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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 ,� COSTAMESA,CA `., / ��-"� � i. '. owner. LOWE;�RONALD.A " � Address 432 E 16TH PL � �' � , ;:%� ,\ ��A, � ,� �� %"COSTA MESA, CA '� ' � ��.�-- � .�.. - � „ /:, , /� � ��/,�.'-_= ' Contractor/ � � ��� ' , e�ncn�i,�' Address: � � ����j� ,,.� �, ./i/, �/ i ,, n , , % ; ,. ,, ,�; . ZiP : / /i ^'Arch : Address: i +', Zip: 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: � '. i � ' ' Bhone:,... � _.7, . • . �'-/,. ,-. ,- . � . _ , �, =,�:' = License: ISSUED BY: 92627' _.- .., - � „ , . �, \ � - �t'��:� / j ��`,-��\ � ,, ` .: , , � ` �\✓ i / '-`, ��� � � � �` . . �:A.'\ • Eng: � - - � . � Address: � - . ' , �,Phone: . , . ',� - . / . � . • , '� � � - - ,?� 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 _. — � � �, � � � � ��� � �� �, 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: , �'% ' 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,�