HomeMy WebLinkAbout920 19TH ST - Building Permits�
---- - �----- --. .
' ;vcSi i9id S^R..az"T �p._._..._. . . .. . . .. . ..
- 938 - camp.
29614 - 3-25-69
40881 - 12-4-75
� e�s3�J
�
�; ,!'�^.`:� �o, 384.
i1ec., E:C (C.•7e�') . � i
.Le9a1. Patio Cover 500..,
i
�z-f� � �
,�� ,
a
p
i
Costa Mesa Bnilding Department APPLICATION FOR PERMIT
��� 1/1 EAST 20th STREET g� g U I L D.� N G
� ' COSTA MESA, CALIFORNIA �
�..e.. �... r,-w ou a_te
,, .` �' . ^ . . . . . � =� �T .
i _ �\
f. .
0
r. _ , . —
_ ' _ '_ _ ' " ' ' ' . i ... .
i' '_ -_' . ' . _' .. _ ' ' ' . �
. . . .. �:.� a:'I: ' _ .' _ ,
� pr . _ " + " . �. - ' .
- .. � , t'•____.�_ .__ i.. � Yf'. .� ,
� � �' �..'� � . � � ..1 .
� - .� n . ' . . � .
, Street . ^• .� . .,.'.`:'. v
_ � . �.. . , .• ,ta i� ��.. . �. . �
. . . , . ' '.;.� . _'i 1.' - .
PLOT PLAN. � , � . ., . ,
,
Show locdtlon and distances irom � � � • ` � �' " - '
propeHy qne and between bulldings. � , �.� �..•�
� . �,
! , .
- . �, . , . . . . �. , �
``., _
i " ` , ' . .
. „ "' _ _ . . . , � w .
� , � . ' '
. �
.,- _ n
4�s8 � '�'in! I�G jd'�%�'7SG0 79��r ,x��r}C'.5C
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
PP CA ION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
F V DATE RECEIVED D T�E /IS/SUED
ADDFESS �' �D rN 5T ♦ /� "�^��
� . //t—.�G/�I/.�Ii� PEflMITNO.
F
�
W
a
Q
�
�
S
F
G
�
..1
Q
7
.�d
�
a
O
�
a
Z
W
S
3
,�
OWNER U��III��.G �• CTDO�/NC7
ADDRESS i�'�G y tIr.SP� ��.4 r
TEL.
cirv �/1G roRyi�� F'� Crs/. No. Z
ODNSTRUCfION
BfiANCH
ADDRESS
ARCHITECT TEL.
CONTRACTOR O/� E'� ��
ADORESS
TEI.
CITV NO.
STATE CITV
IIC. NO. LIC. NO.
SIZE NO.OF BLDGS.
OF lOT � NOW ON LOT
USE OF
EXISTING BLDG.
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
I hareby aeknowledge thei I hnvo �eetl this appliceNon antl state
thot tho ebove InformeNon Is corract antl apree to comply with
ell lewa repulailnB builtling construeNon, enG I zhell not employ
eny porson in vlolatlon ot tha workmen's compensatlan lewe of
Mo Stam af Calitornla.
I hereby mnify t�at 1 em propurly Ilcensetl as a conttector untlar
tho Siato of Culifornle Buslnoss and Protesslons Catle, Dlvlsion 3,
Chnptor 9, nntl that suc� Ilcanso6 ure In full forca entl eifxt, or 1
em oxempt from che provislons of tha Smte of Celifornla Buslnass
antl Professlona Cotle, Dlvlaion 3, Choptar 9. (� �
Sipnetura of// L � �%/� �, y�h� ,,, r _�/ , ..
Permittae C%II�JvS�YI Y U"o�y�/.�Vl�q
Authorized ABant
BUILDING
ADDRESS y.'f Q �
TFACT
W A
OWNER DR✓Ih�
S �AL(�Lr /
_�
FIRE
20NE • T
APPROVED
BY
2 E NO.OF
PLAfS �
VAROS APPROVED
MAIN BUILDING
(FROM C/} STSEET)
VAR. ,�
C.U.P.gy
r��
_<
T /
/✓-
use oF r
BUILDING
DATE
APPROVEO
THEAMOUNTSNOWNUNDERVALU
THE PURPOSE OF ES'fABLISHING A PER
VALVATION PERMIT FEE b
� � PLAN CHECK E
g OD TAX S
TOTALPAID b
�7,
C
m
i
�
m
N
ON IS FOR m
FEE ONLV: �
a
J�
m
m
0
S LL
i
u
�
I �
�nowEssa ew�aw: g z 0 W 1 9 TH ST
w�xs""'E'°'w°"": HRIERLEY, C'INCENT L
�ODPE55: g 2 0 W 19 TH S T
COSTA MESA,CA
722-7840
�ra�. �uuNo �no�ss:
ARCXrtECT OR EN�NFEN:
92627
uc w.:
�� CITY OF COSTA MESA — BUILDING PERMIT
PERMIT-NO: B 075355 PLAN CHECK NO: N
UNT:
cowm�crarsxu� BORR ROOFING ( 714 ) 548-2965
c«�m�oroirs�uura '711 WEELO DR
�oo�: CQSTA MESA CA uexo 635586
92627 uhr:
UCENSED COMR�CTORS DECLAXATION: 1 Meaby Nim u�kx psnely d per�ury tlut I em limead uMv pa�riau d Cheqx 9
(ewnms�ip wilh 6eclion ]Opp) d Divoion 3 d Ne Buei�n end PMpeions Code. W my Ibenee n in full laes enC eXeq.
cmuc.No.:01r16_2�1` uacuss: C 3g uc.No�SH� EXP; 09/96
Dete: /I � Z D"-'7 � Coni�rfm s �.� (�•—
OWNEN BUILDEN OECLAfl�7�ON: I Mreby alfirtn uMer peeWy d porj�vy iM I un axemp ham IM Comredon lioema Lew fa tM
IdbwYq iaeeon (Setlion ]�11.5 Bueiim� md Vrdmaio�a Coda: �M e'ry a eouMY ��'+Wiraa e pamiN m conetrucl. Mx. Imqove.
demd'oh, or rapei eny evuctyre, piw W ua ewenm, Wo rpuirm �M opplimnt br ach pom�X lo fib e eiprwd Mtemen� �htl M a�he
� liceneed punuent lo Ihe pewubm d ihs Canlredon Lioeew lew �CMqr B(mmmand�q Milh Satlion ]000) d Div'sion J d �N
winaaa eM Rdeaiom Codal w 1141 M a eha a azamp 1lweM1am BM iha bevia la IM dbpeE ezemptian. My videlion al Setlian
/W 1.5 by enY aVW�^I la e qrmn wbjetla IM epplicenl �o a uvil peMtly d nd man Ihen Ma huiMrBd ddlen �5500�).
� I, ea owner W tM pmperyy a my empbyees wh wepea ea Ihai rola cpnpsnWbn, Mill Eo ihe v.wk, aM �hs �tniclure e nd iMaMed
rc dlerad lor eeb (SecWn )011. BueiMa eM Prdeadme Code: The Contrmon I.icanea lew daea m1 epply lo en owrord poperty
wb bultla a inpows iherean. uM r,fio dam sutl� wak Fim�Ml ar henal a Waph he a her own mmGbY<m. P�b I!W acli
ima�mew u. iv'vuawea v aneiee �« w.. n. nor.snr. lne buitel!a «:nww.m.m n sda wqnin aw reer d mmdaion. ms
owiwrbuitler v.ill hme the duM d pvrieq he or eM did �u buiN «unqws la IM puryms W ubl.
� I. ea ovmer d �M pioppry. em e�dueHely cmtren'rp wnh IiceneeE mnhecton io wnmrua IM prqap (Sequn ]OCC. Bueimse eM
PMassiom Cade: The ConireCon Lkanse Law doea nW epplylo en oxnerd propeny wlio buike orimprovesihareon enE who
wnVncb la euM prajees wnh e wmreaor(e) Icemed Wnueni lo ihe Conlredae Liuma Lewj.
� I em eaemq �Mer Seqion: B. d P.C.. br Uw �esaon:
Dme: Oxnx:
I Ao he�eby ce�fi/ Nei 1 em awere d uM wdermtaid tM rtqui�emems M Celiomu HaeM1h eM Seley CoOe 3eeians?5505. 25SU, eM
2SS�a, aM the� I a erry Mure buiMirp om�pnnl wil� � wL rwt (arcb ma) need lo canply wih aeiE mete oodo eM �M �epu'vemenn br
epwmntamuwnionarmodifwionhan�MA e��y e�epementOmrin.RmkenlielcmpruauneppF�at'vnarteumqlmmihese
plOV19q118.
oa�e: AvWK���
WONKER'S COYPENSATION DECUN�TION: 1 Mreby eifimi undu peneRy d pajuy one d tM Idbw"vq Mtluat'vn:
p in„".�a.�a�w.:�,�aw.a��m.w:�.w..,�x�canGx�ion.nYwidadlaMSaaian3l00dtMlebar
Gode, in tM pMmreice d Ns xaA la Mvch thu pem�n h uvued.
� I hew end wil mein�en woMen' companaetion inwrence, ea reQuired by Sac�pn 3]00 ot Ihe Lebor Cade, la iM pe�ormanw N tM
wwk ta whicM1 ihie perM� {s iaued. My waFan' compeneetion imuraice <emx vM poliq numEer ua:
c�,, STATE FUND EXPIRES
va� M,�,s,,: t n t F, �— 0 7/ O 1/ 9 6
s ucYim neeC rid M cvmplered / iM prmt b Mr are AUMnd EwMars /S�OpI w Ire.)
�] 1 mnh thet in ihe P�ameMe d �he w«k �« xhich tnn Ve�mn b iaued. I ehell ria emWW enY Ge�p^ ��y manrier eo m b
become w4etl to iM wwkne' oomW�ion kvn d Celibmia. aM rae I ehouN became a4eq to IM waFen'
comVanse�ion povisona ot SaCion 3]00 al �M laEa NY � �Iww prowion�.
ov,: // 2.S--�Z,� .oa���
Wem/np: Fa/lun ro��euro Ny�p� rompNuatlon eorerep� l� �nkwNl, �ntl �NII au6/�cf an employer ro eMmlml pmsltlN+ne
nw nrc, w ro a,. nu�anq mou,w adrn (sfaqaaoA M.da�aon ro d» co,� oi rnmo.�wrron wnrvs. u povmw ro• m
Sectlm 31�6 0/ tli� Ltlor �pe. INwL ��M+mq i/w�.
CONSTNUCIION LENDINq pGENC1: I hneby elfirm wder pmaM d perpiry ihat Iham ie e consUuqion bMiig eperoy la �hs
parlormenro d ��e xvrk lor wryiM thu pa1mil ie usueA (SMon 9091, Civ. C�.
LENDEA•5 NAME:
�ENUEN'S qDOPE34:
I cenify thet I t�na rmE Nis ppqiWion enE ame thm Ne eEwe'udame�ion is cartetl.l epres to compy wiih N dry aM muniy ard"vunoea
eM et�a lexa rele�iq w buiyPq �yyiqon end hereby eWwrve rspesentativse d ihe tltyto eMer upon iha ebove�memionetl poparly
�IX 1119p0tlqfl p11lQObl.
VE BURR
/ vdm r�a � ��i��
M.�_ � Dete.
Sia�ura d Owrnr/�9�Aoo�����reaa
(S151de.WP) Whno-BuiMip d Selary: ��eamFib: CenW-Appicent: Rnk-Rawnua: Galdanro�Memaor
CONSTRUCTION TYPE; V—N PERMIT TYPE: STR
�t
JOB DESCRIPTION :�T/OFF 6 REROOF W/FIBERGLASS SHINGLES
PERM NO: B 075355
GOVT: N SOPP: N
PURPOSE: OTH
SQ FT: 3,300
CLAIM VALUE: 3,300.00 CALC—VALUE: 3,300.00 GROUP OCC: R-3 /M-1
COMMENTS: REROOF 20005F RESIDENCE SMOKE DETECTORS REQ�UIRED PER 91UBC p
��r��x*���***�r�*�x�*�x�**��*+�*�rt*�u�r�x�x+�*�*��x�*���+r*rt* *�**��������5�
Z O N I N G R E Q U I R E M E N T S��°
S£ T B A C K S MC-(��UIRED
y;
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ----------�?%�
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 92252418 ZNE: REF NO:
PLANNING NOTES> `�
�� �
3E iE 1E �f �E iElE 1E iE if 1E 1F fE IE 9E iE 1(- if !E IE iE iE iE 1E 1E if 1ElElE iE 1E 3E fE 1E i4 if 1E 1E 1E iE iE 1E 1E iE iE 1E 9E �IEiE if * ib 1E iE 1E 1ElE iE �E �E �E iE iE 1ElE iE 9E jf 1(' jE 9E 3E iE dE fE iE jE iE 3E
D E V E�L O P M E N T S E R V I C E S R E Q 0 I R E M E N T' S
ZONING APPROVED'BY . DATE: •�
BUILDING APPROVED HY :
n
APPLICATION IS$UED BY:
iF jF if fF iE aE If 3ElF iF iE iE iE iF iE iE 1F iF iE 1E 3E i
LEGALIZATION:N
F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE
PERMIT 63.00
PLAN
ZSSUE FEE
HOILDING-DIV-> PERMIT ZSSUE PLAN-CHECK
TOTALS----> 63.50 0.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED;
BLDG PMT PLUMBING ELECTRIC MECHANIC
63.00
DATE; �
DATE: II � � � r
iEiE�IElEIEiE3EiE3E f� �Fif
STRUCTURAL SEGMENT:Y
SMIP/RES GRADING
50
SMIP/NON-RES
TOTAL PAID DUE
63.50 63,50 .00
63.50 OVER/SHORT: ,00
FIRE SMIP/TOO GRADING PLAN-CHECK
3E �E 1E 1f iE 1E �E iF IE �E iElE if if'k iE'1E iE i6 iE iE iE iE �E iE 1E fE 1ElE 1f iElE iE �E 1E iE 9E 1E �lE fb iF iE IE i61E IE 1E �1E 1E iF iE �)f ik fE iE 1E i69E 9E iE if 9f if jf if 1E jf iE iE if iE 1E i! 1E iE iE iE 1Elt
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 3300 REROOF BY VALUE RESID£NTIAL NOZONE 1.00 3,300.00
6ND OF FEES
(
O1 00�55'_38-�n195?39 T ��'� E3,5U
DA?E: 1:/_5.�9a TI�!E: 04:55
. �
:----�. '
CONSTRUCTION AND PLANNING � POOL 'A
APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector
�. Temporary Eiectrical Service or Pole 52. Pool & Equipment Location . �-
,
2. Soil Pipe•Undrgmd. ' 53. Steel Reinforcement� "
3. Electricat Conduit Utility�Undrgmd. 54. Forms ' �
4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding �
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test .
6. Electrica� UFEft Grnd, 57. APPROVAL TO COVER�GUNITE
7. Footings � . 58. Eiectricai Conduit-Undrgrnd.
8. Foundation � 59. Gas Pipe, O Undrgmd., Test
9. Water Pipe-Undrgmd. 60. Backwash lines, P-Trap, Cl Undrgrnd.
10. Strucwrai Floor SYstem ' 61. APPROVAL TO DECK !
1 i. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
�2- Se�ve� CaP 63, Heater & Vent�Final �-�
i -
13, Roof Drains ���� 64. ?lumbing Syscem - Pinal '
14, Rough Plumbing � 65. Electrical�Final
15. Rough Electrical-Conduit 66. Solar SYstem-Finat
16, Rough Electric 4Viring 67. Fencing & Access Approval
77, Rough Wiring Sign 68. APPROVED FOR PLASTER�NG
18, Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19, Rough Heating & Air Conditioning , FIRE pEPT. REQUIREMENT
20. Rough Factory Fireplace ' .. APPROVALS Permit #
21. Ducts, in Structure 70. Underg'round Hydro
22. Dutts, Ventilating 71. Product Piping �Gas OOiI
23. Gas Pipe-Rough & 7est � � 72. Underground Flush
24, Roof Frerriing - � 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing �/_„2,� ��j" �C�,� 74. Overhead Hydro
26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27, Frame and Flashing 76. Dry Standpipe .
� 28. Lathing & Siding _ � ' 77. FIXED SYSTEAA FINAL
29. Insulation � � - 7g, fiftE PREV. FINAL
30, Dryevall Nailing � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Mecer-Finai � 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: �
34. Final Heating & Air Conditioning -
35. Fina� Gas Pipe•Test .
36. Hood or Canopy .� � ' ,
37. Final Factory Fireplace , �
38. Final Piumbing � ' �
3g. Water $ervice-Final � _
40. Gas Service•Finai � .
41. Solar pomestic�Final .
42. Backfiow Preventer
43. Backflow Irrigation .
44. Landscape Irriqation System � � �
45. Sou�d Attenua[ion ,
46. Handicap Regulations .
47. FINAL STRUCTURE & BUILOING �Z.��g�c.�
J
48. FINAL PLANNING
4g. Elec[rie Release to Edison, '_
50. Gas Release to Southem California Gas Co
51. CERTIFICATE OP OCCUPANCY
No Date �