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Home My WebLink About360 16TH PL - Building Permits� � �4��p MF 4 `- o , � > _ : " J'M1�,� • ^+�oxmto �' , (714) 754-5273 • Fax(714) 754-4856 JobAddress: 360 16TH PL Suite: Vicinity: REAR OF PROPERTY Parcel Number: 42519218 ,-� CITY OF COSTA MESA - BlIILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT Applicant: BRAGG, MEDFORD Address: P O BOX 1594 NEWPORTBEACH,CA owner: BRAGG, MEDFORD Address P O BOX 1594 NEWPORTBEACH,CA Contractor: OWN ER-BU I LDER Address: Zip: Arch : Address: BUILDING PERMIT Zoning: Phone: (949)650.8443 Zip: 92659 Phone: Zip: 92659 Phone: License: 0 Eng: Address: ,1 PERMIT NUMBER B00-00295 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 03I082000 Issued: 03/OB/2000 ISSUED BY: c'�� Phone: Phone: Zip: License: License: SCOPE OF PERMIT LEGALIZE EXISTING 399 SF CARPORT. Plan Check: $90.51 Permit: $139.25 SMIP Res: $0.61 SMIP Com: $0.00 Other: $139.25 Inspection: $0.00 Total: $369.62 SETBACKS ACCESSORY PARKING NOTES: Front 0- 0 Front 0- 0 Existin : 0 Rear 0-0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 as,ioa.�o so.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, 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 legel, such work must comply vrith all epplicable codes, and all required Inepectiona end final approval must be obtained. Feilure to obtain inspections antl final approval will result in the ezpiration of this permit. i FOR WSPECTIONS CALL: (714) 7545626 ' '' - ' ' > 1 WORKERS' COMPENSATION DECLARATION: . • I hereby aHirtn under penalty ot perjury one of Ihe tollowing declarations: ❑ I have and will maintain a certiticata of conseni to self-Insure tor workers' campensation, es provitletl tor by sectlon 3700 oi the Labor Code, for the pertortnance of Ihe work for which thi5 permii is i55uetl. ❑ I have antl will maintain workers' compensa�ion insurance, as raqulred by section 3700 of tha Lebor Coae, tor the peAortnance oi Ue work for which ihis pertnit is issued. My workers' compensation Insurenca carrier antl policy number ere: Cartier. Policy Number: (lhis section need not be comp/efed i! rhe permif is ve/ued er one hundred dollars ($100) or /ess.) ❑ I certity that in the pertortnance of the work for which this permit is issuetl, I s�all not employ eny person in eny manner so as to become subl�� o �he workers' compensation laws of Califomia, antl agree that il I should become subject to Ihe workers' compensetion provisions of Section 3700 ot the Lebor Code, I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVEPAGE IS IINLAWFIIL AND SHALL SUBIECT AN EMPLOYER 70 CRIMINPL PENALTIES AND CML FlNES UP TOONE HUNDRED THOUSPN� DOLLARE (5100,000). IN ADDfiION TO THE WST OF COMPENSATION, DAMNGES A$ PROVIDED FOR IN $ECTION 31060F THE LABOF CO�E, IMEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: ' I hereby affirm that I am licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 of �he Business and Pmfessions Cotle, antl my license is in tull force antl ettecL Lic. # Class a Conirectors Signature: Oate: CONSTRUCTION LENDING AGENCY: ❑ I herehy aNirtn ihat there is a construclion lentling eqency for the peAormance ol the work lor which this pertnit is issuetl. (Sec. 3097, Civil Code). Lender's Name: . _ Lendefs Address: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby aNirm ihat under penalry of perjury ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business and Professions Code: Any ciry or coumy which requires e parmit to constmct, alter, improve, tlemolish, or repair any structure, prior to its issuance, also requires Ihe appiicant for such permit to tile e signetl statement the� he or she is licensetl pursuan� to �he provisions of the Comractors License Law (Chapter 9(commencing wi�h Section 7000) ot Division 3 of the Business antl Professions Code) or ihat he or she is exempt therefrom antl the basis for Ihe allegetl ezemption. Any vlolation of Saction 7031.5 by eny applicant for a permit subjects the applicant to a civil penalry ot no� more than flve hundred dollars (5500)J: � I, as owner ol Ihe pmperty, or my employaes with wages as iheir sola compensatlon, WILL DO THE WORK, end the stmcwre is not intentled or oHeretl for sale (Sec. 7044, Business antl Professions Cotle: The Contrectors Licensa Law does not apply to an owner of property who builtls or improves thereon, and who does such work himself or herself or �hrough his or her own employees, provided Ihel such improvements are not intended ar offered for sale. II, however, Ihe building or improvement is sold within one year of completion, the owner-builder will heve ihe burden of proving ihat he or she ditl not builtl or improve for purpose of sale.). ❑ I, as owner of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, 8usinass antl Protessions Cotle: The conirectors License Law does not apply to en owner ot pmperty who builds or improves thereon, end who contrecls tor such project with a coniractor(s) license pursuant ro Ne Comractors License Lews.). ❑ I am exempt under se . Business antl Professions Cotle br this reeson: _ Signature: �'(P�a �,6 � ./% Da�e: '� (2� ��C,�@i/'] Owner ID venfied by �vei licen59. as o Driver's LicenSe No. �� ! - �Expires: a'�OH Venfication of Owne�hj�fby (type of dwument, i.e. �propehy �ax bill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify that no ezcava�ion flve (5) or more faet in dep�h into which e person Is requlretl �o tlescentl, will 6e matle in connection with work authorized by this permit, end that no huiltling stmcture, scaHolding, lelsework, or tlemolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Ttle 0, Califomia Administretive Code). ❑ As owner-builtler, I will not employ enyone ro tlo work which would require a permit irom ihe Division of Intlustrial Safery, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Intlus�rial Safeiy Permit Number: CERTiFICA7E OF COMPLIANCE AND AUTMORIZATION OF ENiTiV: I certity under penalry of perjury ihat I hava read this application and sta�e ihat the infortnation given is correct. I agree to comply with all state laws and ciry ordinances relating to building construction, antl authorize representatives of the City of Costa Mesa to enter upon the above-tlescribed propeny tor ins ti n puryoses. I egree not to occupy or allow occupency of any building authorizetl by this permit until final inspection. - o�/o it' /�o� nature Of Legel O s) ate AnNOr Authorized AOPlicant Date COpE N, INSVECTIONTYGE 1676 Fizod System Finel Fire Prevention 1266 Pool Spa Final 200 Finel Re-Root 201 Final BIocWRetaining Wall 202 203 204 2naWfi Final Factory Fire Place Final Sign Final Demolition 1[gjf �NTIiIRlS COUE 1 INSPECTION TYPE 206 Final Mechanical 208 Final Plum6ing 210 Final Eleciricel 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy � �NTRIRLS �_�-uu e�u/ th 2x1� T�� y d ' - �!'(o — u , . , .• � .��G //� `.�� /o��-e c�F�,�-r_ ' ,��'{�3Ge��?e ,[39q-c�zgs. . �svsa�v��r�3il��vlivti�HrE1'Y CITY OF COSTA _ � AEPI��p B�QQ� � � ,� � Date �y This set ot p4ans and s�edticelions MUST be kapf on is job at all times and A is unlaw�'� �° ��ycha�gesorzi!eraliononsamewiltroNwr�tsn rtnissionSromihe �� iidNy ��„aiety,GityofCcsaPAesa. t � e,;,ps;3;�F;�g;,t+,�`�°bnand.Ne.ifa�on�BHA.rtCcsa�.ess'�dinanctanQ rState�la�. p: Ii�C `JI :0.UJ 1 ; /��•: ._,. ,� �„ rm��dor� nnd b=��. �e �' anc� void i t e om .,no .• ,,. .. . . � �,-; �. _. �' i� a .... � -�a� ;��- ��• a� �a ,: ., .� '�.:�^f.?.c, �., ��.. - -. /l � 7 � P _ � JI � � W ' �.V ,, � � � �� . .,,,.� ea5-! :�eae�0 ,u � , J y --�d � � , �,�,b �N�� V � � • � � • , `7:333 COSTA MESA BUILDING DEPARTMENT P. O. BO% 31"/ COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN Es"s 360 16th Place COSTA MESA. CALIFORNIA WILGROWE CANSTRUCTION CO.� INC. . �� I��CtE�� -' 6 ��- 81�� s� �� ` fINP,�!CE DEPT. ,.i, , nF rp$TA nqF�, APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY MAIL 11933 Stanton f31vd.� """"" �' �,� "-':J� S� ADDRE55 C11V AnehOim� California No TW 3-3135 qD REI55 AHCHITECT ��c. COSTA MESA. CALIFORNIA OR ENGINEER NO. FIRE ADDI ZONE T• P• Gregg CITY LIC. �� p�ANS iYPE CONTRACTOR NO. ll933 Stanton Blvd., re�.TW 3-3135 APPROV ADORE55 NO. BY DATE �E�a� �or o CORRECTIONS oEscv�rnOrv NO. 12' BLOCK TRACT�`��S A.P. NO. OF LOT S7'�85 x 135.07 USE OF E%ISTING BLDG. SETB�CK LINE FNOM COT CENTER OF 6TREET � NO.OF BLOGS. 1.TOne NOW ON LOT lY REAR YARD 58� SIDE YARD T RIGHT �J LEFT � O/ DESCRIPTION OF WORK NEW X A�TERATION II ADDITION REPAIF MOVING IOEMOLISH SZIEDINGZ$ x 5'7 RO MS 8 STORIES 1 E%TERIOR WALL ROOF rt1n COVERING � COVERING �`r� STRTE TX<T THE /�BOVE IS CORRECT CITY ORDIN/�NCES AND STI.TE LA TION. SIGNATURE OF ORIZEO AGENT 6 p�- � 115 APPLICATION RND TO COMPLY WITH nLL BUILDING CONSTPVC� VAWATION / PERMIT FEE 5 / PLAN CHECK 5 $�� ' TOTAL FEE 5 'JC r 6— �sir