HomeMy WebLinkAbout983 SPRINGFIELD ST - Building Permits� r � •
CITY OF COSTA MESA
STpMFq BUILDING DIYIS/ON
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> ,,,� ..., � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • wvnv.ci.costa-mesa.ca.us
°. �` FOR INSPECTIONS CALL: (714) 754-5626
'�°~�^�^°�'' PERMIT NUMBER: P11-00091
PERMIT TYPE PLUM
APN: 14172127
JOB ADDRESS: 9_8_8 SFRING IELD-ST{CM'�
Vicinity: GARAGE
STATUS:
DATEISSUED:
ISSUED BY:
Suite/Unit:
ISSUED
OS/12/2011
RMD
SCOPE OF WORK: PLUMBING PERMIT TO CHANGE OUT WATER HEATER AT EXISTING GARAGE LOCATION. COMPLIANCE
FOftMS ATTACHED TO JOB CARD AND CITY PERMIT.
OWNER:
PHONE:
APPLICANT:
PHONE:
YOUNG, ROSS C
MCLAIN, TONY
714-540-8400
Add2ss: 983 SPRINGFIELD ST
City/State/Zip; COSTA MESA, CA
Address:
CitylState/zZip: �
CON7RAC70R: PROSERV PLUMBING AND DRAIN License No. 798615 �
Address: 3072 ENTERPRISE ST UNIT F PHONE: 714-540•6400
CitylState�. COSTA MESA, CA � ZipCode: 92626 CELL: �
ARCHITECT: � License No. PHONE:
ENGINEER: License No. PHONE:
PLUMBING PERMIT FEE SUMMARY
PLAN CHECK FEE:
PERMIT FEE:
TOTAL FEES:
$0.00
$35.80
$35.80
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1. 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 this permit lo be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be oblainetl. FaiWre to obtain inspections and final approval will result in the expiration of this permit.
CODEp. INSPEGTIONTYPE DATE INTIPALS �ODE� INSPELlIONTYPE DATE IN1111RL5
1616 Fixed System Final Fire Prevention 206 Final Mechanical y y �
208 FinalPlumbin p ��'f�'� /�InP
1266 Pool Spa Final 9
200 Final P,e-f2oof 210 Final Elecviwl
201 Fina1 81ocklRelaining Wall 212 Final Fire Prevention
202 Final Fac�ory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final qemolition 250 Final Building/Occupancy
•
WORKERS' COMPENSATION DECLARATION: �
I hereby affirm under penalty of perjury one o( Ihe (ollowinq declarztions:
❑ I have and will maintain a certifcate of consent to self-Insure �or workers�
compensation, as pmvided for by section 3700 of the Labor Code, for the
pedormance of the work for which this�permil is issuetl. •
� I have and will maintain vrorkers' compensation insurance, as required by
§ec�bn 3700 of the Labor Code, for Ihe perfortnance of Ihe vrork tor which this
pertnit is issuetl. My workers' compensation Insurance carrier antl policy
�num�ber are1: /
Cl�yRjgf: C���l�
(TNs seIXion neetl no kOre mmplete� d lh/�eq peimrt is valued af one huntliedCollars (5100) w IessJ
Policy_Number: �Y_76���Va6�����
�
❑ I certi/y that in the periormance of the work for which this permit is
issued, I shall not employ any person in any manner so as lo become subjecl
to lhe workers' compensation laws of Cali(omia. and agree thaf i( I should
become subjeci to the workers' compensation pmvisions of Section 3700 of
the Labor Code. I shall forthwith comply with these provisions.
-� l% �°;.. s'� / 2 �L
�fca t's 9 Iure Oa���-
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNIAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE NUNDRED THOUSAND DOLLARS
($700,000), IN ADDITION TO THE COST OF COMPENSA710N, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARA710N:
I hereby aHirm that I am licensed under pmvisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Professions Cotle, and
my license is i,np full f,o/rce and eHect. . /
Lic�#� QO J Clas #'� C.�6
S''/2�'//
onlradoYsSignaWre �Date'-
CONSTRUCTION LENDING AGENCY:
❑ I hereby affum that [here is a consWction lending agency for the
perfortnance of the work fa which this pertnit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Atldress:
Dale
OWNER-BUILDER DECLARATIONS:
I hereby affvm tha� under penalty ol perjury that I am ExEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5.
Business and Professions Code: Any ciry or county which requires a permil to
construct, alter, improve, demolish, or repair any strucWre, prior ro its
issuance, also requires the applicant for such permit to fle a signed statement
Ihat he or she is licensed pursuant to lhe provisions of the Contractors
License Law (Chapler 9(commencing with Section 7000) of Division 3 of the
Business and Professions Code) or lhat he or she is exempl therefrom and
Ihe basis for the allegetl exemption. Any violation of Section 7031.5 by any
applicant tor a permit subjec[s the applican[ to a civil penalry o( not more than
five huntlred dollars ($500).):
❑ I, as ovmer of the property, or my employees with v2ges as their sole
compensation, WILL DO THE WORK, and Ihe structure is nol intended or
oKered for sale (Sec. 7044, Business antl Protessions Cotle: The Contractors
License Law does not apply to an ovmer of property who builtls or improves
Ihereon, and vfio tloes such work himself or herself or through his or her own
employees, provided that such improvements are not intended or oftered for
sale. It, however, the building or improvement is sold within one year o(
completion, the ovmer-builtler will have the burden of proving.that he or she
did not build or improve for purpose of sale.). ,
❑ I, as owner o( the property, am EXCLUSIVELV CONTRACTING WITH
LICENSED GONTRACTORS ro construct the prOjec( (SeC. 7044, Busine55 and
Professbns Code: The contractas License Law does not apply lo an�owner of
�� property wyhr�o� builds or improves thereon, and who contracts for such project with
'�b��cv .rii;Ts) bqen�yyr�aar�to the Contractors License Laws.).
�
0 I am exempt under sec.
eusiness and Professions Code for lhis reason:
Signawre Da�e
305]-46�3/0�)
,
Owoer IDverifed by driver icense. ❑ Ves ❑ No
Driver'S LiCense No. Ezpires:
Verifc2tion'of Ownership by (type of tlocument, i.e. - propehy tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICATION:
❑ I hereby certify �hat no ezcavation frve (5) or more feet in tlep�h into which a
person is required [o descend, will be made in connection vnth wnrk au�horizetl
by this pertnit, and that no building slrucWre, scaffoltling, falsework. or demolition
or dismantling thereof, witl be more than Ihirty-six (36) (eet high. (Chap. 32, Grp
2, Art 2, Sec. 341, Ttle 8, Califomia Adminisirative Code).
❑ As owner-builder, I will not employ anyone to tlo work which vroultl
require a permit from ihe Division o( Indusirial Safety, as noted above, unless
such person has a permit to do such vrork from the division.
Rpplicanfs Signature Date
Division of IndusMal Safety Permi[ Number: �_
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will Ihe applicant or present or fuWre 6uilding occupant neetl to fle and
cenity a Business Plan for emer9ency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of Ihe California Health antl Safety Code requires, with some
exceptions, that a Business Plan be fled with the Costa Mesa Fire
Department by every business which has at any one time tluring a reported
year a quantity of hazartlous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at slandartl temperaNre and pressure).
2. Does or will Ihe applicant or present or (uWre buildinq occupant neetl lo file
a registration form for acutely hazartlous materials? ❑ Yes ❑ No
(Section 25533 of the Califomia Healih antl Safety Code, with some
ezceptions, requires regisiration with the Costa Mesa Fire Depanment by
each business which at any one time has on hand a quantity ol acutely
hazardous materials equal to or qreater than a weight o( 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressetl gas at standartl
�empera[ure and pressure).
3. Does or vrill the appliwnt or present or (uture building occupanl need to
prepare an RMPP (Risk Management and Preven�ion Program for acutely
hazaftlou5 materials)? ❑ Yes ❑ NO .
(Section 25534 of ihe California Health and Safery Code provitles Ihat Ihe
Costa Mesa Fire Department may require the preparation, certification antl
fling with the Fire Department of an RMPP by businesses which are required
to re9ister acutely hazardous materials with the Fire Deparlment.
4. If an RMPP is presenlly require4 has Section 25534 of the California
Health and Safery Code been fully complied vrith? ❑ Ves ❑ No
5. Does or will the applicant or present or (u W re builtling occupanl require for
the work which is the subject of this application a permit for such consWction
or modifcalion (rom Ne South Coasl Air Quality Management District or from
any other air polWtion coMml districl or agency? ❑ Yes ❑ No
(Section 658502 ot the Califomia Govemment Code requires that the requested
infortnation be fumished on applications fa rwn-residenlial Duilding permits).
6. Will any pah o( the (acility to be conslrucled under Ihis permit be wi�hin
1000 feet trom Ihe outer bountlaries of a school? ❑ Yes ❑ No
(If'yes", the facility must meet the requirement of Sections 25534 antl 42303
of the California Health and Safety Code).
7. I( a pertnit from ihe South Coast Air �uality Management Dis[ricl or other
air polWtion control distdct or agency is required for the work which is the
subject of this application, have all of the disclosures prescri6ed by Califomia
Health and Sa(ety Code Section 42303 been made? ❑ Yes ❑ No
8. (I('yes", allach certifca�e of compliance from the appropnate air pollution
control oKcer).
CERTIFICATE OF COMPLIANCE: I cenify that under penalty of perjury the
information given above is correcL I agree to comply with all state laws and
ciry ordinances reqarding Hazardous Matenals and Emissions.
CERTIFICATE OF COMPLIANCE AND A�THORIZATION OF ENTRY: I
certify under penalty of perjury that 1 have read this application and state tha[
Ihe intormation given is correcL I agree to comply with all state laws and ci�y
ordinances relating to building consWction, and authorize representatives of
the City of Costa Mesa to enter upon ihe above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized 6y this permit until final inspection.
�gnaWre o! Legal Owneqs) �ate
�j� ur ��12 -1J
�ndl Au�honze4Applicanl �Odle'
�
i vOd4ue $uffaCe Deieik For [he furred n��r[ioned of'Atnss �4'alls sec Futrirt;; Sfrips Cunsfr'uction'1'ablc beloa�. �
A
Assembly name Material Spacing. U-
nr Tvne' and Size' or Other' factor'
asseniblies, accwmlinglor Continuour Irtsulqnon R-i�a7ue, .ree Page JA
'tion mble beloir.
Values From JA4 T�blc
Framed Continuous
JA4l'uble Cavitv Insulation As
Number' R-value° R-Value° Ito
J-!. For'
Proposed
Assembly
U-factar°
use !he M11ass ond
�. I'OI" / pg/fL lltq(CO[f ItlP IQCtl11fICOlIOtl tl(101P /It01 /llll(CtlCS iIlL' Ouup/tto FJ(ll/I5.
-'. /ndicate Uie Assemblv Nume m� gpe: Rooj/Cei/ing, 4Vul(s, Floors, Slnbs, Crmr( Spuce, �oor.r and etc.../nclico(e iir colunm G rhe Frame
nmterial nnd Size: For N'ood, �L/em(, iLleta( Bui(dings, Nass, en�er 2s>. ?eG, or etc_. see J.lJ jor o�her posa'ible frun:e rype assembGes_
3. Enter �He thlckness for mass in indaes or Spacing benveen fi'uming members enter; 16"ar 2d "OC; or Odrer jor a(( o�her nssembh� descr-iplion
sudi as Concrete SandwicA Panel, Spandrel Yunel, Logs, Strmr Ba(e Pnne( und e�c....
-1. Based ore the C/inrate Zone; enter the eyuivalem U facmi;found in JAa Table based on the R-holue f'om Tab(e 7� 1-B, C, or D
5 Enter (he Tab(e number !hn! closelv resemb(es the praposed assembh�,
6_ Enter tlta R-vo(ue tha� is bein� itts�alled in [he wal( covim or benueen [he froming; o�henrise, enter "0".
7_ Enter [he Con(inuous /nsulnlion R-vo/ue for d�e proposed assembh; othenrise, enter "0 ".
d'. 6nter �ne ro�v nnd co(umn of the U-faclor value based on Cofumn F Tnble Number and enter the �I ssembh� U-fac�or in Colunm J
9. The P�oposed d.r.renrbh• U-f¢cmi�, Colaunn J, musr be eyual m or (es.r Ihon the Slairdard U-jocroi- in Colunm G m mmph�.
Furrin, Stri s Construction Table for Mass Walis Onh�
A B C D E 1� G II 1 J 1: L M
Pruposed Proper[ies of D7asunry anJ Concrete Added Interior nr Gxterior Insulalion
NhJls Frnm Referenec in I� urrin� Spxce fi'nm Referenec
.Inin� A endic "I�ablc 4.3.5. 43.(. J.3J Jnint A icndix l':�blc J.3.13
- _ ` `c � L -
V �' GL V
,., � o � .. _ U " n ' �' 1113�
Assembly ��„ 'a — r' o -r-
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Mass Name or JAJ Table � � - v= G o -- ? — Assembly
Thickness' T e' Number' S% � m� �� _ <% �.: U-factor�'� Commeni
I
I I
_. _..
�Rr�gisnapon?Nmr�ber .".:-.;,` "" �:.?.". :.. '-Heg�stronon'Date/Tmzed '� , '_.-e"r�a , i`;-HGRSProirdet: - - `.`.
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3008 Residential Complimrce Forms Mm�ch 2010
:. .
H V AC Sl'STE MS - H IATI N C
Minimum Duct or Piping Con(ieuration
Heatin� Equipment Efliciency Uistribution Insulation Thern�ostat (Cenval, Split_
T e and Ca acih�� -' (AFUE or hISPF) l V e and Location' R-Value T- c Space_ Puckaee or I-Ivdronicl
L lndicntc Henting Type (Cenval Furnace. VVulI Fm'nace. Heat pump. Hoiler. Elecvic lfesistance. erc:)
1. Elecaic resistance hea�ing (s a//mred onh� in Componenr PacAage C, or excepi �+�Gere e(ecvlc hcuiii�g is supplemenea( (i.v., iftaid cnpnclrn
= 3/:!P or 7, (100I1ndhr electric henting is contro!!ed br n« me-(Imi�ing denlce not eaceeding 30 mim�tesJ. See §/�/(b)3 exception.
3. Rejer to the HE2S Verificn�ion section mr Page d ajtive C(-IR-dLT Form for additinna! reyi�irement.c and check applicnble boses. �
4. /ndicate Tvpe orLoca(ion (Ducts, Hvdronic in Floort Radin�ars. etc.J
HVAC SYSTGMS - COOLINC
Minimum
Efficiency Duct or Piping Configuration
Cooling Fquipmenl (SEEIUEER or Distribution Insulation Thcrmustat (Centrul. Split,
Ty e and Ca aci[v�` COPI T e and Locatiod R-Value "fype Spare, PuckaQe or Flvdronic)
�
1. Mdicate Cooling Tvpe (A/C. Heat pmnp, Evap. Cooling, e!c)
3. Refer [o �he HERS D'erifien[ion sec�ion on Page -1 of the C�-lR-�IL7� Forn� for additiaxa( re9«iremen�s nnd check applicable boxea.
3. /ndicate Tvpe or Lacntian (Ducts, Hvdronic �n Floor. Radiators, etcJ
Regrsuanon?IJumber�'x`� ''�'y",`..�.a.,, °"<Re�,tstrat�ori:Date/7Y_me,'�,.,..,.,„.v�,f:',a �v',.''=HERSYromdec: �r�.;-_;. � „,�µ
200E Residential Compliance Forms A4arch ?010
�:
Prescriotive Certificate ot' Comnliance: Residential � CF-1 R-ALT
Residential A(terufions
Projecl Namc:
RGSS
# ol'S�uries
HERS VERIFICATIOIV SUMMAR}' 77ie enforcemem agener should puvspecird at�ention to !he HERSMensimes speerfied in this
check(isl belou. d completed nnd signed CF--/R Form for a/( the nreasurer specified slmll be .rubmined �n die bui(ding inspecmr before finnl
Duct Sealing & Testing HF.RS verfcorio�i is reyuiredfor rhis meosure.
� YES Q NO YES: In Climate Zones 2 and 9-16, i(more than 401inear Ceet ofnew or replacement ducts arc installetl in unconditioned
5paee_ the duefs are [o be sealed per § I�2(b) I Dii and the newly inslailed ducts are to be insulated per § 151(f)10.
Q CXCEP�I'ION: Esisling duct sys�ems [hat are extendeJ, which are cunstructed, insulaled ur ualeJ with asbestus.
❑YES ❑NO YES ln Climate'Lones 2 and 9-1G. if the existing spacrcondilionine system (FNAC equipment and dueting) is replaced, thc
duc[s are to be sealed per §152(b)1Di.
❑YES ❑NO YES� ]n Climate'Lones 2 and'I-IG, i([he existing I�IVAC equipmenl is re�lacod (including the repincemcnt of the air handler.
ou[door condensing unil o(a split system, cooling on c�ating coil, or the (urnace hcat axchunger) the ducts arc to bc
sealed per §152(b)IE.
❑ ESCEP7'101�; Duct syslems [ha[ are dncumen�ed [o hnve been previuusly sealeJ confirmeJ Ihruugh HI?KS
verificatian in accorJance with procedures in Ihc Neference RcsiJential Appendiz RA3.
Q EXCEP7lON; Uuct systems e�ith less [han JO linear feet in uncunJi[iuned space.
RefrigerantChargl'-S(11itSy5t@m HEXSveriJicotionisrequiredforlhismensure. �
❑ YES ❑ NO YES: ln Climate `Lones 3 and 8-IS. when [he exis[ino f NAC eyuipment is repluced (including thc replaccmcnt of the uir
handler, ouldc�or condensing unit of a split system A/C or heal pump, cooling or heating coil, or the furnace heal
exchanger) a reGigerant charge meusurement shall be verified per § U2(b)I F_
Central Fan Integrated (CFI) Ventilation System and Fan Watt Drae�
The ventilation requirements oT §150(0) tlo nol apPly [o exis[ing residential homes.
Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verificntiai is requiredfor d�is measure.
Q YES Q NO YES: In Climate Zones 10 [hrough 15, when [he existing space-conditionine system (HVAC equipment and ducting) is
reD�aced. the airtlow and fan watt draw shall be verifred per §152(b)ICi to meet the requircments of ( I51(Q76.
Documenta[ion Author's Ueclara[i0n Statement
• I certifi• that this Cer[ifica[e of Com iiance ducumentation is atturate anJ enm lete.
Name: ) Sign um: .
�d� �c`^Lt��n C
Company: ��FYl� ✓ rUM�7 Date: �,�Z'I
Address: �OJ� �n��� fl IfApplicable CEAor CEPE
d�� (Certi�ication #):
Cit /State/Zi Pho e:
y � CcS3a i�k��,, C� 92b2� ��4-S yo�8 Yao
Itesponsible Building Designer's Declaration Statemen[
• 1 am eligible under Division 3 of [he Califomia l3usiness and Professions Code to acccpt responsibiliq� for thc building desien idcntilied on
this Certifma[e of Compliance.
• I certify thal the energ�� fea[ures and performanee specilications for the building design identificd on this Cenificate ofCompliance cunlumi
to [he rcyuiremen[s of TiUc 24. Pans I and 6 of [he Califomia Code o( Regulations.
• T'he building dcsign featums identified on this Certilicate of Compliunce are consistent with the infurniation provided to document this
building design on the other applicable compliance lomis, worksheets, calculations. plxns and specilicatiuns subinitted to the enforcement
a ene � for x mval wilh lhis buildin ermil a lication.
Namr ' Signamrc:
Compan}�: Datc:
� Address: I.icense:
City/Stete/Zip: � � Phooc-
H�or nssistance or quesliotts regnMtng 1/re Energp S(andards, eontact llie Cnergp t[o1/tne at: 1-800-77Z-3300.
.- .. -�:.-k -- - - . �
�Regisnanon'1Vtjmber ��;:,. �,; ;,�+,,RegtstrquonfDate/T�nre ii r :��--.,�, , . �.. °„HE,XS'Yrovider �.:"�: -, >� ::i
2008 Resideminl Compliance Forms ^ ^ Murch 20/D
rnaecm�ooaess: 983 SPRINGFIELD ST
�OWNEfl'S NRME: YOUNG� ROSS C
aooeess:983 SPRINGFIELD ST
COSTA MESA,CA 92626
ABCHIENGMEEfl:
aooness:
flEG.NO.:
uxir: CITY OF COSTA MESA — BUILDING PERMIT
PEAMIT NO: H 065121 PLAN CHECK NO: N
CONSTRUCTION TYPE: 5—N PERP7IT TYPE: STR
uxiT:
PEflMITTEE:ALL—COAST ROOFING (714165U-2299
aooeess: 2107 WALLACE AV
COSTA MESA CA 926"l7
❑LENSEO CONTNACTOfl DECIAflFTION: I hereby affirm Ihat 1 am licensetl untle pmv' 'on o� Chapler 9(commencing wiih Section
7000) ol Divisian 3 oi Ihe Business and Pmfessions Cotle, and my license is in ar e flem.
CITY LIC.: O G 1 9. 9 sTnTe uc.:5 9 8 9 9 0 cuss � i i �
�Date'. �.�3n�� SignaWre:— _ ti
WOflREBS' C MPENSp ION DECLl�XATION: I �ereby aflirm I � I have a dicate of consen� to sell�insure or a certitica�e o� Workers'
Compensation Insurance. or a certifie0 copy ihereof (5ection 3800. Lab.
POIICY NO.: E%P. DRTE:
COMPANY:
❑ Cetlifietl coOY is herehy fumishetl. ❑ Certitied capy is �iletl with the ciry Building Oivision.
�ale'. Npplicant:
E%EMPTION iHOM WORHEPS' COM7ENSATION �ECUNATION: (ihis secUan neetl noi be � IeteC itNe permit is �ar one hun4rea (5100) or 1e55�.
I ceNly Ihat In Ihe petlormance ol �he work �or w0ich �his permi 'S issued, I shall no e ay any person in any manner so as �o become
subiep � � w n�,' Comvensa�ion Laws of Calilomia.
� Oate: SignaWre: " l
NOTI : I, a�ter making this tleclara�ion, you shoultl become SUUIe lo the Workers' Compensation pmvisions at Ihe Labor
Cotle. you musl totlhwii� compty wit� such provisions or this per shall be tleemed revoketl.
CONSTHUCTION LENOING ACENCY: I hereby atlirm ��at Ihere is a conSlmciion lending agency lor the petlormance o� Ihe wark �or
which Ihis permit is issuetl �Sec�ion 3097. Civ. C�.
LENDEN:
RUGHESS:
OWNEfl BWLOEB UECIAHATION: I �ereby allirm Iha� I am exemp� irom Ue Conirac�ors' State License Law Por the �ollowing reason
(Seclmn 7031.5 Business and Professional COAe: Any city of counry which repuires a permit to constmct, al�er, impmve, tlemolish, or
repair any stmcture, prior to ils issuance. also requires tne aDDlicani for suc� permit to lile a signeE Slatemeni I�ai he/5Ae is Iicen5e0
pursuam to �he pmvisions of I�e Conlrac�ars' Slale License Law (Chapier 9(commencing wilh Sec�ion 7000) ol �ivision 3 0l �Ae Busines5
ana Pmiessians Cotle) or �hai he/she I5 exempl Iherefrom an� the ba5I5 �or Ihe allegetl exemption. Any violation of Section 703L5 by
any aD0licant for a permil suhlec�s �he apPlicanl to a civil penalty ol no� more t�an �ive hundretl dollaR ($500�.
I, as owner oi I�e pmpertY or my emplayees wit� wages as I�eir sole compensalion, wiil do the work, and Ihe
❑ stmcture is not miended oro�ferea�orsale (Sec�ion 7044, Business and Profe55ionalCotle: The Conirac�ors' State License Law
tloes nol apply �o an owner oi a pmpetly w�o builds ar impmves the�eon, an0 who tloes suc� work himselt/hersel� or �hmugh
his or her own employees. pmvitletl Ihat suc� im0�o�emeni5 are no� intentle0 or atleretl lor sale. It, �owever Ihe buil0ing or
impmvement is 5010 within one year ol comple�ioq the owner will have I�e bur0en of proving he/sAe ditl not builA or imDmve
mr ine purpose of sale)
1, as owner ot ��e pmperty. am eMclusively conlracting with licensed con�racmrs to constmn �he Omlec� �Sec�ion 7044, eusiness
❑ antl Pm�essions Code: T�e Cantractors' Sta�e License Law tloes no� aDD�Y �o an owner ot properiy who builds or imD�oves �hereon
antl w�o conVacis lor such pro�ects wilh a conlractor�s�license pursuanllo the Conlrac�ors' State License law�.l am aware
Iha� Omol oi Iheir Worker'S Compensa�ion insurance shoWd be pmvitled �o me.
� I am exempt unAer Section: B. 8 P. C.
lar Ihis reason'.
PERM NO; H 05512].
GOC�T: N SUPP: N
PURPOSE: ALT
JOB DESCRIPTION : T/O SHEATH & REROOF W/COMP 5HINGLES SQ FT: 5,550
CLAIM VALUE: S,SSO.UO CALC—VALUE: 5,550.00 GROUP OCC: R-3 /M—i
COMMENTS: REROOF 2200SF RESID & GARAGE W/COMP SHINGLES
**,���*�*�***��*�****�������**��**�**��**��*�****�**�*��*���SM�K��DET�CTOR
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S ���vB6�HED
------------ MAIN BUILPING ---------- --------- ACCESSOAY BUIi,DiNG ---------
FRNT: FT IN REAR: FT IN FftNT: FT IN REAP,; FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14172127 ZNE: REF NO:
PLANNING NOTES,->,
i
*****it*****�i��t;�-�*�f*�t�t*�t-*�t�t�r*�c�*ic��r****+rx��*t**�***�r*f�*****�!-x-*�c*��*�--�t�*it�*�i�i��*�t**�*r-
D E V E': L O P M E N T S E R �� 2 C E S R E Q U I R E M E P7 •T S
ZONING APPROVEYI BY DATE:
BUILDING APPAOUED BY : (��� DATE; ..
APPLICATION ISSUED BY: 111E—�+—� DATE; II7� �� /�j �
!E 1fiE iE iE if fE�Y k 1f iE if ik if iFj4 1E iEiE iE if 1E iE IE 1i if }E fE it iE 9E i�F �EiE�?t i�iF�3Fxi'Fi� if iF
iE ic� i(-iE if k 1f if ir� iE if iE k-k3E iE if R iE iE af iF iE it it iF i1� iE i!� if #�14 if �k jE i[� iE iE if iF iE ib if iE 1F iE iE if 3c-%�+E iE iF if iE f if if iE iE if- i4 3f iE �1E iE iE iE if`�f -IE �k ic iF �k-�IE iE iF IF
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PEP,MIT 81.00 ,56
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TVTAL PAID DUE
TOTALS----> 81.56 0.00 0.00 81.56 81.56 .OU
R�VENUE DIVISION TOTALS--> COLLECTED: 81.56 OVER/SHORT: 00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE Sh1IP/TOT GRADING PLAN—CHECK
81.00 .56
�It if it �IF if it iE iE if-if if if if !f 1E if iE 1F 1E if �f jE'k iE if iE 1E iE 1E iE 341f 1E �%if #' i(� iE iE iE �!f iE if 3f iE i(� iF if lE �1E k 3f fE if if if 9F iE #'� iE iF !(� 9E'rt iF iE fE iE iElE iF If if 1E �k. �K iE #±f
I N D I V I D U A L 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 COS'T TOTAL COST
oate: owner_ I SFR
I Qo here0y cenily Ihal I am aware al ana untlerstand the requiremems o� Cali�omia Healih and Sate�y Code Sedions 25505, 25533, antl
25534 antl �hat I or anY �uWre builtling occupanl willlwill no� (circle ane) neea lo camply wiih saie s�ale cotles antl Ihe requiremen�s ior a
permA for conslmction or moeihcalion irom Ihe Air Oualily Management �isVict. Resitleniial conslmction applicalions are eMempt imm
�hese o�ovisions.
�ale', Applicani:
1 hereby ceriity Ihal I have read Nis application antl s�a�e Iha� �he above inlorma�io is correci. I agree �o compty wiih all ciry an0 counly
ortlinances ana slalelawsrelalingio builaing conslmction ana reby aulhorize repr �i ol��is cirylo en�eruponthe above-mentionea
pmperty lar in pec�ian purposes.
� Da�e: � SignaWre:
oriver's License or Socia� Secun�y
�646a6 W�ile—BwlOing�, Geen—Cotle EniorcemenL Canary—Applicanl; Pink—Revenue; Goltlenrotl—Assessor
5550 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 S,SSO,OQ
END OF FEES
oy oo�s;:at=-�oi51;+s r�_�� �;.;s
OA7f: :S13G.�53 iT4�£: 1�:I8
,
4, �:.' � ;-.:.1 i .
CONS� ��....�..�N ANO PLAfUNING � P��� & SPA
APPROVALS Permit # � Date Inspector APPROVALS Permit # Date Inspector
►
t. Temporary Electrica� Service or Pole ' 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. �� 53. Steei Reinforcement -
3. Eiectricaf Condu+c UtditY•Undrgrnd. 54. fosms
4. Electricai Cond�it•Un�ryrnd. 55. Eiectrical Bonding
5. Steel Reintorcement 56. Rough Piumbing & Pressure Test
6. Eiectrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE
7. Pootinqs 58. Electrical Conduit-Undrgmd. ,
8. Foundation -- 59. Gas Pipe, O U�drgrnd., Test �
9. Water Pipe�Und�grnd. � 60. Backwash �ines, P-Trap, O Undrgrnd. �
10. Structural Floor System �� 6t. APPROVAL TQ DECK �
it. Properry Sewer Line &'HouseConnection 62. 0ack•.vash & Receptor-Final ���
12. Sewer Cap � _. i � 63. Heater & Vent-Finai
13. Roof Drains � 64. Plumbing SYstem � Finai
74. Rough Plumbing - ' 65. Electrical-Final
75. Rough Electrica�•Conduit 66. Solar SYstem-Final �
16. Rough Electric Wiring 67. Pencing & Acczss Approval
17. Rough YViring S�gn 68. APPROVED FOR PLASTERING
18. Rough Electrica�-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning . FIRE DEPT. REQUIREMENT
20. Fiough Factory Fireptace APPROVALS Permit #
21. Dutts, in Structure 70. Underground Hydro I
22. Dutts, Ventilating 71. product Pipin9 CGas ❑Oi1
23. Gas Pipe-Rough & Test 72. Underground Fiush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing �Z,- (.. q 3 6u, � 74, Overhead Hydro
26. T�Bar Ceiling (5trucwrap & Monocoat 75. Dry Chemicai
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Sidin9 77. FIXED SYSTENi FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEA�TH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electriral ?ower Meter-Final 80. FO00 CERTIFICATE ISSUED
33. Final EJectric Notes:
34. Final Heating & Air Conditionina
35. Final Gas Pipe-?est
, 36. Hood or CanopY
37. Final Factory Kireplace ��
38. Final Plumbing l�
39. Water Service-Finai �
44. Gas Service-Final
41. Solar pomestic-Final
42. 8ackfiow Preventer
43. Backtiow Irrigation
r,
44. Landscape Irriqatic9i.System
45. Sound Atienu8tio$�,
46. Handicap Regu4atip�g � .
47. FINAISTRUCTI.�g�&zBF11LDING `l r�-�Y �wl.�
_..v'
48. FINAL PLANNIN(i �^v
:
49. Electric Release to�,.EdisQri��
50. Gas Release to Soulherh California Gas Co _.
51. CER7fFICATEO _QCCUPANCY
No. ' - Date
p
�
,
October 17, 1994
CITY OF COSTA MESA
CALIFORNIA 9262&1200 P.O. BOX 7200
DEVELOPMENT SERVICES DEPARTMENT
Dear Costa Mesa Property Owner:
In reviewing past permits, we find that work has been done on your
property located at 983 Soringfield Street, Permit No. B65121. for
a roofing permit. The permit is valid for 180 days from issuance
or your last inspection, per Section 303 (d) of the 1991 Uniform
Building Code. Should we not hear from you within 10 days, your
permit will expire as stated herein and additional fees will be
required to finalize the permit. Failure to final a Building
Permit could possibly impact the future sale of your property.
To activate the above permit, please follow these steps:
1. Telephone (714) 754-5626 or 754-5627.
2. Request an inspection; state address, permit number, and type
of inspection.
3. Be sure to have working smoke detector's as required per
Section 1210(a) of the 1991 Uniform Building Code.
4. Have an adult present at the property at the time of
inspection to provide us access.
Should you have any questions regarding this process, please
contact me at (714) 754-5273,
Thank you for your cooperation.
cerety,
/1 /1
� r'.sv%i�(��
anda Huapaya
mit Processing Speci list
77 FAIR DRIVE
Builtling Division (714) 75d�52�3 • Cotle Enlorcement �71d) 75d�5623 • Planning Division p1A) 754�52a5
F.q% (714) 556-75C8 • TDD (714) 754-5244
:J
��OWNER yOUNG, ROSS
J JOB ADDRE55 983 Spri
� GENERAL CONTRACTOR �
�AP No. 141-321-27 LOT
INSPECTIONS
�SOIL
GAS
WATER
ROUGH PLUMBING
PROP. SWR. LINE � HOUSE CON. �
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING HN� AIR CONDITIONI
TEMPOftARY SERVICE OR POLE
UNOERGROUNO � POWER �
ROUGH WIRING
TRENCHES � FORMS � STEEL
FLOOR SVSTEM
BOND BEAM [1 STEEL REINFORC
SHEATMING
FRAME AND FLASHING
LATHING - IN n OUT �
PLASTER.BROWN COAT
STRUCTURAL, FINAL
HEATING, VENT., REFRIG. AND
PLUMBING, FINAL AN� GAS TE
ELECTRIC. FINAL
field Avenue
DATE 6
BUILDING
ION of WORK Pa
E VALUE $
JUY J IIYC
SUBCONTRACTOR
_7
/U
Dg;� 3 8 _0 �P,,<<,
. ,...,�,-,;�„�.0o3o�,x �::�.��5.03
��lr -- - •
COSTA MESA BUILDINGSAFETY DEPARTIVIENT - -
P.O.BOX 7200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
Fo�ApplicanttoFillinCompletely RECEIV ev oy�r R�CEIVED „oTF�c���F.,
BUILDING � �
ADDRESS � � II
OWNER A'P' N�' '1 '
MAII � BUILDING
- ADDRESS
AD�RESS e C�/
W W TEL. TRACTS <�7 �
a- U CITV ' NO.
zQ CANSTRUCTION ' W ADD AL R F
O N �ENDEfl
am
J � BRANCH '
—� N OWNEF
m J ADDRESS
m AFCHITECT ' TEL. SE � � �
J a OR ENGINEER �' A� � N.
U a FIRE
w CL A�ORESS � ,[� 20NE TVP
a w APPRO /
J O CONTRACTOF � B�'
m Z
J� ADDRESS Q a e
w W TEL. ZONE NO.OF
zF CITV NO. _ P��' �
w� STATE CITV �'ARDSAPPROVED
? O LIC. NO. a� Q 0 . LIC. NO. MAIN BUILDING
SIZE NO.OF BLDGS. IFROM C/L E T)
OF LOT ((� Q�' p NOW ON LOT FFONT
USE OF � 2�[
EXISfINGBLDG. S JI, FT.
� SIZE OF NO. OF
Z NEWBLOG. ROOMS � STORIES L.SIDE FT.
U EXTERIOfl WALL ROOF
COVERING COVERING REAR FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET.
a MAIN BLDGS.
a
� VAR#
O � I,� ` � p c.u.v. #
F� APPROVED L
N
Z
O
UI hereby acknowletlge that I have reatl this application antl state
� tha[ ffie above intormation is correct and agree to comply with
� all laws regula[ing building construction, entl I shall not employ
F any person in vialation ot the workman's compensation laws of
y the�State ot Califomie.
zI hereby certify that I em p�Ope�ly licensetl as a coM�actor untler SQ. FT.
BLOCK
VALUE
USE OF NEW �� X�
BUILDING (� V C
VARDS APPROVED
BET. MAIN
ACCESS. BL
DATE
the Sta[e o/ Caliiomia Business and Professions Cotle, Drvisicn 3, THE AMOUNT SHOWN UNDER V
Chapter 9, and that such licenses are in full force and etfect, or I THE PURP�E OF ES�HBLISHING A
am exempt from the provisions ot ffie State ot Calitornia Business VALUATION
antl Professions Cotle, Division 3, Chapter 9.
PERMIT FEE
Signatura of J��/ ��
Permittee � $�Y O O PLAN CHECK
A�tharizetl Agen TOTAL FEE
STATE
� m
O
'ION IS FOR �
'FEE ONLV: ¢
i � d-r� �
�
� E
0
/ LL
%I
�,
"r
COSTA MESA BUILD DEPARTMENT
P.O. BOX 7200 COSTA MESA� GALIFORNIA 91626
For Applicanf ro iill In Completely
�Z � TYPE OR PRINT /� / . CZ
MAIL
COSTA ME9
Pr.to � �,r''':
SEP ?_5-6"/c�i'sr+�� 79 �� 99.D1;
APPLICATION FOR PERMR
BUILDIN(i
for Offlce �Use Only
R[C[IP� NO, P[pMIT NO.
� ZONINfi
� a � :o �o. e. �.� o.
%CW33 A. SClffi].d ruNs�' eu o�
, _ . .... . _ . . ��u..�_.. �. t �,57 �Tn.
Cali£
86TBACK LIMI RROp
CeNT6n oP tinsai O� R[AR Y
e1DQYAROI LiFT 6� RIOMT
DESCRIPTION OF WORK.
NEW � T6AAY� NI� ADDI'
t BUILDINO
� SIZF
EXTERIOR
f
hingle
Lot 38 - Plan B
1 NGRCeY ACKNOWL6006 TXAT 1 MAV6 RBAD THI/ APPL�CATION
AHD 9TAT8 TNAT TH6 ApOV6 IB �RN6GT�AND AOR¢i M COY.
PLY WITX 11LL CITY OROINANCp AND iJATi {,AWt R�OYU1i1H0
e.a¢nr
�
YARGB MPROVlD
MAIN BUILDINO
VAR. �
sHw��, ee �ees rHwN
YARD9 APPROV6D
ACGEBSORY BUILDINO
DATE
- • '' i / ' ' / W
Py7
3
� � BG. P'T. / � � ' �
THH AYOUNT 6X0 1 UNDBR VAlVAT10N IB FOR TX8 j
PYpP09H OP (BTABLI8X�N0 A PERMIT F66 Ot�Lv. i
VALUATIOq / / — �
PERMITFEE ����
s� U �o /�%' 33 -- w
TOTAL FEE S �Y'�