HomeMy WebLinkAbout136 BAY ST - Building Permits EAST BAY STREET, 136
12948 - 3-17-61 4 p lex/det gar $27,847
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MF CITY OF COSTA MESA
4 BUILDING DIVISION
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DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and this ea is issuete of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the parfortnanca of the
work for which this permit is issuetl.
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have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
11�+'r My workers' • ,ensation I ranee :flier and policy number are: ///'Oc f ^I 1
Gassier ;xi- ; - —--i- gPoliCy.Numbetr [2j 4t? /I -2�
'action need not be completed it the permit Is valued at one hundred dollars($100)or less.) •�
❑ I 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,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,1 shall forthwith
comply with these provisions. /�
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ETO SECURE WORK 'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($108000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
i
ffam that-l-am.licensed under provisions of Chapter 9(commencing with Section 7000)of Division of-the-Bueln and Professions Cale,and my license Is in full
f ectrwcft--�' t�ci'ds`ra l=39 I
Conicap sSlgrrete allIn /?-l/ 1
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.(Sec.3097,CMI Code). 1
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
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 or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant fore permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ 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(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.It,however,the building'or Improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). •
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with acontractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made In connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.312,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
1
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Firel 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 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely 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 temperature and pressure). j
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification sand filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 8 No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). I
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes ❑No
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of 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.
etur e a wner(s) / / to 1
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An r7Autbovzed Applicant
CODE f INSPECTION TYPE PATE MALE CODEE INSPECTION TYPE RALE MALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof -71 V tc'Y! 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval 1
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
.1111111
. Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. _ \
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•CITV.OF COSTA MESA` 'CON TRUCTION PERMIT P T TRACT NO. LOT NO.• UNIT NO. 20I 2%09/87 5x00 TL
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Project-Address 134! - r, , et_ .. �
Applicant's Marlin Addre Y nn � TYPE OF.CONSTRUCTION Li NEW ❑ ADD LJ ALTERATION REPAIR
• Owner's Name , �41n�� Phone '❑ CONVERSION 10 DEMOLISH ❑ OTHER A P,# - I Zone _ _
DESCj1IPTION OF WORK/USE OF BLDG. -
Address rn� 1 S Main Building: Accessory Building:'
Z
' Arch/Eng. License No. TYPE OFPERMITU GRADING FOUNDATION U STRUCTURAL E Front i 0
Address ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL A Rear D FEB NJ9�0� RECENE 61T'
Contractor's Nam- IAA I • In 11 •hone ) ❑ OTHER C Right l . . N
r , PROJECT.DESCRIPTION' SQ. FT. ' OCCUPANCY K G
Address(mailing)
nsN CONSTRUCTION TYPE VALUATION$ $ Left
City License Na. 3� 3 ZONE GRADING CU.YDS. - ' ACRES' _ Ping. Ref.# Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION �a - •
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: M
with section 7000) of Division 3 of the Business:and Professions Code, and ,
my license is in I ce and effect. i r Li '. i - - - T
Licen • Cess- �t . - "cele o �• - REGEIVtU JAN , 5 fral ' + $
Date i".^-'=�=--ani g9 1t re g/��� I �4•� . . PLUMBING FEES '
WORKE-S'Ce MPENSATION DECLARATION Bar Sink l ; Showers ELECTRICAL FEES
hereby affirm that 1 have a certificate of consent to self-insure or a certificate -
of Workers' Comp t u ye, or a certified copy thereof (Se do
3800; Lab: �i�,/ •Backflow Preventer, Service Sink - -' Automatic Washer —. Trahsformei 0 15-50 KW
Policy No. company �'5 ( Backflow Irrigation Sewer-Ca ❑ 50+:KW
- - PConstruction Po le Sub. _ - -
0,/Cert ifietl copy is hereby turn lsnetl. / n' '
Cer I ie o 'led with the city it is n a /L Bathtubs Sewer Connection Cooking Unit • Meter ❑up to 100 amps
Date /I n Applicant (,/V • _ -
J EXEM I N F aRKE RS'COMPENSATION LA RATION Clarif i¢is Solar Collectors Dishwasher Meter Dover 100 amps
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(This section need not be completed if the permit is for one hundred ($100) or . . - -
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less). Dish-Washer ' Solar Piping Dryers ❑Gas ❑Electric I Sub Panel
/ 1 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 Drinking Fountains' Solar Tank Fan Motors 00.1-HP ❑1'/.-81
Workers' Compensation Laws of California. - - s
Date Signature Floor Drains Swimming Pool u4/Spa F.A.U. _ -
O NOTICE:If,after making this declaration, you should become subject to the- Inc.Solar ❑9.15 HP❑16-15+
' Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal -
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comply with such provisions or this permit shall be deemed revoked. Fix LUf¢5 Microwave i
CONSTRUCTION LENDING AGENCY • •' Gas Service Outlets Water Closet Device Boxes Pole Light 1 hereby affirm that there IS d construction lending agency for the performance - 9
of the work for which this permit is Issued (Section 3097 Civ. C.) - y ,
Lender's Name
/,�, Interceptors ,Water Heater Outlets Range l l
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• Lender's Address Kitchen Sink - -Water Service - - Switches Sign - - -
OWNER BUILDER DECLARATION ,O' • '
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
, following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections •
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays - •
Generator ❑O.5 KW❑5.15 KW Trash Compactor
any structure, prior to its Issuance, also requires the applicant for such permit
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' to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - • -
'he Contractor's License Law(Chapter 9(commencing with Section 7000)of '
]Ivision-3 of the Business and Professions Code) or that he/she is-exempt - - - •
- - '- - - ' 'I- ' - -
herefrom and the basis for the alleged exemption. Any violation of Section •
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' ,7031.5 by any applicant for a permit subjects the applicant to a civil • - - _
penalty of not more than five hundred dollars,($500). ' j
• $ 3
I compensation, will do the work, and the structure is not Intended or offered - Reinspection Fee I $15 Issue Fee . - • -' $ 3
for sale (Section 7044,,Business and Professional Code: The Contractor's MECHANICAL ' FEES - -
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 _ DEVELOPMENT SERVICES REQUIREMENTS: ' '-
employees, provided that such improvements are not intended or offered>for Boiler Hood or Type I ❑ ',
sale. If, however, the building or improvement is sold within one year of com- - Canopy Type II 0 Zoning Approved By Date
-pletlon, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground •Building Approved By Date ���1ay
LIrove for the purpose of sale). - - - __
I,as owner of-the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By_ S�(Y_f Dal: �:�7�'II
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 Duct-Ventilating ❑0.100,000 BTU 0100,000 BTU SUMMARY OF FEES • - -
builds or Improves thereon, and who contracts for such projects with a con-
tra<tor(s) license pursuant to the Contractor's License Law). I am aware that ,...,
System ❑ rat
Multiple 0 System Repair/Alteion BUILDING PERMIT $ $MIP - $
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIL ICBO# Fire Dampers - •
PLUMBING- •$ t S `a- ERMITISSUANCE-' $
Date Owner Heating System& Ducting- Registers ' PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00-100,000 _100,000 BTU 0100,000BTL ELECTRICAL $ - GRADING $
Information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction,and hereby authorize repro- • MICROFILM $
sentatives of this city to en er upon the above-mentioned property for PLAN CHECK 50% $
Inspection p •os,_ 1 o0
�� .7A I / •• ` 'MECHANICAL $ TOTAL FEE _ $
Signature / i /� - ,�' Date ✓L:L9-Drivers' Li ense or SS yF !
ar
,, CMF 0865-46,rev. 10/84 White Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL& SPA -
APPROVALS Permit# Date Inspector 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 r arc-:
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding c•. -
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVE R-GUNITE L=i
7. Footings 58. Electrical Conduit-Undrgrnd. 0
8. Foundation 59. Gas Pipe, 0 Undrgrndl.,Test c�
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap',..0 Undrgrnd. "l., •
10. Structural Floor System 61. APPROVAL TO DECKLI t;
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap i 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
20. Rough Factory Fireplace APPROVALS Permit# _
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil • .
.
23; Gas Pipe-Rough &Test 72, Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
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 I 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: y/, 0? ®'cur e/fat`Trid
t/r .
34. Final Heating & Air Conditioning y- 171`.
35. Final Gas Pipe-Test
36. Hood or Canopy .`
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37. Final Factory Fireplace -
38. Final Plumbing rJ/e �i•7/47£ •t.
39. Water Service-Final ! -�' � t.
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
r
"43. Backflow Irrigation s .. - - •-
44. Landscape Irrigation System _ .. - _ _ _ _
45. Sound Attenuation - _
46. Handicap Regulations . •
47. FINAL STRUCTURE & BUILDING -
48. Special Requirements Completed - - `
49. Electric Release to Edison • " -
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY
No. ; Date - i
s. . i
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• 2945 2
COSTA MESA BUILDING-SAFETY DEPARTMENT F�E�T5EC'/EIV- EDCC
P. O. BOX 317 COSTA MESA. CALIFORNIA �/�'4- a
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For Applicant to Fill In Completely ///�J�� 1 1r nQNA(��l! �'(j(�E�PpT, pERMI/T o s�, 46
TYPE OR PRINT I �+, """'A4 I�I�SH `�``�•+�'� <C
- •BUILDING . u
BUILDING
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ADDRESS
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COSTA MESA. CALIFORNIA-� • For Office' USe�_.Only N
ce
flo?iFC.r' Ca-'IL/.('71 i,c•.t . ' I- RECEIPT NO. .- I PERMpIT NO O
OWNER Q ._.h-_ /J � ,Jr 'J�].�� I �/ 5� D.
ADDRESS 2-2 0 •x/t--vg c ?t o 4- vD- RE` 'zy DATE R5CEI D t D YE ISSUED Q
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CITY iZ� NO.�n/ eia. - BUILDING // �{. - %��✓� ✓ 1Z
ADDRESS
ARCHITECT
V`
ARCHITECT TEL
OR ENGINEER NO. COSTA MES . CALIFORNIA
ADDRESS .� FIRE �O�
3-.40/-12./1-71*-
.�• 4.(11/;::
,// /� ZONEIR • TYPE' )Q GROUP /)J irl�lfC
CONTRACTOR L�J�pO�/"CG/}1�JQ l Gllj jr/JI-(J-IHC APPROVED DATE/I`�� i
ADDREss J2 2.8o /y��•/Q'd ,-/ gh,„" 111 NII'NG Newt{
CITY `OS 10 //( Gri/9 zl. `.1.........-I NO.OP �� USE or Newt{ I
L� �/`�/ L. /�J,/ •/�J� PUNS SUI LD IND -1
LIC.NO. / ! ��! 7 NO. /f%/ CO J�/�S LEGAL �o i3/ 11
DESCRIPTION
OF •�Q 75 ry foa.O! I NNO.OP OW ON LOTS O \ -y5
OFLOT JO ( q VJ A. I/7- Oa0 - (19) l
USE OF YARDS EVES y' , I
EXISTING BLDG / APPROVED ALLOWED _ 1
SETBACK UNE FROM /f` ` / y�/J /C CENTER LINE ST.) . a �I - "rite I✓/�
CENTER OF STREET ']^tJ REAR YARDh4 FRONT 7 0 FT. IN. `�
•
SIDE YARD I LEFT /' 3 I RIGHT -� R.SIDE J FT. • IN. �i �'
DESCRIPTION OF WORK 0t • �
'I L.SIDE /Tsf T. . ) IN. P
NEW IA V ALTERATION I II ADDITION I 9' /Z. S .20 Q/ IN 1
REAR FT.
APPROVED J I i --I
REPAIR I II MOVING I DEMOLISH I B,. [ .,e - •,i
sBue L /V A ROOMS STORIES **I" 1, x t ,;, - `
EXTERIOR WA L ROOF 1- la m. A
COVERING � tol COVERING �Ote Ov r Ink
USE OF BUILDING AND WORK TO BE PERFORMED7;1)
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it l:, /ikll �,. , . , s
4 - cINi r //�j�/ t ��y
_ .0/. /�, hen! rArd ,.�Pt.
-_ flig LL.dl•�
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I HERESY ACKNO 68 THAT I HAVE R' THIS APPLICATION if f. ., F�-OWN UNOBR VAL'LATIpN_IB-PGR-TN-
AND STATE THAT E ABOVE 18 CORRECT A .• AGREE TO.COM- I �p .f.Me'0p ESTABLISMING-rPERMIT FEE ONLY.
PLY WITH AU. CL ORDINANCES AND • I• • LAWS REGULATI
BUILDING CONSTRU ON. 14 J VALUATION y/,
SIGNATURE OF /\.-\\„,.._
PERMIT FEE S �I '� N
PERMITTEE _ .w�-.^ / "\?'� �i � /� �5 �1 D
lDi}r}L $ PLAN CHECK $ l
AUTHORIZED AGENT TOTAL FEE 5 ,�/J ( 1
I146. /; /
SPECIAL REQUIREMENTS:
1. All requirements of Dept. of Building Safety
2. That sidewalks be installed along Bay and Fullerton and
- - - - - .necessary street improvemetts installed under the direction
of the City Engimer
3. Record of Survey be submitted by applicants ( already done
and approved 3-21-60)
' . / 1 1. c�/12 C�ri� C[�yt JCS
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OWNEftSHORELINE CONSTR COMPANY, INC. DATE 11-1-60
.JOB ADDRESS 136 Bay Street - Unit c BUILDING PERMIT NO. 12948
GENERAL CONTRACTOR VALUE $
AP.No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK
INSPECTIONS //Z-6,0 DATE I GROUP TYPE ZONE
Underground Soil /14-,45- U.G. Watere -. . PERMITS ISSUED
Underground Gas /'�!� i w SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas 12 2;F7$.�
Rough Heating
/0,5 / 2
Rough Plumbing .44'c ,1-ges o 24,E44 AO ce 4j,fl' )(-1-(oa a& ger>� 1
Miscellaneous \ AoQr /
Prop. Swr. Line House Con. St. Swr. \ b-)
p}' ,/t ,
Sprinkling System \f
Heating, Final /,v /0-(c/ \\ '3•(`
Plumbing Fixtures �/,/ Gf/ �O- / \
Final Gas Test /!�-�{/T/— b!/J-/G->A/ \
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Construction Pole
Underground Power r /
Rough Wiring _ IJT•b /b/S'Co 11) 4fprt- 4i�_ ir ' SUV 'L IbU' !rThc__S
Trenches I/Forms Steel f; fl '-- lam- 9— 6 0
Floor System
Steel Reinforce Chimney Re-Rod
BondBeam
Sheathing � /7J C---/.. .---
�,7
/jo
Shea _
Frame and Flashing , e_ / 2 -- s-
Lathing, In ),A Ali
e_ — • — _
Plaster, brown coat �Pa/ Q_ —
Plumbing Fixtures, Final I ' O-
Electric Fixtures, Final
Building, Final 41 , / -C/
OCCUPANCY TIT 3-l1-al
Form 410-5M-11-59 5-B P Unit C HOLD FOR SPECIAL REQUIREMENTS 12948
OWNER SHORELINE CONSPR.t CO., INC. DATE 11-1-60
-JOB ADDRESS 136 Bay Street - unit D BUILDING PERMIT NO. 12948
GENERAL CONTRACTOR VALUE $
AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK
INSPECTIONS p_.yip DATE I GROUP TYPE ZONE
Underground Soil /y}Jr U.G. Water an kr P. -,,_./n PERMITS ISSUED
Underground Gas if'i-" '" ' ✓' SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas ,,
Rough Heating /
Rough Plumbing (4,'S 1'2 Yt j_tt-.c,d 9'64_4.,ii4b //--/-Gs o - /n /,_ ✓ I
Miscellaneous
Prop. Swr. Line House Con. St. Swr. ,//1
Sprinkling System r ,
Heating, Final /// e/ W i r
Plumbing Fixtures SZ I 0 41 ' '
Finalt Gas Test
„6,41
/
Construction Pole
Underground Power .
,G�
Rough Wiring /� 2./76.0 (-4,4•11).),A-- F�-6Ow_/ . VOV 'L tau I o I'�r_.t j /
Trenches Forms Steel .. // 9 -c ea
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing 13, C /p 1.-6 0
Frame and Flashing /2r/h O_-. /2 - >-9 -Cb
Lathing, In Out a_ Ills / — 9 _ 41
Plaster, brown coat /i
Plumbing Fixtures, Final re. ,
Electric Fixtures, Chimne - 0 _ _
Building, Final sap - / -1%
OCCUPANCY 7,z) )-/x-17
Form 210-5M-11-59 54 PUnit D HOLD FOR SPECIAL RtQUIt<EM (3tNTS �
OWNER SHORIZI E CONSTRUCTION CO., INC. : DATE 11-1-60
.JOB ADDRESS 136_Rcy Atreet - Notice Meter BUILDING PERMIT NO. 129148
GENERAL CONTRACTOR VALUE $
AP. No. LOT TRACT _ FIRE ZONE DESCRIPTION OF WORK
INSPECTIONS DATE I GROUP TYPE ZONE
Underground Soil U.G. Water PERMITS ISSUED
Underground Gas SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas A 1
Rough Heating /� �,
Rough Plumbing .o-[7-J..a,J'fd-- /'--/-490 .2X09,311 ,
Miscellaneous E L1.✓'ApJ 4
Prop. Swr. Line House Con. St. Swr. ` ,
Sprinkling System ,1' )6
Heating, Final 4.4"./ 5,0D /
Fixtures
Final Gas Test /is' N/ .AO /
Construction Pole
Underground Power qq ,,,,
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Sheathing •
Frame and Flashing
Lathing, In Out
Plaster, brown coat
Plumbing FFixtures,
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Electric Fixtures, Final - 7d'- /
Building, Final C.3- /7-L i
OCCUPANCY 77t-- 3- /7-1)
Form 210-5M-11-59 5-8 P House Meter MOLD FOR SPECIAL RFnrnaF..F.,T 29
owNEit SHORELINE CONSTRUCTION CO. , INC. DATE - 11-1-60
-JOB ADDRESS 136 Bay Street - Unit A BUILDING PERMIT NO. 129118
GENERAL CONTRACTOR Shoreline Construction Co. , Inc. VALUE $ 27,8)47.00
AP. No118-020-28 LOT 231 TRACTNDt.Hts FIRE ZONE DESCRIPTION OF WORK 4 unit apt/det ga
INSPECTIONS J/_2.-Ix DATE GROUP H&J TYPE V ZONE R2
Underground Soil Ai'S U.G. Water An n- &_.i r SUBCONTRACTOR PERMITS ISSUED
Underground Gas "> DATE NUMBER
Overhead Water and Gas ��
Rough Heating J4 G' A,,..._4 o-0._,L,-,E,,r- /i-/- rao a 6,9o9 2
Rough Plumbing AYIfS o1 2r- o i r •,
Miscellaneous rFq
Prop. Swr. gine--Hoo sax--St. Swr. /(/4/k cs - I t i / I I( cab n J-7 d ,✓ NV-Ail
Sprinkling System
Heating, Final (A/ I/04-/ " I�
'� /.52,e ,J.
Plumb' Fixtures ay 6 -l/Final Gas Test G// /0.1-/
Construction Pole
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Floor System
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Bond Beam
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Sheathing 3 a"J/et /1 e 7----1-0 �� , `„� 11
Frame and Flashin ¢_ - 1 ' n 17. I1 YAN
Lathing, In Out — �i r /)(,l/�"�/
Plaster, brown coat / —/S
Plumbing Fixtures, Final 7 z' -,(7-L - A_
Electric Fixtures, Final I4!' or
Building, Final • - J- /7.4/
OCCUPANCY X 3-/>-4/1
Form 410-5M—I1-59 S-B P Unit A HOLD FOR SPECIAL REQUIREMENTS 129)48
OWNER Shoreline Constr., Inc. DATE - 11-1-60
JOB ADDRESS 136 Bay Street - Unit B BUILDING PERMIT NO.-- 12948
GENERAL CONTRACTOR Shoreline Constr. , Inc. VALUE 527,847.00
AP.No.118-020-28 LOT 231 TRACT Nvt 'its FIRE ZONE DESCRIPTION OF WORK 4 1mit apt/clef g
INSPECTIONS //-A-0.0 DATE GROUP TYPE ZONE
Underground Soil A'Wr U.G. Water/� - PERMITS ISSUED
Underground Gas /'�!-+ SUBCONTRACTOR
DATE NUMBER
Overhead Water and Gas 41/5 a29'
Rough Heating �y ��
Rough Plumbing /14#S /J--21rtea n �,Q 9 02_,1,.JtzZ� //-/-6,0 X669/ id
Miscellaneous
Prop. Swr. Line House Con. Sk Swr, ii', b
Sprinkling System J"
Heating, Final !I/ j�oil r ,i t
PlumbingFixtures J// ee.,,(('' /\ '5
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Final Gas Test /6-At J.d $-co sce /
Construction Pole
Underground Power -
Rough Wiring tiCS /i ./3Q• /144.02-4- elate, lov 4 IJV" 1 . r r ,/'
Trenches Forms Steel /"MQ- U., 9— { A -' f
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing j6 //lam / 2 r%-6 0
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Frame and Flashing rr . �/t /3 r -9 —5,0
Lathing, In Out S. i t_ /- 9- G
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Plaster, brown coat .e ay °- 3
Plumbing Fixtures, Final 4r7 .firer
Electric Fixtures, Final 9/T' - 0
Building, Final ° 4 - J•G/
OCCUPANCY I r 3- /7''I
Form 210-5M-11-59 5-B P12948
Unit B Full.n Fr1R 'QDFr're 1 onnr ITDCIlrtr e