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Home My WebLink About874 19TH ST - Building Permits',JES^ 19iH STREET _.�(�--- - � -' '--� BP� � g4o - comu. . �7ou7 - s-la-6z k2233 - i-i4-64 5k87� - 9-29-a9 Sk943 - io-za-69 � 5�373 - 1-23-70 �. 13574.- 2_q_77.. i - �� ro': 4�. ; Rcs'i;�ec^_5 � $10,3&4. � c�ec. iIC (outle-.�) . � �__�. t:c ;.�.::.; Yi� .. ; -J :��'r_'��_�. i!C (:tc�er ?i_'_r.-�) . -- „ c:c !':etzr _ __ _ 5) ` .Etg. NC (Furn.,Gaz Piping) � e � � I � i — --__,_ � t �Uosta Mesa Building Department , , '111 EAST 20th STREET ' COSTA MESA, CALIFORNIA FOR APPLICANT TO P'II.�. IN Buildfn9 � � . / � � Address "1 Costa, Mesa, Galifornia ■ Crose ize I LOL :�o� No.3 Metes and Bo -' ' /_ 4 _ S$ , �a oUt� • Tel. No. Lic. Z No. � Cit� �No. ao�7 �ck I Tra.ct(`/ No, of Bidgs. Nowon Lot No.of I No.oi Familiea Rooma Rear Var Side Vard $ ^�� PLICATION FOR PERMI� BUILDINC� ROR Og'FICE USE ONLY ___ � , Fjepejpt No. � Permit N Receivetl by Date Rec'd. Date Issued - e2 3 �-S Building Address Costa Mesa, California Nearest Cross St. Zone /.� , I No. oi I Type � i Group � LC Plans Repair I I Moving � I oemolish I Buildtng No, of / Size. � K ooms Stories Exterior Wall ooi � ring Covering APPROVALS � of New /) Building (/��J Foundatfon Location Inspeeto Forms, Materials, Under-Pinning Frame: Fi re Stops, Bracing, Bolts I hereby acknowledge that I have read this Application Lath. Int. and state that the above is coaect and agree to comply Lath. Ext. with all City Ordinances and State Laws regulating building construction. Signature of Plaster, Int. Permittee laster, Ext. Authorized Agt. Masonry Reinioroed Valuation $ /D 3 g''-� cnOY 9R1 G-X 2M 6�54 Total Fee $ 3�� FINAL � Show Iocation and distances irom property Iine and between buildings. .� . -, ,-�, _ . , �� . •. . .. � :, . � ' _ , ,.,," , .,. �: , .,� � -- -- -- -- -- ----�------ : �. . . . i ; �'�-., . ..ri - ;. � � i � - ` .� , � - .. u ' .1 . 1 . . � • _'_ " .-�: .._ ." '—; -_.�. _"'_ '_ . _ . . . . . _. _n� ,` - � , �. �.�. : i• , . . � . � '� . .. . . 1 . , .�, _� i _ ' . � . ' - . ' • ; � ,' .. , �,r. , . , � � • � . J . � � � F9 � � e > F J � �°+no.c� � PERM IT TYPE Sub Type: � CITY OF COSTA MESA BUILDING DIVIS/ON 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (774) 754-4856 • w.wv.ci.cosla-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 _ B COMBO ACCSTR �os ao�Rpss: 874 W 19TH ST CM APN: 42251223 Vicinity: PATIO COVER AT REAR OF GARAGE' Const Type: SQ. FT: Zoning: , , P] PERMIT NUMBER: BC09-00206 STATUS: ISSUED DATE ISSUED: 0 611 2/2 0 0 9 ISSUED BY: BJK Suite/Unit: Primary Occ: R-3 Valuation: $3,000.00 SCOPE OF WORK: LEGALIZA710N OF A 595 SF (17' X 35') SOLID PATIO COVER AT THE REAR OF AN EXISTING GARAGE (ADJACEN7 TO LEFT SIDE OF THE SFD. WORK ALSO INCLUDES DEMOLITION AND PROPERLY CAPPING AN EXTERIOR VENT THROUGH THE PATIO COVER. INSPECTOR TO VERIFY COMPLIANCE W ITH CITY OF COSTA MESA PATIO SPECS. OWNER: SOTHY, KENNETH Phone: APPLICANT: SOTHY, KENNETH Phone: g49-230-8981 CONTRAC70R: OW NER-BUILDER Phone: Celt: ARCHITECT: ENGINEER: COMBINA710N PERMIT FEE SUMMARY Building Plan Check: Building Fees: Electrical Fees: Mechanical Fees: Plumbing F�;es: SMIP Residential: SMIP Commercial: Bldg Std Admin Fund TOTAL FEES: "Refer to fee r¢�eipts for all fees paid tor project Address: 874 W 19TH ST City/State/Zip: COSTA MESA, CA ' � Address: �874 W 19TH ST City/Slate/zZip: COSTA MESA, CA Address: Unit: Ciry/State: License No. License No. $54.11 $83.25 $0.00 $0.00 $33.30 $0.50 $0.00 $1.00 $172.16 License No. 000000 UNL Unit: : ZipCode PHONE: PHONE: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28. § 1. 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPEC710NS: In order for the work authorized under this permit to be wnsidered legal, such work must comply with all applicabte codes, and all required inspections and final approval must be obtained. Failure lo obtain inspections and finat approval vnll result in the expiration o( this permit. OC DE/. INSPECiIONTYPE � N TI�L �� INSGECTIONTYPE 47�F INTITIALS 1816 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final ElectriWl 201 Final 91ocWRetaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final $ign 222 Final Sile � 204 Final Demolition ' 250 Final Builtling/OcCupancy _��'�� WORKERS' COMPENSATION DECLARATION: I hereby aKrtn under penalty of perjury one o( the (ollovring tleclaraiions: ❑ I have and will maintain a certificate of consent to self-Insure for workers' compensation, as provitled tor by section 3700 of the Labor Code, for the peRortnance of the work for which this permit is issued. ❑ I have antl will maintain v.orkers' compensation insurance, as required by secl'an 3700 0( the Labor Cotle, for the peAormance of the v.ork (or whic� Ihis permit is issuetl. My vrorkers' compensation Insurance carner and policy number are: Carcier. (Tnis sactm nee0 rpl pa rompleletl d Me peimR Is valuetl al one hunWetl tlollais (St00) a less.) Policy Number: ❑ I certity that in the peAormance of Ihe work (or which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the vrorkers' compensation laws of Califomia, and agree that if I should become subjeU ro the woBers' compensation provisions of Section 3700 of the Labor Cotle, I shall (orthwith comply wilh these provisions. MWm��'s SignaWre Oa�e WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNfAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAF2S ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LP,BOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affrm that I am licensed under provisions of Chapter 9(wmmencing with Section 7000) of Division 3 0l the Business and Professions Cotle, and my license is in lull (orce and effecl. Lic. # Class # Convaqor's Sipnawre Da�e CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a consWction lending agency fw the pedortnance ot the work fa wfiich this pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lenders Adtlress: SignaWre Dale ' OWNER-BUILDER DECLARATIONS: I hereby aKrm that untler penalry 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 consWct. alter, improve, tlemolish, or repair any sWCWre. prior lo its issuance, also requires the applicant for such pertnit to file a signed statement thal he or she is licensed pursuant lo the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) o( Division 3 0l the Business and Professions Code) or ihat he or she is eaempl iherefmm and the basis tor t�e allegetl exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundretl dollars ($500).): � I, as owner of Ihe property, or my employees with wages as their sole �pensation, WILL DO THE WORK, and the struclure is not intended or oRered !or sale (Sec. 7044, Business and Professions Code: The Contractors License Law dces not apply to an owner of property who builds or improves lhereon, antl vfio tices such vrork himself or herself or through his or her own employees, provided ihat such improvemenls are not intended or offeretl lor sale. If, however, lhe building or improvement is sold within one year of completion, the ovmer-builder will have the burden of proving that �e or she did not build or improve for purpose ot sale.). ❑ I, as ovmer ol lhe property, am EXCLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to consWct the projecl (Sec. 7044, Business an0 Professbns Cotle: The cont2ctas License Law dces nol apPly to an owner o! property wfio builds or impioves thereon, and who cont2cts fw such pmject with a contracta(s) license pursuant to the CoN2ctors License Laws.). ❑ I am ezempt under sec. Business antl Pro(essions Code for Ihis reason: 6 /2 D`f s��e a 3os�-as �aroi� Ovmer ID verified by driver's license. Yes ❑ No_ � ��e� 5 nsa.Na. � �� Z �s � Venfication of Ownership by (lype of Aocument, i.e. - property tax bill or tleed�: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation frve (5) or more feel in depth into v.fiich a persrn is required to descend, will be made in connection vnth work authorizetl by this pertnit, and that no builtling structure, scatfdding, lalsev.ork, a demolition or dismanlling lhereof, will be more Ihan thirty-sin (36) feet high. (Chap. 32, Grp 2, M 2, Sec. 341, Title 8, Calilomia Adminisl2�ive Cotle). ❑ As ovmer•builtler, I will not employ anyone to do work which woultl require a permit from the Division of Industrial Safery, as noted above, unless such person has a permit to do such work from the tlivision. Apoliwm's Sipnalure Date Division of Industnal Safety Pertnit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuNre building occupant need to fle antl certify a Business Plan for emergency response to release or Ihreatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of lhe Cali(omia Health and Safety Code requires, with some exceptions. lhat a Business Plan be filetl with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or grealer Ihan a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard lemperature and pressure). 2. Does or will the applicant or present or luture building occupant neetl to file a regislration lorm for acutely hazartlous matenals? ❑ Ves ❑ No (Section 25533 of the Cali(ornia Health anC Salety Cotle, wilh some exceptions, requires registration vrith the Costa Mesa Fire Department by each business which at any one time has on hand a quanlity of awtely hazardous materials equal to or greater �han a weigh� of 500 pounds, or a volume of 55 gallons. or 200 cu6ic teet of compressed gas at stantlard tempereWre antl pressure). 3. Does or will Ihe applicaN or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous matenals)? ❑ Yes ❑ No (Section 25534 0( the Califomia Healih and Safety Cotle provides Ihal the Cosla Mesa Fire Department may require the preparation, certification and (ling with lhe Fire Departmeni of an RMPP by businesses which are required to register acutely hazaMous materials with the Fire Department. 4. If an RMPP is presentty required, has Section 25534 0( Ihe California Health and Safety Cotle been fully complied with? ❑ Ves ❑ No 5. Does or will the applicant or present or tuture builtling occupant require lor Ihe wnrk which is the subject of this application a permit for such consWction or motlification from the South Coasl Air Qualiry Managemenl Dislrict or from any other air pollution control tlistrict or agency? ❑ Yes ❑ No (SecCron 658502 of the Califomia Govemment Code requires that t�e requested information be fumished on appliwtions for rqn-resitlential building permits). 6. Will any part ot the faciliry ro be constructetl under this permit be within 1000 feet from the outer boundaries of a school? ❑ Ves ❑ No Qf'j�es", Ihe lacility musl meet the requiremeM of Sections 25534 and 42303 of the Califomia Healt� and Satey Code). 7. II a permit fmm lhe South Coast Air Qualiry Managemont Oislrict or other air pollution control district or agency is requiretl for the vrork which is the subjecl of this applicalion, have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No B. pf "yes", attach ceAificate of compliance from the appropriate air polWtion controloKceq. CER7IFICATE OF COMPLIANCE: I cenify that under penalry of perjury the inlormalion given above is wrrecL 1 agree to comply wilh all state laws and city ordinances re9arding Hazartlous Materials and Emissions. SignaWre Dale CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:� I certi(y under penalry of perjury that I have read this application and stale that 1he inlormation given is cortect I agree ro compty wilh all stata laws and ciry ordinances relating to builtling construction, and authorize representatives ol the Ciry of Cosla Mesa ro enter upon the above-tlescnbetl property lor inspection purpo s. I agree nol lo occupy or allow occupancy of any building authorizetl � epermit � fin ' spectio� Sign3rc�l.legei'Ovmer(sT� �Z D • Andlor Authonzea Applipnt