HomeMy WebLinkAbout262 19TH ST - Building Permits -
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
•„ CITYOF COSTA MESA CONSTRUCTION PERMIT M^IT .
� TRACT NO. LOT NO. UNIT NO. -
. Project Address 262 E. 19th St. C7� �-� ' I• 5086 10/1,4/86 •'5.00 TL
Applicant's Mailing Address 10422 Iask Ave. • TYPE OF CONSTRUCTION U NEW LI ADD U ALTERATION LJ REPAIR - ,
Owner's Name T. Ashley Phone 645-3416 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER _ A.P.# Zone -
262 E. 19th St. DESCRIPTION OF WORK/USE OF BLDG.
Address S Main Building: • Accessory Building: '
_ E 2
Arch/Eng. License No. TYPE OF PERMIT ElGRADING LI FOUNDATION Li STRUCTURAL T Front • , . o
Address - ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL BB Rear N
Contractor's Name A-aBles Plumbing-HERE tngshone 530-2440 ❑ 'OTHER C Right - N
10422 Trask AV@. PROJECT DESCRIPTION SQ. FT. OCCUPANCY K r G
Address(mailing) i Left
CONSTRUCTION TYPE VALUATION $ ._ S
City License No., 6664 _ ZONE • GRADING CU.YDS. ACRES / R
LICENSED CONTRACTOR DELLA- _ Ping. Ref. # Parking Req./Provided - E
I -I hereby affirm that I am licens.• under proviv• sof Charter 9 (commencing Remarks: - - Planning Notes: ;. Ni-with section 7000) of Divisl• 3'of the Busin-• and • • -s •ns Code, and '
•my license is in full force and effe• . . T
License Ia15 -30 • a�.�� Icens- A 25. 17 i s
`� •Date .9-L•-• • Signat' _s � ---.010"2--- I PLUMBING FEES
rl WORKERS'COMPENSATION Dk LARN Bar Sink Showers � ELECTRICAL • FEES
•'O , '.hereby affirm that I have a cert' i ,te 0 sent to self-insure or a certificate
1
Workers' Compensation Insurance, • a certified copy thereof (Section
,800, Lab. C.) _ '
Backflow Preventer - Service Sink Automatic Washer Transformer 0 15-50 KW
Policy No. 978832 company Republic Indemi ty Backflow Irri anon Sewer Cap0 50+ KW 9 Construction Pole Sub. •
I ❑ Certified copy Is hereby furnished. •
} •
}cert le op filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Our) to 100 amps
/Yl Date Y-LY-00 Applicant A-eines Plumbing-Heating •
J ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps •
(This section need matte completed if the permit Is for one hundred ($100) or
less). Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel •
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 subject to the Drinking Fountains Solar Tank Fan . Motors❑0-1 HP EH'A 8
Workers' Compensation Laws of California.
- Date Signature Floor Drains Swimming Pool w/SpaF.A.U. Inc.Solar 09-15 HP 01615+'NOTICE: if,after making this declaration,you should become subject to the '
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal • - - - • Fixtures Microwave - - -
-comply with such provisions or this permit shall be deemed revoked. _ _
CONSTRUCTION LENDING AGENCY - Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a constructiongending'agency for the performance - Pole Light
of. the work for which this permit is issued (Section. 3097 Civ. C.) Interceptors - 1 Water Heater 2 00 Outlets • Rarge
Lender's Name ' '
Lender's Address ' - Kitchen Sink 1 Water Service _ Switches Sign
OWNER BUILDER DECLARATION - ,
I hereby affirm that I am exempt from.the Contractor's License Law for the Lavatories Auto-Wash . Garbage Disposal , '
following reason (Section 7031.5.Business and Professional Code: Any city or t 9 P ;Standing Sections
county which.requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW❑515 KW
. any structure, prior to Its issuance, also requires the applicant for such permit - Trash Compactor
to file a signed statement that he/she Is licensed pursuant to the provisions of Roof'Drains - ' •
1 the Contractor's License Law(Chapter 9(commencing with Section 7000) off , • ,
:..Division 3 of the Business and Professions Code) or-that he/she Is exempt ' •
`�'Ierefrom and the basis-for the alleged exemption. Any violation of Section _ - •1 • '
,,1031.5 by any applicant for a permit subjects the applicant to a civil - - - - -
; nalty of not more than five hundred dollars($500). - -
•
U I, as owner of the property or my employees with wages as their sole ReinspectionFee I $15 Issue Fee $ 3
•
• compensation, will do the work,and the structure Is not intended or offered Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and .Professional Code: The Contractor's MECHANICAL • FEES -
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 I 0 DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered foryp Zoning Approved By Date
sale: If. however, the building or improvement is sold within one year of com- Canopy Type II 0
pletion, the owner will have the burden Of proving he/she did not build or im- Duct= Under Ground •
Building Approved ByDate
prove for the purpose of sale). �/ I ‘)(to
I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System S W/'�I Application Issued By I Date s(
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU SUMMARY OF FEES •
builds or improves thereon, and who contracts for such projects with a con- - --
• tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ _- SMIP $
proof off their Worker's Compensation insurance should be provided to me. •
PLAN CHECK $ • PERMIT
0 I am exempt under Section B. & P.C.for this reason Firepl/Fact.BI t. ICBO# Fire Dampers PLUMBING $ 5.00 ISSUANCE $
Date Owner Heating System& Ducting Registers IMF
PLAN CHECK 25% $ • ENERGY P.C. $
I hereby cer ' . ..ve read this .plication and state that the above 00-100,000 BTU 0100,000 BTL - - ELECTRICAL $ GRADING $' -
informat'. is correct. I a.ree t• ith an city and county ordinances
and sta la s relatin• • buil• truction, and hereby authorize recta- PLAN CHECK 50% $ MICROFILM $: I '
sentati s • to ant- .n .hove-mentioned property for '��
inspecb•• .ur��.t+��. ����/ • MECHANICAL $ — TOTAL FEE $
SignaturSa•4l flSui •
! Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% ,
��_ _
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod • Assessor ^
\t ` CONSTRUCTION AND PLANNING POO WA
,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-Undigrnd. r ; 55. Electrical Bonding
5.'Steel'Reinforcement' _ 56. Rough Plumbing & Pressure Test
6;;Electrical UF ER Grid. 57. APPROVAL TO COVE R-GUNITE
7. ,Footings _ I 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 7 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. Solar System-Final
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 FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping ❑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
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
37. Final Factory Fireplace
•
38. Final Plumbing /// 4o' 'Ai
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer •
43. Backflow Irrigation •
44. .Landscape Irrigation System
45. Sound Attenuation -
46. Handicap Regulations -
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed '
49. Electric Release to Edison •
_
50. Gas Release to Southern California Gas Co
51: CERTIFICATE OF OCCUPANCY
-
No. Date '
i /7, _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
r�, STA E A CONSTR UCTI¢N P RMIT i P RMIT,{0 "ithC p.t' LOT NO. UNIT NO.
�a /may TION oC737� S� 2448 2/18/87 163053 TI
Pr le t Address / -4Z ��I��I vvvvyy/ffffii � 11Applicant's Mailing ddre TYPE OF CONSTRUCTION , EW ADD H ALTERATION LJ REPAIR
/ ❑ CONVERSION ❑ DEMOLISH OTH R Ay.# /1 `f
Owner's Name s L Phone � 'J!y/ `-'[`��-- �'`b - I Zone -1
dr L DESCR •TION OF WOR• USE OF BLDG.
Address •- • r a - ,�{ S Main Building: Accessory Building:
Arch/Eng. A/SS/rSC b -• Licen e No. aft TYPE OF PERMIT Ill G•ADUJG 1` FOUNDA I N Id STRUCTURAL E Front Z
Address �• S — .•.'I '4'e- , 12 ;e. •-' l❑l TENANT $ELECTRICAL • PLUMBIN /p''I MECHANICAL B Rear • N
Contractor's Name x /✓e Q� -Phone a '-4 v OTHER /� -� A '`•`�•5 r I
/2a_ ,� 4R,. "eta Li at PROJECT DESCRIPTION SQ. FT. _i7y� OCCUPANCY C Right " ' Q— N
Address Imailingl e K �. - G
0 , - CONSTRUCTION TYPE �` , VALUATION $ 10` 000 . � S Left 5—CC"-
' R
City License No. 2 ,ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION - /'� /� Ping. Ref.# Parking Req./Provided E
•
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: p g— 21� P0
-L1�c-Bfid re :yy _ Planning Notes: W 7y-✓\ /4.-UCkita. M
with section 7000) of Division 3 of the Business and Professions Code, and' pc (J 5 s['
my license is in fun f ce/and effect. /- 1) \ - T
Licens�y Cass I -en o. /g 3 ' (` o;,......... W�/1 - S
Crate-el Signature -�- — !; PLUMBING FEES -
WORKERS COMPENSATION DEC ARATI•N `' Bar Sink - Showers •
r ' hereby affirm that I have a certificate of consent to self-insure ora certificate. - - ELECTRICAL FEES
Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
,00, Lab. C.) . Backflow - Automatic Washer ' • Transformer-❑ 15-50 KW ,
Policy No. Company • Backflow Irrigation - Sewer.Ca ❑ 50+KW. -
Certified co _ p Construction Pole Sub.
py is hereby furnished.
Certified copy Is filed with the city Building Division. r'-= Bathtubs _ . . Sewer-Connection Cooking Unit Meter 0 u to 100 amps
Date - Applicant _ - , - _ -
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers ' -- Solar Collectors / Dishwasher Meter Dover 100 amps
(Thissection need not be completed if the permit is for one hundred ($100) or Dishwasher
less). _ • . _ • Solar Piping ," - ' Dryers ❑Gas ❑Electric I Sub Panel er00
I certify that in the performance of the wor or whic hi ermit is issued,l' — -
shall not pl y any person in any man so as t ,be•• •'•'e subje t to the - D•rinking Fountains Solar Tan/ Fan Motors ❑0-1 HP ❑1'h-8 -
Wnsa�ion Laws.of Cantor • / . _w •
- _ _ - - , _ / at
Date'
Worker2
L1 / Signature - • Floor Drains . " , Svai mg Pool w/Spa • F.A.U. ' ' Inc.Solar 09-15 HP'016-15+
NOTICE: If,after making this declaratio you sho Id beco ,- subject to the ' , '
' Workers' Compensation provisions of the Labor.Code, you must forthwith Floor Sinks Cr .I ` Fixtures Microwave
comply with such- provisions or this permit shall be deemed revoked. -
CONSTRUCTION LENDING AGENCY Gas Service ,. ' Outlets - Water Closet
•
Device Boxes Pole Light--
of
i
I f the affirm that there is a construction lending agency for the performance - - 9ht�
Of the work for which this permit is Issued (Section 3097 Civ. C.) n • /,1 7 _ - '
Interceptors - Water Heater Outlets I
Lender's Name - "'� �� Range,, a ['1
Lender's Address: '% Kitchen Sink - f . .f _ Water Service - .- / Switches - • - ' '/
OWNER BUILDER DECLARATION I '�' - - - J Sign -- I D(�
I hereby affirm that'I•am exempt from the Contractor's License Law for the .Lavatories • Auto-Wash' - r
following reason (Section 7031.5 Business and Professional Code: Any city or - Garbage Disposal Standing'Sections
county which requires a-permit to construct,alter,improve,demolish or repair - -" ' _' " Laundry_Trays Generator ❑0-5 KW ❑5-15 KW - •
any structure, prior'to its issuance, also requires the applicant for such permit - .- - Trash GOmp3ptpr
to file a signed statement that he/she is licensed pursuant to the provisions of • �s-. -. -•
the Contractor's Licence Law (Chapter 9 (commencing with Section 7000) of l� _+ - .`4`- ,
- Division-3 of the Business and"Professions iCode) or that-he/she is exempt - - -- - - - - - - --- _
terefrom and the basis for the alleged exemption. Any violation of Section
331.5 by any applicant for a permit subjects the applicant to a civil
sendlty of not more than five hundred dollars($500). I 3 ,
0 I, as owner of the property or my employees with wages as their sole Reinspection Fee P $15 Issue Fee $
compensation, will do the work, and the structure is not intended or-offered - - Reinspection Fee ! $15 Issue Fee $ 3 -
. for sale (Section- 7044, Business and Professional Code: The Contractor's - MECHANICALFEES -
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 - DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not Intended or offered for - ' Boiler • Hood or Type I 0 /fs^ �j y k
sale. If, however, the building or improvement is sold within one year of com- - Canopy Type II 0 • ' 'Zoning Approved By ICI a Date /o "d
pletion, the.owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By I Date �/7 OT
' _prove for the purpose of sale). - _ G - I
0 I, as owner of the property, am exclusively contracting with licensed con- ' Duct-Structural Refrigeration System Application Issued By - s.v....... Date •
tractorsto construct the project (Section 7044,Business and Professions Code: -
The Contractor's License Law does not apply to an owner of property who - Duct-Ventilating • ❑0-100,000 BTU ❑100,000 BTU SUMMARY OF FE
builds or improves thereon, and who contracts for such projects with a con- -
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMITQ- $ llO.� SMIP • - " $ 'r70
proof of their Worker's Compensation insurance should be provided to me. - • PLAN '$ �•3� PERMIT
❑ 1 am exempt under Section B. & P.C.for this reason Firepl/Fac[.Blt. ICBO# •
Fire Dampers P•
LAN
CHECKMBING $ i1e<t ISSUANCE $
- PLAN CHECK' 25% $ ENERGY P.C. $
Date - • Owner - Heating System& Ducting Registers - -
I hereby certify that I have read this application and state that the above ❑0-100,000 BTU ❑100,0006T GRADING $
information is corre t. I agree to comply with all city and county ordinances - - ELECTR ICA,L $ � /..t��C{�V�J
and state laws rel i g to b 11th construction, and hereby authorize y or ! ., MICROFILM $- '
inspection pofu th' ity<to me'rygpy pon the above-mentioned pro rty or 1 Lr)4 J/ F�� - vo PLAN CHECK 50% $ /n
Signature
pulp Y� n / W MECHANICAL $ TO7AL FEE $ •'v�r
Signature /
CF 0865-46,rev.10/84 White - Building: Canary -Applicant; Pink -Accountin9; Goldenrod - Assessor
1 Mtt
•
CONSTRUCTION'AND PLANNING POOL& 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
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement , 'y 44 i 56. Rough Plumbing & Pressure Test
-57 6. Electrical UF ER 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. Solar System-Final.
16. Rough Electric Wiring .,Ly.7 "�-'ele - 67. Fencing & Access Approval
17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING
-
18. Rough Electrical-T Bar Ceiling r 69. POOL/SPA SYSTEMS FINAL
r
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace I APPROVALS , Permit# _ I ;
21. Ducts, in Structure 70. Underground Hydro. 41
22. Ducts, Ventilating • 71. Product Piping 0 Gas 0 Oil : j
23. Gas Pipe-Rough &Test 72. Underground Flush ,
24. Roof Framing 3/," l c/ 73. Undergrnd.Storage Tank 0 Gas 0 Oil '
it-
25. Roof Sheathing q'42/n Q/ 74. Overhead Hydro .
26. T-Bar Ceiling (Structural) & Monocoat ��ff / 75. Dry Chemical • .
27. Frame and Flashing 1/1(1 S7 04g. / 76. Dry Standpipe L. • '
28. Lathing & Siding 3� /4 6'- 77. FIXED SYSTEM FINAL I
29.' Insulation O/)( 11 78. FIRE PREV. FINAL • ..
30. Drywall Nailing //7/`4J ti HEALTH DEPT. REQUIREMENT •
31. Plaster Brown Coat J�/(2sla. 79. FINAL INSPECTION I .
�b t
32. Electrical Power Meter-Final 80. .FOOD CERTIFICATE ISSUED
33. Final Electric . y771rr 6gui Notes: '.,I �� �
34. Final Heating & Air Conditioning /7 44c 3/(6 Q 1-k- I 9/4 7'4* .
35rFinal Gas Pipe-Test 'Min
/•7cEy �-
36. Hood or Canopy / T L �1 4187 OK'
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 •
'45. Sound Attenuation
46.,Handicap Regulations
47. FINAL STRUCTURE & BUILDING v�Q I(]S mo. ..- ,
Gil"
48. Special Requirements Completed - - '
49. Electric Release to Edison ,
iitil
50. Gas.Release to Southern California Gas Co ,
51. CERTIFICATE OF OCCUPANCY
• No. . • _ Date