ Occupan<y Pmt.
CItY �ps 21p9 �z'7 Phon�/��6/JS A.P. 5 sp. Airea
Architect/
Deslgne! ^ Litense No. Zone SPI. Pmt. No.
• Setbacks P/L Front C/L SL Street Wltlth
Atltlress
Vartls Le t g ear
City ZIP Phone
ave ro . e ig . .
« Englneer License No.
� Park n9 Spacas eawre rov e overe
p, ACeress
m Clty Zip Phona Struct N. of No. of
Halght 5 O/i¢5 Family
� LICENSED CONTHACTOR'S DECLARATION Park Feez Vas Fee
� 1 heraby affirm that I em licansatl untler provisions of Chepter 9 RequireE No CT. Receipt
m —
t (commencinB with Section 7000 of Division 3 ot [ha Business entl Zoning Approvetl BY: Date
Grofessions Cotle, antl my licensa is in full force antl effecU.
7� Licenso Clas: Licensa Number
> Deta Coniractor Mlsc.
E ACdrass P/oposetl U5e
ot Strutlure
jy CityendZip PhOnO
N CONSTRUCTION LENDING AGENCY
d � hereby atfirm that there is o constr�ction lending agoncy for the
a Occ. Type Cotle
parfarmnnce of the work for which this permit is isaued (Sec. 3097, Class ConSt. Vear
` Civ. C.1.
y Lender's Nama /�/ �/� • USE/ CCUPANCV SI2E SQ. FT.
� Lentler's Atltlres�
J OWNER-BUILDER DECLARATION
�r hereby affirm tha[ I am azempt from the Contractor's Licenso Law 1�
� r the fo�lowing reawn:
� 'I, as o�vnor of tho praperty, or my amployeas with wa8es es thair 2. �
C sole cOmpensatiOn, will tlo Me wOrk, antl the struc[ure is not ,
r intentled or offeratl for wle, 3
� ❑ 1, os owner of the property, am exclusi y conttactinB w��h
licans c nnactors to consbuct the projact.
m ❑ I e pt under S,.. , 8&PC r this reawn 4�
— �QJa De Owner
E WORKERS' COMPENSATION DECLARAT N y Totai Valuatlon
� I nereby affirm thex 1 hove e cartificave ot conu xo self-insure, Encroacnmenl Pormll quireC ❑ Ves ❑ No
or a certificate of Wo�kar' Campensation Insuranca, or a certifietl
C copy thereof. y Gratling Pm[. Grdtling
}g Polity No. �CompBny Raquire0 ❑ Yes No Pmt. Na.
�a ❑ Certitietl copy is hereby fumishetl. Rough Gratling �
6 ❑ Certitied copy is filed with Orange Couniy, EMA. qpprovetl by: Date ' �
a Date Appliwn[ 3
CERTIFICATE OF EXEMPTION �
FROM WORKERS'COMPENSATIONINSURANCE Z
(This section neetl nat be completetl if permit is for $100 or lessl. �
I certity th in the pertormenca of the work for which this permit is Q
iasuatl, I all ot amploy any person in eny manner so as to batome �
cu0je c c e rkers' Compq� {i�io/n L'e�w^s ot California. ♦,. PERMIT F ES
� Det APPlicent�+i�/,�� t ///O/P��� I
NO CE TO APPLICANT: If, eftar making this, Certi�icate oi Struclural S Pla Chetk $
Examption, you shoultl becoma subject m the Workars' Compensetion
prpvisions of the Lebor Cotln, you most forthwith comply with such E�eL����� 5 e<ial
prOvisions or this parmit shall be tleematl revoketl. $ I v¢St. E
I CERTIFV THAT I HAVE READ THIS APPIICATION AND STATE
THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO P�umbin9 E
COMPLV WITH ALL COUNTV ORDINANCES AND STATE LAWS
fiELATING TO BUIL G CONSTRUCTION, AND HEFEBV AUTH- Mechanical E
ORI2E REPRESENT T VES OF THIS COUNTV TO ENTER U ON
THE OVE MENTI NED PROPERTV FOR INSPEC ION UR- q�e-Gratla
S . � InsPection s
SiB��ure ot Applicant or Aga � a e Pre-Gratle f Permit s
���' .
All spaces within this box murt be tompleted to process P�an Issuanca
Cneck BY: Approvetl:
CMF 0335-46 (BU-28) rev. 6/BO
"'" Muxc�uv. i
.JOB ADDRESS 611 I
GENERAL CONTRACTOf
APNo.115-314-03
.INSPECTIONS
SOIL
GAS
WnTER
ROUGH PLUMBING
PftOP. SWF. LINE �, HOUSE
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEqTING ANO AIR CON
TEMPORARY SERVICE OR POL
UNDERGROUNO n POWEF
BONO BEAM U STEEL REINFORCE U
SHEATHING
FfiAME ANO FLASHING
LATHING - IN OUT n
P�ASTER. BROWN COAT
STRUCTI)RAI, FINAL �
HEATING, VENT., REFRIG. ANO A.C., FINAL
PLUMBING, FINAL ANO GAS TEST [�
ELECTRIC, FINAL
BOILOING, FINAL
COGfIEI CC/11110FYCYTC _
v—in—ie
BUILDING PERMIT N0.
SUBCONTRACTOR
OWNER MORGAN� WALI,ACE E.
JOB ADDRESS 611 W. Bav St.
AP No.
� GAS
��; WATER
ROUGH PLUMBING
�v PROP. SWR. LINE
�
j SPRINKLING SVST
3p ROUGH HEATIN
\'1 TEMPORARV 51
� lINOERGROUND
ROUGH WIRING
HOUSE CON.
POWER
ING
BOND BEAM � STEEL REINFORCE
SHEATHING
FRAME AN� FLASHING
LATHING - IN n OUT
PLASTER,BROWN COAT
DESCRIPTII
FIRE ZONE
DATE 10-21-71
BUILDING PERMIT N0. �.
VALUE
SUBCONTRACTOR
OWNER $$K & H ITjC, � DATE 10-8-54
JOBADDRES$ 611 BB,y Stl'22f'. � BUILDINGPERMITNO. 6OI1
GENERALCONTRACTOR Dike & Cole�rove VAWE$ 8��0�.0�
LOT 22 BLOCK TRACT 2315 S].t1p',18 Family_- Residence
�GROUP
ZONE
PERMITS ISSUED
INSPECTIONS � DATE — SUBCONTRACTOR DATE I NUMBER
Rough Framing �.
Plumbing, Rough to Slab(
Plumbing, Rough Comple�
Temporary Pole
Wiring, Rough
Heating, Rough
Heating, Final
Sewer ��C2f/.
Septic Tank or Cesspool
Lathing �w.t.-L
Plastering
Plum6ing, Final, Fixtures
Plumbing, Final GasTes4
Wiring, Final
Occupancy
Form 2l0 C-FI 1M 1'G68
C`nsta DTesa Building Department APPLICATION FOR P/�ERMIT
./ ' A COSTA MESA? CAL FORNIA 60'7___w.. �. U I L_D J�,N V._"_' 9:
J; FOR APPLICANT TO FiLL IN i �OR OFFICE USE ONLY ;
' Receipt No. Permit No. �
Building ' ' �' 1-
Addresa 611 B3�L StTB@t ( { •,'�-��� ���� I
Costa biesa, Ci&�017lla � R'eceived 6y Date Rec'd. Date Issued �
Nearect f : '� � �—�_��
c�oggst. Hamilton Street ,� Building ; ' �
Address , �p �i �,
Owner BBK & H Inc. j CostaMesa, alifornia ' '
Mail
Address dl9 �_ 17th St. ' Nearest ' i
' Tel. 8i .�}r Cross St. j i �.
c�cy Costa Mesa rvo. 8-1159 Zone No.of Type I Group^/��
Architector Lic. ! I I P�ans I � I ' Y�
en i�ee�Carlson-MiddlbrkNo. CY673 Approved � i
by ' Date ; '
� nddressq5q3G c; Rlvd. ,GardenGroVe ' ' CORRECTIONS �
City Lic.
Contractor Dike&Cole�rove rvo. ! t j
I nddress 419 E.17Lh St. ,COSt3IVIeS& 1 � � �
Legai Lot i �,�_ I � �
oescription I No. 22 I eio�kNonel 7ract$315 � —
� ; � � �
(Attach Metes and Bounds) — — — � � ; �
No. of Bldgs. - �
siie at �ot 62x98.44 I rvow o� �oc None ' -- -- ---- --- o
Use af I No.of I No. of { � 9. A
Existing Bldg. � —— Families Rooms � �
I SetDack Line from Rear Vard � f -- �------- ---'--'--"—� -"--`-.-_
Center of Street 50 �.I- Side Vard 5 1 J� y
DESCRIPTIONOFWORdi ---EI-T-� �.. � jqz��p--�
New I X I q�teretion I I Addition I � � �� �� +
ea,�n.r
Repair I I Moving I I Demolish I „ V J y l
'� Buiiding No. of
Siie Hp�7gE APBB Rooms rj Stories 1 -
Extorfor Wall Roof
Covering St,UCCO I Covering OOm�O APPROVALS
Use of New Foundation Location Inspeetor Date
Building ,S1ll�le Femilv ReS. Forms,Materials, .
Under-Pinning
� Frame: Fire Stops,
_ Bracing, Bolts '
Lath.lnt.
I hereby acknowledge that I have read this Application
and state that the above is correr,t and agree to comply Lath. Ext.
with all City Ordinances and Statc Iaws regullting
btiilding construction.
Signature of Plaster, Int.
Permittee
Plaster, Ext.
Authorized Agt.
asonry Reiniorced
Valu�tion Permit Fee $
� Plan Check $ Bond Beam
$ �a� � Tota1 ���}o—,r��--- �q
Fee $��• O O FINAL Q�j �D � %'d j�i'��x`
v,...,, LOd C-H 1M 12-62
�,,,... =T; ,--,.
"� ; r..�: _ �, i
' t . . �.
�;
. 8treet� : T..
�ti�,:PLOT.PI:AN�� ' ,' � `.�
Show Iocation and distaneea irom
property lina and between buildinga.
.,
� .
. � .
J�'. _, .. . .
.o. : � ..�
^
t _:.( .,, . , ,_. . _
�. c.l: -- �s� s.. .. . .
: � - -
:.\'_.L.; .. .- — -- — -- . .— -..,
.7. . __. . � � . .., . . . 4.v�.
� . � �� .
�.. ;._ :: . ,
. , . J . _- . .•
—'.. ��
j ' . _ _ . .. t .
) , `J .. .
�
. .�' • .. ' � � .
:., �:t .. . n . �.�.. �. .
Z .
W� (Wj
Z Q
� y
am
J �
J �
Q W
0] J
� m
Q
U N
Za
W �
aW
wz
J Q
m Z
J �
W w
� _
Z �
W �
� 0
r ,� 33�54
COSTA MESA BUILDING-SAFETY DEPAR'
P.O.BOX1200 COSTAMESA,CALIFORNIA!
For Applicant to Fill in Completely
ADORESS / ([1 �/ (�fV� [��`
OWNER l��TL �-/fCC"C� L� e /-/L
AD�RESS � �� KJ . /� A /
/''� s TEL.
CITV l�. �}S j�^ G�`t'/C-.S �! NO. �
CONSTRUGTION ,
LENDER
BRANCN
ADDRESS
� ARCHITECT TEI.
CONTRACTOR�-TL
ADORESS .� y.3 i
CITV ` ' �L
LIC N0. .Z / / Y
SIZE q
OF LOT /_ 1 Y
�,+-s ,CS u; � D �: .� -S �
/(iG'ZcI /9u ic'i' � c. a'fi
NO� % S��J' J
y y r CITV ' '
LIC. NO. �/ � (=
C� �j �� i NO.OF BLDGS. J
NOW ON LOT
� ` .
pn�o , �, rr,
OCT21-71rrs .�010F�,S,i�� ��i��r.�3v..��
APPLICATION FOR BUILDING PERMIT
RECEIV�BY DATERECEIVED nn'rciscui
BUILDING
AD�RESS
FIFE
20NE
APPROVED
YARDS API
MAIN BUI
EXISTING BLDG. /� C -�
I� SIZE OF NO. OF
Z NEW BLOG. �� Y� � ROOMS I STORIES � L. SIDE
a EXTERIOR WAL ROOF �J
�% COVERING ���<<� COVERING 1 Ou�-' REAR
J USE OF BUILDING .4ND WORK TO BE PERFORMED OISTANCE BET
a
a MaiN e�ocs.
Q n , VAR.#
O [ C.V.P.�
~ APP ED
y '
Z
�
U1 hereby acknowletlpa thai 1 have reatl ihis application entl state
� that the above informetion is correct antl aBree to comply with
� all laws repuleiing building construction, a�tl I shall not employ
F any person in violation of the workmen's compensation lews of
y the Stata of Celifornia. �
? I hereby certify that I am properly licensetl as e contractor unaer S
the State of California Business and Proteasions Cotle, Division 3, THE AMOI
ChaPter 9, antl tha< such licanses ere In full torca and offect, or I THE PURPC
am exempt from the provisions of the State of California Bustness VALVATION
antl Protessions Cotle, Oivision 3, Cheptar 9.
i ,` _
SlBnature of ��� ��+ .J/ IJ A A , $ /) ^ , I ,
Permittae 1C� �Lt.,t}L�CN`��t+ ' / • / / //�
I n//jrj
Authorizetl A9ent � e ,�(%d �.,,,`� ✓\ �l, f/
/ VALUE j� 6L '
$
TVPE � GROUP
(� � DATE/Q'� I�/ I
IF USE OF NEVJ!)
IS -BUILDING 0�
�ED VARDS ROVED '
IG ACCESSORV BUILOING
f)
T.
7 FT. �
r �
FT.
FT.
BET. MAIN &
ACCESS. BLOGS.
DATE
APPqOVED '
' ---- iy,� ri I-%�
. m
�
FT, o
TSHOWN UNOER VAIUATION IS FOR � �
OF ESTABLISHING A PERMIT FEE ONLV: m
¢
q/� m
� PERMIT FEE $ f 4"(/ � ,
/ / m
PLAN CHECK $ {' Q E
�7 . / .--/ LL
,_ 42635
COSTA MESA BUILDING-SAFETY DEPARTMENT
f� P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPUCA
For Applicant to Fill in Completely — Use Ink Only qECEI e
OWNER
MA�L
qpDRE'.
GTV r
qpDRE55
AqCHITECT
CONTRACTOR
CITY
� ST�+TE
LIC. NO.
� SIZE
L OF LOT
a USE OF
.�. EXISTING
h
T
F
C
�.W., u5E OF I
Q
0
.d
Q
7 �
Y
.d
�
�
a
�
TEL.
TEL.
TEL.
NO
CIT�
LIQ N
NO. OF BLOGS.
NOW ON LOT
Separate permits are required for
electric, plumbing and heating work.
UILDING AND WORK TO BE PERFORMED
6UILDING
ADDRESS
�
�
PAlu . '.ri::: u
e�p 1n-7r�M�,.00 472�� 48.50
FORSTRUCTURALPERMIT
NE NO.O�
� PLqN$
YARDS APPROVED
MAIN BUILDING
DISTANCE BET
MAIN BIDGS.
VAR. �W
0 I heraby acknawietlge that 1 hava reatl this epplication and stete
Q: that tha abora Information Is corract a�tl e0ree to comply with
� all lews repuleting buildinp conrtruction, antl I shall not employ
Z any veraon In vlolatlon of the workmen'z compensation laws of
� Me Stace oi Celifornio.
S
3 1 hereby certlty ihet I am properly Ilcanaetl a; a conttactor untler SQ. FT.
tha Stata of Callfornfa Business entl Prafassions Cotle, Division 3, THE AMOUNT S
ChAPter 9, and thet such Iicanees are in full force anC etfact, or I THE PURPO6E OF
am exampt from the provislons of ihaState of Celifornia Business VALUA710N
and 7rofeesiona Cotle, Dlvislon 3, Chaptef 9.
/ �
$�pneiure ^ '_ o �
Permltt�r A 1��� � $ ��OQ
Au2hoAxatl Agant
VALUE
DATE
USE OF
BUILDI�
VAR
BET. MAIN
ACCESS, Bl
DATE
R
4\"�G
PERMIT FEE y
PLAN CHECK E
TAX E
TOTALPAID �
N
n
m
i
V
m
IS FOF m
ONLV: �
.� �� a
N
n
Do ^
, �
.5a �
Fc
C.
�
LL
a
y
y
i
F
, 9427 3/24%81 90.78 TL�
�OSTAMESABUILDING-SAFETYDEPARTMENT APPLICATIONFORSTRUCTURALPERMIT
.................. ..__.._...__...—.._.._......,_____ RECEIVE V PERMIT IVO 514J7
For Applicant to Fill in Comple[ely — Use Ink Only
BUIIDING //� I„ I � (�� A.P. NO —
ADDRESS K7 lN V
OWNER OR I/ E �/ 7 ADDRE55 G�/ �� �a. S �
TENANT r• iv
UNIT OR
MAILING � �,M SPACENO.
ADDRE55 � a�n
y�� / LO BLK.
CITV / ��Q NOL ��b b�S
NEW ADD ALTER REPAIR MOVING �EMOlISH
CON5TflUCTION � /
LENDER Nb1✓
BRANCH —
OWNER �� �. O �N�
ADDRESS VALVE
ORENGINEER p/J/e. TEL, USEYQ�.. Ci.�• S��IZ�
�'
ADDRESS ZONE TVPE�N GROUP R" 3
APPROVE
CONTRACTOR d BV DATE �— Z
ADDRE55
TEL.
CITV NO.
STATE CITV /rPPROVEDSETBACKS
LIC. NO. �IC. NO.
SIZE NO.OFBLDGS. �J (FROMC/LST T)
OF LOT / �% 2 NOW ON LOT l.�� pNT
USE OF �' ��
EXISfING BLDG. 7
Separate permits are required for L. SIDE
electric, plumbing and heating work: REAR FT. �
USE OF BUILDING ANP bVOflK TO BE PERFORMED P{_qNN NG ACTION
� DATE
APPROVED
APPR D
I heraby acknowletlpe tnat I have reatl this epplication and rtate
that the ebove information is cortect and ag�ae to comply with
ell laws regulaiing buildinp construction, antl I shall not employ
eny person in violation of the workman's compenseilon laws of
the Stete ot Calitornle. 2 //
I hereby certity that I aT Proparly licensed as e canttacto� untler � ^ SQ. FT 2 Z
the Staie ot Calitornia Business antl P�ofeuions Cotle, Oivision 3, THE AMOUNT HOWN UNDER VALUATION IS FOR
Chaptar 9, and that sucH Iicensas are In full force antl effect, or I THE PURPC6E OF ESTABLISHING A PERMIT FEE ONLV:
am exampt from the pro��sions of the eta of Californie Business VALUATION �a ,
and ProfessionsCod Di�ision 3, Chap r 9. PERMIT FEE $
PLAN CHECK b � D '
Signature o �%��/� n
Permittae � �"� S�� /`Z,... TAX S Q� �
or
Authorizatl Agant Date �� � TOTAL PAI D $ 0 $
__,\
� �