HomeMy WebLinkAbout901 LOMBARD CT - Building Permits�ooxFssa emiaxc: 9 0 1 T.�OMA ARD CT
avx�"'s"^"Ei°a+a�T': FONTAI�, TERRSITA
"0°"� 901 T�OMBARD CT
COSTA MFSA,CA 926�6
714)754-0668
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uacxrzecroxuxax�+: 6gRRX T�ICKFR f� ASSOCIATH9�G� �7.1�87�� ��
�xcxonExcrs�oo�ss: 508 OLD NF..WPORT HL unr:
N,A. CA 97.56
caxrx�craes xnuE:
CONfHRCTOP'SM411NG
ADUNES£
uc. ao.:
LICENSEO COMRACTONS OECLAHRTION: I hereby eltim uMx paneYy d perjury thet I em licenead
(mmmeM.rip xil� Sectbn )000) d Divisun 3 d tM Buaimsa eM Prdmsbm Coda, enp my 4oenae u in
cm uc. xo.: uc. cuss: uc. r�o.:
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. ao�a� a cn�ca e
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OWNEN BUILOER �ECIAXATION: I hereby eifirm under penely d paryury Ihet 1 em memp /rom iM Comrafon licanaa Lew /« Me
�IbwnB reeson (Seabn ]031.5 Bua'awsa eM Hdmsioru CaEe: AnY cM a coun7 �� �Wiree e permil to omabucM. ellx. imDrove.
emoioh. or ropei eny sl�uclure, pior ta na asuerca, deo reQuires ihe epplirent lor euch pe�mn lo fib a epmd aletemenl ihel M a eM
IironaeE Wrs�l lo Ihe provisrona d the ConVedors Liceme law �Cheper 9(mmmervirp xilh Sedion 1000) d 0'veian � d Ib
Bwi�ross eM Profroebne Code� ar thm he or eha is aremq iherelmn eM iM batiw tw Ihe albpad ezemption. My vidmion d Sedian
)03t 5 W env aGW�t In e permil wbptla Ihe eppliceM lo e civil penelry d ml mae Ihen INa huMred dollen R`�l). /
� I.eooxnerdtMpapenYamYempbyeeaxi�hwegeaestheimbcompemetun.wlldaihework,eMlheevucWiee�rotinlended
«orteree ror se�e (s«iiw� �ou. euv�wsa ena aiaeasbns coee: The comreaon ucenss Lew ems na awN �o en ownerN vrowM
..no wae� w ma� �nareo�,,.�e wno aoa..� �x �:m.,n «nan� o, m,o�,¢n n: «n., o�.,� �dw«a, wo+�aea md a��n
improvemema ve mt imenCed a oXereE iw ceb. II, howevar, iha buiNiip or'vnprwemem n sdd xnhin ar yeer d complelion, IM
owner-buiqer will M1eve the buNen al proviiq M w she Etl �wl buiN w imprwe f« the WT�< ol seie�. �
� I. av oxmr M the piopeily. em eadinrvely coniredip �h lioenaed wnvecton lo wnanud IM prqxJ (�� ]Oa4. BuaLwse aW
Prolessions COCe: The Canlredae Licenro Lew doee nd eppty ia an owrer d popany wlro buika a impwes iharam aM who
wnvecia l« eu� pqedn wnh e oomreaa�s) licenaed pursuenl �o Ihe Conlretlon lironse law).
I em arempt uMer SeclbnG: B. 8 P C., far �is r�'°" .y!�
et Jr' 3/' 7.� o.,�er: cJ`- � (/" 0���
I do hereby cenily tlw I em ewere d aM uMers�eeM Iha reQuiremems d CelLamie HmMi aM Sdey CoEe SeUian 25505. �5533. eiM
255Ja. enE tM1et I ar env Muro WiMi�q rcwpeni will / wil rwt (orcb ma) neeE to comON w[h eek pme oodee ud ihe requinmmb lor
epermilloreonslruMionamaCifcetbnhom�lw�r i�iy anepamenipipne.RmtleNiymruV�dioneppiceliomenemmqlianlhave
a��.
Dete� Appliceni:
W ONKEH'4 COMPENSATIIXi DECL1flRilON: I hereby atF�m untler pmeXy ot peejury om M �he fdbr.iip deelere�iom:
� I heve end wil manian e cerlilicme d mment to eaHinwre Iw xvkan' wmpenaelion, as pravkeE la by Seaion �)00 d IM lebar
Coda. iw Iha parlamence d tM wA ta xirch ihu pe�mu u iseued.
� I heve aed wil meimen xoikaa' oompanmlion imureMe, u rsyuiretl by Seqim 3]00 d tM lebor Cods, M the peAvmarwe W tM
wwk tw whid� thia permn ia ivuad. MY wa�' �P+�� inwrenm rerriar vM pdiry number ue:
' c�.:
Paliry Number
(rnis senion neetl na be canakW I tM c�t is b om nunereCCdlars R�w/ n len.)
� I cenily �hel in tM perlwmerv;e d iM1e w«k la wfi'rh ihie pa�mX ia beueE. I eheR ml empby e�ry pemn in ury menrrer eo n to
ba:wna eubl� !o iM MOM1ara' compenmlion le�w d Celilanu. uM Nrea Ihet il I ahwk bxmie eupjetl lo �M waken'
cwnpenmtim P�bna d Seqion 3)00 d the lebor Cado. I Mell forlhwtlh oompy wnh thwe piwisiom.
oa�e: nodwem: �
WeminO� FaNun H sxun wontxi rompsrwtlon coveraps q unlewNl, end �Ipll ub�eef �n srrployw to eNMnal psn�ltln end
clvll 11nu � ro om hwbretl flaus�rM sell�nlS1IX{OOOA N���� ro� ro�f al rompewtbn, tlimspu u poNME br In
Sxtlon 9)O6 0l Me Le6or Code, lnMest, aM ettomey's Iw.
CONSTHUCTION LENDING ACENCY: I hemEy effiim urdar perelry d per'�.ny Ihel ihere b e mnm�uaion kMinp epem.y br tM
ron�� a ue won� �« wn�m ma ro�� �. ma�e �s,ao� sos�. cN. c).
LENUEfl'S NI1NE: ' �
LENDEP'S ADUNESS:
I ceniy �hat I heve reed this epplicetian eM atab ihet IM abova inlwmmion u cwrM. I epree to compy wnh ell ary eM couMy adinencee
aM slete lex+rolelinp b building mnxeueian eM hereby einhor¢e represenimivn d ihis a�y to anter upon iM ebore�mm�ioned papeny
�a ���� o�,�.
TEAESA FONTAL
d` —,
(5151d6.WP) Whne-Build'up85elary:0eeemFb:Cenery-Appieanl:Rnk-Pevanue:Oobenrob-Asseesor
P.F..RMIT NQ: F.
CS'CY OF C6STA M6SA - AU:fLqING PF..RM.T.T
072615 PT�AN CHF..CK NQ: N
PFRM NC): H. 077.515
GOV1'; N StJPP; N
STRiIp`,( T��'�' CVPF.: V-N PP.RMIT TYPF: F'LE PORPOSF,: An�
�T��;�ii�P�.T.nN ; F:NCI,OSE f)pPF,R n.F.CK �4I��f,Z �Fl�� ��T�C��'(� R��Cr; R-"� /
IM VAT,UF CAI�C-VAT�DE`?'€�`��� C e;l�fj
MF:N'C5; R F; A-77.Fit4 e��QUIRED
IEIf�IEiEiEiE�1EiE iE#-lf�lEifil3E%3E3fi6�%ifiEitiEjfiE-IEiE3E�lEif-lE-%iF1FiElEifafiFifaEK-�1E3F�1l�1EiEiEDF#�IfKif-%ifif�3E�lfi(�iEi(�iE1F3f3EiEJE%7E3E�IE7FlElE
7, q N i N G R F.. Q q'[ R E M N N'C S
S B T H A C K S
�'3c�-------� MAT.N AOIT;nING ---------- --------- ACCE.SSORY AUIT,ATNG ---------
FRNT_;____�7J IN REAR: FT ZN FRN'C; FT iN RFAR: tiT JN
TFF'f'-- FT T.N RGHT; FT iN T,EF'C; FT IN RGHT: F'C LN
e
PARKING REQ; PROV: PARCET�; 47.R087.30 7,NE; RFF NO:
PT�ANNSNG NOTES>
i
*��e��e****�r*�**x�x� x���c x x��*�*��x��r��ir��r���*x�c�c*x�r��xx�*x�x�����x�*x�*��+�x��**�r�c*x �*��
D F. V F.. T, O p M h.'. N T S F.. ' R V I C E: S R E� O I R F M E: N T S
7,ON.T.NG APPROVF.D BY . DATF:
AUILDING APPROVED HY : DATF;
APPJ,ICATT.ON ISS[IF..� AY: � �� DATE: ��3����
kiEitiFlEiFj(lE#dfdf�lEitiEikiFiE-IhifiEdtillfkiF�fkkifaFkiE3E1lifiEiE-)E�lf iE if �%X��k7E�%IF3Eibif�i(iF3f9E�l�%lEif�#iFiE#if � % iEfE3E�
I�EGALIZATT.ON:N F R R�, S q M M A R V STROCTfIRAL SEGMENT:N
BT�AG PMT PT,T7MBING 6T�R.CTRSC MECHAN.T.0 FIRF. SMIP/RES GRADING
PFRM.T.T 4 , 50
503 SMIP/NON-RRS
PLAN
ISSUF. FF.F.. t5,00
BO.T.I�D.iNG-A.T.V-> PE:RM.T.T iSSOF. PT,AN-CHF,CK Tq'CAL PATn 1�UE
TOTAI�S----> 4,50 15,00 0,00 1.9.50 1.9.SQ ,00
RF.VF.NUF. DIVISION TO'CAT,S--> COT�LFCTED: 19.50 OVF.R/SHORT: .QO
BT,DG PMT PLDMHING FI.EC`CRiC MF.CHANIC FIRF'. SMIP/'COT GRADT.Nc; PT,AN-CHF.CK
19,)Q
iFlE if �lE if �1Q # 1E 1E �)f 1f !f IF k IE iE i4 % IE 7E If'iE ib if -IE 1E �)k it iF i! iF ik 1E�K� k)k 3f� jl�� K� jF IF 3E !E iE iF 1E # 1E 7f �IE ik iE 9E if i@ iE #� �IE lE%-0E% lf iE iE 3f� iE iE-% lE jk iEiF jf !E )f �E �
T. N n T. V.T. D TI 7� T, F �', E F3 R F. A K A(� W N
TVPE Q'fY D E S C R I P'C I(> N fIN.iT COST 'i'O'TAL COST
SLF, 2 F':LX'CORES, I�IGHTING 1 ST 20 F.A, .75 1. , 50
F,LF.. 7. RF,CEP'C/OUTLF.T 1 ST 70 EA, .75 7. , 50
F.i�F. 7. RF.CF.P'f/SWITCH 1 ST 7.0 }A. .75 1.,50
FND Op FERS
�71 �]Ok�32,."••-Q9t�3168. Ts1'[' 19.50
�Fl�r� �5/'al/9` 7I11E: la:.`.+3
CONSTRUCTION AND PLANNING :� �- � POi SPA
APPROVALS Permit # Da2e Inspectoc' Da[e I�speccor
APPROVALS Permit # � .�
',.
1. Temporary Electrical Service or Po�e � 52. Pooi & Equipm2nt Location . �
2. Soil Pipe-Undrgrnd. ' 53. Steel Reinforcement '%
, 3: �Elec[rical.Conduii Utifty-Undrgrnd. � 54. Forms
: 4. Electricai�Conduit-Undrgrnd. 55. Electrical Bonding .
5. �Steel Reinfprcement 56. Rough Plumbing & Pressure Test ,_
� 6. Eiectrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE '
7. Footings. . . 58. Electrical Conduit�Undrgmd. �
B. Foundation� 59. Ga: Pipe, O Undrgrnd„ Test �-
• 9. Water Pipe-Undrgmd. .'f 60. Backwash Linas, P�Trap, l7 Undrgmd.
10. Structural Floor System ,{ 61. APPROVAL TO DECK
71. �Property Sewer Line & House Coonection '' 62. Backwash & Receptor�Final
12. Sewer Cap 63. Heater & Vent�Final .
73. Roof Drains -' 64. Plumbing System - Final
14. Rough Plumbing - 65. Electrical-Final
15. Rough Electrical-Condu�c � 66. Solar System-Final ' .
76. Rough Eleclric W(ring �r//�" - fi�. Fencing & Access Approval .--
r/
77. Rough Wiring Sign ` i� 68. APPROVED FOR PLASTERING
18. Rough Electricat-T Bar Ceiling 69. POOUSPA SYSTEMS FtNA� .
i
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �
-, � ,
20. Rough Facto�ry Fireplace '� � - ' � �- r. ;- APPROVAL§ `� Permit #- �
27.�Ducts, in Structure �- � � � 70. Underground Hydro �
22. Ducts, Venti�ating ' . . 71. Product.Piping O Gas OOiI
23. Gas.Pipe-Rough & Test � � _ - 72. UndergPound Fiush � '
24. Roof Framing � °- � ' - , 73. Undergmd. Storaye Tank � Gas ❑ Oii
25. Roof SheSthing �. _ . � '� 74. Overhead Hydro
26.-T�Bar Ceiling (Structurall & Monocoat - -' 75. Dry Chemical ._
27. Frame and Flashirig -_ �- : 76. Dry Scandpipe -�
28. Lathing&Siding � � ' ' 7,7. FIXEDSYSTEM�FINAL '
29. Insulation • �� A� � 78. FIRE PREV. FINAL µ •
30. Drywall Nailing ' " `-HEALTH DEPT'REQUIREIVIENT
31. Plaster Brown Coat • 79. FINAL INSPECTION
32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED .
33. Final Electric � B-$ Notes: •- � � - ' -
34.:Final Heating & Air Conditioning ' • ' � � '
35. Final Gas Pipe,Test' . � � � � ' _ - � . ` � „ ,
36. Hood or Canopy � � �- - �
� .
37. �final Factory Fireplace - . � - � ..
38. Finai Plumbing �� ' � "
39. Water Service�Final � . . ` _
40. Gas Service-Final .. . . � �
47. Solar pomesticFinal ' � � . � `
42. Backflow Preve�ter � � -
43. Backflow Irrigation " - � .�
44. Landscapelrrigation5ystem � ' - � _�
45. Sound Attenuation _ . � ` , � ; " "' , _ �
46. Handicap Regulations - � -� - '.
47. FINAL STRUCTURE & BUILDING �; - ,
48. FIN9L P�ANNING' -� -"� � -
�49. Electric Release to Edison '-' ,=
50. Gas Release to Southern California Gas Co '
51. CERSIFICATE OF�OCCUPANCY - � •
No. Oate
PflOJECT A�OHE55: 9 O 1 LOMB ARD CT
OWNEF'SNPME: FONTAL, TERESITA
aooxess: 901 LOMBARD CT
-" COSTA MESA,CA
PBCNIENGINEEfl:
nooaess:
UNIT:
92626
NEG.NO.:
uxir:
PERMITTEE: BILT—WELL ROOF 11ND MATERI (719 ) 739-1288
aooAEss: 3310 VERDUGO ROAD
LOS ANGELES CA 90065
LICENSEO CONTHACTON OECLAHATION: I here�y attirm Ihai I am licensetl unaer pmvisions ol C�apier 9(commencing wi�A Section
7000� ol �ivision 3 oi I�e Business antl Pmfessians Cotle, and my license is in lull brce and ettect.
cirvuc.: �9qp!'7'6 sTareuc.:q58005 5 � 39 EXP: OS/95
Daie: �/��/K � SignaNre'
WOflKENS'COMPENSATIONDECIABATION: Iherebya��um atl aceriificateolconsen[�o5el6in5ureorace�itica�eaiWorker5'
Gompensation insurance, or a cehilieA coDY t�ereoi (Section Lab. C).
voucrxo.: W937102989 E%P.�RTE: O�J/1j/94
' COMPANY: CAL COMP
'❑ Ceriifietl copy is here�y �urmshetl. Q Certitied copy i5 tiletl with ��e city BuilOing Division.
Date' ApDlicanl:
EXEMPTION FBOM WOBREPS' COMPENSpTION DECLAHRTION: Qhis seaian nee� nol be camDleteO if the permit is tar one Aunared �3100) or @ss�.
I cenily Ihat m the petlormance oI the work for which this permi� is issu all no� em loy any person in any manner so as �o hecome
su�lecl Io Ihe Worker Co�m/pensa�ion Laws of Cahlomia.
Daie: 7�(i�Q +" Signamre:
NO710E: I1, alter making ihis tleclaration. you shou co �ect to ihe Workers' ComDensation pmvisions of the Labor
Code, you must �otlhwiih compty wilh such pmvisions or ��is permii shall he deeme0 revaked.
CONSTPUCTION LENOING PGENCY: I �ereby alfirm �hat �h¢re is a cons�mc�ion IenOing agency for Ihe periormance of Ihe work �or
which this permit is i�sued (Sec�ion 3097. Civ. C).
LENOEfl:
ADOPE55:
OWNEH BUILDEfl DECLAPPTION: I �ereby affirm �ha� I am exempt trom �he Comracmrs' Stare License Law for �he faliowing reason
(Sectian 7031.5 Business antl Pm�essianal Code: Any ciry ol coun�y w�ic� �eQuires a pe�mi� to cons�mc�, al�er, improve, tlemolis�, or
reDair any simcmre, v��or �o its issuance. also requires the apvlicant far such permit to file a siAned statemem that he/sne is licensed
pursuant lo ��e pmvisions oi the Comramors' Slaie License Law (Chapter 9(commencing with Section 7000) o� �ivision 3 oi �he Business
an0 Pmfessions Cotlel or that helshe is exempt theretmm ana �he hasis lor the allege0 exemD�ion. Any violation of Section 7037.5 Oy
any appbcanl �or a permi� suble��s �he applicanl to a civil Denaliy of no� more �han five huntlr¢4 tlollars (5500).
I, as owner of ihe pwoany or my employees with wages as their sole comDensation, will tlo the work, antl tne
❑ simcture is not intendetl or ottere0 for sale (Section 7044. Business an0 Pmlessional Coae: The Coniractars' State Llcense Law
does nol apDly lo an owner of a pmDeny who �uilOs or impwves ihereon, ana who does such work himselUherself or ihroug�
his or her own employees. pmvided that such improvemenis are not intentletl or oifered im sale. Ii, however ihe huiltlinp or
impmvemen� is sold wiihin one year af compleiioq Ihe owner will have Ihe burtlen o� pmving he/she aid no� build or impmve
for �he purpose af sale�.
I,as ownerofthe propeny. am exclusively conimcting wit�licensetl coniractorslo consimctthe D�olect�5ection 7044, Business
❑ antl Pmte55i0n5 Code: The ConirattOrs' S�a�e Litense Law does no� apply �o an owner o� prOp¢rty wh0 huilOs of improves Iher¢on
and who conVatls �or such pmlects wii� a con�radoqs)ticense pursuant �o �he Conbactors' S�a�e License Law),I am aware
Ihat D�oof oi iheir Worker's Compensation insurance shoul0 be pmviAee to me.
� I am exempt under Section'. 8. 8 P. C.
lor I�is reason'.
oate-. Owner.
I Oo hereby cenify Ihat I am aware of antl untler5tan0 the requiremenis of Calilomia Heallh an0 Safery Cotle Sec�ions 25505. 25533, an0
25534 an0lAat I or any fulure builtling occupani wilVwill noi (circle one) need to comply wilh saitl Stale cotle5 and ihe requiremen�s �o� a
permil �ar conslmqion or modifica�ion �mm �be Air Oualily Managemen� Oistnct. flesi4entiai cons�mction applicatians are exempt �mm
mese provisions.
�a�e'. Applitanl:
I hereby ce�ity �hal I have reatl �his applicaiion and s�a�e Iha� I�e above iniormalion is
ortlmance5anO5la�elaw5relatinqloUuildingcons�mctionanOhereb 'ereDre n�.
pmOer�Y �or inspec�ion purpases.
�ate: Signawre'.
�river's License or Social Securily �: �
�
1641�46 White—Bmltling; Green—Cotle EnbrcemenL Canary—ApplicanL Pink—Revenue; Gddenrotl—Assaswr
CITY OE COSTA MESA — HUILDING PERMIT
PERMIT NO: B 067955 PLAN CIIECK NO: N
CONSTRUCTION TYPE; P—N
PERMIT TYPE: STR
PERM NO: B 067955
GOVT; N SUPP: N
PURPOSE: OTA
JOB DESCRIPTION ; T/OFF S REROOF YIITH COMP. 6 BUR IN BACK SQ FT: 1,100
CLAIM VALUE: 1,100.00 CALC—VALUE; 1,100.Q0 GRO[IP OCC: R-1 /M-1
COMMENTS: SNiOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM & HALLi4AY
**�***�**x�*�c****�r**�c�u�***���**���**��***�t�*��t�**�**�**�x*�c+c����*�;-*****�**�*rt��r�-
Z O N I N G R E Q 0 I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FP,NT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
FARKING REQ: PROV: PARCEL: 41808230 ZNE: REF NO:
PLANNING NOTES>
� �.. �
�**+�*�rxir*�-x-f��+t-�t�r�t*��r*�r�c�x�,c�x�x�rt��r��*x����*�r�r***+�+��rir+r**�r**���-*�-�-x**x�+��c**�u�x�iEx�****�c�r*x�*
D E V E'L O P M E P7 T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVEP_ HY DATE:
BOILDING APPROVED BY : DATE:
APPLICATION IS§UED BY: IR �
��*�*�*�-�*�***�x-)�*��r**�c*�*��-****er*�,.�*��+���+a s��i �:r-x��+Fx*�*�c�DA��Et�c�t�r����*T
�%iFif it iE if iE %� �k �1F jF iF 3c 1E iL fE iF fE �k iE fE iF If iF iF 9F iF iE iE iE iE iE iF if �N- k* X�lF iE iE iE iF iE 3E �k- if iE iF iE k 3E if �lE if iE jE iF iE'r, iE ff jf iE iE if if af 9E iE #` #-IF iF iF iE iE 1Flt
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLPG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIPJRES GRADING
PERMIT 2'7,OU 5p
PLAN
ISSUE FEE
BUILDING—DIC�—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 27,50 0.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
27,��
SMIP/NON—RES
TOTAL PAID DCTE
27,50 27.50 .00
27.50 OVER/SHOAT: .00
FIRE SMIP/TOT GRADING PLAN—CHECK
.50
i(-�lE * it iE iE if fE rt iE 1E 1E �k ih it iE iE iE if iE jF iE IF 3k iE 3F iE 3F 3f- iF iF iF iE iE iE if �f iF iE iE if #' #�lf * jE iE IE at 1E iF iE fk If 3(-f(� �Yr iE i6 iF 9E 1f # iF 9t ik #'- dF 1F iE #'� iE if 3t 3(-iE i! if aE
I N D I V I D CJ A L F E E B R E A K D O W N
TYPE QTY D E 5 C R I P T I O N UNIT COST TOTAL COST
SFR 1100 REROOF ➢Y VALUE RESZPENTIAL NOZONE i,00 1,100.00
END OF FEES
Oi 001b3740-0076374: TO T
DATE: D�/il/94 TI11E: i1:13
C�h;aTRUCTION AND PLANNING POOL SPA .
APPROVAIS Permit # Date Inspector AppROVALS Permit # Date Inspector �
7. Temporary Electlical Service�r Poie �- -� 52. Pool & Equipment Location "�
i_ � ��
2. Soil Pipe�U�drgrnd. ,.- � 53. Steel Reinforcement '
3. Elec.rical Co�duit Uti�ity-Undrgrnd. 54. Forms �f
4. Electrical Conduit-Undrgrnd. 55. Electricaf 8onding �
5. Stee� Reinforcement 56. Rough Plumbing & Pressure Test
6. Electricai UFER Gmd. 57. APPROVAL TO COVER�GUNITE �
i
7. Footings 58. Electricai Conduit-Undrgrnd. �
r
8. Foundation � ;� 59. Gas Rpe, f> Undrgrnd., Tesc ���
9. Water Pipe�Undrgrnd. , rl j:�, ' �;� 60. Backwash Lines, P�Trap, O Undrgmd. � ��j"�' j
i\ i .
10. Structural Floor System `•i� , ' 67. APPROVAL TO DECK
t t. Property SeWer Line & Ho�;Connection 62. Backwash & Receptor-Finai r� �
_�
12. Sewer Cap 63. Heater & Vent�Final
.1
73. Roof Drains , 64. Plumbing System - F+nal '.
14. Rough Plump�ng , 65. Electricai-Finat
15. Fough ElectricabCondu�t 66. Solar System-Fina� `�
.16. Rough Electric Wiring 6J. Fencing & Access Approval I �
17. Rough Wi�ing Sign 68. APPROVED FOR P�ASTERING �-..
18. Rough Elecirlcat-T Bar Ceiling 69. POOLlSpA SYSTERM1S FiNAL
19. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS � Permit �
21. Ducts, in Strocture 70. U�derground Hydro
22. Ducts, Ventilating • 77. Product Piping � Gas � Oi!
23. Gas Pipe-Ro�gh & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank L�Gas ❑Oil
25. Roof Sheathin9 7--( /�-�Y �"�/6/ 74. Overhead Hydro �
26. T�Bar Ceilin9 (Structural} & Monocoa; 75. Dry Chemical '
I
27. Frame and f�ashing . 76. Dry S2andpipe '
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 7$. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat . ]9. FINAL INSPECTION
32. Electrical Po�ver Meter-Finai 80. FOOD CERTIFICATE lSSUED
33. Final ElectriG Notes:
3A. Final Neating & Air Condiiioning
35. Final Gas Pipe-Test �
�
36. Hood or CanuPY -�•
37. Final Factory Pireplace � . i
� I
38. Final Plumbing
39. Water Service-Final '
40. Gas Serv�ce-Final '
47. Solar pomesticFinal �
42. Backflow Prevenier �
43. Backflow Irrigation
44. Landsca0e Irriqation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING �!�_Ll /_��
f(/
48. FINAL PLP.NNING ' ••
49. Electric Release to Edison , ;
50. Gas Release to Southern Catifornia Gas Co �
51. CERTIFICATE OF OCCUPANCY
No. Date
1
noonessaem�m�c: 901 LOMHARD CT
or�'�nsr+.�E�F�r+: FONTAL, TERESITA
, �oo�sr 901 LOMHARD CT
— COSTA MESA CA 9267.6
71.4)754-06�,8
uxr:
APPL. Y/JIJNG /i00NE55:
6
dPCHIfEtTOflFlK�NFFA: �7FRRY TqCKFR 6 ASSOCIATF9u.no.: 2].87
.xcx.oner,a�s�noxess: ,508 OI�D NEWPORT B1� �M:
N,B, CA 92663
caam�ctars ru�
coxrx�crars �uuxa
AWPE53: UC. NO.:
uxr:
LICEN4ED COHfRACTOF3 DECLAHRTION: I Mreby ell'rm uMx pnuly d pujury thet I em Icensad ueMs pwiaiwre d Cheqer 9
(romme�rp wilh Saclion ]000) W Oivinion a M iM1a Bueinen arN Pmleeebna CoJe. erd mY liomix b in tull Iwca end eHed.
CffYLIC.NO.: L1CCUv55: 11C.N0.: F.XP;
Dme: Comreear:
OWNEN BUILDER OECLAFATION: I hereby elFrtn uMx para`y d psrjury ihel I em exemq irom tM Com�tlpe Licencs Lew /w ihe
Idbwing raavon (Serlbn ]031.5 Buaiime eM Pmfeesbns Cade: AnY ciY a muntY �� �9uiree e peimil lo oonalrutl, eller. improva.
Eemd'oh, a repeir eiry siruelure, qior �o ile eeueMe, e6o rpuiiea �M eppliraM Ia eueh peemn to fib a eipiwd eletemaM Mel M a ehe
IicenseA Wn�l lo Ihe prwisrone d Ihe Cantreqon Limme lew ICheper 9(commenpnp xilh Sedion ]OW) d Divuion 3 d ihe
ineva aM Profemwu Code� or thet he or ahe is a�emq therehom eM IM Eem lar iM elbpad azemqbn. My videtnn d Sedion
031.5 by enY aGP��t la a permG wbpG� IM epplicent to e tivil perial�y o/ rwt mon Ihen live hunEreA ddWe �55W1).
�] I. es oxxr d iM properlY a mY emObV� �h wapea ea ihai eob epnpemetbn. vrillEo the xvk, eed ihe s�rveNn o na intended
orMered br se�e (�� )�. Buvreee eM Profesapm COEe: TMConvuton Lioanse l.ew tloes rwl apply lo en ovmerd Dropeny
wha Wdda a inprovea iMrean, enE Ww Coes cuM work MmeeM «heneR a Ihrwph hc a hm own ampbyeea, pvridetl �ha1 wch
o" pweineMs ere nd inlendeE a dfaeC la sele. II. Mwever, iha buiNinp m imqowmeM ia edtl wilhin ma yw d complation, Ne
woa�w��, �;n nero ma wn� a o�nro na o, � ab �w wne « �mv� �� me wm�a a.wl.
❑ I. d oxiwr d �he poperry. em uduervey mmreamB �h liceneed conlrenwa ro construe iM papa (�� )�. Businme vd
PMeseiom Coda: TM Conieaeon lieense lew doee rot eppy la en owMr d peopeny Ma builde or impwm tMreon eM who
conirecp lor eutli O�M�� �h e coMretlw�s) licemed punuenl to �he Cwxreqore Licmae Lew). �7�
❑ I am eeemq u,Mx Seciion: B. a P.C.. lor try�a r�n� /I'' ✓V"'/
�l k(
Dme: � � � Ovmar: } (/ G��'V
o M1ereby cerlily ihet I em ewara d vd uMersiard tM repuireman4 d Celiomie Hael�� eM Sdery Cade Swiom 255p5, Y553J, aM
25530, eM Oai I or any Nture Wibirp ocaryen� xill / wil rol (arcb me) nead to comply wiM1 eaid &eb codm eM iM �equimnenb M
epe�milf«mruvunionwmod'ifira�ionhwntM�i�y enepr�nt0ia�ip.Reskenlialeonsliud'uneppf�iwnenuamqiranthses
„���..
Deie: Applvent:
WOFKEP'S COMVENSATION DECLAXITION: 1 Mreby elfiim uMer paruM1y d pejury me d Ihe Mbxirq Jatleralum:
❑ I hew aM wiI meimen e cerli�cele d mnaent io aeMimun lur xorkere' mmpenwion, n povked ta by Sxmn 3)00 d �ha Lebor
c�. i� in� van�. d�n� .� m,.m�m m� w�a A��a.
❑ i n.w a�e wi� maimen wonm�e canw�=mion i�.��ce. e. nc��.ee M swim a�oo d ma �.no. coae. ror me wnormenoe a in.
work la whiW Nis permn is inueE. MY waFan' campansaiion inwruice famar vd pdiry number ere�.
c,�.:
Polcy Number:
s settion need nM be ttmplele.i I fM perm�t u M wre hunCreJ dollers (SfOJj a bu.)
I cMify �hel in �he perlwmence d �M1e woM for xi�ch Ihn pe�mA ie iasued. I WII rid empby ury ps�on in vry menner ro n to
become subjed to iM xorken compenxlion lewe d Celilomie, uM ep�ee ihe� il I ahwM bemim wbjeii Io IM woMeA
canpenution pwiaiona d Seeion 3]W W iha Lebor Gode, I shell tMhwnh comp�y rnh thwa prm'vioru.
Dete: AppliceM:
Wsm/np: Fallun ro sw�ro woMrxs' compxwtlon coverap� l� unbwlul, arM ahs0 �ubf�cf �n emp/o�vr ro crlMnel pm�Ma nrtl
e/vll Hros ,q ro ons hunOrstl tMuuiM dol/an lSf00,OWA M edd/tlon ro Ms ewt o/ rompxuaWn, Aemep� �a prov/ded br In
Sxtlon 91f16 oI tl�s Lebor Cotle, Interu( entl elromsy'i len.
CONSTRUCTION LENDINO POENCY: I Mreby e/firm uMar paneMy d perjury �hm thera u e mMrupbn bMinp epe�wy br the
�IBf10T1911[B 11/ 1�18 Nq�l �IX WiN�I Ih49 p0flfi� 19 64118'� ($Bdpll'.W9�. CiM. {�i�.
LENDEfl'S NAME:
LENOEH'S �DDFES4:
1 cerliry �M1et I heve reaa thk epplcalion enE pale Ihet Ne ebove iniammion in cnrteq. I eqree to canply wilh NI dlyud munly «dinenroe
end eteie Wxe ralming to buikip canmwion eM IreraEy aulhor¢e repmsame�ives d Ihis aryto eMer �pon iM ebove-meMionetl propery
�o�inspeqion Dmposes.
TERESA FONTAL
o�e: �'—,�/—
(5151 �<e W P) W hGe-BuiWinp 6 SelatY: a��-Fle: Cenery-Applcen�: Pink-Revenue: GdEenrod-�laeessor
r_ITY OF COSTA MESA - BUILDING pERMIT
PERM N0: H 0"/2614
PF.RMIT NO; B Q7267.4 PLAN CHECK Nn; 02056-95 f, GOV'C: N SUPP; N
CONS'.CROCT70N TYPE: V-N PERMTT TYPI�;; .S'CR PURPQSF: A�1>
�70A DESCRT.PTION : FNCi�OSF. OPPER D},�K 2ND FT,OOR P���� p��E��TOR��900
CI,AIM VALUE; R,900,00 CA7,C—VAT.�UF.'.; A,90Q.0��;�[$�,.('� H-3 /
COMMENTS; F..NCl�ODIi 7.00SE 2ND STOftY ADDIT.T,ON
IE iE !f IE �)f 3k iF iF %�lF iF �1F 3E %�IE IE N iE �1Q iE K-% % IE lE lE IE if� �lF 3f� iE if 1E if%* if iE 3f iE iE K�lE iE N 1E �% If if IE%iE X% 1F %iE 3f fE 3E iF iE �� IE iF lE # 3f iF �/E iF iE �% IF �f lE # 9E%
7. O N i N G R F.. 0 il i R E M F. N'C S
S F'. T H A C K S
------------ MAIN AUT.i,DING ---------- --------- ACCF.SSnRY 90T.i,l)INr ---------
FRNT: FT T.N REAR; FT IN F'RN'C; FT iN RF.AR: p'C LN
I�EFT; FT LN i2GHT; F'T IN T,EF'C; FT IN RGHT: FT T.N
PARKING RFQ: PROV; PARCF.T.: 41808230 7,NE; P�RM REF NO;
PI.�ANNiNG NOT6S> F.XPAND FXISTT.NG HEDROOMS ( 7) BY �.NCI�OSING 6XISTING �3AT,,CQNIF.S
> AALCONIES OVF.R F.XT.STING FT,pOR F�RF.A, �
1k iE if M� iElf if if 1E IE # iE iE 9E 7f iE iE # i(� iE iE�if if 3f * jE �IE �IE iE % 3E % 3E �1f iE N� fE 7E iE iE �lE �� #!f lE DE 3E �lE iE 74 �� iE-IE K# K� �% If Ik !E-%%�IF iE K-IF iE iF �f 3(� �f IE 1(� 3f lE lE iE �%�E
D F V E L O P M E N T S F R V T. C F: S R F. Q U I R F. M B N-+f S
7.ONING APPROVF..D RY ?' . ' ' • �y.'(—, DATF.; ' �
BU7I,PING APPROVED AY : �,� DA'fR; �, 3� 1'
APPI�iCA'CT.ON ISSf1ED AV;; , �� narF; �
iE3EiEiE%�%�fiE1(-Ififif'IE)F7E1Eif-IfiElElf1fW74iE�%jF7E1E#ikif'iE-0F�EiE 1FiF�1Eif-0fiFif#)Eifi@1EifiFiElf%-%#3(if7E3EIF�7FiEiEif�7(�1Fif-X',-iFiF�1F IE3f�iF7Flf
LFGALI7,AT.T.ON:N F F. F.. S 0 M M A R � STRi1CTf71tATi. SF.GMFNT:X
B).,DG PM'f PT,�IMBING F.LFCTR7C MECHAN:[C FTE2F, .S'MIP/RF..S GRADING
PRRMST ].QA.00 ,$9
SM7P/NC�N—RRS
PLAN 70.20
ISSUE FEE
BTIII,DZNG—D.T.V—> PF.RM.T.T ISS[.IF, pT�AN—CHFrK TO'rAT� PA.T.1� D[7F.
TOTA7.,S----> 1.08.89 0.00 70.7.0 179.09 1.79.09 .00
RFVRNiIk. DIVI.S'ION TOTAL�i--> COLZ�FCTED: t79,09 OVF.R/SHORT: ,00
BLDG PMT PT,OMAT.NG ET�F.CTRIC MF(;HANTC pIRF SMIP/TOT GRA�TNA Pt,AN—CHRCK
1.08, 00 , 89 70 , 7.p
1f ik-If if �IE �lE iE iE iE 3E iE iE-7E iE %if K i! i(� iF * iF1F iE 9E-%iE 7! %%X 1E IE �IE �)E k'JE'lE �7! if lE'lF 3E iE 3E 1E-)E �1("K'IF % lE 1E 3( if'14 %�'1(' iE %1E iP 3F ## iE # j(� iE%iE 1F K 3k � iE �lE'7f
I N D I V I D TJ A L F E E H R F A K D O W N
TYPF, �jTV p F. S C R I P T I O N i1NIT COST 'C(�TAL COST
SFR 8900 AT�TFR AY VALUE RF,SIDFNT:[AT, N07,QNF. 1. , 00 8, 900 , 00
�.Nn oF ee•.es
Ot QOtE3tb5-OOIE3IE7 TryT I7?.�9
DrTE: �;!'si/4` 7IF}[; 13.58
'� CONSTRUCTION ANO PLANNING '• � � P��� DA
Date Inspector, � Date tnsPector
APPROVALS Permit # APPROVALS Permit # ,
1. Temporary Electrical Service or Pole " 52. Pool & Equipment Location ,
�
2. Soil Pipe•Undrgrnd. �1 53. Steel ReinforcemenC
� 3. Electrical Conduit UtilitY�Undrgrnd. U 54. Porms �
,4. �Electrical Cond�it-Undrgrnd. 55. Electrical Bonding " - �
�5. S{eel Reinforcement �� 56. Rough Plumbing & Pressure Test '. -
.�
�-6. •Electrical UFER Grnd. ' 57. APPftQVAI TO COVER�GUN�TE .
�.7:� FoDtings; 58. Electrical Conduit-Undrgmd. � r�; �
�8> Foundation 59. Gas Pipe, L Undrgrnd., Test
'9. Water Pipe-Undrgrnd. �� "� 60. Backwath �ines, P-Trap, C: Undrgrnd.
10. Structural Fioor System 61. APPROVAL TO DECK �
71. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
72. Sewer Cap �� 63. Heater & Vent�Pinal �
13. Roof Drains ' ,-. 64. Plum6in9 System , Finai
14. Rough Piumtiing _ ', 65. Electrical�Final .
75. Fiough Electrical-Conduii � c ^�66. Solar System-Final . ��
16. Rou h EleciricWirin `�:; "'
9 9 67. Fencing & Access Approval
77. Rough Wiring Sign �� 68. APPROVED FOR PLASTERING '
,j
18. Rough Electrica6T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �"
19. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT
. . �. ._ .. � ...
20. Rough Facto'ry Firepiace . � _ ' ,. APPROV¢L'S` ` Peimit # : �`
21. �Oucts, in Structure � � • • � � 70.FUnderg�ound Hydro
22. Ducts, Ventilating ' -- ,.. 71. Product;Piping �Gas OOii
23. Gas,Pipe-Rough & Test . . � � 7Q. Underground Flush- �
24. Roof Framing - � �- � �r � _ , 73�. Undergmd.Sto�age,Tank OGas ❑Oil
25. Roof Sheathing � � ^�q_qs �4,� 74�.-"Overhead Hydro ��
26. T�Bar Ceiling (Svucturatl & Monocoat . - ;." 75..-0ry,Chemical -_ • ~ -
27..FrameandFlashin9� _ � � -lj`-�j 76. DryStandpipe.�'. •
28. Lathing & Siding ,_ - ,-Z z,% ��j.6[ 77. F�XED SYSTEM FINALt
29. Insulation � � '� � � 78. FIRE PREV. FINAL �
30. Drywall Naili�g ,� _;Z,� S��� � F�HEALTH DEPT.`REQUIREMENT
31. Plaster Brown Coat �- � �. 79. PINAL INSPECTION � .,
32. Electricai Power Meter-Final ; 80. FOOD CEFTIFICATE ISSUED
33.�Final Electric V Notes: � � -
34. Final Heating & Air Conditioning'- . . � ' Lj � ' � ' L��
� - y:� � �V���~ - �7
35. Final Gas Pipe-Test . , ` - � _
'�
i 36. Hood or Canopy , . • � �-
� 37. Final Pactory Fireplace - , "� � � `- ��
� 38.-Finai Plumbing . , - `
� 39. Water Service�Final � . . ' ._ ` �
40. Gas Service-Final • � = - - • �
i. n
� 41. Solar pomestic•Final � ' � ` " � �
42. Backflow Preventer � �
43. Backflow �rrigation ' • , � ' .
44. Landscape Irrigation System , � � • � � • � _ '
45. Sound Attenuation . '. : � ' .
46. Handicap Regulations - . �
47. FINAL STRUCTUfiE & BUILDING Z/�--�; _�_[v ' -
48. FINALPLANNING ��� '�� �-
�
49.'Electric Release to Edison ; ! � ; '
50. Gas Release to Southern Califomia Gas Co '
� � - ..
51. CERTIFICATE OF OCCUPANCY _ -
N0. Date
:�.ac: :;o. � "'�1�J -_.'_
-� .
:.a: r;c, �� �:
ri'.^.D�iS°i$ �G,� ���i�.� �:�_('.:Cl /•�_
��
'�evclepc.�n[ Sen�i:cs Jep.i:C�:�n[
Pln�;i'_;,i:. :.i•: is;oa
"i:-,- c` ,:oct3 `lesa
�. r1's. ?t"c
,. �stt '1c:.�� Cn ?.�.b26
AtGen[ion: ?'r. Paul Dudley
�ear `:: . :h:.11e� :
�,�:rr _�' -J :. ' i
i'1C.=5@ �d nware Lf1IIt t�7C ltAtiCT91i;PCu :lI'C 'vIIiO L�l.ii :l l�'?"ii.' lC.1CC OL .x'CU�aPC�
an the aSove zefereneeJ 10[ .�::�? unit is bc?r.;; rr,u�_::ed r.i��r co c!.e „nt1r:
[rac[ an3 its strcrc, �nd co:�4n arcns I�c:n;; co:r.,,lrtcd ...,_ .._,�r��tc�_' `.�;� ::��
City u; Costa P!osa.
�i
�iY -a�%�/ r.-"�.,�._ /1 //ri_,:f.�_
(S,IC?:,�"�IIRF.' OF' Y!;::CH:,,ER)._,
o�• ' i � � . - � /
(s�cr;tuax r� �t:vEi.orcn'nr::�ioa
A�i1�RIGtD FcEYRESE:inTi�'F;)
j� /, �._�/ -
5i��.��'/.n�-,!,(, y��.<�.f%x.----
;tiIG`::�TL"#: OF LE?7D};R)
� �
� /7.�/'C'i'��/���',���.
`7� �° �, .� .
42L�'.CE,��r�
����, p 2 1981
TRAC'I ";0. .���Y�f��J 2—
LO'i I�O, � U
ADDRESS
Development Services Jepart:�en[
Planninb Division
City of i:osta 4ses�
7: Fair �rive
Costa Fiesa� CA 9�626
pttention: pir. Paul Dudley
Dear Pir. Dudley:
�
DATE �� �� �/
Please be mware [hat the undersigned are avare that a certificate of occupancy
on the above referenced lo[ and unit is bcin� requc,ted prior to the entire
tract and its streets and cor.unon areas beine completed and aceepted by the
City of Costa Afesa.
�
��5���£�T.it�i[�R�O[�6�S�G
w,' Q4Y
18610 T �dU1
h . , ;r Y. . i1.�.��.��
°" .l_`i`� 1 't��
ii � { ti`J i �