HomeMy WebLinkAbout389 19TH ST - Building PermitsPpOJECT PDUflESS: 3$ 9 E 19 TH S T
OWNEp'SNRME: MC LERN, JACQUES JUNIOR
\p�OflESS: TR
t,�;� 389 E 19TH
COSTA MESA CA 92627
714) 646-6�69
pq IENGINEEN: HEG.NO.:
' pooness:
uxiT:
UNIT:
Pp"minEE: CALDERON ROOFING, INC. (714)542-7023
pooxess: 10 2 7 N. LOGAN
SANTA ANA CA 92703
LICENSEO CONTPACTOH OECNflATION: I hereby aflirm I�at I am licensea unaer pwvisions ol Chapter 9(commencing wiih Seclion
7000� of �ivision 3 0� Ihe Business and Pmlessions Cotle, antl my license is in lull lorce and ellec�.
aTruc.:0y34261 STATEUC.:jSSSO�I �`"�' C-39/
' L�" 9� SignaNre: �� �^�
Dale
W NEBS' COMPENSPTION DELLAflAiION: I hereby allirm �hat I have a cenilicate ot consenl to sel4insure or a certilicale of Wo�kers'
mpen5aiion Insurance. or a certilietl copy thereo� (Secuon 3800. Lab. C�.
Poucrxo.: 0430B61-93 E%P.OpTE: SO/OS/99
comrarrv: STATE FUND
❑ Cenilied coOY �s nere�y Wmis�e0. � Certified coDY is file0 �th t�e cily Building Oidsion.
1J�ate ���47 ADPlicanl:�✓ r�L,�`Ci��'1yEs+�1
`E%EMPTION FBOM WONKENS' COMPENSAiION DECLAflATION: Q�is section neea nol �e cample�ee il Ihe permii is lor ane hunared ($100) or less�.
I cetlify ih?� in Ihe per�ormance oi the work lor which Ihis permit is issued. I shall no� employ any p¢rson in any manner so a5 io become
subiec� �o ihe Workers' Compensaiion Laws oi Califomia.
Date: Signature:
NO71LE: II. alter making i�is aeclaraiion. you shoula hecome su�ject �o tAe Workers' ComDensation pwdsions of Ihe La�or
Code. You mus� lonhwiih comDly wiih such pmvisions or this permii sAall �e aeemed revoked.
CONSTBUGTION LENOING AGENCY: I hereby aifirm t�a� Ihere is a conslmclion lentling a0ency tor Ihe De�ormance of Ihe work lor
w�ich (his Vermit is issued (Seclion 3097. Civ. C�. ' j j� r �j
LENDER: .., tr... iJL 1'�V 1 OrT1
p�OflESS �
REQUIR�D
OWNEB 9UILUEN OECLABATION: I �¢reby a�6rm �hail am exemp�irom Ihe Conirac�ors' S�a�e License Law forihe lollowing �ea5dn
(Section 7031.5 Business antl Prolessional CoOe: Any city ol county which requires a permil to canstmct, alter, improve, tlemolisn, or
reDair any 9mcWre, prior lo its issuance. also reQuires ��e applicant tor suc� permil to file a sipnetl sta�emeni Ihal he/she is licensea
pursuam to tne pmvisions ol the Convacmrs' Slate License Law IChapter 9(commencing vnih Section 7000) oi oivision 3 of the Bus�ness
ana Pmfessions Cotle) or ihat nelsne is exempi Ihereimm ana ine basis fot ine allegee exempiian. My violation ol Seclion 7031.5 ey
any applic5nl br a permi� subletls the applicant�o a civil penaliy oi nol more ihan �ive hunOretl tlollars (5500).
�, as owner ol ihe prop¢tly or my employees wi�h wages as Iheir sole compensa�ion, wiil tlo �he work, anA Ihe
❑ slNCWre is not inlentletl or oltered lor sale (Section 7004, Busmess an0 Prolessional Catle: 1he Coniraclor5' State License Law
eoes not apply Io an owner of a D�oPenY wno builtls or impmves inereon, ana w0o does sucA work �imsell/herseli or tnrough
ni5 or ner own emoloyees. D�oviUea ihat such imD�ovemenis are nol inlended or offereA lor sale. If, however ine OuilAing or
imVrovemenl is 5oi0 vnlhin one year oi compleiion, Ihe owner vnil have Ihe hurden ol pmving he/She tlid nol builtl at impmv¢
loi ��e OurpoSe 01 Saie).
I. 8s owner ol Ihe propeny, am exclusively coniractinB w�tn licensea coniractors to tonslmct Ihe proiect (Section 704d, Busine55
❑ an0 Pmlessions Code: The Contraclors' Slate Lkense Law tloes nol appN lo an awner of proVe�ty who huilQt ar improves [M1er¢on
ano wno conuac¢ ior sucn Omlecis wim a comracmqs� iicense pursuant �o ine Comracmrs' Sta�e L¢ense Law). i am aware
��pt proal oi their Worker'S Compensation insurance s�ou10 De OmndeA la me.
I� 1 am exempl unde.r Section'. B, d P_ C.
loi I�iS reason:
Dale: Owner:
I ao here�J certily ��al I am aware ol anG unGerstana Ihe requirements a� Cali�Omia Hea�th an0 $ale�y CoOe Sec�ions 25505, 25533, and
25534 and ihal I or any lulure Omlding occupam will/will nol (circle one) nee0 to comply with saia stale cotles and t�e reQuiremenis �or a
permi� for canslmction or mo0ilicaiion Imm Ihe Air Ouali�y Managemen� DislricL Residential conslmclion applicalions are exempt �mm
IheSe pmvisi0ns.
Oa�e: Applicant:
I �¢re0y cE��ily ihat I �ave rea01hi5 ap0litalion antl slale Ihal Ihe above inl0rmaiion is tOrreCi. l agre¢ to romply vril0 all City and GOuniy
ordinances anU s1a1e laws retaling Io �uiltling conslmciion antl hereby auNorize BpRsenia�ives ol l�is ci�y �o enier uDon Ihe above�mention¢d
properly IPrinspection puQiposes. /� /� //
a�e' �� � ( 7 SignaNre: �`./-`^' `-fi �� ��ui�'z.— "�" '
�ver'S LicenSe or $ocial Secumy x: �,
i64t�a6 W�ile—BuilEmg: Green—COOe Enlorcement: Canary—Applicanl; Pink—Revenuo: Goldenrod—Asseswr
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 06630:
PERMZT NO: B 066302 PLAN CHECK NO: N GOVT: N SUPP; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION : T/OFF REROOF OVER EXIST, W/COMP. SHINGLE SQ FT: 3,200
CLAIM VALUE: 3,200.00 CALC—VALUE: 3,200.00 GROUP OCC: R-3 /M-1
COMMENTS: SMOKE DETECTOR REQUZRED PER 1991 U.B.C.
******�*�c****�cr**+�******+�**+��-x�x�-��-*�c*****�r�c�r�-**+��*��+�**�c+�*****�********�c*��**�c**
Z O N I N GS ERTEBQA�CIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 11729412 ZNE: REF NO;
PLANNING NOTES>
> .
if iE 9F if iE �E iE if ik iE i: iF iF if jE if iE if iE iE aE if iF iF iF �Y iF iE � iE if �E-lE iE if it If iE iP if Ic if if iF �F iF ac i� af iPlE ic if 1E #E if iE 1E iE il+E jF it *{E {F if iE i4 jE iF i: iF iF if iF iE iF iE
D E V E L O P M E N T. S E R V I C E S R E Q U I R E M E N��T S
ZONING APPROVED BY DATE: �
BUILDING APPROVED HY ; DATE:
APPLICATION ISSUED BY; DATE: `���� ��
ac * iF iF it iF ac M� 1f ic �c r ic+a iF �c iF iF fc �7c �c icYs�'.¢'ii"iFiF'3t'3F'i[:3F7i'i , it.' '�'7F7F7F'?F'iFY�iFiF'ic�Fic�. x+F * iF �c iF x-+t �tEY�`•'r 1�F*
iFicxatiFiciciF�FiFiciF9ci4aF%iFiFiFlFiFitic�FN-i�-aF*�)cifaF�cjciFatiFiFjEiFiFiEaciFlFiti�ifiE�:1F?fic+FiPiFiFificif*+fiFac**�c{RaF*M{F ac�+t3FxiFiL
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 63.00
PLAN ��
ISSUE FEE �
FIRE SMIP/RES GRADING
.50
SMIP/NON—RES
BUILDING—DI6'—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTAL5 ---> 63.50 0.00 O.OQ 63.50 63.50 .00
REVENUE DIVISION TOTALS--> COLI,ECTED: 63.50 OVER/SHORT; ,00
BLDG PMT PLUMHING ELECTRIC MECFiANIC FIRE SMIF/TOT GRADING PLAN—CHECK
63.00 .50
1E iF if if if it!! ff iE if iE iF?E fE iE if if iE if it it 1E iF 1E iE i:Y if 1f iF 7E tF # if iE iE it iE # iF iF tE 1E iE it {E iE if r iFic k 1k if if it iE i! it if !f k ff iE i� if iF i! if i! iF iE 1t iE i! if ! iF i�
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 []NIT COST TOTAL COST
SFR 3200 REROOF BY VALUE RESIDENTI'AL NOZONE
END OF FEES
/`
t'
SMOKE DETECTC�� �'.
REQUdR�D ,{
. , r! i
r�'
1.00 3,200.00
�1 DDSSb491-00156492 T C7 T 63,SQ
OATE= 03/03/94 TI11E: 13:22
CONSTRUCTION AND PLANNING POOL `A
_ APPP��rtS Permit# • Date Inspector AppROVALS Permit# Date Inspector
\
1. l.�,Oorary Electrical Service or Pole 52. Pool & Equipment Location
►
2. Soil Pipe-Undrgrnd. ' 53. Steel Reinforcement
3. Electricai Conduit Utility�Undrgrnd. � 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Stee� Reinforcempnc 56. Rough Plumbing & Pressure Test
6. Electrical UFER Gr�d. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe-Undrgmd. � 60. Backwash Lines, P-7rap, O Undrgmd. �
10. Structural Fioor System ' 61. APPROVAL TO DECK
, 11. Property Sewer Line & House Connection •@�, gackwash & Receptor-Final
72. Sewer Cap •$$. Heater & Ven[-Final
13. Roof Drains . l..fi�. Piumbing SVsrem � Final
14. Rough Plumbing � � [;�5, Electrical•Final
15. Rough Electrical•Conduic ' �; ~
6. $olar System-Final
16. Rough Electric Wiring " 67. Fencing & Access Approval
1
77. Rough Wiring Sign '�,� g$, qPPROVED FOR PIASTERING
18. Rough Electrical-7 Bar Ceiling " 69. POOUSPA SYSTEPAS PINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIflEMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping �Gas OOiI �.
23. Gas Pipe-Rough & Test 72. Underground Fl�sh -
24, fioof Framing 73. Undergrnd. Storaye Tank O Gas ❑ Oil -
25. Roof Sheathin9 74. Overhead Hydro .. •
26. T-Bar Ceiling (Structurel) & Monocoat 75. Dry Chemical '
27. Frame and Flashing 76. Dry Standpipe .'
28. Lathing & Siding 77, FIXED SYSTEM FlNA� "'•
29. Insulation 78. FIRE PREV. FINAL .
3Q. Drywall Naiiing HEALTH DEPT. REQUIREMENT
31. Plaster Bravn Coat ' 79. FINAL INSPECTION •
32. Electrical Power Meter�Final 80. FOOD CERTIFICRTE ISSUED
33. Final Electric , Notes: '3 .-(� QCI. Q�l �,N��_ �p,�L
34. Final Heating & Air Conditioning _ i
35. Final Gas Pipe�Test "'"'
36. Nood or Canopv � ,
37. Pinal Factory Firepiace
38. Final Plumbing
39. LNater Service�Final
40. Gas Service�Final .
4t. Solar pomesiic-Final -
42. Backflow PrevenYer � �
43. Batkflow Irrigation ' � .
44. Landscape Irriyation System -'
45. Sound Attenuation .
46. Handicap Regulations
47, FINAL STRUCTURE & BUILDING -�..G�S �
48. FINAL PLANNING - . �
49. Electric Release to Edison •�
50. Gas fielease to Southern California Gas Cn �:
51. CERTIFICATE OF OCCUPANCY t__
No. Oate
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 � COSTA MESA, CALIFORNIA Y2dZ6
for Appilcanf fo Fill In Complerely
TYPE OR PRINT
i�oiNa�B 9 ,�'. � 9 jz ��.
DREBII
COSTA ME3A. CALIFORNIA'
'NER �� �• R Q �'.J � Yl �l d}'�
JR898 �� I C. �-L i� �
,�' o s�T7 � e 5-19 Ho`S'•1�'�
ARGHITECT
TB4
DESCRIPTION OR WORK
� .,�rn
AP1D
`—
AUG30-66 001210n3*�*�18.00
APPLICATION FOR PERMR
BUILDINCi
for Offlce Ute Only
11[C[IR NO. /'f�
G�
Y WT[11[C[IV[D M
/f.. Aa_// �!�
:./9f�, .S
ZONING
mn[-�_r wo.o� ' ucaorncw ym U.
� d �, ,� �uns —� euactna oair+
��„� L t 8 T/1 //aS
ouc��mon °
A P. NO. �� � � � " � —' �
NOTl: NO[AV[OV[RHAN08HALL�[LH88THAN
1 X6R6BY ACRNOWL6D06 TNAT 1 MAVt RGD TMIB A�PLICATION
AND 6TAT8 TNAT TN8 AGOV6 1� CORR[R�I1HD /�Oqt[ TO COY.
PLY WITX I1LL CRY OpDINANCL AND �TAT{ L11WY R[OYLATINO
BIIILCINO CONBiRU ON. ^
810NATURE OP� . � �[/_ � . _ 1
YAHDB MPROV 6D
MAIN BUILOINO
5
VAR. aj
YAROSMPROVfiD '
ACGEY80RY BUILDIN6
6 � �. "'� ��-
�
O ,�..
30 ?`�.
30 `t �
BHT.MAINQ `�f
ACCHSi. BLD68.
DATH
APPROVHD
...T. b' 3u-��
�• -� a
07
�
�oa �. �. �
0
TM[ AMOYIIr OXOWM UHDHR VALUATION IB �OR TX6 �
�YRPOl6 OP 68TAGLIBNINO A P811MIT I88 ONLY.
VALIlAT10N �
�.�- PERMIT REE 2/ O D
s � 6�� �. 40 k
TOTAL FEH S /v ' OO