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Home My WebLink About909 LOMBARD CT - Building PermitsPfl0'l�",TAOUHESS: 9O9 LC�MBARD CT OWNEf'*SNRME: HUDSON, KIRK W PODFESS: HUDSON, DENISE K � 24821 HENDON ST `' LAGUNA HILLS,CA 92653 NflCHIENGINEEfl: FODNESS: flEG.NO.: UNIT: UNIT: PENMITTEE: $jLT—WELL ROOF AND MATERI ('719)739-1288 aooeess: ;�310 VERDUGO ROAD LOS ANGELES CA 900F,5 UCENSEO CONTPACTOP OECIAHATIUN: I hereby affirm tha� I am licensed untler pmvisions oi Chapter 9(commencing with Sec�ion 7000) of �ivision 3 0l Ihe Business ane Pmlessions Co�e, an0 my license is in lull �orce and el�eci. ciTruc.: 03907F STATELIC.:QSBOOS /�G� /39 EXP: OS/95 Oa�e: ��L�� SignaWre: —/ /7��/. WOFHEFS' COMPENSFTION OECLAFpTION: I Aere6y aflirm �hat i¢ale di consen[ m self�insure or a certi�icate o� Workers' Compensalion Insurance a� a ce dietl copy thereoi (Section 3800. Lah. C�. POLILY NO.: W`� � l 1 U�q � g E%P. URTE: U 7/ 1 3/ 9 9 COMPFNY: CAL COMP ❑ Cetliliea coDY is hereby lumishea. d Cerlifiea copy is �ile0 wilA lhe cily Builtling �ivision. Jate: ApPlicant E%EMPTION FflOM WOXREPS' COMPENSRTION OECIAflFTION: (T�is section neetl na� be camplere0 if �he De�mit is Iorone �untlretl (5100) ar less�. I ceriity �hai in ihe petlarmance oi the wark for which Ihis permii is issuetl I shall no� emp any person in any manner 5o as �o Decome SUble�� o Ihe Workers' Compensa�ion Laws of Cah�omia. �ale'.- �/��/�Y SignaNre'. �� . _ NO7ICE: If. afler making this declaration. you shoul0 DPDacw-lfl0�ect to the workers' Compensation D�ovisions of the Labor Code. you must forthwith comply with such provisions or lhis permit shall De tleemeC revoke0. CONSTBUCTION LENDING NGENCY: I here�y aflirm Iha� there i5 a COnstmC�ion lentling agency lor the pedarmance o� �he wotk fOf wnich I�is permil is iuuetl (Sectian 9097. Civ. C�. LENOEfl: ADUNE55: OWNEB BUILOEN DECLABpTION: I �ereby allirm that l am exempt �mm the Conlraciors' State License law for ihe following reason (Sec�ion 7031.5 Business antl Pmiessional Cotle: Any ciry oi county which reQuires a permit �o cons�mc�, al�er, improve, tlemolis�, or repair any s�mc�ure, prior lo ils issuance. also re0uire5 Ihe apPlicant �or such Oermit �o �ile a signetl statement thaf he/she is IicenSeA pursuam m the pmvisians oi Ihe Conlracmrs' State License Law (Chapter 9(commencing wilh Seclion 7000) of Division 3 of ihe Business antl Pmlessions Code� or that he/she is exem0� therelrom antl Ihe basis lor Ihe allege0 eremp�ion. Any viola�ion af Sec�ion 7031.5 6y any applicant tor a permi� 5ubject5 i�e applicant �o a civil penalry of no� more Ihan live �untlretl tlollars (E500�. I. as owner oi ihe pmpeny ar my employees with wages as iheir sole compensation, wili do ihe work, antl t�e ❑ stmcmre is not intenUeO or olfere0 far sale (Section 7044, Business ana Pmteuional Code: The Cantractors' State License Law aoes no� apply �o an owner o� a pmperty wM10 builOs or improves thereon, and who does such work himself/Aerseli or �AmuAh his or her own employees, pwvitletl Nat such improvemen�s are not inlendetl or ottered �or sale. I�, howeve� the builtlinp or impmvement is sold within one year o� compleiion, Ihe owner will have Ihe burtlen o� pmving he/she OiA no� bui10 or impmve lor the purpose ot sale). I, as o�vner of Ne pmDerty. am excWsivety contracting with licensetl coniractors to constmct the D�oject (Section 7044, Business ❑ antl Pmfessions COUe: The ConVacmrs' State License Law Aoes no� appry to an owner of pmpeRy who builtls or impmves �hereon antl who conlracis for suc� prolec�s with a contracmqs) license pur5uani �o �he Conirac�ors' Sta�e License Law). I am aware tha� prool ol Iheir WOBer'S Compensation insurance shoul0 be pmvi0e4 �o me. � I am exemp� untler Section: B. 8 P. C. tar Ihis reason: �aie' Owner. I Eo �ereby ceni�y Ihal I am aware ol antl understand ��e requiremenis ot Cali�ornia HeaIN and Safery Cotle Sections 25505, 25533, antl 2553a antl inat I or any iWure builtlmg occuDant wilt/will not (circle one� neetl to comply wit� saitl state catles antl t�e requiremenis lar a permit for conSlmciion ar moddicaiion fmm Ihe Air �ualiry Management OiSViC�. Residential tonsimcti0n apDliCaliDns are exempi �mm I�ese provisions. Daie'. ApplicanC. I hereby [erlityihal I have reatl��is ap0lica�ion antl slaie thal Ihe aboveintorma�ion is correc� I agree to camply wilh allcity antl coun�y ortlinances antl s�a�e laws relaling to �uiltling cons�mction and herehy aul�onze reD�esen� ives o� Ihis ciry �o enler upon I�e aUove-mentionetl O�aPetly forinspeclian urpases Daie: �/.t�� __ Signaiure�' �—//� �tv 16<L46 While—Building: Green—Cotle Enforcement; Canary—ApplicanC Pi�k—Revenue; Goltlenrotl—Nssessor CITY OF COSTA MESA — HUZLDING PERMIT PERMIT NO: H 067963 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PERM NO: B �67963 GOVT: N SC1FP; N PURPOSE; OTH JOH DESCRZPTION ; T/OFF & REROOF WITH COMP, 6 HUR IN BACK SQ FT: 1,100 CLAIM VALUE: 1,100.00 CALC—VALUE; 1,100,00 GROUP OCC: R-1 /M-1 COMMENTS: SMOKE DETECTORS ARE REQUIRED IN EC�ERY BEUROOM & HALLWAY #i(�iEiE*#'*iF*i:�#'3EiE#-x-3fi�iE*iC�1!-iFx-iFi�iEiE�F3Ei�*�)E#iFiF#-Ni�lFiEiEiEiFiF�F*ifiEiE�ieiEiFi��if��FlEiFi(�#**�it�F�CiE�JFiEif*i:�x%'�F�T #i�F 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 ---------- --------- ACCE5SORY 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: 41808238 ZNE: REF NO: PLANNING NOTE5> ,• .> -x��tx�**�r+c�**ic�*x��c��**�t**itx��***�*x��tit*�a��t��k*�t*�f***�c-*�t�tt�r�x�t�t�t*�+r+r*�c�*�tit**�c-'�'jt�*n��**�x�x-x D E V E L O P M E N T S E R V I C E 5 R E Q U I R E M E N'!I' S f,' ZONING APPROVED'BY DATE: :w BUILDING APPROVED BY : DATE: i;'s APPLICATION ISSUED BY; �/Y%`- DATE; �*�*��***��*��.�.��* *..�...� * �-��.�.��*�� , 4� iE iF iElF iElf if if iFlF Y#'� iF 3F if !E #- iE?e if �7( iF iF iF 3F 9E iF iE 7E iE iE if iE 9[� iE �K * if #f !:� iE # iE'1E iE if !E!E i6 �)E ik if iF fF 1E iE iE 3f !E iF'K' iF iE iF iF �f i(� f4 iF 1f iE jE M� iElE it iE if 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.Q0 .50 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT IS5UE PLAN—CHECK TOTALS----> 27,50 0.00 0,00 REVENUE DIVISION TOTALS--> COLLECTED; BLDG PMT PLUMHING ELECTRIC MECHANIC 2%,�� TOTAL PAID DUE 27.50 27.50 .UO 27.50 OVER/SFIORT; ,00 FIRE SMIP/TOT- GRADING PLAN—CHECK .SO 1E iE if iF'1E it iF iE jE Yr iE iF iF iF M� 1F iF if iE �E * 9F iF iE 1E iE if iE iE iE iE 3¢ iE �F iP i(�#-±f �F 9E iF iE i4 if iE �E iF 1E M tE 1E it iE iE-)E iE aF iE it 3P iE it 9E iE 3E it i' 34 # k ic iE if iE iE iE if -k 9M1 I N D I V I D[J'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 SFR 1100 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 1,100,00 END OF FET'S V O1 0016375b-OOib37S7 T�] T ?7,SD DaTE: Q�/11194 TIi1E: 11:19 CQJSTRUCTION ANDPLANNING POOL A � -� �APPROVALS Permit # Date Inspector pppROVALS Permit # Date ' InsPeccor + I i. Temporary Electrical Service:o; Pola 52. Poo7 & Equ�pment Locetion �'� 2. Soii Pipe-Undrgrnd. '%. 53. Steel Reinforcement � 3. El2ctrical Conduit Utility-U"ndrgrnd. 54. Forms �,.- i 4. Electrical Conduit-Undrg; nd� 55. Electrical Bonding I 5. Stee! Reinforcement 56. Rough Plumbing & Pressure Test �� 6. Electrical UPER Grnd. 57. APPAOVAL TO COVER�GUNITE � �I Z Footings 58. Electricai Canduit�Unc:rgrnd. � 8. �Foundation '�'. 59. Gas Pipe, O Untlrgmd., Tes[ ��. 1� 9. Nlaier Pipe-Und�gmd. �� ; r�� 60. Backwash Lines, P�Trap, C] Undryrnd, �� ! � i 70. Structural Floor System '.:%� �'� 61. APPROVAL TO DECK -`� -� I i1, Property Sewer Line & Housg�ConneCiion r�: � $2. Back�vash & Receptar�Finai �;',!:.� �� 12. Sewer Cap ,�;' ! 63. Heater & VenfFinai .��" 13. Roof Drains + 64. Plumt�ing System • Fina� 14. Rough Plumbing 65. Electrica6Pinai 15. Rough Elecvicai-Conduit 66. Solar System-Final „' 76. Rough E12ctric Wiring 67. Fenciny & Access Approval ; ll. Rovgh Wiring Sign 68. APPROVED FOR P�ASl�ERiNG ,,'J 1 E3. Rou h Electrical-T Bar Ceiiing ! 9 69. POOUSPASYSTEhASFiNAL 19. Rough Heating & Air Condit�oning " PIRE �EPT. REQUIREMENT ' � � 20. Rough Factory Fireplace APPROVALS Permit # ( 21. Oucts, in St�ucture 70. Under9round Hydro 22. Ducts, Vantilatin4 77. Produc! Piping (�Gas UOiI 23. Gas Pioe-Rough &?er , 72. Underground F;ush 24. Roof 'rraming � 73. Undergmd. Storage Tank O Ga; � Oii 25. Rocr Sheathina ?��..l� r�(,�,� 74. Overhead Nydro I 26. T�Bar Ceiling (Structura�l & Monocoat 75. Dry Chemicai � 27. Frame and fl�shing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINf'1L � 29. insul2tion 78. FIRE PREV. FINAL 3Q. Drywall Nailing � � HEALTH OEPT. REQUIREMENT � 31. P�aster Brown Coat � 73. FINAL INSPECTION ' � i --- � 32. Electrical Powe; Meter�F:nal II�. FOOD CERTIFICA� E ISSUED 33. Final Eiec,ric Notes: � 34. Pinal Heating & Air Conditio�ing �) ' I 35. Final Gas Pipe-Tes: � 36. Hood or Canopy ' i 37. Final Factory Fireplace � 38. Final Plumbing - � 39. Water Service�Finai � 40. Gas S2rvice�Pina1 41. Solar pomestic-Final 42. 8ackflow Preventer . � 43. Backfiow Irrigatior. 44. Landscape Irrigation SYstam I 45. Sound Attenuation 46. Handicap Fegulations 47. FINAL STRUCTURE & BUILOING .�/� L�cf �(�,� ' 4$. FINAL P�ANNING � . ' 49. Electric Release to Edison - 50. Gas Reiease to Southem California Gas Co "�" � 57. CERTIFICATE OP OCCUPANCY � No. Date l 'iRACT :;0. �/� i.a� �o. �� ADDR�SS y%y ��7'I?�L� L�L' Developm��nt Services Depnrt�;ent Plannin�; Division City of i:osta P!esa 77 Fair Drive i,ost� ?1esa, CA 92626 Attention: Atr. Paul Ducilcy Dear Mr. Ihidley: ��nTc �' -D4 -�/ Please bz aware that the undersigned are aware tha[ n ccrtificate of occupancy on [he above referenced lot and unit is bcin� requcsted prior to [he entire tract and its streets nnd cor.anon areas bein� completed and .ccepted by the City of Costa Mess. - - - �� f � � / BY .s..,� D. /rfe«:'�� (SICN. T4�UAE FO PURC/1.T ) � BY o �. (SYGNr'. UIix OF DEVELOPBR ANll OR riUT� R -'LN:D REP SE�dTATIVE) aY X GC�� .c—l��C �"'' ;SIG^iI,TURF: OF' .en�vrr.) - ='� _ .. . � : .� .. r _f 2� �JU� OWNER BIDDL JOB ADDRESS 9 GENERAL CONTRI 418-081- �TIONS 4'. $ s, LOT cns WnTER �p � ROUGM PLUMBING s PROP. SWR. LINE � HOUSE CON. � SPFINKIING SYSTEM ' MISCELLANEOUS ROUGN MEATING AND AIF CONOITIONING � TEMPORARY SEFVICE OA POLE UNOERGROUNO � I POWEH G ROUGN WIRING TRENCNES FOFMS STEEL REINf. FLOOR SYSIEM� 7— — BOND BE�M rj STEEL PEINFORC _ SHEATHING FRAME �NO FLASMING LRTNING - IN �� P�ASTER,BROWN COA 5' �qqL, F�NRL M, . VENT., REFF GRS TEST DATE •d Gourt BUILDI DESCRIPTION of WORK 3 TRACT FIRE ZONE VALUE Si nat�re Date TYPE GROUf SUBCONTRACTOR / �� f,j ,S �,c.Qq { 1. ,�Rc a« �.J b5 '-�"�7'PJ n�n.l;� ,AS-3aa�� ro J v F � W a Q � H x F O F Q r.i a a > } .a a w O a. 0. z 3 COSTA MESA BUILDING-SF(FETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING �� 686 7T13%79 243.65 TL BLDG. �k 13---- . ..- �- - -- -. _.. APPLICATION FOR STRUCTURAL PERMIT RECEIVEDBV DATERECEIVED nn�rricsiiFn OWNEF RiddlP Tlavalnnmpnty Tn �+.r.rvu MAIL 3848 Campus Dr. Suite 116 ADf�RE ADORESS cirv (. New ort Beach, CA nTio�40-5505 T CONSiRVCTION W i cn�nFa . N�A BRANCH ADDFESS aooResslSO Newport Center Dr. NB CONTRACTOR$1Cid1E Development, Inc. ADDRESS 3848 Campus Dr. Suite 116 cirv Newport Beach, CA nTio�540-5505 STATE CITV LIC. NO. LIC. NO. — 512E - I NO.OF BLDGS. OF LOT — NOW ON LOT — USE OF EXISTINGBLDG. T2S1d0RClH1 electric, plumbing and heating work. USE OP Uilli 1 jfG 3i$ D�.4)RK LZ25�SGRftRMED 4p 39 (C) 1603sq.ft. �k40 (D) 1740sq.ft. TD77aL 4to2'1 St� FT I har¢by acknowletlge thet I have reatl this applicetion and stete ihat the above informetion is correct antl a8�ee to comply wlth all laws regulating� butltling construction, and I shall not emplay any person In vialetion of the workman's compensatlon laws of the State of Celifornia. 1 hereby certify that I am pro0erly licensed as a contractot �ntler xne State of California eusiness antl Professions Cotle, Division 3, Chapter 9, antl that suc� licenses are in ful orca antl atfact, or 1 am exampt from the provisions ot the ot Californla Business antl Professions Cotle, Divislon 3 r 9. Signatur Pet Author zetl Agent OWNER FIRE ZONE APPROVED ' NE NO.OF � PLANS ` VARDSAPPROVED MAIN BVILDING FROM C/L STREET) �c/"� I PERMITNO. DATE VARDSAPPROVED � F'I:i �FT. � DISTANCE BET. BET. MAIN & MAIN BI(D�GCS. /� ACCESS BLDG/S.� rAi i o#�f✓ 7 7SS�� oAeoE...�r. /// �.�i THEAMOUNTS THE PURP�E OF VALUATION' $ f�� pv , � neTr /��/h� AL REOUIREMENT: /�� N / \ n ;� 0 m �m N ^ � , V VN UNDER VALUATION IS FOR p� 'ABLISHING A PERMIT FEE ONLV: � PERMIT FEE $ a n (� . m �l PLAN CHECK $ ^� \ o � TAX $ LL , D � � U TOTALPAIO $ 6868 ��3/79 359.00 TL�' COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR�6CRI�fURAL PERMIT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 RECEIVEDBY P I a - - For Applicant to Fill in Completely — Use Ink Only ' BUILDING A.P. NO. ADORESS BUILDING T�ENANT°RBiddle �2Ve10 ent IRC. ADDRE55 � UNIT OR MAILING 3848 Ll$ 1}i'. .SUl.te �.16 SPACENO. ADDRE55 TR.NO. LOT BLK. c�T� Newport Beach, Ca. No�540-5505 NEW AD� ALTER REPAIR MOVING DEMOLISH CANSTRUCiION LENDER BRANCH OWNER Bl�e �Vel� ent Co. ADDRESS VALUE AFCHITECT TEL. USE $ OR ENGINEER ADDRESS ZONE TVPE GROUP APPROVED CONTRACTOfl BV DATE ADDRESS TEL. CITV NO. STATE CITV APPROVEOSETBACKS LIC. NO. �IC. NO. SIZE NO.OF BLOGS. (FROM Gl STREET) OF LOT NOW ON LOT RONT FT. VSE OF EXISTING BLOG. F Separate permits are required for L. SIDE Fr. electric, plumbing and hea[ing work: . REAR FT. USE OF BUILDING AND WOfiK TO BE PERFORMED PLANNING ACTION DATE APPROVED n �S APPROVED I heraby acknowletlge that I have read this application antl state °i n that the above information is correct and agree to comply with � all laws regulating building construction, antl 1 shall not employ � any person in violation of tha workman's compensation laws af d the State of California. m 1 hereby ce�tity that I am properly licensetl as a contractot untler SQ. FT. �`+ the Staie of Caliiornia Businass and Professions Cotle, Divisian 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, antl that such licanses are In f�ll force an0 effact, or I THE PURPOSE OF ESTABLISHING A PEflM1T FEE ONLV: e am exempx from tha provisions of the State of Calitornia Business VAIUATION PERMIT FEE $ q antl Professions Cotle, Division 3, Chap<er 9. �+ m PLAN CHECK § ^ Signature ot -0- -0 � � Permlttee $ TAX $ -O- � or U Authorizetl Aeent oate TOTAL PAI D s 359.00 .