HomeMy WebLinkAbout537 19TH ST - Building Permits�
ADo��Gnt to illl in all
CITY OF COSTA MESA ' �a�r Nc
CONSTRUCTIONPERMIT Uy�� ?
Addres
-Arch/Eng.
within �eavy EorEer iines anG ilgn all apD�opriate
i T{�T �1�I.�o2r{o. i
TVPE Of CONSTHUCTION �
� Phone • - ❑ NEW ❑ ADD ❑ ALTERATION -
;��.y. � ❑REPAIR ❑CONVEFSION IgDEMOLISH
LiC2n5E NO. - ❑ OTHER � -
DESCRIPTION OF WORK n�/^VD.
HOOfC55 ' - .
�Contractor r S Phone TVPE OF PERMIT ' ' ' ' ' - •
.AddreSs ❑ GRADING ❑ FOUNDATION ❑ STRVCTURAL� -
LICENSED CONTRACTOR DECLARATION '�- ❑ TENANT ❑ ELECTRICAL �VLUMBING ❑MECHANIC,
I bereby afflrm lbal I am Ilcensatl untler provislons of C�arter 9(com- �
mencing wlt� 5eclion 7000) of OlWsion 3 0l the Busin�zs antl ❑ OTHEH
Rofessions cotla, ane my Iltense is In tull torce ana efPoct. pROJECT DESCRIPTION
Licenu Class � LJ sa No. -3/D�S . ''
Dale'/0`/���� Si9nature .. :5�.�.
WORKERS• COMPENSATION DECLARATION OCCUPANCV CONS�j1CTION TVPE
I hereby alfirm that 1 have a certi/iwte o( tonsonl [o self-insure or a VALVATION � 4� d 20NE
certifiwte of Workeri" Compensatlan Insurance, or a certi(Ie0 topy .
�`�•eof (Sec[ on 3800, LaC. CJ. GRADWG CV. VD,S. ACRES
yNo. CompanY ST. �VMD-
.ertliled copy is hereby furNiheO. REMARKS: , � .
�Certifietl copy is fileC wlth the city Builtling DIVISIon. , .
EXEMVTION FROM WORKERS' COMPENSATION DECLARATION ' ' ' '
(ThiS seGtion neetl nOt �e mmplatetl i/ t�e permit Is IOr one huntlretl -
SE300) or leul. • '
c8rtify that in [he periormance of t�e work for w�ich this permit is
IssueU, I shall not emPloy any perion In any manner so as to became PLUMBING . PLAN CHECK "
subjetl to the Workers Compensatlon.Laws of GII(ornia.
Date Si9nature � BATHTUBS SHOWERS ' ' '
NOTICE: If after making this tlaclarallon, you ihoultl Eecome zuD�ect TOILETS URINALS '
to Ibe WorkGrs' Compeniation prOWslons Of tho Labor Catle, you muil
forthwith comply with such proviilons or thls permit s�all De EeomeU L.4VATORIES OOUBLE LAVS
ievOkeE.. � '
CONSTRUCTION LENDING AGENCV � KIT.SINICS' ' '" DISHWASHERS - "'
I hereCy alfirm lhat there is a mnslruction IenOing agency for tho Per• SERVICE SINKS `�� SVMPS •
formance ot Ihe work for wNU this permit Is Issuetl (Sectlon 3097
Civ. CJ: ' " ' - " � FLOOR SINKS ' FLOOR DRAINS - '
L¢ntler'S Name
Lentler'S Atltlr'ss DRINKING FOVNTAINS' '
OWNER BUILDER DECLARATION INTERCEPTORS 'CLARIFIERS � "
I neraby aitirm lhat 1 am exempt irom.the Contractor'i Litensa Law br
tPe followin9 reason (Setllon 7031.5 Business•and Profeszlons Cotla: SWIMMING POOL ' PTRAP '
Any Nry or county w�icb requlres a Oermit to tonilruct, alter,
Improve, tlemolish�or repalr any structure, prlor to Its isivance, alio re- yyqTER SERVICE ALTERATION ' �
qulres the applifvnt tor such parmit to filo a signetl statemonl that ne
is IICenSetl purivant lo t�e provislons of the ConlraClor's LlCensa l.aw GAS SERVICE OUTLETS '
(Chapter 9(commencing wllh Sactlon 7000) o/ Division 3 of the
B•"'�¢si antl Pr01lSsionS COtlB) Or thdl h01s oxampt �na�ef�om a�tl IhB yyqTER HEATERS " BTU.OVTPUT
1 (or the allegatl axemption. Any Wolatlon of Settion 7031.5 by
o. .aPPmoretthan fivehun�tlre bao iars (y500)���t to a Uvil penalty SEWER CONNECTIONS �,UfK P�J
❑ I, as ownur of the O�operty, or my employees with wages as t�eir SOLAR TANK ' COLLECTORS
sola compensatlon, wlll Uo tne work, antl tho itructuro is not Intontletl
or oHerea tor sale. (Sectlon 1044, Business antl Aotessloni Gotle: The SOLAR PIPING SVS. � � '
Contractor'S Ucense taw tlo¢5 not apply lo an ownar of a propGrty
wh0 bulltls o� ImprOv¢s the�eon, dntl wh0 dOM suth work himselt o� ISSUE FEE ' � � �
IS Soltl wi[bin one year Ot Compl9[�on, ina owner ww naw ma ouraen
of provin9 he tlitl not builtl or improve for the purposa of sale).
❑ I, as owner o( the pwDerty, am exclusively contracting wilh
IIC<nsetl contrdGtors to construct the pro)¢c[ (SecUon ]044, Bu5inu5s
antl Prof¢5sions Cotle: The Conlractor's LICBnSa L,aw tl0lz nOt apply to
an owner of property w0o builtls or improves theroon, antl who con-
Vd<[s flom such pro}eCts wi[h a conlfactol(s) Ilce5n8tl OURuant f0
Ihe Contractor•s License Law).
❑ I am exempt untler Section B. & P. C. for t�is
reason
Date - Owner
I hereby certify that I nave reatl this aOG�����an antl sta[e lha[ the abov0
Inrormation is correct. I agree to comply with all clly an0 COunty
ortlinances antl state laws relating to construction, antl hereby authoriza
r¢pr¢5¢ntative5 Of this Uty t0 enler upon th¢ abOve mCntlon<tl
property.fof i spect purposes. . ,
Signature `�`� � Oate �� `�3'�
MECHANICAL PLliN CHECK
HEATING SVSTEM 0-]00,000 BTU_
AND DUCTING �p0,000 + BTU _
REFRIGERATION 0-100,000 BTU_
SVSTEM 700,OOO+BTU�
BOILERS BTV
SVSTEM REPAIR,ALTERATION
EXHAUSTSVSTEM MULTIPLE
Drivers' License or 55 � � ' ISSUE FEE
CMF 0865-46 While-Builtling; Canary-Appliwnt; PInk-Accounling; GoltlenroC-Assezsor
� . .
! '
j _t_��.
OCT 15 1982 :. � �j �
REGULATIONS
ZONE (�` Z� PLNTGp. RgUEF:;¢ •
S5EpTpBACKC/LST:����"�"� PROPE�RTv'LGNE�� • �
r�K�TVARD . - ..- . ...
REAR VARD (TO P/L) � �� -' ' ' " "
PKG.SPACE REQ. - -PROVIDED'- " '
STREET WIDTH .. - PARI( FEE E. " .
SPE[IAL CONDITIONS: � '" ' � "
ELECTRICAL ' PLAN CHECK � ' �
GENERATOR 04 KW_1-10 KW - — �
Ti3NN5FORMER . - t
APPLIANCE 10-50 KW=50 + �(W - -- . 1
MOTORS ' Od HP_i-30 HP �- - -
pNC.50LAR). 30-SO,HP_SO+HP � � _ .
FI%TVRES � OUTLETS SWITCHES •-
'GASTUBESIGNS -• - • � �
(
POLE UGHTS ' ' ' -- � � - — -{
POLES - METERED SUB ` '�
PANECS "" MAIN. ' SVB ' -
$ERVICE '� �' ' AMP • �•�
. . . ... . . . . . _ . _ ,_ ,
. , . .,
ISSUE FEE ' ' �
APPLICATION AGPROVED BV DHTE�Q � �
SUMMALRV OF FEES . -
SUILDING ,n � /���
PERMIT SJ� • SMIP.. . E_SG�SL �
PLAN CHECK S .PERMIT _
PLVMBING § � - '— ISSUANCE-E�
_ GRADING S
PLAN CHECK �f .. -
ELECTRICAL S ' E
PLAN CHECK y- � _ �'71CROFILM E�
' TOTAL FEE E �Q "r
MECHANICAL' E' ' '
PLAN CHECK E' ,' LE55 AD- '' -' �
. 'VANCEPC E
� , FINAL:EE y( Q�
i �
� �: _ � � a-
CONSTRUCTION AND PLANNING � � : � POOL & SPA • ' - � ,q -, ��, ,. r-�,
APPROVALS Permit �€ Date Inipector pppROVALS +, ' Permit �k " Date lnspeitoc. .
1. Tempo�ary Electrical Service or Pole 43. Pool & Equipment Location� � - - � -- - ' � - -- - - �- - �
� i ipe-. n rgrn ' � ,r Steel Reinforcement � • - -- -- - - � - - • •• - - � - - - �y,
. 3.- . lectrical Cpnduit.Utility,-Undrgrn _ ._ � 45. Forms � � - _ i�
4. _ Electripl.Conduit:Undrgrn - - • 46. Electrical Bondin _ � ---- - -- - - _ �
tee ein orce - 47. Rou h Plumbin & Prenure Test � � � � ,�
6.. Electripl.UFERGm " - 4g: AppROVALTOCOVERGUNiTE'�- = - '� � • - �
7. ootings , � � - 49. Electrical Conduii-Undr rn • � - � �
8.� � Foundation _ ' 50. , Gas Pi �❑ Undr rn Test - • ' � � �, ;
,--.9.� �Water Bipe-Undrgrn _ _ _ _ _ 51 Backwash ines P• ra ndr r � - � • � ' ' �
' t0....Str,uctural Floor Svstem " .52. APPROVALTO DECK ' `' " ' " "' " - • - •
� 11. .. Prnperty Sewer Line'& �.House Connection 53. � Backwash & Rece torFinal � � � � � ii
rt2.-.�Street Sewer Connection � ' __ _ - � 54. Heater & Vent-Final � � �
i
..13.. Rough. Plumbing. _ . -� . . _ . . -'- - - • - - •-- � . . :r, � �' �
. 14. Rough Electrio-Conduit - - -- � - c-�56: Electripl-Final - � � - '
� 15. Rou h EleMrio-Wirin � - ' -- - - - - �57. Solar SYstem-Final � ' ' ' ' ' ' ' " ' � � ' �!
- 16.. � Rough� HeaYing-& Air Conditioning - �- - � - - - • - encing.& Access Approval � � �
�:
� 17., Ducts inStrueture ' " " � APPROVED FOR PLASTERING . � - � - �
.- 18.; Ducts; Ventilating- �. .... - - - -- , ' " _ -
' 19.' Gas Pipe-Rough & Test �60• P.00USPA SYSTEMS FINAL '•� � ��
�-20:�-Foof Framirig� . . ._. -- - - - . - , � � � - � � � . . , . . , , . .. �
' 21.� Roof Sheathin .. � - � ' � � " �' � ' �
�-22. - Frame and Flashin NOTES: _ � ' ' ' '' � i
; -23'- insulation � ... . -- - - � -- ' „ . ' - - - - �
: 24.' �Lathin & Sidin9 - - . � . . . - ' _ • � . � . .... � . . - - -- � � - ' r
' 25.�-Drywall Nailing - - -� . . , � .. . . . . . .' . i
26. � -Plaster-Brown Coat . . . - - . - - - � " � ' � � -.. �
' 27: Elec[rical Power Meter-Final � � "� � � - � - ��
�� 28.--Final-Electric - - . . . _ - � - - - . � . .. . . . . . J
� 29.'- �Final Heating & Air Conditioning . . - _.� - -' � - :�, � . - ;
: 30: Fioal Gas F�ce-Test " . . � . . � . . �
31�.' Final P.lumbing . ' - � � - � ' ' • .
,.-32�-Water=Service•Fina6 -- - - -+. � � ' • � i
=33. : Gas Servic¢-Firtel ' - '-- - - . . . . +
: 34. Solar pomestioFinal • � � � - � � �
� 35. Landsca S rinRlin S stem � � � � ' �
� 36. Sound Attenuation � �
' 37. Handicap pegulations �� - - ' � � • �
l
38: FINAL STRUCTURE & BUILDING '
, 39.__SpecialRequirementsCompleted ' ' � � ' � � �
� 40. Electric�Ralease�toEdison ' ' � � - - � �
41. Gas Release to Southern California Gai Co. � '? �
42. .CERTIFICATE OF OCCUPANCY __ ' _ _ . �
- No � � Date � • - -
�.:"��' ���`� � r�'
" � �.�'
COSTA tdESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 31] COSTA MESA, CALIFORNIA
FOR APPL/CANT TO F/LL /N COMPLETELY
' TYPE OR PRINT -`
BUILDING,�"de r'•I sF �Q� W• /�j[�w SZ`
ADDRE55 `��{� � �
COST ESA, CALIFORNIA
MAIL �
ADDRESS '
CITY �9J
ARC�+ITECT
J
. Ec�.�-/ �+/4 y
ADDRESS
� LEG/�L I LOT �(� I
'No:nu�/�2or
7�ua�F_ 9S9
T� MCY7
P.L .
STATE
A.P.NO. II 1!/_Q �: 3-3 5
$IZ�� NO.OF BLOGB.
OF LOT / GO X Z�10 I NOw On toi �
EXISTING BL�G. �- I 4� L -�> I O Q�
SETBFCN LINE FftOM p� ^ �� . I
CENTEP OF STflEET IQ/ REAR YARu�-��%
SIDE YARD I LEFT � Z+ I RIGHT �J�¢—'
DESCRIPTION OF WORK
NE ( II ALTERATION I II ADDITION I/
REPAIR I IIMOVING I IIDEMOLISH I
BUILDING � Q NO.OF �j i
SIZE SO }�WO� ROOMS 'J STORIES
FXTERIOR WALL �e4i��-IROOF �CV'p�� ���
COVERING 4 :•:.i L� � COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
.�- _
, . .,.--- -,,_ —
e�� b`��.�:�-"��'""
,.,r', i�..s % v �c.,
f1�1ANCE DEPT.
CITY OF COSTA 11�ESP
APPLICATION FOR PERMIT
BUILDING
fOR OFf/CE USE ONIY
I HECEIPT NO. I PERMIT
COSTA MESA.
ZONING
ZONE NO. OF ,� �U6E OF NEW
/C PLANS / / I BUIL�ING
� �•i
APPROV@FJ/ � � �
BY /L c, DATE .
REAR
� � o�� "'r z . � Y=
ar_ , �s- i _
I HEREBY ACNNOWLEOGE THAT 1 H�VE REhO TMIB M1PPLICATION '
/�ND STATE THAT THE ABOVE I6 CORHECT AN� AGFEE TO COM- '�NE AMOUNT SHOWN 10ER VALUATION IS FOp THE
PLY WITH ALL CITY ONOINANCES �ND STATE LFWB REGIILATING PURPOSE OF EBTA9LISMING • PENMIT FEE ONLY.
BUILOING CONSTRUCT N. VALUATION
SIGNATURE OF PERMIT FEE S 3 g�
PERMITTEE � ' 'q � / / � S�G
// i�'// /J $ /y � (o O PLAN CHEGK S ( _
� /� �� � � /
AUTHORIZED AGE T� ���[p/ . %aL,,.w.fQc-` J TOTAL FEE $� � J o
T ^ •
- � ' 28265
.ZOSTA MESA BUILDINGSAFETY DEPARTMEPR
P.O. BOX 1P00 C08TA ME9A� CALIFORNIA 92820
Por Applimni ro Ffll In CompbNly
TYPE OR PRINT
ADDR6G8 S �%�, S �.
COSTA MESA, CALIFORNIA
ownee Gi�OR P �3EL�Z
MAIL z� 7 (•A?2 it L 6 S V�•
•nnve�s C. h'-
P FJ M
78L
Iwo. or e�oot.
NOW ON LOT
� f7K�t/DR o H iv T
DESCRIPTION OF WORK
'I Xeli6pV ACRNOWL[DO[ TUT.1 NAVR IWO TMI� A��LIGTON
I1ND BTATC TMAT T11i ApOV� IH CORR[CY ANO AOp6[ TO COY.
PLY WITN ALL CITY OROINN1Cp /1nD �TATi LAIN� 11[OYLATINO
euaotxo coxrrnumow.
�� ; �
AUTHORIZ[D AOiN'[ �
\\
. F� 29-6�00 670 �*****5.00
A►PLICATION FOR PERMfT
BUILDINO
For Offic� U� Only
RtC[IRNO. �frJ
t�
IDN[ MO.O� U/60IN[W /n �Il�
C_ Z �uru � suao�No y/,F.a �
�a��,�� f y � � � �
D[�CM ON /
A.P.NO. II(O "�U� 3 — SI
Ndf6: NO 8AV! OVBRHANO BHALL 08 L688 TMAN
YARDR APPROVlD
MAIN BUILOINO
vwn. #
YARDB APPROVBD
ACC6880RY BUILDINO
DATB
v\
Ar�ROV[D�/W/%... DAT[�•-.Z/�U
a
w
�
ea. rr. �
TI[ AMOIIlR tMOWN UHDCR VALUATON IB POH TXB �
�YRPOe[ OI tffApYDXINO A P6RMIT P68 ONLY.
VALUATION � �Q� �
} PERMIT FE8 �"U (/ �
�V v o-D �
i�
4n569
� �COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use �nk Only
BUIIDING � � �7 ^ � � � \
ADDRE55 /
OWNER (_—�OCT�C O '�
- AD�RESS C� I��/1 R7/1 �%ilt� i�
CITV
a �
BRANCH
ADDRESS
NO.
l.
ADDRESS �
CITV �fUA�'�A•� ���f NO`�Yl
ZC
STATE CITV
IIG. NO. Q -UC, NO.
SIZE � NO.OFBLOGS.
OF LOT NOW ON LOT
USE OP
EXISTING BLDG.
Separate permits are required for
electric, plumbing and heating work.
USE nF BUILDING AND WOB!( TO P� PERFpryMEj,2 _
SEP 18-75PF�`'oo e�2�� **���53.30
� ,-_r
FORSTRUCTURALPERMiT
BUILDING
ADDRESS 5
TFACT
FIRE
20NE
APP RO V E
VARDS APPROVED
#
W
VALUE
B
VSE OF NEW
BUILDING
VAROS APPROVED
CCESSORY BUILDII
� r.�i
DATE
APPROVED
I hereby acknowlatl8e that I hav¢ reetl this application an0 state �
that the above informetlon Is correct end apree to comply with m
all laws regulating bullding construetion, entl I shall not employ � I
any parso� fn violetto� oS tfie workman's comPensaSion laws o4 m
the Stete of Californie. :
I hereby certify that I em praperly Iicansetl as a conttactor untler SQ. FT. �m`+ I
the State of California Business anC Professiona Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOfi m {
Chepter 9, end thai such licenses ere in tull torce antl effeci, or I THE PURPOSE OF ESTA8�I3HING A P�RMIT FEE ONLV: i
em axempc from t ovlsions of the Steta of Cellfornia Businecs a �
VALUATION PERMIT FEE $
end ProteSsions Co e, Ivlsion 3, Chap . m
� PLAN CHECK $ Q � ^�
Sipnexura of �j�
0
Permlttae $ � TAX $ �
� U
Authorfzed ABant 70TAL PAID E �D