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Home My WebLink About499 CABRILLO ST - Building Permitsqvc��cant to �iu in all spaces except those within �eavy bortler linei antl slgn all a0D/o0riale tleclarations. S9� I ��C/ �%/f3w .�'c � c ��• CI7Y OF COSTA n/n�ESA CON`STRUCTION PERMIT Project Address '/ QQ C�O�'i��e Sr- Applicant's Mailing Address �� wn Owner's Name n Phone �-6 Address �/49 (�Q��'� ��o 'S r Arch/Eng. - � ` License No. Addrew Contractor's Nam �% � Phone Gy�r�n Address (mailing) 'V�S F. �8r $T' City License No. 0.2591i lo LICENSED CONTRACTOR DECLARATION 1 hereby a1fl�m tnat I am licensetl untle� provislons ot Charle� 9(commencin9 with settion 7000) o1 DiviSfOn 3 Ot tne Bu5ine55 antl ProfeSsiOnS Code, antl my license is in full forc antl etiect. License Ciass �-/� � icensa N�-?7%48 % Date �-U.� c�„ �� .a '7y-i—�e� �L . _� W00.KER5' COMPENSATION OECLARATION 1 hereby atfirm that I have a certificate of consent lo selt-insure or a certiflcate oi Workers' Compensa[ion Insurance, or a certifietl copy thereof (Section 3800, Lab. C. ST fr Ftin� vo�icy No. 9'+Y87-66 Company � Certi(ietl copy is M1ereby fumishetl. Ce �i_ g'cq� 55 �Iletl wAPPhcantY Bui ing.Divi. o/ ) y , oate s// / �� tf�! ww�! __ E%EMDTION FROM WORKERS' COMPENSATION DECLARATION (ThiSSection neetl not be completeE II the permH Is fo� one huntlr0� (§300) o� less). I certify that in [h¢ Pe�to�mance of the wOrk for which tbl5 Oe�m�t i5 isSueQ I shall not employ any pe�son in any manne� so as to become subject to the Workers' Compensalion LawS OI Calitomia. Date Si9nature NOTICE: Ii, after making this tleclaratlon, you shoultl become subject to the Workers' COmp¢nsd[ion provl5ions_of lhe Labor Cotlo, you mu5t forlhwi[h comply with such Orovislons or titis permit snall be tleeme0 revoketl. CONSTRUCTION LENDING AGENCV I h¢r¢by affirm that there i5 a Cons[ruction lentling a9ency (or the pe�fo�mance oi the work for which this oermit is issuetl (Sectlon 309] Civ. CJ_ Lentl¢r'S Name �enUer's Atltlress OWNER BUILDER DECLARIITION� � � I hereby affirm tha[ I am exempt from the ConVactor's License Law for the following reason (Section �031.5 Buslne55 antl Professional Cotlo: Any ciry or county which require5 a p¢rml[ to coni[ruc[, al�e�, improve, tlemoli5h Or repair any 5trucWte, prlor to its Issuance, also reqWreS the appllcant tOr Suclt permit to file a signed statement that ne/she is licensetl pursuant to the provisions of the Contractov'S LlcenSe Law (Chapter.9 (commencing with SecUon �000) ot Divlsion 3 of the' Business antl Profe55ions Cotle) or [hat he/she is exempt �� therefrom ana the basis for the allegetl axemplion. Any violation of Section �03L5 by any applicant for a permit 5ubjec[s [M1e applicant ro a civil �enalty oi not more [nan five huntlretl tlollars (y500). I, as owner of the p�operty o� my em0loyee5 wltM1 wd9e5 a5'Iheir sole compensation, will tlo the work, antl tM1e structure is not�intentletl or offeretl for sale ($ection ]044, Busine55 anA Protessional, Cotle:' TM1e ConVa<tor's I license Law tloes no[ apply [o an owne�"of a prOperty who bulltl5 Or improves ihereon, antl Who tloes SucM1 work himsel^/horself or through his on c�r own ...dnee en.� c ��e �i e K are not. intentletl ot offe�etl tor Shc¢. If, howeveq th¢ �ulltling G� im0/ovement i5 Soltl within one yea� of com- pl¢Lion, the owne� wllli have the burtlen of Proving he/slte tlid.not �ulltl o� im- �rove tor Ihe pu�pose of salo). ' - I, as own¢r ot lhe'prOperty, am�exclu5ively contracting with Iicen58tl con- tractors to const�uct the projec[ (Sectlon ]044, Business antl Pro(essions Cotle:. The ConVactor's License LSw tloes not apply to an owner ot property who builds or Improves thereon�, ana who contracts (or suth projects with a con- t�actor(51 license Dursuant [O the Conttacto�'s Lic¢n5e Law). I am aware [haf proot o� Iheir Worke�'s Gompen5ation inzurance shoultl be prOvitletl to me. ❑ I am exempt untler Section B. 6 P. C. for [his reason Date Owner_ 1 hereby certi(y that I have reatl this applicatlon antl state that lne above Intormation is correct. I'a9ree ro compty wlth au city antl county orCinances antl state laws relating to'builaing construction, antl hereby authorize reo�e- sentalives of thi5 clt to ente! upOn th¢ dbove-mantiOnetl Pfoperty fOr inspection purpozes. . �,� �/ siynature � oate '7' 7 d.t �rivers' Liceuse or 55 � � ,�5-ZZp�/l I ,2�09 I .al I TYPE OFCONSTRUCTION NEW %�OD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OP WORK/USE OF BLDG. ��!�Nc"i� n�m nn }.. TYPE OF PERMIT LJ GRADING LJ FOVNDATION BSI STRVCTVRAL ❑ TENANT ❑ ELECTRIGAI. ❑ PLUMBING ❑ MECHANICAL O'OTHER PROJECT DESCRIPTION 54. F7. oCCUVAN/�Jy /�� CONSTRUCTIONTVPE _ VALUATIONS�.�(ll 20NE GRADING CU. VDS. ACRES Remarks: P �. � Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishovasher � Drinking Fountains Floor Dreins Floor Sinks Gas Service Outlets� Interceptors KiMhen Sink � � • . � Lavatories � 't P-Trep . . �Roof Drains, - Reinspection Fee �� $15 Boiler' � � Duct - Under Ground � Duct-Structural . . - �. Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0.100,000 BTU 0100,000 BT Rainspec[ion fee � $75 CMF 0865-46, �e�. 4/84 White - Builtlin9; Canary - ApP�icanq Pink - ACGountlng; Goltlenrod - ASsesso� Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Issue Fee Hoodor Typel ❑ CanoPY TYPe II ❑ Refrigeration System ❑4100,OOOBTU ❑100,000 System Repair/Alteration Issue Fee $ 3 $ 3 A.P. # — S Main Building: E T Front ARear C Right K Left / / S Ping. Re(. # Planning Notes: Automatic Washer '� Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec� Fan F.A,U. Pixtures Device Boxes Outlets Switches Garbage Disposal Generetor �0-5 KW C � Reinspeetion Fee �— DEVELOPMENT SER Zoning APProved BY_ Building Approvad By Appliwtion Issued By. 2one Accessory Building: �t�a� : .�n � ELECTRICAL Trensformer ❑ 15-50 KW. ❑ so+kw Meter LJup to 100 amp5 Meter ❑over 100 amps Sub Panel ' ' Motors�0-1 HP �iX-8 Inc.Solar 09-15 HP �16-15+ Microwave Pole Light Range � Standing Sections 5 KW Trash Compactor $15 Isue Fee tE�UIREMENTS: Z O N I N G R E � M T S. FEES $ 3 SU RY OF FEES BUILDING PERMIT $ �7 •�� SMIP $ �•S� PLAN CHECK $ !�• �Z PERMIT PLUMBING $ ISSUANCE S PIAN CHECK 25% $ ENERGV P.C. $ EIECTRICAL $ GRADING $ PLANCHECK 50% $ MICROFILM $ /t MECHANICAL $ TOTALFEE $ ST �Z PLAN CHECK 25% $ / CONSTRUCTION AND PLANNING .. POOL & SPs, � APPROVALS Permit # Date Inspector qPPROVALS Permit # Date Inspector '� !� 1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location �. . 2. Sai�P,�ipe-Undrgmd. ,_ �l� F 53. Steel Reinforcement ' � �3;1Electri�al CondmL Utility-Undrg�nd. �' 54. Forms �� 4yElectcical Conduit:Und grnd. `. � 55. Electrical Bonding '�� . n 5i SteeJRe:nforce� erit� �. '� 56. Rough Plumbing & Pressure Test � p: 6.%Elect'r.ical UFER;Grnd� � 57. APPROVAL TO COVER-GUNITE �" �, c�. �'. 7. •Footings � R.' � fi1 58. Electrical ConduirUndrgrnd. �� p V� �y Y. '% �G �8., Foundation V� F� �� ( 59. �Gas Pipe, O Undrgrnd., Test - � � 9�': Water Pipe-Undrg�nd. �, y�� i� 60. Backwash Lines, P-Trap, O Undrgrnd. �� 10. Structural Floor System � +a. �� 61. APPROVAL TO DECK 11. Property Sewer Line & House Co�nnection � �� 62. Backwash & ReceptorFinal � 12. SeweY.Cap �,Y y e i � � � �� _ f- 63. Heater & Vent-Final <. 13. Roof:Dreins y� �` 64. Plumbing System - Final ` 14. Rough Plumbing' 65. Electrical-Final . 15. Rough Electrical-Conduit , 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wtring Sign 68. APPROVED FOR PLASTERING 18. Rough 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 2 �: Ducts, Ventilating . 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush � 24! Roof Framing � 73. Undergrnd.StorageTank �Gas ❑Oil � 25. Roof Sheathing � ,5 74. Overhead Hydro i� 26. T,-Bar�Ceiling (Structural) & Monocoat 75. Dry Chemical 27�. �Freme and Flashing 7a i-� z 76. Dry Standpipe �.: 28. Lathing &rSiding 77. FIXED SYSTEM FINAL .- 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT 31. PlastenBrown Coat � � 79. FINAL INSPECTION 32. Eleci 'cal Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing - 39. Water Service-Final � . 40. Gas Service-Final 41. Solar pomestio-Final . , 42. Backflow Preventer � 43. Backflow.lrrigation . _ � � 44. Landscape Irrigation System . 45. Sound Attenuation � 46. Handicap Regulations � 47. FINAL STRUCTURE & BUILDING �`��`g6 ,� 48. Special Requirements Completed - 49. E�ectric Release to Edison ' 50. Gas Release to Southern California Gas Co . � : 51. CERTIFICATE OF OCCUPANCY � " � No. Date � (714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA B!/ILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT ,lobnddress: 499 CABRILLOST Suite: Vicinity: Parcel Nunmber: 11737307 Applicant: NOOSHA, NARIMAN Address: 499 CABRILLO ST COSTA MESA,CA - owner: NOOSHA; NARIMAN Address 499 CABRILLO ST ' COSTA MESA,CA � ContraIXor: ' �. " Address: � �,� BUILDING PERMIT Zoning: Phone: Zip: 92627 � Phone: � �. . ' Zip: 92627 � � - � , 698-01918 T/ FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED � Applied: 10/22/1998 Issued: 10/22/1998 � . � � - Phone: � , , Zip: , , � License:�- � Arch I Eng : . . : - .. , � . , � ' . / Address: ,- � � � � � , � - , -Phone: � . � . ZIP . License: � , SCOPE OF PERMIT T/O EXISTING RESHEATH AS NEEDED AND REROOF WITH COMP. SHINGLE, ROOF CERT. ATTACHED. . FEE SUMMARY .. i ' � Plan Check: $0.00 — -. Calc Valuation: Si,eoo.00 Permit: $59.50 � ,' Claim Valuation: S�,soo.00 SMIP Res: $0.50 . � , SMIP Com: $0.00 - � . � Other: $0.00 - — Inspection: $0.00 � Total: $60.00 • SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Fron[ 0-0 PARKING Ezistin : 0 NOTES: Rear 0- 0 Rear 0• 0 Required: 0 PLANNING 8 ZONING Left 0- 0 Left 0- 0 Proposed: 0 Right 0-0 Right 0- 0 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 ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapectlona end final approval must be obtained. Failura to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545828 WORKERS' COMPENSATON DECLARATION: ' � ` I hereby eifirtn under penalty of perjury one of the following declarations: ❑ I heve end will maintein a cenificate ot consent to self-Insure for workers' compensetion, es proviaetl tor by sectlon 3700 ot the Lebor Cotle, for the perfartnance of the work for which ihis permit is issued. ❑ I have antl will maintain workers' compensation insurance, as required by seclion 3700 oi ihe Labor Code, tor the pedormance oi the woM for which this pertnit is issued. My workers' compensetion Insurance carner end policy number ere: Cartier. Policy Number: (7his secfion need no( be completetl il the permii is valued at ane hundred dollers ($100) or Iess.J ❑ I certity thet in ihe performance ot the work for which this pertnit is issued, I shall not employ eny person in eny manner so as to become subject to iha workers' compensation laws oi Californie, end egree thet if I shoultl become sub�ect to the workers' compensation provisions ot Sactlon 3700 of the labor Cotle, I shell foRhwith comply with these provisions. Applicant Signawre: Date: WARNING: FAILURE TO SEWRE WORKERS' COMPENSATION COVERAGE IS UNIAWFUI PND SHALL SUBJECT AN EMPLOYER TO CPIMINAL PENALTIES AND CIVIL FWES UP i00NE HUNDRED THOUSAND DOLL4RE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, �AMAGES AS PROVIDED FOR IN SECTION 3'1O60F THE LABOR CODE, INTEREST, ANO ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby afFirm thet I am licensed under provisions of Chapter 9(commencing with Sectlon 7000) oF Division 3 af Ihe Business end Professions Code, end my license is In tull torce antl eNect Lic. # Cless p Contractor's Signeture: Dete: CONSTRUCTION LENDING AGENCY: ❑ 1 hereby aHirtn that there is a wnsiruction lending agancy for the perfortnance ot the work for which ihis permit is issued. (Sec. 3097, Civil Code). ' Lentlers Name: Lendefs Address: Signature: Data: OWNER-BUILDER DECLARATIONS: I hereby eHirtn the( under penalry of perjury Ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reeson (Sec. 7031.5, Business and Profeuions Code: Any ciry or counry which requires e pertnit to construct, alter, Improve, demolish, or repair eny swcWre, pnor to its Issuance, also requires Ihe applicant for such permit to file a signetl stetement ihat ha or she is licensed pursuam to the provisions oi the Contracmrs License Law (Chapter 9(commancing with Sectlon 7000) of Division 3 of Ihe Business entl Professions Code) or that he or sha is exempt therefrom and ihe basis for the alleged eaemption. Any violation of Section 7031.5 by any applicant for e permit suDjects Ihe applicant ro a civil penalry of not more than five hundred dollars ($500).): 'Q� I, es owner ot ihe properry, or my employees with wages as their sole compensetion, WILL DO THE WORK, and Ihe strucWre is not intentled or ottered for sale (Sec. 7044, Business and Professions Code: Tha Contrectors License Law does not apply to en owner�oF properry who builds or improves thereon, and who tloes such work himself or hersalf or through his or her own employees, provided Ihat such improvements are not intenaetl or ottered for sale. If, however, Ihe building or improvement is sold within one year of completion, ihe owner-builder will have the burtlen of proving that �e or she did not build or improve for purpose of sale.). ❑ I, es awner of the property, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct tha project (Sec. 7044, Business antl Professions Code: The coniractors License Law does not apply to en owner ot pmperty who builtls or impmves ihereon, and who wniracts lor such project with a contractor(s) license pursuant to ihe Contractors License LewsJ. _ � ❑ I am e`x/E Signamre: y Owner ID veri Vanficatian of // Business and Professions Code for this reason: � Data: — o —�/ ❑ Ves ❑ No Drivers License No. Expires: by (type oi document, i.e. - property ta�c bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hereby certiy ihat no excavation five (5) or more teet in depth into which a person is required to descend, will be matle in connection with work aut�onzetl �y this permit, and ihat no builtling stmcWre, scaflolding, falsework, or demolition or dismantling ihereof, will be more ihen thirty-six (36) teat high. (Chep. 32, Grp 2, Art 2, Sec. 347, lltle 8, Calitomie Atlministretive Cotle). ❑ As owneo-huiltler, I will not employ anyone to do work which would require a permit irom the Division of Indusirial Setety, es noted above, unless such person hes a pertnit ta do such work from the division. SignaNre: Date: Division ot Industnal Safery Permit Number: CERTIFlCATE OF COMPLIMIQE AND AIJTMOR¢ATON OP ENTAY: I certily under penally ol perjury thet I have read this application and state ihat tha infortnation given is correcL I egree to comply with all stete la�vs and ciry ord�na�es releting to building construction, and euthonze representatives of ihe Ciry of Costa Mese to enter upon the ebqve-describetl pro�pectio9� rposes. I agfee noYto occupy or ellow occupency of eny building authonzed by ihis p� it until finel inspedion. J .ei��.,�� o `2�-`/� ��/� Signeture (�f Lega wner(s) Date " And/OrAuthonzed Applicant Date COOE t. INSPECiIONTYPE 1616 1266 200 201 Fixed System Finel Fire Prevention Pool Spe Final Finel Re-Roof Final BIocWRetaining Well 202 Finel Fectory Fire Place 203 FinalSign 204 Finel Demolition 2406d6 CAg INSIDELS /LIL�1� - COUE� INSPECTIONTYPE 206 Final Mechenical 208 Final Plumbing 210 Finel Eledncel 272 Final Fire Prevention 220 Finel Plenning Approval 222 Final Site 250 Final Building/Occupancy � INIIDl� , Costa Mesa Building Department ��; 111 EAST 20th STREET < `• COSTA MESA, CALIFORNIA FOR t1PPLICANT TO FII.L IN nda«� 199 cA/lflict�o s; Costa, Mesa, California Nearest c�osssc. RYi�vE f1vE. Owner �. man g / Address Cilv �O S i ress �Z ach Metes and Baundi or �ot �O X l 3 of tlng 61d9. ack Lfne from i er oi 8treet S� New I /i � Alteretioi Repair I I Moving Building No. size /� �/S 59 tT poc ExteriorWell, I Covering �f Tve� o Use oi New .. Te�. No.L/ $� City Fq f No. T�% rr . �..y�. O Y on Lot Of N o. 01 nilies Room :ar Yard � deYard .�� woRg IA.ddition b Stories I hereby scknowledge that I have read this Application and state that the abwe is rnrrect and agree to comply with all City Ordinances and State Laws regulating building construction. Signatureof � ��e-�� ` Permittee -� "�C2� ! . . AP CATION FOR PERMIT �i �BUILD,LNG � FOR OFFICE USE ONLY I Receipt No. I Permtt N� % B � Reeeived by Date Rec'd. Data Issued 3— /d' ,C' Building Address Costa Mesa, California Nearest Cross St. APPROVALS �n Location I Inspector Materials, Valuation / Permit Fee $ .1 j- �-- �y, vv Total heck $ � --- Bond Beam $ � /� 1� r� F Fee $�! FINAL cnwu �na r�N 2M s-sa Date O � � Z D r x a�Vl L L[1L\ - Show locatlon and dishances irom property line �nd between buildings. —.'_'. .".' .�.. __' _ . .. '" ;: ; cOSTR n ¢ t.� i: * ��: � I `�'SS��tlCSA �.,�a 3�.��