HomeMy WebLinkAbout821 19TH ST - Building Permits'fiST '_5f5 STZ.,�ET, :;2i
S3q (0-�1-5� Go��� C ,.. )
��'(/b'432 - 12-20-54 dn�t_re $64,000.�
°� 551 - 6-9-55 ���n 1,315•i
9797 - 8-3-59 ?lec. _iC r..otors
� zoi66 - 8-i4-59 =_c�. r:c a.c. !
: 27637 - 9-25-67 31ec. ivC A.C.; �
50680 - io-4-67 r�:,g. rrc gzs
5272 - io-4-67 �t�. rrc (a.c.;
. 45963 - 6-29-79 .Elec.�-NG (Fireworks Stand) �
� 50870c;..c� ��9��3 Elec. Cabinet 500. , .
- Wa11 Sign - '
a���
�36440 c! _
valuation: $19,814.00� //�%�t'�"�
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pa�ce! Num4er 424 g1 �0 ���/BareSQ RN�. COSTq MESq, C,
APPiica�t. rYPeof�onstrycfion: y_ Sfafus: ISSU�p
Address: HRNSE/y, DUK� N qPp��� �s/26/200�
Zoning:
260EpL70,y Issuey; 09�6�005
SANTA ANA, �A
A�^ss' (j(�i;.LL -� ... �.: �,. . . .PhOne ,�f4•55774 . _
..��T � 2; - ao
1742 6qy pbRP 6yA� -°"'t ;_ p� 92705 - !SS
. .'. UED BY: �
��pOR78EACH, C,y �` ,. �' � � ; �
ConGacPor � ., � . , . py�one,;, "�°� ..
Addre"ss :„RpSS g gqRRO �� ' Zi � � 24
- �'760EALTp�yqV�::. wSIN ; p 92660-37 � ' .
----� -� j �p' 92707a ANAr Cq " � r' .
Arch~ , Phqne: � � .
Address,� " {7i4) SS7_7qqp " '
- � . ��cense: 327802 " .
� �. . Zip � � phane: ' �ng: • , �
s ,.;. - .. . Adtlrsss: ..
License - ' - . ;�. -:..
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, Y/pEXI57UyGB-. = -=." ' � ' � s -
.. $HEATNINGASN ED p 1N3iqlLN�yy4�p � � - � , ... � Phone ..
d< < LYg.U.R. 0 SC�F'� OF �� �..; ;�
NCOMMpRp1A( P�RMIT ``' �-��nse:
.. p��� ��m�t � �� . ` . - _ ., $LD�, "VISiA DRUG � .., ROX 7T6 S4U . .
Per $D ap qpp `
;; ; .
SMIP �es . $39125 FEE ` ARPS.
, SMIP Cam;,� ,. $O QQ _. . . V MMARY - �� . . � a �REPAIR AND REP
Oth $5.15 �aCE
er.
� InsPe�tion � � �� p0 ` � _ �* . ; Calc Valuatioh; � � �
�... _ $0 po , ` � , � Clairn Va��aGbn �. � � � Sza,
tota►. ,: , � �" e3z.po
� =,$39�40 . � - � _ - � - . - ; �$?4�532.pd
��raacKs � � .
nn.aiN ra � - �� ; _
URE� Frpnt ` P�ANNI x .
aC �ss y � ° NG & 20'NIN .
Frpnt - Rear '- p_ ��� C' .
pARK11yG � � a o � � � � � < " ..
Left. p a �
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�ns, p dWNo. 92thorizstl bY this
rlop; �$� 3 i, iz2r-sz em�it snaq �om
Mot Ygp�tl �rmlt s ) P�Y wifh all g li
Ys. hallautomaticallyex PD oabls handi
pi� ana �P a��� requiremenfs
O�� on8�q i�n81 e work 8ufhpltl be`0me voia it work is nor �mm un
:CnpNs �PProVs� m � Under thrs enOBd �thi aer California StBt�{qs gnd r �
CALL: i714 �� bg �btai�etl. F�mtit ta pg Co�si � 160 tla�, or if �� ���t
j 7�q,�6 a�lure to obtain ins��� ��� snal �� m�St �j k is suspe�yed or �bandoneq
Ch
apArovai wiil r s�� ihe e�XP�PPfo�Bh�Pe+mlLd alll
WORKEHS'COMPHNSAnONDECLARAnON: �
I hereby aXirtn under penalry of perjury one of the following declarations: .
❑� I hava antl will maintain a cehiilcete of consent to self-Insure for workers' compensation, e:' vitletl for by section 3700 of tha Labor Cotle, for ihe pertortnence of the
work for which t�is permit is issueQ �
�=�`I have antl will R�aintein workers' compensaGon in5urance, as required by sectlon 3700 of the Labor Cotle, for ihe pedortnance of the work for which this pertnit is Issued.
My workers' compensatlon Insurence wrner antl policy number are:
Carrier._- 57�i� �/)f✓� PolicyNumOer—ti��fJ�/f-Z�Ji�
(Thls section need no� be com0�eted il the permit is velued at one hundred dollers ($100) or less.) ,
❑ I certify ihat in the pertormance of the work for which this permit is Issuetl, I shall noi employ any person in any menner so es to become subject to the workars'
compensation laws oi C rnla, antl agre that it I shoultl becoma subJect to the workers' compensation provisions of Sectlon 3700 of the Labor Code, I shell fonhwith
comply with ihese p sio (-�--�� �j /
AppllcanfSlgnature: �� �j`�� D4 a�e;' ' � / — 2 6 ` � %�
N/ARNINQ: FAILURE TO SECURE WOiiKEiiS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT rW EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINES UP TOONE HUNDRED
THOUSAND OOLLARE ($100,000). IN AD�ITION TO THE COST OF COMPENSATION, DAMAGES 0.S PROVIDED FOR IN SECTION 37060F TME IABOR CppE, IMEREST, AND ATTORNEI"S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirtn that I am licensed under provisions ot Chapter 9(commencing with Section 7000) of Divislon 3 of tha Business and Professions Cotle, and my license is In full
��.�ve�ne«e�ei�,.-u •-�� iiiOZ ��""... I_�'iC
CONSTRUC710N LENDING AGENCY:
❑ I hereby aflirm that there is a construction lending agency for the peAortnance of the work br which this permit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lendefs AtlUress:
Signature: Data:
OWNER-BUILDER DECLARATIONS:
I hereby aHirtn that under penalry oi perjury ihat I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for the following reeson (Sec. 7031.5, Business end Professions
Code: Any ciry or cou�ry which requires e permit to construct, alter, improve, demolish, or repeir eny structure, prior to its issuance, also requires ihe applicant for such permit
to flle e signed statement Ihet he or she Is licensetl pursuent to the provisions of ihe Contradors License Lew (Chapter 9(cammencing with Section 7000) of Dlvislon 3 af Ihe
Business end Professions Code) or that he or she is exempt therefrom entl Ihe basis for the elleged exemption. Any violation o� Sectlon 7031.5 by any applicent for e permit
subjects the epplicant to a civil penalry ot not more than five hundred dollars ($500).):
❑ I, as owner ot ihe properry, or my employees with wages as Ihair sole compensation, WILL DO THE WORK, and the structure Is not Intendetl or oflered tor sale (Sec.
7044, Businass and Professions Code: The Contractors License Law dces not apply to an owner of property who builds or improves Ihereon, and who does such work
himself or herself or through his or her own employees, pmvided that such impmvements ara not Imentled or oHared for sale. If, however, the building or improvement is
sold wit�in one year of completion, the owner-builtler will have ihe burden of proving ihat he or she tlitl not build or imD�ove lor purpose of sale.). '
❑ I, es ownar of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business anA Professions
Code: The conttactore License Law does not apply to an owner ol property who builds or improves thereon, and who contracts for such project wlth a contracbr(s)
license pureuant to the Coniractors License Laws.).
❑ I am exempt under sec. 6usiness arM Protessions Code irn this reason�.
Signeture: Date:
Owner ID verified by d��er's license. ❑ Yes ❑ No DriveYs License No. Expires:
Vatlfication ai Ownerehip by (type of documem, i.a. - property tax bill or tleetlJ:
DIVISION OF INDUS�IAL SAFETV PERMR CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more faet in depih into which a person is required to descend, will be made in connection with work authorized by this
permit, and ihat no building sirucWre, scaffolding, falsework, or tlemolition or dismantling ihareoi, will be more ihan �hirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Cali�omia Administretive Code).
❑ As owner-builder, I will not employ enyone to do work which would require a permit from the Division of Industrial Safety, as noted ebove, unless such person hes e
permit to do such work from iha division.
Signeture: Date:
Division ot Industrial Safary Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENTFiV: I certily under penalty oi perjury ihat I have read this application and state Ihat ihe intormation given is
correct. I agree to cornp�y �+'ith ell steie laws and city ordlnances reletlng to building consirucllon, end eu[horize representetivas ot Ihe City of Cosla Mesa to enter upon Ihe
ebove-described prop��y �or inspection purposes. I agree not to occupy or allow occupancy ol eny building authorized by this permit until final inspection.
GOUE �, INSPEC110NTYP€
t67fi Fixed System Final Fire Prevention
1266 PoolSpaFinal� __
200 Final Re-Rool
201 Final BIocWRelaining Wall
202 Final Factory Fire Plece
203 Final Sign
204 Final Demolition
APPncam _ . _ '
p�� iHrnu�s
O � �- •
Date
G-7 .0 ._ n s�
CODE 1 INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing .
210 Final Elecirical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 FinalBuilding/Occupancy
�
.�w.
Applicant to fill in all spaces except tM1ose witnin heavy Eortler linas anE si9n all appro0riata tleclaratlons.
CiTY oF COS7A MESA CONSTRUCTION PERMIT
�PrajectRo'9ress gZ� �"%• 19th $1.
Applitant's Mailing Adtlress �26 Commerc i a l Way, CM 92627
Owner's Name R i cha�d Watts pno�e 548-0467
Address ���42 Bavport Dr., N.B. 92660 �
Arch/Eng. - - License No.
Address � � -
Contractor's Nama Crank Bros. Root i nq pho�e 548-556
ndd�ess 1ma�r�y1 126 Commerc i a l, C.M. 92627
c�ty uce�s� rvo. 005993
LICEN$ED CONTRAC70R DECLARATION
I nereby af(irm tha[ I am Iicensetl untler provislons of Charter 9(comTenCin9
with seCtion 7000) of Divlsion 3 of e Busine55 antl Prof¢SSiOns Cotle, antl
my li<ense is in full (orce antl effect.
Licens �a ����y('+�y� ���� Licens o. 4 7
Dd[e�����_'�'' Yy 519nature -
WORK�RS' COMPENSATION D It ATION'
hereby aHirm that I have a cer f ate oi consent to self-Insure or a certificate
workerz' Compensation I ance, o� d Certlfletl coOY the�eof ($ecHon
,800; t,ab. CJ ' '
aoii�r No. 9R5/�24=8$_ co y�f t Fu
❑ Gertili¢tl copy is �erebY Nrnis�etl.
C�(Cer i('etl y�lsfil ith the city Bu I v' lon.
Date � ApPlicant
EXEM TIONFR M pRKERS'C � IO'''�"""��`HCLA TION
Thissection neetl not be com lete f ermit' one h tlretl $
iess).
( P ��
I certify,{hat in th¢ perfo�manc he ork f � w thI u I
snau not,�m o� v 3�v�Uerpo�n �n nv m nner o�� �ey the
1lJorkerp�j����atioyLyWs of Califo w � �j
NOTICE: If, atter making this ae lon, you snoula become suo�ect to tne
' Workers' Compensation provisi f the Labor Cotle, you must forthwlth
tomply.wi[h such provislon this permi[ shall be aeemetl revoketl.�
CONSTqUCT10N LENDING GENCV ' '
1 I hereby alfirm thal there is a construction lentling agenCy lor the performance
� ol the:work for which thii permit is issuetl (Sectlon 309� Clv. CJ
l.entler's Name
Lentler`s Atlaress
OWNER BUILDER OECIARATION '
I hereqy aHirm lhat I am ezempt from tha Contracror'S Licanse Law for the
/ollowing reason (Section 7031.5 Business antl Professional Cotle: Any city or
county which requires a permit to construcq alter, Improve, tlemolish or repatr
any slruc[ure, prior to its Issuance, also requires the applicant for such permit
� l0 lile a Slgnetl stdtemCnl thdt ne/she Is IiCensetl pu/suant t0 th¢ provi5io�5 01
� the ConVactor's Ucense Law (Chapter 9(commencing wi[h Sectlon 7000) of
'�ivision 3 ot the Bu5Ine55 antl PrOfeSSions Cotl¢) of that h¢/She is ex8mpt
ierolrom anU t�e Gasis /or [he alfeged exemptlon. A�y vlold[ion o7 SE<tion
031.5 by any applitant for a Permit subje<ts the ap0��cant to a civll
�Senalty of not more than live huntlretl tlollars (E500).
❑ I; us owner o( tne property or my emo�oyees with wa9e5 as [heir sole
compe�sation, will do the work, antl the structure is not intentleG or otteretl
lor sale (Section.7044, Busine55 antl Professional Cotle: The Contractor's
Licensp Law tloes not apply to an owner of a property who builtls or improves
thereon; antl who Coes such work himzelf/herself or throu9M1 his or her own .
employ ¢es, provitletl thal Suth Improvements ar¢ nOt Int¢ntleC or offeretl for
sale. If, boweveq the 6WItl7ng or improvement Is soltl wlthin one year oi com-
ple[lo�, lhe owner will have the burtlen of proving he/she tlitl not builtl or Im-
prove tor the purpose Of sale).
❑�, dz owner ot the property, am exclusively tontracting with licensetl con-
tractorsio mnstruct tlle Oro�ect (Section �044, Business antl Professions Cotle:
Ti�°'.ConVactor's License Law tloes not apPb �o an owner of Property who
buiNt-�pi imOroves thereon, antl who con[ract5 for such ofOietts witb a r.on-
tractor(t1 Lcense pursuane [o tne Contractor's License I,.aw�. I am aware tha[
ploOt'o1 Iheir Worker'S Compensd[ion in5uranGe ihoultl be O�ovidad to me.
L'%S,am exempt under 5ection B. 6 P. C. for thfs reason
�t
Date pwner
� I hernby certify hat I have reatl [his applica lon an state [ha[ the abova
In(orrr�ation is r ect.,1 aqree to <omply II tlt antl county ortlinances '
antl stete laws e tin9 to builain9 const n, an hareby authorize reore-
5¢ntdtiv¢5 ot _t ' cily to enter J/Q e dbOv mentlOnetl ,PfopOlty_ fol�
�3�y�� I I �
TYPE OF CONSTRUCTION NE DD ALTERATION REPAIR
❑ CONVERSION ❑ DEMOIISH ❑ OTHER
'DESCRIPTIo NOF O/ SE oFBLDC� XI 1'I� a I�
1-28#, 1-11A 8�-�/�� w/hot as halt. New me a.
TVPEOFPERMIT GRADING FOVNDATION S7RUCTURAL . '
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL .
❑ OTHER
PROJECT DESCRIPTION Sq. FT. 9. 9OO oCCUPANCv � -'
CONSTRUCTIONTVPE COfllffl. 'VALUATIONS�9.8�4.00
ZONE GRADING CU. VDS. ACRES
ReTarks: � - ' .
Sink
Preventer
Irriga[ion
ishwasher �
rinking Fountains �
oor DrainS
oor Sinks
as Service' Outlets
Interceptors •
KitchenSink- '
Lavatories :
P-Trep
Roof Drains �
Reinspeccion.Fee � � $15
Duc[ - Under Ground
Duct-Structural '
Duct - Ventilating
Exhaust System ❑ Multiple
FfreppFxL Blt. ICBO �h
Heating System & Ducting
O ai oo,000 eTu o i oo,000
DrWerY LI 55 �
- - I I Reinspec[ion Fee I $15
D865�46, r. 5/88 White - Builtling; Canary - ApDlitanl: Pink - q�counting; GoltlGnrOtl - Asse550r
Shawers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors ' �
Solar Pipin9 ,
Solar Tank • �
Swimming Pool w/Spa
Urinal
V'18tCf C�OSCi
Water Heater .
Water Service
Auto-Wash - '
Laundry Trays
laue Fea ,
�ANICAL
Hood or Typel ❑
Canopy Type II O�
Refrigeratian �Sys[em
❑0.100,OOOBTU ❑10p,000
System Repair/Alteration
Fire Dampers -
Registers .
;..y.__
Issue Fee
A.P. qIt
S Main Buildi
E
T Front
B Fear
A
C Right
g , Left
Ping.�Ref. #
Planning Notes:
EES Automatic Washer
Construction Pole Sub.
Cooking Unit �
Dishwasher '
Dryers �Gas QElectric .
Fan
$ 3
$ 3
F.q.LL ` -
Fixtures
Device Boxes
Outlets �
Zone
Accessory Building:
2
O
N
I
� N
G
H
Parking Req./Provided � E
q
' M
.T
S.
ELECTRICAL - -
Transformer � � 15-50 KW
❑ 50+KW
Garbage,Dispoul i
Generator O0.5 KW OS-15 KW
Meter ❑i
Meter ❑
Sub Panel
Motors ❑
Microwave
Pole �ight
fiange ,
p to 100 amps
ver 700 arripsi
F7 HPO1X-8
79-15�HP��16-15+
J1.
Standing Sections
Trash Compacror �
FEES ,
�
� Reinspection Fee �$15 I � Issue Fee � S 3
DEVELOPMENTSERVICESREQUIREMENTS: � �
Zoning Approved By Date
Building Approved 6y r+ Date
BUILDING PERMIT $ L'Q � .
PLAN CHECK $
PLUMBING S
PLAN CHECK 25% $
ELECTRICAL- $
PLAN CHECK 50% $
MECHANICAL $
PLAN CHECK Z5% $
FEES
� SMIP � $. Z��
PERMIT •
�SSUANCE $ �
ENERGY P.C. $
GRADING $
MICROFILM $_
TOTAL FEE $
a+ �oozoaa6-onozasa� �c« aoa.��
DATE� 11!29l88 TItIE:•14:32
, ,,•- : � _ '
CONSTRUCTION AND PLANNING � � P�� �SPA �
APPitOVALS Permit # Date Inspector AppROVALS Permit # Y���'`e Inspector
j�. Temporery Electrical Service or Pole � � 52. Pool & Equipment Location
2, Soil Pipe-Undrgrnd. - � 53. Steel Feinforcement
3. Electrical Conduit Utility-Undrgrnd: � � 54. Forms �.i `
�
4. Electrical Conduit-Undrgrnd. � � , 55. Electrical 8onding �
5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test �,
6. Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE �'-(� •
7. Footings � _;,� `,' 58. Electrical Conduit-Undrgrnd. i
S. Foundation ,� ./' 59. Gas Pipe, O Undrgrnd., Test ' ��
9. Water Pipe-Undrgrnd. � .� ' 60. Backwash Lines, P�Trap, O Undrgrnd. �"
10. Svuctural Floor System � � j :� 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection �' 62. Backwash & Receptor�Final �. -
1�
12. Sewer CaP - �" ' "i' , .63. Heater & VenbFinal
.
13. Roof Dra�ns / �� � � �'
64. Plumbing System - Final
14. Rough Plumbing �' a � 65. Electrical-Final �
15. Rough Electrical-Conduit 66. Solar System-Final
1�6� Rough Electric Wiring � 67. Fencing & Access Approval
�17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough Electrical-T 8ar 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 O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. ,Roof Framing 73. Undergrnd. Storage Tank 0 Gas ❑ Oil
25. �toof Sheathing � 74, Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27�•FrameandFlashing 76. DryStandpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 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 1 Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace � � .
38. Final Plumbing
39. Water Ser�ice�Final .
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer '
43. Backflow Irrigation -
�
44. Landscapa Irriqation System - �
45. Sound Attenuation
46. Handicap Regulations
, 47. FINALSYRUCTURE&BUILDING ,�� � ',
48. Sor.r.ial Requirements Completed ' - � - -
49. Ele�ctric Release to Edison
, �
50. Gas Release to $outhern California Gas Co .. ,
51. CERTIFICATEOFOCCUPANCY �' "
No. � Date `. � 1
. Mesa Bnilding �epartn
,c r:�� a ���'.. 1/1 EABT 2'Jth STREET `
. • COSTA MESA, CALIFORNIA
F'OEZ A�PLICANT T(D FYLL
ndaresa � �� � /i '�
osta Mesa, California
Nearest "�
Cross St. 7r,�/Qy/'E/l�i./,//� �y V F
Owner Cj. /�, �!✓ Y.Q✓rZ.�_d_�
No.
p Lic.
4ddress
I I Lot
tion No.,
Metes and
No. of E
Now on
Setback Line trom ,� V_ �
New
ish
[CATION N OR PERMIT
BUILD��NG '
7--�-s=�l ./� 7 D - I �S_9 -
Received by� ate Rec'd. Date Issued
G - -y� s�
Build' g �
Address
Costa 1Vlesa; California :
Nearest _ � � �„
CrossSt. � �
Zone�,_{ I No. of I Type. I Group�
Plans �• i
Forms, Materi
Under-Pinnin4
�ame: Fire Sto
Braeing, Bolis
�e
APPROVAi"R
I hereby acknowledge that I have read this Applicatfon L1O' ��"' .
and state that the above is rnrrect and agree to rnmply Lath. Ext.
with all City Ordinances and State Iaws regulating
building construction.
Signature of Plaster, Int
Permittee i
Plaster, Ext.
Authorized Agt.
Masonry ReinTorced
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