HomeMy WebLinkAbout2521 WESTMINSTER AVE - Building Permits ADDRESS Of ESILMNO: 2521 WESTMINSTER AV MT: CITY OF COSTA MESA - BUILDING PERMIT
OWNERS NAME IFIDwml: BULL, JOHN C PERM NO: M 08412.
ADDRESS: 2521 WESTMINSTER 47
COSTA MESA,CA 92627 kN\' PERMIT NO: M 084123 PLAN CHECK NO: N GOVT: N SUPP: N
APPL.AIMING ADDRESS: CONSTRUCTION TYPE: 5-N PERMIT TYPE: MEC PURPOSE: ALT
ARCHITECT OR EPAGNEER: LIG NO.: JOB DESCRIPTION : REMOVE FLOOR HEATER, INSTALL WALL HEATER SQ FT:
ARCH.OR ENG.'S ADDRESS: urn:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /U-1
cCNIRACTOBSNAIt ABC HEATING AND AIR COND ( 714 ) 540-0972
CONDUCTORS RAMC 2951 GRACE LANE COMMENTS: X
"'am' COSTA MESA CA LLP 133298 *+tat*******stator*************iE*it*it*it+t*yEitat*******at***iE***+t****it**N•it*rt**atet***stat*+ratx-*
92627 WIT: Z ON ING REQU IR EMENTS
LICENSED CONTRACTORS DECLARATION:I hereby tllim under penalty of perjury that I em licensed under provision of Chapter 9 SE T B ACK S
(commenting with Section 7000)of Division 3 d the Business and Professions Code,and my license a in fug fate and effect
CRY tic.No.: 006�EAt UC.CLASS: 020 LAO'" 8 EXP• 6/98 MAIN BUILDING ACCESSORY BUILDING
Dona:' // comrecto FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
WNER BUILD DECLARATION:I hereby affirm under penalty of perjury that I atm exempt contractors License Law for the
Following reason Section 7031.5 Business and Professions Code:Any city or county which requires a permit to construct,altar,improve,
ndah,o repair anystmdure.prior to its issuance,also requires to applicant f«such permit tofile a signed staemeM MN he or she PARKING REQ: PROV: PARCEL: 43919105 ZNE: REF NO:
ceased pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of[Melon 3 of the PLANNING NOTES>
airless end Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section >
7031.5 by any applicant for a permit subjects the applicant to a civil penally al not more than live hundred dollars(S5001). *******************************************************************************
❑ I.as owner of the property or my employees with wages as them sole compensation,will do the work,and the structure is not intended
Cf offered for sale(Section7044,Business and Professions Code:TheContractors License Law does nd appyleen owner of properly DEVELOPMENT SERV- ICES REQUIREMENTS
who builds or improves thereon,and who does such work Mmseu or herself or through his or her own employes,provided that such
improvements are not intended or offered for sale,if.however,the building or inprovement is sold within one year of completion,the ZONING APPROVED BY DATE:
owner-builder will have the burden of ornot M
proving heshedid ild or improve for IM purposed eels).
❑ I,as owner of the property,am exclusively contracting with licensed contractors 10 construct the project(Section 7044,Business and •
Professions Code:The Contractors License Law does not apply tom owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE:
contracts for such projects with a contrail«(a)licensed pursuant to the Contractors License Law). r,
❑ lam exempt end«Section: B.AP.c.,rormiareason: APPLICATION ISSUED BY; �/�. �*nt
DATE: to Ir
Date: owns: ******************************* * **********************. ._. . . . . -**
Ido hereby certify that lam aware of and understand the requirements of Calfomia Health and Soley Code Sections 25505,25533,and LEGALIZATION:N F E E SUMMARY STRUCTURAL S EGM ENT;N
25534,and that I or any future Wilding occupant will/will not(arca one)need to comply with said stale codes and IM requirements for
e permit for construction or modification from the Ac uueS anagemenl Disrid.Residential connection appfdubnsere exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions.
'°"8Oe PERMIT 13 . 25
Den: Applicant 25% SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the foaming declarations: PLAN
❑ Ihave and will maintain certificate oftoselinsuretorwokers'compersaton,esprovidedlabySecion3700ofthelabo ISSUE FEE 22 . 00
consent
Code,for the performance ofthe work for which this permit aissued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ Ihave and wilmaioanworkers'cdnpensaaninsurartae.aarequired bySecion37DDathe Labor Code,bthe p«ronm ®a
anthe TOTALS----> 13 . 25 22 . 00 0 . 00 35. 25 35 . 25 . 00
X work for which this penal is issued.My workers'compensation insurance Lime and policy number are:
Cartier: J'1TTV rnMP EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 35. 25 OVER/SHORT: . 00
Policy Number: C971112778 01/01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
.iris section need not be completed a tie panne is for one hundred dollars(SIMM or less.) 35 . 25
o I cooly that in the performance of the work ler which this pend is issued.I shall not employ any person in any manner so as to
become subject tot workers'compensation laws of California, agree that 4I should become to the workers' ***********dF*************************aF*****************************************
.utacompensation goer: a��7a0 Labor Code.I won with[how
Data: ! Applicant: INDIVIDUAL I V F E E BREAKDOWN E
arning:Fall Msecun women'aompenaego,'courage le un I,and shell r en employer to criminal penalties and TYPE QTY DESCRIPTIO N. UNIT COST TOTAL COST
civil lines up to one hundred thousand dawn A104000),In addition to the cost a mp.nsaUor4 damages as p,ovW ed far In
Seddon 3706 of the Labor Cods,Interest,and attorney's tees
CONSTRUCTION LENDING AGENCY: 1 hereby affirm under penalty of perjury that there aa rpnatrodam lending iso«y for IM MEC 1 I NS T FORC-AIR/GRAV FURN <= 10 0 K BTU 13 . 25 1 3 . 2 5
performance of the work for which this permit is issued(Section 3097.civ.C). END OF FEES
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read gds application and date that the above information is correct I agree to comply with all dry and county ordinances
and state laws mating to building construction end hereby authorize representatives of this dry to enter upon the above-mentioned property '
for inspection purposes.
08-08-1997/03:12 PM/$35.25
iznrm- ' PERMIRCM:61-012 3
f.,. .
ignatu= Owwr/Ag. ;Applicant/Contractor
C /
1 (5151-45.WP) White-Building A Safely;Green-Fle;Canary-Applicant;Pink-Revenue;GoldenraMs
seeor
CONSTRUCTION AND PLANNING POC SPA
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 _ I{{
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. _ r
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 1
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 -
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
22. Ducts, Ventilating I 71. Product,Piping 0 Gas L'•1 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush - • )
24. Roof.Framing • r 73. Undergrnd.Storage Tanle-0 Gas ❑Oil
-
•
25. Roof Sheathing `�' •. 74, Overhead Hydro
26. T-Bar•Ceiling (Structural) & Monocoat 75' Dry Chemical . ' -
27. Frame and,Flashin
9 ,, .- --
76. Dry Standpipe
28. Lathing & Siding . : •• 77. FIXED SYSTEM.FINAL '
29. Insulation, 78; FIRE PREV. FINAL
30. Drywall Nailing , HEA LTH'DEPT.REQUIREMENT
31. Plaster Brown Coat ' - 79. FINAL INSPECTION ,
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
I
33. Anal Electric: r -4. - Notes: . .
34, Final Heating& Air Conditioning • a1 1
/ 4_.�tL�c2rL P/13/9 7
35. Final Gas Pipe•Test -
36. Hood or Canopy , - ' -
.37. Final Factory Fireplace . .
38. Final Plumbing - • _
•
39. Water Service-Final - .
40. Gas Service-Final
1
41. Solar Domestic-Final• •
42. Backflow Preventer
-- 43. Backflow Irrigation '
44. Landscape Irrigation:System - I - • -
45. Sound Attenuation . .
I46. Handicap Regulations R - .
47. FINAL STRUCTURE & BUILDING . • . '
48. FINAL PLANNING •
49. Electric Release to Edison
r '
50. Gas Release to Southern California Gas Co - •
51. CERTIFICATE OF OCCUPANCY
No. Date
PROJECT ADDRESS: 2521WESTMINSTER AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 063245
OWNER'S NAME:BULL, JOHN C
ADDREss: 2521 WESTMINSTER PERMIT NO; B 063245 PLAN CHECK NO; N GOVT; N SUPP: N
COSTA MESA, CA 92627
CONSTRUCTION TYPE: 5—N PERMIT TYPE; STR PURPOSE; ALT
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O OLD COMP SHINGLES, APPLY NEW COMPO SQFT; 1 , 200
•I ADDRESS: UNIT:
CLAIM VALUE: 1 , 200 . 00 CALL—VALUE; 1 , 200 . 00 GROUP OCC; R-3 /M-1
PERMITTEE:
JOHN BULL ( 714 ) 646-6954
)IJ ADDRESS: 2521 WESTMINSTER AV COMMENTS; SMOKE DETECTORS REQUIRED PER THE 1991 EDITION OF THE UBC.
COSTA MESA CA 92627 ######***************#**********X*******#************#*#***Jet *** * a'...e� �(�` N *
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON I NG R E Q U I R E M E N T S SInOK'E tE 1 E`.' OR
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITY LIG.: STATE LIC.: CLASS:
UIRED
Date: signature: MAIN BUILDING ACCESSORY BUIis t.L
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a cenificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT; FT IN REAR: FT IN
Compensation Insurance, or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ: PROV: PARCEL: 43919105 ZNE: REF NO;
❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES>
> .'U
Date: Applicant: ##************3f***********************#!L#*#3(•*###K******#3F##iF####7k1C##*;iE****)E****
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). D E V E,.,L O P M E N T SERVICES R E Q U I R E M E N _T S
I certify that in the performance of the work for which this permit is is d.I II not employ a person in any m niter so as to become _
subject to th Workers' ompensation Laws of California.-y // ZONING APPROVED . B Y ..
Pam 19 3 Signature/- G''G?` DATE;
Dale: IC
NOT C after making this declaration.you ome subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE;
Code.youu must forthwith comply with such provisirovisi or this permit shalt be deemed revoked. r
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y; 1 �,.`l)F� a� DATE, (/J�-
which this permit isissued(Section 3097.Civ.C). ****#********#•************ *** - ** *****ft •***' •**********#*****#3. *if it it 4-**iE
LENDER: *#*********************************************** *****************#**********
ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT;Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve.demolish,or PERMIT 29 . 00 , 50I
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON=RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN '
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
❑ I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL •
PAID :'J• DUE
structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 29 . 50 0 . 00 0 , 00 29 , 50 29 , 50 a , 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees.provided that such improvements are not intended or offered for sale. If,however the building or
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED; 29 , 50 OVER/SHORT; 00
forthepurposeofsale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING J,'LAN—CHECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 29 . 00 , 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts tor such projects with acontractor(s)license pursuant to theContractors'State License Law), l am aware .*.*K-***.*,K.*.#*******.#*.i(.**,*,*#iFl,E*,**,**#**#*#**%,****,.F**********************K•fE***##*##*
that proof of their Worker's Compensation insurance should be provided to me. ,
.oamexempt unI N D I V I D U A L F E E B R E A K D O W N
I under sectio
thisreason: B P7044 B. &P.C.
p BY OWNER ' S FAMILY //�_ TYPE QTY DESCRIPTIO S C R I P T I O N UNIT COST TOTAL COST
�— Date:'7 —//1 , OwnerL/ • 1
I do hereby certify that I am aware of and understand the requirements of ornia Health and Safety Code Sections 25505,25533,and SFR 1200 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 . 1 , 200 . 00
25534 and that I or any future building occupant win/will not(circle one)nee to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions '5•
Dale: Applicant: zit
I hereby certdy that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and slate laws relating to building construction and hereby auth izer esentatives of this ' to enter upon the above-mentioned
property_for inspection
purpooses.
��
Date L SignalurFi
DATE: 07/29/93 TIME: 11:27
,
1641.46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
i .. l T _ ____
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 i I
6. Electrical UF ER Grnd 57. APPROVAL 10 COVER'GUNITE
7. Footings . 58. Electrical Conduit-UncPgrnd. -
8. Foundation • • (;f 59. Gas Pipe, 0 Urdrgrnd., Test
9. Water Pipe-Undrgrnd. P 60. Backwash Lines, P-Trap, 0 Undrgrnd. j
- 7
10. Structural Floor System 61. APPROVAL TO DECK -
11. Property Sewer Line & House Connection 62. Backwash & P,ecevtc, Final -_
_1 '
12. Sewer Cap • - 63. Heater & Vent-F.nal -
13. Roof Drains r 64. Plumbing System Final -
-�-
14. Rough Plumbing 65. Electrical-Final -
15. Rough Electrical-Conduit 66. Solar System-Final • i j
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 i f
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts,in Structure 70. Underground HyJro
22. Ducts, Ventilating. . 71. Product P n:ng :i Gas 0 On
23. Gas Pipe-Rough & Test .. 72. Undergrouicl Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas LT C I
25. Roof Sheathing ? 3 &
3- wk 74. Overhead Ncr
yo y
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing . 76. Dry Stancin.pe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation I. _ 78. FIRE PREY. FINAL
30. Drywall Nailing i . l HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final i , _ 80. FOOD CERTIFICATE ISSUED_ _ -__
+
33. Final ElectricNotes:
I +--
34, Final Heating& Air Conditioning
' ' -- '----- --- --- -'--
35. Final Gas Pipe-Test
36. Hood or Canopy r 1
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final 1 {
40. Gas Service-Final
4- - - - ---- -1
41. Solar Domestic-Final -
42. Backflow Preventer
43. Backflow Irrigation =._
44. Landscape Irrigation--cystem
45. Sound Attenuation x: it' 1
46. Handicap Regulationt-• li i
47. FINAL STRUCTUa?J& c"t)ILDING 8/C4J �Awd( . •rr+.ty. ;,% a - ke-44
48. FINALPLANNIN + ._ r-i J del
-- --- �
49. Electric Release to Edisciir -.'
50. Gas Release to Southern-California Gas Co I
51. CERTIFICATE OF OCCUPANCY - -"I
No. - i Date
A
AMOS
4
COSTA MESA BUILDING—SAFETY DEPARTMENT
c 10-74P`in00 541 3.50
P. O. BOX 1200 FJ r+ h
(-7,-;-..
Costa Mesa, California
PERMIT NO.
PLUMBING PERMIT APPLICATION TRACT NO. RECD. BY
CONTRACTOR V . C- /3 to LI LOT NO. DATE ISSUED
BUILDING USEI /0741 ,
Addressi�J H/G.itH!%{yJtcr'
Cly c---,A/y. Tel. NotC --e9 'f ADDRESS A 6,/ Q,fl1,...,lflI'C' 4ee.
State License No. Class. COSTA MESA. CALIFORNIA
NEAREST Mande ,/Jrffd
w City License No. CROSS ST.
Y
I— OWNER ✓a411 C ' 4.K'411
< NUMBER TYPE OF FIXTURE OR ITEM FEE AIL
0 avatar Closet(Toilet)
MAIL
. `t 7I ✓tvCl J'f4.leG U/'
• J Bath Tub CITY Ce//• " i TEL. NO.GT�'�«�
Shower I hereby acknowledge that I have read this application
Lavatory(Wash Basin) and state,thatthe:above is correct and agree to comply
} Kitchen Sink with, all',,,City Ordinances and State Laws regulating
J Ct Laundry Tub or Tray plumbing., -
;
r I certify that I possess the above valid state of Cali•
tn.
o Service Sink ttfornia classification or I am the legal owner of the resi-
t Floor Sink IA ' Ydential property descri ed-CViabove. ��
cr Floor Drain ) t signature o/ Es.
1 Dishwasher - + y Permittee •
W Drinking Fountain J \}e A
Urina
Garbage Disposal .�-;�a mil INSPECTION RECORD
Automatic Washing,Macli. ). .
H Water Softener.. le V. `'r
2 Water Heater& %' ni
CC ReceptorW_i
a. Swim,Po`bl Filter System _
d
CC / Gas System . . . Outlets 150
f="1 Lawn Sprinklers
Installation or Alteration
•
Water Piping APPROVALS
Back Flow Preventer
V) Prop. Sewer INSPECTOR DATE
_ flout_Sewer Connection U/G SoilI
F- Cesspool, Septic Tank U/G Water
Services—Water 0 Gas 0
Miscellaneous Rough Plumbing
Sprinkler System
Gas
Property Sewer
Pool Receptor
Filter System
Pool Heater
Miscellaneous
Issuing Permit 2 00
Final Gas
TOTAL FEE I 5 I Utilityb i Co NotifiedCS _/J//II--7?
FORM Su.aA BLDG. PERMIT NO SAI'/ 7