The URL can be used to link to this page

Home My WebLink About2790 CIBOLA AVE - Building Permits��ia� �ea-sz�a • Fax (714) 754-4856 • www.ci.costa-mesa.�I�ILDING PERMIT Job Address: 279� CIBOLA AV � Suite: Viciniry: Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construqion: V-N Parcel Number: 14164322 Zoning: R1 Applicant: CERROS, PEDRO Address: 2790 CIBOLA AVE . . Phone: 714-957-3346 COSTA MESA, CA Zip: 92626-5602 Owner: CERROS, PEDRO Address 2790 CIBOLA AVE COSTA MESA, CA Contracror: OWNER-BUILDER . Address: Zip: Arch : Address: Zip: Phone: License: �STUCCO S.F.D, WITH ATTACHED GARAGE. Plan Check: Permit: SMIP Res: SMIP Com: � Other: Inspection: Total: $0.00 $167.25 $0.90 $0.00 $0.00 $0.00 $168.15 SETBACKS MAINSTRUCTURE Front 0-0 � ACCESSORY Front 0-D PARKING Existin : 0 .f Rear 0- 0 Rear 0- 0 Reauired: 0 Phone: Zip: 92626-5602 Phone: License: 000000 Eng: Address: SCOPE OF PERMIT 77 FAIF DRIVE, COSTA MESA, CA 92626 R ' Issuled 9S3 R005 ISSUED BY: � � , r . I �� Phone: License: FEE SUMMARY _. _. ._ Calc Valuation: $s,000.00 Claim Valuation: gs,000.00 PLANNING & ZONING Lek 0- 0 Lek 0- 0 Pr000sed: 0 Righf 0-0 Right 0- 0 I, 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 commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be consideied legal, 'such work must comply with all applicable codes, and all required Inspectlone and }inal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 �aas-as(doo� WORKERS' COMPENSATION DECLARA710N: ' I hereby ettirm under panelry oi perjury one of the following declarations: ❑ I have and will melntein a certificeta of consent to self-Insure for workers' compensetion, as provided tor by seclion 3700 of the Lebor Code, br the pedortnanca of ihe work for which this permit is issued. ❑ I have and will maintain workers' compensation insurence, as requiretl by section 3700 of Ihe Labor Cotle, for the peAortnance of the work for which �his pertnit is issued. My workers' compensation Insurance carrier and policy number ara: Carner: Policy Number: ((his sectlon need nof be completed i/ the permit is valued at one hundred dollars ($100) or Iess.J ❑ I certity Ihat in the pertormance ot the work fa which Ihis pertnit is issued, I shall not employ any person in eny manner so es to 6ecome suh�ect to ihe workers' compensation lawa} f,f>elHomla�d agrae t�i ' should become suhject to ihe workers' compensation provisions of Section 3700 of Ihe Lebor Code, I shall forthwith comply with the$`5{°pr '�ions. � . �� ' - t'� i� Applicant Signeture: ��pry Deta: WARNING: FAILURE TO SECU E WORKEi}7pCOMPEtJ,S,4 ON4�OVERAG 1 VFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED T/10USAND DOLLARE (5100,000), IN ADDR107J TO THE (.�ST O� COMPE I GES AS GROVIDED FOR IN SECTION 31060F iHE LABOR CODE, IMEREST, AND ATiORNE1"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm thai I am licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 of iha Business and Professions Coda, and my license is in full force ana eHect Lic. N Class x Conirectors SignaNre: Date: CONSTRUCTON LENDING AGENCV: ❑ I hereby aRirm that there is a consiruction lending agency for ihe pedormance of the work for which ihis pertnit is issued. (Sec. 3097, Civil Code). Lendefs Neme: Lentlers Atldress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirtn Ihat under penalry of perjury ihat I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW tor the following raason (Sec. 7031.5, 8usiness end Professions Code: Any ciry or counry which requires e permit b constmct, alter, improve, demolish, or repair any strudure, prior to its issuance, elso requires tha applicant for such permit to file a signed statement thet �e or she Is Iicensetl pursuent to ihe provisions of ihe Coniractors Llcense Law (Chapter 9(commencing with Sectlon 7000) of Division 3 ot the Business and Profeuions Code) or that he or she is exempt iherelrom entl ihe besis for the alleged ezemption. Any violation of Section 7031.5 6y any applicant for a permit subjects Ihe applicant to e civil penalry of not more Ihan five hundred dollars ($500).): ❑ I, es owner of the property, or my employees wlth wages as thair sole compensation, WILL DO THE WORK, and the structure Is not intendetl or otteretl for sale (Sec. 7044, Business and Professions Code: The Coniractors License Law does not apply to an owner of property who builds or improves ihereon, and who does such work himself or hersalf or through his or her own employeas, providetl Ihat such improvements are not intended or oHered for sala. N, however, the building or improvement is sold within one year oi completion, the ownar-builder will have the burden ot proving ihat he or sha did not builtl or improve for puryose oi sele.). ' ❑ I, as owner ot the property, am EJ(CLUSIVELV CONTRACTING WI7H LICENSED CON7RACTORS ro construct the project (Sec. 7044, Business and Professions /' Code: The coniractors License Law does not apply to en owner ol property who builtls or improves thereon, and who comracts tor such project with a contractor(s) �1 license pursuant to ihe Coniractors License Laws.). �am exempt un r Business and Protessions Code for this reason: Sig ure: � �` Pate: r� Owner ID verifiatl by 'ver's c nse. Yes ❑ No Drive/s License No. ��{ �� Ezpires: � Venfication of Owners�ip b(rypa of d cum t, i.e. - properry tax bill or tleetl): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: ❑ I heieby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by ihis permit, antl that no builtlinq swcture, scattolding, falsework, or demolition or tlismantling ihereot, will be more than thirty-sl: (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Atlministretive Code). ❑ As owner-builder, I will not employ anyone to do work which would require e permit fmm the Division of Indusiriai Safery, es notetl above, unless such person has e permit to tlo such work irom ihe tlivision. Signature: Date: Division of Indusirial Sefaty Permit Number: CERTIFlCATE Of COMPLJANCE AN� AUIHORVATON OF ENTRY: I cenify under penalry of perjury that I have read ihis application antl state Ihat ihe information given is correct. I egree lo comply wlth ate I ad ciry ordinances relating to building consiruc�ion, and authonze representatives of the Ciry of Costa Mesa to enter upon ihe ebove-descnbed property for in pe I� pos s I egree not to occupy or allow occupency oi any building authorized by this permit until final inspection. � �j � 30105 ignat r Of Laga r(s) Date And10r A thorized Applicant Date COOE t. INSPECTIONTYVE 1616 1266 200 201 202 203 204 Fixed System Pinal Fire PreveNion Pool Spa Final Finelfie-Roof Final Block/Rataining Wall Final Factory Fire Place Finel Sign Final Demolilion QAjg INTRIALS COpE 11 INSPECiION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electdcal 212 Final Fire Prevention 220 Final Planning Approval 222 FinalSite 250 Final Building/Occupancy psg u April 20, 2007 CITY OF COSTA MESA P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200 DEVELOPMENTSERVICES DEPARTMENT BUILDING DIVISION COURTESY NOTICE OF PERMIT EXPIRATION Pedro Cerros 2790 Cibola Av Costa Mesa CA 92626-5602 PERMIT NUMBERS: BOS-01750 FOR: Stucco PROJECT ADDRESS: 2790 Cibola Av., Costa Mesa Our records indicate the above listed permits were obtained for property improvements or alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4 Expiration, permits are valid for 180 days from the date of such permit, or the date of your last inspection for the project. Our records do not show an inspection for these permits within the last 180 days nor have they had an approved final inspection. If you have a signed inspection card � showing that an inspection was made within 180 days, or that the final inspection was approved, please contact this office so we may correct our records. If you do not have an approved final inspection, your permits will expire on May 4, 2007. Additional fees � will be required to finalize expired permits. Requestinct an inspection—If you need to request an inspection please call our Inspection Request Line at 714-754-5626. Renuestinq an extension—If you wish to request an extension, requests must be made in writing addressed to Ed Petros, Chief of Inspection, at the above address, detailing circumstances and listing an estimated date of complet'ron. If you have any questions, please contact the Building Division at 714-754-5273, between 8:00 a.m. and 4:30 p.m., and a staff member will be happy to assist you. The accuracy of records affecting your property is our goal and we appreciate your working with us to resolve this matter. Sincerely, .�'��=�-�2��/ Mar Jane Weidenkeller Office Specialist II Building Division (714) 754-5273 • Code EnforcemeN (714) 754-5623 • Planning Division (714) 754-52a5 FAX (774� 754-a856 • 7DD (714) 754-5244 • www.ci.cosia-mesa,ca.us (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 2790 CIBOLA AV Suite: Vicinity: SIDE AND REAR PROPERTY LINES Parcel Number: 14164322 Applicant: PEDRO CERROS Address: Owner: CERROS, PEDRO Address 2790 CIBOLA AVE COSTA MESA, CA Contractor: O W N ER-BU I LD ER Address: Zip: Arch : Address: Zip: Phone: License: Zoning: R1 Rl Phone: 714-9573346 Zip: Phone: Zip: 92626-5602 � Phone: License: 000000 Eng: Address: Status: ISSUED Applied: 03/24/2003 Issued: 03/24/2003 Phone: License: a�,vro vr rc�crvu i CONSTRUCT 136 LF OF BLOCK WALL BY 6 FT HIGH (74 FEET ALONG SIDE, 62 FEET ALONG REAR) PER CITY STANDARDS. Plan Check: $54. i 1 Permit: $83.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $137.86 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: 0 NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Lek 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 sz,no.00 $o.00 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes antl related regulations. (Ord. No. 92-28, § 7, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned tor 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 Inspectiona and finel approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 :aaowo�wuu� WORKERS'COMPENSAnON DECLARAnON: I hereby aHirm unda� pen2{y of perjury one of ihe following declaretions: .• . ❑ I have antl will maintain a certificate ol consent to selbinsure tor workers' compensation, es providetl tor by section 3700 ot Ihe Labor Gode, for the pertortnanca of the work tor which t�is permit is issued. ❑ I have antl will maintain workers' compensation insurance, as required 6y section 3700 of Ihe Lebor Code, for the perfortnance of Ihe work for which Ihis pertnit is issued. My workers' Gompensation Insurance carrier antl policy number are: Carrier. Policy Number: (This section need not be compleled iI the permif is valued af one hundred dollars (3f 00) or /ess.) ��I�certity that i� the pertorman ihe work for which this permit is issued, I shall not employ eny person in any manner so as to become su6ject to the workers' compensatioq laws of Calito� ia, d g Ihat It I shoultl bacome subject to Iha workere' campensation provisions of Section 3700 of ihe Labor Cotle, I shall lorthwith camply with tnese provision5 ^ A icanfSignaWre� `"• �---�Date:��-�l ( /� WARNINO:'fAICURE TO SECU E P N TION CAVERAGE IS UNL4WPUL AND SHALL SUBJECT AN EMPCOYER'TOLRIMINAL PENALT S AND GVIL FMES UP TOIXJE HUN�RED THOUSANDDOLLARE(510D,000),INADDITI TOTH TOFfAMPENSATION,DAMAGESASPROVIDEDFORiNSECTION3]OBOFTHEtABORCADE,IMEFEST,ANDATTORNEY'SFEES. LICENSED CON7qACTORS DECLARATION: I hereby aNirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force end eHecL LiG� � Class # Contradors Signeture: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aNirm that ihere is a construction lending agency for the performance of Ihe work tor which ihis permit is issuetl. (Sec. 3097, Civil Cotle). Lender's Name: Lender's Address: SignaWre: Date: OWNER-BUILDER DECLARATONS: I hereby attirm Ihet untler penalry ot perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business antl Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any stmcNre, prior ro its issuance, elso requires the applicaM for such permit to tile a signed statement that he or sha is licensed pursuant to ihe provisions of ihe Contractors License Law (Chapter 9(commencing with Section 7000) oi Division 3 of the Business end Professions Code) or that he or she is exempt therelrom end the besis lor the elleged exemption. Any violation of Saction 7031.5 hy any epplicent tor e pertnit subjecis ihe epplicent to a civil panalry of not more than five hundred dollars (5500).): �l, as owner of the property, or my employeas wi[h wages as iheir sole compensatioq WILL DO TFIE WORK, antl ihe stmcture Is not intended or oHered for sale (Sec. 044, Business and Professions Code: The Contractors License Law tloes not apply to an owner of property who buiids or improves ihereon, and who tloes such work himself or her9ali or ihmugh his or her own employees, provided that such improvemenis are not intentled or oHeretl for sele. If, however, the building or improvemant is sold within one year of completion, the owner-buiider wiil have ihe 6urden of proving that he or she tlid not build or improve for purpose of sale.). � ❑ I, as owner of the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS m constmct the project (Sec. 7044, Business antl Protessions Code: The coP�ractors License Lew does not apply to en owner of pmperty who bullds or Improves ihereon, and who contracis for such project with a contractor(s) license pursu3nt to the Contrectors License Laws.). _ , ❑ I am exerppLUnder sec. Owner ID venfied by drive7s Iiceri58. Ventication of Ownership hy pype of Business and Professions Coae for this reason: s ❑ No i.e. - property ta: bill DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify tha� no excavation five (5) or more feet in tlepth into which a person is required to descend, will be made in connection with work authonzed by t�is permit, and that no building stmcture, scatto�ding, faisework, or demolition or tlismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, 71tle 8, Celitornia Administrative Code). ❑ As owner-buildar, I will not employ anyone to do work which would require a permit imm ihe Division of Industrial Safety, as noted above, unless such person has e permit to do sU�h work from the division. Signawre: Date: Oivision of Indusinai Safety Permit Number: CERTIFICA7E OF C�MPtJ AND AUiHORIZA710N OF ENTAY: I cetlity under penalty of perjury tha� I ha�e read ihis application antl state ihat Ihe infortnation given is correct I agree to com with a state ws nd city ordinances rela�ing to building constmction, and authorize representatives ot ihe City of Costa Mesa to enter upon Iha above-described pro �e ryo s. I agree not to acupy or allow aapancy of eny building authonzed by �his ermit until final inspec6 -- - ��1�.-� ( �� naWre_ }. al.Owne _____ ' IDate—� CODE �. 1616 1266 200 Fixed System Final Fire Prevention Pool Spa Fi�al Finel Re-Rcwl 201 Finel BlocklAeteininq W all 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition � ixrmn�s �_�� CO�E 1 INSPECTION TYPE 206 Final Mechanical 20B Finel Plumbing 210 Finel Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy PL�T� INTRI�LS • Tt25 51�7ai LS FOR INFORMATIONAC PURPQ66 'ONLY. nPPt�UM 15 RESppNSiB[F FOR PROVIDING AN ACCURATE RFPRES1j.!(A770N OF T}�t PROPkRIY QJ CASE 7HE S7iAPE AND SITE 00 NOT��ND,,,(f�Q'$ WLl}i 21iE WFORAQAdI Lt v �� CITY�OF�IDS' '� �P{PfR�ON�FD � M�� }. I � � �� anaua i �m �� -- �_ 6�� , � ' �L 6�°� ,� 6 ' � � c � . � �� n ' ac�c�a �1�. � acsocr�a � Z? �� ' ,'•. "•_- e_r.?!'@�.00!' ` �"-""-"'-""- " �__ �`_ � • SOW WALIS/FIIJQ�S BEIWEIIJ 2'd• k 6' Q1F�HGi'ITStiALL BE SETBAIX AT IFASf 10' FROM FROM PROPFRTY llNE • SOfID WAI15/FFN�S 9iAI.L NOT IDC� 7 6' IIJ HI]GIi7 Wf1}IIN IV OF IHE FROM PROPER'IY 11NE �10T NR91lNEl. VFFR�Y D67AN� F7iOM CURH 1'O PROPERlY t1NE �9iOW ON P1�1N. VFRh7G110N FAOId i}1E Q1Y5 DIV�ON 6 RPQWtPD. CAIl (!14) 754L%lI � , � PLANN[NG NOTE: ADDI7 OR CORREC APPROVED BY fS SHALL BE � PLANNING Di � � � RDOb�4 � � I MC90EMQ � I z 74� Gl6 a-r� ,4v� �TRE�T _ BLOCK WALL LAYOUT FOR BUILDING PERMIT PLANNING DIVtSION PflOJECT pDUFESS: 2 7 9 O C I BOLA AV OWNEF'SNAME: GHOSN KHALIL nooncss: 2790 CIBOLA AVE COSTA MESA,CA APCNIENCINEEB: ROOflESS: UNIT: 92626 PEG.NO.: I1NIT: rexminee: KHALIL GHOSN ( 714 ) 595-7027 aooRcss: 2790 CIBOLA AV C.M. CA 92626 LICENSEU CONTBRCTOP OECNNATION: 1 �¢reGy aHirm I�a� I am IicenSeA unG¢r D�odsions o� C�apier 9(cammencinp wii� Section 7000� of Oivision 3 0l ihe Business an0 Pmiessions COUe. antl my license is in lutl lorce antl eifect. aTv uc.: srnTe uc.: cuss: EXP : i Oate'. Signaiure: i WOPNEBS' COMPENSATION OECLABATION: I nereUy alfirm that I have a cehificate of consent to selbinsure or a cenificate ol Workers' Campensa�ion Insurance. or a ceniliea cooY �hereof (Section 3800, LaG. C�. � POLICY NO.: EXP. URTE: COMPANY: I❑ Cenilietl copy is hereoy fumisnee. ❑ Cehified copY is �ileG vnih �Ae city BuilGing Division. � � �I � Dale: AO�IicanC E%EMPTIONFPOMWOFRFflS'C�MPENSRTIONDECIABATION: RNssectionneMnotbe Ie�eGi�Nepermiiisi reA�5100�o�1e55�. 1 ceriily ihal in the pedormance o� Ne work for whic� tNs permit is' ue0, 1 s emD�oy any per— any mann so� become subiect to ine Worker5' fAmpensalion Laws ot Californ' - �� Oa�e: �/n � E�� Signai ' � - - - � � NBTICE: If, afier ma g t�¢ declar tion, you s�ould b come su01e« <o the Warkers' on ation D�ovisions ol ��e Labor Cotle. you musl forthwiih compty with suc� pmvisions or �his permii shall �e deemetl revoketl. CONSTHUCtION 1EN01NG BGENCY: I �ere6y alfirm t�at t�ere is a coretmctian lenaing agency for t�e pedarmance of �he work br w�ich this De�mii is Issuetl (Section 3W7, Civ. C). LENOEP: aooness: OWNEfl BUILDEN OECLANRTION: I here�y aflirm I�at I am exempt Imm t�e Contraclors' S�ate License law for the lollowing reason (Seaion 7031.5 Business antl Pwiessional Coae: Any ci�y of county whic� requires a permiuo constmm, alter, improve, tlemolish, or repan any 9mciure. prior Io i1s issuance, alw repuires I�e aDPlicanl for such permii to lile a signed siatement Iha� he/she is licensed pursuant lo Ihe O�ovisians oi t�e Comractors' State License Law (ChaO�er 9(commencinq wit� Seclion 7000) of Oivision 3 0l t�e Busineu and Pmiessions Cotle) or ihat he/she is exempt inerelmm anU the basis for Ine alle0e4 e�emplion. Any violation ol Seclion 7o31.5 by any applicanl for a permi� 5u01e��5 Ihe applicani lo a civil Oenalry ol not more Ihan �iva �undrea doliars �5500). � I. as owner oi t�e proDenY a� my employees wi� wapes as t�eir wle compensation, will Ua ��e woB, an0 the s�mcWre is no� intendeU or offereU tor sale ISection 70a4, Business ana Pmfessional Cotle: T�e Coniractors' State License Law Uoes nol appty t0 an Owner ol a pmpe�y who Gmlds or impwves �h¢r¢on, ana who tloes SUC� work him5ell/Aereel� or IhroUg� Ai5 or her own empl0y¢¢5. D�OviAed Ihal Suth impmvemenis are n01 intend¢C ar oiferetl br ule. II, hOwever Ihe �uilUinp Or impmvemenl is soltl wit�in one year ol completioq tM1e owner will �ave t�e EurAen ol pmvinp �elshe tlitl not buila or impwve lor tne purpose of salel. I, as owner ot ��e OroDehy, am exclusiv¢Iy contractinp wi�� IicenSeE conirac�ors �a consimct ihe pmlect (Seclion 7044, Business ❑ antl Pmlessions Coae: The ConVactors' State License Law tloes wt apoN �o an awner of omperry wllo hutlds or impmv¢S lhereon antl w�o conlratB �or Su[h pmlet�s wii� a canVaqOqs) littnse OurSuani IO �Ae fAn(fatiars' State License Law�. I am aware ��al O�ool al I�ei� Worker'S Compensatian inturance 5hoW4 �e pmvitle0 to me. � I am eKempt un0er Seciion: B. 8 P. C. lor Ihis reason: Date: �h .- v�� 0 _ / I tlo hereUy certi�y ihal I am aware ol anU under5ian4 ��e reQuiremenl5 at Cal Iomia Health antl Sal¢Iy CAtle Set�i0n5 255 25533, antl 2553a antl thai I or any Imure builtlmg occupam wilVwill not (circle ane) nee0lo tompty wiih sai0 s�a�e coEes e reQuirem Is lor a permn lor cons�mction ar modilicalion Imm I�e Air Oualny Management Oistrict. ReSiEenti simctio pplications are ee D� ��om Ihese piovision5. � oate:�6� � Y Npplicam: - I hereby cerlity ihai I have reatl Ihis application anA Slaie Ihal Ihe aU e fnlormation is correc�. I agree o compty vnN� ciry antl counry ordinancesanOSlalelawsrelatingm0ud4ingconsimnionanG�ereEyautlwr¢ereD�esent ' so��iscirymenteruponlheabove-memioned pmperty for in5peciion purposes. Oate�_�=�.1 3__�_ � SignaWre'. r Oriv r s l¢ense oi Social Security 1641-46 Whi�2—Buil�ing: G�e¢n—COO¢ Enb�c¢menl; Canary—Applicant; Pink—Revenue; Goltlenro0—As5es50r CITY OF COSTA MESA — HUILDING PERMIT PERMIT NO: B 069077 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMIT TYPE: STR PERM NO; B 069077 GOC�T; N SUFP; N PURPOSE: OTH JOB DESCRIPTION : T/OFF SHEATH E REROOF W/COMP SHINGLES SQ FT: 4,500 CLAIM C�ALUE: 4,500,00 CALC—VALUE: 4,500,00 GROUP OCC; R-3 /M-1 COMMENTS: SMOKE DETECTORS REQUZRED PER 91 UBC, REROOF 3100SF RESIDENCE �**��#**�#�*��*�**�*�**��*��*�**��**��*��*��****��*��*SIiI�OK�"D'E1'E'CTO R Z O N Z N G R E Q V I R E M E N T S SETBA�KS REQIJIRED ------------ MAIN BUILDING ---------- ------ ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN PARKING RE • PROV; PARCEL; 14164322 ZNE: REF NO; PLANNING N TES> i �r*�t#��r#�iri��r*�-x�i�*�r*ir�r�r�rx�***�r�r*x�r�r�r�x***rt*��c-�r-�*****��-*#�-�c-�r**x-****��rir��r�t+r�r�r**#+r�u� D E V E.L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVE6 BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY; �—}�k DATE; �� #�rx�*�*�rx��r*irx-*x-x��-frir*fr�r�r�r+"'F�r�r�TE*�x**�r��r*�r*�r�jr�x��*�r�r�r�r*x��r�r**�r****�rx�x�x��t*rx e�+��r**�r**x- aE if iE if if k it 1E b ik if if ik iE if M if iE it ff iE iE if fE 7E iE i! k iE iE it it if i! iE ik if iF iE iE iE iE aE it iE ik k it fE * it iE i! �E iE if it if if ik iF if iG fF it iF iE 3E if iE iE if i! 1E if iF if if if LEGALIZATION:N F E E S U M M A R Y STRUCTURAL• SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 72,00 ,50 SMIP/NON—RES PLAN ISSUE FEE bUILDING—DIV—> PERMZT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS---> 72,50 0.00 0,00 72,50 72,50 ,00 � REVENUE DIVISION TOTALS--> COLLECTED: 72,50 OVER/SHORT: 00 6LDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIF/TOT GRADING PLAN—CHECK %2,�� ,5a iE if 1f k!F If jE if i6lE iE fE �E iE k�f iE IE iE if iE ik ik ff ik iE iE iE iF if * i! iE 1E iE if !E i! ik fE �t if 1f iE iE ih iElE 1h iE if iE if 1k 3f !f iE k tE iE!! f! if ic iE if if f! jE iE if !k iE iE 1! iE if if !E I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T Z O N UNIT COST TOTAL COST SFR 4500 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 4,500.00 END OF FEES Ot a0163756—�fi16S757 T uT 72.`0 PATE: 10/03/94 iI�iE: 09:19 '�-� P�_� & SPA CONSTRUCTION AND PLANNING APPROVALS Permit # Date inspector APPROVALS Permit �k Date Inspector i. Temporary Electrical Service or Pole 52. Pooi & E4u�pment Location 2. So�l Pipe�Undrgrnd. 53. Steel fteinforcement 3. Eleccrical Conduit Utility-Undrgrnd. 54. Forms � 4. Electricai Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Relnforcemen[ 56. Rou9h Plumh�ng & Pressure Tesc 6. Eiectncai UFER Grnd. 57. APPROVAL TO COVER�GUNITE � 7. Footings 58. Electricai Conduit�Un�rgrnd. 8. Foundation 59. Gas Pipe, O Undrgmd., Tesc 9 4'Jater Pope�Undigrnd. 60. Backwash lines, P-Trap, G Undrgrnd. 10. Str�ctural F�oor SYsiem 61. APPRQVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & RecepiorFinal 12. Sewer Cap 63. Heater & Vent-Finat � 73. Roof Drains 64. Piumbing System � F�nal 74. Rough Plumbing 65. Electrical�Final 15. Rough Electrical-Condurt 66. Solar SYstem�Final i6. Rough Electric Wiring 67. Fencing & Access Approvai 77. Rough Wiring Siyn 68. APPROVED FOR PLASTERING 78. Rouqh Electrical�T Bar Celling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Duc[s, in Structure 70. Underground Hydro 22. Ducts, Ventilanng 77. Product Piping OGas ❑Oil 23. Gas Pipe�Rough & Tesc 72. Underground Flush 24. floof Framing 73. Undergrnd.Stora9eTank OGas ❑0�1 25. Roof Sheathing � l� J4. Overhead Hydro 26. T-Bar Ceiling IStructuraq & Monocoat �9 75. Dry Chemicat 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Dry�vall Nail�ng HEALTH DEPT. REQUIREMENT 31. Piaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Finai Elec:ric 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. Soiar pomesticFinal 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigatic��stem . 45. Sound Attenuatioi 46. Handicap Regulatio�'¢` � 47. FINAL STRUCTURE'& �ILDING ��7� ! 48. FINAL P�ANNING*-! ` 49. Electric Release to �dfsor*" 50. Gas Release to Sout�(em �_ rfornia Gas Co 51. CERTIFICATE OF: CUPANCY No. --Date ..i •r JOB ADDRE55 GENERqL C0� AP No. 141—� INSPEC710N5 Pool Location . Forms Main Drgin _ Steel Reinforce Elec. Bond _ LOT 61 TRACT 4808 FIRE Approval to Cover Underground Electric _ Gas Piping Test Filtering System Lines _ �Backwash Lines and Recep. � Electrical Final CHeater and Vent Final _ ri NFilter System Final '��' Backwash and Recep. Final � L4Fencing Final Approval for Finish _ �� SUBCONTRACTOR Electric gp � Plumbing —�'— �— � ' COSTA MESA BUILDING-SAFETV DEPARTMENT � P.O.BOX1200 COSTAMESA,CALIFORNIA92626 For Applicant to Fill in Completely — Use Ink Only BUILDING � �/ ADDRESS / OWNER OR TENANT MAIIING M ADDRE55 � CITY 'A J// ll( C.+L�L/ N�/� W F � W a a .N. h F C w F Q G :� Q > } .J a w a O �. a Z W S 3 BFANCH � ADDRESS\ ARCHITECT � CONTflACTOR�ll l!h'(J PJ 1 aPA %�(.(JP.( �nn �k ADDRESS �S 7f I � � TEL.(�( CITV NO. /Jy�'�I STATE � /��/ CITV UC. NO.�f-� l7 LIC. NO. 51 Z E NO. OF BLOGS. OF LOT NOW ON LOT USE OF EXISTING BLOG Separate permits are requued for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PEFFORMED I hereby ecknowlatlpe that I have reatl Nis epplicetion entl steta ihat tho ebove Informallon is corract entl a0ree to eomply wIM all lews repulating builtlinp consttuctlon, entl I shall not amploy any perwn (n violetlon of the workman'a compensation lawe ot Mo State of Californle. I heraby cartify that I am Oroperly Iicensed es e<ontractor untler the State of Celifornie Businass antl Profauions Cotla, Dlvision 3, Chopier 9, entl that such Iieens e ere In tull torca antl et}act, or I am exempt irom t�e provistons f ihe Stato of Cnllfomla Business antl Pro(assions C e, i islon 3 Chapter 9. Slpnnt�re of Parmlttae o� � Authorizetl Aqont Date � 7350 6%08%80 78:63 TL• APPLICATION FOR STRUCTURAL PERMIT � � F'=V�BV PERM�T NO �OY�O .ii A.P. NO. C BUILD�N � ADDRE55 UNIT OR SPACE NO. iR. �O LOT / _ BLK. �l� NEW ADD LTER REPAIR MOVING DEMOLISH OWNE USE ` VALUEs n,/�/(/� , L/ � )V (FROM �STpp � ' `� ' FRO �FT. � �` / R. SIDE i J F L. SID� FT� `/ / �REAR v FT. � PLqNNING ACTION DATE THE AMO THE PVRP( VALUATION � �`j �UUl1- JN UNDER VALUATI P.BLISHING A PERMIT PERMIT FEE E 4 PLAN CHECK S a �TAX E—� TOTALPAID $ r m C i m m N ] IS FOR m ONLV: � .00 � n ,�d O . � LL i u •�ae -6-r�P�cosrr.77�a �4�'112:50 f� .�- � 8��3 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX S77 C08iA MfiBA. CALIFORNIA For Applicani to Fill In Complefely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING ADDRe�ss ib 1 e ue COSTA MESA. CALIFORNIA For Offite Use Only OWNER Mesa Del Mar Development Co. REce�ar Ho. n R IT NO. ADDRESS 3800 East Coast Highway RHCe D pY ve, TE RECEIVIE� D T6 I8SU8D .9"-b-G�SI MHt� U roc3 c�rv Corona Del Mar No:OR 3422 aui�oiNc ADDRESS ARGHITECf Macco Realt CO. TEL.OR 3�FZZ COSTA MESA. CALIFORNIA OR ENGINEER Y NO. ADDRE55 S81I1= as Above FIRE ZONE TYPE � GROU . CONTRACTOR M8CC0 Real[y Co. APPROVED BY DATE AD�RE65 $8100 SS BbOVE ZONING ZON6 NO. OF UBE OP NZ Q�'jy I PLANS 'BUILOING � �LITC.TNo. ZO -- �1 No: R 34220 LeOAL Lot 61 � Tract 4808 , OBBCRIPTION � SIZE � NO. OP BLDO�ane OF LOT 6231 NOW oN LOT p, p, NO. USE OF none YARDS EVES EXIBTING BLDG. APPROVED ALLOWED 6fiT6ALK LINB FHOM � � ��NTeA uN6 eTJ f- 7^/ CeNTex OP BTPeET REAR YARD ZH FRONT .7 V FT. IN. SIDE YARD I LEFT � I R16HT S� R. SIDE � FT. IN. DESCRIPTION OF WORK L. SIDE I FT. IN. NEW I X IIAL7ERATIONI IIADDIiION I REAR � FT. IN. REPAIR I IIMOVING I IIDEMOLISH I BYPROVED ��t DATE '��{� sZELD1NG54'x41'6�� ROOMS 7 STORIES 2 �1_ EXTERIOR WALL SCUCCOIROOF WOO S 8 e COVERING (1 COVERING USE OF BUILDING AND WORK TO BE PERFORMED amil Res. w att. Gara e Living Area: 2266 S.F. Garage Area; 460 S.F. i HEPSBY ACKNOWLEDOE TMAT I XAVB R6�D TXIB APPLIGTION }HE AMOLlNT BHOWN UNDER V�LUATION IB FOq TXE AND BTATE TXAT THE A90V8 18 COHR6CT AND AGPH6 TO COM- PUIiPOBE OF EBTA9L19HING A PERMIT P8E ONLY. PLY WITH ALL CIIY 01iO1NANCEB AND eTATH LAWB ii6GULATING BUILDINO CONBlMURION. VALUATION SIGNATURE OF PERMIT FEE $ � / PERMITfE Mesa Del Mar Development Co. 7/7 q By� $ 23��JZS�OO PLANCHECK $ 3/j50 � AUTHORIZED AGEN7 � �� O TOTAL FEE i ti