HomeMy WebLinkAbout976 LANSING LN - Building Permits� —
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PqOJECTR00F�S: <j'](� LANSING LN
O�XEN'SN�ME: SHUCK, WAYNE N
�oopEu: 976 LANSING LN
COSTA MESA,CA
557-5963
RBCNIENCINEEB:
�DOHESS:
uxir:
92626
HEC.NO.:
UNrt:
r�RMmEE: WAYNE SHUCK ( 714 ) 557-5983
' RODflE3S: J7( LANSING LN
CM CA 92626
LICENSED fANTMCfOP OEClAIL1710N: I Aereby atlirmthatl am Iicense0 unCer O���sro�s of Clup[er9 (commendnp witA Sectlon
7000) ol Oivluon 3 0l t�e Buvnm en0 Protessiohs CoEe, and my Gcenu is in futl iwa arW eHect.
cm uc.: sr�Te uc.: cuss:
Daie: Sipnature:
WOBKEBS' COMPFNS�TION DECUMTION: 1 �eaby atlirm tMt I Iwvo a ceN/iwte of cansent to self-insure or a certitiwte al Workers'
CamDensatbn Insurznce, or a ceNlieO wpy tAereof (Section 3800, LaE. C).
POLICY NO.: � IXP. 01TE: ,
IPRNY:
;ertllie0 wpy I5 hereUy tumisheC. ❑ CeM1ilied coDY is filed wit� the ciry BuilEinp DiNslon.
Da[e: ApDlicant:
E%EMPTION FBOM WOBI(EBS' COMVENSII710N DECUMTION: (�his stttian neetl not be completeE ii tAe Oe�mit is lor one AunOreO �5100) or less).
I ceriiry that in ihe Dadormance oi Ihe work lar whic� ihis Dermit is IssueE, I shall not employ any person in any manner so as to Decome
suGiect ta Ine W rkers' Campensalio Law ol Calilomia. �„ q
�a�e: G na�um: ( �C�+�.� h d�A.���CrV
NOTICE: If, a/t�acla tlon, yau s�outtl �ecome suhle ta IAe Workers' Compensatian D�ovisions oi the LaDor
Catle, you must fotlhwith wmply wit� such Omvislons or Nis Dermi s�all �e Ceemed ravokeE.
CONSTROCTION IENDIN611GENtY: 1 �ereCy amrm tlut Nera is a wnstmctian IenOing apency for Ne DeAormance of t�e waB for
wmcn �nis permtl is issum (secum 3097. civ. c).
LENOEH:
�OUflE33:
OWNER BUIILEB OEClAN1TI0N: I hereCy affirm tlut I am exempt Irom the Convactors' State License �aw tor tAe iWlowinp reuon
(Section 7031.5 Business anE Pmfessional CaOe: My dry oi counry wAic� requias a perma ro construd, alter, improva, OamolaA, or
repair any stmcNre, pnor la its issuance, also requires t�e apD�icant for suc� permu ro file a siqnetl s[a[ement tlut �rls�e is IicenuA
pursuant to Ne proNsions ot Ne Coniractors' State License Law (Chapter 9(wmmencinp with Secuon 7000) al Dhivon 3 at IAa Business
anA Prolessiore COUe) or Wt �e/s�e a exempl t�eaimm arW Ue DasiS tor Ne allepe0 exemptian. My vwWtion af Sectian 7031.5 Ey
any appliant for a permit subltt� � applkam m a dvil penahy ol not moa ttun frve hunEretl Eollars (f500�.
I, as owner ol Ihe O�operry or my employees mth wa0es as t�eir sale compensauon, will Ao tAe work. an0 IAa
❑ slructure is not intentle0 or aHereG lor sale (Section 7094. Busineu an0 Pmlessbnal CoGa: The Contrectors' State License Law
Cces rwI appy to an mmer ol a D�oDeM � huil0.s or improves [hereon, aM who Oces wc� xrod Almsetl/hersell ar thmuph
his or trer mm emdM�s, Drm4tleE ttut such improvements are not intenEM or attereE lor sale. It, however t�e buiWinp ar
imD��'ement is sold witNn one year ol comD�etion, the ovmer will Aave Ue buNen at proving he/s�e Ei0 not EuOC or ImD�ove
lor the puryase ol salel.
I, as nwner al Ihe D�aDeM. am exclusively contactlnA ��n IicenseA contractors to consiruq Ue prol�� {Section 70aa, Business
❑ anE Professions COEB: Tha Conbaclors' Sta�e License Law Ooes no� apDN ro an awner of properry wTo OwIGS or imDraves Neaon
anE wAo cantrac6 lor such Oml�� �iN a contreciw(s) ticense pursuant to tAe Contactars' State License Law�. I am aware
thal prooi al Iheir WOrker'S CampenseEon m5urence shoultl Oe pmNdeG to me.
� i am exemo� unoer Secnon: g p'] Q q G e. a P. C.
�ormisreason: ALL WORK BY OWNER n., �
Date: �/�/�(� Owner. �"" V^� ri •
I do hea6y certiry tAai am aware ot and unAerstana Ihe re0uirements ol Califomia Healih nU Safety Code Sections 25505, 25533, an0
2553< anE Ihat I or any IUNre OuilOinq occuDant wlll/will not (circle one) nee0 to compry with saiA state co0es antl t�e requirements for a
permit for constmction or ma0ification Irom tAe Nr ualiry Manapement Dislnct. Resitlential constmction aDP��calians are exempt from
t�ese pmvisions.
Daie: Ap0licant
I hereby certiry Nat I Aave reaA this application an0 state that ihe abova information is correct. I a0�ee �o comply wn� all ciry anE counry
ordinances anU sute Wws relatin0 �o CullOinp construclion an0 �ereby aut�or've aD���� ol W5 ciry to eMer upon t�e a0ove�menooned
proDenY �or inspection uryoses. � , /1 �
Data: � Sipnature: "`�a^'��� h •
omrer•s �ianu or Socia� Secudry x:
16a1J8 W�I��BuilGi�p; Green—CaEe Enbrcamem; Cenary—Appliwnl; Pink—Revenue; GOWenraA—Aveasor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 098874
PERMIT NO: B 048874 PLAN CHECK NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE: V—N PERMZT TYPE; STR PURPOSE; ALT
JOB DESCRIPTION : T/OFF REROOF W/FIHERGLASS SQ FT: 3,200
CLAIM VALUE: 3,200.00 CALC—VALUE: 3,200.00 GROUP OCC: R-3 /
COMMENTS: T/OFF REROOF W/FIHERGLASS SHINGLES
*��**x�r*��*�c�*���***�**�*xx��**�r�***«******�*+���*�+���**�*****�**��x#��r�r#�����**�
Z O N Z N G R E Q U I R E M E N T S
S E T B A C K S
----------'-- MAIN BUILDING ---------- --------- ACCESSOAY 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
PARICING REO• PROV: PARCEL: 14172110 ZNE: REF NO:
PLANNING NL5'I'ES>
>
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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_HY DATE: �
BUILDING APPROVED BY : _ ____ _ DATE: '
APPLICATION ISS�D H
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LEGALIZATZON:N
BLDG PMT
DATE: �0,� /D
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lkif�ltff*x ratikiE�lf ��lhikiEiF#ikiF�tiEiFiE3E�EjE�IFlE'IE�E�EfEjF14iF�1liE�1k�ElhftlkitiEfEififlFlEiE
F E E 5 J M M A R Y STRUCTURAL SEGMENT:Y
PLUMHZNG £LECT�iC MECHANIC
PERMIT 63,00
PLAN
ISSUE FEE
BUILDING—DZV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 63,50 0,00 0.00
REVENUE DIVISION TOTALS--> COLL�CTED;
bLDG PMT PLUMBING ELECTRIC MECHANIC
63.00
FIRE SMIP/RES GRADING
5�
SMIP/iVON—RES
TOTAL PAID DUE
63.50 63.50 ,00
63.50 OVER/SHORT; 00
FIRE SMIP/TOT GRADZNG PLAN—CHECK
.50
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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 I O,N UNIT COST TOTAL COST
SFR 3200 REROOF BY VALUE RESIDENIAL NOZONE 1.00 3,200.00
END OF FEES
�MOKE DETECTOR
REQ�iRED
Oi QOOE8985-�0068?86 T4�o?" n�-':0
DATE� Q9/OSf90 T:nE: 10:47
CONSTRUCTION ANDPLANNING P� 'SPA
• Date Inspector Date I�spector
APPROVALS Permit # APPROVALS Permic #
1. Temporary Electrical Service or Pole- 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. 53. S[eel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Und�gmd. 55. Electrical Bonding
5. Steel Reinforcemeni 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., 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 & Feceptor�Fi�al
12. Sewer Cap 63. Heater & Vent-Final
73. Roof Drains 64. Plumbing SYstem - Final
14..Rough Plumbing 65. Electrical-Final
15, Rough Electrical-Conduit 66. Solar System-Final .
16. Rough Elearic Wiring 67. Fencing & Access Approval
1�. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOLlSPA SYSTEMS FINAL
ig. 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 & Tesc 72, Underground Flush
24. Roof Framing � 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing ' .0 Q ��,,/ 74. Overhead HYdro
26. T-8ar Ceiling (Svuctural) & Monocoat 75. Dry Chemical
Z7, Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding j; 77, FIXED SYSTEM FINAL
29. Insulation � j� 78. FIRE PREV. FINAL �
30. Drywall Nailing , � � HEALTH DEPT. REQUIREMENT �_ --
31. Plaster Brown Coat � 79. FINAL INSPECTION -
32. Electrical Power MeterFinal � 80. FOOD CERTIFICATE ISSUED �
33. Final Electric j Notes: ,� ((-R�- �„ym e OG ��'
34. Final Heating & Air Conditioning �' � �(�(�'
/� 6'
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. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Land:cape Irrigation SYstem
45. Sound Attenuation
46. Handicap Regulations
47 FINAL STFiUCTURE & BUILDING � Z(a-�Q �j.il �
48. FINAL PLANNING
49. Electric Release to Edison ,
Sb. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
. 239�9
COSTA MESA BUILDINCrSAFETY DEPARTMENT
P.O.BO%9f] COSTAM68A�CALIFOHNIA
For Applicant fo Fill In Completely
TYPE OR PRINT
ILDIN(i 97� Lansin� Lane
JRE55
COSTA MESA. CALIFORNIA
ADDRESH 1304 W• CO�O
��TM Ful l erton �
.^.o�u'�EN«e Walt Boder
;:7:L•f'-1
1304 W. Commonaeslth Ave.
�llerton. Calif.
190417 No 871-2710
/ NO. OF BLOOY,
�pX/p O nowoHwr 0
DG. i
� e
FaoM ���_ REAR YARD �
easr
LEFT .% I RIGHT ✓'
DESCRIPTION OF WORK
COVERING JZllCCO � GOVERIN6 Jh1II jB
USE OF BUILDINO AND WORK TO BE PERFORMED
Tract 5340 — Lot 9
Plan 447ER
R-1 Residence C� �� n�v
I HHREBY ACKNOWLlDO! THAT 1 MAVH NN1D TH�B � PLIGTION
AND BTATE THAT TME ABOVE 18 COHRECf ANO AOFiEE TO COM.
PLY WITH ALL CITY ORDINANC88 AND BTAT6 W9 R80YLAT�NO
Bl11LDIN0 CONBTRUCTIO . , `
P RM�ITTE E OF � LN�
AUTHORIZED AGENT
CITY 0� C3S�A M�SA
MAY 5 1965 ru/
APPLICATION FOR P
I� 6bF�OHi�sa
RHC[IM! NO.
ZONINIi
NO.01 ^ U86
PLANB / BUII
YARDSAPPROVED
MAIN BUILDIN6
eer
VAR. #
DATE
SMALL BE LE55 THAN
YARDSAPPROV6D
AGGESSORYBUILOIN6
BET. MAIN @
ACCESS. BLL
�ATE
/-Q 4 y so. �. �4 /� 2 � � � o
TN2 AMOUNT 6HOWN UNOEH VALUATION 19 POH TH8 £'
PUFPOSH OP 88TABLIBHINO A PERMIT PE8 ONLY. 0
VALUATION / ��p0 ry
PERMIT FEE S j
$ r �� !J / I PLAN GHECK $ J' � ¢
i. ,l iii LL