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HomeMy WebLinkAbout920 LOMBARD CT - Building Permits(714) 754-5273 • Fax (714) 75M1-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT Job Address: 920 LOMBARD CT Suite No Viciniry: FAU IN GARAGE/AC IN SIDE YARD Parcel Number: 41808249 Applicant: COLE, MARTIN Address: 11861 CARDINAL CI UNIT F GARDEN GROVE, CA Phone: 714-534-8474 Zip: 92843 , Owner: JOHANNSON, JAMES Address: 920LOMBARD CT� � Phone: 714-751-4603 COSTA�MESA, CA Zlp: 92626-6926 Contractoc BEC AIR COOLING AND HEAT.ING Address: .11861 CARDINAL CI � . - UNIT F . - ' ' Phone: 714-534-8474 GARDEN GROVE, CA Zip: 92843 � � License: 710334 SCOPE OF PERMIT INSTALL NEW 70K BTU FORCED AIR UNIT�& NEW�A/C CONDENSING UNIT. FEE SUMMARY - ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU � Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate AppFVenC Air Handlers < 10000c(m �` AirHandlers> 10000cfm � Floor Furnace Floor or Suspend Heater Quantiry $23.50 $14.80� -1 . . . $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0. $0.00 0 $0.00 0 �, � $0.00- 0 . , $0.00 0 " $0.00 ,0 � - $0.00 _ .0� � . 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 . 0 $0.00 0 ISSUED BY: � Repair/AltAbsorbtionUnit ` Repair /-Alt Refngeration Unit - Ventillation-System Evaporative Cooler Commercial I n ci ne rator � Domestic Incinerator , Compressors / Absorption Svstems , � ��Upto3hp/100kBTU - 3To15hp/SOOkBTU � 15To30fipL1,000kBTU - �" 30 To SO.hp % 1',750��k�BTU � . , � Ove`r 50 hp / Over 1,750 BTU �, Boilers Upto3hp , � �� �.3To15hp � ' � 15 to 30 hp , � - 30 to 50 hp , � , Over 50 hp . � , Other Mechanical Fee , " Investigation Fee � Plan Check Fee , ' Reinspection Fee � � TOTAL CALCULATED FEES Status: ISSUED Applied: 04/12/2005 Issued: 04/12/2005 ' �. Quantity $0.00 0 $0.00 0' $0.00 0 $0:00 0 $0.00 0 � $0.00,� 0 - $0:00 0 $0.00 , 0 $0.00" 0 $0.00 . 0 $0.00 0 S1470 1 ' i $0.00 0 / $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 E53.00 INOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related . regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply wiih all applicable codes, and all required inspectlons and final epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 �eao-ae ttiw� WORKERS'COMPENSATON DECLARAnON: ` I hereby eHirtn under penalty of Oerjury one a� the following decleretlons: ❑ I heve entl will meintain e cehificete oi consen� !o sell-Insure br workers' compensatlon, as pmvided for by sedion 3700 of (he Lebor Cotle, for the pedortnance of Ihe �wor�C for which ihis permit is issued. p�l'have end will maintein workers' compensation insurance, as required by section 3700 of the Lebor Cotle, for the peAortnance of the work for which this permit is issued. My workers' ca pansetion Insurence cerder }nd policy number ere: � �^ C_e �-''^''r� � �iJ CPtlIIiyNu __mber: �� V�� ��� �(Th!s sectlon need n�be cromp/eled A the pa��t i value0 a( one hundred dallers ($ I00) or /ess.) �-�� ❑ I tertify that in Ihe pertortnence ol ihe work for which ihis pertnil Is issued, I shell not employ any person in eny manner so as to bemme subl�t �o Ihe work2rs' compensation laws of Calitomia, entl eg het If I should become sub�ecl lo Ihe workers' compensation pmvisions of Section 3700 of the Labor Gode, I shell fort�wllh Comply with the�se pr jn�s. ApplicanDSigneture�` ///.�� eler/^^`"� n p �� ��' WARNING FRILURE TO SECVPE WORKERS' IX�PENSATION COVERAGE IS UNLAWFUL FNO SHALL SUBJECT FN EMPLOVER TO CRIMINA� PENALTIES AND CIVIL FlNES UP TOONE HUNDRED T110USAND DOLLARE (510p.000). IN ADDITIqJ TO THE COST OF COMPENSATION, DAMAGES NS PROVIDED FOR IN SECTION 3)O6 OF iHE LA80R CADE. IMEFEST, AND ATTORNEVS FEES. LICENSED CONTAACTORS DECLARAiION: I hareby attirm Ih LLamJicen urd r ro wnrs o.i Chapler 9(commencing with Seclion 70W) of Division 3 t1�ae iness �1 Profes�s�ion�Cotle, and my license is in full force and eHe[t. �r�—J � / ��� `�L. Gess'� �- �� � C�otraclofs'Slgnefure: �" C't.� ggte---Y`=''. � Z (�12 CONSTRUCTION LENDING AGENCV: ❑ I hereby attirtn ihat there is a consWc�ion lending agency for ihe pedormanca ot ihe work lor which ihis Dermit is issued. (Sec. 3097, Civil Gotle). Lentler5 Nam¢: Lantler's Atltlress: Signature: Date: OWNER-BUILDER DECLARATIONS: 1 hereby ettirtn thet under penalty of perjury �het I am EXEMVT FROM THE CONTRACTORS LICENSE LAW lor the lollowing reason (Sec. 7031.5, Busi�ess antl Professions Cotle: Any City or COunty whith require5 B permit to consiruC�, elter, improva, demollsh, or repeir any simcWre, prior to its issuance, elso requires ihe appliCant for such permit to tile e signad stetement that ha or she is Iicansed pursuent to the provisions oi the Contrectors License Lew (Chapter 9(commencing wit� Section 7000) ot Divlsion 3 ot the Business entl Professions Code) or ihat hB or she is ezempi Iheralrom and ihe besis for Ihe ellegetl e�emption. Any violation of Section 7031.5 Dy any applicant for a Oertni� subjecis ihe appliCent t0 B Civil penalry of not more ihan tive hundred doliars ($500).): ❑ I, as owner ol the properry, or my emp�oyees wi�h weges as Iheir sole compensatlon, WILL DO 7HE WORK, antl t�e siruaure is not interWeO or ofreretl for sale (Sec. 7044, Business and Prolessions Code: Tha Coniractors License Law tloes noI epply to an owner ol propeny who builds or imD�o�es ihereon, and who tloes such work himsetl or hersetf or through his or her own employees, provided t�et such Improvements ere not Imended or ottered for sale. If, however, ihe building or improvement is sdtl wit�in one yeer ol comple�ion, ihe owner-builder will have �he burtlen ol proving Iha� he or she did not �uiltl or improve for Ourpose of sale.�. ❑ I, as owner ol Ihe properry, em E%CWSIVELV CONTRACTING WITH LICENSED CONTRACTORS lo consiruct ihe project (Sea 7044, Business and Protessions Cotle: The contrectors License Lew tloes not epplY to en owner of pmparty who bulltls or Impmves thereon, and who contracts for such project with a contracbr(s) license pursuant t0 the Coniractors License Laws.). ❑ I em exempt under 58C. Signature: Owner ID venfietl by tlriver's license. (] Ves ❑ No Business antl Prolessions Code for Ihis reason: Venfication of Ownerehip by (rype ol documem, i.e. - property tav bill or Ceed): Oriver's License No. Date: Expires: DIVISION OF INDUSTAIAL SAFETY PERMR CERTIFILATION: ❑ I hereby certity that no e:wvation fiv0 (5) or more feet in depih into which a person is required to descentl, will be matle in connection with work authonzed by Ihis permit, and ihat no builtling slrucNre, scaHOlCing, falsework, or demolition or dismaniling ihereof, will be more than thirty-six (3fi) feet high. (Chap. 3.2. Gry 2, Art 2, Sec. 341, Ttle 8, Calitomia Aaministrative Cotle). ❑ As owner-builder, I will not employ a�yone to do work which would raquire e permit from Ihe Division of Indusirial Satery, as notad a6ova. unless such person has a pertnit ro do such work irom the division. SignaNre: Date: Division of Indusinal Safery Permit Number: CER71flCATE OP COMPIJANCE AND AUYMORVA710N OF ENTRY: I certity under penalty ol perjury Ihat I have read this epplication antl state thal ihe information given is correct. I agree to wmply with all stete laws enC ciry ortlinances rela�ing to huilding cons�mctlon, entl authodza representatives ol ihe Cily ot Costa Mesa to enter upon the above-described propeny tor inspection purPoses. I egree not to occupy or allow occupancy of eny builtlinq authorized by lhis permit until linal inspection. GQOE /, INSVECTIONTYYE 1616 FizeO System Final Fire Prevention 1266 Pool Spa Finel 200 Final Re-Root 207 Final BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 20G Final Demolition '` m ? %'S �� 0�1 • -.,.. O te�; Qdjj WLIL�L$ GQQES INSPECTIONTVPE 206 Final Mechanical 20B Final Plum6ing 210 Final Elecirical 272 Final Flre Prevention 220 Final Plenning Approval 222 Final Sile 250 Final Building/Occupency p\TE � � x ,� �a �� Jr�� ��f � q2o �mba�rd �- APPROVED CITY OF COSTA MESA �PLANNING DIVISION SUBJECT TO BLDG. DEPT. REG. NOTE: ADDITIONS, DELETIONS, OR CORRECTIONS SHALL BE APPROVED BY THE PLANNING DIV. BY:�_ DATE�� PHOJECTROOHESS: 9ZO LOMHARLI CT �7WNEN'SNFME: EATON, BONI L �Ai7�NESS: 9ZO LOMBARD COURT � COSTA MESA,CA 92626 PPCH/ENGINEEfl: nooaess: HEC.NO.: UNIT: uxir: vewminEe:HILT—WELL ROOF AND MATERI (714)739-1288 AOUflESS: 3310 VERDUGO ROAD LOS ANGELES CA 900F,5 LICENSEO CONTPACTOB OECIAHFTION: I hereby a�hrm �ha� I am licensetl untler pmvisions of Chapter 9(commencing with Sec�ion 7000� ot Division 3 ollhe Business antl Pmiessions Cotle, an0 my license is in �ullforce antl e��ec�. ciTruc.: 03�4��0��h6��STRTELIC.:QjQQOS C 39 EXP: OS/95 �ate: _�{j //� Signamre' _ _ WOflKEflS' CO PENSATIOM N OECLAqATION�. I hereDy aflirm Cehi�itaie 0� tonsent lo Sel4insUre or a certi�itat¢ o� Work¢rs' Compensalion Insurance, or a certified coDY �hereol (Section 3800. La�. C�. roucrna.: W93710Z989 E%P.DFTE: O%�13/J�i COMPRNY: CAL COMP � Cenified copy is hereby fumished. Q Certitietl capy is �ile0 wi�h Ihe ciry Buildinp �ivision. �a�e: ApplicanC E%EMPTION FPOM WOPKEBS' COMPENSRTION DEQAPATION: (iAis seclion nee0 no� be com0letetl il �he permit is �or one �undred (5100) or less�. I cerlily ��at in I�e petlormance o� t0e work for which Ihis permii is issu Il�mploy any person in any manner so as lo became sublectlo Ihe t orker ' Com0en5aiion Laws of Califomia. �ate: Signa� p¢ NOTICE: II, a �er making �his tleclara�ion, you should b lec� Io Ihe Workers' Compensation pmvisions of Ihe Labor Coae, you mus� farthwiih camply wii� such pmvisions or this permi� shall be tleemed revokeU. CONSTPUCTION LENOING AGENCY: I here�y atfirm t�at Iher¢ i5 a constmciion lending aAency for the pertormanc¢ o� the work �or which ihis permil is issued (Sec�ion 309L Civ. C�. LENDEfl: AODPE55: OWNEB BUILUEB DECLABATION: I hereby af�irm �ha� I am exempt imm the ConVactors' S�a�e License Law lor �Ae following reason (Section 7031.5 Business antl Pmiessional Code'. Any ciry oi counry whic� requires a De�mit b consnuct, alter, impmve, aemolish, or re0au any slrucWre, pnor to ils issuance, also reQuires ��e apPlicant for such permi� IO �ile a signed s�a�emen� �ha� he/she is licensed pursuam m i�e pmvisions of ihe ComractoK Siate License Law (ChaD�e� 9(commencing with Section 7000) ol Division 3 of tAe Business ane Prolessions Cotle) or ihat he/she is eKemo� therelmm antl Ihe Dasis for ine allegetl e�emption. Any violation of Section 703L5 Dy any aOPlicam �or a permn SUDjec�S ihe applicant �o a civil penalry ol na� more t�an tive hunOreO Oollars (5500�. I. as owner of �he OroOetly or my employees with wages as t�eir sole compensation, will Ao t�e work, antl the ❑ slmciure is noi in�enAed or oHereA for sale (Seclion 7044, Business antl Pm�essional Coae', The Con�rac�ors' State License Law does no� apO�Y to an owner o� a D�oDerty w�o Ouiltls or improves �herean, and who Ooes such work himseli/hersel� or thmugh his or her own employees, pmvided Ihat suc� impravemen�s are no� inlen0e0 or ofieretl Por sale. I�, however the building or impmvement is sold wi�hin one year ot completion. �he owner will have Ne bm0en ot proving �e/s�e tlitl not builtl ur impmve �or Ihe purpose of sale�. I.as ownerof�he prope�y.am e�clusively conirac�ing with licensea conlracior5to canStmcithe prolect�Seclion 7044, Business ❑ and Profe55ion5 COAe: The Canlratmrs' Slaie License Law Ooes no� apDly �o an own¢r of property w�0 GudAs ar impmves �Aefeon and who contracis for such pmle��s witA a coniracmqs) license pursuant to ihe Contractors' State License Law). I am aware t�al pmol of Iheir WOBer'S ComOensation insurance shoWd be provided �o me. � I am ezempt untler Sedion: B. 8 P. C. �ar Ihis reason'. �ate' Owner I tlo here�y ceriify t�at I am aware ol an0 un0ers�an4 �he reQuiremen�s of Calilornia Heallh anC Sa�ery Cotle Sections 25505, 25533. antl 2553a an0lnai I or any �u�ure �uilding accuDani wilVwill noI (cirtle one) neetl b comDly wiih saitl s�a�e codes antl ihe repuiremenis for a permit lor conslmction or motlilication Imm the Air �ualiry Management �isVict. flesiEential con9mction aDPlications are exempt tmm Ihese provisions. Oa�e: ApplicanF I here�Y �etlity that I have reatl Ihis aODlicatmn and s�ate ��a� ��e above information is rorreci. I agree ta comD�Y wi�A all ciry antl coun�y ortlinanres antl Slalelawsrelatinglo building constmction ana hereUy authorize re resenta�ives oilhis ciryto enteruponlhe above-mentioneA property Im ins�ection urposes. Oate: Signat e� � nd�o, � i ��.o��a �, c�.�,i ce.�„��„ . - _ _ .� � .. � �6aL46 Whue—Butltling: Green—Code Eniorcemenl'. Canary—Applsanl: Pink—Revenue; Goltlenrod—Assessor � CITY OF COSTA MESA — HUILDING PERMIT PERM NO; B 067976 PERMIT NO: B 067976 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH JOH DESCRIPTION ; T/OFF 6 RERt70F WITH COMP. 6 BUR IN BACK Sc� FT: . 1,100 CLAIM VALUE; 1,100.00 CALC—VALIIE: 1,100.00 GROUP OCC: R-1 /M-1 COMMENTS: SMC�KE DETECTORS ARE REQUIRED IN EVERY HEDROOM 6 HALLWAY x+;*�**�*�***x�*x*�*���c�***�*��r��*�****�r***�-x�s*�x�**��r*��c+��r*�t+�**���t�*+�****�*�*x** 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; 41808249 ZNE: REF NO; PLANNING NOTES> , � �., *�+�****�r�c��r�**��+��+�**�*+���r*******�******��*�t�t**�t���t******�*#**�*******}F��**�-��rx* 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 DATE; BUILDING APPRUVEC� BY : UATE; '" APPLICATION ISSUED BY: E�/r_'� DATE; �� 8 t\ it*�-**�etx��*�-**�i%**�*ar3c-�r+r*�n-�r�r�r�r**�x*+r*+��.:�r .�r�r� x�r*�r*�r�eir�r�r�+r**irat*�r*�tat�r .r ���. ����r * 3E * iE iF �E iE iF iE� iF 36 iF if -7E iE iE iF �7F 9f iE iF 1F iR jF iF it iE k iE fE'rF if� i4 fE 3E if 3E iE iE iF if iE IE iF iE # iF M iF if iF ih il� iE iP iE iP if �)E iE 94 # lE i! iE ir 9(- iE jF iE it ,c 3t iE iF ;F iF iY i( LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDC PMT PLUMBING ELECTRIC MECHANIC FIRE SMIPIRES GRALING PERMIT 27.OU .SU SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECIC TOTAL PAID LUE TOTALS----> 27.50 0.00 0,00 27.50 27,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 27,50 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CiiECK 27.04 ,50 iF iF iE iE tE iF iE iF iF iE it iE iE 1E %iE %3t 1E if iF iF if 16 iE i6 �1E iE iE iF fE iE iE iE iE iF iE iF iE iE!! iF iE iE iE iF iE if iE k iF iE iE iE ?E It iE �1E iF i(� it iE k iF iE ii #� iE it ��e iF ik iv� �E iF iE iE iF ih 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 2 P T I O N UNIT COST TOTAL COST SFR 110Q REROOF BY VALUE RESIDENTIAL NOZONE 1.00 1,100.00 EIJD OF FEES 01 DDlb37?4-06163725 T�� T QATE: G7/11/94 TIt1E: 11:05 V :7.50 �NSTRUCTION AND PLANNING POOi ,PA AWROVALS Perm{t#'� Date Inspector qppROVAIS Permit# Date inspector 1`Tempora�Y Electrical Service,DrPole �. � 52. Pool & Equipment Locetion '� ' �� 2. Soil Pipe�Undrgmd. �: :';; 53. Steel Reintorcement �•" 3. Elsctrical Conduit Utility-Un�igmd. 54. Forms , 4. Elettricat Conduit-Undrgrnd. 55. Electrical Bonding 5. Sceel Reinforcemenc 56. Rough Plum6ing & Pressure Test 6. Eiectr.ca� UFER Grnd. 57. APPROVAL TO COVER-GUNITE j 7. Footin9s � 58. Electricai Conduit�Undrgrnd. � 8. Foundation �� ` � 59. Gas Pipa, � Undrgrnd., Tesc ;- f ,; 9. Water Plpe-Undrgrnd. t i'%� 60. Backwash Lines, P�Trap, � UnArgmd. , � 10. Svuctura� Floor SYstem t.f �-� 67."APPROVALTO DECK %� •`. 11. Property Sewer Line & House Connec.ion j' ; 62. Backwash & Receptor�Pinal - I.... ��� •-, 12. Sewer CaP � 63. Heater & Vent�Finai y. . 13. Roof Dra�ns 64, plumbing System - Final 's' 14. Fongh Alumbing 65. Efectrical-Fina1 �.% 15. flough ElectricabConduit 66. So�ar S{stem-Final '�' 76. Rough Electric Wiring 67. Fencing & Acce55 ApProval �. 17. Rough Wiring Sign 68. APPROVED FOR PLRSTERING I 78. Rough Electrical•T Bar Ceiling - 69. POOUSPA SYSTEA:iS F�NA� ' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit � I 21. Ducts, in Strutture . 70. Underground HyAro 22. Ducts, Ventilating 77. Product Piping OGas ❑Oil � 23. Gas Pipe�Rough & Tes. 72. Underground Flush 24. Roof "rraming � 73. Undergrnd. Storage Tank � Gas C� Oil 25. Roof Sheathing ��G� Gt(� �(,.�(J 74. Overhead Hydro � 26. T�Bar Ce�ling (Structural; & Monocoat 75. Dry Chemical I 27. Frame and Ftashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FIi�AL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nai�ing HEALTH DEPT. REQUIREMENT 37. Piaster Brown Coat J9. PWAL INSPECTION 32. Electricai Power Meter�final 80. FOOD CERTIFICATE ISSUED 33. Final Elec;ric Notes: � 34. Final Heati�g & Air Conditioning 35. Final Gas Pipe-Test ,% 36. Hood or CanopV ' 37. Final Factory Firepiace 38. Final Plum6ing 39. Water Se�vice�Final 40. Gaz Servfce�Final ' 41. So1ar pomestic-Final 42, BackfloW Preventer , 43. Backflow Irrigation 44. LandscaPe irripation System 45. Sound Attenuation , . 46. Handicap Regulations 47. FINAL STflUGTURE & BUILOING �,,,/B� �(�.� s 48. FINA�PI.ANNING � 49. Electric Release to Edison � 50. Gas Release to Southern CaGfomia Gas Co " 51. CERTIFICATE OF OCCUPANCY No. Dace .