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Home My WebLink About455 CABRILLO ST - Building PermitsCITY OF COSTA MESA , , , �,O�pMFS,p BUILDING DIVISION yp .........."'__".,......_... _. i� e 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.wsta-mesa.ca.us ' f - p ,., - .,.,�t,,:�;.1, s; � ` g POR INSPECTIONS CALL' (714) 754-5626 � i �'`°��^�` PERMIT NUMBER: BT1=00336 -- � PERMIT TYP� B ROOF2 APN: 11737316 JOB ADDRESS:,�.._455•CABRlLLO„S7�.,_,,;CNI� vicinity: �Q Squares: 0 STATUS: -. DATE ISSUED: ISSUED BY: Suite/Unit: ' Valuatiori: ISSUED 10/OS/2011 CAC $10,000.00 SCOPE OF WORK: TEAR OFF EXISTING WOOD SHAKE . INSTALL 1/2 OSB. 30 LB FELT AND 30 YEAR COMP. SHINGLES CLASS A. SFD AND ATTACHED GARAGE . ' � � NOTE:RESIDENTIAL RE-ROOF: Final approval of permit shall not be granted until access to dwelling unit(s) is provided for verification of the installation of smoke and carbon monoxide alarms by the City Inspectoc See Attachment w/Inspection Card '' � II:��I... . � OWNER: HARRIS, DAVID M TR Address: 455 CABRILLO ST Unit: PHONE: City/Slate/Zip: COSTAMESA,CA "�?"�";;/\";+��,^,-:�y{--"' APPIICANT: MICHAEL SWENSON Address: 6042 SUNSET CIR . . Unit:, : �PHONE: 7y4-348•5153 � City/State/Zip: HUNTINGTON BEACH, CA ' CONTRACTOR: K J ROOFING INC Address: 8042 SUNSET CIRUnit: City/State/Zip: HUNTINGTON BEACH, CA ARCHITECT: ENGINEER: FEE SUMMARY Reroof Plan Check: Reroof Permit Fee: Reinspection Fee: Bldg Std Admin Fund TOTALFEES $0.00 $181.25 $0.00 $1.00 License No. License No. PHONE: License No. 947339 - 714-348-5153 � 92646 CELL: PHONE: PHONE: ,�..,� �::.� `:7:.I1 l7i:l'il _._.. u::it: � � � . . . ,.,-,.,.,.,...,,..�.....- - : � .' . ,:il.., � „OURS FOR GONSTRUGTION ACTIVITY; EFFECTIVE 311812010 - PER CMMC Sec. 13-279 Monday thru Friday - 7:00 am thru 7:00 pm. Saturdays - 9:00 am thru 6:00 pm. Prohibitied all hours - Sundays and ihe following Federal �� New Years Dav. Memorial Dav_ Indeoendence Dav_ La6or Dav_ Thanksaivino Dav and Chricfmas f]av -, NOTICE: The work authorized by this permit shall wmply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: P�RMIT EXPIRES 180 DAYS FROM DATE OF IS5UE OR DATE OF LAST INSPECTION. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the ezpiration of ihis permit. CODE�. INSPEC710NTYPE DATE INTITA�S CODEN INSPEC110NTYPE DATE INTIPRLS i616 Fixetl System Final Fire Prevention 206 Finai Mechani�l 1266 Pool Spa Final 208 Final Plum6ing ' 200 FinalRe-Robf JD-lr1' II ti� 210 FinalElectriwl ' 201 Final Block/f�etaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Pianning Approval � - 203 Final Sign 222 Final Site -' ' �� 204 Final Demol�lion � -= • 250 Final Bmltling/OccupanCy `�"'""'"'"--'—"��'–`" . � ��sir::;.'�»:n;�elhr,Firl�v;1 WORKERS' COMPENSATION DECLARATION: - I hereby aftirm under penalry of perjury one of the following declaralions: ❑ I have and will maintain a certifca�e of consent to self-Insure (or workers' compensation, as provided for by section 3700 of the Labor Cotle, for Ihe p Aormance of [he work for whic� ihis permit is issued. � I have antl will maintain workers' compensation insurance, as required by se tbn 3700 of [he Labor Code, for the perfortnance of the work for which this - pertnil is issued. My workers' compensation Insurance carrier and policy Carrier: / r � G /l (T iae�nol6e/m/mplefedilfhepeimrtlsvaluedafonehuntlieddollars(5100)orless) P icy Number �7 �� ^�� ify Ihat in �he performance of the work for which Ihis permit is issued. I shall not employ any person in any manner so as to become subject to Ihe workers' compensation laws of California, and agree lhat if I should become subject to the workers' compensation provisions of Section 3700 0( Ihe Labor Code, I shal� orthwith comply with [hese provisions. 0- A I¢anfsSi9naN a�e/ WARNING: FAILURE TO SECURE WORKERS' COMPENSA ON COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECIARATION: I hereby aKrm that I am licensed under provisions of Chapter 9(commencing with Sec[ion 7000) of Division 3 of the Business and Professions Code, and m ��ense is in full fo?rce antl eRect. ?O Lic. # ✓ Class # �� d / Q � � haclorsSi ure Dale CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm that there is a wns�ruc�ion lentling agency for the performance of lhe work fa wfiich this pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: OWNER-BUILDER DECLARATIONS: I hereby aKrm that under penalry of perjury that I am EXEMPT FROM THE CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Code: Any city or county which requires a permit to consiruct, alter, improve, tlemolish, or repair any stmcture, prior �o its issuance, also requires the applicant for such permit to fle a signed statement lhal he or she is licensed pursuant to [he provisions oi Ihe Contractors License Law (Chapter 9(commencing with Section 7000) o( Division 3 of ihe Business antl Pro(essions Code) or [hal he or she is exempl therefrom antl �he basis for the alleged exemp�ion. Any violation o( Section 703L5 by any applican[ for a permit subiects the appliwnl to a civil penalty of not more than five hundred dollars (5500).): ❑ I, as ovmer of Ihe property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and the strucNre is nol intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves lhereon, and who does such work himself or herself or through his or her ovm employees, provided that such improvements are no� intended or oftered �or sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving ihat he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Pmfessbns Code: The contractors License Law dces not apply to an ovmer of property who builds or improves thereon, and who contracts for such project with a conirac[w(s) license pursuant to the Cont2ctors License Laws.). ❑ I am exempt under sec. Business and Professions Code (or this reason: S05]-46 (3I0]) Owner ID verified by driver s license. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of documenl, i.e. - property tax bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation frve (5) or more feet in depth into which a person is required to descend, vnll be made in connection with vrork authorized by this permit, and that no building sWCWre, scaffWding, (alsework, a demolition or dismantling Ihereof, will be more fhan thirty-six (36) fee[ high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, T�le 8, Califomia Administrative Code). ❑ As owner-builtler, I will not employ anyone to do work which would require a permit (mm Ihe Division of Intlustrial Safety, as noled above, unless such person has a permit to do such vrork from the division. Ap01¢anCSSiqnaWre • Dale Division of Indusirial Safe[y Permil Number HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuNre builtling occupant neetl to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 0( the California Health and Safery Code requires, with some excep�ions, iha[ a Business Plan be fled with the Costa Mesa Fire Depanmem by every business which has at any one time during a reported year a quantily of hazardous materials equal to or greater Ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet o( compressed gas at stantlartl temperaNre and pressure). 2 Does or will �he applicant or present or (uWre 6uilding occupant need to fle a regi5ifation form for acutely haZartlous material5? ❑ Ves ❑ NO (Section 25533 0( the Cali(ornia Health antl Sa(ety Code, with some exceptions, requires registration with the Costa Mesa Fire Depahment by each business which at any one time has on hantl a quantiry of acutely hazardous materials equal to or grea[er than a weight of 500 pounds, or a volume of 55 gallons, or 200 cuhic feet of compressed gas at stantlard IemperaNre and pressure�. 3. Does or win the applicant or presem or fuwre building occupant need to prepare an RMPP (Risk Management and Prevention Pmgram (or acutely hazartlous materials)? ❑ Yes ❑ No (Seclion 25534 of the Califomia Healih and Safety Code pmvides that the Costa Mesa Fire Department may require [he preparation, certifcation and filinq with ihe Fire Department of an RMPP by businesses which are requiretl to register acutely hazardous malerials with Ihe Fire Department. 4. If an RMPP is presently required, has Secfion 25534 of [he Cali(omia Heal�h and Safety Code been fully complied with? ❑ Yes ❑ No 5 Does or vnll ihe applicant or present or fuWre builtling occupant require for Ihe vrork which is lhe subject of �his applica�ion a permit for such consiruction or modifcation from the South Coast Air �uality Management District or from any other air pol�ution conUol district or agency? ❑ Yes ❑ No (Secibn 658502 of Ihe Califomia Govemment Code requires lhat the requested infortnation be fumished on applications fa non-residential building permits). 6. Will any part of lhe faciliry to be constructed untler this permit be within 1000 feet (rom Ihe outer boundaries of a school? ❑ Yes ❑ No Qf "yes", the faciliry must meet the requirement of Sections 25534 and 42303 of the Cali(omia Heallh antl Sa(ety Cotle). 7. If a permit fmm the South Coast Air Quality Management District or other air polWtion control district or agency is required for the work which is Ihe subject of this application, have all of lhe disclosures prescribed by California Health and Sa(ety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf'yes", atlach certificate of compliance from the appropriate air pollution contml offcer). CERTIFlCATE OF COMPLIANCE: I certify thal untler penalty of perjury Ihe information given ahove is correcL I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry of peryury lhat I have read Ihis application antl state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building constmction, and authorize representatives of the City o( Cosla Mesa to enter upon the above-descnbed pmperty for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by �his permit until (nal inspec[ion. SiqnaWre Lega Owner(s) �a�e � � Ana/orAu nzeEAppllcanl Dale� 't R � CITY OF COSTA MESA Building Safety Department ApplicaTion for permit for the fabrication and erection of awnings, adverfising signs or devices. Building Site Name of LOCATION ��r�� . . :• Phone ��"� Q y� � Contractor L�� /j' ' "" �/ s�-� State License No. address �(� OO�i �l /iF✓ City �/9,w/d / //ZI/A Phone � � �� Architect or �' s s Z , Engineer� ��QG /� State License No. � �� address - City�� /�'^- Phone DESCRIPTION Description of awning, advertising sign, or device: �, nings canvas � etal Width: �h, � in. Lengih: �ft. Q in. Ground Sign � Projectioh Sign � Roof Sign � Wall Sign � Metal LeTter Sign � Banner � Canvas Sign � Gas Tube ElecTric Sign (Sub-section 1.44, Ordinance 313) � Combination Sign � Special Device (other) � Explain: Two copies of plans and specifications shall be submitted with application for permiT for each sign. Plof on plan sheets proposed locaTion of sign and locations of all other signs aT site. Minimum size sheeTs must be 18" �24" and ncn-erasable. within The 10-foot area of front property line, owner is to sign wriTten agreement with the City. Size of Sign — Thickness ft. in. HeighT ft. in. Length fT. in. =ight — Ibs. HeighT above grade ft. in. ProjecTion ft. in. The undersigned hereby agrees To fabricafe and erect awning or advertising strucTure within the intent and meaning and in strict accordan�e with The provisions of Ordinance 95, Ordinance 313 (Electrical Ordinance of the City of Costa Mesa), and all amendments thereto. ALL APPLICATIONS MUST BE FILLED OUT BY THE APPLICANT. ALI, FOOTING, FRAMING AND ELECTRICAL IN- SPECTIQNS SHALL BE CALLED. Signature of ^ The amount shown under Valuation is for the purpose oi Permitee esfablishing a permit fee only. / �_ .� �A /i. _ Authorized Recd. by ��"��p Form 21�IM—il�'i�5-B P VALUATION $ Z� � Permit Fee Plan Check ToTal Fee $ � ' 6-O $ S 3, �o FE RECEIVtu DEC 1 1982 .- � FINANCE DEPQf. CITY OF COSTA MESA FOR OFFICE USE ONL Date Fire Zone Type - N6"rL� Approved by Date � Zone �—� Use of Bldgs. ��ence. A. P. No. �/ 7— 37 3—�� Bld Site Address ys'r �6^��0 �rf'Q �+`7trc. CQ./� f o.-n��t. Legal Owner p' � �'`� � x � nJJ....._ Y`rs ��r/I/c City � �"^ Phone Yards Approved. 60 � X� 3� •�%�'� �, Large Sign in excess of 8 sq. ft. Setback from cenTer line of sfreet to front properfy line �—�---in. From properfy line To edge of sign '—i� in. Side Yard Setbacks: � Left Side fT. in. Right Side Building Line Setback from center line of street Area of Sign Heighf above Grade Projection � ft. in. � ft. in. �� ft. in. ft. in. ft. in. Awning Size-Widfh �d it. � in.li Length �`S ft. in. Awning Height above Grade � ff. ��in. �_ Projection - fT. in. Location and size approved by ��,¢.6r,� Date � z�t o�G z ��. �Q-,.,, 3 t� oWN�R WIXOM D. P. J013 ADDRESS 55 C8bTi110 � GLNERAL CONTRACTOR R. M� AP No. 117-3 INSPlCTIONS LOT TRACT DATE 12-10-62 VALUE $ FIRE ZONr D�SCRIPTION OF WORK t0 ReS. Signature� DA1`E � GROUP . TYPG 7,ONER- SUBCONTRACTOR _ � Mesa Building Department .. '111 EAST 20th STREET � COSTA MESA, CALIFORNIA `�• FOYi APPLICANT TO FILL IN Building � Address �U� Costa, Mesa, California i �s � C � �oc � tion No. � Metes and Bou inl,,, New Repair Buflding Size Exterior W: C �ing l ; New � o. / � NoY Lic. . ' - L. �9 IBlxk I TraLR � � INo. of Bldga O Now on Lot �O . a� Rooms Ro I Co �.— I hereby acknowledge that I have read this Applicatfon and state that the above is correM and agree to rnmply with all Clty Ordinances and State Laws regulating building construction. Signatureof 1; /)�� ) � ` Permittee .fh�wo�.�Y f;c.r/U� APPLICATION FOR PERMIT �0'70 � U I L D,L N G '� � g'OR OFFICE USE ONLY _ Receipt No... Permlt N � oS�6 Received by DaM Rec'd. Date Issu .�- id�-, Costa Mesa, California Nearest Cross St. Zone� � I No. of I Type �/ i Plans !/ � APPROVALS Foundation Loeation Inspeetor Forms, Materials, Under-Pinning Frame: Fire Stops, Bracing, Bolts Valuation Permit Fee $ ,;'l/ $ /� 9�0 Plan Check $ S Bond Beam Total � Fee $ �/� FINAL FONM 204 G-M 2M 9-54 O A G1 � � _...� � �z.. Show locatlon and dfstances from property line and between huildings. _ � � � .. '. ';;.Z 18-55PD�Esant�9a- a-'�{:35.00 � ,: ._ � ��• , � ' -� - ' . , ;, �. _ _. �\ . �, .`; � �.. . : � . �. i., :_' ,� .. ,