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Home My WebLink About974 19TH ST - Building Permitsesa, g p ent / 7� 111 EAST 20th STREET ,/� `�S COSTA MESA, CALIFORNIA v FOR APPLICANT TO + IN 9u��ding �� /p' , Address j � Costa Mesa, California Nearest / _ � (Attaeh Metes and size of Lot �„( Uu ot Existing BId9. Setback Line from Center of Street DESCI New I V Repair I Buildfn9 _ ! X �/ Size d•� F"`erior Wall Te I. 5 S� near rara --• Q�,,a..a,..� � — Demolish I hereby acknowledge that I have read this Application and state that the above is correct and agree to rnmply with all C1ty Ordinances and State Laws regulating b�illding construction. Sfgnatureof C,/�� ca' Permittee � O��t- Authorized Agt. Valwtion PermltFee$ -¢ �D Z r� Plan Check $ � $ ,, Feea' $ ✓ � � nPP��EiriuN r'un r�nivu•r �9 BUILD,LNG '� FOR OFFICE USE ONLY Recefpt No. Permlt No. ��L-�7 �S'�� Received by D� ec'd. � Date ssued '-.13-v 6uildtng Address Costa Mesa, California Nearest Cross St. 2one .� : I No. of I Troe . I Group . Date CORRECTIONS ArrRovnr.s �undation Lxation I Inspecto Forms, Materials, Under•Pinning ame: Fire Stops, Int. 8ond Beam FINAL r . i� . y�o, - , . . - t r •,,,.'; - '� 1'l.vl' YLE�iV � � ; ;, Show Iacation and distances from property Iine and between buildingx f- ' ., . . � . . . ' �: ' __ .�. .. � , . . r � - �. ` ! . � . (714) 754•5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 974 W 19TH ST Suite: Vicinity: SIDE OF PROPERTY Parcel Number: 42253113 Zoning: Applicant: MACIEL, ALFRED _ _ Address: 974 W 19TH ST �- � � , �� ii'-"'� �"'� � - - i �� i.`- �- '� . Phone:� 949-5460600 COSTA MESA, CA `�� .� �� . � � Zip: 92627 , ��,�-� . . - , Owner: MACIEL;�ACFREDO; � � � . ' , Address 974VJ 19TH ST � � .. � - . - � � � � . Pbone: �-- � � � i �,-�-COSTA MESA, CA :": "_. `,' �' Zlp: 82627 i - �_ : : :.� . /, �� ., ,,>., Contractor: �OWNER=BUILDER �Address:_ � ��! ��. ��. , ; � Phone:,�- , %. Zip: ' . , ,� • License:,- 0 . Status: ISSUED Applied: OB/07/2002 Issued: 08/07/2002 ISSUED BY: � �\ �' . � i; �, �� / r . � �� —�, �� ` � , \ ,.� �i \� \\ �� :'�` ' % �`� �� . \ �. . . �- �� . . �_ /; , ,� �. . � �� .� \ \\�\ � : ' � �� _ . _ , ; �, . � , � ., � �. Arch : _ � - : ��,'" � Eng: � ' , . , `� Address: � , � i � � , ' <. �� . - - Address�� , � ,. � . �� i ) � : � ., , . � �. . . . . . � . . , � _ ' :�-Phone:.. _ . .. . �,: , Phone: � � �� , . - - _ .,\ _,',' �. , , . , . ' � /�; `� � - � -- _ _ ' . _ . � . `Zip: , % - . ��license: ' �License: � , � - ��.vrc vr r��cmi r i_:-.� ',` .' .� , �, i� 90' LONG X 6' HIGH BLOCK WALL LOCATED AL LEFRSIDE OF PROPERTY PER,CITY STANDARDS. , ` FEE SUMMARY , Plan Check: $41.05 Calc Valuation: �3�,soo.00 Permit: - $63.15 - _� �� % ` -= Claim Valuation: , ' _ 50.00` �� SMIP Res: $0.00 � �_ � _ . . . - < j' � , � ��SMIP Com: $0.00 ; � Other: $0.00 � � Inspection: $0.00 �'� ��TotaL• $104.20 �_ ... `�` _ -. . ' `��' � 'FLAN �.\ !i. �� i ��_:�� SETBACKS.�� .�i� /> ��,' �.�� _ :,", c MAIN STRUCTURE Front 0- 0�,. '�.Rear� � 0- 0 , ., , _ \ ACCESSORY � Front� 20= 0�; - Rear . 0- 0 � , , �; -; , - �' NG & ZONING " � i � : �/ _ ,; Left 0-0 . -' Right= � 0-0;�, � . � , - % ' Left 0-0 � Right ��0-0,-'�; j _ - _ , - . �'.l � !� PARKING Existin :� D __ ' Re`uired: � �0 _ �, � Pronosed: 0, - %';,. � � . ' _ i - � /" . NOTES: '�.,� . � . . .. ,-�;�� / NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ortl. No. 92-28, § 7, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work Is suspended or abandoned for a period of 780 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with al� applirabla codes, and all ,, requlred Inspeeti0ns and flnal approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit. FOH INSPECTIONS CALL: (774) 7545628 z++wa �e�aq WORKERS'COMPENSAnON DECLARAnON: I hereby aHirm under penalty oi perjury ona of ihe following declarations: � ❑ 1 heve entl will maintein a certifiwte of consent to self-Insure for workers' compensetlon, es provitled tor by section 3700 of ihe Lebor Cotle, tor the pertortnence of the work for which IMs permit Is issueC. ❑ I have arW wN maintain workers' compensation insurance, es requireC by section 3700 of the Lebor Cotle, for Ne pertortnance of Ne work lor which this pertnit is Issuetl. My workers' comperlsatlon Insurance carner and policy num6er ara: c Cartier: Policy Number: ��(This ecfion neetl not be complefetl il fhe Oermif Is valued et one hundred dollers ($100) or less.) �ertify thet in the pertortnance of Ihe work for which this pertnit is issued, I shall not employ any parson in any manner so es to become subjact to the workers' compensation laws of Celi mi� tl eg� Ihat if I s uld become subject to the workers' compensation provisions of $ecNop 3700 ot t�e Labor Code, I shell fonhwith complywi—thtiesepr ' /i S/7/2 AP�pIiJ.Signeture: �te7 WARNINO:FAILURETOSECURE KEPS'COMPENSATIONGI�VEMGEISUNLAWFULANDSHALLSU&IECTANEMPLOYERTOCRIM ENALiIESANDCIVILFlNESUPTOIXJEHUNORED THOUSAND DOLLARE ($100,000�, IN ADDITIIXJ TO TME COST OF CAMPENSATION, OAMAGES FS PHOVIDED FOR IN SECTION 3]Ofi OF iHE LABOR CADE, INfEREST, AND AT70RNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affrm ihat I am licensetl untler provlsions of Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Cotle, and my license is in lull force antl eflect. Lia p Class # Conirector's SignaWre: Da�e: CONS7RUCTION LENDING AGENCY: . ❑ I hereby aflirm ihat ihere is a construction lending agency tor fhe peAormance of the work for which ihis permit is issued. (Sec. 3097, Civil Cotle). Lendefs Name: Lentlers Address: SignaWre: � Date: OWNEii-BUILDER DECLARATIONS: I hereby eMirm that under penalty of perjury thet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW lor ihe following reason (Sec. 7037.5, Business end Protesslons Coda: Any ciry or counry w�ic� reQuires a permit to construct, elter, impmve, demolish, or repair any strucmre, pnor to its issuance, elso raquires the applicant for such pertnit to file e signed statemem t�e� he or she Is Iicensed pursuant to ihe pmdsions af t�e Contrectore License Lew (Chapter 9(commencing with Sectian 7000) of Division 3 of Ihe Business end Professions Code) or ihat he or she is exempt therefrom and the besis for t�e elleged aaemptlon. Any vio�ation ot Section 7031.5 by any epplicant tor a permlt subjects the eppliwN to e civil penalry of no1 more than tive hundred dollers (5500).): ❑ I, es owner of Ihe property, or my employees with wages as thelr sole compensation, WILL DO THE WORK, antl the structure Is not intenCetl or oHered for sale (Sec. 7044, Business and Professions Cotle: Tha Con�ractors License Law does not apply to en owne� of property who builds or Improves thereon, and who does such work himself or hersetl or Ihmugh his or her awn employees, provided ihet such improvements ere not intendetl or oflered for sele. If, however, the building or Improvement is sdd wiihin one year oi completion, the owner-builtler wlll have ihe burden ot pmving ihet he or she Aitl not build or improve tor purpose of sale.). ❑ I, es owner of the praparry, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRAC70HS to construct the project (Sec. 7044, Business and Pratessions Cotle: The conirectors License Lew tloes not flpply to an owner ot pmpehy who builds or improves Ihereon, and who contracts for such project with a contractor(s) license pursuant ta the Conirectors license Laws.). . Business and Professions Cotla tw Ihis reeson�. Owner ID verified by Fhivers license. Ves �❑ No 6¢riref.s:lysnaeNo. Venfiwtlon oi Ownership by (type oi tla nL i.e. - properry tex bill ar tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICATION: ❑ I hereby cehify that no excavetion five (5) or more fee� in depih into which e person is requireC lo tlescend, will be me0e in connection with work au�horized by �his permit, end Ihat no building structure, scaflolding, falsework, or tlemolition or dismantling Ihereof, will be more than ihirly-siz (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Califomle Atlminisiretive Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit Irom the Oivision ol Indusirial Safery, es rwted ebove, unless such person hes e permit to do such work irom �he division. SignaNre: Date: Division ol Industrial Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE ANU AUiHORVA710N OF ENTRY: I certify under penalry of perjury Ihat I have read �his apD��tion and state that the intortnation given is corract. I agree to comply with all state laws end ciry ortlinences relafng to building Construction, and autTodze representalives ot me Ciry ot Casia Mesa to entar upon the ebove-deuribed property lor inspection puryoses. I agree not to occupy or allow occupancy ol eny building authonzed by this permit until final inspection. COOE I. INSPECTION TYYE 1616 Fixed System Finel Fire Prevention 1266 Pool Spa Final 200 Finel Re-Roo1 201 Final BIocWRetaining Well 202 Finel Factory Fire Place 203 200 Finel Sign Final Demdition �g � —z7-6z c� CODE� MSPELRIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Finel Plenning Approvel � 250 Final Site Final BuildingiOcaipenry ate 2�� z � _ oe�e� � u�s 0 PERMIT 7YPE Sub Type: � ' CITY OF COSTA MESA - BUILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714)'I54=5273' • Fax (714) 754-4856 • www.G.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754•5626 . . JOB ADDRESS: B COMBO RES_ALT ` �`_Yy 974 W 19TH ST �I ".e APN: 42253113 , „9�-~ -. -ZOning:. . , , . . - , Vicinity: ' � � - ' � Primary Occ: R3 � Const Typ�: V-B ' SQ. FT[' ' 2004 � � • Valuation` $194,423.52 SCOPE OF WORK: 2ND STORY ADDITION (511.17 SF): (3) NEW BEDROOMS, 1 IS MSTR W/WALK IN CLOSET 8 BATH, LAUNDRY ROOM & FULL BATHROOM. ' 1ST FLOOR ADDITION (1,456.35 SF): NEW LIVING ROOM, FAMILY ROOM & DINNING ROOM; EXPAND EXIST. BEDROOM, REMODEL CLOSET, REMODEL KITCHEN AND ADD 36 SF PORCH. ELECT. - 20 FIXTURES, 18 OUTLE7S, 10 SWITCHES & 200 AMP. SERVECE UPGRADE , � MECH. - NpW 3 TON AC, NEW FURNACE, 1 FACTORY FIREPLACE, 2 VENT FANS. PLUMB. - 2 BATHTUBS; 1 DISHWASHER, GAS PIPING, 2 SHOWERS, 2 TOILETS, 1 WTR. HEATER, & WTR. PIPING�"�j��'�7 PLNG. - EXISTING SEAMSTRESS SHOP TO RENIAIN UNALTERED. OWNER: MACIEL, ALFREDO , Address:, .974 W 19TH ST' . . � Unit: Phone: . � City/State/Zip: , COSTA MESA, CA -' . APPLICANT: MACIEL, ALFREDO . � Address: 974 W. 19TH STREET � �� Unit: : Phone: 714 497•5597 . City/State/zZip: COSTA MESA, CA � CONTRACTOR: ' - � License No: � � Phone: � � Address: Unil: � Cell: . � � City/State: ZipCode ARCHITECY: . . � � License No. - � , � PHONE: �' ! ENGINEER: � � , . �- License No. � � � - ., y � PHONE: � COMBINATION PERMIT FEE SUMMARY ' � Building Plan Check: $99174 Building Fees: $1,525.75 Electrical Fees: $106.80 •' r,'.' F T Mechanical Fees: $90.80 Plumbing Fees: $117.85 SMIP Resitlential: $19.44 SMIP Commercial: $0.00 TOTAL FEES: $2,852.38 "Reler to tuu recuipis for all fees pald for project NOTICE: The work authorized by this permit shall comply wiih ali applicable handicap access requirements urtder Calitomia statutes and related regulaUons. (Ord. No. 92-28. § 1. 12-21-92) . , EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. � INSPECTIONS: In order tor the work authorized untler this permit lo be considered legal, such work must comply with all applicable codes, and all required Inspedions and ffnal approval must be obtained. Failure to obtain inspeclions and final approval will result in the expiration of this permit. CODE/, iNsr�rnoxrrve np�t iximn�s �QQ� INSPEC710MTYPE . � N� 1818 Fixqd System Final Fire Prevention 206 Final Mechanipl 1288 Pop15pa Final 208 Final Plumbing � � 2pp Flnal Re-Roo( 210 Final Elecvical 201 Final Blotk/Re�aining Wall 212 Final Fire Pre�ention 202 Final Faclary Fi�e Place 220 Final Planning Approval 203 Final Sign 222 Final Site _ -: �� 204 Final Demdition 250 Final Building/Occupancy - ' PERMIT NUMBER: BC08-00287 / STATUS: ISSUED DATE ISSUED: 0812612008 ISSUED BY: YH Suite/Unit: WORKERS' COMPENSATION DECLARAT�.,n: � I hereby aRrtn under penalty of perjury one of lhe following deClaraGonS:. ❑ I have and will maintain a ceRificate of wnsent to self-Insure for vrorkers' Compensation, as provided for by section 3700 of the Labor Code, for. t6e, peAortnance of the v.vrk fo� vfiich this pemiit is issued. ❑ I have and will maintain v.orkers' compensatbn insu2nce. as required by s¢cti0n 3700 of lh2 L2bOr Code, for Ihe peRortnance of Ihe Nork Iw which I�is pertnit is issued. My vrorkers' wmpensation Insurance wrrier and policy number are: Carrier. (Tha sectbn neetlnOf Ge mmp'efe00 f/ia pemtl u vdqretl al me �uM�atl EWars (f I001 arkssJ Policy Number: ❑ I certify Ihat in the peAormance of the wnrk for which this permit is issued, I shall not employ any person in any manner so as lo become subject to the workers' compensation laws of California, and agree that il I should become subject to the workers' compensation provisions of Section 3700 of Ihe Labor Code, I shall forthwith comply with these provisions. Appliranl's 9gnaWre WARNING: PAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000�, IN ADDRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm Ihal I am licensed unCer provisions ol Chapter 9(commencing vrith Seclion 7000) of Division 3 of the Business and Prolessions Code. and my license is in full force antl effect. Lic. N Ciass # ConVactor's $ignaWre Dale CONSTRUCTION LENDING AGENCY: ❑ I hereby affmn that there is a construction lending agency fw the peRorma�e of the Hork fa which tNs permit is issued. (Sec. 3097, Civil Code). Lender s Name: Lentler's ACdress: SipnaWre OWNER•BUILDER DECLARATIONS: I hereby aKrm that under penalty of perjury that I am E%EMPT FROM THE CON7RACTORS LICENSE LAW for the followinq reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permil to construct, alter, improve, demolish, or repair any slrucWie, pnor to its issuance, also requires the applicant for such pertnit lo fle a signed statemenl that he or s�e is licensed pursuant lo the provisions of Ihe Contractors License Law (Chapter 9(wmmencing with Section 7000) of Division 3 of the Business and Prolessions Code) or that he or she is ezempt therefrom antl the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pertnit subjects the applicant to a civil penalty of not more Ihan (Jrve�u ndred dolWrs (5500).�: �L�/1,=as owner of lhe property, ar my employees with wages as their sole campensation, WILL DO THE WORK, and the swcNre is not intentled or oHered tor sate (Sec. 7044, Business anC Professions Code: Tha Contractors License Law dces not apply to an owner of property who builds or improves thereon. and who dces such work himselt or hersell or through his or her own emplayees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is solC within ona year of wmpleGon, the owner-builder will have the burden o1 proving that he or she ,tlitl not buiid or improve for purpose of sale.). ❑ I, as owner of ihe property, am EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRAC70R5 to conslmct the project (Sec. 7044, Business and Pmfessions CoAe: The contractors License Law dces not apply lo an ovmer of property who builds or impmves thereon, and who contracts for such project with a cmt2cta(s) ficense pursuant to the Cont2ctors License Laws.). � Owner ID verifieA Dy ��aer _...:ense. ❑ Yes ❑ No `-,. , �I� / ,---- •l cDriver siicense No.� Expires: . Verification of O�mership by (rype of tlacument, i.e. • property tax I or eetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ' ❑ I hereby certAy that no excavation frve (5) or more (cel m deplh into v.fiich a person is required to descend, vrill be made in connection vrith v.ork authorized by Ws pertnit, arW that no buildirg sWcture, sc�fddiig, faise�wrk, v demolitbn w dismantLrg thereof. will be more than thirty-six (36) feet hgh. (Chap. 32, Gry 2, !vt 2, Sec. 3a1, TiOe 8, Califomia Adminisirative Code�. ❑ As owner-builder, I will not employ anyone to do vrork which woultl require a permit from the Division of Industrial Safety, as noted above. unless such person has a permit to tlo such work fmm lhe division. Md�m��'s Signawre oa�e Division of Intlustrial Safety Permit Number: HAZ/1RDOUS MATERIALS AND EMISSIONS CERTIFICATION: 7. Will the applicant or present or future builtling occupanl nee0 to file and certify a Business Plan for emeigency response to release or threatenetl release of a hazarAous material? � Yes ❑ No (Seclion 25505 of the Califomia Health and Sa(ety Code requires, with some exceptions, that a Business Plan be filed wilh the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazaraous matenals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic (eet of wmpressed ga5 at slandard temperature and pressure). 2. Does or will the applicant or present or future DuilOing occupant neetl to fle a registration form for acutety hazardous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safery Code, vnth some exceptions. requires registration with Ihe Costa Mesa Fire Deparlment by each business which at any one time has on hand a quantiry of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at stantlard temperaNre and pressure�. 3. Does or will the appliwnt or present or future building occupant neetl to prepare an RMPP (Risk Management antl Prevention Prog2m for acutely hazartlous ma[erials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safety Cale provides t�at the Costa Mesa Fire Department may require the preparation, certifcation and filing with the Fire Depanment of an RMPP by businesses which are requiretl ro register acutely hazardous marerials with Ihe Fire Department. 4. If an RMPP is presen[ty requiretl, has Section 25534 of the Califomia Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or vrill the appliwnt or present or future building occupant require for the vrork which is ihe subjecl of this appliwtion a permit lor such construction or modification from the South Coast Air �uality Managemenl District or (rom any other air polWtion wntrol district or agency7 ❑ Yes ❑ No (Seclion 658502 of the Califwnia Govemment Code requires that the requesletl infortnation be fumished on applications fv rron-residenlial building permits). 6. Will any part of tha faciliry ro 6e conslructetl untler this permil be within 1000 feel from the outer boundanes of a school7 ❑ Yes ❑ No (If yes", I�e facility must meet t�e requirement of Sections 25534 antl 42303 ot the Califomia Heallh and Safery Cotle). 7. If a pertnit from the South Coasl Air Quality Management Districl or other air pollution control district or agency is requiretl for the v,ork which is the suhject ot Nis appliwtion, have all of the disclosures prescribe0 by Califomia Health and Satery Code Section 42303 been ma0e7 ❑ Yes ❑ No 8. (If yes', attach certificate ofwmpliance Irom the appropriate air pollution conUol oKcer). � � � �• CERTIFICATE OF COMPLIANGE: I cer6fy Ihat under perSalry of perjury Itie informalion given above is correcL 1 agree to wmply with all state.laws;and ciry ortlinances regardiny Hazartlous Materials and Emissions. � Oate ' CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state Ihat ❑ I am exempt under sec. Ihe information given is cortect. I agree to comply wit� all state laws antl city - ordinances relating to builtling wnstruction, and authorize representatives ol Business and Pmfessions Code (or this reason: � the City of Costa Mesa to enter upon the above-described property, for inspection purposes. I agree not to occupy or allow occupancy of any building ' authorized by this pertnit until fnal inspection. Sign � e, ! L r s) Oale " ig t e ` a i .. 3051d6 (3/O] ' � orl2 R 1� p J J ��