HomeMy WebLinkAbout519 19TH ST - Building PermitsACplicant to flll In all �
CITY OF COSTA MESA - a�� no.
CONSTRUCTION PERMIT . z
License No.
AddresS .
wit�in �aavy GorEer Iinet anC tlqn all approD��ate EeclanUom
' �� CT NG• ` l_OT NO. � BLOG. NO.'
; �� \\ h
TVPE OF CONSTRUCTION �
� /y ❑ NEW ❑ ADD ❑ ALTERATION
❑ REPAIR ❑ CONVERSION•�DEMOLISH
❑ OTHER
DESCRIPTION OF WORK MQ•
Conttaqtor n_ � phone TYPE OF PERMIT , '
AddreSg y ❑ GRAOING ❑ FOUNDATION ❑ STRVCTURAL
LICENSED CONTRACTOR DECIARATION ' � ❑ TENANT ❑ ELECTRICAL ❑PIUMBING ❑MECHAI
I hereEy affirm t�al I am Iicansetl untler Drovislons of Charter 9(<om- �
nfenCing wlth 5ectiOn 7000) af Dfvislon 3 0! tM1e Buslne5s enA ❑ OTNER '
Protasslons coae, antl my Ilcense Is In full torce anu aftect. PR��ECT DESCRIPTION
Licensetlass �C-':1� Llc9i�s�eNo. ;MA7.0 . - -. ' "
oate ��—/i-R� 519natura 'IlI, NJI�.,� sa.FT. - -. _ -
WORKERS' COMPENSATION DECLARATION OCCUPANCV CONST=UCTION 7VPE
I �ereDy aftlrm lhat 1 have a certillwto o! conient to salf-Insuro or a VALUATION �� � ZONE
cerNticate o1 Workerz' ComponwUon �Msurance, or e cartlNotl copy . _. -
thereot (5¢<t�ly n 3800, Lab. CJ. . GRADING CU. YDS. ACRES
' �vNo. '+D.19ir CamvanY CT. F�,vn
ntiry� wpy Is hereby furnlihe0. . ._. REMARKS: •• .
� Certlp� �Opy is tiletl with the Ciry Builtlln9 Oivislon. _
EXEMPT�ON FROM WORKERS' COMPENSATION DECLARATION ' � ' �'
(This seqtion neetl not be comple[ed I( ihe permit Is,for one hunOreO �
SE300) o� Iessl. ' . '
tertlty that in t�e per(ormanca of the work for whic� tnis parmit Is
issuetl, I shall not <rtiploY any person In any manner so as to bo�ome PLUMBING . '� �LAN CHECK ' -
subject to lhe Workeri' Gompensation Laws ot UIIlornia. .
Date Signature BATHTUBS �SHOWERS -
NOTIGE: If after making this Eeciaratlon, you ihoultl becoma Subjatt TOIlETS VRINALS " "
to the WOrkers' Compensation proVisions af the LaDor Cotle, you muit
tor[hwith comply with such provislons or tnis parmit s�all be tleemetl IAVATORIES DOUBIE LAVS
remketl. ,
CONSTRVCTION LENDING AGENCV � � KIT.SINKS DISHWASHERS'
P hercby affirm that thera is a conitructlon lentling a9ency (or lha per- $ERVICE SINKS SUMPS � -' '
fOrmant¢ 01 tha work tOr whith �his permit IS IssUeC (Sattlon 3097
Gv. C.). - - FLOOR SINKS' - FLOOR ORAINS �
Lentler's Nama
Lentler'S qedress � ' DRINKING FOUNTAINS " "'
OWNER BUILDER OECLARAT�ON' F^ r^ .. _.^.. ^^._ ,....^. INTERCEPTORS CLARIFIERS �
es a
ttm�
to fl
s o!
or my
¢TBnt�lhat he WATER SERVICE - ALTERATION
Y LicenTe Law GASSERVICE OVTlETS �
Ision 3 of the
re(rom antl tha yyqTER HEATERS BTU OUTPV7
Ion 7031.5 by
a tivil penalty SEWER CONNECTIONS W �`
wa9es as'lheir SOLAR TANK COLLECTOR
is not Intentlea _
�ion5 Cotle: The ' SOLAR PIPING SYS.
Cont�actor's LJcense l2w tloei nOt,apply to an owne� o( a p�ope�ty
wh0 builtls or ImprOvcs Iher¢On, dnd wh0 tlOes Suctt wOrk IIImS¢If or ISSUE FEE
thrOu9h his own employ¢e5, provitletl thal sUcli,improv0ment5 dr0 nOt
intenaetl or offereA (or sdle. Ii, how¢vlr, the builtlin9 ot ImprOvement MECHANICAL PLAN CHECK
IS Soltl within on¢ yGe� o� complCtlon, lha Owner wlll hdve t�e burtlCn
ot proving he Gltl not Duiltl or improve lor the purposa ol sate). HEATING 5�'STEM 0-]00,000 BTU_
❑ 1, as owner of tbe D�operty,- �am exclusiy¢ly rontracting with ANO DUCTING
Ilct�sed coniractors to consVuct the projoct (Section ]044, Busineis 100,000+BTU�
an0'Prot¢ssions Cotla: The Contrattor's Llconse L.aw tloes not app1Y to
an own¢r ot property who builtls or ImOroves Ihereon, anC who ton- qEFRIGERATION 0-]00,000 BTV�
t�acls from such prOjects with a COM�a[tor(s) IiCesned purivant to SVSTEM '
the Contractor's Lfcensa Law�. 100,000 + BTV �
❑ I�am exempt untler Section B: 8 P. C. tor thlz
• BOILERS BTU
reawn
Date Owner SYSTEM REPAIR, ALTERATION
I �ereby ttrtify that 1 have r¢atl this applifa[ion antl itate that the above EXHAUST SYSTEM MULTIPLE
Into�mation is mrrett. I a9ree to Comply with all City dnd counly
ortlinanCes antl Stdte laws �elatln9l0 con5tructlon, dn0 hereDy authOrlie
r¢presen�ativez of th6 city to enter upon the above menllonetl
proper)Y fot In(p¢Ctiq/^ Pu�Poi¢S.
Signature �L� CSl e �w p,�a /0—/3-8R.. .
Drivers' License or SS � �-+ �� ' ISSUE FEE �
CMF 0865-46 Whi(e-Builtlin9� �nary-Appliwnt; PInk-Accounling: Goltlenrotl-Assessor
; -�,..�_r
OCi 1"5 1982
REAR VAR[
PKG.SPACE
SPECIAL CON�ITIONS:
R EG U LATIONS '
_ Q
PLNG. REP. $ .
GROVIDED . � "
PARK FEE S .
� DATE'�
� �
�' +
ELECTRICAI ' � ' PLnra Ct�ECK
SO. FL CCJ. FT.
GENERATOR �0-1 KW_ 1-10 KW _
TRANSFORMER
APPLIHNCE' '10-SOKW SO+KW_
MOTORS' - 0-1 HP_1-10 HP _
pNC.50LAR) �0•SO�HPy50+HP _
FIXTURES " OVTLETS SWITCHES
GASTl/8E51GN5' " ' •' ' "
POLE LIGHTS " " - -
�- �PANElS—' '"MAIN "SUB
� " ' SERVICE'" "- ' � qMP
" ISSVEFEE � ' ' '
� APPLICATION APPfiOVED BY Ii..
BVILOING - /Q�p
PERMIT §
VLAN CHECK E
7LUMBING S
PIAN CHECK S, ,
ELECTRICAL 5
PLAN CHECK y -
MECHqNICAL f "
PLANCHECK E
���
OF PEES
SMIP • E � Q•�
PERMIT •
ISSUANCE � E
GRADING S
S,
MICROFILM $t,_^,..��_
� TOTAL FEE E.LL�
LESS AD-
VANCEPC S�
I� O
FINAL FEE S L� '
�h • 1 . . ':f � . 11 � . � i./Il�.r i". . .� • . .
�. - .� _ . . . _ � . _ . . . �� �. . '1 _ _ � .
C08TA �,E8A BUIL�'�`�G DEPARTMENT
.11t EasE`20th Street
Coata Meea, Callfornia
CITV OF COSTA �MEB{\
CERTIFICATE OF OC
__� �J . ,
BuHding Perm$ No.1� :e.:t.:`Iftectrical Permit Nop:`�"�
Ux oT Bufldin �r � ~
e..._..._�L....�._L..�...........�.� .,..
"' E/.., t.� _ ,
The building located �ai----.zr....� ... .............._.........._� , ,
.l'.f...J:1.`..�:{.:::........i/t..�.�...r'r.-- --(I; '.
.....�r. ..
(9ee rCvene side tor Metes and Bounds)
has been inspected and found to comply with the
dinances aPPlicable thereto for a Group......��
18SUED TO: �. /�I � ' i q,
. f,
� ` J
. � � ^ '
I
Ff. J'1'. ,1
y BL. . ,
all City of Costa Mesa
(Owner of Bultdin9) By�.L..... �..i�..--..L�:c�.d...l.._/:.!9..r L...f.�ii
r
CC: ❑ Orig,inal—Owner ❑ lst rnpy—Gas Co. ❑ 2�d G 7';- -ti'�son Co.�'p 3rd rnpy—File
Form 206 GH 1M 1Y-68 ^�
�,�- _+ t�-
' .�.�,':�� �. � � FEE RECEIVED �.
,.,;
. 5,�'79 ; . �.,,� � � 9 �'� - � Q .
• COSTA MESA BUILDING DEPARTMENT ` J) FIIVANCE DEPT.
P.O. BOX 31]
COSTA MESA, CALIFORNIA Y! � CITY OF COSTA MESA
��$FOR APPLICANT TO FILL IN; �'`'� APPLICATION FOR PERMIT
ADDRE55 9TN. 5 � BUILDING
E
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY /j �j0
FECEIPT NO. PERMIT NO. aO
OWNER own2o B. aw 5o J '
MAIL C RECEIVED BY O�iE REGEIVED D�TE ISSU
ADDRE55 J �� W• ��J 57R.EE UN 1 3 195
_._.. /1 _ f "' _ _ ' TEL. � , n ^ . �� BUILDIN I
ARO 'CT lCt4C1A�3 G � �
OR I VEER E�.G uJ EER.1
nooeess Zo27 Ue, A.�e�N
JACo85oy ti �
CONTRACTOR
T� T�N lL
ADORE55 (050 D � STRE
LEG1L � Q2T�oe1
OESCRIPTION ry0. �L �. � BL
A.P.NO. // -�/(j �
5'ZE 50' X 300'
OF LOT
USE OG �
EXISTING BLDG.
.�[u c.
NQ C
OUJ¢ITV LIC. �DO'L
NO.
� ' TEI.
E Ho.K�.�.z�za
OCK U TRACT ��
_ � 7 � �
r+o. or e�ocs.
NOW ON �OT D
SETB�CN LINE FROM /
CENTER OF STREET '�0 � REAR YARD {O
SIOE YARO O�/�II RIGHT ��_��� LEFT Q����
DESCRIPTION OF WORK
NEb ALTERATION ADDITION
REPAIR MOVING DEMOLtSH
BUILDING � � NO.OF
SIZE SO % � �Z ROOMS / STORIES
E%TERIOR WALL ROOF
COVERING STJ«O COVERING COMPO.
USE OF NEW
BUILDING RETei�. STOQ.F
�
COSTA MESA. CALIFORNIA
v'
1 MEFEBY RCNNOWLEOGE TMAT I HAVE NERO TMIS iPPLICATION ANO
$TnTE TMtT THE ABOVE I$ CORRECT wN0 AGREE TO COMPLY WITN RLl
GITY ORDINiNCES .�ND STRTE L.1�N5 REGULiTING BVIIOING CONSTRIIC�
iiOt�. � VA�UATION
SIGNATURE OF
PERMITTEE �D
AUTHORIZED AGENT („/ � � — 5 � �/
DATE
CORRECTIONS
�ING
DA
�
�
PERMIT FEE S �
P�AN CHECK 5 p�- /, S
TOTAL FEE S �, S Q vMi
. � � £���'7
COSTA MESA BUILDING DEPARTMENT
P.O.BOX 31]
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
ADDRE55 519 w. l9th St. Bldg. //18�8
COSTA MESA. CALIFORNIA
OWNER Howard Iawson
MAIL ' � 1Y� 1]�ll UY•
ADDRE55
TEL.
cirv Costa Mesa No.L 8-3493
ARCHITECT LIC.
OR ;INEER NO.
A�ORE55 '
CONTRACTOR Crank Bros. �•'TY NO� GZ
aooaess 126 8ommercial Way T�o:LI 8-5569
�E�.� �or � g
oescraPnou NO. ' `�"� � BLOCK TRACT
A.P. NO. � .�"' � ' .�. .
SIZE No.oF etocs.
OF LOT rvow or+ Lor
ISET9ACK LINE FROM y+p � pp
c[rviFa ov sTaEEi r�n RFAF VARO r•.n
SIOE YARD RIGHT •••^ LEFT r•^
DESCRIPTION OF WORK
NE' ALTERATION� I ADDITION
BUILDING NO.OF
SIZE ROOMS STORIES
EXTEftIOR WALL ROOF
COVERING CO ING 1 30# felt &
BUELOFNGEW ' _ grave -
� ��. �ECEI`� E�
fIIVA�lCe DEPT
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
�.
z2r�� oZ �/` -.1 � ` —G��S`
LDING
�RE55 t�
COSTA MESA. CALIFORNIA �v
E _/1
IE �� �
�� NO.OF O TVPE / GROVP /-� I
PLRNS � (�
�/ �
DATE
�t�v oF �c�>:���a +;r•.sa
4,� .r:lf'._ . ' ._ .
(aF9d�:C�i' 7U ��.��+'��T. REG.
1 HEFEBY ACI(NOWLEOGE TXqT I HAVE RERD THI$ PPPLICATION AND
STwTE THqT THE ABOVE IS CORRER PNO AGREE TO COMPLY WITH nLL
CITY OFDINFNCES AND STATE LAWS FEGVLRTING BVILOING CONSTflVC�
TiON. � ///��� VALUATION
SIGNATURE OF �`��� ��//
PERMITTEE — — --/ �-1
s 940.00
I AUTHORIZED
/' s�
PERMIT FEE $ (�
PLAN CHECK $
TOTAL FEE S � _ �
�
�
�eMs