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Home My WebLink About328 CABRILLO ST - Building Permitsh ! B (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us // hAIFt UFIIVC� GVJ I A MtJN� l.X yLOLO BUILDING PERMIT JobAddress: 328 CABRILLO ST Suite: Vicinily: Parce� Number: 42501307 Zoning: Applicant MCFADDEN, NICOLE Address: 1653 SUPERIOR AV " � Phone: (949)642-7222 COSTA MESA, CA Zip: 92627 Owner DISSERTORI, ERIC TR Address / 20370 PALOMAR RD , ; � � � Phone: - WILDOMAR,�CA� � . Zip: 92595 Contractor: LEE ROOFING OF COSTA MESA Address: 1653 SUPERIOR AV -' . . . � Phone: (949) 642-7222 - � COSTA MESA, CA - Zip: ! g2627 'License: 349686 n��6 : Address: Eng: Address: 1 Status: ISSUED Applied: 02/07/2001 Issued: 02/07/2001 ISSUED BY: �._ -.r-� �� , ' Phone: Phone: . �Zip: . License: License: � � � a � SCOPE OF PERMIT REROOF: T/O EXISTING ROCK ROOF & INSTALL 25-YEAR DIMENSION,4L SHINGLES. 2500 SQ FT .. , ^� . . . , ., � . . . ; � Plan Check: $0.00 _ _ _ Permit: $74.75 - 'SMIPRes: $0.50 SMIP Com: $0.00 Other , $0,00 I,nspection: , � $O:AO Total: $75.25' � � -. � , �� SETBACKS��:� �� =:` MAIN STRUCTURE Front "0- 0 Rea} � 0- 0 �-"- � � ACCESSORY Front ,� 0- 0`, �� Rear � 0- 0 PARKING Existfnq --0 - � -� Reauired: 0_ NOTES: FEE SUMMARY - Calc Valuation: $z,soo:oo � Claim Valuation: � $2,soo.00 _ _�' j. ti �r ��; : � - , . , �-r r PLANNING&.ZONING � /�>` � r' /�, % � / �. �� .i V-,, / . LeK 0- 0 �, - Right .- 0- 0 �' ,r� ;� Lefl 0- 0 ;, Right�- �"0- 0':' ' r� Proposed: 0 � � „ , NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) 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 for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeetions 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 244&46 (6/00) WORKERS' COMPENSATION DECLAHATION: . — I hereby aflirtn under penalty ot perjury one of the tollowing declarations: ❑- I have and will maintaln a certificate of consent to self-Insure for workers' compensation, as provided for by section 3700 ot ihe Labor Code, for the pedormance of ihe work for which this pe�it is issued. � I have and will maintain workers' compensation insurence, as required by section 3700 of the Labor Code, for the pedormance of the work for which this pertnit is issued. My workers' compensation Insurance carrier antl policy number are: Carner: Policy Number: (This secfion need not be cOmp/eted il the permit is valued ef one hundred dollars ($100) or less.J ❑ I certify that in ihe periormance of Ihe work for which ihis pertnit is issued, I shall not employ any per5on in any mannar so as to become subject to ihe workers' compensalion law 61'Californi eaee��tt�tttd�� sh u become suhjeci to ihe workers' compensation provisions oF Section 3700 ot ihe Labor Cotle, 1 shail forthwHh PP compl9withth se rovSo�� ^�\�i/ ��— � _ O A licant Si neture: ��[/ _ oate: ( WARNING FAILURE TO SECUFE WORKERS' WMPENSATION COVERAGE IS UNLAWFUL ANO SHALL SUfl1ECT AN EMPLOVER TO CPIMINAL PENA�TIES AND qVIL FINES UP TOONE HUNDRED T/10USAND DOLLARE ($100,000), IN ADDITIQV TO THE COST OF COMPENSATION, DAMAGES AS PROVIDE� FOR IN SECTION 3]O6 OF THE LABOR CODE, INTEREST. AND ATTORNEV'$ FEES. LICENSED CONTRACTORS DECLARATION: I here6y attirm that I am licern�sed under provisions of C er 9 pIcqmmencing with Section 7000) ot Division 3 of iha Business and Professions Code, antl my license is in full torce antl effect Lic. k. \�� Q � � 1 II Class q contracbfs Signature� �. �. _ — oate: � — CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm that there is a construction lending agency for Ne pedormance of ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lender'S Neme: Signature: _ OWNER-BUILDER DECLARAT�aNS: Lentler's Address: Date: I hereby aNirm ihat under penalry ot peryury ihat I am EXEMPT FROM 7ME CONTRACTORS LICENSE LAW for the following reason (Sec. �031.5, Business antl Professions Code: Any ciry or county whwh requires a pertnit to constmct, alter, improve, demoiish, or repair any stmcWre, prior to its issuance, also requires the applicant for such permit to file e signed statement thet he or she is licensed pursuant to the pmvisions ot ihe Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Professions Gode) or Ihat he or she is eaempt ihereirom and ihe basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjecis ihe applicant to a ci�il penalty ot not more than five hundred dollars ($500).): ❑ I, as owner of tlie�pioperty, or my employees with wages as iheir sole compensatioq WILL DO THE WORK, antl the stmcture is not intended or oNered for sale (Sec. 7044, Business and Plotessions�,Code: The CoNrectors License Law does not apply to an owner of propetly who builds or improves thereon, and who does such work himseH or herself or ih�ough his or henown employees, provided that such improvements are not intended or oNered fo� sale. If, however, the building or improvement is sold within one year ot completion,:the owner-builder will have the 6urden ot proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business and Professions Cotle: The contractors License Law tloes not apply to an owner of property who builds or impmves ihereon, and who connacts tor such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under seG. Signature: Owner ID veritied by driver's license. ❑ Yes ❑ No Business and Protessions Code for this reason: Verification of Ownership by (�ype of tlocument, i.e. - propetly taz bill or tleetl): Driver's License No. Date: Expires: DIVISION OF INDUSTRIAL SAPE7Y PERMI7 CERTIFICATION: ❑ I hereby certify ihat no ezcava�ion tive (5) or more feet in depth into which a person is requiretl �o descend, will be made in connection with work authorizetl by ihis permit, and ihat no building stmcture, scaffolding, falsework, or demolition or dismantling ihereof, will be more ihan thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 345, Tltle S, Califomia Adminisirativa Coda). ❑ As owner-builder, I will not employ anyone ro do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from �he division. Signature: Date: Division of Industrial Safety Parmit Num6er: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION.OF ENTAY: I cetlify under penalry of perjury that I have read this application and state �hat the information given is correct I agrea to comply with all state laws and city ordinances relating to builtling construction, and authorize representatives of the City of Costa Mesa to enter upon ihe abova-described propetly for inspedion purposes. I agree not to occupy or allow occupancy of any building authorized by Ihis permit until final inspection. i n O al er p D te � � � � � And/Or Authorizetl Appiicant Date CODE �• INSPECTIONTYPE 7616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 207 Final Blxk/Retaining W all 202 Final Factory Fire Place 203 Final Sign - 204 Final Demolitian OATE' INTITIRL !'��" !�u COOE 1 INSPECTION TYPE 206 Final MeChaniCal 208 Final Plumbing 210 Final Electrical 212 Final Fira Preveniion 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy OpTE INTRIALS OWNER j�;ppp �� lOB ADDRESS 328 GENERAL CONTRACTOR AP. No. LOT TYPE V INSPECTIONS Pinal Gas Test FIRE ZONE DATE BUILDING PERMIT NO. VALUE S 12�527.� DESCR[PTION OF WORK $UBCONTRACTOR I DATE Res. w det/gar 8 PERMITSI$SUED I NUMBER . . � .. , ��'`� COSTA MESA BUILDING DEPARTMENT P.O. BOX 31� COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN ADOREI55 ��j I=}��' .� O//C% � COSTA MESA. CALIFORNIA OWNER CITY �jjn ARCHITECT OR ENGINEER �• JN TEL. NO. LIC. NO. d.`/d�� ciTv uc. �r.�,c.. No. LEGNL LOT p pESCeiPiiOh NO. � BLOCK TRACT ��J A.P. NO, SRE p ) NO.Oi BLDGS. OF LOT � V � /�ti / �� Ow ON Loi usE oF E%ISTING B�DG. $ETBACI( IINE FROM .�Q /�I CENTEa OF SiaeEi t}f�Vi REAR YARD �O•�O �( ! �j� SIDE YARD RIGHT .�J LEFT O DESCRIPTION OF WORK ' NEW ALTERAT�ON I AOD�TION REPAIR MOVING DEMOLISH S�ZELDING��,� �9�� ROOMS yJ STORIES I EXTERIOR WALL ROOF COVERING COVERING USE OF NEW '/ //�N BUILDING Y �3�/�C➢O�+'/ I��✓c 1 n�-".-rr !� ��7a o.:J ��.ed-n r` l��C.2 CJ ��s — •. —� I HEREBY ACKNOWLEp STnTE TMAT TXE ABO�' CITY OROINANCES AND noN, SIGNATURE OF PERMITTEE AUTHORIZED AGE�T � IOSTA MESA. CAui PHONE LI. 0•9388 �EC 16-5c cosTq?B6a �+t►ie+� PDaEs� . 45.00 APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEiPT NO. P[R�1��01Q BUILOING ADDRE55 COSTA MESA. CALIFORNIA � C/ /(� � DATE ^ CORRECTIONS `_ —� � 3�' ��5,—�[�� r_— �_FiQ � . HOLD FOR SPECiAL REQUIRFMr"'T^ /�-d�� 'LICATION LND dPLV WITH wLL - /'p ING CONSTFVC� �� ! VAWATION PERMIT FEE $ ��i " $ /� S� �— PLAN GHECK S �S -' TOTAL FEE S S�S � �err