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Home My WebLink About490 16TH ST - Building Permits(714) 754-5273 • F� (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT .lob Address: 490 E 16TH ST Suite: Vicinity: Parcel Number: 42515107 Zoning: npp�icant: EDUARDO FONSECA Address: � ��i' � ' - � '- � . Status: ISSUED Applied: 09/19/2007 Issued: 09/79/2001 ISSUED BY: � i' ��, � � _ � --Phone: 949-548-5569 ,9�%��' � ' Zip: ', i . � �\ . / :�. � � � i". " ' , , ' , i : � l' .� ��\ Owner' RIEHL,-RODNEY O� � � � � �� Address 490 E 16TH�SL � . ' i . - -� - , - � �� ' � ' ,� -� �,� i/ %; j, � � '� `, . - - Phone: -949-548 5857 �_ �-% ; �. A i ��"�COSTA MESA; CA " Zip: 92627 � ' � � � �� : " - V-� / , -�, _ �'�� '/;- �-'� I Contractor: 'CRANK-BROS,ROOFING CO INC �`. � � . Address: 126 COMMERCIAL WAY . � - - � Phonei"(949) 548-5569 � . � ' � � . � - COSTA�MESA, CA � �- � � � � Zip:_ ; 92827 % ' License: -. 794724 . � � -� . Arch : � " . � r,,..-�" . � Eng: Address: - � � - ' � ' ��-= � , � - � Address:' � : . , . ' ��- � Phone: - . � . li ��Zip: � ' " . -License: _ SCOPE OF PERMIT _ . � �r -•. . � � ; � -. „ T/OFF AND REROOF 2700SF RESIDENCEWNJOOD SHAKES. ", / y , � Phone: _ � � � � License: � a FEE SUMMARY � Plan Check: ' $0.00 . - `�� , `� �� Calc Valuation: � S�i,sstoo • Permit: $209.25 � - �- � � � �-,: ' _ � /�-:�� aClaimValuation: �� - $i�,ssi.00� � SMIP Res: $1.20 �.. _ - � ' `� � _ � �SMIP Com: $0.00 , � Other. $O.DO Inspection: $0.00 � � - .. . � / Total: $210.45 � \` } \`\:_ i� .,.� ?:��_._. w. .. ' � " r.�. � �� .. ..�, ii�'� ��_� SETBACKS�� ! ��_ _ MAIN STRUCTURE Front 0-"0 �„ ��Reac� �-0-0 _ .\ , � , ACCESSORY Front�� 0- 0-' � �'- Rear. 0- 0 � . _ � � � . . , ' � , _ PARKING Existind: , 0. Reauired: 0 Left 0- 0 Left 0- 0 Proposed: 0 � � , '" !//. � .�.Right � �0-0�. . �� Right . -.0- 0 � � . NOTES: � - -- ' . ` 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, 1241-92) 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 ihis permit to be considered legal, such work must comply vrith all applicable codes, and all requlred Inapections and finel approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of Ihis permit. FOR INSPECTIONS CALL: (774) 7545626 ��o �aw� WORKERS' COMPENSATION DECLARA710N: � I hereby aftirtn untler penalry ot perjury one ot ihe following declarations: ❑ I have end will melntain e certificate of consent lo self-Insure for workers' compensation, es provitled for by sectlon 3700 of ihe Labor Cotle, for ihe pertortnance ot ihe work for which this Dermit is Issued. ❑ I have and will mainlain workers' compensaUon insurence, es requiretl by secGon 3700 of Ne Labor Code, tor the perfortnance of Ihe work fw which this pertnit is Issued. My workers' comper��`sation Insurance cerner and policy�number are: � � � �� , n N� Carner. one or less.) Policy Number: ❑ I Certi that in the BAormenCe ot the work for whiCh Ihis � fy p pertnit is Issued, I shell not employ an pereon in eny manner so as ro become subject to Ihe workars' campensetion laws of California, end egree ihet N I should become su6Ject to Ihe workers' pensetion provisions af Sectlon 3700 of ihe Lebor Caae, 1 shell forlhwith compty with these proysi �I / � f� �/��/�ZJll4— Data: � � Applicant Signature: E � 9- i v- o/ WARNING: FAILUflE TO SECURE WORKERS' COMPENSATIqJ CpVERAGE IS IINLAWFUL AND SHALL SUBJEGT AN EMPLOVER TO CRIMINAL PEN4LTIE5 ANO CIVIL FINES UP TOONE HUNDRED TiIOUSAND DOLURE ($100.000), IN ADDITION TO THE CQST OF COMPENSATION, DAMAOES AS PROVIDED FOR IN SECTION 3]W OF THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aXirtn ihat I am Ilcensetl� u��der� torce antl ettect Lic. k � Contrectar's SlgnaNra: � of Chapter 9(commancing with Section 7 ) ot Divlslan 3 af tha Business d Profassions Cotle, and my license is in full ci05: « �- 3 y !�m„n�ii / Dete: 9—_L9— U� CONSTHUC710N LENDING AGENCY: ❑ I hereby aRirm Ihat t�ere is a construction lending egency for ihe pedormance of ihe work tor which this permit is issued. (Sec. 3097, Civil Code). Lendefs Nflme: Lentlers Atltlress: Signature: Date: OWNER-BUILOER DECLARATONS: I hereby affirtn thet untler penalry ot perjury thet I am EXEMPT FROM THE CONTRAC70R5 LICENSE LAW for Ihe following reason (Sec. 7031.5, Business antl Professlons Code: Any city or counry which requires a permit to consiruct, elter, improve, tlemolish, or repeir any structure, prior to its issuance, also requires ihe epplicant for such pertnit b tile e signetl statemem that he ar she is Iicensed pureuam to ihe provislons of the Contrectors License Law (Chepter 9(commancing with Sedion 7000) of Division 3 of ihe Busineu and Pmfesslons Code) or thet he or she is exempt therefrom end the basls for the allegetl eaemption. Any vlolatlon ot Section 7031.5 by any appllcant for e perm�t sublects iha applicant to e civil penely of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure Is not intenGed or offered for sale (Sec. 7044, Business and Protessions Cotle: The Coniractors License Law dces not apply to en owner of properry who builtls or improves thereon, and who does such work himself or hersalf or Ihrough �is or her own employees, provlded ihe� such improvemenis are not Intended o� oflerad for sale. N, however, �he building or improvement Is sald within one year of completioq the awnar-builder will hava Ihe burtlen of proving Ihat he or she did not build or improve tor purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WI7H LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business and Professions Cotla: The contrectors License Lew does not apply to an owner oi property who builtls or Improves thereon, entl who contracts for such project wit� a coniracmqs) license pursuant to the Conirectors License Laws.). ❑ 1 am exemp� untler sec. Business end Prote551on5 Code for this reason: Signelure: Date: Owner ID verified by dnver's license. ❑ Ves ❑ No Driver's License No. Verification of Ownership by (type of tlocument, i.e. - property tex bill or tleetl): Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby certify thet no excavetion five (5) or more feet in depih into which e person is requiretl to tlescentl, will De matle In connection with work euthonzetl by ihis pertnit, end Ihat no Duilding structure, scaHolding, falsework, or demolition or dismantling thereoi, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, Atl 2, Sec. 341, Tltle B, California Adminlstretive Cotle). ❑ As owner-builder, I will not employ anyone to do work which would require a permit irom the Division of Intlustrial Safery, es notetl above, unless such pereon hes a pertnit to do such work irom the division. Signature: Date: Division of Indusinal Sefery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF EMAV: I certity under penalty ot perjury that I heve reatl this epplication and state Ihat the Iniormation given Is correct. I agree to comply with all state laws end ciry ortlinances relating to builtling construction, and au�horize representatives of Ihe Ciry of Costa Mesa to enter upon the ebove-descnbed property tor insDection purposes. I agree not to occupY or allow occupency ol eny building authonzed by Ihis permit until final inspection. � I -� c�c.ci i .�.�.� , And/OrAuthori COOE t. �Nsveenor+Trve 1616 Finetl Sysiem Final Fire Preventlon 1266 Pool Spa Final 200 Finel Re-Roo1 � 201 Flnel BIocWRetaining Wall 202 Finel Factory Fire Place 203 Final Sign 204 Pinal Demolition Q�*& ItIIIDdL@ COOE• INSPECTONTYPE 206 Finel Mechanical 208 Final Plum6ing 210 Finel Electrical 272 Flnal Fire Prevention 220 Finel Planning Approval 222 Final Site 250 Finel BuildinyOccupancy o"re � �� 1�� .- Costa Mesa Building Department �. 111 EAST 20tb STRE6T `�,. �, COSTA MESA� CALIFORNIA FOIt APPLICANT TO FIL.I. IN cui lding c�..� � �ddress 490 E. 16th J�/ Costa Mesa, California M tracYor 6�18X VY. YOPB resn 4�% �O�.SB A'V@. � fromdKr_43n ,e. X t Bch 1490 Sq' Rooms 6 St WaI�SLUCCO I Co�rin9 Sh `W Res � Attached Gar I hereby acM and state th with all Cit building con Signature of Permittee Valuation tJ 7` s f� � 'iORM 2U6 G-H 2M 5-64 �APPLICATION FOR PERMIT 6 BUILD,tNG '� FOR OFFICE USE ONLY /-n2 I _ ReeeiptNo. _ _I PermitN L�Y /J � i eceWetl 6y Date Rec'd. ' nata � 9 e�455 ��1_� AUG1 y ding ress Costa Mesa, California � Forms, M, Under-Pii Freme: Fin Bracing,E ffiat I have read this Application �ath. int. ve is rnrrect and agree to comply Lath. Ext. ��ice and State I/,gwJ� rngulating l,Y/J ` Plaster,lnt. 7! ,R /ii ] � ! YIfPF :10 -� ,j�_ � 8ona 3s; — FIN� � � APPROVAIa,S 0 � 0 9 L7 2 D r . . � . . . � . � l'4::� S . . � n ` . i . �♦ . • . �f . . . .. 1 .. . ' ' ` . .. . . .— �1�1 . Y � C m - J . . � . . . _ _ . . . . � + � ., . . . . . . 1�� n , .. J . . . . O : �It� 'o . ' _ .a` . . _ a ' - .' :1��. � �'rJJ CDSTA' a� 35.OQ PO„ESa SZ7a ir;4fri: , r, � _ � �� .a. ' .' ' - _ . . . ...1 � , � _ � . . _ . . 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