HomeMy WebLinkAbout1512 WESTMINSTER AVE - Building Permits 4GI_ _OUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT
636 t, 'I Broadway ,U I L D I N G - 1
SANTA A,.,., CALIFORNIALI
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
•_ /� C
RECEIPT NO. PERMIT�] INO.
BUILDINGDRESS / {/ ay T/ Q 1 / i t r ! I' / �/O/O�
ADDRESS
SCHOOL DIST. r 4 ///�/T RECEIVED BY DATE RECD. DATE I Bl`EnJ
OR TOWN /.Q/./�15�}•�' - PSIZ / /' ✓ J
CROSSNEAREST ST. /S'/N S ` /0 - 13 -53 -4—t---,--3-
M ADDRESSDILDING )S/U �W,�)O,A✓ t/• 51 '
OWNER Names J'! /�GsbA,49S / /�/7 �/'
MAIL n • f/nw Si OOL ADDRESS '3 ` �y' ORH TOWN IST.
CITY PQgi// Net) NO -------. NEAREST I /�7 74-4 3
1
CROSS Si-:
ARCHITECT ORA/ ro�NP// NO C. G�Jt ZONE :le iI NO. OSF I TYPE I GROUP
ENGINEER /J B Q
Air y, r1� lino/{, ! ' �'%r r J.!
ADDRESS �^ '
/^' A ROVE
/ LIC. BY• I 1 DATE/�
CONTRACTOR Pay COrSION NO. i
' C0.. 'ECTIONS
ADDRESS +24 EstAr - lbsfn p q,
LEGAL LOT I - .tarns ._ ).,... . : C_ - hs� _ .� �A,1N.
DESCRIPTION I NO. A. !,BLOCK I TRACT
'1 - /,y/ -f( nSW.G7.SB'N.w./55' If r i i .
I ACH METES BOUNDS
SIZE OF LOT ,p7/ZA 4,1, I NOW ON LOT NO.OF BLDGS. O I\
USE OFNO. OF NO. OF
EXISTING BLDG. ��- I FAMILIES I ROOMS •
SETBACK LINE FROM. f %N REAR YARDS l.
TRE
CENTER OF ST (9.S /ANP SIDE YARD S/ .
f:
DESCRIPTION OF WORK . $
E
NEW I _/I ALTERATION I I ADDITION I Y S. D
REPAIR I I MOVING I I DEMOLISH Iit F
BUILDING NO. OF
• SIZE ROOMS EF STORIES owe
EXTERIOR WALL `1 I ROOF 041,46A0
t .
COVERING �(6•�CO COVERING CO M�d, � ,� 11 ',,5'
USE OF NEW 1
BUILDING D//e/PY 0/010./l 4'/t 0b.n.f�e • :
I I I i
V
I / if 9
• APPROVALS
IFOUNDATION: LO TION INSPECTOR DATE
I HEREBY ACKNOWLEDGE THAT I AV- READ THIS FORMS, MATE IALS, C)
APPLICATION AND STATE THAT THE •r E IS CORRECT UNDER-PINNI _ f; /)) �/ )� ,1j3
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOP . r
7�� S'
BRACING, BOL$5 V10 I'�:L-S
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. 1�
LATH. INT. ( 1
SIGNATURE OF • LATH. EXT. E� •/,/ j./ i C/l
I PERMITTE •A /ALi' U 2.-.,I
I, '/4• PLASTER. INT.
AUTHORIZED ACT. • '• ' �_ai PLASTER, E%T. •
-. PERMIT FEE S23 MASONRY REINFORCED
I VALUATION $ ///)6. •
I / PLAN CHECK $ S
y BOND BEAM
E 7 AL FEE 'TINAL
IOM 7-20-33
ADDRESS OF BUILDND: 1512 WESTMINSTER AV WIT: CITY OF COSTA MESA - BUILDING PERMIT
CW!&SNAME IFIMOWl: VAN DEVENTER, WALLACE R
ADDRESS: TR ...PERM NO: P 07620C
8603 LAUREL AVE PERMIT NO: P 076200 PLAN CHECK NO: N GOVT: N SUPP : N
WHITTIER,CA 90605
APPL.MAILING ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: 0TH
ARCHITECT OR ENGINEER: LIC.NO.: JOB DESCRIPTION : GAS LINE REPLACEMENT SQ FT:
ARCH.OR ENC.'S ADDRESS: LINT:
CLAIM VALUE: CALC-VALUE: GROUP OCC : R-3 /
CONRIACTO'S NAME: KENNIHAN PLUMBING ( 714 ) 548-0229
CONmACTOWSMING 418 TUSTIN AV COMMENTS : NO ' BLDG. ' PERMIT INVOLVED.
ADDRESS NEWPORT BEACH CA uC.ND.: 619589 *******'K'+FIE+E+F**SEiE*iE+F+E1EN*dF+e+FiE** Fifa(-1E***4+F+F#+tjtif+FdFlEittt***SfdEif+t♦EifiF*****+F+F***dF+F+Fif+tr*if***
92663 wit ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby elfin under penaly of perjury that I am licensed under provisions of Chapter a SETH ACK S
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my(cense is in full force pd effect.
C C.NO.: 054980 L1C,CLASS: C-36 a. 6 958 XP. 11 /96 MAIN BUILDING ACCESSORY BUILDING
//7 f 6 LEFT: FT IN REAR: FT IN LEFT: FT IN REAR: FT IN
Si'{ t,1 contractor: /� LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
R DUI ER DECLA ATION:I hereby affirm under penalty perjury that I am exempt from the Contradoe License Law for the
Towkg (Secton7ml.sBaleesamPmfeadonscode:Any ayorcounty which rewires apermit toconstruct.alter,improve. PARKING REQ: PROV: PARCEL: 42516121 ZNE: REF NO:
mensed pursuant rsi amo theprovi i rs o theConnca,as Lic rise Ltheaw aper (cq ensuch�uw to sedan 7�)�Ii�h3 d*e PLANNING NOTES>
a kcensed to the prise.provisions to theaContractorsS mai Lew
Business and Profession Code]or that he or she a exempt therefrom end the basis for the alleged eaemption.My violation of Section >
7031.5 by any applicantfor a pend augeds the applcnun to a alt penally of not more than five hundred dollars lS5WOl1. ****IE***************************IE*************If*SE****IE****************IE*****IE df*
❑ I,amast Sthe Properly or my employees with wages es thatsole compensation.will do the work,and the structure a ret intended DEVELOPMENT SERV R V I C E REQUIREMENTS
U
or offered la sale(Section 7044.Business and ProfessiauCede:The Contractors License Law does not apply to en owner of property 1
who buide or improves thereon,and who does such work himself or herself or through his or her own employees,provided that inch
improvements are not intended or offered for sae.I.however,the builoingor improvement is sold within one year of competon,the ZONING APPROVED BY • L DATE:
owner-builder wit have the burden of priding he or she did not build or improve for the purpose of see). •
❑ Las owner d the paged.wit exclusively contracting wsh lfoer,eed contractors to construct the Naiad(Section 7044,Business and
Professions Code:The Contractors Licata Law does riot apply to en owner a property who dam or improves thereon and who BUILDING APPROVED BY : DATE:
contnwsn/or such Projects ash a meredor(s)licensed pursuant to the Contractors License Lew).
❑ Iamexempt under Section: ES8PC..forhareason: A*PIfP*L*iIFC*Aif TiE iIEO*N*IE*ISiES*UIE ESE DIE IEB*YIE i:E iE iE dE*iE BE iE 1E iF IE****iE dE C22-4 iF I DATE:
F=, * PPDove: Owner LEGALIZATION:N F E E SUMMARY STRUCTURAL EGMN
I do hereby certify that I an,aware of and understand the requirements of CaMwnie Heedh and Safety Code Sections 25505,25533,and
25534.end that I or any future building occupant will/wit not(circle one)need to comply with said pate codes and the requirements for
a;emit tor conswcgonormodccetonhwnthe Ai anagemen1Dindd.Residwarowmrwonappltworsare earn.from these BLDG PMT PLUMBINGG ELECTRIC MECHANIC FIRE SMIP/RES GRADING
proviPERMIT N
ions.
Done: Applicant: 25% , SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby phren under penally of perjury one of the following declarations: PLAN I 4
ISSUE FEE 20 .00
❑ Ihave and hepadintanacertifeeelc,onsmtosepenrefwwkeicompesaton,sprweedforbySemon3700oftheLabor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,/«tMp.nomwK.aheww for id hnaPemdaased. TOTALS----> 7 .00 20 . 00 0: 00 27. 00 27 . 00 . 00
❑ !have end wD maim&workers'canpensaton insurers,as required by Section 3700 of the Leta Code,or the pwlwmame of the /
work for which due permit a issued.My workers'compensation insurance caner end policy number are: '.r
--'1 Carrie: REVENUE DIVISION TOTALS--> COLLECTED: 27. 00 OVER/SHORT: . 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
This section need not be completed if thepermk is for one hundred dollars($1001 or lest) 27 . 00 I r%}
I cent),that in IM performanceworker d theom work for laws the permit a ascend, pelf not amok,arty permit in • mannerthe
ea s to
become waled tote workers'compensation laws of California,and - me that I I should become a.• to twoAs' iE****IE****1EififiEiElEIEIEIEiEiEif****IEiE************ifiEiEiflEif********1EIfiEifiEiEiEiEiE***IEIEIEiEifiEifififiE***
on one Section 3700 of the Labor Code,Iiii.forth r comply '- proveone IND I V IDUAL F EE BR E AK DOWN
// ZG ria Applicant i
.:Falco toaecum Mer compwadoncoverage " I,,sndwnsubject enemploywmcriminapenemaaand TYPE QTY D E S C R I P T I O N-, UNIT COST TOTAL COST
chill fines up to one hundred thousand dollars(slogan In addition to site cost of conpenufen,darngiss ea provided car In - I
Section 3705 ofthe Labor Code Interest end attorneys fees. PLU 1 FIXTURE SET/TRAP W/PIP'NG 6 BACKFLOW 7 . 00 7 . 00
• CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there is a construction lending agency for the END' OF FEES
1 performance of the work for which this perm/is'issued(Section 3097,Civ.C).
LENDER'S NAME: n
LENDER'S ADDRESS:
I certify that I have read this application end state that the above informationtl a
is correct.I agree to comply with ay and count'ordinances
,1.
and Male awe relating to building consoudon and hereby authorize representatives of this city to enter upon the above-mentioned property
for inspection purposes.
JOHN KENNIHA
1.07, Dare: //?.G/9h Ln' . ?roaTF' . rt f
-_ Signals,d OwnwlAppnt/Appb !'I/Contredor
!/
(5151'46.WP) While-Building 8 Safely;Green-File:Canary-Applicant;Pink-Revenue:Goldenrod-Assessor
r CONSTRUCTION AND PLANNING POyL & SPA
APPROVALS Permit# Date Inspector APPROVALS 1l Permit# Date Inspector
1. Temporary Electrical Service or Pole- 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement •
3. Electrical Conduit Utility-Undrgrnd.' 54. Forms
m
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test
-r - '
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
..7. Footings . 58.58. Electrical Conduit-Undrgrnd.
8. Foundation 3 59. Ga Pipe, 0 Undrgrnd.,Test •
9. Water Pipe-Undrgrnd. . � ' 60. Backwash Lines,P-Trap, 0 Undrgrnd.
- 10. Structural Floor System 61. APPROVAL TO DECK -
11. Property Sewer Line & House-Connection 62. Backwash & Receptor-Final
12. Sewer Cap - 63. Heater & Vent-Final ,, I
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing -• 65. Electrical-Final '
15. Rough Electrical-Conduit - 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning_ FIRE DEPT.,REQUIREMENT LT
20. Rough Factory.Ficeplace -,APPIBOVA(.S" Permit # `- r7 _ •
21. Ducts, in Structure. i.; _-_S : 70. 'L,nocri-g_e%rd I mu r
22. Ducts, Ventd n9 ,. J a :v r-•-! 71. Produp:,pjping OGas 0 O
23. t-as Pipe-Rough & Test - `."; -, 72. Underground Fruik
24. Roof-Framing '..-.1.• , _ •• : 73, Undergrnd.StorageTank.OGas OO';I
25. RootSheathing • ' ^ - 7C Overhead Hydro'
26. T-BaFCeiling (Structural) & Monocoat 75. Dry Chemical - - .
, .
27. Frame and.Flashing - 76. Dry Standpipe " •
28. Lathing & -
Siding - - - - t, 77, FIXED SYSTEMf INAL _ ..
, -
29. Insulation.. �" ' _ 78., FIREEREV. FINAL
30. Drywall Nailing _ - I - e HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat- t- - 79. FINAL INSPECTION •
.L,. .-
32.
32. Electrical eovvcr 114eterThal ' nt I ' 8fE' FOOD CERTIFICATE ISSUED
33. FinaEleetric• -. _ y _ r Noyes: -
34. Final-Heating& Air Conditioning '" 0. / C-� -
1 -' f- so--(4, - ,'r`'Y:IZt:-Zz-Ceit-e•
35. Final Gas Pipe-Test - el L1 r
36. Hood or Canopy - c C: • - ell.,
37. Final Factory Fireplace - . s • •
38. Final Plumbing 1r/
-39. Water Service-Final '
- 40. Gas Service-Final - ' - - -
`41. Solar Domestic-Final. _ _ •
42. Backflow Preventer - -'
43. Backflow Irrigation ` - .
44. Landscape Irrigation System _ j -
45. Sound Attenuation . - . - ' -
46. Handicap Regulations - - -
r_
47. FINAL STRUCTURE & BUILDING
•
48. FINAL PLANNING I • `-
49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY • •
No Date
11111110PIAIWINTY BUILDING DEPARTMENT APPLICATION FOR PERMIT
SANTA A...., CALIFORNIA U I L D I N G - 1
- FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
‘ .1`4.••••*".".
/� /",,���� 'I RECEIPT NO. PERMIT
NO.
` ADDRESS /S/ /5 )Irs/M!/V/clef' L — 17 a, ,p �//T/Da
ADDRESS A �� ry
SCHOOL DIST. /yJ /� RECEIVED BY DATE REC'D. DpTEl S`E
OR TOWN OSfa` /JTrS/i //-/ ��
CROSS NEAREST T. /5- S/, I�(!{"� /O — /3 -5�3� -/$a-'1 , c�
e�I MF+ /A///� /i / _ BUILDING /5/j, - �.f�2 Y1'P�.o11e✓ f/' ✓�
OWNER I 5 `"I OS P/✓T5 ADDRESS V •
MAIL Y ///��� SCHOOL DIST.
ADDRESS ,•�/JJ /•. /QwEY OR TOWN Co 5,24,
/�CS t7•
CITY Path /4et$2 NO. NEAREST Ar �/ nI •
LIC. /� CROSS ST. J
ARCHITECT ORS/D PYNP// NO. C. 4Of I( I PLANS
I TYPE
�'- I GROUP
T
ENGINEER /J .j- L (I /f' O. i� ✓
ADDRESS No W�nj�/ Apar.), APPROVE - /6 3
LIC BY,
DATE/dO
CONTRACTOR Dave Corsely NO. I C 11."• ECTIONS
ADDRESS I}-24L Est/ir - lbsf-a to ...-
LEGAL LOT los
` Al -'c = , tett
DE/SC7RIPTION I NO.( A, .,..1 BLOCK
BLOCK I TRACT
(,ATTACH METES 8 BOUND51'+SWG2SB%!k//SS' �`• 1� ` + �c�
SIZE OF LOT �j7/Z J� /,3S/ I NO.OF NOW ON LOTS O t IL
`\ ,
USE OF s NO. OF NO. OF µq(�IIN
EXISTING BLDG. FAMILIES I ROOMS
I
SETBACK LINE FROM rho' REAR YARD 5'.S
CENTER OF STREF`T 6.y /JNE SIDE YARD S/
DESCRIPTION OF WORK $
I a
NEW I L''....1
/1 ALTERATION I I ADDITION I 1 //` 2
REPAIR I I MOVING I I DEMOLISH I 1 •
BUILDING NO. OF
SIZE ROOMS 6 STORIES owe
EXTERIOR WALL 4 I ROOF /1 4
COVERING S/`/SCO COVER�IyN}G"�!`OM�o. p��{ / 13 �,
USEIOF NEW Dui,/ex dime/, K// p3a'hec(C • P{
BUILDING /
Mt. /2V9' 1 .� � / :j. 6�-
gar. o 3 X w/-ii/-�-37
U APPROVALS
FOUNDATION: LO INSPECTOR DATE
I HEREBY ACKNOWLEDGE THAT I SAV READ THIS FORMS. MATE ALS, Ey �.• /r as-ST
APPLICATION AND STATE THAT,THE E IS CORRECT UNDER-PINNI_ �j /'J�
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
FRAME:BRACING,STOP;
S 7C W O t iZL-Sy
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
LATH. INT. �J,I' S
SIGNATURE OF L._
(� _ LATH. EXT. K yy / ���
PERMITTEF NYLa/ PLASTER. INT. SAUTHORIZED AGT. Atfl. .Q4� ' PLATER, EXT. R
VALUATION $ //17G, i PERMIT FEE S2 9c. MASONRY REINFORCED` li
i PLAN CHECKS J�•e�ctBOND BEAM 1/` y� `� cc
' ® FEE .....33
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PLOT PLAN
Show location and distances from
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