HomeMy WebLinkAbout963 LANSING LN - Building PermitsApplicant to fill in all soatts enceot t�ose within heavY �oraer lines antl sign all aoo�opriate aeclaratioro. - - — -
,�C�T�,OPCOSTA ESA CONSTRUCTI(�NPERMIT � � PER^^ O. A TRACTNO. LOTNO. UNITNO. , � h%Q%, 5�05�.� ^ T
. Viojectnddress ��-3 �A•'✓5lNCo �N�i��� � '���7� ,
Applicant'S Maili Address �3 f%/v� �"/"T��E y� TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR �
Owner'sNy1,�q� e 11� Q�SFG�- es�s�-aia / � CONVERSION ❑ DEMOLISH ❑ OTHER q,p.# ZQ�e
���Phon DESCRIPTIOf�OF WORK/L nF .�'���'�^'rv� N
Address •� ��5� 6 � — ip�'/t,fi'�C l+ "" � E Main Building: Accessory euilding: Z
Arch/Eng. LicOnse No. TVPE OF PERMIT GRADING FOUNDATION LJ STRUCTVRAI T Front ' � p
Addre55 ❑ OTHERT � ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Reaf - � N
Contractor's Nam Phone C Ri9M � N
( PRQIECT DESCRIPTION SO. FT. OCCUPnNCV K G
Address�m2ilingl�ra''''�G� CONSTRUCTIONTVPE VALUATION$ g Le(t
Cit LicenseNo. � �n� �V��4 R
Y ZONE GRADINGCU.YDS. ACRES
LICENSED CONTRACTOR DECL ATION Ping. Ref. # Pa�king R¢q./P�ovidEd E
I hereby affirm that 1 am licensetl untler provision4 of Charter 9(commencing Remarks: .. Planning Notes: �
with sec[ion 7000) of oivision 3 01 the Buslness antl Professlons Cotle, antl M
my license is in tull lorce ana effect. T
License Class license No. . S
Datc Signature PLUMBING - FEES
WORKERS' COMPENSATION DECLARATION ' Ba� Sink ' Showers ' �
1 nereby aifirm ihat 1 have a certiticate oi conseM to seif-iosure or a certlficate E�ECTRICAL FEES
of Workers' Compensation Insurance, or a certifetl copy thereof (Sectlon gackflowPreventer ServiceSink
3800, Lao. CJ � . Automatic Washer Transformer ❑ 75�50 KW
Poiicy rvo. Company Backflow Irrigation Sewer Cap Construction PoleSub. � 50+ KW
eCertifietl copy Is hereby furnizhetl.
Certifietl copy Is tiletl with the city Builtling �ivislon. � Bathtubs � Sewef Connection Cooking Unit � , MetEr ❑up to 100 amps '
Date APP��<ant Clarifiers
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - - SOlar ColleCtors.. - Di5hwa5hef � Met¢r ❑over 100amps
(Tltis section neetl not b0 completetl If the permit is to� ane huntlretl ($300) o� - ' '
�Qys) � Dishwasher ' . Solar Piping ' Dryers ❑Gas �Electtic Sub Panel '
1 certity lhul in the pe�brmance o/ the wa�k f0/ Whlch titis pe�mit is i55uetl I �
snall not employ any porson in any manner so as m c e subject ro t� Drinking Fountains SolarTenk ; Fan' MoIDrs �41 HP �1Ya-8
Wori y�y{{o e t' Lawt of Ca mia. /
Datp.Hily4L���519natyte�.l�il9Y�j4.l�(9<<k�� Floor Orains Swimmin9 Pool w/SPa F.A.U. ' ❑9�15 HP �16�15+ '
'NOTICE: C a t r making Ihis tlet on, you shtlultl bec e sutl ti to the IncSolar
WOlkets' L�ompen5dtion provl5i0 5 O th¢ LdbOt Cotle, y0u R1USY (Orthwith FI00� $ink3 U�iOdl � FixLU�¢5
com0ly with such p�ov�sions I5 pe�ml[ shall be tleemetl �evoketl. Mic�OwdvC
CONSTRUCTION LENDING AGENCV ' Gd5$ErviCC Outl¢t5 WaLEfCIOS¢t, D¢ViC¢BO%¢5
I hereby affirm lhat [he�e ii a con5[�uctlon Ientling J9ency fo� the Oerto�mance POI¢ Light
of the work for which this permlt iz issuetl (Section 309] Civ. Cy �ntErteptots � Wat¢r Heater ' . Outlets
LenOer'z Namc - Range
Lenaer•s aaaress Kitchen Sink Water Service Switches Sign
OWNER BUILDEN DECLARATION ,
I hereby atfl�m lhat 1 em.exempt irom Ihe Contracto�'s LicenSe L.aw for the Lavatories AutO-WaSh -
tollowing reason (Sectlon 7031.5 Business antl Pro�essional Cotle: Any citY or Garbage Disposal ' Standing SectiOns
county whlch requires a permit to construcQ alter, �mprove, tlemolish or reoair p—Trap - Laundr Tra s ' .
any structura, orlor to its issuance, also requires•tl�e apP�icant for such permit ' Y Y Generator 00.5 KW �5-15 KW Tra".h Compactor
to (ile a signetl Stal¢menFtnat'h¢/Sh¢ is licensetl pu�suan� to the provisions ot Roof Drains �
the Contractor'z LicenSe Law (Cnap[er 9(commentlng wlth Section �000) of ,
DiviSlOn 3 0( the Bu5ine55 antl Protessions Cotle)� o� that he/She is exemp[
the�et�om dntl lite ba5i5 fOr the allegetl ezemptioP. Any violation o( Sectlon �
7W3.5 by any applitant to� a permil SUDjectS Vte aoo���ant to a civil
alty of not more Ihan five huntlretl tlollars (E500). � �
� I, as owner o� the property oi ' ' Reinspaction Fee $15 Issue Fee $ 3
n, will tlo the wO�k, antl the SVuctu�6 Is not intenEetl Or affer¢tl
� MECHANICAL FEES Rainspection Fee $15 luue Fee $ 3
J tor sale Section 7044, Business antl Protezsional Cotlei The Contractor's
Llcense Law tloe5 nol appty [o an owner of a propCrty who buiitl5 or improves
chereon, antl wno aoes such work nimsoif/herseu �� mrouqh his or her own DEVE�OPMENTSERVICESREQUIREMENTS:
emD�oyees, provi0ea that such impwvements are �ot intentletl or offered tor Boiler Hood or Type I ❑ _
sale. I(, however, the bulltling or improvement is soltl within one year of com- Canopy Type I I ❑ Zoning Approved By Date
pletlon, the Ownm wlll have the burtlen of provin9 he/she tlitl n0[ bulitl or Im- DUCI � Und¢� i�i�OUnd � '
prove far tne purpose o/ sala). � Building Approved By _ Dato
❑ 1, as owner ot the prooerty, am exclusively wntractin9 with licensetl con- � Duct � Structural Refrigeration System • Applieation Issued By
tractorsto construil lhe project (Section 7044, Business antl Professlons Cotle: . Date
Tne Contractor's Lirense �aw tloes mt apply to an owner of pmperty who Duct - Ventilating ❑0-100,000 BTU ❑100,000 BTU
builtls or improves tnereon, antl who contracts fpr such projects witn a wn- SUMMARV OF FEE$
tractor(s1 Ilcense pursuant to me Contracmr•s License Ww). t am aware tnat Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PEFMIT $ SMIP $
prooi of tneir Worker's Compensation Insurance shoultl be providetl to me. PLAN CHECK '$� PERMIT
❑ I am exempt untler Section B. & P. C. for this reason Firepl/Fact, BIL ICBO # Fire Dampers PLUMBING $ �SSUANCE $
Dat own� Heating System & Ducting Registers ENERGV P.C. $
I hereb ertify tnat I nave reatl his appliwtion antl state hat the above ❑0-100,000 BTU �100,000BT P�N CHECK 25% 5
iniormalion is correct. I agree td mply with au ��ty antl c nty ortlinances ELECTRICAL $ GRADING `$
ana state laws relating to builtling consvuction, 0�tl hereby aumorize re0�e- MICROFILM 5
sentatives of mis ciry to enter upon the ove-mentionetl property tor PLAN CHECK 50% $ l
inspection rposes. � n Dzt .I �� - MECHANICAL 5 TOTALFEE $ S OV
Signature �; — Reinspec[ion Fee $15 luue Fee $ 3 PLAN CHECK 25% $
Drivers' i nse or 5
CMF OB65-46, rev. 10/84 White - Builtling; Ganary - APPlicant; Pink - Accounting; Goltlnnrotl - ASsessor
' CONSTRUCTION AND PLANNING POOL & SPA
��PPROVALS Permit # Date Inspector AppROVAIS Permit # Date Inspector
7. Temporary Electriral Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. , 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
S. Foundation 59. Gas Pipe, O Undrgmd.,�Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor SYstem � 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap � 63. Heater & Vent-Final ,
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final �
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17%:Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing 7 �j-�f( (,itA
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic�Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. C�ERTIFICATEOFOCCUPANCY
No. Date
�aoo i
EOSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTq MEBA. CALIFOHNIA
For Applican! fo Fill In Complately
TYPE OR PRINT
BUILDIN6 �� Lsnain Lane
ADDRE58
COSTA MESA, CALIFORNIA
ADORESS 1304 W
c,rv Fullerto.
ARCHITECT ... _
1304 {Y: Commonwealth Av
STATE TEL.
LI0. NO. NO.
SIZE �� I No. oP BLoae.
OF LOT � I
USE OF
EXISTIN6 BLDG.
BETBACK LINE FROM r
CENTER OR BTREET / � REAR
SIDEYARoI LEFT � I RIGHT
DESCRIPTION OF WORK
3 0
BUILDIN6� p"� p� � NO.OF 7
SIZE / GZ ROOMS / SfORIH8 S
EXTERIORWAL�tuCCO I CO�VERIN6 Shin iQ
COVERING
USE OF BUILDIN6 AND WORKTO BE PERFORMED
Tract 5340 – Lot 41
Plan 612C �
H-1 Residence � ,� �
1 HEFEBY ACKNOWLEDOE THAT 1 HAVE NEA� iX1� APPLICATION
AND fiTATE THAT THE ABOVE I6�COqRECT ANO 6REB TO COM•
PLY WITH ALL CITT OFOINANCH9 AND 8TAT8 lAWB RBOYLATINO
BUILOING CON9THUCTION. �
PERMITTEF OF �`�µ f��..
; �-�
AUTHORIZED AGENT
ccr� o� c�srA ��
MAY 5 1965
DATE
ZONING �
ZO y� NO. OP UBe OP N
PLAN9 �l1ll O
�a,� YO �o � —
oescrstrr�ori �, �%
A P. NO. '
NOTE; NO EAVE OVERHANG 8HALL LESS THAN
90" TO SIDE 9 REAR P. L.
EAVES
ALLOWED (U.B.G.REQUIREMENTI
YARDSAPPROVED YARDSAPPROVED
MAIN BUIL�ING n(� AGCESSORY BUILDING
�
VAR. #
BET. MAIN 8
ACCE55. BL[
OATE
���
l �� �,. �. -�� 6 z � `�-- m
THH hMOUNT BNOWN UNOER VALU�TION IS FOq THE �
PUFPOSE OF EBiABLI8HIN0 A P6RMIT FEE ONLY. �
VALUATION o ��oa m
PERMITFEE $ �
$ L C EC �� p
z �, ��z �J 4
TOTALFEE $ 1 OJ