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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