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Home My WebLink About964 SPRINGFIELD ST - Building PermitsCITY OF COSTA MESA QytpMFS'q BUILDING DIVISION F�. .* 0 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax p14) 754-4856 • www.costamesaca.00v � FOR INSPECTIONS CALL: (714) 754-5626 `�'�°�°R°"' PERMIT NUMBER: E11-00230 PERMIT TYPE ELEC STATUS: ISSUED � APN: 14172418 DATE ISSUED: 10M812011 ,�' � ISSUED BY: KJB JOB ADDRESS: 964 SPRINGFIELD ST CM Suite/Unit: Vicinity: � . � - -_ -_ . . -. --�.,_-�. . , SCOPE OF WORK: RELOCATE FAU TO THE ATTIC. 80K�BTU. 7 DUCTS. ELEC TO INCLUDE:,1 LIGHT, ;1 SWITCH, 1 OUTLET. OWNER: DORSCH, DORIS '-., Address: 964 SPRINGFIELD Unit: . PHONE: 714-861-1061. : City/Stale/Zip: , COSTA MESA, CA APPLICANT: ZAMOR4, CARL05 � Address: PHONE: 818-735•7876 , - � City/SWte/zZip: . . -.: i .. . . CONTRACTOR: SERVICE CHP.MPIONS . Address: 22911 SAVI RANCH PKWYUnit: --- - City/SWte: YORBA LINDA, CA � ZipCode: 92887 ELECTRICAL PERMIT FEES F-�ectrical Plan Check Fee: Electrical Permit Fee: Reinspection Fee TOTAL FEES ,;r $0.00 $45.00 $0.00 $45:00 Unit License No. � 799170 � . °PHONE: 714-777-7777 -. , ` ' CELL: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related -7egulations. (Ord. No. 92-28, § 1, 12-21-92) ' EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF IAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all � iequired inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit. C� INSPEC110NTYPE DATE IN1111AL GODE% MSPECTIONTYPE � INTITIALS 1fi76 Fixetl System Final Fire Prevention 206 Final Mechanical =1266 Pool Spa Final 208 Final Plumbing �. �; �� 200 Final Re-Roof 210 Final ElecVical � .201 Final BIocWRetaining 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 WORKERS' GOMPENSATION OECLARATION: I hereby aNrm under penal�y of perjury one of the following declarations: ❑ I have and will maintain a c�rtifcate of consent to self-Insure (or workers' compensalion, as pmvided for by section 3700 of the Labor Code, for the peAormance of Ihe work for which this permit is issued. I have and vrill maintain vrorkers' compensation insurance, as required by s tion 3700 0( the Labor Code, tor the peAortnance of Ihe work for which this permit is issued. My workers' Compensa�ion Insurance carrier antl policy number are: /%� Carrier / �/ Q✓ �Pv"1 S �edrol0emmpktetla(nepemufrsvaluetlatonenv�red�llars/Sf00)orless) P mber. %(%CifPdGCoZ9�01 � ❑ I certiy that in the p ormance of the work for which this permit is issued. I shall not emplo any erson in any manner so as lo become subject to �he workers' comp sation aws o( Cali(ornia, and agree that if I should � become subject to t worker compensation provisions of Section 3700 of the Labor Code, I s II forthwitfi omply with these provisions. �D• (�•1! r. 9t'ss'a"� Se .. Cnaa-1— WARNING: FAILURE 7O'3ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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 affum lhat I am licensetl untler provisions of Chapter 9(commencing with Section 7000) o( Division 3 of the Business and Professions Code, and my license is in full force and eH@ct. � . SS.s-.�r u� �GbM�9t�'r' �gnaWre� Da� Ie�Z. �� CONSTRUC LENDING AGENCY: ❑ I hereby aKrtn that there is a construction lending agency for lhe pedortnance of ihe work for which this pertni� is issued. (Sec. 3097, Civil Code). Lenders Name: Lendefs Atltlress: SignaWre Oate OWNER-BUILDER DECLARATIONS: I hereby aKrm that untler penalry of perjury that I am EXEMP7 FROM THE CONTRACTORS LICENSE LqW (or lhe following reason (Sec. 7031.5, Business and Professions Code: Any city or counry which requires a permit to wnstmct, alier, improve, demolish, or repair any stmcWre, pnor to its issuance. also requires the apP��cant for such pertnit to file a signed statement that he or she is licensed pursuant to lhe provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Pro(essions Code) or Ihat he or she is exempt Ihere(rom and the basis for the allegetl exemption. Any violation of Section 7031.5 by any applicant tor a permit suhjects the applicant to a civil penalty of not more ihan fve hundred dollars ($500).): ❑ I, as owner of the property, or my employees wilh wages as lheir sole compensation, WILL DO THE WORK, and the structure is not intended or oHered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does nol appty ro an owner of property who builds or impmves thereon, and who does such work himself or herself or lhrough his or her own employees, provided ihat such improvements are not inrended or oHered for sale. If, however, ihe building or improvement is sold within one year of wmpletioq 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 Ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CON7RACTORS to �onsWct Ihe project (S2c. 7044, BuSinESs and Pro(essions Code: The wntractqrs License Law dces nol appy to an owner of property who builds or improves thereon, and who coniracis for such projec[ with a wnt2ctor(s) license pursuant tp the Contracrors License Laws.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signawre Date 305]-a6 (3/W � Owner ID verified by tlriver's license. ❑ Yes ❑ No Driver's License No. Expires: Verifca�ion of Ownership by (rype of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certiry Ihat no excavation fve (5) or more feet in depth into which a person is required to descend, will be made in connec[ion with work authorized by this permit, and that no building sWCWre, swHolding, (alsevrork, or demolition or dismantling therBof, vnll be more than thirty-six (36) (eet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Administrative Code). ❑ As owner-Guilder, I will nol employ anyone to do work which would require a permit trom Ihe Division of Industrial Safety, as noted above, unless such person has a permit to tlo suc� work from the division. ApphwnCs SignaNre Da�e Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuNre builtling occupanl need to fle antl certify a Business Plan for emergency response [o release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of ihe Cali(omia Health and Sa(ety Code requires, with some exceptions, that a Business Plan be fletl with the Costa Mesa Fire Depariment 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 feel of compressed gas at standartl temperaWre and pressure). 2. Does or will the applicant or present or future building occupant need to fle a registralion (orm for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Heal[h antl Safety Code, vrith some exceptions, requires registration with the Costa Mesa Fire DepaAment by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or grealer than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet o( compressed gas at standard temperaWre and pressure). 3. Does or will the applicant or present or (ulure huilding octupant need to prepare an RMPP (Risk Management antl Prevention Pmgram for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safery Code provides that the Costa Mesa Fire Department may require the preparation, certifcation and fling with Ihe Fire Departmen[ of an RMPP by businesses which are required to register aculely hazardous materials with the Fire Departmen[. 4. If an RMPP is presently required, has Section 25534 of the California Health and Safery Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or fuNre building occupant require for the work which is the subject of this aOPfication a permit for such consimction or modifcation from Ihe South Coast Air Qua!ity Management District or fmm any other air pollution control tlisMct or agency? ❑ Yes ❑ No (Section 658502 of the Califomia Govemmeni Cotle requires lhat the requested infortnation be Wmished on applications for non-residential huilding permits). 6. Will any part o( ihe facility to be constmcted under Ihis permit be within 1000 feet fmm the outer boundaries of a school? ❑ Yes ❑ No Qf "yes', the faciliry must mee[ the requirement of Sections 25534 and 42303 of the Califomia Healih and Safety Code). 7. I( a permit fmm the South Coast Air Qualiry Management Disirict or other air polWtion wntrol disMci or agency is required for ihe work which is the subject of this application, have all ot Ihe disclosures prescnbed by California Health and Safery Code Section 42303 been made? ❑ Yes ❑ No 8. Qf "yes", attach�certificate of compliance from Ihe appropriate air pollution contml oKceQ. CERTIFICATE OF COMPLIANCE: I certiy ihal under penalry of perjury ihe information given above is correcL I agree to tomply with all state laws and ciry ordinances regarding Hazardous Materials and Emissions. Date CERTIFICATE OF COMPLIANCE AND AU7HORIZATION OF ENTRV: I certify under penalty of perjury tha� I have read Ihis application and�state that the information given is conect. I agree lo comply vrith all state laws and city ordinances relating to building consfruction, and authorize representalives of the City of Costa Mesa to enier upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy o( any building authorized by thrs permit until final inspection. -naWreofl er(s) Date � � � n o�iZBtlApplica L—Oele-^ A\ CITY OF COSTA MESA � �'�pMFq B{IILDING DIVISION ,, y i�� 77 FAIR DRIVE. COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.costamesaca.aov ° � FOR INSPECTIONS CALL: (714) 754-5626 �`'"°'°"°'�� PERMIT NUMBER: M11-00113 PERMITTYPE MECH APN: 14172418 STATUS: , ISSUED • DATE ISSUED: 10/18/2011 ISSUED BY: KJB il0B ADDRESS: 964 SPRINGFIELD ST CM Suite/Unit: , Viciniry: , • SQ. FT: 0 , ' � SCOPE OF WORK: RELOCATE FAU TO THEATTIC. BOK BTU. 7 DUCTS. ELEC TO INCLUDE 1 LIGHT, 1 SWlTCN, 4 OU7LET. OWNER: DORSCH, DORIS ' Address: 964 SPRINGFIELD . Unit PHONE: 714-861q061�' � � City/Sfate/Zip: � COSTAMESA,CA APPLICANT: ZAMORA, CARLOS�. -. � . Address: UNt , . PHONE: 818•73$-7876 - � City/$WtehZip: � . . CONTRACTOR: SERVICE CHAMPIONS �� License No. 799770 � ' Address: 22911 SAVI RANCH PKWYUnik � ' PHONE: � 714-777-7777'"�. City/State: YORBA LINDA, CA ZipCode: �9288Z , � - - . ' ' -CELL: . � , ; • , � t>:; , � . . . .,'� ' `; '. , ' � . , . � . `. ..,. , . - . . . . . . . . MECHANICAL PERMIT'FEE SUMMARY MECH ITEM FEE: $58.15 PLAN CHECK FEE: � . - . . � $0.00 1NVESTIGATION FEE: $0.00 REINSPECTION FEE: $0.00 TOTAL FEES: $58.15 NOTICE: The work aUthorized by this permit shall comply with all applicable handicap access requirements under California statutes and related : iegulations. (Ord. No. 92-28, § i, 12-21-92) `EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. � INSPECTIONS: In order for the work authorized under lhis pertnit to be considered legal, such work must comply with all applicable codes, and all iequired inspections dnd final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit. �COpE/ INSPEGTONTYPE OATE INTI11AL5 G0� INSPECTIONTYPE dnnTE { 11 LS T 1 1616 Fixed System Final Fire Prevention 206 Final Mechanical �-r . g,[ 1 H266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical ;j �201 Final Block/Retaining Wall 212 Finai Fire Prevention 202 Final Factory Fire Piace 220 Final Planning Approval .203 Final Sign 222 Final Site 204 Final Demolition 250 Final BuildinglOccupancy A WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalry of perjury one of the following declarations: ❑ I have and will main�ain a cert�ycate of4onsen� to self-Insure for workers' compensation, as providetl for by Section 3700 of ihe Labor Code, for Ihe peAormance of lhe work for which this permit is issued. have and will maintain workers' compensation insurance, as required by clion 3700 of the Labor Code, for the performance oi ihe work (or which this permit is issued. My workers' cor40ensation Insurance carrier and policy number are: A/ ��2fner ./v D �-i��1 �'-`�(This section need irol be wmpletetl �I Me pernut is valueC at one hu�red tlollars (St00) w Iess.J PofiC�Numbe`r.^- l•t7 Uo3LGo-�d � ❑ I certify that in the peAormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to ihe workers' compen ti0rt`I�ws of Califomia, and agree that i� I should � become subject to th orkers' compensation provisions of Section 3700 of the Labor Code, I sh II forthwi ply with these provisions. Q � :�U i nf�,sip ture �;te�� WARNING: FAILURE ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU9JECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TD ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, WTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Protessions Code, and my license is in (ull force antl /� .,�,�-a_"'� ., . ass.o...+—li 2 u �n'i � �/ �^�Cont � CeBig t r_ eiri ter�, "`" ..1/ CONSTRUCTION LE ING AGENCY: ❑ I hereby aKrtn thal there is a consWction lending agency for the pedortnance of ihe work for which Ihig pertnit is issued. (Sec. 3097, Civil Cotle). Lenders Name: Lender's Address: Date OW NER-BUILDER DECLARATIONS: I hereby aKrm that under penalty of perjury �hat I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Ar1y city or counry which requires a permil to construct, alter, improve, demolish, or repair any strucWre, prior to iis issuance. also requires �he aDPlicant for such permit to file a signed statement that he or she is licensetl pursuan� to the provisions o( Ihe Coniraclors License Law (Chapter 9(commencing with Sec�ion 7000) of Division 3 of the Business and Professions Code) or that he or she is ezempt Iherefrom and the basis for the allegetl exemption. Any violation of Section 7031.5 by any applicant tor a permit su6jects Ihe applicant to a civil penalry of not more ihan five hundred dollars (8500).): ❑ I, as owner of lhe property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the siructure is not intended or oHered (or sale (Sec. 7044, Businegs and Professions Code: The Contractors License law does not appty to an owner of property who builds or impmves lhereon, and who does such work himself or herself or through his or her ovm employees, providetl that such improvements are no[ intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the bwden of provmg that he or she did not 6uild or improve for purpose o( sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constn,ct ihe project (Sec. 7044, Business and Professions Code: The contractors License Law does not appy to an ovmer of pmpeAy who builds or improves thereon, and who contracts for such pmject vnth a conlractor(s) license pursuant b tha Contracrors License Laws.). ❑ I am exempt under sec. Business and Professions Cotle (or this reason: 3059-46�3/0]) Owner ID verifed by tlriver's license. ❑ Yes ❑ No Driver's License No. Expires: Verifcation of Ownership by (rype of documenL i�. - property tax bill or deed): t DIVi510N OF INDUS7RIAL SAFETY PERMIT CERTIFIGATION: ❑ I hereby certify ihat no excavation five (5) or more (eet in tlepth into which a person is required to descend, will be made in connection with work authorized by this permit, and Ihat no building sWCNre, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, AA 2, Sec. 341, Title 8, Calitomia Administrative Code). ❑ As owner-builder, I will not employ anyone to tlo work which would require a permit trom the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. ppplicanfs Si9nawre Division of Industrial Safery Permit Number. _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 7. Will the applicant or present or fuNre building occupant need to (le antl certi(y a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Seciion 25505 of the California Health and Safery Code requires, with some exCeptions, that a Business Plan be filetl with the CoSta Mesa Fire Department by every business which has at any one time during a reported year a quantiry of hazartlous materials equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feel o( compressed gas at standard tempereture and pressure). 2. Does or will the applicant or preseni or future huilding occupant neetl �o f le a registration form for acutely hazartlous matenals? ❑ Yes ❑ No (Section 25533 of the Cali(ornia Health and Safery Code, with some exceptions, requires regisiration wiN the Costa Mesa Fire Department by each business which at any one time has on hand a quantiry of acutely hazardous matenals equal to or greater Ihan a weight of 500 poun05, or a volume of 55 gallons, or 200 cubic teet of compressed 9as at standard temperaWre and pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Preven�ion Program for aculely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Heallh antl Safery Cotle provitles that ihe Costa Mesa Fire Department may require the preparalion, certification antl fling vnth the Fire DepaAment of an RMPP by businesses which are required to regis�er acu�ely hazardous materials with the Fire Department. 4. If an RMPP is presently require4 has Section 25534 of t�e Califomia Health and Safety Code been fully complied vrith? ❑ Yes ❑ No 5. Does or will the appiicant or present or (uNre building occupant require for lhe work which is the subject of this application a permil for such construc�ion or modificalion (rom the South Coast Air Qualiry Management Distnct or from any other air pollution control tlistdct or agency? ❑ Yes ❑ No (Section 658502 of the Calitomia Govemment Code requires that the requested in(ortnation be fumished on applications for noo-residential building pertnits). 6. Will any part of ihe faciliry to be constructed under ihis permit be within 1000 (eet from ihe outer boundanes o( a school? ❑ Yes ❑ No Qf "yes", the faciliry must meet the requiremen� of Sections 25534 and 42303 of the Cali(ornia Heal�h and Safery Code). 7. If a permit from the South Coasi Air Qualiry Mana9ement DisVict or other air pollution control disirict or agency is required for the work which is �he subject of this application, have all of the disclosures prescnbed by California Health and Satery Code Section 42303 been made? ❑ Yes ❑ No 8. (If'yes', atlach certificate of compliance from the appropriate air pollution control officer). CER7IFICA7E OF COMPLIANCE: ! certiry 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. � SignaWre Da�e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certiy under penalry of perjury that I have reatl this application and state ihat the information given is cortect. I agree to comply with all state laws and city ordinances relaling to building constmction, and authorize representatives of t6e Ciry of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not lo occupy or allow occupancy of any building authonzed by this permit until final inspeciion. SignaWre LegalOw s) Date 1d�8� �rW6i'. nzednpplGam � Simpli(ied Yruacriptiirr C�:rti[ic�itr. Climnlc "Lonc:; �I m�tl 7 - 7 , -. S'iicilr6lrea�.r.: '_ 2UUF; ke,sidential Fll �iI C�1ltt!rrctioir.r Gqfnrcamam CI� -:L [t -AL7 �-7] YA C ��113 � rc,•,,,r, �c ..�,.i �..( a� I (�+ Ot ( o54A �`"�'"Sn I (O •[ �20 / I - � CondiiioneA �Uuci insula�iw�/ Equiomenl Tyne' Lisl IJGnimum Efficieuc��° . �- Fiuni Nren renuiremep/ 'Phermos[;tl D Pacl:uped Unit � . Gvcr 4(l i f Juc e � Fur�racc B NFU� �� ❑ GOP % P,T Selbucl; � — �5 ved bP sJ'slem aUded � re lue.�in OLtduorCail ❑SEER � ❑HSPF ' % (/(mm�b�enrlrpre.eencmuxiGr - � ' 0� Af ine nthtioie�Spaoe_ . � Cmidensiu � Unil ❑ EL�k � �0 kesismuce - . � insmlledl ❑ Ulhei L IL G(CZ 1. 5- ;) .. .. . /. Lquipmenl 7'.1'P�' ChuosC fhe uquipmenl beinD. mslalled; if morc Ihau uuc sl'stcni, uec uno0ier C7�; lR-AL,9�,HVF1,C for ea�h.spsient �. . T. INininnmi Cquipmenl �fiicieu�ic�. I:i.SEE1:. 7Y'i� AFUL, 77HSPI' ii�r typical residcnlinl 51'Slems. ...,. . . .. .... .. . . . : : � . . .. Gontnmtar (lliicumenentiu�i'F��tUor'x /Itespunsiblc llesigner's'Lecl�irutitiii Stntement) - , . , .. .- . _ I ceriif�� Ihm [his Certiiicntc of Complinnce Jocumentntimi is accurme and complete.�' � - � � � . � . . . . - � • I am eligible under,pivisiai 7�of t6e Cnlilbnuai Businesr anel Profession^ Ctide to �ccepl responsi6iliq� for Ilie desi6m iJenliiietl�on this CeniSca�e of Compliance. - � � � � � � - ' � � . . .. . � _ � � I cehiip Ihai tlie enerb�� ieawre:: and perinrnwncc-specific6tiun:, Sm� Ihc clesi�,hi iden�iLeA on IhisCertificaie oP Compliance wnlo�n tq�thc �'� � �- � � requirements �of'Title 24, } en i I aix{ G of the Cali1'omin Codc of Regulatinnc. � � � ' - . . � � . ._, , . . - . � �. The design features idemiGec{ mi tlus Certificatc of Complianec are consisten� with tlie �nfortnation nmented on other applicable-.�.. .:---. ... ... -... . . - � . . . . .. . ... ._ wmptiance fomis, wwl�he�Ss,.calcutatione,_plan: and speciLcgnons,submitted�to"tlie eniorce nt�ag cy for�appr�val with ll�e.pe�njt, .,, . ,., . .. .._ .. ...... . . ... - , .. a olicalion. - . . . - . . .. .. - ..` � . . . . . l�ame: �v.,p....2�y„�.0� _, . ..,Simnture: . _.... .. .._��,. .....�.�-... .. .. b..._...._.....,;�:. � � .. .�:. .Gompany: . . . _,. .. - .-.-_ : . �. -. - -. .. . . . . . .. . . . te . � . . . . _ . .. . . / ,._ . � . . ... ._....� . . ' �Qd!/��e L �/l'Q"i' !C✓�s'. . ......,.. . ,ID.. .�j' . ... _ . Nddress:... - . . . ._ ...: .. .. ... .. . _. . . .. .. . . ..._ _ .,.. . , .. License: � 229! Sa v'r �.vh f�u.. 7�i?. o Ciry/StatdZiP� � - V ...-.__ /_.�...,,Ca . � iA -.-. GI2AJFl��-� - . Phone: ' 7 / ?i��, -, . . 200i1 /(esidenlia! Cantpliancc Pnrms liparch 30J U uiv��:v�.i.�.zln2Gvv.0 TlITL'/Vl.d' � c�.inl,a r ,- -�n�rzr; r�r��z��-�L�:r.rE�ruz�frvisz;fu;� 2(IIIf Puildittc �Her�;l;'%i.'ficienc�� 44t�indurds T2etidenti�l �31�AC Al1:er��iionti` � ' �A\( i �� '' �.CIimxi:e Gones 7�nd 3 titruttch 7 GZ•-� ; Gasii),^-��s�� Ri].SIN�SS AND P120rL�SS70NS COD�: S�CTiOn' 7170 •� �� ' � Vdiliful or deliberate disre�ard and violation nf thc building Is�ws, including the Calif'orni.i Eiuilding Code, and locnl pennit roquirements constitutes z cause, for dieciplinary action from ihc Conmaclorr. Statc L.icenxr. Hoard wnrlung in coi?jtmciion with the local 6uilding deparlmeoL This netion may consist of fines up tu 915,O00 per vinlation or suapension/rr,vocation of ai conhactor's license. � � - � VdI3L;N IS A 1'iILNII'J' 1t�nUII�D? . A written consrrucoon pennit shall be obtained fi�am thc enforcemeni agenr.y prim� to the erection, construction, reconstructiou, installatinn,�relocation, or.sdteration of an, mechanical sys[em, except as permitted�in �Appendix Chapter L, Section I 12 � oS Ihe 2007 Culifomin Mechanicai Code. Pr�jecta requiring permits inciude, bW ai•e noi limiied to: � • New FN AC installation � FTVAC Chan�;enal • Replucemeni of fiimace, coil, PAU, or condenser . • Relocation of an existing HV AC unil . . . �• Adding�or replacing more thair40f1 ducting�in unconditioned space 21I118 13TJ1I_,I)IN<; �fVLr12G1' P�,Fr1CT�NC1' STANI)AI1)S (T3t1c 1A, 1'nrt (rl REOLTII�IYZ�NTS INCI i71)I' 1. Heating� equipment must have a minunum 78%AFUE (Exception: W a11�K flnor ftirnaees; room heaters). -� 2. Centtal air. conditioners & heat pumos :less thau G�,000 Btu/nr must have a minimum 13 S�ER. ;. Newly installed oy� replaced ducts must nave s minimum ii�sulacion val�e of k-4 _�:�� .� �4.� N setnacl: [ype thertnoatat (2? hr.clocl- with four set points) is required io� all al[erations. , . i, iJew or replacemeN ducts musi meet the mandatory requirements of Section 150(ml: �• All joints and openings in the in the ENAC system must oe s�aled. : � �' �• Unly UL I Sl, OL 1 ElA, or UL 1 S1B approved tanes or mascic shall 6e used to seal duct openings. �• Connections of inetals ducts and the inner core of fler, ducts shall 6e mecnanically fastened. Fler. ducts mus� be, connected using a metal sleevJcoupling. n �ie;; ducts tnat are suspended must be suonorted every 4ft. mar for iiorizoncal runs with no more than 2" � of sag oe[ween suppons and 'o fi. ma>: ior venical runs. 6. Tne CT-(R-IvLLCB-04 must be cpmpleted and sio ed by the installing conttactor. Tne Inspector wilf coilect this iorni and verify fnat the mouel numoers are the same as the installed equipment. p M6 4 � O > J 4�� {? (714) 754-5273 • Fax (774) 754-4856 CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 964 SPRINGFIELDST Suite: Vicinity: Parcel Nunmber: 14172418 Applicant: HARSH, JAMES R Address: g64 SPRINGFlELD COSTA MESA,CA � �� Owner: HARSH, JAMES R Address g64 SPRINGFIELD . COSTA MESA,CA Contractor: Address: Zip: Arch : Address: � Phone: • Zip: � � License: BUILDING PERMIT PERMIT NUMBER 898-02285 ✓ 77 FAIR DRIVE, COSTA MESA, CA 92626 Zoning: Phone: Zip: 92626 " . . ' ' - Phone: _ , - � _ . - , � Zip: 92626 � , Phone: License: Eng: Address: SCOPE OF PERMIT , ,T/O EXISTING 8 REROOF WITH COMP. SHINGLE, ROOF CERT ATTACHED TO PERMIT. ' FEE SUMMARY Status: ISSUED � (j✓ Applied: 12/22/1998 Issued: 12/22/1998 Phone: License: � Plan Check: $0.00 • , , . Calc Valuation: Permit $74.75 � Claim Valuation: � SMIP Res: $0.50 -� � SMIP Com: $0.00 ' Other: $0.00 Inspection: $0.00 Total: $75.25 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existina: 0 NOTES: Rear 0- 0 Rear 0- 0 Required: 0 PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Right 0-0 Right 0- 0 $2,500.00 $2,500.00 EXPIRATION: This permit shall allomatically expire and become void i� work is not commenced within 180 days, or if work is suspended or abandoned for a period of 780 days, . INSPECTIONS: In orqe� for �he work aulhorized under this permil to be �considered legal, such work must comply with all applicable codes, and all required inapectiona and flnal approval must be obtained. Failure to obtain inspections and tinal approval will result in �he expiration of this permit. ' FOR INSPECTIONS CALL: (714) 754-5626 WORKERS' COMPENSATION DECLARATION: I hereby eHirm unaer penalry oi perjury one of the tollowing declarations: � ❑ I heve entl will meintain a wrtiticate ot consent to seN-Insure for workers' compensetion, es provided tor by section 3700 ot the Lebor Code, tor the peAormenc�ot ihe work for whith ihis pertnit is issued. ❑ I hava and will maintain Workers' compensetion insurance, as required by section 3700 of ihe LaDor Code, for the peAortnance of Ihe work tor which ihis pertnit is issuetl. My workers' compensatipn Insurance carrier end policy number are: Cerrier. Policy Numbec (This section need not be comp/ered ii Me permit is valued e( one hunered dollers ($700) or /ess.) ❑ I certify Ihat in the pedormance ot the work tor which ihis permit is issued, I shell not employ any person in any manner so es to become subject b the workers' campensation laws of C�lifomia, antl agree that it I should become suhject to the workers' compensation provislons oi Section 3700 of the Lebor Cotle, I shall forthwith comply with Ihese provisions. Applicant Signature: Date: WAPNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNIAWFUL AND SHALL SU&IECT AN EMPLOYER TO GPIMINAL PENl�t.T1E5 AND CIVIL FlNES UP TOONE HUNDRED THOUSANO DOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATIIXJ, DAMAGES FS PROVIOEO FOFi IN SEGTIIXJ 31O60F THE IABOR CODE. INTEREST, AND AITORNEV'S FEES. LICENSED CONTRACTORS bECLARATION: I hereby efFirm thet I em licensed under provisions of Chepter 9(commencing with Section 7000) of Divislon 3 of Ihe Business entl Professions Code, antl my license is in full torce ana eHecL Lic. a Class k Contractors Signature: Date: CONSTRUCTION LENDING qGENCV: ❑ I hereby attirtn Ihat there is a constmction lending egency tor Ihe peAormance ot the work tor which Ihis permit is issuetl. (Sec. 3097, Civil Cotle). Lenders Name: Lendels Address: SignaNre: Date: OWNER-BUILDER DECLARqTIONS: I hereby eNirtn that under penalry of perjury ihat I am EXEMPT FROM THE CONTRACTORS IICENSE LAW for the tollowing raason (Sec. 7037.5, Bu5in85s and Protessions Cotle: Any ciry or county which requires a permit to construct, alter, improve, Oemolish, or repair eny structure, pdor to its issuance, also reduiras the applicant tor such permlt to file a signed statemen� Ihat he or she is Iicense0 pursuflnt to the provisions ol ihe Contrectors License Lew (Chaptar 9(crommencing with Section 7000) of Division 3 01 ihe Businass and Professions Cotle) or that he or sha is exempt therefrom and ihe basis for the alleged e:emption. Any violation oi Section 7031.5 by eny applicant tor a pertnit �subjects Ihe applicant to a ciwl penalry of not more than five hundred dollars ($500).): ❑ I I, es owner o1 the properry, or my employees with wages as their sole compensetion, WILL 00 THE WOpK, and the structure is not intended or offered tor sale (Sec. � 7044, Business antl Pm�essions Code: TTe Contractors License Law does not apply to an owner of properry who builtls or Improves ihereon, and who does such work hi selt or herself or Ihrough his or her own employees, providad that such improvemenis are not intendetl or oHeretl for sale. If, however, the bulltling or impmvement is old within one year of cpmpletlon, t�e owner-builtler will have the burden oi proving that he or she did not build or improve for purpose of sale.). � , I, as owner ot the proporty, am EXCLUSIVELY CON7RACTING WITM LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business antl Protessions I Code: The conlractors license Law does not apply to an owner of propedy who builds or improves ihereon, and who contraqs for such project wilh a contractor(s) Ilcense pursuant Io ihe Coniractors License Lews.). I am ez�rtJpt under sec. ❑ Ves ❑ No eusiness and Pmfessions Code tor ihis reason: of Ownership by (type of document. i.e. - properry tax bill or tleetl): DIVISION OF INOUSTRIAL SAFE7Y PERMIT CER7IFICATION: Driver's License No. �ate?� � ��G — xpireE s: ❑ I hereDy catlify lhet no gxcavation five (5) or mora feei in tlepth into which a person is requiretl to tlescand, wlll be mede in connection with work euthodzed by this permit, and that no buildinq siructure, scattolding, Felsework, or demolition or dismantling thereof, will be more then ihirty-six (36) feet hig�. (Chap. 32, Gry 2, Art 2, Sec. 341, Titla 8, Celitomia Atlministrative Code). ❑ As owner�builder, I will not employ enyone to tlo work which would require a pertnit from Ihe Division ot Intlustnel Setery, as noted above, unless such person has a permit to do such work from Ihe division. Signeture: Date: Division of Intlustriel Satery Permi� Number. CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTAY: I certity under penalry ot perjury thet I have read this application and state that the informetion given is wrrecL I a o comply with all state la and ciry ordinances relating to building construction, and authonze representaiives of the City ot Costa Mesa to enier upon the �ve��i e(�� inspectio �� gree not to occupy or allow acupancy of any bui� authonzetl by ihis permit until tinal inspection. � /7�LZ�d� — Siv N e Ot Lepel Owner(s) � Date COOE 1. INSPELTIONTYPE 1616 Fixed System Finel Fire Prevention rZ66 Pool Spe Final 200 Finel Re-Root 201 Final Block/Retaining Wall 202 Final Factory Fire Pl�ce 203 Final Sign 204 Finel Demolition 2446-4fi � ItII�� (- 5" qq 6 w�c LOOE I INaGEC710N TYPE 206 Final Mechanical 208 210 212 220 Finaf Plumbing Final Electrical Finel Fire Prevention Finel Planning Approvel 222 Final Site 250 Final Builtling/Occupancy QA7E U�AlS 7598 COSTA MESA BUILDING-SAFETY DEPARTMENT V.O. BOX 7Y00 COSTA MESA. CALIFORNIA YZ0�0 For A pllcant ro F(11 In Completaly TY OR PRINT �oiNo � JRESB COSTA MESA, LIFORNIA 61 ARCHITEC7 S�ATE LIC. NO s�ze OF LOT USH OR CB�.� i�1 lT � RHAR YA D cRr 6.31i� niorrr 6� DESCRIPTION OF WORK - sg No.o� 6 oru��a C � Pn;o �,ti�,.?.t.;.✓�� l� SEP 25-67�ns6OO. 69;r- ��.�� , /APPLICA710N FOR PERMR �/J' BUILDINfi . For Offfee Ux Only IIiGHIPTNO. � P6PMITNO. ZONIN(i no. or _ u.wr YARDBAPPROVHD MAIH BUILDINO � vwa. # 1 ■r.nv I,ot 23 - E P1an 1 HBRGBY ACKNOWL6D06 TNAT 1 NAVH RHAD TXI9 APPLICATIOH ANO 8TI1T6 TF�I1T TN[ ApOV[ 1� COpRBGT�ANO AOPH6 TO COM. PLY WITX ALL C�TY ORDINANCi� 11NG /iATL LI1WY H80YL11TIN0 � AUTHORIZiD AG[NT JL � TN[ AMOUNT PUPPOBH OP VALUATION s �D � � SHALL O6 LE88 THAN <U..B.C..REGU{RBMiNT1 YARD9APPROV6D ACGE880RY BUILDIN6 DATH � � . , - � a m � �% �, � 0 vww�now ie ron txs i h PCPMIT }68 ONIY. �y // � ITFEE S �/� � E CHEGK $ � � — W _FEE S �7 �