HomeMy WebLinkAbout325 19TH ST - Building Permits,.._,._.__._ __,. . -
Job Address: 325 E 19TH ST Status: ISSUED
Suile: Applied: 02/08/2007
Vicinily: ROOF Issued: 02/08/2007
Primary Occ: R-3 Dwellings/ Cong Res <10 Type of ConsW ction: V-N
Parcel Number: 11725418 Zoning:
Applicant MIGUEL ALFARO
Address: 5901 CLARA ST
Phone: 562-862-5196
BELL GARDENS, CA . -� ��� �; ,:Zip: , 90202 ISSUED BY:
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Owner: BURLEY, DANX�;.'% .�,; � � � '
Address 325 E 19TH STi �%�,� . .� �
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COST MESA, CA�_ � �� � ; , ZIp 92627-2348 . � �
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Convactor. o LANG'ROOFING " �"" � � , � ", , ; � �
Address:� -5901 CLARA ST� !;i' �- � " - �
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'�TEAR OFF EXISTING ROOF.-INSTALL 1 LAYER OF 15# FELT, 4:12 PITCH, 30 YEAR COMPOSITION SHINGLES AND REPAIWREPLACE
. SHEATHING AS NEEDED. 28 S�UARES FOR S.F.D. AND 8 S�UARES FOR DETACHED GARAGE. WORK TO BE DONE CONCURRENTLY.
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� PI n Ohecli'. � � ' $0.00
Permit: $111.25
SMIP Res: $0.50
SMIP Com: $0.00
� �: Other. $0.00
� �,� Inspection:�, ' �� $0.00
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���� Total: ,� $111.75
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Claim Valuation
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54,800.00
54,800.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 9248, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void Ii work is not commenced within 1 BO days, or if work is suspended or abandonetl
for a period of 180 days.
INSPEC710NS: In order lor the work aulhorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inepectlona end final epproval must be obtained. Failure lo obtain inspections and final approvaf will result in the expiration of this permit.
FOR INSPECTIONS CALL: (774) 7545626
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WORKERS'COMPENSAnON OECLARAnON:
I hereby aHirtn untler penalry of perjury one oi the following tleclarations:
❑ I heve end will mainiain e ceM1ificate of consent to selbinsure Por workers' compensetion, as pmvitletl tor by section 3700 0l the Lebor Code, for the peAormance at the
work for which this pertnit is issuetl.
�I have entl wlll malntain workers' compenSaUon Insurence, es requlred by sectlon 3700 of Ne Labor CoOe, for tha pertomiance ot the work tor which Ihis pertnit is issuetl.
My workers' wmpensetlon Insurence carner and poliq numbar ere;
Cartier. f �i�¢�"F �C/ /117 POIIcyNumber: �C�Y��— �OO�
(Thls secf/on n nof be compl�ted i/ Ne pertNf is velued e( one �untlred dollers (5700) w less.)
❑ I certiy Ihet in Ihe perfartnence of Ihe work for whiCh Ihis
compensetlon laws of Celifomia, anA agree Ihet' shou4
comply with lhese provisiods.l i ,)
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LICENSED CONTRAC70RS DECLARATION:
end
is Issued, I shall not employ eny person In any menner so as to become subject to the workers'
ne subject to Ihe workers' compensation provisions of Sectlon 37 o t�e Lebar Code, I s�ell larthwith
Det � '� z�S� O�
WFUL AND SHFLL SU&IELT Ml EMPLOVEP TO CRIMINnL PENPLTIES M1D CML FlNES UP TO ONE HUNDRED
, OAMFGES AS PROVIDED FOfi IN SECTION 9]OB OF THE UBOR CODE, IMEREST, AND ATTORNEYS fEES.
with Seaion 7000) of Division 3.ol.the Business entl Profe�ipa5 CyQe, entl my license i5 in lull
Cless a
CONSTRUCTION LENDING AGENCY: — / �/
❑ I hereby eMirm Ihat Ihere is a wnslruction lendinp agency for Ihe peAormanca of the work tor which Ihis permit Is Issuetl. (Sec. 3097, Civil Cotlej.
Lendefs Name: Lendefs Address:
Signature:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirm t�at under penelry o� perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW lor the tollov+ing reason (Sec. 7031.5, Business and Pmtessions
Code: Any ciry or counry which rBquires a permit to wnstruct, alter, improve, demdish, or repair eny sirucWre, pnar to its issuance, also requires the epplicant for such permit
to lile e signed statement ihat he or she is IlcenseC pursuaN to the Orovisions ol the Contractors License Lew (Chepter 9(commencing with Section 7000) ot Division 3 at �ne
Business end Proteuions Code) or that he or she is ezempt t�erefrom and t�e basis for Ihe allegetl exemplion. Any violation of Section 7037.5 by any applicant for a pertnit
subjects the eppllcant to a clvil pp�alry ol not more than tive huntlred dWlers (5500).): '
❑ I, as owner ot Iha properry, or my employees with weges es Iheir 5ole compensation, WILL DO 7ME WORK, antl ihe siruaure is no[ intentlea or oflerea for sele (Sec.
7044, Business and Profes4ions Code: The Contraciors License Law tloes not appty to an owner ot property who builds or improves ihereon, and who tloes such work
himsell or herself or t�rougn his or her ov.•n employees, proviAetl �hat such improvements are not intendetl oi offered for sale. If, however, �he building or improvement is
sold within one year of comp�etion, the ownerbuilder will hava t�e burtlen ol proving that he or she did not build or impmve for purpose ot saleJ.
❑ I, es owner ol the proDerry, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to conshuct iha project (Sec. 704G, Business entl Prolessions
Code: The conirectors License Ww does not eppry to en owner ol propeny who builtls or Impmves thereon, antl who contrects for such projact with a contractor(s)
license pursuent to the Contractors License Laws.).
❑ I em ezempt untler sec. Business end Prolessions Code for Ihis reason:
Siqnature: Date:
Owner ID verllled by tlrivets licensa. ❑ Ves ❑ No DriveYs License No. Expires:
Vedficatlon ol Ownerehip by (rype ot daumenL I.e. - praperry teu bill or tleetl):
DIVISION OF INDUSTRIAL SAFEn' PERMIT CERTIFICA710N:
❑ I hereby certiy ihat no exca�ation liva (5) ar more fee� In depth imo which a person is required to descend, wlll be made in connedion with work authorize0 by this
permit, antl Ihat no building sWciure, scafldding, telsework, or Oemdition or dismantling Ihereol, will be more �han thitly-sia (36) tee� high. (Chap. 32, Grp 2, An 2, Sec.
341, Title B, Callfamia AOminisirative CoCe).
❑ As owner-bullder, I will not employ enyane to tlo work which would require e permil imm the Divislon of Industrial Salery, as notetl ebove, unless such person hes e
permlt to do such work Irom the division.
SigneWra: Deto:
Divislon o1 Intlustriel Satety Pertnil Num6er:
CERTIFlCA7E OF COMPLIANCE AND AllTHORVATON OF EMRV: I cenify untler Denalry oi perjury Ihat I �ave read t�is application antl state that ihe information given is
correct. I agree to comply with all state laws end ciry ordinances relaling to Ouilding consiruciion, and euthodze represemetives ol lhe Ciry ot Costa Mesa lo enler upon Ihe
ebove�described property for inspection purposes. I agree not to occupy or allow occupency ol eny building aulhorized by this permic until final inspeciion.
GOOE I.
1618
1266
200
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Fl:etl System FInaIFlre Preventlan
Pod Spe Finel
Final Re-Foot
201 Final BIacWRetaining Wall
202 Final Fectory Fire Place
203 FinalSign
204 Final Demoiition
PAg It�9L5
COUE 1 INSPECTION TYPE
206 Flnal Motheni[al
208 Final Plumbing
210 Finel Eleclrical
212 Finel Fire Prevention
220 Final Planning Approval
222 Final Slte
250 Final BuiltlingiOccupency
Date
PAg ItIIID�LB
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COSTA-MESA BUILDING DEPARTMENT
P.O.BO% 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FIIrL IN
eui�oiNc �C C
wooRess (u d / � � ,
COSTA MESA. CALIFORNIA
ADORE55 � � '- "'���
TEL.
CITY NO
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ARCHITECT �,r/ �IC.
OR ENGINEEft C /— NO.
ADORE55 v
`�a CITV LIC.
CONTRACTOR �l + NO.
C'�A/� TEL.
LEG.�L LOT / /J/f
DESCNIPTION �, BLOC '"� TRACT
A.P. NO. I i�— JG � `� /a
SRE %� � � �� NO.OF BL�GB. �
OF LOT � Q Iv yY Now orv �oi /
USE OF p
EXISTING BLDG, d V
SETBtCK LINE FROM ��
CENTER OF STREEi REAR YARD
SIDE YARD �, RIGHT �~ �EFT
DESCRIPTION OF WORK
NEW ALTERATION ADDITION ,
REPAIR � MOVING DEMOLISH
BUILDING �p p / NO.OF
SIZE J /1 ROOMS STORIES
EXTERIOR WALL �'�iiwifi. R�OF %' �� _.�,_
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�EF �RECEIVED
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR OF.FICE USE ONLY
. f1ECEIPT NO. PERMIt I�O
5a
EC :'O BY ' j}1T RE ip E� E
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� ADDRE�SS �� �/ � �� � /' � �
COSTA•�MESA. CALIFORNIA
I'•�j
�T/ <� DATE • f
CORRECTIONS '��
CITY OF. , TA i�'ESA
Pt.:iPff�i: • CEPI'.
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� HEREtlY wCNNOWLE T 4T I NAVE REnD THIS �PPLIUTiON nN0
STRTE TMLT TME AB E IS ORRECT LND 4GFEE TO COMPLY WITH �LL
CITY OROINiNCES D ST�1 E L<W$ NEGUL4TING BUILOING ONSTPUC�
noru. [,9CJ/ / � VALUATION
� PERMIT FEE S _—
SIGNATURE O � v
PERMITTEE /� _
S/�%�1� PLAN CHECK S 7
AUTHORIZED ENT / '< � TOTAL FEE 5 / � � '�µ,'
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