HomeMy WebLinkAbout2136 WESTMINSTER AVE - Building Permits J � CITY OF COSTA MESA
4oat BUILDING DIVISION PERMIT NUMBE
f' ""'•' DEVELOPMENT SERVICES DEPARTMENT
P � PERMIT /'
"1Oanmm B 9-00423 YV/
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
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Job Address: 2136 WESTMINSTER AV Status: ISSUED
Suite: Applied: 03/26/1999
Vicinity: HOUSE&GARAGE Issued: 03/26/1999
Parcel Nunmber: 42614207 Zoning: ,� ^
S.
Applicant: WHITNEY, ROBERT ISSUED BY: Y Y l/1
Address:
Phone:
Zip:
1111P1 '( t -f�tclA
Owner: ,
Address 2136 WESTMINSTER AVE
Phone:
COSTA MESA,CA Zip: 92627
Contractor: WHITNEY ROOFING
Address: 00000 PO 15396
Phone: 714-548-0769
NEWPORT BEACH CA
Zip: 92659 License: 406022
Arch : Eng:
Address: Address:
Phone: Phone:
Zip License: Zip: License:
SCOPE OF PERMIT
REROOF-T/O, 1 LAYER 15#FELT, USING EXISTING SHTG,NEW 25 YR COMPOSITION SHINGLE ROOF.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $3,709.00
Permit: $87.25 Claim Valuation: $3,709.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $87.75
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92) .
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
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.
FOR INSPECTIONS CALL: (714)754-5626
DECLARATIONS
•WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
'0 I have and will maintain a certificate of consent to self-Insure for workers'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 permit is iccned,
My workers' mpensation Insurance carrier and policy number are: — C3•I
Carder: Policy Number:
(This section n ed of be completed if the permit is vela ••dred dollars($100)or less.)
❑ I certify that In the performance of t rk for ich this p.rmit is issued, I shall not employ any person In any manner so as to become subject to the workers'
compensation laws of California, agree t•:I f I should•-come subject to the workers'compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with these provisions. // pp
Applicant Signature: Date: / oo•.-s•,J C C
WARNING:FAILURE TO SECURE WORKER 'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL VINES UP TO ONE HUNDRED
THOUSAND DOI.ARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under pr. • of Chapt• ' (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full
force and effect.Uc.k r/OGo —t— Class
Contractor's Signature: � Date: ,f%.•-AU./SScj
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued.(Sec.3097,Civil Code).
Lenders Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors Ucense 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 the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec.
7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑Yes ❑No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made In connection with work authorized by this
permit,and that no building structure,scaffolding,faisework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(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 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 temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes 0 N
(Section 25534 of the California Health and Safety Code provides that the 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.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application a p_ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes U No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 if a permit from the South Coast Air(Duality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No
8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the Information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATIO E I'':I certify Kier penalty of perjury that I have read this application and state that the information given Is
correct. I agree to comply with all state laws and ' ordina •'s relating to b (ding construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection pure .I agree•.t to occupy or a w occupancy of any building authorized by this permit until final Inspection.
Signature Of al _ Date ti,/l6 S q
And/Or th. :d Applicant Date
cogs INSPECTION TYPE 129IE MEALS Looe4 INSPECTION TYPE gSIE BMW
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
204 Final Demolition250 Final Building/Occupancy
f" 6" 1l
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2446-46
OWNER Algard Corp. Ar DATE 12/18/53
2136 Westminster Lane BUILDINGPERMITNO. 13fJOBADDRESS
GENERAL CONTRACTOR Dike & Colegrove VALUE $ 8000.00
L LOT 16 BLOCK TRACT 1759
GROUP I TYPE V ZONE R4 FIRE DISTRICT
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
���{.e DATE NUMBER
Footing Trench?Lai// 77r,,t1
Foundation Forms and Grade to Garage M.
Rough Framing )17/f� 'S A
Plumbing,Rough to Slab(�,oluLiat21.1 ii/-// / Lido Plumbing 1 /4/54 23
Plumbing,Rough Complete /G� •Y&(� 4-
-
Temporary Temporary Pole //!//!
Wiring, Rough C-Yrall3-- SA OV
!Heating,Rough �/
•Heating,Final 7w15 7" ,S,
Sewer
Septic Tank or Cesspool S
Lathing 1/4 /Gv&n L `J�`J,
Plastering ,C,7.7 /S�
• Plumbing,Final,Fixtures
Complete) A 1....)...g. -(i/
Plumbing, Final Gas Test(x6, tYs,v ✓ T� .. -‘?Wiring,Final iii•21- 0 a�
C
y ' 4/`- Occupancy .---.-fl-e—,3 44^i�( 6V T
Farm 210 0-H 151 12-58
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,- gOSTA MESA BUILDING DEPARTMENT Na • 35 B
411 East 20th Street
sta Mesa, California c— -3-51
. Date
....._._
CITY OF COSTA MESA
CERTIFICATE OF O/C UPANCY y
Building Permit Nof-/J�p Elec;riea! Permit No r+ Plumbing Permit No....Y.��._.
Use of Building '"- �trC
The building located at f / J 6 ZL! ^'�"`^'
r Lot J 4 Block Tract L_.L
_ (See reverse side for Metes and Bounds)
has been inspected and found to complyWi/r tfrprovisions of all City of Costa Mesa Or-
dinances applicable thereto for a Group / Occupancy.
" ISSUE -
A. J. VOZ
.... _ir /
iDf City BuYnS!•
( wner of Budin By
+
t...
.: CC: 0 Original—Owner ❑1st copy—Gas Co. 0 2nd copy—Fd$s0�..-8 5T aipy—File
Bonn 216 C-H 1M 12-53
' C6sta Mesa-Building Department APPLICATION FOR PERS ,
111 EAST 20th.STREET U I LD .I..N G-- •
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COSTA MESA, CALIFORNIA J 3 : " _ B
® t FOR OFFICE USE ONI tr
FOR APPLICANT TO FILL IN Receipt No. $reser'mit No.
Building /1
Address 2136 Westminster Fem6 Lee,4.L - /'3 '.
Costa Mesa, California Received/by Date Rec'd. Date Issued
C.Nearest DEC 16 1953 I Pi (7.S3
Cross St. Orange Avenue Buildinbtib. .;
Address 1y /7SI '
Owner Algard Corporation Costa Mesa, California
Mail
Address 490 Bolsa Avenue Nearest
Tel. Cross St. .
city Costa Mesa No. Bea.6829 Zone /.),/ I No.of / I Type / I Group,
Architect or Lic. or(Y' Plans. /
Engineer Hugh Gibbs No. C-137 Approver eV . Date/YY1/�-1
Address Long Beach, California �/lt /CORRECTIONS
JJ
City Lie. ,
ContractorDike & Colegrove No. 170
Address 419 E. 17th St. Costa Mesa
LegalLot
Description I No. 16 I Block I Tract 1759 •
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(Attach Metes and Bounds) •
No.of Bldgs.
Size of Lot 651 X 1151I Naw on Lot a a
Use of I •No.of I No.of .. a1
Existing Bldg. -- I Families Rooms �,
Setback Line from 481 Rear Yard 5$1 - z
Center of Street Side Yard 6 >
DESCRIPTION OF WORK �' t0n . ,
r
New X I Alteration I Addition I `,
1-I r.
_Repair I Moving I I Demolish I on '6195)
4i Building No.of
_Size_ 45 x 42 Rooms 5 Stories 1 a to T
Exterior Wall Roof �� �a 'l!A"'�"'
Covering Stucco I Covering Compo O{�U�
Use of New Foundation Location Inspector Date
Building 1 Family Residence Forms,Materials,
Under-Pinning
Frame: Fire Stops,
Bracing,Bolts
Lath. Int.
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath. Ext.
with all City Ordinances and Slate Laws regulating .
building construction.
Signature of Plaster, Int.
Permittee 1IKF f' CO_C-CROVI
Plaster,Ext.
Authorized Agt. /`,._ _ . ,
Masonry Reinforced
Valuatioq'/ `; IpermitF.e $
4JPlan Check $ .2 .
Bond Beam
$ VDD V Total 3 o n
Fee $ 2 t.. FINAL
Form 204 G-1i 1111 12-53
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PLOT PLAN •
Show location and distances from
• property line and between buildings.