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Home My WebLink About114 CABRILLO ST - Building PermitsPROJECT ADDRESS: 1 1 4 CAB R I LLO ST UNIT' DWNEn•s NAME: HIRATA, YURI ADDRESS: 635 IRVINE AVE NEWPORT BEACH,CA 92660 ARCHIENGINEER: BEG.NO.: ADDRESS: UNIT: PERMITTEE: BURR ROOFING (714)548-2965 ADDRESS: 711 WEELO DR CM, 92627 CA 92627 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cade, and my license is in full force and effect. LI :011691 STATE1302157 DLA ^-39 Date: 3 — T Signature'. _ _1..tr� W ERS* COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' mpen5ation Insuranc r a certified copy thereof (Section 3000. Lab. Q. POLICYNO.:lO1 �30-93 EXP. DATE: 07/01/94 COMPANY: STATE FUND ❑ painful copy is hereby furnished. m Certified copy is file with Building Division. Date: — / Applicant: —EXEIMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100) or less). I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date: Signature: NOTICE: If, after making this declaration. you should become subject to the Workers' Compensation provisions of the Labor Codeyou must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency lot the performance of the work for which this permit is issued (Section 3097. Civ. Q. LENDER: ADDRESS: OWNER BUILDER DECUBATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct. alter, improve, demolish, or repair any structure, prior to its issuance. also requires the applicant for such permit to file a signed statement that helshe is licensed pursuant to the provisions of the ContractorsState License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that helshe is exempt therefrom and the basis tar the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of trot more than five hundred dollars (5500). I. as owner of the property or my employees with wages as their sale compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044. Business and Professional Code: The Contractors State License Law does not apply to an owner of a property who builds or improves thereon, and who does Such work himself/herself or through his at her own employees. provided that such improvements are not intended at offered for sale. It, however the building or improvement is Sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). 1. as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' State License Law does not apply to an owner of property no builds or improves thereon and who contracts for such projects with a conlractor(sl license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason: Date: Owner: I do hereby certify that I am aware of and understand the requirements of Calilorma Health and Safety Code Sections 25505, 25533, and 25534 and that I or any tutors building occupant will/will not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all city and county or " ces and state laws relating to building construction and hereby a thadze representatives of this city to enter upon the above-mentioned Thop3ily for inspectiongproposes. z Date: �—� _ 1 Signature: Driver's License or Social Security Y: 161 White—Building: Green—Cotle Enforcement: Canary—Applicant: Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06632 PERMIT NO: B 066323 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION ; T/OFF, REROOF W/B.U.R. SQ FT: 4,000 CLAIM VALUE: 4,000.00 CALC—VALUE: 4,000.00 GROUP OCC: R-3 /M-1 COMMENTS: SMOKE DETECTORS ARE REQUIRED AS OER 1991 U.B.C. Z 0 N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RIGHT: FT IN PARKING REQ: PROV: PARCEL: 42544202 ZNE: REF NO: PLANNING NOTES> ##############E#DDDP#CPPPPCPPIPLDLL##P#P#PPPUCPDL############################IP D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: ##Y-###. ## PPLPPPPPIPPPPIDDDDDD#DPT#PPPPPPPIPPPP#E###PPPPPLP###PPPPIDDPIPIPED#DPPPPPPPD#P# LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 63.00 .50 PLAN SMIP/NON—RES ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 63.50 0.00 0.00 63.50 63.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 63.50 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 63,00 .50 ILLS#PP#PPPPPPPPIPPPPPL#DPPEPPPPPLI##DEE#PPLPLPLP#PPPPPPP#PPPPPPPEPDEPPPPPPEPEP I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 4000 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 4,000,00 END OF FEES. �_ iAL) UE t.Eti, ti L►r i RBONUIRED 01 00156739-00156740 TOT 63.50 DATER 03/07/94 TIME: 13:43 0 CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector PO & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location , 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms .� 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd., 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62- Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64, Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69, POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21- Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas 0 Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 0Oil 25. Roof Sheathing 3�0 r f7 �� 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace G 38. Final Plumbing == - 39. Water Service -Final 40. Gas Service -Final 41, Solar Domestic -Final 42. Backflow Preventer1 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison _ 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date