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HomeMy WebLinkAbout339 19TH ST - Building Permits� � CITY OF COSTA MESA - ' � - ' BUILDING DIVISION ' Ii f - � DEVELOPMENT SERVICES DEPARTMENT • J ' �� PERMIT PERMIT NUMBER � 898-01374 (714) 754-5273 • Fex (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 .lob Address: 339 E 19TH ST Suite: Vicinity: SFD AND GARAGE Parcel Nunmber: 11725415 ` Applicant: PARAGON ROOFING Address: 1304 PALM AV BUILDING PERMIT Zoning: -.-.... lt � � � ,�i� Phorie: 714:&43:1950 , � �" "' i: H.B.CA. /%r:?�' " - Zip:_ 92648 - - � An Status: ISSUED ��V1 ApPlied: 08/03/7998 Issued: 08/03/1998 � li�� ;: , r " ; � � Owner. MILLS; WICLIAM�J'� � � � / '� �� � � �i �� Address 339�E,19THST ��� �� � ' �� � � � , /'� ���� � �� -- -Phone:. -774.646 3775 _`_ � � � : .� A � /COSTA MESA,CA � - - Zip: 92827 A� ' � ` � � � �� . , / / ��� �� ��/ � . � _ i � /� �� "�', �� // i� �`.� � V� ContraGor . -'� ���,�\ /� ���-�\,' ,�. Address: � � �V� �A � � ��.� . i�'�� /� Phone: A::A ,. .��� � /� � �� /- � . ��� � � �4 `� �,� 2ip � 3� c:- - � A� h/En ` ���// Licenset . , - . \��, �. �, 9 ,- / / _ .:.. ji,-.� � i, � / / iV ' Address. i<f" , �� / . �� " .' - �� ^- \ � , . ' !�. - �, � ��. � �-Phone; ,. ; �. . -. � i �� -f, I�, _ - Zip: . � `: � . � �� . ��. � � � �,�' " License: j � � �� 4 '� � ��� � ° � � ' � � / SCOPE OF PERMIT �� � , � �' / �' � �� ', TEAR OFF SHAKES; APPY 172 OSB BOARD SHEATHING, REROOF WITH 30YR ELK COMPO ROOFING. �; ' , _. . - �� [ , / � �� ��� J ,. . . .... :�. � L , .:-i. _ _ � . ', \ `� , , FEE SUMMARY , i , iPlan Check: �'� �,. � $0.00 ��� ��� ��, ^�,_, � ,� ;-_ ; `;: � �,' ;,,,, _,Calc Valuation: � 55,200.00 � Permit ' 5112.25 --� _-- - � -J � " " -ClaimValuation:, gs,zoo.00 .— �� '�`SMIPRes ,�,;,.$0.52 - � �� � � �: �SMIP..Com. `���',$0.00 � , ' �.�; , ������ Othen � ����$0.00 =� .'= - �'' Inspection:� � $0.00 � _ �.� ��, �.� i �,A`� ,' \ �� \ _. � � �� �,� . . . � �. Total: , 5112:77. " , � ` `\\� :; �, �..� _ �,�� _ :; . , ;� �', ���j�\: ��,� ; � %PI:ANNING & ZONING� ` . � , : .� � � � � � � � . ; � , SETBACKS�,-� � . %i�. �\�� '' � ` �, _� ��_ ' : `� ; =' _ ,, MAIN STRUCTURE.Front '0.�p /,�\ Rear � 0- 0��� �-� -left' ' 0. 0.: - Rlght_ � 0. 0 '� V�1V ��%/ i���, � _ _ , � � ACCESSORY Front; 0=p ����,Rear�-0.0 , Left. 0.0� ��, Right � 0.0 � �:� ' � �A . _ � , . PARKING Existinq� � 0�, _, zReauired: .0 ,�, Pr000sed: 0 � � NOTES: EXPIRATION: This pertnit shall automatically expire and become void if work is not commenced within 1B0 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorizetl under this permit to be considered legal, suCh work must comply with all eppllcable codes, and ell requlred Inspectlone and flnel apprOvel must be obtained. Failure to obtain inspec�ions and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 75¢5828 WOR!(ERS' COMPENSATION DECLARATION:- I here6y ettirtn untler penelry ol pe�jury one oi �he followlnp tleclarellons: � I heve entl wlll melnlaln e certificate oi consent to aelFlnsure Por workers' compensetion, es provided tor by aectlon 3700 ot the LeDor Code, for the pertartnence of ihe WOrk fOr whiCh thl9 OBrtnll 19159UBd. ❑ I have end wN meintein workere' campgnsetlon insurance, es required by section 3700 of the Labor Cade, lor Ihe peAormence ot Ihe work tor which Ihis permit Is issued. My workera' compenseqon Insurence cgrder end policy number ere: ��J r�� 0�� `��� Certler: i� G (., (� L Policy Number: (mis secuan n d nof be canp/aletl If MB rml� Is valuee et one hundretl dollers (S f 00J or less.) ❑ I certiry that in the peAormence of ihe work for which this Dertnit Is Iuue4 I shell not employ eny person In eny menner so es to become sub�ect to the workers' compensation laws ot Celifomia, a A pree t�at if I s uld Decome suDJect to Ne workers' compensetlon provisions ot Secllon 3700 01 the Lebor Cotle, I shall torthwlth compy with Ihese proNslons. p' i } Appllcant Signature: Dete: O �/ — / � WARNINO: FAILURE TO SEW RE WORKERS' COMPEN ATIIXJ COVERAGE IS UNUWFUL AND SNALL SUBJECT AN EMPLOYEP TO CRIMINAL PENALTIES AND CML FNES UP TO ONE HUNDRED TFqUSqND OOLLARE R��•�). �N ADDRION TO THE WST OF COMPENSATION, DAMAOES AS PRO�/IDED FOfl IN SECTION 3]OB OF TNE UBOR CODE, IN7EREST, AND ATTORNEI^S FEES. UCENSED CONTRACTORS DECLARATION: I hereby effirm that i em licensed untler proNsions of Chepter 9(commendng with Sectlon 7000) of Division 3 of ihe Business ane Protessbns Code, and my license is in full force end etlect. Lic. a ��7 ���� Cless a_ ! 39 ContreccorsSignaNre: � �' //.L.i� Da�e: P—�!� CONSTRUCTION IENDING AGENCV: ❑ I hereby affirtn ihat there is e conslructi0n lentling egeno/ for the perlortnance of Ne work tor which ihis pertnit Is issued. (Sec. 3097, Civil Code). LenCels Name: Signature: _ Lenders Address: Date: OWNER•BUILDER DECLARATIONS: I hereby effirtn iha� untler penalry ol perJury ihet I am EXEMPT FROM THE CONTRACTORS LICENSE lAW for t�e lollowing reawn (Sec. 7031.5, Business flnd Professians Code: Any dry or counry which requlres e permll to construct, elter, Improve, AemWish, w repelr flny structure, pAor to Its issuance, elso requires Ne epD��cant for such pertnit to file e signeA stetemant that he or she Is Ilcgnsed pursuant to tha provlsions ol t�e Contrectars License Lew (Cheptar 9(cammendng with SecUon 7000) of Dlvision 3 of the Business and Protessions CoCeJ or Ihet �e or she is eaempt theretrom enC the basis for Ue alleged e:emptlon. Any Ndatlon of Seclion 7031.5 by arry applicant for e permit subJecls the applicant ro e civil penelry ot not more than frve hundred tlollars (5500) J: ❑ I, es owner of tha property, or my employees with wages es their sole compensation, WILL DO T}1E WORK, enO ihe stn�cNre Is not intended or otFered for sele (Sec. 7044, Business and Professians Code: The Conirectors Llcense Lew does not apply to en owner oF property who builds or imprwes thereon, antl who tloes such work himself or herself or ihrough his or her qwn employees, proNdeO Nat such improvements ere not Intended or ottered tor sele. If, however, Ne builtling or improvement Is soltl withln one year of completion, Ne owner-buildar wlll have Ne burden ol proving thet he or she ditl not bulld or improve for purpose of sale.). ❑ I, es owner ot Ne property, em EXCLUSIVELV COHTRACTING WfiH LICENSED CONTRACTORS to canstruct Ihe projecl (Sec. 7044, Business end Professions Cotle: The contreMors tJcense Lew does not epply to en ownar of properry who builtls or Improves Iherean, and who contraas far such projact with a contractor(s) Iicense pursuant to the Contractors LJcense Lews.). ❑ I am exempt under sec. Business end Professlons Cotle lor this reason: Signature: Dete: Oaner ID verllletl by drivars license. ❑ Yes ❑ No Dnvers Llcensa No. Verlllcation of Ownershlp by (type o1 tlocument, I.e. • properry tar bill or tleed): �plres: DIVISION OF INDUSTRIAI SAFETY PERMfT CERTIFICATON: ❑ I hereby ceRlfy t�at no excavetlon five (5) or more feet in deplh into whlch e person Is requlred ta descend, wlll be made In connection with work euthodzetl by t�ls pertnit, end thel no Dulltling siructure, sCaXOlGing, lelsework, or demolition or dlsmantlinp thereof, wlll be more Ihen thlrty-sl: (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Celifomie Adminisiretive Cpde). ❑ As owner-bullder, I wlll not employ enypna to do work which would requlre e permlt Irom ihe Dlvision o1 Intlustriel Selery, es noted ebove, unlass such person hes e pertnit fo do such work from the d'rvtstorl. Signeture: Date: Division of Indus�rial SeFery Permi� Number: (�1�J, MSYECTIONTYPE 1616 Flxed Sysiem Finel Fire Prevention 1268 200 201 202 203 Pool Spe Flnel Flnal Re-Roof Finel BIocWReteining Well Flnel Fectory Flre Place Flnel Slpn 204 Flnel Demolilion 2aBe9 �g �� /�1' � �Qp[j INSPECTIONME 206 Finel Mechenical 208 Final Plumbing 210 Final Eledrical 272 Final Fire Prevenlion 220 Finel Plannlnp Approval 222 Final Site 250 Fnel Building/Occupenq Pdg Q�llS l� • %' 1�3'i'� , CbSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA FOR APPL/CANT TO f/LL /N COMPLETEIY TYPE OR PRINT ADDRESS �.3 e �9"�3r. � s�rh Nr�� COSTA.MESA. CALIFORNIA MAIL +� �y ADDRE55 �J / � C.�TY C� h �Tlf /F/ AOORESS��a� %v 17��( LEGpL ILOT %� I oescairr�orv NO. � ✓ BLOC`K A.P. NO. I / / � � S? � OF BLOGS. USE OF - EXISTING 6LDG. SET6RCK LINE FROM �. CENTER OF STftEET � ' REAR YARD 1 � / SIDE YARD LEFT I°Z' RIGNT � DESCRIPTION OF WORK ■ REPAiR EXTERIOR WAL R( COVERING C( I] USE OF BUIL[)NjG At�D WORK I HEREBY ACKNOWLEOGE THAT I HAVE REAO THIS APPLILATION ANO STATE THAT THE ABOVE IS CORqECT AND RGREE TO COM- PLY WITH ALL CITY ORDINqNCES ANO STATE LNWS HEGULATING BVILOING CONSTNUCTION._ . � SIGNATURE Op �� PERMITTEE AUTHORIZED AGENT F �EE R�CEI��� �^ 9 �S/� � fOR Off/CE USE ONIY I RECEIPTNO. I�,(RFi2vTtlf� V{J � BY DATE RECEIVED OATE ISSI 9-;i-� 9 ,-�i ,s - 3 S `l � • ! i-x � .,,�i,_j' , � COSTA MESA, CALIFORNIA ZONING NO.OF ^ USE OF N PLPNS / . BUILCING P� OATE KENTER LINE ST.1 { TNE AMOUNT 6HOWN UNDER VTLUATION 19 FOR THE PURPO6E OF E6TABLISHING A PERMIT FEE ONLY. VALUATION PERMIT FEE S ,/ C- ��m j� � PLAN GHECK S �: r �V� � TOTAL FEE S .C� �--r �� � ���p�� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C06iA M68A. CALIFORNIA Fo� Appiieant to Fill in Compietely TYPE OR PRINT � BUILDING ADDRESS �'7! C057A MESA. CALIFORNIA MAIL � � /_ , / �%%) ADDRESS I � TEL.M / CITY C�' Y � NOJ ( (� ARCNITEQ TEL. OR ' '71NEER NO. ADGncbb CONTRACTOR �U /('�'�, j�„ t/� • ' j � ADDRE66 " � ' cin Cl'�b STATE 1 TEL �� J �L LIC. NO. I v /� NO. �� 4 SIZE I NO. OP BLApB. OF LOT NOw oN LOT UBE OF EXISTING BLDG. _ 86fBACK LINH RfiON ceM6a OP BTRecT REAR YARD BIDE YARD�ILEFT IRIGNT DESCRIPTION OF WORK EXTERIOR WALL COVERING USE OF �IJILDING ROOF COVERII KjpBE FEE REC�IVED �.C�T 3 196i FINANCE DEPT.� � �ti� CITY' OF COSTA MESA APPLICATION FOR PERMIT suauiN� For Office Use Only ReCE�PT NO. PpRM�T�NG� l � ^D BY I DA'!�c p��EF�=�� � yr�E_� � !/ J CJ � �39 �. ig�' sy`. COSTA MESA, CALIFORNIA FIRE ZONE APPROVED ZONING 20 I NO. OF I OBE OF N / PLANS Y BUILD�NG LEGAL � ,�� I /• , (CENTER LINC 9TJ APPROVED � n �� i n� - cV�.h,. 1 HER¢BY ACKNOWL&DG8 THAT 1 HAVE READ THIB APPLIGTION THE AMOUNT BHOWN UNDEH VALUAT�ON IB FOR TXE AND BTATE THAT BOV6 IS CORRECT ANU AGNEE TO COM- pURPOBE OF EBTABLIBH�NG A PEpM�T FEE ONLY. PLV WITH ALL C O INANCE9 T/� E TI BWLDINO CONB U N. � ! VALUATION y �� BIGNATURE �. PERMIT FEE $ � �(� PERMI'RE � �� � $ � `S O. PLAN CHECK $ � AUTHORIZED AGENT �Q o TOTAL FEE LL �� I 95 ,COSTA MESA BUILDING-SAFEfY DEPARTMENT P. O. BOX 91] Cp9ip M86A. CALIFORNIA For ApplJcant fo Fill In Completaly TYPE OR PRINT a���o��a 33�— E. i4?'� �.���-r- aooRess COSTA MESp, CALIFORNIA OWNER • �s � I v�S ADDRESH 3—�E • i 9� ST'���i— ��r casir� m�sA Na �m�..�: ARCHITECT ._ _ TfiL. .� �fIN�NC� 1DEPT. CITY Of COSTA MESA APPLICATION FOR PERMR BUILDING �? For Offlce Usa Only R[C81'T NO. P6RMIT NO. OY OATBPCCl�V[D O�T BBYED . LVI�II�V �.MDI/�} � AD�..GS3 ZON6 NO.OP � OBflOPNHW �n l�+� � � ' PlAN9 Z lUILDINO CONTRACTO � � \1 SRm � LeOAL LO7'' IG T�P II oI '�. ADDRE59 oHeCrtIrt10N � \ CITY ' . . A. P. NO. l�? - 2s`/ -is �' STAT6 TEL. 90'rT0 S�IDE Q REAR pHLN6 BHALL BE LESSTHAN �\ _ `''O LIC. NO. � NO. ` �/ ` EAVEB OF LOT �O /� (� J U� I NOW ON LAT� L ALLOWED (U. B. C. RECUIREMENT) USEOF C �+ YARDSAPPROVED YARDSAPPROVED (� EXISTING BLDG. �FS , y MAIN BUILDINQ ACCESSORY BUILDIN vv BETBACK LINB FHOM . IQ � �( 7� � FROM C L�TR€ET) CEMER OF 9TREEf K I D RHAR YARD � J�O FR NT ��' �, Gi �� 81DE YARD LERf' + " RIOHT S 1 B R, 61D6 r FT. � DESCRIPTION OF WORK L.BID6 �`'' y��- NE � ALTERATION X ADDITION /` RBAR ��Ff. ' �— DISTANCE BET. BET. MAIN @ ^ % REPAIR MOVIryp DEMOLISH MAIN BLDGS. ACGESS. BLDG9. �P BUILDINO �Q ✓�� ROOMS bT RIH9 CAU. P. APPROVED SIZE / /� / EXTERIOR WALL !'YuG�Q I COV�ERIN6 c7��� �� S AYPROVfiD DATH �_ L3/N � COVERING 7� U$E OF BUILOIhIG AND WORK Tn FF OFGinOMFn � 62 �0 �C {-} � T o o ►� � , ��DSo. �. � 1 HEHEBY ACNNOWL8D08 THAT 1 XAVQ qBAO TNIB APPLICATION TX8 AMOIINT BHOWN UNDBP VALf1AT10N 18 FOR TM8 4 ♦NO BTATfi THAT THH ABOV[ III CORflBCT ANU A6qHG TO COM. PURPO68 OR 68TABLIBNINO • PHpM�T FEE ONLY, p PLY WITH ALL CITY OAOINANCiD ND BTATH ri8 RlOU1ATIN0 ypLUAT1ON w p BUILOINO CONSTRU O n �� PERMIT F8E O� �— N SIGNATURE OF U � — � PERMITTE - - w $,a�o�-- � H K o� o AUTHORIZED AGENT , �j / TOTAL PEE � � LL ( , I . I Y ' �COSTA MESA BUILDING-SAFEiY DEPARTMEM f E E R E C E I V� u P. O. BQx el] C08TA MHBA. CALIFORNIA J!1[d 2 5 19&31 Por App�leanf fo Fill In Complately APPj�,�p N PERM�T �lirn �p- TYPE OR PRINT CITlbAb [7/'1i y BUILDINB � .� / s ADDRESB �� � R[CtIIi NO. COSTA MESA, CALIFORNIA � . , Y ` ' ����eiv / b D 5� / OWNER I V N �L �' �� � MAIL � "t�� '�T BUILDINO � Q ADD bII8 � ADDR6S8 I CITY CO N� ��L-2 IONE TYPE GROUP MPROVeD C �`l ARGHITECf THL �� BY A78 U I OR FNGINEER NO. ZONING AD�..�SS " . Z - NO.O!'1 _ U860PN[W O _ � _, �LANB �� BUILDINO CONTRACTOR i LBa�L � aooRess s' C osecaimon ,� � (� QTY A. P. NO. � \}j NOTE: NO EA E O ERHAN6 SMALL B8 L858 THAN STATE TEL 90' TO SIDE B REAR P. L. \ LIG. NO. N . �O HAVHB 61ZE �"6 i 0�! NOW 'N �DT6. ALLOWED (U. B. C. RBpUIREMENT) ` OF LOT . YAROSMPROVHD YARDBAPPROV6D U6E OF MAIN BIIILDINO � ACCE580RY BUILOIN6 ..\ E%ISTIN6 BLDp, �+� . ( PROM GL 6TRHEI'1 BETBACK LINB PROM O T PT. CENTBR OP BTPBgT {2EAR Y R R.81D8 PP• � � BID YARD L.ERI' RIONT � DESCRIPTION OF WORK �.aio Fr. vr. NE�''� _ ALTHRATION � AODITION RBAR �. P1'• DI6TANC8 BEi. BEf. MAIN Q REPAIR MOVINO DHMOLIBH MAIN BL�08. ACCESS.BLD09. BUILDINO.y q NO.OP / VAR.�C DATE SIZE L�! Z� ROOMS ` HT IH � C. . P. APPROVBD COV RINOWALL � CD COV�ERIN6 ` Br�ROV[D DATE •�. _ � USB OP BUILD�r1p ANO WORK TO Bfi PER ORMHD � � o SC.FT. I XEREBY �CKNOWLlOOB TN�T 1 XAV PAD TXIB �PPLIGT�ON TH8 AMOUNT HXOWN YNOBR VALUATIOry 18 ROR THe F ANO BTATH TMAT TNC ABOVB IB CORNECT ANO A00.H8 TO COM- PUflPO6E OP 88iA0LI8HIN0 A PfiFMfT PC8 ONLY. p PLY WITH �LL CITY Oqp�NANCQB �ND eTAT[ L�WB P30UTATINO VAL ATION ' � '�� 0 BUILCINOCON9THUCTION. � ' q � PERMITFEE j SIGNATUREOF D� � m PERMITfE / /J �yD s 1 'L c e AUTHORI2HD AGENT O' O i�/ 4 TOTAL FEE ✓