HomeMy WebLinkAbout903 LOMBARD CT - Building PermitsPflOJECT AOONE55: �j O.3 LOMHARD Ci�
OWNEfl'SNPME: DAVIS, KATHLEEN L
aoonEss: g03 LOMBARD CT
COSTA MESA,CA 92626
ABCHIENGINEEfl:
ADOflE55:
flEG.NO.:
UNIT:
uxiT:
PEflMITTEE: BILT—WELL ROOF AND MATERI ( 719 ) 739-1288
aooAEss: 3310 VERDUGO ROAD
LOS ANGELES CA 90065
UCENSEU CONTBACTOfl OECUflATION: I hereby aflirm (hat I am IicenseC untler pmvisions o� Chapter 9(commencing wit� Section
7000� ol �ivision 3 of ihe Business antl Pmfessions Cotle, and my license is in luil force antl eflect.
cirruc.: 034�0•7/�6 STATEIIC.:QSSOOJ /��g� 3° Ei{P; OS/95
�ate: _i�///1.9G�—_ Signature: _ !/ /�
WOflNENS' COMPENSpTION OECLABATION: I �ereby allirm t I hav d¢ale o consenl �o self-insure or a certificale ol WOBers'
Compensation Insurance. or a cer�died copy thereol (Section 38 . aG. C�.
roucrxo.: W937102984 EXP.OATE: O7/S3I94
COMPANY: CAL COMP
❑ CenifieU copy is hereby lurmshed. Q Cenrtied copy is fileA with the city Building �ivision.
Ja�e: AOPlican�:
E%EMPTION FNOM WOHI(EFS' COMPENSATIDN OECLAflATION: Qhis seclion neeU not be complete0 if the permil is lar �ne hunOreO (5100� or less�.
I cer�ify Ihal in the pedormance oi �he work lor which �his permi� is i55ue0, mploy any Derson in any manner so as lo become
sublecl Io Ihe Wod rs' mpensa�ion Laws o� California.
Date: Signature: �
NOTICE: II, a��er making I�is tleclarali0n, you ShoulJ beCo � �o Ihe Wor ers' Compensa�ion pmvisions of Ihe Labor
CoOe. you must �otlhwiih compry wiih such provisions or �his permil shall �e tleemeG revoked.
CONSTBUCTION LENOING PGENCY: I �ereby a�firm thal there is a constmc�ion lending a0ency �or Ihe pedormance o� �he work �or
which Ihis Oermit is i=suetl (Section 3097. Civ. C).
LENDEfl:
AOONESS:
OWNEB BUILDEN OECNPA710N: I hereby affirm t�at I am exempt iwm ihe Contracrors' State License Law for the followinp reason
�Seclion 7031.5 Business anC Professional Code: Any ciry ol counry whic� requires a Oe�mit Io constmci, alier, imD�a�e. Oemolish, or
repaii any sim[Nre. prior Io ils issuance. also re0uire5 ihe applicant �or such permi� to tile a 5igne0 s�a�emenl that he/she is licensetl
pursuam to t�e pwvisions ol the Contractors' State License Law �Chapter 9(commencing with Section 7000) oi Oivision 3 ot ihe Business
antl Professions Cotle) or Ihal helshe is exempt Iherelrom and Ihe basis lor the allegetl eeemDtion. Any violation of Section 7031.5 by
any applicant for a Dermil sublems �he apDlicant to a civil penal�y oi not more Ihan �ive hunOred dollars (5500�.
I, as owner of ihe pmpetly o� my employ¢es with wages as their sole compensa�ion. will do �he work, and Ihe
❑ simclure is noi imendeA or oHereO 1or sale (Sec�ian 70aa. Business and Pm�essional Coae: The CanVactors' State License Law
aoes no� apply to an owner at a propeny wno �uilas or improves ihereon, antl who tloes such work nimselflhersell or ihmugh
hi5 or her Own emDl0yee5, pmvitletl Iha� such impmvemeni5 are no� inlentled or oiferetl fOr 5ale. II, however [he building or
impmvemenl is soltl wilhin one year ol cample�ian. Ihe owner will have the bur0en o� pmving Ae/she tlid not 6uild or improve
lor �he Durpose oi sale)
I, as owner of the prOperty. am erclusiv¢Iy contraciing wi�h licensed contracmrs to COnSimct Ne D�aie�� (Sec�ion 70d4, Business
❑ and Prolessions CoOe: T�e Contraclors' Slaie License Law does noi apply to an owner a� pmperty who Uuilds or impmves Ihereon
ana who conirac�sfor such pwlec�s wilh a conVactoqs�license Dursuant�o ihe Contractors' S�a�e License Law). I am aware
t�al pmof of iheir Worker'S Compensalian insurance shoultl be pmvide0 to me.
� I am exempt untler Section: 8. 8 P. C.
lor ihis reason:
Oa�e'. Ownec
I ao hereby cenily that I am aware ol antl understantl the requirements of Calilomia Healih antl Safery CoOe Sections 25505, 25533, and
25534 antl Ihai I or any �ulure �uilding occu0anl willlwill not (circle one� neetl �o compty with said sta�e codeS and �he requiremen�s for a
permi� lor conslmc�ion or motli�ication �rom the Air Ouali�y Managemeni Di5Vic1. fle5itleniial conslmction aOPlications are exempt imm
these pmvisions.
Date: Applican�:
I hereby wtlity Iha� I have reaa t�is applita�ion antl Siate Ihai lhe a�ove in�ormati0n is correCL I agree to comply with all cily an0 Counry
ordinancesantlstalelawSrelaling�abuiltlingconsimqionantlhere6yauihorizerepresen Iive5o11hi5ti�y�oenierupOn�hea6ov¢�m¢nfioned
pmpeny lorinspection purposes.
Da1e: 5' 1
�rivefs License or Social Securiiy ?� �'� � �
t646a6 Whne—Botldmg; Green—Code ENorcemenl'. Canary—Applicanl: Pink—Revenoe: GolOenrod—Assessor
CITY O£ COSTA MESA — HUILDING PERMIT PERM NO; B 067957
PERMIT NO; B 067957 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION ; T/OFF 6 REROOF WITFi COMP. & BUR IN BACK SQ FT; 7 100
CLAIM VALUE: 1,100.00 CALC—VALUE: 1,100.00 GAOUP OCC: R-1 /M-1
COMMENTS: SMOKE DETECTORS' ARE REQU2RED IN EVERY fiEUROOM & HALLWAY
�*�c*�r�**��r**�****x�x�*�c-***�-�rx��-�*x�x��c-***+ex��-���r��r*�ftx�*****i��*�r*�*�x�***�**a**��c��***�e*
Z O N I N G R E Q U I R E M E N T S
S E T B A C K 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; 41808232 ZNE: REF NO:
PLANNING NOTES> -
> F'
+��r*�u��*�r+�***�+�+�*****�r�r+r�r�*+��r****�r�x**+r****�x**x��***�r��-�-*-�x***��r*****�F�t*****�r�-�-�x
L� 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 Ne'T S
ZONING AFPROVEI7, BY PATE:
BUILDING APPRO�JED BY : DATE;
APPLICATION IS�UED HY: �— DATE: `��el�
iFlfiFif*iEX1FiEiEiFif�lEi-.''iEiFif�ifiEfE�1f�1Ei.fF����it3E3t±ritit�Frhxitie ikit �'tiF�fi:iFirlt�Fitseyt�itiEitiE�ElEiFiEiE�EiE�iti. i.�f� ��
iE iE �E 1E if �E iE iF iE 3E aE iF it iF {F iF iE it iF iF * iF 1E # iE iE iF IF if 1E 3E iE iE iF iF iE iF iE iE if 1E iE iF iE iF iE 3E iE 1E �E iE it iE iE 3E iE iE 1F iF if iF iE �F 3f Y.� 3E iE if iE 9E 3E iE iE ip 9F if iF iE if
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 27,00 .SO
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIC'—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 27,50 0.00 O.OQ 27.50 27.50 _00
REVENUE DIVISION TOTALS--s COLLECTED; 2"1.50 OVERISHORT; 00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIKE SMIP/TOT GRADING PLAN—CHECK
27.00 .50 .
iE iE 1f #�f iE iE ih ik X if �1P it it # iE iE it 9F iF jE if� iE iE iE i(� fh iF iF ik IF i( !E iE i! iE iE iE i: !f !k iF if iElF 3E iE iE iE iE IElE # iE iE �)f it # i!>c it iE if iF'R� �k # if iF �lE iE iF 9f ih iE iE ik f�- �%
I N D I V I D U A L F E E H R E A K D O W N
TYPE �iTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 1i00 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 1,100.00
END OF FEES
V
01 00163744-OQ1b3745 T�a T �7„=,p
DATE: p7/11/94 TI�IE: I1:14
A
CONSTRUCTION AND PLANNING POOL 2A
AM`PROVALS Permit# �ate inspector AppROVA�S Permit?� Date Inspector'
. t. Temporary Ele[trical Service�ol Pole 52. Pool & Equipment Location �'
2. Soil Pipn�Undrgrnd. �% � 53. Steei Reinforcement -; :l
3. Electrica� Conduit Utiliry-UnQcgrnd. 54. Forms -�' �
4. Electrical Conduit-Undrgmd. 55. E�ectrical Bonding � �
5. Steel Reinforcement 56. ftough Plumbi�g & Pressare Test �
i
6. Electrical UFER Grnd. 57. APPflOVAL TO COVER-GUNITE �
7. Footings 58. Electricai Conduit�Undrgrnd. ,�
8. Foundavon ;_� /., 59. Gas Pipe, 0 Undrgmd., Ten % I
9. Water Pipe-Undrgrnd. � � � r 60. Backwash Lines, P�Trap, O Undrgrnd. ' r; ' �
70. Structura� Floor SVstem .:�� � �� 67. APPROVAL TO DECK ��-�'�; ..�
17. Property Sewer Line & Hoiue�Connection 1\ , 62. Backwash & ReceptorFinal -�/�'-�`
72. Sewer CaP ir i�. 63. Heaier & Vent-Final
73. Roof Drains • 64. Plumb�ng System - Final ��'
14. Aough Plumbing 65. Electrical-Final •v
15. Rough E�ec!rical-Condu�t 66. Solar Svstem-Final
16. Rough E�ectric Wiring 67. Fencing & Access Approval -^ �
17. flough Wiring Sign 68. APPROVEO FOR PLASTERING `
I
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEP/S FINAL
19. flough Heating & Air Conditioning PIRE DEPT. REQUIREMENT (
20. Rough Factory Firepiace APPROVALS Permit #
21. Ducts, in Structure . 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas � Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof 'rraming � 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Root Sheathing 7i(� R!{ �l.V�/ 74. Overhead Hydro �
26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical �
27. Fsame and Flashing 16. Dry Standpipe .
28. Lathing & Siding � 77, FIXED SYSTEA1 FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Dry�vall Nailing ' � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION �
�32. Electrical Power Meter Finai � 80. FOOD CERTIFICATE ISSUEO
33. Final Eieciric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test � �
36. Hood or Canopy '
37. Final Factory Fireplace � � �
38. Final Plumbing
39. Water Service�Final
40. Gas Serv�ce-Finaf
47. Soiar pomesticFinal
42. Backflow Preventer . ,
43. Backflow Irrigation � �
44. Landscave Irrigation Sys.em -
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDtNG y�--l�_sr 6W/(• �
ci
46. FINAL PI.ANNiNG . ' '
49. Electric Release to Edison "
50. Gas Release to Southern California Gas Co ,
51'. CEflFIFICATE OF OCCUPANCY .
No. Da2e
�
.�oo�csaem�owc: g03 LOMBARD CT ��{ _('
' b,measr+aeiviu+avw: DENNIS LONG `�1 `(
. A°OflE� 903 LOMHARD
; COSTA MESA,CA 92626
�cr�. wuuNc �ooxess:
AfICNRECT OX ENtlNEEX:
urcx. ox erx.�s �oo�ss:
uxr:
��✓
IIC. N0:
UNT:
coNm�cTarsruwe: COAST TECH SERVICES ( 714 ) 589-6592
CQANACTORSYNIING 14 SANTA CATRINA
�o^� RANCHO SANTA MARG CA �G� 355425
92688 uNT:
LICENSED CONTHALTOPS UECLAPATION: I Mraby oflim uMx pereYy d pe�ury thet I am liceneed uMm povisims d Chaqer 9
�mmmentlng xil� Sec�ion )W0) d DNuion 3 d tM &reimae aM Pmineuns CoEe. aM mY ���� b in lull lau eM e11eA.
� no.: 5168 uc.cuss:C 20 uc.No: 355425 X/P: /12/95
Dme: � ConUeCa: �L� � �C���/
ER BUIL�EH OECIAXATION: I Mreby elfirm uMx penaly d perN�Y �� I em awamp Irom tM ConVeqwv Limnee law la Ihe
Idbwiq ieeson (Seabn )W 1.5 Bus'vwaa eM Prdmsbna Code: R�ry cly a couMy xfiidi repuirea e pemiil to omavun. Ma. improva.
'emd'eh, a repei ary alNclure, prior io na owerce, ebo requires iM epplirent for wch parmn �o fib a epiwd eletemenl ihel M a sM
: IicenaeE Wn�� �o Ihe pwiaione d Ue Conlreclwe License law [Cheqx 9(rommmaip xilh Sedion )000) d Orvebn 3 d �M
dusinesa eM Profeaiona Code] w thet ha v ehe ia exemq Ihsehom enE Iha besia la Na ellped uamqion. My videton d Saqion
]03t.5 by eny epWium lor e permN wEjecb IM epDlcenl lo e cvil panely d ml maro ihen five huMreE Eollen �SSW�).
❑ I, m ownar d ihe O��Y or my ampbyeae w1h wepee ea thai eole canpensetion, xill Eo ihe woA, end tha eliucture u nd inieMeE
or ollered for aele (Saclion )OI<, Butimm arM Proleaeiona COEe: The Comrepo�a licenae Lew doee rwt epply lo en ownerol prapa'ly
who Wilds or inprovee �hereon, eM wha dwe euch wwk Nmaell or herseq a throu0h ho a har own amployem, D��ded the' euch
improvemmU ere M interded a aH«ed lor eele. II, however, ihe buitli�q a inpiwamant n edd wnhin me yeu W mmpb�ion, tM
wrer-buiNar will have Ihe WNen d 0�'��0 � or ehe did rat WiN w improve far Ihe WN�e ol eele�.
❑ I. m ovmer d Ihe pmpMy, em exdiniveM ���ec1�q vrilh IiceneaE coMreetwa �o conmue iM projeq (SeqUn )06G, Buair�efa eM
Proimsiom Coda: TM Conveqon License Lew doea mt epqy lo en oxner d prapeM ��itle w impovm thereon eM who
mnvecm b wu prqada wilh e ooMredor�e) IcenseA Wnueni �o tha Coniredaa licerue Lew).
❑ I em uamq uMx Sxiion: B. 8 P.G.. la �hia reiwn:
Deb: Owner: �
i eo n,�nr �r mm i� a..�a a.m �d«.�d ina nc��mm.�n a c�aomm �u, d,e sd�r coee s«a�. zssos. usro..oe
?5511. uM Uat I a anY M1�ure CuiNirp o�wpant xill / w/l rol (acb one) need �o canply wYh eeid mte mdu vd ihs mpui�mnems for
eParmnlummvud'anumoGfralianhaniMAi�y wpemem0ofriq.flevEenlielmmtiud'anWO�ioroenmemP�ImmIMu
pIWIHl0119.
Deta: Applcem:
WONKEN'S COMPENS�TION DECLAXATION: I Mraby dfim� uMx panelry d pejury me d Ne /dbwirp Estleraona:
� I have vM wil meimen e cenJcele d coneen� lo eeMineun br worken' canpenaetun, sv protided lor by Seeion ])00 d �ha lebar
c�, ia ma reno��a a�n� � io,.n��n m�a c�n �. ���ee.
❑ I lieve eM vAI meiMein woMen' campanution inwranm, m rpuired by Sepion 3)OD d the leEor Cada, M On peitormence d iM
Wq�t �IX W�IIC�1 �h9 �IB�T115 981M4. �AY WIXMBIB COIIIpl118811M 111911lBIICB fP1110f Bfld N�KY IIYTbB! Bfl:
c�«:
Poliry Number.
(This ucfion neeC rrol be complered i fM perml is la one hvndred ddlers (SfOJ) w b.)
I cenM Ne� in iM1e pe�lomurcv d tM work i« xfich ihu permn n ivued. I q p vry penon in enY mamwr eo m to
eecoma wqee �o �ne won�ere canp.�wlan �ew a cmiromie. eiw e ny�n ouw n«oma wqeu io �ns woikan'
peM1ve�ion p(rw�eiona ion �]00 d t�e labor Code. I e1Wl farth�p �v �hova qwieone.
' �
Dete: � ) � �GW�aru.
Wemlip: FeNun ro aecw woikxi rompauetlon covasp� l� unNwN( mtl aIWI NEMr en emvloys ro c�lminl ven�/!la mC
elN� nnu w ro aw n'ndro0 ehouuM Ao/l�n fstPqawA InW�lltlon ro tln rost or rompxwWn d+�p� u povlWG ror In
Sxtlon JlP6 0l IM LeDor Codr, /nMsa4 aM ettumsy'i /su.
CONSTIIUC110N IENDINO �dENCY: I MreEy elfirm uMp penaXy d pxjury ihm �here u e conq�upion bnNrp epency br tM
peAmmaMe d iM xak br whicM1 IM1� G+��i u oeued (Seuion 9091. Crv. Cl.
LENDEP'S NM1E:
LENDEH'S ADDFESS:
i�an�N mm i nave reae mm wwke��, rw in� ine enoro mi��, re �o�rea. i ac� m wmwr wan di ar.�e �w�n aa�nenw
enEstatelaxarelatiptoWildinpcon dioneMM�ebyeWho�rte�ep�asenle�rveadlhiadly�oenlarupon�Mebove�menlionedp�apMy
�011fle(IBL1WflpYfpJ309.
DO DEANGELI�
,(S151de WP) wnno-B�ae:q a sde�y:
�
Dete C � �i
Pink-Rma�ue: GokenrobNxseor
PERMIT NO: M
CITY OF COSTA MESA — BUILDING PERMIT
073101 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N
PERMIT TYPE; MEC
JOB DESCRIPTION , A/C UNITS 6 F.A,U.
CLAIM VALUE: CALC—VALUE;
PERM NO; M 073101
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT:
GROUP OCC: R—J /M-1
COMMENTS: X
�*�******�**�x���x�**�***��****�*rt**�*���**�*�***�***��******�r�***+��*****+�*��***
Z O N I N G R E Q U I R E M E N T S
S E T H A C K 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: 41808232 ZNE: REF NO:
PLANNING NOTES>
i
jE jE jf �f �f aE iE iF if 1F iE Ik iE �f if 1E 1E �f if iE iE iE iE iE iE iE 1E if it 1E if iE iE 1f ik iE if iF ib * 1f jE 1E if iF 1F 1f if iF iE if 1E iE if iE iE iE �E iE aE if 3F iElk jE if if ik fE ik * 9E aE iF fE iF iF 1E 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
ZONING APPROVED HY _ __ DATE: __
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: DATE: �����1�
1fiElfiEiEiflEiFiEiEiEiE1E1EfE1EiEiEfEiE3EfE � iElEfF3E3EiEdfifiE* i61E
LEGALIZATION:N F E E 5 U M M A R Y STRUCTURAL S GMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 20,00
25� SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—>
TOTALS---->
15.00
PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
20.00 15.00 i 0.00 35.00 35,00 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 35.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
35'.00
iE �E 3ElE iF iE IE k if k!E iF iE 1E 1E ff iE 1F �f iE fE fF iE �E 3E fE if if iE �F 1E fk iE iE �t �E 1E 1E fE 1E 1E iE iE ik iF if� 1F 1E 1E iF 1Flf iE if 1E iF k 1E iF fE iElE it iE 1E �E fE 1E 1E 1E 1k 16 aF 1E ff 1E iE iE 1F
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
/ i
MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9.00 9,00
MEC 1 REFRIGERATION SYSTEM '> 100 K HTU/H 11.00 11.00
END -OF FEES
/
.ns o1.ci+��s�r�s-J�or.sTsh}:M� •r�_e-r- .��.oa
�F:�`i J!/1Ac�Ft�ti 13i3C, hL�i ��:
CONSTRUCTION AND PIANNING:�
HPPROVALS Nermit # �
1. Temporary Electrical Service or Pole
2. Soil Pipe•Undrgrnd. ,
� 3 Electrical Conduit UtilityUndr9rnd.
4. Electrical Conduit�Undrgrnd.
5. S[eei Reinfortement • .
_6: Electrical UFER Grnd.
7. Footings � -
8. Foundation
9. Water Pipe-Undrgrnd. � '
.10. Structurai Floor SYstem -
11. Property SewBr Line & House Connection
12. Sewer Cap
13. Roof Drains
74. Rough Plumbing
15. RoUgh Electrical-Condult ,
i6. Rough ElectricWiring �
77. Rough Wiring Sign
18. Rough Electrical-T Bar Ceiling
79. Rough Heating & Air Conditioning -
20. Rough FactorY Fireplace .
21 . Ducts, in St�ucture
22. Ducts, Ventilating
23. Gas Pipe-flough & Test
24. �Roof Framing
25. Roof Sheathing
26. T�Bar Ceiling (Structural) & Monocoat
27. Frame and Flashing
28. Lathing & Siding ' . .
29. Insulation
30. Drywall Nailing
31. Plaster Brown Coat
32. Electriwl Power Meter-Final
33. Final Electric .
34. Final Heating & Air�Conditioning
35. Final Gas Pipe-Test �
36. Hood or CantlPY
37. Final Factory Fireplace
38. Final Plumbin9
39. \Vater Service�Final
40. Gas Service�Final
41. Solar �omest�c-Final
42. Backfiow Pre�enter �
43. Backflow Irrigation
44. Landscape Irripation System'
45. Sound Attenuation. _
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas fielease to Southern California Gas C
51. CERTIFICA7E OF OCCUPANCY
Oate
Date � I nspector
�
POG_ � SPA
APPROVALS Permit.#- Date Inspecror
52. Poo4 & Equipment Location '
53. Steel Reinforcement •
54. Forms
55: Electricai 8onding . �
56. Rough Plumbtng & Pressure Test
57. APPROVALTOCOVER-GUNITE
5$. Electricai Conduit-Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash l.ines,�P�Trap, � U�dr9md.
61. APPROVAL TO DECK � •
62. Backwash & Receptor�lyal
63. Heater & Vent-Final � . L �
64. Piumbing SYstem - Final
65. Electrical�Final '
�66. Solar System-Final
67. Fenci�g & Access ApProval
68, APPROVED FOR P�ASTERING
69. POOL!SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
APPRQVALS Permit #
70. Underground Hydro
77. ProduCt Piping � Gas ❑ Oil
72. Underground Flush
73. Undergmd. Smrage Tank O Gas ❑ Oii
74. Overhead Hydro
75. Dry Chemical .
76. Dry Standpipe ' -
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
80. FOOD CERTIFICATE ISSUED
Notes:C.i�%L--�i[ - .ci/I n�---�
0
.
\
IDHFSSOFBNLWG: 9O3 LOMBARD CT
"'s'i'"'E'F'wa"": DENNIS LONG
"°01�' 903 LOMBARD
� COSTA MESA,CA
AVPI. IW1II1G �DDRE55:
urcxrtecr ox �xn�¢n:
,�xcw on e+�c.�s �ooxEss:
cartn�crarswu�: COAST TECH SERVICES
LONiIUCTOR5YYl1NG 14 SANTA CATRINA
�nonEss RANCHO SANTA MARG
92688
LICENSED CONtAACTONS DECLAPATION: I MreW Mim wMer pe�aEy
�m�m,^1�n0 �h Section )OW) d Oiviaion 3 dlha Buaineu enA Profneio
�'/uc.��1o.: 0 5 S 16 8 ��c. cuss: C 2 0 ��c.
L . / � � F_. (�i/ c� _ . . /
u�T \ CITY OF COSTA MESA — BUILDZNG PERMZT
92626 PERMIT NO: E 073102 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE
�CNO JOB DESCRIPTION . A/C UNITS & F.A,U.
uxr:
CA
jury �he� I
e, eM my
559�
(714)589-6592
°GNDo 355425
// uxr:
Ikery6juMer qoviaions of Chepter 9
: 12/95
0�BUILDEIi DECLAIiRTION: I hereby alfirm uMar psndy ol pd�ry Ihel I e�iS e�empt Irpn �M Comreaae Limree Lew Iw Ihe
I n0 ��n (�� )091.5 Bue'vreee eM Prde»ioro COEa: A�ry tilY a muntY �ich rpuiree a pe�mA to conelr�ct. ellar. impravs.
emoln�, a repei vry sliuMure, qia to ils eeue�e, eleo reyuirw ihs eppli�anl lor auch peimil �o fib e upneA etetemenl the� M a aM
IicenaeE Ounuent lo IM povisian d IM Caniredore Limnss lew jChap�or 8(commemiip xilh Setlion )000) d Divibn 3 0l lho
ueinme eM Profeeaiwu Code� a Ihet ha w ehe ia azemq iherehom eM IM Wus Iw Iha dlepad uemqion. My videlion d SeUion
]031.5 by eiry epplirani lor e permn eubjetle IM epplksM to e m�il penMy ol not maa Ihen Ma huMrad dollere �5500�).
� I,eeowrerdthapropenymmyempbyeeewYhwepueetMivAsrompemelbn,willEothaMOA,eMtMewnureurwinteMed
n oRereE tor eab (Section 1a46. Buei�wea vM Pmlmebne Catls: TM Comrapws Liceros lew doea mt appym en ownerd popeny
who Wida w inpovee theraon, aM Wa Eoee euch wak NmwX p henel w Wwph hi a her own amplryese, pwiEed ihet auch
impv+mmama ere rot imended a dlareA ta seb. tl, Mwewr, tM buiMiiq a unpo.anonl b edd v.ilhin om yser d wmde�ion. �M1e
axnar-0uildar xill heve �M WrEen d povi�q M or ehe d'd m� build a impm.a /a iM WNae d aele).
❑ 1. m mmx d tM p�opeiry. em extluervey contrW'vp wuh licanssd mnbectpe ro mruvur, tlq qqeu (Swon )014. &uirees W
Pmtmioru COAe: Tha Contretlon Licenes lew doee �M xpph� lo en ownar W peopeny xfio buiNe a inyimvr thxeon vd xfio
cantrecb M wd� w9eqs with a mmroea(ellicemM Wnueni m �M CaNrman Liunee LeM1.
CLAIM VALUE:
CALC—VALUE:
PERM NO: E 073102
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT:
GROUP OCC: R-3 /M-1
COMMENTS: X
�r�x*+r*x****�r+�**�+�x�***��+�***+�*�****�******+r+�**x*****�*���+���******�+r*�*�*�*****
Z O N I N G R E Q U I R E M E N T S
S E T B A C K 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: 41808232 ZNE: REF NO:
PLANNING NOTES>
i
fF If if iF iE If if if if 3f !E if 16 iE iE iE if iF iF iE if iE iF if iE iE iE iF iE iE iE 1E iE iE iE iE iE iE 1E iF if iE iE iF if if iE if iE �f if iE iE iE iE k iE iE 3E iF iE iE if 1E �E iE iE if iF iF if aE jF iF i4 3E iE i4 iE
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 BY .
HUILDING APPROVED HY :
❑ i��.�,a��e«sen�,: e.av.c..i«Nn�: APPLICATION ISSUED BY:
Dete: Ovmx if 1E iF iE iE iE iF if If IF iF ik k ik IE iF iE IE if 1416 7E iE
I do hereby csnily ihet I em exare d W undenwd �M �pui�wnaMs d Cellamie IbMh eM Salery Cade 3eaiom 25505, 25533, eM L EGAL I Z AT I ON ; N F E E S U M M A R Y
YSSM. eM Ihel l or enY �uie WiNinp mvpent will / wil iwt (aRV �+) � b oomply wih uid tlete codm aM IM reQu'vemeMs tur
epermnlamnnruc�ionamddcmionhwntMAi�w�'enpamantD'atriC.RmkenlieloonpiutlioneppistipuerauemphomNpa BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE
°'°""°°' P ERM 7 T 7. 5 0
Dets: MWceM: 5 Q $
W OPKER'S CONPRIS�TION pECLAX�TION: I MreEy e/firm uiHx pwully d prjury ane d IM Mbwirp Mtlera�bu:
❑ I hevs enE vriY meintein e cmlAbele o/ cannm to soMinwn br workere' canpemtlbn, n praidad Iw by 3ec6an 3lao d ths Labor
Coda, la �M1s pedomunee N IM xak la whieh thla pemu ie IaueE.
❑ I heve ard xio mainten wwkeis' mmperwlon Inauruwe, u rp�irW by Swim 3100 d Ms lebar Code, tor the pMamenw W ths
woh la xfiich ihie peimil ie imueE. My wake�e' wmpnW bn insurenca umar uM pdiry number ve:
c�.:
Policy Numbar:
( eenion neeC not be cnmplefeE! tM pemiR ie br om ��nEied dWlere /St00J or haeJ
I cenly ihm in ihe paAamence al iM work Iw wfich ihie pertnu h inuW, I a em eiry pe�em in any menner eo u lo
becoma euEl� to tM warken' companemion lew ol Calilomla, aM ap tl I Id become eubjed to ihe workeis'
compensetbn qwiaiona of SeGian � 00 ot the lebor Code, I ehell twth ' xil ow provieiwm.
�y�e: � � nooicenu
W�m/n0� F�Ilun ro�scvro woArer�'rompwaXen rov�rp� I� unb ,�nd �Nll ub/cf �n w�vleyw ro cNM�u/ pen�Mr �M
clvll Anu y� ro ars h,ntlrM fhouurH tlo/kn (SIOQPOOA ����� ro M� ewf ol rompxuetrort tlemspu aa prov/Jed ror In
Ssetlon 3]O6 al Ihe LeDor Cods. InNn�f. arM �MmeY'� Iw.
CONSTNUCTON LEHDING AGENCY: I hmeEy elfirm uMer penMy of parlNry �hel �here w e connrveion kMi�p aperwy lar tM
�no�.M, a m. w� i«.n� m: w�� re�w.a cs.d� aoo�. c:. c�.
LENOEN'S NNIE:
LENOEP'S ADDN :
Iceh'iM1/thqlhevereedthis eMpqeihmihaeboveiNm�Wionocwnn.lepnetocanplyxiihellfilyeMmiinryadirorcae
eMatetelexerelmigtoW" w�uvueMn MreEyeuhorrtempeaentmiveadihuarytoenlxupontheabwa-memunadpapeny
iwinspx]ion purposas.
N DE GELIS
ome: �� f
(St51-46.WP) � Whna-Build'rqdSdetY:O�e�, enery-Appkranl:Rnk-Rmenue:GOltlenmJ-Aax�w
DATE:
DATE:
DATE• �
�**�*+c+�*� *x
STRUCTURAL EG ENT;N
SMIP/RES GRADING
SMIP/NON—RES
PI�AN
ISSOE FEE 15.00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 7.50 15.00 0.00 22.50 22.50 ,00
REVENUF. DIVISION TOTALS--> COLLECTED: 22.50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
2 2 . rJ Q
ik 1E'IE iE'k iE IE fE iE 1F 1f 1E 1E'N-iE iE �If iE iE if-if 1E iE �IE iE if aE if 3f if� 1E �lE IE # iF iF 1E ik 1E 1F 1f *!t iE iE' fF 1E ff iF if 1k # 1E �f 1E �E �1E iE iE 3E �F jE �lE �E iE �E iE Ik ik If 1E iE iE iE'lE 1E iE ih 1f
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY
ELE 1
D E S C R I P T I O N
MOTOR/POWR APPARATUS 1,1 — 7.0.0 HP
END OF FEES
�� I� �' �W
�
UNIT COST TOTAL COST
7.50 7,50
iil G�LEi4=S—uGI�SSi3 '� v"t' 2?.,�p
�ATF.� %;','^,`�9;'� TIfSE: i5:25
�
�� CONSTRUCTION AND PLANNING � - POO� 3PA
� ArPROVALS Permit #� Date Inspector APpROVALS Perm`it # Date inspecior
1. Temporary E�ectrical Service or Pole 52. Pool & Equipmeni Location .
.
2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms '
4. Elecirical Conduit�Undrgrnd. 55. Electrical Bonding . : •-
5. Steel Reinfo�cement 56. Rough Plumbing & Pressure Test .
6. Electrical UFER.Gmd. 57. APPROVA� TO COVER�GUNITE `
7. footings � - 58. Electricai Conduit-Undrgrnd.
8. Foundation . 59. Gas Pipe, 1� Undsgrnd., Test �
9. Water Pipe�Undrgrnd. _ 60. Backwash Lines, P�Trap, n Undrgmd. �
10. Structural Floor System '. 61. APPROVAL TO DECK ' �
11. Property Sewer Line & House Conr�ection ' 62. Backwash & Receptor-Finei
�
12. Sewer Cap � � � 63. Heater & Vent-Pinai � �
13. Roof Drains ' 64. Plumbing System - Pin51 T
14. Rough Plumb�ng - 65. Electrical-Finai . �
75. Rough Electrical-Condui[ - � 66. Solar SVstem-Finai ��
16. Rough ElecUic Wiring 67. Fencing & Access Approval
77. Rough Wiring Sign 68. APPROVED FOR PLqSTERING
18. Rough Elect�ical-T Bar Ceiling 69. POOL/SPA SYSTEPAS PINAI
19. Rough Heating & Air Conditioning FIRE DEPT. REQUtREMENT .
20. Rough Factory Fireplace . APPROVALS Permit #
21. Oucts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping C� Gas ❑ Oil
23. Gas Pipe-Rough & Test `. 72. Underground F�ush �
24. Roof Framing ' - � 73. Undergrnd.5torageTank OGas ❑Oil __,�
25. Roof Sheathing � 74. Overhead Hydro a' �
26. T•Bar Ceiling (Structurall & Monocoat 75. Dry Chemical ��;
Z7. Frame and Flashing 76. Dry Standpipe �' ,'~,+ �- i
29. Lathing & Siding ,-' -� � 77. FIXED SYSTEM FINAL _�
29. Insulation � 78. FIRE PREV. FINAL �
30. Drywall Nailing HEALTN DEPT. REQUIREMENT
31. Plaster Brown Coat 79, FINAL INSPECTION `'
32. Electrical Po`�`ier Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric - � Notes:
34. Final Heating & Air Conditioning -
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. Landscape Irrigation System
45. Sound Attenuation , .
46. Handicap Regulations ,
47. FINAL STRUCTURE & BUILD�NG , � '
48. FINAL PLANNING -
�
49. Electric Release to Edison . .
50. Gas Release to Southem Califomia Gas Co , - '
51. CERTIFICATE OF OCCUPANCY
No Date
. ' � . � . . . . . � j
TRACT "i0. /O ����u Z DATE . � �7 ! '
LOT.NO. -J Z .
ADDRESS �E%l �['i�2,>�l%�'�/-� �'��l2. J'�
Developmen[ Services Depnrt:�ent
Planning Division ,
, City oi Costa Mesa
. 7? Fair Drive - . . . �. .
Costa I4csa, CA 92b26
� Attention: Dir. Paul Dudley
Dear Dtr. I?udley:
Please be'aware that the undersigned are amare that a certificate of occupaney
on the.above referenced lot and.unit is bein� requested prior to the entire
tract and its streets and cormon areas beina completed and accepted by the
Clty of Costa Mesa.
B Y ' \ `�./�� �i iYL��_���'�v v v \_ , .
(SIC OF PURC}iA5 R �
� B��-� � �.� r/, P �
(SiCNA UR �OF DEVELOPL•R AND OR
10RI'GED REPRESE?�'TATIVF.) ,
� BY � (�'L_ d � U �✓`I��
� j ;SIGKATURE F LENDF,F) ,
' . '.,,
. �� �:::e
. r�:. >,�y. ,
,2E..��, ,
. r-� 1 a 19�1 :''�.�:
,
_ ... ... . :,:
OwNER BiDDLE DEVELOFMENP, INC.
JOB ADDRESS > , m ar
GF"'�RAL CONTRA TOR �e
A �-081- 2 LOT .33. TR
GAS
WATER .�
ROl1GH PLUMBIN
PROP. SWR. lIN
SPRINKLING SV'
MISCELlANEOU'
ROUGN HEnTING
T£MPORARY SEF
❑NDERGROUNO �
ROUGM WIRING
TRENCHES '�
i100R SVSTEM�
BONO BEnM �
SHEATHING
FRAME AND FLP
Lr1THING — IN I
P� "R, BViOW
5 JRqL, FI
ING, F
iIC, F
ur, c�
M
/IR CON01
STEEL FE
C04T
RL
REFPIG. r1N�'A.C.
ANO GRS TEST i
�
IRE
DATE
SU8CON7RACTOR
�J
7-13-79
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Comple[ely — Use Ink Only
BUILDING
ADDRESS
OWNER Biddle Development, Inc.�
ADDRESS 3H�FH CdIDpUS Dr. Suite 116
cirv Newport Beach CA No�540-5505
conisraucrioN N/A
1 FNl1FR
BRANCH
ADDRESS
ARCHITECT
nooRess3848 Campus Dr. Suite 116
cirv Newport Beach, CA No�40-550
LIC. N�. 286614 LICyNO. --
SIZE NO.OF BLDGS.
OF LOT -- I NOW ON LOT —
residential
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFOf±MED
Unit �� 32 (D) 1740sq.ft.
33 (C) 1603sq.ft.
34 (B) 1450sq.ft.
�arsaL 4'7G3 so. �•
I �ereby acknowledga thai 1 have reatl this application and state
that the above information is correct antl agree io comply with
all laws reguleting building construction, end I shall not employ
any person in violation of the workman's compensation laws of
tha Stace of California. ,
I hereby cerNfy that I am proparly Iicensed es a contractor untler
tha State ot Callfornia Business and Professions Code, Division 3,
Chapter 9, antl that such licensas ere in tull torce and eftect, or I
am exempt from tha provisions of ihe State�alifornia Business
and Professions Coda, Division 3, Chapt �
si9nature
Pefml
Authorizetl Agant �
�
6862 �.fl�Q. 250:97 TL
BLDG. �k 11 �
APPLICATION FOR STRUCTURAL PERMiT
9ECEIVEDBV DATERECEIVED nnTFissnFn
A.P. NO'�,}%Q•
BUILD�NG OO
ADDRESS(
TRACT
R
ED
LOT
TE
OF USE OF P
NS � BUILDING
VARDSAPPROVED
BET. MAIN & I „
�.r.,�/ .—[U'ZJL'J APPROVED (/' O�
'FOv J' '
2- !-��
)LD FOR SPECIAL REOUIREMENTJ �
N �n
m �
v �
SQ. FT, N
THE AMOUNTSHOWN UNOEF VALUATION IS FOR m
THE PURPOSE OF E5TABLISHING A PERMIT FEE ONIV: ��
LUAT OND PERMIT FEE $ d
s� �
m
P o !
_ $—�. -..� �
r
R
6864 7�13L79 369.50 TL''
COSTA MESA BUILDWGSAFETY DEPARTMENT APPLICATION FOR STR'UCTU�CAL PERMIT �� ��� �
..,........._ .... .........�..�....,....�.................�.. RECEIVEDBV PE " _ _
For Applicant ro Fill in Completely — Use Ink Only ' ��
BUILDING q,P, NO.
ADORESS
BUILDING
T�ENANT°RBIDDLE DEVELOPNIIIV'P INC. AooRess
MAILING 5 AIC�NO.
ADDRE55 3848 C 11$ �". StL1tE ZZE7
TR.NO. LOT BLK.
TEL.
CITV Ne ort Beach Ca. N�� 540-5505 NEW ADD ALTER RE7AIR MOVING DEMOLISH
CONSTflUCTION
LENDER
BFANCH
OWNER Bld� D2 LO �C
ADDRESS VALUE
ARCHITECT TEL. USE $
OR ENGINEER N .
ADORESS ZONE TVPE GROUP
APPqOVED
CONTRACTOR BV DATE
ADDFESS
TEI..
GTV NO.
STATE CITV APPROVEDSETBACKS
LIC. NO. � LIC. NO.
SIZE NO.OF BLDGS. 1FFOM C/LSTREET)
OF l0T NOW ON LOT RONT FT.
USE OF
EXISfING BLDG.
Separate permits are required for L. SIDE Fr.
electric, plumbing and heating work:
REAR FT.
VSE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
DATE
APPROVED
APPROVED
I hereby acknowladge that 1 have �eetl ihis application antl state '
that the ebove information is correct and apree to comply wtch
all laws regulating building co^struction, antl 1 shall not employ
any person in violation of tha workman's compensetion laws of
tha State of California. .
I hereby certify that I am p�operly licensetl as a contractor under SQ. FT.
the State of Calito�nie Business antl Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, antl that such licensas are in full force antl effact, or I THE PURP�E OF ESTABLISHING A PERMIT FEE ONLV:
am exempt from the Orov(sions of the State of California Business VALUATION PERMIT FEE S
antl Protassions Code, Division 3, Chapter 9. 36 5
SiBnature of PLAN CHECK $ _�_
Permittee S -O TAX $ -p-
or
Authorizetl ABant Date TOTAL PAID a 369. 50
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