HomeMy WebLinkAbout409 19TH ST - Building PermitsADDllcant lo Iill In all
CITY OF COSTA MESA PE�^r NS
CONSTRUCTION PERMIT ��
Phone
Addrea
License No.
: qddress
:s witnin heavy Eoraer Iines ane sign all approD/late aetlantions.
TRACT NO. LOT NO. BbJG. NOl
�a �
TVPE OF CONSTRUCTION � '
❑ NEW ❑ ADD ❑ ALTERATION -C.
� ' ❑ REPAIR ❑ CONVERSION ❑DEMOLISH
❑ OTHER
DESCRIPTION OF WORK
Contractar .y�A �,,�r, � ��N S�rA � C.1 � Phone 7f-�y�1 /i TVPE OF PERMIT - ." " -'" '"' - -
Addre55 � � � - ei - �d,- � ❑ GRADING� �O� FOUNDATION STRUCTURAL
'LICENSED CONTRACTOR. UECLqRA ION �'O TENANT ❑-ELECTRICAL LUMBINO ❑MECHAI
,I h�reby aHIfT thLt I am IICenSetl untlCf PfovISlOni OI ChallBf 9(cOm- � ,
ma�xing with section 7000) of OIvlSion 3 of .Na - Buzinass 'antl -❑ pTHER- '' �'
�Ro(essions Coae, �ana m�y Ilcense Is in full (orce a etlecL �I '
,License CI ss " �� tense lo. "'PROJECT DESCRIPTION
SQ. FT_ }.
Date ' - - Signature �, ' - " - ' "
�WORKE 5' COMPENSATION DECLARATION _ OCCUPANCV �^_CONSTRVGTION TYPE_
�I hereby aHirm that I have a cert�(icate ot consent to selt-insura or a c�
terHfifate of-Workerz' Compensation_Insurance, or a ceriifietl copY. .,VAWATION � ZONE _.
�thereof (Sectlon 3800 b. G.�. . 0/ GRADING CU. yDS. �� ACRES
o�•qcY�No: ' CompanY _ .4.E�C � _ ' ' ' '_ _ _ "
:ertlfiltl copy Is �hereby furnishatl. _ _ � REMARI(5: � �, ,
.:ertlfieC copy is fileU with the c�ty Builtling Division. , ,
EXEMPTION FROM'WORKERS''COMPENSATION-DEC6ARATION - - -� --
� Th15 5¢CtlOn neetl not be complet¢tl if [be p¢�mit IS to� one huntlr¢tl ��• • '
�E300)'or lessl. � _'- _ - . _ .. _ '_. " ._ _ _ ' _ _ .. _ _ .. �{.. ` __. _ __
Certiry lhdt in tne performance o{ tha work tor which [his permit is
155uetl, I-snall'nOt emPloy any p¢rson In'any-manner so as'to'be<ome 'PCUMBING „ PLAN CHECK �'��- - - --
�subject to the Workers Compensation Laws of Ulitornia. ' _
Date Signature � �BATHTVBS -' ' ' SHOWERS "'
�NOTICE: If after making this declaration, you shoultl betome sub�ect •TOILETS,., �; „ -URINALS-- J "
to the Workers' Compensatlon proyisions o( the Labor CoOe, you must �- �
forthwith comply wilth such provis�ons or this permit shall be tleemetl �AVATORIES DOUBIE LAVS � - ���-
revoketl. . .. . -KIT:SINKS' '- -DISHWASHERS
CONSTRUCTION LENDING AGENCV
I he�¢by a1�i�m [hat therC is a conStruCtiOn lentling a9enGy tOr tne p¢rv SERV ICE $INK$ �, SUMPS •�-- - '-'
formance oi tbe work for whlch this permit is issuetl (Sectlon 3097
�Civ: CJ. . -- -- ---- ^ — -- - � - - -- -- 'FCOOR"SINKS "' ' FCOOR ORAI i '
�Lentler's Name
�Lentler'S ACCren � � - � � � - ' 00.1NKINGFOUNTAINS ^'�� -- -" -' - - --
OWNER BUILDER•DECLARATION - 'WTERCEPTORS "-- - CL"ARIFIERS� - -'
I nareby a/iirm that 1 am exempt trom tne Con[ractor's Licanu Law tor
the tollowin9.reaton (Soctlon ]031.5 Buslneu antl Pro/nizions.Cotle:. -SWIMMING POOL • --P TRAP -- - b- � - �
Any tl[y or COunty which reqy�/e5 d permit to cOni[ruct, alter,
improve,-damolls��or repair any�sbu<ture,•prior to.its Issuance,�also re• � WpTER SERVtCE ^� 'ALTERATION
qulres lM10 ap�.liwn[ lor such permi� to filo a slgnetl 5tatement tnat he
Iz.li[ensetl oursuant lo the-0fovlslons o1.Ihe�Contrdttof.'s-Llcania Ldw� -n,.e e�e....,� - - ..� �r� v�ra - - -- - -
_ , as owncr ot ine property,-oY my amPtoyeei wlth'wageras their
f10( dODIY LO dn
through his own employees, proviaetl that such Improvem¢nts aro not
r I II �o I in or Im rovemont'
IntCntletl ar o(fcr¢tl lo Sd o. , w¢v¢r, the'bW O g P
Is Soltl wilhin one year ol complet�on, lh0 owner will have the burtlOn
OI provin9 FI� tlitl" nOt "bulltl Or ITplove tOr Ibe purp05¢ 01 Sd�e).
❑.I, as.owner ot,the proPerty, am oxclusively.conlractinq_with
Iicensetl tontractors to consUuct the projecc (Sectlon 7044, Businest
antl,Protessioni Cotle: Tne.ConlydCtor75 LlcenS¢ Law tloGS noLappty [o
an owner ol prope�ty who builtls o� ImprOves lhe�eon, antl who COn-
traGts t�om zucn prOj¢<ts witn a,�ontractm�s),Ilcesnetl purSUanl,t0.
tne Contra<tor's lJcense Law�.
� I'am'¢xempt untlerSeGlbm - B. 6�P: Gtor thi5'
I
roazon.
Date Owner
Ihat I hav¢ r¢atl this appllUtion anG
mrrect. I'a9ree to �mply with �
s[ale laws rolaling l0 cons[ruction, a
01-t�is-ci�y to"lnte� upon thG
WH7ER HEATERS� -- BTU OUTPUI
SEWERCONNECTIONS�-' •-
SOLARTANK-- - COLLECTOR
SOLAR PIPING'SVS. - '
ISSVE'FEE' " �,
MECHANICAL PLAN CHECP
HEATING SVSTEM 0-100,000 BTU_
ANDDVCTING ' �00,000�?BTU_
REFRIGERATION 0-100,0008TU_
SVSTEM � ' ' 100,000 f BTU_
SVSTEM REPAIR,ALTERAT.ION
EXHAUSTSVSTEM MULTIPLE
c
�
�
Drivers'Lice��$ -� �- - �SSUEFEE _- ___ .. -- -
CMF 0865-46 White-Builtling; Canary-Applicant: Pink-AccounHng; Goltlenrotl-Asussor
H
, ,,y � . . . . � . . .
� - =- � 5419 8/05/82 �' 6.00 TL
N
H.P. i . .. _ " '
ZONE - " PLNG.,REF. yp . "- -"
�L� - . - TO BVILDING _ - - ...
0
��I�HT...... _ "' ' ' _ ' '
� REAR VARO-(TO P/LI �. .. .. ^' . "
�
� PKG. SPACE REp: - PROVIDED. , ' �
STREET WIDTFI ' "— PARK'FEE $' ' -
ZONING'APPROVEDBY -- DATE - - � �--
'SPECIACCONDITIONS: � - " '-� - - '
._" _� _' � ' "_ � _ "' " ' ' �
. �.� . . . -� .
j'�."�•� r.''�l�.r'�i .I��
EIECTRICAL -- ----a�iinrcr�ECK--� - � -- -
SO.FT. 50_FT_
�GENERATOR� - 0=3 KW'_ 1. 30'KW "" -'-- " '
.TRANSFORMER , . v �,; �. � ? - ' �
�'APPI'IANCE' - -30-50 KW=50 +�KW- � - - - - -
'MOTORS -- p-1'HP-_1-30 HP ' -- - -
�.(INC..SOLAR)_ _30-SOHP_SO.+HP ��' � '.� __ .�
1
FIXTURES- �-OUTL•ETS '-SWITCHES• - �
±
�GAS-FUBESIGNS - - - �---- -
�POLE•LIGHTS" '- - -' ----' " ' ' ' ' 1
'POCES � ' METERED -SUB` -
GANELS -- � MqIN - - ��SUB - - - -
�SERVICE.. .- "' . .. . --AMP . ".
� _.. _ -. " " ' '" " �. . � . _ ' "' '
�
f-•------- ^ — - -- —a
-• ISSUE FEE - - -- - - - � - � - - �
t
:APPLICATIONAPPROVEDBV ----DATE-----
� SUMMARV OFFEES � � �j
�BVIIDING� ' ' _-_' '_ .. �.�1�• � r�� i
'PERMIT S SMIP. • S �
;PLAN CHECK =� PERMIT . �
iGLUMBING = ��ISSUANCE E
�`�GRADING E �
PIANCNECK E -� �� . . -
•E�ECTRICAC S ' - ' •.. . -'. E '
- � •'MICROFILM S • I
PLAN CHECK- -§ , - � - � , -
MECHANICAL �E - � - TOTAL FEE E -
PLAN CHECK=�S ^ _ 'LE55 AD- 1.
-'VANCEPC' S_'- ' �
• " i!' ', � . _11 �
� �V'
FINALFEE S�I�C_
CONSTRUCTION AND PLANNING POOL & SPA • � �
Qd Date Inspector qppROVALS � � Permit # Date - Inspector
APPROVALS . � Permit # �� -
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - � � ' -
2. Soi ipe-Undrgm � '- � 44. Steel Reinforcement ' � � ' �
3. Electrical Conduit.Utility-Undrgrn 45. Forms �
�. 4. Electrical Conduit-Undrgr� 46. E�ectrical Bonding - - •
. tee em orce � 47. Rou h Plumbin & Pressure Test ` - '� �
6.._ Electr.ical UFER Grn � 48. APPROVALTO COVER-GUNITE ` `'
7. ooLngs -� 49. Electrical Conduit-Undr m � � �
- 8. -Foundation ' 50. Gas Pipe, � 0 Undr rn, IeSi.. .�
- 9. Water Pipe-Undrgrn 51. Backwash Lines P- ra .❑ ndr�m -� -
�.10. Str,uctural Floor SYstem, 52. APPROVAL TO DECK �- -- "
11. . Property Sewer Line & House Connection ' ' 53. Backwash & Rece tor-Final. ' •
� _72. - Street Sewer Connection � - ' - - � � 54.- Heater & Ven[-Final \ � �
. 13. Rough.Piumbing ' ` - ' ' -
14. Rough ElectricConduit - • � � � � �56.' Electrical•Final - �
+ 15. Rou h Electric-Wiring ' - " ' 57. ' Solar System-Final - �
� i6. - Rough Heating & Air Conditioning ' - - - " - • encing & Access Approval . ��� �
17: - Ducts in Structure -- , = ' .APPROVED POR PLASTERING - -
- 18. - Ducti, Ventilating - � � � � - - '' ..
19. Gas Pipe-Rough & Test • - 60. POOUSPA SYSTEMS FINAL •
� 20. - Roof Framing � � - - - � � - - - t - �- - - � • ` ' � ' '
. 27. Roof Sheatfiin � � ` - - -- - � - - � • � ' � �' � -
22. - Frame and Flashin � - - -- - - �- . . NOTES: • - _ . � � � � .
� 23: Insulation- - - - - -- - - � � - - � � � -
24. Lathing & Siding - - - � - - - - - - -- - - -• -
� 25'. Drywall Nailin9 - - � - ' � - - - - �- � �
26. �Plaster Brown Coat � ' ' - - - - ' '- - - � � � � �
27. - Electrical Power Meter-Final -- -• � ' - - � ' ' �
-28.- �Final Electric - - �- - - - � �• � � -- - � ' ' � - �
29. Final Heating & Air� Conditioning- - -- � � - � - - � • •
, 30. Final Gas Pipe-Test - -- - � - - � - �- - -� � � � �
: -31: Final Plumbing- � - - - �' ' ' - - �
32. Water Service-Final - � .� , : .. ' - ' �
33. Gas Service-Final - - - � - � ' � �
34. Solar pomestic-Final ' � ' � �
' 35. Landsca e S rinklin S stem � � - �� '
36`. � Sound Attenuation ' � � - � ' �
: 37. Handicap Regulations • • ' - � - • � � �
38. FINALSTRUCTURE&BUILDING ' � - ' '
39. Special Requirements Completed ' " ' � �
, 40. Electric Release to Edison �
' 41 . Gas Release�to Southem California Gas Co. � � � • '
42. , CERTIFICATE OF OCCUPANCY - � � - - �
~ No Date " ' . . .
+ ��t' -5'�%�y��OO 154+'� �+**�43.10
fi 3 B �
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECE D 8 DA/TE R CEIVED D TE 1 SUED
BUILDING (p ' �'�- � % Z
ADDflESS � � ST (Y
�— PERf� �R�.
QWNER �' G CORSI�JC�IOe. CO. .NO.II%'�J �r—�4—Y
MAII BUILDING �q �T
Z .
ADDRESS Z� O O �I" SO W [� ADORES �
Ww
d U CITV TEL. TRACT LOT BIOCK
� Z CO a P No.S O O
Z Q CONSTRUCTION W D P
ON �ENDEFl
d m
J � BRANCH
J � OWNER
m J ADDRE55 VALUE
ARCHITECT TEL. S $
J� R ENGINEEfl �S P N L
U Q FIRE
W Q AODRESS ]� L p�,y � �ONE • TVPE GiiOUP .� � �
JO CONTRACTOR �%QhIN a¢ IOL. N IIV G ip• ByPROVE DATE ^
m Z •� ^
w w ADDRESS �OO N. W O E f Z�N NO.OF USE OF NEW c{�j-i
z� CITY P� pr f P� NO. Z IV II P�� �� BUILDING � �
w � STATE �� � � CITV �'ARDS APPROVED VARDS APPRO ED
N Q lIC. NO. � LIC. NO. MAIN BUILDING ACCESSORY BUILDING
' 7 � SI2E (FFOM GL STREET)
OF LOT S /� NO.OF BLDGS. /� �
. yo x�o,. o NOW ON LOT RONT �/FT. FT.
VSE OF
FXI5TING BIDG. � SFT. FT
F 312E OF NO. OF
z NEwa�o�. S63 ROOMS STORIES � L.SIDE FT. FT.
U BXTERIOR WALL {—VGGO R��F 1N � FT. FT. �
COVERING S/ COVERING S�' IP REAF�� _
� USE OF BUILOING AND W RK T BE PEPFORMEO DISTANCE BET. BET. MAIN &
p, ' J IH MAIN BlDGS. ACCESS. BLOGS.
Q VARaIE DATE
O G.V.P.# /� APPROVED '
!n �W E c pL —
O H SPE fAL RE UIREMcIvTS
VI heraby acknowletlge that I have reatl this apPlicetion antl state
� ihat the above intormation is corract and agree to comply wlth
� all laws regulating buildinB �onsttuction, antl 1 shall mt employ
F dny person in violation of the workmen's compansation Inws of
(A the Sta[a of Calitarnia. /� /� ro
? I hereb cer[if thot I am T. 3� "'/'� o
V y prOpGrly licensetl ai e cOnbactor under
��e Stare of Californla Businass antl Protessions e, Dlvbicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR �
Chapter 9, antl Met such licenses are in f�ll f ee d effect, o� 1 THE PVRP�E OF ESTABLISHING A PERMIT FEE ONLY: m
am exempt fr the provisions of the Sroro of Call ornia Business �
-0ntl Professio ode, Divi ' 3, Chapter 9. / VALUATION m
PERMIT FEE S �
Slpnature of �� l O /�// Q m
permittee �T�+--�� $ 7 G PLAN CHECK $ T-/�-� E
� o
AuMorizetl t
LL
TOTAL FEE §
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�1697
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant ro Fill in Completely
ADOFESS T� • ` • ��+ " �
OWNER � ('� �j,V�J...LJS
CITV
BRANCH
ADDRESS
ARCHITECT
ADDfiESS ['j
CONTRACTOR �
ADDRESS
CITV
STATE
LIC. NO.
SIZE
OF LOT
USE OF
EXISfING BLOG.
SIZE OF
NEW BLOG.
EXTERIOR WALL
COVERING
USE OF BVILOING
TEL.
NO.
TE
TEL.
NO.
CITV
LIC. NO.
INO.O BLF�
NOW ON LOT
NO.OF
ROOMS 5T01
ROOF
COVERING
RK TO BE PERFORMED
� �xT �ti
APR 20-7GPAIoO01157# �*�*3�.00
cr+sa
APPLICATION FOR BUILDING PERMIT
PECEI ED Bv DATE RECEIVED DATE ISSUEI
�i'i� -aU- a ��..a��.
A.P. NO. �d /� O P RMIQ4 :
au��owc L 9�+i'Y•/7"" TCJ-V+-«-/`-
ADDRESS D
TRACT �dQ LOT / BLOCK
FIRE �
20NE �.
APPflOVED
ZO NO.OF�
�i PLAN�
VARDS APPROVED
MAIN BUILDING
(FROM C/L STREETL
OISTANCE BET
MAIN BLDGS.
VAR. 5W
C.U.P.a@
I hereby acknowledge that I have reed [his application antl smte
the[ [he above information is corract antl apree to comply wlih
all lews regulating builtling conrtruction, and I shall not employ
any person in violation of the workmen's comp¢nzation laws of
the State of California.
I heraby carti(y thai l em properly Iicansetl az a contrector unGer SQ. FT.
tha State of California Buciness enE Profauions Cotle, Oivtslcn 3, THE AMOUNT 51
Chapter 9, antl that such licanus are In full force and aitect, or 1 THE PURPO6E OF
om ezempt (rom the provisions o� the Stote of California Bustnoss VALVATION
entl ProtesslOns Cotle, Divlsion Chaptar 9.
Sipnet�re of //� ��J w A
Permittee ��� �� 5 /}/� ��`V
I . � _/i// � ./�/% /VVV
GROUP � �
1 DATE '�� ^ � ' `
JSE OF NE ' �
y� o c
VARDSAPPROVED �
ACCESSORV BUILDING
FT. 1 ,
v�
FT.
FT.
C FT. �-
BET. MAIN $
ACCE�. BLOGS.
DATE
m
e
d
VALUATION IS FOR '
A PERMIT FEE ONLV: b
¢
E S�0 • U � r'
K$ /D• U� e
`a
S 30. od "