HomeMy WebLinkAbout268 19TH ST - Building Permits -PNaecTADDNESs: 268 E 19TH ST 0NIT` CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 055435
OWNERS NAME: JOHNNY ANASTASIADES
ADDRESS: 268 E 19TH ST PERMIT NO: E 055435 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA 1 ,
CA 92627 .• CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE: OTH
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : ELECTRICAL SERVICE CHANGE OUT SQ FT:
ADDRESS: UNIT:
PERMITTEE: CLAIM VALUE: CALC—VALUE; GROUP OCC: R-3 /
PALMER ELECTR-�C' Y� ( 714 ) 548-9457 • .
ADDRESS: 783 NEWTON WY COMMENTS• NO 'B ' PERMIT INVOLVED •
COSTA MESA CA 2627 **+E�Ex-�FaE*4**�6sE�E�c>E>E�E�F>FSE+yat�6�t+E****�6H>E *****�Er ***+P�E�E+ESE*�E*�Ea6�F>F�E�E*****+tN�E�E�Ex*kEaETE>E*>E***
LICENSED CONTRACTOR DECLARATION: I hereby affirm That I am licensed under provi o of Chapter 9(commencing with Section '1 ONING R EQUIR EMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in lull fort an effect. SETBACKS
CITY LIC.: 039402 FETELIC.:477402 Cul' C- (
— Date: 11' U ( Signature: _ \ /�., MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certi'.a of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
Compensation Insurance or a certified copythereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
Pon.: WC680044413 EXP.DATE: 11 /01 /92
COMPANY: CA CAS INDEM EX ( 1 PARKING REQ: PROV; PARCEL: 42628116 ZNE: REF NO:
1]I Certified copy is hereby furnished. EX Certified copy is filed with city gild , Divi'on. PLANNING NOTES>
>
-- ,,e: /7-IU ' a1 Applicant: Ii► / ************************1M1******'')L'3F3f*******************-!E***if****iE****)fir********ie1E
•! EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This sectio 1n: of be completed if the permit is for one hundred(st170)or less). DEVELOPMENT Si- E=R VICES R EQUIREMENTS
I certify that in the performance of the work for which this permit is issu d shall not employ any person in any manner so as to become
subject the Workers Compensation Laws of California. ZONING APPROVED BY - DATE:
Date: Signature: ,- %
1 NOTICE:If,after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY ; . J DATE
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. 4 !/ '
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• , . ,� �� _ DATE• ///o
which this permit is issued(Section 3097,Civ.C). *********************3E ' • .c • •r'- ��.E . • - *-*.***.k**.*.*J¢BSIC{e- .-**,*-
LENDER: ******************************* * : **** ** /lf ***********************"3E`/*`*********
ADDRESS: LEGALIZATION;NF E :E{ SUMMARY STRUCTURAL SEGMENT: N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 18 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 0$
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7010)of Division 3 of the Business PLAN SM I P/NON—RES
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(S501). ISSUE FEE 1500
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
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS—---> 18 . 50 15 . 00 0 . 00 33. 50 33 . 50 . 00
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 • 33 . 50 OVER/SHORT; 00
' 1 improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve
for the purposeof sale). BLDG 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 3 3 . 50
and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractoris)license pursuant to the ContractorsState License Law).I am aware X.***X.********************Se*****If************************W.*********X.*******)4****
that proof 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 COST TOTAL COST
Date: Owner: ELE 1 SERVICES BELOW 600 V & BELOW 201 AMP 18 . 50 18 , 50
I do hereby certify that I am aware of and understand the requirements of California,Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I on any future building occupant wit/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential co .truction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the above information s orrer agree to comply with all city and county .
Ordinances and state laws relating to building construction and hereby au rize repres natives I is city to enter upon the above-mentioned
properly for inspection purposes.
Date, t 7.'' I O - I Signature: 11
l GC)hi i��xlnl101- 7 it : .
Driver's License or Social Security n: - -
'
164646 Whne—Bmlding,Green—Code EnlorcemenC Canary—Applicant;Pink—Revenue;Goldenrod—Assessor
r' CONSTRUCTION AND PLANNING POOL 'A
-APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1 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-Urgrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. - _,
4 .
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 - 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 Strycture •
70. Underground Hydro
22. Ducts, Ventilating _ 71. Product Piping 0 Gas 0 Oil
23. Gas PipetRough& 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 I 75. Dry Chemical
27. Frame and Flashing 4. . 76. Dry Standpipe • _
28. Lathing & Siding • 77. FIXED SYSTEM FINAL
'29. Insulation . 78. FIRE PREV. FINAL
30. Drywall Nailing �/� HEALTH DEPT. REQUIREMENT
r
31. Plaster Brown Coat ,�,J r 7 FINAL INSPECTION
32. Electrical Power Meter-Final ISA _ '!. 0 .-OOD CERTIFICATE ISSUED •
33: Final Electric • �y /M /'` rtes:
34. Final Heating:& Air Conditioning !!�!-� `<�, y . .
35. Final Gas Pipe-Test %i•. '-
36. Hood or Canopy - - ✓" •
37. Final Factory Fireplace t 7�
s
"38. Final Plumbing - , /.,,,
.-39. Water Service-Final • 1
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 k
48.'FINAL PLANNING - • �n ' .
49:Electric Release to Edison • - ' 7//, , . .
50. Gas Release to Southern California Gas Co ' ) , 'V
51. CERTIFICATE OF OCCUPANCY
No. Date
J ;; . .- ..
1 6129 _ jI ,a1 - s' V LA--
COSTA
COSTA MESA BUILDING DEPARTMENT _1\1,1),INtE 3 `.'Y. -
P.O. BOX 317 .
COSTA MESA. CALIFORNIA ?Ail' OF CITOSTh MESA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
ADDRESS 2 �B F /0 it BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
�OUQ VRECEIPT NO. /PER/MITT NO.
OWNER 1� y
' lAc. GHT W( `
MAIL C O ALF.O• RECEIVED BY DATE RECEIVED DATE ISSUE
ADDRESS 2 S S /7 L7 Si c4F T ry /'//-R 7--J7 (`/z_Y-_5
CITYL OS f At -4 cc TEL.
ADDRESS Za 6 L> /! th S
ARCHITECT LIC.
OR TICTER NO.
COSTA MESA. CALIFORNIA
FIRE 2
ADD I ZONE
20NE ;loin TYPE G VP
CITY LIC./� �J PLANS ��.✓
CONTRACTOJrj�/JS((A•ii" Q/j�S NOQ 9/ B
ADORE'er TEL. APPROVE f e•'�✓2 P.
i .:c. ( . . N / i .fi BY -,,,,Erfln¢ S GATE //
LEGAL LOT K CORRECTIONS
DESCRIPTION NO. `� BLOCK IXA �OKr
A.P.NO. // gr /3 /-. P,
SIZE / ( NO.OF BLDGS. APPROVED
OF LOT(�,�� /� Now oN LOT
USE OF
CITY Y Of C_STA MESA
EXISTING BLDG. 46 <JC de--y/I((A.-- PLANNN4NG DEPT.
SETBACK LINE FROM ��^ • SUBJECT TO E 1.70. DEVI. NEU.
CENTER OF STREET t. 2. 7 REAR YARD 1
i � /'// l�
SIDE YARD RIGHT .24 LEFT / � , DY/��./-[JLY • DATE Ja ' 7 u_DESCRIPTION OF WORK UU i`iii PLAN TECH.ii- , -
NEW ALTERATION ADDITION X J/2N it 1 UOT/A/6 OND/L& Al /}/.
REP. MOVING DEMOLISH SAS O.T//t y A/FL(I
BUILDING / �/ ^ / NO.OF T / ,
SIZE /� •1 d� ROOMS / STORIES / '/POLL 61/1'$5 Loa 12C OFO aa •2. fO.\
EXTERIOR WALL ROOF iS Ij ckr.%j.
COVERING L{�Q171/) COVERING elO„,,flyPa1
USE OF NEW � $/(YL r,k1
BUILDING ./WtZ c'SEO � >,4.- 3 ' '
Rh-01 3 O •✓csnlr. 2'
--C.,.e./ (.7r,„..;2
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND /
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC.
TION. VALUATION D
SIGNATURE OF///
L PERMIT FEE $ a
PERMITTEE � ��ca.i �� _ /...
•
5
/ O PLAN CHECK $
//////
AUTHORIZED AGEI 2 / TOTAL FEE S 0Z — NBmir
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I
COSTA MESA BUILDING DEPARTMENT nnCOSTA
P.O. BOX 317 NOV 27-57r iters '.108 T. *****6.00
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING
ZCS Iii 1-4BUILDING
BUD
Si .peE7
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. R ITJIO.
OWNER
1- A toa (i VAoG 14:1" 0
MAIL {fI �` .. RECEIVED BY DATE RECEIVEDECDATE UE(�^
ADDRESS 2 C S E E . to t+ c- e-r ��j� //- �S 7-u7/'t - '3
. AD
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CITY e'-IF NO.LADDRESSILDIN
ARCHITECT LIC.
OR TINTER NO.
COSTA MESA. CALIFORNIA
FIRE
ADD ZONE
,
ZONE NO OF TYPE GROUP
CITY LIC. �797S A /PLANS �7/
Y,
CONTRACTOfM� � B ids NO. O �
pp��CC [[ff y4/ It:t TEL APPROVED eny/� 5^
•
ADDRESS O-`Lp ,n�ap{F PC. NCV{ �OR)� BY �Gc�ATE I//
LEGAL LOTif-..7.40.. I 4(47. .�gr CORRECTIONS
DESCRIPTION
f NO. / 7 BLOCK P.-..
''TYF2�CCT
A.P.NO. f'//I � � / B /� a /� p �(.�y \y0
OF LOT(p/} X /1 G). NO.OF BLOT I'L P 6I. IV OV E® •
�I'�
NOW ON LOT b 3 1�
USE OFA
EXISTING BLDG. DC-ree CLtoY6r-� CITY OF ( STA MESA
SETBACK LINE FROM X PLANNIW6 DCPA.
CENTER OF STREET � A atA YARD 9/ SUBJECT TO BE G. DEPT. REG.
SIDE YARD RIGHT g 7/ LEFT 0 / _ - j ���-�
DESCRIPTION OF WORK BYLV'/'•1' ',„y DATE11.-2-57 \\
PLAN TS''y—.h'L U..
NEW X ALTERATION ADDITION
•
REP. • MOVING DEMOLISH
BUILDING •40 t' 1 ROOMS NO. OF /
SIZE STORIES /
EXTERCOVERIOR ING WALL., ROOF
COVERING dOne•CO
USE OF NEW tr7 Alcf,/GU �d1.P.OriE
BUILDING ////\���
" / V
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND• D
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC•
TION. /J��� /j VALUATION
SIGNATURE OF��ne^C /L / /_ - PERMIT FEE $ 6
PERMITTEE K.�:Lr/(YLtp bO
� S •
O, PLAN CHECK $
AUTHORIZED AGENT //�
TOTAL FEE S 4 ...... Y,ewl
J a
6182
PEC -4-57. UUKSA435Ba *****2 o
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31 Z •
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
MDDRE Sne i /9 cVnn- BUILDING
BUILDIN c �J
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. /P%RMT NO.
OWNER „IA TDU //Ai// AN .7- . PQ
MAIL /�11'^// �[� R _EIVEO BY DATE /CEI ED RA.. ISE Pf0
ADDRESS rt k. e _. � �1�.[,� .EL. BUILDING /J y�/Z . $ / Y C/ }
CITY 176(74,4 / r.CM TNO. ADDRESS
Z �+ �� ( / ��
ARCHITECT LIC.
OR TINTER C. COSTA MESA. CALIFORNIA
•
FIRE 3
AOC 3
ZONION E NO.OF TYP GRO
�a/AlE�
CITY LIC. PLANS/J�
CONTRALTO NO. y /1' U I r
TEL. APPROVg% //L/��7
ADDRESS NO. BY
��74'�74 44 DATE I yV�
LEGAL LOT } A/4644‘10/2 7-- CORRECTIONS �(11\�
DESCRIPTION NO. / / ��jjy BLOCK TRACT
A.P.NO. //6- /.J/- ay ./1.-
SIZE / L% \/<1 �J NO.OF SLOGS. Z
OF LOT �.J .J �{ L NOW ON LOT
USE OF
EXISTING BLDG. NFL(-,�J(r ¢ caeJ�iO t ��
SETBACK LINE FROM
CENTER OF STREET REAR YARD
SIDE YARD RIGHT LEFT A
DESCRIPTION OF WORK
NEW ALTERATION ADDITION X / S eV i
I{ �/
REP. MOVING DEMOLISH
SUILDING/x/_/ /� / NO.OF /�
SIZE J( ROOMS STORIES / //
EXTERIOR WALL ROOF C/ (F ��
COVERING CC COVERINNG, /'�✓ t -[/ (It
BUI OF NEW Lnc L�5a4 �`il/)T�4/c- vl �ki �+ 'BUILDING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ( /
CITY ORDINANCES AND STATExLAWS REGULATING BUILDING CONSTRUC• �') I/j`/
TION. / �� . l' VALUATIOry
SIGNATURE OF,. v I// PERMIT FEE $
PERMITTEE - - _/ �/�
/ / 12,, PLAN CHECK $
AUTHORIZED AGENT TOTAL FEE S Z ABwF