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HomeMy WebLinkAbout535 19TH ST - Building PermitsAVOliwnt lo IIII 'CITY qF COSTA MESA CONS7RUCTION PERM Address t11n heavy borCer Ilnas antl slgn all appropriata Ceclaratlons. ' - TRACT NO. LOT NO. '�BLDG. NO: ' � � Q,� �� .� JT. - I TVPE OF CONS7RUCTION PhOnB ❑ NEVI ❑ ADD ❑ ALTERATION - �y� ❑�REPAIR OCONVEk510N QYDEMOLISH Litense NO. - ❑ OTHER DESCRIPTION OF WORK .�.. f_' l .�1 � .. . i J �' " � ' . . , � ���; OCT 15 1982� -' . �y' - ONING REGULA' i' �.•R� ^�r" Z2— � ZONE ` _ 7j � PLNG.RE ;wmrac[or n - rnone � - • � .TVPE OF PERMIT � . �Addffss ��y' _'. � GRADING O FOUNDATION-• O STRUCTURHL LICENS@D CONTRACTON DECLARATION O TENANT �O ELECTRICAI.' ❑PLUMBING� OMECHANIC 1 heroby a/firm lhal I am Ilcensed untler provlilon5 of Charter 9(tqm- � mentin9'with'SeCtion �000) of Olvlilon 3 of the Busineis antl �-�•OTHER - Ro�ezsloqs Cotle, antl my ficense is In tu11 lorce antl eHect. pROJECT DESCRIPTION . ' ucenu c�asz r-s11 � �" � � ucpr,ce Mo.� 3MAx , , "" ' . ' � " ' Date l�-/?-R1 519nature .{,6/� �e••��I� -' SQ.F7. . . . WORKEkS' COMPENSATION DECLARATION - OGCUPANCV_�CONST�f UCTION TYPE � 1 hereby a/firm lhat I have-a carllfiwte of consent to selfansure or a � VAWATION " O'o-�-• ZpNE cartitlwty o/ Workars• Compenution Insurance, �ar a certiiletl copy � - tt H �$ection aeoo, �ao, c.J. - F uN� GRADING CU. yDS. ACRES � P N0. ��•i9Lr ComPanY .57i _ . . ' - L ./tlfieE copY �s h¢teby fumisheC, - i REMARKS: . ' ' . - � Certifi¢tl copy Is (iletl with the clty Builtling DlviilOn. EXEMPTION FROM WORKERS' COMPENSATION DECI-ARATION ' ' " � " ' ' • • (This sec��on.neetl not be completetl if tha Oermit Is for one huptlretl �. . ._ - � ., . , . c. _ SS3001 or less). . . . . ' : � - certlty.(haf ln the peslormance o( the wo�k lor which Shis permiUs, ISsueA, I shall not amPloy any person In any manner so ai�[o�become � PLUMBING � � �� PLAN�CHECK �' subjacltOtheWorkars.CompensatlonLawsof,Ullfornla..' . . .. _ bate Si9nature BATHTVBS � SHOWERS � NOTIGE� �/ a/ter making this tleclaratlon, you ihoul0 became suDject � TOIlETS � . URINALS '� "'- Co the Workari' Compensation provislons o/ the Labor Cotle, yo� must torthwitq tomO�Y �+�th such Drovisions or tnis parmit shall be tleemetl �VATORIES DOUBLE LAVS � �" revok¢tl. .. � - t,. . ., . _. . . CONSTqVCT10N LENDINGAGENCV KIT.SfNKS' " DISHWASHERS -' "'" I' heroby atiirm that tbere Is a constructlon lentlin9 agency for the perv SERVICE SINKS ' SUMPS � � ' � ' forman<q of the work for which this permit is Issuetl (Settlon 3097 Civ. C.). ' " ' FLOOR SINKS � � FLOOR DRAINS " � � �.entler's Name LenCer•s qtlCrezS DRINKING FOUNTAINS � � ��V ` OWNER BUILDER DECLARATION ' ' ' � INTERLEPTORS CLARIFIERS � � L heraby effirm Ihat 1 am <x¢mpt trom the Contractor'S Litense Law for - Iha'folloW�ng reason (Section 7031,5 Bu5lness antl Profe55lonsLotle: -SWIMMING'POOL PTRAP' "-"' ' a h the Bu� <5 antl Rdessions Gotle) or that'�e is exompt tnerefrom antl tne ba r tha allegetl axemp[ion. Any Nolation of 5ectlon 7031.5 by an� allcanl br a permlt sub�ects t�e appliwnt to a tivll-p¢nalty Oi i�..• r�ora than Ilve huntlred t1011ars (E500). ❑ I, as owncr of lna proDerty, or my employeos with wages as their 5018 Comppnsation, will.tlo lne work, antl the SlruCture li,nol IntenOetl O� oiftt¢tl 1or Shc0. �Soction 7044, Businas5 dntl Rote551on5 COGe: The Cont/actpr.'S Licansa ldw tloes ml apply to an ownpr of e prop¢rty who bulltls or imp�oves lheraon, dntl wlto tloe5 SU<h wOrk hlm5el( or th/ough his own BmployeeS, D�ovidetl 2nat Su<h Irt�prOvement5 a�e nOt int¢ntlCO or ofterCtl for sale. If, how0ver, the Dulttling or ImprOvemenl IS soltl wi(hin ono ytar ot compl¢tion, the ownlr wlll.�avo tne Curtlen 01 prOving ha tlltl nOt Ouiltl ot ITprOvO_to� Ihe pu�0o5e ot 521G�. ❑� 1, as ownar ol tne Oroperty, am exclu5ivey contracting with Iicensetl conlractors to construct the projnct (SatUon ]044, BuSiness antl Prolgsions Gotle: T�e Contrac[or's Liconse law tloes not apply to a� ownBr ol prOperly who builtls o� ImprOv¢5 thC�eon, antl who Com U I am pxempt untler Settion - B. 8 P. C. tor this reason Da[e pwner - I �e�Gby �¢rtity that 1 bave r¢atl t�is appliUtioO dntl Stat¢ thdt th¢ above intormation B rorrecL 1 agree to comply witb aN city antl couniy orEinances antl state laws relaiing to constructlon, antl �ereby aut�orize representatives of this ity to enter upon tne abave mentionetl property 1pr iqspectl rposes. � �.� 'ALTERATION � GASSERVICE - OUTLETS WATER'HEATERS BTV OUTPUT SEWERCONNECTIONS� (,V{/( (�Y SOLAR TANK �COLLECTOR_ ISSUE FEE � � � MECHANICAL vLAN CHECK HEATING SVSTEM 0-100,000 BTU _ AND DUCTING 300,000 + BTU _ REFRIGERATION 0•100,000 BTU_ SYSTEM � 100,000 + BTU _ BOILERS BTV SVSTEM REPAIR,ALTERATION EXHAVST SVSTEM MVLTIPLE Si9naturp � Date,/d-/3-8.t I Drivers' License or 55 � ISSUE FEE CMF 0865-46 White-Builtlin9: Canary-AOPliwnh Wnk-Attoun[ing; GolUenrotl-ASsessor REAR YARD (TO P/L) PKG.SPACE REQ. - STREET WIOTH � ZONING APPROVED B` SPECIqL CONDITIONS: • - i IS `. ,- � /rL�NE.' .. IDED.' FEE s ' . ECECTRICAL ' � " � - " aLAN CHECK,. ' ' GENERATOR 0�]KW_1-10KW'�� TRANSFORMER . - APPLIANCE ' 10-50 KW_50 t KW �- - MOTOR$ ' "' 0=1 HP_1d0 HP , ' �IN0. SOLAR)- � 30•50 HP�=� 50 � HP � � v FIXTURES ' OUTLETS SWITCHES" " GASTUBESIGNS - ' " ' • - �- • � POLE'LIGHTS ' ' " ,� � O(ll FG Mc'rvoc�i � uio �. ..: � PANELS MAIN,-, SERVICE ' "' ' ^ ISSUE FEE APPLICATION APPROVED B �� �� �� �� �- ' SUMMARV OF FEES . - ' BVILDING �- � � _ PERMIT 5 �a ,. � SMIP ' • E� PLAN CHECK f PERMIT � • . �PLUMBING S ' ' �SSUANCE E PLAN CHECK S � GRAOING � S ELECTRICAL 5 � s - 'PLANCHECK E ' MICROFILM § - ' TOTAL FEE S Q � MECHANICAL' S PLAN CHECK "S - LE55-AD= � � VANCEPC 5� /� " ' FINAL FEE s , 1 . r . � . . . . .. . y. i. �1 ' . CONSTRUCTIONANDPLANNING ; � . �-� �• : �' POOL&SPA : � ` � � , . ,,-�. . . �• •.;� .,: `�- APPROVALS Permit # Date , ', ��sPector � pppROVALS . � Permit # � � �� ' ' ,�Date ,.: '�.Inspector . - - - _?� 1. Temporary Electrical Service or Pole 43. - Pool & Equipment L.ocaiion y-- - - - - - �- � -�. - •- - --'- � i_,ipe= ndrgrn','�_ � _ - � Steel Reinforcement - � � - - - --- � ? I_..3. ..�� lec[rical,Coqduit Utility-Un rgm~ • , 45: . Forms i, - �� 4._ Electrical ConduibUndrgrn'_ _ ' 46.. Electrical Bondin - - - - - _ _ _ ' tee e�n orce ' � "� 47. Rou h Plumbin �& Pressure Test � - � � ' ' ' ' '� 6._ Electrical UFER Gm "' "'48.' APPROVALTO COVER�CUNIT6+- ' • ' ootings _ � - - 49. � Electrical Conduit-Undr r� ' � � - � � � - q . �_. 8. . Foundation.._ _ � 50. ,. Gas Pi �,Undr m Test � � , i � 9. Water Pi� Undrgrn. 51.- Backwash Lines P• ra "� � n ' - -- - � 10._ Structural Floor.System '' �+ 52. APPROVALTO DECK " - - �� a ! 11`.,;P[operty�Sewer L'ine'& House Connection 53."" Backwash &� Rece tor-Final - � � ' � �� � �� � _12. Street.Sewer Connection ' • � ' � _ _ � �� 54.. Heater,& VenbFinal, . �� �' - � �13. . Rough Plumbin9 - - - -� � ' �- -- � - , . - . . v ; 14. Rough Electrio-Conduit , - -- - - � -- - - �56: -�Electrical-Final -- � � ' � h 15. Rou� h Electric•Wirin - �- � - � �"' - -� i - - � - � 57. Solar System-Final ' - � ' ' '�� - � �� - ' ;y - 16. � Rough Heating & Air Conditioning - - - - - • encing & Access Approval . � � o . , � �17.' �Ducts i� $tructure. � '' APPROVED FOR PLASTERING � � •� - . � 18.� � Ducts, Ventilating . . _ � . � . �� 19.1. Gas Rpe-Rough &Test ' • _ _ 60. POOL/SPA SYSTEMS FINAL , , . - : �'� �20.;- -Roof Framing _... ' _ _ __ . ' ' • •. . � 21., Roof Sheathin -- ' � ' , . - - ,. .. , , �v , , � � - - NOTES: .. . ,;' ; � ' 22., Frame�end Flashin � � � � - : � � `' - 23.; - Insulation � - - ' ' _ _ � ' ' ' �, 24.. lathin .& Sidiag - - - - - -, -- . - - - - - - - - - - - - � ' . �' 25.� DrYwall Nailing - - - _ -- - . � : ' '. . . ' v -- -: - - _ .-- - � - " " - • ' � 26.' -Plaster Brown Coat ' � � - ' " � ' - � ' � � ' !1 - - - - - - --- .� _. . , � , . . ' • 27.' Electrical Power MeterFinal � ' ' �' � � ' � � ' - ' � � � - '�' � '� -28. �Final Electric- - - - - - - - - :-� - - - - - - - - -- - - . . . �1 ' 29.- Final.Heating.& Air Conditioning ! " ' � ' - � � ' - � ' � - � ', � I 3p: . Final Gas Rpe-Test ? ` ' � � ' ' ' ` ' - ' . ' • t� , 31.� _.F.inal Plumbing. - -- - - .. " ' . . . . � .. � � ;7 _� 32.� -Water Service<Fiaal _ � � � . . . . . . . • , � . � . '( � �33. � Gas�Service-Final � � � � � ' � � � I 34. Solar pomestioFinal '� � - • ' � 35. Landsca rinklin S stem . � � ' ' � • - � 36. Sound Attenuation � ' 9 � 37. Handicap Regulations - � . ,; 38. FINAL STRUCTURE & BUILDING • , 39. Special Requirements Completed � " - - - ' , 40. Electric Release to Edison � - ' � - - � - �- �, . ' 41 . Gas Release to Southern California Gas Co. - � � 42. . CERTIFICATE OF OCCUPANCY . I �No Date - - r^.�• - -, � .;= � . . . : . , T'IE@A''9ULLD115G�'DEPAfi�'M�NT �y��h.�$treet 1 ��,l�sta .INedaybaliforNa- ,, . �i S N° 218 s Date ............../f..... ...._.�..�....l..-..�.. � �.... CITV OF COSTA �MESA /O ,/0 G CER�TJIFICATE OF3�1 �CUPANCY /��/� Building Permit No..�Zj:!�'�.lDElectri I Permit �N�o�. .�.....Plumbing Permit No..f...�t.77 Use of Buildin9..__��"21'�IA.G.�......��.�0'Lli4.�..._...____._...._______.__ . _________._. The building Ixated (See reverse §ide tor Metes and — � ; � — has been inspected end found to comply with the provisions of all City of Costa Mesa Or- dinances applicable thereto for a roup.......f..':.�..Z.,.,,Occupancy. �1 EDTO: A.J,VOLZ G✓� � �lAY.�'C%y(/ City�uilding ial� ._ ..................... ........ ....n_�'_......."'......... �s- (OWIIE�Oi BOI�f�111Q� BY..C.I...~_� � .._... l �/y ��� ....t�.._.. . .. •.....�..L....... CC: ❑ Original—Owner ❑ lst wpy—Gas Co. ❑ 2nd copy—Edison Co. ❑ 3rd rnpy—EYIe Form 206 C-H IM 12-65 � r � � � 111 - �.�'d'� ` �i.. . , L��� ��f���� .b,�l ;,��'��e`�`, �' o.:�'� :, y �' 4;,�,� : �h�;t;zB U�,L�D`��1�`� s �� .-, .� ' �STrR Iv7 ES%�..�L'riK_L�1 N(A <'� "' ,. � . r, � »t v . . , r'1' � � ,.: ��� f .Fb�'O , �I;,� 4 :',I��' �c �," "'��O��Ap'pr:.(���iv • '`Pj6 L�� � " � � - � eceipt No. P rmit No. i ,� �Address .J 7j � � 1 � ��, ���� Q Costa Mesa, California Received by Date Rec'd. JDate Issued Nearest J /, /� � �S L / J/��� Cross St. Q/1,�-Q'L �/-- V J,% Building Address Owner --av� 0-�--� ' Costa Mesa, California Mail � �/ � r . I � _ !,� Address vl/ � Nearest `'F Gty %� ' No. Zone St No. oi Ty Group� .z AroA tor Lic. C� I Plans I � Eng r ,CjnS 1 No. � Approved - _r _ ���N� by Date Address ,7 . Oq1e �— q�,t73p ✓/ Cit w. rtractor T Ci No. � Address D f� i� s� K1 Legal �o � Q� ' Oi= COSTA MESd Descriptio� I No. � Block� � Trac (,,,! � (Attach Metesand Bounds) ' ` ' Size of Lot � 2 7 x%J(� I No. of Bldga T1 Now on Lot v lJseof I Na.of I No.oT P�AN TcC . � Existing Bldg. Families Rooms � Setback Line from R � �^rd� Z Center ot Street U Side Yard � v y DESCRIPTION OF WORH � New I Alteretitl� I- I Addition I Repafr I I Moving I Demolish I 0 Buildin j -7 No. of Size 9/Z /x � (� Rooms� Stories� E-•arior Wall �7 r Roof ! ring rJ���, Covering � (�j , (��P$,�V,�j�s I j l._ . of New • Building ��,� � Foundation Location Inspector � D - Forms, Materials, � � Under-Pinning � Frame: Fire Stops, IN � Bracing, Bolts • � I hereby acknowledge that I have read this Applicatioo and state that the above is coI'rect and agree to rnmply Lath. Int. with all CYty ances and�jStape Laws regulating btillding rnnstru " n. �L Lath. Ext. � Signatureof b ��� � �J , Permfttee �nY� Plaster, Ini s- Authorized Agt� 1 ~� QJ�M/0 • Plaster, Ext I 00 � 00 Vaivatlon Permit Fee $ s•�i� �i Masonry Reiniorced �� �Js plan Check $ . 7S Bond Beam $ iO3, ooc� To�� Fee , �5l FINAI �RM i00 10�!45 D. P. G 5. �� { C J d 0 � a ,` _ Street PLOT PLAN 6how locatlon and distancea from pro�rly Iina and between buildinga ti a. : 0�1. l 4 [V-✓ fl/ [: �t% 5f% rt/� = � 4`` itun �n �,_. �,- . ✓ . ... COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BO% 817 COSTA MESA. GALIFORNIA fOR APPUCANT TO F/LL /N COMP[ETE[Y TYPE OR PRINT ADDRESS 3 �J I / ' /l �/ • COSTA MESA, CALIFORNIA OWNER �� AM�R iCAN MKTj'.�,yc (' N ADDRE55 J J � W /� ' ��• CITY `Of/�7 M�'r.4 TNO.MI•GIG7 ARCHITEQ v��' �n�tN LIC. OR " �INEER . . .u� L. ✓ C NO. LEGAI osscR A. P. � � USE OF EXISTING BL SETBACK LINE NOT J f• IBLOCK d ITRAC' ��� - o�.� - 3 � �q., � _�� �_ I NO. OF BLOGB. ILEFT CJ IRIGHT DESCRIPTION OF WORK BUILDING��"��� ROt SIZE X EXTERIOR WALL IROI 'I HEREBY ACKNOWLEOGE THAT 1 MAVE flEAO TH19 RPPLICATION qND STATE TNAT TNE ABOVE IS CORHECT AND AGREE TO COM- PLV WITH ALL QTY ONOINPNCES�f� STAT�tAV�S REGULATINp BUILOING CONBS3\UCTIOJ�. / � � AGENT 0 . ---�.-- "� � � � � AUG^17 t959 FI�!nP�CE DEPT. :lir Of- rf1S�� MESA APPLICATION FOR PERMIT BUILDING foR officF usF oNcy BV COSTA MESA, CALIFORNIA FIRE � � �/, ZONING � � ZON! �y ��IVO.OP U6E OF `i / IPLANH �BUILDI! APPROVED BY �r DATI YAFDS E REOUIRED ALLOWE (CENTER LINE ST.) �. � ^J�C IICII n.� THE AMOUNT 6HOWN UNOER VALUATION IB FOP THE PURPOBE OF ESTABLIBHING A PERMIT FEE ONLY. VALUATION PERMIT FEE $ /�� O � 7�� OO PLAN CHECK S S D / TOTAL FEE $ �S, c � • 23184 `COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BO%�17 C09TA M68A. CALIPORNIA For Applicant to Fill In Completely TYPE OR PRINT eui�oirva� �' A�DRE53 COSTA MESA, CALIFORNIA � MAIL ��, � �r_.---�„i .� STATE EL.{jJ_ � — LIC. NO ' NOA/v 61ZE / Q� NO. OP BLO09. OF LOT a/ V NOW ON LAT USE OF b �P EXISTINGBLD6.- // BETBACK LIN[ F110M � �� CENTER oF BTnB[T RHAR YARD � DESCRIPTION OF WORK � �O. OP nnua � I HEREBY ACKNOWLEDG! TNAT 1 X�VB pH11D TX�B APPLICATION �N� BTATE TH/�T TH! ABOVe IB CORHGCT �NO AOqee TO COM- PLY WITH ALL CITY OROINAHC88 AND BTATB LAW6 ReOYLATINO BYILDINO CON9Tp /�+�/� SIaNATURE OP \ K,` QQ�ee PERMITT6E \/ AUTHORIZHD AOHNT FEE RECEIVED FINAVNCE dEPT, CITY OF COSTA MESA APPLICATION FOR PERMR BUILDING For Office Use Only ZONING NO.OP U8[OPNI �� PLANB n BUILDINO YARDB APPROV ED MAIN BUILDIN6 20M C/L STREET) DI�BTANC6 BHT. MAIN BLD68. VAR. Ji 0 b-o�i': 6HALL BE LE85 YARDSAPPROVED AGCESSORY BUILDING DATE � N 8�. �. � TME AMOUNT BHOWN YNOER VALIIAT�ON IS FOR THE _ PUHP09H OF EBTABLIBMIN6 A PEHMIT FEE ONLY. � VALUATION m PERMITFEE $ �� � �//✓ V ' E � 0 6 TOTAL FEE $ �� .. 2.9679 �, /OSTA MESA BUILPING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CAIIFORNIA 92626 Fo� Applicant to Fi!l in Completely BUILDING �J q J?`. Gf �' ADDFESS �j � �(/' / OWNER /�3� ✓/�LU� /''I(IP/CET�S� MAIL �p ADDRESS'. � �.Cl • � �! 'S r C. • ��� TEL. (� CITV � �J �i( %�%�3� NO.�/.i �`jl CON5TRUCTION LENOER ���'�£ BRANCH aooaEss (1F FN TNFFFl ��'�!V � TEL. NO_ CONTftACTOF �% �LC� ML 1s � ADDRESS �'!�, � �17 • /q `� ` � TEL. CITV/'� $ T,p� /�ti 6„�I NO. STATE CITV LI0. NO. L14 NO. $12E ( NO.OF BLDGS. OF L.OT /d S��� U I NOW ON LOT USE OF EXISTING.BLOG. S �-' ��£ �� � � �� �{tT SI2E OF NO. OF NEWBLDG. ROOMS STORIES COVERINGALLSTOGGS COVEqING /��a VSE OF BUILDING AND WORK TO BE PERFOFMED s v P� ,e rr.4� / � XT£�✓ A/ �+dlQli �e/ � /2 ,r CITY �� �:����� MESA ,� � 27 1''�9 n.v. No. ��6 - 063 - BUILDING ADDRESS �35� TRACT FIRE ZONE ZONE � NO.OF 'r PLqFS VARDSAPPROVED MAIN BUILOING (FROM C/L STREET) DISTANCE BET. MAIN BI.DGS. VAR. �{-` C.U.P.q� APPROVED i � v\ LDIN PERMIT ,n �U �����G � . ( PE O � c�>6,�- � 7 LOT BLOCK , I,. , �� i' e s ��M VALU§ C dj . GROUP !�- ) DATE USE OF NEW BUILDING VARDSAPPROVED I ACCESSORV BUILDING FT. , T. � FT. BET. MAIN & ACCESS. BLDGS. DATE APPROVED ...__ �_��_r_ a I hereby acknowletlBe that I have reatl this application antl state\ � _ � that the above info�matioP is correct antl agrae to comply with ` all laws regulatin8 builtlin8 consttuction, antl I shell not employ v / I any pe�son in violation ot the workman's compensation laws of xhe State ot Calitomia. m I hereby ce�tify that I am ProPe�ly licensetl as a conttacW� untler SQ. FT. � O the State of Calitornia Bus��ess antl Professions Cotle, Divisicn 3, THE AMOUNTSHOWN UNDER VA�UATION IS FOR Chap[er 9, antl that suc� licenses are in full forte antl effect, or I THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLV: m em ezempt from the provisions of the State of Calitornia Business � antl Professions Code, Divis�on 3, Chapter 9. VALUATION �� m � PERMIT FEE $ � � Signature ot m Permittee $ �Da PIAN CHECK ^a E Authorizetl Agent �� ` '%� s�� LL TOTAI FEE $