HomeMy WebLinkAbout971 SPRINGFIELD ST - Building Permits�
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PXOJECTq00NE55: 9']1 SPR�INGFIELD ST uNir:
OWNEfl'SNAME: �jO, LONG CHI
AOOflESS: }10 j. E]�jrj H
971 SPRINGrIELD ST
COSiA N.ESA,CA 92626
850-4115
ANCX/ENGINEEfl: NEG.NO.:
RODXESS: UNIT:
PENMITTEE: �1ERFECT COVER ROOE'ING ( 714 ) 434-1566
aooeess: 3303 fiARBOH Bi, D-S
C.M. CA 9i626
LICFNSED CONTflPLTOP UECIAflATION: I hereby aflirm Ihal I am licensetl untler pmvisions o� Chap�er 9(commencing wi�h Section
�000� ol �ivision 9 oi Ihe Business antl Prolessions Coae. and my license is in �ull Iorce�n0 effec�.
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WOflREPS' COMPENSRTION UECLABATION: I hereby aflirm �ha� e a cetlihcate o� consenl �o sel4insure or a ceni�icate ol Workers'
Campensa�ion Insprance r cenilietl copY ��ereoi (Section 3800. Lab. C).
roucrNo.: 1163�i�1i-y2 E%P.URTE: O%/OLi�j
COMPRNY: STAlE FUND
❑ Ceriilietl [opy is hereby �umisheE. L� Cenifietl copy is file0 with t�e ciry BuilJing Division.
oate'. /i� �'i b• / 1�Aoofcan� �� � i � �
ENEMPTION FflOM WOflNEflS' fAMPENSATION OECIAMTION: (This tian neeA nol be wmple[ed i� Ihe permi� is for one hunGrM (5700) ar lew�.
I cetlify Iha� in IAe pedormance o� ihe work lor which �his permi� is issuea, I shall no� employ any person in any manner so as �o become
subieai to the workers Compensation Laws of California.
Oate: Signature:
NOTICE: IL alter making Pois tleclaraiion. you shoultl become 5u0jeci �o �Ae WorkeK Compensation provisions ot the labor
Code. you must totlhwith camply wi�h such pmvisions or �his permil shall be tleemetl revokeA.
CONSTqUCTION LENOING RGENCY: I hereby affirm Ihatihere is a consimction lenaing agency torihe pedormance oi the work Ior
which Ihis permil is issued (Section 3097, Civ. C�.
iENOEp: TEAR OFF EXISTING ROOF b
auoxess: APPLY NEW ROOriNG.
OWNEfl BUILOEB OECLANRTION: I hereby a��irm �hai I am exemp� fmm I�e ConVaclors' State License Law tor the following reason
(Section 703t5 Business an0 Pmiessional Cotle: pny city oi county whicn requires a permit to consimct, alter, impmve, Oemolish, or
repair any s�mcWre. prior lo i�s issuance, also requires Ihe applican� for such permi� �o �ile a signe0 statemen� �hai he/s�e is licensetl
pursuam m the pmvisions of ihe Coniractors' State License Law (ChaD�e� 9laommencing with Section 7000) ol �ivision 3 oi ihe Business
ana Pmlessions Catle) or Ihat he/she is exempi �here�rom antl Ihe Gasis �or �he allegea exempiion. Any violatian o� Section 7Q3L5 by
any applican� �or a permi� su�lects Ihe applicant �o a civil penaliy o� not more Ihan five hunOrtd aollars (5500). -
I. as owner o� Ihe pmperty or my emDloyee5 wi�h wages as �heir Sole compensation, will Oo ihe work, antl �he
❑ slmcWre is not imenaed or oflered for sale (Section 7044. Business and Pmlessional Cotle: The Coniractors' State License Law
Aoes nol aODly �o an owner o1 a propeny w�o �uilds or impmves Ihereon, an0 who Ooes such work �imsell/�erself or ihmugh
his or her own employees. providetl Ihat suc� impmvemenis are not intenUed or oflered for sale. if, however ��e builtling or
impmvemenl is solA wi�hin one year ol compleiion, ��e owner will have �he Gurden o� pmving helshe OiU not builA or improve
br Ihe purpa5e of sale).
1,35 owner0�ihe ploPehY�am extlUsively conirac�ing wi�hlicensed conVac�orsio con5�mc��he D�ole��lSeclion 7044, Business
❑ and Pmfessions CoOe: 7he Contrac�ors' S�ate License Law does nol appry m an owner o� pmpehy who �uilds or impmves therean
antl who contrac�s �or such pmjecis wiih a conUac�or(s�lic¢nse pursuant to ��e ConVac�ors' Stale License Law),I am aware
Ihal pmol ot iheir Worker's Compensation insurance shoultl be provi0e4 to me.
� I am exemp� mEer Section: B. 8 F. C.
lor Ihis reason:
Date: Ownec
I do hereby ceriily Iha� I am aware ol and under51an01Ae requi�emenis o� Califomia Heal[h and Safery Caae Sections 255Q5, 25533, antl
2553a antl that I or anY �Wure builtlmg occupam will/will no� (circle one) neeA Io comply with said state todes an0 ihe requiremen�s for a
permit �ar conslmc�mn or modi�icaiion fmm Ihe Air Oualiry Managemen� DiSVicL ReSiAential constmction applicaiions are exempt fmm
Ihese pmvi5ions.
Dale: ApPlicanl:
I here0y tertily t�al I hav¢ read Ihis applita�ion antl Staie Iha� ��e abOve iniormalion is Correci. I agree Io compty wilh all tiry an0 Couniy
ortlinancesanUSlalelawsrelalingloUuiltlingconsimc�ionantlh�ere6 a.SUhy rrzerepres ntativesoi�hiSeiWAen�erupont�eahove�men�mnetl
pmperly �or inspeciion Ipw�pases. �� / ��
� Dale'. �/J � i � ��n� l ��� �/��
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oriver's License or Social Sewrily k: .
t6at�66 W�i�e—Bviltling�, Green—Cotle Enlorcemenl', Canary—Applicanl', Pink—Fevenoe; Goltlenmtl—Assessor
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� CIiY OF COSTA M6SA - BiJII,DING PERMIT PERM NO; B OS969�
PERMIT NO: B 059695 PLAN CHECK NO: N GOVT: N S:7PP; V
CONSTRUCTION TYPE: S-N PERMIT TYPE; STk PURPOSH: ALT
JOB DESCRIPTION : T/OFF SHEATH REROOF W/COMPOSITION SHINGL 52 FT: 5,0��
CLAIM VALUE: 5,063,00 CALC-VALUE; 5,063.00 GROUP OCC; R-3 !M-i
COMINE:NT5; REROOF 27005F RESID 6 GARAGE
i(� 94 iE iE dE �(-�%� 3EiE �1F 9E jf� it��7E �E 9f iE 9E �l(�-0E iE df�9E%�%if if� iE if �%%�E 3f �%� 1F �7E iE �76 �� 9Eif iE�� 9E iE �3E�% 7E df j( X� if �% lFiEiE �k iF �k if� if �Y.-�fE iE �% �K� iF dF�1E 9i if ��k ��N K` ��� �'�x
Z O N I N GS ERTEH�AUCIHRSE M E N T 5
SMOKE DET�����
------------ MAIN BUILDING ---------- --------- ACCESSUkY HU o"�^T"C�'J'�7 p
LEFTc FT IN RGHT: FT IN LEFT� FT IN RGHT���" c"I�'�"' IN
PARKING REQ• PROV; PARCEL; 14172129 ZNE; REF NO;
PLANNING NU'I'ES->
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D E V fiyL O P M E N T S E R V I C E 5 R E Q U I R E M E N 7& S
t},.
ZONING APPROVED' $Y DATE; '_� _
BUILDING APPROVED BY ; DATE: �
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APPLICATION IS.S'UED HY• �- DATE; b 2
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LEGALI'LATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECT'RIC�-MECHANIC FIRE SMIP/RES GRAUING
PERMIT 81.00 '-,.'" ,S1
PLAN .��y .�- SMIP/NON-RES
ISSUE FEE ''�' %
r
BUILDING-DIV-> PERMI'P ISSUE PLAN,�GHECK TOTAL PAID DUE
TOTALS----> 81.51 0.00 ' 0.00 81,51 81,51 ,00
REVENUE DIVISION TOTALS--> COLLEC EiJ: 81.51 OVER/SAORT: ,00
BLDG PMT PLO,�BING ELECTRIC MECHAN�C FIRE SMIP/TOT GRADING FLAN-CHECFC
81,0� _.�'� ,SI
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. I N D I V I U U A i �°F; E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N,% �, UNIT COST TOTAL eUST
% -
SFft 5063 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 �,063.00
END-1i)F rEES
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CONSTRUCTION AND;PIANNING _ POOL & SPA
- APPROVAIS Permit# Daie Inspector AppROVAIS Permit# Date Inspector
1. Temporary Electrical Service or Pole � ' 52. Pool & Equipment Location s
2. Soil Pipe•Undrgrnd. � . 53. Steel Reinforcement �
3. Electricai Conduit Utility-Undrgrnd. 54. Forms' - ' �
4. Electrical Conduit�Untlrgrnd. � 55..Electrical�Bonding� .
5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test -.
6. ElectricalUFERGrnd. � �� - 57. APPROVALTOCOVER-GUMTE '
7. Footings . 58. Electrical Conduit-Undrgrnd. -
8. Foundatio❑ -• ;- � 59. Gas Pipe, O Undrgmd., Test `�
9. Water Pipe-Undrgrnd. - • 60. Backwash Lines, P�Trap, � Undrgrnd.
10. Structurel Floor System ' ' 61. APPROVAL TO DECK
i t. Property Sewer Line & Ho�se Connection ' . 62. Backwash & Receptor-Final �
12. Sewer Cap � , _ -� - � 63. Heater & Vent-Final �
73. Roof Drains .'� 64. Plumbing System - Fi�ai � �
74. Fough Plumbing , ' � - • 65. Electrical-Finai � �
75. Rough Electriwl-Condurt ' � 66. Solar System-Pinal �
16. Rough Electric Wiring _ 67. Fencing & Access Approval '
�
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical•T Bar Ceiling �� 69. �P00�/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning " �FIRE DEPT. REQUIREMENT
20. RoughPactory�Fireplace � APPROVAIS Permit#
21. Dutts, in StrUcture � . 70. Underground Hydro
22.Ducts,Ventil8ting 71. ProductPiping�Gas ❑Oil
23. Gas Pipe�Rou9h & Test - � , 72, Underground Flush, .
24. Roof Framing 73. Undergrnd.Storage�Tank C1Gas ❑Oil
25. Roof Sheathing t�.,�J.s�i �c.�K ��a. overhead Hydro
26. T�Bar Ceiling (Structuraq & Monocoat 75. Dry Chemical
' 27. Frame and Flashing . 76. Dry Standpipe .
28. Lathing & Sid�ng � •� � 77. FIXED SYSTEM FINAL
29. Insulation � I 78, FIRE PREV. FINAL �
30. Drywall Nailing � � � HEALTH DEPT. flEQUIREMENT
31. Plaster Brown Coat I i � 79.'FINAL INSPECTION _ .,
32. Electrical Power Meter�Final � � ( 80. FOOD CERTIFICATE ISSUED " .
33. Final Electric , � Notes: . �
34. Final Heating & Air Conditioning � //jj �-��� �' `
i � ��/.��(�"'-�_'-6�C�� �
35. Final Gas Pipe-Test I•,� / o/�?� ��
' f L � -
36. Hood or CanopY , f.'� �
37. Final Factory Fireplace . �
I I •{
38. Final Plumbing � ��
39. Water Service-Final I � I
i.
40. Gas Service-Final � � I - �
I �
41. Solar pomesuc-Final �
42. Backflow Pre�enter � � f '
i
43. Backflow Irri9ation
44. Landscape Irriqation Syst`em
45. Sound Attenuation .
46. Handirap Regulations ' t � � . .
i-.
b7. FINAL STRUCTURE & BUILDlNG �y � � { �
48'. FINALPLANNING ' ��- I � ..��
� �
49. Elearic Release to Edison • i'�
A
50. Gas Release to Southem California Gas Co �"' � .
51. CERTIFICA7E OF OCCUPANCY
No. Date
2�6(6 s�E>'l_5-67P,�.r��0 711�". ,ti.;..,,,.,,�cjy��
COSTA MESA BUILDINGSAFETY DEPARTMENT � �'��
P.O. BOX 7200 COSTA MESA� GALIFORNIA 91l46 �