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Home My WebLink About264 CABRILLO ST - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 264 CABRILLO ST Suite: Vicinity: ROOF Parcel Number: 42546203 Applicant: ROY CERULLO Address: 1070 N BATAVIA SUITE 502 ORANGE,CA Owner: HARLING, BRIAN A Address 46 PASEO VIENTO CA RANCHO SANTA MARGARITA Contractor: ACADEMY ROOFING CO Address: 1070 N BATAVIA #502 ORANGE,CA Zip: 92667 Arch : Address: Phone: Zoning: Phone: (714)997-0038 Zip: 92667 Phone: Zip: 92688-3351 Phone: (714)997-0038 License: 648959 Eng: Address: ISSUED BY: Status: ISSUED Applied: 01/26/2005 Issued: 01/26/2005 Phone: Z'ip: �icense: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 2 LAYERS OF 15# FELT, REPAIR/REPLACE SHEATHING AS NEEDED, AND 20 YEAR COMPOSITION SHINGLES. 22 SQUARES FOR TRI-PLEX ONLY. � Plan Check: $0.00 Permit: $125.25 SMIP Res: $0.51 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.76 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: 0 Rear 0- 0 Rear 0- 0 Re uired: 0 FEE SUMMARY � PLANNING'& ZONING Left 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 ss,iao.00 85,1a0.00 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 void if work is not commencetl within 180 days, or if work is suspended or abandoned for a period of 180 days. � INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, antl all requlred Inapeetions 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 , 2448�48(8/00) WORKERS'COMPENSATION DECLARAnON: I hereby eNirm under penalry of perjury one of the following declarations: ❑ I heve entl will malntain a certificate of consent to sel4lnsure for workers' compensetlon, es provided for hy section 3700 of ihe Labor Code, tor the pedormence ot the work for which this permit is issuetl. ,� I�h ve antl will maintain workers' compensa' msurance, as required by section 3700 of the Labor Code, for the pedortnance of the work For which this pertnit is Issued. My.workers' om ensation Insurence car end policy number are: ��.%��f �v�� Por�� m� �: /�6>G�c� a�f (This section need not be cromple'fed il fhe permrt Is velued et one hundred dollars ($100) or less.) ❑ I cenify that in iha pedortnance ot the work forv�p¢ i ihis permit is issued, I s�all noI employ any person in any manner so es to become subjeIX to the workers' compensetion laws of Calitomia Qr�f ari should �ecome subject to iha workers' compensation provislons of Section 3700 oi the Labor Code, 1 shell forthwith ��comply.with.ihese pr� . � < 'APPIi�:s�9�9tu�e:.- Date: S I�J�—GS� ti`„5: WARNING FAILURE TO SEC ORKERS' DMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPCOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANDDOLLARE($100 ,INADDITIONTOTHECOSTOFCAMPENSATION,DAMAGESASPROVIDEDFORINSECTION3IO60FTHELABOqCADE,1lJrEREST,ANDATTORNEV'$FEES. LICENSED CONTRAC70RS DECLARATION: of Chapter 9(commencing with Sectlon 7000) of Code, and my license Is in full CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm that Ihere is a consimction lentling agency for the pedormance ol the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby alfirm lhat under penalty of perjury thet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, 8usine55 entl Professions Code: Any city or county which requires e parmit to constmc4 alter, improve, demolish, or repair any stmcture, prior to its issuance, elso requires ihe applicant for such permit to file e signetl statement that he or she is IlcenseE pursuant to the provisions of the Contrectors License Law (Chapter 9(commencing with Sedion 7000) oi Divlsion 3 of the Business and Professions Code) or thet he or she is exampt theretrom and Ihe besis for the ellegad exemption. Any violation of Section 7031.5 by any applicant for e permit subjects the epplicant to e civil penalry of not more ihen five hundred tlollars ($500).): ❑ I, es owner of the property, or my employees with wages as �heir sole compensation, WILL DO THE WORK, antl the structure is not intendetl or otterad for sale (Sec. 7044, Business and Professions Code: Tha Coniractors License Law does not apply to an owner of property who builtls or improves ihereon, and who does such work himself or herself or through his or her own employees, provided ihat such improvements ere not intended or ottered for sele. If, however, iha building or improvement is sold within one year of completion, the owner-6uiltler will have the burtlen ot Droving that he or she did not build or improve for puryose ot sale.). � ❑ I, as owner of the properry, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct tha prqect (Sec. 7044, Business and Prolessions Code: The contractors License Law tloes not apply to an owner of propetly who huiltls or Improves Ihereon, antl who contracis tor such pmject wi�h a comractor(s) license pursuant to the Contrectors License Lews.). ❑ I em exempt under sec. Business and Protessions Code for this reason: Signature: Date: Owner ID verified by dnvers license. ❑ Ves ❑ No Drivefs LiCense No. Expires: Verification of Ownership by pype of document, i.e. - properry tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify Iha� no excavation five (5) or more feel in depih into which a person is required to descend, will be made in connection with work authorized by ihis permit, antl ihat no building structure, scaifolding, falsework, or demolition or dismantling thereoi, will be more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Adminisiretive Code). . ❑ As owner-builder, I will not employ enyone to do work which would require e permit irom Ihe Division of Indusirial Setety, as notetl above, unless such person has a pertnit to do such work irom �he division. Signeture: Date: Division ot Indusinal Safety Permit Number: CERTIFlCATE OP COMPIJANCE AND AUfHORVJUION OF ENTRV: I certify under penalry of periury lhat I have read this epplication antl state that the information given is correct I agree to comply with all state laws end ciry ordinances relating to 6uilding construction, and authonze representatives of the Ciry of Costa Mesa to enter upon the ebove-descnbed property for inspeaion purposes. I egree noi to acupy or allow occupancy of any building authonzed by this permit uNil final inspection. COOE �. INSVECTIONTYPE 1616 Fized System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition '_ApPlican� ' ' _'...-�. `-� o�re INTRIALS z_[7_�� ' _ � pa`tsa _. COOE� INSPELTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Si�e 250 Final Building/Occupancy BAiE ItlIIIIEL� •Ov:'NER , K. �•T. KOTS, WNSTAUCTION C0. DA'1'E 10-7-58 JOB ADDRESS 264 Cabrillo, Street A BUILDING PERMIT NO. ��47 GENERAL CONTRACTOR Same VAL[IE $ p'7 �8(1.00' ^ AP. No. LOT 3 TRACT 3202 FIRE ZONE DESCRIPTION OF WORK Ti'ibleX wLatt. garag�_ GROLIP H& J Typg V ZONE R4 PLAN NO. INSPECTIONS � DATE � BUBCONTRACTOR btown coat -Pinal Gas Test FOR SPECIAL REQUIR�MENTS �+ � l-� .d<�-�'. r.� PERMIT8ISSUED NUMBER OWN�R , K. W. • KOIS; CONSTRUCTION C0. + DATE io-7-58 � JOB ADDRESS 264 Cabrillo StreEt B BLIILDING PERMIT NO. %%iF% GENERAL CONTRACTOR S�e� VALLIE S?_7 .8Fi1 .00 AP. No. OF GROUP x& J TYpE V ZONE R�F PLAN INSPECTIONS DATE gUBCONTRACTOR T—� �� .� �. . .. _ . � . : coat ITS SPECIAL REOUIREMFNTS n A�yL4i� ��`�=-� f��L�(t - S� -OWN�R , K. W�. KOLL CONSTR[TCTTON ('0 DATE in_7_�A _ JOB ADDRESS p(!} Cabx'illo Street C B[iILDING PERhi1T NO. 7'jl}7 GENERAL CONTRACTOR SetIlE �� VAUIE $ 2%,86i.00 AP. No. LOT 3 TRACT H & J TypF V PIRE ZONE INSPECTIONS � DATE � SUBCONTRACTOR Final Gas Test Pinal PLAN NO. FOR SPECtAL REOU[REMENTS � +9-��-s q-f..✓� �'� d-�1� � 8tt. ..� • � �G� U�G�`�� 6'SBP�NESaA 119a 7Q.5� , . � �7,0�4�� .��*� COSTA MESA BUILDING DEPARTMENT [( COSTA MESA CALIFORNIA f„'}"�2�.-�y��• � �i" C��--%� � FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT nooREs"s 26 CABHILIA STREET B U I LD I N G COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY MAIL AODRE55 CITY ARCHITECT OR ENGINEEF ADDRE55 CONTRACTOR Yi:i�l701a91'L7:L r:11VI�� •�' �• .��• LEGAL ILOT I DESCRIPTION NO. 3 BL A.P. NO. 5'ZE 50� x 140.06� OF LOT USE OF EXISTING BLOG. LIC. NO. TRACT �o. oF e�o��. p NOW ON LOT SETBACtt LINE FROM ccruiea or Sinccr SO� REAR YARD zS � SIDE VARD 16't"'FIGHT gt � EFT DESCRIPTION OF WORK S NEW ALTERATION ADOITION REPAIR MOViNG I II �EMOLISH BUIL�ING NO.OF SIZE ROOMS 2 STORIES EXTERIOR WAIL 3t71CCO ROOF hot mo COVERING COVERING P ,�«„�.,�,., ., _ � . .� � FIRE 20NE DwTE ISSUED COSTA MESA. CALIFORNIA CORRECTIONS .] Q U � a � �: 0 {L. 0 ..i T $TPTE TM4T TXE nBOVE I$ COIiRECT hN0 TGREE TO COMPLY WITN 1LL CITV OfiOINRNCES FNO STATE >W$ FEGVLATING BUILDING CONSTflVC- riOrv. VALUATION SIGNATURE OF PERMIT FEE S �� O PERMITTEE s � .-� � // — PLAN CHECK S ��.�5� e��runo��rn errvr ./.TGC� J 6 TOTAL FEE S i�. 5 U �°'"�