The URL can be used to link to this page

Home My WebLink About414 16TH ST - Building Permits(7�4) 754-5273 • Fa�c (774) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT �� FAIR DFIVE, COSTA MESA, CA 92626 Job nddress: 414 E 16TH ST Suite: Vicinity: Parcel Number: 42514103 npp�icant: WITHAM, ANDY Address: Owner: MARTIN, JON F Address 414 E 16TH ST Zoning: Phone: 714-969-6053 Zip: Phone: 949-645-8615 COSTA MESA, CA Zip: 92627 Contractor. COASTAL ROOFING CO SOUTH Address: 2502 HUNTINGTON STREET SUITE 2 Phone: 714-969-6053 HUNTINGTON BEACH, CA Zip: 92648 License: 767366 Arch : Address: Eng: Address: ISSUED BV: Status: ISSUED Applied: O6/18/2001 Issued: 06/18/2001 Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF WOOD SHAKE, APPLY SHEATHING AND RE-ROOF WITH 40 YEAR COMP. INCLUDES ATTACHED GARAGE. Plan Check: $0.00 Permit: $15325 SMIP Res: $0.71 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $153.96 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Ezistino: o NOTES: Rear 0-0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0-0 s�,too.00 sztoo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-27-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspectione and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. �, FOR INSPECTIONS CALL: (714) 7545626 �aas-as (s�oo� WORKERS' COMPENSATION DECLARATION: I hereDy aflirm under penalry oi perjury one of the toilowing tleclarations: � ❑ I have entl will meinteln e certilicete of wnseni to self-Insure for workers' compensation, as pmvided tor 6y section 3700 0l the Labor Code, tor the peAormance ot the work for which ihis permit is issued. ❑ I �ave and will maintain workers' compensation insurance, as requiretl by section 3700 of Ihe Labor Cotle, for the peAortnanca of the work for w�ich Nis pertnit I5 iwuetl. My workers' compe�sa�iop I urance rner nd policy num6er are: � /� Carriec _� u � 3 Policy i�umber: � (This sectlon need nof be co p/eted i/ the O it is elued at one hundred dollars ($f 00) or /ess.) � certiTy that in tha F compensalion laws comply with these F Applicent Signature: WARNINp: FAILURE TO S THOUSAND DOILARE ($1 . yorlCfor w�ich this permit is issued, I shall not employ eny person in any menner so as to become subject to iha workers' gree that Ii I should become subject to the workers' compensation provisions oi Sectlon 3700 oi iha La r Code, I shall forthwith > Dete: c� I rK%� i APENSATIIXJ COVEPAGE IS IINLAWFUL AND SHALL SUBJECT AN EMPIOYER TO CRIMINAL PENALTIE$ A D OIVIL FWES UP TOONE HUNDiiED iHE COST OF COMPENSATION, DAMAGES FS PqOVIDED WR IN SECTION 3)O6 OF THE L48pq CODE, IMEREST, AND ATiORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I here6y eNirm that I am force end eftect. Lic. a_ Contractofs Signature: 9(commencing with Section 7000) of Division 3 ot the Business and � Class x Date: CONSTRUCTION LENDING AGENCY: V ❑ I hereby aHirtn ihat there is a constmction lending agency for tha pertormance of Ne work tor which Ihis permi� is issued. (Sec. 3097, Civil Code). Lendefs Neme: Lentler's Atldress: SignaWre: OWNER-BUILDER DECLARATIONS: Date: my license is in full I hereby eNirtn that under penalry of parjury ihat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business antl Profassions Code: Any ciry or counry which requires a pertnit to construct, alter, improve, demolish, or repair any sWcture, prior to its issuance, elso requires the applicant for such permit to file a signed statement �hat he or she I5 Ilcensetl pursuant to the provisions of the Coniracrors License Law (Chaptar 9(commencing wiih Sectlon 7000) of Dlvision 3 of ihe Business end Professions Cotle) or that he or she Is e:empt thereirom end the basis tor the alleged exemption. Any violetion ot Section 7031.5 by eny applicant for e pertnit subjacis ihe aOG�icant to e civil penalty of not more ihan five hundred dollars ($500).): ❑ I, as owner ot the property, or my employees with wages as their sole compensetion, WILL DO THE WORK, antl ihe siructure is not intentled or oHe�ed for sale (Sec. 7044, Business and Professions Cotle: The Contrac�ors License Law dces no� apply to an owner of properry who builds or improves Ihereon, and who does such work himsetl or herealf or through his or �er own employees, provitlad that such improvements are not intentletl or offered tor sale. tl, however, the builtling or improvement is sold within one yeer of completion, the owner-builder will have ihe burden of proving that he or she did not build or improve for Ouryose of sale.). ❑ I, es ownar of the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Prolessions Cotle: The contrectors License Law tloes not apply to an owner of propeny w�o builtls or improves thereon, entl who contracis for such project with a comractor(s) license pursuan� to �he ContraC�OrS License Laws.). ❑ I am eaempt under sea Business end Pmfessions Cade tor lhis reason: Signature: Date: Owner ID venfied by driver's license. ❑ Ves ❑ No Drivels License No. Ezpires: Venfication ot Ownership by (rype of documem, i.e. - property tau 6ill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hareby certiy that no excavation five (5) or more feet in depih into which a person is required to descend, wlll be made in connection with work authonzed by this permit, and that no building sWdure, scaffolding, talsework, or demolition or dismantling thereot will be more than ihirty�six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Califomla Atlminisiretive Cotle). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from ihe Division of Intlustrial Safety, as notetl aDove, unless such person has a permit to do such work From ihe tlivision. Signature: Date: Division of Industnal Safery Pertnit Number: CERTIFlCA7E OF COMPLIANCE AND AU7HORIZA710N OF EN7RY: I certify under penalry of perjury that I have read this epplication and state ihat ihe inbrmation given is correct I agree to comply wi�h ell state laws and ciry ortlinances relating to building consiruction, antl authonze representatives of the Ciry of Costa Mesa to enter upon ihe ebove-descnbed propeM for inspection purposes. I agree not to occupy or allow occupency of any building authorized by ihis permit until final inspection. COpE t. INSpEGT10NTYPE 1616 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final Block/Retaining W all 202 Final Factory Fire Place O�TE IpL � �0� � COpE� INSVECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elec�rical 212 220 Final Fire Pravention Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy DATE LNIm9Lfl 29229 -- COSTA MESA BURDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFOflNIA Y26T4 �� For Applfcan/ fo Ffll In Complet�fy TYPE OR PRINT BUILDINO �^' Ti� ADDRHSD I L I � COSTA MESA. CALIFORNIA OWNER Newport Balboa Sav'gs & Loan woDR8S03366 Via Lido ��.�. Newport Beach No 6733130 ARCHITECT UT 071 T6L o� �a�NeeaRomberger FAIA Ho. 5405833 ADURE88 4SO1 B17C}3 St, , Newport Beact ,.,,,,,�,,,.,,,. Fabre Construction Corp, ��T. New ort Beach ucTNo. 146423 H°� 540 8833 V�1OS!V� —4`--•— OFLOT +'��stb H3�X6O� XOW INLD< USE OF _ _ N Y6TGACK LINt 1110Y DESCRIPTION Of WORK X I�� Tf��T�/�M I I�I�l� OCT 16-68P'-1°00 $69� **T� 124.5f CNSh APPLICATION FOR PERMR BUILDING ior Offlca Use Only IONING MO. O� _ YY[ 01 N� �L/�Nl lYILDIHO YARDDAPPROVHD MAIN BUILDINO 1984 s ft.No.o� 7 1-1/2� v�.# Q• ROOMB QTORIRY G. U. P. WALL ROO► APPROI i stucc covaw�wa shakes er !' "e -t.� SHALL B6 L[88 THAN YARD9APPROVfiD ACCEDLORVBUILDINO owre Family dwelling with attached garage. I Plan 3C � b� bi �j�.�. ,jQ� /� i XlACBY ACRNOWL6pOt THAT 1 NAV[ qG0 TXIO APPLICA OH lN6 AMOUHf OX UNDBR VALUATION IB �OR TN6 AND BiATB THAT TX6� Ap�{�,pRR�ND I10RBI T CON• �UHPo88 OP ABLIBXIHa A P6PMIT P88 CNLY. PLY WITH ALL CI ANO 6 I.Sp�Y p[oU �ho yALUATION BUILO�NOCON GTION, /!) I i'iJ � �� r - � o �. -s � . 5 _ ��s ::.- / a m � � � � 0p7 G W