HomeMy WebLinkAbout976 SPRINGFIELD ST - Building Permits�
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vno�et�rnooeess: � t.'76�SPRINGFIELD ST
Ol�lNEN'S NAME: L ]�JS1dY LEWIS
aooeess: g'j6 SPR`INGFIELD ST
��� COSTA MESA,CA 92626
UNIT:
546-9681
FBCH/ENGINEEB:LARRY D. GARRET aec.xo.:S2366
ADDqE55: SZB3�I VALLEY VIEW ST, uxiT: C
�� GARDEN GROVE CA 92645
PERMITTEE: REES ROOFING ( 714 ) 953-0134
� �aooeess: 515 N FAIRVIEW
�� SANTA ANA CA 92703
uCEN5�0 CONTHffAOB OECIAflRTION: I here�y a��irm Ihai I am Iit¢n5etl untler pmvision5 O7 ChaD�ef 9(C mmen ' wi�h SeCfion
�7000) �iv:� :, ot t�e Business and Pm�essions Cotle, antl my license is in full �orce antl Hect.
c�rr� !0 31 prE�ic.:291971 � 3
�ate'. � � SignaWre: — — —
WOflNEPS' COMPENSATION UECIA N: I �ereby alfirm Ihat I h e a e�ificate oi conse m sel4inmre ar a certilicale o� Workers'
Compensalion Insurance. or a nilie0 copy Nereol (Section 3800 Lab C) '
roucreo.:038911� exr.o . 05/15/93
cornvnxr: STATE FUND
❑ CeNh¢tl topy is h¢rehy Wrnis�etl. � CeOilied copy is hletlryy Ciry uilainA 'iv ion.
/� l f \( _
Oate' � v � `�' pppliCant V
E%EMPTIONiXOMWOflNEflS'COMPENSATIONUECIAflATION: �Thissection nol6ecample�etlil�hepemn�isforonehuntlretl(5700�orless�.
I Cerlity thal in Ihe pedOrmanCe Df Ue work for w�ich ihis permii is issue Shall not employ any Oe�sOn in any manner w as �o become
5u01e�� lo �he Workers' Gompensation Laws o� Calitornia.
Date: Signature'.
NOTICE: II. afler making Ihis aeclaralion. you shoulA became su61e�� �o �he Workers' Comp¢nsation pmvisions ot �Ae LaOor
Code. yau must fonhwiih comply with such pmvisions or this permit shall be Oeemetl revoketl.
CONSTXOCTION LENDINC RGENCY: I �ere�y afiirm tha�lhere is a cons�mction lending agency forihe performance of the work �or
which Ihis permi� is issuea (Sec�ion 3097. Civ. C).
LENOEN:
AODflE55:
OWNEfl BUILUEB UECLABATION: 1 hereby affirm �hat I am exemp� tmm the ComractoK State License Law for Ihe following reason
(Seclion 7Q71.5 Business and Pm�essional Code: Any ci�y of county which requires a permi� ro cons�mc�, alier, improve, tlemolish, or
repau any s�mcture. prior Io iis issuance, also requires the applican� for such permi� �o lile a signetl siat¢meni Nat he/5M1e is li[ensetl
pursuam m Ihe pmvisions ol ihe ContracloK Sta�e License Law (Chapter 9(commencing wi�h Sec�ion 7000) ol Division 3 0� ihe Business
anU Professions Code) or ihat he/s�e is eKempt �herefmm anA t�e hasis for t�e allegetl exemption. Any violation of Section 7031.5 by
any applicant �or a permit su6ject5 I�e applican� to a civil penally o� not more Ihan five �untlretl dollars ($500).
I, as owner of �he Oroperiy or my employe¢s wilA wages as �heir sole compensa�ion, will tlo ihe work, anA Ihe
❑ simcture is nol in�entletl or ofieree for sale (Secaon 7044. Business an0 Pmiessional CoOe: The Contractors' State License Law
tloes no� ap01y io an owner ol a propehy w�o bw105 or impmves Iherean, anA who tloes such work himSelVherself or ihmugh
Ais or her uwn employee5. D�oviOetl Iha� 5ut� impmuemenls are noi intende0 ar oiter¢0 �of Sale. II, howev¢r Ihe builtling or
impmvement is sold wiihin one yea� ol completion, Ihe owner will have ��e 6urden oi pmving he/she Oia no� builtl or improve
lor ��e purpose a� sale).
I, as owner oi tne pwpeny, am e�clusivety tOn�mCting wil� licensetl ConlraCiOrs lo tonSfNt� �he proleci (SeClion 70d4, Bu5ine55
❑ an0 Pmle55ion5 CoOe: The ConVac[ors' S�a�e License Law tloes not apDty to an owner oi property who builds or imD�o�es Ihereon
antl wno <onlrac�s �or such pmjects wi�h a conVacloqs)license purSuaN �o �he Contrac�ors $tate LicenSe Law). I am awa�e
t�at pmol ol their Worker'S CompenSaUon insurance shaultl be provide0 �o me.
� I am exempt untler Section: 8. 8 P. C.
lor ihis reason:
Oa�e: Ownec
I tlo here�y ce�ity that I am aware o� antl un0erstand ihe requirements oi Calilomia Meal�h an0 Safery CoOe S¢tlions 25505, 25533, antl
25534 andihal I oranylu�ure building occupan�wilUwillnot�circle one) nee0to comply wi�h saitl state wAes ana�he�equiremenis�or a
permil for cons�mction or modi�icalion irom��e Air �ualily Managemenl �istricl. ReSiAen�ial con5imc�ion apPlicaiions are exempt twm
ihese provisions.
Oale: ADP�icant:
I here�y certily Ual I have reatl �his applicalion and s�ate IAa� �he above in�ormation is co�rect I agr��e �o co�p with all city antl coun�y
ordinances and slalelawsrelaling�o bwltling canSlmciion ana her aulh reDr e �ives otlhi iry�o e(et onihe above-men�lOnetl
pmDerly for inspeclian purposes.
� Oaie: � SignaWre:
Drioer's Llcense or Social Securi�y
t64t�46 WM1ne—Buildma: Green—Cotle EniorcemenL Canarv—Aoolicanl: Pink—Revenue; Goltlenmtl—Assessor
1: _ CITY OF COSTA MESA — HUILDING PERMIT PERM NO; B 060270 �
PERMIT NO: B 060270 PLAN CHECK NO: 04796-92 S GOVT; N SUPP.: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE; STR PURPOSE; ALT
JOB DESCRIPTION ; REROOF W/"MONIER TILE"(ICBO#2093) SQ FT: 8,000
CLAIM VALUE: 8,000.00 CALC—VALUE; 8,000,00 GROUP OCC; R-3 /M-1
COMMENTS: SMOKE DETECTOR(S) RE�UIRED IN HOME.
***r�t�x�r*�r�r�r��r*�t*�r*�r*�t�r�r�t�t�rx�r�r �t**�t�t**�t�t�t�r+tx�t*��r*�t*�t�t*�r��r**�t**�r*�r�t*******�t*****
Z O N I N GS_ERTEB�AUCIRRSE M E N T S ����� � ET
E�TO{�
------------�MAIN BUILDING ------ --- ------- — ACCESSORY BUII��7�Ftm�---
FRNT: FT IN REAR: FT IN FRNT: FT IN" REAR; Y'✓l11Z
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT N
PARRING REQ• PROV: PARCEL: 14172415 ZNE: REF NO:
PLANNING NOTES>
ik if if if if iF ilik if If 1E �f 9F if ik,'1(� if iklt ik iE iFif 1! iF iF if 1f if if 1f if 1f ik �klf iFif 1E 1k if iF�f if 1f i!!f 1f iF iE ik 1k ikif i! ikif 1E 1k 1FiE ik iE ik!! iF iF iF if if # iF if Ik if �lE iE iF iF
D E�V.fi�:L O P M E N T S E R V I C E S R E Q U I R E M E N�T_S
��.--_ �
ZONING APPROVED BY DATE;
HUILDING APPROVED BY ; DATE;
7 M1 _ r-�
APPLICATION rISSUED BY: DATE; C2:.
iE3Eif�ltltlE�flEiE1E1f1E�Elh'�E1EfElkiEiEiF1E'�F'iF'iE7FiF7FifiEifiFiFiE'iF'iF{F�iFiF7Fif�f�FiF7FifiFi'f'3F'iFiFiF'iFfEMiFiEiEitiElEifiE iEif
�! 1kilif iflkiflf kik �f ikk ik 1likit 1E 1E iF 1t IE it if 1k itiE iF ik k if �f if �f iE iE �F iE 1F iF iE 3f iF if �F1tif iF iEiE it k k it if it kiflf ik k if iFiFit it it ik i! ik 1F if iF if if 1klE IE iE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 99.00 _____ .._80 ___
ISSUE FEE 64,35 ,
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAID DUE
TOTALS----> 99.80 0,00 64,35 164,15 164.15 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 164,15 OVER/SHORT; 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
99.00 ,.80 � 64,35
1E if if iE if if ikif if if 1Fif if if if iE iE iE iF 1E �F1f 3f iF iE iE if �k if 1FlE iF ik ikik If ilikif it iflf if !F ik Il�k iF 1F iklf 1k iF�f iE iFif 1E �F iFi! ik �f iF ik if k �FlE iE iF iE iF 1t iF ik iFk {E
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 8000 REROOF BY VALUE RESIDENTIAL N020NE 1,00 B4O00.00
END OF FEES
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CGPJSTRUCTIG•V AND.PLANNING : - '� POOL & SPA �
Date tntpector Oate Inspector.
; -ApPROVALS Perm�*� � - APPROVALS Permit# ,
i, 7emporary Electrical Se���'ot Pole . ' , � � . � � 52. Pool & Equipment Location - '
..�• .
� 2. $oil Pipe-Undrgmd, � " � - � , - . 53. Steel Reinfprcement ,
. :a�i� -,c.... .! :n � • ��'
+�qElectri1r,a�CO[tduit_Ut���ty-Undrgrnd. r • 54. Forms
'=A'.•'E�actriq-f6orikiuit-l4ndrgrnd.�� ' 55. Electrical Bondmg � '
� " f Cr _ ": ,r .
� 5.'S�el Keintos�cethcr'n� ' ' 1 56. Rough Plumbirtg & Pressure Test
-+�8.:,�fectrica"LUF_ER•Grnd. '3- . 57. APPROVALTOCOVER�GUNITE -_
,^, c -
�::7.� F`ootingS]' ''`- �� �' 58. Electrical Conduit-Undrgrnd. �
;.?�$,CPoundation� ta 59. Gas Pipe, O Undrgrnd., Test f� ti
_
�� 9`Water Pipe�lndrgrnd. � � . 60. Backwash Lines, P-Trap, � Undrgmd. '
�-i0. Structural�Floor System �� � �' 61. APPRO,VALTO DECK , a
11. P!operty Se�er LinQ& House�Gonrtectiori 62. Backwash & Receptor�Final `
12. 5�ver Cap ;_ LL �', ' , �' J 63. Heater & Vent-Final '
73. F?oof Drains '- � � �• �:� 64. Plumbinq System - Final '
14. F?ough Plumbipp ` �{ �/ 65. Electrical�Final
-:
15. Rough Electrica7-Conduit �� . `" 66. Solar System-Final �' �
�,T
16. Rou9fi EfettriclNiring ., . 67. Fencing & Access ApProwV r
l�
17. Rough Wirin9 Sign �.'� ' 68. APPflOVED FOR PLASTERING .
18. flough Electric�al�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
7 7 � �-:..0= .7'. 'e c.- ^J
20TRoGgh F.�cto;Y F,�replace � 'z" "�'? �" = '� � ." .* TAPPROVAES;,�=Permit # `` -' ..•
a ., x i ^ ':: �„ �i . „ x r. : � . �.. � _ �� 0.
l' ... -. L .. - .t. 1. � � ^ ' ' . .
21 �Oucis, imStr.vctuEg.: .. .. � � � C � � x '_70. L�ndergratmd: Hydro .�
22., Dui, �7entiFeting," � t-' � ' -- �� <' ?� =71. ProducY �i 9 �'Oas Q'Oil
- n � K � :.� r„ :.> x r. r�c� (' R
� 23., as.PipeSAo gh & 7est � =r _� � � � Cti ;� �72. Undergropnd Fluskr,�.. i r.:, o
24:zpo5t Framing �F � �-�'� ^ (� � � �� c73�Undergrnd'.StoragbR'ark�flGas ❑Oii
ri r� : V�rr ._, x:t . .,, y �, Y
25. RooiSheathing .;�x - ;U �' `G'y � �T ' �-"" '`
I. ,_..; ,t 74�Qverhead �lydro^,' x
26'c7•Bar CeiGn9 (Stweturall &�Monocoat � � �.*" 757Dry Chemical �� ^ �-' - s
n.a � o x/"' c'� ftir ♦
27"'Frameand Flaship� ; ?' 'i' ~� ` - µ � �E ,• � - '{
v ., ., : � � � ?� c� � , 76.'lDiy S#anc4pipe �
�-28� lathing:&Stling^r��: �<-. � : -;xK 775'FIXEDSYSTEI�k1NAl' y �.� �r
r. 2- x ''- ... .. .. � x � .: Y .. "' �
' '�29. losulati2l'n �. > .. � .: 78_FIRE PREV. FIN/kL � }
�:=3p. prywa117NaifTg �-* v � T•� - HEALTH DEPT?+R�EQUIRE'MENT
'�_ - x
,`-�'31. P�aster BnoH(a Coal'� � j.�� � l�`, � x r79�`FINAL 1I�SP_ECTIC�N ... ` ' �
_J32_Electrical Power Mete7rFinal' � s ti � I; n=$0?-FOOD CERTIFkCICTE ISSUr 0 �.
t33..=FirTd1 EI�CtriG �: . i �'� �w x rNO�ES: "� J: 7 '.'� �*J
: � v. . . .- . ..
;�;34;�fin� Heatingl& Ai�cConditiqn�g; C; s. � .+.: :c g <�� S � J
� a r.
35� irra7 Ggi Pipe�Test`, � ; M_ �:' � �' ,-„6 �= •. r :_ �.�.,
x36�lio9d oi-CanoPY : ' - ~ ;- � IY ic ' 2. c'i _ , � �. , t.
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=37�Fina1 Fa4ctory Fir�p�acer � S� - K�` : x' Z M y ;,�
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=38::FinBJ Plrimbing �� . ... < _ . -. � '_ �. .4
-39: iNater Seivice'Final' m � - �' ^� '�t* �:
C� o S'� .+ :x r � 4 '2 ^ :j
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-`,,40��Gas Service-�nal � �-„ ��r.� � �: �; x• � �i -- " ' �
<A7: 5olar pomes�lo-Finalti � , � ' - r., .< <[�� .. . � .
� n x n x x, r .; '. ::
��42��SackflowPreventerx`- �� �l '� � ''-' , ' ''
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43. Backflow lrrigation`� � iS> :` R-� "" =c '' O �
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Y�44. Landscape ITrigatiqn SySterTM:;n,,,, ,� ,: !r -;c : r, p:. _� r;; x n1 c
i45.�ound Atteruatiori° �S- , .x'=- ' � ��., �7 ;T J, �-: '�` .
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;�6i.Handicap".Regulations �. - �.�' - ' ��; x -. ' .c �-'�' ..�
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47.sfINO,L STR4ICTURE & BUtLDING ^�+ n3o`s x
+ - yc , !,� - x' x. E'
48:-�IN�;AL PLA�NNING� � = - , 1; Y � '�' .; �.. -
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
ForApplican[ to Fill in Completely qECEI V�og V DATE RECEIVED
/ /�jn DATEISSUED
BUILDING ` (�^ �/� —O� a� .
ADDRE55 � G t
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OWNER A.P. NO. �I— d �l S
MAIL ' BUILDING
ADDRESS ADDRESS '� ' . ,
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m J ADDftESS VALUE �
m - ARCHITECT TEL SE J / s �
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w� ADDRESS r ( ZONE TVPE �' ROUP '
a w APPROVED
J O CONTFACTOR .�� � BV DATE
2 � 7�
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w W ADDftE55 � ZONE NO.OF USE OF NEW •M—(iU
�= TEL, s�T(1— p�q�G gUILDING
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w� STATE CITV �'AF�SAPPROVED VARDSAPPIiOVED
y� LIQ NO. r LIC. NO. MAIN BUILDING A ESSORV BVIL ING
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SIZE NO.OF BLDGS. � .
OF�OT IQd NOWONLOT FRONT '� FT '
USE OF c
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F' SIZE OF NO. OF
. Z NEW BLOG. ROOMS - STORIES L. SIDE �� FT. FT.
U � EMERIOR WALL ROOP � '
COVERING COVERING REAfi FT. FT. '
J . USE OF BUIIDING AN� WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
a MAIN BLDGS. ACCESS. BLDGS.
a
Q ' � � 1 VAR. # DATE
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� � ' APPROVED � � �, �7'7 2
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UI hereby acknowletlge that I have reatl this application antl state ���C
� that the above intormation is correct and agree to comply with tr
� all laws regulating builtling consttuctian, antl I shall noi employ O
r any pe�son in violation of She wo�kman's compensation laws of �
y ffie State ot Califomia. J - �/ m
Z � 7O SQ. FT, o
I hereby certity ihat I am proparly licansetl as a contracmr under
the State of California Business antl Protessions Cotle, Divisicn 3, THE AMOVNTSHOWN UNDER VALUATI N,lS- OR �
Chapter 9, antl ffiat such licenses are in full torce and efiect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: v
empr irom tne pravisions of the Stata of Celitornia Business ¢
VALUATION m
antl Professions Cotle, Division 3, Chapxer 9, PERMIT FEE $ �� G"'"� �
7
Signaiure of /� / � Yy� .
m
Permittee _.// �i� �.l%/df��l�WL/y���/_:�/ �% $ i��d �" p�,qN CHECK $ E
Authorized A9ent i�- -7 LL
TOTAL FEE $ �� �"Z�
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GOSTA MESA BUILDINCrSAFETY DEPARTMENT
, P.O. BO% 7200 �COSTA MESA, CALIFORNIA 92816
For Appllcant to Flll In Completaly
TYPE OR PRINT
ILDING
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COSTA MESA, CA O NIA
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esa, CaliY.
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DESCRIPTION OF WORK
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1 H8R68Y ACKNOWL6DOC TNAT 1 HAVf NBAD TMfB APPLIGTON
wivo 8fwT6 THAT Tf16 AGOVH 10 CORq6CT ANO AORB[ TO COM•
PLY WITH ALL CITY OpD1NANCtB AN� PTATt U1WY H[O�LwT�NO
BUILDINO CAN9iRIlLT10lV�� . �
� AUTNORIZGDAGtNT
rn;b ( , ir:+: f:4g.(lu
SEP ?_5-67cr+enQ� 7p'r_".
��APPLICATION FOR PERMR
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For Offlce Use Only
R[C[IR NO. � jFI�IT NO.
YAROSAPPROVHO
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VALVATON �8 POR TX8 j
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