HomeMy WebLinkAbout257 19TH ST - Building Permits PROJECT ADDRESS: 257 E 19TH ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 064991
OWNER'S NAME: TAYLOR, IRMA H
ADDRESS: 2557 E 7TE 19MTTH ST H, ST 92627 PERMIT NO: B 064998 PLAN CHECK NO: N GOVT: N SUPP; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REROOF W/COMP . SHING. OVER EXISTING SQ FT: 1 , 610
ADDRESS: UNIT: CLAIM VALUE: 1 , 610 . 00 CALC—VALUE: 1 , 610 . 00 GROUP OCC : R-3 /
PERMITTEE: AFFORDABLE ROOFING EXPERT ( 714 ) 534-2299
ADDRESS: 11211 PALOMA AV COMMENTS : COMP . SHINGS OVER PITCHED SIDE , & APPLY APP TORCH ON FLAT SIDE
GARDEN GROOVE CA 92643 ********************�E*****�E*******************************+EBF********.t******+E***
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions 01 Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in lull force and effect. SETBACKS
CITY LIC.: mum: 674329 cuss: C-39
. Date: Signature: MAIN BUILDING ACCESSORY BUILDING
�
WORKERS'COMPENSATION DECLARATION: I hereby atlirm that I have a certificate 0f consent to sell-insure or a certificate 0f Workers' LEFT: FT IN R : FT IN LEFT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT; FT IN RGHTT: FT IN LEFT: FT IN RGHT: FT IN
POLICY ND.: EXP.DATE: PARKING REQ: PROV: PARCEL: 11721419 ZNE: REF NO:
COMPANY: PLANNING NOTES>
❑ Certified copy is hereby furnished. C3 Certified copy is filed with the city Building Division.
********************************************************************1g**********
Cate: Applicant DEVELOPMENT SERVICES R E
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred($100)or less). Q U I R E M E N�,T $
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 ZONING APPROVED B Y DATE: `
subject to the Workers'Compensation Laws of California.
Date: Signature: BUILDING APPROVED BY : DATE:
i. NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
•
CONSTRUCTION ENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: milk, DATE: 1,14 Z J.p3
which this permit is issued(Section 3097.Civ.Cl. ********************** - se • .*
LENDER: ********************************************************************4014*********
ADDRESS: REROOF W/ONLY ONE LAYER LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:Y
OVER EXIST "2" LAYERS OF
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason PERMIT BLDG39PMT00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/RESS, GRADING
(Section 7031,5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON—RES
pursuant to the provisions of 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 ISSUE FEE >
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ed
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 39 . 50 0 . 00 0 . 00 39 . 50 39 . 50 . 00
❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State 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 employees.provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED : 39 . 50 OVER/SHORT : . 00
improvement is sold within one year of completion.the miner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
for the purpose of sale). 39 . 00 . 50
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: The COnlraetorSState License Law does not apply to an owner of prOceM1y who builds or improves thereon ************************************11**********************iE.**************,*****
and who contracts for such projects with a contractors)License pursuant to the Contractors'State License Law).I am aware
that erupt of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT _DOST TOTAL COST
Date: Owner: SFR 1610 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 .. 1 , 610 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safely Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant wiNwill not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air uality Management District.Residential construction applications are exempt from ,
these provisions. ETE41.0
Date: Appecanl: SMOKE DET
�j1 V
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with at city and county /�
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned r QU 1Ret) _.++—
property tor inspection purposes.
E11„�'r`
Date: _ Signature: 01 00151054-00151055 TOT 39.50
Driver's License or Social Security 4: DATE: 11/22/73 TIME: 11:23
1641.46 White—Bottling:Green—Codd Enforcement;Canary—Applicant:Pmk—Revenue:Goldenrod—Assessor
41
CONSTRUCTION AND PLANNING
'$APPROVALS Permit # Date
Inspector
POOL ?A
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. 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, 0 Undrgrnd.
10. Structural Floor System
61. APPROVAL TO DECK
11, Property Sewer Line & House Connection
62. Backwash & Receptor -Final
12. Sewer Cap
63. Heater & Vent -Final
13. Roof Drains
64, Plumbing System - Final
14, Rough Plumbing
65. Electrical -Final
15. Rough Electrical -Conduit
66. S013r System -Final
16. Rough Electric Wiring
67. Fencing & Access Approval
17. Rough Wiring Sign
68. APPROVED FOR PLASTERING
18. Rough Electrica LT Bar Ceiling
69. P000SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
r -
20. Rough Factory Fireplace
21. Ducts, in Structure
70, Underground Hydro
c
22. Ducts, Ventilating
71. Product Piping 0Gas 0Oil
.r•
23. Gas Pipe -Rough & Test
72. Underground Flush
+ f '-
24. Roof Framing
73. Undergrnd. Storage Tank O Gas O Oil
25. Roof Sheathing
74. Overhead Hydro
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
78. FIRE PREV. FINAL
30. Drywall Nailing
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat
79. FINAL INSPECTION
32. Electrical Power Meter -Final
80. FOOD CERTIFICATE ISSUED
33. Final Electric
Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe -Test
36. Hood or Canopy
i
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
-2-3 .. C 1p -P-M6
a
44. Landscape Irrigation System
a
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
& IB`!l3
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
V' -MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 317 COSTA MESA. CALIFORNIA
FOR APPLICANT TO f/L[ /N COMPLETELY
TYPE OR PRINT
0 BUILDING
COSTA MESA, CALIFORNIA
■ MAIL
URCH ITECT LIG.
OT 'GINEER NO.
LEGAL
LO
plNI z -
RECEIVED BY DATE RECEIVED
2E;
DEscaIPT1oN
NO.
BLOCK
TR2T
COSTA MESA, CALIFORNIA
FIRE
ZONE TYPE GROUP
APPROVED
By
A.P. NO.
ZONING
ZONE
I NO. OF
PLANE
SIZE
O. OF BLDG..
OF LOT .� d wX /3n,ow
ON Lor
USE OF
EVES
ALLOWED
EXISTING BLDG
FT.
R.SIDE
'SETBACK LINE FROM
FT.
IN.
CENTER OF STREET REAR YARD
FT.
SIDE YARD ILEFT (RIGHT
DESCRIPTION OF WORK
I
{/
I
NT K ALTERATION
ADDITION
X
REPAIR MOVING
I DEMOLISH
DING A ,/ NO. OF
S ZIE /j /` /� ROOMS /
STORIES
THEAMOUNT SHOWN UNDER ATION IB FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
EXTERIOR WALLM. n
(ROOF
n19 T.
PLAN CHECK S
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUU�CTION. `J
SIGNATURE OF U /�/�
PERMITTEE/�
FEE RECEIVE®
APPLICATION PO���vqPT
BUILDtNG�
fOR OffICE USE ONLY
7
RECEIPT NO.
plNI z -
RECEIVED BY DATE RECEIVED
2E;
ATE 165/IIjEp
BUILDING
ADDRESS
COSTA MESA, CALIFORNIA
FIRE
ZONE TYPE GROUP
APPROVED
By
DATE
ZONING
ZONE
I NO. OF
PLANE
I USE OF NE
BUILDING
APP VE
BY
ATE
YARDS f
REQUIRED
EVES
ALLOWED
(CENTER LINE ST.)
FRONT
FT.
IN.
R.SIDE
L. SIDE
FT.
IN.
REAR
FT.
IN.
J
e
THEAMOUNT SHOWN UNDER ATION IB FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
VALUATION
J
PERMIT FEE $
Q -O
�
PLAN CHECK S
TOTAL FEE 8
d'°`o
7
0
V OSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 317 COSTA MESA. CALIFORNIA
FOR APPLICANT TO FIU IN COMPLETELY
TYPE OR PRINT
BUILDING ADDRESS
COSTA MESA, CALIFORNIA
d EE
f1NANCE DEPT.
APPLICATION FnOR OomA A
PERMIT
BUILDING
FOR OFFICE (/SE ONLY
RECEIPT NO. PERMIT NO.
OWNER
MAIL
RECEIVED BY
I DATA. RECEIVED I /�V UpD_
CITY
TEL.I
NO.DDRESS
UILDING
GF -L
S
ARCHITECT
OF GINEER
t1C.
NO.
COSTA MESA, CALIFORNIA
IRE
ADDRESS
ONE
TYPE GROUP
CONTRACTOR
STATEPPROVED
LIC. NO.Y
DATE ^r
ADDRESS
ZONING
LEGAL
CRIPTION
LOT
I NO. I BLOCK
ITRA
PLANS
I USE OF NEW
BUILDING
A.P. NO.
PPROV
Y
(i DAT ~� to
SIZE
OF LOT l 3- •
NO. OF BLDGB.
NOW ON LOT
YARDS
REQUIRED
ALLOW
USE OF
EXISTING BLDG.
ICENTBR LINE ST.)
FRONT
✓ FT. IN.
SETBACK LINE FROM
CENTER OF STREET
REAR YARD
R. SIDE
FT. IN.
SIDE YARD IL6FT
(RIGHT
L. SIDE
FT. IN.
DESCRIPTION OF WORK
REAR
~
� FT. IN.
II I II I
j�
NE' ' i' ALTERATION
ADDITION
REPAIR MOVING (DEMOLISH
BUILDING NO.OF
SIZE ROOMS
STORIES
EXTERIOR WALL
OF
(
NG
COVERING
CRO
USE OF S ILD AND WO IK.TO BE PERFORME
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PLY WITH ALL CITY ORDINANCES AND STATE. LAWS REGULATING
THE AMOUNT
PURPOSE OF
SHOWN UNDER VALUATION 18 FOR THE
ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONBiR(UC�,iJon.
�J
VALUATION
//�
1
SIGNATURE
PERMITTEE
s
PERMIT FEE $ p?
/V/
PLAN CHECK 5
TOTAL FEE SO("
AUTHORIZED AGENT
16STA MESA BUILDING.SAFETY DEPARTMENT
P. O. BOX 817 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDING r. ..— - . -iZ O -I /- 111.1
MESA. CALIFORNIA
TEL.
' SIZE I NO. OF SLOGS.
OF LOT NOW ON LOT
SETBACK LINE FROM
DESCRIPTION OF WORK
EER�IIE R CEIVED
LL 2 � / to c
A A CE DEPT.
APPLICATION F&T�ERFAI$OSTA MESA
BUILDING
For Office Use Only \�
wSCEIPT NO.
RECEI'V7SY I DA� RECZE' ."j �1A ISSUEDI�f
ADDRE S C� 5 y j
ADDRESS
COSTA MESA. CALIFORNIA
APPROVED Gl-t DATE !i
L ZONINGNO. OF U,
PLANS / I DBEOF NEW
BUILDING
BUILDING
NO. OF"STORIES
81ZE LROOMS
EXTERIOR WALL
ROOF
COVERINGCOVERINGUSE
OF BUILDING AND
RK TO BE PERFO
I
'HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANDSTATE THAT THE ABOVE IB CORRECT AND AGREE TO =M.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION.
SIGNATURE OF (y/2_ _.� /j/4Aa .. _ --)--
AUTHORIZED AGENT
LECA. n-'/ / / 1// /LA
DESCRIPTION (.
A. P. NO. 4 -
YARDS EVES
APPROVED ALLO
(CENTER LINE ST.)
E
THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
VALUATION
/ �JO PERMIT FEE s
S L/y d PLAN CHECK $ ,/
TOTAL FEE
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill 7Completely
F
NG? `SS /"cJ In
TEL. '
CITY C6�r/� 4p, F 5 * NO.
CONSTRUCTION
BRANCH
ADDRESS
L.
R
"iW Z9-73P[K5faf`001135* ****35.00
BUILDING PERMIT
LOT A
ADDRESS
I c unuur
VED O
CONTRACTOR
ByDAT /j
ADDRESS
TEL.PLANS
NO. OF
USE OF NEW 49 /jQ
CITY NO.
Sw_
BUILDIN
STATE CITYR
DS APPROVED
YARDS APPROVED
LIC. NO. LIC. NO.IN
BUILDING
ACCESSORY BUILDING
THE AMOUNT SHOWN UNDER VALUATION IS FOR
the State of California Business and Professions Code, Divisicn 3,
C/L STR ETI
Chapter 9, and that such licenses are in full force and effect, or I
SIZE
NO. OF BL GS
tEA
¢e
OF LOT (j k Q
NOW ON LOT
T.
FT.USE
OF
EXISTING BLDG. /✓i &
/�SIZE
/
"
Signature o, ,_ _ LL ' A /_ //
OF / y NO. OF
PERMIT FEE $
ovNEW
BLDG. sem' /1 Z ROOMS S{T�ORIESFT.
Permittee WCd�ZlfQ.dNN
TEXTERIOR
WALL
ROOF _ _s! 43%_COVERING
,
1/CCO
COVERING '0ca<—
Authorized Agent
FT.
USE OF BUILDING AND WORK TO BE PERFORMEDCE
BET.
BET. MAINLOCS.
ACCESS. BLDGS.
W r92t� PAn� 12Fnn A U f- 4 .4 LL
VAR.+
C.U.P. 45
DATE
APPROVED
R 4./
I hereby acknowledge that 1 have read this application and state
/ I
V
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's componsation laws of
Sw_
the State of California.
m
ip
1 hereby certify that I am properly licensed as a contractor under
SO. FT.
o
THE AMOUNT SHOWN UNDER VALUATION IS FOR
the State of California Business and Professions Code, Divisicn 3,
Chapter 9, and that such licenses are in full force and effect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business
¢e
VALUATION
ns C Chapter
antl Professions Co<i e, Division 3, Chapter 9.
23
m
/
"
Signature o, ,_ _ LL ' A /_ //
Z'
PERMIT FEE $
m
Permittee WCd�ZlfQ.dNN
$ 2���
PLAN CHECK $ // '—
E
`o
,
Authorized Agent
TOTAL FEE $ 3
LL
'
County a e� C`
Building :Depa men+ XRLICATION FOR
Room 322 PERMIT
Court House Annex
Santa Ana, California
Phone: KI 2-6211
'-;1 7
PERMIT NO.
February 12 51
, 19-
1. OWNER'S NAMERobertPievicomb PHONE: Beacon 5316-J
257 East 19th Street Costa Eesa
MAILING ADDRESS CITY
(Strert or P. O. Box No.)
NAME NAME Owner
(Archinct or Bngi... r) (Contnaor or Builder)
ADDRESS ADDRESS
CITY CITY
State Lic. No Phone State Lic. No. Phone
2. JOB LOCATION 257 East 19th St Costa liesa
(Hou" No.) (N... of Street) (Town or School Dimict)
3. LEGAL DESCRIPTION: Lot x#16 Blork H Tract 594
4. Meets and Bounds Description — Use Reverse Side of This Form.
5. CORNER LOT ( ) INTERIOR LOT (X) THROUGH LOT ( ) SLOPE OF LOT
THIS APPLICATION CANNOT BE PROCESSED UNLESS LEGAL DESCRIPTION
IS ACCURATE AND COMPLETE.
6. PROPOSED WORK: New Building ( ) New Structure ( ) Addition (X) Repair ( )
Alterations ( ) Move ) o r(L) ConvtrsiopKr(
7. PROPOSED jJ$E: vie 1 _ R -, d
8. SIZE OF g/Lf�ILD N�G_�jAREA_�� Ir E OF LOT 501 5X1301 AREA 6557
9. CEILING HEIGHT $1 TOTAL BUILDING HEIGHT 121 NO. OF STORIES 1
10. NO. LIVING UNITS 1 SIZE OF SMALLEST BEDROOM10-6X9 SIZE OF KITCHEN 9X9
11. EXTERIOR WALL CONSTRUCTION: Brick ( ) Concrete Tile ( ) , Monolithic Concrete ( )
Wood Frame (X) Steel Frame ( ) Concrete Frame ( )
12. WALL COVERING: Wood ( ) Metal .( ) Stucco (X) Other_... sheet rock
13. FRONT YARD SETBACK FROM CENTERLINE OF STREET 501
14. DISTANCE TO PROPERTY LINE: Side Yard 131 Rear Yard 761
15. SHOW ON PLOT PLAN EXISTING BUILDINGS NOW ON LOT, STATE USE OF EACH.
16. DISTANCE IN FEET FROM PROPOSED BUILDING TO NEAREST EXISTING BLDG.: 91 (garage)
17. VALUATION OF PROPOSED WORK: Including All Labor, Plumbing, Electrical Wiring, Heating, Fire Sprink-
lers, Painting, Sewage Disposal $ 1900.00
18. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION
IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION. WORK WILL CONFORM
TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE
THERETO.
n 1
Plan Filed. SIGNED:
Owner or Authorized Agan
Date BY
FOR DEPARTMENTAL USE ONLY
19. GROUP ��— TYPE 7:2— DISTRICT MAP D
P1
PERMIT FEE $ ' V'O RECEIPT PAID T DA
CHECKING FEE S /' 42 RECEIPT O. PAIDnA
PERMIT GRANTE
PLANS CHECKED
APPROVED P"
HEALTH DE
STATE FIRE
STATE DIV.
OM—,x...
'K SHEET ATTACHED_
9 ,/ e