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HomeMy WebLinkAbout164 19TH ST - Building Permits • pRps,CTADDRE55: 164 E 19TH ST 0NIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 054683 dWNER'S NAME• DOROTHY ` ADDRESS: SAME PERMIT NO: B 054683 PLAN CHECK NO: N GOVT: N SUPP; N • CONSTRUCTION TYPE; V—N PERMIT TYPE; STR PURPOSE: ALT 548-8722 ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: JOB DESCRIPTION ; REROOF W/22041 FIBERGLASS SHINGLES SQ FT: 1, 547 CLAIM VALUE; 1 , 547. 00 CALC—VALUE; 1 , 547.00 GROUP OCC; R-3 / PERMITTEE: CRANK BROTHERS ( 714 ) 548-5569 ADDRESS: 126 COMMERCIAL WAY COMMENTS ; SMOKE DETECTOR REQUIRED • C.M. CA 92627 ****�E�E�EkEkE�F+E�6**�E*rp�E�E�6*****�P+E ***N�E�F�E****************TELE***** �E LICENSED CONTRACTOR DECLARATION: I hereby attirm I yyyy�`,W''''��LAA�, am licensed under provisions of Chapter 9(cot cing with Section Z ONING REQUIREMENTS © �R 7000)of Division 3 of the Business and Professions Code. \my license is in tun force r d. SETBACKS CITY LIC.: OSfqj�93 STATELIC.: 40867 _ CLASS: C REQUIRED Date:_��f�/ Signature: • _�Ss _- - MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I herr i that I have a cenifica • consent to sel • i a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN Compensation Insurance.or a certified copy there • ,ion 3800.Lab.C). LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN POLICYNO.: 285-91UNITOO 4 mom 01 /01 /92 COMPANY: STATE FUND PARKING REQ• PROV; PARCEL; 00000000 ZNE; REF NO: ❑ Cenili=d copy is hereby furnished. 12 Certified copy is ith the city Building Division. PLANNING NOTES> /13 — y --Ii > Date: � Applicar��" � � ****************************************************1\*�***************'********** EXEMPTION FROM WORKERS'COMPENSATION DECLARATIO : (This section need not be completed if the permit is for one hundred(3100)or less). DEVELOPMENT SERVICES REQUIREMENT S I cenity that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY • DATE; Date: Signature: NOTICE:II.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. inii '' ` CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• DATE; k 2t- which this permit is issued(Section 3097.Civ.C). *********************!E**** * * * ** ***********************{(***i*.R****.*.. * .** LENDER: ***********************************i. **********if***************************** ADDRESS: • LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT;Y OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 'I T ' 3 7, 0 0 5 0 repair any structure,prior to its issuance.also requires the applicant far such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'Slate License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMI P/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE I. as owner o1 the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS——--> 37, 50 0 , 00 0 . 00 37, 50 37. 50 , 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• 37. 50 OVER/SHORT: 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 37, 00 P , 50 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractnrls)license pursuant to the Contractors'State License Law). l am aware *************************************************************.*****.***********ie* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL. COST Date. owner: SFR 1547 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 547. 00 Ida hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification Iram the Air Duality Management District.Residential construction applications are exempt from these provisions. / Date. Applicant: V I hereby certify that I have read this application and state th above information is correct.I.f • t comply with all city and county ordinances and state laws relating to building construction and • it,authorize representatives i 0 enter, he above-mentioned - 01 9:'10.7/19',^9 1f -'L1 _, C'l „--.,=.' property/3 inspection purposes. DAT:: 10124/91 'I('. , :a:..-; Date. C ! ` y-9/ Signature:_ Driver's License or Social Security x: 1641-46 White—Budding:Green—Code 5 .rcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor I CONSTRUCTION AND PLANNING - POOL PA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector r , " 1. Temporary Electrical Service..,or Pole .. ' 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - , './ A 53. Steel Reinforcement 7 ' 3. Electrical Conduit Utility-Udrgrnd. ' A 54. Forms i 4. Electrical Conduit;Undrgrnd; t 55. Electrical Bonding if ' 5. Steel Reinforcement ,>' 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE /. 7. Footings -, 58. Electrical Conduit-Undrgrnd. / 8. Foundation . ' ‘..,...,r ,' f 59. Gas Pipe, O Undrgrnd., Test t• , 9. Water Pipe-Undrgrnd. ' ,;',, 60. Backwash Lines, P-Trap, 0 Undrgrnd. ',� 10. Structural Floor System .Y 61. APPROVAL TO DECK .1 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final - 12. Sewer Cap /' r, f�, 63. Heater & Vent-Final / • 13. Roof Drains ' i - 64. Plumbing System - Final / ,r7 14. Rough Plumbing h r , 65. Electrical-Final �• 15. Rough Electrical-Conduit / P. 66. Solar System-Final -. 16. Rough Electric Wiririg 67. Fencing & Access Approval ' 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure , - 70. Underground Hydro . 22. Ducts, Ventilating - -71. Product Piping 0 Gas ❑Oil 23. Gas Pipe-Rough& Test - 72. Underground Flush, 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing - 74. Overhead Hydro - 26..T-Bar Ceiling (Structural) & Monocoat . 1 • 75. Dry Chemical 27.-Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding - 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL • 30. Drywall Nailing I .-• HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - 79. FINAL INSPECTION 32. Electrical Power Meter-Final: I . . 80. FOOD CERTIFICATE ISSUED 33. Final Electric - - . ' Notes: 34. Final Heating'& Air Conditioning,35. -Final Gas Pipe-Test . - 36. Hood or Canopy , 37.. Final Factory Fireplace • 38. Final Plumbing , 39. Water Service-Final • 40. Gas Service-Final - 41. Solar Domestic-Final • • 42. Backflow Preventer• . 43. Backflow Irrigatior?C! 44. Landscape Irrigation System , - 45. Sound AttenuatiobA : i t: 46. ,Handicap Regulatio1it; 1 I I . , 47. FINAL STRUCTtl,RE &:BfJILDING 41hi/ Ir 48. 'FINAL PLANNING' • ..ip : ' . , 49. Electric Release to'Edison--• �'; 50. Gas Release to Sotithern•California Gas Co . I I , 51. CERTIFICATE OF OCCUPANCY - No. •-'--Date Nit C _:MESA BUILDING-SAFETY FETY DEPARTMENT CITY OF COSTA MESA P.O.BOE 317 COSTA MESA.CALIFORNIA JUL 2 0 1965 \ lOJ V For Applicant to Fill In Completely APPLICATION FOR PERMIT lel 4 TYPE OR PRINT..mss-----+++ A 3 c.1 BUILDING i/ I e /9 C For IC= ' •/•1 ADDRESS !O 01 �M1•1 1 RECEIPT NO. 2Z.4 2 ! 3 COSTA MESA. CALIFORNIA - –/(/ N DOA T PECEIV i Y DATE ECEEII�V • / DATE ISSUED / OWNER /✓del i�(( V 3h€7 QJ �`� - IS < MAIL )/ li t�l ( BUILDIN• / �J (''�TLI ' I J ADDRESS/qy!4 / 7 s / q. .{ ADDRESS 1 6.4 P' ' -1 4 irs- APPROVED CITY `. C.Jr// MG 4 NO.TEL.sp,7ay ZONE TYPE GROUOP ARCHITECT TEL • OOR ENGINEER NO. CiSg/�'-._ / DATE (ZpNINO •��/, \...- . ADDRESS "���� 20N NO.OF USE OF NEW L(iy�• h ' . PLANS 9I BUILDINGO�.A4• j . / CONTRACTOR Q Cu N.42:4 v !� J./eA .?---- UI/'r/!L 4L�.B�V L� LEGAL � co-). //.JI� �I 7— De WT.ION ) X� I / / ADDRESS l 64 .- 17s / �// �p' J ' / • (? a C/A /l'f e rA eft A / ! A.P.NO. i I A - os I--- o I^t CITY / STATE • TEL 3 P. DAA ROVERHANG SHALL BE LESS THAN 80'TO SIDE A REAR L. LIC.NO. NO. .[ _ No.OF EAVES \,...\:: OF LOT�.30 I/3 s S a I NOW ON LOTS .2, ALLOWED (U.B.C.REQUIREMENT) USE OF y� - YARDS APPROVED YARDS APPROVED EXISTING BLDG,�� /y' /at. 9 .P/! MAIN BUILDING ACCESSORY BUILDING BLDG,--c--+41- ! (�i•/ (FROM C/L STREET)/J / n a_ ,//� SETBACK LINE FROM FRONT A/j FT. �jy4' I ¢ca t3 r.I YY'��P ' a CENTER OF STREET REAR YARD SIDE YARD LEFT I RIGHT R.SIDE SFT. FT. DESCRIPTION OF WORK L.SIDE /5 FT. FT. NEW X ALTERATION _ ADDITION REAR SIFT. FT. I DISTANCE BET. BET.MAIN A REPAIR MOVING - DEMOLISH MAIN BLDGS. ACCESS.BLDGB. BUILDING 3 0 e 3 NO.OF f� VAR.# DATE SIZE /` OOMS nSTOR1IEESS ✓L• C.U.P.# APPROVED COVERINGWALLS h/ ROOOERINOWe D{^� APP ,V6 J _ rifi 1 � / DATE / ` (I TOc USE OF BUILDING.,ANO D WORK TO BE PERFORMED Emir w i ►h 3 6 E4 0-AR9g e..) q/ is ! N (00 HO.Fr. Ci6C) }� r I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F AND STATE THAT THE ABOVE IS CORRECT • PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G PLY WITH ALL CITY OR NANCEB AND S • VALUATION N6 0 SIGNATURE BUILDING CONSTRU /� PERMTTEE O �— .PJ PERMIT FEE $ �7V 0 0 m �7 $ /419 14, PLAN CHECK $ 2� 0�F `J x AUTHORIZED AGENT TOTAL FEE $ /