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Home My WebLink About640 19TH ST - Building PermitsPflOJECT PUDXESS: 6 4 O W 19 TH $ T �^..NEfl'SNAME: CITY OF COSTA MESA aooeess: �� FAIR DR COSTA MESA CA 92626 (714)754-5180 pPCH/ENGINEEN: AOOflE55: HEG.NO.: UNIT: UNIT: reeminee: N,D. ELECTRIC ( 714 ) 998-1799 aoonEss: Zg16 VIA AMAPOLA SAN CLEMENTE CA 92673 LICENSEO CONTPACTON OEClAH11T10N: I here�y ailirm Ihat 1 am licensed unGer provisians ol C�aD�er 9(cammencing wli� Seciion 7000) of Drvision 3 0l ihe Business antl Pmlessions CoEe, an0 my license ls in full force anG eflect. cirruc.: 060 54 srnrEuc.:523613 cuss: C-10 e_ 7 -� k -9� SignaNre: . EPS' COMPENSFTION oECLAflA7lON: I nert0y allirm ihal l have a cenilicate of cansenl to sell-insurt or a ceniliwte oi Workers' omDensalion Insurance. Or a ceni�iea copy t�ereol �Section 3800. LaO. C�. roucrNo.: 1066062-94 E%P.ORiE: OLIOSI9S comraxr: STATE FUND ❑ Cenihetl mvY is nereey Wmishe0. � Ceniliea caOY is filee witn the city BuilOing Division. .aie --_S! `" '—`— AODlicant: L�� ' PiION FflOM WOflNEPS' COMPENSATION oECIAPATION: (This section neetl not �e completeA ii ihe permit is �or one huntlre0 (5100) or less�. I cetlily Ihal in Ih¢ pedormante 01 Ihe wOtk tOr w�it� (his p¢rmii is issUetl. 1 shall nol empioy any persOn in any mann¢r 50 as �0 become Subleci �0 I�e Workers' Compen5aiion Laws ot Calilomia. Date: Signamrt: i n r viions of lhe LaEor NOTICE: I�, a�ier making �hi5 tletlarati0n. you 5�ould �etOme 5uble�� o Ihe Workers' Compen5di o D o 5 CoOe. you must bn�with comply wit� sut� Orovisions ar t�is Oermit stWll he UeemeO revokeU. CONSiflUC710N LENOING pGENCY: I hereby affirm Itut ihere is a constmction IenJing apency for the Detlormance of the work for w�ictl Ihis permii is fssue0 (Seciion 3097. Civ. C�. LENOEP: nooeess: OWNEP BUILOEH DECLANRTION: I �ereEy aflirm ihat 1 am exempt imm ihe Coniracmrs' State License Law lor ihe Ioilowing reason (SeClion 7031.5 Business an0 Pw�essional COde: Any Ci�y 01 counly whith repuire5 a permi� m COrefmtt, al�er, improve, tl¢maliSA, Or repair any simcWre, prior lo its issuance. also reQuires ihe apDlicant tor such permil to file a signeG statemeni ihat helstle is licensed pursuant lo Ihe provisians of Ihe Contraclors' S�ate License Law (Chapter 9(cammencing with Sec�ion 7000) o� Oivision 3 o� ��e Business antl Pmlessions Codel or Ihat he/she is e�empt iherelrom antl ihe �asis far ihe alleged exemD�ion. Any violation of Section 7031.5 Ey any aDPlicanl tor a permit sublecis ��e applicant to a civil penalty of not more t�an live huntlred Eollars (5500�. I, as owner ol t�e DmDertY or my employees vnt� wages as t�eir sole compensation, will Oo the work, anC 1he ❑ simcture is not intenaeA ar o��ereA lor sale (Seqion 7044, Business an0 Pmlessional Cotle: The Coniractors' State License Law Uces nol apD�Y �o an owner of a pmpeny who Gutlas or impmve5 thereon, and wAo Aau suc� woA himself/herseli or NrouOh Ais or her own employees, O�ovitleG IOai SUch improvemen�s are noi in�enaetl ar OflefeO lar 5aie. I�, �Owever t�e EuilainB ar impmvemenl is sold wi�Ain one year ol completion, Ihe owner will hav¢ Ihe burtlen ol pmvinp he/5he diU na� builtl or im0�ave tor ine ourpase ol 5ale). I. as owner o� the propeny, am erclusively conlraclinp with Iicense0 contraciors �o consimci Ihe Dwjeci (Sec�ion 7044. Busine55 I❑ an0 Pmiessions Code: The Comractors' State License Law Oces nol appN �o an awner of pmpeM who 6mI0s or improves t�ereon antl who contract5 for suc� pmlec�s wiih a canlracbr�s)Iicense pursuan� to Ihe Cantrac�ors' Sla�e LicenSe Law�. I am aware I�ai pmof of th¢ir Worker'S Compen5a�ion insuranCe Should be D�Ovitled lo me. � I am e�empt un0er Sec�ion: B. 8 P. C. lor �his reasan: �ate: Owner. I tlo neieby tenily Inat I am aware oi antl una¢rslanA Ihe requirements ot Cali�amia Heal(h and Sa�eiy Cotle S¢tli0ns 25505. 25533, ana 25534 an0 I�al I or any fulure 6uiltling occupant wilVwill not (circte one) need to compty vntA 5aitl slale coGes and t�e requirements for a permi� tor con9mction ar moddicatian imm tlie Air Ouahty ManaAement OisMct. Resiaential consimction applicatians are exempt tmm �nese omvisions. Oaie: Ap0licanl: I �ere0y ceitilyl�all nave read t�is apPlicaiian antl slaie Ihal I�e a�ove informa�ion is corretl. I agree to comply vn�h aliciry anA county ortlinances an0 staielaws relaiing�o builtling con9mciion ane herehy au�hor¢e represen�aiives otlhis ciiy�o enleruponlhe a�ove-mentiane0 pmpe�iy lo�i 7ins�eclion Durposes. Y'� aie: L�) �/ �� SignaWre:� y�fs Llcense or Social Seadiy x: Li6 While—Bmltling', Green—Cotle Enlorcemant: Canary—Applsanl; Pink—Revenue: Goltlenrotl—Assessar CITY OF COSTA MESA — BUILDING PERMIT PERM NO; E 066054 PERMIT NO; E 066054 PLAN CHECR NO: N GOVT: Y SUPP; N CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE; OTH JOB DESCRIPTION : ZNSTALL. ELECT. SERVICE TO BUS SHELTERS SQ FT: CLAIM VALUE: CALC—VALUE: GROUF OCC: B-2 / COMMENTS: POWER TO BUS SHELTER FOR LIGHTING ir*it*+ritit�rft+rittt*ttit+t**atr**�+riF*atieitxitititit�r*�rxit+r�r*ititiF�x*+rit�t��it*+t***frit*it�rititit�rx+t*�rtt�attrr*at Z O N Z N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT ZN AEAR; FT IN FRNT: FT IN REAR; FT IN LEFT; FT ZN AGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING AEQ• PROV: PARCEL: 00000000 ZNE: REF NO: PLANNING NaTES> i !E iE iE if iE ik iF if it ik iF 1E it if iE it it if iE it iE iE iE iE it 1E if k if it ff iF it iE it if ik i! it if it 1E if i! iE iE if iE k iElf if if iE iE if if iE if it ik iE iE if iE if iE if iE if jE if if jE if if i! i! iE 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 DATE: BUILDING APPROVED BY : - DATE; APPLICATION ISSUED BY: / � DATE: �SF�� \ it k�f 1E k it iF iE iF if� if iF iE 7F if !f 1Elf iE ih 1f ifiFiF�F3FiFiF3f3F�F3F3FiF �iF iF7�iF 3F7FiFiFiF 3F�F7F'3F'iF fF if IE iE 3E iF if 9f �If jE if iE itfFiEiElEiEiE%�EiFlfiEiEiEfElfiEifiklFiFifjkiElEiFiElEiElkiEihiFiEififiElEikibiEiFiE1!!ElEil�EiE1E3EfE9EkaElFifiEiElEiflfif�fiEiliElFifiElflFifiElfiFiE%�if � LEGALIZATION;N F E E S U M M A A Y STRUCTURAL SEGMENT;N HLDG PMT PLUMHING ELECTRIC MECHANIC PERMIT 27.50 50� PLAN ISSUE FEE 15,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CAECK TOTALS----> 0.00 0.00 0,00 REVENOE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECIIANIC FIRE FIRE SMIP/RES GRADING SMIP/NON—RES TOTAL PAID DUE 0.00 .00 ,00 .00 OVER/SHORT: .00 SMIP/TOT GRADING PLAN—CHECK i! i! ik if it k if iE it if iE if it it iE iF �)f if if iE it iE iP �E iE iE iE iE iE if k ik it ie it tf 1! it tt iE j4 iF if iF 1t iE it iE if 1E 1E 1f iE it 1E iE if �f if if 1f iE iE if if if iFlE iE if ik iE iE iE #F af if iF iE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 2 FIXTURES, LIGHTING 1 ST 20 EA. .75 1.50 ELE 1 SIGN/ OUTLINE LIGHT.SYS ON 1 HR CIRC 15,00 15.00 ELE 1 MISC CONDOIT NOT LISTED RE� PERMIT 11.00 11.00 END OF FEE �/ T7 �� °J , 01 QQ155527—U�155527 T CiT .00 DATE: 02l16/94 TIME: 11�28 CONSTRUCTION AND PLANNING t APPROVALS Perm�t # .- 1. Temporary Electricai Service or Pole 2, Soii Pipe�Undrgrnd. ., 3. Elettricai Conduit Utiliry�Undr9rnd. 4. Eiectrical Conduit-Undrgmd�. 5. Sceel Reinforcement 6. E�ectrical UFER Grnd. 7. Footings 8. Foundation � 9. Water Pipe-Undrgrnd, � 10. Structwal Floor System � 1 i. Property Sewer Line,& House Connection 72. Sewer Cap � 73. Roof Drains 74. Rough Plumbing � 15. Rouyh Eloctrira6Conduit � 16. Rough Electric Wiring 17. Rough Wiring Sign 18. Rough Electrical•T Bar Ceifng 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace 21. Ducfs,in Structure � 22. Ducts, Ventilating 23. Gas Pipe-Rough & TeSt 24. Roof Framing 25. Roof Sheathing 26. T-Bar Ceiling (Structwalf & Monocoat 27. frameand Flashing 28. �athing & Siding � � � � " 29. Insulation 30. Drytivall Nailing 31. Piaster Brown Coat 32. Electrical Power AAeter�Final 33. Finai E�ectric � 34. Final Heating & Arr Conditioning 35. Final Gas Pipe�Test 36. Hood or Canopy 37. Final Factory Fireptace 38. Final Plumbing 39. Water Service�Final 40. Gas Servtce-Finat 41. Solar pomesticFinal 42, Backflow Preventer 43. Backflow Irrigation 44. Landscape Irriyation SYstem 45. Sound Attenuation � 46. Handicap Regulations 47. FINAI STRUCTUR6 & BU4L04NG 46, FINAL PLANNING 49. Electric Release to Ed�son 50: Gas Release to Southem California Gas Co 51. CERTIFICATE OP OCCUPANCY Dace Qate POOL A Inspector qppqOVALS Permit # 52. Poof & Equipment location 53. Steel Reinforcement 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER�GUN�TE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, � Undrgmd., Test 60. Backwash Lines, P�Trap, � Uncirc�rnd. 61. APPROVAL TO D'eCK 62. Backwash & Receptor�Final 63. Heater & Vent�Final 64. Plumbing System - Finai 65. Electrical�Final 66. Solar SVstem•Fina1 67. Fencing & Access A�proval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71. Product Piping O Gas ❑ Oii 72. Underground Flush 73. Underyrnd. Storag=Tank O Gas ❑ Oii . 74. Overhead Hyelro 75. Dry Chemical 76. Dry Standpipe � 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION S�j.�F00D CERTIFICATE ISSUED Date � Inspector � � � .