HomeMy WebLinkAbout547 19TH ST - Building PermitsCITY OP COSTA MESA �
CONSTRUCTION PERMIT
Addrea
Arch/Eng.
fi11 in a11 soaces wilhin naavy UorEer lines anE sign all apP�aD��ate tleclantions.
iMIT NO. ' " TRACT NO.' LOT NO. �BLDG.'NO.
D- � � �� " 1 � � -_--_
License No.
TVPE OF CONSTRUCTION
- / `O NEW ' ❑ ADD ❑ ALTERATION ' '
-- ❑.REPAIR ❑CONVERSION �DEMOLISH
- ❑ OTHER '�
DESCRIPTIONOFWORK 6wP
/i� _: f :l__,-�+�-'+.[ . . . . . . . . ... . ..
: •.__-- .
�
� ;' , OCT 15 1982 � � .
.Contracmr (���r (:•, ('Lee�v. e- ' Phone 0' TVPE OF PERMIT - � �
Addfess � - - "Q GRADING .❑ FOUNDATION O STRVCTVRAL
LICENSED CONTRACTOR DEtLARATION O TENANT �O�ELECTRICAL �PLUMBING ❑MECNM
I hereby af(Irm that I am IiCensetl Untler provlSions of C�arter 9(com• � � � � �
mencing wltn sectlon 7000) o/ Divislon 3� of the Business anE ❑ pTHER �
Profasslons Coae, antl my Ilcensa Is In full lorce antl e1Po<t., PRO�ECT DESCRIPTION
Lltense Class � LI se No. ��� 8� �
/A-!3• hl ' SQ.�FT. .
Date Signature ` ' .��� '
WORKERS'COMPENSATIONDECLARATION ' OCCUPANCV, ONS�ElVCTIONTYPE ,
I hereby ai(Irm that I hava a cerUflwte of conunt to salf-Insuro or a VALUATIO ZONE
tertitiwte o/ Workars' Compan9at�on Insurante, or a certlfleC copY •
tn..qot ($octl 3800, leb. CJ. GRADING CU. YDS. ACRES
� ' No. ��9� Cornpany ' �57 `�/�
��q .rtlfiotl copy Is hcroby furnlihetl. REMARKS: � � � .. -
yy CerlitieO <opy Is filetl wilh the city Builtling Divislon. ,
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - ' ' ' " - '
�Tnis wctlon ncetl not be tam0letetl if tne permil I5 tar one hunUretl
51001 or lassl. � � ' ' ' • �
I cert(ty l�at ln the perbrmance ot l�e work tor whic� lhis permit is
Issuatl, I shall nol emPloy any Derson In any manner so as to ba<ome PLUMBING ' . PLAN CHEGK
subjecl to tha Workars Cqmpensa(lon Lnwi of.Callfomia. ''
Date - SIB^atUre BATHTUBS SHOWERS
NOTICE: If altar makin9 Inii tleclaratlon, you z�oulC �ecome SUE78ct TOILETS - � URINALS"
to the Workeri' Compensation Orovlsions of th¢ tabor Cotla, you muit
forthwilh <omply with suth Orovisions or this permit 5hali be tleemetl LAVATORIES DOUBLE LAVS � '"
rGVOkCO. � � . . � . ..
CONSTRUCTION LENDING AGENCV ' KIT.SINKS � DISFIWASHERS '
b hereby aftirm that there is a co�struction lentling agency for the per- SERVICE SINKS � , SUMPS '
formance of Ihe work for whith this permit is issuetl (Section 3097
Civ. CJ. ' ` ' ' `- ' �FLOOR SINKS �FLOOR DRAINS '
L.enAer's Name
I..anCerY Atltlrezs DRINI(ING FOUNTAINS � • - ' -' -
OWNER BUILDER DECLARATION' " INTERCEPTORS � CLARIFIERS
Q
utam ior a p
iore [han five
owner of the
�W�az o� �mpwves �nerai
ih hl5 own emplOyees, pi
eE or oHeretl for wle. 11
within one year oi com
m tne convaaors u
.5 Busineu antl Prot
�es a oermit to cm
itture, prior to its 15s
to file a si9netl sta[e
5 Of the Contractof']
�.tlOn 7000) of Divis
tal'he i5 ex¢mpt th¢ri
iy violatlOn Ot Sec[I�
s the applicant to a
ars (5500).
my employee5 with �
r
SWIMMINGPOOL �� PTRAP-'- "
WATERSERVICE � ALTERATION
OfIh< ...f.,...� ...,.� ....,. ��...
antl the -yyqTER HEATERS' —' - BTU OUTPUT
71.5 by
penalty SEWER CONNECTIONS' Pu/P� C
as their SOLAR TANK COLLECTORI
,tl Rofessions Cotle: T�e SOLAR PIPING SYS. -
dn ownU at a property � _
�es sucn work himself or �ISSUE FEE � �
�.h improvements are not
miltling or improvement MECHANICAL PLAN CHECK
ner will have t�¢ EurOen
oi prOving he dltl not builtl or lmprove tor the purpose of uie). HEATINGSVSTEM 0-100,0008TV_
❑ I, as owner �o( 4hc property,. am excluiivety contratting wiih qND DUCTING
Ilcensetl contractors lo construct the project (Settion ]064, Busineis 100,000+BTU_
antl ProfMsions CoOe: T�e Contrector's Licanse Law tloes not aDO�Y to
an ownar ol property who Duiltli or improves thereon, antl wha ton- REFRIGERATION 0-]00,000 BTU.
lracls irom �such projocts with e contrattor(s) Iicesnetl pursuant l0 SySTEM �
lhe ConVattor's Ucenso Law�. 100,000 t BTU.
❑ I am exempl unCer Section 8.�3 P. C. for lnis
reason BOILERS 8TU
Date Ownor SVSTEMREPAIR,AITERATION
I 119iCby tertify that 1 have reatl th�5 aOP�����on anQ staie that ihe abova EXHAUST SY57EM MULTIPLE
Intormation is mrrect. 1 agreo to comply with all tity anU county
ortlinances antl statc laws relating �o consttuttlon, antl hereby aut�orizo
represantaliwz of is tlty to enter upon tbe above mentionetl
properry ro`,.ipsp n Ourposei. /
Signature �-� � pa�e` � �/?-8.1 '
Drivers'LICenSeor55� ' ' �SSUE�FEE • - �
CMF 0865-46 W�ite-Bu(Itling; �y�ary-Appllwnt; Pink-Accountinq; Goltlenrotl•Assessor
Q
REFL: �
)PE�0.TV LC'INE: :. '
REAR VARD (TO P/L) �
PKG.SPACEREQ. PROVIDED � � �
STREET WIDTFI . .PARK F�E 5� �.. I �
ZONING AVPROVED
SPECIAL CONDITIOI
EIECTqICAL � PLArICNEGt - '„'
. . ... . � :�' _
GENERATOR '0-1KW_1-lOKW � r.���
TRHNSFORMER � �� � � �
APPLIANCE ' 30-50 KW�50 � KW � � "�
MOTORS Od HP_1'-lO�HV " -" "
QNC. SOLAR) 10•50 HP SO + HP' �
FIXTURES ' OUTLETS SWITCHES' ' �
GASTVBESIGNS' ' -' " '
POLE LIGHTS ' - ' ' - ' - "' . i
PANELS MAIN" -' SVB ` '
SERVICE ' ' - -- � ' AMP � -•- '
. . . .. _. , . . ;
' ISSUE FEE ' ' '- " '
' APPLICATION APPROVED BV DATE( �
SUMMARV OF FEES, .
BUILDING ,�,� mG '
PERMIT S� ' SMIP.� E�
PLAN CHECK f 7ERMIT '
� - - � ISSUANCE • E -
PlUM81NG S - •
PLANCFIECK f ' GRADING :S
ELECTRICAL S � s
� PLAN CHECK S INICROFI�JeI_f
, MECHANICAL S TOTA�L FEE S� „
LESS AO-
PLANCHECK E VANCEPC E�
�/� O �
. FINAI FEE E Jl�
.er..i... _ � . - .. .�. � .r � , � � . .. .
. . ._ ... . . . . _ ' ' ' _ "_ _ ___ ' ' . . ._ . ^ . - `r.
. � �'•'I �_�'ry��
CC3STA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBiA MEBA. CALIFORNIA
�
For Applicanf io Fill In Completely
TYPE OR PRINT
AODRE'88 / � �
COSTA MESA CALIFORNIA � ve ��..
7
CITY �.� e /�� � S
AR�"'ITECT
.., ��.,«e �--
APPLICATION FOR PERMIT
BUILDING
For Ofifice Use Only
BUILDING�/ � L�//'7 /,/ _ /�
ADDRE88 �r �i .iry
COSTA MESA. CALIFORNIA
FIRE
ZONE \����0. ` TYpE �� GROUP
APP FO 1� � A?A I I//
��
� ZONg
1
�� NO. �� �eaA�
D88Cp
INO. OP e�.nce.
use oP
EXIBTING BLDG
9QTBAGN LIN6 PROM
DESCRIPTION OF WORK
EXT6RIOR WALL ROOP
COVERING COVHI
USH OF BUILDING AND WORK TO I
1 XBRHBY ACKNOWL8D08 TN�T I X�V6 RH�D THIB APPLICATION
AND 9TAT8 THAT TX6 ABOV6 I6 CORflHCT ANO AGR88 TO COM-
PLY WITN ALL CITY OPOINANC86 �N T�TB lAW9 RqOULATINO
BUILDINO CONBTRUCTON. ` �
SIGNATURE OF i�
PERMITTE
AUTHOFIZED AGENT
Z@NING
�. or �., I use ov H�
PLANB � �"BUILDING
/%- � � -�-�
; yv ) ��� -i
EVES
(LENTBR LINH 6T.1
t����, ��U� ��"/3- � a
TH8 AMOUNT BXOWN NDHR VALUATION IB FOH TH[
PUMOBe OP eBTABLI8HIN6 A PePMIT PEE ONLV.
VAL TION `'
PERMIT FEE S /v� '
$� /, `,
� ~v PLAN CHECK S � l
�
.
.,
. ,, •.. 27682
.f
<COSTA MESA BUILDINCrSAFETY DEPARTMENT
P.O. BOX 1Z00 COSTA ME8A, CALIFORNIA Y2620
For Applicanf fo Fi11 In Complefaly
TYPE OR PRINT
ADDRE'S8 W . ( � � G.
COSTA ME9A. CALIFORNIA
OWNER �'(Jr� P.
MAIL �'1 � M 1 _ � . (� 1C� ��
AD�RHSi � IIb�tiRJI L7V
taau.
- s�.�H �.u. iti � .s�- -
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� T6L
NO.
` I / � / I NO. OI� �LDO�.
xow nx inr
Y BlTGACKLIN{lROY
DFSCRIPTION Of WORK
WALL
1 HEq¢9Y ACKNOWL[p06 THAT 1 XAV6 RHAD TXIO
AND BTATB THAT� 6 ADW6 1/ COP@6�T AND AO
PLY WITN/�CL'LTTY�RDIIUNGY ANO 6TI1T[ LAWY
i
� AUTHORIZiDAOCNT
ecf -s-a�c,";s°00 a�s°• �;. � *r1 s.SC
APPLICATION FOR PERMR
BUILDING :
fOf �ffTCB (/f0 011�
11[C[IR NO. ���
�/ i 1. 1 V �ATE /��/h �
O IN�
•o.or u�torrviw �S7-p
rux� � euuorno � • ��
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( � - oG3 -�f�
�E OViRHANO BMALL BH LH88 TMAN
1 RBAR P. L
N. B..C. H6QUIHHM6NT'.
YMDHAPPROVHD YARCBAPPROV6D
MAIN BUILDINO ACCBiSORY BUILDINO
DAT6
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ro
�7tt4 Spac�Jr ror i �
S
� � , lP-`r_•-�- �
ec. Rr. �
THC /�MOUHi BXOWN UNDBR VALU�TON 19 FOq TH8 j
�URPo9H OP [3TABLIBXINO • PEHMIT RHH ONLY. ty
LLUATION ' '� �
1` PERMIT FE8 � �
:�/ /' \ ��. _. _.....__., a. i ��- M1�.
��
LC
. �
• '' � 32368
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
� For Applicant to Fill in Completely
BUILDING �� � � % �
ADOflESS
R
4�V� 0 r�J' la.:a�i J iW QJtlI��� +: .
OCT 2" 1970
ION FOR BUILDING PERMIT
/ rtnmi i rvc
OWNER A.P. NO. tl�' ��3"
MAIL �y� .7 ��� � /.' BUILDING � � �I / p
ADD �]" 7 ADDRESS � / .�p /� �
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ZQ CONSTRUCTION
O N LEN�ER
am
� BRANCH
ADOFESS
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J a OR ENGINEER
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w K A�OFESS
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y � LI0. NO.
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OF LOT
USE OF
EXIS7ING BLDG.
F SIZE OF
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EXTEFiIOR WALL
COVERING
USE OF BUILDING AND
F� ^D" -
/
TEL.�p� } � TRACT
No. v-��_ J
TEL.
TEL.
NO.
CITV
LIQ NO.
NO. O�
I NOW ON LOT
NO. OF
ROOMS STORI
FOOF
COVERING
K TO BE PERFORMED
„•-/i- �„-- .
OWNEFi /(-e._��! . . D � JSl4
SZSE�-l7f' Ij YA (�,( IJ VALUE�
FIPE
ZONE TVPE GRC
�APPROVED �^i
1 f]GTF�
NE NO.OF
� � PLANS
VARDS APPROVED
DISiANCE BET
MAIN BIOCS.
VAR. �
C.U.P. #
APPROVED �
�
_ �L �
USE OF NE �- - �
BUILDING
VARDSAPPROVED
ACCESSOflV BUILDIN
/I FT
BET. MAIN &
ACCFffi. BLD
DATE
APPROVED
�
�
I hereby acknowledge that I have read this application antl state
that the above informaiion is correct antl agre¢ So comply with
all laws regulating b�iltlin8 �o^struction, and 1 shall not employ
any person In violation of the workman's compensaSion laws of
the State ot Calitornia. �
�
I hereby certity that I am properly licensetl as a contractor under SQ. FT. o
Me Stata ot California Business antl Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VA�UATION IS FOR �
Chapter 9, and that such licenses r in full force antl effect, or I THE PURPOSE OF ESTABLISNING A PERMIT FEE ONLV: m`
am exempt trom ffie provisions o t e Stat¢ of Celtfornia Business . ¢
antlProfessionsCo ivision3, apter9. VALVATION _` Q.() m
PERMIT FEE $ U �
/ �
Signamre o -- °�
Permltte $/ p�y� PLAN CHECK $ �
O _ " %D ��
Authotizetl Agant � TOTAL FEE S/
-��-� T � t.
� 3b04!
COSTA MESA BUILDING•SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant ta fill in Completely
ILDINGr/7 �: / �'� , i% ' %.� ,�^ . �
ORESS✓'�'f � � . /'/
ca�n
�����s�-73�,��:00�7oo;f :.,��:•i0.5o
APPLICATION FOR BUILDING PERMIT
RE�C��VE��B� DA R EIVED DjTE�/UI
/� %�� i
OWNEP �./U � C' i�l U C L'C O i+.r. rv�. � —civ 's - av-Y
MAIL /� (�( `�a BUILDING r I ("� /i
Z . ADDRESS � ��Ji � -( ���' J % ( ` ( M � ADDRESS p . �.�i r r�i' J �/ `! � •
O
�. U CITV �' TEL.(C-q Z TRACT LOT BLOCK
( � ♦ NO.
Z Q COt�ISiRUCiION
O � IENDEfl
am
J � BfiANCM
J N OWNER l(/"P_ GJ
a W ADDRESS s /y��q- / VALUE OU
ARCHITECT '1./ Q JN TEL'1 / S•"''�� FI'N� I $
- � ai�cnvm�c.. � N
/' �9 FIRE
W � ADDRESS � ( �Q � ` � ZONE TVPE GROVP �
d w APPROVED
w 2 CONTRACTOR 1 ev DATE
J Q
m Z
J � A�DRESS \
w W TEL. ZON NO.OF USE OF NEW i6�'�
�= CITV NO. � P�� BUILDING �T6f+�,�j pyJS
ZF
w� STATE CITV `�AflDSAPPROVEO VARDSAPPflOVED �
y� LIC NO LIC NO MAIN BUILDING ACCESSORV BU LOING
�
�
\
7 O (FROM GL STREET) (J �
SIZE NO.OF BLDGS.
OF LOT NOW ON LOT � FRONT FT.
USE OF y� �
EXISTING BLDG, 5 F FT
H SIZE OF NO. OF
Z NEW BIOG. ROOMS STORIES / L. SIDE FT.
U EXTERIOR WAL1� ROOF '
COVER�NG ,J .0 COVERING REA FT. FT.
J USE OF BUILOING A.ND WORK TO BE PERFORMED DI5TANCE BET. BET. MAIN &
� MAIN BLDGS. ACCESS. BLDGS.
VAR. iW DATE
� �-S� i v'!/C� N— 6 0 i' c.u.v.3w APPROVED
� r �,� - a h ,�Ro�Eo � �3
z
0
VI heraby ecknowletlBe that 1 have reetl this application entl state ATE
� that the abovB Informetion is corract entl apree to comply with
� ell lawz regulatlnp builtling conshuttion, antl I shall not employ
F, any pe�son in ��olation of the wo�kman's tompansation lews of
y rhe Stete of Calitosnla. r� �
ZI hereby cartify Met I am properly Iicansatl as a conttactor untler SQ. FT. o
the Stata of Californie Business and Professions Cotla, Divtstcn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapier 9, entl [hat suth licansas ere In full torce antl effeci, or I THE oURPOSE OF ESiABLISHING A PERMIT FEE ONLV: ¢
em exempi frOm tha provisions ot the State of Californta Business VAIUATION
antl Professions Cotle Oiv(sion 3, Chepter 9. PERMIT FEE S �• B� m
� N
SiB�eiura ot , T� / � �
-,,-I i?� Ll�� �� m
Parmittee / ✓�I"K�i-a4 $ /`G�.,f1 �' PLAN CHECK $ —� o
LL
\ Authorizetl Apant TOTAL FEE $
� 4331.7
� COSTA MESA BUILDING•SAFETY DEPARTMENT
�'� P.O. BOX 1200 COSTA MESA, CAUFORNIA 92626
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For Applicant to Fill in Completely — Use Ink Only
OWNER
MAIL �
ADDFESS
CITV �
BRANCH
ADDRES',
l�
ADDRE55
t
TEL. ��
ADDRESS
TEL.
CITV NO.
STATE CITV
UC. NO. LIC. NO.
SIZE ' NO.OF BLOGS.
OF lOT NOW ON LOT
USE OF
EXI5TING BLDG. P� �.iJ Y� 17 �
Separate permits are required !or
electric, plumbing and heating work.
U$F OF BUILOING AND y�C7J1K TO BE PERFpRMED
i heraby ecknowletlpa Met I �eva �eatl th(s epPlicatfon end smte
thet the e�ova Informetion is correci and epreo to comply with
all lewc repulatlnB bulltling conttruction, enE I e�ell not ampioy
any person In violation of the workman's eompenfallon laws of
tho Stato of Californie.
I hareby cBrtlfy that I am prOperly IlcenaeG as e contreetor undor
tha Smto of Callfarnie Business entl Professiona Code, Divlclon 3,
Chopter 9, end that such licensea ere in full forca antl affect, or I
um exampi from t�e provislons 4 the Scate of California B�slnaee
ontl Protasslons Cotlo, D n Chapter 9.
SIB�eture of
Permlttee
Authorizo �nt
PAfL
��r, �r�-�;�y..On G99: *,.:�*64.10
APPLICATION FOR STRUCTURAL PERMIT
A.P. NO//("f'^
BUILDING r�
ADDRESS�7
APPROVED
vqR�S APPROVED
VAR. �
�. PERMIT NO.
! �
BLOC
DATE� � � V
\
USE OF , \ 1
BUILDI � �L
. VARDS APPRO�({ D
ACCESSORV BUILbING. �
88I. MAIN
ACCESS. 8L
DATE
THE AMOUNT SHOWN UNDEfl V LU
THE PVRPOSE OF ESTABLISHING A ERP
VALUATION PERMIT FE E
� PLAN CMECK E
$ �A1I � TAX 5
V / v/r(/
TOTALGAID S
ON �5 FOR
FEE ONLV:
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Ci�3TA MESA BUILDING•SAFETY DEPARTMENT
P. O. BOX 9fi COBTA MHBA. GLIFORNIA
��
For Applicanf fo Fill In Complefely
TYPE OR PRINT
BUILDING
AD�RE53
COSTA MESA. CALIFORNIA
■ MAIL
TEL.
NO.
TEL.
NO.
rbor Neon Co.
NO. OP BLOOB.
66T9ACK 4ne PROM � pliZg
CBNTLR OP BTN[CT ' REAR YAR[
SIDE YARD I LEFT � I RIGNT ri
DESCRIPTION OF WORK
NG
OR WALL
WORK TO BE
��� ����:���:t�
��. s-5-�a
FINANCE DEP'i'.
APPLICATION FORF PEitFiiT M���
BUILDING
For O#iee Use Only �
xece�wr No. 1JL����
aecs e or I S S�c ��� I o ySu l
S �
AODRHSS � i � `ii� y�1Y // �
COSTA MESA. CALIFORNIA
\
FIRE � ^
ZONE NPE GRO / v
APPROVED '� v� �i U \ \\
BY DA7E V�
NING �
ZON�'' //I NO. OF .-� �I�11�6 OR NEWdL
L80AL r PLANB �/ I BUILDINO n
OEBCRIPTIO! 7' J � / \ _
C\_
f_fh_ e�C� � -- -��
A. P. NO. � _ '� .� .
YARD6 EVES `
APPROVED ALLOWED ��
fCBNTCR LIN6 8TJ � �
DE � FT. '�
i .
3 li FT i. /(
0
GV/ �
I HHRBBY ACKNOWLfiD�6 TMAT I MAVB RBAD THI9 APPLIC�TION TN8 AMOUNT BXOWN UNDER VALUATION IB FOR TH8
AND BTATE TXAT THB ABOVH 18 GOfiRECT ANO AOIiBE TO GOM• pUPP098 OF EeiABL18HIN6 A PERMIT FEH ONLC.
PLY WITX ALL CITY ORDiNANCEB AND 6TAT6 L�WB 1180U1ATN0
eu1lDIN0 CONeTpUCT�N. VALUATION J
SIGNATURE OF PERMIT FEE S
a
PERMITTE n ��JJ ' / / yU ' n
/ jV ^' �/� $�V I/ PLAN CHECK S
AUTHORIZED AGENT t l���V/ \ ` � 0
iOTAL FEE LL