HomeMy WebLinkAbout960 LANSING LN - Building Permits,. . _, _ __. _ . _ .. . ., . _ . .--- - -- --
ELECTRICAL PERMIT
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
960 LANSING LN
PATIO
141721'14
Applicant: SHAWN CRISP
Address: 6921 LAFAYETTE DR
HUNTINGTON BEACH, CA
Owner: HIRANO, YASUO TR'
Address 960 WNSING LN
COS7A MESA, CA
Phone: (714)842-8933
Zip 92647
Phone:
Zip: 92626
Contractor: R E LIPPARD CONSTRUCTION CO
Address: 6921 LAFAYETTE DR -
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+units)
Pool / Spa
Lighting FixLs
Recept Outlets
Switches
Non Res Appl
Res Appl
Service t0 200a
Service to t000a
Service over 1000a
Mators to 1 hp
Motors to 10hp
Motors lo SOhp
Motors to 100hp
Molors over 100hp
Communication drops
Phone: (714)842-8933
HUNTINGTON BEACH, CA Zip: 92647
License: 351335
Status: ISSUED
Applied: 07/19/2005
Issued: 07/19/2005
ISSUED BY: �
SCOPE OF PERMIT
ELECTftICAL PERMtT FOR "ALUMAWOOD" LATTICE PATIO COVER AT REAR OF EXfSTING SFD.
REF #605-00988
WORK TO INCLUDE: 2 �IGHTING FIXTS AND 1 SWITCH.
$23.50
$0.00
$0.00
$0.00
$0.00
$0.00
$220
$0.00
$1.10
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
Quantiry
0
0
0
2
0
1
0
0
0
0
0
0
0
0
0
0
0
FEE SUMMARY
Temp Dist Syslem / Lighling
- Busway N00 ft
, � Standing Section
Misc Eleclrical Equipment
Transfortners up to 1 kva/kw
................up to 10 kva/kw
.................up to 50 kva/kw
.................up to 100 kva/kw
..................over 100 kva/kw
Low Voltage Equipment
Low Volt Winng System / Ckt
Misa Conduit
, Misc. Conductor
Circus ( gen w ride)
Circus (mech nde or lights)
Christmas Tree Stand
Fireworks Stand
Other Electrical Fee
Investigation Fee
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
50.00 0
$0.00 0
50.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$D.00 . 0
$0.00 0
$0.00 0
50.00 0
$0.00 0
$0.00
50.00
NOTICE: The work authorized by thls permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulatlons. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically ezpire and become void if work Is not commenced within 180 days, or If work is suspended or abandoned
for a period of 180 days.
INSPEC710NS: In order for the work authorizetl under this permit to be considered legal, such work must comply with a�cable codes, and all
requlred Inepeetiona end final epprovel must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of th(S pertnit.
FOR INSPECTIONS CALL: (714) 7545626
re.., _.�:�r.;.:e�
WORKERS'COMPENSAnON DECLARAnON:
I hereby eHirtn untler penalry oi perjury ona of the lollowing tledarations:
❑ I heve entl will maintein e certllicete of consent to self-Insure tor warkers' compensatlon, es Orovlded for by sectlon 3700 af the Lebor Cade, lor the peAormance at Ihe
work for whlch Ihis perml� is Issued.
R�I'heve end witl maintain workers' compensation insUrance, es requlred by sectlon 3700 of ihe Lebor CoOe, for the pertorcnance of the work for whlch this permit is issuetl.
� My workero' compensation Insurence carder end policy number ere:
CertlB.,jtis.:--"�.�/�iZ '�Ji✓O Policy�Num�"be.'. -r -'�/Sis'Ti�S
(Th/s section need not be completed i/ the permit /s velued at ane huntlretl tlollars ($f 00J or /ess.J
❑ i ceNty t�at in the pedortnance o1 the work for which �his permit is issued, I shall nat employ any person In any manner so as to Decame su6�ect Io 1he workers'
compensellon laws at Calitomla, end ree that if I shoul ecome sub�ect to Ihe workers' campensetion provislons ot Sectlon 3700 ot the Lebor Cade, I shall forthwlth
comply wit� t�ese provisions `%� !
MP.IkanlSfanahuew�-` �a/�i.✓� Dfl(e:._ %— !i�^�J
WARNING: FA0.URE TO SECURE b6RNERS' GOMPENSATION COVE IS UNIAWFUL AND SHALL SUBIECr AN EMPLOI'Ep TO OfiIMiNA1 PENALTES AND CIVIL FlNES UP TO ONE HUNDRED
TIqUSAND OOLLARE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAM4GES AS PROVIDED FOR IN SECfIIXJ 3lOeOF THE Lr1BOR CODE, INTEqEST, PND ATTORNEI"S FEES.
IICENSED CONTRACTORS DECLARATION:
I hereby aHirtn that I am licensetl untler pr vlslons ot Chapier 9(commencing with Section 7000) of Divislon 3 ot t�ess antl/P�rof�sigqs Code, entl my license is in lull
io�ra.�a,�pu�. s 3Sl i'3� i c� x_ c
C�on.�ors.sigpeture� o, oatet� � 7—l9—
CONSTAUCTON LENDING AGENCY:
❑ I �ereby aflirm ihat ihere Is a conslruction lentling egency for the pertormance oi �he work for which t�is pertnit is issued. (Sec. 3097, Civil Cotle).
Lenders Name: Lenders Address:
Signelure:
OWNER-BUILDER OECLARATIONS:
Date:
I hereby ettirtn thet under penelry ot perjury t�e� I em EXEMPT FROM 1NE CONTRACTORS LICENSE LAW lor the tollowing reason (Sec. 7031.5, 8usiness entl Protessions
Cotle: Any Gry or counry which requires e permit to wnsWct, alter, improve, demdish, or reDair eny strucWre, O�or to its issuance, elso requires Ihe applicent for such pertnit
to Tle e signed statement that he or she Is IlcenseA pursuant to t�e D�ovlsions ol the Contraqors LJcense Lew (Chepter B(commendng w0h Section 7000) of DlWsion 3 ot ihe
Business entl Professions Cotle) or that he or she is exempt Ihereiram entl tha basis far the alleged exemption. My NWa�on of Sectlon 7031.5 by any applicant for e pertnit
subjects ihe epplicant to e civil penely of not more ihen frve hundred dollars (E500).): '
❑ I, as owner ot the pwperry, or my employees with wages as ihelr sde wmpensation, WILL DO 7HE WORK, end the swcture Is not InterWetl or oRered for sale (Sec.
7044, Business end Prolessions Code: The Contractors License Law does not epply to an owner of property w�o builds or improves ihereon, and who Goes such work
himsetl or herself or through hIs or her own employees, provitlatl that such Impmvements are not intended or ottered for sale. tl, however, �he building or improvement is
sold within one year of completion, iha ownar-builder will heve ihe Ourden ol proving that he or she dld not build or improve for purpose o1 sele.). '
❑ I, es owner of ihe D�aDerty, am EXCLUSIVELY CONTHACTING WI7T1 LICENSED CONTRACTORS lo construct the project (Sec. 7044, Buslneu end Professions
Cotle: The comrectors License Lew tloes not epply to an owner ol propeny who builds or improves t�ereon, entl who comracls tor such pro�ect wlih e contrector(s)
license pureuant to the Conirectors Licanse Lews.).
❑ I em exempt under sac. 8usine55 end Professions Code for this reason:
Slgnawre: Date�.
Owner ID verifietl by tlrivels license. ❑ Yes ❑ No Drivefs License Na. Expires:
Verificatlon of Ownership by (type of Oocument, i.e. - properry terz bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMR CER7IFICATION:
❑ I hereby certify that no excavatlon tNe (5) or more teet in dapih into which a person Is required to descen4 wlll be made in connedlon with work authorizetl by Ihis
pertnit, and �hat no building structure, scattolding, talsework, or demolition or dismantling Ihereof, will be more than thirty-sia (36) teet high. (Chep. 32, Grp 2, Ar12, Sec.
341, Ttle 8, Celifomia Adminlstrative Catle).
❑ As owner-builder, I will not employ enyone to do work which would requlre a pertnit from the Division of Indusirial Safery, es notetl ebove, unless such person has a
permit to tlo such work irom ihe division.
Signeture: � Date:
Division at Industrial Safary Permi� Number:
CERTIFlCATE OF COMPLIANCE AND AUfHORIZATON OF ENTRY: I certity untler penalry of perJury Ihet I heve reatl Ihis application end stete Ihet the infortnation given Is
wrrect. I egree to comply with all state laws end ciry ordlnences relating lo bulltling constructlon, end authodze representatives oi the Ciry ot Costa Mesa to enter upon t�e
ebove-descnbed property for inspection purposes. I agrea nol to occupy or allow occupancy ot eny buildinp euthonzad by Ihis pertnit until final inspec�ion.
SlgnaNre Of Legal Owner(s) Oate
`Anii/Or,AuthoAzed'ApPllcant�-, l.—Data.�.-�..._
CQOE I. INSPECTONTVPE
1616 Fixed System Finel Flre Preventlon
1268 Paol Spa Final
200 Flnel Re-Root
201 Final BIocWReteining Wall
202
203
Flnel Fectory Fire Placa
Flnal Slpn
206 Flnel DemollUon
� ItII��
cooe� iNsvecnoNme
206 Final Mec�enical
208 Finel Plumbing
210 Final ElecMcel
212 Flnal Fire Preventlon
220 Flnel Plenninp Approvel
222 Flnal SIIe
250 Finel BuildlnyOccupency
PAiF It�EL4
239?�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BO% 917 COSTA MQSA. CALIPORNIA
Foi App/icant fo Fi!! !n Completely
TYPE OR PRINT
BUILDINO 7 /- O L8
ADDRESS w
COSTA MESA. CALIFORNIA
1304 �Y. Commonwealth Ave.
[4
190417 No' 871-2910
� X� 0 a I unw�nu �oaa, O
6ET6ACK LINH PXOM G
CENTEROP8TH86T / � REAR
6ID� YARD LEk{ % ' RIOHT
DESCRIPTION OF WORK
BUILDINO "'�'� � NO.OF
SIZE � ROOMS 9T F
EXTERIORWALL.tllCCO COV�ERIN6 S]11II�
COVERING 5
USE OF BUILDIryO AND WORKTO BE PERFORMHD
m,-,,,.+. Sadn _ r..,+ ��
C
R-1 Reaidence �(/G�. G
I HER68T �CKNO�y�EOOE TNAT t HAV@ qEAO T�IB APPI.IGTION
ANU 6TATH TXAT TN8 ABOVE 19 CORRECT AN AOpEB TO COM�
PLY WITH ALL CITy OqO1NANC69 ANO BTATB I.AWB PBOOLAYINO
BOILOINOCONeTRUGTION� �
SIGNATURE OP �
PERMII'fEE ��--��-�—<_. . , ��ti�--7r
AUTHORIZED AQENT
CITY Or C�7STA MESA
MAY 5 1965 �"�
APPLICATION FOR F
NG
I � � fi se C
DATB
ZONING
zo'• Ho.o� ueeoFrv
nune euao�n
'o� `/p di' e � 7 L
DEBCRIPfION 7
/ �/
A. P. NO. �
NOTE: NO EAVE OVERHANO BHALL BE LE53'THA[�`
90' TO SI�E @ REAR P. L.
EAVES
ALLOWED fU. B. C. REOUIREMHNTI
YARDS MPROVEO YAROSAPPROVED
MAIN BUILDINO _ ACCESSORY BUILDIN6
�l
30
VAR. JC
�:,
DATE
MPROVED
oaTe Sl7r4S
l�(7i sc. Fr. ':�b 7 p J�
T11E AMOt1NT eXOWN UNDEp VALUATION IB FOq TH8
PURP09E OF HBTABLIBNINO A PERM�T Ffi8 ONLY.
VALUATION � �
PERMIT FEE
g � � �/� c ec 3'Z-.