HomeMy WebLinkAbout904 LOMBARD CT - Building PermitsPpi ']OXESS: 9O4 LOMBARD CT
o� NAME: LUTZ, CHRISTIAN C TR
nooeess: gp4 LOMBARD CT
't • COSTA MESA,CA 92626
AflCHIENGINEEP:
aooncss:
NEG.NO.:
UNIT:
uNiT:
renminEE: IIILT—WELL ROOF AND MATERI (719)739-1288
FDONESS: 3310 VERDUGO ROAD
LOS ANGELES CA 90065
LICENSEO CONTHACTOB OECLAPpTION: I here0y atlirm that t am Iicense0 unGer pmvisions o� Chapter 9(commencing with Seciion
7000) af Div',sion 3 of ihe Business and Pmfessions Cotle. and my license is in tull brce and etfect.
cirruc.: O�A076 sTaTeuc.:458005 SS' . 39 EXP: O5/95
�aie: 7��J�Q`/ Signature: �. R - ---
WOHNEflS' COMPENSRTION DECLAflATION: I hereby aifir ave a cenificate ol consenl to self-insure or a cenificate of WOBers'
Compensaiion Insurance, or a certilied caDY �hereol (Section 3800, Lab. C�.
raucrNo.: w937102984 EXP.�ATE: O%/I3/99
comvaxv: CAL COMP
❑ Cetli�ied copy is hereby fumishetl. �. Ceriifietl copY is tiled with the ciry BuilJing Diwsion.
date: ApplicanL
E%EMPTIONFBOMWOPKEflS'LOMPENSATIONDECLI�BATION: (Thi55ec�onneeano�becomple�e4i�thepermill5loronehunOrea(91W�orleu�.
I ce0dy ihat in Ihe pe�ormance ol ihe work lor which Ihis permi� is issued, I 1 employ any person in any manner so as ro become
subleci �o the Warkers' C mpensation Laws ol Califomia.
Oate: Signaiure:
NOTILE: IL aiter making Ihis Oeclara�ion, you shoula bec ' o[he Workers' Compensa�ion pmvision5 oi lhe La6or
Cotle. you musl fotlhwith comply with such pmvisions or t�is permit shall be Oeemed revoked.
CONSTPUCTION LENOING RGENCY: I here6y afiirm �hat ��efe i5 a tDnS�mclion lending agenCy fOr Ihe pedormante o� �he wark �or
wh¢h Ihis oermu is i=.suetl �Seclion 3097, Civ. C�.
LENDEB:
ADOFE55:
OWNEN BUILDEfl OECLAHATION: I here�y aflirm �hatlam eaempt trom Ihe Con(ratlors' State License Law forNe following �eason
�Seciipn 7037.5 Business antl PmlesSionai CoOe: Any cily o� caun�y which reQuir¢s a permii lo cons�mc�. al�er, improve, demolish, o�
repair any s�mcW�e. O�ior Io i�s issuance. also requires the applicani lor such Dermi� lo file a signetl s�a�ement Ihat he/she is licensetl
pursuani Io Ihe pmvisions oi Ine Contractors' State License Law (Chapier 9(commencinq wi�h Sec�ion 7000) oi Division 3 of ��e Business
antl Pm�essions Catle) or Iha1 �elshe Is exempt �herelrom antl I�e �asis lor Ihe allegeU exemption. Any viola�ion o� Seciion 7031.5 by
any applican� �or a permit sublecls Ihe aDPlican� to a civil penalry o� nai more than liv¢ huntlretl Collars �8500).
I. as owner of Ihe Dmperty or my employees with wag¢s as I�eir sole compensa�ion, will Oo the work, antl �he
❑ stmcWre is not intentled or o�feretl far 5ale (Seclion 7044, Business ana Pm�essional Cade: The ConVac�ors' State License Law
tloes nol aOVly Io an owner o� a propeny who Uuilds or impmves thereon, anE who Ooes such work himselt/hersetl or Nmugh
his or her own employees. Drovitletl that such imDmvemenls are not intended or oifere0 for sale. II, however the 6uiltling or
impmvemeni is SoIU wilhin one year of comple�ion. Ihe awner will have Ihe buraen al pmvinp he/she Oid no� builtl or improve
1or ine purpose of salel.
I, as owner of ihe pmpeny, am eMclusivery canlraciing with licensetl coniracmrs to consimct the D�oject (Section 7044, Business
❑ and Pmlessions Cotle: The ConVacrors' Siate License Law Ooes not apply to an owneroi pmperty w�o bwltls or impmves t�ereon
ana who conVac�s lor Suth prole��5 wi�h a contrac�or(5)liCense Oursuan� lo Ihe CanlractOrS' $�ate Litense Law),I am aware
tha� pmol al Iheir Worker'S Campensa�ion insurance shoultl he O�oviOeU �o me.
� I am exempt under Semion: B. 8 P. C.
lor �his reason:
�aie: Ownec
I do �ereby cetlily ihat I im aware of antl untlerstantl ihe requiremenis ol Califomia Health and Safery COJe Sections 25505, 25533, antl
25534 and Iha1 I or any IUNre building occupanl wilVwill not (cucle one) neetl to comply wit� said slale co0es and the requiremenis �or a
permit lor can5imclion or motlilicaiion Imm Ihe Air Oualily Managemen� Oisirict. Fesitlential conslmciion applications are exemp� imm
��ese orovisions.
�ate: Applicanl:
I here�y cetltly Ihat I have read Ihis application antl s�a�e Iha� Ihe above informalion is correcL I aA�¢e Io comply wi�h all ci�y and counry
ortlinancesana5lalelawsrelaiinglobuiltlmgconstmclionanaherebyau�honp re5en�ative5ollhiscilyloen�erupon�heabave�mentionetl
pmpetly forinspeclion purposes.
Dale: 'F��///� �_ S'g tu - O
flrivar's licensr nr Sncial Snrudm a- � � ' - - .. � . � ~
t64646 WM1ite—Bulloinq; Green—CoOe Enlorcemen�; Canary—Applicant: Pink—Revenue: GolEanrotl—Assessor
.
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 067958 PLAN CHECK NO: N
PERM NO: B 067958
GOVT; N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE; OTH
SOB DESCRIPTION : T/OFF S REROOF WITH COMP. S BUR IN BACK SQ FT: 1,100
CLAIM VALUE: 1,100,00 CALC—VALUE; I,104,00 GROUP OCC: R-1 /M�1
COMMENTS: SMC�KE DETECTORS ARE REQUIRED IN EVERY BEDROOM 6 HALLWAY �
*x��c*��**#*r.��*�r*�c**��*�r�r**x-****�**+�*x���c*�***�r�r*�r�r��r**��r**�r+�**�*****�***�r***��x�**
Z O N I N G R E Q 0 I R E M E N T 5
S E T B A C K S
------------ MAIN BUILL�ING ---------- --------- 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 IA1
PARKING REQ; PROL�; PARCEL: 91$08233 ZNE: REF NO:
PLANNING NOTE$> �v'
>
iE�t**it*ir***�*+r��itx�*�r#-x�i��rir***�**iri�**�r**�ri�*i�i�x�ir*���r**�rx�it*u�*�****tr*�itif�xfr3Fititi�*�r�tit*�rat
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 APPROVEP BY DATE:
HUILDING APPRUt.�ED HY ; DATE: .y
APPLICATION ISSUED BY: �� DATE; � ��
ifiEiFiE�lEiEi4iF'%1E'1Ei(�iElFkiF.i'ihK'K'iFiF'iFil-it !t iFiF# il- 1trt�tra� !t!t!t!liFiF�Fi�'.-�t�FiFitiFiF�:i(iE1F�lE'%�iFi!#1FiEit1C, yc hft- '1Eif
iE iE 9F iF #'� i4 if 3E �1(-iE iF IE iF jE 3F # iF iE iF 1E iF ic iE �K �K ii� iF iF 16 iF iF #* iF iE �1(� 7E dE'1(� 3E sE * if dE � iE iE'N' if !F 3F 7f !F iE �E if 1f �!'1E iE'lf iF i! if iE i(- 9E iF iE iF'1F if #:'IF �le iE 3: it'%
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 27.OU
PLAN
ISSUE FEE
HUILDING—DIV—>
TOTALS---->
PERMIT ISSUE PLAN—CHECK
2�.so o.00 o.eo
REVENUE DIITISION TOTALS--> COLLECTED;
BLDG PMT PLUMHING ELECTRIC MECHANIC
2%.��
FIRE SMIP/RES GRADING
50
SMIP/NON—RES
TOTAL PAID DUE
27.50 27,50 .00
27.50 OVER/3HORT; .00
FIRE SMIP/TOT GRADING PLAN—CHECK
.5�
it iF # ik i: iE it it iE iE i4 iE iE ie iElE �X- k iE iF it it iF �X-!F it i6 i4 i(� ii� i: iF iE 3F # iF iE if ## iE if if if iE i(�lc� aE iE ie iE # if 3: i! iE iF iF iE it iF # i! tE iE if� i! it x tt ic i! iF iF �k iE ic� #' it
I N D I V I D U A L F E E D 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
SFR 1100 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 1,100.00
ED1U OF FEES
Qt OOIb374b—OD1b3747 Tr3T
DATE: 07/�Ijq4 7IME: 11:15
V
27.it7
�Fi`JSTRUGTION AND PLANfdING POOL 'A
Date inspector Date I�spector
� /+PPROVALS Permit� APPqOVALS Permit#
�. Temoorary Electricai Service;or Pole 52. Pool & Equipment Location '
2. Soil Pipe�Undrgrnd. �� 53. Steei Reinforcemeni
3. Electricai Conduit Utiliry-UndPgmd. 54. Forms '
4. Electrical Gonduit�Undrgrnd. 55. Elect�ical Bonding
5. Steel Reinforcement 56. Rough ?lumbing & Pressure Test !
6. Electrical UFER Gmd. 57. APPftOVAL TO COVER-GUNITE � I
7. Footings 58. Electrical Condurt-Undrgmd. I �
8. Foundation .'� 59. Gas Pfpe, O Undrgrna., Test �!
9. Water Pipe-Undrgrnd. � i � ; 60. Backwash Lines. P�Trap, V Undrgrnd. '� 1
10. Structural floor System ��;l j';� 67. APPROVAL TO DECK �;�`,
11. Property Sewer Line & Hoiise`Gonnection �`/ •� 62. Backwash & Receptor�inal r '
/',
12. Sewer Cap 63. Heater & Vent�Final �,
73. Roof Drains 64. Plumbing System - fina� ':.
14. Rough Plumbing 65. Electrical-Final
1
15. Rough Electrical-Conduit 66. Solar System-Final `
16. Rough EleGtric Wiring 67. Fencing & Access Approval
�-
77. Rough Wiring Siyn 66. APPROVED FOR PLASTERING '
18. Rough Electricai-T Bar Ceiling 69, POOL;SPA SYSTEP.7S FINAL
l9. Rough Heat�ng & Air Condivoning � PIRE OEPT. REQUIREMENT -�-
20. ftouyh Factory Fireplace � . APPROVALS Permit � I
21. Ducts, in Structure 70. lSndesground�Nydro
►'
22. Ducts, Ventilating � 71, Product Piping O Gas � Oit
23. Gas Pipe�Rouqh & Tes[ . 72. Underground Flush
24. Roof Fram�ng 73. Underyrnd. Smrage Tank u Gas ❑ Oil
25. Roof SheaChing '7 /f�t� Gjv6/ 74. Overhead Hydro
[
26. T�Bar Ceifing lStrutturat� & IMonocoai 75. Dry Chemica! �
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Sidin9 77. PtXED SYSTEM FINAL
29. Insulation � 78. FIRE PREV. FINA�
30. Dry�vall Naiiing HEALTH DEPT. REQUIREMENT
31. Plaster BroWn Coat 79. FINAL INSPECTION
32. Electrical Powzr Meter�Final 80, FOOD CERTIFICATE ISSUED -�
33. final Electric Notes:
34. Final Heating & Air Conditioning ,.- �
35. Final Gas P�Pe-Test �. � �
36. Hood or Canopy � �
37. Final Factory Fireplace
38. Final Plumbing -
39. Water Service�Final
40. Gas Service-Final
41. Soiar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Aitenuation
46. Handicap aegulations �
47. FINAL STRUCTURE & BUIID�NG �O�-� �('�.�
48. FINAL PLANNING � '�
49. Electric Release to Edison '� �
50. Gas ReVease to Southern Caiifornia Gas Co �
51. CERTIFICATE OF OCCUPANCY
No. Date '
'�:tE+cT ::o. 10445 nn7•L October 2� 1980
t.o'� �o. 33
ADDRLSS 904 Lombard Court, Costa Mesa, CA 92626
Developm��nt Services Dep:i;tc�en[
Ylannin�; Division
City of r;osta rtc,a
77 Fair Drive
Costa ?1esa, CA 92626
Attention: Atr. Paul Dudlcy
Dear �tr. Dudley:
Please be aware that the undersigned are aware that a certificate of occupancy
on the above referenced lot anc( unit is bcing requested prior to the entire
tract and its streets and cor.mon areas Urino comple:ted and accepted by the
City of Costa Ptc^,a.
BY �i�/`„ `����c`.�- v`,'���
OF
BY
(S GIU. 'IJRE OF DEVLLOP@i2 �\ll OR
RUTlIOR ' ED REPFfiS�I�TATIVF,)
i
BY ��—�
;SIG\:�,TU . F LENllF.fi)
`��'" 061980