HomeMy WebLinkAbout2526 SANTA ANA AVE - Building Permits ADDRESS OP BUILDING: 2526 SANTA ANA AV DMT: F CITY OF COSTA MESA — BUILDING PERMIT
OWNER'S NAME IF DOM SPENGLER, DAVID PERM NO: B 077983
AD : 10666 WESTMINSTER AV
1 GARDEN GROVE, CA 92643 PERMIT NO: B 077983 ' PLAN CHECK NO: N GOVT: N SUPP : N
547-0380
ADPL.MUM ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT ORENGNEER: UC.NO.: JOB DESCRIPTION : T/OFF & REROOF W/COMP SHINGLES SQ FT: 2 , 000
ARCR OR ENG.'S ADDRESS: UHT:
CLAIM VALUE: 2, 000 . 00 CALC—VALUE: 2, 000 . 00 GROUP OCC : R-3 /
carmAcrocSRAME:PRO SPEC ROOFING ( 714 ) 836-7865
CDNmACTOR's MMI1NG 945 N MAIN STREET COMMENTS : REROOF 1700SF RESIDENCE W/COMP SHINGLES
ADDRESS:ORANGE CA uC.NO,: 471616 lflf{t-3tiEtE**x-lfifiE*it-if-***tEjEj(-1[-3kifff-K-1ElE#iPif3f1(-1EiE3F3F1tiP1E#1P***7E#!t-iE***x-lEifif-1EiflffElElFaElf3Ej(-ifl(-1E1Eif3EftlElElE***
92667 IlMT: Z ONING REQUIR EMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I em licensed under provisions of Chapter 9 SETH ACK S
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my licenr is in full force end effect.
CITY LIC.NO.:042611 LIG.CLASS:C 39 LIC.NO.: 1616 E /96 MAIN BUILDING ACCESSORY BUILDING
7— 9� FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Date: centra°° LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under panty of perjury that I am exempt from the Contractors License Law for the
tdbegreason(Section 7O31.5 Business and Professor Code:Any cry a county which requires apenst loartuct,alter,improve, PARKING REQ: PROV: PARCEL: 00000000 ZNE: REF NO:
xndbh.or repair any structure,prior to its issuance,also requires the applicant for such permit to fib a signed statement that he or she '-(°
licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)of Division 3 of the PLANNING NOTES>'.
Business and Professions Code]or that he or she S exempt therefrom and the basis for the alleged exemption.Any violation of Section >
7031.5 by any applicant for a pewit subjects the applicant lo a civil penally of nes more than the hundred dollmalS50O]I. *******************************************************************************
❑ I,as owner of the propend or my employees with wages as their sole compensation,will do the wroth,and the structure b not intended DEVELOPMENT SERVICES REQUIREMENTS
or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to an owner of propend 2
who bide or improves thereon,and who does such work hunset or herself or through his or her own employees,provided that such
improvements are not intended or offered forsate.I.however,the building or improvement is sold within one year of completion.the ZONING APPROVED' BY DATE:
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
I,as owner of the properly.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and '' ' �
❑ ndconstruct
,
Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who BUILDING APPROVED B Y DATE: ',
contracts for such projects with a contractors)licensed pursuant to the Contractors License Law). "/
❑ lamexempt under Sego : B.AP.c..lprmiereason: APPLICATION ISSI3ED BY: DATE:
*********************************************** f***************** **
Date: owns: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and
25534.and that lorany future building occupant will/wpb not(circle one)need to comply WO said oma codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for construction or modification from the A' ualy ar�°manl District.Residential wMnuaion eppicmions are exempt from these
provisions. PERMIT 62 . 25 . 50
Date: Applicant SMIP/NON—RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE
❑ I have and wil maintain a certificate of consent to sehinsure for workers'comptmeation.es provided for by Section 3700 of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,for the performance of the work for which this permit inissued. TOTALS----> 62 . 75 0 . 00 0 . 00 62 . 75 62 . 75 . 00
rl t have and e l maintain workers'compensation insurance,as required by Section 3700 of the Labor Coda,for the performance of the
1C' work for which this permit is issued.My workers'compensation insurance carrier end policy number are:
Cartier. STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 62 . 75 OVER/SHORT: . 00
Policy Number: U44-9500004 /21 10/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed f the pennA is for one hundred dollars/S1OO)or less) 62 . 25 . 50
❑ I comfy 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 taxa of California,and agree that if I should become su to the workers' *******************************************************************************
` aampanaaay provisions of Section 3700 of the Labor Code,I Moll forthwithwith Inc.pnqh.cme. INDIVIDUAL F E E BR EAKDOWN
icy Date: 6— 3— 9‘ Applicant: ofd /
Warning:Failure to secure workers'compensation coverage Is unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil Ones exp to one hundred thousand dollars($100000),In addition to Ima coat of companesflon,damages as provided for In
Section 370softhe Labor Code,Interest,and afrorney'afees. SFR 2000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2 , 000 , 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this puri is issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have reed this application and state that the above information is coned.I agree to comply with all city and county ordinances
and state laws relating to building construction and hereby authorize representatives ofthis city to enter upon the abwe.m°nlioned property
for inspection purposes.
GENE ROY - - -
Prin/.:me i
•
SignmureofOwner/ApentlAppFran Vector �, •.
(5151-45 WP) White-Building 8 Safety:Green-File:Carry-Appirnt;Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING POC SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Foie 52. Pool & Equipment Location ,
-
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement • ..
'3. Electrical Conduit Lltility•Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrrid. • 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test '
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7-. Footings -_ 58. Electrical Conddit-Unclrgrnd. _
• 8. Foundation -- - 59. Gas Pipe, 0 Undrgrnd.,Test ....
'
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line& House Connection 62. Backwash& Receptor-Fintal
12. Sewer Cap _ 63. Heater & Vent-Final
13. Roof Drains - 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
- -
15. Rough Electrical-Conduit • 66. Solar System-Final
16. Rough Electric Wiring , 67. Fencing & AccessApproval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18, Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating.& Air Conditioning - - FIRE DEPT.REQUIREMENT
20. Rough Factory Fireplace • - • APPROVALS Permit #
21. Ducts, in'Structure. • - 70. Underground Hydro r.
22. Ducts, Ventilating- _ - - • 71. Product•Piping.LfGas 0 Oil
23. Gas Pipe-Rough&Test 72. Underground Flush '• _
24. Roof Framing _ - ' 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing O 47_ 6,,,,,i,- 74. Overhead Hydro .
26. T-Bar Ceiling (Structural) & Monocoat 75. -Dry Chemical -
27, Frame and Flashing . - 76. Dry Staridpipec
28. Lathing&Siding - - 77, FIXED SYSTEM FINAL
29. Insulation - ? , 7$. FIRE PREV. FINAL
30. Drywall Nailing - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat a 72 - 79. FINAL INSPECTION
32. Electrical-Power Meter-Final 80, FOOD CERTIFICATE ISSUED
33. Final Electric , - Notes: '
34. Final,Heating & Air Conditioning
35. Final Gas Pipe-Test - . .. -
36. Hood or Canopy .� -
37. Final Factory Fireplace - ,
38. Final-Plumbing
•
39. Water Service-final -
40. Gas Service-Final - •
41. Solar Domestic-Final _
-
42. Backflow Preventer - -
43. Backflow Irrigation .
•44. Landscape Irrigation System
45. Sound Attenuation - -
46. Handicap Regulations -
47. FINAL STRUCTURE & BUILDING 6,1g-g &i, �6 / _
48. FINAL PLANNING , `�`�� '
49. Electric Release to Edison .
•
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No Date
t
ADDRESS OF BUILDING: 2526 SANTA ANA AV um!: D & E CITY OF COSTA MESA — BUILDING PERMIT
AWERSNIEIFlOwtiN:SPENGLER, DAVID PERM NO: B 077982
4, Sat+ :10666 WESTMINSTER AV
GARDEN GROVE, CA 92643 PERMIT NO: B 077982 PLAN CHECK NO: N GOVT: N SUPP : N
547-0380
APPL.MMUNG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ARCHRECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : T/OFF & REROOF W/COMP SHINGLES SQ FT: 3, 750
ARCH.OR ENG.'S ADDRESS: UMT:
CLAIM VALUE : 3, 750 .00 CALC—VALUE: 3, 750 .00 GROUP OCC : R-3 /
caDRACTORSKIEPRO SPEC ROOFING ( 714 ) 836-7865
COTRACTORSMMUNG 945 N MAIN STREET COMMENTS: REROOF 3000SF DUPLEX W/COMP SHINGLES
ADDRESS:ORANGE CA uc.No.: 471616 xatatatitx********iexit********+E+tat************** at*at*ia*+G**at****ftf(St**********at**+Eir*+ENE*
92667 WIT: Z ON ING R EQU IR EMENTS
UCENSED CONTRACTORS DECLARATION:I hereby eft nn under penalty of penury Mat I am licensed under provisions of Chapter 9 SETBACK S
(commenting with Section 7000)of Division Dol the Business and Professions Cede,and my license b in lull force and effect,
CRY LIC.No.fl42611 LIC.CLASs:C 39 LIC.NO.: 71616 EP: 08 /96 MAIN BUILDING ACCESSORY BUILDING
// /may_ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Data: b - 3 ' �� comas«: LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I ant exempt from the Cont ars License Law ler the
following reason(Section 7031.5 Business and Professions Code:Any city«county which requires apennu to construct,alter.improve, PARKING REQ: PROV: PARCEL: 00000000 ZNE: REF NO:
lemolieh,or repair any structure,pricy to its issuance,also requires the applicant for such permit to fib a signed statement that he or she '
e licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)of Division 3 of the PLANNING N TES>
•
Business and Professions Code]Cf the he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section > .
7031,5 by any applicant for a permit sucts bjethe applicant to ait penaltyof riot more than(Na hundred dollars$5WB. *******************************************************************************
❑ I,es owner of the property or my employees with wages as their sole compensation,will do the work,and the structure is not intended D E V E /L 0 P MENT SERVICES R E Q U I R E M E N T S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to en owner of Wherry
'
who butts or improves thereon,and who does such work himself or horse[ through or he or her own employees.provided that such
improvements are not intended or offered for sale.If.however,the building or harassment is sold within one year of completion.the ZONING APPROVED BY DATE: "
owner-builder will have the burden of proving he or she did not build«improve for the puN
oee of sale).
I,as owner of theproperty,am exit conlract with licensed contractors to construct the s
❑ exclusively agproject(sectn stheeonandwm BUILDING APPROVED BY : DATE: •''
Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who
contracts 1«such projects with a cemnmor(s)licensed pursuant to the Contractors License Law).
❑ lamexempt under Section: B.AP.C.,Ice this reason: APPLICATION ISSUED BY: S DATE; Civ 1/2 .j:11.(7**
*************** -******************************* ******************* . * **
Date: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT :Y
I do hereby certify that I am aware of end understand the requirements of California Health and Safely Code Sections 25505.25533.and
25nrisfand tWlcyany Murebationfoccupant Awill SIyMansgebone)rrd.Reed ewmphy wihsetd Gatecodes
nsare the remptfrontsf« BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
pr�iR«mvtdon«modfimonnamtheRaTa l�aapemenlGact.ReaM«uemauctonappiaoroueeemplromNese PERMIT 87 . 25 . 50
Date: Applicant: S M I P/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the follow*declarations: ISSN
ISSUE FEE
❑ Cdv°°Mwilerfirmnc ofthewdmrwhichthispaontarsed. romp«tauten.mproridedlcybySection 3)OOa1tMLabor BUILDING—DIV_> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
coda.[«the perfame eWhewaAferw:nmepemtbeeaee. TOTALS----> 87 . 75 0 . 00 0 . 00 87 . 75 87 . 75 . 00
xDI have and wit 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:
Carder STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 87 . 75 OVER/SHORT: 00
Policy Number. 044-9500004 /23 10/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(chis section need nor be completed f the permi is for one hundred dollars(5100/or less) 87 . 25 . 50
❑ homily that in the performance of the work for which this perms is issued,I shall nit employ any person in any manner so as to
become subject to the workers'compensation laws of California., agree that n cow
I should beme subject to the Oars' *******************************************************************************
c«npensat' provisions of sedbn 3700 a the Labor Code,l snag n campy wan qhs. INDIVIDUAL F E E BREAKDOWN
Data - -3' 9L Applicant:
Warning:Failure re secure workers'compensation coverage is unlawful,and shell subject an employer t criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines W to one hundred thousand dollars($IOPGr0),M addition to the cwt of compensation,damages as provided for In
Section 3706 of WM Labor Code,Intanet andardrney'a foe. SFR 3750 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 750 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of penury that there is a construction lending agency tor the END OF FEES
performance of the work for which this permit is issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDERS ADDRESS:
I candy that I have read this application end Gate that the above information is correct.)agree to comply with all city end county ordinances
and state laws relating to building construction and hereby authorize representatives of this ally 10 enter upon the above-menlicned properly '
or inspection purposes
GENE ROY
Print M
3'
� Dan: Z. 9
srenswredownsdAg A ucomrad«
(5151-6.WP) White-Butldig A Saler:Green-Ale:Canary-AppFent:Pmk-Revenue:Goldenrod-Assessor
4 -
CONSTRUCTION AND PLANNING POO SPA
APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or,Poie 52. Pool & Equipment Location.
2. Soil Pipe•Undrgrnd. - 53. Steel Reinforcement _
3: Elettrical Conduit Utility-Undfgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. , '' 55. Electrical Bonding ,
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6.' Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7: Footings 58. Electrical Conduit•Undrgrnd. '
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
. 9'. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System - 61. APPROVAL TO DECK •
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final •
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final '
•
15. Rough Electrical-Conduit 66. Solar System-Final =,j
•
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING -
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating& Air Conditioning - . FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace . APPROVALS Permit# -
21. Ducts,in Structure . 70. Underground Hydro
22. Ducts; Ventilating • 71. Produci Piping 0 Gas b Oil
23. Gas Pipe-Rough &Test _ • 72. Underground Flush
24. Roof Framing _ 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing G 73 96 ('ce..45e. 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & M'onocoat r ' - . - 75. Dry Chemical ' , ,
27. Frame and Flashing- 76. Dry Standpipe • -
28. Lathing&Siding - • 77. FIXED SYSTEM FINAL
. 29. Insulation - 78, FIRE PREY. FINAL
30. Drywall Nailing , . • HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat - - 79. FINAL INSPECTION
• 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
. 34. Final Heating & Air Conditioning -
35. Final Gas Pipe-Test - -
36. Hood or Canopy - • . - _ •
37. Final Factory Fireplace -
38. Final Plumbing -
39. Water Service•Final -
40. Gas Service-Final
41. Solar Domestic-Final - -
42. Backflow Preventer ;,'
i
43. Backflow Irrigation • _ '
44. Landscape Irrigation System � - ._ ,.
45. Sound Attenuation •
46. Handicap Regulations ,-
47. FINAL STRUCTURE & BUILDING G1/1_Gji„ a
48. FINAL PLANNING t� us •
49. Electric Release to Edison
.
50. Gas Release to Southern California Gas Co
-
51. CERTIFICATE OF OCCUPANCY
No. Date
ADDRESS OF BUILDING: 2526 SANTA ANA AV UNT: B & C CITY OF COSTA MESA — BUILDING PERMIT
OWNERS NAME IF KNOWN:SPENGLER, DAVID PERM NO: B 077981
ADDRESS: 10666 WESTMINSTER AV
GARDEN GROVE, CA 92643 PERMIT NO: B 077981 PLAN CHECK NO: N GOVT: N SUPP : N
547-0380
APPL.MAILING ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
I
ARCHITECT OR ENGINEER: UC NO.: JOB DESCRIPTION : T/OFF & REROOF W/COMP SHINGLES SQ FT: 3 , 750
ARCH.OR ENG.'S ADDRESS: INT: l
CLAIM VALUE: 3, 750 . 00 CALC—VALUE: 3, 750 . 00 GROUP OCC: R-3) /
coNTNACTCWSNAME:PRO SPEC ROOFING ( 714 ) 836-7865 I
caimACTORS MARINO 945 N MAIN STREET COMMENTS : REROOF 3000SF DUPLEX W/COMP SHINGLES
ADDRESS:ORANGE • CA uc.NO.: 471616 +t-* '***** '******************** Eat*Ak**********EL-aE*iEatsEEE*******SE*****+a*K-RPrE******sESEit
92667 UMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under peaty of perjury that I am licensed under provisions of Chapter B SETBACKS
(commenting with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full face and effect.
CITY UC.NO.:042611 UC. 39 uc.NO.: 71616 EXP: 08 /96 MAIN BUILDING ACCESSORY BUILDING
/ p/ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dale: ` ' 3� /b Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penally of pedal(that I am exempt from the Contra License Law/or the
followbg reason(Sedion 7031.5 Business and Professions Code:Any city or county vAich requires a permit to constmct,alba improve. PARKINGREQ: - PROV: PARCEL : 00000000 ZNE: REF NO:
demolish.or repair any structure,prior to its issuance,aoo 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(commenting with Section 7000)of Dilation 3 of the PLANNING NOTES>)
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 apermit subjeda the applicant foe civil penalty of not more than tore hundred dollars)550011. *************************9E****************************************if*********RE**
❑ I,as owner of the propend or my employees with wages as their sole compensation,will do the work,and the structure is not intended D E V E .L. O P M E N T SERVICES REQUIR E M E N T S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply (owner wner of property ,
who builds ds improves thereon,and who does such work himself herself or throughmherself he or her own employees,provided that such _
improvements are not intended or offered for safe.H.however,the building or improvement is sold within one yeas d completion.the ZONING APPROVED,• BY DATE:
ovmereuilder will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I.as owner of the property.ern exclusively nontrading with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED BY
Professions Code:The Contractors License Law does not apply to an owner of property wdro builds or improves thereon end who DATE:
J.
contracts for such pagects with a contractor(s)licensed pursuant to the Contractors License Law).
❑ lamexempt under Section: B.&P.c.,for mmreason: APPLICATION ISSUED BY: DATE: 4' (
*************+E1E******************************* ********************* * *1‘••*****
Dae: ow. —, LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y
I do hereby certify that I em aware of and understand the requirements of California Health and Safely Code Sections 25505,25533,and
25534,and
thatnt rcle one) tthfor
se BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provsio s.o>newction«modifirali°nhwnlMA'a-6 Iue�yN�anapemem Diwrict.RmNentielmmtrudkm eppEcatiwre°re ezemlMlromthefe PERMIT 87 . 25
provisions. . 50
Date: Applicant: PLAN SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the lolowing dedamlions: ISSUE FEE
❑ Ihave and will maintain a cedicate d consent lo self-insure forwwrers compensation,es provided for by Salim 3700 o the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Coda for the performance of the workiw which this permit is issued. TOTALS----> 87 . 75 0 . 00 0 . 00 87 . 75 87 . 75 . 00
0 I have end wit maintain workers'compenamon insurance,an required by Section 3700 at the Labor Code,for the performance d the
work for which this permit is issued.My workers'compensation insurance carrier end policy number are:
Carder: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 87 . 75 OVER/SHORT: . 00
Policy Number. 044-951!0004 /2i 10/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need nor be completed i the permit is for one hundred dollars(5100104'less.) 87 . 25 . 50
o 1 candy the in the performance of the work for which this pend is issued.I shall not employ any person in any manner so as to
become subject to the wrs'orkecompensation laws d California,and ree that i I should become subject to the workers• *******************************************{E****************.**************.***4*
pompon on provisions cif Section 3700 d the Labor Cade,l shall forth complywhh INDIVIDUAL F E E BREAKDOWN
Date: + •
6 - 3' /4 Applicant: /Q
Warning:Failure to secure workers'compensation coverage Is unlawful,and shall subject an employer to mina/penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars(5104000),In addition to the cwt of compensation,damages as provided by In
Section3]aoftheLaborCode,Interest,andafforneyafees. SFR 3750 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 750 . 00
CONSTRUCTION LENDING AGENCY(1 hereby affirm under penalty of perjury that there is a condrudion lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097.Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I 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 thy to enter upon the above-mentioned property
for inspection purposes.GENE ROY
t �C/ . Pct me Date: 9 -•
'r_ -
' 3' "
Signature of Owner/Ag Applicant/Contractor
(5151'48 WP) White-Buidvg&Safety;Green-Fla;Conary-Appicant:Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING POO._ .,+ SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location': '
2. Soil Pipe-Undrgrnd. 53, Steel Reinforcement
3. Elettrical Conduit.Utility•Undrgrod. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
-5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
-7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK -.>. -
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final-
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final .` -
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit . + ' 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing& Access Approval ,
17. Rough Wiring Sign 68. APPROVED FOR-PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning , - FIRE DEPT,REQUIREMENT
20. Rough Factory Fireplace - - APPROVALS -' Permit #
21. Ducts, in,Structure - 70. Underground Hydro
22. Ducts, Ventilating , - 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test - 72. Underground Flush
24. Roof Framing i • 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing - (y r��� 16‘....4f-t -
74. Overhead HYdro
26. T-Bar Ceiling (Structural) & MondcOat - - 75. Dry Chemical _
27. Frame and Flashing 76. Dry Standpipe
28. Lathing&Siding '- - + 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown.Coat- • 79. FINAL INSPECTION •
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final-Heating & Air.Conditioning •
-
35. Final Gas-Pipe-Testi y '
36. Hood or Canopy ' - •
-
37. Final Factory Fireplace _ -
38. Final Plumbing •
39. Water Service-Final • •
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer , •
43. Backflow Irrigation
44. Landscape Irrigation System' - .- '
45. Sound Attenuation - -
46. Handicap Regulations
47. FINAL STRUCTURE& BUILDING (9 f3.Ctb Gam
48. FINAL PLANNING -
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
ADDRESS OFBMLONG: 2526 SANTA ANA 'AV DMT: A CITY OF COSTA MESA — BUILDING PERMIT
OWNERS NAME IFMnwN:SPENGLER DAVID PERM NO: B 077980
ADa+ESS:10666 WESTMINSTER AV
GARDEN GROVE, CA 92643 PERMIT NO: B 077980 PLAN CHECK NO: N GOVT: N SUPP : N
547-0380
APPL.MMLD4GAODRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
4
14 ARCHITECT OR ENGINEER: MC.NO.: JOB DESCRIPTION : T/OFF & REROOF W/COMP SHINGLES SQ FT: 2, 000
ARCH.OR U$.'S ADDRESS: INT:
CLAIM VALUE: 2, 000 . 00 CALC—VALUE: 2, 000 . 00 GROUP OCC : R-3 /
CONIBACTarsNAM*:PRO SPEC ROOFING ( 714 ) 836-7865
camACTOasMUUN: 945 N MAIN STREET COMMENTS: REROOF 1700SF RESIDENCE W/COMP SHINGLES
ADDRESS:ORANGE CA uLNO.: 471616 ************************************************************1*******************
92667 uxT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 d the Business and Professions Code.and my license b in lull force and enect.
CITY LIC.NO.: 42611 uc.cuLss:C 39 mAo.: 471616 XP• 08 /96 MAIN BUILDING ACCESSORY BUILDING
I'd "(^may, FRNT: FT IN REAR:
IN RGHT: FT IN FRNT:
LEFT: FT IN REAR: FT IN
Date: — 3 Contractor:Contractor: LEFT: FT FT IN FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penaty of perjury that I am exempt from the Comrmore License Law for the
following res (Section7031.5 Basiress and Professions Code:Any city«county which requires a permit toconswd,alter,improve, PARKING REQ: PROV: PARCEL : 00000000 ZNE: REF NO:
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 PLANNING NOTES>
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)of DNaion 3 of the
Business and Professions Cede]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 aciil penalty of not more than five hundred dollars 135001). ***************'****************************************************************
❑ I,as owner of the property or my employees with wages as their sole compensation,will do the work,and the stmcture a no intended DEVELOPMENT SERVICES REQUIREMENTS
or offered for sale(Section 7044,Business end Professions Code:The Contractors License Law does not appy to an owner of property
who builds or improves thereon,end who does such work himself or hersel or through he or her own employees,provided that such
improvements ere not intended or offered for sale,If,however,the building or improvement is sold within one year of completion,the ZONING APPROVED .BY DATE:
owner-buikler will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I.as owner of the properly,am exclusively=Staging with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED BY : DATE: '
Professions Code:The Contractors License Law does not apply to an owner of property who builds er improves thereon and who d
contracts for aide projects with a contractor(s)licensed pursuant to the Contractors License Law). '
❑ I am exempt under Section: B.A P.C.,for this reason: APPLICATION ISSUED BY: /1 DATE: , .3 q
**************3F****************************** * * ****************** ,** * ****
Date: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I am aware of and understand the requirements of Calgomie Health and Safely Code Sections 25505,25533.end
'smut,and thallerany future building occupant will/wiln«(dab coe)need to campy with said state sales and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
apermit forconstmction or modification from the Ai ueigilvranagement District.Residential construction applcationsareexempt from these PERMIT 62 . 25 provisions.
Date: Applicant PLAN SMIP/NON —RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE
❑ I have and will maintain aceneicate o consent losefina«efor workers'compensation,as provided for by S.mcn 3700 orate Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,for the performance of the work for ostrich mit permit ie issued. TOTALS----> 62 . 75 0 . 00 0 . 00 62 . 75 62 . 75 . 00
.Irl I have and wit maintain workers'compensation insurance,es required by Section 3700 of the Labor Code,for the performance of the
7C' work for which this permit is issued.My workers'compensation insurance carrier and policy number are:
Cartier STATEAFUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 62 .75 OVER/SHORT: . 00
Policy Number: 044-9500004 /23 10/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed a the permit is lot one hundred dollars(Al 00)or less.) 62 . 25 . 50
❑ I certify that in the performance of the work for which this perms is issued,I shag not employ any person in any manner so as to
became subjed to the workers'compensation laws of Cefit«nia, and agree that H I Mould become abject I *******************************************************************************
someonem' provisions of Section f of the Labor Code,I shall fort/mit ply with thoeex�w/�'-.a INDIVIDUAL F E E BREAKDOWN
Date: S- - 9 Applicant I-
Warning:Failure to secure workers'compensation coverage Is unlawful,end shall subject en employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
shell lines up to one hundred thousand dollars(3100,000),In addition to the cost of compensation,damages as provided ser In
Section3706 of the Labor Code,Interest,andettorney's lees. SFR 2000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 001 2, 000 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097,Ob.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application end state that the above information is correct.I agree to comply with all ply end county ordinances
and slate laws relating to building construction and hereby authorise representatives of this thy to enter upon the above-mentioned property
for inspection purposes.GENE ROY - - -- -
� mrd
'- 3- 96 -_.
Dale:Signature of Owner/Agent/tip - onvador J _ --- _
(5151-46.WP) While-Building A Safety;Green-RI:Canary-Applicant;Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service or,Pdle 52. Pool & Equipment Location•,
2. Soil Pipe-Undrgrnd. . 53, Steel Reinforcement • -
3: Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 1 . 55. Electrical Bonding
`5. Steel Reinforcement 56. Rough Plumbing & Pressure-Test •
6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE -
7. Footings - 58. Electrical Conduit-Undrgrnd.
8. Foundation • - 59. Gas Pipe, 0 Undrgrnd.,Test
9: Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 U,drgrnd.
10. Structural Floor System - . 61. APPROVAL TO DECK
11, Property Sewer Line & House Connection 62, Backwash & Receptor-Final•
12. Sewer Cap . ' 63, Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit66. Solar System-Final
16. Rough Electric Wiring I 67. Fencing & Access Approval
17, Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning . . i FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace - _ _ - - APPROVALS Permit#
21. Ducts,in Structure - . 70. Underground Hydro
22. Ducts; Ventilating r 71. Product Piping 0 Gas L3 Oil
23. Gas Pipe-Rough & Test -- 72. Underground Flush -
24. Roof Framing . • ' 73. Undergrnd.Storrage.Tank 0 Gas 0 Oil
25. Roof.Sheathing 41-1/b-R6 bet, 74. Overhead Hydro - I
26. T-Bar Ceiling (Structural) & Monocoat ' - 75. Dry Chemical -
27. Frame and Flashing ` _ r 76. Dry Standpipe, -
28. Lathing& Siding 77. FIXED SYSTEMFINAL
29. Insulation78. FIRE PREV. FINAL
30. Drywall Nailing - HEALTH DEPT- REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical-Power Meter-Final 80: FOOD CERTIFICATE ISSUED
- 33. Final Electric -• Notes:
34. Final Heating & Air Conditioning - -
35. Final Gas Pipe-Test . - - '
36. Hood or Canopy - - , •
37. FinalFactoryFireplice, ' -
38. Final Plumbing • -
39. Water Service-Final • '
40, Gas Service-Final -
41. Solar Domestic-Final
42. Backf low Preventer
43. Backf low Irrigation - - -
44. Landscape Irrigation System -, .- --
45. Sound Attenuation _ -
46. Handicap Regulations -
47. FINAL STRUCTURE & BUILDING 6.77_,74, Gwk- -
•
48. FINAL PLANNING •
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co ,
51. CERTIFICATE OF OCCUPANCY
No Date