The URL can be used to link to this page

Home My WebLink About947 18TH ST - Building Permits� � CITY OF COSTA MESA BUILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.cosla-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT TYPE APN: 42436110 Zoning: , JOB ADDRESS: Vicinity: SQ. FT: 0 B_MISC 947 W 18TH ST CM PERMIT NUMBER: BX09-00210 STATUS: ISSUED DATE ISSUED: 10/07/2009 ISSUED BY: RMD SuitelUnit: Primary Occ: � � . . Const Type :?? Valuation: 5500.00� , ' � SCOPE OF WORK: DEMO A 00 S FR ESTANDING SEEL CARPORT STRUCTURE� j'MERCEDES REPAIR BY MAURICE". �l��G�-o�- 6`I7 �-- — - OWNER: LAVOIE, MAURICE E� Address:: 947 W 18TH ST Unit City/State: COSTA MESA, CA ` Zip Code: 92627 Phone: 949-645-0600 . APPLICANT: LAVOIE, MAURICE E City/State: COSTA MESA, CA Phone: 949-645-O6Q0 � : CONTRACTOR: OWNER-BUILDER Address: City/Stale: Zip Code: ARCHITECT: Phone ENGINEER: Phone TIMOTHY BUNDY-BUNDY FINKEL ARCH 714-850-7575 FEESUMMARY Building Plan Check: Building Permit: Eleclrical Permit: SMIP Residential SMIP Commercial Bldg Std Admin Fund TOTAL FEES Address: 947 W 18TH ST Zip Code: 92627 Phone . $1528 $23.50 $0.00 $0.00 $0.00 $1.00 $39.78 License No. 000000 License No. C22503 License No. Cell: Unit: Unit: NO710E: The work authorized by lhis permit shall wmply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12•21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for �e work authorized under this permit to be wnsidered legal, such work must comply with all applirable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit. CODE1. INSVEClIONTYiE pp�TF INi171RL �OUE� INSVEC710NTYVE }IRTE N ilpl 7878 FizeO System Final Fire Prevention 208 Final Mechanical 1268 Paol Spa Final 208 Final Plumbing • � _ � / 77�71Z 200 final Re-Roof 210 Final Electriwl ��6 `y /�� 201 Final Block/Retaining Wall - 272 Final Fire Prevention 202 Final Faccory Fire Place 220 Final Planning AOproval 203 FinalSign 222 FinalSite 204 Final Demolition 250 Final BuildinglOccupancy �RS' COMPENSATION DECLARATION� I �ereby aKrtn under penalty o( perjury one of the lollowing declarations: ❑ I have and will maintain a cenificale of consent to self-Insure lor warkers' compensation, as providetl for by section 3700 0l the Labor CoOe, for the performance of the vrork for which this pertnit is issued. ❑ I have and will maintain v.orkers' compensation insurance, as required by seclion 3700 0! the Labor Code, for Ihe peAortnance o( lhe work (a which this pertnit is issued. My workers' compensation Insurance carrier and policy number are: Carner: (ihis sedion neetl rrol Ga cwnpleletl Atha peimrt is valuetl at ona �unNetl tlplars (EI00) nMss ) Policy Number: (]�certify Ihat in the pedormance ol the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the vrorkers' compensation laws of California, and agree ihat if I should become subject to the workers' compensation provisions of Section 3700 of Ihe /Lab�o�� C�g��e, I shall � with comply with these provisions. ! ' — ��/% /r yV _cau�519^aWre rDaR--� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND A7TORNEVSFEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn lhat I am licensed under provisions of Chapter 9(wmmencing with Section 7000) o! Division 3 of the Business an0 Professions Code. and my license is in full force and eflect. Lic. # Class # Cantractor's Sg�awre Date CONSTRUCTION LENDING AGENCY: ❑ I hereby affum ihat Ihere is a consWction lendinq agency (a lhe performance of the v.ork for v.fiich Ihis permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Atldress: SipnaWre OW NER-BUILDER DECLARATIONS: I herehy at(rm that untler penalry of perjury thal I am E7(EMPT FROM THE CON7RACTORS LICENSE lAW !or tha following reason (Sec. 7031.5, Business and Prolessions Code: Any city or county which requires a permit to constmct, alter, improve, demolish, or repair any slructure. prior to its issuance, also requires the applicant br such permit to file a signed statement thal he or she is licensetl pursuant to the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code) or Ihat he or she is exempi therefrom antl the basis for the alleged exemption. Any viola[ion of Seclion 7031.5 by any applicant for a permit subjects Ihe applicant to a civil penalty of not more than five huntlretl Collars ($500�.�: �t-as owner of the property, or my employees wilh wages as their sole compensation, WILL DO 7HE WORK, and the structure is not intended or oftered for sale (Sec. 7044, Business antl Professions Cotle: The Contractors License Law dces not apply to an ovmer of property who builds or improves lhereon, an0 v+ho dces such work himself or herself or Ihrough his or �er own employees, provided thal such improvements are not intended or offered for sale. If, however, lhe builtling or improvement is soltl within one year of completion, Ihe ovmer-builtler will have the burden ol proving that he or she did not build or improve for purpose of sale.). � I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constn�ct the project (Sec. 7044, Business and Professions Code: The cont2ctors License Law dces nol apply to an owner of property who builds or impmves thereon, and who cont2cis for such projecl with a cont2ctor(s) license pursuanl to the Contractors License laws.). ❑ I am exempt under sec. Business and Professions Code tor this reason: �� / 0 7 9 wo=.-'• Dats�:s""' 905]�a6 �101� Owner ID venfed by driver's license. e5 ❑ No ,/ Drt_v,er's.License No. �� p� s: 7 � � Venfiration ot Ownership by (type ot documeN, i.e. - p��ax Dill or�deed�: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation (rve (5) a more leet in depth inlo which a person is required to descend, vnll be made in connectbn v.ith work aulhorizetl by this pertnit, and that no building sWcture, sca(tdtling, falsevrork, or tlemolition or dismantling thereof, will be more than Ihirtysix (36) feet high. (C�ap. 32, Grp 2, Art 2, Sec. 341, Title B, Califomia Adminislrative Code). ❑ As owner-builder, I will not employ anyone to do vrork which would require a permit from the Division of Industrial Safery, as noted above, unless such person has a permit to tlo such wnrk !rom the division. Applicanl'S SignaWre Date Division of Industrial Sate[y Permil Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuNre building occupant need lo fle antl cenify a Business Plan for emergency response to release or threatened release o! a hazardous material� � Yes ❑ No (Section 25505 of Ihe Califomia Health and Safery Code requires, with some exceptions, thal a Business Plan be fled vrith the Cosla Mesa Fire Depanment by every business which has al any one time tlunng a reponed year a quantiry of hazardous matenals equal Io or greater Ihan a weight of 500 pountls, or a volume of 55 gallons. or 200 wbic feet ol compressed gas at standard temperature and pressure). 2. Does or will the applicant or present or fuNre building occupant need lo (le a registration form for acutely hazardous matenals? ❑ Ves ❑ No (Section 25533 ot Ihe Cali(omia Health and Satety Code, vnth some exceptions, requires regisiration vrith the Costa Mesa Fire DepanmeN by each business which at any one time has on �antl a quantity of acutely hazardous matenals equal to or greater than a weight o( 500 pounds, or a volume of 55 gallons, or 200 cubic feel o( compressetl gas at standard temperawre antl pressure). 3. Does or vrill the applicant or present or tuture builtling occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazaMous malerials�4 ❑ Yes ❑ No (Section 25534 of the Califomia Health antl Safery Code proviaes that the Costa Mesa Fire Department may require the preparation, cenifcation antl fling with the Fire Department of an RMPP by businesses which are requiretl to register acutely hazardous materials with the Fire Depanment. 4. If an RMPP is presently required, has Section 25534 0l the Califomia Health antl Safely Code been lully complietl withY ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require tor lhe work which is the subject of IhiS appliCalion a pefmit (or SUch ConSVuclion or motlification from Ihe South Coasl Air �ualiry Management District or from any other air pollulion control distnct or agency? ❑ Yes ❑ No (Section 658502 of Ihe Califwnia Govemmem Code requires that the requested infortnation be lumished on applications !or noo-residential builtling permits). 6. Will any part of the (aciliry to be construcletl under this permit be wilhin 1000 teet from the outer boundanes o( a sc�ool7 ❑ Ves ❑ No Qf yes', Ihe facility must meel the requirement of Seclions 25534 antl 42303 of the Califomia Heallh and Safery Code). 7. If a pertnil from the South Coast Air Oualiry Management District or other air polWtion control districl or agency is required for Ihe vrork which is the subject of this application, have all o! the disdosures prescribed by Califomia Heallh and Salety Cotle Section 42303 been made? ❑ Yes ❑ No 8. (If'yes", attach certificate of compliance from tha appropnate air pollution wntrol aKcer�. CERTIFICATE OF COMPLIANCE: I certify that untler penalty of perjury the intortnation given above is correct 1 agree lo compty with all state laws and cily ordinances regarding Hazardous Matenals and Emissions. SipnaWre oale CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty o! perjury that I have read lhis application and state Ihat the information given is correct I agree to wmply with all sWte laws antl ciry ordinances relating to building consWction, and authonze representatives o( the Ciry of Cosla Mesa to enter upon the above-described property for inspectio�n� �puvrpt�oicses. I ree not to occupy or allow occupancy of any builtling authorizl" `"' _ _p�til final inspection. ` / J % / � _,. �; �.�a.,,�.rsr-� a c� Fntl/ar Aulbonze0 Np0liwnl � COSTA MESA BUILDING•SAFETY DEPARTMENT P.O. BOX 7200 COSTq MESA, CALIFORNIA 92626 �, � � For Applicant to Fill in Completgly `�Ov 7.7-77�"e00 828� 277.11 uis� �r ;��*. FOR BUILDING PERMIT =E1�'�� 9 ; 3S�': OWNER � -r C S` �' `` Q A'P' NO. I IO� I�ii � BUILDING MAIL ADDRESS � � Z AODRESS S CE T 1 ' Np�AM rP W W TEL. � dU C17Y Q � NO.S37`5 /�r Z Z Q CONSTRUCTION W A O N LENDER am J � BRANCH J N OWNER < m J ADDRESS ^' m ARGHITECT TEL. 5 N �{�, J a OR ENGINEER O. � 0 N. U Q FIRE � W � ADORE55 ZONE TVPE dw APPROVED. � JO CONTRACTOR O((/ BY ./ m Z J � ADDRESS w w TEL. ZON NO.OF ZF CITY NO. P�� W � STATE CITV �'ARDS APPqOVED y� LIC. NO. LIC. NO. MAIN BUILI �� SIZE NO.OF BLIX'.S. (FROM G� STRi OF LOT NOW ON LOT C R M I VSE OF ExISTING BLOG. F" SIZE OF NO. OF Z NEW BLDG. y� IG ROOMS STORIES L.SIDE I a EXTERIOR WALL ROOF �% COVERIN C S COVERING S B L REAR I J USE OF 8 IIDING ANO WORK TO BE PERFORMED OISfANCE BET. a (1 MAIN BLOC'a5. a Q VAR. ¥ O C.U.P. �{'+ F APPROVED �' N Z � i � VI �ereby ecknowledge Na� 1 �ave reatl this epplicaxion and srote � that the above information i= cprract and aBree [o comply wiih � � all laws ragula[InB builtlinp cons[r�ction, antl I shall not emploV � � any person in violaUon o� the workman's compensallon lawz of Me State ot Colifom(a. D ? I hereby cartify thet I am prbporly licenzatl as a conttector unCer � Sn' the Stare ot California Business antl Profeszions Code, Divizicn 3, THE AMOUN Chapter 9, and that suc� licensos are in full force antl effect, or I THE PVRP06E am esemp[ irom Me provisiom pf tha Staie of California Business yqLUAT10N anC Profescion tla, Oivisio� 3, Chep[er 9. Si9nature ot � //� lJ '�� 5/�� a Permittee � �Gr �i`- U / 0 Authorizad ABant / I/ � VAWSO •� �� GROVP �� ]ATE / �� L � / USE OF NEW JN�]�C' BUILDING � L� � VARDSAPPROVED ACCESSORY BUILOING •'V� FT BET. MAIN & ACLESS. BLDGS. DATE APPROVED ` \ � TAX p\ \ � �4• ION IS FOR � F E Q � m r ] m � E 0 , y5 " - • ' 391Q1 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 for Applicant to Fill in Completely BU�LDING ,I` �� C y-- AODRESS �ilJ 1 LA 1. �] \ OWNER ��--��A.�� ('�:_iOLL-�� MAIL c ADDRESS c7(j�VN-�� CITY CBS� -��' NOL CONSTRUCTION I �� IENDER If/ i BRANCH ADDRESS ARCHITEC'T '/ N N�1-. OR ENGINEEF /V I� � ADOFiESS CONTRACTOR /A�JiI�i� � ��A.. A� D R ESS TEL. CITV NO. STATE CIT�' LIG NO. IIC. NO. 512E I NO.OF BLDGS. OF LOT NOW ON LOT USE OF EX15TING BLDG. SIZE OF NO. OF NEW BLDG. ROOMS STORIE: EXTERIOR WALL ROOF COVEFING COVERING . USE OF BUIL�ING AND WORK TO BE PEFFORMED I heraby acknowledge that I have raatl this epplication antl state that ihe abo�e information is correct antl egree to comply with all lews regulatlnB buildinB constructian, end I shall no[ amploy any person in violatl0� of thB wOrkmen's compenseiion lews Of the State ot Celifornia. I hereby certify that I am properly litenutl as a cOntrattor under the State of Calitornia Business antl Protessions Cotla, Dlvisicn 3, Chaptar 9, antl that such licensas ara in full iorce antl aSlect, or I am axempt trom the provfsions of the Stete of Callfornia Business antl Professions Code, Division 3, Chapter 9. t SiBnature o5 Permittae� �� rn.�. Autnorizetl ABeni Fa�o ��*; 1Ci 15-7�;��;�� 616� -30.50 APPLICATION FOR BUILDING PERMIT RECEIVED BV DATE RECEIVED nnr� wcn� FIRE I NO.OF PWNS VAR�S APPROVED MAIN BUILDING FROM GLSTREET) DISTANCE BET. MAIN BLDGS. VAR. # USE OF N W �BUILDIN—� _G YARDS�PPROVED ACCESSORV BUIIDING [ � DATE R�. S- m SQ. FT. o THE AMOUNTSHOWN UNDEF VALUATION IS FOfl ' THE PURPO6E OF ESTABLSHING A PERMYf FEE ONLV : � ¢ VALUATION �_ $ �Q a N FEE $ O• � m HECK $ �� E `o LL FEE $ ��