HomeMy WebLinkAbout465 CABRILLO ST - Building PermitsPflOJECT PUUHESS: Q(j S CABR I LLO ST
OWNEH'SNRME: SMALL ROBERT F
AOOPESS: 4EjS C�BRILLO ST
COSTA MESA.CA 92627
`� (719)631-3828
AOOHE55:
NEG.NO.:
uxiT:
UNIT:
vesMirree: AERO—THERM CONSTRUCTION (714)646-3953
aooeess: 2 g 9 L ILAC LN
COSTA MESA CA 92627
LICENSEO CONTHRC10fl DECLAHATION: I hereby allirm Ihat I am licensed under pmvisions ol Chapter 9(commencinp wilh Sec�ion
70D0) ol Uivision 3 al t�e Business anG Pmtessions fAde, anG my license is in lull lorce antl el�etl.
cirrucI.: 0490`15 sTaTeuc.:393321 / cuss C�3/q �
Date: `�'(� Signaiure: _���jLt�{ i.0 ��
WOBREBS' COMPENSPTION OECLABATION: I �ere�y alfirm ihat 1 nave a cenificate ol consent m sell-insure ar a ce�ificate of workers'
Compensa�ion Insurance, or a certified covY �hereol (Section 3800. La�. C�.
roucv xo.: 13 4 5101— 9 3 E%P. ORTE: O�I � O 1 I 9�I
COMPpNY: STATE FUND
❑ Cetlilied Copy is hereby Iumi5�e0. m CetliheG tapy is IileU wAii� Ihe tity Buiitling Oivision. A
ale:� ` ���� � Applicant: 7�Aw�/�'R. � ( ' �"ft�"�
f%EMPTION FflOM WONNE85' COMPFNSATON OECIANPTION: (T�is sec�ion neeA irol Ce complet[d i� Ne permi is iw one huMrcd (5100) or less�.
�� I cehity Ihal in I�e performanc¢ ol Ihe work lor which �his permii is i5sue0. I shall no� employ any Derson in any manner w as to hecome
Su�jeclto I�e Worker5' CAmpensatian LaxS o7 Califomia.
Oate: SiA�amre:
NOTICE: If, alier making Ihis declara�ion, you Shoultl 6ecome subjecl lo Ihe Workers' Compensalion pmvision5 ot I�e LaUor
Cotle. you mu5t tonmriln complY wit� suc� Omvisions ar lNs permit SAail De tl¢eme0 revoke0.
CONSiPUCTION LEN�ING AGENCv: I hereby allirm inat inere is a conslNction lenaing aAency lor ine petlormance ol ihe work for
w�ich Ihis permit is issu¢0 (Section 7097. Civ. C�.
LENOEP:
AODPE55:
OWNEP BWIOEfl oECLABRTION: I nereUy allum Inal I am exempl Imm Ine ConiractoR' Stale License Law br ine Iolluwine �eason
(S¢ction 7031.5 Busineu an0 ProleSYonal Coae: Any cily of wuniy w�icll repuirw a Oermi� lo [Onslmci, alter. improve, tlemolish, or
repair any slrucWre. prior to ils issuance. also repuires t0e apD�icanl br such permit lo file a signed stalement ihat �elshe is Iicense0
pursuani to Ine pmvivons ol �he Comratmrs' Slaie License Law (Clupter 9(commencing vnlh Seclion 7000) al Divivon 3 of Ihe Busineu
antl Prolessions Cotle) or I�a1 ne/she is erempi I�erelmm antl I�e basis lor I�e allege0 exemption. Any violation ol Seciion 70.31.5 by
any aODlicant lor a permil 5ubieci5 ihe appliUnl lo a civil penalty ol nol more IOan live huntlretl dollars �55110).
I. as owner ol Ihe pmpeny oi my emVloyees wilh wages as Ineir sole compensation, will tlo the work. and �ne
❑ suucture is not imenaea or oaerea Ior sale �SetliOn 70ad, Busineu an0 Pmfe5ii0nal Cotle: The fAniratlors' Slaie LiCenSe Law
Ooes nol apDW �o an owner of a D�oOeriy wbo �uiltls or improveSl�ere0n. and w�a tloes such work himSelVhersel� or IhmugA
�is ar her own employees. pmvbeC t�at sucll imD�ovemenls are not inten0ed or offeretl for sale. II, however Ne huil0ing ar
improvem¢nt is 5old wil�in One year Of Camplelion. I�e owner vnll hav2 ihe GurOen al proving �eh�e tli0 nol Euiltl or impmve
forine ourpase ol sale�.
I, as owner of t�e D�openy, am excWsively contractinB wi�h licensea contractors to consimct the O�oleci (Section 7044, Business
❑ ana Pmleuions CaCe: Tne Camraciors' State License Law Uoes not aODh �o an ovmer of Dmpeny wtw 6uilds or improves thereon
and who [oniracls lor suc� projetls wilA a conlracloqs) license pursuanl lo Ihe ConVaclors' Slate License Law). I am aware
'�, Ihal pwol 01 IM1¢ir WOrkefS Compen5aiion insurante ShOuitl be pmviEeA �o me.
I� I am exempt untler Section: B. 8 P. C.
lor t�is rea5on:
Oa�e: Owner:
I eo �ereby [ertily I�at I am aware ol an0 untler5lan0 I�e repuirem¢n�s ol Calilornia Heallh an0 $alery Cotle S¢c�ions 255Q5. 25533, and
2553a anet�ai I or any lulure builtlinB accupan�willlwill not (circle one) need to compty wil� saitl slaie co0es an0��erequirements�ora
oermit lor conslmc�ion or mo0dicalion Imm ��e Pir Oualiiy Managemenl Oisirict. Resiaenlial cons�mtlion aDP�icaiions are exempl lwm
Inese orovisions.
Oale: Nppli[anl:
I he�eDy cerlilV��at I �ave reatl I�is application antl stale Ihai I�e aboveinlormalionis corr¢cL lagreelo comply wit� allciry ana coun�y
orNnances an� staie laws rela�ing lo builaing conslmc�ion antl here�y aWhorite representalives of ��is ciry �o enter upon ihe above-men�ioned
o�ooenv �oi insoecuon pumoses.
%)/' j`]/' ����t, r
Oate: �` _ �� �� Signalure: _ �{. • " ' '�' — ^
orivei's License ai Sociai Secmity x:
t6al�aG While—Builtling: Green—Cotle Enlorcemenl; Canary—Appllcant: �ink—Revenuel Goltlenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 065297
PERMIT NO: B 065297 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: 5TR PURPOSE; ALT
JOB DESCRIPTION : T/O SHAKES,RESHEATH 1/1/2"CDX,APPLY COMP SQ'FT; 7,584
CLAIM VALUE: 7,589,00 CALC—VALUE; 7,584.00 GROUP OCC: R-3 /M-1
COMMENTS: SMOKE DETECTORS REQUIRED PER THE 1991 EDITION OF TFiE UHC
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Z O N I N G A E Q U T A E M E N T S
S E T B A C K S ��^^ ,'�E� ,
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDINGP`"t�'�------
FRNT; FT IN REAR; FT IN FRNT: FT IN AEAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROC�: PARCEL: 11737314 2NE: REF NO:
PLANNING NOTES>
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D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROV$D BY
BUILDING APPROVE� BY :
APPLICATION ISSUED BY: �L.�.�� ri�?G�
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LEGALIZATION:N F E E S U M M A R Y
HLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 99.00
DATE:
DATE:
DATE: I?-I�
fE 1E if 1(� iE iF if iF K# iE If !f iE iE jE iE if jE 1f !E fE 1f 1f �E
STRUCTURAL SEGMENT:Y
FIRE SMIP/RE5. GRADING
76
PLAN SMIF/NON—RES
ZSSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL pAZD �;� DUE
TOTALS----> 99.76 0.00 0.00 99,76 99,76 � .00
REVENUE DIVISION TOTALS--> COLLECTED: 99.76 OVER/SKORT; ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CFIECK
99.00 .76 �,
it iE i61E �lE if 3F 1E 1E iE iE �lE 1E iE iF iElE iE iE �If f(� if ik �)f it # iE fE �If iE it iE if if if iE iE iE i! il� ih iE 1f iF iE iF if i(� if iF if if if 1(� iE iE if 9t iE 1E 1E �1FlF ff !E if iE?F 1F �k iE iE iE iF+F iE iF 9F it�
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 7589 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 � 7,584.00
END OF FEES
;r
o. 00�`2194—CDiJ�II9J -ru-r �v.�,;
C�AT�: 12/:3/93 TIi1E: lQ:S9
CONS7I=�CTION ARD PLANNING
ARPROVALS Permit�,P Date
� '.
1. Tem�Prary Electncal Serv�ce or Qote 1
2. Sod Pipe-Undrgrnd. � � � �
3. Eiecincal Conduit Utnrty-U��rgrnd. !
4. Electrical Condu;t�Undrgrnd.
5. Steel Reinforcement
6. Elettrical UFER Grnd
7. Footinge
8. Poundation , , �+
9. Water Pipe•Undrgrnd. `� , ,
70. Structural Ploor SYstem ' �
1i. Property Sewer Line & HouseCnnnection '.
12. Se�.ver Cap ' ,
13. Root pta�ns �' ''
14. Raugh Piumb�ng �
15. Rough Electnwl-Contlwt �
i6. RoughElectncW�ring
17. Ro�gh �:Yring Sign �
18. RougM Elect�icai�T Bar Cc�l�ng
19. Rough Heating & A�r Co�d�t.on�ng
20. Ro�gh Factory f�repiace
21. Ducts, in Structure
22. Ducts, Ventilating
23. Gas Pipe�Rough & Test
24. RooE F�aming
25. Root Sheathing l2,�/[j r�
26. T-Bar Ceilin9 (Structurall & Vlonowat
27. Frme and Flashing
28. Lyth�ng & S�ding
29. Insulation
30. Dryi_a'� �allir.g
3'. Ptcster Bro�vn Coat
32_E�ectr�wl Poc:er lSetw�F�nal _
33. Final Elecir�c
34. Final HeaUng & Air Cond.tiOning
35. Final Gas Pipa-Test
36. Hood or Canopy
37. Final Factory Fvepiace
38. Final P�umbing
39. Water Service�Fina�
40. Gas Service-F�nal
41. Solar pomestic-F�nal
42. Backflow Preventer
43. Backflo�v Irrigation
44. Lands�aPe Irnqaticn System
45. Sound Attenuation:'
46. Handicap Reguiatioq<._'
. ��
_�i
47.PlNA�STRUCTUFE&�.�'l]��DWG �Z_�rj
48. FINAL PIANNING '-
49. Electric Release to Edisor�
50. Gas Release to Sou(hern�lifornia Gas Co
51. CERTIFICATE OF OCCUPANCY
Jo. _._-'_ Date _ ____ __
Inspecior
3 � �G�i�-
POOLS A �
APPROVALS Permit � Date Inspector I
�
52. Pool 5� £qu�pmznt locauon �
53, Steel Reinforcement ' �
54. Farms � '- I
55. Electriral6ording �
56. Rough Plumbing & Pressure Tesl '
57. APPROVAL TO COVER�GUhITE �
58. Electncal Condurt�Undrgmti. i
1
59. Gas P�pe, � Undrgrnd., Test !�
60. Backwash Lines, P�Trap, C7 Ur.drg�nd ' i
67. APPROVAL TO DECK �
62. Baekr:ash iL Reczutar�Fir.a1 '
63. Hoatei & VenbFir.ai _�
64. Plumbirg System - fi^.at }�-.,__Jf _j
65. Electrical�F�nal � � ' ,
66. Solar Systum�Fin:.l I � I -_1
67. Fencing & Accex Apnroca! �
G8. APPROVED F07 PLASTERI�\�G
69. POOUSPA SYSTEt:,S FINAL
FIRE DEPT. RE�UIREM.NT-i �
APPROVALS Pernut ,r �
I _
70. Underground Hytlro �
71. Product P'pint� [� Gas L Oil J�
-1
72. Undergrou�id Flush ',
- -- i
73. Under9md.StorcqeTank C�Gas `� 0�1 �
�
74. Overhead Hydro .
75. Dry Ghemicai �
-- - +
76. Dry Standpipe �
77. FIXED SYSTE�" FINAL .
- '-1
I
78. FIRE PREV. FINA:
HEALTH DEPT. REQUIREMIENT
7S. FINAL Ih:SPCCI i0."d II
B0. FOOD CERTIF�C,�T[ ISSUED - I _�_ :
_1
fVotes:
- - -- -- �
-' 7
- ----- -- +
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