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Home My WebLink About217 CABRILLO ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT �ob Address: 217 CABRILLO ST Suite: Vicinity: Parcel Number: 42539113 Applicant: CANDELMO, JAMES Address: 217 CABRILLO ST COSTA MESA, CA - owner. CANDELMO; ANTHONY J Address 217 CABRILLO ST Contractor: Address: Zip: Arch : Address: COSTA MESA, CA Zoning: ISSUED BY: Phone: 949-370-8699 Zip: 92627 Phone: 94&370-8699 Zip: 92627 Phone: License: Eng: Address: Status: ISSUED Applied: 03/02/2004 Issued: 04/08l2004 Phone: - Phone: Zip: License: License: SCOPE OF PERMIT CONSTRUCT NEW 455 SQ. Ff. DETACHED GARAGE. ' � � Plan Check: $136.01 Permit: $20925 SMIP Res: $1.11 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $346.3T SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: FEE SUMMARY PLANNING & ZONING Rear 0-0 Lek 0-0 Rear 0• 5 Left ` S 0 Required: ' 3 'Proposed: 2 Caic Valuation: Claim Valuation: Right 0- 0 Right 24- 0 S>>,ossso so.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become voitl 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 considered legal, such work must comply with all applicable codes, and all required Inspeetlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 754-5626 !446�9616100) WORKERS' bMPENSATION DECIARATION: � 1 hereby aflirm untler penalry of perjury one of the following tleclarations: ❑ I have entl will maintain e certificate of consent to salf-Insure for workers' compensation, as provitled for by section 3700 ot ihe Labor Coda, for t�e pertorm�nce ot ihe work for w�ich this permit Is issued. ❑ I heve and wiil maintain workers' Compensation insurence, as required by section 3700 of the Labor Code, for the pedortnenca of the work for whiCh Ihis permit is issued. My workers' compensation Insurence carner end policy number are: Carner: Policy Number: (This section need not be completed // the permit is valued et one hundred dollars ($100) or less.) ❑ I certify ihat in the peAormanca of the work tor which ihis pertnit is issueQ I shall not employ any person in eny manner so as to become subject to ihe worke�s' compansation laws of Califomie, and egree ihat if I should Decome subject to the workers' compensation provisions of Section 3700 of ihe Labor Coda, I shell forthwith comply with these provisions. Applicant Signeture: Dale: WARNING: FAIWRE TO SECURE WORKEPS' COMPENSATIQY COVEiiAGE IS UNLAWFUL ANO SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED THOl/SAND DOLLARE ($100,000), IN A�DITIIXJ TO TME CAST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]Ofi OF THE LABOR CADE, IMEREST, AND ATTORNEY'$ FEES. LICENSED CON7RACTOPS DECLARATION: I hereby altirm that I am licensetl untler provisions of Chapter 9(commencing with Section 7000) of Division 3 oi the Business and Professions Code, antl my license is in lull force end ettect. Llc. # Class q Contractor's Signaiure: Data: CONS7RUC710N LENDING AGENCY: ❑ I hereby affirm ihat ihere is a consiruction lending agency for the performance ot the work for which ihis permit is issued. (Sec. 3097, Civil Code). Lenders Name: Signeture: _ OWNER-BUILDER DECLARATIONS: Lender's Address: Date: I hereby eifirm ihet untler penalty of perjury that I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW tor �he following reason (Sec. 7031.5, Business end Professlons Cotle: Any ciry or county which requires a permit to consiruct, alter, improve, tlemolish, or repair any stmctura, prior to Its issuance, also requires the eppliwnt lor such permit to file e signed stetement ihat he or she is licensed pursuent to ihe provisions ot ihe Contractors License Law (Chapter 9(commencing wlth Section 7000) ot Division 3 oi Ihe Business entl Professions Code) or that he or she is exempt therefrom and the 6asis for the allegad exemption. Any violatlon of Section 7031.5 by any applicant for e permit subjecls the epplicant to e civil penalry of not more than five hundred tlollars ($500).): ❑ I, as owner of Ihe property, or my employees wi�h wages as �heir sole compensation, WILL DO TNE WORK, ana the siructure is not intended or oHeretl for sale (Sec. 7044, Business antl Professions Cotle: The Contractors License Law does not appty to an owner of property who builds or improves thereoq and who does such work himseif or herself or ihrough his or her own employees, provitletl ihat such improvemenis ara not intendetl or o%ered for sale. Ii, howaver, the builtling or Impmvement is sold within one year of complation, the owner-�uilder wili have the 6urden of proving that he or she did not build or impmve for purpose of sale.). - ❑ I, as owner of the propeny, am E%CLUSIVELV CONTRACTING WI7H LICENSED CON7RAC70RS to consimct ihe project (SecJ044, Business and Professions Code: The conirectors License Lew tloes not epply to en owner of pmperty who builds or improves thareon, and who contracts for such project wlth a contractor(s) license pursuant to ihe Contractors License Laws.). ❑ I am axempt un�ar�ec. �'�Business and Professions Code tor this reason: Signature: Owner ID verified by dnvar's license. (�VeS ❑ No a: - �� o Driver's License No. Ezpiras: Verification of Ownership by (type of tlocument, i.a. - property tax bill or tleed): DIVISION OF INDUS7RIAL SAFETV PERMIT CERTFICATION: ❑ I hereby certify ihat no excavation five (5) or more teet in depih into which e parson is required to dascanq will be matle in connection with work euthorized 6y Ihis permit, and that no building siructure, scaflolding, falsework, or demolition or dismanUing thereof, will be more than thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Cati}ornia Administrative Code). ❑ As owner-6uilder, 1 will not employ anyone to do work which would require a pertnit irom the Division of Industnal Sefety, as noted above, unless such person has a permit �o do such work from Ihe division. Signature: Date: Division of Indusirial Safary Permit Number: CERTIFlCATE OF COMPLIANCE AND AU7MORIZATION OF EMAY: I cenify under penelry of perjury that I have read ihis epplication and state ihat the infortnation given is correct I agree to comply with ell stete laws end city ordinances relating to building constmc�ion, and authorize representatives of the City ot Costa Masa to enter upon the ebove-descnbed property for inspection purposes. I egree no� to occupy or allow occupancy ot any building authorized by Ihis permit until final inspection. COOE 1. INSiECTIONiYPE PA1� TIN RIALS 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Ra-Roof 201 Final Block/Retaining Well 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolilion CODE� INSPECTIONTYPE 20fi Final Mechanical 20B Final Piumbing 210 Final Elecirical 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy �Datv U� Q Date 1[�j€ IMRIAlS DECLARATION OF AUTHORITY ' � FOR AGENTS OF PROPERTY OWNER TO APPLY FOR PERMITS Streel Address: 2! � "��'D � CoJ � mGy/}- 1. I (we), � %7-{an/ !'s, �dV �F't %:"?) referenced real property, and that I(we) hereby authorize: Bldg. Permit � O�� v`� �� This Permit #��' � AP Number: Y"'��3 / � " i3 declare that I am the Owner of Title of the above Name: d�� J+n/Q�'�J�'�1�' Telephone Number: ��/ ��1 �'�b // StreetAddress: Z'� � ��/CC O ST , �i71T� �L�� City: �11�" ML�R' State: � Zip: / Zb Z`r to obtain pertnits in my behalf, as owner/builder, for �� h ��i'%��,E at the above referenced property. 2. Should any person become an employee engaged in the improvement of the property, I(we) shall immediately provide Workers Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws. 3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or corporation. 4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa. 5. 1 declare under the penalty of perjury that the foregoing is true and correct. . � ,✓1 Executed this � � day of /� ��-%� 20 � at � s�" �`s � , California. Print Name: ��✓�7' U��%'ry Signature: oate: 3-- / — e �' Note: This authorization does not g2nt aufhorization to perform the woAc as owner, it solely provides for limited power of attomey to secure this pertnit in any behalf. 0]19d6 (rev.t t/00) (714) 754-5273 • Fex (714) 754-4856 • www.ci.coste-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner: Address Contractor. Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 uniLs) New Res (3+units) Pool I Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a . Service to 1000a Service over 1000a Motors to 1hp Motors to tOhp Motors to SOhp Motors to 100hp Motors over t00hp Communication drops 217 CABRILLO ST 42539113 CANDELMO,JAMES 217 CABRILLO ST COSTA MESA, CA CANDELMO,ANTHONYJ 217 CABRILLO ST COSTA MESA, CA Phone: 94&370-8699 Zip: 92627 Phone: 94&370-8699 Zip: 92627 Phone: Zip: License: ISSUED BY: Status: ISSUED Applied: 03/02/2004 Issued: 04/OS/2004 SCOPE OF PERMIT CONSTRUCT NEW 440 S0. Ff. DETACHED GARAGE. MISC ELECTRICAL. REF: 804-00740. ELECTRICAL TO INCLUDE: 1 LIGHT FIXTURE, 4 OUTLETS, 1 SWITCH & MISC CONDUIT FROM MAIN PANEL TO GARAGE. NO SUBPANEL PROPOSED. $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $1.10 $4.40 $1.10 ao.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 E0.00 Quantiry 0 0 0 1 4 1 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System I Lightlng Busway I100 k Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up�to 10 kva/kw .................up to 50 kva/kw .................up to 100 kvalkw ..................over 100 kva/kw Low Voliage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) ChrisMas Tree Stand Fireworks Stand Other ElecUical Fee Investigation Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $18.20 1 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void Ii 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 authorizad under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 zansre �rvoo� WORKERS'COMPENSAnON DECLARATON: I hereby eflirm untler penalry oi perjury one of the following declarations: � ❑ I have and wlil maintain a certificete ot consent to selt-Insure tor workers' compensation, es provitletl for 6y section 3700 of the Lebor Cotle, for the pedortnance of Ihe work tor which thi�pertnii is Issuetl. ❑ I have and wlll main�in workers' compensetion insurance, as requiretl by section 3700 of ihe Labor Catle, tor Ihe perfortnance of the work lor whic� this pertnit is issuetl. My workers' compensatlon InSurence cerder end policy number ere: Carrier: Policy Number: (This section need nof be complefed il Ne Oermitls va/ued et one hundred dWlers ($100) or less.) ❑ I certity that in the peAormance oi the work for which thls permit is Issued, I shell not employ any pereon in eny manner so as to become subject to t�e workers' compensation laws ol Celitomia, and agree Ihat if I shoul0 bewme sub�ect to the workers' compensetion proNslons ot Sectlon 3700 at the La6or Code, I shall forthwith comply with these pmvisions. � Applicent Signeture: Date: WARNING: FAILURE TO SECURE WORKERS' ODMPENSATION �VEPA�E IS UNUWFUL PND SHALL SU&IEGf AN EMPLOYER TO CRIMINA� PENALTIES aND GML FlNES UP TO ONE MUNDRED THOUSAND OOLL4RE (5100,0OO�.IN ADIXTION TO THE COST OF COMPENSATION, DAMAGES /S PROVIDED WR IN SEGfION 31080F iHE IABOR COOE, INiEREST, FND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATON: I herehy aMirm that I am licensed untler provlslons ot Chepter 9(wmmencing with Section 7000) of Division 3 of the Business entl Professions Code, anA my license is in full force end eflect. Lic. a Class q Contractor's Signawre: Date: CONSTRUC710N LENDING AGENCY: ❑ I hereby aHirm that there is a construction lending egency for the pedormence of tha work for which Ihis permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lendefs Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn that under penalry of per�ury that I em EXEMPT FROM THE CONTRACTORS LICENSE lAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which reQuires e permit to constmct, elter, Improve, demoiish, or repeir any structure, prior to its issuence, elso requires the epplicant for such permit b tile e signed stetemant thet he or she is IlcenseC pursuent b the prodsions oi the Contrectors License Lew (Chapter 9(commencing wl�h Sec�ian 7000) ot Division 3 ai the Business antl Prolessions Cotle) ar thet he or she is exempt therefrom end the besis for Ne elleged exemption. Any violetion ot Section 7031.5 hy eny aDPlicant for e partnit subjects the epplicant to e civil penelty of not more Ihen flve hundred dollers ($500)J: ❑ I, as owner of the property, or my employees with weges as Iheir sole compensatlon, WILL DO THE WORK, antl the sWCWre Is not intentled or oHerad for sale (Sec. 7044, Business antl Protessions Code: The Contractors License Lew does not apD�Y �o an owner of property who builtls or improves Ihereon, antl who does such work himselt or herself or ihrough his or her own employees, provitletl �ha� such improvemenls are not intendetl or oNeretl br sele. Ii, however, Ihe building or improvemem is sold within one yeer of completioq the owner��uiltler will have ihe burden of Droving ihat he or she tlitl not builtl or improva tor puryose oi salaJ. � ❑ I, es owner ol ihe property, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sac. 7044, Business antl Protessions Code: The contrectors License Law tloes not apply to en owner of property who bullds or Improves Ihereon, entl who coniracts lor such pmlect with a contrector(s) license pursuant to the Camrectors License Lews.). ❑ I am exempt u sec. Business end Profeuions Code lor this reason: Signature: �� ' � ' / Owner ID venhed �y dnve se. es ❑ No Dnver s License No. Ezpires� Venficatlon of OwnersNp by (type of dwu�, i.e. - property tez bill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICATION: ❑ I hereby certiy thet no excevetion tive (5) or mora teet in dep(h Into which e person Is required to descend, will be mede in connection with work euthorized by this permit, and that no building s�mcture, sceHolding, felsework, or tlemoli�ion or dismemling ihereof, will Oe more ihan ihitly-siz (36) feet high. (Chap. 32, Grp 2, Ar12, Sec. 347, Title 8, Calibmia Administrative Cotle). ❑ As owner-builder, I will not employ anyone to do work which would require e permit from ihe Division of Industriel Sefery, es noted above, unless such person has a permit to do such work trom the division. Signatura: Date: Division of Indusirial Sefery Permit Number. CERTIFlCATE OF COMPLIANCE AND AUTHORVJITON OF ENTRV: I certify untler penalry of perjury ihat I have read this epplication end state ihat the information given is correct. I agree to wmply wlih all steta laws antl ciry ordinances relating to bullding consWction, and eulhotlze representatives ot Ihe Clry of Costa Mesa to enter upon the above-tlescribad property for inspection purposes. I egree not to acupy or allow occupancy ol eny building authorized by this permit until final ins0ection. FOpE�. INSVECTIONTYPE PAIE IMRIALS 1616 Fizetl System Final Fire Prevention 1266 Pool Spa Finel 200 Final Re-Rool 201 Finel BIocWRetaining Well 202 Final Factory Fire Placa 203 Finel Sign 204 Final Demolitlon COUEA INSPECTIONTYPE 206 Final Mechanical 20B Final Plum6ing 270 Finel ElecMwl 212 Finel Fire Prevention 220 Finel Planning Approval 222 Finel Site 250 Final Building/Occupancy PAte� 5F� ��' Date � � um.. ' � �1"