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Home My WebLink About296 19TH ST - Building Permits r� r CITY OF COSTA MESA t l BUILDING DIVISION 4t ,, � ..� DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER `b1 /� . PERMIT Oita aim (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 296 E 19TH ST Status: ISSUED • Suite: Applied: 02/16/2001 Vicinity: RESIDENCE&ATTACHED GARAGE Issued: 02/16/2001 Parcel Number: 42628122 Zoning: Applicant: CATANESE, CHARLES PTR - ISSUED BY: _:.,„4,1ac_ Address: 296E 19TH ST - , Phone: 949-645-9555 COSTA MESA,CA Zip: 92627 Owner: CATANESE, CHARLES P TR - Address 496.E/19TH ST'. -. - ` - - - . , �� .- - -- Phone: - - : . COSTA MESA,CA:.• - Zip: 92627 Contractor: OWNER-BUILDER ' Address:// , , ' , , . , . './ ' Phone: ddress:- Phone: • 1 Zip: 7 • . . .•License: '0 \ Arch : Eng: .-.� Address: - Address: Phone: - .Phone: Zip: License: License: 1 H r --r C+• .. . SCOPE OF PERMIT -• Y''-: ' REROOF:.FELT PER MFG RECOMMENDATION,-20-YR COMP SHINGLES OVER EXISTING(1)LAYER. / l =Iy 1300 SQ'FT /- /7- -_ , ' I ' �� ^' FEE SUMMARY_' — PIan,Check . $0.00 .. = .- - _ - Calc Valuation �l11i /- g1,309oor Permit .$47.90 Claim Valuation $(,300:00 SMIP Res: , • $0.50 - r;� -�' /,p/ ' SMIP.Com:� ' $0.00 ' - /7 (-- I'11 Oter: $0.00 /' \r / r / U� Inspection:-2 $0.00 -, ?� ,, / ' /J A/,,,'/ \Total `$48 40 i:--;.:...--..•,.9.2,:- • �t �� -.. 7 � v. =` `.� ;' /.-,)... AY , (1/� /i -\;<> -PLANNING &ZONING � .7 l/� ,/ vy , /�� . e - _—7_.:%---- SETBACKS /V��/ /l� MAIN STRUCTURENFront 0-ON I! '/-Rear 0-0 • Left 0-0 Right C2 0/ ACCESSORY FrontN 0-0�� ,Rear 0-0- _• , ,Left- ••,0-0. , Right --/.;.0;,0) PARKINGExisting: 0'ti--' Required: 0 . . . Proposed: ` 0 !/''�'/ . NOTES: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§1,12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration.of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-48(6/00) Por 'y DECLARATIONS WORKERS'COMPENSATION DECLARATION: • I hereby affirm under penalty of perjury one of the following declarations: • ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed i/the permit/s valued at one hundred dollars($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 subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.# Class# Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or 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 or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or 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($500).): 5cI,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I.as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exemp nder sec. Business and Professions Code for this reason: Signature: (!K rO r _r Date: L.—i' — d r /- Owner ID verified by driver's license. 'fes 0 No Driver's License No. Expires: O O y—C/ Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Gm 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present Or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of thiseppplication a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes U No (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑Yes 0 No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION.OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-desc ed property/fo�iinspectio purposes.1`gree not to occupy or allow occupancy of any building authorized by this permit until final inspection. L - K - Z _/4. _ V` Signature Of Legal Owner(s) Date And/Or Authorized Applicant Date CODE A JNSPECTION TYPE VAIE' INTITIAL$ CODES INSPECTIONTYPE DATE INITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final208 Final Plumbing 200 Final Re-Root 5`-b ' 1p W 4i 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition • 250 .Final Building/Occupancy ....1, .---w- - .e 44023MAY 7.O-77[MSf.PAtuOO 997* ****68.74 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.SOX 1200 COSTA MESA,CALIFORNIA 92626 • APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely— Use Ink Only RECEG DATE RECEIVED BUG E�' DATE ISSUED ADDRILDINESS a7 , F 97i s t&&or- 520-77 b• J .3 q- HA_ 1.3/ o8 PERMIT NO. OWNERIf//o o/0 9L A-SSOC/i1/^S A.P.NO. MAIL ADDRESS ADDRESS R r .fox 27 4j BADUILDINGS n/J/ 6 /i�.C� (• w/ ., p �) 4/4-4,,,,5100 /reen�SX Lt 17/ BLOCK CITY is /I,Y NO.ffl 73.rj CONSTRUCTION NEW ADD ALTFR REPAIR MOVING DFMOLISH LENDER X BRANCH ,�"// ,.,/ ,}� '� OWNER // C CCE C- /TJL�6C/*2 S ADDRESS de ��JJ�//�f/,l VALUE 7'om— ARCHITECT qq TEL.,.....,,, p,/ USE/(/(/C/�/ I$ ✓VeU OR ENGINEER k1 0'/I •A40 Y{4/✓ NO. '-p7 a'� r ADDRESS ('7 FIRE 4. s / O/n -'F ZONE TYPE r GROUP . a 3 CONTRACTOR APPROV s \ / 00 } A SS C/A- G'S BY /I C DATE / �7'�� r(\�� ADDRESS /or b . /ld x C3 / NO.OF USE OF NEW I CITY act/.5 / NOLJ 3, - 3s PLANS BUILDING' /� {s/,--, 40. o-F., STATEYARDS APPROVED YARDS APPROVED Or n CITY. � < _ ,t MAIN BUILDING(FROM ACCESSORY BUILDING • LIC. NO. / LIC.NO. }`y �^ G� /v`� 0. OF LOT // 7, iS 10 SIZE /A ,C�Y/� '�/ NOW ON LONO.OF ST- ' FRONT Cl ,_/F s` G• r i / - FT. t ' Q USE OF t�� CI) EXISTING BLDG. R.SIDE s+FT. FT. Lti / y ." F Separate permits are required for L.SIDE Jr F• L FT. electric,plumbing and heating work. REAR SF J/#q�FT. FT. 47 USE OF BUILDING AND WORK TO BE PERFORMED 'C M BET. BET.MAIN& 0 MAIN IN BLD BLDGS. ACCESS.BLOCS. e � VAR.� an „ DATE / � t ///N TTT /,',74,)„,4--,,b-- CU.PICE-7y- / APPROVED,•2-/-7 } APPROVEDr P V irty fAT�o.-((�� - a. HOLD FOR SPECIAL REQUIRE tN IS L I hereby acknowledge that I have read this application and state n L that the above information Is correct and agree to comply with m all laws regulating building construction, and I shall not employ i Z any person In violation of the workman's compensation laws of ///,,, 2 the State of California. /2 7y des- /w N O 3 I hereby certify that I am properly licensed as a contractor under (o SQ. FT. Y (��I' the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR mh1 Chapter 9, and that such licenses are In full for - and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: bM am exempt from the pr.vislo 9 of the State of •allforni usiness VALUATION PERMIT FEE $ in and and Professions Code, • Ivisl• C.Chapter 9. Signature of r PLAN CHECK $ 6G-7r 0 n Permittee ,_,/i / If $ 301 0DO TAX $ VV// r Zr 2110U Authorized Ag- t TOTAL PAID $ • •/ f - r�z Woe 3 — 11114 13-77PAW sa0O1491 0*** 133.00 COSTA MESA BUILDING-SAFETY DEPARTMENT I P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 A P CAT}ON FOR STRUCTURAL PERMIT For Applicant to Fill in Completely —Use Ink Only RE ED DATE RECEIVED _ i�j DATE ISSUED BUADILDING 0)DRESS � J 7/ p/19 16 L5�s/1(Pt T I P ,M OWNER // CJc 6 iS, 6 (�//S/L S A.P. NO. !! i� MAIL // BUIG ADDRESS Po X (32 (O ADDRESS 9'e / -t ,$�rC'e'i r/ , �vpc rY da ? p oil/may err- -2— CITY .� 5 / / /t/ NOTEL(JI-fi3,Ss NL TRACT / Lot- _ BLOCK CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOI ISH LENDER X BRANCH OWNER d/YAQ'/ 9*' ALCSOC44-%c%5 ADDRESS VALUE ARCHITECT ,/ „r-„•�7� $ 0 .111OR ENGINEER /•/ • /,,4D C.,/ nY NO-) J 6 FIRE ADDRESS l6 F5-41.: 4A4 Ay Q/��//CL`_ ZONE TYPE GROUP-Fir. APPROVED CONTRACTOR I/o V. cr/C/ jSSOr',A >s BY DATE ADDRESS P o - /0Q X 3/ 6 TEL. ZONE NO.OF USE OF NEW CITY („/ C / 4/' NO.�3J' -/�S� PLANS BUILDING F STATE CITY YARDS ARDS APPROVED YARDS APPROVED LIC.NO. a ?� / r6 LIC. NO./o fl /+ MAIN BUILDING ACCESSORY BUILDING SIZE / �a r NO.OF BLDGS. (FROM C/L STREET/ O. OF LOT JA ,zs' X 1/177) 7 NOW ON LOT FRONT FT. FT. a USE OF V/ EXISTING BLDG. - R.SIOF FT. FT, rA FSeparate permits are required for L.SIDE FT. FT. C electric,plumbing and heating work. REAR FT. FT. W USE OF BUILDING AND WORK TO BE PERFORMED F DISTANCE BET, BET.MAIN ' QCI MAIN BLOCS. ACCESS. BLOCS. ..1 �� /� VAR.* DATE a i 0.....P, 7, ry,//' /t AYAf,t _C.U.P.# APPROVED V. APPROVED )+ RY DATE ..1 R1 in A. I hereby acknowledge that I have read this application and state IX that the above information Is correct and agree to comply with as 0.+ all laws regulating building construction, and I shall not employ s Z any person In violation of the workman's compensation laws of E W the State of California. x %oZ 7 %S6-,F r 3 I hereby certify that I em properly licensed as a contractor under SO. FT. q+ the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: - em exempt from the • ovisions of the State •f Cantor is Business j� Pt/ v VALUATION PERMIT FEE $ and Professions Cod Div . •n 3,Chapter 9 PLAN CHECK $ en 0 Signature ofro c Permittee ....zit - - $ TAX $ a 2 / U Authorized/gent TOTAL PAID $/�3.�r