HomeMy WebLinkAbout168 19TH ST - Building Permits PROJECT ADDRESS: 168 E 19TH ST um: HALF �•`' CITY OF COSTA MESA — BUILDING PERMIT E'C:JL"4 NO: t. UDtat y_
OWNERS NAME: VINCENT GANDOLFO
ADDREss: 6431 TYRONE CI PERMIT NO: E 056175 PLAN CHECK NO: N WY!: N bUfq: iv
HB CA 92697
CONSTRUCTION TYPE: PERMIT TYPE; ELE PURPOSE: OTH
897-0196
ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION : SERVICE METER RELEASE SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
PERMITTEE: VINCENT GANDOLFO ( 714 ) 897-0196
ADDREss: 66431 TYRONE CI CA 92647 COMMENTS; SERVICE RELEASE FOR 2ND UNIT
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LICENSED CONTRACTOR DECLARATION: I hereby allirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 o1 the Business and Professions Code,and my license is in full force and effect. SETBACKS
CITY LIC.: STATE LIC.: CLASS:
MAIN BUILDING ACCESSORY BUILDING
Dale: Signature: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.Cl.
Certified
xr
' P MPA : EXP.DATE:
CONY: PARKING REQ: PROV: PARCEL: 11805105 ZNE: REF NO:
PLANNING NOTES>
0 Certicopy is hereby furnished. 0 Certified copy is pled with the city Building Division.
>
Jale: Applicant: DEVELOP—KENT SERVICES REQUIREMENTS
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit 61a one hundred(S100)or less).
I certify that in the performance of the work for which this permit is sax ,I shall not employ any person in any manner so as to become ZONING APPROVED B Y , - DATE:E
subject to the Workers'Compensation Laws of Cadfomia.
Date: a-(a - G y signature: ( —r—. icA BUILDING APPROVED BY : DATE:
NOTICE:II.after making this declaration,you should become subject to the Workers'Compensation provisions o Labor
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. -`�— 7
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the penormance of the work for APPLICATION
PPPL I CATIONN*ISSUED*B Y_s_��_�.r _____ , _ • _ . • _ r _ DATE• 0. 3 /'G�9 2.--
which
i
which this permit is issued(Section 3097,Civ.C). w * it *,e ******** *' *** *'***
LENDER: **************************)e*********** ****************************************
ADDRESS: LEGALIZATION:N F E E ' U M M A R Y STRUCTURAL SEGMENT:N
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OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECT IC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 1 50
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 3k O% SMI P/NON—RES
pursuant to the provisions o1 the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500). ISSUE FEE 15. 00
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 18 . 50 15. 00 0, 00 33 . 50 33 . 50 . 00
does not apply to an owner at a property who builds or improves thereon,and who does such work himself/herself or through
his or ner own employees.brovided that such improvements are not intended or uttered for sale. II,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 33. 50 OVER/SHORT; 00
improvement
rpose sold One year of completion,the owner will have the burden of proving he/she did not build or improve
fortheBLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 33 . 50
❑ and Professions Code: The Contractors SLate License Law does not apply to an owner of property who builds or Improves thereon
and who contractslor such projects with acontractor(s)license pursuantto the Contractors State license Law).l am aware *******TE'***********************************************************************
that proof of their Worker's Compensation insurance should be provided Io me, INDIVIDUAL F E E BREAKDOWN
IN I am exempt under Section: B P 7 0 4 4 B.d P.C.
lgr this reason: ALL WORK BY OWNER�`n—yZ / TYPE QTY DESCRIPTION UNIT COST TOTAL COST
Dale: a-/d —?� — owner. /_ . A"wwjj�'vf� ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 18 . 50 18. 50
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I do hereby certify that I ant aware of and understand the requirements of California Health and Safety de Sections 25505,255 and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requiremen s for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
i these provisions.
Date: Applicant:
•
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county "�—
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes. 01 n3'1108347—CL lU=]4- ^,,rr T'y" a, .
?7-- ' DATE: l'?!10,'41' T i.: CP;_(
—� Date: y- / 0- Signature: . . �_ ..—..4 !,—__..._.. �wa / s
• Driver's License or Social Security 4:
1641-46 White—Buildina:Green—Code Enforcement:Canary—Aoolicant Pink—Revenue:Goldenrod—Assessor
•
CONSTRUCTION AND PLANNING POOL ?A
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
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding .
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. F,ectrical UF ER Grnd. 57. APPROVAL TO COVE R-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System I 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final . 1
12. Sewer Cap 63. Heater & Vent-Final .l
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 •
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17.
17. Rough Wiring Sign l 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 APPROVALS Permit#
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
j 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 I 78. FIRE PREY. FINAL
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30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final P// 7 IfJ 80. FOOD CERTIFICATE ISSUED
33. Final Electric ` }t, Notes:
34. Final Heating& Air Conditioning )•
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final -
42. Backflow Preventer
43. Backf low Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING •
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
- `1._ 17722
COSTA MESA BUILDING-SAFETY DEPARTMENT FEE RECEIVED
P. 0. BOX 317 COSTA MESA. CALIFORNIA AUG a nnUCCI��JUTTL
For Applicant to Fill In Completely APPLiaMEFa9P1ERMIT
TYPE OR PRINT CITYB�LcJfl MESA
BUILDING J/ �j-//Og� A / O �G
ADDRess/}`�(JCO)OSSTA/MESA. CALIFORNIA lHA t For Office Use Only
OWNER Nth j Al - I RECEIPT NO. I .st 7,
/21
MAIL /I / RECEIV • BYI DATE RECEIVED _DAATTE :SU
ADDRESS fa3 l r Ad G r� 4 A 44 -V/
CITY /S a / NO. 4 .{ ..--
BUILDING)/�/ /y' �j�
CTEL. ADDRESSr /(()// / '. /7 -,e '
ARCHITECTSAME NO.
EL.
OR ENGINEER , COSTA MESA. CALIFORNIA
ADDRESS FIRE
l
C �� ZONE TYPEIL. GRO�UjP/+
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CONTRACTOR CJ A l/lb APPROVED i-Q�BY DATE O/ eI y'
ADDRESS _ ONING
ONE NO.OP J& UBE OF NEW Pct, q G
CITY T- 'L I PLANE I BUILDING `N%
STATE -' t
(
C.NO. NO. AL
DESCRIPTION TCl 4.44- / 7 ZPiet in-'
STYE , NO. OF /
LOT 5 O V - , NOW ON LOT A.P.NO. I/O — or/ Q S— +\\
./t)
USE OF . )
EXISTING BLDG __ / A -II r • s. YARDS EVES APPROVED ALLOWED
SETBACK LINE FROM ICENTER LINE ST.) n
CENTER OF STREET REAR YARD FRONT Z. 6 FT. IN.
SIDE YARD I LEFT .3 1-73�/A/ii I RIGHT IJ /n If R.SIDE 3 FT. IN.
DESCRIPTION OF WORK 3 ,_
L.SIDE FT. IN.
NEW I x III ALTERATION I V ADDITION I REAR /0 FT. -_- ' v IN.
REPAIR I V MOVING I II DEMOLISH I APPROVED
BY
6/ r
- DATE / /W .6 Z--
BUILDINGIcy NO. OF
SIZE 1J /1 2 ROOMS STORIES '
EXTERIOR WALLI ("ROOF /I ,. /
COVERING � it/ / COVERING : // r x// I1-11
USE OF BUILDING AND WORK TO BE PERFORMED IPP . ...• . 1
F 'r+ •
_, n O Li.
r41 A-61: - DeM, e /•4 , -
975111 ' e
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATIO FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM• PURPOSE OP ESTABLISHING A PERM! PEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULA NO
BUILDING CONBTRU O VALUATION
SIGNATURE OF PERMIT FEE $/
PERM ITTEF ,1� f-(/ a_
27723 I" PLAN CHECK $ �)�
AUTHORIZED AGENT (ate/ X ra 0
TOTAL FEE 5 / 4
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
a /earrwrait
CITY OF COSTA ME A C STRUC ION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO.
`Ca �9 sT B3�Z8`l A,P. * Zane
Project Address T- C - S Main Building: I Accessory Building:
Applicant's Mailing Address .'4's t ` y�-c%HL- 1 A,0 GL. TYPE OF CONSTRUCTION U NEW�ADD LTALTERATION U REPAIR E Front • • Z
• ❑ CONVERSION ❑ DEMOLISH OTHER T _ 0
Owner's Name Vs NCEN�G/j•''-•/Ao 1 h Phone,/g�f 7 �/Ii'�+ $CRIPTION OF WORK/USE OF BLD ./1 = s ft + B Rear N
Address soy , I "f•'tc /j ✓I Lt IP.CI� t/twn�wytcy p• lW/ •, if. _ _ .. -• C� � C Ri ht N
ArcWCng. License No. { T OF PERMIT it G•AD-•G I♦ FOUNDATION C- TRUCTUR•• K• g G
Address /��r�j ❑ TENANT 0 ELECTRICAL 0 PLUMBING ❑ MECHANICAL $• Left _ R
Contractor's Name �'0 /J� Phone ❑ •OTHER .a,Pr`bs4 1 M�' Ping. Ref.# Parking Req./Provided - Q
Address(mailing) PROJECT DESCRIPTION S .N J 'TL`s` OCCUPANCY - PlanningNotes: :
CONSTRUCTION TYPE VALUATION$ 1,000 x M
CitfLicense rvu. • T
ZONE GRADING CU.YDS. ACRES S.
LICENSED CONTRACTOR DECLARATION /��f /• ,
I her• - irm that I am licensed under provisions of Charter 9(commencing Remarks: L; /'t {/ �e le - /�73" Natoli.,-.1 1•�•�� ri _
with section •:• .1 Division 3 of the Business and Professions Code, and 0. l V v KA.
my license is in full full fart - - • -ct. i�L� 1 C� �e I I� ELECTRICAL— -FEES
License Class License No. .J 417 P 4rtG e
Date Signature PLUMBING I FEES Automatic Washer Transformer 0 15.50 KW
WORKERS'COMPENSATION DECLARATION - Construction Pole Sub. 0 50+KW
•
I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers
• Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter Cup to 100 amps ' :
300, Lab. C.) Backflow Preventer . - - Service Sink - . - - •
s
Policy No. Company Backf low Irrigation Sewer Cap Dishwasher Meter Dover 1005mp
8Certified copy is hereby furnished. —
Dryers ❑Gas ❑Electric Sub Panel •-• •
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection
DateApplicantFan -•
.
less).
EXEMPTION
EM PTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Motors 0-1 HP ❑i%-8
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(This section need not be completed if the permit is for one hundred ($100)or Dishwasher Solar Piping ' F,A,U' Solar 09-15 HP.❑16-15+
I certify that in the performance of the work for which this permit is issued I Fixtures / Microwave '
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa Device Boxes / Pole Light
NOTICE:If,after making this declaration, you should become subject to the •
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks rural Outlets Range _ - -
Comply with such provisions or this permit shall be deemed revoked. --
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet — Switches Sign
I hereby affirm that there is a construction lending agency for the performance - -
•
of the •work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal • Standing Sections
Lender's Name - -
Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor•
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OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays -
any structure, prior to Its issuance, also requires the applicant for such permit
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law(Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions code) or that he/she is exempt _ RBlnapeatiOn Fee $15 Issge Fee $ 3
(•-5)31.5 m and the basis for the alleged exemption. Any violation of Section - - • '
M"�r�k')31.5 by any applicant for a permit subjects the applicant to a civil
,:rbnalty of not more than five hundred dollars($500). • $ 3 DEVELOPMENT SERVICES REQUIREMENTS:
�T'as owner of the property or my employees with wages as their sole . Reinspection Fee I $15 Issue Fee Zoning Approved By Date
' four sale ec, will 0 the work, and the stof scion isnot intended ooffered - .
for sale (Section Business and Professional Code: The Contractors MECHANICAL FEES Building Approved By Date
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type 1 ❑ Application Issued By S Date
employees, provided that such improvements are not Intended or offered forl
•
sale. If, however, the building or improvement is sold within one year of corn- Canop Type 11 0 . . SUMMARY F F S
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground
prove for the purpose of sale). BUILDING PERMIT $ 62--S-; D; CSMTP $ t Sr"
❑ 1, as owner of the property,am exclusively contracting with licensed con- Duct-Structural rigeration System •
PLAN CHECK
tractors to construct the project (Section 7044,Business and Professions Code: $ PERMIT
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000•BTU_ PLUMBING $ ISSUANCE $
builds or Improves thereon,and who contracts for such orolects with a con-
tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation insurance should be provided to me.
I m exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers ELECTRICAL $ GRADING $
•/ _L ,( PLAN CHECK 50% $ MICROFILM $
Date4 '� SAi Owner ✓ispoliHeating System& Ducting Registers MECHANICAL $ TOTAL FEE $ are-n)
i I hereby certify that I have read this application and state that t above 00-100,000 BTU 0100,000 BTL - -
*Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $
and state laws relating to building construction,and hereby authorize repro- -
Inspe
sentatives of thi city to enter.fpen the ab•ve- -ntioned pproperty p(Orr
ISignatture purp .4-1,.... (• / Date 9'j -OD
Drivers' License or SS 4e I Reinspection Fee $15 Issue Fee $ 3
01 00014489-00014490 TOT 25.50
0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 09/15/88 TIKE: 11:50
S- ,!
CONSTRUCTION AND PLANNING POO, /PA
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 r , '
electrical Conduit Utility-Undrgrnd. 54. Forms • '
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel.Reinforcement i 56. Rough Plumbing & Pressure Test
•8y Electrical UFER Grnd. • 57. APPROVAL TO COVER-GUNITE •
T Footings 58. Electrical Conduit-Undrgrnd.
$:,Foundation I 59. Gas Pipe, O Undrgrnd.,Test -
.
Water,Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK ,l .
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. .Sewee Cap 63. Heater & Vent-Final • '
13. Roof Drains 64. Plumbing System - Final • •
14. Rough P'umbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
116. Rough.Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
.18'. Rough Ellectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19'. Rough Ij'eating & Air Condjtfoning FIRE DEPT. REQUIREMENT
2B. Rough Factory Fireplace _ APPROVALS Permit# •
. 21. Ducts, in Structure , 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe/Rough$, fest 'Al 72!Underground Flush
24. Roof Framing 1` •�• 73. Undergrnd.Storage Tank OGas ❑Oil
25. Roof-Sheathing ttfl' ._ • 74. Overhead Hydro
26. T-Bar Ceiling (Sttuctural) & Monocoat 75. Dry Chemical
27. 7rameiand Flashing 1• 76. Dry Standpipe
28.• Lathing&;Siding 77. FIXED SYSTEM FINAL
29. Insulkfion -, 78. FIRE PREV. FINAL
.30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plater B}gwn Coat 'i- 79. FINAL INSPECTION
32. Electrical Power Meter-Final80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
. 34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final •
41. Solar Domestic-Final ' •'
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
• l
45. Sound Attenuation
46. Handicap Regulations ` •�
47. FINAL STRUCTURE & BUILDING
48. Snecial Requirements Completed
49. Electric Release to Edison '
50. Gas Release to Southern California Gas Co - ,r
r .,
51. CERTIFICATE OF OCCUPANCY
r
No, Date
1