HomeMy WebLinkAbout954 19TH ST - Building Permitsr
(714) 754-5273 • F�( (714� 754-4856 • www.ci.costa-mesa.ca.us 77 FAIH UMIVt, GUJ I A MCJF, l:A tlYtiLti
BUILDING PERMIT
Job Address: 954 W 19TH ST
Suite:
Vicinity: ROOF
Parcel Number: 42253109
Zoning:
App�icant: CLAYTON, MATTHEW . . - - - . ,
ISSUED BY:
Status: ISSUED
Applied: 07131/2002
Issued: 07I31I2002
Addresa: 262 WALNUT ST � - :�,iG�'-" ""' ' - - - - - -,
��// %� � . , Phone: (949) 831-1085 � � ��
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COSTAMESA;:C j �' -�'� ,, ,' Zip: 92627 . � ; , � ,A�
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Owner: KONVES; JAMES ROBERT � - ,
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Address .954 N/"19iH�ST - ._ - �- � - . � �- - , � � ��� :� �
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�, COSTA MESA�QA � ; - Zip: 92627 - " , ��;�A • � ,��: �
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Contracror. ' WATERPROOF�ROOFING � "� �� , ! ��
, AddresS:. 262WALNUT ST `� �O ,A /
� , %, � %- �� �� Phone,:: � (949) 631-1085 � � �
' " COSTA�MESA,CA - ��� �- � �
- 2ip: � 92827! ' License: 738880 _ _ � . ��; � .
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Arch :
Address:
Zip:
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'� .i REMOVE�EXISTING COMPOSITION; 2 LAYER, ROOF:�INSTALL-30# I
SHINGLES. 1700 S.F. INCLUDES ATTACHED GARAGE. � � �� � � � - �
, Plan Check:
Permit:
�SMIP Res:
SMIP Com:
Other:
Inspectioh:, -
,,
\ Total:
.
,.,, �.� , ;.� FEESUM
$0.00 -- =- „_.
$83.25 ' � �
$0.50
$0.00 ,
$0.00
$0.00 -..
583�75 � • � , .
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25,YR.,,CCASS'A GAF COMPOSITION'
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NARY „'�';-r ,
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Calc Vaivation:
��Claim Valuation: ,� ,
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� � ., �' � ��.��jj ,
�az,soo.00'
$2,soo.00
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' � '' � `.` � PLANNING & ZONING �� � � ' ' �
�� �
�: . �� �. �„ � `,
SETBACK$ � � �� �� . � _ ! � "i' i
MAIN STRUCTURE' Front 0- 0 , Rear �- 0- 0��- Left - 0- 0� - Rigtit "� �0- 0,%
�
__ _ '�_; � , -- - V'��` '; , - -. % /
� i �
ACCESSORY Front2�0.0 �'�� ��- ,�Rea� _0.0- Left 0.�0 ",. : � Right-��0-0%� � �
� �. , . . ; , . �. �
PARKING Existin ��0 � ' '�� Re uired: , 0 � ` Proposed: � 0 � � �� �/ �i
—fl� � . _> __� - ,A�l _ � ,�,_
��� _ . � ., - ' � i�.
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Hores: �;_'�, - .,�;-;�-,�%�%�: �
NOTICE: The work authorized by this permit shall compty with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92•28, § 1, 12-21-92)
EXPIRATION: This pertnit shall automatically expire and become void if work is not commenced within 180 days, or il work is suspended or abandoned
for a period of 180 tlays. '
INSPECTIONS: In order tor tha work authorized under this permit to be consldered legal, such wark must comply with all applicable eodes, arW all
requlred Inapectiona and final approval must be obtained. Failure to obtain inspections and tinal approval will result in iha expiration of this pertnit.
POR INSPECTIONS CALL: Q74) 754-5626 I
zaae�+e �e�w�
WORKERS'iCOMPENSNTION DECLARATION:
I hereby aHirtn under penalry of perjury one W t�e following dedarations: �
❑ 1 heve end will mei�lain e ceNticate of wnsem ta selt-Insure tor workere' compensatlon, as proNded for by sectlon 3700 at the Lebor Code, lor Ihe pertormance of the
work lor which this Germit I5 issuetl.
.0 �I�heve enA wW mein�n workers' compensetipn insurance, es reQulred by secUon 3700 of ihe Lehor Cotle, tor Ue peAortnance ot Ure work lor w�ic� Ws permit is Lssued.
My workerGs' +c.o,.m�p�dn �tl,opn Insu�re[-n–ce ca e ntl paliry number ere: / l�
Cerriar.�7 � ) � R"1 � 7' �i � � �Po�—ICy�N�_mber:� I � � �Z %b '–' V�
(fMe�secBon need nof ba �wnWeted il Me permlNs veluetl er one nundred dalers ($t00) or less.) ,.
❑ I cetlily that in t�e peAortnance ot the work for w�ich tNs pertnit is Issuetl, I shall not employ eny person in eny manner so es to become subject to the workers'
compensetion laws ai Califomla, end egrae ihat it I shoUlO bernma sub�ect to the workers' compensetion provlslons ot Section 3700 ot t�a LeEor Cotle, i shall fonhwlih
comply with these provi io r
Avvneanrsignaturea _ ��e7' `]��'[ �D-Z
WAHNINO: FAILURE TO SEQIFE WORKERS' COMPEN T1pN NyEMGE IS UNUWFUL MJD SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAITI S M1D pVIL FlNE$ UP TOONE HUNDRED
THOUSAND DOLURE (5100,000). IN AODITION TO THE COST OF OOMPENSATION, DMMGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR COOE. INfEREST, AND ATTORNEI"5 FEES.
LICENSED CONTRACTORS DECLARATION:
that I em Ilcens�tl u�dypr�Wse.ionsr`of Chapter 8(commenGng wlth Section 7000) at Dlvision 3 0l the.Buslnesy�pntl PLQfqSgons Code, entl my Iicense Lq in full
CONSTRUCTON LEND�NG AGENCY:
❑ I hereby ettirtn Ihat ihere is e conslrutlion lendinp agency lor ihe peAormence ol Ihe work lor which Ihis pertnil Is issuetl. (Sec. 3097. Civil CoOe).
Lentlefs Name: Lendefs AOdress:
Signeture: � Dete:
OWNER•BUILDER DECLANATIONS:
I hereby aHirtn thet untler penalry ol per�ury Nat I em EXEMPT FHOM TT1E CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Buslness end Prolessions
Code: Any city or wunry which requlras e permit to consiruct, alter, imprwe, tlemolish, or repair eny strucWre, pdor to its issuance, also reqWres ihe epplicant For such pertnit
to fle e signed stetement that he or she is Ilcensed pursuent to Ihe proNsions of the Contrectors License Lew (Chepter B(commencing with Sectlon 7000) of �iWsian 3 of Ne
Business entl Professions Code) or that he or she is e:empt therefrom entl the basls tor t�e alleged ezemptlon. Any violatlon ot Saction 7031.5 by any epplicant for e pertn0
subjeds the aDD���ent to 6 civil penelty ot not more Ihan five hundred dollars ($500).):
❑ I, es owner at the pfoperry, or my employees with weges as their sole compensation, WILL DO THE WORK, and the structure Is nat Intended or oNered for sale (Sec.
7044, Business end Protessions Coda: The Contractors License Lew tloes not apply to an owner of property who builtls or improves thereon, and who does such work
himsetl or hersell o! Ihrough his or her own emplo}rees, provitled that such improvements ere not intended or oXeretl for sale. If, however, ihe buil0ing or improvement i5
sold within one yeaf ol completion, Ne owner-builder will have the burden of proving that he or she did not builtl or Improve for purpose of sale.).
❑ I, as owner of the plaperry, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consWct the prolect (Sec. 7044, Business antl Proteulons
Cotle: The coNrectO�s License Law does not apply to en owner oi property who bullds or improves Ihereon, entl who conirects tor such pmject wit� a contracror(s)
license pursuant to /he Contraccors License Lews.).
❑ I em exempt untlar aec.
Signatura:
Owner ID venlied by tldvals license. ❑ Yes
Venficatlon oi Ownership by (rype ot tlocument, i.e.
Business and Professions Code for this reason:
❑ No Driver'S LiCense No.
praperry tac blll or deed):
Date:
Expires:
DIVISION OF INDUS7RIAL SAFE7V PERMR CER7IFICATION:
❑ I hereby certlly Ihat no excavatlon live (5) or mora feet In depth into w�ich e person Is required lo tlescend, will be meAe In connection wlth work authorized by thls
pertnit, and ihat no Duiltling siructure, scattdding, falsework, or demditlon or tlismantling ihereot, will be mora than Uirry-sl: (38) feet high. (Chep. 32, Grp 2, M 2, Sec.
341, Title 8, Celitom�a Administrative Cotlej.
❑ As owner-builder, I will not employ anyone ta do work w�lch would require e permit Irom Ihe Divisian of Intlusirial Selary, as notetl eDove, unless such person �es a
permit to tlo suc� w0�k Irom Ihe division.
Signature: Date:
Divislon ol Intlusirial Sefery Pertnit Number.
CERTIFlCATE OF COMPl1ANCE AND AUiHORVA710N OF ENTAV: I certity under penelry of perjury Ihel I have read this epplication anG state that ihe Infortnation gNen (s
correct. I egree to comply with ell s;ete laws enO ciry ordinences relating to Euilding construdlon, end euthodze representatives of the Ciry ai Costa Mesa ro enter upon Ne
ebove-descnbed property fa� ��spection purposes. I egree not to occupy or ellow occupency ot eny building authodzed by �his permit until linal insDec�ion.
GQOE �. INSPECTIONTYYE
1618
12fi6
Fixed System Final Fire Preventlon
Paol Spa Flnel
200 Final Re-RoOt
201 Final BIocWRetei�irg Well
202 Final Fectory Fire Place
203 Finel Sign
204 . Final Demdltion
aeff. li�e�s
CODE I INSPECTION TYPE
208 Finel Mechenicel
208 Ftnal PlumWng
210 Finel Electdcal
2i2 Final Fire Prevention
220 Finel Planninp Approval
222 FInaI5lte
250 Final Bullding�Ocwpanq
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(714) 754-5273 � FaX (774) 754d856 • www.ci,costa-mesa.ca.us i i rnin un�vc, �.va � ����w.+, .+.. ���.�..
MECHANICAL PERMIT
.lobnddress: 954 W 19TH ST
Suite No
Vit:nity:
Parcel Number: 42253109
npp�icant BELL, RALPH
Address: 11801 MAC ST �
GARDEN GROVE, CA
Owner: ' KONVES, JAMES ROBERT
Address: 954 W 19TH ST � .
" � COSTA MESA, CA
Contrector: ' CRYSTAL AIR
- Address: � 71801 MAC ST
� GARDEN GROVE, CA �
Arch / Eng : �
Address:
FAU CHANGEOUT
ISSUE FEE
Inst FAU <100 k BTU
Inst FAU >100 k BTU
Repair / Alt CoolinglHeat
Inst / Rep. Recess Wall Htr
Refrig Sys <700 k BTU
Refrig Sys >700 k BTU -
Gas Piping � �
Factory Fireplabe �
Hood w/Mech Exhaust �
VAV Box .
Vent Fan / Single DUCt � �
Appliance ' ,' �
Fire Dampers .
Smoke Dampers �
Inst or Relowte Appl Vent
Air Handlers < 70000cfm
Air Handlers > 10000cfm
Floor Fumace
Floor or Suspend Heater
Quantiry
523.50
$14.80 1
$0.00 0
$0.00 0
$0.00 0
50.00 0
50.00 0
50.00 0
$0.00 0
� , $0.00 `�0 -
- $0.00 _ 0- �,
. . $0.00 0 -� .
� 50.00 �. � 0
50.00 0
$0:00 0
' 60.00 0
�'�30.00 - 0
$0.00 0
$0.00 0
$0.00 0
Phone: (714)534-2593
Zip: 92641 .
Phone:
Zip: 92627
Phone: pt4) 534-2593
:Zip: 92641 �
License: 655036
Phone:
Zip:
L.icense:
SCOPE OF PERMIT
StaWs: ISSUED
Applied: 11I09I2000
Issued: 17I092000
ISSUED BY:
FEE SUMMARY _ � �
' . �uantity
Repair I Alt Absorbtion Unit ' $0.00 � 0
Repair I Alt Refrigeration Unit � 50.00 0,
Ventillation Syatem � ��' � �$0.00 � 0 �
. _ . � Evaporative Cooler . / � $0.00. 0 '
�� � Commercial Incineretor " � 50.00 �0 �
� Domestic Incinerator , . $0.00 0, �
Compressors I Absorption Svstems �" .
Up to 3 hp I 100 k BTU � . $0.00 - 0
3 To 75 hp / 500 k BTU ,` $0.00,� 0
15To30hp/1,OOOkBTU�i" � �$0:00 0
- - 30 To 50 hp / 1,750 k BTU� ., �'/ �=, $0.00 0
, Over 50 hp / Over 1,750 BTU ���\. �� /�, �$0.00 0
� Boilera - ' (. , !, �
Up to 3 hp , ' �, � � 50.00 0
3 To 15 hp - � -- � g0.00 0
i 5�to 30 hp . , �� � 50.00 0
� 30 to 50 hp . � � �. 50.00 0
- Over 50 hp . . 50.00 0
Other Mechanical Fee
� Investigation Fee 50.00
Plan Check Fee 50.00
Reinspection Fee 50.00
TOTAL CAICULATED FEES 538.J0
COMMENTS I SPECIAL CONDITIONS
0
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: This permit shall automaticaity expire and become void if work is not commenced within 780 days, or it work is suspended or abandoned
lor a pedod of 180 days. - �
INSPECTIONS: In order for the work euttrorized untler this permit to be considered legal, such work must comply with all applicable codes, and all
r0qulred Inspettlone end tlnel epp�oVel must be obtained. Failure to obtain inspections and final approval will result in the expirallon of this permit.
FOR INSPECTIONS CALL: (714) 754-5626 I
zaas�ae �aroo�
WOHKERS' COMPENSATION DECLARATION:
I hereby atlirtn under penalry ot perjury one oi the fdiowing dedarations:
❑ 1 �eve end will malntain a cenifirate ot consent to sefl-Insure for workers' compensetlon, as provitleO br by section 3700 of ihe Lebor Code, la Ne pertortnance ot Ihe
wo which Ihis permit i5 i55ued.
�liava arW will malNaln workers' Wmpensa�im InSurenCe, as rgquired by 58tllon 3700 0l the Labor Code, for Ihe pertormanCe ol the woAc tor whiCh Ni5 pemti� i5 �55uey,
y warkers' compensatian Insurance carder antl policy number are:
permi! is va/ued et one
P.alicy.Number:_
orless.)
� I certity that in ihe perlormance of the work lor whic� ihis permit is issued, I shell not employ eny person in eny menner so as to Decome sublect to the workere'
compensatlon lews ot Cal mia, and egrae thet II 1 shoultl become sub�act to t�e workers' compensatlon provislons ot Section 3700 of Ihe Lebor Cotle, I shall tort�with
comv�Y �tn mese v �o
'AppllcentSignature:� ��� (• Date:_ --.�i'—Q—�
WARNING FAILURE TO SECURE WORKE0.S' COMPENSATION WVERAGE IS WMW RIL AND SWLLL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIE$ qND CML FlNE$ UP TO pNE NUNDRED
THOUSAND DOLLARE (5100,000�, IN AODITION TO THE COST OF COMPENSATION, DAMA�ES AS PROVIDED FOii IN SECiION 3]O60F THE LABOR CODE, INTEREST, AND ATTORNEI"S FEES.
LICENSED CONTRACTORS DECLARATION: �
I hereby eXlrm thaLl.em.licensed underprovislons ol Chepter 9(commencinp wit� Sectlon 7000) of Divislon 3�of.the Busin�s antlf�mtessions Code, end my Ilcense Is in full
. . _. 1 . . _ 1 /' �7 h � i
CONSTRUCTION LENDING AGENCV: �
❑ I hereby eflirtn that t�ere Is e construction lending agenty lar Ihe pertormance ol the work for w�lch this permil Is issued. (Sec. 3097, Civil CoUe).
LenEefa Name: LentleYs AtlOress:
Slgnature:
Date:
OWNER•BUILDER DECLARATIONS: �
I hereby eHirtn ihat under penalry ol per�ury Ihat 1 em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professions
Code: Any ciry or counry which requires a pertnit ro construct, alter, improve, tlemdish, or repair any siructure, prior to its issuance, also repuires the appliwN ta such pertnit
to lile e signed statement t�et he or sha is licensetl pursuant to the pmvLsions oi ihe Comrectors lJcense Lew (Chapter 9(wmmencing wit� Section 7000) of DiNsfrn 3 of ihe
Business end Professions Code) or that he or she is exempt therefrom antl the Oasis far Ihe alieged ezemption. Any Wolation of Section 7031.5 by any applicant for e pertnit
subJects the applicant ta a civil penalry oF not more than tive huntlred dWlars ($500).):
❑ I, es owner of the property, or my employees wlih weges es their sola compensetion, WILI DO THE WORK, antl ihe siructure is not iniended or oHeretl for sale (Sec.
7044, Business ena Professions Code: The Contractors License Law does no� epply to an owner of properly who builds or improves thereon, antl who does such work
himsetl or herself or through his or her own employees, provided that such improvements ere not Intended or o%eretl for sale. If, however, Ihe building or impmvement is
sold within one year of completion, the owner-builder will have ihe burden ol proving that he or she tlid not build or improve for purpose of sale.).
❑ I, as owner of tha property, am E%GWSIVELY CONTAACTiNG W17H LICENSED COMAACTORS to construct the prqea (Sec. 704d, Business and Protessions
Code: The con[raaors License Law Aoes not appty ro en owner of property who builds or Improves thereon, and w�o contracts for sucli project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt untler sec.
SigneWre:
OwnBr 10 venfietl by drivefs liCense. ❑ Yes ❑ No
Business end Professions Code for Ihis reason:
Vetlfiwtion oi Ownerehip by (rype ol documem, i.e. - pmperty tez bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTFICATION:
Dnvefs License No.
Date:
Expires:
❑ I hereby certity thet no escavaGon frve (5) or more teet in depth into which e person Is required to descend, will be matle in connection with work authorizeC Dy thls
pertnit, and thal no building siructure, scalloltling, telsework, or demolition or tlismantling thereot, will be more then thirry-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title 8, Calitomia Atlministrative Catle).
❑ As owner-bullder, I will not employ anyane to Go work w�ich would require e permit iram the Divislon ol Indusirial Salery, es noled ebove, unless such person hes e
permit to tlo such work from the tlivision.
Si9neture: Oete:
DiWsion of Industnal Safery Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AUiHORQA710N OF EMAY: I cartity under penalry o� perjury Ihat I have read ihis epplication and stata that ihe Infortnetion given Is
correct. I agree to compty with all slate laws flnE dry orCinances relating to huilding conslruclion, end euthodze represenWtives ol t�e Ciry ot Costa Mese to enter upon �he
ebove-0escribed property tor inspection purposes. l eproe not to occupy or allow occupancy of any building authonzed by ihis permit until fnal inspection.
COUE I, INSVECiqNME
1616 Fixed System Final Fire Preventlon
1266 Pool Spe Final
200 Final Re-Roof
201 Final Block/Retalning Wall
202 Final Factory Fira Plece
203 Final Sign
20d Final Demolition
mr .
�]f, Qj� 4Qf�f.,( INSPEC710NTYVE
206 Final Mechenicel
208 Final Plum�ing
210 Final Electdcal
212 Flnel Flre Preventlon
220 Flnal Plenning Appraval
222 Finel Site
250 Final Building/Occupenty
�/1L`%'� �
lding Department / APPI.ICATION FOR PERMIT
20th STREET / J43 B U I L D,� N G '
�� CALIFORNIA �/
,�TI��y� �T FOR OP'FICE USE ONLY
11,1 iV �iL �\ , I wan.tn� Nn I een...t� N
earest
ross St.
Legal Lot
Description No.3%9 BI�
(Attach Metes and Bounda)
Size oi Lot � i> x�� � I
Use of I
Existing Bldg.
Setback Lfne from S 5
Center ot Street
DESCRIPTION I
New I Alteration
Repalr I I Moving
BYildin9 a�X,/c��oom:
5'O
:ffor Wall�l R
Covering p�
Use of New /) .
8uild��8 �/Xd-QJ
aer
ow on Lot
o.of No.of
amilies Rooma
Rear Vard 35
Side Vard it — 4
Storfes �
I hereby acknowledge that I have read this Appiication
and 5tate that the above is correct end agree to rnmply
with all City Ordinances and State Laws regulaUng
building construction. ,
Signatureof / J� �
Permittee �
Authorized Agt.
Valu,ation PermitFee$
Plan Check $ '
$ �� � � Total o.�
Fee $ 3 / �"—'
�nOu ��f6 G�H '!M 3-R6 •
-� 3
Costa Mesa, California
Nearest
Cross St.
o. of I Type �
I'ans
CORRECTIONS
APPROVALS
Iation Loeation Inspector
ms, Materials,
IervPinning
e: Fire Stops,
eing, Bolts
Int.
Plaster, Ext.
Masonry Rel
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2
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Show �locatlon and distances �from
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propeMy line and between buildings.
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