HomeMy WebLinkAbout814 18TH ST - Building Permits(714) 754•5273 • Fax (714) 754-4856 • www.cl.costa-mesa.ca.us �'-�
BUILDING PERMIT
�ob Address: 814 W 18TH ST
Suite: C
Vicinity: REAR UNITS - C AND D
ParcelNumber: 42418225
Applicant: KAISER, MIKE
Address ,
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Owner: WII:LIAMS;�BRIAN K
Address ; P O BOX �15214 -
� ,
�NEWPORTBEACH,CA �
Con(recror: � KAISER ROOFING
Address:, 928 CHEYENNE ST
� CO$TA MESA, CA
2ip: 92626� ,
Arch :
Address:
Zoning:
Phone: 714-979-5314
Zip:
Phone:
Zip: 92659
Phone:�'(714)979-5314
77 hA1M UMIVt, lNA I H MCSN, GA yZtiZC
Status: ISSUED
Applied: 09/24I2007
Issued: 09/24/2007
ISSUED BY: '
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License: 682897
Eng:
� � Address:�
" : Phone: � � , � Phone: � �,
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Zip: � .� License: � � License:
_ , SCOPE OF PERMIT „ , ..
� �� TEAR OFF EXISITING ROOF, REPLACE DAMAGED SHEATHING. COVER�W/ 30 YEAR-COMP. REAR DUPLEX UNITS • C �
AND D. � - `- - - � - - - • . ,
Plan Check: $0.00
Permit: $97.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
SETBACKS � �
MAIN STRUCTURE Front 0- 0,� Rear 0- 0
ACCESSORY Front 0-0, -� Rear 0-0
PARKING Exi_ stinq: 'o Required: ,o
NOTES:
FEE SUMMARY
PLANNING & ZONING
Leh 0- 0
Left 0- 0 �
, Proposed: _ 0
Calc Valuation:
Claim Valuation: .
Right 0- 0
Right. 0-0. /
$3,400,00
$3,400.00
NOTICE: The work authoryzed by this permit shall compty with all appiicable handicap access requirements under Califomia statules and related
regulations. (Ord. No. 92-28, § 1, 12•21-g2)
EXPIRATION: Thls permit Shall automatically expire and become void 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 ihe work authorized under this permit to ba considered legal, such work must comply with all applicabla codes, and all
requlred Inspecliona and final approvel must be obtained. Failure to abtain Inspections and final approval wil� result in the expiratlon of this permit.
fOR INSPECTIONS CALL: (714j 7545626
WORKERS'COMPENSAnONDECLARAnON:
I hereby ettirtn under penelry of perjury one ot t�e lollowing tleUarations:
I heve entl wlll maintein e cenificete at consent lo self-Insure tor workers' compensetion, es proviAed lor by seaion 3700 of Ne Lebor Code, for the peAortnence of Ihe
woM tor which Ihis permit Is issueA.
ve en0 w10 melntain workers' compensetbn insurence. es reQuiratl Dy sectim 9700 of the LeEor Code, tor Ihe pertwmance ot the work ta wlibh Nis pertnit is iswetl.
My workers�I' compenution Insurence carrler entl pollcy number ere: p
Cartier. ST9'�C F'lkcA PolicyNumber. 'Zof��v/�
(Thls secrion need nor be comp/eted i! the permlr Is va/uetl et one hundred dollers (5100) or IeuJ
❑ I certity thet in Ihe pertormence of Ihe work ior whic� this pertnit is issued, I shel� ot employ eny pereon In eny manner m es to become suCJect to the workers'
compensetion lews oi Calitomia, entl epree that If I ehould become sub�ect to the warkers' campensetlan provisions of Sectlan 37 0l lhe r Code, I shell forihwlth
cnmptywiththeseprovlsio�i. •, ��
Applicant Slgneture: ��`..1 oeia: � i� I�J (
WARNINO: FAILURE TO SECUfiE WORKERS' COMPENSATION COVERAGE IS UNUW FUL AND SHnll SUBIECT AN EMPLOVEF TO CRIMINAL PENALilES M1D CML FlNES UP TO ONE HUNDRED
THIXISW � DOl1ARE (5100,000),IN ADDfT10N TO TME WST OF COMPENS4TION, OMUGES AS Pf�VIDED FOR IN SECTION 3]O60F TME UBOR CODE, IMEREST, M!D ATfORNE1"S FEES.
LICENSED CONTAACTORS DECLAFiATON:
I hereby aMrtn ihat I am license under proWsions ot Chepter 9(commencing with Saction 7000) of Division 3 oi Ne Busines enA Protessioqs Coda, antl my license is in tull
torce ane ettect Uc. a �Z� %% Class a �' 7R .�n 1_ /_
ComrectofsSigneture: �h.� Date: •�•f O�
CONSTRUCTON LENDING AGENLV:
❑ I hereby eHirtn that Ihera is e constructlon lontling agonty tor Ihe Oedormance ot the work lor which ihis permit is luuetl. (Sec. 3097, Civil Catle).
Landefs Neme: Lentler's Atltlress:
Slgnature: Dete:
OWNER-BUILDER DECLARATIONS:
I here6y eHlrtn that untler penalry ol perjury Ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe followlnp reason (Sec. 7031.5, Business entl Professions
Cotle: My dry or counry whiUi requlres e pertnit m construct, alter, ImOrove, tlemdlsh, or repeir any structure, prior to Its Issuance, also requires t�e applicant for such pertnit
ta tile e signed statement ihat he or she La Ilcensed pursuant ro the pravisions oi Ue Contractors LJcensa law (Chepter B(comme�ing with Sectlon 7000) ot Dlvision 3 of ihe
Business end Protessions Code) or that he or she is e:empt therefrom and Ihe basis lar ihe alleged exemption. Any Wolation ol Section 7037.5 by any epplicent for e pem+'
su6Jects tha epo���ent to a civil venelry of not more then Ilve huntlretl tlollars (5500)J:
❑ I, es owner o1 Ihe property, or my employees wlih weges es Iheir sde compensetion, WILL DO THE WOHK, end Ihe siructure Is not intendetl or ottered tor sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not epDh to an owner of property who builtls or Improves thereon, and who does such work
himsetl or hersetl or through his or her own employees, provitletl that suc0 impmvemenis are not intendetl or oNered lor sele. If, however, Ihe building or impmvement Is
sold within one year of completian, the ownar�builder will have the burden ol proving t�at he or she did nat builtl or improve for purpose ot sale.).
❑ I, as awner af the proparty, am E%CLUSIVELY CONTRACTING WITH LICENSED CON7RACTORS to construct the pro�ect (Sec. 7044, Business entl Protessions
Cotle: The conirectors Ucense Law does not apply to an owner of property who bullds or Improves Ihereon, end who comrects tor such pro�ect wlth a comrectar(s)
licensa pursuant to the Conirectors License LewsJ.
❑ I em evempt under sec. Business and Pralessions Coda tor this reason;
Slgnalure: Date:
Owner ID verifietl 6y Arivefs Ilcensa. ❑ Yes ❑ No Drivefs License No.
Vedflcatlon of Ownership by (rype at documem, I.e. - properry tez �III or deetlj:
DIVISION OF INDUSTHIAL SAFETY PERMIT CERTIFICATION:
Expires:
❑ I hereby certity Ihet no excavetion five (5) or more teet In depth into which a person Is requiretl to Oescend, will be made In connection wlih work euthorized by ihls
permit, end t�at no building stnidure, scettolding, felsework, or demditbn w Alsmantlinp thereof, wlll be more then thirty-siz (38) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Tille 8, Celifomla AAminlsiretNe Code).
❑ As owner-builder, 1 will not employ enyone to tlo work which would require e permit trom t�e Divialon of Induslnel Safery, es notetl ebove, unless such peraon hes e
permit to do such work irom the divlslon.
Signature: Dale:
Dlvision of Industrial Safery Permit Number:
CERTIFlCATE OF COMPLJANCE AND AUTHORVATON OF ENfAY: I certily under penelry ol perjury thet I heve reetl this eppllcation entl state that Iha intortnetlon given is
cortect. I epree to compty wlth ell state laws en0 ciry ordinances relatinp to builOing construction, end euthorize representetNes ol the Ciry ol Coste Mesa to enter upon t�e
ebove-tlescribed property tor inspection purposes. I agree not to occupy or ellow oaupanry ol eny 6uilding authonzed by ihis permil until Tinel inspection.
^'/��Signeture ol Legal Owner(s) /J� �� P�q f
'�M AnNOr Authorized ApPllcant 1 � oa�e
CODE �. INSVECfIONTYPE
1876 Fixed System Final Fire Praventlon
1266 Pool SDe Final
200 Finel Re-Roof
201 FInaI Block/Hetaining Wall
202 Final Factory Fire Place
203 Final Sign
20C Final Demditbn
1111. .
/ / i ii
/
CODE� INSPECTIONTYPE
208 Finel Mechanicel
208 Flnal Plumbing
270 Final Electncal
212 Final Fire PrevenUon
220 Final Planning Approvel
222 Final Site
250 Finel Building/Ocapanq
v� u�a
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COUNTY BUILDIIdG DEPARTMENT
� 636 North Broadway
SANTA ANA, CALIFORNIA
R APPLI�ANT TO FILL IN �f'J,
BUILDING
ADDRE55
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OR TOWN
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NO.
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DESCRIPTION LOT NO. /} D� BLOCK
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SIZE OF LOT �G�/� /�J� I NOW ON LOTS
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APPLICATION FOR PERMIT �
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FOR OFFICE USE. ONLY
RECEIPT NOJ. PERMIT NO.
EIVED BY� �T�OF APPL. � E ISSIIED/
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SCHOOL DIST.
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I HEREBY ACKNOWLE'�GE THAT I HAVE REAO THIS�
APPLICATION AND STATE THAT THE ABOVE IS GORRECT
AND AGREE TO.LOMPLY WITH ALL COUNTY ORDINANCES FRA
ANO STATE LA � S�REGULATING BUILD�G CONSTRUCTION.
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SIGNATURE OF �J LqT
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ORAI�GE GOUNTY BUILDING DEP4RTMENT
�� 636 North Broadwoy Oa/�'�
�+vIiSANTA ANA, CALIFORNIA � �a
FOR AP��IC/�I�T TO FILL IN
ORHTOWN IST. Ci J S�A V�'
NEAREST � ` ,• G �� �
CRO55 ST. `H
OWNER 4,n �J j L, �__�
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ADDRE55
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AOORE55
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DESGRIPTION lOT NO. 7( Q
fATTACH METES Q BOUND51�/
TRACT
SIZE OF LOT I
USE OF I NO. OF
G. Fnviues
DESCRIPTION OF WORK
TEL.
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APPLICATION FOR PERMIT �
�ui��iN�_ _ _.
FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO. I
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F AD�RE55 D /
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OR TOWN
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ZO NO.OF TYPE
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SETBACK LINE FR CENTER OF 5T
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APPROVEO
BY
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� NO. OF a
FOUN
I HEREBY ACKNOWLE'.JGE THAT 1 HAVE REAO THIS J F
APPLICATION AND STqTE�THAT THE ABOVE IS CORRECT �
AND AGREE TO GOMP4Y WITH ALL COUNTY ORDINANCES FRAM
AND STATE L CJ6 REGULATING BUILDING CONSTRUCTION. E
, LATH
SIGNATURE OF' �j„ LATM
PERMITfE
PLAS'
AUTHORI2ED AGT.
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