HomeMy WebLinkAbout3400 LANTANA LN - Building PermitsVHOJECT AOUHESS: 3 4 O O LANTANA LN
OWNEN'SNAME: HERMANN, KAY TR �� '
aooness: 3900 LANTANA ST
'COSTA MESA,CA 92626
"(714)557-3127 '
AFCHIENGINEEfl: , .
" AO�HESS: ' ' .
HEG.NO.:
UNIT: �
U�
UNIT:
PEflMITTEE: BRENT OWENS ROOFING . ( 714 ) 835-1005 I
nooecss: 14 2 6 MAR I ON WAY
' SANTA ANA CA 92706
LICENSE� CONTflACTOfl OECLAflFTION: I hereby afiirm �ha� I am Iicense0 untler pmvisions o� Chap�er 9(commencing wi�h Sec�ion
7000) of Om�sion 3 oi the Business antl Pw�essions Cotle, antl my license is in full torce an0 efiec�.
ciTruc.: 035p1.,53 srareuc.:q61577 cuss. C39
�ale'. i O— p^ 9_�_ Signalure: i�.� —
WOflHEflS' COMPENSATION DECNflATION: I �ereby ailirm �hai I have a terti�icate o� con5en� to 5elf-insure or a CertitiCa�e ol WOrkers'
Compensalion Insurance. or a certified copy Ihereof �Section 3800, lab. C�. ' ; -
POLICYNO.: OEISZSZZ-9i E%P.OATE: OZIOSI92
comrnxv: STATE FUND. '
❑ Cerlihetl capy is hereby tumishetl. � Certitietl copy is filed with ihe cil Building Divisian.
�a�e: L� ^� � C I Applican�: ��f16� �/��
E%EMPTIONFROMWOflNEBS'COMPENSATIONOECLABATION: (T�i55ectiannee4notbecampletetlif�hepermiti5�aronehmMre0�5700�or1e55�.
I cerlity �hal in Ihe pedormante ot Ihe work lor whit� �his permii is i55uetl, I shall no� empl0y any person in any manner 5o a5I0 beCOme,
su6lect �o �he WOBers' ComOensation Laws ol Calitomia. ' - .
Oaie: SignaWre:
NOTICE:If, aiter making i�is tleclaration. you shoul0 become subject to ihe Workers' ComOansation provisions otihe Labor
Cotle, you must fotlhwith compty wilh SucA pmvisions or this permit s�all be tleemed revoketl.
CONSTPUCTION LENOING PGENCY: I �ereby athrm Iha� Ihere is a cons�mction lending agency for �he pedo�mance ol �he work lor
which �his permit is issued (Sectian 3097. Crv. C�. .
�exoeA: INCLUDES RE-SHEATHING
FODHESS: THE STRUCTURE. • .
OWNEH BUILOEB OECIAHRTION: .I here6y attirm lhal I am exempl irom Ihe ConVai�ors' State License Law tor ihe �ollowing reason
(Seciion 703L5 Business anA Pmiessional Cotle: Any city ol counry which requires a permi� to conslmci, alier, imD�ove. demolish, or
repair any slmcW�e. prior to iis issuance, alm repuire5 i�e applicant �or such permit [o �ile a signetl s�atement Ihat he/she is licensea
pursuam to t�e Dmvisions of Ihe Coniraaors' State License Law (Chapier 9(commencing wiih Seclion 7000) ot Division 3 0l t�e Business
an0 Pmlessions Cotle) or Ihat helshe is exempl there�mm antl the basis �or t�e alleged exemption. Any violation oi Seciion 7031.5 by
any applicant �or a permi� sublec�s �he applican� �o a civil penal�y o6 no� more ihan five hundred dollars ($500�.
I. as owner ol t�e pmperty or my employees wi�h�wage5 as Neir sole compensa�ion,�will ao ��e work, antl ��e
❑ slmclurels nolintendetl orofleretlforsale (Section 7044, Business antl PmtessionalCotle: The Conlractors' State License Law
. does not apply to an owner ol a pmpeny who UuilOs or improves t�ereon, and who does such work himseli/hersell or thmugh
his or her own employees, vmvided Ihat such improvemenis are not intende0 or ottere0 for sale. I1, however ihe building or
. improvemen� is soltl wi�hin one YeT� a� cample�ion. Ihe owner will have �he burUen oi pmving helshe Oitl �no� builtl or impmve
' br ihe purpose of salel. ' .
❑ I, as owner o� �Ae properly, am exclusivety conVacting wi�� licensetl con[raciors to constmc� the D�olect (Sedion 70dd, Business
and Prolessions CoGe: The Coniracmrs' State License Law tloes no� apPry to an owner of pmpetly w�a 6ui�d5 or imD�oves �hereon
antl ivho conlracis lor such pmlecls wi�h a coniraclor�s) license'pursuant b �he ConVaqors' Slaie License Law�. I am aware
Ihai pma� at Iheir Worker's Compensa�ian insurance ShoWa.be providetl ta me.
� I am exemp� wder $ec�ion: B. 8 P. C. . '
lor Ihis reason: . '
�ate: Owner. �
I tlo hereby cer�ify Iha� I am aware o� and undersiantl the requirements oi Cali�omia Heal�h antl Safery Cotle Sec�ions 25505. 25533, an0
2553a anA Inal I or any luture buileing ocapant wilVwill not (circle one) neeA to iomply wilh said state cotles and the reQuirements for a
permil �ar conslmc�ion or modilication Imm I�e Air Oualiiy Management DiSVici. Fe5i0enlial conslruciion apD�ications are exemp� imm
ille5e prOviSions.
Date: � Applicani: ' ,
I nereby cetlily ihat I have read inis application an� stale Ihal ihe above information is corrett. I agree lo camply wi�h all city an0 counry
ortlinances and sla�eiawsielalingto builAing cons�mciion anU here�y au��orize representalives oflhis cirytoenierupon�he a�ove-mentioneA
pwpeny lor inspeqion purposes. �\\\
Date'. ��� Signaium� �� � )��� �
OriversLicensebrSocialSewmy>:, e
16ai n6 Wlme—Builtling�, Green—Coee Enlorcemen��, Canary—Applican�; Rnk—Revenue; Goltlenrod—Assessor
CITY OF.COSTA MESA - BUILDING PERMIT PERM.NO; H 05931
PERMIT NO: B 059318 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR , ` PURPOSE: ALT
JOB DESCRIPTION ; RE-ftOOF W/"MONIER DURALITE"(ICBO� 2093) SQ FT; 9,000
CLAIM VALUE: 9,000.00 CALC-VALUE: 9,,000.00 GROUP OCC:.R-3 /M-1
COMMENTS: NOT TO EXCEED 585 LBS. PER S�UARE. • p�/� �g�g�f{f�y�7ry
3tatat�*at**atieitatft*itat�*at****atit�titk�+�at***atatifat Q�ratiE�riE*it�rit*iE*if*iEiE��v1VIVi���C I LV 1 Vf,�
Z O N I N GS ERTEB AUCIKRSE M E N T
REQUIR�C�
------------ MAIN BUILDING ---'.------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR;, FT IN FRNT: FT IN REAR: FT ZN
LEFT;� ' FT IN RGHT; FT 'IN LEFT; FT IN RGAT: FT IN
PARRING REQ• PROV: PARCEL: 41217906 ZNEi REF NO: �
PLANNING NiSTES>
. �� . . . ' ' . '. '
IE iF iE if iE iE iF iE iF if if iF ik iF ik 3f iE 1E 3f iE iF iE iE �F if 1E ik aE If �E 3E IF iE iF iE ik if IF �E iFiF M iE iE IE �E 3f iElf IE IE if 3F if iE iF if ii If af if iF 3f �F IE �E 1E iE iE ik iF 3E iE 3f aE If 3F iF iF
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'
20NING APPROVED HY DATE; '�'
BUILDING APPROVED HY ;
APPLICATION ISSUED HY:
3E �E �E �E if iE iE fElf k!f �ElE �E �f �f IE M� 3f k!F ik
DATE;
L'� �r,
DATE: •'lo.
5
*��r*�r*****�r***�r********�rx�**�r�r*�x�r �*�*�r�+ e�****�e****�*�r**+�***x�*�**��r****�*�**�r
LEGALI2ATION:N • F. E E„S U 7�7 M A R Y. STRUCTURAI. SEGMENT;Y
BLDG PMT PLUMBING ELECTRTG MECHANIG's FIRE SMIP/RES GRADING
PERMIT � 108.00 :�-•; ,�; 90
' -• �' SMIP/NON-RES
PLAN : �'"�
ISSUE FEE '
HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK ''�TOTAL' , PAID• DUE
TOTALS----> 108.90 0.00 , �;0.00 108,90 108,90 .00
�
REVENUE DIVISION TOTALS-=> COLLECT'ED• 108'.90 OVER/SHORT; 00
BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE�! SMIP/TOT GRADING PLAN-CHECK
108.00 ;' • ' .90
- :..s ,:`
�r**�r**�r�r*�t�r*�r��**��r�*�*�r**�e*�'�*****�r*�r�********r�*�*r*�*�r�****�r*+r**�r�r�r**�*�***
I N D I ii I D U A L F. E E;S� � B R E A K D O W N
TYPE QTY D E S C R I P T I O N.:� ��_:'', ��i- UNIT COST TOTAL.COST
SFR 9000 REROOF BY VALUE RESIDEN?'IAL NOZONE 1,00 9,000.00
END�'OE. FEES %' ,
/�Yi ',;i
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6/ r ,`�7', r
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Q1 J0099:'7�-Ct�OS91::1 'E-t�`C' '..�]e. cI,
n;?TE: ±OiG4:9i T:rE: i's:n?
CONSTRUCTION AND PLANNING � � 'POOC & SPA -
Date Inspector " Date Inspector
APPROVALS Permit # _ , APPROVALS Permit #
1. Temporary°Electrical Sec��ce o� Pole � n 52. Pool & Equi,pment Location . -�
2. Soil Pipe-Undrgrnd. J! ��<L ' 53. Steel Reinforcement '��
`3'.,Ele:ctrical ConduiCOiility�l�ndrgrndY�" ' � _ �54. Forms � r���
c ��Efectrical Cond t 1ladrgrnd. � � �`� � . " � ; 55. Electrical Bonding �- �
1 �5i'St`eel ReinforceqieptZ ` -.y � � ;�56. Rough Plumbing & Pressure Test �:
•.�.�� �� s r..:. �
_6. ;€lectrisal UFER�Grnd. � - . � �'_57. APPROVALTO�COVER-GUNITE ;_
`�7�-�Fo�otings :r5 , ' : a58. Electrical Conduit-Undrgrnd. {; o
^ '�oundation ,'-�.j3 - ' � - � ' :,. 59. Gas Pipe, O_ Undrgrnd., Test � •
'7�`,- "
�9. Water Pipe-Undrgrnd. � 60. Backwash �ines,.P-Trap;.O Undrgmd. •
C
70. Structural Floor SYstem .�� '� 67. APPROVAL TO�DECK
11. Property Sewer Line�& Hoose Conn�eytion �� �� � 62.•Backwash & Receptor-Final
�
12. Se,�ver Cap °i � � � 63. Heater & Vent-Final • -
a, . ,-. c� . . _
� v� •
73. Roof Drains ` - . 64. Plum6ing System � Final . '
14. Rough Plumbirig '� � 65. Electrical-Final - '
75r Rough Electricyl-CondUit _ 66. Solar:System-Final . '
t,6_;,Rough Electric Wiring 67. Fencing & Access ApProval
r17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electricai-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �
19. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT -
T ._ .�..-... ..� �_ ,7',.:ryr+ �y,. :r. N
20::Rou9h Fpctory F.heV�ace i Xt*r et,�-- a � <,- �APPRQVACS;�r�'Permit #��
�� � +� c�n• r'! x� r.i�.��..
21.`DuCi�, ioStruau�,e.:r '`�-.. r� ,y, y �� 7. 570. UAde g�sun�'Hy.^"d,ro :k �"
22. Du�Ts, Ventilating.;. (�S :r �� S �a�:! ^7�. produci�ing �7G�s ��Oil .
23:�-.Gas�Pipe-�-flough &.Test � � ;�� � ,� r � ''�; X _72, Undergiountl FWsts�� � =� o
L - J ... t" i: l. w J?. .L � r..> > 1r y ). ..
24;zRoP� Framirig. p;.. • f,•i- - �r� > �_. _ r� + S73inUndergrntle Storacje.-Tank:� Gas ❑ C3ii
25. Root Sh�athing . _r ,?i - '" "' "'• � �'��* a �7q�,0'verhead�Hydro.,' " :;.
,-
26-'f-BarCeiling�Stucfurall&��ocoat, ., u� ij �ny�,� 75a'DryChemical ��� Y-. _:�
27: Frame and Flashing`' 'J= y � L~' �' 76-'D�y Stand�ijpe J�• T` ��'' `-�
., ,c a• .r :�`s,z: •� a' r �::. � ;.�n r
J.:K `. 2. • e[i-� x V V, .J
:28- Lathing'-$t Si¢ing„k �; �;`�;� ix r. � ••:< �r 77,-FIXED SYSTEM'rFiNAL *�
>29. Insulation �. .L,`a, � S�"•'" � y n' � � kF� Y 78� FIRE PREV. FIIVAL ;' ,� j,
v 1' C: p-• � ••• x� Tr � �I'i ' r
�r30. Drywall Nailtpg ..:t. ' * � %���r + :� HEAL�N�DEPTk REQUIREMENT
l,31. Plaster Browp Coa�v ! ,_,r x � I �f: ;�,` ..79rFINAL IN�SPECTI,O,N "� � - �' '
-� 5: < -••� � r�[- � � _rt a� '--- -a ,-i ._ �n ::--.
�.:32.=ElectricaJ# Power Nlater;,Final; " ::. p; � .� a-. :-80_-rF00D CE�RTIF4EATE ISSUED' �
;�.,
-„ -� .-. . :� . .. _ . � -. � `. . _ : .
33: Final Electric �'* � �" ��'% I !�`�`�x� s�Nofes: "-�' + T% '"��'
- �n -� ti:r r.+ i ef � ,y �r, � -!;� '? '7 (� :Urq ��7
.;34,.Fin'�a�� Heating & F.ii�Co�ditioning � � °' � :; :� � _� j '�Y�ti ,JY '
. � .. �.. �� . ti i A. .. n• . � ��
35. �Finaf Gas Pipe-TesE+ ,� r �� , : %�" � X: � n� -�- n t� � 6� r � ���
36.''�Ho or�CanoPYu'`t rL � „-.-. c i � ��`� � i7 • : . w _��T -.-��
.e � cx� ❑ 1 I :��; �=:: i ne: s ettT'
,37 � FinaF Factory FireP7acs � s,r '-' �` ,n � ( ��.yt � F. :� � � �r�j
`z' 1 t --� �r i �y: '. ly
_ .. rr. Y � .. .. :� � Cv i t.:' . a. !1: O' � J .
:�38.Fina4Plumbing ,x [U �. ( � tl>::k S �s�-+ :J
,:39. Water Secvice-Final� �, � � � f , � � 0 yl L -. .� � 4� � �
��"40. Gas Service-�nal �` ' '_ 7� � j � t � x� ��o • - t+; r
V•; - , ict <C,: tY .� :R iq 1 F��. f� rJw a.n; .
>41. Solar pomesticFinxl S :� � •• �i� a � � �R :s rt�: �- x�
v t r a� .�. •-�C 1T � r m
42.=9ackflow Preventer,y " �;i .r '' � ��' ., ,S: j� . � .� �
43. Backflow Ircigation ?'J X.`' � �Y"' i :«� � � .z -0 x � .
; . tY Y: Y lJ X
�44. Landscape IcripatiorySYstem ',x.0 f - - �� � �' �'.: �` � �: `
i't,:'.l st9 :i :��r. � PJ •-, _� � p
�545%'Sound f�tteQuation'y.. " ��l:i-' i�� x. > -� (-� v�i a - °� .z; .i.� -. .
' Y rr �a v t! � a
;46RHandicap.Regulati8n4� � �'•�' � � "� � � ���' ; � '� � "i°'' '�" ,"
.:�, r � . : 4. �:< ��o s
�47:_FINAL STRUCTURE•&�BUFLDING ���`. E'� �� ., _ iuo; �y r
i� c�
48:'FIP}AL PLANNING�. ;y- : E...�.,+ 't :,; � I rw r .n x -�4 .: � ...
w � � i .. �� .. _
�49.=EIeEtric Release to iEdison;"; j y. � �� h, :, s ir � :r _
'50. Gas Release to SouLhern�California Gas Co ; � � 'i �F: '. '� � 7 , �i� �, �� '-
4 F-'
-51.`CERTIFICATEOF,y°OGCUPANCY ,�_ :;_ � r �� ,;,`> ., . �
No. •�-pate
PACIFZC INSTALLE�2S, I\G.
7541 Anthony Avenue
Garden Grove, Californie 42641
P. 0. Box 728
Westminster, Callf. 92683
Director
Dept. of 8uild ng and afety
City of b�� �eV(,��
Date �/�"/ �
Permic No.
Type of PermitG�]�����Y�(/}y�
Dated
Dear Sir:
Please be advised [hat as of O—/- /� our work on above-
named permiC has been cancelled, and as of Chat date we would like the permit
cancelled; so that our responsibility for any work accompli.sh>d at; �'��
(��df����%�/ for customer:�.�J'��LI�Qi will be ended.
P.I. 264 Rev. 1/71
0
Very kruly yours,
�
For: Paci.fic Installers, Inc.
7541 Anthonp Avenae
Garden Grove, Cali.`ornia
State L1c. # c��%/�
City Lic. # �C���
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT N0. ��I D C DATE
�T No. e�6
ADDRESS �,3�00 ��.. �:T/�L
The developer of the above entitled eract desires co sell the above set
forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreemen�, acknowledges that
(he-she-they) (was or were) advised that this tract has
,
not been given final inspection nor has it been accepted by t4e City of Costa Mesa
as having complied with the conditions of approvai which were imposed by the City
at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditione
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless from
any claim resulting in damage or personal injury to the undersigned by reason
of the aforementioned uncompleted condition.
, , , Hk'G��V��.
ClTY,.AF'�7YS7f�°.'ilE�A `i` �
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: ��,/r/„r,f% ./
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BY �%-��� ��• ��/CG'L->-�J�al�v
Developer and/or aurhorized
representazive _
ay if'u-�c'c'�' ���-
Lender :
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OWNER �
JOB ADDRESS
ROUGM PLUMBING �
PROP. SWfl. LINE OUSE CON.
IS
POWER
ROUGH WIRING
TRENCHES � FORMS STEEL REINF.
FLOOR SVSTEM
FRAME ANO FLASMI
LATMING - IN G�}'
VENT.. REFFIG. AND A.C.. FINAL
BUILO
DATE
)UP TR,T TYPE
SUBCONTRACTOR
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' 359��
COSTA MESq BUILDING-SAFETY DEPARTMENT�
AR P•a• eox �zoo COSTA MESA, CALIFORNIA 92626
For Applicani to Fill in Completely
BUILDING ,�,,,� . . .
OWNEfl
MAIL
0
ciTv tncino, CA No.
LENOER�'�N Larwin $o. Calif.
BRANCH 16255 Ventura Blvd.
ARCHITECT '
OR ENGINEER Larwin SO. CQI.
ADDRESS 9100 Wilshire Blvi
CONTRACTOR Larwi n $o. Calif.
nooRess 16255 Ventura BI�
TEI.
CITV Fnr7nn re NO. �
CITV
LIC. NO.
NO O eF
I NOW ON
TE
S�ZE 57 x 106
OF LOT
USE OF
EXISTING BLDG.
�''"�° � **,;�151�3�i
)aPl 26-7 � �;;,, �� 121 � :�
APPLICATION FOR BUILDING PERMIT
'.EIVF�By DA'ERF�C�I�� DAT'IS�UI
./`J / /o�
A.P. NO. �
BUILDING ��4� / �,-TS�1
ADDRESS G-JV/`� /R / I
TRACT 7%�H LOT I76
FI
ED
DATE
YARDSAPPROVED YARDSAPPROVEO
� MAIN BUILDING ACCESSOPV BUILDI
(FROMGLL,STREET) .
� O RONT T SFT. �( FT.
o c�nc ,��n �r 1:L . ��r
H SIZE OF NO. OF
Z NEWBLOG. �9H7 ROOMS STORIES -� L.SIDE FT. FT.
a EXTERIOR WALL ROOF ^�
V COVEFING �fUCCO COVERING Wood Shin �@ REAR `� FT. FT.
J USE OF BUIIDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
d MAIN BLDGS. ACCESS. BLDGS.
a
Q VAR.# DATE '
0 nstr fl �� � amil 'd C.U.P.#E APPFOVED
� � �;s �, , APPROVED / �
y �T✓L/
p HOLD FOR SPECI L RE 5
U' I hereby acknowladge ihat 1 have read this application and state , �
� that the above information is correct and aBree to comply with
� all laws regulating builtling construction, antl I shall not employ
� any person in violetion of the workman's compensation laws of .
y the State of Celifornia. . / /� � /� �
zI he�eby certify that I am prope�ly licenud as a cont�acto� untle� d SQ. FT. lO o
the Stata of California Business antl Professions Cotle, Divisicn 3, THE AMOUNT SNOWN UNDER VALUATION �S FOR �
Chapter 9, antl that such licenses are in tull forca and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ON�Y: p
am exempt from the provisions of the Stata of California Business VAlUAT10N
antl Professions C tle, Division 3, Chaptar 9. m
PERMIT FEE $ �
�/(i� � 7
Signemre of - � , /� m
Permittee � ��••-��_; s,�/ T�%� �� PIAN CHECK s 50.75 @
�.i // v .� o
�/ LL
Authorized ABent TOTAL FEE S �O( ���