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Home My WebLink About416 16TH PL - Building Permits1\ ; , �ytN MFS 4 � o. ' •' � -- J�'��,lF ��a) �sa-s2�a • Fax (714) 754-4856 Job Address: 416 16TH PL Suite: Vicinity: Parcel Number: 42514204 Applicant: SLLBOM, SUSAN Address: 208 DEL CABO CITY OF COSTA MESA � BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT SAN CLEMENTE, CA owner: BOWLER, L PAUL TR Address 416 16TH PL COSTA MESA, CA Contracror. PRIDE ROOFING Address: 208 DELCABO SAN CLEMENTE, CA Zip: 92673 Arth : Address: BUILDING PERMIT Zoning: Phone: (714)777-7107 Zip: 92673 Phone: Zip: 92627 Phone: (774)777-7107 License: 390685 Eng: Address: Phone: PERMIT NUMBER � B00-00062 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: Ot/13/2000 Issued: 01/13/2000 ISSUED BY: �/ C� � Phone: Zip: License: License: SCOPE OF PERMIT TAER OFF WOODSHAKE INSTALL 1/2" CDX, 30LBS FELT AND 40 YEAR COMP. SHINGLES. Plan Check: $0.00 Permit: $9725 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: Rear 0-0 Rear 0-0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0-0 sa,000.00 $a,000.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 9248, § 7, 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 ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapectione and (inal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: I hereby eRirtn untler Denalry of perjury one of the following dedarations: ❑ I have entl will maintain a certilicate of consent to self-Insure for workers' compensation, as provitletl tor by section 3700 of ihe Labor Code, for ihe pertormance of the work for which Ihis pertnit is issuetl. �I have and wi main m workers' compensation insurance, as required by section 3700 of ihe Labor Code, tor ihe pedortnanca of the work for which this pertnit is issuetl. My omp sation I nrence car r and policy num6er are: ��Jp Cerrier. Q� ��.✓ i� Policy Num6er: /!7S �OO �� p (This sectian need not be complefe� rmit is velued at one hundred dollars ($100) or less.) ❑ I certify that in the pertorm ce � the work for ic ' permit is Issued, I shall not employ any person in any manner so as to become subject to the workers' compens ' laws of Caf r , e that' I ome subject to ihe workers' compensation provisions of Sedion 700 of t e Labor Cotle, I shall forthwith p y with ihese ovis' . pplicemSignature: Dete: / /� i000 URE T CURE WORKEFS' ENSATION CAVEPAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVE AL PE TIES AND CIVIL FINES UP TO ONE HUNORED THOUSAND ($100,000),INADDITIO OTHECOSTOFCAMPENSATION,DAMAGESASPROVIDEDFORINSEGTION3lO60FTHELABOflCO�E,INTEREST,ANDATiORNEYSFEES. LICENSED CONTRACTORS DECLARATION: I hereby aftirm that I a se er provisions o apter 9(commencing with Section 7000) of Divisio 3 of ihe Busine�a Professions Code, antl my license is in full force antl eR . ic. # ass # C' ConV r's Sig wre: Date: STRUCTION LENDING AGENCV: ❑ I hereby aflirm ihat Ihere is a cons�mc�ion lending agency for ihe pertormence ot �he work for which �his permit is is5ued. (Sec. 3097, Civii Code). Lentler's Name: Lender s Address: SignaNre: OWNER-BUILDER DECLARATIONS: Dale: I hereby aflirm that untler penalry of periury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or counry which requires a permit to construct, aiter, improve, demolish, or repair any structure, pnor to its issuance, also requires ihe applicant for such permit to file a signed statement ihat he or she is licensed pursuant to ihe provisions of ihe Coniractors License Law (Chapter 9(commencing with Section 7000) of Division 3 oi the Business antl Protessions Code) or that he or she is exempt iherefrom an0 the Dasis for the allegetl exemption. Any violation of Section 7031.5 6y eny apPlicant tor a permit sublecis ihe applicant to a civil penaly ot not more ihan five hundred dollars ($500).): ❑ I, as owner of ihe property, or my employeas with wages as their sole compensation, WILL DO TME WORK, and the stmcture is not intended or oHered for sale (Sec. 7044, Business and Protessions Cotle: The Contractors Licensa Law does nol apply to an owner of pmpetly who builds or improves thereon, antl who does such work himseH or herself or Ihmugh his or her own employees, provitled ihat such improvemenis are not intendetl or oHeretl for sale. If, howevar, the 6uiltling or improvement is sold within one year of completion, the owner-builder will have the 6urden of proving ihat he or she did not build or improve for purpose ot sele.). ❑ I, as owner oi lhe property, am E%CLUSIVELY CONTRACTWG WITH LICENSEO CONTRACTORS to constmct the project (Sec. 7044, Business and Pmfessions Code: Tlie contractors License Law does not apply to an owner of property who 6uilds or improves thereon, and who contracts for such project with a contractor(s) license pursuanl to Ihe Contractors License Laws.). ❑ I am exempt untler sec. Business and Professions Code tor this reason: Signature: Date: Owner ID verifietl by drivers license. ❑ Yes ❑ No Driver's License No. E:pires: Verification of Ownership by (type of document i.e. - property tax bill or Geed): DIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cenity ihal no eacavation five (5) or more teet in tlepih into whic� a person is requiretl to tlescenq will be matle in connection with work authorizetl 6y ihis permit, antl that no building stmcture, sceffolding, falsework, or tlemolition or dismantling thereoi, will 6e more than thirty-six (36) feet hiqh. (Chap. 3.2, Grp 2, Art 2, Sec. 341, TM1Ie B, California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which woultl require a permit from ihe Division of Indusirial Safety, as noted above, unless such person has a permit to do such work irom ihe tlivision. Signature: Date: Division of Industrial Safery Permit Number: CERTFICATE OF COMPLIANCE AND AU7HORIZATION OF EN7RV: I certify untler penalty of perjury ihat I have reatl this application and state that ihe information given is correcl I agree to c y with all stata laws and ciry ordinances relating to building consvuction, antl amhorize representatives oi the Ciry of Costa Mesa to enter upon ihe a�ove-described eny for inspection pyrposes. I agree not �o occupy or allow wcupancy ot any builtling authorized by ihis permit until final inspection. COpE X, INSPECTIONTYPE - 1616 Fized System Final Fire Prevention 1266 200 201 202 203 Pool Spa Final Final Re-Roof Final BIocWRetaining Wall Final Factory Fire Place Final Sign 204 Final Demolition 264fi�46 D_A�F IN AL CODEM INSPECTIONflPE 206 Final Mechenical 208 Final Plumbing 210 Final EleC�nCal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy �pL INTITIRLS 29245 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 928Z6 For ApplTcanf ro Fil! !n Comp(afaly TYPE OR PRINT eui�oiNo /1 TN ADDREBi �f I�O I�n — PLA C-E COSTA ME3A. CALIFORNIA OWNlR Newport Balboa Savings & Loan MAIL 3366 Via Lido ADOR84O ,.,,.,, Newport Beach �T,?,�-673313( OCT 16-68PA1D00 908� �** 17_4.5C CN50. APPLICATION FOR PERMR BUILDING Fo� orfr� um o�►y M[C[IIT NO. I P[RMIT NQ.- 4501 Birch St. , Newport Beach TONINQ� AOORE88 zoN[ No.a� ua[o�N[W Res. w •Idtll lYILDIHO CONTRACTpR Fabre Construction Corp, - wo a¢ns 4501 Birch;Street o��imoN Lot 24 Tract No. 2789 �i.ry Newport Beach A.P.NO. NOT6: NOQAVHOV[RHAN6SHALLB8LH88THAN srwre 146423 TH�' 540 8833 ao•roe�oceae�n .� LIC. NO. N 8AVE6 OFLOT 83� X 6�� hOw��!��• ALLOWQD 4LL..B.C.REOUIR6MHNT: YARDSMPROVHD YARDSMPROVEO US80P MAINBUILDINO ACGEi80RYBUILDIN6 E%ISfIN6 BLD0. {PROM C/LIITR6lTI Y6TGACK L�X[ IROY ryn� �� pr � �� 7� �� R. DESCRIPTION OF WORK . aio S rr. NEW ' X T[RATI N ADDITI N RGR �� 4�!T. I DIiTANC[ ltT. REPAIR M IN M ug MAIN BLD Bu"°"'° 1984 s ft NO °" 7 1-1/2 ��'� V-40-68 SIZE Q ROOMB t{ � C. U. P. 8XT6RIORWALL ROOr e7PROV[D �/�` COVERIN6 StUCCO COVERINO shakes �� DAT6 Family dwelling w/attached garage � Plan 3A /� � � � �ct�9,u�x. .S d� eo. vr. ° � 1 NER60Y ACKNOWL6D06 TXAT 1 XAV[ 11QAC 1'MIO APPLICATION T1t AMOUM' BH N UNOER VALUIITION IB FOR TH[ •ND BT�TB THAT TH[ ABOVH It COpR[CT�AND AORE[ TO COY. �YHPoBH OI [HTI�BLI6XIN0 A P6PMIT PHC ONLY. PLY W�TH ALL CITY ORD)XANN!-�(1 O�TATQ UWY PiiUtATIXO yu,UATION .��1 BVILDINOCON9TRUCRfSN. // / � I �S �X - voi�i'..ii �'�/�d�.� ; : �.n ..:.4'.:; ' a m � � � �p G b