HomeMy WebLinkAbout441 19TH ST - Building Permits�
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eer nooeess�i 9 9 1 E 19 TH ST
WNEfl'SNAMF: SMITH, ANDREW P
h aooxess: 441 E 19TH ST
� COSTA MESA,CA
� 548-2712
pi.:M/ENGINEEN:
FDDNESS:
UNIT:
92627
HEG.NO.:
UNIT:
PENMITTEE: R, U. ROOFING (719 ) 53$-8907
ADOflE55: 1221 ALLWOOD CIR
ANAHEIM CA 92807
LICENSEU CONTqpLTOB oEClANA710N: � �ereEy allirm Nat I am licensee un0er o�ovisions ol CnaD�er 9lcommencinq witn SectiOn
' 70D0� at Oivisdl 3 0l I�e Business an0 Profe55i0ns Coae, an0 rtry licen5e is in tull torce anU efiec�.
cmuc.:0�5379 sTnTeuc.:460575 �cw C
Date: �/�l3��9y - SipnaNre: � _ _
WOflKEBS COMPENSATION DEClABA7lON: I herebyallirm tna� I nave a cenificate ol consent lo se��-�nsure or a certiliUte al worker5'
� Campensation sw�yc9,y i ilieG py Inereal I�cUon 3800, La�.
POLILY NO.: � L 7 0 4 b� 7� E%P. UATE: 9 I O S/ 9 9
! cornvnNr: STAT E FUND
� Cendiea covY �s nereGy lumisned. L� CBrtilied COOY 15IiI0G wilh �he tin /Bynaine hrs_�ion./
Oate: ApoliWnt: ��G'GG� / �
EXEMP710N OMWOPIIEBS'fAMPEN5ATI0N0EtUIlAT10N: (Thusec6onneednoi0ecomqetedi epe«t'a eAunCrN�5100�or1e55�.
I ceni�y Inal in Ihe pedarmance ol i�e wor4 �or whic� I�is permil is issueA, I sAall not employ any Oerson in any manner so as to hecome
sublec� lo �Ae Vbrker5' CAm0en5ation LaWs ol Calilomia,
Dale: Siqnalure:
NOTICE: II. afler making Ihis declaration, you s�oul� �ecome sublat� �o l�e Work¢rs' Compen5aiian provisions of Ihe La�or
Catle. y0u musl lonhwit� comD�Y m�� suc� pmvisions a� t�is permit sAall Ge deemed revoked.
COk$TBUCTION LENOING RGENCY: I �E�aby ailirm tlwl ihere is a wnsVuciion lentling aAency lar I�e petlormance ol �he wo�k lo�
w�ic� this permit is issueE (Seclion 3097. Gv. C�.
IFNOEP: ����.� �. o i n vn., `.F.
ADOPESS: ��,►� y
OWNEB BUILOEH OECLAMTION: I heretlY allirm Ihai 1 am eeempl Imm Ihe Conlraciors Stale License Law Ior ihe I011owin0 �eason
(Seciion 703L5 Busineu antl Pmlessional CoGe: Any city ol county w�ich repuires a permit �o con5imct, alter, improve, tlemolis�, or
repai� any simtlure. pnor Io ii5 i55wn[e. also repuirtSlAe applican� lar Sut� p¢lmii Io lile a 5igne0 S�atemen� �ha� he/She 5litensed
Dursuant to Ore D��sions ol ihe tonvactors' State License law (CtwD�er 9(wmmencing with Section 7000) oi Oivivon 3 ai t�e Business
an0 Pmlessions Cotle� or Ihai �Pls�e i5 eKemD� �herelmm an0 ��e basis lor Ilie alle0ea exemption. pny violation of Section 70.31.5 �y
any apPlicant for a permi� Subleci5 Ihe app��cant Io a civil penalty ol not more Nan live hun4reJ dollars (5500�.
I. az ownet ol ihe proDeny o� mY emol0yee5 witn wages as N¢ir Sole compensaiion, will tla tne work. antl tne
❑ slrucmre is noi in�enaetl or ailereG �Or sale (Seaion 70aa, Business antl Pro�essional Coae: ihe Coniracmrs' State license Law
Eoes mt apph/ to an ovmeral a propeny wlw builEs orimprovest�ere0n, an0 wAo Eoes su�h work himself/herself orihroug�
his ot �er own employees. DmviE84 itul suc� improvemenis are not intenAed or otleretl fa� ule. If. Iwwever tAe buildinp or
im0�wement is solA xil�in one ye9� ol cam0letion. I�e owne� will have I�e Duraen af pmving �eh�e Aitl not builA or imprme
lor ine purpose at Shce�.
� I, as owner of t�e pmpeny, am eeclusiveN cantactinq m�� IicenseA comranors m cons�mci Ihe pmjeci (Section 7044, Business
❑ ana Prolessims COEe: Tne Conta4�at5 State License law Uces not apDN �o an ovme� 01 propetty who bNlds or improves ihereon
ana who contracis lor sucn o�olecls vnlli a coniractorls) littnse purwant ta ihe COntractar5' Slate License Law�. I am awdre
I�at D��� o� 1�¢ir Worker'S CompCnSaiion insuranro S�aWU �e prmiGeE �o me.
� I am exemp� unOer Sec�ion: B. 8 P. C.
loi I�is reason:
Date: Q,vner.
I 0o hereGy ceaAy Inai I am aware oI an0 unUer5lan0 ��e roQuirtments al Ca0lomia Heali� an0 Sa�ety COUe Secii0n5 25505, 25573, an0
2553d andt�atlor any luture buil0inp acuVanlwilV_Ilnot�circle one�needlo comply wit� saitl slate mCes antltlle repuiremenisfota
.Oe�mil lor consiNction or mOUilicaiion iron� t�e Air Oualiiy Manapemeni Dislrici. Residential consVuc�ion aDDlicaiions are exemD� �mm
tnese o«+sions,
Da�e: Applicant:
I �¢reDy rerlityi�at I�ave reaa I�is appliCalion an0 Siale I�al I�e abOveinlOrmalionis tofretl.l aA�¢e b�omply vrilh allciiy an0 toun�y
ortlinance5an4s1atelawsrelatinplo0uil0ingcanslmclionanahere0yauthorize�epresentativ 5ofthi5ciry�oen�eru0o teaGov¢�mentionetl
O�operiy lor ins0 bon pW oses,
6
Date�� l� Sipnamre:
od�e�'s ���se o� sociai secudty rr:
i6nba6 WM1ite—Builtlmg: G�aon—Cotlo EnlorcamunL Cenary—AppliwnL Pink—Revenua; GalOenroa—Agsessor
CITY OF CC�STA MESA — BUILDING PERMIT PERM NO: B 06641C
PERMIT NO: B 066410 PLAN CI-IECK NO; N GOVT; N SUPP: N
CONSTRUCTZON TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION : T/O ROCK S APPLY A NEW COMP ROOF6 H.U, SQ FT; 5,263
CLAIM VALUE: 5,263.00 CALC—VALUE: 5,263.00 GROUP OCC: A-3 /M-1
COMMENTS: SMOKE DET REQ PER 91UBC, REROOF 3500SF FLAT W/BU SLnPED W/('f1MP S
�**������**,�*�****�*��*�����**����***�.***�**��.***���****�*S�fOKE'�i}��
Z O N I N GS ERTEB�AUCIKRSE M E N T S
REQU{R�
------------ MAIN BUILDING ---------- --------- ACCESSORY BUZLDING --------- ..•
FRNT: FT IN REAR: FT IN FRNT: FT IN REAA; FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING RBQ: PROV: PARCEL: 11734132 ZNE: REF NO:
PLANNING NOTES>
>.
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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 APPROC�ED BY DATE:
HUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: DATE: 3I �'S—'r1h
aEifiEitif�EMitiEiFltiF#f#FittEiEffiEiFlEiE , iF7r 1(�if1ElEkkkkiElE3F�E`�-�'�i�-ll-if
1E i6 k%1f 4 if i4 iE iP iE iF IE iE if if iF if if if if i! iE iF * if �E �f 1E if iE iE iF iE if iE ff iE iE If it if If it ii iE 1F i! iE iE iF iE it iF if if 1F 1E if iF 14lE it k iE if iE iE if iF if iF iE iF if iF iE it if
LEGALIZATION":N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECFiANIC FIRE SMIP/RES GRADING
PERMIT f31.00 .53
� SMIP/NON—RES
PLAN -,
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 81,53 0.00 . 0.00
TOTAL PAID - DUE
81.53 81.53 .00
REC�ENUE DIVISION TOTALS--> COLLECTED: 81.53 OVER/SHORT: .00
BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
81.00 .53
�f iE iE iE �E iF i?f ik if iF iE 1t iF if if iE if iF it iE � f� iE iE if iF iF �(-{E if if iE if 3F if iE iF fElF iE iF 9f iF 1f if if !t iE iE if iF iE?F if 9f K+k i� iF � iR i� ff iE if iF if ?F iE iE iF iE 1E if if if it 1E
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 UNIT COST TOTAL COST
SFR 5263 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 5,263.00
END OF FEES
oi OD1572�5-00157226 T O T B1.S3
DATEa ��/1�/9S TIME� 14:53 _
J t i
. ��� .
P001 PA
,y„ _ CTION ANp PLANNING Date Inspector Date Inspector
APPROVALS Permit# , APPROVALS Permit,$
�. Temporary Electrical Service or Pole � 52. Pool & Equipment Location .
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility•Undrgrnd. 54. Forms
4. Elecrrical Conduit-Untlrgmd. 55. Electrical Bonding
5. Steel Reinforcement '� 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnq. I 57. APPROVAL TO COVER�GUNITE
7. Footings ; 58. Electrical Conduit-Undrgrnd.
$. Foundation I 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P•Trap, O Undrgrnd.
10. Strucmral Floor System � 61. APPROVAL TO DECK -
17. Property Sewer Line $� House Connection 62. Backwash & Receptor-Final "
12. Sewer Cap � � 63. Heatet & Vent-Final
13. Roof Orains " 64. Plumbing System - F�nal
14. Rough Plumbing , � 65. E�ectricai-Final
15. Fiough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wirin9 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOVSPA SYSTEMS FINAL
19. Rough Heati�g & Air Conditioning FIRE DEPT. RE�UIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Oucts, in Structure 70. Undergrountl Hydro
22. Ducts, Ventilating 71. Product Piping OGas OOiI
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Framing �� 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 3�G 74. Overhead Hydro �
26. 7-Bar Ceiting (Structuralj & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insu�ation 76. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. RE�UIREMENT
37. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Finai 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:,v0 Q+ti ��G 3/��� I��
34. Finai Heating & Air Conditioning �
35. Final Gas Pipe�Test
36. Hood or Canopy
37. Final Factory Fireplace i
38. Final Plumbing ' �
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preven[er
43. Backflow Irrigation � .
44. landscape IrrigationSystem
45. Sound Attenuatio��'
46. Handicap RegulatioR3 ' 4�
47. FINAL STRUCTIiRE &�@i11LDING //l�ry � ^
48.FINALPLANNINa� �:�
� � g�- -
49. Electric Release toyEdis�iT'
50. Gas Release to So�!fiern California Gas Co
51. CERTIFICATEO�. CCUPANCY
No._ �� Date
,, 25366
� COSTA MESA BUILDINCrSAFETY DEPARTMENT
P• O. BO% 1200 - COSTA MeSA, CALIFORNIA 920E0
�
For Appllcant ro FIII In Complefa�y
TYPE OR PRINT
a�,�,No44i �. �R s�.
ADDRHSD
COSTA ME3A. CALIFORNIA
owNeR }t ✓IC� V L. W � S/Y� �
ADDRB80 ��I " ' I� J��
cirv �d SiA M Q S0. No �8z
�--NITECT %�j���� TQLS/[��
NGWEHR •y ND. TU��
�Od K / 3�.' iv r"�o°'v
OBLD0. �S/OE"NCE
unirnor �TT se.e.
DESCRIPTION OP WORK
� E%TERIOR
t NmimY ACKNOWL[D06 TIAT I NAV[
AND 8iAT8 TNAT TN[ ApOV6 IY CORR/
r�r w�n� wu c�n oap nwew wno �
BU�LDINO CON9TRpR QI . '
SIGNATVREOr
PERMITTB
AUTH0111ZiD AOHNT
�G'6�
,_ .,
�
APPROV[D
CITY OF CDSTA MESA
MAR 9 1966
APPII�� �IT
•uw
R[Ci1R NO.
YARDDAPPROVHD
MAIN BU�LD�NO
!r
••Y�[OIM V �
eu n o � i p
V!
9. 7-'Fz� s ��F �
3�/-3Y �
sxwu ee �cee rH�H O
�
(U.B.C.REQUIRHMBNT)
YARDBMPROVfiD I 1 �
ACC6II80RY BUILDINO � �
`4_..
DATB
�L
A �l �eo. rr. --
TH[ 11YOUNT ONOWN UHDHIi VALUATION IB POP TH[
�UHP08[ OP i9TA8LI8NIN0 A P6RM�T I88 ONLY.
vw�uwr�on p� -
PERMIT F8H
s�23� . �
/ TOTAL FEH �V
a
ro
�
�
0
�
mp
C
w,
25522
,
COSTA MESA BUILDING-SAFETY DEPARTMENT
` P.O. BOX 7200 COSTA MESA� CALIFORNIA BZEZO
For ApplimM to Fl11 In Complsroly
'fYPE OR PRINT
RUfLDINO /y� I -C. . � s' �.-
ADDRH8G "T
COSTA MESA, CALIFORNIA
ownen Q i'1Ci i 2 W 'I'��/1M1 17y.
MAIL ,�' E. j%,t 7�'� S 1
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UG-/C Np
KL' �SiJ/LD.0
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NO.
'- 63 �o. o.
NOW o
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eere�eK uHs mor
DESCRIPTION OP WORK
WALL
1 N[H6lV ACKNOWLtDO�
ANO 8TAT6 T1UT T1i A!
r�r w�n, e�L e�rr op
GUILOINO CONBTRY
HI6NATUNCOP
raneurre•
AUTHORIZ[D A6[N7
�
JUL 18-66 00 9�50�***�13.50
MPLICATION POR PERMR
BUILDIN6
for Offlc� Ur� Only
ZONING �
m��R � �o.o. �.�o.��,�
�un� eunwxa u—
tsa�� ,r�. . 0 �i �.- ._ ,.`-�_."'�+.�'�7"
A. P. NO. / / / "" i �/ / — .7 f�
N0T6: NO EAVH OVERHANO 6NALL BH LQ6H THAN
DO• TO BIDH a REAR P. L
EAVEH
ALLOWBD (U.B.C.RBGUIRHMQNT7
YARDfMPROV[D YARDSAPPROVBD
MAINBUILDINO AGCH880RYBUILDINO
v�n.4t
DAT6
e
70V8RIN0 F'�''G'K l K�� DAT[ �
TO�B[ RFOR �D p,
9 A � ra
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n�[ wrouxr YxowN unnsn vwwAnoM �e rort n1a �
MAV6 RfAD'MI� APMJGTON ^
MRR6R AND AO YO CAY• �Aroel 01 ffTAGLIGXINO A P6RYIT �8{ ONLY, j
'�nn �r�n �ww� auunho vwwwnon � QO 5
,�,��f ` PHRMITFE6 E
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