HomeMy WebLinkAbout648 18TH ST - Building Permits(714) 754•5273 • Fax (714) 754-4858 • www.CI.COSIa-me58.ca.U9 77 PAIH DHIVt, GO51A MtSA, cA 9'LtiLti
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
648 W 18TH ST
42424123
App�icant: MILO LEONARD
Address: P.O. BOX 10214
COSTA MESA, CA �
owner. GOGUEN, DONALD H
Address 23955 CATAMARAN WAY
LAGUNA NIGUEL, CA
Contractor: DEMAND ELECTRIC
Address: P.O. BOX 10214
ISSUE FEE
Temp service lest
Res. alc package
New Res (1-2 units)
New Res (3+unlGs)
Pool / Spa
Lighting Fixts
Recept Outl¢Ls
Switches
Non Res Appl ,
Res Appl
Service to 200a
Service to 1000a �
Service over 1000a
Motors to 1 hp
Motors to 10hp
Motors to SOhp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
COSTA MESA, CA
ELECTRICAL PERMIT
Phone: 949-645-3656
Zip: 92627-0214
Phone:
Zip: 92677-4207
Phone: 949-64&3656
Zip: 92627-0214
License: 451243
SCOPE OF PERMIT
REPAIR EXISTING ELECTRICAL DAMAGE INSIDE RESIDENCE AND GARAGE.
ELECTRICAL TO INCLUDE: 6 LIGHT FIXTURES, 4 OUTLETS AND 2 SWITCHES.
$23.50
$0.00
50.00
50.00
so.00
$0.00
56.60
54.40
$220
� � $0.00
50.00
$0.00
$0.00
50.00
50.00
50.00
so.00
50.00
50.00
$0.00
$0.00
Quantity
0
0
0
6
4
2
0
0.
0:-
0'
0.
0
0
0
0
0
0�
0
FEESUMMARY
Temp Dist System / Lighting
Busway /100 ft .
Standing Seclion _
Misc Electrical Equipment
Transformers up l0 1 kva/kw
...........:....up to 10 kva/kw
.................up to 50 kva/kw
.................up to 100 kva/kw _ .
..................over 100 kva/kw
Low Voltage Equipment -
Low Volt Wiring System / Ckt ��
Misc. Conduit
Misc. Conductor � �
Circus (�gen or ride)
Circus (mech ride or lights)
Christmas Tree Stand
Fireworks Stand
Other Electncal.Fee .
Investigation Fee
Plan Check Fee
Status: ISSUED
Applied: 12/16/2004
Issued: 12/16/2004
ISSUED BY: c''�'%��� �
Ouantity
30.00 0
50.00 0
$0.00 0"
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 ' 0
$0.00 0
$0.00 0
50.00 0
50.00 0
30.00 0
50.00 0
so.00 0
$0.00
$0.00
$0.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
E%PIRATION: Thls permit shall automatically expire and became vold if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permlt to be considered legel, such work must comply with all applicable codes, and all
reQulred Inapeetlona and finel epproval must be obtained. Failure to obtein Inspections end final approval will result in �he expiratlon of �his pertnit.
' FOR INSPECTIONS CALL: (714) 7545626
YiS{;�gi(:�ii.�17
WORKERS'COMPENSAnON DECLARAnON: � � �
�I he y efllrm under penalty of parjury one of ihe tollowing tleGaretions: ' " '� �
heve end will maiNain e certlficate ot consent ta selt-Insure tor workers' compensatlon, es provided lor by sactlon 3700 0l the Lebor Code, for the peAormance of the
work for which Ihis pertnit is issueG.
❑ I have end will malntain workers' compensetlon insurexe, as requireG Dy sectlon 3700 ot the Lebor Code, for the pertortnance af the vrork for which tNs pertnit is issuetl.
My workers' compensatlon Insurence carrier erM poli�y number are:
Cerrier: Policy Number:
�t�section neetl nof be comp/eted il (he perml�lued et one hundred dollars ($100J oNess.)
If��Ycertily thet in Ne pertortnanca ot Ihe wpFk for hich thispppeee i issue0,1 shall not employ eny person In eny menner so es to 6eCome subjecl lo Ihe workers'
compensetlon laws of Call 0 nia, enC 4ree � t II I sho11�1 Yecom subJect to t�e workers' compensation proNslons of Sactlon 3700 o Ihe LaUor Coda, I shall torthwit�
comply with these Pr 5� . 7 /�� 1�
�!9�'--- .. �Y �
AILURE TO SE WORKERS' PENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EM1�RTO CA N}lAL PENALTIES AND CNIL FlNES UP TOONE HUNDRED
TIqUSANDDOLLARE(5100, �.INADDfTIONTOTHECOSTOFCOMPENSATION,DAMAGESASPROVIDEDFORINSECfIIXJ3]OBOFTMELABORCODE,IfJrEREST,ANDAITORNEYSFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eHlrm Ihet I em Iicynsetl untler pmv�ions ot Chapter 9 c�mmendng wl�h Section 7000) ot Dlvislon 3
end my Ilcense Is In full
CONSTRUC710N LENDING AGENCY:
❑ I �ereGy eHlrtn Ihet ihere is e construction lending egency for Ihe perfortnance of Ihe wark tor which this pertnit is issuetl. (Sec. 3097, Civil Cotle).
Lendefs Neme: Lenders Address:
Signeture:
Data:
OWNER•BUILDER DECLARATIONS:
I hereby eNlrm Ihet under penalry of per�ury thet I em EXEMPT FROM TME CONTRACTOqS LICENSE LAW tar the lollowing reeson (Sec. 7031.5, 8usiness end Professlons
Cotle: Any clry or counry which requires e permit to construct, elter, Improve, demdish, or repair any siructure, pnor to Its issuanca, also requires the epD���eN tor such pertnit
to flle e sipnetl slatement that he or she is Ilcensetl pursuant to Ne provisions oi the Contractors License Lew (Chapter 9(commencing with Sectlon 7000) of Dlvision 3 of ihe
Buslness end Professions Code) or ihat he or she is e:empt Uerefrom end the �asis for ihe alleged exemption. Any vloletlon ol Section 7031.5 by any epplicent lor e pertnit
subjects the eppliwnt to e civil penalry at not more t�an five hundred dollars (5500).):
❑ 1, as owner W t�e property, or my employees wIN wages as their sde compensation, WILL DO THE WORK. end Ihe sWcture is not intended or oHeretl far sale (Sec.
7044, Business antl Pmfessions CoCe: The Contrectors License Law does not eppty to an owner of properry w�o builds or improves thereon, antl who doas such work
himsalt or hersetl or Nrough his or her own employees, provided that such improvements ere not intended or oflered tor ule. If, however, the 6uilding or Improvemeni is
sdtl within one year ot completion, the owner-builder will have the burden of Oroving that he or she did no� build or Improve tor purpose of sale.j. '
❑ I, as owner of tha property, em EXCLUSIVELV CONTRACTING WIiH LICENSED CON7RACTORS to construct the prqect (Sec. 7044, Busineu end Professions
Cotle: The contractors License Lew tloes no� appty to an owner ot properry who builds or improves ihereon, and who contracts lar such proJect with e contractor(s)
license pursuant to tha Contractors Licensa Laws.�.
❑ I am exempt under sec. Business antl Prolessions Code for this reason:
Signature: Data:
Owner ID verified by driveYs license. ❑ Yes ❑ No Drivefs License No. Expires:
Venlication oi Ownership by (rype of dacumenl, i.e. - property fax bill or tleee):
OIVISION OF INDUSTRIAL SAFETV PERMIT CEqTIFICATION:
❑ I hareby certity that no excavatlon ffve (5) or more leet in depth into which a person Ls required to descend, will be matle In connection with work euthoAzed by Ihis
pertnit, end that no building sirucWre, swMdding, tal5ework, or demolition or tlismantling thereol, will be more than thlrty-six (36) teet high. (Chap. 3.2, Gry 2, An 2, Sec.
341, Tltle 8, Celifamia Adminisirative Code).
❑ As owner�builtler, I will not employ anyone to do work which would raquire e permit from Ihe Divislon of Intlus�riel Selery, es notetl eDove, unless auch person hes e
permit to do such wark irom the Alvision.
Signature: Date:
Division of Indusirial Safery Permit Number:
CERTIflCATE OF COMPlIN10E AND A O VATION HTTiY: I certity untler penalry of perjury that I have reatl t�is application and stete Ihet the Informatian given i9
Corrett. I eqree to co pty with all slet aws d city or mances releting to Dulltling consWciion, end euthotlze represenleqve9 0l lhe City ot Casta Mesa to enier upon Ihe
above-descnbed Orq�rty lor inspecli purpo es. I agr e not to accupy or ellrny occupenty ot any building euthorizetl by this permit until final inspection.
CO�E �. IMSPECTIONTYPE
1818 Fixed System final Fire Prevention
1268 Pool Spe Finel
200 Finel Ra-Roof
201 FIneI BIocWRetaining Wall
202 Final Fenory Fire Place
203 Finel Sign
204 Final Demolition
Qdg I�ELS
CO�E 1 INSPECTION TYPE
208 Finel Mechenicel
20B Finel Plumbing
210 Finel Eleclricel
212 Final Flre Preventlon
220 Final Planning Approval
222 Final Sile
250 Final Building�Occupenq
PAIE It�E65
Costa 1Viesa Building Department APPLICATION FOR PERMIT,
v�^�OSTA MESAZOCAL FORNIA 57 --_-- _ B_U_I_L.D_�l.N_G_ ��_,�.
1 FOR OF&'ICE USE_ ONLY '
' FOR APPLICANT TO FILL IN • . '
� ReceipS No. Permit . �
Buildin / � ' . =
Address . b� �6ih� S T � i' �
Costa Mesa, California Re eive'd/ by, Date Rec'd�.f D e Is9u d;
Nearest � " '' � �j �/ � �'� s '
Cross St. Buildi g / ,/ � i �
Add�ess (o `7" �— � , ) �
OMa �er %{//�%�/C� G`�E��-s �!v ( Costa lYlesa, California � �
Addresa �(„7 Y� ` Q %/f S T� Nearest � ' i
' Tel. Cross St. � � ; _ , ,
City C:d.S � ( ES No. Zone ' No. of Type . I GroupT ',
Arohitecto - r� r Lic. �� I P�ans � I � � f �
Engineer.^ B!f/ /L� / N,o�./ � Approved� / I
��(f J 2 Sr /XC.. /7//� T • bY � �� ..ry Date ' � •
Address ' � CO RECTIONS '
� �DE.4/�l. /�.,��ff��cr ���. ,
' Contracto o. � i
Address � 7�Y � �JZ_ S T '
i
Le I Lot i� � y �{/q ,9, _. _ � �-
Desenption I No. `f0Y1 Block I�'Yract�� , �
AP� /b—� q�— ' �
(Attach Metes and Bounds) � / — ' 1 � ( j
9 � No. of Bldgs. , � '
SizeofLot �,JU I NowonLot I ----�--------------------
Useot ��/��� No.of / No.of (� ' c+�4;; �
Existing Bidg. Q�1.e,-cL��l�7 I Families I Rooms / . �
Setback Line from . �S� RearYard ---'-- "--'—�'" "---",` �� �— -Z
CenterotStreet SideVard
DESCRIPTION OF WORH — 'r ` `� � `Y'` ;, x`"
��s�o�N�d- I I I - _�..
Nevi Alteration Addition
+2
Repair I I Moving I ! Demolish I
' Buildin 7�/L / No.of �
Size 9/'(./� �C� �. Rooms � Stories � t
r
Exterior Wa /� � Roof y�.., yO,#-
Cavering ��/ U�CD Covering ����� APPROVAL �
� Usc of New �� Foundation L�o �t�oj� O,{�royect A D.ate
Building �_�(o {f� Forms, I�[�IgIE ��'H 11
Under-P�hh V
- Frame: Fire Stops,
Breting, Bolts
Lath. I nt.
F.hereby acknowledge that T have read this Application
and state that the above is correct and agree to comply Lath. Ext
vFith all City Ordinances &nd Siate Laws regulating
building construc ' _ '
Plaster, Int.
Signature of .
Permittee Plaster, Ext.
f
AuthorizeA P:gt. Masonry Reintorced
Valuation Permit Fee $ —
� D II Plan Check $ � , Bond Beam -
$ � Total
Fee .$ �- i � FINAL
llorm 20i G-H IM 12-63 -
1
Show locatlon and .distanees irom
property Iine and between buildinge.
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G`OSTA MESA BUILDING DEPARTMENT
P. O. BO% 31 �
COSTA MESA. CALIFORNIA
BUILDING
ADDRE55
OwNER
QTV �O�
ARCHITECT
OR ENGINE�.
ADDRE55
FOR APPLICANT TO FILL IN
�S�R' 'WS' ��f
�cwt LO'.
DESCFIVTION N�
A.P. NO.
SIZE
OF LOT /� �
USE OF
EXISTING BLDG.
SETB�CN LINE ifl01
CENTEN Oi STREET
SIDE YARD
COSTA MESA. CALIFORNIA
�J ��
.i Q �w r, �
BLOCK
TEL.
NO.
LIC.
NO.
No.or e�ocs.
NOW ON LOT
REAR YA
DESCRIPTION OF WORK
NEW ALTERATION X IqDDITION
REPAIR MOVING I DEMOLISF
BUILDING � '� NO.OF
SIZE ROOMS STORIF
E%TERIOR WALL ROOF
COVERING COVERING
USE OF NEW � ��_ �
ST.�tE THAT
CITY OHOINA
Tlon. /�
SIGN�U$�
���. a��C�Od�D �..
a �I�hAR 1 �'1195�"
���q��y�2��fN7�p�/ .
V7�I W y�7pQ �
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
PECEIPT NO.� � ('�Gq��
Llt/
VfD BY pRTE RECEIVED DnTE ISSUE
/ 3A- ��-
ADDREI55 v � W � I4
COSTA MESA, CALIFORNIA
FIRE /
SUBJECT TC/oi.DG. OErT. P.EG.
`v
v 1
•
IS COPR GqEE t0 COMP�V WITH �LL purpose of establishing a permit tee only.
T�i S�REGUL T BUILOING CONSTRUC�
� /�/ � VALUATION r.
� PERMiT FEE $
� T� i f����"�J PLAN CHECK $
} �
. �r�� , • TOTAL FEE S "� S"�
• �r ` / ` / / M
�
- � �9��
CdSTA MESA BUILpING-SAFETY DEPARTMENT
P.O. BOX 31] COSTA MESA. CALIFORNIA
fOR APPUCANT TO f/L[ /N COMPLfTELY
TYPE OR PRINT
BUILDING '/
ADDftE55 Y I(� %
COSTA MESA. CALIFORNIA
ARCH ITECT LIC.
OR ENGINEER lJO.
ADDRESS _ __
! STATE
CONTRACTORNG�/nqN� f EC. LIC.NO.
pl. Mnq/S
ADDRESS �Iul� �q�@ff0/P O��d C./Y_7/•
LEORL ILOT .r I Iry m
oEscniPiiorv NO. � 1^ BLOCK TRAC'I
A.P. NO. I / � � % �J- — I D /1—
SIZE I � � O O J NO.OP BLD08.
OF LOT �n /n INOW ON LOT
USE OF � GA�PH aE
EXISTING BLDG. EUSL 9�
uETBRCK LINE FROM
c[nTen ov siR[eT REAR YARD
SIDE YARD ILEFT IRIGHT
DESCRIP710N OF WORK
BUILDING
512E
EXTERIOR WALL
COVERING
u5E OF BUILDING
�
1 HEXH9Y /.Grtrvowt
AND 9TATC THAT TI
PLY WITH ALL CITY
OUILDING CONSTPW
SIGNATURE OF i�
, AUTHORIZED AGENT
�
.C�][.ly
'1 HAVE READ TH18 APPLIGATION
18 CORRECT AND AGREE TO COM�
E6 AN� STATE LAWB REOULATING
COSTF �
RAR27-S�P���esn ��542 °t�Q�a4.U�
APPLICATION FOR PERMIT
BUILDING
FOR OFf/CE USf ONIY
I PECEIPr NO. I � J IG
t'
IVBD BY I DATE REC¢IV80� I OATE 18:
COSTA MESA, CALIFORNIA
ZONE ty� III �uP �
APPROVED J
ZONING
NO.OF I U6E OF NEW
PLANS BUILOIN6
IN.
TH! AMOUNT BHOWN UNOER VAlUwT10N 18 FOR THE
PUHPOBE OF EBTABLI6NING � PENMIT FEE ONLY.
VALUATION �. ��
PERMIT FEE $
$ ��y� O'��
({�,�. PLAN CHECK $
� U-'u
TOTAL FEE S