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Home My WebLink About860 19TH ST - Building Permitsi C�osta Mesa Building DE partment . � COSI IESA, CALIFORNIA FOR APPLICANT TO FILL IN Building �/�� / Address 7S Costa Mesa; California ■ Address ■ Contractor /lOii��J 'f/�l�l No. Descr ption I No.� q 7 I Block I Tract� (Attach Metes and Bounds) / No: of Bldgs, Size of Lot 10��` ��0 Nowon Lot Use of I No. of I No. a Existing Bldg, Families Ro F SetbackLinefrom �- RearYard Center of Street S Side VaM R� — y �vv. oi / 6 �: `i�llRooms co ali I RooY Coverin u�or� �rPI.ICATION FOR PERMIT ✓ BUILD,�NG '� FOR OFk'ICE USE ONLY "' ^. I'- lRFeeipt No. „I Permit N � ��- Building Address Costa Mesa, California Nearest Cross St. Zone n_ � No. of � Type , I CORYtECTIONS Addition I � .- . -- . _ . • APPROVALS Formsr Materials Under-Pinning Frame: Fire Stops, Bracina. Bolts I hereby acknowledge that I have read this Application `-a��, ini. and state that the above is correct and agree to comply Lath. Ext. with all City Ordinances and State Iaws regulating building consCructi n, 7 Signatureof � �^y- _ Plaster, Int Permittee C�G - Plaster, Ext Authorized A t. Masonry RE Valu,ation Permit Fee $ Plan Check $ 6 Bond Beam $ �D � r Feea' $ �7(�� FINAL FORM 2O4 6-H 2M 3-Sa . Z D r . . , . _.... � .�. ... . . . .. . . _ _ '� n3 . .... ...i: � .� .. , � . . . ,. _�,�R�i . . � - .... P.O � .. , f. ; , ' , ' � ' ' . � i � . . � ' . o � `i r ' _ . — _ ' _ ' . ' ; .Jr'� - { . . . . . , . ' ' ,:J - • ` - C.` �' ' _ ., �) `,' ` � _ n' i� _ �u . ..:a . � . , ,. _ J' .�._ . ' .. , . . .�i . - o a � --a� - -' - - - - . �. _. . y ,,, •�,. 1;'�i�: _ .. .. : � � . � ,�_,- �. , �'- � - � � o "�., ' "__'_J, ' ,: - � � .. . .�. . . _ . � � '�\.' . _" _ " ' ' ' "" - .i �'\ : \? '.01 ' - �. - ' _' _" _ _ __ .. . _.�._ ._ , . , _ _. ` . . , . • • _"' " ' ' _" ' ' " _ "' '_" _\ '_^- � ��'� _ � . ' i """_'_.,_._._._"_"_'_to;"' ;_''' ' . . . � . � • _ y t_ !� ..o tl'�.�i�� — ` . . '_. � . � . . . . - _ ' - .. 1� -J� . .... , . •r -;. . �:r ' .. - ' . �ovc:__ j�.\. � �.�:n; ',� �. Y: o �n.i't 'l � �; i - . Street - � n-, �. _-.'r.,... - -- - - .- . •it'..' � ' � � .. • � . � � \'� 7 i . ^i . . _ ' � l. �..n: - r� ii:.'.r.� ;r / , � '� Y "� _ _' __ . _. `-" _ '.� .'.�-F:L,--..—n•' _ "' _' : PLOTPI.AN � ''�.P . . ,. B : _ 'Y._'v�� ...__.v1,`,.. Ii , Show Iocation and tlistances from � ' ��,i: cnH � �� oi; � :"'. �'.� _ '-'" � � , property line and between buildings. � � .:,,��R..,� �. -� :��-•- . . � � i..o' . „�`��•:��:: : � �� _nWC .�: ^;��ar,. :_, )r •�si2 �1 �"'�.__"'."_ _ '_,_`.-'_c,_,` '�_'_._'. _ .'• v-� Il.`Jv'-,.I . _3 � . �:. , r �^ > >'�u � , .n ! � _ • .. . . .. `. ., \J ' '41 i' . I_ .^�]__ � yu::c7-n._- nc!�^ �.� . . . �,.3 . or��.� , .�1-� -h: `i. ' _ _ ' .. . _' . i � �.n��.�'�.-i.,_ ._. _ ... . ..- �-- , - . -. ' - .�� z�1 ..li r��!eli"�. , _ . _ . _ _. . I ) . i ' _ .- __..__._.^. "___." ___._"_, _ �� . "_. ''lP__ _. _ _ — .1 � . . . � � - �� t � � .� . _ ♦__ . . "' .. �' , . ,i .1 I , i.'. . �,�, . � _, � ' - ' 1 - , -. , �,:�.� ;ti _�• ; � � '. _�•. . . _ . "_ "_:' �. , . i . __ . ., . .. . _ .. �.. - con,cr, , •.,, �.., . , �y , �" r: . . 1 _ . � � " .. __. . _ ... ' .' \ , � ' .. '_'... _._.-. -_. _ _ _ __ _ .' _' _- _ _ . ' �\�..) _ __ ___ ^ . . . ' _` _ _ '. _ . .. . �e� �i-a�r.�_.:-.a� (�` :tEST lyR7i SPREET -._. �i6� . .' , . q�� -P�f g,b S'� � � , 5�1 - C�plete Resideace 20�j8A 7324L - 2-22-78 Plbg. :IC (cas sy�cem) i � � CITY OF COSTA MESA � BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT (774) 754-5273 • Fax (714) 754-4856 � Job Address: 860 W 19TH ST . Suite: Vicinity: HOUSE & ATTACHED GARAGE Parcel Number: 42251220 App�icant: LISENBEE, HENRY Address: 4455 TORRANCE BLVD. TORRANCE,CA SUITE #412 Owner. FISCHER,-THOMAS LEE $R Address 1370 LOGAN AVE #A - � � ', COSTA MESA,�CA � � i . , � � Contractor: � ONE L INC-�:�,�� Address: 4455 TORRANCE BLVD. � , TORRANCE, CA Phone: (310) 456-0115 � SUITE #412 ��Zip: � 90505" License: 307563 BUILDING PERMIT 2oning: Phone: (310)456-0115 Zip: 90505 , Phone: � � ' � c 2ip: 92627 . . Arch : Address: i � ^ ' . � � ' . Eng: ' . ' .' ' Address:- . / ' Phone: t PERMIT NU ER 0 0181 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 02/14/2000 Issued: 02/14/2000 ISSUED BY: Phone: , , � . .y . . . . ` '- Zip: ' -' � ,_License: License: � � � SCOPE OF PERMIT . . �� REROOF EXiSTING SINGLE FAMILY RESIDENCE & ATTACHED GARAGE (19 SQ). TEAR OFF EXISTING 2-LAYERS OF ' COMPOSITION SHINGLES WITH EXISTING SHEATHING TO REMAIN. INSTALL 1 LAYER OF 3Dtk FELT UNDERLAYMENT 8 REROOF WITH 20 YEAR COMPOSITION SHINGLES. --- i:� � � �, \ �.: _ -:`�` FEESUMMARY.,, ..,,. :. Plan Check: $0.00 - -- - / i ' Calc Valuation: $z,soo.00 Permit: ' $83.25 � Claim Valuation: sz,soo.00 SMIP Res: $0.50 -- SMIP Com: $0.00 - — Other: $0.00 Inspection.' $0.00 Total: $83.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING Existina: o Rear 0- 0 Rear 0- 0 Required: �0 PLANNING & ZONING Left 0- 0 Left 0- 0 PrOpOsed: 0 Right 0. 0 Right 0- 0 NOTICE: The work authorized by this permit shall comply vnth all applicable handicap access requirements under Califomia statutes and related regula[ions. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced,within 780 days, or if work is suspended or abandoned � for a penod of 180 days. — INSPECTIONS: In order tor the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapeetions and flnal approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARAnON: . ' � I hereby eHirtn under penalry of perjury one of the following tleclarations: � � ❑ I �ave entl will maintain a certificate of consent to self-Insure lor workers' compensetion, as providetl for by section 3700 of t�e Labor Code, for tha peAormance of Ihe lar which this permit is issued. - I h va antl will meintain workers' compensation insurance, as requirad by section 3700 of ihe Lebor Cotle, Por Ne pertormence ot the work ior which ihis pertnit is issued. Mv workers' compensation Insurence cerrier and policy number ere: ' _ Cerner: � f i�r. �fiiA� olicy Number: � LS'6 7 y I I ' �� TMsSecNon neetl not e completetl il the permit is veluetl a( one hundred dollars ($700) or less.) � ❑ 1 certify Ihai in the peAormance of the work for which this permit is issued, I shell not amploy eny person in any menner so as to become subject to Ihe workers' compensation laws of Califomie, and egree thet if I should becom �ect to Ihe workers' campensation pmvisions oi Section 3700 ot the Lebor Cotle, I shall fonhwith comply with these pr/ov/is%io �s. y/� ApplicaniSi—gnature::"Y /�(i ,� � �% � .✓�� Date: .,.`,1 ^ /'-/ — 20an WAAtiI(T(i��AILURETOSECUREWORKER P SATIONCOVEfiAGEI5UNL4WFULPNDSHALLSU&IECTANEMPL IttINALPENNLTIESAN�GNLFlNESUPTOONEHUNDRED TFIOUSAND DOILARE (5100,W0). IN ADDRION TO THE COST OF COMPENSATION, �AMAGES AS PHOVIDED FOR IN SEC�ION 3]O60F THE IABOR CODE, IMEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby eflirm t t+artr censetl under provisions of Chapter 9(commencing with Section 7000) of Division ushress and Professions Code, and my license is in tull force antl eflact Lic. #� ' Class # �� C ntrectofs Signatu}e: � � i Date: ::SI —/�/�7_o C�✓ 1 b � / CONSTRUCTION LENDING AGENCY: ❑ I hereby aNirm that thera is a constmction lending agency tor the pedortnance ot the work tor which this pertnit is issued. (Sec. 3097, Civil Goda). Lendar's Name: Lendefs Address: Signeture: OWNER•BUILDER DECLARA710N5: Date: I hereby eNirm ihat untler Denalry ol perjury ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business antl Professions Code: Any ciry or county which requires a pertnit to construct, alter, improve. demolish, or repair any sirucNre, pnor to its issuance, elso requires tha applicant for such permit to file a signetl statemem that he or sha is licensed pursuant to ihe provisions of iha Conireciors Licanse Lew (Chapter 9(commencing with Sec6on 7000) oF Division 3 ot the Business antl Protessions Cotle) or Ihat he or she is eaempt iherelrom and the basis for lhe alleged exemption. Any violation of Section 7031.5 6y any applicant tor a permit sublecis the epplicant to a civil penalry of not more ihan five hundred dollars ($500).): - ❑ I, es owner oi ihe property, or my employees with wages as their sole compensetion, WILL DO THE WORK, and Ihe sWcture is not intended or oHered for sale (Sec. 7044, eusiness antl Professions Code: The Contrectors License Law does not epply �o en owner of property who builds or improves ihereon, antl who tloes such work himself or herself or through his or her own employees, provided that such improvements ere not intentled or oHered for sale. If, however, ihe building or improvement is sold within one year of completioq the ownervbuiltler will have the hurden af pmving Ihet he or she ditl not build or improve for purpose oF sele.). ❑ I, as owner of the praperty, am EXCLUSIVELY CONTRACTING WITM LILENSED CONTRACTORS to construci the prolec� (Sec. 7044, Business and Protessions Cotle: The contractors License Law tloes nol apply to an owner of propeny who builds or improves ihereon, and who coniracts for such prolect with a contraaor(s) license pursuant to Ihe Contractors License Laws.). ❑ I am exempt untler sec. SignaNre: Owner ID vanfied by dnvers license. ❑ Ves ❑ No Business antl Profeuions Cotle lor this reason: Venfication of Ownership by (rype of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Drivefs License No. Date: Expires: ❑ I hereby certify thai no excavetion five (5) or more feet in tlepth into which e person is required to descend, will be mede in connection wi�h work authonzetl by Ihis permit, end Ihat no builtling strucWre, scattolding, lelsawork, or demolition or tlisman�ling t�ereof, will be more t�an �hirty-six (36) feet hlgh. (Chap. 3.2, Grp 2, An 2, Sec. 341, Ttle B, Califomia Atlministrative Code). ❑ As owner-builder, I will not employ anyona to tlo work which would require a parmit from the Division oi lntlusirial Safety, as notetl above, unless,such person has a permit to do such work from the division. Signature: Date: Divislon ol Intlusinal Safety Permit Number: CERTIFICATE OF COMPLIANCE AND AUiHORVA710N OF ENTAY: I certity untler penalty ot perjury Ihat I have read ihis applica�ion entl state that the information given is correct. I aqree to comply with all siate laws and ci ordinances relating to building wnstruction, and authorize representatives of ihe City of Costa Mesa to enter upon Ihe a6ove�descnbetl property tor inspection puryosesyF�,gre� not to occupy or allow ocapancy ol any builtling authonzetl by this permit until linal inspection. GOUE �. 1616 Fixetl ystem Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demoliiion 2646�a8 OATE ' INTITIRLS -/ -�n �.u,�F COOE I INSPECTION TVPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Pravention 220 Final Planning Approval 222 Final Sita 250 Final Builtling/Omupanq o"re IMffIRLS