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Home My WebLink About420 WOODLAND PL - Building Permits: � 05� �S 4 , � O, � -- r V. ': " � : �� (714)754-5273 • Fax(714)754-4856 /�._ CITY OF COSTA MESA svao�N� ��v�s►oN DEVELOPMENT SERVICES DEPARTMENT PERMIT ,lobAddress: 420 WOODLANDPL Suite: Vicinity: HOUSE & GARAGE Parce� Number: 42624111 Applicant ALLAN CAMERON Address: 10762 MC VINE AVE SUNLAND,CA owner. KONE, RICHARD L JR Address 420 WOODLAND Pl COSTA MESA, CA Contracror CAMERON ROOFING CO Address: 10762 MC VINE AVE SUNIAND, CA Zip: 91040 Arch : Address: Zip: BUILDING PERMIT Zoning: Phone: (818)353-1067 Zip: 91040 Phone: Zip: 92627 Phone: (818)353-1067 License: 734769 Eng: Address: Phone: License: ♦. PER NUMBER 699-07539 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: StaWs: ISSUED Applietl: 09/27/1999 Issued: 09/27n 999 Phone: License: SCOPE OF PERMIT REROOF - T/O, USING EXISTING SHTG, 1 LAYER OF 30# FELT AND NEW 20 YEAR COMPOSITION SHINGLE ROOF. Plan Check: $0.00 Permit: $8325 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 SETBACKS ACCESSORY PARKING NOTES: Front 0- 0 Front 0- 0 Existinq: 0 Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING 8 ZONING Left 0- 0 Lek 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 sz,soo.00 sz,soo.00 NOTICE: The work authorized by this permit shall comply with all epplicable handicap access requirements undar 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 780 days, or if work is suspended or abandoned for a penod ot 180 days. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectione and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiretion of this permit. FOR INSPECTIONS CALL: (714) 7545626 , WORKERS' COMPENSATION DECLARA710N: I hereby ettirm under penalry ol perjury one of t�e following declerations: ❑ I heve antl will maintein e certificete ol consent to self-Insure for workers' compensation, as providetl for by section 3700 of the Labor Code, for ihe pertormance of the work for which this permi� is issued. ❑ I have antl wiil maintain workers' compensation insurance, as required by sec�ion 3700 of the Lebor Code, for Ihe pertormance ot the work for which this permit is issued. My workers' compensation Insurence carner and policy number ere: Carrier. Palicy Number. (This secfion need not 6e comp/eted l� the permit is velued et one hundred dollers (5100) oNess.) ❑ I certity thei in the peAormance of Ihe work for which thls permit is issued, I shell not employ any person in any manner so es to become subject to ihe workers' compensation laws of California, antl egree thet If I shoultl �ecome su6ject to the workers' compensation provisions ot Section 3700 0l the Labor Cotle, I shall forthwith camply with these pro/visyions. /,��1 Applican� Signalura: CA� �-O�/4/��— Dete: �' 2 7—�j WARNING FAILUPE TO SECURE WORKERS' COMPENSATION CAVEMGE IS UNLAWFUL AND SHALL SUBIEGT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOIXJE HUNDRED THOUSAND DOl1.ARE (5100.000�. IN ADDITION TO THE CQST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR COOE, INTEREST. AND ATTOPNEI^5 FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm tha! I am licensetl untlar provi ons ot Chapter 9(commendng wlih Section 7000) ot Division 3 of the Business and Professions Code, and my license is in full torca and etteq. Lic. a_ %� �i 7 L� � Class k li '.� % Comractors5ignaWre: � +�- � Date: i�27�� CONSTRUCTON LENDING AGENCV: ❑ I hereby eNirm ihat there is e consiruction lentling egency lor the pertortnance ol iha work for which this permit I5 issuetl. (Sec. 3097, Civil Code). Lender'S Name: LentleYs Atltlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby attirtn ihat under penalry of per�ury Ihat I am EXEMPT FROM 7ME CON7RAC70RS LICENSE LAW for ihe following reason (Sac. 7031.5, Business and Professions Code: Any ciry or county which requires e permit to construct, alter, improve, demolish, or repair any strudure, pnor to its issuance, also requires tha applicant for such pertnit to file e signetl statemem thac he or she is Iicensed pursuam to Ihe provisions of Ihe Comrectors License Law (Chapter 9(commencing wlth Secilon 7000) oi Division 3 of Ihe Business and Professions Code) or ihat he or she is exempt Iherefrom and the basis tor Ihe elleged ezemption. Any violaiion of Section 7031.5 by any applicant for a permit sub�acis ihe applicani to a civil penalty ot not more ihen Ilve huntlretl dollar5 ($500).): ❑ I, as owner of the pmperty, or my employees with wages as their sola wmpensation. WILL DO THE WORK, end the structure is not intentletl or ottered br sale (Sec. 7044, Business antl Professions Cotle: The Contractors License Ww does not apply to en owner of pmperty who builds or improves thereon, antl who tloes such work himsalf or herself or Ihrough his or her own employees, provitled that such improvements are not intended or oNered for sale. If, however, ihe building or imprcvement is sold within one year of completion, ihe owner-builder will hava �he burden ol proving thet he or she did not build or improve for purpose ot sale.). ❑ I, as owner of the pmperry, am EXCLUSIVELV CONTRACTING WITM LICENSED CONTFAC70RS to construa the project (Sac. 7044, eusineu entl Pwfessions Code: Tha coniractors License Law Ooes not apPN �o an owner of propehy who builtls or improves thereon, and who contrects tor such prqect with a contractor(s) license pursuant to the Contrectors License Lews.). ❑ I am eaempt under sec. Business and Professions Cotle tor t�is reason: Signalure: Daie: Owner ID verified by driver's licanse. ❑ Yes ❑ No Drivers License No. Expires: Venfication of Ownership by (typa of documeN, i.a. - property taz bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity t�at no ezcavation liva (5) or more teet in depih into which a person is required to descend, will ba mede in connection with work aulhorizetl by Ihis permit, antl ihat no buil0ing structure, scaHolding, lelsework, or demolition or dismantling ihereof, will be more than Ihiny�six (36) feet high. (Chep. 3.2, Grp 2, An 2, Sec. 341, T�le B, Califomia Administralive Code). ❑ As owner-builder, I will not employ enyone to tlo work which woultl require e pertnit Irom the Division of Intlusirial Satety, as notetl above, unless such person has a permit to tlo such work trom the division. SignaNre: Date: Division ot IndusMal Safery Pertnit Number: CERTIFICA7E OF COMPLIANCE AND AU7HORIZATON OF ENTRV: I cetlify under penelry of perjury �hat I have read this application and state thet Ihe information given is correct I agree to comply with all stato laws and city ordinances relating to builtling constmction, and authorize representatives of ihe City of Costa Mesa to enter upon the above-described pmperty for inspeclion purposes. I agree not to occupy or ellow occupancy of any bullding authorizetl by this permit uNil /inal inspeqion. � ��/ /��neNre Of Legal Owner(s) Date C�LiliGp�.-� Ull�1f/,�.e•.� �' Z!� —�% AnNOr Au�honzea Appticam Date COOE X, MSPECTIONTYPE 1616 Fixed System Final Fire Prevenlion 1266 Pool Spa Final 200 Finai Re-Roof 201 Fina181ocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 240Ga6 pATE INTRIALS COpEX INSPECTIONTYPE 206 Final Mec�anical 20B Final Plumbing 210 Final Eleciricel 212 Final Fire Prevention 220 Finel Planning Approval 222 Final Site 250 Final Building/OCcupancy �j� IN7ITIAL -OWNER F4TRT.OAIH1 A(1MFC ' DATE 1-27-59 JOB ADDRESS 4�(� Wnnr�l anrl Pl aCe BUILDING PERMIT NO. ��-%0 AP. No. LOT r �IIP r r, r INSPECTIONS caat TRACT FIRE ZONE TYPE ZONE DATE I IN OF WORK SUBCONTRACTOR PLAN NO. NUMBER �� S�`i � COSTA MESA BUILDING DEPARTMENT P. O. BO% 31] COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN eui�oiNc 4Z0 �dOC/ /i4ii/ aooaess C057P. MESA. CALIFORNIA OWNER ARCHITECT OR Er•-�NEER CONTRACTOR ADDRE55 LEGAL OESCRIPiION A.P. NO. s��E 7 S OF LOT USE OF E%ISTING BIDG. SET�ACN LINC FROM .� / � � ceNien oF Srr+[[i b � S REAR YARD ra TEL. NO. LIC. NO. ou� No: )04 2'7 TEL. NO. BLOCK TRACT Z � . � � ' NO. OF BLO65. now oN �or L1' SIDE VARD RIGHT ZZ LEFT S' DESCF2IPTION OF WORK NEW X q�TERATION I AODITION REPAIn -�OVING DEMOLISH BUILDING /�QQ • NO.OF SIZE � ROOMS STORIES IEXTERIOR WALL ROOF �COVERING COVERING USE OF NEW /7 UILDING I< tS I iiT � Ail �, �.� 65i�k��'.V v �:'� @ JAN 271959 „� FIiVA�!CE DEPT. CIfY 0� COSTA MESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY FECEIPT NO, pppMJT�N�C <�t7+ RE�2 a��/ %-T�LE-sY JANE2��f COSTA MESA. CALIFORNIA FIRE ZONE 20NE NO.OF TVPE LiNS APPROV BY `J'ks• DATE CORRE IONS HEFEBY ♦CNNOWLEDGE - STATE TXdT THE ABOVE IS CORRECT sND RGREE TO COMPLV WITM ALl purpose of establishing a permit fee oniy. CITV ORDIN�NGES PNO STATE L1W5 REGUL�TING BVIIOING CONSTRl1C- ��H� VALUATION SIGNATURE OF PERMIT FEE $ 3� � PERMITTEE p / // /'] � PLAN CHECK S � O � ./� (�/�/I�' /S �� / UTHORIZED AGENT f�. /(Q.(,V�(1/Lq TOTAL FEE $ S � vOrf ri, OWNER HOFFMAN EUAJO DATE 3-15-60 JOB ADDftESS ZO WOOdldrid Pl. BUILDING PERMIT NO. 11 FIFiE ZONE DATE I GROUP TYPE ZONE SUBCONTRACTOR I _ PERMITSISSUED__ OCCUPANCY Form 210-SM-11-59 5-B P � � � 1158L .�� 13��=?� F�.. iC U� i.� �� ; C�,� ��/1S��o v�` COSTA MESA BUILDING-SAFETY DEPARTMENT F�NpNCE DEPT. P.O. BOX 317 COSTA MESA. CALIFORNIA � CITY OF 60STA MESA fOR APPL/CANT TO f/LL /N COMPLETELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING � ADDRE55 tAD COSTA MESA. CALIFOR IA /vI� OFFICG USE ONLJ RECEIPT NO. PCRq-Mn{� OWNER �2 I I �1.�y(J� MAIL D BY GATE pECE1VE >OhTE 188U ADDRE55 O �— �f- �p I J ��,� �� CITY , Q_, C TNQN/' -?�% ppDRE55 �O �-�--A-ea� �G ARCHITECT ��c. � COSTA MESA, CALIFORNIA OR' INEER NO. ADDRE55 FIRE ZONE TVPE GROUP CONTRACTOR � � LIC. NTO BYPROVED ,� DATE ��Sl D ,�3 ��"' "�' �' ZONING DR 55 LEGAL I LOT I I � 20N NO. OF USE OP NEW {I. oE8Ca1PIlON NO. BLOCK TFi I PLAN9 �?� I BUILOING �� A.P.NO. I - � � — APPROV D ( , � " BY W DATE SIZE ` � Q I No. oF e�ocs. ypRDS �6V S OF LOT i` J NOw ON �OT REQUIRED ALLOWED USE OF ICENTER LINE ST.1 EXISTING BLDG. FRONT Ff. IN. SET9TCK LINE FROM c[Hiea OF SiAeei � REAR YARD R. SIDE FT. IN. SIDE YAftD I LEFf �D � I RIGHT •- (/ � �, SIDE IN. DESCRIPTION OF WORK REAR- FT: _ _ IN. NEV I IIALTERATIONI IIA�DITION I REPAIR I II MOVING I II DEMOLISH I BUILDING NO.OF SIZE ROOMS STORIES EXTERIOft WAI.L I ROOF COVERING COVERING USE OF BUILDI G AND WORK TO BE PERFORMED / C (N v c i HEREBY ACKNOWLEDGE THAT I H�VE RE�D TNIS APPLICATION 7HE AMOUNT BHOWN UNOER V�LUATION IS FOR THE AND STATE THAT THE ABOVE IS CONRECT RNO AGREE TO COM- PLY WITH M1LL C�TY ORDINANCES AND STATE LAWS FEGIILATING PURPOSE OP ESTABLIBNING A PEPMIT FEE ONLY. BOILDING CONSTRUQ�ON. VALUATION SIGNATURE OF � � � �( �.,,�_ 2 �O , !_ PERMIT FEE $ �- � PERMITTEE J $ PLAN CHECK $ AUTHORIZEO AGENT TOTAL FEE $ ��