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Home My WebLink About2763 CIBOLA AVE - Building Permitsnooxess: z�63 CIBOLA AV 7'SNRME: $UCHER F WILLIAM aooness: 11132 �iUNTING HORN DR SANTA ANA,CA 92705 PflCHIENGINEEB: p00flE55: PEG.NO.: uxir: UNIT: PEflMITTEE:-SERVICE FIRST ( 714 ) 573-2200 RDDNE55:�- SHOL IRVZNE TUSTIN CA 926$0 LICENSED Cjflli� B RTION: I hereDy a��irm Ihal I am licensetl untler pmvisions of Chapler 9(commencing with Sec�ion �000i m om_y�g�o h ss antl Pmiessions Cotle, an0 my license is in WII fo e antl elteci. cirruc.: , sTateuc.:5568}.?� (� C�?�C�qj � "' � v1�!'1 nti, o��., aie. � SignaWre: ENS' COMPENSATION OECLAflATION: I hereCy allirm Iha� I have a certificaie oi consent to 5elbinsure or a c¢riificate of Workers' om0ensalion �ns7(r ncg 9,rpcemiiea coDY �hereol �Section 3800. LaE. C). POLICY NO.: 1 S� S L b 4— 9 3 EXP. ORTE: S O/ O 1 I9 �i comeaNr: STATE FUND �I C" 4 c py is hereby tumishea. ❑ Ceriilied tapy is �Aetl wrt �he ciry ilding ivi on. � �aie' ' ` Ap0lican�� f E%EMPTI01 FqOM WOFNEFS' COMPENSpTION OECLAflFTION: (T�is seciion need no� be C mpletetl i� �he Dermil i5 for on¢ AuntlreO (3100) or less�. I cenity Iha� in �he petlormance oi Ihe work �or which ��is permit is issued, I shall no� employ any Derson in any manne� so as to become sublecl lo ihe Workers' Compen5aiion Laws ol Cali�omia. Dale'. SignaWre: NOTICE: I�, afler making �his tleclaration, you shoultl become su61e�< <o �he Workers' ComOansation pmvisions of t�e Lahor CoOe. you mu5i Io�hwiih camply with such pmvisians or �his permit shall he OeemeA revoketl. CONSTflUCT10N LENOING AGENGY: �I here�y afiirm ��al ��er¢ i5 a Cons�ruttion lentling agenCy IOr Ihe pedormanCe ol �he wOrk �or whicn this permit is i=5ued �Se�tion 3097. Civ. C�. LEN�EB:? �. AOOPESS:�"* " OWNEH BIIILOEN DECV�NATION: I hereby afiirm Ihat I am exempt Irom ihe ConVactors' S�ate License Law �or the following reason (Semion 7031.5 eusiness and Pmfessional Coae: Any cily of counry which requires a permit to cons�mct, al�er, impmve, demalish, or repair any slmC�ure, prior to its issuance, als0 reOUires Ihe aDDliCan� for Such permil ro file a Signed sla�emen� �ha� he/5he is licensed pur5uanl�oihe pmvisions oi�he Contrac�ors' Staie License Law�Chapter9(commencing wi�h Seciion 7000�of0ivision 3 oflhe Business antl Pmlessions Coee� or �ha� he/s�e is exempt therelmm and the basis tor �he allegetl exemp�ian Any violalion o� Sec�ian 7031.5 Dy any applicani for a permit sublects the applicant lo a civil penalry o� no� more than five hundretl dollars ($500�. I, as owner o� the pmpeny or my employees with wages as their sole compensaiion. will do ��e work, and Ihe ❑ slmciure is not intentletl ar at�ered for sale (Sectian 70a4. Business antl Pmfessional Cotle: The Conlraclors' S�ate License Law tloes noi aOPly lo an owner o� a pmperty who builds or impmves Ihereon, antl who tloes such work himsel�/Ae�self or through �is or her own employees. pwvitletl t�a� such improvement5 are not intendetl or ofleretl for sale. I�, however ��e builtling or im0�ovemeni is 5010 wilhin one year o� comple�ion, �Ae owner will have the buraen o� pmving he/she ditl noi bui10 or imprave lor ine purpose ot salei- I, as awner ol �he pmpeny. am exclusively comraming with licensetl contracrors lo consimtl t�e Dmlect (Section 7044, Business ❑ anA Pmlessions Cotle: T�e Contraclors' Sta1e Lirense Law daes not appty ro an owner ol properry who builOs or impmves Ihereon antl w�o comracts lor such pwlects wn� a conVacmqs� iaense pursuant m me Comracmrs' $Iaie License law). I am aware that pmo� ol ��eir Worker'S Compensa�ion insurance shoul0 he pmvitle0 to me. � I am exempt under Sec�ion'. B. 8 P. C. lor Ihis reason: Da�e'. Ownec I tlo hereby certi�y ihai I am aware oi an0 understantldhe reqmremems o� Califomia,Heal�� antl Sa�ery CoOe Sec�ions 25505, 25533, antl 25534 antl Ihat I or any W�ure �uilding occupan� willlwill no� (circle one) neetl ta comply wilh saitl state co0e5 anA �he requiremen(s �or a permil lor cons�mction or mo0ification�lmm Ihe Air Ouali�y Management Distric�. fle5i0en�ial coretmction aDPlica�ions are exempt fmm these pmvisions. . Oale: Applicanl: I hereby ce�tily ihat I �ave reatl this apPlicaiion antl slate Ihai I�e a0ove Intormation is correcL I agree lo comply with all ci�y and caun�y oiain ntl5lalelaw5rela1inglo�uiltlingcanslmclionantlherebyaulhon�repre5enta�rve5olt�isciryloenleruDonlheabove-mentionetl ,yr�y for n50ed�ion purpases. �-1 � ^ � Oai ' SignaWre: 1� `'�� ori�er's ucense or Sociai Secunry i6aLa6 Wlme—Butldmg�, Green—Code Enbmemenl; Canary—ApplicanC Pmk—Revenue', Goltlenroa—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06590. PERMIT NO: B 065909 PLAN CAECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE; 5—N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION ; T/O RESHEATH 6 RETROOF W/COMP, SHINGLES SQ FT; 6,150 CLAIM VALUE; 6,150.00 CALC—VALUE: 6,150.00 GROUP OCC: R-3 / COMMENTS: SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM & HALLWAY, UBC 1991 *�riririr�r+tirar**�r*x*-�t�t*�r+t+r***ir*�r�r�-*�r**+tit�-*�r+��t*****-�x-*i�*+��tit�t*rt+e+fit�c***i�+e*x�***-�*�tif�c-*at�t* Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAZN 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 REQ: PROV: PARCEL: 42213126 ZNE; REF NO; PLANNING NOTES> i xx�rxx��r�*�+��***x****�r***+��*��*�*�xx�***��**��****+��*�**��***�***�**��*� 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 APPROVED BY DATE: HUILDZNG APPROVED BY : DATE; APPLICATION ISSUED BY; �ir,i-t DATE: iFiEikiElEjE1E�E3E1EiEiEjEiEiEillElEfEjEiFjl3fjEiFiciEif�EfEiE�fiElFifffif9E�k�f�E iFjfif%iE1FiEiE1E%afifiEiEiF�)E1EjEiEiEMiliEiEiFiE if �if iF it iE �lE if i! if iE if iF iE iE iE if iE i!!! 1E if 1f it iE 1E k 1f iE if ff fF iF iE i! if if if iE iE iF 1E iE �E iE it iE iE iE iE if iE iE iF if iE 1E iF iE iE iE iE iE iE 1E iE iE iF iE i! �E iF iF rt iE iE iE iE aE iE iE iE LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y HLDG PMT PLUMHING ELECTRIC MECAANIC FIRE • SMIP/RES GRADING PERMIT 90,00 62 SMIP/NON—RES PLAN ISSUE FEE HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 90.62 0,00 0.00 90.62 90.62 .00 REVENUE DIC�ISION TOTALS--> COLLECTED: 90.62 OVER/SFiORT: .00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 90.00 .62 iE it iE k it iE 1f �E iE iE iE iE iE it iE iE it iF iF iE if if it at �E if jE if it iE iE iE iE if if M if iF if if iE 3f �F iE iE iE iF iE if if k iE �E 1: if iE it iE jE iE iF iF if iF iE jE jF iE fF if it iE iE iE if 1E iE if aF I N D I V I D U A L F E E B R E A K D O W N TYPE QTY P E S C R I P T I O N UNIT COST TOTAL COST SFR 6150 REROOF HY VALUE RESIDENTIAL NOZONE 1.00 6,150.00 END oF FE SMOKE DETECTOR REQUtRED - ., O1 00154742-00154743 TQ T 50.62 DA7E: 02/02/94 TIIfE: 12:D2 --t �CONSTRUCTION AND PLANNING Pi,.,� & SPA � APPROVALS Permit# Pate Inspector APPAOVALS Permit# Date Inspector � 1. Temporary Electrical Service or Pole 52. Pooi & Equipment Location ( 2. $oil Pipe�Undrgrnd. , 53. Steel Reinforcement 3. Electrical Conduii Ufil�ty-U�drgrnd. 54. Porms i 4. Electrical Conduit-Undrgrnd. 55. Electrical 8onding � 5. Steel Reinforcemenc 56. Rough Plumbing & Pressure Test � i 6. Electrical UFER Grnd. 57. APPftOVAL TO COVER�GUNITE � 7. Fuotings � 58. Electricai Conduit�Undrgrnd. j � 8. Faundation ' 59. Gas PiRe, 0 Undrgmd., Test � 9. Water Pipe�Undrgrnd. 60. Backevash Lines, P�Trap, C Undrgmd, I 10. Structural ftoor SYstem ' � 61. APPROVAL TO DECK i tt. Property Sewer �ine & House Connectioo 62. 8acktivash & Receptor�Finat i 72. Sewer Cap , 63. Heater & Vant�Final 13. Raof prains � 64. Plumbing System � Finai I tA. RoughPiumbin� 65. Electrical�Final i 15. Rough Electrica6Condu�t . 66. Solar SYstem�Final ( 16. Rough Electrit N+iring 67. Fencing & Access Approval 77. RAugh Wiring Sig� 68. APPROVED FOR P�ASTERING ' i 18. Rough Electrical-T Bar Ceiiing 69. POOUSPA SYSTEMS FINAL ' 19. ROugh Heating & Air Conditioning FIRE OEPT. REQUIREMENT � � 20. Rough Factory Firaplace APPROVALS Permit # I 21. Ducts, in Structwe 70. Undergrouncl Hydro � 22. Ducts, Ventilating 71. Product Piping OGas ❑Oii 23. Gas Pipe-Rough & Tesc 72. Underground Flush 24. Apof Framing 73. Undergrnd, Storage Tank O Gas ❑ Oi! ( Z5. Raof Sheathing 1,-Lf q'/! �I'/ 7q, pverhead Hydro ' 7 ?' 26. T�Bar Ceiling (Structuraif & Monocoat 75. Dry Chamical � 27. Frame and Flashing 76. Dry Standpipe 28, Lething & Siding 77. FIXEO SYSTEM FINAL � 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTN DEPT. REQUIREN1ENT � 37. Plaster Brown Cos: 79. FINAL INSPECTION � 32. Electrical Power A4eterr'i;�al 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: � � 34. Finai Heating & Air Conditioning � C 35. Final Gas Pipe-Test � 36. HOod or CanopY � 37. Final FactorY F��eP�ace � � 38. Final Plumbing 1 39. Water Service-Final 40. Ges Service-Final � . 47. So�ar pomesticFinal "� � � :� 42. Backfiow Preventes � � � ,. 43.BackflowlrrigaYion 2^3��L�,r S�� /� V�pQ� �.�� 44. LandscaDe Irriqation System � . ' 45. Sound Attenuation Z 7�Nti. k�.� ��. � , �� i 46. Handicap Regulations �',, - �`��' I 47. FINAL STRUCTURE & BUILDING �-� �C� /p.Gs� v � !.c'.� !�- 48. PINAL PLANNING 49. Electric Release .o Edison - 50. Gzs Release to Sou.hero California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date � ��9�� COSTA MESA BUILDING•SAFETY DEPARTMENT P. O. BOX 917 C06TA MEBA. CA�-�FORNIA For Applieanf fo Fill In Completely TYPE OR PRINT BUILDING ADDRE55 2 6 Cibola Avenue COSTA MESA. CALIFORNIA OWNER Mesa Del Mar evelo me MAIL rtece�v i ADDRESS 3800 East CoaSt Hi hwa G�.n, (�.OLORB del Maz' NooR 34220 BUILDING �sq_F.�-Pnsnsrn,.��A .,►oa99.00 APPLICATION FOR PERMIT BUILDING For Oftice Use Only RECEIPT NO. p$F BY ADDREBS ARCHITECT Macco Realt o. NoOR 34220 COSTA MESA. CALIFORNIA OR ENGINEER }� C ADDRE55 S3IDf 9S BbOVf ZONE TYPE �.GROUP � CONTRACTOR Ms'lCCO Realtv Co. APPROVED ^' ��QzE„r 6696 S.F. �u°W°� 86TBACK LINB IROM OiNTeR Ov eiReeT �iZ � REAR YARD 26 � 61DE YARD I�� 8� I RIGHT 8� I DESCRIPTION OF WORK 81ZE �v1�6��XS�i�Z�� ROOMS G STOFi EJ(TBRIOR WALI.$tUCCO I ROOR Wood Sh COVBRING Oc {•�00<I COVERING & Roc USE OF BUILDING AND WORK TO BE PERFORMED ZONING NO. OF � I .use ov PLANB /� BUILDIP lE6Al. �cermn LINH BT.) t 1 HEREBY ACKNOWLEDOH TMAT I HAVE Q�� TN16 APPLICATION THH AMOUM BHOWN UNOER VALUATION 19 IOR TXE AND 6TATE TNAT TX8 ABOVE IB LOPREGT A!ID AGREE TO COM- pURP08¢ OF EBTABLI9HING A PERMIT FEE ONLY. PLY WITH ALL GITY OROINANGE9 ANO BTATE UWB R80ULATIN6 aui�olNa coNBrnuciloN. VALUATION / SIGNATUIiE OF PERMIT FEE $ � (� �' PERMITTE Mesa Del Mar Develo ment - �7 o By� � J $ ZO�ZHB.00 PLAN CHECK $ �? '' •• F AUTHORIZED. AGENT � �caC`^— � � � TOTAL FEE LL