HomeMy WebLinkAbout914 LOMBARD CT - Building PermitsPqOJECTA[�'S8 9S4 LOMBARD CT
OWNEN'S�: FLEISCHER, KAREN R
nooAEss: g 14 LOMBARD CT
' COSTA MESA,CA 92626
APCNIENGINEEB:
ADOHESS:
flEG.NO.:
IINIT:
UNIT:
PEflMITTEE: HILT—WELL ROOF AND MATERI (714)739-1288
aooness: 3310 VERDUGO ROAD
LOS ANGELES CA 90065
UCENSEU CONTBACTOH DECIABATION: I hereDy affirm �hat I am licensetl unaer pmvisions o� C�ap�er 9(commencinA wi�h $ection
7000� ol Drvisian 3 oi ihe Business and Pro�essions Code. ana my license is in tuil force antl eBett.
cirruc.:03907F sraTeuc.:q58005 � ^ 39 EXP; OS/95
Da�e: ������� Signature: —
WONNEFS' M ENSF710N 0 CUNRTION: I here�y afiirm thai �ave a ate of consei b sei4insure ar a ceni�icate o� Workers'
Compensaiion Insu�[ance�or a certifietl copy Ihereol (Sec�ion 380 L ).
POIICYNO.: w7jl1Q14S9 EXP.ORTE: O%/13/99
COMPRNV: CAL COMP
❑ Cenilietl copy is hereby Iumishe0. � Ceni�ietl copy is IileA with �he ci�y Builtling �ivision.
Oale'. NpplicanC
E%EMPTION FPOM WOPNENS'COMPENSl�TION OECLANATION: Qhi55eciion need nolbe tompletedi�the pertmiisfarane AunOreA�5100�orless).
I certily I�ai in I�e petlormance o� �he work �or whic� this permi� is iss , hel at employ any Oerson in any manner so as to become
sublee� lo Ihe �W /ej Ca e�� rry'nsa�ion Laws ot Calilomia.
Oate: __./�, �L%y Signaiure: �'
NOTICE: I( ailer making �his 4edaraiion. you 5houlA 6ec ' Ne Workers' Compen5ation pmvisions oi Ihe Labor
CoOe. yau musl �atlhwiih comply wi�h such pmvisions or �his permii s�all be tleemetl revake0.
CONSTflUCTION LENDING AGENCY: I hereDy al�irm that �here is a cons�mction lending agency for the pedormance o� [�e work �or
wnich ihis permil is i=sued ISedion 3097. Civ. C).
LENUEH:
AOOPE55:
OWNEB BUILOEq OECIAPATION: I here0y aifirm ��at I am eeempt from ihe ConVactor5' State License Law tor �he following reason
�Seciion 7031.5 Business and Pro�essional Code: Any ci�y o� caunry w�ich requires a permi� to constmct, alter, impmve, demolish, or
repair any slmcture, prior to its issuance, also reduires ihe applicant for such permit to file a signe0 statement Ihal he/she is licensed
pursuam to the pmvisions o� Ihe Contractors' State License Law �Chapler 9(commencing wi�h Sec�ion 7000) ot �ivisi0n 3 0� the Business
and Pmfessions Code) or that helshe is exempt iherefmm and the basis lor ihe allegetl exemption. Any violation af Section 7031.5 by
any applicant for a Oermii suUlects ihe apDlicam lo a civil penalry ol not more than five hunEreE Oollars (E500�.
I, as owner oi ihe pmpeny or my employees with wages as iheir sole comDensation, will do tAe work, and ihe
❑ s�mcture is nol in�enAeO ar offere0 �or sale (Sec�ian 7044. Business an0 Professional Code: T�e Contractors S�a�e License Law
�oes nal apply lo an owner of a prop¢hY who builds orimproves Ihereoq and who tloes such wofk himselt/Aefself or�hrough
his or her own employees, pmvitled iha� suc� impmvemenis are not inlentle0 or offere0 for sate. If, �owever the builtlinq or
improv¢ment is 5oltl wilhin One year ol tomple�ioq the owner will have Ihe 6ur0en Of pmving he/She tlitl no� builtl or impmve
br the Durpose ol sale�.
I, as owner ol ihe pmpetly, am exclusively coniracting with licensetl contractors to constNct the prole�� (Section 7044, Business
❑ antl Pmiessions Cotle: The Contrac�ors' State License Law does not aDOq to an owner of OroOenY who Duilds or impmves Nereon
antl wha comracis lar suc� prole��s wiih a con�racmqs) license pursuani lo Ihe Contractors' S�a�e License Law). I am aware
�hat pmo� o� Iheir Worker's Compen5aiion insurance shoultl be pmviAeJ �o me.
� I am exemp� untler Seclinn: B. 8 P. C.
lor ��is reason:
Oate: Owner.
I tlo �ere�y cemly Ihal I am aware ol antl untlerstand �he requirements of Cali�omia Heal�h and Satery Cotle Sections 25505, 25533, antl
25534 and thal I or any luture builtling occu0an� wilVwill no� (circle one) neetl Io comply with said staie cotles antl ��e requiremen�s fo� a
permil br constmction or motlification Irom Ihe Air Ouali�y Management Disiricl. PesiOenlial consimction apDlications are exem0� <<om
Ihese pmvisions.
�aie: Fpplicant:,
I �¢re�y c¢rtilythal I have read this applicaiion antl Slaie
ortlinances antl siate laws rela�ing �o building consimciion ;
pwperiy for m pecli n purposes.
Oa�e'. /�% Signalure:
is mrrecl I agree to comply with all ciry and coun�y
nta�ives oi this ci�y Io enter upon ��e a0ove-meniionea
Onver's License or Social Sewrily p: � .(�,/
t6abn6 WM1ne—Bmlainq�, Green—Code EnlorcemenC Canary—Applicant: Plnk—Revenue: Goltlenrotl—Assessor
s
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO; B 067969 PLEIN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
PERM NO: B 067969
GOVT; N SUPP; N
PORPOSE; OTH
JOH DESCRIPTION ; T/OFF 6 REROOF WITH COMP. & BUR IN BACK S(,� FT: 1,100
CLAIM VALUE: 1,100.00 CALC—VALUE: 1,100.00 GROUF �CC: R-1 /M-1
COMMENTS: SMOKE DETECTORS ARE REQUIRED IN EVERY HEDROOM G HALLWAY
iF if� i' i( �/C #�lE # iF iF #� iF 3E iE 3( 3t iE if �1E iE dE iE iE 9E iF # iF iF if iE i69E iF �1E ic if-iE 3E iE Y� iF # iE if iE iE iE 9E ic 1c 3' iE af iF jF iF 3F iE 3E !c iF �k #* iF 1F �IE # jE 3F iC # Ic iE iEiF �lE iF �F
Z O N Z N G R E Q U I R E M E N T S
5 E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FANT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 41808243 ZNE: REF NO;
PLANNING NOTES>
?.
,j,`•A
iE iF iR iF iF iE iE iE if iE iE # 1E 1k9ElF ik iE if iE �7E iE iE iE iE iE # iEif i4 iE iE iE 9F 9E if 3E # iE 3E-k ic # 3f 3c iE i@ iE iF iE 9F �1: # ic 1f fE iF iE iF iE 1E if iE IF 3F iE iF if i�:j�' iF ih iE iF k%�1k * dF
D E �� �y 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':T S
�i +
20NING APPROVED BY DATE: �
BUILDING APPROVED BY : �j,�/�� DATE; r• p
APPLICATSON ISSUED BY: / ///� DATE: : !
i( k�l.lEifit�E�*#`fEi(.3E,;YCiFiFif*iF*�C .. F x r. x�c ce.R. , rrx� **if.%�)f3F1Fit���— n. -�`! �
jf iP iF iE jF IF ib 3F 1F iF iF � iF M 1c {E iF iF iF iF iE iE iE 3E if IF if �!E �f 3E iF it if iE iF iE iE 4E it it � aF #F iE 1E iF k iE #-iE 3F #�E iF �e 9f j! iE �E iE iE 3F i6 iE # if it iF . E�F iF+E iF iF -%� 1f �: if
LEGALIZATION:N F E E S U M M A R Y STRUCTORAL SEGMENT:Y
BLDG PMT PLUh1BING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 27,00 ,50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 27.50 0.00 0,00
REVENUE DIVISION TOTALS--> COLLECTED;
BLDG PMT PLUMBING ELECTftIC MECHANIC
2%.��
TOTAL PAZD DLTE
27.50 27,50 .00
27.50 OVER/SHORT; .00
FIRE SMIP/TOT GRAL�ING PLAN—CHECK
.50
iE iE iE i(� it �k # ie # it i! iE ir iE iF iE � iE if ie iF i! iE iE 3E iE fF iE ir 1t 1E iE iE iE iE it-IE iE it it i! iF if it iE it i4 # k k iE iE iE iF �lE it if iE it iE it if iE iF irlt it iE it tt iE iE iE 3(- if� iF iE 3k jf
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 rOST TOTAL COST
SFR 1100 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 1,100.00
END OF FEES
V
O1 00163765-00153767 T�7 T 27,5D
DATE: �J7/il/94 TIISE: 1i:23
CONSTRUCTION ANDPLANNING POOI SPA �
AePROVALS Permit# Date inspector APPROVALS Permit# Date Inspector'
V��1.. TemporaN Electrical Service oc�Pole i 52. Pool & Equipment Location .
t �
2. Soil Pipe�Undrgrnd. �-r 53. Steel Reinforcement
3. Electrica� Conduit Utility-Undrgrnd. 54. Forms �
4. Eiectrical Conduft-Undrgrnd.` i 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electricat UPER Grnd. 57. APPROVAL TO COVER-GUNITE '
7. Footings 58. Elecirical Conduit-Undrgrnd. �
8. Foundation -`� 59. Gas Pipe, � U�drgmd., Tesc
9. Water Pip¢-Undrgrnd. ' 1 60. Backwash Lines, RTrap, � Undrgmd. ,�
10. Structura� Floor Svstem � ' ;;i 61. APPROVAL TO DECK ^
17. Property $ewer Line & House � nnection -�� 62. Backwash & Receptor-Final
12. Sewer Cap i '� 63. Heater & Vent-Final ,..
i':'.
. -e
13. Roof Dreins 64. Plumbing System - Flnal -c%
74. Rough Plumbing 65. Electrical�Fina1 �
15. Rough Elearical-Conduit 66. Solar System-Finai �'
i'
7 6. Rough Elactric Wiring 67. Fencing & Access ApP�ovat
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Eloctrical�T Bar Ceili�g 69. POOL/SPA SYSSEnAS FINAL
19. flough Heating & Air Conditioning F�RE DEPT. REQUIREMENT
�
20. Rough Factory Fireplace APPROVALS � Permit #
27. Duccs, in 5tructure 70. Underground Hydro
22. Ducts, Ventilating . • 77. Product Piping GGas ❑Oii
23. Gas Pipe�Rough & Test , 72. Underground Flush
24. Roof Framing 73. Undergrnd: Storage Tank O Gas ❑ Oil
25. Rooi She2thing 7`��.G1C� ���( 74. �Overhead Hydro
26. T�Bar Ce�fng (Structurali & Monocoat 75. Dry Chemical I
27. Frame and Ftashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINA�
30. DryLvall Nailing ' HEALTH DEPT. REQUIREMENT
31. Piaster Brown Coat 79. FINAL INSPECTIpN
32. Electrical Power h4eterFinai 80. FOOD CERTIFICATE ISSUED
i
33. Final Electric Notes: '
34. �inaV Heating & Air Conditioning �
35. Final Gas PiDe-Test
36. Hood or Ganopy .
37. Final Factory Fireplace � _` I
38. Final Piumbing I
39. Water Service�Final
40. Gas Service-Final �
47. Solar pomestic-Final
�
42. Backflow Preventer �
43. Backflow Irrigation
44. Landscape Irrigation System �
45. Sound Aitenuation � .
46. Handicap Regulations '
47. FINAL 57RUCTURE & BUILDING Q`A-�y ��y�i -
V
48. FtNAL PLANNiNG �
49. Electric Release to Edison .
50. Gas Relea5e to Southern California Gas Co � �
51. CERTIfICATE OF OCCUPANCY
No. Date
r
�rQncT r:e. 10445 i>,�T� Auqust 12, 1980
i,d: �o. 43
ADDRESS 914 Lombard Court, Costa Mesa, California 92626
Development Scrvices ilep:�rt:;ent
Plannin�; Division
(;ity of Co;ta f;css
77 Fair Drive
Costa !1csa, CA 92626
Attention: Dir. Paul Dudlcy
Dcar �lr. Dudley:
Please be aware that the undcrsigned are aware [hat a certificate of occupaney
on the above refcrenced lot and unit is bcinF requested prior to the entire
tr�ct and its streMs and coranon areas being completed and accepted by the
CiCy of Cos[a Atesa.
/�%�
BY ✓ �(/'c�{r Gc,r�
(S�GNATUi.E , • PURC ^`P �
BY
(S1GI1%. UftE OF DEVLLOPBR A1'll ()R
����ESUTHOR 'GtD RF.PP�ESEPiTATIVI:)
� �� ���
,SIG\;,TIJFE OF I.G6'llI�:R')�
�ECEIV��
�G E 01�°,
Variances:
�� REPORT OF INVESTIGATION �
Assigned to:
Case No.: �� -1
❑ Building Division
C.U.P.'s: � Planning Division Assigned to:
❑ Joint Investigation � � ` p�
��CJ��ext�C�• 5��1-�' Date: O
Received by: �
��-e'���-G �—��, ��c�cJ -�1� % ���c-1 ��� �
Complaintant (Print) ('qmplaint Address
Complalntant (Signature)
Atltlress
�051�- O �/' ��>
Telephone Nu ber,
Nature of Complaint:
Dare
Investigation by: ��r� �N�Sr/e
Inspector
Building Permit Files Reviewed:
Initial and Dare
Assessor's Parcel No.
Violation of C.M.M.C. Section (s�:
Name of Tenant (if applicable) +
�� 7
Name of Properry Owner � Telephone
Owner's Residential Addres5
Time of Day (if applicable)
Zoning Files Reviewed:
Map No.
Initial and Date
� � � � � � J r � I G � i �r
I R� I / � �1L�� i ♦ u�
'� �•.. G_ � i � i � � � . � •
C�13� _ _� . s � rr � � � �
I � Iri � � �
NOTICES:
1st Given:
Date
2nd Notice:
Time Allotted for Correction
5-day maximum time
Certified letter advising that if violations are not corrected, the complaint and all supporting data will be forwarded
to the City Attorney's office with request for prosecution.
Date Mailed Date Received 7-day recheck of site
Filesforwarded to City Attorney's office with request:
Initial and Date
CMF 0829-30 rev.4/83