HomeMy WebLinkAbout926 LOMBARD CT - Building PermitsCITY OF COSTA MESA
BI/ILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
(714)754-5273 • Fax(714)754-4856
Job Address: 926 LOMBARD CT
Suite No
Vicinity:
Parcel Nunmber: 47808255 .
Applicant: NOCK, RON
Address: 11612 KNOTT ST
GARDEN GROVE , CA
owner: FRANZ, PIA TR
Address 926 LOMBARD CT
COSTA MESA,CA
Contractor: NOCK PLUMBING
Address: 11612 KNOTT ST
GARDEN GROVE , CA
ArchlEng:
Address:�� "
REPLACE WATER HEATER
ISSUE FEE
Backflow irrigation
Backflow Preventer
Bathtub
Clarifier System
Connect (Ice,Soda,etc)
Dental Units �
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-0 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oip
Interceplors (Sand Auto )
AMT
$22.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
so.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
so.00
$0.00
$0.00
$0.00
Qrv
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PLUMBING PERMIT
Phone: 714 895-1246
2ip: 92841
Phone:
Zip: 92626
Phone: 714 895-1246
Zip: 92841
License: - 707775
Phone:
Zip:
License:
SCOPE OF PERMIT
FEE SUMMARY '
AMT
Laundry Tub! Washer $0.00
Landscape Irrigation $0.00
P-Trap $0.00
Pressure Regulalor - $0.00
Process Piping (per 10 ft) $0.00
Receptors $0.00
SepticTank . $0.00
Sewer Cap for Demo $0.00
SewerCannect $0.00
Sewer Private Line $0.00
Shower $0.00
Sink, bar . $0.00
Sink, commercial $0.00
Sink, Floor $0.00
Sink, kitchen $0.00
Sink, service/mop ' $0.00
Spa (private) $0.00
Spa (public) $0.00
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
COMMENTS / SPECIAL CONDITIONS
���`-
r ; � . PERMIT NUMBER, , ,
P99-00072
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 02/03/1999
Issued: 02/03/1999
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr Bkflow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin �
Wash Basin Set �
Waste and Vent System
Water Closet (Toilet)
Water Heater / vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
Water Softener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$11.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTALCALCULATEDFEES: $33.00
QTY
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
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 ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections end final approval must be obtained. Failwe to obtain inspections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARATION:
I hereby ettirm under penalry of perjUry one of the tollowing declarations:
❑ I heve entl will meintain a cert{�i��e of consent to self-Insure for workers' compensetion, es pmvitled for by section 3700 of ihe Lebor Cotle, for the pertortnence oi the
� for which this permit is is5ued.
I have end will maintein workets' compenSaGon insurance, as requiretl by section 3700 ot the Labor Cotle, for the perfortnance of the work tor w�ich Ihis pertnit is iswed.
My workers' wmpensation Insuran carrier and poliq number ere: ��� ��O �
Cartiec �O(�J1 ��[��� PolicyNumber:
(ihls section neetl not be completeq i7 the permB Is va/ued a( one hundred Oollars ($100) ar less.)
❑ I certity ihat in the pertormance of ihe work tor which �his permit is issued, I shall not employ any person in eny manner so as to Decome sub�ect to lhe workers'
compensetion lews ol Celifomia, antl egrea ihet H I shoultl become suhject to the workers' compensatlon provisions oi Section 3700 of tha Labor Code, I shell torthwith
comply wIN these DrOviSions. 1 /� C� Q
ApplicamSipnewre: Date: 2-" T —� ( )
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHNLL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED
THOUSAND OOI.URE (5100,000), IN ADDfi1pN TO THE COS7 OF COFAPENSATION, DAMAGES FS PROVIDED FOR IN SECTION 310fi OF THE LABOR CODE, IMEREST. AND ATTORNEY'S FEES.
110EN5ED CONTRACTORS DECLpqATION:
I hereby ettirm that I em licensed untler provisions ol Chapter 9,�^ mencing with Section 7000) ot Division 3 0l the Business entl Pr� ss}'�'rs Code, and my Iicense is In full
torce and eNect. Lic. a —7� �i% % J Class M G a-'o
Contractors SignaNre: _� "�—z — Date: '7 � � ��J C
t
CONSTRUC710N LENDING AGENCY:
❑ I hereby aHirm that thera is a Consirudion lending egency for ihe peAortnance of the work for which this permit is issued. (Sac. 3097, Civil Coda).
Lendefs Name: Lenders Atltlress:
Signature:
Date:
OWNEH-BUfLUER DECLARATIONS:
I hereby aNirm that under penalry of perjury Ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, eusineu end Professions
Code: Any ciry or counry which requires a permit ro construct, alter, improve, demolish, or repair any siructure, pnor to its issuance, elso requires the epplicant tor such permit
to ille e signed statement ihat he or she is licensed pursuant to the provisions of ihe Gonirecrore License Law (Chapter 9(commencing with Section 7000) ot Division 3 ot the
Business antl Professions Code) or that he or she Is exempt therefrom and tha basis for the alleged ezemption. Any violation oi Section 7031.5 by any applicant for e permit
subjecis the applicent to e cial pendlry ot not more than tive huntlretl dollars ($500).):
❑ I, es owner of Ihe property, or my employees with wages as their sole compensation, WILL DO TNE WORK, antl ihe structure is not intenCetl or oHeretl tor sale (Sec.
7044. Business and Professions Code: The Gontractore License Law does not apply to an owner of properry who builds or improves Ihereon, end who tloes suc� work
himself or herself or through his or her own employees, provitled ihat such improvemen[s are noi intended or oflered for sale. It, however, t�e builtling or improvement Is
soltl vnthin one year ol comple��on, the owner�builtler will have t�e �urtlen of proving Ihat he or she tlitl not build or improve for purpose of sale.).
❑ I, as owner ol tha property, am E%CLUSIVELV CONTRACTING WITH LICENSEU CONTRACTORS to construcl the project (Sec. 7044, Business end Professions
Code: The contractors License Lew does not appty to en owner of properry who builds or improves thereon, and who contrecis tor such pmject with a coniracbr(s)
license pursuant to the Convactors License LewsJ.
❑ I am exempt under sec.
Signatura:
Owner ID verified by dnveYs license, ❑ Yes ❑ Na
Business and Protessions Code for this reason:
Varificetion ot Ownership by (ryDe oi tlocument, i.e. � pmPerty taz bill or deed):
Drivers License No.
oate:
Expires:
DIVISION OF INDUSTRIAL SAFEry pERMR CER7IFICATION:
❑ I hereDy certify lhat no axcavetlon five (5) or more teet in tlepth Into which a person is raquiretl to descend, will be made in connectlon with work euthorized by Ihis
pertnit, and ihat no building str�ctura, scettolding, felsework, or tlemolition or dismantling thereot, will be more than thirty-six (36) feet high. (G�ap. 32, Gry 2, Art 2, Sec.
341, Tltle 8, Celifomla AdminlSlraWe Code).
❑ As owner-builtler, I will noi employ enyone to do work which would require a pertnit trom ihe Division of Indusinal Safery, es notetl ebove, unless such person hes a
permit to do such work fmm Ihe division.
Signawre: Date:
Division ot Indusidal Safery Pertnit Number:
CERTIFlCATE OF COMPLIANCE ANU AllTMORIZATON OF EHTRY: I certify under penalty ot perjury that I hava read this application and state that the iniormation given is
correcL I egree to comply with all gtate lews and ciry ordinences relating to building cons�mction, and authonze representfltives ot the Ciry ot Costa Mesa to enter upon the
above-described property tor inspettion purposes. I agree not to occupy or allow occupancy ot any building authorized by ihis permit until tinal inspeIXion.
S�9 ture OI Leqal Ow �r(s) — Date
— Z-4c —�c S
And/6r Authonzetl ADPlicant Date
COOE /. INEFECiION TYFE pe¢ 'NI@dL$
�6�5 Fixed System Final Fire Preventian
1266 Pool Spe Finel
200 Final Re-Root
201 Final BIocWRetaining Well
202 Final Fectory Fire Placa
203 Final Sign
204 Final Demolition
2ad6 4fi
CO�E I INSPECTION TYPE
206 Finel Mechanical
20B Final Plumbing
210 Final Elecincel
212 Final Fire Prevention
220 Final Plenning Approval
222 Final Site
250 Final Building/Occupancy
�A7E IN�A15
3 �' PT
`
PPOJECTAUGHESS: �jz(j LOMBARD CT
owN�a�nnme: FRANZ, PIA
noox[ss: 926 LOMBARD CT
� COSTA MESA,CA
AHCHIENGINEEH:
ADOflESS:
UNIT:
92626
NEG.NO.:
UNIT:
PENMITTEE: BILT—WELL ROOF AND MATERI (719)739-1288
aooness: 3310 VERDUGO ROAD
LOS ANGELES CA 90065
LILENSED CONTflRCTOP OECLABATION: I herehy aitirm that I am licensetl untler provisions o� Chapter 9(commencing wi�� Seclion
7000� ol �ivismn 3 of Ihe Business an0 Pmfessions Cotle. ana my license is in full force antl eifect.
cirvuc.:039076 sT^TEuc.:q5g005 � 3Q EXP: OS/95
Oate: _�/)r/����__ SiBnature: l> �
WOPNEBS GOMPENSOTION OECIABATION: I hereby affirm ¢ate ot consen� to selFinsure or a cetlilicate af Workers'
Compensation Insurance. or a cerlilie0 copy ��ereof (Sec�ion 38 , ab. C).
roucvxo.: W937102484 E%P.OATE: O%/S3/J9
COMPPNY: CAL COMP
❑ Ceriified capy is hereby Iurnished Q Certified copy is (ilea with �he cily BuilAing Oivision.
�a�e: ApplicanL
E%EMP710N FBOM WOBNEHS' COMPENSFTION OECLAHFTION: (T�is section nee0 not be campleteA if the permit is lor one hunAreO (E100) or less�.
I cer�ify �hal in the petlormance oi Ihe work tor which Ihis permit is issue heliwa employ any person in any manner so as �o hecome
subleci to Ihe Workers' Compensalion Laws oi Cabfomia.
�ate: � Signa�ure:
NOTIC : II, afler making �his tleclaration, you 5hou10 beco ' t�e Worker5' Compensa�ion provisions ol Ihe Labof
Cotle. you mus� tart�wil� comply wi�h such provisions or �his permii shall be tleemea revokeE.
CONSTPUCTION LENOING AGENCY: I �ereby afiirm Ihai there is a conSVuc�ion lentling aAency tor Ihe pedormance o� I�e work lor
which Iha permit is i:suetl (Sec�ion 3097. Civ. q.
LENOEfl:
POOXE55:
OwNEF BUILOEN oEClABA7lON: I hereDy affirm �nat I am exempt imm ihe Coniracrors' Stale License Law for the lollawing reason
(Sectian 70.3L5 Business antl Pmfessional Code'. Any ciry of coun�y which reQuires a permi� to constmct, alier, improve, demoli5h, o�
repair any s�mc�ure. prior to its issuance. also repuires the applican� tor such permii to �ile a 5igne0 s�a�emen� �ha� he/she is licensetl
pursuanuo �he provisians o� Ihe Contracmrs Siate License Law (Chapter 9(commencing with Section 7000) oi Division 3 oi the Business
ana Pmfessions Codel or iha� he/she is exempt �herelwm ane ine hasis for the allegea exemption. Any violation ol Section 7031.5 by
any applicant for a Dermit subjecis Ihe applicanl to a civil penalry of not more ihan tive huntlre0 tlollars (5500).
I. as owner of ihe pmoeny or my employees with wages as their sole compensation, will Ao the wark, antl the
❑ stmcwre is not intenAeO or offered lor sale (Section 7094, eusiness anE Pwfessional Code: The Coniractors' State License Law
tloes nol apply lo an owner of a O�oDehY who bui105 or impmves thereon, antl who does such wodc himselBllersel� or �hrouAh
his or her own employees. pmvideA I�at such improvemenis are no� intenaetl or otteretl �or sale. II, however the builAing or
impmvemeni is soltl wilhin ane year of completian, the owner will have Ihe burtlen oi pmving he/she tlid no� builtl or impmve
lor Ihe purpose o1 sale�.
I. as owner ol �he pmDerty, am exclusively contracling with licensetl contractors to canstmct ihe Dmject (Section 7044, Business
❑ ana Pmlessions Code'. The Comracmrs' State License Law tices not apDly �o an owner of pmperty who 6uilOs or improves t�ereon
antl wno comracls lor such o�ojecls wiN a coniractor(s) license Oursuant to Ne Con�ractors' State License Law�. I am aware
�hai pmo� o� Iheir Worker's Compensation insurance s�oultl he pmvide0 �o me.
� I am exemp� untler Section: B. 8 P. C.
br thi5 reaton:
�ale- Owner.
I tlo hereby certily Iha� I am aware ol and untlers�ana the requiremen�s o� Califomia Heal�� an0 Salery Cotle Sec�ions 25505, 25533, and
2553a an01na1 I or any �Wure builaing occupan� will/will no� (circle one) neetl ro compry wilh said s�aie codes and ��e requirements lor a
permit for cans�mclion or motlification �mm �he Air Oualiry Managemen� District. Resitlential cons�mction apPlications a�e exempt �rom
mese prw¢ions.
�ale: ApPlicani:
I �ere�y cer�ity I�at I �ave read ��is apDlicaiion and s�aie that Ihe above intormation is correcL I agree to comply wii� a0 ciry anG counry
orainances an0 sta�elawsrelalingta �uiltlmg cons�mction antl �ere�y aulhorizerepreseniatives o��his ciryia en�erupon�he above�mentionetl
property �or in pec�ion purpO5e5.
Oale'. � $g 1 a
i6ab46 White—Bwltling� Green—Cotle EnbrcemenC Canary—Applicant: Pmk—Revenue; Golaenrotl—Assessar
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 067482
PEFtMIT NO: B 067982 PLAN CFiECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTZON ; T/OFF & REROOF WITH COMF. 6 BUR IN BACK SQ FT: 1,100
CLAIM VALUE: 1,100.00 CALC—VAL[JE; 1,100,00 GROUP 9CC: R-1 /M-1
COMMENTS; SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM 6 HALLWAY
x��r�*��r*�c�r***�**�***�x ��*�**�c�r��x�c**x�+�*�c*����r�����*�rx**��*x�*��r�*�*�**�*�*�*��
Z O N I N GS ERTEB�AU`IKRSE M E N T S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILUING ---------
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: 41808255 ZNE: REF NO;
PLANNING NOTES>
.�
�***�#��#�r*+��c*��r�r*��r*��x*�x�***�r**��r*�t*+r**�**x**���***�r*#�*���**�*�*r�`��»*��***�
D E V E�L 0 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 APPROVEIJ BY DATE: `�
BUILDING APPRUVED BY : L�ATE: � /�p
APPLZCATION ISSOED BY: DATE: �� X'��
iPififit-ititftir�iFie-�iE�K•iF'fefFiE3E9EiciEiFiEit it�� iPic-iE jFxm#jFitif iFihiEif �+Eit it i41EiEifiFiFiE#ifiE t ttV�rltiFit. N�
iE iF �N- iF 3F �IE iE 9E i(� N� iF tE dF iF 36 iF iE 1F iF iE i�- # 3E # iE -IF #%iE iF iM1 iF 3E 3F iF iF 1E 1( lP dE k iE if i(� iE �K R iE 1c i: k iE fF if if �1E i[� iF iE iE iF � iE 3F iE iF �E 1' 3E iE * iF iF 1F iF iF 9E aF iP
LEGALI2ATION:N F E E S U ht M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 27,00 ,50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CAECK TOTAL PAID DUE
TOTALS----> 27,50 0.00 0.00 27.50 27,50 .QO
REVENOE DIVISION TOTALS--> COLLECTEP: 27.50 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIF/TOT GRADING PLAN—CHECK
2%,0� ,5�
iE if i(� �1F iF iE if iE iF # if� iE iE iE 9E iF if� iE iE iE ft if iE jF k fF �lE iE if %� if *�IP if if iE N if jF if 9E iE iP iE # 1E iF #� ih iE it iF tE iF iE'lE # i4 i:-1E 1F 9E # iF iE iE if iF i(� if #� iE if iE 3E d'c 1k ic iF
I N D I V I D U A L F E E B R E A K D O W N
TYFE QTY U E S C R I P T I O N UNIT COST TOTAL COST
SFR 1100 REROOF BY VALUE RESIPENTIAL NOZONE 1,00 1,100,00
END OF FEES
U1 0016373b—OQ163737 Ti7 T
OATE: C7/li/94 TI11E: lI:i�
V
27. Ss]
C�NSTRUCTIQN AND PLANNWG POOL PA
APPROVALS Permit # Date Inspector qpPROVALS Permii # Date Inspector
,;. Tempora{Y Etectriwl Service-orPote �� �� 52. Poo1 & Equipment Location �� ,,
.:
2. Soil Pipe�Undrgmd. - 53. Steel Reinforcement
3. Electrical Conduit Utility-Und�grnd. �� 54. Forms
4. Electrica� Conduit-Undrgrnd. 55. Electrical Bonding 1
5. Steel Relnforcement 56. Rough Plumbing & Pressure T2si
6. Electrica� UFER Gmd. 57. APPflOVAL TO COVER�GUNITE �
7. Footings 58. Electrical Conduit�Undrgmd. ."'•�
6. Foundauon ^, � 59. Gas Pipe. � Undrgmd., Test �� i
9. Water Pipe�Undrgmd. ' ' • 60. Backwash Lines, RTrep, O Undrgrnd. .��
10. Structura� Floor System f� f ;,�, �j 67. APPflOVAL TO DECK ;��, .
7
11 . Property Sewer Line & House Connection �� �.. 62. Back�vash & Recepror-Final ;�; _..'•%`
a
72. Sewer CaP f!: . 63. Heater & Vent-Final
13. floof Dra�ns G4. Plumbing System - Final ='
14. Rough Plumbing 65. Electrical�Fina1 a4
15. Rouyh Electrical-Conduit 66. Solar SYstem-Finai
" �
76. Rou9h Electric Wiring 67. Fencing & Access Approval r'
77. Rough Wi�ing Sign � 68. qPPROVED FOR PLASTERING
19. Rough Electrical-T Bar Ceiling 69. POOIfSPA SYSTE4IS FtNAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREI4IENT I
20. Rou9h Factory Fireplace APPROVALS Permit # I
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping G� G5s L� Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof r'ramin9 � 73. Undergrnd.StorageTank OGas ❑Oil
25. Rooi Sheathing 7;,��.t.R� 4w47t 74. Overhead Hydro
26. T-Bar Ceiling (Structural} & Monocoat 75. Dry Chemicai
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 76. FIRE PREV. FINA�
30. Drywali Nailing HEALTH DEPT. REQUIREMENT
37. Plaster 8rown Coat . 79. PINAL INSPECTION
32. Electriczi Power Meter-Finai , 80. FOOD CERTIFICATE ISSUED
33. Final Eleciric Notes:
34. Final Heating & Air Conditioning -' }
35. Final Gas Pipe�Test -
36. Hood or CanoPY
37. Final Factory Pireplace
38. Final Plumbing
39. Water Service�Fina� .
40. Gas Service-Final
47. Solar pomesticFinal. , ,
42. Backfiow Preventer '
43. Backflow Irrigation
44. LandscaPe Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDWG �`O `�/L
�,
48. Ff(VALP�ANNIiVG ' "`��
49. Electric Release to Edison -- -
50. Gas Release to Southern California Gas Co ,
51. CERTIFICATE OF OCCUPANCY "
No. Da[e