HomeMy WebLinkAbout241 18th St - Building PermitsPERMIT TYPE B_R001F2
APN: 42539225
JOB ADDRESS: 241 E 18TH ST CM
Vicinity:
Squares: 31
PERMIT NUMBER: B14-00042
STATUS: ISSUED
DATE ISSUED: 03/10/2014
ISSUED BY: RM
Suite/Unit:
Valuation: $10,000.00
SCOPE OF WORK: REROOF EXISTING TRIPLEX. TEAR OFF EXISTING ROOF, INSTALL 1 LAYER OF 30# ASTM FELT PAPER, AND
REROOF WITH GAF 30 YEAR DIMENSIONAL COMPOSITION SHINGLES. 31 SQUARES.
NOTE: RESIDENTIAL RE -ROOF: For projects exceeding $1,000 in valuation final approval of permit shall not be granted until
access to dwelling unit(s) is provided for verification of the installation of smoke and carbon monoxide alarms by the Citv
Inspector. See Attachment w/Inspection Card
OWNER: FAEC HOLDINGS 419649 LLC Address:241 E 18TH ST Unit:
PHONE: City/State/Zip: COSTA MESA, CA
APPLICANT: BUCKLIN, JIM
PHONE: 949-207-3468
CONTRACTOR: OZONE ROOFING INC
866911
Address: 63 VIA PICO PLAZAUnit: STE 433
City/State/Zip: SAN CLEMENTE, CA 92672
ARCHITECT:
ENGINEER:
FEE SUMMARY
Reroof Plan Check:
$0.00
Reroof Permit Fee:
$181.25
Reinspection Fee:
$0.00
Bldg Std Admin Fund
$1.00
Address: Unit:
City/State/Zip:
PHONE: 949-366-6597
CELL:
License No.
License No.
License No.
PHONE:
PHONE:
'OTAL FEES $182.25
HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3118/2010 - PER CMMC Sec. 13-279
Monday thru Friday - 7:00 am thru 7:00 pm. Saturdays - 9:00 am thru 6:00 pm. Prohibitied all hours - Sundays and the following Federal holiday:
New Years Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day and Christmas Day
PERMIT TYPE ELEC
APN: 42539225
JOB ADDRESS: 241 E 18TH ST CM
Vicinity:
PERMIT NUMBER: E14-00077
STATUS: FINALED
DATE ISSUED: 03/24/2014
ISSUED BY: KJB
Suite/Unit:
SCOPE OF WORK:UPGRADE ELECTRICAL SERVICE TO 200 AMP. REPLACE 2 - 60 AMP SUBPANELS AND 1-100 AMP SUBPANEL FOR
EACH UNIT OF AN EXISTING TRIPLEX. REPLACE 3 LIGHT FIXTURES PER UNIT, 6 OUTLETS PER UNIT. 3 NEW CIRCUITS PER UNIT FOR
DISHWASHER, GARBAGE DISPOSAL, AND REFRIGERATOR.
REVISED 4/16/14: ADD 3 CIRCUITS AND 3 OUTLETS FOR STACKABLE WASHER AND DRYERS TO BE LOCATED IN CLOSETS.
REVISED 4/22/14: ADD 1 40- AMP SUBPANEL, 1 LIGHT, 2 OUTLETS, 1 SWITCH IN THE GARAGE. ADD 4 EXTERIOR LIGHTS.
OWNER: FAEC HOLDINGS 419649 LLC
241 E 18TH ST Unit:
PHONE:
APPLICANT: GUTIERREZ, OSCAR
Unit:
PHONE: 562-688-3992
CONTRACTOR: MAXIMUM LIGHTING ELECTRIC
936461
Address: 10930 RATLIFFE STUnit:
City/State: NORWALK, CA ZipCode: 90650
ELECTRICAL PERMIT FEES
Electrical Plan Check Fee:
$0.00
Electrical Permit Fee:
$291.58
Reinspection Fee
$0.00
TOTAL FEES
$291.58
Address:
City/State/Zip: COSTA MESA, CA
Address:
City/State/Zip:
License No.
PHONE: 562-688-3992
CELL:
PERMIT TYPE PLUM
APN: 42539225
JOB ADDRESS: 241 E 18TH ST CM
Vicinity: UNITS A, B AND C
PERMIT NUMBER: P14-00056
STATUS: FINALED
DATE ISSUED: 03/25/2014
ISSUED BY: KJB
Suite/Unit:
SCOPE OF WORK: MISC PLUMBING FOR UNITS A, B AND C OF AN EXISTING TRIPLEX. UNIT A: NEW SHOWER VALVE AND
10' OF 1/2" GAS PIPE. UNIT B: REPIPE 1 BATH UNIT AND 1
KITCHEN. REPLACE 40 GALLON GAS WATER HEATER. SAME LOCATION. UNIT C: REPIPE 1 BATH AND KITCHEN. REPLACE
40 GALLON WATER HEATER, SAME LOCATION.
'4/9/2014 REVISED PERMIT TO INCLUDE RELOCATION OF LAUNDRY FACILITIES INTO EXISTING HALLWAY CLOSETS. 3
WASHERS, 3 GAS OUTLETS, AND 3 WATER PIPINGS.
OWNER: FAEC HOLDINGS 419649 LLC
241 E 18TH ST
PHONE:
APPLICANT: RECKTENWALD, JANE
PHONE: 714-336-6159
CONTRACTOR: CHAMPION PLUMBING
Address:4195 CHINO HILLS PARKWAY PHONE:714-719-9976
City/State:CHINO HILLS, CAZipCode:91709 CELL:
ARCHITECT:
ENGINEER:
Address:
City/State/Zip: COSTA MESA, CA
Address:
City/State/Zip:
License No. PHONE:
License No. PHONE:
PLUMBING PERMIT FEE SUMMARY
PLAN CHECK FEE: $0.00
PERMIT FEE: $162.05
TOTAL FEES: $162.05
License No.:730334
PERMIT NUMBER: BX12-00502
PERMIT TYPE B_MISC STATUS: FINALED
APN: 42539225 DATE ISSUED: 12/17/2012
Zoning: , ISSUED BY: RMD
JOB ADDRESS: 241 E 18TH ST CM Suite/Unit:
Vicinity: GARAGE Primary Occ: Const Type: ??
SQ. FT: 0 Valuation: $2,500.00
SCOPE OF WORK:
INSTALLATION OF 12 OUTLETS, 4 LIGHT FIXT, DRYWALL AT GARAGE.
NOTE: FINAL APPROVAL OF PERMIT SHALL NOT BE GRANTED UNTIL ACCESS TO DWELLING UNIT(S) IS PROVIDED FOR VERIFICATION
OF SMOKE AND CARBON MONOXIDE ALARMS BY THE CITY INSPECTOR. SEE ATTACHMENT W/INSPECTION CARD
OWNER: SNYDER, E NICHOLAS III
City/State: NEWPORT BEACH, CA Zip Code:92663
Phone:
APPLICANT: JAGLOWSKI, EDWARD
City/State: Zip Code:
Phone: 714-478-6662
CONTRACTOR: JAGLOWSKI CONSTRUCTION
Address:: 2322 MARGARET Unit
License No.
License No.
Address: Unit:
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279
Monday thru Friday - 7:00 am thru 7:00 pm. Saturdays -9:00 am thru 6:00 pm. Prohibited all hours - Sundays and the following
Federal Holidays: New Years Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day and Christmas Day
License No.962084
Address:
2828 W CAMDEN PLUnit:
City/State:
SANTA ANA, CAZip Code:
92704
Phone 714-478-6662
Cell:
ARCHITECT:
Phone
ENGINEER:
Phone
FEE SUMMARY
Building Plan Check:
$0.00
Building Permit:
$83.25
Electrical Permit:
$39.90
SMIP Residential
$0.50
SMIP Commercial
$0.00
Bldg Std Admin Fund
$1.00
TOTAL FEES
$124.65
Address:: 2322 MARGARET Unit
License No.
License No.
Address: Unit:
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279
Monday thru Friday - 7:00 am thru 7:00 pm. Saturdays -9:00 am thru 6:00 pm. Prohibited all hours - Sundays and the following
Federal Holidays: New Years Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day and Christmas Day
( % CITY OF COSTA MESA 0
BUILDING DIVISION
iA O 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 - vvww.ci.costa-mesa.ca.us
Jam`"+ro�mfi FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER: BX09-00101
PERMIT TYPE B_MISC STATUS: ISSUED
APN: 42539225 DATE ISSUED: 06/18/2009
Zoning: I ISSUED BY: BJK
JOB ADDRESS: 241 E 18TH ST CM Suite/Unit:
Vicinity: UNITS A B AND C Primary Occ: Const Type :??
SQ. FT: 0 - Valuation: $5,000.00
SCOPE OF WORK:
RETROFIT INTERIOR PARTY WALLS FOR ONE HOUR FIRE RATED ASSEMBLY BETWEEN EXISTING UNITS A, B AND C IN
ORDER TO CONVERT INTO A DRUG AND ALCOHOL REHAB CENTER. REPLACE 1 SWITCH.
OWNER: SNYDER, E NICHOLAS III
City/State: NEWPORT BEACH, CA
Phone:
APPLICANT: STUBBS, CRAIG
City/State:
Phone: 714-390-2728
CONTRACTOR:
CRAIG H STUBBS
Address:
17150 NEWHOPE ST
1106
City/State:
FOUNTAIN VALLEY, CA
Zip Code:
92708
ARCHITECT:
Phone
ENGINEER: SAMIR Y GOSHEN, PE
Phone 949-364-0744
FEE SUMMARY
Building Plan Check:
Building Permit:
Electrical Permit:
SMIP Residential
SMIP Commercial
Bldg Std Admin Fund
TOTALFEES
Address:: 2322 MARGARET
Zip Code: 92663
Address:
Zip Code:
License No. 370303
Phone 714-390-2728
$72.31
$111.25
$24.60
$0.50
$0.00
$1.00
$209.66
License No.
License No. C042152
Cell:
Unit
Unit:
Unit: UNIT
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California 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 the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE 0. INSPECTION TYPE DATE INMIIALS CODE/ INSPECTION TYPE DATE lint S
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re -Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Buildingoccupancy
WORKERS' COMPENSATION DECLARATIOP
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -Insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by
section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation Insurance carrier and policy
number are:
Carrier:
(This secixm need nal be completed d the permit is valued al one hundred cblWrs (5100) w less.)
Polic Number:
b 1 certify that in (he performance of the work for which this permit is
Issued, I shall not employ any person in any manner so as to become subject
to the workers' compensation laws of California, and agree that if I should
becom subject to the workers' compensation provisions of Section 3700 of
the 6r Code, 'It
iimply with these provision .
Ap icanY Si Dat
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, INTEREST, AND
ATTORNEY'S FEES,
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing
with Section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force and effect.
�-"Ltc t Class# �
d
og G'r's' ure `Dale
CO STRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
OWNER -BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business and Professions Code: Any city or county which requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalty of not more than
five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
thereon, and who does such work himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of
Completion, the owner -builder will have the burden of 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 construct the project (Sec. 7044, Business and
Professions Code: The contractors License Law does not apply to an owner of
Property who builds or improves thereon, and who contracts for such project with
a contmctor(e) license pursuant to the Contractors License Laws.).
❑ 1 am exempt under sec.
Dusiness and Professions Code for this reason:
i
Owner ID verified by ASense. ❑ Yes ❑ No
Driver's License No. Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more feet in depth into which a
person is required to descend, will be made in connection with work authorized
by this permit, and that no building structure, scaffolding, falsework, or demolition
or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp
2, AA 2, Sec. 341, Title 8, California Administrative Code).
❑ As owner -builder, 1 will not employ anyone to do work which would
require a permit from the Division of Industrial Safety, as noted above, unless
such person has a permit to do such work from the division.
Applicant's Signature
Division of Industrial Safety Permit Number:
Date
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need to file and
certify a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Code requires, with some
exceptions, that a Business Plan be filed with the Costa Mesa Fire
Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature and pressure).
2. Does or will the applicant or present or future building occupant need to file
a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperature and pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 of the California
Health and Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupant require for
the work which is the subject of this application a permit for such construction
or modification from the South Coast Air Quality Management District or from
any other air pollution control district or agency? ❑ Yes ❑ No
(Section 65850.2 of the Califomia Government Code requires that the requested
information be furnished on applications for non-residential building permits).
6. Will any part of the facility to be constructed under this permit be within
1000 feet from the older boundaries of a school? ❑ Yes ❑ No
(If 'yes", the facility must meet the requirement of Sections 25534 and 42303
of the California Health and Safety Code).
7. If a permit from the South Coast Air Quality Management District or other
air pollution control district or agency is required for the work which is the
subject of this application, have all of the disclosures prescribed by California
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. (If "yes", attach certificate of compliance from the appropriate air pollution
control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is correct. I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
Signature Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and state that
the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
Signature of Le € to
2057-46 (M7) Signature nate �-
e Au nori¢e APWicam' I ,Date
CITY OF COSTA MESA
9060004"'4BUILDING DIVISION
77 FAIR DRIVE. COSTA MESA. CA 92626 (714) 754-5273 •Fax (714) 754-4856 www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754.5626
PERMIT NUMBER: E09-00040
PERMIT TYPE ELEC STATUS: ISSUED
APN: 42539225 DATE ISSUED: 02/12/2009
ISSUED BY: BJK
JOB ADDRESS: 241 E 18TH ST CM Suite/Unit:
Vicinity: TREATMENT HOME
SCOPE OF WORK: UNITS A, B, C
HARD WIRE 12 SMOKE ALARMS IN A TREATMENT CENTER HOME, NATIONAL THERAPEUTIC SERVICES, INC.
OWNER: SNYDER, E NICHOLAS III
PHONE:
APPLICANT: SULLIVAN, RICK
PHONE: 949-515-5147
CONTRACTOR: 1 SUPERIOR ELECTRIC INC
Address: 1048 IRVINE AVUnit: PHONE: 949-515.5147
City/State: NEWPORT BEACH, CA ZipCode: 92660
ELECTRICAL PERMIT FEES
Electrical Plan Check Fee: $0.00
Electrical Permit Fee: $36.70
Reinspection Fee $0.00
TOTAL FEES $36.70
Address: 2322 MARGARET Unit:
City/State/Zip: NEWPORT BEACH, CA
Address: 1048 IRVINE AV Unit:
City/State/zZip: NEWPORT BEACH, CA
License No. 883400
[N4111RI
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California 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 the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE /.
INSPECTION TYPE
1616
Fixed System Final Fire Prevention
1266
Pool Spa Final
200
Final Re -Roof
201
Final Block/Reteining Wall
202
Final Factory Fire Place
203
Final Sign
204
Final Demolition
DATE INMALS CODE
INSPECTION TYPE
206
Final Mechanical
208
Final Plumbing
210
Final Electrical
212
Final Fire Prevention
220
Final Planning Approval
222
Final Site
250
Final Building/Occupancy
DATE INTMALS
m
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -Insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
�1 I have and will maintain workers' compensation insurance, as required by
section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. M workers' compensation Insurance carrier and policy
number are: /; ,( / '
Carrier: `71TA, / ✓1'111?N SGL 17o .moi 1N5 -A)k 1/
(Thea on need not be mmpleted d t �ee)) orad is vallum atone hundred beallars ($100) fess )
Policy Number: / 12)6 h -20A
O - C)
❑ I certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to become subject
to the workers' compensation laws of California, and agree that if I should
become subjec o the workers' compensation provisions of Section 3700 of
the Labor C d, shal orthwith comply with these provisions.
pplirant'a Signature Date
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
(5100,001), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing
with Section 7000) of Division 3 of the Business and Professions Code, and
my licensee� is ,in full force and effect. 0,-(o
I
Lic. # � L( O v Class # l, -( o
Z -I ),-o S
t ior's Signature Date
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
Signature
Date
OWNER -BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business and Professions Code: Any city or county which requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalty of not more than
five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
thereon, and who does such work himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of
completion, the owner -builder will have the burden of 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 construct the project (Sec. 7044, Business and
Professions Code: The contractors License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for such project with
a contractor(s) license pursuant to the Contractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
0057.5(0N7)
Owner ID verified by driver a license. ❑ Yes ❑ No
Driver's License No.
Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more feet in depth into which a
person is required to descend, will be made in connection with work authorized
by this permit. and that no building structure, scaffolding, falsework, or demolition
or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp
2, Art 2, Sec. 341, Title 8, California Administrative Code).
❑ As owner -builder, I will not employ anyone to do work which would
require a permit from the Division of Industrial Safety, as noted above, unless
such person has a permit to do such work from the division.
Appliranrs Signature
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need to file and
certify a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Code requires, with some
exceptions, that a Business Plan be filed with the Costa Mesa Fire
Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature and pressure).
2. Does or will the applicant or present or future building occupant need to file
a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperature and pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 of the California
Health and Safely Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupant require for
the work which is the subject of this application a permit for such construction
or modification from the South Coast Air Quality Management District or from
any other air pollution control district or agency? ❑ Yes ❑ No
(Section 65850.2 of the California Government Code requires that the requested
information be furnished on applications for non-residential building permits).
6. Will any part of the facility to be constructed under this permit be within
1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(if "yes", the facility must meet the requirement of Sections 25534 and 42303
of the California Health and Safety Code).
7. If a permit from the South Coast Air Quality Management District or other
air pollution control district or agency is required for the work which is the
subject of this application, have all of the disclosures prescribed by California
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. (If "yes", attach certificate of compliance from the appropriate air pollution
control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is correct. I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
Signature
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and state that
the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
Signature Bal ons) Date
Z-IZ-D�
Ana' ars¢¢ Applvam Oat¢
(714) 754-5273 • Fax (714) 754-4856
Job Address: 241 E 18TH ST
Suite:
Vicinity:
CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
BUILDING PERMIT
Parcel Nunmber: 42539225 Zoning:
Applicant:
ACADEMY ROOFING CO
Plan Check:
$0.00 Calc Valuation:
Address:
1070 N BATAVIA #502
SMIP Res:
$0.50
SMIP Com:
$0.00
Phone:
(714)997-0038
Inspection:
ORANGE, CA
Zip:
92667
Owner:
SNYDER, E NICHOLAS III
Address'
2322 MARGARET
Phone:
NEWPORT BEACH, CA
Zip:
92663
Contractor:
ACADEMY ROOFING CO
Address:
1070 N BATAVIA #502
Phone:
(714)997-0038
ORANGE, CA
Zip:
92667
License:
648959
ZPERMIJ NUMBER .�
77 FAIR DRIVE, COSTAR MESA, CA 92626
ISSUED BY:
Status: ISSUED
Applied: 07/19/1999
Issued: 07/19/1999
Arch : Eng: '
Address: Address:
Phone: Phone:
Zip License: Zip: License:
SCOPE OF PERMIT
REROOF - T/O, USING EXISTING SHEATING, INATALL 2 LAYERS OF 15# FELT & NEW 20 YEAR COMPOSITION
SHINGLE ROOF.
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
$4,734.00
$4,734.00
NOTICE: The work authorized by this permit shall comply 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 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 inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
FEE SUMMARY
Plan Check:
$0.00 Calc Valuation:
Permit:
$99.75 Claim Valuation:
SMIP Res:
$0.50
SMIP Com:
$0.00
Other:
$0.00
Inspection:
$0.00
Total:
$100.25 .
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
$4,734.00
$4,734.00
NOTICE: The work authorized by this permit shall comply 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 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 inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
DECLARATIONS Y;ez
WORKERS' COMPENSATION DECLARATION:
hereby affirm under penalty of perjury one of the following declarations:
,0 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the
work for which this permit Is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit Is issued.
My worker compensation Insurance carrier and policy number are:
Carrier: V 7i P We Policy Number:
(This section need not be completed it the permit is valued at one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, end a that it I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with these provisio
Applicant Signature: Date:
WARNING: FAILURE TO SEC WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSIMDDOLLARE($100, ),IN ADDITION TO THE COST OFCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706OFTHE LABOR CODE, INTEREST, ANDATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirn that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full
force and effect. Lic. a G1 Class k C _7G/
Contractors Signature: Date:—C -j--z cj
CONSTRUCTION LENDIN AGENC :
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lender's Address:
Signature: Date:
OWNER -BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions
Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work
himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is
sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ 1, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ 1 am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑ Yes ❑ No Drivers License No. Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 1 hereby certify that no excavation live (5) or more feet in depth Into which a person Is required to descend, will be made in connection with work authorized by this
permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Title 8, California Administrative Code).
❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic test of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)?
❑ Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No
5 Does or will the applicant or present or future building Occupant require for the work which Is the subject of this application a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(it "yes-, the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 a a permit from the South Coast Air Duality Management District or other air pollution control district or agency is required for the work which is the subject of this
application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? [:1 Yes ❑ No
__---_. .....a a .........c ................ ro __ .......-----------------._ _.__
8 (If yes", attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes. I agree not to occupy or allow Occupancy of any building authorized by this permit until final inspection.
re Of Legal Owner(s) Date
—9!Ec
A d/Or Authorized Applicant Date
CODE 1. INSPECTION TYPE DATE ItITITALi CODE I INSPECTIONTYPE DATE 1f±�1AL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re -Root 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
204636
1
OWNER TOWNE ESTATES, INC. DATE 10-3-56
JOBADDRESS 241 (a) 18th Street BUILDINGPERMIT NO. #3783 (a)
GENERAL CONTRACTOR K. W. Koll Const. Co VALUE $ 15,265,00
Lam, G BLOCK TRACT 2251 Triplex w/ear,
GROUP H
TYPE V ZONE Rh FIRE DISTRICT 178n
INSPECTIONS T ` /
t 1jrr✓{.(i,+��t{!,
/0DATE�
/f//''/�
SUBCONTRACTOR
PERMITS ISSUED
DATE
NUMBER
Footing Trench U
Foundation Forms and Grade to Garage
�D /
_
Rough Framing
YP
Plumbing, Rough to Slab .�-
io•
/O'v SG
700,X
Plumbing, Rough Comp ete
Temporary Pole n%
13
Wiring, Rough
/n –3 U ;ib
3i' 6 9 —
Heating,Rough
LOQ,...i- 5GC
�e–tj –.SL,
7'0';t 26�
Heating, Final
wer, House Sewpr, St. V—
S 'c Tank or Cesspool ' i_
L ,ng, In Out
PlasteringO
–A2
'
Plumbing, Final, Fixtures Comp ete
Plumbing, Final Gas Test
Wiring, Final JAN
3 1957 VG1
1
Occupancy JAN`
3 1957 VC
rewu x,e a. ,o." 1781 (a)
TOWNE ESTATES, INC.
FI -Via
JOB ADDRESS 241 (b) 18th Street BUILDING PERMIT NO. #3783 (b)
GENERAL CONTRACTOR K. W. Koll Const. 00. VALUE $ 15,,267.00
Lt„ C BLOCK TRACT 2251 Triplex whar.
GROUP H TYPE V ZONE RI1 FIRE DISTRICT 3780
INSPECTIONISM �
R,�,A�OJ�'
Footing Trench
n/b TE
Y///Sy
SUBCONTRACTOR
PERMITS ISSUED
DATE
NUMBER
Foundation Forms and Grade to Garag
Rough Framing
/ Yd
Plumbing, Rough to Slab 07 . _
Plumbing, Rough Co plete
/ 106p'
Temporary Pole
Wiring, Rough
Heating, Rough
.S
/0 �/{-��
70A3
Heating, Final
_
/—
.Se-er,House y�t,(f' Sewer, St.
�
W a
���� � �
/u -u ��
1 Y8 %
S's Tank
L. .,ng, In Out
,r
Plastering
/l -L 7—
Plumbing, Final, Fixtures Complete
Plumbing, Final Gas Test
_
Wiring, Final JAN
3 1957VCB
ncr,m.n. .18rd 9
0 10.1 ,--
FORM 210 3M 10.55 3783 (b)
OWNER TOWNE ESTATES, INC. DATE 10-3-56
JOB ADDRESS 241 (c) 18th Street BUILDING PERMIT NO. #3753 (c)
GENERAL CONTRACTOR K. W. K011 Const. CO. VALUE $ 155.265.00
Lt.f G BLOCK TRACT 2251 Triplex gar_
GROUP H TYPE V ZONE RI. FIRE DISTRICT 3780
n c
INSPECTIO NSO .�dd
_ DATEt,,f
;
Cpsta Mesa Building Department APPLICATION FOR PERMIT
111 EAST 20th STREET -T780 BUILDING
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
FOR OFFICE USE ONLY
I Receipt No.
I Permit No.
-;37 d.3
Building
dTraCt #2251 8th • '+fe aunster)
Adress
Costa Mesa, California
Received by
Date Rec'd./
Date Issue%
.j
Nearest
Cross St. Orange
Building
Address
Owner Tome Estates, Inc.
Costa Mesa, California
Mail
Address 2826 Ner, Ort Blvd
Nearest
Cross St.
ZoneI No. of I Type
Plans
Group
Tel.
City Newport Beach, Calif No. Ha 5201
Architec"T Lic.
Engineer arlson&Middlebrook No. C 1673
Approved
b
�
Date
Address Garden Grove Calif.
CORRECTIONS
-
K. W. Koll Const CC. y Li
Contractor {1159
Address 2826 Newport Blvd
Legal
Description
Lo
I Not G I
Block I Tract 2251
(Attach Metes and Bounds)
X No. of Bldgs
Size of Lot 6—iiQ 150 Now on Lot
Use of No. of No. of
Existing Bldg. Families J Rooms 12
O
70
Setback Line from Rear Yard IZ
Center of Street Q ft.. Side Yard
y
r
DESCRIPTION OF WORK
New IX I Alteration
I I Addition
Repair I Moving I
I Demolish I
i
Buildin No. of
Size X3.5 x 86 Rooms 12 Stories 1
I
�`
Exterior WallI
Covering stuC o
Roof G
Covering OMP
APPROVALS
_
Use of New i
Building R '.de 1 Income
Foundation Location
Forms, Materials,
Under -Pinning
Inspector
Date
,�-
and 3 car garage
Frame: Fire Stops,
Bracing, Bolts
i T'
I hereby acknowledge that I have read this Application
and state that the above is cro and agree to ply
with all City ucti n, s State Laws r
building construction,
onstruction '
Signature of
Permittee y
Authorized Agt.
Lath. Int
�
Lath. Ext
Plaster, Int.
011
Plaster, Ext
Valuation_ rPermit Fee $ 3�-�
Plan Check $/ S D
$.16�9ro.120 Total
Fee S +'S
Masonry Reinforced
O
� p
gond Beam
FINAL
FARM Zed S -RP 2M s-55
PLOT PLAN
Show location and distances from
property line and between buildings
Ij
0
c
J
Cc
�
J
d
o
n
�
a
o,
a`
Street
PLOT PLAN
Show location and distances from
property line and between buildings
Ij