HomeMy WebLinkAbout949 CONGRESS ST - Building Permits(714) 754-5273 • Fac (774) 754-4856 • vnvw.ci.costa•mesa.�fLDING PERMIT 77 FAIR DFIVE, COSTA MESA, CA 92626
Jobnddress: 949 CONGRESS ST
Suite:
Vicini�y: ROOF
Primary Occ: R-3 Dwellings/ Cong Res <10 7ype of Construction: V-N
Parcel Number: 42242308 Zoning:
npp�icant: WITHERSPOON, JENNIFER
Address: . 13927 LA JOLLA PLAZA
GARDEN GROVE, CA
owner: FINDLEY, RUSSELL D
Address P O BOX 1'1955
COSTA MESA, CA
Comrector. WITHERSPOON ROOFING CO
Address: 13927 LA JOLLA PLAZA
GARDENGROVE,CA
Zip: � 92844
Arch :
Address:
Phone:
Phone: 562397-7663
Zip: 92844
Phone:
Zip: 92627
Phone: 562397-7663
License: 559458
Eng:
Address:
Status: ISSUED
Applied: 09/05R006
Issued: 09/OS/2006
ISSUED BY: V �/V�
Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL 1 LAYER OF 30# FELT, 5:12 PITCH, 30 YEAR ELK COMPOSITION SHINGLES, REPAIR/REPLACE
SHEATHING AS NEEDED. 14 SQUARE$. .
FEE SUMMARY
Plan Check: $0.00
Permit: $9725
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
inspection: $0.00
Total: $97.75
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Exislina:' o
Rear 0- 0
� � " Rear 0- 0
PLANNING & ZONING
Left 0- 0
Lek 0- 0
Reauired: 0 ' Pr000sed: 0
Calc Valuation: S3,soo.00
Claim Valuation: S3,soo.00
Right 0-0
Right 0-0
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 p@rmit shall aufomatically expire and become void if work is not commenced within 780 days, or ii woik is suspended or abandoned
for a period oi 180 days. .
INSPECTIONS: In ortler for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inapectione and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
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WORKERS' COMPENSAnON DECLAFiAnON: � �
1 heroby attirtn under penalry ot perjury one oi the following tleclerations> . � .' ,
❑ I have end wlll meintain e cenificete of wnsent to selt-Insure for workers' compensation, es pmvlded tor by sectlon 3700 of ihe Lebor Code, tor the peAortnence of Ihe
work for which Ihis pertnit is issued.
�I.have entl wlll mainWin workers' compensation insurence, es requiretl by sec6on 3700 oi Ne Lebor Cade, for Ne peAortnance of ihe work Por which this pertnli Is Issued.
My warkers' compensation Insurance carder antl policy number are: u / �-7�
�6er' � �� `I � �' U N D � Policy Number. � S 1 b 'T � � — � �
is section need nof be comp/eted i! (he permit is valued et one hundred dW/ers ($100) ar /ess.)
�
IWAANIN6: FAILURE TO SECURE K
THOUSAND DOLLARE (5100,000). IN
of the work for which this pertnit is issued, I shall not employ any parson in any manner so as to become su6ject to the workers'
, and egree that II I should becoma subjeq to Ihe workers' compensation provislons ot Section 3700 of Ihe Lebor Code, I shell forthwith
LICENSED CON7RAC70R5 DECLAHATION:
CONSTRUC710N LENDING
f' ��.� � -�� - o to
iIJ COVERAGE IS UNL4WFUL AND SHALL SUBJECT AN EMPLOYER i0 CHIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED
OF CAMPENSATION, DAMAGES AS PfiOVIOED FOR IN SECTION 3]OB OF THE IABOR CODE, INTEREST, AND ATTORNEV'S FEES.
Chapter 9(commencing with Saction 7000) of Division 3 of the Business and Professions Code, end my license is in full
❑ I hereby eNirm t�at Ihere is a constmction lending egency for the pedormance of the work for which Ihis pertnit is issuetl. (Sec. 3097, Civil Code).
Lendnr's Name: Lender's Atltlress:
Slgnature:
oata:
OWNER•BUILDER DECLARA710NS:
I hereby aflirm Ihel under penalty oi perjury ihat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions
Code: Any city or counry which requires a permit lo consimct, altar, impmve, tlemolish, or repair any siructure, prior to its issuance, also requires ihe epplicant tor such pertnit
to tila a signed statement ihat he or she Is Iicensed pursuent to Ihe provisions of ihe Contreaors License Lew (Chapter 9(wmmencing with Sectlon 7000) of Division 3 ot the
Business antl Pmfeuions Code) or Ihet he or she is exempt therelwm anA the �asis for the allagetl exemption. Any vialation of Sedion 7031.5 by eny epplicant for e permit
subjecls the applicent to a civil penalry of not more then tive �undred dollars ($500).): .
❑ I, as owner ol the properry, or my employee5 with weqes as Iheir sole compensation, WILI DO TT1E WORK, and the siructure is not intended or otteretl for sale (Sec.
7044, Business antl Professions Code: The Contractors License Law does nm appry to en owner ol pmperry who builds or improves thereon, and who tloes such work
himsell or herself or thmugh his or her own amployees, provided that such improvements are not Intentletl or offeretl for sale. If, howevar, the building or improvemenl is
sold within one year of compleiion, ihe own��-builder will have �he burden ol proving that he or she did not builtl o� improve for purpose ot sele.).
❑ I, as owner ol the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to wnstruct the pmject (SecJ04d, Business end Professions
Code: The mmrectors License Lew does no� apply lo en owner ol property who builtls or Improves Ihereon, antl who contracts for such pro�ect with e conirector(s)
license pursuent ro the Contractors License L.aws.).
❑ I am exempt under sec. Business antl Professions Code lor this reeson:
SignaWre: Date:
Owner ID veri}ied by driver's license. ❑ Yes ❑ No Driver'S Licen58 No. Expiras:
Vedficetion of Ownership by (type of daument, i.e. - propany taz 6ill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CEAnFICATION:
❑ I hereby certify ihat no exwva�ion fiva (5) or more feet in tlep�h into which e person is required to descend, will be matle in connection with work euihorized by Ihis
pertnit, and that no builtling siructure, scatfo�ding, falsework, or tlemolition or tlismantling thereol, will De more �hen ihiny-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Title 8, Califomia Administrative Cotle).
❑ As owner-builtler, I will not employ anyone to do work whic� would require a permit from Ihe Division of Industnel Satery, as notetl ebove, unless such person has e
permit to do such work from Ihe tlivision.
'SiBnature: Date:
Divisian oi Industrial Safery Permit Number:
CERTIFlCATE OP COMPLIANCE AND AUTHOR17ATON OF ENTRY: I certity under penalry of perjury Ihat I have reatl this apD����ion entl state that the iniormation given �s
mrrect I agree to compty with all state laws and ciry ordinances relating ro building construction, and authonze represeNatives oi the Ciry oi Costa Mesa to enter upon Ihe
above-describad properry for inspection purposes. I agree not to occupy or ellow occupancy of any builGing euthorized by Ihis pertnit until tinel inspection.
Signature Of
COOE 1. INSPECTIdATYPE
1616 Fixetl SySlem Pinal Fire Prevenlion
1266 Pool Spe Final
200 Final Re-Rool
201 FInalBbcWRataini�Wal1
202 Final Fectory Fire Place
203 Final Sign
204 Final Domolition
nevn�, a,,,m —
. PdIE INTRIALS
�6 �
COOE I INSPECTION TYPE
206 Final Mechenicel
20B Final Plumbing
210 Final Elec�ncal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 FinalBuiltling/Occupanry
' �� — CJ iC7
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QdIE 1t{�ALS
ORANGE COUNTY BUILDING DEPARTMENT APPLICATION fOR PERMIT �
636 North Broadwar � �' � � � � p
� SANTA ANA, CALIFORNIA ' � ' ��
FOR APPIICANT TO FILL IN FOR OFFICE USE ONLY
- - - RECEIPT NO. PERMIT NO.
BUILDING 9�,9 Con reas St. o�f�
ADDRE55 � ���� ,��Q /
SCHOOI DIST. a. �
OR TOWN COB LS Mesa �R�EC/F�J IV�ED BV OATE REC'D. DATE I55(iEO
CROSS 6T. /�J/J � .i�// J T �/�� -`� `
National Ave.
OWNER ChiCksaw R�i�eB IIIC ,__ ADDRE'SS /%/
�-
MAIL 9�63 Wilshire B1Vd• oRHT�OWN �ST' �
ADDRE55 �.
��TM Beverlv Hills No CR 54�361 NEAREST � .�
CRO55 ST.
ARCHITEGi fl LlC. 20 NO. OF ( 7YYE GROUP -
ENGINEER (ealn—M�R rrache�o. � PlA11S I �
ADORE55 ZylO E.Walnut—Paeadena pppROVED �
CONTRACTOR p81b0$ y 1$t8. N0.243231 BV D/.TE
AooREss 9363 Wilehire—Beverlv Hill CORRECTIONS
tATTACM METES Q BOUNDSI
NO. OF BLDGS.
SIZE OF LOT �O R ZO$ NOW ON LOT O
USE OF I NO. OP I NO. 1
EXISTING BLOG. Fexiu[a R OF
GENTER OFISTR��M� JO P Y. SEDE YARO
D�SCRIPTION OF WORK
u�.� i e�.. _�e._,�� i i...�,r,�u
f9 USE OF NEW
� BUIIOING
�I HEflEBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATiON ANO STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALl COUNTY ORDINFNCES
ANO STATE LAWS REGULATING BUILDING CONSTRUCTION.
AUTHORIZEO AGY, � / � �
+ � PLASTI
P6RMIT FE[ S /4ry M/50�
VALUATION a 4830 � �� p��N CN[CK 3 /1
BON�i
�7AL IF FINAL
FEE
IOM J-20-99 �
APPROVALS
7ION I INSPEC'
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