HomeMy WebLinkAbout364 18TH ST - Building PermitsCITY OF COSTA MESA _
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: DEVELOPMENT SERVICES DEPARTMENT
� � PERMIT PERMIT NUMBER
��� �
699-00296
(714) 754-5273 • Fex (714) 754-0858 P FAIR DRIVE, COSTA MESA, CA 92626
,lob Address: 364 E 18TH ST
Suite:
Vicinity:
Parcel Nunmber: 11729134
npplicant: BURR, STEVE
Address:
BUILDING PERMIT
Zoning.
Phone: � . � �
, • Zip:
Owner. MC ADOO;��PAUL TR � � �
Address 285 MAGNOLIA ST. . � . �
': e . . . . � . Phone: .
'COSTAfutESA,CA .� , . �_ � Zip: 92627
Comractor. BURR ROOFING,
Address: 00711 WEELO DR "�
�
Status: ISSUED
Applied: 03/02/1999
Issued: 03/02/1999
� � �, �
�:�� � �,
' � - . Phone: � �
� CM92627 CA . �
Zip: 92627 ";" License:`�302157 �
Arch : , --' ^ ' � Eng: � � �
Address: � , . . /' � Address: � . �
� . , ' .� . phone: , � � � _ : Phone:
Zip: License: , license:
, SCOPE OF PERMIT
. . REROOF - T/O, 1 LAYER 30# FELT, NEW 25 YR GAF TIMBERLINE COMPOSITION SHINGLE ROOF ON HOUSE, AND t
LAYER 25fF BASE, 2lAYERS #11 AND 1 LAYER 72# CAP SHEET. (SUBJECT TO FIELD INSPECTION). TOTAL 3400
SF. � � . . . ., ( • .
Plan Check:
Permik
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$112.25
$0.60
$0.00
$0.00
$0.00 ,
�
$112.85
SETBACKS
MAIN STRUCTURE Fronl 0- 0
ACCESSORY Front 0- 0
PARKING Exlstinq: a
NOTES:
- ' � '• FEE SUMMARY ',
_ — _ i�
' � �
� - , '
' R�ANNING& ZONING
� Rear � 0- 0 Left 0- 0
Rear 0- 0 Left 0- 0 �
Re uired: 0_ - � Proposetl: 0
Calc Valuation:
Claim Valuation:
Right " 0- 0 ;
Right : - - 0- 0
u
$6,000.00
ss,000.00
E%PIRATION: This permit shall autometically expire and bacome void if work is not commenced within 180 days, or if work is suspended or abandoned
for a perlod 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 Inepeetlone end final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permR.
FOR INSPECTIONS CALL: Q14) 7545828
WOPKERS' COMPENSATION DECLARA710N:
I �ereby eMrtn under penelry of perjury one ot Ihe tollowing declarations:
❑. I have end wlll meinteln e certiticate of cansent ta self-Insure for workers' wmpensation, es provided far by section 3700 of ihe Labor Code, for t�e pertortnanca o1 ihe
vroAc for which ihis permit is issued. •
❑ I have end wlll maintain workers' compensation insurance, as requireC by sedion 3700 of Ihe labor Cotle, for tha peAortnance of the work for which this pertnit is issueA.
My wlarke/re�''coImp�ensetion rence�j rtier end policy number are:
Certier: v�-� �w01 PolicyNumDer.
(7h/s sectr need nof be complered i! the permit is velued ef one hundred dollars ($100) or /ess.) �
❑ 1 certlty t�el In t�e perfortnence of the work for whlch Ihis permit is Issued, I shall not employ any pereon in any menner so as lo become subject to the workers'
compensetlon lews oi C Ilfomie tl egree thet It I shoultl become sub�ed to the workers' compenution pravislans oi Section 3700 of the Lebor Code, I shell fonhwlth
comply wlth ihe9 v s�1 I
Applicent Signeture: � . , Deta: �— 2—r / I
WARNINO: FAILUPE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNUWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO IXJE MUNDRED
TqUSM10 DOILARE �5100,000), IN ADDITIIXJ TO THE COST OF COMPENSATION, DAMFOES AS PROVIDED FOR IN SELTION 3'lO60F THE UBOR CODE, IMEREST, AND ATTORNEI"S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eflirtn thet I am licensed undar prgvisions of Chapter 9(commencing with Saction 7000j of �ivision 3 oi Ihe E
force end eflecL Llc. p�� � Class W
Conlrectors SignaNre: � � . Date: _
Code, en0 my license is in full
CONSTRUCTION LENDING AGENCY: �
❑ I hereby eMirm that there is a constructlon lending egency for tha peAortnenca ot the work tor which Nis permit is Issuee. (Sec. 3097, Civil Code).
Lentlels Neme: Lendefs Address: '
Signetura: Date: �
OWNER-BUILDER DECLARATIONS:
I hereby eflirtn thet under penelry ot perjury that I am EXEMPT FROM THE CONTRAC70R5 UCENSE LAW tor Ihe following reeson (Sec. 7031.5, Buslness antl Professlons
Coda: Any city or counry whlch requl�as a pertnit to constmct, eltar, Improve, tlemolish, or repalr eny siructure, pdor to Its Issuence, elso requires ihe applicant for such permit
to flle e slpnetl statement thet he or s�e Is Ilcensetl pursuant to the provlsions ol the Contractore License Lew (Cheptar 9(commencing wlth Sectlon 7000) of Division 3 of tha
Business antl Prafesslons CoOe) or thet he or she is eaempt theretrom and the basis for the alleged e:emption. Any violatlon of Sectlon 7031.5 6y any applicant for e pertnit
subJecLs t�e applicant to e civll penelry ot not more then five �unAretl tlollars ($500).):
❑ I, es ownar of Ihe property, or my employees wlth wages es thelr sole compensatlon, WILL DO THE WORK, en0 �he siructure Is not Intentletl or ottered for sele (Sec.
7044, Business end Professions Cade: The ConiraMors Llcense Lew does not epply to en owner of property who bullds or improves Ihereon, and w�o does such work
himself or hersetl or through his or her own employees, proNdetl thet such Impravements ere not Intended or ottered tor sale. If, �oweveq t�e bulltling or improvemem Is
so10 within one year of completlon, the owner-Duiltler wlll �ave the burAen of proving that he or she tlltl not builtl or Improva for purpose ot sele.).
❑ 1, es owner of ihe proparty, am El(CLUSIVELY COHTRACTING WRIi LICENSED CONTHACTOFiS to construa the project (Sec. 7044, Business antl Professions
Cotle: The contrectors License Law does noi epply to an owner ot property who builds or improves thereon, end who wnireds for such project with a wniractor(s)
license pursuent to �he Coniractore License Laws.). '
❑ I em e:empt undar sec.
Signature:
Owner ID verifled by drivefs licanse. ❑ Ves ❑ No
Busineu antl Protessions Coda tor this reason:
Verlficetion of Ownership by (rype af document, i.e. • property tex bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON:
Drivefs License No.
Date:
❑ I �ereby certly thet na ezcavetion five (5) or more feet In depth Inta whlch e person Is required to descend, wlll be mede In cannectlon wlth work authoAzed 6y this
permit, end t�et no bulltling structure, scaHolding, talsework, or demolitlon or tlismantling thereof, will be more then thirty-slx (36) feet high. (Chep! 32, Gry 2, Art 2, Sec.
341, Title 8, Celifomia Adminlstretive Cotle). �
❑ As owner-hullder, I wlll not employ enyone to do work w�ich would requlre e permlt irom ihe Divislon oi Intlustrial Sefery, es noted ebove, unless such person hes e
pertnit to tlo such work from the division.
Slgneture: Date:
DhAsion of Industrial Safery Pertnil Number:
CERTIFlCATE OF COMPLJANCE AND AUfHOR¢A710N OF EMFiY: I certify untler penelry ot perjury thet I have reed this epplicetlon end slate ihel the infortnation given is
correct. I egree to comply with all slete lews end ciry ordinences relaling ta hullding construdlan, end authotlze representetives of Ihe Clty of Costa Mesa to enter upon Ihe
ehove-described properry�pt' spection purposes. I egree not to occupy or allow occupancy ot eny building authodzed 6y this pertnit unW final inspeciion;
�V� � �
SI eture Of Legal Owner(s) Dete �
( � -2 55
AnNOr AuNodzed Applicent �� Dete
�pEy INSVECiIOXTYVE
181 B FIxeC System Finel Flre Prevention
1288 Pool Spa Final
200 flnel Re-Rooi
201 Final BIaWReteining well
202 Finel Fectory Flre Plece
203 Flnal Sipn
'200 Flnel Demolition
zaa6 �9
�¢ �l5
, � 9q �
�pp�j p3PELTIONTYPE
208 Finel Mechenical
20B Flnel Plumbing
210 Flnel Elecirlcel
212
220
Flnel Flre Prevenllon
Flnal Plennlnp Apprwal
222 Flnal Site
250 FInaIBulldinp/Occupency ��
COS7A
FOR A�
BUIIDING ���
I_\�l�]:�Y-Y-'1
LEGAL
OESCRIPTION
A.P. NO.
512E /
OF LOT ��
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- DEPARTMENT� � � � - � � � •
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. CALIFORNIA ��n��,��L �FoT.
O FILL IN '� "A`PPLICATION FOR PERMIT
87" BUILDING
FOR OFFICE USE ONLY
�ic.
NO.
CITV LIC.
NO.
TEL.
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/�� IMOw ON lOi6��
> v�L /� �L / v/�t
SETBRCN IINE FROM
CENTEN OF STREET REAfl
SIDE YARD RIGHT � LEFT
DESCRIPTION OF WORK
NEW ' � ALTERATION ADDITION
REPAIR 1�MOVING I I DEMOLISH
BUILDING/r'SAp/, NO.OF
SIZE l� 7 ROOMS STORIES
rnvro�OR WALL <�.1/.-8 ROOFR'NG (/iL..w:�.
J (/ L!
3 6 Y._ G��— �� i
COSTA MESA. CALIFORNIA
i71 !.� V DATE
CORRECTIONS
A n^.es�
� ,� � � d � �- '..� 6� .�,,,;.T
9a —
I NEREBV ACN OWLEOGE T �T I M/.V E�O THIS �PPLIC�TIOrv �rv0 � �
ST�TE TM1T TME �BOVE IS COFXECT �NO �GXEE TO COMPIV WITN 1LL (J �
CITV OROINANCES �N� STATE L�WS PEGUL�TING BVILOING C�O/,[+ STRUG `D �
nON. � �� 'tr� ✓`fry VALUATION
SIGNATURE OF � PERMIT FEE S �6 �'
PERMITTEE
/// 'i i.( � PLAN CHECK 5 / � '`
S �O � (/�) (/
nii.unoi>rn er.cmr TOTAL FEE 8 3 T� 9M�