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2796 LONGWOOD CT - Building Permits
4.,„a Y i� CITY OF COSTA MESA 1, ? pri `, BUILDING DIVISION PERMIT NUMBER F I ""7' 3 DEVELOPMENT SERVICES DEPARTMENT . PERMIT ot Rgq_IU1ggl (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2796 LONGWOOD CT Status: ISSUED • Suite: Applied: 06/28/1999 Vicinity: FLAT PORTION ONLY Issued: 06/28/1999 Parcel Nunmber: 13952619 - Zoning: ' ISSUED BY: ' Jam. Applicant: MARION, RICHARD . . . Address: 843 W 17TH � _ Phone: 949-548-3012 COSTA MESA,CA Zip: 92627 Owner: LONGWOOD GREENS HOA Address ' 2790 LONGWOOD CT. Phone: 714-966-0948 , COSTA MESA,CA Zip: 92626 contractor: MESA ROOFING ' Address: 843 W 17TH . Phone: 949-548-3012 ' COSTA MESA, CA • ` - Zip: 92627 License: 564151 • Arch : - Eng: ' ' Address: Address: Phone: Phone: • y . . Zip License: Zip: License: SCOPE OF PERMIT ` TEAR OFF EXISTING ROCK ROOF&INSTALL 4-PLY CLASS'A'ROCK ROOF(FLAT PORTION ONLY-2 SQ.). • FEE SUMMARY Plan Check: ' $0.00 Calc Valuation: $1,500.00 Permit: $48.50 Claim Valuation: $1,500.00 SMIP Res: $0.50 'SMIPCom: ' ,$0.00 Other: $0.00 ‘ ,Inspection: $0.00 Total: $49.00 . . PLANNING &ZONING . SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: NOTICE: 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 this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 DECIAIIATIONS () U WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. fir I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: -'J/f}-TLS F!/ND Policy Number: Z $5--9 9 Poo/s!o (This section need not be completed it the permit is valued at one hundred dollars($100)or less.) O I certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that if 1 should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOI.IARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full force and effect.Lic.x es—r0 y/J Class x C 3 9 Contractors Signature: i - Date: CO..,Z 9 -9'9 CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the properly, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon, end who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). O As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: _ Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes',attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Si•natu , • Leeal•• er(s) Date to—z8 - 99 And/Or Authorize.Applicant Date . • CODE L 212a 221 RAIL 1NTRIALS CODE 0 INSPECTION TYPE PATE jt4TRIALg 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 7-Le—r, 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 2446-46 • PROJECT ADDRESS:. 2796 LON_ GWOOD CT UNIT: - CITY OF COSTA MESA BUILDING PERMIT • PERM NO: P 046872 OWNER'S NAME: SCHMAL - .. ADDRESS: SAME _ r PERMIT NO: P 046872 ' PLAN. CHECK NO: N GOVT: N SUPP: N r , CONSTRUCTION TYPE; PERMIT- TYPE. . PLU PURPOSE:: 0TH • ARCH/ENGINEER: . 'REG.NO.: - JOB DESCRIPTION : INSTALL.;GAS W/H - SQ FTe ' • ADDRESS: , l. UNIT: , _ .. •• - • . CLAIM VALUE • CALC—VALUE: ' GROUP ;OCC: /- PERMITTFE: AAMES PLBG 6 HTG _ ' (714 ) 530-2440 • -- • _ •_ • - AODRFss: 10422 TRASK AV ' COMMENTS: - • , • - - - r ' G.G CA• 90000 • .****************************:rr***sr****SF*********srsF**** 44i.*xsr:r*****ir*sr******4**+r LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section - ZO N I N G R E Q U I R E M' E N T S ' 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.. S E T B A C K• S ' . • - • CITY LI".: 006664 STATEuc.:00250307 cuss: C 36 o Date: k - Cif - 4Q ( signature: '' h3_nf�Z ' • r MAIN BUILDING ' ACCESSORY BUILDING , WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' _FRNT: FT •IN REAR: FT IN FRNTe - FT IN REAR; - FT •IN-. Compensation IoUja�fce fle�cpp tRer at(section 3800, Lab •f LEFT: ., FT ' 'IN, RGHT: . FT IN' , LEFT: FT IN RGHT: FT IN. • POLICY WO.: / 3^Cvv,+ ++u V V4 EXP.DATE: v3101 /91 COMPANY: NATIONWIDE • : PARKING REQ: PROV: PARCEL: 41916528 ZNE: REF NO: --2J Certified copy is hereby furnished. (ii Certified copy is1nfilleed-wit—h the city Building Division.J � PLANNING NOTES> •• I '' Date:. / ` 9 7 Applicant: �Cv�t..-�� /S�af--i'r� **********************************************iF* • •******************************* , EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred(Step)or less). D E V E L O P M E N T SERVICESREQUIREMENTS I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become 1 I ' ' subject to the Workers'Compensation Laws of Califomia. ' ZONING APPROVED BY: 1 '•�'' DATE: ' Date: ' signature: BUILDING APPROVED BY . . . • I - • ,DATE: NOTICE:If,after making this declaration,you should become subject to be kers'Compensation provisions of the Labor Code,you must forthwith comply with such provisions or.this permit shall be deemed revoked. I I CONSTRUCTION LENDING AGENCY: Ihereby affirm that there is a construction lending agency for the performance of the work for , APPLICATION ISSUED BY i '• ` 't• DATE: - which this permit is issued(Section 3097,Civ.C). ; **************************************** * * **********************�***yF** **** LENDER: ******************************************************************************* ADDRESS - - , LEGALIZATION:N-- F "E E S' UrM M A R Y' ':'STRUCTURAL SEGMENT:N • OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG .PMT PLUMBING. ELECTRIC MECHANIC , FIRE SMIP/RES i GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,'alter,'improve,demolish,or PERMIT . ; ' 2 • 00 ' repair any structure,prior to its issuance,also requires the applicant for such.permit to file a signed statement that he/she is licensed 2 5 Z- ' SM I P/NON—AE$. pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 1 • and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation ofSection7031.5 by ) PLAN ' _ • . ' Y . ; any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred-dollars(5500)' + ISSUE FEE • / 3. 00 ' - .BUILDING-DIV->' •PERMIT . ISSUE PLAN-CHECK TOTAL PAID. ,DUE L as owner of the property or my employees,with wages as their sole co ode: tlhe wit do the work, and the e • ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS—--—> 2 , O 0' :3,O 0 . 0 ,O 0 S,O 0 5 ,O 0 • •O 0 ' • does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through 1 - his or her own employees,provided that such improvements are not intended or offered for sale. It,however the building or '•REVENUE 'DIVISION STOTALS-->' ' COLLECTED• . 5:00' OVER/SHORT: 00 ' improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve •for me purpose of sale). I '_ - BLDG PMT PLUMBING. ELECTRIC MECHANIC FIRE ,SMIP/TOT ,GRADING PLAN—CHECK • . • I,as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business S •O O 'i '❑ and Professions Code: The Contractors'State License Law does not apply to an owner of,property who builds or improves thereon , and who contracts for such projects with acontractar(s)license pursuant to the Contractors'State License Law).,I am aware **'**'****************'*********************************************************** . that proof of their Worker's Compensation insurance should be provided to me: 1' _ • 'I N D I V I D U'_'A L - F E E B R E A K D O W N, ., , ❑ I am exempt under Section: I B.8 P.C. ' y . , ' I , for this reason: ` } . TYPE QTY . . . D E S C R ;I• ' P T I'.O •N , UNIT.' COST, TOTAL COST • . .Date:_ - Owner: PLUit: ' WATER HEATER AND/OR VENT r •2 .00 ' 2.0,0 • I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and• ' j ' -' END OF .FEES ' 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a . r permit for construction or.modification from the Air Quality Management District,Residential construction applications are exempt from ' ' these provisions. . , - • Dater Applicant: - - • I hereby certify that I have read this application and state that the above information is correct.I'agree to comply with all city and county •, - ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned > - _ _ • , - I property/ for� inspection purposes. • • i • i . ,Gate:4 9" 9"0 signature: 1:,.�-,— a„,...-7 Z ( 01 00058128-00058128 T[E T 5.00 DATE: 04/09/90 'TIME: .13:0` Driver's License or Social Security x: , 11641-46 -White—Building:Green—Code Enforcement:Canary—Apolicant:'Pink—Revenue:Goldenrod—Assessor' - ` - -` - - • : -- , - —• - • _ - - ..- 1 CONSTRUCTION AND PLANNING .• - PO. SPA APPROVALS Permit#- - Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Sere or Pogs - 52. Pool & Equipment Location - 4 c.g.,USoil Pipe-Undrgr 6 n` 53. Steel Reinforcement L- lectrical Conrmit.Uiility-Undrgrnt s ^ 54: Forms - m4. Electrical Concf ltiUndrgrnd.' c�5 - ' 55. Electrical Bonding d 5. Steel Reinforce-rent nt ortx 56. Rough Plumbing & Pressure'Test O =• _ o n• 6. Electrical UFEFIr rnd. ° o 57. APPROVAL TO COVER-GUNITE r u a 4. v O 7. Footings `4,y o 58 . Electrical Conduit-Undrgrnd. o 0 -> . , E--, Pipe, Undrgrnd.,Test 8. Foundation o 59. Gas0 Undd., t 1 1•, n• - `.' 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd. ) • 10. Structural Floor System -1 • - 61. ;APPROVAL TO DECK ' . ' • 11. Property Sewer Lin & House Conn2ction ' ', ' 62. -Backwash & Receptor:Final - . • 12. Sewer Cap o . co ca 63. Heater & Vent-Final - V • 13. Roof Drains o i - ' o - 64. .Plumbing System - Final 14. Rough Plumbing o .65. Electrical-Final / 15. Rough Electric , .&-Conduit 66. Solar System=Final 16. Rough ElectriWiring 67. Fencing & Access Approval ' 17. Rough WiringSign - 68. APPROVED FOR PLASTERING 18. RoughElectrij-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating &'Air Conditioning - '- r' 0,Flg.19:,PT.REQUIRE MENS 04 m n a n n i rr.-. .. x to m C•* 20SRo h Fact y ff'riFplace II Sr G< * R i-+ 7* * ; PPf VI HE2Pe it # a >I 1-1 2 2+ . t •' >.:� 1. r. S 3D' i-C r, ., 2h-Ducts, 49Stoactar19* I •• •• r-.5 * S C r+* * '170. J.inder&bthri'� H aro * L T n- C A: 1 S-: -* n .-,* * '.H *. 22 ucts, `lint' ti * 1 o5 * S K* * a mffi SD . , r * I * 0 r* * 71. Produo�E ping 06as IOU U n . s , L. + * t•, JG + a 23.•Gas-Pipe,Roygh &Test I cis * cc! a' C 0* * 72. Underground Fh>sai * E-• O L••1 •.. * ,_v•• . •-lf;• * .'• S•x 1! '-1', •l 't 7, 2491Roo Fmiri} * ' E-n ••F * > `‘-:-D, g.; * * 7 Under rn?.Stor`g Tank* Gas 0Oiil * m * H* * •• 3y 9 d9E *0 r •.l * E to a t•! •1 4.-.0 . .• * a 1 v r X 25. Rocsf SbTathing * ' v v a > 0* it 740Overhead HydreD * 264T-8'ar Ceiling (Stru tural) o[�'jrv��.y� coat * © 0 m* * Dry75TChe, tcal * " G "z .O J * N l'7* * L E-' * 'y co a co a w .. 4 n t4 UX * .. .•t r 27: Frame aod Flashing orgy _ * r_•.' . >r a* * 76. Dry Stan pe E-+tnnl * cii :n _ �... . * n •P28. Lathing Siding * ,m-i.-:: O * I 1 * 77,7:3" FIXEDE�Iq Ak r, >. rC * O .y •- •• J * OI 1* * .J ' * t•l 29. Insulation * S •• I a * 78& FIRE PREV. FINAL * tc C .. t• S 0 = 4 Y. ?I., * c-, '30. DrywalkNailing a I~ * i I Te * r o E, SoLTINDEPT.fiEQDIRIMENT n 5: * a * Jo.s UCJ r * v c - 031. Plaster grown Coati s taint * I ' ,;x. * rr79. FINAL ItesiECT18N * 1„32,7Electrir Pr5wer Mtt?-lona& * NI ac * m8071FOOD CERTIFarA'TE IVIED H z3314C' x C' a m t ' x LI D: '-'2 * U Firtal EiZectrt * to ¢ * ( I * * Notes: %7 7m * 7 0 xr11 • N34QFiri1 Heatirt6& Ai*CohditiorlS4 fl * I I * * G S n= * S >b C p: r•, D * Si m * > x * rJ ,-i 1 i C * to 35mFi 'l Gas Pirp}-Ter m -7 a I * * t r t) t'» * t• Pt i :, n * 0 * �•; * * o Oi-+ * Ems; "-q n t n x36. Ho8d or Canopy * OS r,. 1 0"-o n * n I � * * t Z - no a a' '7 C tin * n i y m 4-4 * I I • t * z tz9 ma * m * m.1 .,37OFinm1 Factory Fireai-ciee Ecru * n 5: * * N O i 'z 0 A' - � C T r - I-38. FirSI Plumbing * N n[ vigdp© VFV1r•a * m C " AZ i) * "C ac * O 1 m a I I ; * t1 m * u: 39. Wa rService-Fina* I * 0 * >, ;u a 1, s. :e a1 E- Ern 740. Gas Service-Final * m <rriro S * m I la * Oro oru * * n r-.E. n- x I u' * E, _• o r * < 1-t 541. Solar Domestic-Fi Is n * Or I � rr * 'CO '-' a m *_ 1 is * m '-7 o Cr' *_ 7C o • r�42. Backflow Preventea rs r N x -. � I * * G >i- * 0 H P1 * n: nNk * N * * _ t:1 171•O * E„ 1 x IXSS * * * F. * 0 :n 43. Backflow Ir&atior* >, * y * * ;u -- * • m44. Landscape nigatio'n Syster6+t!iO y * m 0 0 0* * rc N N xn * CU 0 n• .. 0 ± -..•r..• m * cr % c * S t - otx * S F E4 OSound tt natio* �" ,F m a S c, r* a t'� ti e circa c%4 a `� tQ 4 .. .. * m in 71* * w t^ v ¢ • HO * H r- 11 4 .-1 ' ' t-, - r. 8 r :no • . t 046.-Handicap Regulations '- 0 * -t * a ` CC S a S * .. t„ * •• � v Er * C ni n a a 47FIRALSTRUCTUIE & BUILDING a ; * " N S * ' 0 * F * * 1 S. * En C 48-FINAL PLANNING 1 FF a N I ft * o n m s * c O >497'Eleretric Rebase to*Edison 1 * ' ' ,• * * f y I. * * 1 * ! I .L4* x ct •n a • •D * , • I 1 :Y. * i :•.=z• :, . :: ao50'GasjRelease to Southern California Gas Co * 1 I * r+ II.-4G • om * .0 I., Y• . e•C * IC IV •• C no n * N0 A51, CERTIFICATE OR:OCCUPANCY * * * rJ mo x a r 0 No. Date