HomeMy WebLinkAbout915 18TH ST - Building Permits(714) 754-5273 • F� (714) 754-4856 • www.ci.cos�a-mesa.ca.us // rnm unrvt, i.�a � M mwM, �.h azom
BUILDING PERMIT
Jobnddress: 915 W 18TH ST
Suite:
Vicinity:
Parcel Number: 42436116
App�icant: COX PACIFIC
Address: 26272 YOLANDA ST
LAGUNA HILLS, CA
owner. LEWIS,JAMES
Address 7785MONROVIAAV
CA
CM,CA
Contrecror. COX PACIFIC
Address: 26272 YOLANDA ST
LAGUNA HILLS, CA
Zip: 92656
Arch :
Address:
Zip:
2oning:
Phone: 7143629470
Zip: 92656
Phone: 714-850.0869
Zip: 92627
Phone: 7143629470
license: 366161
Eng:
Address:
Phone:
License:
SCOPE OF PERMIT
DEMOLISH EXIST. 1968 DUPLEX WITH ATTACHED GARAGE. - '
Plan Check:
Permit
SMIP Res:
SMIP Com:
Other:
Inspection:
Total•
$0.00
$97.25
$0.00
$0.00
$0.00
$0.00
$97 25
FEE SUMMARY
Status: ISSUED
Applied: 06/27/2007
Issued: O6I29I2001
ISSUED BY: �
Phone:
License:
" Calc Valuation: sa,soo.00
Ciaim Valuation: 53,soo.00
, � PLANNING & ZONING . � �, � ' �
SETBACKS � � � - _ . � , �"', , , �
MAIN STRUCTURE Front 0- 0 Rear -0- 0 Left 0- 0 .'' � Right -� 0- 0 �
ACCESSORY Front 0- 0 � Rear 0- 0 Lek 0- 0 � Right 0- 0-
PARKING Existinq: 0 Required: 0
NOTES:
Proposed: � 0'- �
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This pertnit shall aulomatically expire and become void il work Is not commenced within 180 days, or if work Is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order tor the work authonzed under this permit to be consideretl legal, such work must comply with all applicable codes, end all
required Inspectlona end final epproval must be oblained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
zaaaae �eiao�
WORKERS' COMPENSATION OECLARATION:
I hereby eftirm untler penalry of perjury one of the tollowing declarations:
❑ I heve end will meinteln a ceNflcete of consent to sell-Insure tor workers' compensatlon, es prodded for by sectlon 3700 0l ihe Labor Cotle, for Ihe pertormance of the
�-work for which Ihis permit Is issued.
❑"1 heva end will maintain wwkers' canpensatbn insurar�ce, es raquiretl by section 3700 af the Labor Code, for Ihe pertortnance of tha work for whlch this pertnit is issued
My workers' compen n �nsura ce cartier entl pollcy number ere:
Cerrier: _�T lJ� POIIcyNumber. I Z�Z�' �O
(This secNon �tl nof be completed /l Ne permlf Is ve/uetl ef one hundred dWlers ($100) or less.)
❑ I cenify thet in the pertortnence af Ne work lor which this permil is IssueQ I shell not employ eny pereon in eny menner so as to Docome subl�� �o �he workera'
compensetion laws of Cellfomie, end e ree Ihet If I shoultl become suD�ect to the workers' compensatlon provlsions of Sectlon 3700 of Ihe Lebor Code, I s�ell torthwlth
comply with these pro lony-,� �o
ApPlicent Slpnalure ��� Dele:.. IO^U! -I
�
WARNINO:FAILURETOSECUREWORKER COMPENSATIdJdJVEPAQEISUNIAWFULANDSMRLLSU&IECTANEMPLOYEFTOORIMINALPENALTIE$ANOGVILFlNESUPTOONEHUNDREO
TFIOUSAND DOLLAPE (5100,OD0�, IN ADDRION TO THE COST OF COMPENSATION, DAhNGES AS PROVIDED FOq IN SECTION 3]OB OF TNE UBOR CA�E, INTEREST, AND ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby ettirtn Ihat I am Iksns n er/ p_rovisions at Chepter 9(wmmencing with Section 7000) ol Divislon 3 ot the Busines d Prolessions Coda, entl my Ilcanse is in full
fOfCB 90tl BNBCL LIt. M �C ��O � CIB59 p �
�
Comractofs Slgneture:�� Dele:. ' �O - %� '� �
i / p
CONSTRUCTON LENDING AGENCY:
❑ I hereby ettirm Ihet Ihere is e constructlon IenAinp egency tor the pertormance of ihe work lor whiCh this permi� Is Issued. (Sec. 3097, Clvll Cotle).
Lendefs Nema: Lendefs Address:
SlgneWre: Date:
OWNER-BUILDER DECLARATIONS:
I �ereby eMirtn t�at under penalry ol per�ury Ihei l em EXEMPT FROM THE CONTRAC70RS LICENSE LAW lor the following reeson (Sec. 7031.5, Buslness entl Professions
Code: Any city or county which requires a pertnit m canstrud, alter, imprave, demolish, or repair eny sWCWre, pnor to Its issuance, elso reQuires the eppllcant lor such permit
to fle e signetl stetement Nat he ar s�e is Ilcensed pursuant to the proWsions of ihe Comrecrors License Lew (Chepter 9(commencing wit� Section 7000j ai DlWsion 3 01 t�e
Business and Professions Code) or that he or she Is exem0� charefmm and Ihe basis tor ihe allepetl e:emptlon. Any violetlan of Section 7031.5 by eny applicant tor e permlt
subjeas Ihe applicant to e cMl penalry af not more then five huntlred tlollars ($500).):
❑ I, as owner oi the properry, or my employees with wages es thelr sala compensation, WILL DO THE WORK, and ihe structure Is not in�entleC or oflered for sale (Sec.
7044, Business and Professions Cotle: The Contractors Llcense Law does not apply to en owner of properry who builtls or improves thereon, entl who does such work
himself or herselt or through his or her own employees, provided that suc� impmvemenis era not Intended or oHeretl for sale. It, however, ihe building or Improvemem is
soltl wit�in one year oi completion, the owner-builtler will have the burden of proving ihat he or she did not build or Improve tor purpose oi sale.).
❑ I, es owner of Ihe property, am E%C WSIVELY CONTRACTING WITN LICENSED CONTAACTORS to wnstruct the prolect (Sec. 7044, Business and Professions
Code: The contractors Llcensa Lew tloes not appy m an owner ol property who builtls or Impmves ihereon, end who contracts lor such project wit� e contractor(s)
license pursuant to t�e Contrectore License Lews.).
❑ I em exempt unGer sec.
Signature:
Owner ID verified by drivars license. ❑ Yes ❑ No
Business antl Professions COAe lor ihis reason:
Vedfication ol Ownerehip by (type o1 dacument, I.e. - propeM1y taa blll or tleeC):
DriveYs License No.
Date:
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICA710N:
❑ I �ere6y cenify that no excavetlon five (5) a more leet In tlepth into which e person Is requireO to tlescentl, will be made In connection with work eulhoAzeC by this
pertnil, and that n0 building siructure, scallolding, falsework, or demdlilon or tlismentling thereot, wlll ba more than thir�y-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Title 8, Califomia AdminlslratNe Cotle).
❑ As owner-bulltler, I wlll not employ enyone to do work which would require a pertnll Irom Ihe Divislon ol Industrial Sefery, as noted ebove, unless such Oersan has e
pertnit to do such work trom the division.
Sipneture: Data:
Division at Industrial Sefery Permit Numher.
CERTIFlCATE OF COMPLIANCE AND AlJTT10RIZAT10N OF ENTFiV: I certify under penalry of perjury that I heve reed this epplication end state tha� �he infortnelion given is
correct. 1 agree to wmpy wlth ell stete laws antl ciry ortlinences releNng to building consWction, entl euthodze representetives ol t�e Ciry ol Coste Mese to enter upon Ue
above-described property lor inspeIXion purywses. I egree not to occupY or ellaw occupency ot eny building euthorized by this permit until final inspection.
COOE I. IxSPECTION T'PE
1618 Fixed System Final Fire Prevention
7286 Pool Spe Final
200 Finel Re-Root
201 Flnal BIacWRetalning Well
202 Final Fectory Fire Place
203 Finel Slgn
204 Finel Domolition
Owner(s) �q -Date
�� �C�/
nnnii�am, . - Date
pe¢ �3 �f.t INSVECTIONTYPE
_. 208 Finel Mechenical
208 Final Plumbing
210 Final Electdcal
212 Flnal Pire Preventlon
220 Flnal Plenning Approvel
222 Finel Site
250 Finel Building�Occupanty
PAIF It�4fl
(�ia) �sa•52�s • Fex (714) 754-4856 • www.ci.costa•mesa.ca.us 77 FAIR �RIVE, GOSIA MtSA, GA 9'1626
Job Address: 915 W 18TH ST
Suite Na
Vicinity:
Parcel Nunmber: 42436716
Applicant COX,CHIP
Address: 26272 YOLANDA ST
LAGUNA HILLS, CA
Owner; LEWIS,JAMES
Atldress 1785MONROVIAAV
CA
CM,CA
Contractor. COX PACIFIC
Address: 26272 YOLANDA ST
Arch / Eng :
Address:
LAGUNA HILLS, CA
PLUMBING PERMIT
Phone: 7743629470
Zip: 92656
Phone: 714-850-0869
Zip: 92627
Phone: 7143629470
2ip: 92656
License: 366161
Phone:
Zip:
License:
Status: ISSUED
Applied: 06I272007
Issued: O6I29I2001
��
,��' �/j�
ISSUED BY: � r �
�� U
SCOPE OF PERMIT
SEWER CAP AND 1 HOSE BIB. "
ISSUE FEE
BackFlow irrigation
BackFlow Preventer �-
Bathtub
Clarifier System '
Connect (Ice,Soda,etc)
Dental Unils
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Ezpansion Tank
Gas Earthquake Valve
Gas (1-4 oullets)
Gas (Over a ouUets)
Gas Repipe
Gas Service
Interceptors (Grease, Oil)
Interceptors (Sand Auto )
nMr , orr
$23.50
50.00 0 .
$0.00 ` 0
`50.00 �� 0_
$0.00 0
$0.00 0
$0.00 0
50.00 0
$0.00 0
50.00 U
so.00 0
So.00 0
50.00 0
$0.00 0
50.00 0
50.00 0
$0.00 0
$0.00 0
50.00 0
$0.00 0
,
FEE SUMMARY
AMT
Laundry Tub / Washer $0.00
Landscape Irrigalion $0.00
P-Trap $0.00
Pressure Regulator $0.00
Process Piping (per 10 k) $0.00
Receptors $0.00
Septic Tank $0.00
Sewer Cap for Demo $9.80
Sewer Connect 50.00
Sewer Private Line $0.00
Shower - 50.00
Sink, bar $0.00
Sink, commercial_ $0.00
Sink, Floor $o.0a
Sink, kitchen $0.00
Sink, service/mop $0.00
Spa (private) $0.00
Spa (public) $0.00
Qrv ; •
0�� SumpPump
0 Swimming Pool
0 ". Trap Primer , "
0- �-d-�'�i"� Urinal '- � - �
0 `.� Vacuum Brkr Bkflow(1-4)
0 ' Vacuum Brkr BkFlow(5+)
-0 � WaSh Basin
1 Wash Basin Set
0 . Waste and Vent System
0 � =Water Closet (Toileq
o - ' - Water Heater / vent
"� 0 Water Piping (Inst or Rep.)
0 Water Re-pipe
0 Water Service
0 water Softener
0 OTHER
0 VIOLATION
0 PLAN CHECK
REINSPECTION
COMMENTS / SPECIAL CONDITIONS
AMT
50.00
so.00
50.00
50.00
50.00
$0.00
$0.00
$0.00
50.00
50.00
so.00
50.00
50.00
50.00
30.00
$9.80
$0.00
$0.00
50.00
TOTAL CALCULATED FEES: E43.10
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ott1. 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 Ii work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inapectione and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiretion ot lhis permit.
FOR INSPECTIONS CALL: (714) 754-5626
zaers �a�oo�
WORKERS'COMPENSAnON DECLARAnON: �
I hereby effirtn under penelty ot parJury one of the Followfng dedaretlons: � �
❑ I heve entl will meimain e certificate ol wnsent to setl-Insure tor workers' compensetlon, es provitled for by section 3700 of the Lebor Code, lar Ihe pertormance of ihe
work lor whiCh t�is permit is Issuetl.
'.�� I have and wlll maintain warkers' compensatlon insurance, es required by socGon 3700 of the LeOor Code, for Ne peAortnance of �ha work fw whlU this peimil is issued.
My warkers' compensatlon Insurenca carriar enC policy number ere:
Cartier. �T_�L�I...i� POIICyNumber,
(7rils sectbn need not be completed Il Ne pemdt is vel�etl er one hundred dol/ers (St00) or less.)
❑ I certity ��et in iha peAortnance of Ihe work for which t�is pertnit is issuetl, 1 shell not employ eny person in any menner so es to become subject to Ihe workers'
compensetlon laws ol Celilomia, entl egree Nat it I should become subJect to ihe workers' compensation provisions ol5ection 3700 0l Ihe Lebor Cotle, I s�ail forihwit�
camprywitntneseprovpiaps /j �'�p, �O
/WP�t:9�neture: � � . � � Date: LC�/
WARNINO: F�ILURE TO SEWRE WORKERS' ENSATION COVERAGE IS UNLAWFl1L AND SHNL SUBIECT � YER TO CRIMINAL PENALTIES iVlD GML FlNES UP TOONE HUNDRED
TIK)USAND DOIL�RE (5100,000), IN r1DDR10N TO THE WST OF COMPENSATION, DMNOES AS PROVIDED FOR IN SECTION 3/OB OF T/E UBOR CODE, IMEREST, AND ATfORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby atllrm;Nat 1 em Iicensed under provisia
torce and�e�ecL Llc. M _ � .
with Sectlon 7000) ol DlWslon 3 ot�tt�e Buslnes5�nd Pmtessions COOe, entl my Iicense is in tull
CONS7RUC710N LENDING AGENCV:
❑ I here�y ettirm Ihet thero is e constructian lending epency for the pertormanca ol the work lor w�ich Ihis permit is issued. (Sec. 3097, Civil Coda).
Lende/s Neme: Lender's AtlAress:
Signeture:
Date:
OWNER•BUILDEH DECLARATIONS:
I hereby ettirtn Ihat untler penelry of perjury Ihat I em EXEMPT FROM THE CON7RACTORS LICENSE LAW tor Ihe Iallowing reason (Sec. 7031.5, Buslness end Professions
Cotle: My dry or munry which requires a permit to conSW ct, alter, improve, demdis�, or repair any swcture, prior to its issuance, also reqWres the appllcant for such pertnit
to tile e signed stetement thet he or she is Iicensed pursuflnt to Ue proNsions of Ne Contrectors LJcense Law (Chapter 9(commendng wiN Section 7000) of OMsbn 3 of Ne
Busineu end Professions Cada) or thet he or she is exempt Nerefrom enE Ihe besls tor the alleged exemptlan. Any vidation ol Sactlon 7031.5 by eny epplicant for a pertrtit
sub�ects the applicant to e Gvil penalry of not more ihan live hundretl dollars ($500).):
❑ I, as owner ol the praperty, or my emplqrees wit� wages es iheir sde compensatlon, WILL DO THE WORK, end the sirucNre Is not IntenAeC or ottered for sale (Sec.
7044, Business and Protessions Cotle: The Coniractors LJcense Law does not eppty to an owner of property who builtls or ImprOves Ihereon, and w�o tloes such work
himself or hersell or ihrough �is or �er own emplqrees, provided thet such improvements ere not intended or oNered for sale. If, however, the building or improvement is
sWd within one year ot completlon, the avner-builder vnll �ave lhe Durtlen of proving that he or she did not builtl or improve for puryosa ot sela.).
❑ I, es owner of tha properry, em E%CLUSIVELV CONTRAGTING WfTH LICENSEO CONTRACTORS to construct ihe project (Sec. 7044, Business antl Pfofessions
Code: The conirectore License Lew does not appty to an owner at pmpeny who builAs or Improves thereon, antl who cwrtrects for such pmlect with a contrador(s)
license pursuaM to the Contractors License Laws.)-
� 1 em ezempt untler sec.
Signatura:
Owner ID verified by tlnvers license. ❑ Yes
Vedflcatlon of Ownership by (rype ol dxumenL i.e.
Busineu and Prolessions Code for this reeson:
❑ No Drivor9 LiCen9e No.
property te: blll ar tleetl):
Date:
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION:
❑ I hereby cenlly Ihat no exravatlon ilve (5) or more leet In depth Into which e person Is requiretl to descend, will be made In conneCtlon wiih work euthorized by Ihis
permlt, antl that no building struMure, scattdding, lalsework, or demollilon or dismentlinp theraof, will ba more than Ihirty-six (38) leet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Title 8, Celitomla AtlminlstratNe Cotle).
❑ As owner-builder, I wlll not employ flnyone to tlo work which would require e permit from the Division of Indusirial Safety, as noted ebove, unless such person hes e
permlt lo tlo such work trom the tlivision.
Slgneture: Dete:
DlNslon ot InduStAal Salety Pertni� Number:
CERTIFlCATE OF COMPLIANCE AND AUfHORVA710N OF EMRY: I certify under penalry of perjury Ihat I have read thi9 epplication entl state ihat the information given is
correct. I egree to comply with ell state laws entl ctiry oM��ences relating to builtling construction, end euthodze representatives oi tha Ciry of Casta Mesa to enter upon t�e
ebove-describetl property for inspedion purpasas. l egree not to occupy or ellav occupancy ot eny building authorizetl by lt�s permit until tinal inspection.
COpE I, INSPECTIONTYPE Q�¢. II�LS
1616 Fixed System Final Fira Prevention
1268 Paol SOa Finel
200 Final Re-Rool
201 Final BIocWRetelning Wall
202 Final Fectory Fire Place
203 Finel Sign
204 Finel Demolitlon
COUE� INSPECTION7YPE
208 Finel Mechanical
208 Final Plumbing
210 Final Electdcal
272 Final Flre Preventlon
220 Final Plenning Appro�el
222 Final Site
250 Final Building/Occup9ncy
QLffi INIIiIALg
•.. G
ORANGE COUNTY BUILDING DEPARTMENT
. 636 North Byndwor �
� SANTA ANA, CALIFORNIA
,_�.�„�,.��
NEAREST I
CRO55 6T. p '�� �
OWNER ��"i
MAIL -\
ADDR E55 . L�..�fAA.
CITV fi • �V( '
ARCHITEGT OR
ENGINEER
A�DRE55
0
� ADDRE55
•
�„ .� � .
i
.��.
. n�l
USE OF � I NO. OF I NO. OF
EXISTIN� BLDG. � F�qiu[e ROOMS
SETBACK LINE FROM: < ' REAR VARD 4
CENTER OF STREET ./ Q SIDE YARD .�
DESCRIPTION OF WORK
EXTERIOR Wi
COVERING
"E OF NEW
_DING
. APPLICATION FOR PERMIT
Bul��a�� 1
fQR OFFICE USE ONLY
RECEIPT NO. PfRMIT NO.
l a�-S � � �'�'07
RECEIVED BV DATE REC'O. DATE 1531iED �
� a a y :� � � -a.u-� �s
BUI�DING �/ j 1,�' /� ��
AODRE55 ✓✓ f
6CHOOL DIST. % �, ,�N
OR T�fi �l�L_AA�,/R-� � ,�:{� '
NEAREST �/YV_ ._ /
• CORRECTIONS
�::
�;�
�9
i HEREBY ACKNOWLEOGE 7HAT I MAVE READ THIS FORN
APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDF
AND AGREE TO COMPLV WITH 4LL COUNTY ORDINANCES FRAME: F
BRAG
AND STATE LAWS REGULATING BUIL�ING CONSTRUCTION.
LATH, IN1
SIGtJATURE OP � LATH.E%l
PERMITTE �
PLASTER.
AUTMORIZED AGT. � P��Eq
Peat�iiFe¢ S'�6 MASONRV
VIILUA710N $ I O� p��H CHecK t �
/0 J BOND BE/
MTAL � FINAL
FEE
IOM � 'l�20�D9
i J
'� �a s
LOCATION INSPECTOR OATE
4TERIALS, �%
INING ^ L� � j'/ 1 -
TOPS.
BOLTS /v!� 'C. —1 Y
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6'fy13?�. - -' — - •--
STFiEET•
4
PLOT PLAN
Show location and distonces from
property line and between buildings.
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