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Home My WebLink About234 CABRILLO ST - Building Permits(774) 754-5273 • Fax (71a) 754-4856 • www.ci.costa-mesa.c� +�ILDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 234 CABRILLO ST Suite: Vicinity: ROOF Parcel Number: 42539204 Applicant: PARKOVICH, DAN Address: 2234 AVALON ST COSTA MESA, CA Owner: PARKOVICH, DAN Address 2234 AVALON ST COSTA MESA, CA Convactor: O W N E R-B U I L D E R Address: Zip: Arch : Address: Phone: Zoning: ISSUED BY: Phone: 949-&31-2988 2ip: 92627-1620 Phone: 949-631-2988 Zip: 92627-1620 Phone: License: 000000 Eng: Address: Slatus: ISSUED Applied: 09/26/2003 Issued: 09/26/2003 Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL SHEATHING, 40 YEAR COMPOSITION SHINGLES, AND 1 LAYER OF 15# FELT. 18 SQUARES FOR RESIDENCE AND 2 SQUARES FOR DETACHED GARAGE. - WORK WILL BE DONE CONCURRENTLY. Plan Check: $0.00 Permit: $9725 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORV pront 0-0 PARKING xistin : o Rear 0- 0 Rear 0- 0 Reouired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Righl 0- 0 sa,000.00 sa,000.00 �I NOTICE: The work authOrized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-26, § 1, 1241-92) 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 the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspeetlone 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) 7545626 24463fi (fl�00) WOAKERS'COMPENSAnON DECLARAnON:� ' I he�eby affirtn under pe�'�alty of periyry one oi Ne bllowing tleclarations: ❑ I have end will maintain a certificete of consent to self-Insure for workers' compensation, es providetl for Dy sectlon 3700 0� ihe Lebor Code, lor the pertormence ot the work far which Ihis permit Is Issued. ❑ I heve end will maintain workers' compensation insurance, es requlretl by section 3700 ot ihe Lebor Code, for the pedormance of the work br which ihis pertnit is Issued. My workers comperlsetion Insuranca carnar and policy number are: Cer�er: policy Number: (Thjs section need nof be completed I! fhe permit is va/ued at ane hundred dollars ($700) or Iess.J f] �' I ceM1ily thet in the pertormance of t�e work lor which �'s p�wi isJ ued, I shall not emplay eny person in any manner so as to become subject to the workers' (��compensatlon laws of Calll entl agree that' I�b � ubject to the workers' compensatlon provisians ot Sectlon 3700 of the Lebor Code, I shall forthwith comply with these prov ns. _ '+ '/ qpplicentSigneWre: 7 �� Date: /'C�C� `�� WApNIN�: FAILUFE TOSECURE WORKERS' CO PENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CFIMINAL PENALTIES AND CIVIL FlN OIXJE HUNDRE� THpUSAND DOLLAFE �5100,000), IN ADDITION TO iHE COST OF COMPENSATIIXJ, DAM4GES AS PROVIDEO FOR IN SECTION 31O60F THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: 1 he�eby affirm ihat 1 am licensed undar provisions of Chapter 8(commencing wiih Seclion 7000) ol Division 3 of the Business and Prolessions Code, and my license is in tull farce entl eHect. Lia N Glass q Contrectors SignaWre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aflittn ihat there is e construction lending agency fo� �he peAormance of ihe work for which Ihis pe�nit is issuetl. (Sec. 3097, Civil Cotle). Lentler's Neme: Lender's Address: Signawre: Date: OWNER•BUILDER DECLARATIONS: I heleby eNirtn Ihat under penalry of perjury thet I am E%EMPT FHOM THE COMRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requires a pertnit ro construc4 alter, impmve, demolish, or repair any sWCNre, pnor to its luuance, elso requires the epplicent for such pertnit to tile a signetl statement that he or she is Ilcensed pursuant to the provisions of ihe Cantrectors License Ww (Chapter 8(wmmencing with Section 7000) 01 Divlsion 3 af the Busl�ess and Professions Cotle) or that he or she is exempt Iherefrom antl the Gasis tor the elleged exemption. Any violetlon o� Section 7037.5 by any epplicent tor a pertnit subjects lhe applicant to a civil penfllry ot aot more lhan tive hundretl tlollars (550�) J: ❑ I, es owner of ihe propeny, or my employees with wages es thelr solo compensation, WILL DO 7ME WORK, antl the sirucWre Is not intended or oHered lor sale (Sec. 7044, Business and Professions Code: The Conirectors License law does not appiY to an owner ol propeRy who bullds or improves Ihereon, antl who does such work himself or herself ar through his or her awn employees, proviaetl that such impmvaments ere not Intended or oMered tor sale. If, however, the builtling or Improvement is soltl within one year of completion, the owner-builtler will heva Ihe burtlen of proving �hat he or she did not build or improve br purpose oi sale.). � ❑ I, as owner of Ihe properry, em E%CLUSIVELV CONTRACTING WI7H LICENSED CON7RACTORS to construct the D�ojact (Sec. 7044, Business end Professions Code: The contrec License Lew does not ly n owner ot propeny who builtls or improves t�ereon, and who comrecis tor such project with e comractor(s) license oursu o t Coniractors Licen ❑ lam Signature: Business and Prolessions Code for t�is reeson: Owner I�rifiad by tlnver's liCenSe. ❑ Ves ❑ No Driver5 LiCense N0. Vedlicatlon of Ownere�ip by (type ol document, i.e. - property tes blll or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICATION: � I �ereby certify that no excaveuon five (5) or more faet in depth Into which e person Is required to descend, wiil be made in connection with work authorized by this pertnit, and ihat no buiWi�g slmcture, scaNWaing, talsework, or tlemofition a tlismantli�g thereof, will be more than lhirty-six (36) teet high. (Chap. 32, Grp 2, AR 2, Sec. 341, Title B, Califomia Atlminislrative Code). ❑ As owner-builder, I will not employ anyone to do work whiGh would require a permit fram t�e Division of Industnal Sefety, as noted ebo�e, unless such person �es e partnit to do such work from Ihe tlivision. Signeture: Date: Division ol Industrial Safety Permit Number. CER7IFlCATE OF COM IANCE AND AlliHORIZA710N OF EMRY: I certity unde� penalty of pe�ury Ihat I have read this epplication antl state Ihet the intottnation given is correct. I agree t mp with all stete 1 end ci r�lna iating ro builEing conslmcllon, and authonze representetives of the Ciry of Costa Masa to anter upon the ebove-descn pro fa Insp ' p o . I ot to cupy or ellow occupancy of eny building authonzetl� is permit unlil finel inspection. Z6 �� SignaNre Of Legal Owner(s) Date Antl/Or Aut�orizetl ADO�� COOEL INSPECTIONiYPE 1616 Fixetl System FInaI Fire Prevention 1268 Pool SDa Final 200 Finel Re-Roaf 201 Final BIxWRetaining Well 202 Final Factory Fire Place 203 Final Si9n 204 Final Demolition Pe7E li�e� B-/ •m � �QQ�,a INSPECTIONTYYE 206 Final Mechanical 208 Ftnal Plumbing 210 Finel Electrical 212 Finel Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final BuildinryOccupancy PAg It�EL$ _ �, , �, , , � , � � a , ,. / � ' � , i i i �� ' ., . / �/" / / ' �� / .r i l�i . `, � . , i � � ! / � � � � i . � / I � i / � � .1 � � � �� i / s / � �' � ' / �� .-� '-• - '� � ' �� _ � f r • � � . �� j r . ,� � / / ,� �. / � � � / . � / � /1I . i j / A � �/ � � : � i � � / , /- ♦ i i .. i� � �� / � � / � / � iiY' � , , r � 111 , / � � � I � / ,� i � —, � / � " i ' /' i / I ' o , � � � v S�o � ; Sa�* � �_ i �� w �' ' 5 6/ �. . � �Sk¢„�� ( I � ,, .� �� i . ., �j nooeess: 234 CABRILLU ST a�sx�Me:JIM HAYDEN , aooness: SAME AS ABOVE 714/548�-1939 ►flCH1ENGINFEfl: ►ODflESS: uxiT: 0 0 flE0.N0.: uNrt: PENMIfTEE:ORANGE COAST ROOFING �� ( 714 ) 631-1.924 RDOflESS: 2OZZ2 SANTA ANA AVENUE 6A SANTA ANA HEIGHT C 9? 07 LICENSEO CONTMCTOB UELUM710N: I �ere0y aHirm ttut I a enseE under oui5ion f CMpter (comme inp witA Seclion 7000) of Oivision 3 of t�e Busineu antl Professions CoOe, anE I ense is in t orce a etlect. cm uc.: �.i S 9 3"/ sTn�re uc.:4 3 4 6 7 4 cuss: 3 9 _ � Oate: 1 r—�� o—� S�9nature: WOBKEBS' COMPENSATION OECUMTION: I �ereGy affirm t have a ceN mat t wnseni ro sell-ifaure or a cenlfkate oI Warken � ComDenution�n�r�oE,Er� cenille0 mpy thereol (Sectlon 3800, Lab�� 1/ 9 O ' raucr xo.: STATE ECJND �P �TE: "OMP�NY:' y, J CertifieU copY �s �ere6y fumisAeO. LJ CenllieA coOY is f vnih tne dry ildinp vislon. Date: / � _ � U' �� MPlicant: F%FMPfI�N FflOM V10NKEfl$' COMPEN511ilON OECUMTION: RNs uclion need no� Ce complete0 il tha pertnit is �w om �uMreO (5100) or leu �. I certiry ihal in the peAormance ol tha work tor wAich inis Dermit is issued, I shatl nat employ any person in any manner w as to become suEject m the Workers' Campensation Laws of California. , Date: Sipnawre: NOTICE: II, atler makinp this Eeclaratian, you s�oulG Oecome suhle�� o the Workers' Compenution provislans ot tAe �ahar Code, you must lonlrxith camply with suc� pmvisions or tNs permit sAall be OeemeO revokeE. CONSTBUCTION LENOINO �GFNCY: 1 Aerehy ailirm ihat t�ere is a constmction IentlinB apency lor ihe peAormance al t�e xrork for wAich tAis Dermit is issue0 (Sectlon 3097, Civ. C�. , LENDEB: nooness: OWNEB BUItDEB OECIAMTION: I hereGy aKrm tlat 1 am exempt imm ihe ConVactors' State Liceme Law for Ihe lollowinq reasan (Section 7031.5 Business ana Prolesslonal Catle: My ciry al counry whic� repuires a permit to consimct, alter, imDrove. aemolis�, ar repair any stmcwm. O�or to its issuance, also repuires t�e aDDlicant lar such De�mit to tile a siqneA SWtement tAat Ae/sAe is IicenSeO pursuant to t�e D�a�isions al Iha Contracrors' State License Law (Chapter 9(commencinA w�� Section 7000) ot Division 3 of t�e Busineu and Prolessions COEe) or that MJs�e a exempt I�erelram an0 th¢ basis for IA¢ alleAeG exem0��on. My violation of $eClion 7037.5 Oy any apqiwnt tor a Dermit suDjects the applicant to a cNil penatry at not mare ttwn Me hunEraO Eollars (f5W). I, as owner al t�e D�opeM or my empIqees wiih wa0es az their sole campensatlon, -wI0 Eo t�e wod, an0 t�e ❑ siructum is not in[enOeC or offered lor sale (SeC�on 7044. Busineu and Professional Cotle: T�e Controctars' Slate Licenu Law Oaes not apDN �o an avmer ol a proOeM �o builUs ar imprmes ��erton, ana wAo Ooes such wo�c himsell/herseli ar ihmup� Ais or Aer awn emDloyees, provideC t�at such im0�ovement5 aa not imen4e0 or otlereU for sale. It, �owever the builtlin0 or imD�avemem is mltl wit�in one year ol wmDletian, the owner will have the burtlen ol DrovinO ��she OiA not �ui10 or imD�ova ' lor tAe Durpose ol sale). � I, as owner ol Ihe properry, am evclusivery wntractinA �h IkenseE contrac[ors ro construct t�e D�� on 700C. Buvness ❑� anU Professions CoOe: The Contactors' State License Law Uces not aDPN �o an own¢r ol propeM who ENIQs or imD�� hereon anA who coniracis tor suc� pmlects with a coniractor�s) licensa Oursuant ta't�e Cantractors' �tate Lmense Law�. I am aware ihat proaf at their Worker's ComOensation insurance 5Aou10 Ue pmvi0etl to me. � I am exempt unaer Sectlon: � B. 8 P. C. � , for this reason: Date: Owner: I Go AereEy certiN ��at I am aware ol anC understanU t�e requirements of Califomia Healih and Safery Code Sectians 2550.5, 25533, an0 25534 anO lhai I or any fuNre hull0inp occu0ant will/wlll not (circle one) neea b comD�Y with sai0 slate cotles antl IAe reQuiremenfs for a permit for consimction or moCilicatlon Irom tAe Pir �uahty ManaAement Uisirict�esi0ential constmction ap0lications are exemD� ��om these pmvisions. � Oaie: ApDIiWm: � I herehy certiry ttut I �ave read this apDliwtion anE state tlut the� ve intormat on s corre �. I a0�ee ro o ty xii� ordinances and sWte Wws relatinp to OuilOinp constmction an0 nerelly thorize rep � Utives 1 tn¢ dry to nt upon t�e a Omperry for ins0eation purpose�s./ I Dare: � �� 30—�/ SiOnaWre: oriver•s Lianse or Sodal Setudry , l6aldfi Whita—BuilEirro; Green—Cotle Entorcamem: Canary—Foolicant; Pink—Revenue: GolOenrotl—Ameswr r CITY UF COSTA MESA - DUILDING PERMIT PERM NO: B 04520Q' PERMIT NO: B 095200 �PI�AN CHF.CK NO: N GOVT; N SUPP: I�! . CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSH: NEW JOB DESCRIFTION ; PARTIAL� TEAR OFF/RESHINGLE SQ FT:. 2,GG8 CLAIM VALDE: 2,56E1.U0 CAL�C-VALUE: 2,66A,00 GRUUP OCC: R-il / • COMMENTS: • ' it iE ft fk if iF 3E iE iE jf iE iE iE 1f �E if iE iF if jf �t if it k iE �f it k it !k iE iE iE ik iE iE iE iE i� iI� it i! iE iE �%� iE ib iE if iE iE 3F ik if 1E iE ik 1E iE iE �f ik k if iF i' ie iFlf ii ii� iE 3E iE 3f IE �E 3E fE 2 O N I N G R E Q U I R E M E N T S' S E, T II A C K. S ----------- MAIN BUILDING -------- — --------- ACCESSORY BUILUING ------=-- FRNT': FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT; F'T IN RGHT: FT IN LEFT: FT IN RGHT: FT I�] PARKING REQ: PROV: PARCEL: OQOQ0000 ZNE: REF N6: PLANNING NOTES� > iE iE iE �)E �f �E IE 3F �E iE if i4 iF 1! 3E 3E fE i! �E �k it 1E iE iE iF fE f! iE iE iE 3E iE �E 1E if it 3E iE jf iE if iE !E 3F iE iE iE iElk iE iE 3E 1E iE if ik �7E if 3f k if it 3E iE iE 3E �E if if iE if iE iF 3E 3E 3E iF 3f iE D E V E L O P,M E N T S E R V I C E S It E(� U I R E M E N T.S ZONING,APPROVED BY DATE: ; � , _ _ __— ' — .Y ___' ' BUILDING APPROVED DY.: ' DATE: ;r� ��-p APPLICATIOD! ISSUL'D DY: ��F�� DATE: �' 3� b r iE�lEiEjEiFiE�EiE�EiE3EiEi(�iElEifi6iE�E9E�1EiEiFF".�iFiF ��3F3fiFTFiF'£kkikkiFitiEiF3EiE' bF' 1FitiESt iF iF iE iE i( 1E 1E iE iE iE 3E if IF 3E iF lE iC� k 1E iE �E iE 3F if 3E �E iE iE ik iE iE it 1F ib it dF 3E iF 36 iE if if if iE ik 3E IE iE If �H- iE �E ik iE Ik iE %iE dF �k dE it iE �E iE iE iE if ik'IE aE 36 iF iF %� �)E iE iE 1E LEGALIZATIUPI: M F E E S U M M A R' Y�'STRUCTURALI SEGMEDiT: Y BLLG PMI' PLUMBING ELECTRIC MECHANZC FIRE SMIP/RES GRADING FERMIT 54.00 .SO SMIP/NON-RES PLAN , ISSUE FEE BUILDZNG-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID AUC 'fOTAL5----> 54.50 0.00 0.00 54.50 54.50 .00 REVENUE DIVISION TOTALS--> C.OLLECTED: ' S4.50 OVER/SHORT: .00 BI,DG PMT PLUMDING ELECTRIC MECHANIC F.IRE SMIP/TOT GRAUING PLAN-CHECK 54.�� .5� jE it 1E iE �E if iF iE �E iE iE !E if 1E iE �lE if 1E iE if iE iE itlF it iE i4 ft if if 1E 3f ik 1E iE i6 iE if iE ik iE iE dE iE iE 3f iE iE �E �F if 1E if if �klE if k �E * iE iE iF 3k iF 3E iE iE dE if iE iF iE iE?F iE 3F if IE I N D I V S D U A L F E E B R E A FC I) O W N ��_� SFR QTY 266II D E S C R I P T I O N REROOF BY VALUE RESIDEN7AL NO'LONE END OF 'FEES �ONIT COST �TOTAL COST 1 .00 2, 66f3.00 c 0 01 00048678-0004E679 T Q T 54.50 DA1E: 11/30/89 TINE: 14:42 �� CONSTRUCTION ANDPLANNING APPROVALS Permit # 1. Temporary Electrical Service or Pole 2. Soil Pipe-Undrgrnd. , ., 3. Electrical Conduit Utility-Undrgrnd. , 4. Electrical Conduit-Undrgrnd. � . � I� 5. Steel Reinforcement �� 6. Electriwl UFER�Grnd.� • 7. Footings � � 8. Foundation � � , 9. Water Pipe-Undrgrnd. � 10. Structural FloorSystem , 11. Property Sewer Line & House Connection 72. Sewer Cap 13. Roof Drains - 14. Rough Plumbing 15. Rough Electrical-Conduit � 16. Rough Electric Wiring 17. Rough Wiring Sign - 18. Rough Electrical�T Bar Ceiiing 19. Rough Heating & Air Conditioning 20: Rough-Factory Fireplace _ 21. Ducts; in Structure ' 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test - . 24. Roof Framing � � 25. Roof Sheathing � - 26. T-Bar Ceiling (SVuc[ural) & Monocoat 27.. Frame and Flashing 28. Laihing & Siding . 29. Insulation 30. Drywall Nailing 31. Plaster Brown Coat - 32. Electri,cal Power Meter-Final . 33. Final Electric � . 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 pomestic-Final . � 42. Backflow Preventer 43. Backflow Irrigation �. 44. Landscape I«ipation System ' 45. Sound�Attenuation � 46. Handicap Regulations � 47: FIIVAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern Ca�ifornia Gas Cn 51. CERTIFICATE OF OCCUPANCY No. Date Date 8 0 Inspector PC 9 SPA APPROVALS Permit # 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms � � 55. Electrical8onding ' 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER�GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P�Trep, O Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor-Final 63. Heater & Vent�Final 64. Plumbing System � Final 65. Electrical�Final 66. Solar System-Final 67. Fencing & Access ApProval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit# 70. Underground Hydro 77. ProductPipingOGas ❑Oil 72. Underground Flush � _ 73. Undergrnd. Storage Tank O Gas ❑ Oil 74: Overhead Hydro 75. Dry Chemical . • 76. Dry Standpipe . � 77. FIXED SYSTEM FINAL � 78. FIRE PREV. FINAL � ' � HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION � 80: FOOD CERTIFICATE I'SSUED Notes: - Date �Inspector r, o. '.I � � ��s�� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA. CALIFORNIA For Applieant io Fill In Complefely TYPE OR PRINT � BUILDING � ✓ ///a ADDRE88 K� COSTA MESA. CALIFORNIA OWNER A MAIL n "7 /l /� , I _ .��% -W' TEL. NO. TEL. STATH TEL. C� � � LIC. NO. NO. � aize ' ��7 , �7�� NO.OFBLD68. OF LOT SO y. .7 I noW oN �or U6E OF � EXIBTING BLDG. Q/1� 86T��CK LINH PROM WALL IRIGHT :RIPTION OF WORK ORK TO // F�E RECEtVED ��S�P 1 � 19G0 fINANCE DEPT. C1TY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only HECEIPT NO, PgRMIT NO. ar In/y� 0.Ec€�qg6�:� Te ��i-�i i (i � / � COSTA MESA, CALIFORNIA FIRE ZONE APPROVED � BY ZONE INO.OF PLANB LEGAL I YAR�S APPROVED fCHNTBP LINH BTJ 1 ) �,. � �� USE OF ;;,:�. r!:;.��'s" ��-��ovFo -��'� � I XBp6sV ACIWOW�EDO6 TMAT i XAVE RtAD TH19 APPLIG�ION }HE AMOUNT BHOWN UNDER VALUATION 19 FOR THE ANO BT/�T6 TNAT �NB ABOV6 18 CORPECT .WD AGREH TO'COM- pUfiP086 OP EBTABLIBH�NG A PERMIT PEe ONLY. PLV WITM ALL GI'K.ONOINANGHB AND BTATH WB R8011LATN0 BUItDINo CONeiK�C�ION. VALUATION /f 81GNATURE OF/ �� (%S PERMIT FEE $ pL � N PERMITTE //' . � /�L� — a S 'l X PLAN CHECK $ Z AUTHORIZEO AGBN7 0 TOTAL FEE �� LL