HomeMy WebLinkAbout925 LOMBARD CT - Building Permitsec�-aopness gZ5 LOMBARD CT
VIi��RME: SCOTT, PATRICIA L
AO�flE55: 9zS LOMBARD CT
COSTA MESA,CA
AHCHIENGINEEfl:
aouness:
UNIT:
92626
HEG.NO.:
uxiT:
PEFMITTEE: BILT—WELL RUOF AND MATERI (719)739-1268
aooeess: 3310 VERDOGO ROAD
LOS ANGELES CA 90065
LICENSEO CONiPACTOH �ECIAPpTION: I �ereby aflrtm ihat I am licensed untler pmvisions of Chapter 9(commencing with Sectian
7000� ol �ivlsion 3 ofibe Business and Prolessions Code. an0 my license is in full Porce an� eHect.
cirruc.: 034076 STATELIC.: q jBOOJ SS � 39 EXP; OS/95
Date: ���/�Q� Signawre'
WONREBS' COMPENSRTION OECLAHATION: I hereby aifir ave a cenificate of consent to seli�insure or a certificate o1 Workers'
Compensalwn Insurance, or a rer�ihee copy �nereal �Seclion 3800. La�. C).
roucvNo.: W9371U2989 E%P.DRTE: (}']/13/99
comraNv: CAL COMP
❑ CeOilietl copY is M1ereby �urnished. �; Certi�ie0 coDY is �iletl with ��e ciry Builtling Uivision.
Ja�e: Applicani:
E%EMPTI�N FROM WOflHEflS' COMPENSATION OECIANPTION: (TNS sedion nee0 nof be compl¢tetl if �h¢ permil i5 �arone Aundred (5100) ar 1e55�.
I cenify Inat in Ihe petlormance o1 ihe work for which this Oe�mit is iss not employ any person in any manner so as to become
sublecl Io Ihe Workers' Compensalion Laws ol Califomia.
Da�e: Signature: .CO
NOiICE: . afler making Ihis detlaration, you shoultl �et ' o �he Workers' Compensalion provisions ot Ne La6or
Code. yau must fo�hwith comply with such pmvisions or this permit shall be tleemed revoked.
CONSTBIlCTION LENDING AGENCY: I hereby atfirm �hat Ihere is a consimction lentling agency �or Ihe pedormance of Ihe work tor
w�ich this permil is i=suetl (Seciion 3W7. Ci¢ C).
LENDEfl:
AooREss:
OWNEfl BIIILDEH DECLRHATION: I hereby afiirm Ihat I am exempt Irom the Contractors' State License Law br the followinp reason
�Seclion 7031.5 Business and Pro�essional Coae: Any ciry o� counry which requires a Dermil �o cons�mct, al�er, impmve, tlemolish, or
repair any SlmcWre, prior Io it5 �ssuanw, also requires Ihe apPlicant lor such permi� to file a signeA s�a�emeni Ihai he/she is Iicen5e0
pursuani Io Ihe Omvisions of Ihe Contrac�ors' Sta�e License Law (Chapter 9(commencinB w�th Section 7000) of �ivision 3 ot �he Business
an0 Pm�essians Cotle) or that he/she is exempt Iherefmm and Ihe basis for ��e allegetl exemption. Any violation of Section 7Q31.5 6y
any applicant for a permi� sublects the aDPlicaN to a civil penalry ot not more than tive �undred dollars ($500).
I, as �wner al �he pmperty or my emDloyees wilh wages as ��eir sole compensa�ion, will Ao �he work, antl ��e
❑ 5�mtiUr¢ is nol int¢ntled or o�tered for 5ale (SeCfion 7044. Busine55 antl Pwtessi0nal Code: The CumraCmrs' Sta�e LiCense Law
tloes nol apply lo an owner ol a pmp¢hy w�o builds or improv25 [here0n, and w�o tl0e5 SUCh wOrk �ims¢I�/herself or �hmuAh
his or her own emDloyees. DrovideA ihat such improuemenis are not inten4e0 or offere0 for sale. If, however ihe huilding or
improvemenl is sold wi�hin one year oi completion, Ihe owner will �ave the burden of pmving he/she tlitl no� build or impmve
for Ihe purpose oi sale�.
I, as owner o� �he propehy, am exclusively comracting wit� licensetl contracmrs m consimct [he pmlec� (Section 7094, Business
L� an0 Pmfessions COUe: The ConVaciors' State License Law Ooes not appty Io an awner o� pmperty who huilds or imDmves Ihereon
and who comrac�s �or such pmjects wiih a comractm�s) license pursuanuo t�e Comracrors' Siate License Law�. I am aware
t�at prool ol their Worker'S Compensa�ion insurance shoultl be provitletl m me.
� I am exempt untler Sec�ian'. 8. 8 P. C.
for I�is reason'.
Oaie: Ownec
I tla �ereby cenify t�at I am aware oi and un0erstantl ihe requirements oi Calilomia Health antl Safety CoOe Sections 2550.5, 25533, and
2553a anU mai I or any fuWre building occupam wilUwill not (circle one� neetl �o comply with said sta�e cotles and the requiremen�s for a
permi� �or conslmction or motlilicalion imm Ihe Pir Ouality Management �i5vict. Resitleniial conSUuction applica�ions are eKemDt irom
IIIfSE O�Ovi5I0�5.
Daie'. Fpplicani:
I �ereby cetlity thal I have reatl Ihis apDlication antl s�ale Iha� the a0ove informa�ion is correcL I
ortlmanc¢5 antl 5ta�elawsrelaiinglo building consimclion ana �ereGy aulh ' lives ofU
pmpehy lor inspeclia purposes
Date' ���� SignaWre'
t64L46 Wh'ne—Builamg: Green—Code Eniorcemen�'. Canary—AOPlicanC Pink—Revenue; Goltlenrotl—Assessor
lo Comply wi�h all tiry an0 counry
lo enter upon the ahove-men�ionetl
CITY OF COSTA MESA — BUILPING PERMIT PERM NO; B 067981
PERMIT NO: H 057981 PLAN CHECK NO: N GOC�T: N SUPP; N
CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PUAPOSE: OTH
JOB DESCRIPTION : T/OFF s REROOF WZTH COMP. 6 bUR IN BACK SQ FT: i,100
CLAIM VALUE: 1,100.Q0 CALC—VALUE; 1,100,00 GROUP OCC: R-1 /M-1
COMMENTS; SMOKE L�ETECTORS ARE REQUIRED IN EVERY BEDROOM 6 HALLWAY
**+�x�*x*�*�r***��*��c�*�x��**�*�«**��x-�*�����r****�r�t*+�*�r�*���r*****��#�r**�c+t�*�c***x�ri
Z O N 2 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 BUILDZNG ---------
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
FARKING REQ: PROV: PARCEL; 41805254 ZNE: REF NO:
PLANNING NOTES> . .
>
*�r�*�rx�r*�x�rx���r�i*,��r�*x�**�r+�****�*+t**�*�*�+�*x�*�r*�r**x****�x�**�t*���r�x�****x��*�*+t+c����;*
D E V E;L O P M E N T 5 E R V I C E S R E Q U I R E M E N T S
ZONING APFROCJED BY DATE: =�-'�
BUILDING AFPRc3VEP HY : DATE; !
APPLICATION 15SUED BY: DATE: •.: � l(�
*+��itit*���*�**�r�*�c��:*ie��etat3Fi'r�m��ri��r�riFiFiF�3F�r'R��n�F�,F�r3F�S�C�r"�r ri��r�r�rir�iFit>t*aE�-ie?tiaat*�.-a-� .. �a r **�1
3E iF it iF iE 3F iF 3E 3� iF 3� 3F jF �'-�)E 1t iE iF 3E iE It x-3E ik 3f iF iE it iE iF 9t � iE if iE jf 3F lf �f jE �F iE �'c 9F iE iF if iF aE jc iF 3f ib if jF aF iE aF jE i4 jE �,r•. iP it iF 4t iE 3f iF iF iE__�it iE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBTNG ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 2%.00 50
PLAN SMIP/NON—RES
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID PUE
TOTALS----> 27.50 0.00 0.00 27,50 27.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 27.50 OVEfi/SHORT; .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIF/TOT GRADING PLAN—CHECK
2%.�Q .rJ�
iF # iE i(� iE ## 9E �X iP iF �lf # it # iE jt k jf iF i(� it iE ik iE k iE 3P if !F ii� if if 1E iF 3F iE iE i�� 1F iE iE 1F iE X� # iF it iF �)F iE # ik i(� iF iE it it iE 3E if iE iF iE iE it it jE iE 9F iF jE ### iP itlE it
I N D I V I D U A L F E E B R E A K D O W Dd
TYFE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 1100 RERQOF BY VALUE RESIDENTIAL NOZONE 1,00 1,100,00
END OF FEES
O1 QOiG3734-00163735 T�a T 27,SQ
DRTE: ft7/11/94 7I11E: 11:10
�'�1.ONSTRUCTION AND PLANNING POOL ' �A
Date Inspector Date i�spector
APPROVALS Permit# . APPROVALS Permit?k
r
.�. Temporary Electrical Serviceor Poie 52. Pool & Equipme:tt Location ��-'
2. Soil Pipe�Undrgrnd. 53. Stee! Reiniorcement ;�„
3. Electrical Cond�it Utility-Undrgrnd. 54. Forms '
4. Elearicai Conduit-Undrgrnd. 55. Electrical Bending
5. Steel Reinforcement 56. Rough Plumbfng & Pressure Test �
�
6. Electrical UFER Grnd_ 57. APPROVAL TO COVER�GUNITE r
i
7. Pootings , 58. Electrical Conduit-Undrgrnd. �
i
8. Foundation ; `' � 59. Gas Pipe, 17 Undrgrnd., Test �� � �
9. Water Pipe-Undrgmd. � �; r �� 60. Backwasn lines, P�Trap, V Undrgrnd. � �
10. Structural Floor SYs[em '•-�� `.�. �' 67. APPROVAL TO DECK �, �
77. Property Sewer Line & Ho�e'Connection "� 62. Backwash & Recepior�Final t, �i,; .�.''
/. �
12. Sewer Cap 63. Heater & Vent�Finat %'�.s �'
73. Roof Drains 64. P�umbing System - Pinat -� (
14. flough Plumbing 65. Electrica6Final "
15. Rough Eiectric2l-Conduit 66. Solar System-Fir,al `
.,
16. Rough Electric Wiring 67. Fencing & Access Approval .
77. Rough Wiring Si9n 68. APPROVED FOR PIASTERING
18. Rough Electrica6T Bar Celling 69. POOUSPA SYSTEP+IS PINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rou9h Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground HYd: o � �
22. Ducts, Ventilatin4 77. Product Piping u Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Undzrground Fiush
24. Roof Framing - 73. Under9rnd. Steraye 7ank C Gas ❑ 0:1
25. Roof Sheathing ?��� Lil( �w� 74. Overhead Hydro
26. T-Har Ceilin9 (Structnrall & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Stancpipe �-
28. Lathing & Siding 77. FIXED SYSTEh1 FINAL
29. Insulation 78. FIRE PReV. FINAL �
30. Drywall Nailing HEALTH DEPT. REQUiREiL1ENT
31. Plaster Brown Coat 79. FINAL INSF'ECTION �
32. Electrical Powzr Meter-Final 8Q. FOOD CERTIFICATE ISSUED �
33. Final Electric Notes:
34. Finai Heating � Air Conditioning �
35. Final Gas Pipe-7est
36. Hood or Canop4 . � .
37. Final Factory Fireplace �
38. Final Plumbing ' �
i
39. Water Service�Final
40. Gas Service-Final
41. Solar Oomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irripation System .
45. Sound Attenuation
�
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING ��p_qy dr.�,�F
48. FINAL PLANNING �
qg_ E�e�«;� aeiease to Edison �
50. Gas Release to 5outhem Califomia Gas Co . '
51. CERTIFICATE OF OCCUPANCY •
No. Date ' �- � �
�
TRACT ::0, �U � 7—J/ DATE �/r��G/�� '
Development Services Depart:�en[
Planning Division
Ci[y oL Costa Mesa
77 Fair Drive
Costa 24esa, CA 92626
� Attention: Pfr. Paul Dudley
Dear htr. Dudley:
Please be aware that the undersigned are amare that a cer[ificate of occupancy
on the nbwe referenced lot and unit is bcing requested prior to the entire
tract and its streets and cor.anon areas being completed and accepted by the
City of COSta Mesa.
i�j . �J•d�—_
.'. ���T.g.`:;.�,.J
In�1 ' • .
� 2 8 1981