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Home My WebLink About410 CABRILLO ST - Building Permits: - �� (714) 754-5273 • Faz (714) 75M1-4856 •��ci.costa•mesa.ca.us 77 FAlfi DRIVE, COSTA MESA, GA 92626 BUILDING PERMIT ,lobnddress: 410 CABRILLOST Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Parcel Number: 11732203 ' npp�icant: BRINAGH, GLEN Address: 1572 MARSHALL LN CORONA,CA Owner: MC KNIGHT, GORDON R Address 410 CABF21LL0 ST COSTA MESA. CA Contractor: ADAMS ROOFING Address: 1572 MARSHALL LN CORONA,CA Zip: 97719 Arch : Address: Zoning: ISSUED BY: Phone: (714)632-5325 Zip: 91719 Phone: Zip: 92627 Phone: (714)632-5325 License: 652470 Eng: � Address: Phone: Status: ISSUED Applied: 11/O6/2001 Issued: 11/O6/2001 Phone: Zip: License: License: SCOPE OF PERMIT REROOF: T/O WOOD SHAKE, INSTALL 7/i6" OSB, 1 LAYER 30# FECT, APPLV 40J-YEAR "PRESIDENTIAL CELOTEX." 2500 SQ FT Plan Check: $0.00 Permit: $13925 SMIP Res: $0.70 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $139.95 SETBACKS MAIN STRUCTURE Front 0. 0 ACCESSORY Front 0- 0 PARKING Existinq: 0 NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEESUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 s�,000.00 s�,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access raquiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically explre 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 consideretl legal, such work must comply with all applicable codes, and all requlred Inepeetione and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 754-5626 tatisae �fl�oo� WORKEFiS' COMPENSATION OECLARATION: I hereby aflirm under penalry ot perjury one of 1he following declarations: ❑ I heve entl will malntain e certiticete of consent to self-Insure lor workers' compensation, es provided for by section 3700 ot the Labor Cotle, for the peAortnance of the work lor w�ich ihis pertnit is issuad. � I have end will malntain workers' compensation insurenca, as requiretl 6y section 3700 ot the Lebor Code, for Ihe parfortnance oi Ihe work for which this pertnit is issuetl. My workers' compensatlon I^suran carrier end policy number are: /}, ^� ��,n Certier. �, "rl�-k ��_i Policy Number. ��K�� L � [ fClJdl'J-� I (This section neetl not be comp/e etll! fhe pennit is velued at one hundred dollare ($100) or less.) '� ❑ I cenity that in the pertormence oi the work lor which thisgB �(mit is iuued, I shell not employ eny person in eny manner so as to become sub�ect to the workers' compensetlon laws oi Celitomia agree ��t If I sho 16 4come suD)e to the workers' compensation provisions oi Section 3700 0l the Labor CoOe, I she0 fonhwith comply with these provisions. Applicant Signeture: Dete: 1�' ��o — B � WARNINO: FAILURE TO SECURE WORKE 5' COMPENSAiION COVEiiAGE IS UNIAd FUL PND SHALL SUB1ECi AN EMPLOVER TO CRIMINAL PENALTIES AND dVIL FlNES UP TOONE MUNDRED THWSAND OOLLARE (Et00.000�, IN AD�fi1qJ TO TME COST OF COMPENSATION, OPNAGES FS PROVIDED FOR IN SECTION 3]O6 OF THE LABOR CODE. IMEREST, AND ATiORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I hereDy eMirm that I em licensed under provislons of force end eNect. Lia M�$' ConirectoYs Signeture: (commencing wit� Section 7000) af Division 3 ot �he Buslness and Protessions Code, and my Ilcanse Is in full Cless A_ C` 3 q � Date: __ ._.. S%1 i/ O 2_ CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm that there is a cronsiruction lending agency for Ihe pedormance ol the work for which ihis permit is issued. (Sec. 3097, Civil Code). Lendefs Neme: Lender's Address: SignaWre: Date: OWNER-BUILDER DECLARATIONS: I hereby ettlrm ihat under penalry of parjury thet I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business end Professlons Code: Any ciry or counry which requires e permit to construct, alter, improve, demolish, or repair any slrucWre, pnor to iis iuuance, also requires ihe applicant tor such pertnit to file e signed statement that he or she Is licensed pursuent to the provisions of the Contractors License Lew (Cheptar 9(commencing wit� Sedion 7000) of Division 3 of Ihe Business anE Protessions Code) or Ihat he or she is exempt therefrom end the basis lor the elleged ezemption. Any violation of Section 7031.5 by any applicent for e pem+1 subjects Ihe epplicanllo a civil penalry of not more than live hundred dollers (3500).): ❑ I, es owner ol the properry, or my employees wit� wages es thelr sole compensatlon, WILL DO TME WORK, antl the siructure Is not intentled or otferetl for sele (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of propeny who builds or improves thereon, antl who does such work himsell or herself or ihrough his or her own employees, provided that such improvements are not intended or oflered for sale. If, howaver, ihe building or improvement Is sold within one year ot comD�etion, the owner-builder will have the burden of Drovin9 that he or she did not build or improve for purpose ot sale.). ❑ I, as owner ol the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business and Professions Cotle: The contractors License Lew tloes not appty Io an owner ol pmperty who builas or Improves thereon, and who contracis for such pmject with e coniractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for �his reason: Signature: Date: Owner ID veritied by dnver's license. ❑ Yes ❑ No Dnvers Licensa No. Ezpires: Verificatlon of Ownerehip by (type ot �xumeni, i.e. - properry tau bill or dead): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: ❑ I hereby certify the� na exceve�ion �ive (5) or more feet in depih in�o which a person is requiretl to tlescentl, wlll be mede In connection with wark euthorizetl by this permit, and that no 6uilding strucNre, scatfoltling, lelsework, or demolition or tlismantling thereoi, will be more than thirry-slx (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifomia Adminisiretive Code). ❑ As owneo-builder, I will noi employ anyone to tlo work which would requira e permlt irom Ihe Division of IndusMel Setety, as notetl ehove, unless such pereon hes a pertnit to tlo such work tmm the tlivision. Signeture: Date: Division of Indusirial Sefery Permit Number: CERTIFlCATE Of COMPl1ANCE AND AIJTHORIZATION OF EMRV: I certity under penalty of perjury Ihet I have read this application and state tha� �he inlortnation given is correct. I egree to comply with ell state laws end ciry ordlnances relating to building constmctlon, end authonze reprasentatives oi �he Ciry ol Costa Mesa to enter upon ihe ebove-described property for inspection Durposes. I egree not to occupy or allow occupancy of eny building euthorized by this Dermit unlil final inspection. Signetur egalOwner(�j ,� n.�. -/L—� � AnNO onzed Ap cant COUE 1, INSPECTIONTYGE 1816 Fixed System Final Fire Preventlon 1266 200 Pool Spa Final Finel Re-Foof 201 FIne1 81ocWRelaining Well 202 Final Fectory Fire Place 203 Final Sign 204 Final Domolition PdIE ItIIIIlA65 CODE 1 INSiECTION 7YPE 206 Finel Mechenicel 208 Final Plumbing 210 Finel Eladrical 212 Finel Flre Preventlan 220 Flnal Planning Approval 222 Final Site 250 Finel Building�Occupency Date l/-06-0/ Date PAIE ItII�Li - i�osta Mesa Building Department AP I.ICATION FOR PERMIT �� 171 EAST 20tb STREET ^,�y� B U I L D�� N G y � COSTA ME&A, CALIFORNIA �"' 1� � FOR APPLICANT TO FII.L IN �OR OFFICE USE ONLY _ Receipt No. I Permit No. o,ddressg '`� � C !� � Costa Mesa, California Received by oate Rec'd. ooate �ssued Nearest • I I `� _ �o �' CroSSSt. / //S 7�/ Building Address °`""°� D �` � Costa Mesa, California Address �� z �/ �� 1 T Nearest Tel. Cross St. City CoSTR /�%E1'A No.L(�/Gzz Zone /� No.of Type I Group .7. e..,.w�fecf nr 1 ie_ � Y I PianB I %� � ` nddre� — CORREC'i`IONS v City Lic. Contractor /'�f /LO,E No. Address �/L{y/`/r�'J. �es�� . z�o9 Description No. .J Block Tract (Attach Metes and Bounds) / , � No. of Bldgs Size of lot G � X/j $� I Now on Lot 0 � Use of No. of No. oi 70 Existing Bidg. I Familles Rooms � Setback Line irom �• - Centerof Strcet ✓�� SiderYard � Z D r�cnvTnmrnwr �� nnva - � New Rep: Buil� ■ u� Demolish APPROVAiG Frame: Flre Stops, Bracing, Bolts I hercby acknowledge that I have read this Applicatton Lath. Int. _ and state that the above is correct and agree to wmply Lath. Ext. with all City Ordinances and State I.aws regulaUng building construction. , — Signatureof }/ �7 � / �j,� Plaster, lnt. _ Permittee �,Y�'Ti/�'✓f-�'� �// � � '�'G"�1 j Plaster, Ext. Authorized Agt..�°'zliC'-4�('.�/ %� L�ki�3-� Masonry Reinforced Valu.ation [ Permit Fee $ L S � ` / / � TotaCheck $ j Bortd Beam = Fee $ � ��- FINAL FOHM 20A G-H ZM 6'$4 _ a.�,� � ...�... ' Show locatlon antl distancea Tr'om' property Iine and between buildinga . . . .. . �. . � e r . : ; .'AR 18-55 cosra � ��*� PD�Eyb'162a 35.(�0 - -� - -- - - —�. . , .