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Home My WebLink About980 LANSING LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, GA 92626 ELECTRICAL PERMIT Job Address: Suite No Viciniry: Parcel Nunmber: 980 LANSING LN 14172109 Applicant: TERRY GUOIN Address: owner. ' JAVAGE, JOHN J Address 980 LANSWG LN COSTA MESA, CA Contrecror: BACKYARD DREAMS Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl � Res Appl Service to 200a Service to 7000a Service over 1000a Motors to 7 hp Motars to 10hp Motors to SOhp Motars l0 100hp Motors over 100hp Communica(ion drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole 24523 LOS ALISOS BL #249 LAGUNA HILLS,CA � Phone: 949-766-4764' Zip: Phone: Zip: 92626 � , •PFione: 949-766-4184 � � Zip: 92653 , " License: 783194 Status: I SS U E D Applied: 12I07/2001 Issued: 12/07/2001 2 ISSUED BY: ��--� SCOPE OF PERMIT INSTALL 10EILING FAN, 2FIXTURES, 40UTLETS AND 45WITCHES FOR SUNROOM, RE:B07-01791. Quan[ity $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $2.20 $4.40 54.40 . $0.00 ��-- � 54.75 50.00 $0.00 50.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 FEE SUMMARY Temp Dist System / Lighting Busway /100 k Standing Section Misc Eledrical Equipment Transformers up to 1 kva/kw ....:...........up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kvalkw Low Voltage Equipment Low Volt Wiring System / Ckt Misa Conduit Misa Conductor Circus ( gen or ride) �Cirws (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 � $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 , . 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 . 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 539.25 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authonzetl by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a penod of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, an0 all requlred inepections and finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaasas �s�ao� WORKERS'COMPENSAnON DECLARAnON: I hereby ettirm under panalry of perjury one o� Ihe following tleclaretions: � ❑ I heve end will mainiain a certificate o� wnsent to self-Insure br workers' crompensetion, es provideG for by section 3700 ot the Labor Code, lor the pertortnence of the work tor which this pertnit is issued. . ❑ I have entl will maiy ain workers' compensatlon Insurance, as required by section 3700 of ihe Labor Cotle, for the perfortnance ot the work tw whkh this permit Is Iswetl. My workere' compSnsa�ion Insurance �erner en0 pollcy number are: Carner. Policy Number. (ihis section need no! be completed i! fhe permifls ve/ued et one hundred dollars ($7 or less.) �, I ceniry that in ihe pertortnance of Ihe work for which ihis permit is issued, I shall not employ eny person in any manner so as to become subject to tha workers' compansation laws 6 mia, and 9gree Ihat if I st uld becoma subject to the workers' compensation provisions ot Saction 3700 ot ihe Lebor Cade, I shell forthwith comply with ihes pr ' ion . //J� � ApplicanlSigneture: �.i,f� 4�--�� y/ Dete:?(�"'�—�J � � WARNING: FAI�URE TO S CURE WORj RS' CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUflIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUN�FE THOUSAND DOLL4RE ($100,000), IN A6DITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDEO FOR IN SECTION 3]OB OF THE LABOR CADE, INTEREST, AND ATiORNEY'S FEES. LICENSED CONTRACTOHS DECLARATION: I hereby aflirtn that I em licen ed und/er�Pjo` ons of Chapter 9(commencing with Se ' n 7000) of Division 3 of ihe Busi ss ayd/Protessions Code, and my license is in full force entl ettecL Llc. A�_ I-7 � Class q�-/-/ �� Contrectofs Signature: � Date: I�—%— OI CONSTRUCTION LENDING AGENCV: ❑ I hereby eHirtn Ihat there is a construc�ion lending agency for Ihe peAormance of the work for which ihis permit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lenders Address: Signature: � Date: OWNER-BUILDER DECLARATIONS: I hereby eHirm Ihat under penalry of perjury fhet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professlons Code: Any ciry or county which requires a pdrmit to construc6 alter, improve, tlemolish, or repair eny strucwre, pnor to its issuance, also requires the epplicant for suc� permit to tile e signetl stetement that he or she is Ilcensed pursuant ro t�e provislons of Ihe Conirectors License Lew (Chapter 9(commencing with Sectlon 7000) of Division 3 of the Business antl Protessions Code) or thet he or she Is exempt Iherefrom entl Ne basis for the elleged ezemptlon. Any violalion oi Section 7037.5 by eny epplicent tor a permit subjects the eppliwnt to e civil penalry of no� more Ihen tive hundretl tlollars (5500).): [] I, es owner oi iha propeny, or my employees wiih weges es Iheir sole compensation, WILL DO THE WORK, antl ihe sWcture is not intentletl or ofleretl for sele (Sec. 7044, Business and Protessions Cotle: The Contractors License Law tices not apply to an owner ol properry who builds or improves t�ereon, antl who does such work himself or herself or ihrough his or her own employees, providetl that such improvements ere not Intended or oHeretl for sale. If, however, �he building or improvemant is sold within one year ol completion, ihe awner-builder will heve the burden ol proving that he or she did not builtl or improve for purpose ot sale.�. ❑ I, es owner ot the properry; am EXCLUSIVELY CONTRACTiNG WITH LICENSED CONTRACTORS to construct the prqect (Sec. 704d, Busineu end Professions Cotle: 7he contrecbrs Licanse Law does not eppy to an owner of propeny who builtls or Impmves thereon, antl who contracts for such project wlih e contractor(s) licensa pursuant to Ihe Contractors License Laws.). ❑ I am ezempt under sec. Business and Profassions Code tor this reason: Signeture: Date: Owner ID vanlied by drivefs license. ❑ �es ❑ No Drivers License No. Veri/icetion of Ownership by (type of tlacumen�, i.e. - propeny taz bill or tleetl): Expires: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certity ihat no excavation five (5) or more leet in depih into which a person is requlred to descen4 wlll be made in connection wlth work eutho�ie0 by �his permit, and that no building strucWre, S�noltling, talsework, or demolition or tlismantling thereol, will be more �han thirty-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Tltle B, Celifomia Adminisiretive Goda). ❑ As owner-builder, 1 will not employ anyone to tlo work which would require e pertnit from the Division ol Induscnel Satery, as noted ebove, unless such person hes e permit to do such work irom Ihe division. Signature: Date: DiviSion of InduStnal Safe�y Pertnit Number: CERTIFlCA7E OF COMPLIANCE AND AUfN�R��10N OF ENTTiV: I cenity under penelty of perjury Ihat 1 have reatl this application antl state Ihet the intortnation given is wnect. I egree to compty with all s;ete laws and ciry ordinances relating to builtling construction, antl authonze representatives oi the Ciry of Costa Mesa to enter upon the ebova-descnbed property for inspection purpases. I agree not to accupy or allow occupanry oi eny building aut�onzed by this pertnit un�il final inspection. fre Of LB9al Owner(s) n � Date �cr- �a' - % - f � And/Or Authorized AppliCanl COOE t. INSPECTIONTYYE PAIE ItfilTlpLS 1616 Fizetl System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Roof 201 Finel BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 264 Final Demolitian COpEY INSPECTIONTYPE 206 Finel Mechanical 208 Final Plumbing 210 Final ElecMcal 212 Final Flre Preventian 220 Final Plenning Approval 222 Final Site 250 Final Building/Occupancy �g uw. (714) 754-5273 � Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT �obnddress: 980 LANSING LN Suite: Vicinity: ParcelNumber. 141721�9 Zoni�g: R1 R1 ,4pplicant: TERRY GUOIN Address , �' " � - �Phone: 949-766=4184 � - � �� . � Zip: Owner: JAVAGE;"JOHN J Address 980 LANSING LN - � �� Phone: ' . COSTA MESA, CA � Zip: 92626 Contrecror. BACKYARD DREAMS Adtlress: 24523 LOS ALISOS BL #249 Phone:_ 949-766-4184 LAGUNA HILIS,CA � . Zip: . 92653 ' License:" 783194 Arch : Address: 2ip: Phone: License: � �..- ' Eng: ' ' Address: Status: ISSUED Applied: 11/08/2001 Issued: 12/07/2001 ISSUED BY: �/fi _ _.. SCOPE OF RERMIT . 300 S.F.SUNROOM AT BACK OF HOUSE. 9% REAR YARD COVERAGE. % - � Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $254.31 $391.25 $2.50 $0.00 $0.00 $0.00 $648:06 SETBACKS � � � MAIN STRUCTURE Front 25- 0 ACCESSORY Front 0- 0 PARKING Ezistin : 0 NOTES: � Phone: License: FEE SUMMARY � Calc Valuation: - % � Claim Valuation -�Rear 14- 6 Rear 0- 0 Required: 0 PLANNING & ZONING Left 5- 0 Left 0- 0 Proposed: 0 Right. ,5-0 � Right - 0- 0 � szs,000.00 szs,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is nof commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of Ihis permit. FOR INSPECTIOfyS CALL: (714) 754-5626 y�ye �� / WORKERS' COMPENSATION DECLARATION: I hereby ettirm untler penalty of perjury one of the following declaretions: ❑ I have and will maintain e certificate oi consent b seif-Insure for workers' compensetion, as providetl for by section 3700 of the Labor Code, for t0e pertormance oi the work for which this permit is issued. ❑ I have ana will maintain workers' compensaiion insurance, as requiretl 6y section 3700 of ihe Labor Code, for the performance of the work for which this permit is issued. My workers' com{�risation Insurance cerrier antl policy numher are: / Carner. ( Policy Number: (This section neetl not be complefed il (he permit is valued at one hundretl tlollars ($100J or less.) � � I cetlity ihat in ihe pe ance of the work for which this permit is issued, I shall not employ any person in eny manner so as to become subject to ihe workers' compensation law eli mia, antl agree tl at if I should bacome sublect �o the workars' compensation provisions of Section 3700 of the Labor Cotle, I shell forthwith comply with the isions. / � �ii � l? � 7-0/ ,� ApplicaniSignature: �i`'-[li Dete: O i WARNINO: FAILURE TO SECUP ORKERS' CAMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES ANO CIVIL FMES UP TOONE H RED T/qUSAND DOLLARE (510D,000), IN AODtTION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED WR IN SECi1pN 3]O60P iHE LABOF CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aflirm ihat I am force antl eflecL Lic, a_ � Coniractors Signature: CONSTRUCTION LENDING AGENCV: of ChaO�er 9(commencing with Section 00) of Division 3 of the B � � Cless a /— Da�e: Code, end my license is in ❑ I hereby attirm Ihat ihere is a construction lentling agency for ihe pedormance ot the work tor which this pertnit is issued. (Sec. 3097, Civil Code). Lentlers Name: Lender's Address: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby aftirm ihat under penalty of perjury that I am E%EMPT FROM THE CONTRAC70RS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Professions Code: Any ciry or wunry which requires a permit to construct, alter, improve, demolish, or repair any structure, pdor to its issuance, also requires the applicant tor such pertnit ro tile a signetl stetement that he or she is licensetl pursuant to Ihe provisions of the Conirectors License Law (Chepter 9(commencing with Seclion 7000) of Division 3 of ihe Businass and Professions Code) or that he or sha is exempt iherefrom and the basis for the alleged exemption. Any violation o� Section 7031.5 by eny applicant for a permit sublecis ihe epplicant to a civil penalty of not more than five hundred dollers ($500).): ❑ I, as owner of the property, oi my employees with wages as Iheir sole compensation, WILL DO THE WORK, and the structure Is not intendetl or otteretl for sale (Sec. 7044, Business and Professions Coda: The Contractors License Law dces not apply to an owner of properry who builds or improves Ihereon, and who does such work himself or herself or through his or her own employees, provided that such improvemenis are not intended or oifered for sale. If, however, ihe building or Improvement is sold within one year ot completion, the owner-builder will heva the burden of proving ihat he or she ditl not build or improve tor purpose of sale.). ❑ I, a5 owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business and Profession5 Cotle: The contrectors License Law does not apply to an owner of property who buiids or improves ihereon, entl who coNracts tor such project with a contwctor(s) license pursuant to ihe Contractors License Laws.). ❑ I em exempt under sea Business and Protessions Code for Ihis reason: Signature: Date: Owner ID venfietl by driver's license. ❑ Ves ❑ No DnveYs License No. Eapires: Verificetion ot Ownership by (typa of tlocument, i.e. - pmperty tax bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hareby cenify ihat no excavation five (5) or more Feet in depth into which a person is required to tlescend, will be made in connection with work euthonzed by Ihis permit, and ihat no building stmcWra, scaHolding, talsework, or demolition or dismantling thereof, will be more than ihitly-six (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, Title 8, California Adminisiralive Code). ❑ As ownerbuilder, I will not employ enyone to do work which would require a permit imm the Division of IndusMal Satery, as noted above, unless such pereon hes a pertnit to tlo such work from the tlivision. SignaWre: Date: DiviSion of Indusinal Satery Permit Number: CERTIFICATE OF COMPLIANCE AND Al7iHORIZA710N OF ENTRY: I certity under penalry of perjury that I have read this application and state that the information given is correct. I agree to comply with all stata taws end city ordinances relating to building consiruction, end authorize representatives of Ihe Clty of Costa Mesa to enter upon ihe above-descrit�qd property for inspection purpases. I egrea not to occupy or ellow occupency of any building authorized by ihis permit until final inspection. �� I An r Authonzed Applicant COpEI, INSPECTONTYPE �TF INIID96it 1616 �Fixed System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition Da�e � ia-�� Date COOE� INSPECTIONTYPE 206 Final Mec�anical 208 Final Plumbing 210 Final Electrical 272 Final Fire Prevention 220 Final Planning Approval 222 Finel Site 250 Final BuildinyOccupancy � � �$ ' ?�9�� OSTA MESA BUIIDING-SAFETY DEPARTMENT P.O. 60X Si7 CO3TA MESA, CALIFORNIA For Applicant To Fill In Completely n TYPE OR PRINT � ILDING(��0 J�nain� Lane �RESS COSTA MESA,. CALIFORNIA AD RE9S 1304 W. .Coamonweal ��.�. Full erton ARCHITECT - ' OR ENGINEER wooaess 18368 E. 4th St__ 7 871-2710 mce y' C � no. ea e�oea. OF LOT O� ^/ NOW ON LAT � USE OF EXISTING BLDG. BETBACKLINEFROM r� ��v��'. ZO DESCRIPiION OF WORK 5 ZE�'Ng ' �Gr ` �• ROOM9 / STORIE9 �. _._� EXTERIORWALL.tllCCO I COVERIN6 S}IlII ZQ COYERING J USE OF BUILDINO AIYD WORK TO BE PERFORMED Tract 5340 — Lot 8 Plsn 612E R-1 Residence � �� 1 HEREBY ACKNOWLEOOe TXAT 1 XAVe READ THIS PPLICATION AND 6TFTE THFT THE ABOVE IB CORRECT AND A REE TO COM. PLY WITH ALL C�TY ORUINANC68 AN� eTATH We Re0UL4TIN0 6UILOINO CONeiRUCTiON. SIGNATURE OF W.� PERMITTE AUTHORIZED AGENT CITY �� CvST��5 � .ABFLI�ATI��OR mf�r BUILDING For Office Use � ' �� TYPE .T�. oveo ZONlNG NO. OP r� U9E wuna / I oun NOTE: NOEAVEOVERI 80" TO SIDE B REAR P EAVES ALLOWED YARDS APPROVED MAIN BUILDIIV6 . VAR.# OATE &HALL BE LE55 TMAN [U.B.C.REQUIREMENT: YARDS APPftOVED ACCESSORY BUILDINO BET. MAIN d ACCE55. BL! DATE THE AMOUNT BHOWN IINOER VALIIATION 18 FDR THE PORPOSE OF EBTABLISHINO A PERMIT FEE ONLY. YALUATION � � PERMITFEE $ s � J� �g,2 3 TOTAL FEE $ ( L/ J C 4