HomeMy WebLinkAbout902 LOMBARD CT - Building PermitsPflOJECT AOOHESS: 9 O 2 LOMBARD C T
OWNEfl'SNRME: MOIR CASEY LEE
__�ooness: g 0 2 f,OMBARD C T
� COSTA MESA,CA
'�PCMIENGINEEP:
AOOXESS:
uxiT:
92626
nec.No.:
UNIT:
PEFMITTEE: BILT—j^IELL ROOF ANU MATERI ( 719 ) 739-1288
nooeess: 3310 VERUUGO ROAD
L�5 ANGELE� t�A 90C)f,5
LICENSEO CONTflFCTOfl OECLAHAiION: I hereDy aifirm that I am licensetl untler D�ovisions ol Chapter 9(commencing wit� Section
7000� ol �rv;sion 3 ot ihe Business antl Pmlessions Cotle, antl my license is in full torce an0 ef�eci.
cirruc.:.y03I4/�76 STATELIC.: QJSOO.�i ss " 39 EXP: OS/95
Date: —L� �� � y Signalure: —
WOflKEflS' COMPENSPTION DECIABATI�N: I �ereby alfir e a cetlifiw�e of con5eni to sell-insure or a cehificaie of Workers'
Compensation Insurance or a cenitie0 copY ihereof (Section 3800. Lab. C).
roucvxo.: W937102484 E%P.UAiE: O7I13I9�i
COMPANY: CAL COMP
❑ Cenifietl copy is hereby fumished �; Cenitied copy is tiletl wiih the ciry Building Division.
py�e: PpPlicanC
E%EMP710N FHOM WOHNEBS' COMPENSATION DECIANPTION: Qhis senian neea not be comple�e� if the permit isiorone hunUretl �$700) or less).
I cetlify ihat in Ihe Oer�ormance o� Ihe work for which ihis permi� i5 hall no� ploy any person in any manner so as �o become
su�le�� �o t�e Work¢rs /ComO.e/nsation Laws of Calilomia.
Date' ��`Qy 5ignalure: �
NO7ICE: If. alter making tnis Oedara�ion, you snoWd subiect ro ihe Workers' Compensation pmvisions of the labor
Cotle. you musl fotlhwi�� compty with such pmvisions or ihis permi� shall be tleeme0 revokee.
CONSTHUCTION LENOING RGENCY: I hereby aifirm Iha� �here is a tonsiruC�iOn IenAinB agenty br �he p¢ri0rmante o� �he work �Or
which Nis permil is issuetl (Section 3097. Civ. C).
LENOEfl:
aooxess:
oWNEX BI11lDEH DEClAFp7lON: I hereoy aifirm inat i am exempt Imm ihe Coniractors' State License Law for Ine tollowing reason
(Semion 7037.5 Business antl Pmfessional COUe: Any ciry ot counry which reQuires a permit m consimct, alter, impmve, Oemolish, or
repair any slmcNre, prior lo iis issuance. also requires Ihe applicant far suc� permi� to file a signe0 s�atemen� �ha� helshe is IicenSCtl
pursuant �o t�e pmvisians a� the Coniraaors State License Law (C�apter 9(commencing wiN Section 7000) of Division 3 oi tne Business
antl Prolessians Cotle) or �hat helshe is eKempt Iherelwm and ihe basis �ar Ihe all¢getl exemption. Any violation ot Section 7031.5 by
any applicant lor a De�mi� su�jec�s ��e applicant lo a civil penalry ol not more �han five hunAreU dollars ($500).
I, as owner ol �he property or my employees with wages as �heir sole cOmDensa�ion, will Ao Ihe woM, antl the
❑ stmcture is not intenaee or olleretl lor sale (Section 7044, Business an0 Pmiessional Code: The Contractors' State License Law
does no� apPly �o an own¢r o� a pro0erty who build5 or improve5 [hereon, an0 w�o tloes 5uth work himsel�/her5¢I� or NrouAh
�is or ner own employees. D�ovitle0 that such improvements are not intendetl or offeretl for sale. II, however t�e 6uilding or
improvemenl is Sold wiihin one year of comDle�iOn, �he Owner will have �he bUreen ol proving hel5he tlitl nOt �uiltl or impmve
for lhe purpose oi sale�.
I, as owner o� the propehy. am exclusively coniracling wi�h licensed conVactars to cons�mct the prolecl (Section 7044, Business
❑ an0 Pm�essions CoAe', The ConVacmrs' State License Law does not aDDty to an owner of pro0erty who builOs or improves thereon
antl wn0 Comratts tor Suth D�oleC�s wi�h a tDnVatloqs)litense pursuam l0 the COntraCtofs' Sta�e Litense Law). I am aware
Ihat pmai oi t�eir Worker'S Compensa�ion insurance shoultl be provitlea �o me.
� I am exempt under Seclion�. B. 8 P. C.
lorlhis reason:
Date: Ownec
I ao �ereby cenify inai I am aware of ana underslanOlhe requiremems ot Caiitomia Heal�h anJ Safery CoOe Sections 25505, 25533, anJ
2553a anOlnai I or any iNure building occupant will/will not (circle one) need Io comply with saitl s�ate cotles and the reduiremen�s for a
p¢rmil �or con5iruc�ion or motlilicalion imm Ihe Fir Ouality Managemeni �isVicl. AeSidenlial con5imction applicaiions are exempl hom
IheSe prDvisions.
Oale' Applicanl:
I �ereby cetlily that I have reatl Ihis appbca�ian ana s�a�e iha� the abave inbrma�ion is correcL I agree Io comDly wilh all city an0 county
ortlinancesantlsiatelawsrelating�obuiltlingconstmclionanaherebyau resenlaf sofi�iscirytoen�erupontheabove�mentioned
pmpeny for inspection Durposes.
Date: ��L�_ Signature'
Drivei's License or Social Securi �� ��
ICITY OF COSTA MESA – BUILDING PERMIT PERM NO: B 067956
PERMIT NO: B 067956 PLAN CHECK NO: N GOC'T: N SUPF: N
CONSTRI]CTION TYPE: V–N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : T/OFF 6 REROOF WITH COMP. & BUA IN BACK SQ FT: 1,100
CLAIM VALUE: 1,100,00 CALC–VALUE: 1,100.00 GAOUP OCC: R-1 /M-1
COMMENTS: SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM b HALLWAY
�=r�:��=,e�c�kx.��-tc�x��c��:�-�c#*�-�x����-;����r-�*���+t*�t���tr**�r*�*�-*��*��-***�***�**u�*�**�ra:-***
Z O N I N GS ERTEB�AUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY 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
PARKING REQ; PROV; PARCEL; 41808231 2NE: REF NO;
PLANNING NOTES>
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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: 4'
BUILDING APPROVED BY : DATE: "
APPLICATION ISSUED HY: n�.,.L DATE; �� QT
iElEfEititiEiFfFiEiEiEiEiFK4EiF9FiEiFifiEjF . �C`J' .tiF;FTFTt�if3firitTr�Trii-�xit-it�#'i4kiFiE3Fi6iFif#3e�Fi ��.e�� '�r��'�'iF
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LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMHING ELECTAIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 27.00 SMIP/NON–RES
PLAN
ISSUE FEE
HUILDING–DIV–> PERMIT ISSUE PLAN–CHECFC TOTAL PAID DUE
TOTALS----> 27.50 0,00 0,00 27,50 27,50 .00
REVENUE DIVISION TOTALS--> COLLECTEU: 27.50 OVER/.51IORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN–CHECK
27.00 ,SO
iEitfEjFiE#�k kfEiEiEiEi6iEiENiE3EitifilitikiCiEiEiEi[��k%iEiEiriFifiEtEiE#iEiEikiEiEifiEdtiEitiliEiFiFiEiE3EitiEiEiEiEiEjEiEitiEiE#iFib3tiF#it#itiE�E
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 TUTAL COST
SFR 1100 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 1,100,00
END OF cEES
V
O1 OO1o3742-00163743 T43 T �7,gp
DATE: �7/11/94 TS�fE: 2I:13
CONSwRUCTION AND PLANNING
A�'yROVALS Permit�`r
-� -
1. Temporary Electrical Serviceo'r Pole
i
2. Soil Pipe�Undrgrnd. �`��
3. Electrical Conduit Utility-Undrgmd.
4. Electrical Conduit-Undrgrnd.
5. Steel Reintorcemenc ,
6. Electrical UPER Grnd.
7. Footings
r
8. Foundation _'
9. Water Pipe�Undrgrnd. � �'
70. Structural Floor SYstem "''r
11. Praperty Sewer Line & HouseConnection
12. Sewer Cap
13. Root Drains
74. Rough Plumbing
15. Rough Electrical�Conduit
16. Rough Electric Wiring
77. Rough Wirin9 Siyn
18. Rough Electrical�T Bar Ceiting
19. Rough Heacing & Air Conditioniog
20. Rough Factory Fireptace
21. Ducts, in Structure
22. Ducts, Ventilating
23. Gas Pipe�Rough & Tesc
24. Roof Framing
25. Roof Sheathing �
26. T�Bar Celling (Structural) & Monocoat
27. Frame and Flashing
28. La;hing & Siding
29. �nsulation
30. Dryevall Nailing
31. Plaster Brown Coat _
32. Electrical Po�ver Meter�Flnal
33. Final Electric
34. Finai Heating & Air Condition�ng
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 pomesiic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation SYstem
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUII.DING �
48. FINALPLANNING
49. Electrie Release to Edison
So. Gas Release to Southern Cafifornia Gas Co
CERTIFICATE 0
Date
Date � Inspector
(Cw�j/
i
POOI . �PA
APPROVALS Permit #k
52. Pooi & Equipmen, �ocation
53. Steel Reinforcemeni
54. Forms
55. E�ectricai Bonding
56. Rough Plumbing & Pressure Tzst
57. APPROVALTOCOVER�GUNITE
58. Electrical Cor.duit�Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines, P�Trap, C' Undrgmd.
67. APPROVALTO DECK
62. Backwash & Receptor-Final
63. Heater & Vent-Final
64. Plumbing System - Finai
65. Electrical-Finai
66. Solar System-Final
67. Fer,cing & Access ARP�ovai
68. APPRQVED FOft PLA.STERING
69. POOI,'SPASYSTES,15FtNAt
FiRE DEPT. REQUIREMENT
APPROVALS Permit �
70. Unde:ground Hydro
7S. ProductPiping'�7Gas ❑Oil
72. Underground Flush
73. Undergrnti. Storag^ Tar.k O Gas ❑ Oii
74. 6verhead Hydro ,
75. Dry Chemicai
76. Dry Standpipe �
77. FiXEO SYSTEM FiNAL
78. FIRE PREV. FINAL
HEAITH DEPT. REQUIREMENT
79. FINAL INSPECTION �
80. F000 CERTI�ICATE ISSUED I
Notes:
Date I�spector
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ADDRr55 902 Lombard Court, Costa Mesa,_CA 92626 __ __
«; , '
,^,. Development Serviccs Dcp.��t^ent '
� P-lannin�; Division - �. � � � . � � � ,
r .C1Cy.of COs[d Mesa
. i9 'rair �rive � . �. , _ . . , ,
,„' 'Costn ?4esa, CA 926?6
Attention: Atr. Pau1 Dudlcy ' �. .. : '.
'xai.''"' , Dear �fr. Ihidley:
Please be avare that the undersigned are awnre that a cer[ificate of occupancy...'
on the above referenced lot and unit i§ 6cing requcsted prior to [he entize
, `_ tract and its strects and cor.vnon areas.Ueing completed and accepted by the
City of Costa Nesa. � �/a �,
�.E'H 6 ,.'. -��' or .� vC/��2,
B'Y�� �� . �
�- . (SIC ATU"-.E F P:�iE I /I�f?����� . . . . .
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TRACT `;0. �D 1 %S- Z DATE���
, LOT N0. ��
ADDRx.'SS �D � �—C/�J9.`� %"✓l1GG� �C, C//Z �
Development Services DePart-�ent
Planning Division
— Ci[y of Costa Pfesa
7? Fair Dr:ve
Costa t4esa, CA 92626
,. ' Attention: Ptr. Paul DudLey
bear rSr. Dudley: .
Please be avare that the undersigned are aware that a certificate of oecupancy
od the dbave referenced lot and unit is bcing requested prior to the entire
tract and its streets and cor.mon areas being completed and accepted by the
City of Costa Mesa:
\ ' // ' _ _ i/ .//�� .
RI'LED REPRESEA TIVF�
�� BY W�/����
� . . /'crrA•i�Tl��) lvnmrcl -
� y �� �[l 1�
. . � .Yi-i�..
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