HomeMy WebLinkAbout477 19TH ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, GA 92626
BUILDING PERMIT
.lob /+ddress: 477 E 19TH ST
Suite:
Vicinity: GARAGE ROOF ONLY
Parcel Number: 11734125
Appliwnt: HICKERSON, TROY DELTON
Address: 477 E 19TH ST , �
COSTA MESA, CA
Owner: HICKERSON; TROY DELTON.
Address �477 E 19TH ST ' �
� �
COSTA MESA, CA . - � •
C on tra cto r: O W N E R-B U I L D E R
Address: - - � �
Zip:
Arch :
Address:
Zoning:
Phone: 949-574-5594
Zip: 92627
Phone:
Zip: 92627 �
Phone:
License: . 0
Eng:
Address:
Status: ISSUED
Applied: 07/03/2002
Issued: 07I03I2002
i
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�ccus:a'� �' —'�
�. Phone: � . �. , - Phone:
Zip: � � . � License: - License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. REPLACE/INSTAIL WOOD SHINGLES ON 400 S.F. DETACHED GARAGE ONLY.
FEE SUMMARY � -
Plan Check: $0.00
Permit: $69.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $69.75
SETBACKS
MAIN STRUCTURE Fronl 0- 0
ACCESSORY Front' 0-0
PARKING Existin : 0
NOTES:
Rear 0-0
Rear 0-0
Required: 0
PLANNING & ZONING
Left 0- 0
Left 0- 0
Pr000sed: 0
Calc Valuation: Sz,000.00
Ciaim Valuation: s2,000.00
Right 0- 0
Right 0- 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Calitomia statutes and refated
regulations. (Ord. No. 92-28, § 1, 12-21-g2)
EXPIRATION: 7his permlt shall automatically expire and become void if work is not commenced within 160 days, or if work Is suspended or abandonetl
tor a period of 180 days. ` '
INSPECTIONS: In order for the work authorized under this permit to be consideretl legal, such work must comply with all applicable codes, and all
required Inapeetiona and flnal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration ol this permit.
FOR INSPECTIONS CALL: (71q) 75q-5626 . .
24a&48 (B�Oo)
WORKERS'COMPENSATON DECLARATON: " - ' � ' .
I hereby effirm untler Denalry of perjury one ot Ihe following dacleretions: �
❑ I heve entl will maintein a certllicate ol consent to setl-Insure for workers' wmpensation, es provitletl tor by section 3700 0l ihe Lebar Cotle, for the pertarmance oi Ue
work for which this permii Is issuetl. . • �
� I heve and will maintain workers' compensatlon Insurence, es require0 bj sectlon 3700 ot the Labor Code, for the peAormance of tha work for which ihis pertnit Is Issuetl.
My workers' compeCsation Insurance carrier antl policy number ere:
Certier. Policy Number.
(Thls sectbn need not be complele0 if the peimit is velued et me hunOretl tldlers ($100J ar less.)
Jl:certity Ihat in Ihe peAortnence of Ihe xrork tor which this pertnit is issueq 1 shall not employ any person in eny manner so as to bemme sub�ect ro the workers'
�� - compenution laws of Cell mle, entl eq N if I should become sub�ect m the workero' compensatlon pmvlsions of Sect 3700 of Ihe Le6or Cotle, I shall fatlhwlih
compty with these proW �/
ApplkantSlpnewre: �Dete:--' / �U_?/
WMNINO: FAILURE TO SECUR UNUWFUL AND SHALL SU6IECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TO ONE HUNDRED
hIIXI5AND00LlARE�5100, r1DDfilON O ECOSTOFCOlAPENSFTION,�AMAGESASPiiOVIDEDFORINSECTION3�090fTHElABOHCADE,INfEREST,ANDATTORNEI^SFEES.
LICENSED CONTRACTORS DECLARATON: �
I hereby effirm that I am Ilcensetl untler proNsbns ot Chapter 9(commendng with SecUon 7000) al Dlvision 3 of the Business end Prafessions Catle, anO my Ilcanse is In tull
torce end etlect. Llc. a Clau q
ContracloYs Signatura: Date:
CONSTRUCTON LENDING AGENCY: • ,
❑ I hereby eNirtn thel Ihere is e consiruction lentling egency for the pertormance of Ihe work for which this permit is issued. (Sec. 3097, Civil Cotle).
Lender's Neme: Lentler's Address: '
Signeture: Date:
OWNER•BUILDER �ECLARATIONS:
I hereby aHirtn that under penelry ol per�ury thai � am EXEMP7 FROM THE CONTFiACTORS LICENSE LAW for the folbwing reewn (Sec. 7031.5, Business enC Professions
CoCa: My city ar counry which requfres e permit m cansiruc6 alier, improve, demdish, or repair any swcNre, prior to Its Issuance, also requires the applicam far such pertnit
to file a signad slatement Ihat ha ar she is Ilcensetl pursuant ro t�e provlsions of ��e Comrectors License Lew (C�apter 9(crommencing with Section 7000) ot DMsion 3 of the
Business end Pmfessions Code) or that he or she is eaempt fheretran and the 6ast5 for t�e alleged e:amptlon. Any violetlon of Section J031.5 by eny applicent for e pertnit
subjects the epplicant lo a Gvll penalry of not more ihen five hundred dollers ($500).):
❑ I, as owner oi �he properry, or my employees wl�h weges es Ihelr sole compensatlon, WILL DO THE WORK, and the structure Is not Intended or otteretl for sele (Sac.
7044, Business and Professions Cotle: The Contradors LJcense Lew tloes not apply to en owner ot property who Duilds or improves thereon, and who does such work
himself or herself or Ihroug� his or her own employees, provided ihet such impravements era not Intended or oflered for sale. II, however, ihe builEing or Improvement is
sold within one year of completion, ihe axner-bulder will have �he burden oi proving that he or she did not build or improve tor purpose oi ule.).
❑ I, as owner of Ihe properry, am E%CLUSIVELY CONiAACT1NG WIiH LICENSED CONTRAC70RS to construct the projecl(Sec. 7044, Business and Pmfessions
e: The coniraccors LJcense Law tloas not appy to an owner ol properry who builds or Improves Ihereon, antl who wNwcts br such project wiih a contractor(s)
nse pursu�to tne Conirectors License Laws.).
Business and Prolassions Cade for this reeson:
Owner ID vedfi y tldver5 Gc9(ise. Yes ❑ No 'OrivefS Llcense'No.
Vedfication o nership by (rype ol me , i.e. - property tex bill or deed):
DIVISION OF INDUSTRIAL SAFE7Y PERMR CER7IFICATON:
❑ I hereby certily thet no excavatlon Ilve (5) or more teet in Eepi� into w�ich a person is reqNretl to tlescend, will be mede In conriectlan with work euihodzetl by this
pertnit, and that no building sWdure, scaNdtling, talsev.•ork, or tlemdWon or dismantling t�ereoi, will be more Ihen thirty-six (38) taet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title 8, CelitOmie AOmInlslfetive Cotle).
❑ As ovrner-builder, I will not employ enyone to do work whic� would reQuire e permit Irom t�e DiNsion oi Intlustrifll Selery, as noted ebove, unless such person has e
pertnit ta do suU work irom Ihe division.
Signatura: Dete:
Divislon ol Industrial Safery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORPA710N OF EMAV: 1 cartify untler penalty ot per�ury Ihet I have reed ihis epplicatlon antl state Ihet lhe Information ghren Is
correct. I e ree ro compry wlth II state laws end ciry orCinances releting to building construction, end authodze represeNatives ot the City ot Coste Mesa to enter upon the
eb desc � ed prope for pection puryoses. 1 egree not to occupy or ellow occupency ot eny building euthorized by ihis pe il unt' finel inspection.
�y i ��O Z
T/-'/''-� <SlpnaN e.0f �1 owneqs) �_Date _ ,
CODE I, INSPECTONTYVE
1818 Fixed System Final Fire Preventlon
1286 Pool Spe Finel
200 Finel Re-Roof
201 Final Block/Relalning Well
202 Final Fadory Fire Plate
203 Final Sign
204 Final Demolitlon
�. 1 .1111.
i� i �
COOE 1 INSPELTION TYVE
208 Finel Mechanlcel
208 Flnal Plumbinp
210 Final Electncal
212
x2o
Finel Flre Preventlon
Flnal Planning Approvel
222 Final Site
250 Finel Building/Occupency
�noncss a ea�m�o: 4 7 7 E 1 9 TH
,G�mexsru�e�qawr/: HICHERSON TR
�oo�ss:477 E 19T�1 ST
COSTA MESA,CA
I./�'L. �UNO AWXESA
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LENOEP'S NAYE
LENDEP'9 �OOqE99:
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�°`�0°tl"�°�`D�TROY HICKERSON
(5151.M.WP)
wnn.-aaa:,, e sffi+r:
rmk-a...��.: co�de�e-b..00.
CITY OF COSTA MESA - HUILllING PERMIT —'"
PERM NO: B 007'762
PERMIT NO: B 087762 PLAN CHECK NO: 01475-98 S GOVT: N SUPP: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR YURPOSE: COT
JOB DESCRIPTION : CONST 40LF IN BACI( OF 477 E 19TH ST SQ FT: 110
CLAIM VALUE: 3,300.00 CALC-VALUE: 2,200.00 GROUP OCC: R-3 /
COMMENTS: AND 70' SHARED WALL HETWEEN 477 S 471 E 19TH ST. UP TO 6' HIGH
iE fF iE if iE 1F iE iF if iE ik �1E'k iE 9E ie 3f ie df %iF if ii jf iE iE if if �f if 7F 7E iE if iE it iE ih ih 7f iE iF iE �t' iF'iF if if if iF')E if iE �1E'7f iE iF iF �F 1E 3f iF iF iF iF 3f'IF 1f ik if iE IE if ie iF if ie iE �F
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDZNG ---------- --------- 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: 11739125 ZNE: R1 R$F NO:
PLANNZNG NOTES> CONSTRUCT 6' HIGH HLOCK WALL (70 LINEAL FEET ALONG SIDE YARD
>; 40 LZNEAL FEET ALONG REAR YARD.
iE �)E iF �E 1E iE �E 1f �! k iE iE iE 3E �ElF iF 1f �F 1E if ic fF iE iF iE iE iE 1f iE iE iE IE iE iE iF if if aE iF �i iE �E 3E iE 1E �1F �E 1F �f iE if if 1E if * if if �f 1E iE iE ik if 1f if 1E iE 1F df 1f if iE 3F iE iE iE iE 3f
D E V E L O P M E N T S£ R V I/ C� E S R E Q U I R E M E N T S
ZONING APPROVED BY CY� '� DATE: � Q
HUILDING APPROVED BY e /'� DATE: � 1�
APPLICATION ISSUED bY; DATE:
iF it iE k it iF �E �tc iE i� it * it it iE iE ik iF it it� �e � ** i� * it ** it *�fi�£iFiFiE �-
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 74.75 SO
PLAN 48.59 , SMZP/NON-RES
ISSUE FEE '
HUILDZNG-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 75.25 0.00 � 48.59 123.84 123.84 .00
ti
REVENUE DIVISION TOTALS--> COLLECTED: 123.84 OVER/SHORT; .00
BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMZP/TOT GRADING PLAN-CHECK
74.75 �, .SO 48.59
if iF 1E 1f iF if iE if i6 iE if if iE iE iE 1f iF iE iF ff if iF �F iE 9E 1E �E IE 1E iE it iE iE �F iF i6 if iE if iF iE iE 1E iE iF iF if !F iE 1f if 16 iF iElF iE if aE iE 1f 1F iE jF iE dF 1F �E �)E fE k iE iF jf iE iE if if if if
I N D I V I D U A L F E E B R E A FC D O W N
TYPE QTY D E S C R I P T I O.N UNIT COST TOTAL COST
SFR 110 RES-CONCRETE BLOCK WALL / FT. 20.00 2,200.00
END OF FEES
� � ♦
�\��� 94-16-1938/a3:45 P�/fi23.84
�� RCFT�:ol-�t225B3
PERMIT:087762
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'• COf�S`iiRUCTION AND PIANNiNG � - . PO � SPA
� APpROVALS Permit # Date_ inspect�r AppROVALS Permit �'}�� '� Date Inspector�
t
1. Temporary�Electrical Service or Pole ' 52: Pool & Equipment Location � � -
2. Soil Pipe�Undrgrnd. � 53. Steel Reintorcement �
3. Electriwl Conduit Utility-Undrgrrxl. 54. Forms ' .
4. E�9ctrical Conduit�Undrgmd. . 55. Electrical Bonding . ' i
5. St¢el Reinforcement Y -q� q,� 56. Rough Plumbing & Pressure Test --'�
6. Electrical UFER Grnd. � 57. APPROVAL TO COVER•GUNITE �
7. Footingt -�g 58. Electrical Cqnduit•Undrgrnd. ,�
8. Foundation . 'S9. Gas Pipe, O Undrgmd., Test . ��
-.
9, Wa�er Pipe•Undrgrnd. � + 60. Backwash Lines, P•Trap, � Undrgrnd. �
10. Structuraf Floor SYstem � 61. APPPOVA�TO DECK '
17. PrOPerty Sewer Line & House Connection � • 62. Backwash & Receptor�Final �.
12. Sewer Cap '�63. Heater & Vent-Final "
73. Roof Dreins fi4. Plumbing SYstem •�Final� '
14. Rough Plumbing 65. Electrical-Final i . �
15. Rough Electrical•Conduit 66. Solar SYstem•Final �
16. Rough Electric Wiring - _ • ' 67. Fencing & Access ApProval �
77. Rough Wiring Sign ' � ' gg, qpPROVED FOR PIASTERING
16. Rough Electrical�T Bar Ceiling � 69. POOUSPA SYSTEMS EINAL
19. Rou9h Heatfng & Air Conditioning � - FIRE DEPT. REQUIftEMENT
20. Rough Fectory Fireplace APPROVALS Permit #
21. Duas, in Structure 70. Underground Hydro
22. Ducts, Ventilating ' 71. Product Piping O Gas OOiI
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas D Oil
25. Roof Sheathing 74. O�erhead Hydro
26. S•6ar Ceiting (Structurat) & Monocoat 75. Ory Chemical
27. Fr2me and Flashing 76. DrY Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29..Insulation . 78. FIRE PREV. FINAL
30. Drywall Nailing HEAL7H DEPT. REQUIREMENT
31. Piaster Brown Coet 79. FINAL INSPECTION
32. Electrical Power Meter�Final 80. F000 CERTIFICATE ISSUED
33. FinalE�ectric Notes:�j7_Z�_�'$ �V or[� . ,�,er,��yl� ����
34. Final Heating & Air Conditioning '"-
35. Final Gas Pipe:Test
36. Hood or Canopy �
i�
37. Final Factorv Fireplace • �.,j.
38. Final Plumbing �
39�. Water Service�Finai � �
40. Gas Service�Pinai �'� �
�
41. Solar pomestic•Final
A2. Backflow Preventer
43. BaCkflow irrigation
44. Landscape Irrigation System
45. Sound Auenuation .
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINALP�ANNING - •
�, y
49. Electric Rele�se to Edison �.->
50. Gas Release to Southem California Gas Co ''�'
51. CERTIFICATE OF OCCUPANCY 4,
NO Date - "� �
J-
. 2i�s�
•� COSTA MESA BUIIDING-SAFEiY DEPARTMENT
P• O. BOX 217 C08TA M88A. CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDINtl �
ADDRES9
COSTA MESA. CALIFORNIA
STAT6
LIC. N�
61ZE
P110M
DESCRIPTION OF WORK
r eut�iNa
ore�oas.
I H8R8BY ACKNOWL8Op6 TNAT 1 XAVg qBAD THIO �PPLICAT�ON
ANO BTATg THAT TX8 ABOVB 19 COqpg� AryD AOqBH TO COM.
PLY W�TH ALL CITY OqDINANCBB AHD BTAT[ LAWB P[YULATINp
BUILOINOCONBTR ON.
SIGNATURH O
PERMITT@ •
AUTHORIZHD A6BNT
FEE RECEIVED
JAA 6 1964
FINnAFNCE DEPT.
APPLIEN1901V F�R"PERNtR"A
BUILDING
for Office Usa Only
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2 6 NO. OP UYH OF N
•LAN9 bU1LO NO
L80AL I ��� I� L . O/ I
YARDSAPPROVED
MAIN BIIILDIN6
DI6fANCE BHT.
MAIN BLD68.
VAR. aF
/ � � �
BHALL BE LESS TMAN
( U. B. C. REOUIREMENT:
YARDS APPROVED
ACGESSORYBUIL�ING
B6f. MAIN
ACCHSS.B
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APPROVEC
o�Ts � �
TM6 AMOUNT BHOWN IINOBR VALUATION IB ROH TN6
PU0.P08H OP H9TABL16HIN0 A PBpMIT F86 ONLY.
VALUATION �
� PERMIT FEE
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