HomeMy WebLinkAbout316 19TH ST - Building Permits .) •
M
CITY OF COSTA MESA
o W. BUILDING DIVISION
Yµ ,1 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
• . 04 FOR INSPECTIONS CALL:(714)754-5626
PERMIT NUMBER: BC10-00134
PERMIT TYPE: B_COMBO STATUS: ISSUED
Sub Type: RES_ALT DATE ISSUED: 05/12/2010
ISSUED BY: RMD
JOB ADDRESS: 316 E 19TH ST CM Suite/Unit:
APN: 42629116 Zoning: ,
Vicinity: Primary Occ:
Const Type: V-B SQ. FT: 622 Valuation: $53,795.40
SCOPE OF WORK: NEW 54SF STOARGE AREA AT SIDE OF GARAGE. DEMOLISH EXISTING SUNROOM AND ADD 328 SF
FAMILY ROOM WITH AND NEW 240SF BATHROOM AND LAUNDRY ROOM. 1 ALT DUCT SYSTEM, 1 VENT FAN, 14 LIGHTS, 15
OUTLETS, 7 SWITCHES, 1 MOTOR < 1 HP, 1 SUBPANEL, 1 SERVICE TO 200 A, 1 SHOWER, 1 LAUNDRY, GAS (1-4 OUTLETS), 1
TOILET, 1 WASH BASIN, 1 WATER HEATER.
ADDITION IS ONE STORY
OWNER: WARNER, DOROTHY JEAN TR • Address: 316 E 19TH ST Unit:
Phone: 949-646-1316 City/State/Zip: COSTA MESA, CA
APPLICANT: BRUCE STEELE Address: Unit: :
Phone: 951-453-3744 City/State/zZip:
CONTRACTOR: OWNER-BUILDER License No. 000000
Phone: Address: Unit:
Cell: City/State: ZipCode
ARCHITECT: License No. PHONE:
ENGINEER: EW WEBB ENGINEERING INC. License No.37384 PHONE:909-788-2050
COMBINATION PERMIT FEE SUMMARY
Building Plan Check: $436.64
Building Fees: $671.75
Electrical Fees: $98.35
Mechanical Fees: $47.85
Plumbing Fees: $78.65
SMIP Residential: $5.38
SMIP Commercial: $0.00
. Bldg Std Admin Fund $3.00
TOTAL FEES: $1,341.62
"Refer to fee receipts for all fees paid for project
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279
Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibited all hours-Sundays and the following Federal holidays:
New Years Day,Memorial Day, Independence Day,Labor Day,Thanksgiving Day and Christmas Day
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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.
CODES. INSPECTION TYPE DATE INTITALS CODES INSPECTIONTYPE DATE INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1286 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 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
"e
WORKERS'COMPENSATION DECLARATION: Owner ID verified by dn.. _license. Yes ElNot�-�-�� 111,11
I hereby affirm under penalty of perjury one of the following declarations: D v- skicdnsA1
Dale No. ( � espues!� 7 ^xsµ^i t./
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
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 ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: 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
Carrier:
(This section need not be completed A me permit s valued al one hundred dolars(sioo)orless) or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
2,Art 2.Sec.341,Title 8,California Administrative Code).
Policy Number:
❑ As owner-builder. I will not employ anyone to do work which would
`I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of
Applicant's Signature Date
the Labor C I shall f th comply with these provisions., d �� d 4 Division of Industrial Safety Permit Number:
nature t ¢ •
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds.or a volume of 55 gallons, or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect, a registration form for acutely hazardous materials? ❑Yes ❑ Nn
Lic.# Class# (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
Contractors Signature Date 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes El No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
reas owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation. WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No
thereon,and who does such work himself or herself or through his or her own
8. (If'yes",attach certificate of compliance from the appropriate air pollution
'employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer). ' - - - -
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
0 I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized b this permit u al inspection.
AL...-70
Sf ionaWre�" ate
3057-46(3/07) lJ"
And/or Authorized Applicant Date
CITY OF COSTA MESA J Pyr
o11 Mt
, BUILDING DIVISION
F ,. �) 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
ts. FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: BC10-00134
PERMIT TYPE: B_COMBO STATUS: FINALED
Sub Type: RES ALT DATE ISSUED: 05/12/2010 •
ISSUED BY: RMD
JOB ADDRESS:44113iW 19TE` W ST CM Suite/Unit:
APN: 42629116 . Zoning: , ,
Vicinity: Primary Occ:
Const Type: V-B SQ. FT: 622 Valuation: $53,795.40
SCOPE OF WORK: NEW 54SF STOARGE AREA AT SIDE OF GARAGE. DEMOLISH EXISTING SUNROOM AND ADD 328 SF
FAMILY ROOM WITH AND NEW 240SF BATHROOM AND LAUNDRY ROOM. 1 ALT DUCT SYSTEM, 1 VENT FAN, 14 LIGHTS, 15
OUTLETS, 7 SWITCHES, 1 MOTOR< 1HP, 1 SUBPANEL, 1 SERVICE TO 200 A, 1 SHOWER, 1 LAUNDRY, GAS (1-4 OUTLETS), 1
TOILET, 1 WASH BASIN, 1 WATER HEATER.
ADDITION IS ONE STORY
OWNER: WARNER, DOROTHY JEAN TR Address: 316 E 19TH ST Unit:
Phone: 949-646-1316 City/State/Zip: COSTA MESA,CA
•
APPLICANT: BRUCE STEELE Address: Unit: :
Phone: 951-453-3744 City/State/zZip:
CONTRACTOR: OWNER-BUILDER License No. 000000
Phone: Address: Unit:
Cell: City/State: ZipCode
ARCHITECT: License No. PHONE:
ENGINEER: EW WEBB ENGINEERING INC. License No.37384 PHONE:909-788-2050
COMBINATION PERMIT FEE SUMMARY
Building Plan Check: $436.64
Building Fees: $671.75
Electrical Fees: $98.35
Mechanical Fees: $47.85
Plumbing Fees: $78.65
SMIP Residential: $5.38
SMIP Commercial: $0.00
Bldg Std Admin Fund $3.00
TOTAL FEES: $1,341.62
''Refer to fee receipts for all fees paid for project
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010- PER CMMC Sec. 13-279
Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 8:00 pm. Prohibited all hours-Sundays and the following Federal holidays:
New Years Day,Memorial Day,Independence Day, Labor Day,Thanksgiving Day and Christmas Day
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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.
CODE O. INSPECTION TYPE DATE INII11ALS CODE! INSPECTION TYPE pATE INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing \\//
200 Final Re-Roof 210 Final Electrical h it)—I i—lb j3
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site C7 (�
204 Final Demolition 250 Final Building/Occupancy L'1 2 3 -10 F-' •
tip—. i-.
WORIFERS'COI�jiPENSATION DE LARATION: Owner ID verified by drivers license. ❑Yes ❑ No
•
I herebylfiirmundef�p`enal y°QL•fjury one of the following declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' , Verification of Ownership by(type of document,i.e.-property tax bill or deed):
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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: 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
Carnet
(This section need not oe completed a the permd is valued at one hundred dollars(5100)or less) or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
2,Art 2,Sec.341,Title 8,California Administrative Code).
Policy Number:
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of Applicant's Signature Date
the Labor Code,I shall forthwith comply with these provisions.
Division of Industrial Safety Permit Number:
Applicant's Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or,present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials?. -0 Yes ❑No
Lic.# Class# (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
Contractors Signature Date 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant.or present or future building occupant need to
performance of the work fa which this permit is issued,(Sec.3097,Civil Code). prepare an•RMPP (Risk Management and Prevention Program for acutely
Lender's Name: • hazardous materials)? ❑Yes 10No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑ No
I hereby affirm that under penally of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5,. the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to ' or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits).
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 6, Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No
thereon,and who does such work himself or herself or through his or her own
8. (If"yes", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale, If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
0 1, as owner of the property;am-EXCLUSIVELY CONTRACTING WITH_ .city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and -
Professions Code:The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
• inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
Signature of Legal Owner(s) Date
•
Signature Date
3057-06(3I07) And/or Authorized Applicant Date
Pe-
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
-CITY OF COSTA MESA - - - -- PERMI NO. TRACT NO. LOT NO. BLDG.NO. -
CONSTRUCTION PERMIT a���
-
Project Address - .•_ • it ht ar. _ - OF • • M. ■ . •• ■ ALTERATION ■ 0 n r. .n,- 'et' - - •TL
Applicant's Mailing Address• Si (O P /9t4' ■ • • ■ DEMOLISN ■
Ownei's;Name 3441-14— Lai tel IQ./1a32 Phone[e Y-6-1.3/5? DESCRIPTION OF .- S Main Building: . • Accessory Building: ' - Z
Address AC....., e. TYPE OFL
GRADING ■ FOUNDATION ■
Arch/Eng. • _ ' License No.44305 ■ ■ ■ PLUMBING EI.MECHANICAL B.
Address - r ■
Contractor's Namrjkl• 4fl PL(/MR Phone519-09/1. . PROJECT DESCRIPTION SQ. OCCUPANCY _
Address(mailing)/03528 S Cat •hr 6IQ div Q-jZrner
City License No. "�79' ( '
( ZONE ' ' GRADING CU.VDS. • ACRES Ping. Ref.4 • , Park:FeeS $ -' CI
LICENSED CONTRACTOR DECLARATION
I.hereby'affirm that i am licensed under provisions of Charter 9 (commencing
do'•• with section 7000) of Division 3 of the Business and Professions code, and� my license is in full force nd effect.
r Licen• Class' - Llcense,No.44304,3
Date 3 signature.a. Aa w 7
WORKERS' COMPENSATION DECLARATION 1
treby affirm that I have a certificate of consent to self-Insure or a certificate
Workers' Compensation Insurance,'or.a certified copy-thereof (Section •
..400, Lab. C.) , Backflow Irrigation _ Sewer Cap ' . I ' ' .1, ' ELECTRICAL FEES,
Policy Lir r,o93.cy Company
EdCertifiedcopy is hereby furnished. Q ■ '
Certified copy Is filed with the city @uiltlin Division ^ /�/(�/s ■ s
Date 3--30'a�_[f�� Applicant / �aQ-r ii; '!'".� • Collectors
EXEMPTION FRIM WORKERS:COMPENSATION DECLARATION _ • er Solar ng lP '1'tL
I I(This section need not be completed if the permit Is for one hundred ($100)or
less). I : •I certifythat 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. Floor Drains' Dryers OGas ■
Date • Signature ' '
NOTICE:Compensation
making oonofi h,you shouldcode,
become subject tothe ®Gas Service • Outlets .. ', ��, . ■:. Di%■ ®,
• NOTICE: rprovisionsis declaration,
of the, Labor Cotle, you must & toforthwith
-15
comply with such provisions or this permit•shall be deemed revoked.
CONSTRUCTION.LENDING AGENCY,
I hereby affirm that there is a construction lending agency for the performance' III Interceptors' n Water Heater . • in Fixtures -'Microwave 1111of the work for which- this permit is Issued-(Section 3097 Civ. C.)
Lender's Name - Device Boxes Pole Light •
Lender's Address
OWNER BUILDER DECLARATION ' Outlets Range ,
I hereby affirm that I am exempt from the'Contractor's',License Law for the ' •
following reason,(Section 7031.5 Business and Professional Code: Any city orSwitches Sign ,
•
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 • Garbage Disposal ' Standing Sections
to file a-signed statement'that he/she Is licensed pursuant to the provisions of 1 •
the Contractor's License Law(Chapter 9 (Commencing with Section 7000)of •
'sion-3-of the Business and Professions Code)-or that he/she Is exempt Generator 00-5 KW ❑5-15 KW Trash Compactor
. :from and the basis for the alleged exemption. Any violation of Section
1.5 by any. applicant for a' permit subjects the. applicant-to a civil '
penalty of not more than five hundred dollars($500).
•
I,.as owner of the property o?'my.employees with Wages as their soleReinspection Fee . $25 Issue Fee ; $ 3 •
. compensation, will do the work,and the structure is not intended or offered
for sale (Section 7044, Business and Professional Code: The Contractor's PUBLIC SERVICES REQUIREMENTS:
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 Zoning Approved By Date
employees, provided that such improvements are not intended or offered for 1 Boiler ■ '
sale. If, however, the building or Improvement is sold within one year of cam- • Application Approved By n • Date Willi/
pletion, the owner,will have'the burden of proving he/she did not build or im •-
�srove for the purpose of sale). t • Applimtion Issued By ' ( "-Io—, 'Date
U I,as owner of the property, am exclusively contracting with licensed con- ' s-10-100,000 : ■ sl III ^�
tractors to construct the project (Section 7044,Business and Professions Code: • SUMMARY OF FEESv
The Contractor's License Law.does not apply_to an owner of,property who •
builds or improves thereon,and who contracts for such projects with a con- ExciaUst System ■ Multiple O. BUILDING PERMIT $ SMIP $
tractor(s) license pursuant to the Contractors License Law). - PLAN CHECK ' $ ' • PERMIT
El Lam exempt under Section - B.& P.C.for this reason =• PLUMBING $ + J 'ISSUANCE $
Date - Owner. Ducting
PLAN CHECK $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above D0-100,000 0100,000:
•
'Information is correct.-I agree to comply with all city and county ordinances- - ELECTRICAL $ GRADING I $
and state laws relating,to building construction;and hereby authorize repro- PLAN CHECK MICROFILM $
sentatives of, this-city to enter upon the above-mentioned property .(or $
inspection pyrpose•_ s. - _ MECHANICAL $ • 1 �+.c
Signature Aroses• r�r^'
. Reinspection Fee PLAN CHECK ' $ •
CMF 0865-46 rev. 7/83 ' White_ ullding:Canary.aAnoiicAnL:P-ink.•.Arsnuntlnas.Gnmenrnd.-.Assessor . _ _. - _ _ -
.
'CONSTRUCTION AND PLANNING • - - POO' SPA •
a64i'3 Date I
APPROVALS Permit#Pl 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-Undrgrrid. •• 54. Forms - ' .- _ '.
. 4. Electrical Conduit-Undrgrnd-. - ' • . . . 55. Electrical Bonding -
_5. Steel'Reinforcement"', . - - 56. Rough Plumbing.& Pressure Test
6'. Electrical UF Grnd. r - , 1 - 57. APPROVAL TO COVER-GUNITE
' 7. Footings - 58. Electrical Conduit-Undrgrnd. -
8.-Foundation ' .' ;: 59. Gas Pipe,,-O•Undrgrnd.,Test
9:;Water Pipe-Undrgrnd* '60.-Backwash Lines,.P-Trap„0 Undrgrnd.'
10.-Structural Floor System = n !•• ; _ . 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.jRough 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 0 Gas '0 Oil
•
23., Gas Pipe-Rough & Test, 72:-Underground Flush
.
24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 Oil '
• 25. Roof Sheathing74. Overhead Hydro
26. T-Bar'Ceiling (Structural) & Monocoat' 75. Dry Chemical
27,: Frame and Flashing t _ 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 , No'tes:j One £$MC - esrc4Qo- 4/4(pn c
34. Final Heating & Ail-Conditioning
35. Final Gas Pipe-Test 1 ' •• •_ ' •• . . ' •
' .
36. Hood or Canopy - - . ' ' '" '
I .
37. Final Factory Fireplace ' , . . •
38. Final Plumbingi7/AV�l/ � ,
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final - _
42. Backf low Preventer 1 - .
43. Backflow Irrigation . I ' • . '
-
44. .Landscape Irrigation'System : , • ,
45. Sound Attenuation ,
46. Handicap Regulations _ -
47. FINAVSTRUCTURE &'BUILDING •
. '
48. Special'Requirements Completed l
49. Electric Release to Edison ; - - - - - - ' -! `- '
50. Gas Release to Southerntalifornia Gas Co , ' • • . - I - ;i
51. -CERTIFICATE OF OCCUPANCY ' . i .. ' -
No. - .Date
/y� FEE RECEIVED
I , 'A I, 1577NOV Z 1983
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT QBUILDING
6 � � 'lM'
BUILDING 3/
� A Rq
ADDRESS l
COSTA MESA. CALIFORNIA For Office Use Only
�j',7 /) I sc./cc/tens...1_
, I RECEIPT NO, PERMIT NO.
OWNER '�////J//) /V/1 "///.v/ /5-777
../E-.."--47
ij l7 MAIL RECEIVEDSvIDMIRECEIVEDIDATE 'SOU
ADDRESS 3 /(- e . /?"/5 icq-iy // -�—o/ //- -4'
/.
pp-- TEL. BUILDING / C.
/`
CITY 7/L.4_ ,¢LCt NO. , ADDRESS s iG mer - /grid )ft•
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR - .INEER NO.
FIRE
Ti
ADD,-.CSS ZONE TYPE /IGROUPy. (`
CONTRACTOR _y��.,/ - t� `APVE ma-,
V DATE
ADDRESS /G3 2 61G
ZONING gill
'
� J�� ^y 20NE /I NO, S USEIDI NEW p� /
CITY O �,�/ I PLANS O , BUILDING I_eia� -��)
STATEN �J 6 a q C3 •%O. �, p
/5(43 LEGAL
LIC. O. DESCRIPTION
;Ft
`r'� o r ti-
SIZE I No. DP Etnaa. t / —i 7! 3
OF LOT NOW ON LOT `A.P-NO.
USE OFp� , /I 1 YARDS EVES
EXISTING BLDG APPROVED AL OWED
SETBACK LINE FROM , (CENTER LINE STA
CENTER OF STREET REAR YARD FRONT 1
SIDE YARD I LEFT I RIGHT R.SIDE R \ IN.
DESCRIPTION OF WORK
L.SIDE FT. IN, I.
NEW I II ALTERATION
ALTERATION I II ADDITION REAR FT. ` IN. /
REPAIN I Jr II MOVING I II DEMOLISH I APPROVED DATE I IS I- �(
BUILDING NO.ROOMS lll.�VVJVVVyyy�l�l`V77lll��� AAA
SIZE OF STORIES ��/
EXTERIOR WALL I ROOF
COVERING COVERING
U if
17F BUILDING AND WORK TO B, PERFORMED
(//Ili /„ _ U_�'�1LTMr/^�SC�-L/ 4-
•
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATIONit
_ ) BA��
SIGNATURE OF .)7
PERMIT FEE $ [/[ Yom.
PERMITTEE G� 0 1.
$
3 PLAN CHECK $
AUTHORIZED AGENT . :LI_ p
TOTAL FEE $ I LL
,-. .. 25734
t9STA MESA`BUILDING-SAFETY DEPARTMENT I+'I i t7F 4' :�IH MESA
P.O.BOX 317 COSTA MESA,CALIFORNIA ��yy 0 dd pp D„�_)
For Applicant to Fill In Completely APP& ATIdN1 P%P. PERMIT
TYPE OR PRINT BUILDING
— prat r, Only
BUILDING 5/� rr I' C F9
ADDRESS �JI� 4- �G+T a� •-- ... . PERMIT NOJ.
COSTA MESA, CALIFORNIAn '/ 57 3/
OWNER M I G N i�GE 1.L V o kIa R WBO Iy DATE 1{-4 c-DAI - 4
MAIL / � r �`.y.. BUILDING �J//J/-Fj y/�G/�1. .the -lU
ADDRESS agf0 F I f gl ADDRESS on77 I I
s
ran--T��
y�� FIRE
CITY`//OO 61n- MgS IT NO.S4O(/ IO��P ZONE ,TTYYPE GROUP •
APPROVED %� szV
ARCHITECT TEL. BY ! DATE
ORIF GINEER NO.
ZONING oiVAI;MIL
Art?';i ass ! dl IY�
20I{8 NO.OF rrrr.��� USE OF NEW
elect-A.
(� r`1/I/,r1' PLANS ) BUILDING % , • i
CONTRACTOR elecT� Mas F* Laa,a,Cr, 1 /J / ' / 'l' I/ • •
ADDRESS 1i '(qua J0 P{tyj Oa-- eacRIPnGN o/G Il C./o `7 I�Yl `k,
CITY e , 1 � 1 A.P.NO. ff?*t( / /_03
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL. SO'TO SIDE d REAR P.L I \ (.\
LIC.NO. NO. _ I I I �Y
S
EAVES
OOT
OT 7 O f4 1 ,� I NO.OF SLOGS. I
NOW ON LOT I ALLOWED (U.B. 4A REMEN )
F LJ 1
YARDS APPROVED YARDS APPROVED
EXISTTIN1:;)--C-410-1.:
G BLDG. owe L L( r MAIN BUILDING ACCESSORY BUILDING
(FROM C/L�ST1REET) 1
CENTER OP STREETSETBACK LINZ M REAR YARD FRONT OFT.
I ^ / FT.q `�'Q
SIDE YARD I LEFT - I RIGHT P.SIDE /,JOIST_ �..{ 7//iii a.
DESCRIPTION OF WORK L.SIDE II 0
T./{�' Q, l Com.
NEV /� ALTERATION A ADDITION REAR (pr.�( ^/r /a PT• • `�•
DISTANCE BET. I BET.MAIN&
REPAIR MOVING - • DEMOLISH MAIN SLOGS. ACCESS.BLDG- S.
VAR.# DATE
BUILDING NO.OF
SIZE ROOMS STORIES C.U.P.# APPROVED
/
EXTERIOR WALL I ROOF ' APPROVED/AO ( / /_6
COVERING COVERING BY �/ DATE J ! D
USED BUILDING AND WORK TO BE PERFORMED Oi
Co II E2t SI I< s GA-a ,Co
44:LizNA 4 �13(� i ll-D Pe-1-0
({// r
X n EA P_A Geri !o SO.FT. / (O 2 ./ N
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION / THE AMOUNT BROWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. D
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION
BUILDING CONSTRUCTION/� U 1 PERMIT FEE `5:00 N
SIGNATURE OF I"I, ,�I __ ,,. c3,
{ aft �� E
PERMITTEF `F+ FFF MYr�'41..Q.4.,-\,„
'^W)�/v R • (� l/ I G
2e Y / C •
AUTHORIZED AGENT �i (IV
TOTAL FEE L
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely tR�E C��/VE V DATE RECEIVED DA ISSUED
BUILDINGADDRESS 316 E.. 19th. Street " ` '0?9-�1`l' ?-z.. 7
Jr��j P.ERMIT-NOi=
OWNER Michael & Dorothy Warner A.P. ND'�l�/--�7�'10�
MAIL BUILDING
ADDRESS 316 E. 19th. Street ADDRESS 3�G
zLL, Ili
0 U CITY Costa Mesa No646-1318 TRACT453 I LOT BLOCK
Z2
< CONSTRUCTION NONE NEW ADD ALTER REPAIR MOVING OFMOI ISH
-I—
LENDER
am
J BRANCH :fA C 1 U. d
V LUE Zato
-Q ARCHITECT & TE 5
OR ENGINEERMUlln son Nielsoruev86-5122
0 Q FIRE
W ADDRESS 4310 Orange - Riverside ZONE TYPE GROUP ��
aw _' /1 qI�
W ZAPPFM� s-t%i s-J �Q'9
W 2 CONTRACTOR Sun Boss Corporation BY DATE / r.
—1
:ICC ADDRESS 1155 Stacy Court
W w TEL. ZONE NO.OF USE OF NEW O2V �\
Z� CITY Riverside - 92507 N0584-1696 lel
�PLANs L BUILDING (�
0 STATE CITY YARDS APPROVED YARDS APPROVED "V
co 2 LIC. NO. 310-674 LIC.NO. MAIN BUILDING ACCESSORY BUILDING
--1 (FROM C/L STR
SIZE BLDCS. i
OF LOT NOW ON LOT FRONT AL FT. 1
USE OF //////��
EXISTING BLDG. Residence R SIDE ` 'O FT. FT.
I— -SIZE OF ,..," NO OF
2 'NEW BLDG. 171 X ' ROOMS 1 STORIES L.SIDE CFT. FT.
Q EXTERIOR WALL I ROOF / - r
CCOVERING COVERING REAR / FT. •IP• • FT.
USE OF BUILDING AND WORK TO BE PERFORMED
I DISTANCE BET. BET.MAIN&
MAIN SLOGS. ACCESS. BLDGS, I
DATE
O 17 'x 27 ' screened patio cover C.U.P.off, �Q
APPAPPROVED
I— ROV q
y with electrical. RYSkoe
� DATE 3 � 1- 71
2
0 •
UI hereby acknowledge that I have read this application and state
✓ that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
r any person in violation of the workman's compensation laws of
(n the State of California. coW
zI hereby certify that I am properly licensed as a contractor under SQ. FT, o
the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: Q
am exempt from the provisslI•ns of the Sta of :lifornia Business
and Professions C••e, .iv' 'bn ' VALUATION �0 m
—_ PERMIT FEE 5 ^ D
Signature of / /� n V m
Permittee •Aid?L .•,, /f ` S / ^6 PLAN CHECKS i ` �T o
(�Ll t/ (/_ �V]/� LL
Authorized Agent TOTAL FEE S3 ` o... At
0610 6/15/79 5.50 TLI
COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT'
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
RECEIVED BY 'PERMIT Ai - - - - -
For Applicant to Fill in Completellyf— Use Ink Only ■l N
0
BUILDISS 3 I I ! *h 237
A.P. NO. lig- f7 I. — p3
BUILDING 3162
a 161+11
61 11 _ 5--n
OWNERENT Mr, ‘ -Mrs. V1/'mrn erUNIT OR
ADDRESS (� -`Tyl / '
TENANT
MAILING NO.
ADDRESS 3 /6 ,s/C� / qth / TR.NO S3 LOT* BLK.
CITY Co }' p S NOL f) fl-'1 3!
f el
/Y Ir'I NEW ADD ALT REPAIR MOVING DEMOLISH
CONSTRUCTION
LENDER
BRANCH
OWNER ,1Av` (�(�• / f
.
ADDRESS _ _ VALUE r
ARCHITECT TEL.-----. USF/ '• IVO, . / $ i�- -
• 1 OR ENGINEER NO,
ADDRESS- ZONE j [ TY'E ,A/ GROUP
CONTRACTOR/4//sed 0 eve I of rn Pnf BAYPROVED I DATE 0 - dr — 7
ADDRESS / SO S//�� / 17 rI ♦�/ .l'
TEL.
CITY $c n t q /T/)Cj NO. q 7 3-065-
F STATE CITY APPROVED SETBACKS
LIC.NO.3 C66 I c/ LIC.NO.
LU SIZE II NO.OF BLOGS. (FROM C/L STREET)
C. OF LOT .- NOW ON LOT ! FRONT \
a USE OF /^l / 1 C�
CS EXISTING BLDG. ! 1 PSI Of P/') C'a R.SI FT. �-a
F Separate permits are required for S
6. electric,plumbing and heating work. R AR I FT. / J�) 1�
I-„ USE OF BUILDING AND WORK TO BE PERFORMED PLANNI ,f •CTIO
Qf�Ac AT 1Y/
/ kr
(U�.
I In S fCy I l O " V( C S// DATE
// .f J�(J /jOnD ���/��'/////���/Vn APPROVEDED7
>. 5// c/P s door — tig f epa RYPROVE✓V� IV �• DATE (a �/y 9
IX £ 'vtme p (ran A-4 S
lil
CI hereby acknowledge that I have road this application and state• n
CC that the above Information is correct and agree to comply with
1. all laws regulating building construction, and I shall not employ i
Z any person in violation of the workman's compensation laws of e
= the State of California. -;
m
I hereby certify that I am properly licensed as a contractor under SQ. FT. N
7
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ca
Chapter 9, and that such licenses are In full force and effect,or I THE PURPO6E OF ESTABLISHING A PERMIT FEEQJJI�:
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ "yJ1 �C/ /
and Professions Code, Division 3,Chapter 9. 'n
in etPLAN CHECK $ m
Signature of -/ - c
Lk
Permittee L-G�� S TAX $ 9 U
_1 4
or /
Authorized Agent Date S! 9 TOTAL PAID 5