HomeMy WebLinkAbout861 18TH ST - Building Permits:.�
c
,
�
(714) 754•5273 • Fex (774) 754-4856 • www.ci.coste-mesa.�gLDING PERMIT n FAIR �RIVE, GOSTA MESA, GA 92626
Job Address: 861 W 18TH ST
Suite:
Vicinity: 861-871 W. 18TH ST
Primary Occ: B Eat<50/ Office/ Bar<50 Type o( ConsWctlon: V-N
Parcel Number: 42406103 Zoning:
npp�icant: REES, GARY
Address: 126 COMMERCIAL WY
COSTA MESA, CA .- . , .
Ownec CRANK, ORMA O
Address 145 THE MASTERS CIR
COSTA MESA, CA � "
Phone: 949-54&5569
Zip: 92627
Phone:
Zip: 92627-4640
Contractor: G L R ENTERPRISES INCIDBA CRANK BROTHERS ROOFING
Address: 126 COMMERCIAL WY
COSTA MESA, CA
Zip: 92627
Arch :
Address:
Phone:
Phone: 949-548-5569
License: 828379
Eng:
Address:
Status: ISSUED
Applied: 04/21/2005
Issued: 04/21/2005
ISSUEDBY: �`�l�C/v
Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING BUILT•UP ROOF, REPAIR EXISTING SHEATHING, & INSTALLNEW BUILT-UP CAPSHEET ROOF SYSTEM - 75 SQ
(ADDRESSES 861-871 W. 18TH ST./1 BUILDING). �
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$209.25
$0.00
$2.52
$0.00
$0.00
$211.77
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existinq: o
FEE SUMMARY
Calc Valuation:
Claim Valuation:
PLANNING & ZONING
Rear 0- 0. Left 0• 0
Rear 0- 0 Left 0. 0
Required: 0 Proposed: 0
Right 0- 0
Right 0. 0
siz,000.00
512,000.00
NOTICE: The work authorized by this permit shall compty with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This 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 ot 180 days. '
INSPECTIONS: In order lor the work authorized under this permit to be considered legal, such work must wmply with all epplicable codes, and all
required Inspectiona end final epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
:aao-.o �aw�
WORKERS'COMPENSAnON OECLARAnON: -
I hereby eNirm under penelty ol perjury one oi Ihe lollowing decleretions:
❑ I heve end will meintein e cenlflcEta of consenl lo self-Insure br workers' compensetlon, es pmvided for by section 3700 af t�e Lnbor Codq lor Ihe pertormance of lhe
work tor which ihis pertnit is Issued.
��"'�I heve end will maintain woAcers' compensetlon Insurance, es 2quired by sectlon 3700 oi the Lebor Code, lor Ihe pertormance ot tho work lor which thls pertnit is issuetl.
F+1y workers' compensetion Ins nce rtler e Iiry numb ere:
��._ ��� �%�� ��� I 7 Z. � 9 p z z�s-
}'7hls sectbn need nof be comp'lef i! Mre pertni! is valued et one hunEred dollers (5100) or IassJ
❑ I certily that in the peAortnence ol Ihe work for which thls permlt is Issuetl, I shell not empiq eny person in eny manner so es to 6ecrome auD�ad to the workArs'
compensetion lews ol Celifomie, d Bgree Ihet il I ultl bernme sub�ect to Ihe worken' cnmpensatlon provisions of Section 3700 0l t�e Lebor Cotle, I shall forthwllh
crompty with the5e DroviSions. G
APWlranlSignatura:--� � a � �Oare—^ � — �i/ � Q /
WARNIN(3: FAILURE TO SEIXIRE W ERS' COMP NSATION COVERAOE IS UNLAWFUL AND SHALL SUBIECT AN EMPZOYER TO CFIMINAL PENALTIES AND GML FlNES U7 TO ONE HUNDRED
THOUSAND OOIAARE �5100.000), IN A T1IXJ TO E COST OF C01.IPENSATION, DnMAOES AS PROVIDED FOR IN SECTION 3)050F THE LABOR CODE, IMEREST, / ND ATTORNEI^$ FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eHirtn that I am licensetl
torce ana ettect.fi.ic_e—�
CONSTAUCTION IENDING
9(commencing wilh Section 7000) ol Divislon 3 of I�e Business antl Professions Code, and my license is in lull
�Ge� d. G 3Q
�. ron�e^� / — o s—
❑ I �ereby aHi�m that there is e construction lending egency tor the patlormence ol ihe work lor w�lch this permil is issued. (Sec. 3097, Civil CodeJ.
LenAer'S Name: _ _ _ _ _ _ lanAer's AAtlress:
Signeture: _
OWNER•BUILDER DECLARA710NS:
Data:
I hereby Bttlrtn Ihet under penelry oi perjury t�et I em E%EMPT FROM T11E CONTRACTORS LICENSE LAW lor Ihe lollowing reason (SBc. 7031.5. Businass and Professlons
Code: Any dy or county which recryires e Oermit to construcl, alter, Improro, Aomdish, or repair eny siructure, prior to its issuance, elso requires t�e applicant for such permit
lo tile e signeC 5tetemenl that he or she is Ilcensetl pursuent to the proNsions ol tha Contrectora Llcense lew (Chepier 9(commenGng wlth Sectlon 7000) of DMsion 3 al Ihe
Business entl Professions Code) or Ihet �e or she is e�empl t�arelrom entl tho basis tor tha ellopod o�amptlon. Any vidation of Sectlon 7031.5 by eny applicant for a pertnll
suDjects t�e epplicant ro e civil penelry ol not more Ihan IWe hundred Aollars ($500)J:
❑ I, as owner of Ihe properry, or my employees with wages es their sole compenselion, WILL DO THE WORK, and Ihe siructure is nm intenCed or oHered for sale (Sec.
7064, Business and Pmfessions Code: The Contrecbrs License Law tloes not eppty lo an owner ot property who builds or imprwes thereon, antl who dces such work
�imselt or herseN or throug� �is or �er own employees, pmvided ihat such improvemenis ere not intentletl or ofleretl lor sale. It, however, ihe building or improvement is
sWtl within one year ol completion, t�e ownar-builder will have Ihe burdon ol proving that he or she tlitl not Duild or improve tor purpose ol sale.).
❑ I, es owner of Ihe properry, em E%CWSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to consiruct t�e projecl (Sec. 7044, Business and Professlons
Cotla: The contrectors License Lew doas not epply to en owner of prOperty wha �uiltls or impwves Ihereon, end who wntrett9 for such projecl with a contractor(s)
license pursuant to t�e Comrectors License Laws.).
� i em oaempt untlor sec. Business and Prolessions Codo lor this roason:
SigneNra: Date:
Ownet ID verifietl by drivers licensa. � Ves ❑ No Drivels License No.
Vedficatlm ot Ownership by (rype ot documem, i.e. - properry tex bill ar deed):
DIVISION OF INDUSTFIAL SAFETY PERMIT CERTIFICATION:
Enpires:
❑ I hereby certify t�et no eawvation flve (5) or more feat in Oepth Into which e person Is reqWred lo tlescend, will be mada in connection with work authorized Dy Ihis
pertnit, entl that no builtling simdure, scalloltling, lalsework, or demolitlon or dismantling ihereot, wlll ba more than Ihirty-si: (38) leet higR (Chap. 3.2, Grp 2, Art 2. Sec.
341, TiGe 8, Callfomla Adminlstrative Cotle).
❑ As owner-Duiltler, I will not employ enyone to do work which woultl roqulre e pertnit from Ihe Dlvlslon of Indusidal Safery, as notod above, unless such person has e
pertnit to do such work Irom t�e tlivision.
Signature: Date:
Division ot Intlustnal Safary Pertnit Number.
CEHTIFlCATE OF COMPIJANCE AND AUfHORIZATION OF EMRY: I cenity unaer penalry ot perJury thel I have reatl this application end sla�e Iha� the information given is
wrrect. I egree Io comply wit� all stete lews end ciry ordinances rela�ing lo builtling cronsiructlon, end eu�hodze represematives of lhe Clty ot Cwta Mesa to eNer upon Ihe
ebova-descnbeC Oropeny br Inspectian purposes. I agree nal to acupy or ellow occupenty ol eny Ouilding euthodzed by Ihis permi� until final inspectian.
40oE r. INSPECTIONTYPE
1616
7266
O� L el wner(s)
y
_ rized�Ap{Nicant' ".._ ._. . .
Fixed System Final Fire Prevemion
Pool Spe Finel
200 Finel Re-Rool
201 Final BIocWRetaining Well
202 Final Factory Fira Plaw
203 Flnal SIBn
204 Final Demolition
Pdg ItlIIIIEIi
�/zy-�c �
LODE � R+svecTrox nre
206 Flnal Mechanical
208 Flnel Plumbing
210 Flnel Eleclrical
212 Finel Fire Prevention
220 Finel Planning Approval
222 Final Slte
250 Final BuildinryOccupancy
d\i�
� �
,m.. _
� 24117
' COSTA MESA BUILDINGSAFEIY DEPARTMENT
P. O. BOX H17 C08TA MHBA. CALIPOFNIA
For ApplTcant ro Ffll In Completaly
TYPE OR PRINT
BUILDINQ g� i w, i8 ��'. sT
ADDRE6$
COSTA MESA. CALIFORNIA
>S lAJ i 8
rr1 1'1r'. c �i
COs 1-a �"1<
12l� 86-a-1
I l `8 :r 3ou'
1 98T0ACN LINB PPOM
TEL
iTv oF cLsTq mt�a
MAY 6 1965
�Pll�� �R
iBGILDING
Fo. off��a u:a o�y
BUILDINO _(X�
ADDRfiGB a
OJ � I 20NE �
NO. OP BLOOB.
DESCRIPTION OF WORK
NO. OR
"-'�8IIQM8_
WALL I ROOF
- I. 7 � f. �l
�2�
ZONB I NO.OR I U860PNHW
PI.�NB BUILDINO
LlO�L y/�'�
DEBCRIRION O% . / O S �. �
T—( �
A.P.NO. I � '-�� b-�I
NOTE: NOEAVEOVERHAN68HALLBELH88THAN
90' TO SIDE 8 REAR P. L '
EAVE8 --
ALLOWED __.--- -(U-B"C-RE�UIREMENTI
YARDSAPPROVEO YAR�SAPPROVED
MAIN BUILDIN6 AGCESSORY BUILDIN6
VAR. �
H
8�. �. �
1 XHqBBY ACKNOWLCDOB THAT 1 HAVB RBAD THIB APPLICATION THE AMOYNT BNOWN UNOER VALUATIONil6 FOR TNE z
AND BTATH TMAT THE ABOVH IB <OHqECT /1ND AOREB TO COM: PUHP09H OP 68TABLI8NIN0 A PERMIT � PEE ONLY. �
PLY WITH ALL CIT�Q OINANC88 �NO BTATH LAW9 q80pLATINO ypLUAT10N , oQ m
BUILO�NO CON9TRUCTI .
61GNATUR80P ' ��_ �'J�f�I�l/i (/_ 'F PERMITF88 $ m
PERMITTE �v $��DD __ C �� Q
/�� O
AUTHORI2ED A6ENT , , � } V �`