HomeMy WebLinkAbout332 CABRILLO ST - Building Permits. �
CITY OF COSTA MESA �
BUILDING DIVISION
77 FqIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • �wiw.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754•5626
PERMIT TYPE ELEC
APN: 42501308
JOB ADDRESS: 332 CABRILLO ST CM
Vicinity: REAR OF HOUSE
PERMIT NUMBER: E07-00954
STATUS: ISSUED
DATE ISSUED: 12I28/2007
ISSUED BY: RMD
Suite/Unit:
SCOPE OF WORK: CHAMGE OU7 SERVICE PANEL TO 700 A, SAME LOCA710N (REAR OF HOUSE) FOR SFD.
OWNER: SMITH, BRIAN G
PHONE: 949-642-p297
APPLICANT: SMITH, BRIAN G
PHONE: 949-642-0297
CONTRACTOR: OWNER-BUILDER
Address: UniL PHONE:
City/Stale: ZipCode:
ELECTRICAL pERMIT FEES
Electrical Plan Check Fee: $0.00
Electrical Permit Fee: 554.00
Reinspection Fee $0.00
TOTAL FEES $54.00
Address: 332 CABRILLO ST Unit:
City/State/Zip: COSTA MESA, CA
Address: 332 CABRILLO ST Unit:
Ciry/Stale/zZip: COSTA MESA, CA
License No. 000000
CELL:
NOTICE: The work authorized by this permil shall wmply vnth all applicable handicap access requirements under California stalutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPEC710NS: In order for the work authorized under this pertnit to be considered legal, such work musl comply with all applicable codes, and all
required inspeciions and final approval must be obiained. Failure to obtain inspections and fnal approval will resull in the expiration of this permit.
COOE/. INSPECPONTYPE O�T IN7Ii1RL5 COOE� INSPELTIONTYPE OATE IN7I71RL5
1676 Pixed System Pinal Fire Preventlon 20fi Final Mechanical
1266 Pool Spa Final . 208 Final Plumbinq ������
200 Final Re-Root 270 Final Electncal a a�
201 Final Block/Retaining Wall 212 Final Fire Prevention �
202 Final Factory Fire place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demoli�ion 250 Final Building/Occupancy
WORKERS' COMPENSATION DECLARATION�
I hareby aRirm under penalty of perjury one of the following declarations:
❑ I have antl will maintain a tertificale of ton5ent t0 5el(-Insure �or vrorkers'
compensation, as provided for by section 3700 of the Labor Code, for lhe
pedormanca of the work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by
section 3700 of the LaDor CoCe, fa the peAormaxe of the v.orlc for which this
pertnit is issued. My wrorkers' compensalion Insurance wrrier and policy
num�er are:
Carrier.
(inis sea�bn neee not be cwnpeteE dlhe panw B rehxa ot we nwwied mwrs (Efeo) n�au )
Policy Number:
❑ I certify that in the peAormance of Ihe work tor which this permit is
Cissuetl, I s�all not employ any person in any manner so as to become subject
to the workers' compensation laws of Califomia, antl agree that if I should
bewme subject to the workers' compensation pmvisions of Section 3700 ot
the Labor Code. I shall (orthwjth comply with these provisions.
�-o �'/ .� .�-- � 2��-O 7
�� p�plkam'a5l�dawre L_ Date' __ .
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CAVER4GE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
A770RNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm Ihat I am licensed under provisions of Chapter 9(commencing
with Section 7000) ol Division 3 of the Business and Professions Cotle, an0
my license is in lull force anC effect.
Lic. # Class #
Gonuattor'S Signature Date
CONSTRUCTION LENDING AGENCY:
❑ I hereby affum that there is a consWctbn lentling agency for the
peAormance ot the �+ork (or v.fiich Ihis pertnit is issued (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
Date
OW NER-BUILDER DECLARATIONS:
I herehy affirtn thal unAer penalry of perjury lhat I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the (ollowing reason (Sec. 7031.5,
Business and Professions Code: Any city or counly which requires a Dermit to
conslruct. alter, improve, tlemolish, or repair any sWCWB, prior to il5
issuance, also iequires the ap0�icant for such permit to file a signetl statement
that he or she is licensed pursuant to the provisions of the Contrectors
License Law (Chaptar 9(commencing with Section 7000) o( Division 3 of the
Business antl Professions Code) or Ihat he or sha is exempt Ihere(rom and
the basis tor the alleged exemption. Any violation of Section 7031.5 by any
applicant for a peimit subjects the applicant to a civil penalty ol not more Ihan
five hundred tlollare ($500).):
❑—I,-as-owner ot the pmperty, or my employees with wages as their sole
Ccompensation, WILL DO THE WORK, and the structure is not intended or
oflered for sale (Sec. 7044, Business antl Professions Code: The Contractors
License Law dces not apply to an owner of property who builds or improves
thereon, and who does such wnrk himself or herself or through his or her own
employees, provided that such improvements are not iniendetl or offeretl lor
sale. If, however, the building or improvement is sold within one year of
completion, the ovmer-builder will have lha burden of proving that he or she
did not build or improve for purpose ol sale.).
❑ I, as owner of ihe property, am EXCLUSIVELY CONTRACTING WI7H
LICENSED CONTRAC70RS ro constmcl the project (Sec. 7044. Business and
Pmfessbns Code: The contractors License Law tices not appy to an ovmer of
property who builtls or improves thereon, and who contracts fw such project with
a contracta�s) license pureuant to the Contractors License Lavrs.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
�/_ � � _ /'�_'�`�-�`�y��
!
�Sgnalure� +. Dace�- _
305)d6 (3ro))
Owner ID veri(ed by ddv� .a ,. • Yes ❑ No
Driv� er s-License No. �
P_ 2
Venfication o( Ownership by (type o( document, i.e. - property tax bill or Oeed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify Ihat no ezravatbn frve (5) or mwe feet in depth into wfiich a
person is required to descen4 will be made in connection v.ith work authorized
by t�is permil, antl that no building slrucWre, scaffdding, false�wrk, a demoliti0n
or dismanping t�ereo(, will be more than thitly-sa (36) feet high. (Chap. 32, Gry
2, Art 2. Sec. 341, Tdle 8, Califomia AdministraWe Code).
❑ As owner-builder, I will not employ anyone to do work which would
require a permit from the Division of Industrial Safety, as notetl above. unless
such person has a permit to do such work from 1he division.
AOW����'s Signawre Da1e
Division ol Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or (uture building occupant neetl to file antl
certify a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 ot the Califomia Health and Salety Code requires, with some
ezceptions, Ihat a Business Plan be filed with the Costa Mesa Fire
Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a vreight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature and pressure).
2. Does or will the appliwnt or present or NWre builtling occupant need to file
a registration form for acutely hazardous matenals? � Yes � No
(Section 25533 of the Calitomia Health antl SaFety Code, with some
exceptions, requires registration with ihe Costa Mesa Fire Departmenl by
each business which at any one time has on hand a quantiry of acutely
hazardous materials equal to or greater than a v.eight of 500 pounds, or a
volume o( 55 gallons, or 200 cubic feel of compressed gas at s�andartl
temperature and pressure).
3. Does or will the applicant or present or future building occupant neetl to
prepaie an RMPP (Risk Management antl Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 ot the Califomia Health and Safety Cotle provitles Ihat the
Costa Mesa Fire DepartmeN may require the preparation, certification and
filing wilh Ihe Fire Department of an RMPP by businesses which are required
ro register acutely hazardous materials with the Fire Department.
4. II an RMPP is presently required, has Seclion 25534 of the Calilomia
Health and Salery Code been fully comp�ied withl ❑ Yes ❑ No
5. Does or will [he applicant or present or luture building occupant raquire for
tne work whicn is tne subject of this appliwtion a pertnit for such CAnslruction
Or modification from the South Coast Air Qualiry Managemen[ Dis[ricl or (rom
any olher air pollution conlrol distnct or agency7 ❑ Yes � No
(Section 65850.2 of the Califomia Govemmenl Cotle requires that the requested
information be lumishetl on applications lor rron-resiaential huilding pertnits).
6. Will any part of the (aciliry to be constructetl under this permil be within
1000 feet Irom the outer boundanes o! a school? ❑ Yes ❑ No
(II'yes", Ihe lacilily must meel lhe requirement of Sections 25534 and 42303
of the Calilomia Health and Safery Code).
7. If a permit from the South Coasl Air Quality Management District or other
air polWtion control district or agency is required for the work which is the
subjecl o( this application, have all ot the disclosures prescribed by Calitomia
Health antl Safety Code Section 42303 been made? ❑ Yes ❑ No
8. (II "yes", attach ceAificate of compliance from the appropriate air polNtion
contml offcer).
CERTIFICATE OF COMPLIANCE: I certity �hat untler penalry of perjury the
information 9iven above is conect. I agree ro comply with all state laws and
cily ortlinances regartling HazarCous Materials and Emissions.
SignaWre �a�e
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certily under penalty of perjury Ihat I have read this application and state Ihat
the iniortnation given is correcl. I agree to wmply with all state Iaws and city
ordinances relating to building wnstruclion, and authorize representatives of
the Ciry of Cosla Mesa to enter upon the above-0escnbed property for
inspection purposes. I agree not to occupy or allow occupancy of any building
aulhq[iZed by this per i;until f al ins ection.
/r9: �' �2—�.�—� �
—��Z 'Si�e o('Legal .. eqs)- � . LOate' __ ,
AnClorAulM1onzeC AOWiwnl
•
PflOJECiA0UflE55: 33'1 CAHRILLO ST
,�,OYj4Efl'SNAME: SAPP GEORGE
nooAess: SMITfi BRIAN G
332 CABRILLO ST
COSTA MESA,CA
AflCNIENGINEEN: 6 4 2— � z 9 7
AUGHESS:
uxiT:
92627
flEG.NO.:
UNIT:
PENMITTEE: BRIAN G, SMITH ( 714 ) 642-0297
aooAess: 332 E. CABRILLO STREET
COSTA MESA CA 9262'1
LICENSED CONTBACTOP OECIAflATION: I hereby a�lirm Ihai I am licensetl untler D�ovisions of Chapter 9(commencing wiih Section
7000� ol �rv�sian 3 0l the Business antl Pmfessions CoOe. ane my license is in tutl lorce anE elfect.
CITY LIC.: STqTE UC.: C1A55:
Dale: SignaWre:
WONKEXS' COMPENSRTION OECIAPpTION: I here�y afiirm Ihat I have a certilicate of consent to self-insure or a cenificate ol Workers'
Compensalion Insurance, or a ceni�ied coDY ��ereoi (Section 3000. �a�. C�.
�, POLICY NO.: E%P. DATE:
COMPRNY:
❑ Certi�ietl capy is hereby fumi5he0. ❑ Certitied copy is file0 wit� ��e city Builtling Division.
oate: v APolicanc
' E%EMPTION FflOM WOPKEPS' COMPENSATION OECIABATION: (iAis section neea not be completea i� the Dermi� i51or one hunOreA (S1W) or less�.
I wriily Ihai in Ihe perbrmance o� �he work lor whicA �his permit is issued, I shall noI employ any Derso i�er so as �o �ecome
su6jecl to ihe Workers Compensation Laws of Califomia. �
u
� a�e: � � 2— Signa�ure: �J ��)
N0T CE: II, a�ter making is tleclaration, y0u should become 5u01ect to the Worker Campe ation pmvisions of Ihe Labor
Cotle. yau musl fotlhwii� comply wiih suc� pmvisions or this permit shall �e tleemetl revokeA.
CONSTBUCTION LENOING RCENCY: I hereby alfirm Uat �here i5 a COnStmc�i0n lending ag¢nry �or �he pedormanCe o� lhe work for
which Ihis permii is issuetl (Sec�ion 3097. Civ. C�.
LENDEN:
AOOFESS: .,
OWNEfl BUILDEB OECIABATION: I hereby aflirm Iha� I am e�emp� �rom �he Cantracmrs' S�ale License Law lor ��e �ollowing reason
�Sec�ion 7031.5 Business and Pmlessional Cotle: Fny cily oi counry which requires a permi� �o conslmci, alter, impmve, Demoli5h, or
repair any 5�mciure, prior lo its issuance, also repuires Ihe applican� lor such permii to lile a signed 5�aiemen� �ha� he/she is licensed
pursuant lo Ihe pmvisions of Ihe Contracmrs' S�ale License Law (Chapler 9(commencing wi�h Sec�ian 7000) of Division 3 of �he Business
antl Pmfessions Cotle) or that he/she is exemo� therefrom antl ihe easis for the alleged exemption. Any Nolation ot Settion 703L5 by
any apPlicani for a permi� sublecis ihe applitanl to a civil penalry oi no� more than five hunOretl aollars ($500).
I. as owner o1 the pmperty or my employees vnth wages as iheir sole campensation, will do the wo�C, and IAe
❑ s�mclure is not inlenAetl or o��ered for sale (Sec�ion 7044, Business antl Pmiessional Cotle: The Coniracbrs' Stale License Law
tloes noi apply to an owner ot a pmpetly who builds ar impmves ��ereon, antl who does 5uch work himself/herself or �hmugh
his or her own employee5, pmvitled thal such impmvemen�s are no� intentled or oflered lOr Sale. If, hOwever �he builtling or
impmvemen� is soltl wilhin one year of comple�ian. Ihe owner will have �he burtlen o� pmving he/she did no� �uild o� improve
�or t�e purpose ol sale�.
I.as owneroll�e pmperty,am exclusiv¢I9 contracting wnhlicensetl wmrac�orsta constmc��he prolec��Sec�ion 7044, Business
� antl Pmiessions Code: T�e Coniracrors' Staie license law does no� aOPly �o an own¢r o� pmperty wha builds or improves Ihereon
and who tOntratls for Suth projects wil� a tonlrattor�s) lit¢nse pursuan� to Ihe COntrac�ars' Slaie LiCenSe Law�.l am aware
�hal pmoi of �heir Worke(5 Compensa�ion insurante ShOultl be pmvitle0 �o me.
� � am exemp� unaer Section: B P 7 0 4 4 B. 8 P. C.
mr teis reason. ALL WORK HY OWNER
ate: �h_ '� � � ��� owner'. �1 ��� ��
I tlo nere�y certily inat I am aware of antl untlerstan mremenls ol Califomia Healih and Safery Coae Sections 255Q5, 25533, an0
25534 and Ihal I or any Wlure builtling occupan� will ill no circle one) nee0 �o comply wiih sai� s�ate codes and �he requiremen�s �or a
permil �or [onstmclion or moDi�icatmn Imm �he Fir Managemeni �iSUiCL flesiden�ial conSimCtion ap0lita�ion5 are exempl trom
these pmvisions �J � (� � D �1
��(47 Y1P. �—f' I J 1 L APPlicanl: �1D� "�/�...a
.. -.�7
I hereby cei�ifylhai I have read Ihis application antl sta�e Ihai Ihe above iniormation is
ortlinances antl sla�elawsrelatingio building conslmction and heieby aNhorizereDresenl
�pmperly �or msp�ection purpases./qq.�
D�e J(.l�Q '2.�� 1 f/<SignaWre:�,,,�
Oriver's license or Social Seariry q' �
comply wi
enterupon
t6a1-G6 W�i�e—Builtling: Green—Coee EnlorcemenC Canary—ApplicanC Pink—Revenue; Goltlenrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 057901
PERMIT NO: B 057901 PLAN CHECK NO; N GOVT; N SUPP; N
CONSTRUCTION TYPE; V—N FERMIT TYPE: STR PURPOSE; ALT
JOB DESCRIPTION ; T/OFF RE5HT. REROOF W/COMP 5Q FT: 3,6D0
CLAIM VALUE: 3,600.00 CALC—VALUE: 3,600.00 GROUP OCC; R-3 /
COMMENTS: SMOKE DETECTOR RE�UIRED IN THE HOME
***�***�r�t*�r****x*�*�r�r��t**�t* *�t�t�t**�r**+��*�r***�r********�t�r**x*�r*�r**����***x*�t***�*
Z O N I N G R E Q U I R E M E N T 3
S E T H 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 TN RGHT: FT IN
PARKING RE�• PROV; PARCEL; 42501308 2NE; REF NO;
PLANNING N T"ES>
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D E V fi. L O P M E N T 5 E R V I C E S R E Q U I R E M E N;�T S
ZONING APPROVED BY DATE: �i
HUILDING APPROVED BY DATE:
.�
APPLICATION ISSUED HY� � DATE; � Z
k�1FiEiE**-lEititiFitiEiEat�iE-%iEiEifiEiE�iEiFiFiriF7S�FiF 7F7F3F7FiF riFiFiFiFiriFiFiFiFiF�iFifgiFTFiEitat*it*it�l(�it-lE'i��'£3r'aE*
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LEGALIZATION:N F E E S U M/M,A R Y STRUCTURAL SEGMENT:Y
�
BLDG PMT PLUMBZNG ELEC'tRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 63.00 .50
SMIP/NON—RES
PLAN
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
BLD63P00 pLUMBZNG ELECTRIC MECHANIC FIRE SMIP/TOO GRADING PLAN—CHECK
if iE if �1F if iE if If 1E �f 1E ik ik ik iE iF k iE iF iE k iE if iE if 1k aE Ik ik 1k iE if iF if iE if �IE iE �F iE iE fE iE �E if iE if if �6 )E �f ik�3E if iE if iF 3E IE i(• af af dF 1F �E if ik 3F iE �F iF if #E �F,1ElE iE iF ie
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 3600 REROOF BY VALUE RESIDENTIAL N020NE 1.00
END OF FEES
� : ' - '�r+
3,600,00
, .
' �
ij
'CONSTRUCTION ANDPLANNING POOL 3PA � , '
��APPROVALS permit # Date tinspector pppROVALS Permit # Date Inspector
i. Temporery Electricai Service or Pole � 52. Pool & Equipment �ocation _
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement �
3'. Electrical Conduit UtilitY-Undrgrnd. 54. Forms �
4. �El2ctricai Conduit�Undrgrnd. � 55. Elecirica� Bonding "
5. Steel Reinforcement 56. Rough Piumbing & Preswre Test
� Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE ��
7. Footings 58. Electrical Conduit-Undrgrnd. �;
8. Foundation 59. Gas Pipe, O Undrgrnd., Test -�
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, CJ Undrgrnd.
10. Structural Floor SYstem 61. APPROVAL TO DECK �
i t. Property Sewer U�e & House Connection � 62. Backwash & Receptor-Final ..
12. Sewer Cap 63. Heater & VenrFinal �- �
13. Roof Orains 64. Plumbing System - Fina� � �
14. Rough Plumbing � 65. Electricai�Fina� " :�
75. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. fe�cing & Access Approval
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING ^
18. Rou9h Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace •*. � APPROVALS' .Permit #
21. Ducts, in Structure . �70. Underground�Hydro
22. Ducts, Ventilating � - 71. Product Piping O Gas ❑ Oil
23. Gas�Pipe�Fough & Test �. 72. Underground Flush � �
24. Roof Framing - � � 73. Undergrnd�. Storage Tank (� Gas ❑ Oil
25. Roof Sheathing , � - %-(o � "� �i+.(iv� 74.� Overhead Hydro .
t-
26. T�Bar Ceiling 1Structurai) & Monowat - - 75. �Dry Chemical
27. Frame and Fiashing � - , 76. Dry Standpipe �. '� '
28. Lathing & Siding 77.. FIXED SYSTEM FINAL
�29. Insulation ' ` � ..' 78.�FIRE PREV. FINAL
�30. Drywall Nailing • � HEALTH DEPT: REQUIREMENT
.31. Plaster8iown.Coat �, �- J9. FINALINSPECTION
32. Electrical Power MeterFinai � �_ .� 80. :FOOD CERTIFICATE ISSUED
33. Final Eleotric ' Notes: - ,
34. Finai Heating & Air Conditioning , - � . .
35. Final Gas Pipe-Test .
36. Hood or�Canopy • . - .. •
37. Finai Factory Fireplace - '
38. Final Plumbing . � � . -
.39. Water Service-Final �
40. Gas Service-Final . - �
47. Solar pomestic-Finai
42. Backflow Preventer ! ' ,
43. Backflow Irrigation �
44. Landscape irrigation System , _ „
45. Sound Attenuation
46. Handicap Regulations - .
4J. FINAL STRUCTURE & BUILDING -y,S1Z �, j,U �� '
46. FINA� P�ANNING �
49. Electric Release m Edison � 'i _�._ �Z ,
! � � � �
50. Gas Release to SOuthem Califomia Gas Co � � }� ' , /`�
(il L�
51. CERTIFICATE OF OCCUPANCY � -
No. Date
OWNER �,FnA CRRP ' DATE � ��� (��KR
JOB ADDRESS 332 Cabrillo Street BL[ILDING PERR�IIT NO. 82'jl
GENERAL CONTRACTOR xOifl2T Builders VALUE $ 12 SP7•00
AP. No. LOT TRACT1193 FIRE ZONE DESCRIPTION OF WORK S w det gar
GROUP T�.T TYPE V ZONE R2 PLAN NO. 8277.
INS
Scecl
Final Gas Test
SUBCONTRACTOR I DATE � NUM