HomeMy WebLinkAbout811 19TH ST - Building Permits(714) 754•52)3 • Fex (�ta) �54-4856 • www.ci.coste-mesa.ce.us 77 FAIR DFiIVE, GOSTA MtSA, GA y2626
ELECTRICAL PERMIT
Job Address:
SUite No
Vicinity:
Parcel Nunmber.
811 W 19TH ST
42419107
App�icant: PAUL HARTINGER
Address: 7541 SANTA RITA CIRCLE
Status: ISSUED
Applied: O6/28/2005
Issued: 06/28/2005
_ ��
ISSUED BY:
SUITE D � � - Fhone: (714)894-2011
STANTON, CA Zip 90680 -
/' � ' _ . . - _ _ _
Owner ' BOECKMAN; CAROL'YN�SUE TR
Address PAUL TRAUTWEIN TRU$T �
, REDDING, CA - Phone:
536�AURORA PL
�
Zip: 96001-0100
n
Convactor: CONTINENTAL SIGNS WC '
.Address: 7541 SANTA•RITA CIRCLE - > ,
- SUITE D . � - . ��' , � ' Phone: (714) 894-2011�
STANTON, CA 2ip: 90680
� � � License:664525
� ' ' � / SCOPEOP-PERMIT. ,-
37 SQ.FT. ILLUMINATED, CHANNEL-LETTERS FOR "INSURANCE/TRAVEUCHECKS CASHED".
REF.: SBOS-00074 -,
ELECTRICAL TO INCLUDE: 1� SIGN CIRCUIT
� � FEE SUMMARY � , -
ISSUE FEE
Temp service test
Res: a/c package
New Res (1-2 units)
New Res (3+unils)
Pool / Spa
Lighling Fixts
Recept Oupels . �
Quanhty - Quanhty
$23.50 Temp_Dist System'/ Lighting $0.00 0
$0.00 � Busway /too ft - - $o.00 0
$0.00 � -: Slanding Section $0.00 � 0
, .$0.00 0 ;:' i' � '� , Misc Electrical Equipment $0.00 : �0
�' �$0.00 0 -'-","� � Transformers up�to t kva/kw $0.00',; �� 0
�$0.00 , 0 �., .�.. .....:..........up to 10�kva/kw . .. $O.OQ' 0 �
$0.00 , �' 0 � ' .................up to 50 kva/kw . , $0.00 0
� - $0.00 `� � 0 ' ' , � .................up to 100 kva/kw . , �„$0.00 - 0
Swdches . , , � = $0.00 � -; -;:,�,.0 ' _ ..................over 100 kva/kw--,� i$0.00, / .-0
Non Res Appl � � � � �' $0.00� =; �0�� ��" " - , Low Voltage Equipment�> %�' $0.00 ��� �0
Res Appl � � 0� � L V I W' ' S t"/ C � 0 00 � 0
Service to $OOa
Service to 1000a
Senice ovgr t000a
Motors to 1hp
Motors to 10hp
Motors to SOhp
Motors to 100hp
Motors over 100hp
Communicatlon drops
Sub panel to 200a
, $0.00 � _ , . , ow o t ving ys em kt - , $ .
, , $0.00 % - 0 � ' � Misa Conduit � � -$0.00- 0
� � �$0.00 '. . ' 0 � Misa Conducror , � � �, , $0.00 , ; , 0
, �- 50.00 � � . 0 ', ' � Circus (-gen or.ride) . . $D.00 0
�$0.00� �' 0 �.,� �- � � � �Circus�(mechrideoriights) . $0.00 - 0
50.00� --'- - 0 , ChrisVnas Tree Stand � .:' $0.00 0
$0.00 � 0 � . ` �' �Fireworks Stand - � - "$0.00 � 0
$0.00 0 -� - . Other Eleclrical Fee _ $0.00
$0.00 0 � - " ' "
$0.00 0 Investigalion Fee $0.00
$0.00 0 Plan Check Fee $0.00
NOTICE: The work authorized by this permit shall compty wlth all applicable handlcap access requirements under Califomia statWes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire antl become void if work is not commenced within 180 days, or if work is suspended or abantloned
for a period bf 180 days.
INSPECTIONS: In order for ihe work authorized under this pertnit to be considered legal, such work must compty with all applicable codes, and all
required Inepectlons and final epproval must be oblained. Fallure to obtain Inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
zaae-ae (doo�
WORKERS'COMPENSAnONDECLARArON: '
I hereby eKrtn untler penalty 0� per�ury one of Ihe following tlaGaretions: ' -
❑ I heve end wlll malntain a ceNlicete of consent to selt-Insure tor workers' compensetion, es proNdetl for by section 3700 of the Lebor Cotle, for Ihe pertormance ot Ne
work for which ihis perrtr�� �s issuetl.
�Q"�F;Ilava end wiil maintain Workers' compensalion Insurance, es requiretl by sectlon 3700 of the Lebor Cotle, for ihe perfortnflnce of Ihe work for which this pertnll is issued.
My,{vorkere' compern�s�atlan- Insurence cartler end pollcy number ere: ``�� 7� �/� �
�rtier.-:�'.�S �� / � .!p �".f]uinGer.'�._ >S
T�jy,'v� ct�on need not be camp�eted il fhe permif is ve/ued af one huntlred dollars ($100) or less.)
❑ I certity that in the pertormanca of t�e work for which this pertnit is issued, I s�all not employ any persan in eny manner so as to hecome suDject to Ne workers'
mmpenseUon lews ot Ca���omie, entl apree that if I shoulC become suDJect to Ihe workers' compensatlon provLslons of Sectlon 3700 0l ihe Lebor Code, I shall Iorthwith
comply w`it� Ihese pm.dDs�ans. �i �2 jjj(((������,,,((( ���1 ��Q///���ppp������ �y ,s1 �
pp IksfitSipnature��t_./. �C ��L-�=G� �'Date,..,. G "�cS � I/li'
�W9HWNO!FAILURE TO SECURE WORKEPS' COMPENSATIIXJ COVERAOE IS UNLAW L AND SHAl1 SUBJECT AN Fljp1�R TO CRIMINAL PENALTES AND GVIL FlNES UP TO ONE HUNDRED
iilIX1SM1D DOLLqRE (5100,a00), IN ADDRIIXJ TO TNE OOST OF OOfAPENSATION, DAAUGES AS PROVIOED FOR IN s�CTION 3/OB OF THE IABOR ODDE, INfEREST, AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
wlth Section 7000) af Divislon 3 of ihe
Code, entl my Iicense Is in full
CONSTRUCTION LENDING AGENCY:
❑ I �ereby eNirtn that the�e is a construction lending agency for Ihe peAortnance ot Ihe work for which this permit Is issued. (Sec. 3097, Clvil Code).
Lendefs Name: Lendefs Atltlress:
SlgnaWre:
Date:
OWNEN-BUILDER DECLAflAnONS:
I �ereby eHirm lhet untler penalry of per�ury thet I em FJ(EMPT FROM THE CONTfiACTORS LICENSE LAW for the following reason (Sec. 7037.5, Business end Professions
CoGe: Any ciry or County whicn requlres e pertnit to construd, alter, improve, demolish, or repair any siructure, pnor lo its Issuance, also raquires the applicent for such pertnit
to fila a signed statement that he ar she is Ilcensed pursuam ro Ne provlslons af �he Contrectors License Lew (Chapter 9(commenGng wlth Secllon 7000) of DlWsion 3 of ihe
Business and Prolesslons Code) or tha� he or she Is exempt Iherefrom end ihe besls for ihe elleged exemption. Any violetlon af Section 7031.5 by eny epplicent for e pertnit
subjacls ihe epplicent to e civil penalry of not more ihfln five huntlretl tlollflro ($500).):
❑ I, es owner ol the properry• or my employees with weges es their sole compensation, WILL DO THE WORK, and the siructure Is not Intendetl or otlered for sale (Sec.
7044, Business and Profess�ons Catle: The Contradors License Law does not appty to en owner ot properry who builds or improves thereon, entl who does such work
himself or herself or IhroU9h his or her own employees, provided Ihet such imprwemenis are not Intentled or otlered lor sele. It, however, the building or imprrnement is
sold within one year ot cOmpletion, Ihe owner-builtler will heve the burden of pmving thal ha or she did not build or improve for Durpose of sflle.). '
❑ I, as awner of t�e properry, em EXCLUSIVELY CONTRACTNG WI7H LICENSED CON7RACTORS to con5truct the projed (Sec. 7044, Business end Professions
Code: The conlractors License Lew does not appy to an owner oi properry who bulltls or Improves Ihereon, and who coniracts for such pro�ect with e contrector(s)
license pursuant to ihe Coniractors License Lews.).
❑ I em exempt under sec. Business end Professions Code lar this reason:
SlgnaNre: Date:
Owner ID veAfietl by tlrivers IiGense. ❑ Yes ❑ No Drlvers License No.
VerlTication of Ownership Dy (type of tlocument, i.e. - property taz bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTFICATION:
E�ires:
❑ I hereby ceNfy thet no ex��eNon Bve (5) or more feet in depth into which a person is requlred to tlescend, will be mede in connectlon wit� work euthodzed by this
pertnit, and ihet no building structure, scaHoltling, felsework, or demolitlon or dismantling thereol, will be more than thirty-six (38) feet high. (Chap. 32, C�rp 2, Ah 2, Sec.
341, Title B, Califomla AdminlslrelNe Cotle).
❑ As awner-builtler, I will not employ enyone to do work w�lch would requlre e permit irom the Division ot Intlusinel Safety, es noted ebove, unless such peraon hes e
pertnit to do such work tram the dlvision.
Signature: Date:
Division of Indusirial Sefery Pert�it Number.
CERTIFlCATE OF COMPLWNGE AND AViHOROA710N OF EHfAY: I certiy under penelry of per�ury Ihat I hava reatl Nis epplication end stete Nat the InfortneUon given is
conect. I egree ro wmply with all stete lews enA clry orAlnances relating to builtling conswctlon, end euthodze representetives af Ihe Clry of Casla Mese lo enter upon the
ebove-descdbed property tor inspection purposes. 1 egree not to occupy or ellow occupency W eny building authorized by Ihis permil wtil flnal Inspection.
CQOE �. INSFECTION TYPE
1618 Fiaed System Flnal Fite Prevention
1286 Pod Spe Finel
200 Flnal Re-Rool
201 Finel BIacWRetaining Well
202 Finel Fectory Fire Place
203 Flnel Slpn
204 Flnal Demollllon
��
COUE I INSPELTIONTYVE
208 Finaf MechaNcal
208
210
212
Flnal Plum6ing
Finel EleMricel
Finel Fire Prevention
220 Finel Planning Approval
222 Finel Site
460 Flnel BUIIdInplOaupanry
(71a) �5a-5273 • Fex p�4) 754-aess • www.ci.costa•mese.ce.us n rnir+ unrvt, GV.1I F MCSN� c� azozo
Job Address: 811 W 19TH ST
Suite:
Vicinity:
Parcel Nunmber: 42419107
SIGN PERMIT
Zoning:
Applicant: PAUL HARTINGER .
Address: 7541 SANTA RITA �
� � . � Phone: 714•894-2011
STANTON, CA " _ Zip: 90680 - � � '
i,
owner.', BOECKMAN,�CAROL-Y.N SUE TR � �
�
Address �PAUL TRAU7WEIN TRUST
,REDDING, CA - Phone:
� 536 AURORA PL' Zip: 96001-0100
Contrector. CONTINENTAL SIGNS INC
Address: . 7541 SANTA RITA CIRCLE , .
. SUITE D _ , % �Phone: p14) 894-2011
STANTON, CA � � �: � Zip: 90680' .
� . - - License: 664525 -
Status: ISSUED
Applied: O612&2005
Issued: O612 005
ISSUED BY:
Arch I Eng : . . ,
� Address: � � - '" - � � � . �
. � , Phone: , � .
ZiP
License:
� � - - . : , . , .
SCOPE OF PERMIT "'
37 SQ.FT. ILLUMINATED, CHANNEL LETfERS FOR "INSURANCElTRAVEUCHECKS CASHED'.
Plan Check:
Permit:
SMIP Com:
Other:
Inspection:
Total:
NOTES:
$81.41 �
$0.00
$125.25
$1.26
$0.00
$0.00
$0.00
$0.00
'�u0.00 �
$207.92 ,
� � �,
FEE SUMMARY
Calc Vaivation: Ss,000.00
Claimed Valuation:
PLANNING & ZONING - � ` �
ss,000.00
NOTICE: The vrork aulhorized by this pertnit shall compty with all applicable handicap access requirements under Calitomia statutes and related
regulatlons. (Ord. No. 92•28, § 7, 12-27-92)
EXPIRATION: This permit shall automatically expire and hecome vold it work is not commenced within 1B0 days, or if work is suspended or abandonetl
for a period 01180 days.
INSPECTIONS: In order lor the work authorized under this permit to be considered legal, such work musl comply wlih all applicable codes, and ali
required Inapectlona end finel epproval must be obtalned. Failure to obtaln inspections and final approval will result in the expiration of this pertnit.
FOR INSPECTIONS CALL: (714) 754-5628
zane�ae �e�w�
WORKERS' COMPENSATON DECLAflA710N: ��� ' •
1 �ereby attirm un0er penalty ot perjury one of ihe tdlowing dedaratlons: �� S,
❑ I heve end will malntein a ceNllcate of consent lo self-Insure tor v6ork�pensetlon, es proNded for Dy section 3700 of the Lebor Code, lor Ne peAortnance of Ihe
work foi whiCh ihis permit Is issuetl.
ansation Inwrance. as fe W�red by seclbn 3700 0l Ne L9bor Code. for Ne peAormenCe ot tlle work fw w1UCh Ws pBrtnil 1515we0.
cartier end poliq number are: �/
Poll � Nu`mtier.',� �i� I ���
ertNt Lv valued et one hundred dd/ers (5100) or less.)
❑ I cartity �het in Ihe peAormance of Ihe work for which Ihls permit Is IssueO, I shell not employ any person In eny menner so as to become sub�ect to t�e workers'
compensation lewa of Celliamle, enE egree that If I s�oulE become aub�ect to �he workers' compensetion provlslons at Sectlon 3700 of ihe Lebor Cotle, I shell forihwith
compty with ihese provisio
""""_" _ G -�.� O �
+StpnaWre: »•._.—_-._ ' ate: ..
uFAKVRE TO SECURE WORI�RS' COMPEN$pTIpN CpJEqAQE IS U! L AND $HNL SU9IECT AN E TO CRIMINAL PENALTIE$ M!D dNL FlNES UP TO ONE HUNDRED
D DOLLARE (5100.000I. W ADORION TO THE C46T OF WIAPENSITION� NCaES AS PAOVIDED FOR IN SELTION 37080F THE IABOR CODE.IMEREST. AND �TTORNEVS FEES.
LICENSED CONTRACTORS DECLAHA710N:
with Section 7000) of Didslon
Cotle, end my Iicense is In tull
CONSTHUCTION LENDING AGENCY: �
❑ I hereby ettirtn the� �here is e construMion Iendinp epenq for ihe peAortnance ot Ihe work tor which IMs pertnit is Issuetl. (Sec. 3097, CMI Code).
Lendels Name: Lenders AdAress:
Slpnature:
Date:
OWNER-BUILDER DECLAfiAT10NS:
I hereby eHlrtn thet under penalry of perjury t�at I em EXEMPT FROM THE CONTfiACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business end Protessions
Code: My dry or counry which requires e perttut to consiruct, alter, imprwa, tlemdish, or repelr flny strucWre, pAor to Itq issuance, elw raquires the apDlicant tor such pertnit
lo file e signed stetamem Nat he or she L5 licensed pursuam ro Ne D��� o� �e Contreqora LJcense Lew (Chepter B(commendng wIU Section 7000) of Dlvision 3 0l the
Business end Protessions Code) or Ihat �e w she is exempt Ihereirom erW Ihe basis tor ihe e�leged exemption. My Wdatlon ol Sectbn 7031.5 by eny epplkant tor a pertNt
suD�ects the aOD���ent to e cNil penalry ot nm more �hfln five hundred tlWlers (SSW),):
❑ I, es owner of the property, or my employees vrith weges es Ihelr sde compensation, WILL DO THE WORK, entl Ihe structure Is not Intendetl or oHeratl for sala (Sec.
70M14, Business and Professions Cotle: The Contradors Llcense Lew tloes not apply lo an owner of property who builds ar Improves Iheraon, end who tloes SUCh work
himself or hersetl or ihraugh his or her own employees, provided thet such imprwemenis ere not intentletl or ottered lar sele. I�, however, iha builtling or improvement fs
soltl witNn one year of completlon, Ne owner-builOer will heve the burden of pmdng that he or she ditl not bulld or improve for Durpase of sale.). '
❑ 1, as owner oi ihe praperry, am EICCWSIVELY CONTHACTING WI7H LICENSED CONTRACTOHS to construct the pmjeq (Sec. 7044, Buslness end Professlons
Code: The can[rectors License Lew tloes not eppty ro en owner oi property who builds or Improves thereon, end who coniracts tor such project wIU e contrector(s)
license pursuent lo ihe Contrectoro License Laws.).
❑ I em exempt untler sec. Business end Protessions Cade for ihis ieeson:
Signeture: Date:
Owner ID veAfled by tlrivers Ilcense. ❑ Yes ❑ No Drivets License No.
Veriflcatlon ol Ownershlp by (rype ol document, i.e. - properry tex bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTFICATON:
Ezpires:
❑ I hereby certlly ihet no excavatlon five (5) or more feet In depth Into which a person is requiretl to descend, will be ma0e In connectlon with work euthorized by Ihis
permit, end tha� no building siructure, scalloltling, tfllsework, ar demolitlon or Cismantling theraof, wlll be more lhan Nirry-slx (38) feet high. (Chep. 3.2, Grp 2, Art 2, Sec.
341, Title 8, Celifomia AdminislretNe Catle).
❑ As owner•bullder, I wlll nat employ enyone to do wwk whidi woultl requlre a pertni� Irom Ihe Divislon ol Intlustriel Sefery, as noteA ebove, unless such peraon �es e
permit lo do such work trom the tlivision.
Signature: Date:
Divislon oi IndusMel Safery Permlt Number.
CERfIFlCATE OF COMPLUWCE AND AUTNORQATION OF ENfAY: I ceniy urWer penely ot perjury Nat I heve read lhis epplicetion erW stete ihet Ilie infortnetion given b
correct. I agree lo compty wIN ell stele lews entl dry ordinances relating lo builOinp conslruction, end euthorize representetives o1 t�e Ciy af Coste Mesa to enter upon ihe
ebove-descdbed prOperty for inspeqion purposes. I egree nol to occupy or ellow occupanry of eny building authodzed by Uis permit until Onal inspecUon.
400E �. INSVECiION TYPE
1816 Flaed System Flnel Fire Preventlon
1266 Pool Spa Finel
200 Finel Re�Roo�
201 Flnal BIocWReteininp We0
202 Flnal Fectory Flre Plece
2Q3 Finel Sipn � � �
201 Finel Demditlon
f�g,( INSFECTIONTYPE
20B Flnel MochenlCel
20B
r'
210
(212
220
Finel Plumbing
Finel ElectAcel �
Final Flre PrevenUon
Finel Plannlnp Approval
222) Finel Site
250 Flnel Bulldlnp/Occupancy
�