HomeMy WebLinkAbout2580 WESTMINSTER AVE - Building Permits F �s `�Li� CITY OF COSTA MESA a
y��..', BUILDING DIVISION
I DEVELOPMENT SERVICES DEPARTMENT
PERMIT PERMIT MBER
�'baw��,
B98-01522
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 2580 WESTMINSTER AV Status: ISSUED
Suite: Applied: 08/24/1998
Vicinity: Issued: 08/24/1998
Parcel Nunmber: 43919218 Zoning:
Applicant: ROBERTS, WALT ,
Address: •
Phone: ' 714-642-7222.
Zip:
Owner BATEMAN/JAMES G '
Address GANZ,GERALD , - : /�
COSTA MESA,CA ' ---• - - -
2580 WESTMINSTER AVE - - - Zip: 92627 ",
Contractor: LEE ROOFING-OF COSTA MESA , - .
Address: 01653 SUPERIOR AV
•Phone: - ,
COSTA MESA CA Zip:: 92627 '
License:-• 349686
IL- .
Arch/Eng: -
Address: I' �= , .
jii a r Phone:
I - Zip:
' License: -
SCOPE OF PERMIT
,TEAR OFF 2 LAYERS OF COMP SHINGLES. INSTALL'30-YR COMP SHINGLE.-FIRESCREEN 2000.
.ROOF CERT.ON FILE. '
. .. ,. - .. ... ..v",moi..,.
- . FEE-SUMMARY ,j
Plan Check: $0.00 _ - , -- Calc Valuation: • $3,450.00
Permit: ' $87.25 — .— . J/ Claim Valuation: " $3,450.00
SMIP Res: $0.50
SMTP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: •$87.75 : . - "
' , ' PLANNING'S.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:
•
EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days,or if work is suspended or abandoned
fora 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
DEC,- ' RATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ 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 issued.
My workers'compensation Insurance carrier and policy number are:
Cartier: Policy Number
$is section need not be completed if the permit is valued at one hundred dollars($100)or less.)
I certify that in the performance of t ork for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Car omia, agr that if I should become subject to the workers'compensation provisions of Sectlo 700 of the Labor C e,I shall forthwith
comply with these provys' . ..--.—t Applicant Signature: l ' Date: tC/1/ /
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE TIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($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 em licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business endProfessions Code and my license is in full
force and effect.Lib# Class# /] Z� /��
Y Contractor's Signature: 4 Date: (J
CONSTRUCTION LENDING AGENCY:
O 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).
Lender's Name: Lender's 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 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 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).):
O 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 driver's license. 0 Yes 0 No Driver's 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,falsework,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? 0 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 ❑No
(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? ❑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 appermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 0 No
(Section 65850.2 of the California Govemment 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 Quality Management District or other air pollution control district or agencis 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 AUTHORIZATION OF ENTRY:I certify under 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 city ordinances relating to building construction,and authorize representatives of 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 authorized by this permit until final inspection.
���: .: re Of Legal Owner(s) D to
�/
And/Or Authorized Applicant ate
=EL INSPFCTInN TYPF DAiE CAS ;ODE1 INSPFCTICIN TYPF DATE MAL5
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final /. e 208 Final Plumbing
p
200 Final Re-Roof / —1—Tr b."'4,,' 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 Demolition 250 Final Building/Occupancy
2446-46
ADDRESS OF 111111.1)910: 2580 WESTMINSTER. AV LMT: CITY OF COSTA MESA — BUILDING PERMIT
aRNERSNAMEl loww: BATEMAN JAMES G A PERM NO: P 081715
//moRESs: GANZ, GERALD
2580 WESTMINSTER AVE PERMIT NO: P 081715 PLAN CHECK NO: N GOVT; N SUPP: N
COSTA MESA,CA 92627
APPl.MARINO ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH
ARCNtTECT OR DIMMER: UC.NO.: JOB DESCRIPTION : WATER HEATER CHANGE—OUT SQ FT:
ARCK OR ER(L'S ADDRESS: DMT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
cCNWACToaSNAIt COAST ROOTER & PLUMBING ( 714 ) 241-1414
cam tum niamm 2737 S CRODDY COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT
ADDRESS: SANTA ANA CA uC.l .: 529127 iF1k1E1k1E1kifibdEdFiEdfdflEiElhiblb5biklEfkdbdkdk#1E1EiEkdk1E1E1k1b1E9kfb1b9bfF1E1E1k1Fdkdk9kdk1k1k1kdElElkdk9k1k5kdEiklEkklklkikdElFlkdkikiblbik9Fif1k5b
92704 DMT: D e ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penaky of pelury that am ken.-•under pr• -'• -of Chapter a S E T B A C K S
(commencing with Section 7000)of Division 3 of the Business and Professions ..and 1'license' in full force act. w,
CITYUC.NO.:045140 uc.cuLss: C-36 uc.No.: 0 9 7/ E"P/. 06/97
oma: 0 FcQ
FRNT: MAIN BUILDING ACCESSORY BUILDING
A A FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Contractor: ���` LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
IV w
OWNE' BUILDER DECLARATION:I hereby affirm under penally of perjury that I am exempt f•. the C«dredove License Law for the 2�
' •reason(Sedon7U31sBrsiw end Protssina cads:Any city or county which Mg a permit to construct.age.improve, PARKING RE • PROV; PARCEL: 43919218 ZNE: REF NO:
wmor. .or repel any structure.prior tom issuance.also requires the applicant nt for such peto file a signed statement that he or she PLANNING N TES>
.• pursuant to the provisions of the Contractors License Law(Chapter 9(comm. . .with Section 7030)of Dbeion 3 of the
....end Professions Code)or that he or the is exempt therefrom and the base for the alleged exemption.My violaior'of Section >
7031.5 by any applicant for a prank subjects the applicant to advilpenmryd not more then live hundred reliant(5500ft. dk9kikiE9k1k5EikdEiEdEdk5Edklkik#dkdk9kik****dklklkiiiElblEIElEdklE1kd01bdEikdkiEiEiE9E*R•dwdk*dk*1E1E1k*dkdk*14ikdEi4lbdkiEiE*dkiF3b#9k1i1E♦Edk9k
❑ I,as owner of the property or my am:M+with wagesas theta sole compensation.will do the work.and the structure is not Intended DEVELOPMENT SERVICES REQUIREMENTS
or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply lo an owned property
who builds or improves thereon.and who does such work limiest'or herself or through he or her own employees,provided that such
improvements we not intended or offered for sale.If,however,the budding or improvement is sold within one year of completon,the ZONING APPROVED BY DATE:
owner.builer will have the burden of proving he or she did not build or improve for the propose of sae).
•
❑ I,as owner of the propend,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED BY : DATE:
Professions Code The Contractors License Law does not apply to an owner of property who builds or imp ovs thereon and who
=grads for such proleds with a contrador(s)licensed pursuant to the Contraction license Law),
❑ l am exempt under Section: B.S P.C..kn thereavn: APPLICATION ISSUED BY: *j/ ✓� DATE: 2Q1'\\
#1EibiEdkiE9ER-lbibikdbdflhiEdklEdkikikdEikiE***RFikibfEdkdkiklk*** iE iEiF****1E1fiFiEifiEiFtE#1EiEiElEfEiE1EiE1EiF*** **
Date: Owner: LEGALIZATION; N F E E SUMMARY STRUCTURAL SEGMENT:N
I do hereby candy that I am aware of and understand the requirements d California Heath end Safety Code Sections 25505.25533.and
25534,end that I or any Mule buildup occupant wig/will not intros«.)need to comply wah said date code°and the requremsse W
a permit for costuctionor medication from the Ai nSy anagsw°District.Residential construction appicat'vw are exempt from Use BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
Provisions. PERMIT 11 . 0 0
Date: Applicant: 252 SMIP/NON—RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following dada:mies: ISSUE FEE 22 .00
❑ Ihave and wilmaintanacertificate dwellers toseprrwretor workers'compesaion.sprovidedforbySection370odlheLabor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
�['I cad.f«the pedame emnew«kf«wnbntni.penniei®sad. TOTALS----> 11 . 00 22 . 00 0 . 00 33. 00 33 . 00 . 00
7F" I have and wit maintain workers'compensation insurance,as required by Sedion 3700 el the Labor Code.kr the performance of the
work for wndthis parrier: e.Mvw«wa+GOODMANre eumerandpdiynnmbere°:CarEXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 33 , 00 OVER/SHORT: 00
Policy Number: U9711L28vv $ 1 /01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
` (This section need not be completed i thepennt is tor one hundred dodrsj$oxx/pr j / 33 . 00
❑ IcanN that
edto tthe he worker*compensation taormance of the work el ws d ,••permit ey7 -••.i tel I . . ••!M .°�owv.uker 1E1E1t1FiE1ElE#1E1E#1EiEftiE1t1E1E1i1t1t1fdE1E1t1i1Eitlt+ElEitiElfiEiElElEiEif#iE#Itltitltiiltii#1t1EitjElEftiEkiEiiiEiEiE1t1E1tiEiElElEitiiiEiFft4il•iE
so as to
/ .� �lpeOsmr ppv l Section 3700 d the .'•. :� with 1 . r� y
rr GlJ< / �-A�,� I N D I V I D U A L F E E B R E A K D' O W N
I •
•:Faaure to secure workers'compesation towage Is unlawful,and ahll ./ct an emioloyer to criminal Famines sed TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
'ns up to one hundred thousand dollars($104000).In addition to Me cost of •npenutbli damages as provided tor In
don37DsafdnaborCods,Interest,and attonr^•alees
PLU 1 WATER HEATER AND/OR VENT 11 .00 11 . 00
C+NSTRUCRON LENDING AGENCY: I hereby affirm under penally of perjury that there is e construction ending agency for the END OF FEES
performance of the work for which the permit is issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have red this application and state That the above idarmmon is caned.I epee Io comply with all ay end county ordinances
andawe laws
purposes to
building construction and hereby authorize representatives of the city to enter upon the above-mentioned properly 1
for OB _RT ,ISB • ���IRE (
I
82-28-1997/03:19 PN/533.00
RCPT0:01-8002319
WW .r� Z0 '6B77 DATE/22:2—_2-1� PERMIT:081715
ssv its. Date:
f. : UCon act.
(5151-49.WP) While-Guiddig&S.ey:Green-Fe:Canary-Applicant;Pink-Revenue:Goldenrod-Assessor .
CONSTRUCTION AND PLANNING I POt SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
-
_--Y. Temporary Electrical Service or Pole 52. Pool & Equipment Location
1
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement •
- 3., Electrical Conduit U(ility"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 r. - 59. Gas Pipe, 0 Uridrgrnd.,Test
- 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 U,ndrgrnd.
10. Structural Floor System • 61. APPROVAL TO DECK
11. Property Sewer-Line.& HouseConnection 62. Backwash & Receptor-Final '
12. Sewer Cap 63. Heater & Vent-Final .
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing _ 65. Electrical-Final
I
I
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 , - _ - " . 71. Product Piping hGas fOil
23. Gas Pipe-Rough &Test _ _ _ 72. Underground Flush • .-
24. Roof Framing 73. Undergrnd.Storaie Tank 0 Gas DOiI
25. Roof Sheathing : - 7.4. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monpcoat 75. Dry Chemical _
27. Frame and Flashing- - - - 1-, 76. Dry Standpipe- •.- •-
_
r
28. Lathing & Siding • 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing ' .HEALTH DEPT.REQUIREMENT
31. Plaster Brown Coat, - 79. FINAL INSPECTION
32..Electrical Power Meter--Final k 80. FOOD CERTIFICATE ISSUED
33.-Final Electric. Notes: -. -
34. Final Heating& AirConditioning - -
35. Final Gas Pipe-Test'.- 1. .
36. Hood or Canopy• • r - - • - -'
37. final_Factory Fireplace . i7 ._ ' .
• 38. Final Plumbing " - ..
' 39. Water Service-Final ' _
40. Gas Service-Final -- - _
41. Solar Domestic-Final -
r, •
42. Backflow Preventer - •
43. Backf low Irrigation - _
44. Landscape Irrigation System: .: :: ' •• - T •.
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