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Home My WebLink About313 CABRILLO ST - Building Permits(��a) �54-5z�3 • Fax (714) 754-4856 • www.ci.costa-mesa.cPaLUMBING PERMIT �� FAIR DRNE, WSTA MESA, GA 92626 Job Address: Suite No Vicini�y: Parcel Nunmber: Applicant: Address: 313 CABRILLO ST CS'bLSY{�X7 EDUARDFLORES 6558 WEST BOULEVARD LOS ANGELES, CA Phone: 213-753-2541 Zip: 90043 Owner: SHALLAHAMER, KENNETH K TR Address 2331 BASSWOOD CIR , Contraclor: Address: TUSTIN, CA GENERAL INSTALLATION CO 6558 WEST BOULEVARD LOS ANGELES, CA WATER HEATER CHANGE OUT ISSUE FEE BackOow irrigalion Backflow Preventer Bathtub Clarifier System Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Drein, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlels) Gas Repipe Gas Service Interceptors (Grease, Oiq Interceptors (Sand Auto ) AMT $23.50 $0.00 $0.00 50.00 $0.00 $0.00 30.00 $0.00 $0.00 50.00 $0.00 30.00 $0.00 30.00 $0.00 so.00 $0.00 50.00 50.00 50.00 arv 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Phone: Zip: 92780 Phone: 213-753-2541 Zip: 90043 License: 151839 SCOPE OF PERMIT FEE SUMMARY AMT Laundry Tub / Washer 50.00 Landscape I«igation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank $0.00 SewerCapforDemo $0.00 SewerConnect $0.00 Sewer Private Line $0.00 Shower _ $0.00 Sink, bar . $0.00 Sink, commercial �0.00 Sink,�Floor $0.00 Sink, kitchen 50.00 Sink, service/mop 50.00 Spa (private) , $0.00 Spa (putilic) 50.00 on 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS Status: ISSUED Applied: Ot/24/2006 Issued: Ot/24/2006 ISSUED BY: � SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(t-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Waler Heater / venl Waler Piping (Inst or Rep.) Water Re-pipe Waler Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT 50.00 50.00 $0.00 50.00 $0.00 $0.00 50.00 $0.00 $0.00 50.00 $12.30 $0.00 50.00 $0.00 50.00 50.00 50.00 50.00 50.00 TOTAL CALCULATED FEES: 535.80 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and relatad regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor ihe work authorized under this permit to be considered legal, such work must comply wNh all applicable codes, and all requlred Inapactlona end finel approval must 6e obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 iwwa �eruu� WORKERS' COMPENSATION DECLARATION: I hereDy eRirtn under penelry of perjury one ol the iallowing declaraUons�. � ❑ I have and will meintain a cenificete of consent to seli�lnsure tor worRers' compensatlon, as provltletl tor by section 3700 of the Labor Code, tor ihe pertormence of the work for which this permit is issue0. I have antl will maintain workers' crompensation insurance, es required by section 3700 of the Labor Code, tor the pedortnance of ihe work for which this pertnit is issuetl. rk�✓1 compensatiof Insurance carri�{ e�nrIl policy num/�b er ere: Q // [�,� Cat�e�: C,(�i!'P�niTl�khTllsvC`.-��1 PoUYNum �Jr�1L�Q�S�L} y .Q(y',�SecJ' n need nat be completed i! fhe permif is veluetl af one huntlretl dollers ($ I00) or less.) � I certity thet in the peAormance of the work lor which this pertnit is i55uetl, I shall not empb in en enner so es to become subject to the workers' c��ppe�a � aws of Califomia. antl egree that If I 5houlA become suh�ect to the workers' compensatio ' ions of Section 3700 of the LaOor Code� I shall forthwith �famplpwithlhe5 provision5. / /J Q ¢pllcent Signature: � pa�V_� � (r' � V11 ' TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL ANO SHALL SUBJECT PN EMPLOVER TO CRIMINAL PENALilES AND dVIL FINES UP TOONE HUNDRED THpUSAND DOLLARE (5100,Op0), IN ADDRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED WR IN SECTION 3)O60F THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I h9reby aNirm �hat I am licens er prodv'sions of Chapter 9(commencing with Section 7000) of Divisio BUsine � tl„Pr�fessions Cotle, and my license is in full forGe c�, c. N �.�'� / } trac ' neture: � , 9"� Datey,� / 2i' �OC�, CONSTRUG710N LENDING AGENCY: ❑ I hereby aHirm ihat ihere i5 e consWctio� lending agenty tor the peAormance ot t�e work tor w�ich Ihis pertnit is issued. (Sec. 3097, Ci•dl Code). Lendefs Name: Lender's Atltlress: Signature: �ata: OWNER-BUILDER DECLARATIONS: I he�eby aHirtn t�et under penalry of perjury ihat I am EXEMVT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires e permit to consirucl, alter, improve, tlemolish, or repair any sWcture, prior to its issuance, also requires the applicant (or such pertnit b file e signed stetement that he or she Is Ilcensetl pursuent to the provisions ot Ihe Contractors License Law (Chapter 9(commencing with Section 7000) ot Division 3 0l t�e Bus�ness and Pro�essions Code) or that �e or she is exempt Iherefrom and the basis lor the elleged ezemp�ion. Any violetion ol Section 7031.5 by any epplicant for a pertnit sublects Ihe applicent to e civil penelry of no� more then five hundretl tlollar5 (5500).): ❑ I, es owner of Ihe property, or my employees with weges as thelr sole compensation, WILL DO TME WORK, antl Ihe simcture is not intentled or ottered for sale (Sec. 7044, Business and Profe55ions Cotla: The Contrac�ors License Law does not apply to en owner ot pro0erry who builds or improves thereon, and who does such work himself or herselt or thraugh his or hec awn employees, pmvitlatl that such imp�ovements ara not Iatentletl w oflaretl tor sale. lf, howaver, Ne building ar impwvement is soltl wit�in one year ol completion, Ihe owner-builtler will have ihe bwden of proving thai he or she tlitl not build or improve for purpose of sale.). ' ❑ I, as owner of the property, am E%CWSIVELY CONTqACTING WITH LICENSED LONTRACTORS to consiruct lhe project (Sec. 704d, Business antl Pmfessions Cotle: The contractors License Law tloes not apply to en owner ot propeny who builds or Improves thereon, and who contrects for such projeci with a comrecror(s) license pursuant to the COMracrors License Lews.). ❑ I em e:empt untler sec. Business and Professions Cotle br �his reason: Signature: Date: Owner ID verified by tlnver's license. ❑ Ves ❑ No Driver's License No. Verification oF Ownership by (type of document, i.e. - propany tax bill or tleed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CER7IFICATION: Expires: ❑ I hereby certify ihat no excavetion five (5) or more feet in tlepth imo w�ich e person is required to descend, will be made in connection with woAc authonzed by Ihis permit, antl ihat no builtling siructure, scaHolding, talsework, or demolition or dismentling ihereot, will 6e more ihen thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomie Atlministra�ive Code). ❑ As owner-builtler, I will not employ anyone lo tlo work which would require e parmit imm ihe Division ol Intlusinel Safety, as noted above, unless such person hes e permit to tlo such work from the divislon. Signature: Oate: Division ot Intlustnal Sefaty Permi� Number: ICERTIFlCIUE OF COMPl1ANCE AHD AUTHORIZATON Of ENTRY: I certity untler penalry of penury that 1 have reatl this application anA stale that the intortnation given is corre��. I agree lo comply with all state laws and city ordinances relating to buil0ing construction, antl euthorize representatives ot tha Ciry ot Cos1a Mesa to enter upon the above-describetl property for inspactlon purposes. I agree not to occupy or allow occupancy of any building authorized by ihis permit until final inspection. �QQj�, INSVECTIONn'PE 1816 Fixetl System Final Fire Prevention 1266 200 201 202 203 204 Pool Spa Final Final Re-Rooi Final Block/Retaining Well Final Factory Fira Place Final Sign Final �emolition �� COpE 1 INSPECTION TYPE 206 Final Mechanical 20B Final Plumbing 210 Finel Electrical 212 Final Fire Prevention 220 Final Planning App�oval 222 Final Site 250 FinalBuilding/Occupancy V� 1[{�d15 �� . •w i .. � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.cBaUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Add�ess: 313 CABRILLO ST Suite: Vicinity: RES & ATTACHED GAR FOR 4-UNIT APT Parcel Number: 42501203 Zoning: Applicant: MARTIN, CID Address: 17931 BEACH BL STE 212 Phone: 714-841-2598 HUNTINGTON BEACH, CA Zip: 92647 Owner: SHALLAHAMER, KENNETH KTR Address 2331 BASSWOOD CIR Phone: TUSTIN, CA Zip: 92780 Contractor CERT-A-ROOF OF SOUTH ORANGE Address: 17931 BEACH BL STE 212 Phone: 714-841-2598 HUNTINGTON BEACH, CA Zip: 92647 License: 733482 Arch : Address: Phone: Eng: Address: ISSUED BY: Status: ISSUED Applied: 05/29/2001 Issued: 05/29/2001 Phone: Zip: License: License: ' SCOPE OF PERMIT REROOF: T/O COMP SHINGLES�& �ROCK ROOF, REPAIR SHTG AS NEEDED, FELT PER MFGR SPECS, APPLY 20-YEAR 3-TAB COMP SHINGLES (PITCH 3-0:12). 4400 SQ FT �= _ _ - __ _FEE SUMMARY _ - Plan Check: $0.00 - - - Calc Valuation: gs,soo.00 Permit: $139.25 Claim Valuation: � $s,soo.00 SMIP Res: $0.65 _ SMIP Com: $0.00 � Other: $0.00 , � Inspection.' $0.00 � ' Total: $1J9.90 � - � r; ' �; . SETBACKS � MAINSTRUCTURE Front Ob � �Rear 0-0 ACCESSORY Front � 0-0 `� � Rear 0-0 PARKING Existinq: 0�� Required: 0 NOTES: , ,, NG & ZONING. F' �.,! ' Left 0-0 . Right - "0-0 - "Left 0- 0 Right -" 0= 0 Proposed: 0 � 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, 12-21-92) EXPIRATION: This permit shall aufomatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period ot 180 days. INSPECTIONS: In order for Ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expira�ion of this permit. FOR INSPECTIONS CALL: (714) 754-5626 tms-as �sioo� WORKERS' COMPENSATION DEGLARATON: " � I hereby aRirm under penalty of perjUry one of the tollowing declarations: ❑� I heve entl will melntein e ceni�icate ol consent to self-Insure for workers' compense0on, as provitled for by section 3700 0l the Lebor Code, far the pedortnence at the work far whiC� ihis permit I5 is5uetl. �I have end will maintain workers' compensetion Insurance, as required by sectlon 3700 ot ihe Lebor Code, for ihe pedortnance of the work for which this pertnit is issued. My workers' wmpensatlon Insurence carnar end policy numDer are: Carner: Policy iJumber: (This section need nof be completed �� Ne permit is veluetl et one hundred ddlers ($100J oi less.) ❑ I certiy thet in t�e pedormanco of the work for which Ihis pertnit is issueQ I shall not employ eny person in eny menner so as to become subject to the workers' compensetion laws ot CelNomla, end agree thet if I should become subject to the workero' compensatlon provislons of Saction 3700 of the Labor Code, I shall forthwith camply wit� Ihese provi�si }� �� / (� I Applicant SigneNre: (�� Date: �{ c�'l � D( �--- WARNING: FFILURE TO SECURE WORKE�' �.17ENSATION COVERAGE IS UNLNWFUL !WD SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CML FlNES UP TO IXJE HUNORED TTIOUSAND DOLLARE (5100,000�, IN ADDITION TO THE COST OF COMPENSATION, OAMAGES /S PROVIDED FOR IN SEGTIdJ 3i060F THE LABOR WDE, INTEREST, ANO ATiORNE`fS FEES. LICENSED CONTRACTORS DECLARATION: 1 here�y aHirtn that I am licensed un0er provLsions at Chapter 9(wmmencing with Section 7000) of DiNsion 3 0l ihe Business and Professions Code, entl my license Is in full force end ettect. Lic. q Cless a Contraaofs Slgnamre: G�% Date: � 61 CONSTRUCTON LENDING AGENLY: ❑ I hereby eNirm Ihet ihere is a construction lending agency tor Ihe pedormance of the work br which t�is permit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lenders Address: Signature: _ _ __ Date: OWNER-BUILDER DECLARATONS: I hereby efllrtn ihat under penelry oi perjury ihat I em EXEMPT FROM THE CON7RAC70RS LICENSE LAW fo� the following reason (Sec. 7031.5, Business and Pratesslons Code: Any ciry or county which requi�es e permit �o consWct, alter, improve, demolish, or repair any structure, pnor to its issuence, also requires the applicam tor such permit b tile a signetl stetement ihet he or she is Ilcensetl pursuent to the provislons ot ihe Comrectors License Lew (Chepter 9(commencing with Section 7000) ol Divislon 3 0l t�e Business entl Professlons Cotle) or ihat he or she is ezempt therefrom antl the basis for the allege0 e:emption. Any violetion oi Section 7031.5 by eny applicant for e pertnit subjects Ihe epplicant 10 e clvil penalry e� �ot more ihan five hundred dollars ($500).): ❑ I, es owner oi Ihe properry, or my employees with wagas as iheir sole compensation, WILL DO 7HE WORK, antl �he siructure Is not intenaetl or oHeretl for sele (Sec. 7044, Business and Professions Code: The Contractors Licensa Law dces noI apply to an owner of Oropeny who builds or improves thereon, and who does such work himselt or herself or �hrough hi4 or her own employees, provided that such improvemenis are not Intended or oHered tor sale. If, however, tne building or improvement Is sold within one year of compleUon, ihe owner-builder will have the burden of proving ihat he or she tlid not builtl or improve for purpose of sale.). ❑ I, es owner ot the property, am EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Professions Code: The cromractors Ucense L.ew tloes not epply to en owner ol property who bulltls or Improves Iheraon, antl who comracts for such prqect with a contraaor(s) license pursuent m the CoNreG�ors License Laws.). ❑ I em exempt under sec. Business antl Protessions Code lar this reason: SignaNre: Date: Owner ID venlied by dAvefs license. ❑ Yes ❑ No Drivefs License No. Veritication oi Ownership by (type ol tlocument, i.a. - property tan bill or deed): DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTIFICATION: Expires: ❑ I hereDy certify t�et no excavetion fne (5) or mora teet in dept� in�o which a person is required to descend, will De mada in connec�ion with work authorized by thls permit, enC ihat no builtling stNcture, scettolding, falsework, or demolition or dismentling Ihereof, will be more ihan thirry-six (36) tee� high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, California Atlminist�ative Cotle). ❑ As owner-6uilder, I will not em0loy anyone to do work which would require e permit Irom Ihe Division ol Industrial Setery, as noted ebove, unless suc� person has e permit to do such work Irom tho division. Signature: Date: Division of Industrial Sele�y Permit NUmber: CERTFICATE OF COMPLIANCE AND AIJTHORIZA710N OF EN7RV: I cehity under penalty of perjury Ihet I have reatl this application and state ihat ihe information given is correcL I egree to comply wl�h all st0�e laws antl ciry ortlinances relating to builtling consiruction, and euthorize represemalives of the Ciry ot Costa Mesa to enter upon ihe ebove-descnbed property for inspection purposes. I egree not to acupy or allow acupancy of eny huilding authorized by this permit until final inspection. fe OI Legal Owner(s) Date �-1,��.�o� AnNOr Authorizetl Applicant Date .. . . ' a�., f' 1616 FiaeC System Final Fire Pre�ention 1266 Pool Spa Final 200 Finel Re-Roof 201 Final Block/Reteining Wall 202 Final Fettory Fire Place 203 Final Sign 204 Final Demolition !.�_ nu_ �_`I—vf � COOE� INSPECiIQNTYPE 206 Finel Mechaniwl 20B Final Plumbing 210 Final Electrical 212 Final Fire Preventian 220 Final Planning Approval 222 Final Site 250 Finel BuildinyOccupancy Q� It�3 OWNER " CAL MESA ENTERPRISES DATE q_P6_�q JOB ADDRESS 313 a,B,C,D, & I,aundry Cabrlllo St, BUILDING PERSd31T NO. $753 GENERAL CONTRACTOR Roland Lagerlo£ VALiIE $ 30iBll.00 �AP. No. LOT 19 TRACT ]-193 PIRE ZONE DESCRIPTION OF WORK 4 Unib Apt, w att�gar, GROUP A& J. TypE Q ZONE � PLAN NO. �3 INSPECTIONS I DATE I SUBCONTRACTOft I DATE NUMBER Forms r caa[ Final Gas UNIT A H75� owNEa CAL MESA ENTERPRISES DA�re 3-26-59 JOB ADDRES$ 313 B Cabrillo St, BIlILDING PERMIT NO. $']S j GENERALCONTRACTOR Roland La�erlo£ VALUE$ 30�811.00 AP. No. LOT 'I'$ACT FIR$ ZONE DESCR1PT10N OF WORK INSPECTIONS and Final Gas Tesf DATE I SUBCONTRACTOR PLAN PERMITS ISSUED DA� NUMBER z3 i1N'fT A A7K� DATE C Cabri]10 GENERAL CON'1'RAC1'OR Roland Lagerlo£ VALUE $ 30�811,00 AP. No. . LOT TRACT FIRE ZONE DFSCRIP170N OF WORR GROIIP TYPE ZONE PLAN NO. L3 INSPECTIONS � DATE � gUBGONTRAGTOft Final Gas Test m.� UNIT C fi7S� OWNER CAL MESA �NTE�.PRISES DATE 3_2�,_5q IOB ADDRESS 319 D Cabrillo St. BUILDING PERMIT NO. 8753 GENERAL CONTRACTOR VALUE $ � - AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK GROUP TYPE ZONE PLAN NO. Zj INSPECTfONS V DATE I SUBCONTRACTOR I DATE NUMBER 3 i1MT n R7Cz OWNER CAL MESA ENT�PRISES DATE _2(j_ los�l�DUEss 313 Cabrillo St. - Laundrv BllILDING PERMIT NO. B7S3 GENERALCONTRACTOR VALUE$ AP. No. LOT TRACT FIRE ZONE DESCRIPTION OP WORK GR011P TYPE ZONE PLAN Np. Z3 INSPECTIONS DATE PERMITSISSUED SUBCONTRACTOR ___. i ..__ W coat s� — 8'753 COSTA MESA BUILDING DEPARTMENT P.O. BOX 31� COSTA MESA. CALIFORNIA BIJILDING AODRE55 FOR APPLICANT TO�}ILL 1 .�<� C.9�B,ll�cv COSTA MESA. CAIIFORNIA OWNER�fJL �{/t,F��f/3 ADDRESS ��:�� ,'y�� CITYh�.f /'J��['r`L /,�� ARCHITECT OR ENGINEER "`— ADDRESS � �- �ii.L.r9 �/ CONTRACTOR /�,-,.=1��-� � ADDRESS/� C� �'�.4�% �[cw� LOT DESCRIPTION NO. I A.P. NO. -�� SIZE OF LOT SS USE OF E%ISTING BLDG �•�. �✓ ' TEL. NO. LIC. NO. )CK �TRACT �—✓`-��—� . NO. OF BLDGS. lOIaNOW ON LOT SET9ACK LINE FROM �—/� � � ceNren or s'rr+[ET � V REAR YARD � � �� SI�E YARD RIGHT /O LEFT NEW REPAIR Bl11LDING SIZE DESCRIPTION OF WORK �ALTERATION qODITION MOVING � DEMOLISH NO. OF ROOMS STOftIES EXTEFIOR WALL ROOF COVERING ` COVERING USEOFNEW // �i./�� T BUILDING r .�C STFTE THPT TRE /BOVE IS CITY OFOINANCES AN � TION. SIGNATURE / PERMITTEE AIJTHORIZED AGENT .:. �e�_��i � ,�.. � p"r.� �� .� FI�!�',P:CE DEPT. ;•1� . (l� I;f1CT� P7F$A PLICATION FOR PERMIT � BUILDING FOR OFFICE USE ONLY RECEIPT NO. �IJ N- J IEO BY OnTE RECENEO ORTE SUI ;� -3 �s 3— -LS G COSTA MESA. CALIFORNIA FIRE � ZONE / ZONE � APPROVED CORRECTIONS TO E�G. DEPT. REG. �_ `2—iZ., NOLD FOR SPECIAL / _�. �OJ �� .� � / � � � /�C RPPLIC�TION RNO / 'O COMPLV WITX nLL BUIL�ING O $TRUC- VALUATION ' —O � � PERMIT FEE S \� J�O �// PLAN CHECK S lXs''— 5 � TOTAL FEE S 7,s � `-°'"`