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Home My WebLink About223 19TH ST - Building Permits 9 COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION}FOR-STRUCTURAL PERMIT 33.50 TL P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 PERMIT �/i//9 J{%Y�/,0", For Applicant to Fill in Completely—Use Ink Only • /t , BUILDIADDRENG as a -. 14 ,I'-(- A.P. No.:: //7 — 174' — /6 OWNER ORAS TENANT H • HDDRES - TIz0HP O(a.2> c -1°t .1-r. UNIT OR MAILING NO. ADDRESS 0223 E, ( 94-4, ^ P 1-, ,t ' r� V� / ,/ TR.NO. _ / LOT ? .BLLK. CITY Co /'[E�1 R TNEBL.6 S,Los rJ-C/1 CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH LENDER an x BRANCH �- N ��// ,�w p 1�\ OWNER /'I - /-I . T/..O/iP rO ADDRESS .-.- VALUE ARCHITECT TEL. USE}/()(MAW-teralige �� $ OR ENGINEER () W&ER- NO. /•r, ADDRESS ZONE —/ TYPE ''/GROUP \ r \ APPROy CONTRACTOR' Olnlrclft_ E , • BV DATE sroL4o6 f Noad y AQE4 ADDRESS . TEL. CITY NO. F STATE CITY APPROVED SETBACKS XLIC.NO. LIC.NO. W SIZE QNO.OF BLDGS. (FROM C/LSTRECH Te ,EX/S7>N� o. OF LOT.:1-04V x /30. /1 NOW ON LOT I ,-„FRONT AT-7,t T. _ Q USE OF /�y EXISTING BLDG. z,C1'l bc/L1Cr • R.SIDE ..T. 1 r£ E w e rooT cr /% ,' F Separate permits are required for L.SIDE ,,35 FT. -fC electric,plumbing and heating work: REAR 30CFd FT.6"I E_, USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION 4/06ey -f--41r.e, A44* DATE L -0(.0L _C' - _ _4S). 1 APPROVED > APPROVED / DATE 272°b /ZD / ? jpa.Cn.Q_MI C^eCJc0.r iB W ' /WL44 /Jar alluL-ICy / +t. ' I herebyacknowledge that I have read this application and state ��1)��11rry�p a' a that the above information Is correct and agree to comply with �• �r"�y'u� 0 `�f_��G S1 .^�, Za. alln laws regulating ionbuilding workman's construction, and I ensl not laws employ !'/'.� 5z.if� A /�� u Z any person in violation of the compensation laws of !,, AT) 97 Ade: 'Wf., the State of California. SO. FT. N I hereby certify that I am properly licensed as a contractor under D the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 0 Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: to am exempt from the provisions of the State of California Business a and Professions Code, Division 3,Chapter 9. VALUATION PERMIT FEE $ /00 N Signature of {V/_ ,fn `/�� `��,( PLAN CHECK $� h LLo Permittee ,/IMT,Dat \ TAX Or p f Authorized Agent Date /0 2=2/ 2c^ Q,oo TOTAL PAID U it 3 3.So Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CIT{,OF COSTA MESA PERMIT NO. _ TRACT NO. LOT NO. BLDG.NO. CONSTRUCTION PERMIT SE aS 7 • 3,9./ /8 - • Project Address• ^� /_•{ �/ "� 9531 7/16/81 57.62 TL „1%7 F. ' l�(�.1/s, H-e,,a� TYPE OF CONSTRUCTION • - Owner N.H• 'Tient-fp • Phon%yj.q 3r 0 NEW kg ADD 0 ALTERATION • , . ' Address 923 IC • i4 • 0- . 0 REPAIR ❑CONVERSION ❑DEMOLISH Arch/Eng.Clk Ate License No. 0 OTHER ZONIN/G'--R7EG/ULATIONS Address DESCRIPTION OF WORK A.P.* /`� / ( 6 — /-� SAHF - ZONE / PLNG. REF.yr Contractor CY W A7blit - Phone TYPE OF PERMIT ,y 'BUILDIN /J j T2 BUILDING // Ai STRUCTURAL SETBACKR CAL ST. / / ` 'PROERTY LINE ! 7' 54-4.Address SP -!C 0 GRADING 0 FOUNDATION EppFET 35 , i LICENSED-CONTRACTOR DECLARATION - • 0 TENANT 0 ELECTRICAL ❑PLUMBING ❑MECHANICAL SIDEYARD ' - 11if) .+-. - I hereby affirm that I am licensed under provisions of Charter 9(corn- R '1 mending with section 7000)- of Division 3 of the Business and 0 OTHER - (/ . Professions Code, and my license is in full force and effect. REAR YARD(TO P/L) i -I "FA- - PROJECT DEkCRIPTION License Class LuCense No. SQ. FT.• •I PKG.SPACE REQ. PROVIDED ' Date - Signature STREET WIDTH rn/%.c.1- PARK'FEES WORKERS'COMPENSATION DECLARATION OCCUPANCY ��pp CONSTRUCTION TYPE I hereby affirm that I have a certificate of consent to self-insure or a VALUATION Q/ 905 ZONE ZONING APPROVED BYO/cc/5W DATE t7_ tb,45C] 1 certificate of Workers' Compensation Insurance, or a certified copy - r// thereof(Section 3800, Lab.C.). GRADING CU.YDS. ACRES SPECIAL CONDITIONS: Peel icy No. Company . - entified copy is .f uroish t. REMARKS: ^ ate—. .A.-€32-67-2.7n - -edified copy is filed with the city Building Division. a EXEMPTION FROM WORKERS' COMPENSATION DECLARATION 13 76, x (This section need not be completed if the permit Is for one hundred($100) or less). • - • I certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK subject to the Workers Compensation Laws of California. _ UW ELLINta GA HA(at Date Signature BATHTUBS SHOWERS SO FT Sri FT NOTICE: If after making this declaration, you should become subject TOILETS , URINALS - GENERATOR 0-1 KW_1-10.KW to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS APPLIANCE 10-50 KW_50+KW revoked. - - CONSTRUCTION LENDING AGENCY • KIT.SINKS DISHWASHERS-. - MOTORS 0-1 HP_1-30 HP I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS - -(INC.SOLAR) 10-50 HP f ••50 +HP - formance of the work for which this permit is issued (Section 3097 - . ' Civ. C.). - FLOOR SINKS FLOOR DRAINS FIXTURES / OUTLETS SWITCHES / 50 Lender's Name _ Lender's Address DRINKING FOUNTAINS ' GAS TUBE SIGNS OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS - --- I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professions-Code: SWIMMING POOL - -P TRAP LONSIHUL I ION Any city or county which requires a permit to construct, alter, - POLES METERED SUB improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION - PANELS MAIN SUB quires the applicant for such permit to file a signer'statement that he Is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE •OUTLETS SERVICE- - AMP (Chapter 9 (commencing with Section 7000) of Division 3 of the 6u5Iness and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT basis for the alleged exemption. Any violation of Section 7031.5 by arLl jpplicant for a permit subjects the applicant to a civil penalty- SEWER CONNECTIONS - - o ., more than five hundred dollars (5500), -Sas owner of the property,or my employees with wages as their SOLAR TANK COLLECTORS' - OleCompensation, will do the work, and the structure Is not Intender' - or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE - 3 Contractor's License Law does not apply to an owner of a property _ �s,s Q who builds or Improves thereon, and who does such work himself or ISSUE FEE APPLICATION APPROVED BY (77/3 DATEjt�t . through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK is sold within one year of completion, the owner will have the burden S?UMMCARY OF FEES `_ of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU PERMIT G $ 3 •452, SMIP $ '0+0 0 I, as owner of the property; am exclusively•contracting with AND DUCTING ' - - �( �t licensed contractors to construct the project (Section 7044, Business 100,000 + BTU PLAN CHECK $ a/.././ca PERMIT and Professions Code:'The Contractor's License Law does not apply to ISSUANCE $ an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100.000 BTU 'PLUMBING $ tracts'from such projects with a contractor(4) licesned pursuant to SYSTEM - - GRADING $ the Contractor's License Law). 100,000+BTU . . • PLAN CHECK $ 0 I am exempt under Section •B.& P.C.for thisBOILERS BTU .ELECTRICAL $ le-9'SO - - $ reason - �/�J! A c Q� N ` MICROFILM $ Date7-11r- W/ owner/IA/LA 71A74.4 PLAN CHECK $SYSTEM REPAI R,ALTERATION - TOTAL FEE$ ' I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $ Information is correct. I agree to comply with all city and county PLAN CHECK $ LESS AD- reprordiesentatives and state relating to enterthis upon the above mentioned S7.b�. property r_ Spe ton �prpo5e}._ / �1 FINAL FEE $ Signature ^ rrI /,LCYci^•A Date?-/O -(,/ Drivers'License or SS yja - ISSUE FEE - - - _ - _ CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNI G POOL&SPA - s• - r APPROVALS Permit # �.5? Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil Pipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn - 45. Forms 4. Electrical Conduit-Undrgrn - _ 46. Electrical Bonding ' 5. Steel Reinforce 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn - 48. APPROVAL TO COVER-GUNITE 7. Footings J 49. Electrical Conduit-Undrgrn 8. Foundation - 50. Gas Pipe, ❑Undrgrn,Test 9. Water Pipe-Undrgrn 51. Backwash Lines,P-Trap. ❑Undrgrn 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. ' Backwash & Receptor-Final 12. Street Sewer Connection - 54. Heater & Vent-Final 13. Rough Plumbing _ 55 Plumbing System -Final 14. Rough Electric-Conduit -56.- Electrical-Final 15. Rough Electric-Wiring - 57. Solar System-Final 16. Rough Heating & Air Conditioning 68. Fencing &Access Approval . 17. Ducts, in Structure - 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe-Rough &Test 60. _ POOL/SPA SYSTEMS FINAL 20. Roof Framing 21. Roof Sheathing efe, n94;3/403 'L-,2,4-• fl 22. Frame and Flashing - I 0 5 _ 1.-2-414-1 NOTES: 23. Insulation • 24. Lathing & Siding 25. Drywall Nailing . 26. Plaster Brown Coat - -. 27. Electrical Power Meter-Final 28. Final Electric IL-15- 1 .PV • 29. Final Heating & Air Conditioning. _ 30. Final Gas Pipe-Test _ - - 31. _ Final Plumbing 32. Water Service-Final 33: Gas Service-Final- 34. Solar Domestic-Final 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations - ' 38. FINALSTRUCTURE & BUILDING ps /z-!�^�/ 39. Special Requirements Completed 40. Electric Release to Edison 41- Gas Release to Southern California Gas Co. _ 42. CERTIFICATE OF OCCUPANCY NO Date •