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Home My WebLink About778 18TH ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 778 W 18TH ST Suite: Vicinity: Parcel Number: 42417213 ApplicanC CRANK ,JIM Address: 126 COMMERCIAL WY COSTA MESA,CA Owner: PLASCENCIA, HENRY TR Address 1950 WALACE AVE APT F Zoning: Phone: (949) 548-5569 Zip: 92627 Phone: COSTA MESA, CA Zip: 92627 Contractor: CRANK BROTHERS ROOFING CO Address: 126 COMMERCIAL WY Arch : Address: Phone: (949) 548-5569 COSTA MESA,CA Zip: 92627 License: 408677 Phane: Eng: Address: ISSUED BY: Status: ISSUED Applied: O6I29I2000 Issued: 0629I2000 Phone: 2ip: License: License: . SCOPE OF PERMIT TEAOFF INSTALL 30LBS fELT INSTALL 25 YEAR 3 TAB COMP. SHINGLES. Pian Check: $0.00 Permit: $111.25 SMIP Res: $0.00 SMIP Com: $1.05 Other: $0.00 Inspection: $0.00 Total: $112.30 SETBACKS MAIN STRUCTURE Front 0. 0 ACCESSORY Front 0- 0 PARKING Exlstinq: 0 NOTES: Rear 0- 0 Rear 0. 0 Required: 0 FEE SUMMARY PLANNING 8 ZONING Left 0- 0 LeR 0. 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0. 0 Right 0. 0 sa,s9a.00 sa,ssa.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California stetutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) � EXPIRATION: This permit shall automatically expire and become void if work is�no� commenced within 1B0 days, or if work is suspended or abandoned for a period ot 780 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapectlona and final approval must be obtained. Failure to obtain insPections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMP�NSArON DECLARA�ON: `-` � � hereDy eflirm under pBnalry o1 per�ury one ai Iha tdlowing tlecleretlons: � � ❑ I heve antl wlll melnteln e certllicete ot consent to sell-Insure for warkers' compensetion, es provitletl lar by section 3700 of ihe LeDor Cade, lar the peAormance oi the work tor which this permlt is IssueC. � I have arW will malntein warkers' compensatim insurence, as requiretl Dy sectlon 3700 0l ihe Lebor Cotle, for Ihe peAortnance of the work far which Ihis pertnit is Lssuetl. My wykyrs' yortpen�ation In�CurenSe,�er�er entl pollq number ere: Cartier. � em ❑ IABre6y aflirtn Lender's Name: Signature: _ of the work for this rmit is issued, I s�all not employ eny antl agree th � should cnme subjep to Ihe workers' compensa �RKERS' 60A�CI�1$A7�pN mUCiApE IS UNLAWFUL AND SMALL SU&IEGT A�DRION T07HE CQST OF COMPENSATION, DAMACaES AS PROVIDED FOP wl�h SBCGOn 7000) Poliry Number: Class x any manner so as ro become subjact to t�e workers' �ns of Section 3700 gf.fyPLabor Code, I shall fanhwith CRIMINAL PENALTIES M1D CIVIL FINES UP TO ONE HUNDRED �F THE fJ�BOR CODE, INfEREST, AND ATTORNEYS FEES. and Prole�ons Code, end my Iicense Is In tull I�W` AGENCV: Ihere Is e consWction lending egency for ihe pedortnance ol the wark lor which this permit is issued. (Sec. 3097, Civil Cade). Lendefs Adtlress: oate: OWNER-BUILDER DECLARATIONS: I hereby aHirtn that under penalty ol per�ury Ihel I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the follOwing reeson (Sec. 7031.5, Business anA Profes5lons Cotle: Any ciry or counry whlch requlres e pertnit to construcl, alter, improve, demdish, or repeir eny structura, prior to its issuance, elso requlres the eppliCant tor such pertnit to Tile a signetl stetement that he or she is IiCensed pursuent lo t�e provislons af the Cantrectors LJcense lew (Chapter 9(commencing with Secllon 7000) oi DiWsion 3 0l the Business anO Professians Code) or ihat �e or s�e Is exempt therefrom entl the basis for the allegeC exemption. My vidation of Sectbn 7031.5 by any applicant for a pertnit su�jects the applkent ro e dNl penelry ot rrot more then live hundred dollere (3500).): ❑ I, as owner of the property, or my emplqrees with wages es their sole compensatlon, WILL DO THE WORK, antl the structure is not intentletl or otteratl for sale (Sec. 7044, Business entl Professions Code: The Contrectors License Lew tloes not appty to an owner of properry who builds or improves Ihereon, antl w�o tloes such work himsetl or herself or through his or her pwn employaes, proNded thal such improvements are not intended or oflered for sale. If, however, ihe building or imprwement is sold within one year af completion, the owner-builder will heva Ihe bur0en of proving Nat he or she did not build or improve for purywse of sela.). ❑ I, as owner oi the property, em EXCI.USIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the projeq (Sec. 7044, Busineu antl Professions Code: The contractors License Lew tloes not epply to en owner of properry w�o 6uilAs or improves thereon, and who contracts tor such project with e contwctor(s) license pursuant to the Contredors Ucense Lews.). ❑ I am exemp� unOer sec. Business end Prolessions Cotle lar this reeson: SigneWre: Data: Owner ID verified by tlrivefs Iicense. ❑ Yes ❑ No Oriver's License Na. Veritication ot Ownership by (rype of tlocument, i.e. - v�operry tax blll or deed): Enpires: DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICA710N: ' ❑ I hereby certily that no excavetlon fiv¢ (5) or more leet in depth into w�ich e Oerson is required to descend, will be made in connection wiih work aut�orizetl by t�is permit, and that no builtling siruCture, gcallolGing, falsework, or demolition or dismantlinq t�ereof, will be more than thirty-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec. ' 341, Titla 8, Cellfomia AdminislretNe Cotle). ❑ As awner-bulltler, I wlll not employ enyane to do work which woultl requlre a permlt Iran the DiNsion of Industrial Safery, as notetl above, unleu such person has e permit to do such work from the tlivision. Sipnature: � Date: DiNsion ot Intlustrial Safery Pertnit Number. CER7IFlCA COMPIJANCE AND RIZATON OF EN7RV: I ceRity under penelry of perjury Ihat I have read Ihis epplication and stale that t�e iniormation given is cortect. 1 agr t comply with all stet a and ciy� ordinan rela�ing m building conswction, and authorize representaWes of ihe Ciry ol Costa Mesa to enter upon the ebove-descd oroperty tor inspe - purgpy�,/(agr to occupy or ellow occupanry ot any bulltling authodzep.by this pe�rmit until final inspectlon. _ CODE �. INSPECf10NTYPE 7676 Fixotl System Flne ire 7266 Pool Spe Finel 200 Finel Re-Fool 201 Final BIocWRetaining Wall 202 Final Factory Fire Placa 203 Final Sign 204 Finel Demalition zuswe 1t�IDEl,S �� i /�� :� COpE I INSVECTION TYiE � 206 Final Mechenical 20B Final Plumbing 270 Final ElectAcal 272 Final Fira Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy l�g. IMRI�LS .� 1��a _ COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 31� COSTA MESA. CALIFORNIA fOR APPUCANT TO F/l[ /N COMPLETELY TYPE OR PRINT eui�oiNc 77b" % % ADDRESS COSTA MESA, CALIFORNIA MAIL T AODRE55 V � CITY ��.C� Ilti E �S'�-�✓ ■ ARCH ITECT LIC. rOR ENGINEER NO. LEGAL LOT DESCRIPTION NO. BLOCK A.P.NO. �j/ �( d BY SIZE � � `' G� rvO.OF e�oos.� yqR�S OF LOT /� 0 IHow oH �oi REOUIRED USE OF I�ENTER LINE ST.� EXISTING BLDG. FRONT SETBFCK LINE FFOM // �� REAR YARD I/ CENTER OF STREET R.SIDE SIDE YARD IIEFf / � IRIGHT DESCRI�TION OF WORK � ��4� , ,"�;i� ��,1� ��. io-�`� -s`� FIi�ANCE DEPT. � � CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING fOR Off/CE USf ONLY Incceirr no. I �L` �., (c c7 H¢CEIV¢O BT I DASE REGEIVfiD �_ OATE 185UED COSTA MESA, CALIFORNIA TVPE GROUP V- � �� i/ � ATE `, ZONING J ,y� NO.NB uU�IIDING�� \ EXTERIOR WA ROOF GOVERING COVERIN � USE OF BUILDING AND WORK TO BE �I MENEBY ACKNOWLHDGE THAT 1 HAVE HEAO THIS APPLICATION ANO 6TATE THAT THE ABOVE I6 LORRECT ANU /�GREE TO COM� PLY WITN AlL CIT�'�NDINANCES AND BTATE LAWS REGULATING BUILOING CON9T/NCT�OH. � ' AUTHORIZED AGENT � Sd ` S��S�4" � THE AMOUNT BHO IINOER VRLUATION I8 FOR THE PURPOSE OP EBTABLI6HINO • PERMIT PEH ONLY. VALUATION d— PERMIT FEE $ � �'�y /// 0 $ /y � S/ PLAN CHECK $ G�� S� //J J p TOTAL FEE $ S O. S'