HomeMy WebLinkAbout360 19TH ST - Building Permits,lob nddress: 360 E 19TH ST Status: ISSUEo
Suite: Applied: 12/072005
Vicinity: ROOF . _ . . ,,, .. . , , _ . , Issued: 12/072005
Primary Occ: R Type of Construction�� ".V-N r
Parcel Number: 42630121 Zoning:
npplicant: BARATTO, LINO
Address: 416 COLTON
Phone: 714-981-4621 ISSUED BY:
N�WpORTBEACH,CA
Owner. KAY, KEELY STENGEL .. ..
Address 360 E 19TH ST � -
COSTA MESA, CA
Coniractor. OWNER-BUILDER ` '
Address � �. ; . ' �. .
Zip:
Zip: 92663
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Zip 92627 . .
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" SCOPE OF PERMIT '
TEAR OFF EXISTWG ROOF. INSTALL 2 LAYERS OF 3QJk FELT, CORRUGATED METAL ROOFING, IC80 #4566, AND REPAIR/REPLACE �-
SHEETING AS NEEDED. 1750 S.F. FOR S.F.D. AND 450 S.F. FOR DETACHED GARAGE. WORK�TO BE DONE CONCURRENTLY. 3��
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Plan Check ',$0.00 � Calc Valuation: 36,soo.00
Permit � $139.25 ' . - Claim Valuation: ss,5oo.00
SMIP Res: $0.65 , ,
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SMIP Com: $0.00 ' ' ��
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Other: $0.00 -
Inspection: $0.00
Total: $139.90 " •
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.� PLANNING & ZONING
SETBACKS . , ,"�
MAIN STRUCTURE Front 0-0 � "� Rear �0�0 ' �Left �-.0 0 `�`� ' ��Right_ " 0-0 '
ACCESSORY ;Front 0.0 �� Rear.�0.0 . LeR` 0-0 ,- ;Rjght 0-0
PARKING xistin : 0 Reauired: � 0. Pr000sed:, ,� 0' �
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NOTICE: The work authorized by thls permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 7, 72-21-92)
El(PIRATION: This permi� shall eulomatically expire and become void II work is not commenced within 180 days, or if work Is susperxletl or ebandonetl
tor a period of 180 days. _ . ,,:i_;;,,,_;;._._.;:qi,;- _., .,— �. .. -
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INSPECTIONS: In order tor the work authorized under ihis pertnit to b0 conside�ed legal, such work must compty with eil applicable cotles, erW g1�
requlred Inspectlona end flnel approval must be obtained. Failure to obtaln inspeclions and final epproval will result In iha expiratlon of this permit.
I FOR INSPECTIONS CALI: (714) 754-5828
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WORKERS' COMPENSA710N DECLARATION:
I hereby aHirm under penelty ot perjury ona of tha followinp tleclarations: �.-----
❑ I heve entl will mfllnlein e certificate oi consent to sell-Insure for workers' compensatlon, es provided tor by sectlon 3700 of tha LeDor Cotle, lor the peAortnence of Ihe
work br which this pertnit is Issued. ,
❑ I heve arW will maintein workers' compensation inwrance. es raquiratl by secUon 3700 ot Ne Lebor Cade. fw Ne pertortnance of ihe vrork tor wh�h thig pertnit is I55ueA.
My workers' compensatlon Insurence cartier end pollry number ere: �
Certier.
Policy Number.
that in Ihe peAar n f ihe work lar whic� this pertnit is issued, I shell not employ eny person in any manner so as ta become sub�ecl lo Iha workera'
isatlon lews ot Itlor kl, flntl epree Net If I ahould becoma sub�ect to the workers' compensetlon provisiorw ot Sectlon 3700 t�e lebor Cotle, I shall lonhwlth
with these Dr sia i
Dete: -'. �Z� (1 �
URE �� EW RE W (ERS' OOMPENSATION COVEMQE IS UM.AWFl1L AND SHML SUBJECT AN EMPLOVERTQ'CRIMINqL PENAL71 S ANO CML FlNES UP TO ONE HUNDRED
t00,OD0�, IN ADDfiION TO THE COST OF COMPENSATION, OAAIAGES AS PROVIDED fOR IN SECiION 37(IB OF THE UBOR COOE. IMEREST, AND ATTORNEI^S FEE3.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm thet I em IlcenseA unAer Drovisions ol Chapter B(commendng wlih Sectlon 7000) ot DlWsion 3 of lhe Buslness end Professions CoOe, end my Ilcense is N tull
force entl ettect. Lic. a Cless a
Cantreaofs Signeture: Date:
CONSTRUCTION LENDINC AGENCY:
� I hareby eHirm Ihat t�ere is e construMion Iending agency for the peAortnence ot the work tor which this pertnit is Issued. (Sec. 3097, CMI Cotle).
Lenders Neme: Lendefs Atldress:
SlgnaNra: Date:
OWNER-BUILDER DECLARATONS: ;: '
I hereby eXirtn thet under penelty oi perjury that I am E7CEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reasan (Sec. 7031.5, Buslness end Professions
Code: Any ciry or counry which requires e permit to wnsirucL elter, impmve, tlemolish, or repeir eny structure, ptlor to its issuance, elso requires the epplicant }or such pertnil
to file e signed stetement Ihal he or she Is Iicensetl pursuant to the proNsions o1 tha Conirectors Llcense Lew (Chapter 9(commenGng wlth Sectlon 7000) of DMsion 3 of Ne
Business en0 Professlons Code) or Ihet he or she is ezempt theretrom�end the besis tor the elleged examptlon. Any videtion oi Section 7031.5 by eny epplicant for e pertnit
subjects the applicant to a clvll penalry of not more ihan Me hundred dollars ($500)J:
❑ I, as owner of �he properry, or my employees with weges as �halr sde compensetlon, WILL DO THE WORK, entl ihe siructure is not Intended or ottere0 for sale (Sec.
704d, Business end Professions Code: Tha CONrecmrs Licelue Law does not epply to an owner of property who builtls or Impmves thereon, end who tices such work
himself or herselt or thmugh his or her own employaes, proJidetl that such Improvements are not intanded or otteretl for sale. It, however, Iha buiiding or improvement Is
sold within one year of campletion, Ne owner-builtler will have ihe burden ot prwing Ihat he or she did not build or Improve for purpose of sale.). �
❑ I, es owner ot the pmperty, am EXCLUSIVELY CON7RAC71NG WRH LICENSED CONTBACTORS to consWct ihe pmlect (Sec. 7044, Business end Pmtesslons
Code: The contrectors Llcense Law tloes not apply to en owner ot properry who builtls ar impmves thereon, end w�o coniracts for such pro�ect with e contractor(s)
license pursuant to lhe Contredors License Lews.).
❑ I em exempt under sec.
Signatura:
Owner ID venTietl by tlrivers Ilcense. ❑ Yes ❑ No
Business ena Pmfesslons Code for ihl4 reeson:
Vedficetion at Ownership 6y (type ot document, i.e. - pmperry tvc bill or tleed):
DIVISION OF INDUSTHIAL SAFEiV PERMR CERTFICATION:
DAver's License No.
Date:
Ezpires:
❑ 1 hereby certity Ihet no oxcavation tNe (5) or more teet In depth Into which e person Is required to descend, wlll be metle In connection wit� work euihodzeA by this
permit, entl t�at no builtling structure, scaMolding, falsework, or demolitlon or dismantling t�ereof, wlll be more Ihen thlrry-six (38) feet hiph. (Chep. 32, Grp 2, Art 2, SeC.
341, Tiile 8, Caltlomle Atlminisiretive CoCe).
❑ As ov.ner-builder, I wlll not employ enyone lo do work which would require e Dermll Irom the Divlslon of Indusirlal Safery, es noted ebove, unless such pereon hes e
permlt to tlo such work trom �he tliWsion.
Signature: Date:
DlWsion of Industrial Salery Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AUiHORQA710N OF ENfAY: I certily untler penelty ol perjury that I have reatl Mis eDPlicatlon end state Ihet the inlorma6on given Is
correct. I egree to comply wlth ell state laws entl ciry ortlinences relating to building construction, and authodze representetives ot the Ciry ol Coste Mesa ro enter upon t�e
ebova-descnbe�roperty lor Inspection purposes. I agrea not to occupy or ellow occupancy ol eny building authonzed by Ihis pertnit until tinel Inspection.
CQOE�, p15PEVTOMiYPE
18t8 Fixetl System Finel Fire Prevention
1288 Pool Spa Final
200 Finel Re-Roof
201 Final Block/Retaining Well
202
203
Final Fectory Fire Place
Finel Sign ,
204 Final Demolltion
�g
COOE I INSPECTION TYPE
206 Final MeC�enicel
208 Finel Plumbinp
210 Flnal Electrical
212 Flnel Flre Preventlon
220 Finel Plenning Approval
222 Final Slte
250 Finel Building/OCCupency
It��
. Costa Mesa Bnilding Department 30� � B U 1 L D 1 N G K�'t
„ P. O. Boa 3!7
L L�VI. 4 Lt1<�
Show Iocation and disFancea from
property Iine antl batween bulidinpa.
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