HomeMy WebLinkAbout2776 CIBOLA AVE - Building Permits--�
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oJ�onxess: z��6 CIBOLA AV
OWNEN'SNRME: NAITO, ALHERT T TR
FDOflE55: 2'�76 CIBOLA AVE
COSTA MESA.CA 92626
979-3190
APCNIENGINEEfI:
RDOflESS:
flEG.NO.:
�N�,: ZZ
UNIT:
VENMITTEE: BEACH CITIES ROOF CO. ( 719 ) 590-5311
aooncss: 555 PAULARINO B206
C.M. CA 92626
LICENSEO CONTPRCTOfl DECLABATION: I hereby aifirm Ihal I am licensetl untler pmvisions ai C�apler 9(commencing with $eclian
7000) ol Oivis�on 3 al Ine Business an0 Pmlessions Cade, anA my license is In lull �orce an0 ellect.
cirruc.: sTnreuc.:672548 c�'s C-39
Date: — ��� Signalure: �!i/�e�'_ "'�
WOBKEPS' CO PEN PTION OECIABATION: I �ere�y aflir ihal I have a certnicate o1 consem m seu�insure or a cenilicate ol workers'
' Compensation Insurance. or a retlifiea coDY �hereol (Section 3800. Lab. C). '
POLICY NO.: E%P. OATE:
COMPANY:
❑ Cenified copy is �ere0y lumis�etl. ❑ Cenifie0 copY is liled with tAe ciry Building Division.
oate: Appiicam:
E%EMPTION FflOM WOBREBS'COMPENSATION OECIAPAiION: (TAissecii0n neeA notb¢tomple�etlil��e Oermili5loronehun4B4�E100�ar1e55�.
I cetlily Ihal in Ihe pedoiman[e ol �he work lor w�ich ��is permi� is iss Q I shall nol employ any Oerson in any manner 5o as to Oecome
subjeci lo Ihe Workers' Compens� o� Cali�omia. rt� /�
��
�ate:�g. SignaWre: ub�
NOTItE: II, atter n kin inis aeclaralion, you shoultl beco subiect to the workers' Compensation pwvisions ot tAe Labor
Caae. you mus� tonnwiln comDly wiln sucn D�ovisions ar Ih6 permit shall be aeemeA revoketl.
CONSTflULTION LEN�ING PGENLY: I hereAy allirm Ihat t�ere is a conslmc�ion IenOing aBency lor �he p¢rlormance ol Ihe work far
wnicn �his oermil is issued �Seciion 3097, Civ. C).
LENDEN:
AO�flESS:
OWNEfl BWLOEB OECLAflRTION: I hereEy aflirm I�ai I am evem0� ��Om �he CAnirattort' State License Law lor ��e tallowinp reason
(Section 7Q31.5 Business antl Protessional Cotle: Any city ol county whicn mduires a permil to consimcl, alter, improve, aemalisA, or
�e0air any s�mclure. O��or lo ils issuance. also repui�es lhe aOP�itan� lor such permi� lo �ile a signed S�alemeni Iha� he/s�e is licensed
Dursuant lo I�e 0«sians oi I�e Coniractois' State license law (Chapter 9(cammencing wilh Section 1000� oi Divisian 3 al t�e Business
ana Pmfessions Cade) ot �nat ne/sne is exemo� �herelrom ana Ine basis br the allegea exem0�ion. My violatian ot Section 7031.5 Ey
any ap0licanl br a petmit suGiecis ine apPlicant to a civil Oenalty of not more than tive hunUred Oollars (35001�
1. as owner ol ihe D�o0er1Y or my employees wilA wages as their Sale fAmpensdlion, will Oo t�e work, an0 Ihe
❑ simclure is noi imenaea ar ollerea for sate 15ection 7044. Business antl Pmtessianal Cade: T�e Caniractors' State License law
Ooes nol appty to an owner o� a DmDefty who builas or im0�oves I�efeon, an0 who tloes sucA work himself/hersell or ��mug�
his or her own employees. pmvide0 Ihai such impmvements are no� inientled or otlere0 �or sale. A. however �he builtling or
impmvemenl is sol� vnthin one year ol comDleiion, I�e owner wll �ave Ihe 6urden o� pmving �E/s�e ditl no� Uuiltl or impmve
tor t0e purpose al sale�.
I, as owner of I�e proper�y, am exclusively con�mcting with licensed contraciars �o con5imc� �he prolecl (Seclion 7044, Business
❑ antl Pmlessions Code: The Coniraclors' Slale License Law tloes not appty lo an owner oi O�opetly who bwlJs or imDmves lhereon
and w�0 tonitat�s Iar 5ut� O�ole��5 wiih a toniratloq5) litense pursuani Io Ihe Conirat�ors' Sia�e License Law�. I am awaf¢
Ihal Orooi ol Iheir Worker'S Compensalion insurance should be pmvided Io me.
� I am exemp� untler Seclinn: B. 8 P. C.
lor Ihis reason:
�aie: Ownec
I ao here0y certily Ihal I am awaie ol anU underSlanU I�e requiremenis ol Califomia Healt� anG Sa�ery Catle Sec�ions 255Q5, 25533, anE
2553a and Ihal I or any �Wure �uilding occu0ant will/will nol (circle one) nee0 to compty vnth sai0 state tades antl Ihe requiremenis for a
permil lor wnslmclion or modilicalion imm the Air Oualiry Managemen� Districl. Fe5i0ential conslmclion apDlications are erempt Imm
inese provisions.
�aie: PpPlicani:
I hereby ceriity Ilul I �ave reatl I�is aDO�icaiion ane slate ��at I�e above informalion is correct I
o�amancesanes�atelawsrelaungtoOuADingcansimttionantl�ereEy IMr¢erePrisenialiyesolll
prop¢rly loi inspetlion purpose5. /�A
Oate: _%i�L�l�� Signawre: L �'
onve�'s License or Sociai Securiiy x: _
i W bn6 W��te—Bwldmg: Green—Cotle Enio¢¢menC Canary—Applicam; Pinh—Pevenue: Goltlenroa—Assessor
lo compty wit� all city an0 caunry
Io enlerupOnl�eabUv¢�menGon¢d
r
CZTY OF COSTA MESA — BOILDING PERMIT PERM NO: B 064521
PERMIT NO: H 064521 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : T/O WOOD SHAKE,RESHT 6 REROOF W/COMP. SQ FT; �9�,920
CLAIM C'ALUE: 4,920.00 CALC—VALUE: 4,920.00 GROUP OCC: R-3 /M-1
COMMENTS: SMOKE DETECTORS ARE REQUIRED AS PER U.B.C. 1991
*���*+�**�**+�*****�**����*�****+��*�*��*��*�**�*��*�+���+�**�**���*�c**�+�******��*�c*
Z O N I N GS ERTEB�AUCjKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGIIT: FT IN LEFT; FT IN RGIIT; FT IN
PARKING AEQ; PROV: PARCEL: 14164320 ZNE: REF NO:
PLANNING NOTES>• '
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***x�*�r*�r�r�r�r�ri�*�t�rx��r�r*+r*�r�ritir�ritx��t*i��r*�t*�r�r*�r*�r�r**��r*+r�r*+�****+�****+ti�+rx-******�r�r�r***�r
D E V E I; O P M E N T S E R V 2 C E S R E Q U I R E M E N.•T S
ZONING APPROVEb�BY DATE:
BUILDING APPRO�VED BY : DATE:
APPLICATION ISSUED BY: DATE: ��C��r����
ifilitiEifiFlfifififiFaflEiEifitiEififikifiE %iEiPififKiFifiFif. � 1EiE
iEiE%ififiEiEikifiEiEifiFfE9FitiflEiEififiEifififiEikiffffEifiEiEiEiEiE�IFKifMiflfiElEffiFiEifiFiEifitiEiFiElflEififritiEic*iEifaFif (-KiFififiFiFiEiEiFlf
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/RES, GRADING
PERMIT 72,00 ,50.
SMIP/NON—RES
PLAN ^
ISSUE FEE ,.•
HUILDZNG—DIV—> PERMIT 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
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMZP/TOT GRADING.PLAN—CHECK
%2.�0 � .rJ� �
,;.
�f �f iF if if 1E iE fP iE fE if if If if if iE iF iE if if ih iE i! it if if if �f fE if {! i! 1E if iF.1E if if iE if iF if *�E iE iElE %if K 1E iF 1f if iF iE iP iE if if iF 9f �F iE iL iF iE iR �T} if iF * IE iF k �E 1f 1F 1F
I N D I V I D U A I, F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
• /.
SFR 4920 REROOF BY VALIIE RESZDENTIAL NOZONE 1.00 , 4,920.00
•END OF FEES
n .
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Jt 6014?182-00±4?iS's T za3
CATE: 10/19i93 TIi1E: 14:15
72. �li
' � CONSTRUCTION ANO PLANNING
APPROVALS Permit �`r
1. Temporary Electrica� Service or Po�e
2, Soil Pipe-Undrgrnd.
3. Electricai Conduit Utdity•Undrgrnd.
4. Efect�ical Condwt•Undrgrnd.
5. Stze� Reinforcemenc
6. Elect�Ical UFER Gmd_
7. Footi�gs
8, Founda[�on
9. Wate� Pipe-Und�grnd. �
10. Structural Floor System '
17. Property Sewer Line & House Connection
52. Sewet Cap
73. Roof Dra�ns
14, Rpugn Plumbing
15. Rough Electrical-Condui:
16, Rough Electric 4Viring
77. Rough Wiring Sign
S8. Rough Electrica6T Bar C°ihnq
79. Rough Heating & A�r Contlitioning
20. Rough Factory Fireplace
21. Dutts, in Structure
22. Oucts, Ventilating
23. Ga: PiPe-Rough & Test
24. Roof Framing
25. floof Sheathing
e
26. T-Bar Ce�ling (Structurail & iUonocoat
27. Frame and Flashing
28. lathing & Siding
29. InSuiation
30. Dry�call Naihng
31. Plaste� Bro�vn Coat
32. Electncal ?ower hSeter�F�nal
33. Finai Electric
34. Final Heating & Air Cond�tioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Ffreplace
38. Final Pfumbing
39. \Vater Service-Final
40. Gas Service-Final
41. Soiar pomestic-Finai
42. Back4low Preventer
43. Backflow Irrigation
44. �andscape irrigation SYsrem
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUGTURE&BUILDING `
48. FINAL PLANNING
49. Hectr�c Release to Ediso�
50. Gas Release to Southern California Gas G
51. CER7IPICATE OP OCCUPANCY
Date
. �OL & SPA
Date- Inspector AppROVALS Permit; Date lnspeccor
52. Pool & Equ�pment Location
53. Steel Reinfarcement
54. Forms
55. Electrical Bonding
56. Rough Plumbinq & Pressure Test
57. APPROVAL TO COVEP�GUNI7E
58. Elec[rical Conduit�UnUrgrnd.
59. Gas Pipe, O Undr�md., Test
60. Backwash Lines, P�Trap, O Undrgmd.
67. AFPROVAL TO DECK
62. Backnvzsh & Receptor-Fir.ai
63. Heatei & Vent-Final
64. Plumbing System � Plnal
65. Electrical�F�nal
66. Solar System�Final
67. Fencing & Access APA�uv:+l
68. APPROVED FOR PLASTERING
69. POOVSPASYST[d.1SFIiVAL
FIRE DEPT. REQUIREMENT
APPRQVALS Pernut #
70. Underground Hydro
77. Pr�ducC Pipinq UG2s OOiI
72. Underground Flush
73. Undergrnd. Storagc Tank J Gas '.7 Oii
�/d? � 74. Overhead Nydro
l�
75. Dry Chemical
. 76. Dry Standpipe
� 77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. PINAL INSPECTION
S0. FOOD CERTIFiCATE ISSUED
, Notes: SNLG _ wlr'7< /�Let�/� /(9 Zo� 7�
-(�-q3 Gw��
�- �
�
' 1892!
COSTA MESA BUiIDING-SAFETY DEPARTMENT
P. o. BOX 317 COSTA MEBA. CALIFORNIA
For Applicanf fo Fill In Complefely
TYPE OR PRINT
ADDRe�ss 2 6 Cibola Avenue
COSTA MESA, CALIFORNIA
„u,�,Fo Mesa Del Mar Develonment Co.
t
ORCENGINEER M8CC0 Realty Co. NE�R 34220 �
ADDRESS 'S21Re a$ above FIRE
ZONE
I...,..�......�_.. M�nnn Bo�lhv l�.. APPROYED
�icrNo.207343-A-SB-1 No: OR 34220
size 6231 S.F. � �°; °F„a"
f�C 1 I�T v � �
BHTBACK LWE PflOM
GENTEx OF aTneei SO � REAR YARI
SIOE YARD I LEFT 6� I RIGH7
DESCRIPTION OF WORK
s�ie "�""54' x41'
EXTERIOR WALL SC
COVERING [Y j�
USE OF BUILDING A�
Sin le Famil
: O ROOF rv�uu �
�� COVERING h ROCIf
WORK TO BE PERFORME�
Res, w/att. Gara,
.��,R-r.q�j�tosre.�l4s �*++1�T2:50
APPLICATION FOR PERMIT
euauiN�
For Offiee Use Only
RECEIPT NO. PCq
BY
DATE
MAR
COSTA MESA. CALIFORNIA
ZONING
ZONE �' � I puNe � BUILDIN
LEGAL Lot 59, Tract
DEBCPIRION
�ne �--�
A. P. NO.
VARDS EVES
APPROVED ALLOWF
� tcervTew une er.�
FRONT Z� FT. -
1 ��
t-
Plan �SOOA Living Area: 2266 S.F.
Garage Prea: 460 S.F.
� HEREBY ACKNOWLEDG¢ THAT 1 HAVE R¢AD TNI6 MPlJGT10N TH¢ AMOUNT SHOWN UNUER VqLUAT10N IB POR THE
ANO BTATE THAT THE ABOV¢ I6 CORHECT AND AGREE TO COM-
PUPPOBE OR EBTpBLI6HINa p PERMIT FEE ONLY.
PLY WITM ALL CITY OIiDiNANCEe AND BTATE LAWB REOUTATINa
BUILo1No CONernucnoN. VALUATION
SIGNATURE OF PERMIT FEE $ 7�
PERMI7TE Mesa Del Mar Develo ment Co. '7
BY �'O�� � 23, 925.00 pLAN CHECK $ �/� -� O
AUTHORIZED AGENT �.� i e i.. L—n