HomeMy WebLinkAbout2525 WESTMINSTER AVE - Building Permits ADDRESSDFIMLDWG: 2525 .WESTMINSTER AV WIT: CITY OF COSTA MESA - BUILDING PERMIT
amrsNAMEIF MOWN: AMARAL; MICHAEL PERM NO: P 08523;
ADDRESS AMARAL LUCIENNE
2525 WESTMINSTER AV PERMIT NO: P 085235 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA,CA 92626
AP PL.MARDCADORESS CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: OIH
ARCHITECT ORENGNEER: TIG NO.: JOB DESCRIPTION : REPLACE GAS LINE FROM METER TO HOUSE SQ FT:
ARCH OR ENG.'S ADDRESS: WIT:
CLAIM VALUE: CALL-VALUE; GROUP OCC : R-3 /U-1
CONTRACTORS NAKE:
Ca4IRACTORS MMLH1G COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
ADDRESS: UC.NO.: it***it*itititit*it*tit*it**iF**it*itst**itst*it*******;tit*it**ititat**ititititifititit**tit*ieitit*it***hili*****it*
UMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under proasbns of Chapter 9 SETBACKS
(commencing with Section 7000)or Dmsian 3 of the Business and Professions Code,and my license is m lull force end effect.
CITY LIC,NO.: LIC.CLASS: LIG.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING --
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: r1 IN
Date: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FI IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury the I am exempt from IM CuMradars License Law for the
fdmwkp reason(Section 70315 Business and Professions Cade:Any cry or county which requires a perms to Construct,atter,impove, PARKING REQ: PROV: PARCEL: 43919106 Z NE: REF NO:
Wndah,or repel any structure,prior to its issuance,also requires the applicant for such permil to file a signed statement that he or she PLANNING NUT ES>
' Warmed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7030)of Division 3 of the •
.man end Professions Coded or that he a she is exempt therefrom end the bas's for the alleged exemption.Ary violation of Section > -
7031.5 by any applicant fa a Parma subjects the applicant to a aril penalty of not more then free hundred dawn POO. ***alai****Ski*************al***********it it********it********************************
❑ I.w owna othe Pmpery or my«nplayees with wages as the:sole compensation.Mil do the wort,rind he stnane i MI intended D E V E L OP M E N T S ER V I C E S R EQU I R E M E N Y S
or offered for sale(Section 7044.Business end Professions Code:The Contractors License Law does notapplyto an owner of property
who bolds a improves thereon.and who does such work himself or herself or through he or her wen empbyeee.provided that such
improvements era not intended or offered for sale.K.however,the building or improvement is sold wain one year of completion.the ZONING APPROVED BY DATE:
owwiagder veil have the burden of proving he or she did not bold or improve fa the purpose of sale).
I,as owner at , ,,. .amexclusively mntrad:ngwith licensed c°n°°"a'to canals"the proper(Sadon 7044,Business and BUILDING APPROVED BY : DATE:
Professions C••, The Contractors License Law does not appy to i Owner of popery who builds a m. ,....thereon end who
o 1we . fa ' - Projectswithammredor(s)rensedpursuantTe/ CotredorslicenseLaw). APPLICATION ISSUED BY: 5 b� IS tj (�)j
Dpte: � � �1 �r . 4 . �,I W."�i « i �/ **********************************sr****ft sow**w it
\ DATE: k
It*.*et****,c*ittiftittiiitit***>T ititwatw sit id-
.----1.
t
7 LEGALIZATION:N F E E SUMMARY SIRUCTURAL SEGMENT:N
lido he..y .rlfy that I am aware of end understand the i - I ..ms of Callan a Heath end Safely Code Sections 25505'gawk and
.ohm I or any future building occupant ro
apant will/will (circle ane)need to comply with sok erw Nam codes and the requkemler
a peri for construction or
nmodif tIonfromtheAkQuanDi
Quality enstrct.Reader mk
tialconstrnapplmionsweexemptfromthese
provisions PERMIT BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
Date: Applicant: 2 5% SM I P/NON-RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following dedmatioro: ISSUE FEE 22.00
o I have and wil maintab a cenifbale ol consenl to seMinsure fa sorkers'compensation,as provided for by SWIM 3703 of the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,for the performance afnewakforwtdhnapemrei.atee. TOTALS----> 5. 50 22. 00 0. 00 27. 50 27. 50 . 00
❑ I have end will maintain workers'compensation insurance.as required by Section 3700 of the Labor Code.for the performance of the
work for which this permit is issued.My workers compensation insurance carrier end polity number era:
Caner: REVENUE DIVISION TOTALS--> COLLECTED: 27. 50 OVER/SHORT: . 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
T;�Tnhis section need nor he completed d the puma is for one hundred dollars($100)or ass.) 27. 50
4J I candy that in the performance of the work Tor which this permit is issued,I shall not employ any person In any manner so as to
become subject to the sackers'compensation laws of California.and age's that E I should become subject to IM workers' itititititititititititit***t*tit***;tit*it*******it*;tit*ititit*;tit**itititit***it*it******it*if**itititititititstifititit •
compensation proreiaa of Section 3730 of IM Labs ced.,l aero forthwith campy with 1M»provisions. INDIVIDUAL F E E BREAKDOWN
Data: Applicant:
Warning:Faure a secure workers'sonpevadon contest'Is unlawful,and sha!sub/eelan employer tocriminalpasrdw and TYPE QTY DESCRIPTIO N UNII COST TOTAL COST
civil lines up to one hundred thousand dawn(Srpo,CDUA In addition to the cost of compensation,dangles as provMW ler in
Section 3706 of the Lebo,Code,Interest andamrme's feet PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 5. 50 5. 50
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a wrmrwkn lending agency fa me END OF FEES
performance a the work for which this penal is issued(Section 3097.Cil.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify mat I have read this application and Pate that the abays information is coned.I agree to comply withal city and county ordinances
and state laws relating to Wildly consaWCn and hereby authorize representatives of this lily le enter upon the above-meMCryd properly
I
,pass. LUCI NNE A L
18-15-1997/12:55 PM/$27.58
Prov Name RCPTV:81-8813982
...„.4,..
yp Date: PERMIT:885235
Signature d Owner/Agent/Appkt n trades
- \(5151.46.WP) While-Buildig A Safely:Green-Fite:Canary-Apac:anti Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING 4. POO. ;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
1 Y3,�.Electrical Conduit Utility-Undrgrnd. 54. Forms
'14? Electrical Conduit-Undrgrnd. 55. Electrical Bonding -
:5:Steel Reinforcement 56. Rough Plumbing & Pressure Test
;T6:.-Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
y.:7 Footings 58. Electrical Conduit-Undrgrnd. E
i .:t Foundation 59. Gas Pipe, O Undrgrnd., Test
. ti•c-;-:-I -
9:'iWater 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 Cap63. Heater & Vent-Final
.
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing .... 65. Electrical-Final
15. Rough Electrical-Conduit 171 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval '
17. Rough Wiring Sign • 68. APPROVED FOR PLASTERING ...-----."------
18.
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL •
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
. ,r '74 1-4 ,J_ :r r
20.Rough Fe_ctoiy Fkplace I (M '!' `' 'D 7 J` r APPYOVG,tSS D PErmit# K
.. w 1 .S T' K t1. r S H + '' � -i -.
P 1 1-1 ,�.� T -, J .t - D; ,
21..Ducts,in_Strgltuce t , •• -• S,5 r :S '7 .�s - 70.!�JnderW�YZd 'dro k
22.�Duc , VPntileing' r ();5 .t S rt� 71. Prodt� %ihindt43as h`J Oil
t Ur i 0 t _t G .' , r 4,
23. las ipe.Rough &Test 1 1 r v •D ' n 4u t
h _ TI _ ', 5, - 72. UndergrrSUnd Ruth r
24.Root Framing' 0 lc '