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Home My WebLink About2742 CIBOLA AVE - Building PermitsJobAddress: 2742 CIBOLAAV Suite: Vicinity: POOL Primary Occ: R3 Parcel Number: 14164314 Applicant: MC ELWAIN, ROBERT Address: Owner: Address Contrector: Address: Type of Construclion: V-N Zoning: R1 Phone: 805-689-0 ; Zip: JONES, JAMES E 2742 CIBbLA AVE n 4-5 -1981 COSTA MESA, CA 26 MC ELWAIN CONSTRUCTIO P O BOX 788 Phnne� A05-fift9-0017 Status: ISSUED Applied: 10/7 312 006 Issued: 10I76/2006 ':•� ■ : � ��I� i� LOS OLIVpS, CA Zip: 93441 License: 554690 Arch : Eng: AARON J COWEN P E Address: Address: Zip: Phone: License: - SCOPE OF PERMIT INSTALLATION OF A 200SF IN•GROUND GUNITE POOL/SPA AT THE REAR OF AN EXISTING SFD. Plan Check: 5353.11 Permit �543.25 SMIP Res: $4.00 SMIP Com: $0.00 Other: $0.00 Inspection: $O.Ob Total: $900.36 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existin : 0 Rear 0-0 Rear 0-0 Reauired: 0 FEE SUMMARY Calc Valuation: Claim Valuation: PLANNING & ZONING Left 0-0 Right Left 0- 0 Right Pr000sed: 0 Phone: License: 58878 Sa0,000.00 sao,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Callfornia statutes and related regulations. (OM. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 7 BO 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 Inspeetiona and final approval musf be obtained. Failure to obtain inspections and final aAA�oval will result in the explratlon o1 ihls permit. FOR INSPECTIONS CALL: (714) 7545626 /� 2448d8 (fl�00) WORKERS'COMPENSAnON DECLARAnON: � I hereGy eMirtn under penelry ol per�ury one of the fallowing declaretlons: ❑ I heve entl �'�II mainteln e cenificete of consent to sell-Insure br workers' compensatlon,�s`providetl lor by section 3700 0l the Lebor Code, for the paAormanca ol the work for whlch t�ls portnit Is issuetl. ❑ 1 h end vAI mainleln workers' compensetlon Insurence, es required by section 3700 al the Lebor Cotle, for Ihe pertartnance of the wark for which this pertnil is �ssued. �Mv worke(a compenseUon Insucance carder enA oolicv aum6er are: neednafbe one Policy Numher: _ wless.J ' [� I certify t�al �� lhe pertortnance ot lhe wOrk for w�ich this permlt I5 issued, I shall not employ eny person In eny manner so as to become suDjoct to Ihe workers' comperuati� lews of Calltomia, end egree t t II I should become sub�ect to the workers' compensetion provislons at Sectl 3700 ot the Lebor Cotle, I shall forthwith compty wliJ ese provisior�.� � �� gPplicnnl'Sipnature: _-�� %(�=' Date: �O I o G �WARNWO:FM.URE TO SEW RE WORI(ERS' COMPENSATION CpVEMGE IS UMAW FUL AND SIIP115UBJECT AN EMPLOVER TO CRIMINAL PENAL ES PND CML FlNES UP TO ONE HUNORED T}IO A M10 OOILAfiE (5100.W0� IN ADMION TO THE COST OF COMPEN$ATqH, pAhNGES A$ PROVIDEO FOR IN SECf10N 3%OB OF THE LABOR COOE, INTERE5T, AND ATTORNEYS FEES. LICENSED CON'�AC70FiS DECLARATION: I hereby aflirtn tha� I am I�e _ un �rEr� sic la2e e`nd eBecL 4�c. M �= Y Cpncrectors slgneWre: ot Chapter 9(commencing wit� Section 7000) of Class A �Date: and Prolessions Code, and my license is in full CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirtn thet thera is a construction lentling agoncy for the pedormence of the work for which I�is pertnil is issuetl. (Sec. 3097, qvil Code). Lenders Name: Lendefs AOtlress: Slgneturo: Date: OWNER-BUILDEA DECLARATONS: I hereby etlirtn that untler penalry ol perJury Ihet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the lollowing reason (Sec. 7037.5, Business entl Prolessions Code: Any dry or �nry which requires a permn to construct, elter, Improve, demdish, or repair eny sWcture, prior to its issuance, elso requlres the appllwnt lor such pertnit to file e sipned std�ement thet �e or she ISllcensed pursuant to the O��ons of Ihe Contrectors Llcense Lew (Chapter 9(wmmencin8 ��h Sectlon 7000) of DlNslon 3 0l Ihe Business entl Prolesslons Gode) or Ihet he or she Is e:empt thereirom and Ihe basis for Iha ellegetl oxemptian. Any violetlon of SecUon 7031.5 Dy any epPlicant for e permit su6�ect5 the epplicent to e civil penalty c� not more then five hundred Collars (5500).): ❑ I, es owner ol ihe properry, or my employees with wages as Iheir sole compensatian, WILL DO THE WORK, and the structure Is noi intentlad or otteretl for sale (Sec. 7064, 8usiness afW Protessions Code�. The Contrectors License Law tloes irot apply to an owner o1 property who builOs or improves thereon, and who tloes such work himsetl o� hersetl or through his or her own employees, proNdetl that such imprwamems ara not inten0ed or ottered for sale. Il, however, ihe building or improvement is soltl within one year of completion, Ihe owner-builder will have ihe burden of pmving that ha or she did not builtl or improva for puryose ot seleJ. ❑ I, as owner oi ihe property, am E%CLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to construct the projed (Sec. 70E4. 8usiness antl Pmfessions Cotle: TTe wntradors Ucense Lew does not epply to an owner ot Oroperry who Duilds or Improves ihereon, antl who cromrects lor such pro�ect with e contractor(s) license pursuent to the Coniractors License Lsws.). ❑ I em exempl untler sec. Signature: Owner ID verllied by drivers Ilcense. Q Vos Vedlicetlon ol Ownership by (type of tlocument. I.e. Business and Pmlessions Code far this reason: ❑ No Driver's LJcense No. property tez bill or deotl): Date: Expires: DIVISION OF IN�USTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cedity ihet no excavation Ilve (5) or more teet In Oepth into which a person Is required to descend, will be matle In connectlon with work authodzed Dy thls permit, entl �hat no building strucNre, scallolding, lalsework, or Oemolition ar dismantling Ihereol, wlll be more ihan thirty-slz (36) teel hlgh. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title B, Califomla Atlministretive Code). ❑ As owner-bV�lder, I will not employ enyone to tlo work which woultl require e permit Irom �he �ivision of Intlustrial Sefery, as noted ebove, unless such person hes a permit to do such wark fmm the division. Signature: Date: DiNsion of Industhal Salery Pertnit Number: CEHTIFlCATE OF COMPLIANCE AND AIJfMORIZATON OF ENTHY: 1 cenity under penelry ol perjury that I heve read this epplicatlon end state Nat Iha information gNen is cortect. I agree to �mpty with all stete lews entl ciry ordinences relating to building consiruction, antl euthorize representatives af Ihe Ciry of Costa Meu to enter upon Ihe ebove-described properry tor inspection puryoses. I egroo not to acupy or e0ow occupanry ol eny building authodzed by this permit until finel inspection. COOE t. �y$�qy.IYCE 1616 Fixed Sy4tem Final Fire Pravention 1266 200 201 202 203 204 Pool Spa Final Final RaRoot FIneI8loCk/F7etaining Well Final Fecfory Fire Place Finel Sipn Final Dema�ition QAg I[�L5 CODE� INSPECTIONTVPE 206 Final Mechanical 20B Final Plumbing 210 Finel ElecMcal 212 Final Fire Preventlon 220 Fina� Planning Approval 222 Final Site 250 Finel Building/OccuOanry Q� INTIf11L9 . ,.� Job Address Inspector's N Residence Adclress �ECIAL INSPECTOR REGISTRATIOP i . . e Laboratory CO ��.v��r'tord �.Sdi er�!^S �vi � • Address ��' � P�l(�4Aa lJY' �-4 N4hrc 1�2',;1,� � CQ . `��3 � All licenses listed below must be currently valid and legible copy(s) and must be attached to this registration. DISCIPLINE I L.A. COUNTY CONCRE7E OUCTILE MpMENT RESISTING RRAME REINFORCING STEEL VRESTRESSING STEEL WELDING MIGM STRENGTM BOLTING STRUCTUkAL NEINFORCED GVVSUM CONCRETE INSULATING �ONC0.ETE FILL SPRHVED ON FIRE PROOFING PILINGS, DA�L4ED �IERS, CAISSONS SVECIAL GRHDING, E%CAVATION OR FILLING SPECIAI CASES VNUSUALF�qZppDS L.A. CITV � ORANGE COUNTY � OTHER y�r�c� I hereby certify that I am qualified by training and experience to perform the inspections for which I hold the above listed Special Inspectors licenses, and will provide ali certifications required by the City of Costa Mesa. I will inspect and certify the following procedures: R-thar G�e�� . CTc.�n �'� t 4 V/�I.Qci-i a n P�T�.;-►!•� �oG�-oi�y� I will certify not only to the job conditions but that they are in conformance with the approved plans. If at any time, progress occurs on the above mentioned job relating to my area�s) of responsibility, without my knowl- edge or approval, I will stop the jobs progress immediately with notification in writing to the job superintendent and notify the Building Division of the situation. A record of my tests and/or inspections as agreed to above will be available upon request by the Building Division. Upon request I will submit a complete package of testing and inspection results. A letter certifying satisfactoryp� pletion ill be provided by me upon completion. �bJ� Wt.,}---� _ ll'/5� v � This registration is accepted and approved by: (Plan Check Engineer) (Building �I � (Date) CMF 1068�46 Wnite • Bu11Ein9 Dlvision: Canary � Speclal In�pector: Pink - Devela0er (714) 754-5273 • Fax (774) 754-4856 • www.cl.costa-mesa.��sCTRICAL PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner: Address Contrector: 2742 CIBOLA AV POOL 14164314 MC ELWAIN, ROBERT Phone: 805-6 Zip � JONES, JAMES E 2742 CIBOLA AVE , , � �e: 74a-540-1981 COSTA MESA, CA Z�p �1 92626 d' MC ELWAIN CONSTRU N COMPANY Address: P O BOX 788 ISSUE FEE Temp service lest Res. a/c package New Res (1-2 units) New Res (3+units) Pool ! Spa Lighting Fixis Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over t000a Motors l0 1 hp Motors l0 10hp Motors l0 50hp Motors lo t00hp Motors over 700hp Communiwtion drops Sub panel to 200a Pole Liqht Pkg Sign Circuits Temp Pwr Pole Intermed Pole LOS OLIVOS, CA Phone: 805-689-0012 Zip: 93441 License: 554690 Status: ISSUED Applied: 10/13/2006 Issued: 10/16/2006 ISSUED BY: • ' " �� "�'�- SCOPE OF PERMIT ELECTRICAL PERMIT FOR THE INSTALLATION OF A 200SF IN-GROUND GUNITE POOIJSPA AT THE REAR OF AN EXISTING SFD. REF#: BO6-07744 WORK TO INCLUDE: 1 POOLISPA 523.50 50.00 so.00 50.00 30.00 $49.50 $0.00 $0.00 $0.00 50.00 $0.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 $0.00 50.00 50.00 50.00 $0.00 Quantity 0 0 1 0 0 0 0 0 0 0 0 0' 0- 0� 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Buswayl100fl Standing Section Misc ElectriCal Equipment Transformers up to 1 kva/kw ................up to 70 kva/kw .................uP to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipmenl Low Volt Wiring SystemlCkt Misa Conduit Misc. Conduclor Circus ( gen or ride) Circus (mech ride or lights) Chrisimas Tree Stand Fireworks Sfand Other Electrical Fee Investigation Fee Plan Check Fee Reinspeclion Fee 50.00 so.00 50.00 50.00 50.00 50.00 $0.00 50.00 $0.00 50.00 50.00 $0.00 50.00 30.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 TOTAL CALCULATED FEES $73.00 COMMENTS I SPECIAL CONDITIONS Quantiry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 vold if work is not commenced within 180 days, or if work is suspended�Orabandoned for a period of 780 days. ' // INSPECTIONS: In order for the work authorizetl under this permit to be considered legal, such work must comply with all applicab el cotles, and all required Inepeetlona and Iinel approval mus� be obtained. Failure to obtain Inspections and linal approval wiil result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 754-5626 2448d8 (8�00) WORKERS'COMPENSAnON DECLAHATON: I hereby ettirm untler pe�alry ot perjury one of the followinp tleclaretions: ❑ I heve and wlll melntaln e certitkate of consent lo self�lnsure for vrorkers' oompensatlon, es provltled tor by section 3700 ot Ihe LaDor Cotle, for ihe peAortnence ot the woM for which lM4 Pertnit 15155uetl. �—fhev�entl will mein� wakers' oompensetlon Insurance, es reQuired by secUon 3700 ot Ne Lebor Code, for Ihe peAartnence ot Ihe work fw whk� Ihis pertnit is issued. _�My workere' compensetbn �nsurence carAer end polcy num6er are: Policy Numher. orless.) C____-, � F] I certity Ihet in Iha peAormance oi ihe work for whic� ihis permlt Is IssueA, I shall not employ eny person In eny mannor so a510 become suD�ea Io the workors' crompensatlon lewa of Celllornle, entl agree thet II I shoultl become suE�ect to the workero' compansetion provislons of Sectlon 3 00 0l Ihe Lebor Code, I s�all fotlhwith comply wlih Ihese C�a�sbns. �-,/ //�� ApplMenY5lpnetur�'� �� lJ�� DaleT��.IQ �I—�O,Ob WARNWO:.FNCURE TO SEGIRE WOHKERS' COMPENSaTION COVERAOE IS UNIAWFUI M1D SHML SUBJEGT AN EMPLOYEA.TOCRIMIWLL PENALitES AND GVIL FlNES UP TOONE HIINDRED 'iFiWSAND DOLIARE (5100.000�, IN ADDITION TO THE COST OF COMPENSATION, DAAMGES AS PROVIDED FOR IN SECiION �OB OF TME LABOFl �DE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACYORS DECLARATION: I hereby affirtn that I em licensed under provisJ'ons of ChaO�er 9(commencing vrith Section 7000j ol Divlslon 3.ntthe.8usiness and Professions Code, end my license is in full tace and etteci. uc. a-� ' C�(O, (�o �Ciass a /�� C' — C� ConVacl� or'��SigneW_re: rDate:.�n,�/r��pz& �CONSTRUCTON LEND�NG AGENCY: ❑ 1 hereby eHirm thal t�ere Is e construction lentling eqenty tor the peAormance ot the work for which ihis permit is issuetl. (Sec. 3097. Civil Code). LentleYs Nemo: Lender's Atltlress: Signe�ure: Dete: OWNER-BUILDER DECLARATIONS: I �ereby ettirm Uat untle� penalry ot perjury that I em El(EMPT FROM TME CONTHAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Protesslons Code: Any ciry or counry which requires e permit to construct, elter, Improve, tlemdish, or repair eny strucNre, prior to Its issuance, also requires Iha eppliwnt for such permit m file e signetl stetemenl t�ei he or she Is licensetl pursuent ro the provfsions oi Ihe Contrectors Llcense Lew (Chepter 9(wmmendng with Sectlon 7000) ol DlNsion 3 ot the Business end Prolessions Cotle) or thet ha or she is asempt therefram entl ihe basis lar Ihe elleged exemption. Any vialation oi Section 7031.5 6y eny applicant for e pertnit subjects the epplicant to e civil penelry M not more Ihen fve hundred dollars (5500).): ❑ 1, as owner oi the p�Werty. or my employees wlth waBes es Iheir sole compensalion, WILL DO THE WORK, antl 1he structure is not intande0 or oflered lor sale (Sec. 7044, Business entl Protessions Code: Tha Contrectors Ucense Lew Ooes not apply to an owner ol property who builds or improves therean, ana who does such work himselt or herselt ar through his or her awn employees, pravided that such improvements are not intended or offered tor sale. N, hov.•ever, Ihe huilGing or Impro�ement is sold within one ye8� ot completion, ihe owner-builtler wlll �ave the burden ot proving ihat he or she tlid nol build or imprwe lor puryose of sale.). � I, as owner of the p�eDerty, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRAGTORS to construct the project (Sec. 7044, Business end Professions Cotle: The coniredors License Law tloes not epply to en owner of properry who builtls or Impmves thereon, end who contracts for such projea with a contrector(s) license pursuant to �e Contreaors License Lews.). ❑ I am exempt under sec. Business end Prolessions Cotle lor thls roason: SlgnaWre: Date: Owner ID veAfietl hy drivers license. ❑ Yes ❑ No OriveYs License No. Vedlicetlan oi Ownership by (rype ot dxument, i.e. - pwpetly tax DIII ocdeed): DIVISION OF INDUSTRI�L SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby certlly thel no exwvetbn fiva (5) ar more feet In depih Inio which e person Is requiretl to tlescend, wlll be matle In conneciion wiih work euthoAzetl by Ihls pertnit, end thai no bulltling structure, scaXOlding, falsework, or demdltion or dismantling thereot, will be more ihan thirty-siz (36) teet high. (ChaD� 3.2, Grp 2, Art 2, Sec. 341, Tlila B, Celifom�a Atlmini5irative Catle). ❑ As owner-builder, I will not employ enyone to do work which would reQuira a permit Irom the Divislon ol Intlus�rial Sefery, as notetl ebove, unless such person hes e permit to tlo such work tmm the divisian. Signature: Date: Oivision of Industnel Se1Bry Pertnit Number: CERTIFlCA7E OF COMpL1ANCE AND AViHORIZATION OF EMRY: I certity under penelty ol perjury Ihel I have reatl thls flpplication and steie t�at t7ie Infortnetlon given is correct I egree to compry w��h ell state lews end ciry oNinences relating to bulltling constructlon, end euthodze representatives of the Clry at Coste Mesa to enter upon tha ebave-descnbed property lor inspection purposes. I agree nol lo occupy or ellow occupanty of eny building euthorized by this pertnit until fnal inspaction. COOE I. INSPECTIONTYPE 1616 Fixed System Final Fire Preventlon 1266 Pool Spa Final 200 Finel RaRool 201 FIna181ocWReWining Well 202 Final FeMory Fife Place 203 Final Sign 204 Final Domolition . - __ _ .._ (��i /d C � Dat� -- QejE ��j �f( INSFECTIONTYPE 206 Finel Mechanlcal 20B Finel Plumbing 210 Flnel Electrlcal 212 Flnal Fire Prevention 220 Final PlenninB ADproval 222 Final Slte 250 Flnel Bullding/Occupency �_1 .IIII. �� Z (714) 754•5273 • Fax (714) 754-4056 • www.ci.coste-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 2742 CIBOLAAV Suite No Viciniry: POOL Parcel Number: 14764314 Applicant: MC ELWAIN, ROBERT Address: Owner: JONES, JAMES E Address: 2742 CIBOLA AVE COSTA MESA, CA Contractor. MC ELWAIN CON Address: P O BOX 768 LOS OLIVOS, CA MECHANICAL PERMIT Phone: 805-689-0012 Zip: Ph�QQ-� K'hone: 805-689-0072 Zip: 93441 License: 554690 �UED BY: Status: ISSUED Applied: 10/132006 Issued: 10/16/2006 SCOPE OF PERMIT MECHANICAL PERMIT FOR THE INSTALLATION OF A 200SF IN-GROUND GUNITE POOL AT THE REAR OF AN EXISTING SFD.` REF#:BO6-01744 WORK TO INCLUDE: INST FAU > 100 K BTU. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU RepairlAlt CoolingMeat Inst I Rep. Recess Wall Htr Refrig Sys <700 k BTU Refrig Sys >700 k BTU Gas Pipin9 Factory Fireplace Hood w/Mech Ezhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm AirHandlers> 70000Cfm Floor Furnace Floor or Suspend Heater 523.50 $0.00 518.20 50.00 50.00 50.00 $0.00 50.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 Quantiry 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0' 0 0. FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeretion Unit Ventillation System Evaporative Cooler Commercia l I n cinerato r Domeslic Incinerator Comoressors / Absomtion Svstems Upto3hp/100kBTU 3To15hp/500kBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Up to 3 hp 3To15hp 15 l0 30 hp 30 l0 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS I SPECIAL CONDITIONS ouantiry 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 50.00 0 50.00 50.00 50.00 541.70 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes � regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This pertnit shall automatically expire and become void if work is not commenced within 1B0 days, or if work is suspended or for a period of 780 days. INSPECTIONS: In order For the work authorized under this permit to be considered legal, such work must comply with all applicable co� required Inapeetlone and finel approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this FOR INSPECTIONS CALL: (714) 7545626 zaaaae (eroo) and all WORKERS'COMPENSAnON DECLAAAnON: I herety ettirm untler,penfllry ot par�ury one of tha tollowing declaretlons: ❑ I heve end wlil melntein a cenificete ot consent to sell�lnsure for workero' compansation, es providetl lor by section 3700 0l lhe Le6or Code, tor Ihe peAormence of the work tor whlch this partnit Is issued. � ❑wbhave end �� maintein woBars' compensellon InSurenCe, as ieQuired by SecUon 3700 of Iho Lebor Cotle, for the partortnence of the work lor whkh Ihis permit is Issuetl. My workers compenseBon Insurence carder entl pollCy number erB: �r. Policy Nu —r:r sectlai need not be canwlefed U the permlf Is veluetl e� one hundred dWlers ($100) or less.) � 1 certity t�at in Ihe peAormanca of Ihe work lor which this pertnit Is issue4 I shell not omploy any pereon In eny menner so es to became sub�ect ta the workers' campensetlon lews ot Celifomia, end eB�ee thal II I shoula bocwne subject to the workers' compensetlon provisions of Section 37 0l Labpr Code, 1 s�ell IoMwlth Camply vriN Ue� royi5ip � � "`/% / � F�ppI1L9lIl'S10neWf �B yLl:u_. lJ�Ci�_ �Date��---- O fL /OL WJ�iMANO: FNLURE TO SEWRE WORKERS' COMPENSATON COVEMGE IS UNLAW FUl M1D SMNL SUBJECT AN EMPIOYER TO CRIMINAL P TIE AND CML FlNES UP TO ONE MUNDRED TKKISAND OOLLA�7E (5100.000). IN ADDtTION TO THE COST OF COMPENSATION, DAM4GE5 A$ PROVIDED FOR IN SECTION 3]O60P THE I.ABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED COIRAACTORS DECLAHATION: I hereby atflrm.ihefhem�Fcensed untler pmvi ions o� Chapter 9(commencing with Section 7000) of Division fome and eHect. Uc. x ��J�'-� � O � � � Eon�rec�orsSignewre:�� '-�_ � �— � � Prafessions Coda, end my licanse is in lull CONSTRUC710N LENDING AGENCY: ❑ I hereGy fltlirtn that t�ere is e constructlon lending egency for lhe pertormanca ol the work lor whkh th45 pertNt is issued. (Sec. 3097, Civll Cotle). Lendefs Neme: Lendefs Address: Sipnamre: OWNER-BUILOEA DECLARATIONS: Date: I hereby etflrtn that under penalry ol per�ury Ihat I em E%EMPT FROM TME CONTqACTORS LICENSE LAW lor ihe tollowing reasan (Sec. 7031.5, Buslne55 end Professions Gode: Any ciry o! �unry wNc� requires a pertnit to construct, elter, imprave, demolish, or repeir eny scrucWre, pnor lo its issuance, elso requires Ihe applicent for such pertnit to tlle a sipned sle�emen� that he or she Is IiGensed pursuant ro t�e proNslons at t�e Contrectors License Lew (C�eptar 9(commenUng wilh Sectlon 7000) ot Divislan 3 al ihe Buslness entl PrC�essions Cotle) ar Ihat he or she Is ezempt Iheretmm end the besis for the alleged ezemptlon. Any vlolation ot Sectlan 7031.5 by any epplicent for e partnit su6�ects the applbaot to a civll penalry c� not more Ihen five �undred dollers (SSOOJ.): ❑ I, es owner ot the properry, or my employees with weges as Ihelr sole compensation, WILL DO THE WORK, and ihe structure Is not Intentlad or oHered for sale (Sec. 7044, Business end Professions Code: The Contractors License Law dces not apply to en owner of property who builtls or Improves ihereon, entl who does such work himsell or nerself or Ihrough his or her own employees, provided that such improvemenis are not in�ended or oHeretl for sale. If, however, the building or improvement Is soltl within one year ol completion, the ownar-builtler will have the burden oi proving that he or she tlitl not build or impmve for purpose ot ulaJ. ❑ I, as avner Of lhe property, am E%CLUSIVELV CONTRACTNG WRH LICENSED CONTRACTORS lo conswct the project (Sac. 7044, Business antl Prolessions Code: The �ntractors Ucense Law tloes not epply to an owner ol pmperty who builAs or Imprwes Ihereon, and who contrects br sucli pro�ect with a Contractoqs) Ilcensa pur5uant to the Contrectors License Lews.). ❑ I em e:emp� under sec. Business antl Professions Cotlo lor lhis reason: SlgnaNro: Date: Owner ID verllled by tlrivefs license. ❑ Yos ❑ No Drivets Ucense No. Expires: Vedilcation ol Ownership �y (type oi daument, i.e. � properry te�c blll ar deed): DIVISION OF INOUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby ceN�y thei no exwvatlon flve (5) or more feet In depth into which e person is required lo descend, wlll 6e made In connection with work euthodzed by this permit, end Ihat na buildinq slrucWre, scaflolding, falsework, or demolition or dismentlinp �hereol, will Do more ihan Ihirty-sl: (38) leat high. (Chep. 3.2, Gry 2, Art 2, Sec, 341, lltle B, Celifomia Adminis�retive Coda�. . ❑ As awner-builder, I wlll not emplay enyane to do work which would require a permit Irom ihe Divislon of Intlusirial Sefery, as noted ebove, unless such persan hes e permN to d0 such work trom the tlivision. Signature: Date: _ _ Division ot Indust�al Salery Permit Num6er: CERTIFlCATE OF COMPIIANCE AND AUTMORVJITON OF EMRY: I cBNty untler penalry of perjury Ihal I have reed this epplication entl state Ihat the information given is conecL I egree t0 �mpty with all slete lews end ciry ordinances relating ro bulltling constructlon, end euthodze representatives ol t�e Ciry ol Costa Mese to enter upon the ebavo-descriDed p�operty for ins0eciion purposes. I egree not to oCcupy o� e0ow acupanty ot any building euthonzed by this permil until finel inspecllon. sooe., mseesnsNME 1676 Fixetl System Final Fire Preveniion 1266 Pool Spe Final 200 Finel Re�F1oo1 20t Flnal BWCWRetaining Wall 202 203 204 Flnal Fedory Fire Place Final Sip� Final Demolitlon � �� . � um COUE 1 INSPECTION TYPE 206 Final Mechanical 208 Finel Plumbing 210 Final Electrical 212 Finfll Fire Prevention 220 Final Planning Apprwel 222 250 Final Site Finel Builtling/Occupenry �2 g 0�— (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 2742 CIBOLqAV Suite No Vicinity: POO� Parcel Nunmber: td764314 Applicant Address: Owner: Address MC ELWAIN, ROBERT JONES, JAM�S E 2742 CIBOLA AV� PLUMBING PERMIT Phone: 805-689-0012 Zip: Phone: 7714-540-1981 COSTA MESA, Cq Zip: 92626 Contractor. MC ELWAIN CONSTRlJCTION COMPANY �� Address: P 0 BOX 788 Phone: -6 - 12 LOS OLIVOS, CA Zip: License: 5 0 Status: ISSUED Applied: 70I132006 Issued: 10/16/2006 ISSUED BY: `�"\� c� SCOPE OF PERMIT PLUMBING PERMIT FOR THE INSTALLATION OF A 200SF IN-GROUND GUNITE POOL AT THE REAR OF AN EXISTING SFD. REF#: BO6-01744 WORK TO INCLUDE: 1 SWIMMING POOL AMT ( . ISSUE FEE 523.50 Backflow irrigation $0.00 BackFlow Preventer 50.00 BathWb $0.00 � ClarifierSystem 50.00 � Connect Qce,Soda,etc) 50.00 � Dental Units S0.00 i Dishwasher 50.00 Drain, Floor 50.00 � Drain, Rainwaler 50.00 Drain, Roof 50.00 Drinking Fountain 50.00 Expansion Tank 50.00 Gas Earthquake Valve 50.00 � Gas (1-a ouilets) 50.00 � Gas (Over 4 outlets) 50.00 � Gas Repipe 50.00 � Gas Service 50.00 � Interceprors (Grease, Oil) 50.00 � Interceptors (Sand Auto ) 50.00 � FEE SUMMARY ITY AMT � AMT QTY Laundry Tub / Washer $0.00 0 Sump Pump 50.00 0 1 Landscape Irrigation $0.00 0 Swimming Pool 560.75 1 1 P-Trap $0.00 0 Trap Primer $0.00 0 1 Pressure Regulator $0.00 0 Urinal 30.00 0 1 Process Piping (per 10 ft) 50.00 0 Vacuum Brkr Bkflow(1-4) 50.00 0 1 Receptors 50.00 0 Vacuum Brkr Bkflow(5+) 50.00 0 � SepiicTank $0.00 0 WashBasin 50.00 0 1 Sewer Cap for Demo 50.00 0 Wash Basin Set 50.00 0 � Sewer Connect $0.00 0 Waste and Vent System 50.00 0 � Sewer Private Line $0.00 0 Water Closet (Toileq 50.00 0 � Shower 50.00 0 WaterHeater/vent 50.00 0 1 Sink, bar $0.00 0 Water Piping (Inst or Rep.) 50.00 0 � Sink, wmmercial $0.00 0 Waler Re-pipe 50.00 0 1 Sink, Floor $0.00 0 Water Service 50.00 0 � Sink, kitchen $0.00 0 Waler Sokener 50.00 0 � Sink, servicelmop 50.00 0 OTHER 50.00 1 Spa (private) � 50.00 0 VIOLATION 50.00 � Spa (public) $0.00 0 PLAN CHECK 50.00 1 REINSPECTION 50.00 0 COMMENTS / SPECIAL CONDITIONS TOTAL CALCULATED FEES: E84.25 NOTICE: The work authorized by thls p9rmit shall compty wNh all applicable handicap access requirements under Califomia statutes and related regulatlons. (Ord. No. 92-28, § 1. 12•21•92) EXPIRATION: This permit shall automatic811y ezpire and become vold if work Is not commenced within 180 days, or if work is suspended or abandoned for a period ol 180 days. � INSPECTIONS: In order for the work authoAzed under this permit to be consfdered legal, such work musi compty wilh ail applicable�coQes; and all required Inepectiona end flnal epproval must be obtalned. Failure to obtain Inspections end final approval will result in the expiration oi ih�permit. FOR INSPECTIONS CALL: (714) 7545626 2448d8 (8�W) WORKERS'COMPENSArON DECLARATON: I hareby eHlrtn under penalry of perjury ona ol Iha following decleretions: ❑ I heve end wlll meinte�n a certificate of mnsent m soll�lnsure �or workers' compensatlon, es provided for by section 3700 of ihe Lebor Cotle, for the perlormance oi Ne _� tor which t�is Pe�it Is issuetl. ❑ t have entl will maintein workers' compensatlon insurance, es required by section 3700 of tha La6or Code, for Iha perfortnance of the work far whbh this permit is issuetl. =My wydcers' compensetion �nsurance wrtler antl pdicy number ere: Policy Number: � one hunOred dWlers (5100) or /ess.J �, 1 certlly that in ttre peda�ance ot the wodc tor whk� Nis parmit ls issued, I shell frot empfoy eny person in any menner so as to becoma subjact to lfie workars' compensetlon laws ot Calitomia, end egree Ihat It I s�ould Eecome sub�ect to Ihe workers' compensatlon provislons ot Sactlon 3700 oi the Lebor Cotle, I shall forthwith compty wlt� t�ese pr Io .� Appl"�'Ica�7cSlgneWre: — rOatei %IA� b/O(o WARNINO: FAILURETO SECUqE WORKERS' ODMPENSATION WVERAOE IS UNUWFUL AND SHALL SUflIECT AN EMPLOVE TR O CPIMINAL PE TIES AND GVI� FlNE$ UP TOONE HUNDRED TqUSAND OOLURE (5100,000I. IN F�DITION TO THE COST OF COMPENSATION, DAMAGES A$ PROVIDEO FOR IN SECiION 3]080F THE LABOR CQ�E, IMEREST, M1D ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: n Iicensed un�ry_rovJs�on�� aptar 9(wmmencing wlih Sectlan 7000) of � (' l0 end my license Is in full CONSTiiULT10N LENDING AGENCY: ❑ I hereby aflirtn Ihat Ih9�e is e construqion londing epency lor ihe Oerlortnance of the work for w�ich Ihis Dermil is issue0. (Sec. 3097, CiNI Catle�. Lenders Neme: Lenders Adtlress: Signature: Dete: OWNER-BUIIDER DECLAAAnONS: I hereby elflrtn Ihat under p0nalry of pehury thet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW lor ihe following reason (Sec. 7031.5, Busineu end Professions Cotle: Any ciry or counry which raquires e permit to consWct, elter, impmve, demolis�, or repeir eny strucWre, pnor lo its issuance, also requlres the epDlicant for such pertnit to lile e sipned stetement thet he ar she is Ilcensetl Dursuant to t�e D�ovLslons at the Contrectors License Law (Chepter 9(commencing with Sectlon 7000) of DlNslon 3 of the Business antl Professions Cada) or that he or she is exempt therefrom end the basis lor the elleged exemptlon. Any violatlon af Section 7031.5 by eny eppllcant for a permit su6�ecis the eppllcant to e G�il penalry c� not more then five hundred dollars ($500).): ❑ I, es owner of the properry, or my employees with weges as Inelr sola compensation, WILL DO 7HE WORK, and the structure Is nol intended ar oNeretl for sele (Sec. 7044, Business and Plofessions Cotle: The Conlraclors License Law tices not aDPly to an owner of property who builds or improves Ihereon, end who tloes such work himself or herselt or through his or her own empioyees, providetl i�ai such improvemems are not intended or ottered for sale. If, however, the building or improvement is soltl wit�in one year ot completioq the owner-builder will have the burden oi proving that he or she did not build or improve tor purpose ot sale.). ❑ I, es owner of t�e property, am EXCLUSIVELV GON7RACTNG WITH LICENSED CONTRACTORS to construct the proiea (Sec. 7044, Business and Profeuions Code: The contrectors ��ense Law does not eppty to en owner of property w�o builds or imprwes t�ereon, and who contracts tor such prqea wilh e contractor(s) license pursuant to ihe Contrectors License Laws.). ❑ I em exempt under seC. Business and Protessions Cotle for Ihis reason: Signeture: Date: Owner ID veAfied by driver9license. ❑ Ves ❑ No DrivefS License No. Verilication at Ownership by (rype of Cocument, i.e. - property tax �III or tloed): DIVISION OF INDUSTRIAL SAFE7Y PERMR CER7IFICATON: Expires: ❑ I hereby certity thet no axcavation live (5) or more feat In deplh into which a person Is requiretl to Oescend, will be metle in connection with work euthadzetl Dy ihls pertnit, end thet no bui�diag structure, scaftolding, lalsewwk, o� tlamWitiaa or dismantlinq thereof, wiU be mo�e lhan thirty-six (36) teet hgh. (ChaD� 3�z. Gry 2, An 2, Sac. 341, Tiile 8, Celltomia Atlminl5�retNe Cotle). ❑ As owner-builtler, I will not employ enyone ro da wark which would requlre e parmit from lhe Dlvislon of Intlustnel Setety, es notetl ebove, unless such pereon has a permit to do such worl� irom Ihe division. Signature: Date: Divislon ol Industnal Satey Pertni� Number: CERTIFlCATE OF COMPLIANCE AND AIfTHORPJITON OF ENTRY: I certify under penelty Ot perjury thet I have read this epplicetion end staie thet ihe Inlortnation given is wrrect. I egree Io CAmply w��h ell stete lews end Gry ordlnances relating to building constructlon, entl aNhorize representatives of ihe Ciry ol Costa Mesa to enter upon tha ebove-tlescnbed property fo! inspection puryoses. I egree not to ocCupy or allow occupency ot eny building euthonzed by Ihis permit until finel inspectian. COUE 1, INSPECTONTYPE � PdIE IIi�ELS 1818 Flxaa System Flnal Fire Preventlon 1268 200 201 202 243 Pool SOe Final Final Re-Rool Final BIocWRetainir�9 Well Flnal Fectory Fire place Fl�al Sign �b COUE 1 INSPECTION TYiE 206 Finel Mechanicel 20B Flnal PIum6ing 210 Flnal Eleciricel 212 Finel Fire Preventlon 220 Finel Planning Approval 222 Finel Site 204 Finel Demolitlon 250 Finel Bulltling/Occupanry 1�1.11��w. 9 � ri�i�c � 1.:. ' �� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 977 C06'�A MEBA. CALIFORNIA For Applieanf fo Fill In Complefely TYPE OR PRINT COSTA MESA. CALIFORNIA OWNER Mesa Del Mar Development Co. aooaess 3800 East Coast Hi hwa c�n Corona del Mar No: OR 3 ARGHITECf _ _ _ TEL. _ Same as CO. Same as above Same as above FIRE ZONE APPROVED ��aR��t'P!icosrn�sg� ,a,►x,t94.S0 APPLICATION FOR PERMIT BUILDING For Offiee Use Only REC6IPT NO, �F.qM1� (i� 1[U la J er I owre RECEIV6O_ I DATe �esueo COSTA MESA. CALIFORNIA ZONING NO. OP uae oF PLANS � BUILOIN size 6510 S.F. �"� �" a`°`�one � OF LOT Naw oN LOT p, p, NO. ' USE OF none YARD6 EXISTING BLDG. APPROVED ��-� CENTER OP'�BTrt ¢TM 46' REAR YAR�b l Zlt F O�R ��Ne ei. SIDE YARD I LEFf 5� I RIGHT 5' R. SIpE DESCRIPTION OF WORK L. SIDE NEW I X IIALTERAT�ON I IIADDITION I REAR � REPAIR I IIMOVING I IIDEMOLISH I BYPROVE� B�=E �� XSO � LO�� ROOMS 6 STORIES 1 EXTERIOR WAI.L StUCCO I ROOF Wood Shake USE OR BUILDING AND WORK TO BE PERFORMED Sin�1e il Res w att ar Plan �450-B Living Area: 1780 S.F. Garage Area: 460 S.F. I HEREBY ACI(NOWL¢DGE TH�T � HAVE RBAD TH19 APPLIGTION THE AMOUNT BHOWN UND¢R VALUAT�ON IS FOR THE ANO BTATE THAT THE ABOVE 16 CORRECT AND AOPE¢ TO COM- PfIRP08E OF 86TABLI6HING A PERMIT FEE ONLY. PLY WITX qLL CITY OR�INANCE9 AND BTATE LGW6 R6G11LATING BUItDINo CONeTRucnON. � VALUATION SIGNATURE OF PERMIT FEE $ �� PERMITfE Mesa el a e el me t O L $y' � ��/�� / $ 19 065 � 00 P�N CHECK $ � � ✓~ AUTHORIZED AGhT1T.,�.e�.w i Yf�/2<cd.0 ' �it/ � E 6