HomeMy WebLinkAbout2126 WESTMINSTER AVE - Building Permits CITY OF COSTA MESA ---�
BUILDING DIVISION
77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
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4, �' . FOR INSPECTIONS CALL:(714)754-5626
S4"'°voe PERMIT NUMBER: BC08-00273
PERMIT TYPE: B_COMBO STATUS: ISSUED
Sub Type: RES ALT DATE ISSUED: 08/11/2008
ISSUED BY: RMD
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JOB ADDRESS: 2126 WESTMINSTER.AV CM Suite/Unit:
APN: 42614205 Zoning: ,
Vicinity: • Primary Occ: R3
Const Type: V-B • SQ. FT: 1183 - Valuation: $192,309.20
SCOPE OF WORK: ADD 1,183 SF DINNING RM, LIVING RM, KIDS PLAY ROOM AND MASTER BEDROOM AND BATHROOM.
CONVERT EXISTING CARPORT TO GARAGE. INTERIOR ALTERATIONS TO REAR BEDROOMS,CHANGE ALL WINDOWS. 1
FAU < 100 K BTU, 1 REPAIR/ALTER COOLING/HEAT, 1 REFRIG<100 K BTU, 1 HOOD W/DUCT,2 VENT FAN,41 LIGHT FIXTS,
44
OUTLETS, 29 SWITCHES, 1 SVC UP TO 200A, 1 SUB PANEL UP TO 200A, 2 BATH TUB, 1 DISHWASHER, 1 GAS OUTLET(1-4),2
SHOWERS, 1 KITCHEN.SINK, 1 SVC SINK, 3 WASH BASINS, 3 WATER CLOSETS, 1 WATER HEATER.
OWNER: KREIG, FRANK AND MARTINS,SILVIA Address: 2126 WESTMINSTER AVE Unit:
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Phone: 949-249-6711 City/State/Zip: COSTA MESA,CA
APPLICANT: KRIEG, FRANK Address: Unit: :
Phone: 949-294-9182 City/State/zZip: . .
CONTRACTOR: OWNER-BUILDER License No. 000000
Phone: • Address: Unit:
Cell: City/State: ZipCode
ARCHITECT: ERIC AUST License No.C29374 PHONE:949-637-5220
ENGINEER: CORY KILCULLEN License No.62611 PHONE:503-493-2575
COMBINTATION PERMIT FEE SUMMARY
Building Plan Check: $984.46
Building Fees: $1,514.55
Electrical Fees: $199.42
Mechanical Fees: $92.15
Plumbing Fees: $166.85
SMIP Residential: $19.23
SMIP Commercial: $0.00
TOTAL FEES: $2,976.66
"Refer to fee receipts for all fees paid for project
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California 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 to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE S. INSPECTION TYPE DAT INHALE CODES INSPECTION TYPE D7 IN1TALE
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place _ 220 Final Planning Approval
203 Final Sign 222 Final Site L�.�
204 Final Demolition 250 Final Building/Occupancy 2-21_(Y_
WORKERS'COMPENSATION DECLARATI Owner ID verified by 's lick Yes 0 No ��
I hereby affirm under penalty of perjury one of...a following declarations: Driver's License No. Expires: —'�17340/i'
O I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property lax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by
section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
by this permit,and that no building structure,scaffdding,falsework,or demolition
Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This section need not be completed Shepenmt is valued at one hundred dollars(El 00)oless.)
2,At 2Sec. 341,Title S,California Administrative Code).
Policy Number:
0 As owner-builder, I will not employ anyone to do work which would
0- -I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers'compensation provisions of Section 3700 of
the Labor Code,I shall forthwith c ply with these provisions Applicant's Signature Date
Division of Industrial Safety Permit Number:
Applicant's Signature Date - HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds.or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes ❑No
Lic.# Class# (Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
Contractor's Signature Date hazardous 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 standard
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work fa which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑ No
thereon,and who does such work himself or herself or through his or her own 8. (If"yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penally of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑. Vas owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code:The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
0 I am exempt under sec. • the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorizeaL¢ythis permit4ntil fit Inspection.
0$/u//r 2f�g Signature of Legal Own er(sl7 Date
Signature • Date
3057-a6(3107)
And/or Aulhonzed Applicant Date
08-1'f'=20u8/ 2�-7Aft . _
-- ----.:�.— . .ren:fioi- ..-. '
- OO]s9Ofs928-
NEWPORT-MESA UNIFIED SCHOOL DISTRICT Wp 6860
CERTIFICATE OF COMPLIANCE OF DEVELOPMENT FEES
PURSUANT TO AB 1600 AND AB 181
0407?(,
To: (v) City of Costa Mesa District Receipt No.
( ) City of Newport Beach rci - 00a13
( ) County ofOrange
r �// RISn`� ck No.
Applicant: 'Fran/✓ ,Ir--I €�,{",�� �� r
Address: %Idle `1d�1e-5 !l/LYr1//fl "Y M—
Telephone Number: .1I U) .894
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Tract/Parcel and Lot Number(s): U v1/ '` 5
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Location of Project: o a[P �ilarn W40.Q_,.Q_,
Number of Square Feet of: -1 2
Residential Space I $1.84 Total 1 ��' I O
Commercial and
Industrial Space x $ .30 Total
Commercial/Industrial Project is: (Check One)
_ Warehouse _ Motel _ Preschool
_ R 8 D _ Bank _ Auto Repair
Movie Theater _ Neighborhood Shops _ Hospital
Mini-storage _ Racquet/Health _ Large Office
Heavy Industrial _ Hotel _ Office Bldg.
Regional Shops _ Medical Office _ Restaurant
Light Industrial _ Office Park _ Fast Food
This project is exempt because
VI
This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code sections
53080 and 65995. The Building Permits for this square footage in this proposed development/may now be issued by your jurisdiction.
Checks are to be made payable to Newport-Mesa Unified School District.
By:
Authorized Re Natio
The above representation as to square footage is true. Applicant agrees that if it is later de ermined that such representations are not
true, then this certificate shall automatically terminate and the appropriate City/County shall be notified.
Date: 081(( ( 200 g1 ! '• �'� "`
Appiicr d V
Costa Mesa Building Department 4 APPLICATION FOR PERI 1T
j. 111 EAST 20th STREET _.B.U. I_L.D IN Gm . _ 1,
-
- COSTA MESA, CALIFORNIA I - ' _
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
I j Receipt No. Permit' o.
Building //��
' Address 2126 Westminster &a91� (LII P t i;
Received.by to R Dat
Costa Mesa, California ; 1,1 : IDEe b 1 „ /V4/0 7 Issued •
Nearest I�` '../
Cross St. OrangeAvenue r Address ; , /
Sl
Owner Algard Corporation Costa Mesa, California
Mail Bolsa Av. - Nearest ;
Address 490 ,
Tel.
Cross St.
, City Costa Mesa No.B.6829 , zone No.of Type 1/ I Group
Architect oEu h Gibbs Lic. C—lq7 A I Plans I V I �-
Engineer g No. Approved /y
by Date/1 6 S-�
dress Lon? Beach, Calif. 1 Ct� /
City Lie. C RECTIONS , •
ContractorDike & Colegrove No. 170 -
Address 419 E. 17th St. Costa Mesa , •
Lel ; Lot _ _
' De crption I No. 18 I Block I Tracti759
• , (Attach Metes and Bounds) •
No.of Bldgs.
Size of Lot 70 x 102 I Now on Lot none - ' - . --- - - o
Use of I No.of I No.of - 9
• Existing Bldg. -- Families Rooms
Setback Line from 1Rear Yard 51,1 2
Center of Street 453' Side Yard 7 .t i J���
DESCRIPTION OF WORK ' F`* Lit.
r
New X I Alteration I I Addition I .
Repair I I Moving j I Demolish . . A EiC.1 (G LM
f Ilding No.of
e X 53 Rooms 6 Stories 1 I
exterior Wall Roofe (�
MAgESA
Covering .citllt:CO Covering CiOmpD V
• Use of New ` Foundation Location Inspector Date
Building 1 )flraily Residnnrn Forms,Materials,
Under-Pinning
Frame: Fire Stops, •
Bracing,Bolts
`, Lath. Int.
• S hereby acknowledge that I have read this Application z
and state that the above is correct and agree to comply ,: Lath. Ext.
with all City Ordinances and State Laws regulating -,
building construction. ' Plaster,Int.
Signature of I I F ANDI-EGROlCp
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Permittee CO
/ Plaster, Ext.
Authorized Agt. �,UaJ l
`: Masonry Reinforced
Valuate L Permit ee $ 26:
Plan Check $ Bond Beam
"-.,
Fee $ As— a o FINAL
--Foam 204 GII 1M 12-53
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Street
. I - .
PLOT PLAN. .
Show location and- distances from
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property line and between buildings.
OWNER Algard Corp DATE 1218/53
JOB ADDRESS 2126 Westminster Lane BUILDING PERMIT NO. 4
GENERAL CONTRACTOR Dike & Olegroye VALUE $8800 00
1 `
' LOT 'IR BLOCK TRACT 1759
I V R4
GROUP TYPE ZONE FIRE DISTRICT
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
_ DATE NUMBER
Footing Trench ict-j _ /- I S 7
Foundation Forms an/d.Grade o Garage _
Rough Framing /`L� ,,(( dad
Plumbing,Rough to Slabt,�t ' `7k(r/4 J- y)�/�y'l do Plumbing 1/4/54 14
Plumbing,Rough Complete GL`,5 _ A
Temporary Pole _
Wiring, Rough --)1,e.- `,
.Heating,Rough �/ /�
Heating, Final >12d5 mem
Sewer
•Septic Tank or Cesspool
/Lathing B-t,.}— rkte.5C LEY
Plastering i,/ h pp- ����4j�
Plumbing,Final,Fixtures Co pl ete JLCfl riTS�LY /
. 3
Plumbing,Final Gas Test -2F--6-/ - - 2s. _
-6 C.°a-Q.Q_I-,
Wiring,Final "t-V6 ,• e«.!._,G._-P -
Occu�ancy Gti`dd 511' 2.6.L1. e.-e---lo
Form 210 G-H 151 12-69
COSTA MESA BUILDING DEPARTMENT
N? 34 B
111 Est 20th Street
riCosta Mesa, California
..--s– -
Date 44— .3o
.......:".--:*"..V CITY OF COSTA MESA
CERTIFICATEi OF OCCUPANCY
Buildihg PermitI/No 44,6 Electrical Permit No./ / Plumbing Permit No / ;.
Use of Building - tettrceee4r.hr,:t1 .,
The building located at.S. / •a 6. ---iez-4-e--;?,--.--i-rt---- ,Z------...,.
kV Block
ot(SebtereRersistiedde ford Metesatnd Bounds)
1has
found
applicable thereto for a Groupcomply
iSSUrerr0/7
tteerti
.• Owner of Building Tract 17-7
with the. provisionspof all City of Costa Mesa Or-
dinancescY.
A. J. VO – .. la . iii,...r.....,,
City Bu' ding c r ,,..
By --•(..--
CC: El Orihnal—Owner 01st copy—Gas C ]2nd copy— ison Co. 3rd copy—File
Form 206 G-If IM 12-52