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Home My WebLink About2366 FORDHAM DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c��ILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job /+ddress: 2366 FORDHAM DR Suile: Viciniry: ROOF Parcel Number: 14148205 Applicant: JIM GARZA Address: 5405ARROWHWY . SUITE 100 - _ MONTCLAIR, CA Owner. SPRINGMEIER, MARK Address _'48BEACH . " " . - �NEWPORTBEACH,CA� - Contracior: �SIERRA QUALITY ROOFING Address: 5405 ARROW HWY SUITE 100� MONTCLAIR, CA Zip: 91763 Arch : Address: Zoning: Phone: 909378-1951 Zip: 91763 i Phone: Zip: 92663-4441 Phone: 909-378-1951 License: 521979 � Eng: Address: Status: ISSUED Applied: 12/15/2003 Issued: 72/15/2003 � . : i/_.�i/ � � ' ` Phone: � Phone: � Zip: � License: , � License: ;� — SCOPE OF PERMIT - TEAR OFF EXISTING ROOF. INSTALL G.A.F. COMPOSITION SHINGLES,.SLATE�BLEND ON�PITCHED ROOF ONLY. 2,600 S.F. INCLUDES � ATTACHED GARAGE. � � Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $83.25 $0.50 $0.00 $0.00 $0.00 $83.75 SETBACKS. MAINSTRUCTURE Front 0-0 ACCESSORY Front. 0-0 PARKING Ezistinq' o FEE SUMMARY " Calc Valuation: ' � � � ; � Claim Valuation: � �'. _ � � �;- � � PLANNING & ZONING � � ' - � Rear 0. 0 Left �0- 0 - Right � 0- 0' Rear 0- 0 , Lefl 0- 0 �, • Right 0- 0��- � Required: 0 - � Proposed: 0 " $2,300.00 $2,300.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and �elated 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 per'iod of 180 days. . INSPECTIONS: In order for ihe work authorized under ihis permit to ba considered legal, such woik must comply with all applicable codes, and all �'� required Inspeetlona and final approval must be obtained. FaiWre to obtain inspections and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (774) 7545626 244638�N00) WORKERS'COMVENSAnON DECLARAnON: � '� � I hereby ettirm under penalry oi perjury one of the following declaretions: � , ❑ I have end will meintain a certifiwie of consent to self-Insure tor workers' compensation, as pmvitletl tor 6y section 3700 of the Lebor Code, for the pertortnance of Ihe work for whiCh thi5 p8rtnii is issuetl. �I;have flnG w01 malntaln workere' compensation insurance, as required by seaion 3700 of the Labor Code, for ihe perfortnance of the work tor which this pertnit is iswed. /My workere' wmpensatlon Insurance wrrier and policy number ere: c�+e� —5r..,-E r>..� PolicyNumber:�' �7a9vr�- ya,z (.lh7s'sectlon need nof be complefed il fhe permit is valued et ane huntlretl dollero ($100) or less.) ❑ I certify ihat in t�e Oerformanca of the work for which this pertnit is issuetl, I shall not employ any person in any manner so es to become subject to the workers' compensetlon laws of Celifomia, antl agree th if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Cotle, I shall fonhwit� comply with these provisions. �pllcanfSlgneture:_--�G�-�-� �., _ oaca: i2 - /1=Q3 WAqNINO-FAI� TO SECUF ORKERS' COMPENSATION ERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLO d0 CRIMINA� PENALTIES AND qVIL FINES UP TOONE HUNDRED THOUSAND DOLLAFE (5/00,OW), IN ADDITION TO TME COST OF COMPENSATIqJ, DAMFGES /S PROVIOED FOP IN SECTION 3]D60F TME LABOR WDE, INTEREST, AND ATTORNE`fS FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn that I am licensed untler provisic CONSTRUCTION LENDING AGENCV: of Chap�er 9(commencing with Section 7000) of Division 3 ot the Business and Professions Code, end my license Is in tull ❑ I hereby ettirm that Ihere is a construction lending agency for ihe peAormance of iha work for which ihis permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lenders Address: Signatura: OWNER•BUILDER DECLARATIONS: Date: I hereby aHirm ihat untler penalry of perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for t�e following reason (Sec. 7031.5, Business antl Protesslons Cotle: Any ciry or counry which requires e permil to construct, alter, improve, tlemolish, or repair any structure, pnor to its issuence, elso requires the applicant for such pertnit b tile a signetl stetement thet he or she Is Ilcensed pursuant to Ihe provisians oi the Contredors License Lew (Chapter 9(commencing wilh Sectlon 7000) of Division 3 ot Ihe Business end Protessions Cotle) or that he or she is exempt therelrom and the besis for I�e alleged exemption. Any violetion of Section 7031.5 by eny applicant tor e permit sublects ihe epplicant to a civil penalry of not more than tive huntlretl tlollers ($500).): ❑ I, es owner of the pmperty, or my employees with wages as thelr sole compensation, WILL DO THE WORK, and ihe sWcture Is not intended or o%eretl tor sale (Sec. 7044, 8usiness and Professions Coda: The Contractors License Law tloes not apply to an ownar of properry who builds or improves thereon, and who does such work himself or herselt or through his or �er own employees, provitled ihat such improvements are not intended or ottered tor sele. It, however, ihe builtling or improvement is sold within ona year of comple�ion, ihe owner-builtler will have Ihe burden ot proving that he or she did not build or improve for Durpose of sala.). � ❑ I, as owner ot the property, am E%CLUSIVELY CONTRACTING WITFI LICENSED WNTRAC70RS to consiruct tha pmject (SecJ044, Business and Professions Code: The wntrectors Llcense Law does not appty to en owner ol property who builtls or Improves ihereon, end who contracts tor such Oroject with a conirador(s) license pursuant �o ihe Contractors License Laws.). ❑ I am exempt under sac. Business and Professions Cotle for this reason: Signawre: Date: Owner ID veritied by dnvers license. ❑ Ves ❑ No Dnvers License No. Venfication of Ownership by (type ol tlocument, i.e. - properry ta�c bill or deed): Expires: DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: ❑ I �ereDy certlty Ihet no excavation fiva (5) or more feet in depth into which e person is required to descend, will be matle in conneciion wi�h work authorized by Ihis permi�, entl ihat no building sWdure, scaHolding, falsework, or demolition or tlismantling ihereof, will be more ihan ihirry-six (36) feet higR (Chap. 32, Grp 2, A� 2, Sec. 341, Title B, Celitomle Adminisirative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division oi Indusinel Safery, es notetl above, unless suc� person has e permit to Go such work from the division. Signature: Date: Division ol Indusirial Satery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVATION OF EMAY: I cenify under penalry of perjury ihat I have read this application and state ihat the intormation given Is wrrect. I agree to comply with all state laws end ciry ordinances relating to building construction, and authorize representetives af Ihe Ciry of Casta Mesa to enter upon the ebove-described property tor inspection puryoses. 1 agree not to occupy or allow acupancy W any builtling aNhorized by this permit uMil final inspection. GQOE1, INSGECTIONttVE 1618 Fixetl System Final Fire Prevention 1268 Pool Spa Final 200 Finel Re-Root 201 Finel Block/Reteining Wall 202 Final Fectory Fire Placa 203 Final Sign 204 Finel Demolition PAg 1[4Q1ELi � � COUE I INSPECTION TYVE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy �g � ow Nee Costa Mesa Estates oArE 4-12-56 JOB ADDRESS 2966 Fordham Drive BUILDING PERMIT NO. Z63S GENERAL CONTRACTOR Roven-Spiegel Co VALUE $ 11��0�� ' L 35 BLOCK TRACT 27�� Single Res H�att gar GROUP I& J TVPE V ZONE R4 FIREDISTRICT 26Jr% PERMITSISSUED INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER Footing Trench �F'6 y=% Foundation Forms and Grade to Garage /p — Rough Framing ��— / ,3 Plumbing, Rough to Slab �.a o-li�- Lv r� S j i° ' Plumbing, Rough Complete j'�}. g 5 /� Temporary Pole Wiring, Rough Heating, Rough %y� B 5 // Heating, Final {?{f-S %3' �gSewer, Hous (,_ Sewer, St. � e S ��-la Septic Tank or Cesspool L 7, In Out ,�/ / �- Pii.ring .��/,� 3 Plumbing,Final�FixturesComplete�_��' �j _�. Plumbing, Fin,al Gas Test($ /y� �} S' .,��`� - Wiring,Final �j' 1 957 y( Occupancy �'i�f.s' s'.�• � FORM RIO 3M lO�v! - S L. I L. . 5/.� -� �- iv V G 3 1�5b 3 S �/. -- ��-v�� 9- i a-sL /e v o o_ ,. Costa Mesa Building Department .- - ' 177 EAST 20th STREET • COSTA MESA� CALIFORNIA FOR APPLICANT TO FILE. IN Building 0�E+�e-: '��,., i/�r� � /% � J Address..��7�'� �[%LI.0 L<^7// ;l 3 �O 6 Costa Nearest �� Cross St. Mail y/ Address.l�v J [o �C� i �J � Sl " city -5//��'Gs'+l-CS S%6 No��t Architector�� ,/� ` �,��_ Lic.- Engineer / r No. Addressl%�i� -/�9T5'"�I.� i'��Jj�.. �1//%� . City L1c. Contractor��,pd�J��ry'C—O�'C ip No. /7 �jy1�� Address •1�,� L(i � 3'� iO j� �/� ,��, Legal I Lat ��I I Description No. Block I Tract�%f0 (Attach Metesand Bounds) ,��'b ' No. of Bldgs Size of Lot �� I Now on Lot Useof No.of No.ot Existing Bldg. Fa'milles I Rooms SetbackLinefrom r : / �_ RearYaM ?� Adtlition � / No. of � Rooms Stories I hereby acknowledge that I have read this Application and state that the above is mrrect and agree to wmply with all City Ordinances and State Laws regulating building construction. Signatureof ��/��"!�� j�1TF5 Permittee Valuation Permit Fee $ �- (�,.� // Z�Q u.v Pian Check $ ( — $ / , Totai Fee $ }�L-- GTT 9111 C_AP 9M '1.�54 - APPLICt�TION FO1Z PERMIT 2�5� BUILDIIdG '� FOR OFFICE USE ONLY Receipt No. Permlt No. ��.f Received by I Date Rec'd. I Date Issued /L«,✓ CL�i)_-�/_ ii:-�i -. Nearest Cross St. P Costa Mesa, California APPROVALS Stops; Date O � L1 2 D r