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Home My WebLink About359 19TH ST - Building Permits(714) 754-5273 • Fau (714) 754-4856 • www.ci.cosca-mesa.c�ILDING PERMIT Job Address: 359 E 19TH ST Suite: Vicinity: FRTON Primary Occ: R3 Type of Construdion: V-N Parcel Number: 11729418 Zoning: Applicant: EMMONS, STEPHEN KENT Address: 359 E 19TH ST Phone: 949-548-5264 COSTA MESA, CA .� �,., ,. Zip: 92627, Owner. EMMONS, STEPHEN KENT " ' Address 359 E 19TH ST _ - � . � . - � 77 FAIR DRIVE, COSTA MESA, GA 92626 ISSUED BY: . � Phone: 949-548-5264 , COSTA MESA, CA . , � _ Zip: 92627 , Contracror: � OWNER-BUILDER - Address: ' Phone: � . . � ,' ', . . - � � Slatus: ISSUED Applied: 09/08/2006 Issued: 09/08/2006 Zip: Arch : Address: Zip: . License: 000000 Eng: Address: Phone: , 1 License: '� , - � 45SF FRONT WOODEN DECK FOR FRONT ENTRY WAY TO Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $45.01 $69.25 $0.50 $0.00 $0.00 $0.00 $714.76 FEE SUMMARY Calc Valuation: � _ ," _ �. �. . _ Claim Valuation: PLANNING & ZONING SETBACKS " MAIN STRUCTURE Front 0• 0 Rear • 0. 0 Left 0- 0. ACCESSORY Front 0. 0 � Rear 0- 0� Left 0- 0 � PARKING Existina: 0 � Reouired: 0 � ' Pr000sed: 0 , -. , - . . � -' . - - � Phone: License: � Right 0-0 Righf , 0-0 ' Sz,000.00 sz,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Calitornia 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 1 BO days, or If work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred inspeetlona and flnal approval must be obtained. Failure to obtain inspections and final approval will result in ihe ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 taaera (a�oo) WORKERS' COMPENSATION DECLARATION: I � ' � � I hereby affirtn under penalry of perjury one of the tollowing tleclaretions: I ❑ I heve ana wlll malntain a certifiwte of consent to selFlnsura tor workers' compen�setlon, es provided for by section 3700 01 the LeDor Code, tor ihe perfortnance ot ihe wark for which ihi5 pertnit is issued. � ❑ I have and will meinWn workers' compensatbn Insurance, as requirad by seclion 3700 of the Labor Code, tor �he pertortnance of Me work for which Nis pertnit is issued. My workers' campensaGon Insurence cartler antl pollcy number ere: � Cartier: i Policy Number: (This section need nof be completed!! the permlt Is velued at one hundred dollars ($100) or less.) � I certify Ihat In iha pedortnance of Ihe work for which this pertnit is issue4 I shell not employ any person In eny manner so es ro become subjed to ihe workars' compensatlon lews of Calitomia, en epree that if I should Decome subjeq �o Ihe workers' wmpensetlon provisions of Sectlon 3700 of the Labor COCe, I shell forthwlth i'�'�""comply with these pr visio . ��f � � Q p" �/ ce Stn �neture: . !ZY� ; pa�:— G— O'vtp � WAfiNINO: FAILURE TO SECURE WORI RS' COMPENSATION COVERAOE IS UNIAWFUL AND SHALL SUBIECT AN E OVER TO CRIA9NAL`PENqLT1ES AND CML FlNES UP TO qJE HUNDRED T}IOUSAND DOLLARE (5100,000), IN ADDRION TO TME WST OF COMPENSATION, DAMAGES AS VROVIDED FOR IN SECTIIXJ 3'70fi OF TNE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTHACTORS DECLARATION: I hereby aflirtn ihat 1 em Ilcensed under proWsions oi Chapter 8(commencing with Section 7000) of Division 3 of the Business and Professions Code, enA my license is in full force end eflad. Lic. p ' Class N Cantracbls Signature: Dete: CONSTHUCTION LENDING AGENCY: � ❑ I hereby affirtn that there is a wnstruction lending egency for the pertormence of ihe work for which this permit is issued. (Sec. 3097, Givil Code). Lentlefs Name: Signature: _ Lentler's Date: OWNER-BUILDER DECLARATIONS: I hereby aHirrn Ihel under penelry of per�ury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Buslness entl Professlons Coda: Any city or counry whroh requires e pertnit to cons[ruc�, alter, improve, demolish,ior repair any struclure, prior to its issuence, elso requires t�e epplicant for such pertnit to file a signed statament thet he or ahe Is Ilcensed pursuent to the provlsions of ihe Contrecrors License Lew (Chepter 9(commencing with Sectlon 7000) ot DlWsion 3 of the Business and Protessions Code) or Ihat �e or she is exempt theretrom antl ihe basls for the alleged ezemption. My violation of Seclion 7031.5 by eny epplicant for e pertnit subJeqS ihe apD��ent to a civil penalry of not more tnan Me huntlretl dollers ($500).): , �e F1'I, es owner of Ihe property, oi my employees with wages es ihelr sole compensetlon, WILL DO THE WOHK, and the structure is no[ intended or otteretl for sale (Sec. 7044, Business and Professions Code: The Contractors Licensa Law does not apply to en owner of property who builds or Improves Ihereon, end who does such wark himself or herself ar ihrough his or her own employees, providad that such improvemenis are not intanded or oNerad far sale. If, however, ihe building or improvement Is sold within one year oi completion, ihe owner-builder will heve ihe 6urden oi proving Ihat he ar she did not builtl or improve for purpose of sale.). � r�es owner of the propeny, am EXCLUSIV LY CONTRACTING WI7H LICENSED CONTRACTORS to consWct ihe project (Sac. 7044, Businesa entl Professions ade: The conirectors License Lew tloes t epply �o en owner af propeny w�o bullCs or Improves therean, and w�o conirects far such proJec� wlth e cantracror(s) license pursuant to the Contractore Licen Laws.). � ❑ I am exe�pnde{�ec. Business and Professions Code tor this reason: Owner ID'ven�ed b�'tldvefs IlcBrise. (�Qj Yes ❑ No Verificalian oi Ownership by (type of tlocument, I.e. - property te:� bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICATION: I ❑ I hereby certiy that no exwvation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work euthotlzeC by this pertnit, and thet no building structure, scattolding, falsawork, or demolitlon or Oismantling thereof, will be more than thirry-six (38) leet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Ttle 8, Calflomla Atlminisirative Code). i ❑ As owner-bullde�, I will not employ enyone to do work w�ich would require e permit trom the Division oi Intlusirial Setery, es noted above, unless such person has e permit ro do such work irom the divislon. I � � Signature: Date: Division of IndusMel Sefey Pertnit Number: 1 Will the epplicent or present or future Cuiltllnq occupant neetl to tile and certity e Business Plan for emergency response to releese or thraetenetl release of e hazartlous meterlal7 ❑ Ves ❑ No (Section 25505 of ihe Celifomia Healih and Satery Code requires, with soma e:ceptions, that a Business Plan be filetl with Ihe Costa Mesa Fire Depatlment by every business which hes et any one time tlunng a reported year a quantity of hazerdous matenals equal to or greeter Ihan a weight ot 500 pountls, or e volume of 55 gallons, or 200 cubic feel of comoressetl Qas et stantlard temoereNre and oressurel. � ar es or Yes e epplicant or present or future builtling occupam neetl to tile a registration form for aately hazardous metedels7 ❑ Yes ❑ No 3 ot Iha Califomie Healih and Safery Code, with some exceptions, requires registration with Ihe Gasta Mese Fire DeDaRment Dy each buslness which et eny on hend e quentiry of ecutely hazardous metenels equal to or greater ihen e weight of 500 pounds, or e volume of 55 gellans, or 200 cublc feet of 3s et stentlard tempereWre antl pressure). � 3 e licant or...resent or future buildin....occu� an� need to re are an_ ......................................................................................................................................................................................... pp p g p p p ( sk Mane ement entl Preventlon Pr ram tor ecutel hezerdous matedals 1 RMPP Ri g og y ) (Section 25534 ot ihe Califomia Healih and Safery Cotle provides that the CosW Mesa Fire Department may require the preparation, certificetion antl filing with the Fire Department of en RMPP by businesses which ere raquired to register ecutely herardaus matenals with ihe Fire Depertmen�. ....................................................................................._................................................................................_........:.............................................................................._..........._.........................__........................_.................._............... If an RMPP is presenity requiretl, �as Section 25534 of t�e Califomia Healih entl Sefety Cotle been fully complietl with7 ❑ Ves ❑ No .................................._..............................................................................................................................................:.............................................................................._..................'_.............................._....................._.................._........ Does or will lhe epplicent or present Or future builtling occupent require br the work which is lhe subJect ot lhis a plicalion epa rtnii for such consiruction or modification irom ihe South Coest Air Oualiry Menegement Disirict or tmm eny other air polWtion control distdct or egencyt � Ves �J No (Section 658502 oi ihe Californie Govemment Code requires ihat ihe reques�ed iniormation be fumished on applications tor non-residential building pertnits). .................................................................................................................................................................................:.......................................................................................... ........... ...................................................... W ill any pan of the taciliry to be consiructed under Ihis permlt be within 1000 feet irom the outer boundaries of e school7 C] �Ves ❑ No Qf'yes", the feciliry must meet the requlrement oF Sections 25534 and 42303 ot the Califomia Heelih entl Sefety Cotle). heve all of the disclosures slnci or otner eir polluuon cOntrol aisinp or egency is rBqmrBa tor tne � Health antl Saferi Cotle Section 42303 been made7 ❑ Ves ❑ No CEFTIFICATE OF COMPLIANCE: I ce�ify ihat untler penelry oi perjury the intormation given ebove is coned. I agree to comply with all state laws and ciry ortlinances regarding Hazardous Materials and Emissions. � Signature: Dete: CEHTIFlCATE OF COMPLIANCE AND AUfHORVJITON OF EMRV: I certiry under Corred. I agree to comply with ell state laws end ciry ordinances relating to builtling ebov�y�5c�iby7tp�r�7for inspection puiposes. I agree not lo occupy or allow oca COOE �. 1616 1266 200 Fized System Final Fire Prevention Pool Spe Final Finel Re-Roof 201 Final BIocWRetaining Well 202 Final Feclory Flre Place 203 Finel Sign 204 Finel Demolition � / Applicant PdIF. It�L4 � of perjury that I have read this epplication and state �het ihe infortnalion given is dction, and euthorize represenWtives of ��e Ciry of Coste Mesa to enter upon tha of eny building authorized by Ihis permit until fnal inspeclion. 9-- �- D� 08�0�.-- Date COOE� �Nsv¢cnoxme 206 Final Mechenical 208 Finel Plumbing 270 Finel Electrical 212 Finel Flre Prevention 220 Final Plenning Approvel 222 Finel Site 250 Finel Building/Occupancy PAIE R�E4� 3-2-07 9�