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Home My WebLink About466 19TH ST - Building PermitsApO��ant lo flll in all spaces exCaO< <hosa wlt�in �eavy GorOer Iines anE sign all apP�ap�late Oeclantions. CI7Y oF COS7A MESA CONST/R��TIcQN PE MIT Project Address �� I"� V�� - Applicant's Mailing Aq�"-�d�r��ss/�� YY� ��-� Owner's Name �1..� ��- 'nV�` Phonel6.]i—�—<`� Addreu 4(�o F'• I�I�SE.�CMq2627(lvs)21�+4G3•fo� ArchlEng. License No. Addresz Contrnctor's Nam hone Address (rn '�' .,� -�� City license NO. LICENSED CONTRACTOR DECLARATION I hereby atfirm that I am licensed unGe� provisions of Charte� 9(commencing witn sectlon 7000) of Division 3 of the Business antl Profeizions Cotle, antl my Iicense iz in full tor�¢ antl effect. Liconse Clazs LicenSe No. Date Signaluro WORKERS' COMPENSATION DECLARATION I hereby altirm lha[ I have a cartlllcate of consent to Selbinsura or a terlHiwte WOrkerS' Compen;it(On Insurante, or a cart(fittl copy IhGroof (SecHon D, Ldb. C.) . reiicy No. Company 8 Certifietl coOY is hereDy turNshed. Certifietl copy is filed with tne <ity Builtling DlviSion. Oate Applicanl E%EMPTION FROM WORKERS' COMPENSATION DECLARATION (This section nee� not be completetl it the permit is for one huntlree ($100) or IC55). I ce�liiy Ihal in th¢ pe�fo�manco o� the wovk (o� whiCh this pe�rtl�t is IssUetl I shall not amplOy any p¢�Son In any Ta � so a eco t to t�10 Workc s• e n Laws o/ Cali r Date S�9�ature NOTICE: If, all r ma Ing ihis tlatlard ' n, you ShoUld bacome Subject to lhB Workers' Compensatiqn Drovislons of lne Labor Code, you must torlhwith comply wiM suc� p�ovfstons or tnis permit s�all be aeemeC revokea. CONSTRUGTION LfNDING AGENCV. 1 hereby affirm that there iz a constructlon lentlin9 agency for tne oerformance pf the work tor which tnis permit it issuea (5ettion 309� Civ. C.) 1_GnUer's Name Lentler'i Atltlress - OWNER BUILDER DECLARATION I h¢raby aHlrm tha[ I am exempt trom the Contractor'S License Law for tne followin9 reason (Secrion �031.5 Businoss antl Protesslonal Cotlo: Any clty or munlv wnith reauires a oermil lo construct, alter, improva, tlemolish or repai •relrom ana ene oaAs �or �na auegao ezemyuon. ny v 31.5 Dy any applicant 1or d Permit subjeCtS the aoD��ant to a civil nalty o1 nol more than tive huntlretl tlo�larz (E500). L.� I, as owner of tAe praperty or my emPloyeas with wages as thetr sole compensation, will tl0 the work, ana the structure is not IntenOetl or.offeretl lo� saio (Seclion 7044, Busine55 antl Professional Cotla: The Contractor's Licenu I�w tloes not apply to an owner of a property wno builEs or improves thereon, antl who aoes such work himselt/herself or through hls or her own em01oy ees, provitletl (hat suth improvements are not in[endetl or offeretl for saie. II, howaveq the bulltling ar improvement Is soltl witnin ono yoar of com- plallon, t�e Owner wlll hava tho burtlen Of prOving he/Sh0 tlltl not bulltl o� Im- �rova �or the purposo p1 sale). ❑ 1, as owner of lhe property, am exUusivety contracting with Iicansetl con- tra<tors lo construct the project ISectlon 7044, Businoss antl Professions Cotle: The ConVactor's License law doei not aOP�Y �O an Owner of proper[y wno Euiltls or ImProv¢5 ther¢on. antl who tontracts fof SUcn Or01lCts wlth a con- tractor�51 I�cense purbuant to tne ConVactoPs LICenS¢ Ldw). I dm awale thai �pr o� of their Worke�'s COmpe [IO suranG¢ shoulG be p�oviCetl t0 me. I am exempt untle� 5¢�[ipn--�-�— B. 8 P. C. for this reason Date Owner � i nn.ebv rertifv �that i have raaC Inis aoa��cation antl state that the above Signature E3 S L 6 3 I I I TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTH DESCRIPTION OF WORK/Ug Ep F B DG. T�% U�LC�� 'i0 O�e�.ti�.QQ "f' l,�lea 1l �t�' i' oa2c�EC' TVPE OF RMIT GRADING FOUNDATION STRUCTV RAL ❑ TENANT � ELECTRICAL ❑ PLVMBING �❑ MECHANICAL ❑ OTHER PRQIECT DESCRIPTION 5�. FT. oCCUPANCY� CONSTRUCTIONTVPE ��ATION$ 20NE GRADINGCU.YDS. ACRES Remarks: � Z ¢ /� .�'z 3ar Sink 3ackilow Preventer 3ackflow Irrigation 3athtubs Clarifiers Dishovasher Drinking FOuntains FlOor Draini Floor Sinks GasService OuUets Interceptors Kiichen Sink Levatories P-Trap Roof Orains Reinspection Fee $15 Bailer Ouct - Under Ground Exhaust System ❑ Multiple Firep�/Fact. Blt. iC80 # Heating System & Duc[ing ❑0.100,000 BTU 0100,000 Reinspection Fea � $15 0865�46, rev. 5/BB White - BuilNng; Canary - ApP��dnp Plnk - ACCOUntlpg; GOItlOn�Otl - Assesso� ShoWers Service Sink Sewer Cep Sewer Connection Salar Collectors Soler Piping Solar Tank Swimmfg Pool w/Spa Water Closet Water Heater Water Service Auto-Wesh Isue Fee IANICAL Hood or Typel ❑ Cenopy Type I I � ietrigeration System �4100,00 BTU ❑100,000 Syst Repair/Alteration ire Dampers Registers Icue Fae A.P. �+ S Main Buildi E T Front B Rear A C Right K Left S' Ping. Ref. qW Planning Notes: Autometic Washer Cons[ruction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Eler� Fan F.A.U. FI%[uf05 Device BOxes OuUets 2one Accessory Building: Parking Req./Provided ELECTRICAL Transtormer ❑ 15-50 KW ❑ 50+KW Me[er Dup to 100amps Meter ❑over 100 amps Sub Panel Motors 00.1 HP � t Yh - 8 Inc.Soiar 09�75 HP �16-15+ Microwave Pole Li9ht Renge Garbage Disposal Standing Sections Generator �0-5 KW �5-15 KW Trash Compactor Reinspection fee � 515 � � Issue Fee $� DEVELOPMEN7SERVICESREOUIREMENTS: Zoning Approved By FEES Building ADProved By � Aoolimtion Issuatl 6v _ _ � . $ 3 SUMMARV OF BUILOING PERMIT $ PLAN CHECK $ PLUMBING S PLAN CHECK 25% $ ELECTRICAL $ C� • OD PLAN CHECK 50% 5 MECHANICAL $ PLAN CHECK 25% $ FEES S SMIP $ PERMIT ISSUANCE $ ENERG�' P.C. $' GRADING $ MICROFILM $ TOTALFEE $ • � � i N G R E Q M T S. oi aacaoe6o-aooafl6so ��T b.CP ��7E: Q4%I7/S9 TItIE: l0�36 CONSTRUCTION AND PLANNING �� P'�` :� APPRDVALS Permit #�_ Date Inspector p�ppROVALS Permit # Date Inspector 1�: Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. 6oil Pipe-Undrgrnd. , 53. Steel Reinforcement -� 3. Electrical Conduit Uti�i[y-Undrgrnd. � 54. Forms ' 4. ;EIR trical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement" 56. Rough Plumbing & Pressure Test �� 6:,'Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE '' � - � 7, Footingi �� 58. Electrical Cortduii-Undrgrnd. ' �! ♦- 8.. Foundation 59. Gas Pipe, 0 Undrgrnd., Test �� '� 9:� Water Pipe�Undrgmd. '% 60. Backwash Lines, P-Trap, O Undrgrnd. • 70:. Structural Floor System - 61. APPROVAL TO DECK 1�1:.Property Sewer Line & House Connection ,� 62. Backwash & Receptor-Final G. a 12. Sewer Cap � 63. Heater & Vent-Final +:, 13. Roof Drains 64. Plumbing System - Final • 14. Rough"Plumbing 65. Electrical-Final 15. Rouqh Electrical-Conduit 66. Solar System-Final 16; Rough Electric Wiring 67. Fencing & Access Approval 17% Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 79. Rough Heating.& Air Conditioning FIRE DEPT. REQUIREMENT � 20i Rough Factory Fireplace � APPROVALS Permit # � � 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating �� 71. Product Piping O Gas ❑ Oil 23. GasPipe,Rough & Test ns 72./Underground Flush �/ , 24. Roof Framing _% � , 73. Undergrnd.Storage Tank O Gas ❑ Oil �� 25. Roof�Sheathing �U � 74. Overhead Hydro . 26. T-Bar Ceiling �Structural) &'Monocoat � 75. Dry Chemical 27. Frame�and Flashing 76. Dry Standpipe 28. lathing & Siding 77. FIXED SYSTEM,FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED � m 33. Final�Electric � . p� Notes: 34. Final Heating & Air Conditioning L� 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace . 38. Final Plumbing 39. Water Service-Final ' 40. Gas Service-Final . �41. Solar. Domestic-Finai � 42. Backflow Preventer � � . % 43. Backflow Irrigation ' ' 44. �Landscape Irrigation System � 45. Sound Attenuation � •• 46. Handicap Regulations ` 47. FINAL STRUCTURE & BUILDING � 48. Special Requirements Completed 49. Electric Release to Edison . i-. r 50. Gas Release to Southern California Gas Co �' ' 51. CERTIFICATE OF OCCUPANCY "" ' �7. No Date } i� �� f � 1 AGOIIcanl t0 fill in all spdces excepl lhos< wll�in heavy Dortlar Ilnas an0 sign a11 aoo�opriata Oeclantions. CITY OF COSTA MESA C(3NSTF�UC N PE MIT P�HM�T NO.�O�� TRACT NQ. LOT NO. UNIT NO. A.P. qY+ Zone �.,;��d,� , y�� . ia�� e�-�, re� �r�. � 3 ]/� S Main Building: Accezzory Building: AppliCant'S Mailing qddreSs � W 27 TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR E T � C • C�—�S' ❑ CONVERSION ❑ DEMOLISH ❑ OTHER 7 FfOnt 0 Owner'sName U � Phone� DESCRI IONc �F WORK/USE� qF BLDG. B Rear N Address '-� 66 F.101 `� C-4te .( %. �� 92627 o T ✓ UO a � � c a� nt N Arch/Eng. Lic2nieN0. TVPEOF�MI�IN FOUNDATION STRUCTURAL � K 9 G Addles5 ❑ TENANT EIECTRICAL ❑ PLVMBING ❑ MECHANICAL g� Left a Contrecmr's Nam Phone � ' ❑ OTHER , Ping. Ref. � Parking ReqJProvided E PROJECT DESCHIPTION 5�. FT. A oCCUPANCv Planning Notes: � Add�esilmailing) CONSTRUCTIONTVPE y-� r`� VAIUATION$ M T Ciry License No. ZONE GRADING CU. VDS. ACRE$ ' g, LICENSED CONTRqCTOR UECLARATION I �ereby ' I am IicenSetl untlar pr0 � artOr 9(COmmencing Rema�kf: wlih T¢CtI00 7000) O U510¢51 d�tl Pf018 5510 0 5 COOl, dOtl my Iicense is in full lor ecL ELECTRICAL .FEES L«e �-�� l.icen PLUMBING fEES Automatic Washer Transformer ❑ 15-50 KW Date 99�ature �WORKERS•COMPENSATIONDECLARATION BarSink Showers COnStructionPolCSub. �SO+KW I hereby affl�m lhdt � hdve a certifiCdtO Of conseYtt to selNnswa O� d Clttlflca[e Workers' Compensa[lon insurance, or a carutiea <ooY �nereor (Section gackflow Preventer Service Sink Cooking Unit Meter up to 100 amps ), Lab. CJ ,i<y No. Company Backflow Irrigation Sewer Cap Dizhwasher Meter ❑over 100 amps 8 Certified copv �s hereby furnishea. Dryers ❑Gas ❑EfecVic Sub Panel Certiliea copy is tiietl with tne city Builaln9 oivision. Bathtubs Sewer Connettion Date ADP��ant Fan Motors 00.1 HP �1 h- 8 E%EMVTION FROM WORKERS' COMPENSATION DECLARATION Cl2fifief5 $Olar ColleCtOrS • -(This section neea nOt be tompletetl ii the permit is (or one huntlretl (5300) or Dishwasher Solar Pipin9 - F"4'U' Ina Solar �9-15 HP 016�15+� iess�. - ' I cmti(y lhat in the periormance oi the work tor which this perm�t I5 issuetl I - Fixtu�CS Shall not ¢mploy a�y pCrzOn In any Tdnq y so a5 bBcom Sub' ct to t{�e Orinking Fountains $Old� Tenk Microwave Worker C P lon Laws o( Calif¢� niq�/ . Data �_Signature 1�.�,�I_� Floor Orains Swi ing Pool w/Spa Device Boxes Pole Light NOTICE: f, a ter makin9 this tletlaratibh Y u s u become sub ect to the Outlets Ran e Workers' Compensation pravisions of tha Labo Cotle, you must /orthwith FIOo� $inks rinal 9 compty wit0 such Drovisions or tbis permlt shall be Oeometl ravokeC. CONSTRUCTION LENDING AGENCV G85S2rviCe OUtl2t5 Wa[2fCloset SWitCh¢5 gj9� I horeby affirm Inal (hew Is a Constructlan Ientling agency for the PerlormdnCB ol tne work tor �ich tnis permlt Is issuaa (Se<tion 3097 Civ. C.) Interceprors Wa[er Heater Garbage Disposal Standing Sections Lenaer's Name - Water Servico Generamr �0.5 KW �5-15 KW Trash Compactor Lonticr's Atltlresz Kitchen Sink OWNER BUILDER DECLARATION I hBrOby dHifm lha� � am Oxempt ifOm lh0 COnlfdctol'S LIC9n5¢ Ldw fof the L8v3tOfl¢5 AUtO-WBSh following reason (Spctlon 7031.5 Buslness antl Protes5lonal Cotle: Any tity or COun�y which r¢qUi�eS a permit to conStruCt, altof, Improve, tlaT011sh Or fBpalr P—Tl2p �BUndly TfBYi any SlrucWr¢, pllor t0 Its ISTUanca, also requlles th¢ applicant fOISUCh perTl[ to file a signetl statement that he/s�e ii Ilcensatl Dursuant to t�e provisions ot Roof Drains Ihe Conlractor'S LlCense I�w (Chapter 9(commencing with SeCtlon 7000) ot Division 3 of the quslnass antl Professions Cotle) or that ne/she is axempt Reinipection Fee $15 Isiue Fee $ '�Cl�om anE th¢ basi5 foi the alle99tl exemptlOn. Any violatlon o( Section 1.5 by any applitant for, a Oermil subjects lhe appli<dnl l0 a civll �ity of not mora than five huntlretl aoilars (g500). � § 3� DEVELOPMENT SERVICES REQUIREMENTS: u I, as owner ot Iho oroperty or mY employeez witn wa9es az their sole Reinspection Fee $15 laue Fee Zoning Approved By _Date comp¢nsatio0, will tl0 Ihe wo�k, antl th0 st�uctute is not IntenOetl o� off¢retl for sale (Section J044, Business antl Vrotessional Cotle: The Contractor's MECHANICAL FEES Building qpproved By Date y"� LicenSe Ldw tloes nol apply to an owner o1 a property who bulltls or improves ) tnereOn, antl who tlOes SUGh work nimi¢It/hCrself or thrOugn hls or her own BQ.�ef HOOd O� Typ21 ❑ AVP��etion ISCUBd By Det ��R�/ employeei, provitletl lhat such Improvements are no[ IntenGotl or o(teretl for sale. If, however, the buualn9 or improvament is soltl within one year of com- Canop Type II ❑ SUM ARV O FE � pletlon, [he awn<r �vill have the �u�tlen Oi p�oving he/sh¢ tll0 not builtl or im- Dl1Ct - UOdC� GfOund prove �or tne puroose o1 saie). BUILDING PERMIT $ SMIP , $ ❑ I, as owner ol tne prooerty, am axclusively contratting with Ilcansatl con- Duct -Structurel efrigeretion System PL.AN CHECK $ PERMIT tractors to construc� (he prOject ISecllon 7044, Busln¢55 antl PrOfe55iOns Cotle: The Contracror•s Llcense Law does not apply to an owner ol p�operty wno Duct -Ventila[ing ��-700,OOOBTU ❑100,0006TU PLUMBING $ �SSUANCE $ builtls or Imoroves theroon. antl who conVacts �or tu<b orolects wlth a con- - tractorpl hcensa pUrsuant to �ne Contracmr's Licansa law). I am aware that Exhaust System ❑ MWtiple Syitem Repair/Alteration PLAN CHECK 25% $ ENERGV P.C. $ pr oi o/ their Worker'S CompenSaHon Insuranca zhoultl be provl0etl to me. . �i am ezemot untler Section e. P for on Firepl/Fact. Blt. ICBO � Fire Dampers ELECTRICAL $ GRADING $ a S PLAN CHECK 50% $ MICROFILM $ Dato owner • Heating System & Ducting Registers MECHANICAL $ 33 •`S� I nereby certlty t�at 1 hava reaC t' ap Ic on ana state that tne aGove ❑0100,OOOBTU �100,0006 TOTALFEE $ iniormatlon is correct. I a9ree to comply with all city antl county ortlinances PLAN CHECK 25% $ antl state laws relatlng to �uilEing constructlon tl hereby authorize reOre- sontatives ot th s dty t'A�ler up n - ntionotl pro rty for InSpec[lon p rp / Signalure � oate.��ffi Rei�sPectio� Fee S�5 �swe Fee S 3 � 41 CD024$08-000298D8 Yd"!T 33.3: on�ers• �i ' DA'E: L�4/�6IR4. 7IF'iE: 1CtSF 0865-46, rev. 5/88 White - Building; Canary - Applicant: Pink - A<counting; Goltlenrotl - Assessor ' " " : i . , . . . . . . - -�S U/ �✓ G�NSTRUCTION AND PLANNING �� °q i 4� PPROVALS Permit # Date Inspector pppROVALS Permit # Daie Inspector � 1: Temporary Electrical Service or Pole ,,� 52. Pool & Equipment Location �. 2., Soil Pipe-Undrgrnd. � �: 53. Steel Reinforcement _. 3. EleFtrica+ Conduit Utility-Undrgrnd. �' 54. Forms - 4:'Electrical Conduit-Undrgrnd7i � 55. Electrical Bonding . � 5., Stae! Reinforcemeni 56. Rough Plumbing & Pressure Test � .�t � ' 6.' Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE ��'' �i � ." 7:- Foot;ngs `�� ,_ 58. Electrical Conduit-Undrgrnd. �"-' � 5 1 .�LC- s ' r. 8. Foundation . •, � 59. Gas Pipe, O Undrgrnd., Test �� ,•, _1. �� 9. Water Pipe-Undrgrnd. , - , � 60. Backwash Lines, P-Trap, O Undrgmd, ( �, ' � �- � '� tO.:Sttuctur`al Floor System � � _ 61. APPROVAL TO DECK ' i t. Property,Sewer Line & House Connection �, 62. Backwash & Receptor-Final ' �; � 12!Sewer �ap ' j ��: 63. Heater & Vent-Final � i; �{ �. 13. �Roof Drains ' � 64. Plumbing SYs[em - Final �„� � . 14: �Rough;plumbin�q 65. Electrical-Final : ' 15. Rough Electrical-Conduit 66. Solar System-Final �16. Rough Electric Wiring 67. Fencing & Access Approval • 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough;Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heatin9 & Air Conditioning FIRE DEPT. REQUIREMENT �. . 20: Rough �F.actory Fireplace APPROVALS Permit # 21�. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating ' � 71. Product Piping 0 Gas ❑ Oil � 23. Gas Pi�iiough & Test 72. Underground Flush 24. Roof Frarhing �� 73. Undergrnd.Storage7ank OGas ❑Oil i 25. Roof Sheathing ' � -- �� - 74. Overhead Hydro .26. T-Bar Ceiling (Structurap & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding � 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Naiiing HEALTH DEPT. REQUIREMENT 31. Plaster grown Coat 79. FINAL INSPECTION 32. Electrir,yl Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: 34. Final Heating & Air Conditionin9 � 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water $ervice-Final 40. Gas Service-Final ' , � 41. Solar pomestic-Final � � � � 42. Backflbw Preventer �� ' ' � 43. Backflow Irrigation � � / ,,� � 44. Landscape Irrigation System ' 45. Sound Attenuation . � � 1 �-L _ 46. Ha�dicap Regulations � � 47. FINAL�STRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric Release to Edison , • 50. Gas Release to Southern California Gas Co , � 51. CERTIFICATEOFOCCUPANCY � ' �� , ,. No, Date , • .