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Home My WebLink About331 16TH PL - Building Permits� (714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.BU�LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 331 16TH PL Suite: Vicinity: REAR BEDROOM Parcel Number: 42521108 Zoning: Applicanr. CALDWELL, STEPHEN Address: 331 16TH PL � Phone: 949-548-6447 COSTA MESA, bA �� Zip: 92627-3203 Owner: CA�DWELL, STEPHEN AND SUSAN Address 331 16TH PL - � - . Phone: 949-548-6447 COSTA MESA, CA" Zip: 92627-3203 Contracror: O W N E R-B U I L D E R Address: , Arch . Address: Zip: Phone: Zip: � ' License: - 0 . « Phone: License: Eng: Address: Status: ISSUED Applied: 08/02/2002 Issued: OS/02/2002 �• �� E�1�� 5� 0 pA'� � Phone: License: SGVPE VF PERMII� REPLACE EXISTING 5' X 6 1/2' FRENCH DOORS WITH DOUBLE PANE GLASS, SLIDING DOOR LOCATED IN THE REAR BEDROOM. WILI CHANGE HEADER FROM (2) 2' X 4' TO A 4' X 6'. - � -- - FEE SUMMARY Plan Check: $15.28 Permit: $23.50 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $39.28 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 Calc Valuation: g5oo.o0 Claim Valuation: gsoo.00 PLANNING & ZONING Left 0- 0 Ri9ht 0- 0 Left 0- 0 Right 0- 0 Proposed: 0 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, 12-27-92) 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 Inspectlons and (inal approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this parmit. FOR INSPECTIONS CALL: (714) 7545626 !aaws�aoo� WORKEFPS'COMPENSAnON DECLARAnON: - � � I hereby ettirm untler penalry of perjury one oi the following tloclarations: � ❑ I heve and will maintein a certificata of consent to self�lnsure for workers' compensation, es provided tor by section 3700 of the Labor Code, for ihe pertortnence of the work for which this pertnit is issued. ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for ihe peRortnance of the work for which ihis pertnit is issued. n l�My workere' compensation Insurance carrier end policy num�er ere: � - �Camer ?� Policy Number: ' af one orless.) I ceNty ihat in the pertom a ce of t vork for which this permit Is issued, I shall not employ any person in any manner so as ro become suhject to the workers' compensation laws of C ni a ree that if I should become sublect ro the workars' compensation pmvisions ot Sectio 370 ot the Labor Cotle, I shall torthwith comply with ihese is'i e/ 7 .`pplicanl�Signeture:—. �ate�' O / Z D 2 WARNING: FAILURE TO SEC E ORKERS' COMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENA IES AND C�VIL FINES UP TOONE HUNDRE� THOUSANDOOLL4RE($100,000),I AODITIONTOTHECOSTOFCAMPENSATION,�AMAGESASPROVIOEDFORINSECTIQY3lO60FTHElABORCADE,IMEPEST,ANDATTORNEV'SFEES. IICENSED CONTRAC70fiS DECIAPATION: I hereby aHirm ihat 1 am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Professions Cotle, and my license is in full force antl aftect. Lic. N Class a Contrectors SigneWre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm that there is a construction lending agency for the peAormance of ihe work for which ihis pertnit is issued. (Sec. 3097, Civil Cotle). Lentler's Name: Lender'S Address: Signature: � Date: OWNER-BUILDER DECLARATIONS: I hereby aXirm thet untler penalry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, 8usiness antl Professlons Code: Any ciry or counry which requires a permit to construct alter, improve, demolish, or repair any slmcNre, prior to its issuance, also requires t�e applicant tor such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors Licensa Law (Chapter 9(commancing with Sectlon 7000) of Division 3 of Ihe Business and Profeuions Code) or that he or she is exempt therefrom and the basis tor the elleged ezemption. Any violation o� Section 7037.5 by any applicant for a pertnit sublects Ihe applicen� to e civil penalty of not more than tive hundred dollars ($500).): ❑ I, as�owrier of thepwperty; or my employees with wages as thelr sole compensation, WILL DO THE WORK, and �he simcWra is not imentletl or oHered for sele (Sec. 7044, Busioess and Professlons Code: The Con�ractors License Law tloes not apply to an owner of propehy who builds or improves thereon, and who tloes such work himself or herself or ihro6ghTis or her own employeas, provitletl that such improvements are not intendetl or oNered for sale. If, however, Ihe building or improvemant is sold wilhin one year of completion,'the owner-builder will have the bmden of proving ihat he or she did not build or improve for purpose of sale.). :�� 1, as ownar of the pr erty,.am EXCWSNELY CONTRACTiNG WITH LICENSED CONTpACTOHS to constmct ihe prolect (Sec. 7044, Business and Pmfeuions Code: The contract r License'Law tl�oes not apply to en owner oi property who Dullds or Improves thereoq and who coniracts for such pm�ect with e contractor(s) license pursuant to h Conirect cense Laws.). ❑ I am exempt c. Business and Protessions Coda for this reason: � � Owner ID verifie�riv s license. Yes ❑ No Venfication ot Ownershi by (rype of tlocu en �.e. - propeny tax bill or tleetl): DIVISION OF INUUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity ihat no excavation five (5) or more faet in depih into which e person is required to descend, will be made in connection with work authorizetl by t�is permit, and that no building sWcture, scaffolding, talsework, or demolition or dismantlinq �hereof, will be more Ihan Ihirty-siz (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Calitomia Adminisirative Cotle). ❑ As ownea6uilder, I will not employ anyone to tlo work which would require a permit from lhe Division of Industrial Safety, es noted above, unless such person �es e pertnit to do such work from the tlivision. Signature: Division ot Industrial Safery Permit Numbec Date: 1 Will ihe apP�icant or present or future building occupant need to tile and certify a Business Pian tor emergency response to release or threatenetl releese ot a hazartlou5 materlal? ❑ Ves ❑ No (Section 25505 of ihe Calitomia Health and Safety Code requires, with some exceptions, that a Business Plan 6e filed with the Costa Mesa Fire Department by every business which has at any one time dunng a reported year a quantiry ot �azardous matenals equel to or greater ihan e weight o1500 pounds, or a volume of 55 gallons, or 200 cubic feet oi compressed gas at standard tempereWre and pressure). II r r nt or future buildin occu �ant need to tile a re islration form tor ecutel �hazardous�material57 Ves No � ............................................... .. 2 Does or will the app cant o p ese g p g y ❑ ❑ (Section 25533 of Ne Califomia Heatth and Safery Cotle, with some exceptions, requires regisiration with ihe Costa Mesa Fire Depanment by each business which at any one time has on hand e quantity of ecutely hazardous matedals equal to or greater than a welght of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed ges at standard temperature and pressure). ........................................................................................................................................................................................................................................................................................................................................................................................ 3 Does or will Ihe applicam or present or future builtling occupam need to prepare an RMPP (Risk Managemem and Prevention Program for aatety hazardous materials)7 ❑ Yes ❑ No (Section 25534 ot ihe California Health and Satety Code provides ihat the Costa Mesa Pire Depanment may require the preparation, certification and filing with the Fire Depanment ot an RMPP by businesses which ere required to register acutely hazartlous materials with ihe Fire Deperiment. .................................................................................................................................................................................................................................................................................... ........................ ................................................................... 4 If an RMPP is presently required, has Section 25534 of Ihe Calilornia Health and Safery Code been fu�ly complietl with7 ❑ Yes ❑ No ........................................................................................................................................................................................................................................................................................................................................................................................ 5 Does or will the applicant or present or tuture building occupant require for the work which is the subject of Ihis �plication apermit for such ConStruclion or modifiCetion from Ihe Sou�h Coest Air �ualiry Management Dis�rict or from eny other elr pollution conirol district or egancy? �� Ves �J No (Section b585oz of the Califomia Government Code requires ihat the requested inlortnation be furnished on applications for non-residential building permits). ....................................................................................................................................................................................................................................................................................... ............................................................................................ 6 WIII any part ot t0e feciliry to be consimcted under this permii be within t000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If'yes", ihe facility must meet the requirement of Sections 25534 antl 42303 of the Califomia Health antl Safery Code). ........ ........................................................................._.............................................................._...._..........................................................................................................................................._........_._.................._........ 7 If e permit from ihe Sou�h Coasl Air �ualiry Menagemen� DisVic� or other air pollution control dis�rict or egency is requiretl tor the work which is Ihe suhject of this applicatioq have all oi the tlisclosures prescribed by California Heaith and Satety Code Sectlon 42303 been made? ❑ Yes ❑ No ........................................................................................................................................................................................................................................................................................................................................................................................ B pf'yes", attach certificate of compliance tmm the appropriate air pollution control otticer). CERTIFICATE OF COMPLIANCE: I cenify that under penalry of perjury the information given above is correct. 1 agrea to comply with all state laws and ciry ordinances regarding Hezardous Materials and Emissions. Signature: Date: CER7IFlCAT P�1NC OfiVATION OF EMRY: I cenity under penalry ot perjury that I have read this application and state that the information given is correct. I ree G com ' ell state la and ciry ortlinances relating to building construction, and euthodze representatives oi ihe Cly of osta Mesa to enter upon ihe above-de cribed 1�nspection puryoses. I agree not to occupy or allow occupancy ot any buildinq authorized by ihis permit unti mel i spection. L O '_- tSignaNre.Oi.legal.Owner(s).} L� 1, � n„nin. n��m��on n��r an� �ate COOE t. INSPECTIONTYPE 1676 Fixed System Finel Fire Prevention 7266 Pool Spe Final 200 Final Re-Rooi 201 Final BIocWRetaining Wail 202 Final Factory Fire PlaCa rLsi�Luun69 CODEt INSPECTIONTYPE 206 Finel Mechanical 208 Final PlumDing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition � . . 250 , Final Building/Occupancy P9g 1I�L5 C4.��.►�� 37�► �Ca�'''T��.�cE .. Ca 7TA �� NOTE ADDITIONS, DELETIONS, OR CORRECTIONS SHALL � �ySF��P�H.Q�fl BY THE PLANlvING DIV!SION . �c i>IALf:.;�.�+�— ,' �j1`: 1J.ti�� rr Lf�j�jtr v��— vIT � � �7 � L� l�€'�'�'� ' 9!0 1;•� i y`� ` ---- � '.Is ur.�avAu ,Z 3 ��1—` ' .'"_ ;'f`,::r;qi..l>{� L"H,n,i�;q�f�T{ilO�EC:':'.i�'� `-_—_ _ " .;Sl�"'f h��J•`-'� �' ,:�1I1'_?'l65'F4I. .. . � .• 1.t�52if.i,:v:..1'"..IC 9\':iIY:S:;.... m^. � ?i(�`.i;;�n'y"' . ...�.'::1!':. � ' T;tGiSD�:i0:i11a1q.��^, ,Y::(:511`. .�li%`�'" •��;i. �• n*`.i1�'��"' irtinrC;?:c1:N. 5. i..�"t i 3 _r.t:'�:!^�il. ..��..�;:O:E�i ...,.:a:•;:='r=�.�-.. ,,._. - _. _.�,..._.._- ,._._,,,,,.,.�� . n:�, ,,'. fr.. '�:L�:�: . N ,,....� 1:Vipfii.'.•".],�,�. �..,.�-•J},:.:i.��.::� ',��.'`'.�` `'�V :;t �i.� '��JCJ .��2- O 12� tIr �� . CITY OF COSTA MESA PLANNING DIV. a i�l'Y76SZSG. DEPT. REG. r��C C�L eKl�'� S� �✓2nc:� dod5 , W� s s � i eQ.�np s�a ss C(,oa/Y � �V 'i� .r l �.av^a TYCa attributes : Costa Mesa Parcels � Page 1 of 1 Property Address Address 1 331 E 16TH PL Address 2 COSTA MESA CA 92627 Parcel Information Assessor Parcel Number 42521108 Legal TR 402 LOT 20 NWLY 43 Ff IN LOT Range Township Section Quarter Section Area Acres Owner Owner Address 1 Owner Address 2 Year Built Building Square Feet Building Count Stories Number Parking Spaces Number of Units garage Square Feet Front Footage Depth Footgae Bedrooms 5808.954289999999J 0.13 Owner Information DRYER JANICE A 331 16TH PL COSTA MESA CA 92627 Property Specs 1949 1079 1 1 0 0 0 43 135 3 http://mesagis2x/website/costamesa/parcel/default.asp?opt=attributes&sessid= {50924820-52CC-427C-9... 02/19/2004 Property Profile Property Profile Property Ckaracteristics Bedrooms: 2 Bathroams: 1 A Total Rooms: 5 Zoning: Heating/Cooling: Sale & Loan Information Transfer Da[e: 06-19-2003 Transfer Value: $SOQ000 First Loan Amr. $40Q000 Loan Type: � DataQu�� c� land aW propenr aa[a yw can Witd ar Primary Owner. DRYER,JANICE A Secondary Owner. Mail Address: 331 16TH PL COSTA MESA, CA 92627 Site Address: 331 16TH PL COSTA MESA, CA 92627 Telephone Number: APN: 425-211-08 Reference APN: Census Truch 633.004 Housing Tract Numbcr: 402 Lot Number. 20 Page Grid Old: 31-D4 Page Grid New: 888J5 Legal Description: TR 402 LOT 20 NWLY 43 FT IN LOT Subdivision: Year Built: 1948 Garage: Fireplace: Pool/View: Seller: CosdSq Feet: $502.51 Lender. Aegis Wholesale Coip Interest Ra[e Type: F Assessed & Tax Information Assessed Value: $348,505 La��d Value: $319,928 Improvemen[ Value: $28,577 Percent Improvement: 8.20 Tax Amount: $3,704 Tax Status: current Square FeeC 995 Lot Size: Number of Units: 1 Use Code: Vacan[ Residential Dowment: 0000720059 Title Co.: Equity Title Last Trans W/O$: Last Trans W/O$ Doc: Homeowner Exemption: Y Tax Rate Area: 15007 m 2004 DataQuick Infortnation Systems. This information is wmpiled from public documents and is not guaranteed. [ Report Menu ] [ Select New Target Proper[y ] Page 1 of 1 http://www.gotitle.com/cgi-bin/profi le. asp?rmt=TOPS&graphic=%2Faccounts%2FT073 78%2Fcompan... 02/19/2004 (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.BU1LDING PERMIT �� FAIR DRIVE, COS7A MESA, CA 92626 Job Address: 331 167H PL Suite: Viciniry: REAR BEDROOM Parcel Number: 425211 Q8 Applicant: CALDWELL, STEPHEN Address: 331 16TH PL 2oning: � Phone: 949-548-6447 COSTA MESA, CA ' � Zip: 92627-3203 Owner: CALDWELL, STEPHEN AND SUSAN Address 331 i6TH P� Contractor: Address: Zip: Arch ; Address: COSTA MESA, CA Q Phone: 949-54&6447 � Zip: 92627-3203 Phone: , License: - ` Eng: � . Address: Phone: StaNs: ISSUED Applied: 07/29/2002 Issued: 07/29/2002 ISSUED BY: C('L/f�-� Phane: Zip: License: License: SCOPE OF PERMIT DEMOLISH WALL IN EXISTING REAR BEDROOM. INSTALL 5' X 6' SLIDING GLASS DOOR, 4' X 6' HEADER. DEMOLISH EXISTING 6' X 6' WINDOW AND WALL IN REAR BEDROOM AND ADD A NEW DRY WALL AND 2' X 3' WINDOW, DOUBLE PANE GLASS. Plan Check: $35.10 Permit: $54.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $89.60 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front D- 0 PARKING Existin : o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 si,soo.00 si,soo.00 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 permit shall automatically ezpire and become void if work is not commenced within 180 days, or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legel, such work must comply with all applicable codes, and all requlred Inapectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of ihis permit. I FOR INSPECTIONS CALL: (714) 75C-5626 �asere �aoo� WORKERS'COMPErySATON DECLARATION: � I hereby aHirm under penalry of perjury one of the tollowing tleGarations: ' ❑ I heve end will maintain a cartifiwte oi tonsent to 5elt-Insure for workers' compensatlon, as O�a�ided tor by seclion 3700 of the Labar Cade, tor the perfartnance of the work for which ihis permit is issuetl. . ❑ I have and will mgintain workers' compensation insurance, es required by 5ection 3700 of the labor Code, for fhe pedormance of the wark for which Ihis pBrtnit is issued. My workers' compensation Insurance carrier antl policy number are: Cerrier: � Policy Number. (This ecfion need nof be comp/eted it Me ermil is velued e7 ane hundred deUeis ($100J a�less.) . I cartify thet in Ihe peAormance o the or r whiG �Is pertnit is issued, I shall not employ any person in any manner so es to becwne suhject to the workers' compensatlon IaWs of Califomia, ntl ee that if I s uld bacome subject to the workers' compensation provislons ol Section 00 of e Labor Cotle, I shall torthwith comply with Ihese prav' ' . Applicent Signature: Date: Z � Z' WARNINO: FAILURE TO $ W q COMpENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CflIMI ENALiIE M'D CIVIL FlNES UP TOIXJE HUNDRED THOUSANDDOLLARE(51pp,ppp),INADOR TOTHECOSTOFCOMPENSATION,OAMAGESASPROVIDEDFORINSECTION3)O60FTHELABORCODE,INTEPEST,ANDATTORNEI"SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm thet I em licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business end Pmfessions Cotle, an� my license Is In full force end ettect. Lic. x Cless q Comractors Signature: Dete: CONSTRUCTON LENDING AGENCY: ❑ I hereby ettirtn that there is e construction lentling agency br Ihe peAormance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lentlels Name: Lenaers Address: Signature: � �ate: OWNER•BUILDER D�CLARATIONS: I hereby eHirtn ihat unqer penalry of perjury that I am EXEMP7 FROM 7HE CONTAACTORS LICENSE lAW tor the following reason (Sec. 7031.5, Business flnd Professions Code: Any ciry or counry which requires e permii lo consiruct, atler, improve, demotlsh, or repair any strucfure, prior fo ils issuance, fllso requires lhe aDP�icanf for such pertnit to file s signetl statement ihat he or she is licensetl pursuant to the provisions of the Contractore License Law (Chepter 9(pommencing with Section 7000) oi Division 3 ot the Business and Pwteuions Code) or that he or she is exempt t�eretmm and the basis lor the elleged exemption. Any violation ol Section 7037.5 by any applicant For a pertnit subjects the epplicant io a civil penalry of not more then five huntlred dollars ($500).): ❑ I, as owner of th� property, or my employees with weges as iheir sole compensa�ion, WILL DO TME WORK, antl ihe slructure is not intendetl or oHeretl tor sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner oi O�operry who builds or improves thereon, and who does such work himself or herseli or ihrough his or her own employees, provided Ihat such improvemenis are not intended or oHeretl tor sele. If, �owever, the building or improvement is sold within one year of completion, Ihe owner-�uilder will heve the burden of proving ihat he or she did not build or improve tor purpose of sale.). I, es ownar of property. am E%LLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to coretmc� ihe projec� (Sec. 7044, Business end Professions Code: The ntr ctors Licens does not appty to an owner ol proparty who builtls or improves thereon, and who contracts for such project with a coniractor(s) license pur ant o Ihe C raclors License Laws.). ❑ I am exemp�yef er.se . Business and Pmfessions Code tor this reeson: SignaNre: �—� ` �^ /— %(� � Verification of Ownership by (rype of document, i.e. - properry taz bill or deed): Eapires: i� DIVISION OF INDUSTpIAL SAFETY PERMIT CERTiFICA710N: ❑ I hereby cenify Ihat no excavetion five (5) or more teet in depth imo which e person is required to descend, will ba meUe in connection with work eui�onzeC by Ihis permit, antl that no building s�ructure, scattolding, telsework, or demolition or dismantling �hereof, will ba more than Ihirry-slx (36) feet �igh. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifomia Administrative Code). ❑ A5 owner-buildar, I will not employ enyone ro do work which would require e permit trom the Division oi Industdel Safety, as notetl above, unless such pereon has e parmit to do such wark from the tlivision. Signature: Dete: Division oi Indusirial Sefety Permit Number: COUE t. INSPECTONTYPE PAIE )[RIDAIS 1616 Fi:etl Syste�h Pinal Fire Preventbn 1266 200 201 Pool Spe Final Final Re-Ropi Finel Block/qetaining Well 202 Final Fectory Fire Place 203 Finel Sign 204 Final Demoli(lon � . - GOOE 1 INSVECTION TYPE 206 Final Mechenical 208 Finel Plumbing 210 Finel Eleclncel 212 Final Fi�e Preventbn 220 Final Planning Approval 222 Final Site 250 Finel Building/Occupancy QAg IIi�dLi 2 - l-01 �t.az �� C4t-�� 3?,► i�,'"'-��.Ac� Ca �TA t�lc' JA G \ � �3� �� \N� -;3 ...�r�'"' ^ � �- • _ � ,`f 5.. " � - ` • �`+- [�y f31 _•m' • -•G�,t':.�•. 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(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.cBaUILDING PERMIT n FAIR DRIVE, COSTA MESA. CA 92626 Job Address: 331 16TH PL Suite: Vicinity: Parcel Number: 42521108 Zoning: Applicant: CALDWELL, STEPHEN AND SUSAN Address: 331 16TH PL , Phone: 949-548-6447 COSTA MESA, CA ' � Zip: 92627-3203 Owner. CALDWELL, STEPHEN AND SUSAN Address .331 16TH PL COSTA MESA, CA Contractoc OWNER-BU�LDER Address: Phone: 949-548-6447 Zip: 92627-3203 Phone: Status: ISSUED Applied: 06/28/2002 Issued: O6/28/2002 ISSUED BY: � Zip: License: 0 Arch : . � � � , � Eng: � � � ' � - � Address: � � � � Addiess: � � . � .. Phone: Phone: Zip: � �icense: License: SCOPE OF PERMIT _ REMOVE�EXIST WINDOWS AND INSTALL TWO DOORS. - . 07/29/02 REVISED: ADD A DOUBLE PANE GLASS WINDOW 2' X 3' (FRONT) BEDROOM. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $25.19 $38.75 $0.50 $0.00 $0.00 $0.00 $64.44 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARK�NG Existing; o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed� 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 e 3�,000.00 s�,000.00 NO710E: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatirally 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 unAer this permit to be considered legal, such work must comply with all applicable cotles, and all required Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will resutt in the expiration of this permit. FOR INSPECTIONS CALLK (714) 754-5626 woao �nw� WORKERS'COMPENSA710YJDECLARATON: - � -� I hereby afrirm under penalty of perjury one of Ihe tollowing declarations: " � � ❑- I have antl will maintain a certificate of consent to setl-Insure tor workers' compensetion, as pmvided for by section 3700 of the Labor Cotle, for the pedortnance ot the work for which this permit is issued. � ❑ I have and will meintajn workers compensation insurance, as required by section 3700 of the Labor Code, br Ihe peAortnance of t�e work for which this parmit is issuetl. My workers' compe�&ation Insurance carrier and policy number are: Carrier: Policy Num6er: (This section need nof be complefed il fhe parmit is valued at one huntlreO tlollers ($100) or less J �j, I certify that in the pertor a ce oj,ih � rk for which this permit is issued, I shell not employ eny person in any manner so as to become subject to the workers' compensatlon laws oi 'f r i� a�e that if I should become subject b the workers' compensation provisions of Sedion 3700 of the Labor Code. I shall forthwith comply with ihese vi ' -f . Applicent Signature: Date: �/ L�i/Q L WARNING FAILUFE TO SEWRE ORKERS' COMPENSATION COVEPAGE IS UNL4WFUL PND SHALL SUBJECi AN EMPLOVER TO CRIMINRL PENAL71E5 ANO CIVI� FINES UP TO ONE HUNDRED THOUSAND DOUARE (5100,000) N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PFWIDED FOR W SECTION 3/W OF THE IABOfl CO�E, INTEREST, AND NTTORNEI^5 FEES. LICENSED CON7RACTORS DECLARATION: I hereby aHirm that I am licensed untler provisions of Chapter 9(commencing with Section 7000) ot Division 3 of ihe Business and Professions Code, and my license is in full force antl eHect. Lic. # .. Class N ContrectoYs Signature: Date: CONS7RUCTION LENOING AGENCY: � ❑ I hereby aflirtn that there is a consiruction lending agency for the pedormance ot the work tor which Ihis pertnit is issued. (Sec. 3097, Civil Code). Lenders Neme: Lentler's Atltlress: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby affirtn thet under penalry oi perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE lAW for Ihe foilowing reason (Sec. 7031.5, Business entl Professions Code: Any city or counry which requires a pe�mit to conSWct, alter, impmve, tlemolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signetl statement ihat he or she Is IlGansed pursuant to ihe provisions of lhe Contrectors Llcense Law (Chepter 9(commencing with Section 7000) of Division 3 oi the Business and Prolessions Code) or ihat he Or she is exempi Iherefrom and the basis tor Ihe allegetl exemption. Any violation of Section 7037.5 6y any epplicant for a permit subjects the eppllcant to a civil penelty of not more than tive hundred dollars ($500).): ❑ I, es owner of the property, or my emplpyaes with wages as the'rr sole compensation, WILL DO THE WORK, and the stmcture is not intended or ottered for sate (Sec. 7044, 8usiness and Protessions Cotle: The Contractors License Law does not apply to an owner of property who 6uilds or improves ihereon, and who does such work himself or herself or through his or her own employees, Orovided that such improvements are not intendetl or oHared tor saie. If, however, Ihe building or improvement is soltl within one year oi completion, the owner-buiider wi0 heve Ihe burden of proving tha� he or she tlid not build or improve for purpose of sale.). f� I, as owner ot the mperry, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business antl Protessions Cotle: The conir ors Llcense Lew tlogs not apply to an owner ol property who builds or improves ihereon, antl who contracts for such pmjact with e wntractor(s) license pursuan t the Co ctors Lic�nse Laws.). ❑ I em exempt r s Business antl Protessions Code for this reason: Signamre: Date: 7 25 o Z� Owner ID venlied hy nver's license. ❑ Yes ❑ No Orivers License No. '� Expires: Verification ol Ownership by (type of dwument, i.e. - pmpeny tax bill or deetl): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: ❑ I hereby canify that no excavetion five (5) or more feet in tlepth into which a person is required to descend, will be metle in connec�ion with work authorized by this pertnit, and that no building strucWre, scaRolding, talsework, or tlemolition or dismantling Ihereof, will be more than thiAy-six (36) teat high. (Chap. 32, Gry 2, Ar12, Sec. 341, Title B, Califomia Atlministrative Code). ❑ As owner-builder, I will not employ anyone to tlo work which would require a permit irom ihe Division of Industriel Satery, as noted above, unless such person has a permit to do such work irom the division. Signature: Date: Division ot Indusirial Sefery Permit Number: CODE t. INSPECTIONTYPE QA]� II�45 1616 Fized System Final Fire Prevention 1266 200 201 202 203 204 Pool SOe Finel Finel Re-Rooi Finel Blak/Retaining Wall Final Factory Fire Place Final Sign Final Demolition �- CO�E I INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 FinalSite 250 Finel Building/Occupancy (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 331 16TH PL Suite: Viciniry: Parcel Number: 42521108 Zoning: Applicant: CALDWELL, STEPHEN AND SUSAN Address: 331 16TH PL - Phone: 949-548-6447 COSTA MESA, CA Zip: 92627-3203 owner: CALDWELL, STEPHEN AND SUSAN Address 33'I 16TH PL COSTA MESA, CA Contracror: O W N ER-BU I LD ER Address: Zip: Arch : • � , � Address: � � Phone: Phone: 949-548-6447 Zip: 926273203 � Phane: License: 0 Eng: � Address: Status: ISSUED Applied: 06I28I2002 issued: 06/28/2002 ISSUED BY: �_ Phone: Zip: License: License: SCOPE OF PERMIT REMOVE EXIST WINDOWS AND INSTALL TWO DOORS. - � Plan Check: $25.19 Permit: $38.75 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $64.44 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: 0 NOTES: Rear 0-0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0- 0 Si,000.00 $�,000.00 NO710E: 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, 1241-92) 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 1 BO 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 flnal approval must be obtained. Failure to obtain inspections and final approval will resuA in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 , 244fi-46(fJ00) WORKERS'COMPENSAPON DECLARAPON: ` , I hereby affirm under penalry of perjury one oi ihe following declarations: ' � ❑ I hava and will maintain a certificate ot consent to self-Insure for workers' compensation, as providad for by section 3700 of the Lebor Code, for che pertormance ot the work for which this permit i5 i55uetl. . - . ❑ 1 have and will maintain workers' compensation Insurance, as requiretl by section 3700 of ihe Labor Code, for the pertortnance of the work for which this pertnit is issuetl. My workers' compensation Insurance wrder end policy num6er era: Carner: Policy Num6er: (This section need not be completed it the permit is velued et one Aundred dollers ($100) ar less.) ❑ I ceniry thet in the pedormance of the work for which this pertnit is issued, I shall not employ any person in any manner so as to bewme su6ject to the workers' compensation laws of Calitornia, antl agrea thet ii I should becoma subject to the workers' compensatlon provisions of Saction 3700 of the Labor Code, I shall iorthwith comply with these provisions. Applican� Signature: Date: WARNING FAILURE TO SECURE WORKERS' COMPENSATION CAVERAGE IS UNIAWPULlWD SHALL SUflIECT AN EMPLOVER TO CRIMINAL PENALTIES AND qViL FlNES UP TOONE HUNDRED THOUSAND DO�LARE (5100,000). IN ADDITIOfJ TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 31O60F THE LABOP CODE, IPREFEST, ANO ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm that I em licensetl untler provisions of Chepter 9(commencing with Section 7000) of Division 3 ot Ihe Business and Professions Cotle, antl my licensa is in tuil '� forca antl ettect. Lic. a Class N Coniradofs Signatura: Date: CONS7RUCTION LENDING AGENCV: � ❑ I hereby aflirm ihat Ihere is a construction lending agency for the peMortnance of �he work for which ihis pertnit is issuetl. (Sec. 3097, Civil Code). Lentler's Name: Lenders Address: Signeture: Dete: OWNER-BUILDER DECLARATIONS: I hereby eHirtn thet under penalry ot perjury iha� I em E%EMPT FROM THE CONTRAC70fiS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business antl Professions Cotle: Any ciry or counry which requires a permit to constmct, alter, improve, tlemolish, or repair any stmcNre, prior to its issuance, also repuires the applicant for such pertnit to lila a signed statement that he or she is Ilcensed pursuant to the provisions ol the Contrectors License Lew (Chapter 9(wmmencing with Sectlon 7000) of Division 3 ot the Business end Professions Code) or that he or she is e:empt therefrom and the basis for the ellegetl e:emption. Any violatlon of Section 7031.5 by any epplicant for a pertnit subjects the applicant to a civil penalry of not more ihan five hunared dollare ($500).): ❑ I, as owner ot iha property, or my employees with wages as their sole compensation, WILL DO THE WORK, antl ihe sirucNre Is not intended or ottered tor sale (Sec. 7044, Business and Professions Code: The Coniractors License Law dces not apply to an owner of property who builds or improves thereon, end who does such work himseH or herseli or ihrough his or her own employees, provided �hat such improvemems ere not intended or ottered br sale. If, however, the buildinq or improvement is / sold within one year of cOmpletion, ihe owner-builder will heve lhe burden ol proving Ihal he or She did not build or improve for purposa of sala.). d I, as owner oi tha property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to tOnstruct the project (Sec. 7044, Business entl Protessions �� Gode: The comraaors License Law does not apply to an owner of propeny who builds or improves Ihereon, antl who wntrects for such projet� wi�h a conirector(s) license pursu t to ihe Contrectors License Laws.). ❑ I am ezempt n er s Business and Prolessions Code for this reeson: a e: (c o V nar ID veri i y nver's license. �Ces ❑ No Dri�� cr IC�e No. —�_ Ea ' es: Vedfication of Ownership by (type of document, i.e. - propeny tas bill or deed): v DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby cartify that no excavation tive (5) or more feat in depih into which a person is required to descend, will be made in connection with work euthonzed by this permit, and Ihat no builtling simcWra, scattolding, falsework, or demolition or tlismantling thereof, will be more than thiny-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Calitomia Administrative Code). ❑ As owner-builtler, I wiil not employ anyone to tlo work which would require a permit from ihe Division of Industrial Safety, as noted ebove, unless such person hes a permit m do such work from Ihe division. Signature: Date: Division of Industnal Setety Permit Number. COpEN, INSPEGTIONTYPE 1616 Fixetl System Final Fire Prevention 12fifi Pool Spa Final 200 Final Re-Roof 201 Final Blak/Retaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition QejE IN�jjfe6� FQQ[S INSPECTIONTYPE 206 208 210 212 Finel Mechanical Final Plumbing Final Electrical Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Buildin<yOccupency �piE Itffile4ff ""_ =1111 J ;ontinous foundation , �. Alternate Braced Wall Panels CONVENTIONAL LIGHT-FRAME CONSTFUCTION 2'-8" minrmum widfh (w) Braced wall panel J/a�Ai1M. W[nD STR�.CNR.4. P,�NE� Blet1�G0 ALl 6Dc�E5 �' C0'W'ho„ at 4�LVMIi2ED 9a< NAtlS 4`�.C. fWjK 44D 12"0.�, 1NT[RMED��j6.lUQQofttj Uplift deviae x f800#M�N• cav�c��Y I 2)S�B��•B. N^TN . . � 2•'xi'a 3/�r" vlA7G weSNfaS " � v � o ' =1111=11�1� =1111=1111= =��= _��= One No. 4 bar oon5nous T & B Ele va tion � one-story building 2'•B" minimum widlh <w) �� J �Braced wall panel eac/� s,d.e J/a�A1iu. wpop sTRt,CtuRY. pAHEL , ' BLoCKGD.4lL 6p4g5 8d. ce,un�ery ot 44vANl![D pqr NAllS 4��.C. ip�{5 �4D Ii^e.c. iNTtRMEDIt�[ tUf}bqt$ Up1iR dehce 3000�M�N. cAp�4ctTM u 5�8 j A�B. WInJ (2"'x1��n �/�r° PIJTL we511Cf3 . -IIII-I�1 JrJ.� � _ ` v - . ' , IIII- =1111� =11f1=1111= =1111=1111= / —IIII— =��= OneNo.46ar Conpnous /oundab�on cbntinous T 8 B �y9� uBc SEC' 2320. �1.4 Elevation first story of a two-story buflding: i ; �� :i 8 r - r ' L � �� CITY OF COS7A MESA p�NN�NG DIV. _.. orr�FiDEPT. � �c�2-oo ��3 NOTE ADOITIONS, DELET10tdS, QR CORRECTIOiIS SNA�� gE qppROVED BY THE PLpPlC.IW_ ��Ory n : 'y�oeR o�7ENiNCT � �Ternp��i � ; q�.9-, �n - - �; , T /1� ��ibu `4� \- —l�— . 1 `�q7 U.B.c. ! � -3 � � ; V N. 6 �R� �Tcfri PGrec(� � 9,2„_T� 9 i n i _ ri.L� Li � ��—�-r �rt�: o� ��i��o�- y. R�ViSE DAtE: O Z 5ie,�e �' la�we) � 331 I(�+^ Plcca 1997 UNIFORM BUILDING CODE � �� c - 2320.9.4 Particleboard. Where used as s[ructural subflooring or as combined subfloor underlayment, particleboard shall be as set forth in Table 23-Q-F-2. 2320.10 PaRicleboard UnderlaymenL In accordance with approved recognized standards, pariicleboard floor underlayment shall conform to Type PBU. Underlayment shall not be less than �/q inch (6.4 mm) in thic4mess and shall be identified by the grade mark of an approved inspection agency. Underlayment shall be in- stalled in accordance with Ihis code and as recommended bv the manufacturer. 2320.11 Wall Framing. 2320.11.1 Size, height and spacing. The size, height and spao- ing of studs shall be in accordance with Table 23-N-B except that Utility grade swds shall not be spaced more than ] 6 inches (406 mm) on center, or support more than a roof and ceiling, or exceed 8�fee[ (2438 mm) in heieht for exterior walls and load-bearing walls or 10 feet (3045 mm) for interior nonioad-bearing walls. 2320.11.2 Framing details. Studs shall be placed with their wide dimension pecpendicular to the wall. Not less than three studs shall be instalied at each corner of an exterior wall. EXCEP7'[ON: At mmers. a third smd may he omitted through the use of wood spacers or bacAup cleats o('/g-inch-thick (9.5 mm) wond swcwral panel.'l,rinch (9S mm) Tvpe M"Exterior Glue" partiNe- board, 1-inch-ihicA ('_� mm) lumbee or othe� approved devices lhat will serve as an adequa�e backine for Ihe avachment of facine malerials. Where [re-resisiance ratines or shear values are involved, wood spacers, backup clea�s or oiher devices shell not be used unless specifi- cally appmved for such use. Beari�� and exterior �call s[uds shall be capped with double top plates installed to provide overlappine at corners and at interseo- tions with other�pariitions. End joints in double top plates shal] be offset at least 4S inches (2�35 mm). EXCEPTION: A singic �op plate ma�� be used. provided ihe plaie is adequately [ied at joints. comers and interseceing walls by at least [he equivalem of 3-inch bv 6-inch (76 mm by 15? mm) by 0.036-inch- thick (0.9 mm) galvanized steel tha� is nailed to each wall or segment oC wall by six 8d nails or equivaient, provided the rafters, joists or trusses are centered o��er the studs with a tolerance of no more [han I inch (25 mm). When bearing studs are spaced at 24-inch (610 mm) intervals and top plates are less than two 2-inch by 6-inch (51 mm by 152 mm) or two 3-inch by 4-inch (76 mm by 102 mm) members and when the floor joists, tloor trusses or roo[ trusses which they sup- port are spaced at more than 16-inch (406 mm) intervals, such jois[s or trusses shall bear within 5 inches (127 mm) of the studs beneath or a[hird plate shall be installed. Interior nonbearing particions may be capped wiih a single top plate installed to provide overlxpping at corners and a[ inlersec- [ions wi[h other walls and partitions. The plate shall be continu- ously tied at joints by solid blocking at least 16 inches (406 mm) in length and equal in size io the plate or by �/g-inch bp 1�/�-inch (3.2 mm by 3S mm) metal ties with spliced sections fastened with [wo 16d nails on exch side of the joint. Studs shall have fuli bearing on a plate or sill not less than 2 in- ches (51 mm) in thickness having a width not less than that of the wall smds. 2320.11.3 Bracing. Bruced wall lines shall conslst of braced wall panels which meet the requirements for Ioeation, type and amoun[ of bracing specified in Table 23-IV-C-] and are in line or offset from each other by not more than 4 fee[ Q219 mm). Braced wall panels shall start at not more than 8 feet (2435 mm) from each end of a braced wall line. All braced wall panels shall be cleady '�-� IXCERPTS FROM CHAPTER 23 . • �� indicated on the plans. Construction of braced wall panels shall be by one of the following methods: 1. Nominal 1-inch by 4-inch (25 mm by 102 mm) continuous diagonal braces let into,top and bottom plates and intervening studs, placed at an angle not more than 60 degrees or less than 45 degrees from the horizontal, and attached to the framing in con- formance with Table 23-II-B-1. 2. Wood boards of 5/g-inch (16 mm) net minimum [hickness applied diagonally on studs spaced not over 24 inches (610 rt�m) on center. 3. Wood structural panel sheathing with a thickness not ]ess [han 5/�6 inch (7.9 mm) for 16-inch (406 mm) swd spacing and not less than 3/g inch (9.5 mm) for 24-inch (610 mm) stud spacing in accordance with Tables 23-t[-A-1 and 23-IV-D-1. 4. Fiberboard sheathing 4-foo� by 8-foot (1219 mm by 2438 mm) panels not ]ess than �/> inch (13 mm) thick applied vertically on smds spaced not over 16 inches (406 mm) on center when in- s[alled in accordance with Section 33li.6 and Table 23-II-7. 5. Gypsum board [shea[hing �/� inch (13 mm) [hick by 4 fee[ (1219 mm) wide, wallboard or veneer base) on smds spaced not ove� 24 inches (610 mm) on center and nailed at 7 inches (178 mm) on center with nails as required b}° Table 35-I. 6. Particleboard wall sheathing panels where ins[alled in ac- .cordance with Table 23-IV-D-2. 7. Portland cement plaster on smds spaced 16 inches (406 mm) on center installed in accordance with Table 2�-I. 8. Hardboard pane] siding when installed in accordance with Section 2310.6 and Table 23-II-C. Method 1 is not permitted in Seismic Zones 2B, 3 and 4. For cripple wall bracine, see Sec[ion 2320.11.5. For Methods 2, 3, 4, 6, 7 and S, each braced panel mus� be at least 48 inches (1219 mm) in length, covering three smd spaces where smds are spaced 16 inches (406 mm) apart and coveri�g two smd spaces where studs are spaced 24 inches (610 mm) apart. For Method 5, each braced wall panel must be at least 96 inches (2438 mm) in length when appiied to one face ot a braced wall panel and 4S inches (1219 mm) when applied to both faces. All vertical joints of panel sheathing shal] occur over studs. �Horizontal join[s shall ocwr over blocking equal in size [o the studding except where waived by Ihe installation requirements for [he specific sheathing materials. Braced wall panel sole plates shall be nailed to the floor framing and top plates shal] be connected to the framing above in accord- ance with Table 23-II-B-L Sills shall be bolted to the fou�dation or slab in acwrdance wi[h Section 1806.6. Where joists are per- pendicular to bwced wall lines above, blocking shall be provided under and in line wi[h [he braced wall panels. 232011.4 Alternate braced wall panels. My braced wall panel required by Sec[ion 2320.11.3 may be replaced by an al[er- nate braced wall panel constructed in accordance with the follow- ing: 1. In one-story buildings, cach panel shall have a Iength of not less than Z feet S inches (S13 mm) and a height of not more than 10 feet (3045 mm). Each panel shall be sheathed on one face with 3/g-inch-minimum-thickness (9.5 mm) plywood sheathing nailed with Sd common or galvanized box nails in accordance with Table 23-II-B-1 and blocked xt alI plywood edees. Two anchor bolts installed in aecordanee with Section ]A06.6, shall be provided i� each panel. Anchor bolts shall be placed at panel quarter points. Each panel end swd shnll have a[ie-down device faslened to [he foundation, capable of providing an approved uplift capacity of not less than 1,800 pounds (816.5 kg). The tie-down device shall 1-219 � (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 331 16TH PL Suite: Viciniry: Parcel Number: 42521108 Applicant: UNKNOWN Address: Zoning: Phone: Zip: owner: STEPHEN & SUSAN CALDWELL Address 331 16TH PL Phone: 949-548-6447 COSTA MESA, CA . Zip: 92627-3203 Contractor. OWNER-BUILDER Address: Phone: Zip: Arch : r ' � � . Address: � � Phone: License: 0 Eng: _ , ,. _ Address: ISSUED BY: Slatus: ISSUED Applied: 06/27/2002 Issued: O6/28/2002 Phone: Zip: License: License: SCOPE OF PERMIT 112 SQ.FT. LATTICE PATIO COVER AS PER ATfACHED CITY STANDARD. Plan Check: $43.03 Permit: $6620 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $109.73 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 22- 0 PARKING Existin : 0 NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Lek 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 6- 0 51,805.44 $o.00 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (O�d. 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 tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and finel approval must be obtained. Failure to obtain inspections and final approval will resuN in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 _ :antiaae I�vWJ WORKERS' COMPENSATION DECLARA710N: � � � � � � 1 hereby attirm under penalry of perjury one of the following declarations: ❑ I have and will�paintain a �ertificate of consent to self-Insure lor workers' compensetion, as provitled for by section 3700 of the Labor Code, for the pertormance of the work tor which IMs permit is issued. . ❑ I have and will maintain wOrkers' compensation insurance, as required by sectlon 3700 of ihe Lebor Code, for t�e peRortnance oi the work for which this permit is issuetl. My workers' compensation Insurance carner entl poliry number ara: • Carner: ' Policy Number: (This section need not be completed il the pemrit is velued et one hundred dollars ($700) or less.) � ❑ I certity ihet in the Derforrt�ance 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' compansation laws oi Celifomie, antl egree t�at ii I shoultl become subject to the workers' compensation provisions ot Section 3700 of tha Labor Code, I shali torthwlt� comply wi�h �he5e provi5i0n5. Applicant Signature: Dale: WARNING: FAIWRE TO SECUPE WORKERS' COMPENSAiION COVERAGE IS UNLAWFUL AND SHALL SUBIELT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED THOUSAND DOLLARE (5100,000), IN qDDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O6 OF THE LABOR W DE, IMEREST, AND ATTORNEV'S FEES. LICENSE� CONTRACTORS OECLARATION: I hereby aHirtn that I am licensed under provisions oi Chapier 9(commencing with Section 7000) ot Division 3 of the Business and Prolessions Code, and my license is in tull force and effect. Lic. x Cless N Comractors SignaWre: Date: CONS7RUC710N LENDING AGENCY: � ❑ I hereby attirm ihat there is a construction lending agency for the peRormance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lendels Name: Lenders Address: Signa�ure: Da�e: OWNER•BUILDER DECLARA710NS: I �ereby aHirtn ihat under penalry ot perjury Ihat I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW fo� ihe tollowing reason (Sec. 7031.5, Business antl Professions Code: Any ciry or counry which requires a permit b construct, alter, improve, tlemolish, or repair any sWcture, prior to its issuance, also requires the applicant tor such pertnit to file e signed statement lhat he or she is licensetl pursuent ro the provisions ot ihe Coniractors License Law (Chapter 9(commancing with Sadion 7000) of Division 3 ot ihe Bu5in85s and Profession5 CodB) or thet he or she is eaempt thereirom end the basis tor the alleged exemption. Any violetion ot Section 7031.5 hy eny applicant tor a pertnit subjects Ihe apPlicant to a civil penelry oi not more than five hundred dollars ($500).): ❑ I, es owner of the property, or my employees with wages es Ihelr sole compensa�ion, WILL DO THE WORK, and the structure I5 not intentletl or oNaretl for sale (Sec. 7044, Business end Professions Code: The Contractors License Law does not apD�Y �o an owner of property who builds or improves ihereon, antl who tloes such work himself or herself or through his or her own employees, provided ihat such improvemenis are not Intentletl or oHered for sale. tl, howeveq the building or improJement is soltl within one year of coinpletion, the owner-builder will have ihe burden oi proving ihat he or she did not build or improve for purpose of sale.). ❑ 1, as owner ot the property, am EXCLUSIVELV CONTRACTING WITN LICENSED CONTRACTORS to consWc� the prolecl (Sea 7044, Businass and Pmfeuions Code: The coniractors Licertse !aw does not apply to an owne� ot propetly who buUas or Imqoves Ibereon, and who conlracis �or such project wlth a contractor(s) �license pursuam to the Contractors License Laws.). �emp d I ec. Business and Professions Coda for ihis reason: . d.Jf� �- Date: Owner ID veritietl y tlnvers licgnse. �es ❑ No Drivo s Licen No. — � s: Verificetion ot Ownership by (type oi document, i.e. - propeny ta: bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ' ❑ I hereby certiy ihat no ezCavation tive (5) or more feet in depth into which a person is requiretl to tlescantl, will be made in connection wifh work authorized by this permit, and that no builtling structure, scattoltling, falsework, or demoli�ion or dismantling thereof, will be more then Ihirty-six (36) faet high. (Chep. 3.2, Grp 2, Art 2, Sec. 341, Title B, CalNornia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require e permit tmm the Division of Industriel Safety, as no�ed above, unless such person has a . permit to do such work irom Ihe division. Signature: Date: Division oi Indusinal Satery Permit Number: CERTIFlCATE OF CO L CE AND AUTHORIZA710N OF EMRV: I certify untler penalty of perjury ihat I have read ihis application and state that ihe information given is correct. I agree to co ly ith I s end city ordinances relating to building conswction, and euthodze representatives of the Ciry of Costa Mesa to enter upon Ihe ebove-tlescribe ro specL pu I agree t to occupy or ailow occupancy of any 6uilding authorized 6y this permit nal insp ction. �� gn ure Of Le a ner( ) ate .4nNOr Authonzed Appiican� Date cooe �, ixsvecnoNrrve pAI€ 1616 Fixed System Final Fire Prevention 1266 200 Pool Spe Final Finel Re-Rooi 201 Final BIocWRe[aining W all 202 Final Factory Fire PIaGe 203 Finel Sign 204 Final Demolition � pL C�Q$� INSPECTIONTYPE 206 Final Mechanical 208 - Finel Plumbing 210 Final Elecirical 212 Finai Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy P� NTrr �� LL I J a I �2 I c w E w N ,v w � 0 Owner up „ G�.� a� L'�'oQta ��a �u�:�'� Z�iu�ia�i , . BUILDING PLAN RE`QI�IREMENTS FOR ATTACHED PATIO COVERS (Note: Detached patio covers require an engineered design.) �2 P.L. Feet Post � � � � RYP ) Edge of —� PROPOSED STRUCTURE . patio cover ❑3 " House � Garage 0 0 �-- ❑2 P.L. Street 0 0 � � � INSTRUCTIONS - 3 COPIES MUST BE SUBMITTED �C7 2_U O—1 v 1• Using this as an example draw your own plot plan on a separate drawing. �❑ Show owner's name, project address, north arrow and scale. ❑2 Show and dimension all property lines, easements and driveways. ❑3 Show locations of existing and proposed structures, including all setback dimensions 40 Show dimensions of proposed structure. ❑5 Show selbacks from propeRy lines to proposed strudure. (3'-0" min.; veriy if Planning Dept. requires greater setbacks) ❑6 Dimension overhangs 2]33-06 2% � Slope to Drain Lattice Cover r- Lattice Rafter Joist Hanger Ledger , Lattice COVBf Rafter Header �—► Solid Floor Cover I� Roof Covering 26 Ga. L Roof Sheathing FRAMING PLAN Flashin� Roofing �2" Sheathing � _ O Header Rafter � Joist Hanger Post � Ledger C C � � � O � �o ^ Slab 2% � Slope .s � to Drain Footing SECTIONS I CONSTRUCTION MATERIALS SPECIFY LUMBER: ❑ bF ❑ Redwood ❑ Hemfir SPECIFY GRADE: ❑ No. 1 ❑ No. 2 CONCRETE: 2500 psi min. @ 28 days CONNECTIONS: ICBO approved or equal Solid Roof COVBf 1. Roof wvering: Slope:_ 12 2. Roof sheathing: Maximum spans: iattice: _x_ @_" o.c.: 2x2 - 6'; 2x3 - 8'; 2x4 - 10' solid: " CCX plywood ar _" lumber: 1" - 2' - 8"; 2" - 8' - 0" 3. Rafters: _x_ @_" o.c. ❑ Single ❑ Double 4. Header: _x_ ❑ Single ❑ Double 5. Ledger: _x_ (2x min) 6. Fascia; _x_ (2x6 min) 7. Post: _x_ (4z4 min) Raise 1" min above slab surface 8. Footing: _x� 12"z12" min for up l0 66 sf tributary area; 18"x18" min for 67-150 sf tributary area " depth (Expansive Soil Zone � 9. Slab " lhick (Expansive Soil Zone _� 10. Connections: a. Joist to Ledger - Melal joist hanger b. Joist to Header - Solid blocking with framing anchor c. Doubled joisl or header to post -(2) 1/2" dia. thru bolts w/ washers d. Joist to Fascia - Metal framing anchors each side (min. capacity = 0.5" joist span'joist spacing' 15) e. H�ader to Post - Column Cap f. Post to Slab or Footing - Metal Anchor/Post Base g. Roof Sheathing - 8 d@ 6" o.c. Edges and 12" o.c. Fleld DETAIL OPTIONS Chetk �he OneSlhat apply: Lattice Covec ❑A �B �C OD OE OF Solid Cover: ❑A ❑D ❑E ❑F PoSt Anchar Past 6' min . Footing Depth PAD FOOTING A 750p max per post past 6' min '�sue SLAB FOOTING B )x6 Min Zx Joisl Fascia J Evistlrg nnchors wall8 2�_p• g•.p� I f00f Max Max Span EAVE CONNECTION C t/T:S Joist Lag Suews Q 1 s• o.c. Existing Joist wall Hanger Ledger WALL CONNECTION D Lattice �i� Rafler Dummy Posl �Support Post � Beyond RAFTER/HEADER E RoofSheathing or Lattice Rafter Framing Anchor Each BloCk Header 2 X Blocking pos� Column Cap JOISTIHEADER F z�33<a oacM 1591 UeC SPAN TABLES LATTICE PATIO COVER SOLID PATIO COVER 1997 UBC 2137-a6 Tables '�J (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 331 16TH PL Suite No Vicinity: Parcel Nunmber: Applicant: Address: 42521108 CALDWELL, STEPHEN 331 16TH PL COSTA MESA, CA ELECTRICAL PERMIT Status: ISSUED Applied: OB/OZ2002 Issued: 08/02/2002 / ISSUED 6Y: Phone: 949-548-6447 Zip: 926273203 Owner: CALDWELL, STEPHEN AND SUSAN Address 337 16TH PL COSTA MESA, CA Contractor: O W N ER-BU I LDE R Address: , ISSUE FEE Temp service test Res. a/c package New Res (7-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over t000a Motors to 1hp Motors to 10hp Motors to 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel l0 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole Phone: 949-548-6447 Zip: 926273203 Phone: Zip: License: 0 SCOPE OF PERMIT ELECTRICAL TO INCLUDE: 3 LIGHTING FIXTURES, 3 OUTLETS, AND 4 SWITCHES. REF.: B02-00973 - $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $3.30 $3.30 $4.40 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $D.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantiry FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Stantling Section Misc Electrical Equipment T2nsformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misa Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 30.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $34.50 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis 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 780 days, or it work is suspended or abandoned for a periotl 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, antl all requlred inspeetione and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. �.. POR INSPECTIONS CAI.L: (714) 7545626 , � ii�f�l�Sil�fl WOFKERS' COMPENSATION DECLARATION: ' I hereby aHirtnWnder penalry of perjury one of the following declarations: ❑ I have end vdll maintain a certificate of consent to self-Insure for workers' compenselion, as provitled for by section 3700 of the Lebor Code, for the pertormence of the work for which this permit is Issuetl. . ❑ I have antl Will maidtainaorkers' compensalion insurence, as requiretl by section 3700 of the labor Code, for the peAortnance of the work for which this pertnit is issued. My workers' compens�dtion Insurance cartier antl policy number ara: Cerrier: certify ihat in ihe per ompensation lews oi TFKKISAND OOLLApE (510D,000), IN Policy Num�er: one hundretl dollars ($100) oNessJ s permit is issuetl, I shall not employ any pereon in eny manner so as to become subject to the workars' ild become subject to Ihe workers' compensetion provisions ol5ection 3700 of the Labor Cotle, I shall totlhwith / "� � £Det6"� �� 2' V L/ � :OMPENSATION CAVERAGE IS UNIAWFUL AND SHALI SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED TO hIE COST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECTIIXJ 3]O60F THE LABOR COOE, IMEFEST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby affirtn that I am licensed under provisions of Chapter 9(wmmencing with Section 7000) of Division 3 ot ihe Busineu and Pmfessions Code, and my license is in tull force and ettecL �ic. q Cless N Conlrector's SigneWre: Date: CONSTRUCTON LENDING AGENCV: ' ❑ I hereby efFirm that there is e construction lending agency tor the peAortnance of ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lentlels Name: Lentler's Adtlress: Signeture: Date: OWNER-BUILDBR DECLARATIONS: I hareby aflirtn that under penelty of perjury that I em EXEMPT FROM TME CONTRAC70RS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Professions Code: Any ciry or �unty which reQuires a permit ro construct, alter, impmve, tlemolish, or repeir eny stmcture, prior to its issuance, also requires the epplicant for such permit ro tile a signed stetement ihat he or she is Ilcensed pursuant to the provislons of the Contrecbrs License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle) or that he or she is eaempt therefrom antl t�e basis br the alleged e:emption. Any violetion of Section 7031.5 6y any epplicant for a pertnit sublects the epplican� to a civil penalry of not more ihen five huntlred dollars ($500).): ❑ I, es owner of the property, or my empbyees wtth wages as their sole compensation, WILL DO THE WORK, antl the stmcture Is not'rntended or oRered for sela (Sec. 7044, Business and Professions Cotle: The Contracrors License Law dces not apply to an owner of property who builtls or improves thereon, and who does such work himseli or herself or ihrough his or her own employees, provided ihBl such improvemenis are no� IntendeC or offered far sale. If, however, �he builtling or improvement is �sold within one y of completion, the owneo-builtler will have the burden ot proving ihat he or she did not build or improve tor purpose oi sale.). !; as owner of ih pr perty, am E%C SIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (SecJ044, Business antl Pmfessions Code: The cont ct s Lic e d s not apply to an owner of property who builds or Impmves thereon, and who contracts tor such pmject with e contractor(s) licensa purgua t he o ctor cense Laws.). ❑ lam Owner ID eri � rvers license. Vetlficetion of Own ship by (type oi Business end Professions Code for this reason: Ves ❑ No Driver's License'Nn. ri, i.e. - propetly �ax biil or deetl): DIVISION OF INpUSTRIAL SAFETY�FERMIT CERTIFICATION: ❑ I hereby cettify Ihat no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work aut�orizetl by this pertnit, and that no building s�ructure, scaflolding, falsework, or demolition or dismantling thereoi, will he more than thirty-sia (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, California Adminisirative Code). ❑ As owner-huildar, I will not employ anyone �o do work which would require a permit irom ihe Division of Intlustrial Setety, as noted above, unless such person has e pertnit to d6 such work from ihe tlivision. Signature: Date: Division ot Industnal Satery Permit NumDer. CODE t. INSPECTIONTY7E P.�lE �p� 1616 Fixed System Final Fire Prevention 1266 200 201 202 203 20a Paol Spa Finel Finel Ra-Rooi Finel BIocWRetaining Wall Final faptory Fire Place Final Sign Final Oemolitian CODE� INSPELTIONTYPE 206 Finai Mechenical 208 210 212 Final Plumbing Pinal Elecirical Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy �.� �. �%�Y (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: $31 16TH PL Suite No Vicinity: Parcel Nunmbec Applicant: Address: 42521108 CALDWELL, STEPHEN 331 16TH PL COSTA MESA, CA ELECTRICAL PERMIT Status: ISSUED Applied: 08/02/2002 Issued: 08/02/2002 ISSUED �Y: C:.�j'� Phone: 949-548-6447 Zip: 926273203 Owner: CALDWELL, STEPHEN AND SUSAN Address 331" 16TH PL COSTA MESA, CA Contractor: O W N ER-BU I LDE R Address: � � - ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1 hp Motors to 10hp Motors to SOhp Motors to 100hp Mo[ors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole Phone: 949-548-6447 Zip: 92627-3203 Phone: Zip: License: 0 SCOPE OF PERMIT ELECTRICAL TO INCLUDE: 4 LIGHTING FIXTURES, 3 OUTLETS AND 2 SWITCHES IN REAR BEDROOMS. REF.: B02-01170 - � � � - $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $4.40 $3.30 $3.30 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 0 0 0 4 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEESUMMARY Temp Dist System / Lighting Busway /100 k Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $34.50 COMMENTS / SPECIAL CONDITIONS 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, 72-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO 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 code�d all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this.permit. FOR INSPECTIONS CALL: (714) 7545626 , V zaaws(rvoo� WORKERS'COMPENSAnON DECLARAnON: I hereby amrm under penalry of peryury one of ihe following declarations: ❑ I have antl will r�aintain a certificate ot consent to salf-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for ihe perfortnance of the work for which t�is permit is issued. . ❑ I have and will malntain workers' compensation insurence, as required by section 3700 ot the Lahor CoGe, tor ihe perfortnance of the work for which this pertnit is issued. My workere' wmperl6ation Insurance carrie� antl policy number ara: Cartier: � Policy Number: (This secfion need not be complet ' the permit is valued at one hundred dollars ($700) or less J '��I certity that in the pedorma ce i e work f r which this permit is issueQ I shall not employ any person in any manner so as to bewme subject to the workers' compensetion lews of Calito ni e ai it I should become sublect to the workers' compensation p{ rovislons ot � fir� 70q of the Labor Cotle, I shall forthwith comply with ihese provision . Applicent Signetu�e'� �–.�--� Da[e:� 2 0(i WARNING FAILURE TO S R RS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSANDDOLLARE($100, ,INA ITIONTOTHECOSTOFCOMPENSATION,DAhNGESASPROVIDEDFORMSECTION310fiOFTHEL4BORCODE,IfTEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aNirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 oi the Business and Professions Code, and my licanse is in full force and ettect Lic. k Cless q Contrectofs Signeture: Date: CONSTRUCTION LENDING AGENCY: � ❑ I hereby attirm that ihare is a conswction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Landers Name: Lender's Address: SignaWre: Date: OWNER-eUILDER DECLARATIONS: I hereby aflirm ihat under penelty of perjury Ihat I am EXEMPT FROM 7HE CONTRAC70R5 LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit ro construct, alter, improve, tlemolish, or repair any stmcture, prior to its issuance, also requires the applicant for such permit to file e signetl statement ihat he or she is licensed pursuant to the provisions of the Conirectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or ihat he or she is exempt iheretrom and t�e basis tor the alleged ezemption. Any violation oi Section 7037.5 by any epplicent for a pertnit subjecis ihe applicant m a civil penalry of not more than fiva hundred dollars ($500).): ❑ I, as owner of the properry, or my employaes with wages as iheir sole compensation, WILL DO THE WORK, and ihe siructure is not intended or otteretl tor sale (Sec. �044, Business and Protessions Code: The Coniractors License Law does not apply to an owner oi properry who builds or improves Ihereon, and who does such work himself or herself or through his or her own empioyees, providetl that such improvemenis are not intendetl or oHeretl tor sale. If, however, the building or improvement is sold within one year mpletioq Ihe owner-0uilder wiil have ihe burden of proving Ihat he or she did not build or improve for purpose of sale.). � I, as ownar of th ropa , am EXCLUSIV ONTRACTING WITH LICENSED CONTRACTORS to construct the projact (Sec. 7044, Business and Professions — Gotle: TTe conir ctors Li nse Law d app an owner of propeny who builds or improves thereon, and who comracts for such project with a contractor(s) license oursuant o Ihe C ntraclors se Laws. . ❑ I am exempl Owner ID verif d/�liveYs license. Verification of Ownership by (type o� Business and Profession5 Code for ihi5 rea5on: s ❑ No � I.e. - property tan hill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: - ❑ I hereby certify that no excavetion five (5) or more feet in depih into which a person is required to descend, will be made in connection with work autharized by ihis permit, and ihat no building strucWre, scaHolding, talsework, or demolition or dismantling ihereof, will be more than thirty-six (36) faet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Adminisiretive Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from ihe Division of Indusirial Satety, as noted above, unless such person has a permit to do such work from ihe division. Siqnatura: Date: Division of Indusinal Safery Permit Number: COUEN. INSVECTIONTYPE P9IE INTITIRLS 1616 Fized System Final Fire Prevention 1266 200 Pool Spa Final Final Re-Roof 201 Final Block/Retaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demoiition COpEt INSPECTIONTYPE 206 Finel Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy on.e iHrrtu�s I � - �� 23 2 COSTA MESA BUILDING-SAfETY DEPARTMENT P.O. BOX 12W COSTA MESA� CALIFORNIA 92826 � For Appltcant ro Fi11 In Completely TYPE OR PRINT BUILDINO ` �+ ADDRES9 COSTA MESA. CALIFORNIA OWNE ' ✓G' � .S� � MAIL __' �i L�I ^ �� `� %J/ 'R� / � �/ � T_e�� /3a �^ cci_/71d_�' � � . ( DESCRIPTION OP WORK BG =ELDINO / /iI. !/ EXTHRIOR WALL COVERIN6 U� �1P oU1LDIt�G ANO Wi v( /u ..� i h r.L .L- 1 HEREBY ACKNOWL[D06 TXAT 1 NAV[ RlAD TXIB AMLIGTION •ND BTATB TNAT TX6 ABOV6 1� CORRBR�AND AORHt M COM- PLY WITN ALL CITY OqDINANCL AND RI1T[ LAWY RiOYIATIHO BUILOINO CONBTRUQTIO . - BIGNATURE OF PERMITT6 � G ��1 AUTHORIZBD AB[NT FEE RECEIVED ��Y 2 5 14�h�. FINANCE OEPT. CITY OF COSTA MESA APPLICATION FOR PERMR BUILDINf3 For Off)ce Use Only R[C{i� NO. PiipM �Y ►l� 1 �� NO.O� UY[O�N[W •IdN/ OYILOINO �� r. Qa� �01� I�, ,� /7- � 3/- �i 16 OV[RHAN6 SNALL DB LE88 THAN 1 RQAR P. L fU.B.C.REQVIRHMENT] YARDHMPROVHO YARDSAPPROVEO MAIN BUILDINO ACCHLSORY BUILDINO RBAR �� rr. • J�-` w-"�-� � DIBTANC[ BR. BHT. MAIN R MAIN BLDQ4. ACCEeII. BLD09. VAR. # DATE C.U.P. APPROVHD ::q.�P.� �. ., _ .r. S-� .. � . I W O7 � BQ. 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