HomeMy WebLinkAbout1980 WESTMINSTER AVE - Building Permits ADDRESS Op comm 1980 WESTMINSTER AV UNIF CITY OF COSTA MESA — BUILDING PERMIT
OWNER'S NAMEI 1010iWb HOEVEL, ROLE W PERM NO: r 08555:
ADDRESS: 1982 WESTMINSTER AVE
COSTA MESA,CA 92627 PERMIT NO: P 085555 PLAN CHECK NO: N GOVT: N SUPP: N
&PPL.MMIDIG ADDRESS CONSTRUCTION TYPE: PERMIT TYPE: PLO PURPOSE: VIN
ARCNBECT OR ENGINEER: UC.Na JOB DESCRIPTION : INSTALL NEW GAS METER SQ FT:
ARCH.OR ERGS ADDRESS: wit
a CLAIM VALUE: CALC—VALUE: GROUP OCC: R-1 /
CONRACTORSNAME
CONTRACTORS WINO COMMENTS : X
ADDRESS: It NM:
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uMT: ZONING REQUIREMENTSS
LICENSED CONTRACTORS DECLARATION:I hereby Slim under penalty of perjury that I am licensed under provisions of Chapter 9 S E 1 B A l.. K S
(commenting with Section 7000)d Division 3 d the Business and Professions Code,and my beam is in full force and effect
Cm LTO.NO.: LIC.CLASS: UC.NO.: EXP; MAIN BUILDING •---- ACCESSORY BUILDING --- —
FRNT: FT IN REAR: FT IN FRNI: FT IN REAR: F"i IN
Dale: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FE IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Conlrectors License Law for The
following reason(Section 7031.5 Business and Professions Code:Any ciy o county which requires a panni)to oonstrud,after,improve, PARKING_ REQ: PRO V: PARCEL: 42628420 Z NE: REF NO:
',radish.or repair any structure,prior N its issuance,also requires the applianl la each permit Io his a signed statement that he a she P LANN 1 Nu NOTES>
canoed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Seeks 7000)d Division 3 d the •
Mesa and Professions Codej or that he or she is exempt therefrom and the basis for the alleged exempl'nn.My violation of Radial > -
.d31.5 an epdiant for a the to adnl o not than five hundred dollars ... '" """"""""""" .
by y perm augeae penalty ISADII. xxxx xxx xxxxxx xxxxltXJl It lt'It'Itxxxft It It llTlt'It 1t'It ft 9t It Jt It It Rflft'It1t'hxxlt lF RftR ft X'RxlF 1t 1t 1t It It lt'It It ftyt Rlt 1t 1t 1tN ftx Jt
j] I,as ovmer ot the PmPartY Or mY employees with wages as their sole compensation,win do the work and the Mindoro is nol intended DEVELOPMENT S E R V. I C E S REQUIREMEN IS
or offered ler sale(Section 7048,Business and Professions Coda:The Contractors License Law does not apply to en owner of propend .-
who bolds or improves thereon,and who does such work himself or hada orhis a hasthrough her own employees,provided that erch
imprOVWW baenorWadedaofferedfosale.ILhowever.thewddngorinprovementseoldwainonsyeardampleion,Ore ZONING APPROVED BY
comer-builder will have the burden of did co
proving he or she t bifid or improve for the of purposesale). UA 1 E;
❑ I,as asoma of the properly.am eameiely ccntredig with licensed contractors 10 m droll the project(Section 7044,Business and BUILDING APPROVED B Y . DATE:
Professions Com:The Con rmanot s License Law does appy d pry w
to an ownerproperly wor thereon buildsimproves and who .
contracts for such projects with a mnlmdor(s)licensed pursuant to the Contractors License Law), ,
ISSUED
_ _._
I� am exempt under Section: B.a P.C..for this reesm: r APPLICATION ISSUED BY : DATE:
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LEGALIZATION:N F E E S U M A R Y STRUCTURAL sEGMENI :N
.. . candy that I am aware d end understand the requusmecs of California Health and Safely Code Sections 25505.25533,and
- -,eMthatlarryhnurebuiidinnoowpentwill/wllnd(dememDineedr000mpywihsandaaeaaharndtherpuiaments a BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE Si1P/RES GRADING
epennol000navudianamodifrelkm horn the Ai er�iTty enegement Diarict.ResNemialcmaruddion appirtliamme exempt from Mese
provisions. PERMIT 8 . 75
Date: Applicant: 25% SM I P/NON—RES
PLAN_ FEE
WORKER'S COMPENSATION DECLARATION:1 hereby affirm umoray nalty d d the one a Idiowbg dedsrrm
io : I S S U E E E LL , UU
❑ Ihave and will maintain a certificate or COMM to selbinsore for workers'compensation.as provided for by Sadiron MO of IM Lobar BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,for the performance of the work for which this permit is issued.
❑ I have and will maintain workers'compensation Insurance,as required by Series 3700 d the Labor Code.for the performance d theTOTALS — > 75 , %5 L2 . 0U 0 . 00 SV . /5 JU . /5 U0
work for which this permit is issued.My workers'compensation insurance carder end policy number are:
Canter: REVENUE DIVISION TOTALS--> COLLECTED: 30 . 75 OVER/SHORT: . 00
Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
his section need not be completed if the pem,k is for one hundred dollars(5103)or less.) 30 . 75
❑ I candy that in the performance of The work for which this permit is issued,I shell not employ any person in any manner so as Io
become subject to the workers'aonwon laws ofCatfwia.and agree
lot **xx*xxxxxxxxx xxxxxxxxx**** xx xxxxxxxx x
xxxxxxxxxx xxxxeRTtRxfAt1 . ! ttxlxt 4 fx
compensation prodaiorm d sedin 373D d the Labor won. shag forthwith comply with those provisionsINDIVIDUAL F E E BREAKDOWN
Date: Appliad:
Warning:Failure to secure workers'compensation coverage le unlawful and shall ee/epten employer toadrdnalp«umee end TYPE QTY DESCRIPTIO N UNII COSI TOTAL COST
civil gnu toy to one hundred thousand dollars(5104000),M addition to the cost of conperuates%damages a provided for in
Section 3706 oithe Labor Code,Wens(and attorneys Mee PLU 1 GAS SERVICE _ 8 . 75 8 . 75
Num
CONSTRUCTION LENDING AGENCY: I hereby« under perday of per)urydoll Uwe is m
a utnmion lending le
g egr the . END OF FEES
performance of The work for whim this prime is issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I cendy that I have read this eppl.catkn end date that the above information is correct.!agree to comply with aged).and county ordinance*
end slate)awe Sat g to butdig construction end hereby authorize representatives of this dy Io enter upon the above-mentioned properly
for inspection purposes. ROLF HOEVEL
1113-1997/09:46 AH/$30.75
areaRCPT8:811014848
Dal,; h' J'—Qy PERMIT:085555
s".urea Agent/Appliant/Coarscta
mmimmmimma
(515146WP) Whee-BWA Safety:Green-Rle;Camry-App5ant:Pink-Revenue:Goldenrod-Assessor
r
CONSTRUCTION AND PLANNING POOL PA
APPROVALS Permit # Date Inspector APPROVALS 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
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
'6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
91 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
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
20. Rough Factory Fireplace - - .. APPROVALS. ' Permit#
21, Ducts, in Structure • •• : 70.-Underground Hydro 0
22. Ducts, Ventilai ing_ ' t . _•
c, : „ 71. Product Piping OGas bOil
23. Gas PiptRough &Test .) - r� _ 72. Underground Flush
24. Roof Framing , - - 73. Undergrnd.Storage Tank 0 Gas O 011
i
25. Roof Sheathing r • - 74. Overhead Hydr.0
26. T-Bar.Ceiling (Structural) & Monocoat '. -• - 1 ' 751 Dry Chetpical .
27. Frame and Flashing - 76. Dry Standpipe - -. •
28. Lathing& Siding ; .•i . 77. FIXED SYSTEM FINAL , ,.
• 29. Insulation _ - - - 78. FIRE PREV. FINAL .
30. Drywall Nailing • _ • l _ - HEALTH DEPT:REQUIREMENT
31. Plaster Blown Coat ' . 79. FINAL INSPECTION
32. -Electrical Power Meter-Final : - 1 I l+ • 80. FOOD CERTIFICATE ISSUED
33. Final Electric ' Notes: _
34. final Heating& Airlconditioning; . i { ( •
35. Final Gar Pi pe.Test, _ //�/ ., -
36. Hood or Canopy ) - _ •
37. Final Factory Fireplace
38. Final Plumbing • . •
39. Water Service-Final' . • J
40. Gas Service-Final . •
- - .
41. Solar Domestic-Final
42. Backflow Preventer .J ,
-43. Backflow Irrigation - • •
I , _
•
44. Landscape Irrigation System• . _ •
45. Sound Attenuation• - _
46. Handicap Regulations -
47,. .FINAL STRUCTURE & BUILDING
48. FINAL PLANNING' - -.. .._• -
49. Electric Release to Edison ,_ '
50. Gas Release to Southern California Gas Co , - . . _
51- CERTIFICATE OF OCCUPANCY '
No. Date