The URL can be used to link to this page

Home My WebLink About913 19TH ST - Building Permits�ESA BUILDING DEPARTMENT i Eaet 23th Street r Coeta Mesa, Calliornia CERT Building Permit N Use oT Building..... The building located N° 238 B / �nf � Date........._!.._ ""_"'.T...:... .."_�•_'_""_ CITV OF COSTA � E //OF6 CATE O CUPANCY //C;47 � r,. //�%n/ry�+ Electrfcal Permit No�:.JI.d.Z.Plumbl�g Pe�mlt Nql.�n.!?.{ �ot........l...00i .................. B�o�k./J.6....-o: (See reverse side tor Metes and Bounds) '� been inspected and found to comply wit �.snces applicable thereto for a Group........_! 1 UE TO: � •. � J .. . .... _... .�.�x_...._t �°.. ..._ � i-fP..S-�%.l.r.:... (Owner oT Building) CC: ❑ Original—Owner ❑ lst copy—Gas Co. Porm 206 G-H 1M 12-63 o_ provisions of al] City oY Costa A. J. cicy ❑ 2nd copy—Edison Co. !J copy—File I J �� 7gy F RECEIVED` ' .-� �' S694 {� � �,� � COSTA MESA BUILDING DEPARTMENT `` �j � � P. O. BOX 31� ��. FI ANCE DE�T. COSTA MESA, CALIFORNIA CITY OF COSTA MESA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ADD E'S5 /3 -� GI�. / �+ " � K.�9 BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY PECEIVT NO. P F IT N i OWNE � � a �o v �� MAIL /� �/ f. RECEIVED BV D�tE fiECE1VE0 U E IS i ADDRE55 j�/ C � 7 � �S � II S QTV ywv�v` TNO. ADD E'S5 Jl ///V �'` ARC"'TECT uC. COSTA MESA. CALIFORNIA OR' �INEER NO. FIRE 2 ADDRE55 ZONE J f IONE NO.OF iYFE GROUP CITY LIC. n��rvs // CONTRACTO . NO. � � Y /J � �a / .� . . ��/�L _� TEL. APPROVE,�� . v� .� C LEWL '� J%%L LOT oE9CntvnON NO. DO BLOCK TR T A.P. NO. F� i_ I� "" � SIZE / NO.OF BLOGS. OF LOT (� G r�ow oH �01 . . USE OF E%ISTING BLDG ' SETB�CN LINE FFOM I CENTER OF STREET O/ REAR YARD / /� SIDE YARD RIGHT EF DESCRIPTION OF WORK i NE ALTERATION ADDITION REPAIR MOVING DEMOLISH BUILDING NO.OF ^ 512E �/ O ROOMS STORIES /—� E%TERIOR WALL ROOF COVERING COVERING USE OF NEW �� .�, � � n BY• CtTY OF CCSTa �aF.S:+ V» ..w � i . uBJECT TO G. DCPT. REG. � . �, ^' -J dU ` � 1 XEREBV ACNNOWL GE M1V NE�D NIS PVLIC/.TION �ND ST�TE TH�T TNE 1BOVE IS CORFECT �ND aGREE TO COMPLV WITM �Ll D UQ /' � CITY OFOIN�NCES �NO ST E L�WS REGVL�TING BVI UING CONSTflVC� Q iiOru. VALUATION � (� e O SIGNATURE OF � PERMIT FEE S J ,G PERMITTEE /<�/ � (^� pLAN CHECK S � �, `� � $ ��f �J AUTHORIZED AGENT TOTAL FEE $ Sp1 .3 V �W� e �. , �I � 4FST 19TH SiR�T 913 � � � conP. 1-7-58 As°,��'� (5896) - - � (22l�9a)�1��.�6 `;Ct�/� �� B24541 50' by 6' high block 51,000.00 �� y��iy� 0 � (714) 754-5273 • Fex (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,�COSTA MESA, CA 92626 BUILDING PERMIT ' ' ,lob Address: 913 W 19TH ST Suite: Vicinity: Parcel Number: 42432111 Applicant: LEMUS,R,4FAEL - Address: 2016 WALLACE AV ,- �= ��' Zoning: ISSUED BY: Status: ISSUED Applied: 01/14/2005 Issued: 01/14/2005 � UNITB �'. �!; ' - _ � Phone: 949-642-7057 - „ COSTA MESA; CA-. - " � , Zip: 92627 � " - - ` �� / �;' ' ' � ;� Owner. MURADLIYAN, JACK A'TR � � � - � = �- Address ! 20545 OXNARD ST� � -- �- - - �� /� � - -- � " � � � ,,// .' A , : i, Phone: `��-` . � . i AV `,'� - � , WOODLAND HILIS,CA� Zip: 91367-5431 -:� �� , � � / ,� � ; ; � � � � � . �Contrac'tor. LEMOS ROOFING � ' ' V`, � Address: 2016 WALLACE AV �� . .. � , � UNIT B " ` Phone: 949-642-7057 , � - ' ' ' ' _ COSTA MESA, CA � ,' � � Zip: 92627 . �.,License: 826813 �- � � Arch : Address: Eng: � " �- � Address: � ' , � � Phone: 6 Phone: Zip: ' Cicense: ` , 6icense: . , - SCOPE OF PERMIT . � TEAR OFF COMP. SHINGLES, INSTALL 1 LAYER OF 3008 FELT AND 30 COMP. SHINGLES. � , Plan Check: , Permit: SMIP Res: `SMIP Com: Other: , Inspection: � ` Total: $0.00 $83.25 $0.50 $0.00 $0.00 °$0 00 $83.75 FEE SUMMARY Calc Valuation: Claim Valuation: i'/�;; � .. , ; � . " �, . �;" . �,. PLANNING & ZONING , � . � SETBACKS , ,� ",, � � . MAIN STRUCTURE Front '0-,0 Rear-� ' 0- 0, _._ \ � ACCESSORY FronL`�0-�0 � - ��Rear--.0-0 PARKING Existinq: � o � Required: � 0 � NOTES: � � :- _- �; �� i: " � � % . , Left 0-0-� '- �- �Right � �-0-0- i : . ��% Lefl �0-0 , Right <,.0-0'�✓� ��i` � Proposed: . 0 �, ' � � s2;aoo.00 s2,aoa.00 u NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 7241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced vnihin 180 days, or if work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspectlona end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaae�ae la�oo) i WORKERS' COMPENSAnON DECLAflATON: — e "' I hereby ettirtn under penalty of perJury one of the tallowing Oeclaretlons: ❑ I heve end will maintein a certiticate ot consent to setl-Insure lor workers' compensation, es proNdetl for by sectian 3700 of Ihe Lebor Code, for Ne peAortnance af �he work lor which �his permit is Issuetl. ❑ I have end wlll malntaln woAcero' compenseGon insurance, es required by section 3700 ot the Lebor CoOe, for Ihe peAortnance af Ihe work for whiU thtq pertnit is iswed. My warkers' campensation Insurence cerrier end poliq number ere: Cerrier. � POlicy Number. (This sectfon need not be comp/eted D the permit is veluetl e! one hundred dollers ($100) or /ess.J �� I certity thet In the peAortnance of the work for w�ich this pertnit is issued, I shall not employ eny person in any manner so es to become sub�ect ro the workers' wmpensatlon lews of Celitomle, end epree ihet Ii I shoulG become sub�ect to Ihe workers' crompensatlon provisions at Sectlon 3700 oi ihe Lebor Cotle, I shall forthwith comply with lhese p / 'J APPlicanfSignaWre: �� !� , L � �Dat7 �. " � _ l "� � � WARNINO:FAILURETOSECUREWORKERS'COMPENSATI COVERAOEISUNIAWFULANDSNALLSUBIECTANEMPLOVERTOCRIMINALPENALTIESANDCIVILFINESUPTOONEHUNDREO hKK15PND DIX.LARE (5100.0OO�.IN AODfrION TO THE CQST OF COMPENSATION, DAMAGES AS PROVIDED WR IN SEGTION 3106 OF THE UBOR CO�E, IMEREST, M1D ATTORNEVS FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm ihel I am licensed untler pmNsions at Chepter 9(wmmencing with Sectian 7000) oi DlNsion 3 oLlhe.Business and Professians COAe, end my license Is in full �orce�ena�enea-nc: a � � c�ess a L— ?��L �1 l co��e signemre: �o'e�e: 1— l"t ^ O 5 CONSTRUCTON LENDINC AGENCY: ❑ I hareby ettirtn that there is e constructlon IenCing agency tor the paAormance of ihe work for which this permit is issuad. (Sec. 3097, Civil Cotle). Lenders Neme: Lenders Address: Signeture: Date: OWNER-BUILDER DECLARATONS: I hereby eHirtn Ihet under penalry of perJury thet I em EXEMP7 FROM THE CONTfiACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: My ciry or counry which requires e pertnit lo wnstruct, elter, Improve, demolish, or repair any structure, pnor to its Issuance, also requires the applicant for such pertnit to file a slgned stetement that he or she Is Iicensetl pursuant to the D«sions of ihe Contracrors License Lew (Chapter 9(commenGng wiU Section 7000) of Dlvlsion 3 of t�e Business entl Professions Code) or ihet he or she is exempt Ihereirom antl the basis lor the alleged exemption. Any Noletlan of Seclion 7031.5 by eny epplicant for e pertnit subjects the applicent to e clvil penelry o1 not more then five hundred dollars ($500).): ❑ I, es owner ot the property, or my employees with wages as thelr sole compensetlon, WILL DO THE WORK, and the structure is not In�entletl or otteretl for sale (Sec. 7044, Business and Professions Cotle: The Contractors Licensa Law does not epply to an owner of properry who Duiltls or improves thereon, and who tloes such work himself or �erselt or Ihrough hls or her own employees, provided that such Improvemenis are not Intendetl or oHered for sale. If, howeve�, the bullding ar improvement Is soltl wit�in one yeer o1 completion, �he owner-builder will have the burden of proving Ihat he or she ditl not build or improve for purposa of sele.�. ' ❑ I, as owner of the property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct tha pro�ect (Sec. 7044, Business end Pmfessions Cotle: TTe contrectors Ucense Lew does not apply to en owner ot propeny who builCs or Improves thereon, antl who contracts tor such pro�ect wlth e coniraaor(s) . license pursuent to the Contractors Ucense LewsJ. ❑ I am e:empt under sec. Busineu antl Professlons Gode tor this reeson: SlpnaNre: Date: Owner ID venfietl by tlrivers license. ❑ Yes ❑ No Driver's License No. Verlfication of Ownership 6y (rype ai dacument, i.a. - properry tax DIII or deetl): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: Expires: ❑ I hereby ceNiy that no exwvetion five (5) or more feet In tlepth Into which a person is required to Aescend, will be mede In connection with work euthonzed by Ihis permit, antl Ihet no builtlin9 structure, scaHolding, falsework, or demolitlon or dismantling thereoi, wlll be more then thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tllle 8, CalNornla Adminisiretive Catle). ❑ As owner-builtler, I will not employ enyone to do work which would require e pertnit iram the Division ot IndusMal Satety, es noted ebove, unless such pereon hes e permil to do such work from Ihe diNsion. SlpnaNre: Date: DlNsian at Indusirial Selery Pertnit Number: CERTFlCATE OF COMPLJANCE AND AUTHORIZATON OF ENTRY: I certify untler penalry of perjury that I have read Ihis epplication and stele thet the intormation given is correct. I agree to comply with all state laws end ciry ordinances releting to building wnstruction, end authorize representatives of the Ciry ot Casta Mese to enter upon the above-descnbed property for inspection purposes. I egree not to occupy or allow occupancy of any huilding euthonzed by Ihis permil until final inspectian. GOOE t. INSFECTIONTYVE ` 1616 Fixetl System Final Fire Preventlon 1266 Paol Spe Final 200 Final Re-Roof 201 Finel BIocWRetaining Well 202 Finel Factory Fire Place 203 Flnel Sign 204 Final Demolition �E � l >� J^ /�- O � Date Date COOE� INSPECTIONTYPE 206 Finel Mechanical 208 Final Plumbing 210 Final Electrical 212 Finel Fire Preventlon 220 Final Planning Approval 222 Flnel Site 250 Finel BuiltlinyOccupancy ` � 1 � : AVD��ant to fill in all spaces except those within heavy EorEer Iines antl sign all appro0��ate tleclarations. ciTY oF COSTA MEsa CONS7RUCTION PERMIT ProjectAddress ��3 W' �9'%� S/ . Applicant's Mailing Address ��36 i'�Pwo�»T �L b A /ho2ndLynrv � Owner's Name Phone Addreu yJ� lW � � � Sr • Arch/Eng. �.%�GaR� ��"'� LicenseNo. Address Contractor's Name `S � m�J-rw^��^' �j Phone y- �y Address (mailin9) ry � Ciry License No. � �S /7 -_ _ _ - _ LICENSED CONTRACTOR DECLARATION I hereby affirm lhat I am licensetl unaer provislons of Charter 9(commencing wiih section ]000) of Division 3 ot tha Businass antl Professions Cotle, antl my Iicense is in full force ana eftect. LJcense Elass �'Z ' Llcens No�7'!07 Dal �V `�� Signature ��= � WORKERS' COMPENSATION DECL ATION I nereby atfirm that I have a<ertificate ot consent to selt-insure or a certiticate Workers' Compensation Inzurance, or a c¢rtlfletl copy thereoi (Section 10, Lab. 1I/ !, roliCy No. �/�/�//�� Company�� +��Q. CCrtifi¢tl coOY �s hereby fumishetl. CerUfietl cop is filetl wi[h [he ciry Builtling Divi i n. . Date�U� APPlicant EXEMPTIO fiOMWORKERS'CO ENSATIO ECLA0.ATION (Thissuction need not be completetl if e permit is for On¢ huntlretl ($300) or Iess�. I certify that in the periormance of the work /or which this perm�t is issuetl, I shall not omploy any person in any manner so as to become subject to the Workers' COTpensation Laws af California. ' Date Signature NOTICE: If, atter making Ihis tleUaration, you shoultl become subiect to the Workers' Compensation provisions of the Labor Cotle, you must forthwitM1 comply with such p�ovisions o� this p¢rmit shall be tleemetl �evoked. CONSTRVCTION IENDING AGENCV I her¢by at(irm that there is a construction lentlln9 a9ency for the oertorman<e of lne work for w�icn this permit is issuetl (Section 309� Civ. C.) Lentler's rvame �enGer's AGtlresi - OWNER BUILDER DECLARATION 1 hereby affirm that'1 am'exempt from the Contrac[or's License Law (or the following reason (Section �031.5 Business antl Profe551onal Cotle: Any city or county which requires a permit to construct, alter, improve, tlemolish or repair any structure, prbr to its issuance, also requires the applicant tor such vermit '� to fila a siqnetl 5[atement Ihdt he/she is IiCensetl pursuant f0 the p�ovision5 ot � the Contractor's License Law (Chapter 9(commencing with Section ]000) ot � DiqiSion 3 ot Ihe Bu5ine55 antl Prof¢Ssions Cotle) or tha[ he/she i5 exemp[ "�eirom dntl the ba5i5 7or the all¢9etl exemptiOn. Any vlolation ot Section ',.5 by any applicant for a permit subjec[s tbe appli<ant to a civil ,Ity, ot not more than five huntlretl tlollars (§500). L� I, as owner of the property or my employees with wages as their sole compensatlon, will tlo the work, antl the structure is not intendetl or offeretl tor ule (Section 7044, Business antl Protessional Cotle: The Contractor's License Law tloes not apply to an owner of a property who bwltls or improves thereon. antl who �oes such wo�k himself/herself or through his or her own empl0yee5, prOvitletl tbat such improvements are not int¢ntletl o� offeretl fo� - sdle. It, howeve�, [he builtling or improvement i5 soltl wltnin one yea� of com- .pletion, �he�owner will have Ihe bu�tlen Of P/oving�he/She tlitl not builtl or iT- _ prove tor the purpose ot sale). � ❑ I, as owner oi the Oroper[y, am exclusively contracting with licensetl con- tractor5 to construct [he project (Section ]044, Bu5Ine55 antl Professions Cotle: The Con(ractor's License Law does not apply to an own¢r ot property who builtls or improves thereon, antl wno contracts for such orojects with a con- tractor(51 I�cense Oursuant to the Con[�acto�'s LlcenSe Law). I am aware that � proot o( tbeb WO/ker'S CompenSaUon in5urdnce shoultl be provitletl to ma. ' L7 I am exempt untler Section B. 8 P. C. for this reason' Date Owner �' I hereby certify that I have reatl this applicatlon antl state tnat the above IMO/matlon is corr¢[L I agree to comply with all clty antl County ortlinances_ antl state lawz relating' to builtlm9 constructlon, ana hereby authorize repre- sentatives ot this clty to enter upOn [h¢ �bOve-mentlonetl property fOr inspettion pur ses. n l �' `✓ � Si9nahre DateJY4 1 Y,_�)� Drivers' Licens or 55 � C7� " _� TYPE OF CONSTRUCTION LI NEW � ADD LJ ALTERATION LI REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTIONOFWORK/USEOFBLDG. :a� �'+� (u�� e TVPEOFPERMIT GRADING FOVNDATION ❑STRUCTVRAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL � ❑ OTFiER PROJECT DESCRIPTION Sq. FT-� �' A��<K l.t/��Ib�CUPANCV CON'STRUCTION TVPE � VALUATION $ /000 D� ZONE GRADINGCU.VDS. � ACRES Rema Preventer Irrigation king Fountains �r Dreins ir Sinks Service Outlets Kitchen Sink — Lavatories � P—Trap Roof Dr s Reinspection' Fee � $15 Boiler Duct - Under Ground - Duct - Structural Duct - Ventilating ' Exhaust System ❑ Multiple ❑ Firepl/Fact BIL ICBO # Heating System & Ducti ❑6100,OOOBTU 00,0006T Rainspection Fee � $15 CMF 0865-46, rev. 10/84 Whi[e - Builtling; Canary - Applicant: Pink - Accountin9: Goltlenrotl - Assessor Showers Service Sink � Sewer Cap Sewer Connection Solar Collectors Solar Piping j Solar Tank Swim � Pool w/Spa Water Closet . Water Heacer Water Service Auto-Wash Issue Fee Hood or Typel ❑ Canopy , Type II ❑ OO-1 , OOBTU ❑700,000 ystem Repair/Alteration Fire Dampers , Issue Fee $ 3 $ 3 A.P. # 5�,2 �-'-^ S Main Building: TFront �,2� ARear 0' C Right .� K Left S Ping. Ref. # � Planning Notes: � Aummatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers �Gas ❑Elec Fan F.A.U. Fixtures Device eoxes Outlets Switches Garbage Disposal Generetor �0.5 KWfL Fee � � 9338 7/14/86 •— � Zo�e Accessory Building: 6/ ' Parking Req./Provided ,. ELECTRICAL Trensformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 700 amps Meter ❑over 100 amps 5 KW $15 Sub,Panel � �. . Momrs �0-1 HP Yo - 8 Inc.Solar - 5 HP �i6-75+ Micro ve fe Light Range Sign ' Standing Sections Trash Compactor luue Fee 29.3B T.I, Z ' O N I N G R E Q i M T S FEES 0 $ 3 DEVELOPMENT SERVICES RE�UIFjEMENTS: Zoning Approved By ��L��/�.�! Date 7�� Building Approved B� Date Appliotian Issued By Date SU RY OF FEES � ' �� BUILDING PERMIT $ �--� SMIP $ PLAN CHECK $ PERMIT � PWMBING $ ISSUANCE $ PLAN CHECK 25h $ � - ENERGV P.C. $ - ELECTRICAL $� GRADING $ , PLAN CHECK 50% $ MICROFILM $ - MECHANICAL . � $ �SOTAL FEE $ 2 9,�fS PLAN CHECK 25% $ . e � ta=f� CONSTRUCTION AND PLANNING POOL & SPA . - � APPROVALS ' Permit# - Date Inspector qppROVALS Permit# Date Inspector m 1•. Temporary Electrical Service or Pole 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms �� 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ' = 5. Steel Reinforceinent 56. Rough Plumbing & Pressure Test � 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE n 7. Footings �. �'`�� 't- �� 6 58. Electrical Conduit-Undrgrnd. � 8. Foundation '' � � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. . 10. Structural Floor System . 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap , 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 Si9� 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 APPFOVALS Permit # � _ " 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test ' 72. Underground Flush � 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑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 7S. 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: '}� �(� Q/�, �� ' 34. Final Heating & Air Conditioning ' 35. Final Gas Pipe-Test . 36. Hood or Canopy . 37. Final Factory Fireplace ,. � � 38. Final Plumbing i, � ,` 39. Water Service-Final �- �� - � 40. Gas Service-F(nal . � � , 41. Solar pomestic-Final' � � � ` � �� 42. Backflow Preventer `-' ' " 43. Backflow Irrigation � • � � 44. Landscape Irrigation System ,,. i• " , " : '45. Sound Attenuation '� � 'f' � ' . � . 46. Handicap Regulations � _ � • � , .'- �'{,' � . 47. FINALSTRUCTURE&BUILDING � � __ � �!- � � � , 1 .' i 48. Special Requirements Completed ' � :. � t 49. Electric Release to Edison " .w, _ 50. Gas Release to Southern California Gas Co �' 51. CERTIFICATE OF OCCUPANCY No. Date � _..0 . � . � '� �.\