HomeMy WebLinkAbout967 SPRINGFIELD ST - Building Permits� , , � ��
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Job Address:
Suite:
Vicinity:
CITY OF COSTA MESA
BUILDIN6 DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
967 SPRINGFIELD ST
HOUSE & ATTACHED GARAGE
Parcel Number: 14172123
BUILDING PERMIT
Zoning: Rl R1
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PERMJ7 NUMBER
l
�/B99-01497
77 FAIR DRIVE, COSTA MESA, CA 92626
npp�icant CARD, RICHARD �SSUED BY:
Address: 126 COMMERCIAL WY _
CA --- _ ,.- r,Phone:�-(949)'b48=5569�"��,
COSTA MESA /%"/ � " — � Zip: 92627 ' � ���_ C ;.'\
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20THERS ROOFING CO ����� � �
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RCIAL'WY ��� G
�� Phone: (949)548-5569 \.�,
Owner:
Address
Status: ISSUED
Applied: 09/17/1999
Issued: 09/17/1999
icense �; 408677
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�) �- , ; I, � �->.� � � ,% SCOPE OP PERMIT V " `� j l�',"1 � `� ,"
1 REROOF„EXISTING SINGLE;FAMILY�RESIDENCE AND AITACHED�GARAGE (39 SQ). TEAR OFF EXISTING WOOD SHAKE, ��
i/ROOF WITH.EXISTING SHEATHING TO REMAIN?INSTALUBUILT UP-GRAVEL ROOFING ON PORTION OF ROOF (25 SQ) � J
& "FIREFREE SHAKES" - 420 LBS- (1$ SQ.) ON �REMAINDER�OF ROOF:'�'_ � . -��' �" " i "; I �' �-
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Check�' tti ' $0.00
PermiY�� �� ,, � $20925
P Res: i`�A'�' $1.17
�"Com: �''�� , $0.00
Other`. A���;�$0.00
�ectiori:� ��:,$0.00
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�Total: ,.�.$210;42
ACCESSORY
' ,`� FEE SUMMARY / �
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� Calc Valuation:
- Cleim Valuation:
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^, ��A\ �l�'� t�PLANNING & ZONING ���. �;��� �/ �-�
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�0-0�,� ��Rear��0`0� � `� -LeN $�0 0 f_< ,,.Right, �0�0��
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PARKING Exlstinq:\:-.o ,. `� Required: �, o � � 'Proposedi' o �, )� ..
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II 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 end become void if work is not commenced within 180 days, or if work is suspended or abandoned
for e period of 180 days.
INSPECTIONS: In order for the work aulhorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inapectlona end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARATION:
I hereby afllrtn un0er penalry ot perjury ona ol ihe lollowing declarations: �� , � ' ' .
❑ I heve end will maintain e certificate of consent to self-Insure tor workers' compensation, as provitletl tor by section 3700 of ihe Labor Code, for ihe pertortnance ot Ihe
work for which this permit is issuatl. ' ' ' '
❑ I have and will maintain workers' compensation insurance, as required by section 3700 of Ihe Labor Cotle, tor ihe pertortnance oi the work for which Ihis pertnii is issued.
My workers' co� ns wn Insurance carner flnd policy num6er are: O
Carrier: ��� C/ �N?YTt— Policy Number G� �/ b S� FI � ��O �
(This seition ee�mpleted /l fhe permit /s valuetl af one huntlred dollars ($100) or less:J ' �' ' � "'
❑ 1 certiy Ihat in the perfortnance oi the work tor which this permit is issued, I shall not employ any person in any manner so as to bacome subject to the workere'
compensation laws ot California, end agraa that if I s�ould become suh�ect to Ihe workers' compensation provisions oF Section 3700 of ihe Lebor Cotla, I shall fonhwith
comply with these pro�vis' /J
Appliwnt Signature: / �--� ���/� Date: '�7 — / 7= '�l �
WARNINO: FWLURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
THOUSAND DOLLARE �8100,000), IN ADDITION TOTHE COSTOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEGTION 3]W OFTHE LABOR CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS OECLARA710N:
I hereby affirm that I am licensed untler provisions oi Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professlons Code, antl my license is in full
force and ettect. Lic. x D Class x G' � 1'
Comractors Signature: , � ri Da[e: Q�/ i 7�9
CONS7RUCTION LENDING AGENCV:
❑ I hereby aHirm ihat there is a conswction lending agency tor the perfortnance oi ihe work tor which Ihis permit is issued. (Sec. 3097, Civil Code).
Lentlers Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DELLARATIONS:
I hereby aHirtn iha� under penelry of perjury that I am E%EMPT FHOM THE CON7RACTORS IICENSE LAW for ihe following reeson (Sec. 7031.5, Business antl Professions
Code: Any ciry or counry which requires a pertnil to consiruct, alter, improve, demolish, or repair any structure, prior to its issuanca, also requires Ihe epplicant for such permit
to file a slgneG statemen� the� he or she is licersed pursuant to the provisions ol the Contrac�ors License Law (Chapter 9(commencing with Sectlon 7000) of Division 3 of ihe
Business ana Professions Code) or thet he or she is exempt iherefrom and the basis for the alleged exemptlon. Any vloletion of Section 7031.5 by eny epplicaN for a permit
suDJects the applicant to e civil penalty of not more ihan iive hundred dollars ($500).):
❑ I, es ownar of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, end Ihe slructure is not intended or oHeretl tor sale (Sec.
7044, Business and Professions Code: The Coniractors License Lew does not apply to en owner of property who builtls or improves thereon, end who tloes such work
himsefl or herself or through his or her own employees, providetl that such improvements are not intended or oRered for sale. If, howaver, the building or improvement is
sold within one year ot wmpletion, the owner-builder will have ihe burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the properry, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the pro�act (Sec. 7044, Business and Professions
Code: The comractors License Law does noi appry to en owner of property who builds or improves ihereon, end who conirects tor such pmject with a contrector(s)
license pursuant to the Contractors License LewsJ.
❑ 1 am eaempt untler sec. Business and Professions Code for Ihis reason:
Signature: Date:
Owner ID venfiad by drivef5 liCense. ❑ YB5 ❑ NO Dnvefs License No. Expires:
Verification ot Ownership by (type of document, i.e. - property ta�c bill or tleed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certlfy ihat no ezcavation tive (5) or more teet in depth into which a person is requlred to tlescentl, will be made in connection with work authonzetl by ihis
permit, and Ihet no builtling structure, scaffoltling, talsework, or tlemolition or tlismantlinq Ihereof, will be more then thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Tule B, Celifomia Administrative Cotle).
❑ As owner-builtler, I will not employ anyone to do work which would require a permit Irom ihe Division oi Intlustrial Safery, as noted ebove, unless such person has e
permit to do such work trom �he tlivision.
Signature: Date:
Division of Industnal Safery Permit Number:
CERTIFICATE OF COMPLIANCE AND AUTHORVATON OF ENTRY: I certify under penalry of perjury that I have read this application antl state that tha information given is
correct. I egree to camply wiih all state laws and ciry ordinances relating to building conswction, antl authorize representatives ot the Ciry of Costa Mesa to enter upon the
above-tlescnbea prope ection ur o . I agree not to xcupy or allow occupancy of any building authonzed by this pertnit until ilnal inspection.
��[_��'?� t�f��_ _
Signat Owne ) Date
C7 ��1� �L� �,c
AntllOrAuthonzed Applicant Date
40oE L INSPECTIONTYPE � •' " '
1616 Fixed System Finel Fire Preven�ion
1266 Pool Spa Final
200 Final Re-Roof
201 Final Block/Retaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolitian
2awas
... BA7E ' INTIfIRLS
LO�E� INSPECTIONTYVE
206 Finel Mechanicel
208 Final Plumbing
270 � Final Elecirical �
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Finel Building/Occupancy
1j�j� INTRIpLS
oL>ee �ouis
967 SPRINGFIELD STREET� COSTA MESA. CALIFORNIA 92626
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OWNER FOUTS, LEE DATE u�-l7
JOB ADDRESS
GENERAL CON
AP No.l�l-%�
INSPECTIONS
SOIL
GAS
W ATER
FOUGH PLUMBING
PROP. SWF. LINE
iiOUGM HEATING ANO AIR CONDITIONIN�
TEMPOFARV SERVICE OR POLE
UNOERGROUNO � GOWEF �
ROUGH WIRING
TRENCHES [� FORMS STEEL REINF.
FLOOR SVSTEM
BOND BEAM [� STEEL PEINFORCE �
SHEATHING
FRqME AN� FLAS
REFRIG. ANO A.C.. F
ELECTRIC, FINAL
BOILOING, FINAL
J
VALUE
SUBCONTRACTOR
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' COSTA MESA BUILDING-SAFETY DEPARTMENT �
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 -
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
/ RECEIVEDBV DATERECEIVED D /'�_E I/S]SUE']Dr -
AD'DRESS /�. /V 6 �/�Cr% ! t��-/�
� 'PERMIT NO.
OWNER �(= C �G L/ T S � A.P. NO. .
MAIL BUILDING Au I �,
ADDRE55 S.s'/ i�n L� ADDFESS • 1\f
' TEL. TRACT LO [� BLOCK
CITY rV 7- �f (� S% NO.
CAN5TRVCTION ' NEW ADD A R P
, LENDER ��_ D �"� N � � '
. BRANCH --
OWNER
ADDRESS ALUE. �q
ARCHITECT r-- TEL. �_ S $� C///
OR ENGINEER N
��
FIRE
ADDRESS —� 20NE VPE ROUP.�
' APPROVE /J � � r
CONTRACTORC�jIv T X!t LL .0 �J T. B�' .�/ DAT -�- �}
ADDflESS S T(j S (,c/t,= l-L
TEL. ZONE�� NO.O VSE OF NE
- CITV � („J ,J ' NO. P� BUILDING �
o-F. STATE CITV �'�+ROSAPPROVED , VARDSAPPROVEO '
LIC. NO. LIC. NO. MAIN BUILDING . ACCESSORY BUILDING
� 512E � NO.OF BLDGS. (FROM GL STREET) �
�+ OF LOT [> a(� NOW ON LOT FRONT' FT.
Q �
y USE OF � �!--�
EXISrING BLOG. - $I l./ FT. FT .
y
FSeparate permits are required for �. sioe F-r. Fr.
p electric, plumbing and heating work. REAR FT. FT.
� USE OF BUILDING AND WORK;TO BE PERFORMED -
' F .OISTANCE B T. BET. MAIN &
' Q ' MAIN BLDGS. ACCESS. eLOG$.
VAR.� DATE
a. [7 O L�� �'� G�G� � C.U.P.# APPROVED
� . �) / I � � �, APPROV � �l > -•
� l7� (/
.a '
a
w
Q I herebY acknowledge that I have reetl this application and state �
N
p: that the ebove information is co�reci and agree to comply with
� _ afl lews regulatinB buildin8 consvuction, antl I shall not employ m
i
z any person in vlolation ot ihe workmen's compensetion laws of � � �
� W the Stata ot Califomie. � � -
3' I hereby cartify that I am proparly Iicensetl as a contrecior untler SQ. FT. � N
the State of California Business entl Profassians Code, Oivision 3, . THE AMOUNT SHOWN UNDER VALVATION IS FOR m
Chapter 9, antl that such Iicensas are In tull }orca antl effett, a� I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the Stete of California Buslness �. a
� antl Professions Cotle, Dlvicion 3, Chapter 9. VALUATION PEHMIT FEE $ �..-� N
� / �� PLAN CHECK y ,/ V m
SiBneturaof �5��/IJ / �2t' L � �' �o` l. . �j-/� '✓ � Y �
Permlttee $ ���vb� � � TAX ' - $� �j �
Authorizetl Agent� •� n�S ' TOTAL PAID $� y�� v U
�nn[rt -
�10B ADDRESS
GENERAL COP
� AP No. 141�
�) INSPECTIONS
H sm�
xenneay�s conc�:
LOT TRA�T
GAS
WATER
� `:` ROUGH PLUMBING
T PROP. SWR. LINE [] MOUSE CON.
`SPRINKLING SYSTEM
���{1 MISCELLANEOUS
ROUGX MEATING ANU AIR CONOITIONING'
�TEMPORRRV SERVICE OR PO�E
UNDERGROUN� � POWEp �
ROUGM WIRING
TRENCNES FORMS STEEL REINF
FLOOR SYSTEM
BONO BE4M � STEEL REINFORCE ❑
SME�TNING
FRAME RND FL45HING
�RTXING — IN ❑ OUi n
PLASTER, BROWN COAT
STRUCTU0.pL, iINAL
HE�TING, VENT., REFRI0. ANO �.C., FINA�
PLUMBING, FINRL ANO G�5 TEST n
ELECTRIC.FINFL
9UILOING, FINAL
cecnsi'acnuiocucurs
SUBCONTRACTOR
r�
IT
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43535
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUI�DING (,/' --� r�/� /
ADDRESS / 7 / S/ /t' .4���5 ' / � lCi
OWNER �P�Te- /��/ / � D�✓
ADDRESS �/n / i �PK//� ��f I
'CITY �Vj�� //(ES%" NOL////'
CONSTRUCTION
BRANCH
ADDflESS '
CONTRACTOR
ADDRESS ,7(
CITY CL� S
F STATE
i �10. NO. �� ^
�i
SIZE
fY OF LOT �nL
a USE OF
� EXISTING BLDG.
�
N OL (9 7l 7L
CITV
LIQ NO.
NO.OF BLDGS. /
NOW ON LOT /
FSeparate permits are required for
� electric, plumbing and heating work.
[.W.� USE OF BUIIDING AND WORK TO BE PERFORA
a �
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�'L� 1 �-77�AiSn�1V ! �JSUsi' n �� i"� �f1PU.J1.Y
FORSTRUCTURALPERMIT
.a►��wrsc
'�-�� � ;:i
-• S.'��:�
FIRE
DISTANCE
nnnw s�a
VAR. #
BLOCK
DATE � �
OF � I USE OF
BET. MAIN
ncc�. ei
DATE
a� I hereby acknowletlpe that I heve reatl this epplication entl state
that ihe ebove Information is correcc and egrae to complY �+�th
�+ ell lawz requletlnB building construction, and I shall not amploy
z any person in violatlon of Me workman's eompensation laws of '
Sthe Stete of Californla.
3 I �eteby certity ihat I am praperly Iicensad es a contractor untler SQ. FT.
the State of Callfofnle Busineas antl Profecs(ons Code, DIviSlon 3, THE AMOUNT SHOWN UNDER VALUATI
Chapter 9, antl thet auch Iicenses a�e In full force and effect, or I THE PURPOSE OF ESTABI.ISHING A PERMIT
am exempt from the provisiona of iheStace of California Business VALVATION PERMIT FEE
antl Protessions Code, Divislon 3, C/hapter 9. s
, ���'µ�/' � j�y $ �e w� � LAN CHECK S
SlOnatura of I, �D
Pe�mltt9ei r�T / % TAX $
Authorizatl Agent ' ✓ TOTAL PAID S
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' COSTA h1E5A BUIIDINCrSAFETY DEPARTMENT
P.O. BOX 12J0 � COSTA MESA� CAI_IFOHNIA 92616
For App►icant fo Flll In Complatoly
TYPE OR PRINT
8�,�,Na S
ADDRE89
COSTA E3A, IFORNIA
owNen Swan Constructors Inc.
ADDRHSD �. F�'OIIL Stii'Q61'i'
c�n S8� Diego, �alif. No 23�1-7`.
�RCMITEGT - ` _ _ . TFL ... . �.
ra;a ,;,r�,t� !1
SEP 2S-67c�,�;,;00 718�� �9.,.4
APPLICATION FOR PERMR
BUILDINfi
for Off)ca Use Only
ZONIPIG
wo. or _ u�
tson� f�-
wo nsei 29Lt0-A Randol h Ave. oucn�mox — O
c„r Costa �esa Ca lif. ti P• NO.
NOTS: NOGV60V[RHAN68HALLBELE88THAN
SfAT6 T8L 540-096o s0' T0 8106 4 RBAR P. L
��c. Ho. 234399 N .
BRE 6O x 1�� xo.orn.co�. � p��pWgD (U:B.C.REQUIR6MENT). . ..
OFLOT NOW n
YARDHMPROVQD YARDSAPPROVED
USBOP � MAIN BUILDIN6 AGCBL80RY BUILUIN6
EXISTIN6 BLDO.
q { FROM C/L STRHQT)
Y¢TpACK LIX6lROM �O � RHAR Y D L��� 1 FRONT RI'. . PT.
C6XTHR OP �TR6ii
e1DHYA o Lart 6•�� n�ottt 6� ' n.aioe � � Pr. �
DESCRIPTION OF WOROC . sio rr. vr.
NEW x TGRATI N ADDITI N RHAR d- •�FI'. FT.
DIBTANCi![T. BBT. MAIN Q
MAIN BLD i ACCESD.BLO6S.
REPAIR IN MOLIS
BUIlDIN6 ,1� NO.Or V�•# OATE
SIZE 1µ18 9P ROOMB 6 Q} � 1 C. U. P. ^ MPROVHD
EXTBRIOR W4LL WOOCl� ROOF S�B�StllTl��.e MPROV[D r. / A// N I. n �� n
U880FDUILDINQAHDWORKTOB6P[RFORMQD �{ � [ / � � a '
Sin le F`amil IAsellin wi.th Attached � �?
Gara e ' �
Lot 2- Plan B •��� eo. Rr. �3 �
0
l HCN6eY ACXNOWL6D06 SMAT 1 NAYf RdAD TXIB MPLIGTION TM8 AYOUNT 6H H I�NDER VALUATON 18 POR TH[ j
AND BTI1T8 TXAT TX8 AlOV6 1� COpqHLT�AND �AORl6 M COM• M11PPo88 OP ABLI8HIN0 • PePMIT PE8 oNLx. .�A
PLT WIiH ALL CITY ORDIfUNCi/ AND �TAT{ LAW➢ R[6YLI1i1N0 yALUATION /�_— �
OUIL�INO CONBTNU O
81GNATU , � �j��� PERMIT FE8 �
PERMI7T�: �-<-/v..�c/ s����/,�� .��"— W
AUTHORIZiD AGRNT L^
TOTALFEE J�