HomeMy WebLinkAbout432 16TH PL - Building Permits(714) 754-5273 • Fax (714) 754-4856
Job Address: 432 16TH PL
Suite:
Vicinity: HOUSE & GARAGE
Parcel Number: 42514207
Applicant: LOWE, RONALD A
Address: 432 E 16TH PL
CITY OF COSTA MESA -
BIIILDIN6 OIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
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COSTAMESA,CA `., / ��-"�
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owner. LOWE;�RONALD.A " �
Address 432 E 16TH PL � �' �
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BUILDING PERMIT
Zoning:
PERMIT NUMBER
699-01486
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 09/16/7999
Issued: 09/16/1999
.Phone.' -(949)642-7404.
, Zip: 92627 ' . . , ..
Phone:
Zip:
Phone:
License:
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ISSUED BY:
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- - ,?� License:
� �. � SCOPE OF PERMIT � �
% REROOF - T/O, REPLACE SHTG AS RE�UIRED, 1 LAYER OF 30# FELT, CLASS "B" WOOD SHAKE ROOF AND REPLACE
% EXISTING SKYLIGHT WITH NEW ICBO APPROVED VELUX SKYLIGHT. - �
� � FEESUMMARY �-
` PlanCheck' $0.00 „� _ ___ 'r CalcValuation: �Se,000.00,
� � Permit: � � $125.25 � � � ='" �� '� . '���� �� � -Claim Valuation: , Ss,000.00
� SMIP Res: �. $0.60 _ -� - - � <� � / � �
��� SMIP Com: • $0.00 � � � �� �
� ` Other. '�� $0.00 �_' ` � � �
�:�Inspection: � . �$0.00 _. — � � �, � � � �
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�� �, Total:� �$125.85 � � � - �
, `:����� �� �� "' - PLANNINGBZONING �
SETBACKS ' � �, 5��' ��' ' ' .
MAIN STRUCTURE Front Or 0���_ ,'�- .Rear �,, �0. 0' Le8 0. 0 Right 0- 0 �- � ,
. , . . �A. � - � " .. ".
ACCESSORY ` �� �Front ' 0-0 � ��Rear ` 0-0- - ; , ,Left � -0-0 � Right� 0-0- . ,
PARKING Ezlslin :� 0 ;' ,� � Required: -, 0 Pr000sed: 0 - � � ,_r% ,'�'
NOTES:
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NOTICE: The work authorized by this.permit shall comply with all applicable hendicap access requirements under Califomia statutes end related
regulations. (Ord. No. 92-28, § 1, 12-21•92)
EXPIRATION: This pertnit shall autamatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for e penod of 180 deys.
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and ell
required Inapectione end flnel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
V
WORKERS' COMPENSATON DECLANATION:
I hereby attirtn under penelry ol perjury one ot Ihe following tleclarations: ,
❑ I have entl wlll melntaln a certilicate of consent to self-Insure for workers' compensation, es providetl br by section 3700 ot Ihe Labor Cotle, for ihe peAormance oi the
work for whlch �hi9 permii is Issuetl.
❑ I have and will malntein workers' compensation insurance, as reqWred by sectlon 3700 of the La6or Coda, for [he pertortnance of the work /or which this permit is issuetl.
My workers' compensation Insurance carnar and policy number are:
Cerrier: Policy Number:
(This sectian need nol be completetl il the permit is valued at one hundred dollers ($100) or less.)
❑ I certify thet in t�e pedormance of the work tor which Ihis permit is issuetl, I shall not employ eny person in any manner so as to become subject to the workers'
compensation lews oi Californie, end agree ihat it I shoultl become subject to ihe workers' compensation pmvisions of Section 3700 of the Lebor Code, I shell torthwith
comply wlth Ihese provisions.
Applicfln� Slgneiure: Dale:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAW FUL AND SHALL SUBJELT AN EMPLOVER TO CRIMINAL PENPLTIES ANO pVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE (5100,000), IN ADDITION TO THE COST OF CAMPENSATIqJ, DAMAGES AS PROVIDEO FOR IN SEGTION 3]OB OF THE LABOR WDE, INTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARA710N:
I hereby aNirm that I am licensad under provisions ot Chapter 9(commencing wlth Section 7000) of Division 3 of the Business and Protesslons Code, end my license is in full
�.. toma antl ettect Lic. » Class q
Comracbfs Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm thet Ihere is a conslruction lending agency tor the peAormence ot the work tor which ihis permit is issuetl. (Sec. 3097, Civil Cotle).
Lender's Neme: Lendets Adtlress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirm thet under penalry of perjury that I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business antl Professions
Code: Any city or county which requires a pertnit to construct, alter, improve, demolish, or repeir eny simcwre, prior ro its issuence, elso requlres the epplicaM for such permit
to file a signed statement that he or she is licer.sed pureuant to tha provislons oi the Gontractors License Law (Chapter 9(commencing wlth Sectlon 7000) of Divislon 3 oi Ihe
Business and Professlons Code) or that he or she is exempt Iheretrom entl the basis for the elleged exemption. Any violatlon ot Sectlon 7031.5 by eny epplicant for a permit
sub�ects tha applicant m a cMl penalry of not more t�en five hunAretl tlollers (5500)J:
�I, es owner of the propeny, or my amployees with wages as their sole compensatlon, WILL DO THE WORK, and Ihe struaure is not Intanded or oflered tor sale (Sec.
7044, Business entl Professions COAa: Tha Contractors License Lew does not apply to an owner oi property who Cuiltls or improves therean, antl who tloes such work
himself or herself or through his or her own employees, proNded that such improvements are not intended or oHered lor sale. If, however, ihe bullding or improvement is
soltl wit�in one yeer oF completion, Ihe owner-6uilder will have ihe burden ot proving Ihet he or she ditl not build or improve for purpose of sale.).
❑ I, as awner ol the property, em EXCLUSIVELY CONTRACTING WITM LICENSED CONTRACTOflS to construct the pro�ect (Sec. �044, Buslness antl Professions
Cotle: The contreciors License Law dces not epply to en owner ol pwperty who �uiltls or improves thereon, antl who contrecis for such project with a contraclor(s)
license pursuant to the Contrectors License Lews.).
❑ lam
Signawre:
Owner ID
❑ Yes ❑ No
Business end Prolessions Cotle for this reason:
Date: / �^
Dnver's License No. Expires: F�n Z
Ventication of Ownership by (type of tlocument, i.e. - property taz blll or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certlfy Ihet no excavetion flve (5) or more feet In depth Into whlch a person Is required to descend, will be mede In connectlon with work authorizetl by this
permlt, end ihet no building sWCNra, scaHolding, falsework, or demolition or tlismantling t�ereof, will be more Ihan ihirry-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, 7tle B, Calllornia Atlministretive Code).
❑ As ownervbuiltler, I wlll not employ anyone to do work which woultl requlre e permit trom ihe Division ot Indusirial Sefety, es notetl ebove, unless such person has a
permit to do such work from the division.
Signature: Date:
Division af Intlustrial Sefery Pertnit NumDer:
CER7IFICATE OF COMPLIANCE AND AIJiHORIZATION OF ENTRV: I cenity under penelty ot perjury ihat I have read this application antl state ihat Ihe infortnetion given is
correct. I egree to comply with all state laws antl city ordinances releting to 6uiltling construction, end authonze representatives ol the City of Cwia Mesa to anter upon the
�abova-d ribed property fo inspection purposes. I agree not to occupy or ellow occupancy of any building authorized by thls Dermlt un�il finel Inspection.
,�.a <a � y /��/S 9
� Signeture Of Legal Owner(s) �r� Date
AnNOr Authorized Applicant Date
CODE 1. INSPELTIONTVGE
1816 Fixed System Final Fire Prevention
1268 Pool Spa Final
200 Finel Re-Roof
201 Final BIaWReteining Wall
202 Final Fectory Fire Placa
203 Final Sign
204 Final Demolitian
266F66
P9T_€ 1N�19L5
CODE� INSPECTIONTVPE
206 Final Mechanical
208 Final Plumbing
210 Final ElecMcal
272 Final Fire Preventlon
220 Final Planning Approvel
222 Final Site
250 Final Builtling/OauDancy
1�9g INTIilALS
29248
�COSTA MESA BUIIDINCrSAFETY DEPARTMEM OCT 16-68�HSpOO 91 S+t A** 1 ZO. I�
V.O. 80% 1200 COSTA MESA. CALIFOPNIA 91630
Fo� Appl7mnt to Fll! /n Campletely APPLICATION FOR PERMR
TYPE OR PRINT BUILDINfi .
eu��o�No C}�2 � TU i'�LRLc For Offlte Use Only
AODRE39 R[Ct1IT XO. P[PMIT NO.
COSTA MESA, CALIFORNIA
' 11[ul �T � CN� R[ [�yio oATk�66u{p�
ovxrtn New ort Balboa Savin s& Loan ��' S �� �
MAIL BUILOINO
ADDRHSO 3366 Via Lido AODRESG
TEL ZONE TYP6 6ROUP
e�rr New ort Beach No. 6733130
ARGHITHCT urton om erger ra� DYPROV6D DATH
OR ENOINE6R F' ii� no. 5408833
ADDRH6S 4501 Birch St., Newport Beac ZONIN�i
zon■ xo.o� o.aorxcw Res. w
corrrawcr n Fabre Construction Corp. _ .un. su��c�Ho
�o nsw 4501 Birch St. n'c �moh Lot 27 Tract No. 2789
��T. Newport Beach �. P. No. 117-311-12
NOT6: NOHAVQOV[RHAN6SHALLB8LH88TMAN
uci%. 146423 Nt�. 540 8833 80'TO81CteRBARP.L
ewvea
OFLOT H3� X GO� hoW �H��' ALLOW[D <U.6_C.RFQUIR6MENTI
YARGlMPROVHO YARDSAPPHOVfiD
USEOF MAINBUILDINO ACCEiHORYBUILDINO
DESCRIPTION OR WORK . ai � rr. r'r.
NEW X TQ1tATl N ADDITI N R[AR Z I �'i �TT. �.
DIRANC�![T. BR. MAIN Q
MAIN BLD ACCEBi. BLD08.
REPAIR M IN M LlB
BIIILDINO NO.OP V�•� V-40-68 DATH
HIZE 1928 ROOMH 7 RI 1-l�Z' C. U. P. APPROVQD
CeOVERINOWALLSYllCCO COVEqINO shake erpROV�D w� DATE ii-��-��
UDt OF �UILDINY AND WORK TO �6 P[RrORM[D a
O7
Famil dwellin w/attached garage �
Plan 2B �l' d'• � / �. �. � �1 � � �
1 HEPHBY ACKNOWl.IDO[ TXAT 1 HAV[ RBAD TNI! AjPLICATIO TXL AYOUNi BX UNOBR VALUATON �o FOP TfIR i
AND 8TAT6 TXAT TXB ApOV CORR6CT�AND AOR[[ TO COM• �YRPOeB O� ABLI9MINO • PlRNIT F6B ONLY. S
PLY WITX ALL CITY OIS NCU NO OTAT WY R[OOLIITIMO y,LLUATION O�
BUILOINO CONBiRUC}fON.
/ PERMIT FEE O��
SIGNATURBIOF /d G �
AUTMOI! ZHO AG[NT s����� ��✓ w '
TOTALFEE /�D/�
. �. 43530
.:
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CAIIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING /I i 9 !S i/ Y�I Di _..�
OWNER
MAIL
ADDRE'.
CITV
Tl�
TEL.
NO.
���ii i�3-97�e�,.-r�`,��36RQ�: �x��'= ;:5�
P CA 'ION FOR STRUCCURAL PERMIT
RE E D DATE RECEIVED DATE ISSUED
PER IT NO.
A.P. NO. �
BVILDING � '
ADORESS �
TRACT.✓ /X 7 LOT�/ BIOCK
BRANC1i LO `� ' �
OWNER ^"
ADDRE55 ^e ALUE �
ARCHITELT TEL. 5 V�� . S
Ofl ENGINEER ' l/�L�C.
FIRE
ADDRESS ZONE VPE GROUP
/ APPROVED ��
CONTRACTOR ` p S �/�(_ BY DATE �
ADDRESS
TEL. ZON NO.OF USE OF NE
CITV NO.
PLA BUILDING
F STATE CITV VARDSAPPROVED VARDSAPPROVED
LIC. NO. IIC. NO. MAIN BUILDING ACCESSOPV BUILDING
{,y SIZE � (/ � NO.OF BLDGS. (FROM C/ STR�ET) ��
0. OF LOT � V' a 3 NOW ON LOT RONT FT. �• FT.
a USE OF ,/
.N., EXISTNG 84�. �'('D
FT
y
FSeparate permits are required for � si
p electric, plumbing and heating work. REAR �
� USE OF BUILDING AND WOFK TO BE PERFORMED '
F DI5TANCE BEf. BEf. MAIN & �
QMAIN BLOCS. ACCFSS. BLDGS.
a-,0 (j Q C URP. qW APPROVED
� APPROV
�. v c:�c�G e — — 7 �J2oorn. �
a n /` /—
W
� I �eraby acknowlatlpa [hat I �ave reatl thia applleetion and stota �
N
� Mat the abova Informatlon is correct antl aprae io comply with
all laws rapM�atinp bulldinp conrtrucNon, end I shell not amploy m
�any penon �� ��oletion of the workman'e compenaetion laws at �
� Ma State of Callfornle. 0
3 I haraby celtify that I am p�operly Iican,atl ea e contractor untlar SQ. FT. a
t�e Stnte ot Callfornie Businesa antl Profawlons Cotla, Diviclon 3, TH AMOUNT SNOWN UNDER VALUATION IS FOR m
Cheptar 9, e�tl thet auch Ilcentea ara In full force antl eftxt, or I THE PUFPpSE OF FSTABL6HING A PERMIT FEE ONLV:
am oxampt from th r vlalons of the State of C Ifornia Businev i°
VALUATION PERMIT FEE y Q
end Profasslonf C a Ivlsion 3, Cheptar 9. m
PLAN CHECK S ^
Slpnafure of � �
Parmlttee L O S �n � TAX S � f
U
Authorized AOent TOTAL PAID E,�