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Home My WebLink About436 16TH PL - Building Permits--t Job Address: 436 16TH PL Suite: Vicinity: Parcel Number: 42514208 App�icant: CLAYTON ROOFING Address: 976 N LEMON ST ORANGE,CA Owner: RUIZ, DONNIENE L TR Addrass 436 E 16TH PL COSTA MESA, CA Contractor. CLAYTON ROOFING Address: 976 N IEMON ST ORANGE,CA 2ip: 92867 Arch : Address: Zoning: Phane: 714-639-7'I90 Zip: 92867 Phone: Zip: 92627 Phone: 714-639-7190 License: 601226 Eng: Address: Phone: ISSUED BY: Slatus: ISSUED Applied: 10/02I2003 Issued: 10/02/2003 Phone: Zip: . License: � License: SCOPE OF PERMIT 7EAR OFF �XISTING SHAKE ROOF, WSTALL UNDEftLAYMEN7, APPLY CLASS C WOOD SHAKE. REMOVE AND REPLACE BUft ROOF. INCLUDES ATTACHED GARAGE. Plan Check: $0.00 Permit: $15325 SMIP Res: $0.75 SMIP Com: $0.00 Other: $0.00 inspection: 50.00 Total: $154.00 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING Existinq: o 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 $7,500.00 s7,soo.00 NOTICE: Tha work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 1 BO 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 requlred Inspeetione and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2448d8(N00) WORKERS' COMPENSATION DECLAHATION: I hereby atlirm untler penelty of perjury one ot the tollowing declaretions: ❑ I have and will maintain a certificata ol consent to self-Insure for workers' compensetion, as provitlad for by section 3700 ot tha Labor Codo, for ihe perfortnence of Ihe �ork for which ihis permit is issuetl. have end vrill melntain workurs' compensation insurence, es required by section 3700 0l ihe Labor Code, for lhe peAortnanca of �he work tor which Ihis pertnit Is issuetl. /\ My workers' compensatlon Insurance carner and policy number are: Carner. Policy Numbec (ihis secfion need nof be cample(ed il (he pertnit is valued at one hunCred dollars ($100) or lew.) ❑ I certiry t�at in t�e pertormence of ihe work for which this pertnit is issueQ I shall not employ eny�erson in eny manner so as to become su "ect to t�e workers' compensation laws ol Calif rti , ntl egre � t if I 10-0ecome subject m the workers' compe�sation pmvlsions ot Section 3]0 oi the abor Cotle, I shall torthwllh comply with these a i' s. O �/ Applicant Signeture: Date: L WMNING FAILURE TO SECURE WORKEPS'9JI EI ATIqJ COVEMGE IS UNLAWFUL AND SHALL SUBJEGT rW EMPLOVER TO CRIMINAL PENAL ES AND VI� FINE UP TO IXJE HUNDRED T/KK15ANDOOLURE�5100,000),INADDITIONTOTH TOFCOMPENSATION,DAMAGESASPROVIDEDFORINSECTION3]OBOFTMEIABORCODE,IMEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hareby aMirm that I em licensed und�e��/�gy�isic torce antl eHecL Lic. p� A A/ / I n CamractoYsSignature: I�I�II � �� with Section 7000) of Divislon 3 0l Ihe Business antl Profeuions Code, antl my license Is in lull CI0S9 M Da�e: _ Il 11 f� f2 CONSTRUCTION LENDING AGENCV: ❑ I hereby aRirm Ihet there is a consimction tending egency for ihe peAormance of the work for which ihis permit is issuetl. (Sec. 3097, Civil Code). Lentlefs Name: Signeture: _ LentleYs Atltlress: Date: OWNER•BUILDER DECLAHATONS: I herehy eMirm that untler penelty of perjury ihet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires e permit to consimct, alter, improve, tlemolish, or repeir any structure, prior lo its Issuance, also requires ihe epplicant tor such permit to file e signetl stetement thet he or she Is Iicensetl pursuant to the pmvisions ai the Contractors License Lew (Chepter B(commencing with Section 7000) of Dlvision 3 of the Busineu and Professions Code) or thet he or she is exempt therefrom end the basis lor the ellegatl ezemption. Any violation ot Saction 7031.5 by any epplicant lor a pertnit subjects the applicant ta e civil penalry of not more than five hundred tlollars ($500).): ❑ I, as owner of the property, or my employees with wages as Iheir sole compensalion, WILL DO THE WORK, end the strucWre Is not intentled or oflered for sale (Sec. 7044, Business end Prolessions Cotle: Tha Contractors License Lew tloes not apply �o an owner ol property who builds or improves ihereon, and who does such work himsell or hersell or through his or her own employees, provitlea that such improvements are not Intended ar ottered lar sale. It, however, the building or imprwement is sold within one year of completiwr, Ihe owner-builder will have the burden ot proving Ihat ha or she tlitl not build or improve for purpose oi sale.). � ❑ I, es owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to wnstruct tha Oroject (Sec. 7044, Business end Protessions CoOe: The contrectors License Law tloes not epply to en owner ol pmperty who bullds or Improves Ihereon, antl w�o contracts tor such pmject with e rnniractar(s) license pursuanl Io the Coniractors License Lews.). ❑ I am eaempt under sec. Business antl Professions Cotle lor this reason: Signatura: Date: Owner ID verltied by drivefs license. ❑ Yes � No Drivefs License No. Expires: Venfication of Ownership by (typa of Oocument, i.e. - properry tax bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATON: ❑ I hereby certify �het no excavation tive (5) or more feet in depth in�o which e person Is required to descentl, will be matle in connection wi�h work authorized by ihis pertniL antl that no builtling strucWre, scalloltling, falsework, or demolition or dismantling ihereof, will be more ihan thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, 71tle B, Califomia Administrative Code). ❑ As awner-builder, I will not employ anyone to tlo work which would require e permit Irom the Division ol Industriel Safety, as noted ebove, unless such person hes a permit to do such work irom the division. Signature: Oate: Division ot Industnal Sefaty Permit Number: CERTIFlCATE OF COMPLIANCE AND AU7HORIZA710N OF ENTAY: I certity untler penalty of perjury that I have read this epplication and state that the intormation given is corred. I egree to comply with all state laws end ciry ortlinances relating to buiiding cons�ruction, antl euthonze representetives of the Ciry of Coste Mesa to enter upon the ebove-described properry for inspaction purposes. I egree not to occupy or allow occupancy of eny building au�horized by this pertnit until final inspection. CODE �. INSVECTIONTYPE 1616 Fixed Syslem Final Fire Prevention 1266 Pool Spa Finel 200 Finel Ra-Raol 201 Finel BIaWReteining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition P�iE IMRIALS tooe� ixsaernoxTrve 206 Final Me[hanical 200 210 212 220 222 250 Flnel Plumbing Finel Elecincal Finel Fire Preveniion Final Planning Approval Final Site Final Building/Occupency Q!g L�LS 29249 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 � COSTA MESA, CALIFORNIA YT628 For App(icanf to FiA In Compleroly TYPE OR PRINT ADDRE1Si J� I� T u - COSTA MESA, CALIFORNIA owNen New ort Balboa Savin s& Loan ADDRBSf 3366 Via Lido ��T. Newport Beach No 6733130 wRCH�recr urton o erger TEL ORENGINE6R F�� No.5408833 _.00REss 4501 Birch St. , Newport Beach ADDRH87 4501 Birch Street ��T. Newport Beach ucTNo. 146423 Nfi�' 5408833 size g3' x 60' xo.o�.0 OF LOT XOW N USE OP E%ISfIN6 BL00. one�crc �m[ rRor DESCRIPTION OF WORK x I .� �.�� SIZE ��V 1984 ROOMB 7 fT RI 1-1 ' EXTHRIORWALLStllCCO R�r shake COVERIN6 COVHRINO U98 OF GU ILDII'IY AfiD WORK TO OC P[RPORM[D Family dwelling w/attached garage. Plan 3C j d°� ,- �e- �� 1 NCPESY ACRMOWL[00[ THAT 1 HA1R RGD TXit M�LIG N AND BTATB TXAT TNC ApOV6 I� CORP[CT ANO AORe[ TO COM• PLY WITX ALL CITY ORDI�YIMCQ'�!D �TATt f.AiVl �[OULATiXY � wuTNortizeowo�rcr OCT 16-68PA7D00 918� ***124.5L CqSA APPLICATION FOR PERMR BUILDIN(i For Offlce Uae Only /G ZONING xo. o� uca ruxs eun YARDD APPROV HD MAIN BUILDIN6 ��•� V-40-68 C. U. P. St �L , Tract 2789 -IZ iBHALLBEt888THAN YARDS MPROVHD ACGEDSORYBUILDIN6 L T� l i cr_ cwre MPROV[D n�rw ��% � ,� a W � F3 4 � �� Dea. Rr. - •xz �rouar exo unu¢n vwtu�nox ie Foq n�e � •YHPOO6 O� [HTGGLIOXINO A PEHMIT PEH ONLY. VALUATION �� a� � PERMIT FE8 q aG 69� �' ` � � SD TOTALFEE