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115 19TH ST - Building Permits
Li1 ADDRESS E 19TH ST °NT` CITY OF COSTA MESA - BUILDING PERMIT OWNERS NAPE IF lOK7NN: HC COMPANIES ,.._...„ OMPANIESPERM NO: P—/ 086421 ADDR25t 410 17TH ST #1705 • DENVER, CA 80202 PERMIT NO: P 086421 PLAN CHECK NO: N GOVT: N SUPP: N APPL.MAIIOG ADDRESS CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH ARCHITECT OR ENGINEER: GC NO.: JOB DESCRIPTION : DEMOLISH COMMERCIAL BUILDING SQ FT: ARCH.OR ENG.'S ADDRESS: WIT: CLAIM VALUE: CALC-VALUE: GROUP OCC : B / c«RRACTa'SNAaMOOREFIELD CONSTRUCTION ( 310 ) 478-8295 CQROACTORS MAUO 1950 SAWTELLE BL COMMENTS: DEMOLISH COMMERCIAL BUILDING #B86420 ADDRESS 1,.A. CA Lt 397892 *******it+r***************+ESE+ERe*********iE4****+E***********+E+F*+ **********x********* 90025 ton 295 Z ONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby slim under Penalty of perjury that I an licensed order pre stirs of Chapter S SETBACKS (commencing with Section 7000)of Division 3 of the Business and Professions Code.and my license is in fug force and effect. CITY UC.NO.: y IX.Cu3S: B UC.NO.: 397892 EXP: MAIN BUILDING ACCESSORY BUILDING Date: </E%�B Camaa« FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER ILOER 0 CLARATION:I hereby Slam under penally of perjury that I are exempt from the Contractors Lineae Lew 1«the following reason(Sedion?031.5Business and Professions Code:Anycey or maty which requires a permit to construct....apish,of Improve, PARKING REQ: PROV: PARCEL : 42546314 INE: REF NO:...apish,«repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she ' tensed pursuant to the provisions of the C«mad«s License Law(Chapter 9(commencing with Section 7030)of Division 3 of the PLANNING NOTES> amass and Professions Code)or that he or she S exempt therefrom and the basis 1«the alleged exemption.My violation of Section > .031.5 by anyapplicant for permit subject*the applicant tosdvl penalydmmore than tea hundred edws($5001). • ******************************************************************************* 0 I,as owner of the properly or my employees wih wages as their sole compensation.will do the work,and the structure'a not intended «offered ler sole(Section 7044,Business and Professions Coda:The Contractors License Law does nos apply to an owner of properly D EVEL OP MEN T SERVICES R EQU IR EMEN TS . who beide or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such mprovements are ad intended or das d red for sale.H,however.the building or improvement is sold within one year completion,the ownerbuilder will have the burden d proving he or she did not build or improve for the purpose of sale). ZONING APPROVED BY DATE: o I,as owner of the property,am exclusively contracting with licensed contractors to construct the Voted(Senior 7044,Business and Professions Code:The Contractors License Law does not apply to an owner Of properly who boTh Or improves thereon end who BUILDING APPROVED BY : DATE: contracts ler such projects with a contractors)licensed pursuant to the Contractors License Law). � - DATE • 1 I Co ❑ lamexempt under Section: B.A P.C.,for this reason: APPLICATION ISSUED BY• RI ******************************************************************************* Date: Owner: I do hereby certifythat I am aware of and understand the requirements of California Health and Safety Code Sections25505,25533,and LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:N 25534.and that I or any future building occupant will/wit not(circle one)need to comply wih said slate codes end the requirements for a permit for construction or modification ham the Araire rananagement District ResidentWcandrud'ors appicationswmeaner from Mesa BLDO PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. t $`RMIT 8 . 75 t Date: Applicant: 25% SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following dedax eraa: PLAN C3Ihave adwMmaintanacrlfWeofcpraecttoeetinsunfor workers'mmpeamipn,aspwidedfor bySection 3700of the Labor IUIL PEE 22 . 00 C fortheperfomwaeofthe,wmforwtc,tisperSsasued. HUI I-- DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE I have ed wit maintain workers'compensation insurance.as by Sedan 3700 d the Labor Code.for the performance of the TOTALS----> 8 . 75 22 . 00 0 . 00 30 . 75 30 . 75 . 00 work t«which this permit a Sued.My workers'conwn�i' number ere: Cartier: REVENUE DIVISION TOTALS--> COLLECTED : 30 .75 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK ibis soak need not be completed r the permit is to one hundred dollars(Stool or SO 30 . 75 ❑ t certify that in the performance of the work for which this permit is iesuedi shall not empty airy person n any manner o as to become subject to the corWes.elon awe d C+Ttlarie.end Cres tat d 1 5odd become abiect to the wdars' ******************************************************************************* compensation d 3700 d the Lab«wee,l.nae forthwith comply INDIVIDUAL F E E BREAKDOWN ..t Dae: re Apd �r — Warning:Fall to ore overawe'cownewlon coverage l.unt.wnd,and she ampct ansmptoyer to criminal penalties mixt TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines up to one hundred thousand dollars(5104000),In addition to the cost of corrywation damages Se provided rot in Section 37oeoythe t+borCode,Interest.and+Na yaay»a PLU 1 SEWER CAP / DEMOLITION EACH 8 .75 8 . 75 • CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a commotion lending agency for me END OF FEES performance of the work for which this permit is issued(Section 3087,Cb.C). T+w� LENDER'S NAME: ■�+„�r`u LENDER'S ADDRESS: VI BED artily that l have sad this application and state that the above irdcomatln is coned.I agree to comply with at city and county ordinances I di and sate lees relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection entrees. :1:1:17372::::::::715. 1-�� 1998/12:DA PFi/43©.75 011 MIKE KROUSE ,._ � ” RCF7d:31-03176% _ �� dars Date:.%;ey&% ['�_ RERf7ITdP.$6423 Signature dOmer/AoenuAppice n4Canum« (5151-46WP) White-Buildig&Safely:Green-Ale:Canary-Appicent;Pink-Revenue:Goldenrod-Assessor , I • - -. , 4- CONSTRUCTION AND PLANNING - POO. SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector • 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3, Electrical Conduit•Utility-Undrgrnd. 54. Forms =4r Electrical Conduit-Undrgrnd. - 55: ElectricalBonding - 5..Steel Reinforcement 56. Rough Plumbing & Pressure Test 6.: Electrical UFER.Grnd. 57. APPROVAL TO COVER•GUNITE • ,7, Footings - • 58. Electrical Conduit-Undrgrnd. 8.- Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9.-:Water Pipe-Undrgrnd. ^ 60. Backwash Lines,P-Trap, ?,Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK - . 11. Property Sewer Line & House Connection 62. Backwash & Rebeptor-Final • 12. Sewer Cap 63• . Heater & Vent•P nal 13. Roof Drains t • 64. Plumbing System - Final • 14. Rough Plumbing' v 65. Electrical-Final • 15. Rough Electrical-Conduit 66. Solar System-Final • •r 16. Rough Electric Wiring - • 67. Fencing & Access Approval ' - • • 17. Rough Wiring-Sign - 68. APPROVED-FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL • 19. Rough Heating & Air Conditioning, - r ,, • FIRE DEPT`REQUIREMENT -' . - - - -- '� - -w .iuJ .n 20. Rough Factory Fireplace - `- -' �• ryAPPROVALS.,�, Pe?mit# 21. Ducts,in Structure - 70. Underground Hydro 22. Ducts, Ventilating:.,~ -• r -% a. '- r' • ., 71. Product Piping I.6as O Oil -d 23. Gas P!pe'Rough &_Test • • .c ;r 'T.'.. 72. Underground Flush • , 24. Roof Framing q t - -� - , 73, Undergrn{ .Storage Tank.O Gas 0 Oil 25. Roof-Sheathing ,l; .q 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat ' --- ' 75.•Dry Chemical ' • • 27. Frame and Flashing ' •Y - • - - `o - ,1�• :r * •x • 76. Dry Standpipe _ ' r . 28. Lathing&Siding :=h 77? FIXED SYSTEM FINAL ' ' '. J ' r -j 29. Insulation - - - 78F:EIRE:PREV. FINAL 4 - .• 30. Drywall y- ' 4 �'•- - HEALTH DEPT. REQUIRE ;. 31. Plaster Brown.Coat.. " - • ' 79. FINAL INSPECTION • 32. Electrical Power Meter-Final ' 80.1 FOOD CERTIFICATE ISSUED' "71 e ' tr, . - 33. Final,Electric ". , .:. Notes: r 34. Final:Heating& AirjConditioni g -.y t 35. Final Gas Pipe Test ? - - • 36. Hood or Cenopy - - 37. Final Factory Fireplace' ` ; _ j. •38. Final Plumbing " , - } - -.1 _ - t. 39. Water Service-Final - •- 'T -' r r .40. Gas Service-Final • ' -. •, ' • -.41. Solar Domestic-Final - * 'r ' 42. Backflow Preventer : - - ,i' . - ; .. ' -43. Backflow Irrigation - 44. Landscape Irrigation System - .. .r. ,-- 45. Sound Attenuation K ' - = h 46. Handicap•Regulations - -H . s• -_ i; I ?; . 1'''' '.47. FINAL STRUCTURE & BUILDING •`4- ' •- r .r _ 1 . 748. FINAL PLANNING - it - -, 49. Electric Release to Edison 1. 1 50. Gas Release to Southern California Gas Co _i .- 51. CERTIFICATE OF OCCUPANCY No. Date _ _