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HomeMy WebLinkAbout324 19TH ST - Building Permits� � ' CITY OF COSTA MESA o�` F, BUILDING DIVISION , . • i� � 77 FAIR DRIVE, COSTA MESA, CA 92626 �•(714) 754-5273 • Fax (714) 754-0856 • wwv+.ci.costa-mesa.ca.us : �.��o fi. FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: 610-00343 PERMIT TYPE B_ROOF2 APN: 42629114 JOB ADDRESS' 32;4�Es19TH�ST�CM��� vicinity: "xs' � Squares: 1700 STATUS: DATE ISSUED: ISSUED BY: Suite/Unit: Valuation: ISSUED 11/15I2010 KJB $5,795.00 SCOPE OF WORK: TEAR OFF EXISTING ROOF. REPAIR / REPLACE SHEATHING AS NECESSARY. COVER WITH 30 YEAR COMP. APPROX 1700 SQ. Ff. ROOF PITCH IS 5:12 OWNER: DAVIDSON,CONNIE PHONE: 949-719-9222 APPLICANT: TOM KOZITSKY PHONE: 888-525-5867 CONTRACTOR: ALLTOPS INC Address: 1517 S BAYLESS STUnit: City/State/Zip: ANAHEIM, CA 92802 ARCHITECT: ENGINEER: . FEE SUMMARY Reroof Plan Check: Reroof Permit Fee: Reinspection Fee: Bldg Std Admin Fund $o.00 $125.25 $0.00 $1.00 Address: 324 E 19TH ST CitylSlate/Zip: COSTA MESA, CA Address: 151 � S BAYLESS ST Ciry/State/Zip: ANAHEIM, CA Lfcense No. License No. PNONE: License No. 722766 888-525-5867 CELL: PHONE: PHONE: Unit: Unit: : HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3N S/2010 - PER CMMC Sec. 13-279 Monday thru Friday - 7:00 am thru 7:00 pm. Saturdays - 9:00 am thru 6:00 pm. Prohibitied all hours - Sundays and the following Federal New Years Dav. Memorial Dav. Indeoendence Dav. Labor Dav. Thanksoivina Dav and Christmas Dav NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statules 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 aulhorized under this permil to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be oblained. Failure to obtain inspectlons and final approval will result in the expiration ot this permit. OC DEI, INSPECl10NTYPE Q_AJF N RL OUE/ INSPECTIONTYPE �T,� N�p� 1618 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final �./ 208 Final Plumbing Z00 Final Re-Roof • � ' � � �{L 210 Final EleciriCal 201 Final BIocWRetaining Wall 212 Final Fire Prevention ,202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Oemolition 250 Final Building/OccuOancy WORKERS'COMPENSATION DECLARA'f10� I �ereby aKrm under penalty of perjury one of Ihe following declaretions: ❑ I have antl wili maintain e cenif�cate o! consent to self-Insure for workers' ompensation, as providea for by section 3700 ot the Labor Code. for Ihe p ortnance of the work tor which this pertnit is issued. have and will maintain workers' compensation insu nc as requiretl by ' n 3700 of the Labor Code, fw Ne peRortnance of th v.o fa which Uus permil is issued. My work@rs' compensatre(� Insurance ca 'er and policy numberare: � 1 . 1 Cartier. (rnisseCunn Policy Number: � 'TT� ❑ I certify Ihat in ihe pedormance of the work (or which Ihis pertnit is issuetl, I shall not employ any person in any manner so as to become suDject to Ihe workers' compensation�aws of Califomia, and aqree that il I shoultl become su�bJ'C�t to the worke� compensalion provisions of Section 3700 0l lhe Labor�2'o �, I shall f hCvi�h co pl vrith these provision .' '\ � V peont'yy naWre Da e (/ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAF2S ($100,000j, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE IABOR CODE. INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn that I am licensed under provisions o( Chapter 9(commencing with Section 7000) ol Division 3 0l the Business and Professions Coda. and my license is in full force and eflecl. Lic. t! ��'� 7 Class # C Contaco Wre te CONSTRUCTION LENDING AGENCY: ❑ I hereby affum that there is a constmctbn lending agency fa the perfortnance o( Ihe v.ork (a which lhis permil is issued. (Sec. 3097. Civil Code�. Lender's Name: Lender's Address: oate OW NER-BUILDER DECLARATIONS: I hereby aKrtn thal under penalty of peryury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Coae: Any city or county which requires a permil to constmcl, alter, improve, demolish, or repair any slruclure, prior to its issuance, also requires the applicant for such permil to file a signed statement that ha or she is licensed pursuant to the provisions of the Contrecrors License Law (Chapter 9(wmmencing with Section 7000) of Division 3 0l Ihe Business and Professions Cotle) or lhal he or she is exempt therefrom antl the Dasis for the alleged ezemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicaN to a civil penalty of not more than fve hundred dollars ($500).): ❑ I, as ovmer of the pmperty, or my employees with wages as their sole compensa[ion, WILL �O THE WORK, antl the slructure is not intended or offered for sale (Sec. 7044, Business and Protessions Cotle: The Contractors License Law Coes 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 nol intended or oftered for sale. If, however, the building or improvement is soltl within one year of completion, the ovmer-builtler will have the burden ol proving Ihat he or she did not builtl or improve for purpose of sale.). � I, as owner of the property, am EXCLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS lo construcl Ihe project (Sec. 7604, Business and Professions Code: The contractors License Law dces not appty lo an owner of property who Duiids or improves thereon, antl who cont2cls lor such project with a convactor(s) license pursuant to the Contraaors License Laws.). ❑ I am exempt untler sec. Business antl Professions Code for Ihis reason: 305]-06�Y0]) Owner ID verified by dnvi cense. ❑ Yes ❑ Na Driver's License No. Expires: Verifcation of Owriership by (rype ot document, i.e. - property taz bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify lhat no excavation frve (5) or more leet in tlepth into vfiich a person is required ro tlescend, will be made in connection vnth work authorizetl by this permil, and that no building structure, scafldding, lalsework, or tlemolition or dismantling Ihereo(, will be more than Ihirty-sa (36) feel high. (Chap. 3.2, Gry 2, M 2, Sec. 341, Ttle 8, Calilomia Atlminist2tive Coae). ❑ As owner-builtler, I vnll not employ anyone lo tlo work which would require a permit (rom the Division o( Industrial Sa(ety, as noted above, unless such person has a permit lo do such vrork Irom ihe tlivision. Appllwnl's Signature Oa1e Division of Induslnal Safety Permit Number: HAZARDOUS MATERIA�S AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant neetl to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material7 ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some ezceptions, that a Business Plan be filed with the Cosla Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazartlous materials equal ro or greater than a weight of 500 pounds, or a volume o1 55 gallons, or 200 cubic feel of compressed gas at slandard lemperaWre antl pressure). 2. Dces or will the applicant or present or IuNre building occupant need to file a registralion torm for acutely hazardous materials7 ❑ Yes ❑ No (Section 25533 of the California Health antl Safety Cotle, with some exceptions, requires registration vrith the Costa Mesa Fire DepartmeM by each business which at any one time has on hand a quantity of acutely hazardous malerials equal ro or greater than a weight ol 500 pountls, or a volume of 55 gallons. or 200 cubic teet ol compressetl gas at stantlard temperature antl pressure). 3. Does or will the applicant or present or future Duiltling occupant need to prepare an RMPP (Risk Management and Prevention Program for acutety hazarUous matenals)? ❑ Yes ❑ No (Section 25534 of the Cali(ornia Heallh antl Safery Code provides tha[ lhe Costa Mesa Fire Departmenl may require the preparalion, certification antl filing wilh the Fire Department of an RMPP by businesses which are required to register acutely hazardous materiats wiN the Fire Department. 4. If an RMPP is presently required, has Section 25534 of I�e Califomia Health and Safety Code been fully complied with7 ❑ Yes ❑ No 5. Does or will Ihe applicant or present or fulure builtling occupant require for lhe vrork which is the subject of lhis application a permit for such constmction or modifcation /rom Ihe SouN Coasl Air Qualiry Management District or from any other air polNtion contml tlistnct or agency? ❑ Yes � No (Section 658502 0l the Califomia Govemment Coda requires Ihat the requested information be fumishetl on applications for nomresi0ential building permils). 6. Will any part of the faciliry lo be conslructed under this permit be wilhin 1000 feet (rom the outer boundanes of a school? ❑ Ves ❑ No Qf'yes", the facility must meet the requirement of Seclions 25534 antl 42303 ol ihe Cali/omia Health antl Safety CodeJ. 7. If a permit from the South Coast Air Qualily Management District or other air polWtion control tlistrict or agency is required for the work which is the subject ot this application, have all of lhe disclosures prescnbed by California Health and Safety Code Section 42303 been made? ❑ Yes � No 8. (If yes", attach certificate ot compliance from the appropriata air polNtion wntrol oKcer). CERTIFICATE OF COMPUANCE: I certify ihat under penalry of perjury the information given above is correct. I agree to comply wilh all state laws and city ordinances regarding Hazartlous Materials and Emissions. . SignaWre Daie CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty ot perjury that I have reatl this application and state that the information given is correcl I agree to comply with all state laws and city ortlinances relating to building wnslruction, antl authorize represenlatives ol t�e City o! Costa Mesa m eNer upon the above-tlescribed pmperly for inspection purposes. I agree nol to occupy or allow occupancy ol any building authonzetl by this Dermit until final inspeclion. � � gnalure o al Ow qs� I Ie / _� l � / , /�/ , -f ! V M IorA rzetlApp6w Date � � � OJECT AOOflE55: OWNEfl'SNFME: 324 E 19TH ST' nooAess: STANDLEY, REGINA R 324 E 19TH ST COSTA MESA_CA 92627 FPCHIENGINEEN: 6 4 S— 0 6 5 6 noosess: XEG.NO.: UNIT: uxiT: PEpMinEE: BRENNELL ELECTRIC ( 719 ) 650-6737 aoox¢ss: 1�7C�'3j'n3 MMOpNRpOVIA AV (`� q9 97 F ULENSEU LONTflRLTOA OECII(PAiION:�ThaeEy aliirm Ilut I am IicenseA unOeTpiQvis'i511fb�Aipler 9 kommentinq wit� Seclian 7000� ot pMsion 3 of t�e Busineu a�M Pmlessrons Cade, an0 rtry lirense a in fuA fo¢e an0 eHect. CITY LIC.: STRTE LIC.: CUISS: �9�9� 673950�_��o�O�F {. P�` 07/95 Oate: _�g_� Signamre:—Gi WOBKEBS' OMPENS IONOECLAMTION: InereOyaffirmttutlhaveacertilicareofconsenttoulNnsumaracertiliwtealWorkers' Comoen5aiion Insurance. or a cenilietl copy Nereol (Section 3800. 1a0. C1. roucrno.: 1345878-94 E%P.UATE: O9/OSI9S comrar+v: STATE FUNL�--, ❑ Cerlifiea copy i5 �ere0y Iurnis�eG. �X Ceni�ieG caOY �s filetl wieh Ihe ciry BuilGing Division. , Oale: �� �� � Applican�: � v J/��A- = � EXEMVIION FflOM WOBNEflS' LOMPENSi1T10N DECUflATION: Qlis sxoon neetl irot be completeU if the perml is for ane �unOreC (5100) or kw�, I certity that in Ihe oeMarmance ai ihe work lor whicn ihis permit is issuetl. I shall not employ any person in any manner so as to become SUblec� to Ihe Workers' Campensation Laws OI Califomia. Oate: Siqnature: NOTItE: II, al�er making t�is tleclara�ion, you s�aula Oecome suDjen m tAe Workers' Compensation provisions ot tAe LaUor Coae. yau musl �anhwi�n comply with sUCn provisions ar this permit shall be tleemea revokeA. CONSTBIlCTION LENOING RGENCY: I �ereGy allirm t�at t�ea is a constnrction IenOing agerny lor t�e peAarmance of tne wod for w�ich Ihis Oermi� iS issuetl (SecliOn 3097. Gv. C�. LFNOEP: 1100flE$S: OWNEfl BUILOEH DECUPPTION: I �ere�y allirm Itui I am exempt �mm t�e Conlrac�ars' State License Law for 1�e followinp reason (Section 7031.5 Business ana Pmlessional Cotle: pny tiry al counry wMc� reQuires a Oe�mit to consiruct, atter, impmve, Uemolish, or rt0air any 5irucNte. ptior to its iuuance. also rtQuires tlle aDDliWnt lor su[h Dermii ta lile a 4pned statement lhat �¢Ishe Is Iitense0 pursuam io tne pmvisions ot tne Comraciws' State License Uw I�D�er 9(cammendnq vri�h Sectlon 70001 of �ivisian 3 0l tne Business an0 Pmlessions Code) or i�at �e/s�e is exempt I�eretmm an0 ��e Oasis lor tAe allegeA exemplion. My violation of Section 7037.5 Oy any applicaN lor a pErmi su0jttt5 tlle apDliwni to a tivil penalry of mt more tlun liv¢ hunErN GaIWrs (5500). I. as owner of t�e propeny or my employees witn xapes as tneir mle rnmpematbn, wi0 Eo Ine work, an0 Ine ❑ strucmre a not intentleE oi olhreE lor ule (SecUon 7000. Buvness and Pmfessimal CoCe: TAe Contractars' State License Law tloes noi a00N �o an nwnei ot a DmOeny wlw Oui105 or imprwes t�er¢on, an0 w�a Uoes suc� xrork Aimsell/�ersetl or tArouq� �is or Iler own emDl0yet5. proviEeO ttWt sut� imprOvements are not intenEM ar oflere0 lot 5ale. II, Mwever Ihe OuilEinp or imD�Ovemtnl ie Sd0 �lNn oM ywr Of cortrollli0n, t�! axnGr will tuv2 I�e OurAtn 0� prOvinp �U5�0 Eitl n0� OUiIC Or imprOve lor Ine puroose ol sale�. I, as owner ol �ne D�openy, am e.Guvvely comractin0 w+�� IicenSeG cantractors ta conswct ��e pmlecl (Section 7044, Buslness ❑ ana Pmfeuiws CaAe: TAe Contracmrs' Slate L'rcmse Law Ooes not aDdY �a an ovmer ol propefIy wM �mlCs or improves IAercron anE w�0 tonVatlS �or wC� prqCCIS M+itl a COnIraClor�S) IKenSE purSWni lo Ille COnlratlar5' State LiCeIISe Law�. 1 am awarB Ihal pr001 0l �A¢ii Workei 5 Comp¢nsation insurante SMultl �e proviEeE l0 me. � I am exemD� unGer Sectian: B. a P. C. lor Ihis reason: Date: ' �^e�� I eo nereby certify �hat I am awdre of anC untlerstana Ihe requirements oi Cdlifomia Healtn ana Satery COde Sections 2550.5. 25573, anA 25534 antl ��ai I or any lutwe huiltlinp Occupanl wilVvnll no� ([ircie one� neetl lo camply wi�� SdiO sla�e caGes anG Ihe re0uiremen�5 for a permi� foi constmction or moailication Imm �ne Ai� Ouahty Managemem Disirict. ResiCemial cons�mclion ap0�ications are axempt Imm these pmvisions. Daie: p001icani: I hereUy cetlify I�al I �ave reaa I�is application an0 stale t�al t�e a0ove inlormalion is correct. I aqree to comDly wit� all ci�y an0 tounty oremancesantlsialelawsrelatingloOwldinqcon9mclionanGhereO aul�ori:erepresentativesa�Inisciry�oenterupontAeabove�menlioneU O�aperly larin. ecti0n purposes. Oaie: � ( � Signature: �n 0�'�'� Oriver's License ar Soual $eariry >: ��� ,� � � � � � I6aba6 W�ile—BwlOmg: Green—CoOe EnlarcemenC Canary—ApplicanC Pmk—Revenue; GobenroG—Assassor CZTY OF COSTA MESA — BUILDING PERMIT PERM NO• E 06975: PERMIT NO; E 069752 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE; ADD JOB DESCRIPTION : UPGRADE ELECTRIC SERVICE SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 COMMENTS: NO OTHER WORK AUTHORIZED HY THIS PERMIT if iF iE iF if k M M if it ik if if if i� �f �f M �k iF M if if ff iF %if 1f 4 iE if if if M 1f if if M if if 1f if if if if it 1f �f iF �f it if M f1 ff �f Y M 1f M if if if �f iF i4+f i4 it �E if if if if �f if 1f M 4 Z O N Z N GS ERTEBQAUCIKASE M E N T S ------------ MAIN BUZLDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR; FT IN FRNT: FT IN REAR; FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGFIT: FT IN PARKING REQ• PROV: PARCEL: 42629114 ZNE: REF NO: PLANNING NOTES> _ � . if if if if f! if if if iF if iF if-1F iF iE if M it ik if it iE if iE iE ih iE if if jE i! iEl1� iE if %if if if if iE?f iF ii if if iE if iE 3f -1E if if if i4 # if jE iF if if iF+f �)f iM1 i4 �1F if if if if if� iF 1F if iF it if iE D E C� E L O P M E N T S E R V Z C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE; BUILDING APPROC'ED BY ; DATE: APPLICATIOTI ISSUED BY; � ]�P� DATE: 31�1 x�**�rr�c*rk*ir,r*�***�rr+rr*iFiFiF33'iFiF7FFiFiFiF�'�"4"�'iF'3FiF'iFii"p3Fi�iF3FTF4t'iFiTrr�FiFiF�F7�*r******rr r + ** �+��r*�t�r**ir*it*�e**itx**it*+:�r*�r*�r*+****r*r*it�rrr+rr*+*�r�rir*x�r*+t+r*�r�r****�r�rti,��r*rr*�t�t+r*�r�r** LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/RES GRADING PERMIT 18.50 503 SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 18,50 15.00 0,00 33,50 33.50 ,00 REVENUE DIVZSION TOTALS--> COLLECTED; 33.50 OVER/SHORT; ,00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 33.50 if'IFif if M MM M 1f if'If 4 M if iM i!'If 1f M if if if iE if it �f if if 1f if if iFiE ik it 1f'N"lf if i! M if M'Ifif'If'M'lE 1f11'if ifMM if')f fk 9f'IE if iE if if #! M it 1! iF ih M af ih iF M 1! Y iFif ik I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N ONIT COST TOTAL COST ELE 1 SERVICES HELOW 600 V E HELOW 201 AMP 18.50 18.50 END OF FEES � V Li OU17i141—Q01)214t TC�T ,i,f,ip Ok7E: fi/03/94 7INE: 14:31 � CONSTRUCTiON AND PLANNING POOL ,PA qPPROVAL5 Permit#`r Date Inspector qppROVALS Permit?� Date Inspector t. Temvorary Electrical Service or Pole 52. Pooi & Equipment location 2, SOiI Pipe-Undrgrnd. � 53. Steei Reinforcement 3. E�ectrical Conduit Utiliry•Undrgmd. 54. Forms 4. Elettrical Conduit•Undrgrnd. 55. Electrital Bonding 5. Sceel Reinforcement 56. Rough Plum6ing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7, Pootings 58. Electrical Co�duit�Undrgrnd. 6, foundation '. 59. Gas Pipe, f� Undrgrnd., Test 9. Water Pipe•Undrgrnd. 60. Backwash Lines, P�Trap, � Undrgrnd. , 10. Structural Floor Svstem ' 67. APPROVAL TO DECK • 11. Property Sewer Line & House Conneciion : 62. Backwash & Receptor•Final 12. 5ewer Cap 63. Heater & Vent-Final 13. poof Drains 64. Plumbing Systom - final 14, flough Plumbing 65. Electrical�Final 15. Rough Electriral�Condu�t 66. Soiar SVstem-Final 76. Rough Electric Wiring 67. Fencing & Access Approval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 78. Rough Electrical-T Bar Ceiiing 69. POOL/SPA SYSTEMS FINAI 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Pough.Factory Fireplace APPROVALS Permit # 21. Ducts, in Struciure 70. Underqround Hydro 22. Ducts, Ventilating 77. Produci Piping �Gas ❑Oil 23. Gas P�pe•Rough & Test 72. Underground Flush , 24. Fioof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Rooi Sheathing 74. Overhead Hydro 26. 7•Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and F�ashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYS7EM FINAL 29. Insulation 78. FIRE PflEV. FINAL 30. D�Y�Va11 Nailing HEAITH OEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter�F�nal // �Ql� �i�ef 80. FOOD CERTIFICATE ISSUED 33. ��nal Eleccric / Notes: � 34. Fina� Heating & Air Conditioning � 35. F�nal Gas Piqe�Test 36. Hood or CanopY ' 37. Final Faciory Fireplace � 38. Final Plumbing � 39. Water Service�Final 40. Gas Service-F�nal 47. Soiar pomesticFinal . - 42. Backflow Preventer 43. Backflow Irrigation 44. 4andscave IrriQation System . 45. Sound Atienuation � 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING � 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Cn ' 51. CERTIFICATE OF OCCUPANCY No. Dace