HomeMy WebLinkAbout2611 WESTMINSTER PL - Building Permits •
- 71`x-! '� CITY OF COSTA MESA
A BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT P RMIT NUMBER
f i
INi
PERMIT
B03-01463
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(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.cansLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
BUIJob Address: 2611 WESTMINSTER PL Status: ISSUED
Suite: Applied: 08/27/2003 ,
Vicinity: ROOF Issued: 08/27/2003
Parcel Number: 43920104 Zoning:
Applicant: CHRISTINE RYAN ISSUED BY:
Address: 16542 POTTER CI - •
Phone: 714-843-1950
HUNTINGTON BEACH,CA Zip: 92647
•
Owner: GARDNER, DAVID JAMES TR
Address /2611 WESTMINSTER PL
Phone: -
COSTA MESA,CA Zip: 92627
Contractor: PARAGON ROOFING
Address: 16542 POTTER CI •
Phone: 714-843-1950
HUNTINGTON BEACH,CA -
Zip: 92647 License: 726753
Arch : Eng:
Address: Address:
Phone: Phone: -
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF.INSTALL 30 YEAR COMPOSITION SHINGLES,2 LAYERS OF 15#FELT,AND REPLACE SHEATHING AS NEEDED.
3,000 S.F. INCLUDES ATTACHED GARAGE.
• FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $5,000.00
Permit: $111.25 Claim Valuation: $5,000.00
SMIP Res: $0.50
SMIP Com: $0.00 •
Other: $0.00
Inspection: $0.00 • .•
Total: $111.75
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 •
•
•
4
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: 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 •
244646(6/00)
DECLARA"vt OAFS fl
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 worker'gdmp satlor�lr eprence cantor,and policy number are: / /i
Carder:ccc(I(0116&&Ir1/r7// �AAr1 /J: oi
Policy Number: 4-7 12 3� -
(This se eed not be completed it the permit is valued et one hundred dollars($100)or less.)
❑ I certify that In the performance of the work 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 Calif la,end e e that if I shout ecome subject to the workers'compensation provisions of Sectio 3700 of the Labor Code,I shall forthwith
comply with these pr si �� �,77
7 /D5
Applicant Signature: it ,(,c.�l i1 Al"— Date: 0 ,I f//
WARNING:FAILURE TO SECURE WORKERS' PENSATION COVE,�j{'`"GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINALPENALT ES 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 license. .- .r. ••s. . 'r 9(commencing with Section 7000)of Division 3 of the Business and Pr Tessio ogle,and my license Is in full
force and effect.Llc.# / , ♦ Class#
Contractor's Signature: MFLW r• 2i Date: •
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).
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).):
❑ 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 properly,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 caws.).
❑ 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 then 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? ❑Yes ❑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 end 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 permit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? D Yes IJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 W III any pert 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 agency is required for the work which is the subject of this
application,have all of the disclosures prescnbed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If yes',attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penally 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 roperty for Inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signature Of y al Owner(s) �� /pa
11 4/I). f.7�1.,� [Lir— (f
And/Or Au on Applicant Date
;ODE I. 21SPECTWN TYPE all REALS ;ODE! INSPECTION TYPE PATE UMW
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing -.
200 Final Re-Roof 9 133133 V)�/i_ 210 Final Electrical
201 Final Block/Retaining Wall _ 212 Final Are Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition - 250 Final Building/Occupancy
ADDRESS OF WILD; 2611 WESTMINSTER PL °NTi CITY OF COSTA MESA — BUILDING PERMIT
avCWSNAMEIFKNOwN: GARLNER, DAVID JAMES TR PERM NO: B 085393
ADDRESS: 2611 WESTMINSTER PL 1
COSTA MESA,CA 92627 PERMIT NO: B 065353 PLAN CHECK NO: 04478-97 S GOVT : N SUP?: N
hflL.MINIM ADORES% CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: 0TH
ARCHDECT OR ENGINEER: LIC NO- JOB DESCRIPTION : INSTALL BAY WINDOW SQ FT: 2, 000
ARM OR EMI ADORES&: UMT:
CLAIM VALUE: 2, 000. 00 CALL—VALUE: 2, 000. 00 GROUP GCC: R-3 i
CONTRACTORSNME: CALIFORNIA FRAMERS ( 714 ) 566-4629
CONINACTOITSMMImo 22357 EL TORO RD COMMENTS: PERMIT FOR BAY WINDOW ONLY ON THE FRONT OF THE HOUSE
ADDRESS: LAKE FOREST CA ueNO_ 537570 +here7eiFiriiitieifrei4xie9eieseieliii•ii+iii+FiFitiriewaiiiP*iiiF+e+e#ieiei*******;'ekifie#w+i#iEiiieie*7eiEieiEieirie9e1e7E***it ieir if iF
92630 OMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally d perjury that I am licensed under provisions or Chapter 9 SETBACKS
( riming with Section 7000)of Division 3 of the Business end Professions Code,end my hone S in M force and seed.
.NO.: UC.CLASS: B uc.ND.: --7 70 E" : MAIN BUILDING ACCESSORY BUILDING
I� �3 7 coraecter:a PANT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
° LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHI ; FT IN
OWN BUILDER DECLARATION:I hereby affirm rude peroAy d WFaY Intl 1 em q hen the Contractors License Law ler the
(16
MI
reason dish,orrepev( anystructure.ptoaswsuandttSoreq�deatheaapyor cosy which plicantforrsuchpmEtofleasisgnedstat it lo construct tuaiheorVhe PARKING REQ; PROW: PARCEL: 45920104 ZNE; REF tv0: ,
Fcereed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Seaman 7000)d Division 3 of the PLANNING NOTES>
usinee°and Professions Coded or that he or she is exempt therefrom end the basis for the alleged exempton.My violation of Region >
•
7031.5 by any applicant for a permit subjects the applicant to a civil penally of not mere than five hundred dollars(S5000. *****************************************,**, ,*.**** ****,F*,*.ieieseiese*iiieitififsf#ieitieiriEieifieie
❑ LasownerdthepropertyormyemployeeswithwageseStheirsolecompensation,willdothewk,andthestructureiriotintended DEVELOPMENT S E R V I C E S R E U I R E M E N :I S
or offered for Se(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an Owner of property
who bold,or inprwas thereon.end who does such work hissed or herself or through he or her own employees.provided that such
improvements are mot intended or ceased for saM.ll,however.the building«knprovemen is sod within one year dwmPbton.the ZONING APPROVED BY • DATE
ownerbuilder will have the burden of proving he or she did not build or improve for the purpose d sale). :
l
❑ I.as owner of the property,ant exclusively corgracem with licensed contractors to construct the project(Semen 7014.Business and t .I
no
Professions Code:The Contractors License Law does t apply to an owner d properly who bulls or improves thereon and who BUILDING APPROVED BY , DATE:
contacts for such projects witha mre
dda(e)licensed pursuant to the Contractors License Law). '
❑ Ian exempt under Section: B.AP.C..for this mason: APPLICATION ISSUED BY: / / VATS: 30fit1
******ieieieie ie irieieie*ie*ww*rwwwwww ltay it i,w xww*w w>r Int It...wnrww Res w'*leiii'**aie iE 3l' le Wle+ez Yr itis ie
ode: O"'"° LEGALIZATION:N F E E SUMMARY SIRUC'iURAL SEGMENT:Y
I do hereby candy that 1 em aware of and=Inland the regdremern of Carrie Health and Safety Code Sedime 25505.25533.and
25534,and dor 1 or any future building occupant will/wit not(circle one)need to comply with said dale codes and the requirements for
a perm for pnmWes,or modification from the Ai-GaTEy aagemed DiMdd.Resident pmtstmnonappNnmna.seem$tam Nese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 62 . 25 . 50
Date: Appt'cent:
SMIPiNGN -Rfi5
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty(TIMMY one of the hollowing detleratons: PLAN 40 . 46
0 I have and Na
maintain a certificate of consent to sellinare ler workers' as provided for by Section 3700 d the Labor ISSUE FEE
Code,for theperformahceoftheworkforwlichtlepehnhisissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ I have end MI maintain workers'compensation insurance.es reqUired by Section 3700 of the Labor Code tor the pedorreenCe of the TOTALS----> 622 . 75 0. 00 40 . 46 103 . 21 103. 21 . 00
work for which IS parts is Sued.My workers'compenW on inauence artier and pricy mumbo are:
Carrier: REVENUE DIVISION TOTALS--> COLLECTED: 103 . 21 OVER/SHORT: . 00
Pdicy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOI GRADING PLAN—CHECK
( 'asepermitli,n need not completed for doe handed dodos($1001 or less.) 62 . 25 . 50 40 . 46
I arty Out in the performance of the work for which this permita Sued,I shag not employ any person in any menner n ae to
Lesssubject the workers'compensator lows el CNmonua,and agree Net if sults upe to the workers' ....................
canpen ermine"d Section 3700 d the labs Code.Iprovie
*****"""" leieifieiFifieiFieieieieirieieiEiEie***iris ieieiririeieieieieieieieieieieieie***...**iE***ie*it it,ie ieie it,
D : jig 3/,17 Appfsam: �/ I NDIVIDUAL F E E BREAKDOWN
Warning:Failure to secure woken'cpmpenaaeon coverage is unlawM,and she object an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($1011000).M addition to the cost of compensation,damages as provided for in
Section 3706 of Na Labor Cods,Interest end atromeyY fees. SFR 2000 ItEROGF BY VALUE RESIDENTIAL NOZONE 1 , 00 2, 000 , 00
• CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there S a co Madion lending agency for the END OF FEES
performance d the work for which this permit S naked(Section 3097.Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
P AI candy that I have reed this applicatiion ad Mae that the above idprmelon S coned.l agree to comply with aR ray ad county ordiances . J.. ��. inad state laws relating to buddig crosbudion and hereby authorize representatives of this dry to enter upon the eboveenemonsd property dor inspection purposes.
�/v/a�^M`IIIJ/KE MAROHNIC wn1 /// OCT 2 3
•/z% aturad /AgenVA.. .. ,1 Date: /✓/��I �7
G CITY OF COSTA MESA
(5151-48.WP) White-Budding 8 Safety:Greern•, array-Appecant:Pink-Revenue;Goldenrod-Assessor
'CONSTRUCTION AND PLANNING POC SPA'
APPROVALS Permit# ' _- - Date Inspector APPROVALS Permit# Date Inspector
•
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location '
it 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
, -37 Electrical Conduit Utility-Undrgrnd. • 54. Forms
-4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding r
1.5`; Steel Reinforcementl, 56. Rough Plumbing & Pressure Test - -
• 6.- Electrical UFERGrnd. 57. APPROVAL TO COVER-GUNITE
'7; Footings 58. Electrical Conduit-Undrgrnd. _
8- Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
”.. "t9r. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, 0 Undrgrnd.
'• 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
15. Rough Electrical-Conduit y. 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval I
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical_7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating Si Air Conditioning - FIRE DEPT. REQUIREMENT
20. Rough Faitory Firelilace _ • .y = i� _ ,. a ' APPRbVACS_, , z
Pe[mit# l'
21. Ducts, in Structure' r •• • _ r - • r "E 70. Undergro�nfi HSdro
22. Ducts, Ventilating` fI _ . g _ 1. 71, ProduGL F•9'ping Deas a Oil
1.
23. Gas Pi e•Rou h &Test i, r r 2 v 4 r �•
P 9 '.5 - 72. UndergroundFfisfn�
24. Hoof Framing'• ` ' ' ' " r k- . 'xT, -1 7i Undergrrf8.StoragetdnkrOGas 0Oil
25. Roof Sheathing v ' 7 ; J Y 74' Overhead Hydr PP -•
26. T-Bar•Ceiling (Structural) & Irilono>;oat . _ '„ .� 75, Ory Chemical , , : ., 't r
27. Frame and Flashing - i. T v rn ti 76. Dry Standpipe -•n =
- 28. Lathing &Siding r I .. _ ;; r - •••l "l "FA 7,y FIXED SYSTEM FINAL .� -
' 29. Insulation. .-. I - - •• ti .1 k 78: FIRE PREV. FINAL _ z
" 30. Drywall Nailing t I '� -HEALTH'DEPT. REQUIREMENT '
. r 1 -1- I,: r _ -
31. Plaster Brown-Coat . � r -r 79. FINAL INPECTION i S =
32. Electrical Polder Meter:Final e, '! . it 80_ FOOD CERTIFICATE ISSUED.
- 33. Final, Electric r l• ite �l T � ^
F _ _ 1 e Notes: 7 ' D rl " ..
• 34. Final Heating It Air Condidioning^ _ k 1 I! - -. r e F co
r , •• T • > "f - -1
35. Final Gas Pipe Test' _ , -• l,. . - j : n - - -
. 36. Hood or Canopy - r i t L ,
37. Final Factory Fireplace -- - .. C --
'38. Final Plumbing - - • v - r P
. R F
- 39. Water Service-Final i ,r ., _
40. Gas Service-Final - , .r - . r A -I
-, . _ I 't -. .z r. y
-41. Solar Domestic-Fina( - - ' - I !. s .`' g
• T• ., ` - 2.
42. Backflow Preventer , - • I. .;
43. Backflow Irrigation , �. - e T *
44. Landscape Irrigation System - ' - - -1 '' 7 7 • , v -
- - - e • 7 z T. . S' -
r
45. sound Attenuation; _ - r, ; _
F -
46. Handicap:Regulations _ S •
47. FINAL STRUCTURE & BUILDING `e 3A 104
48'. FINAL PLANNING • - - I. r) .•' ' r '
49. Electric Release to Edison .1..
I• _i-- r
50. Gas Release to Southern California-Gas Co i. , ' • - •
_
- 51. CERTIFICATE OF OCCUPANCY :• - -
No. Date
4
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V!S IT OFF COBUS A MESAAFET Y /� /3 i
APPROVED
4BY
Date
This set of plans and specifications MUST be kept on this
make any changes or aeration on same td nen job at from
and it is of awh,ig
and Safety,City of Costa Mesa. Pemriss on tmm the p rs on flaikAx�
et starting of this plan and spedfuatans SHALL NOT be hell to panewic
violation
of any Dioyisions of any City of Costa Mesa Ordinance Portobean al
These ofans and Rana shag expire by tkntahon aid dvoid
if the State W.r
wont n T-mimed and mak$anryfaces,sof d)withnISO days offSews r
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OWNER CAROLEE HOMES. INC. . - O DATE 1-18-57
JOB ADDRESS 2611WestminsterPlace BUILDING PERMIT NO. #14209
GrmERAL CONTRACTOR David J. Vermilva VALUE $ -,12;746.00
AP119-161-29 AS PER U. B. C.
LOT 14 BLOCK TRACT 1778 Single res. w/att. gar.
GROUP I & J TYPE V ZONE Rh FIRE DISTRICT 42118
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
Footing Trench fr3-' ,/� f 29 -S 4.
Foundation Forms and Grade to GarageFif I e- 3 -S. s¢ to I X 6
Rough Framing
Plumbing, Rough to Slab M. P. 'S .1. -/-4-7 CRIMIS_•�=�f-LS�... /- 'ct37 7 7g-/
Plumbing,Rough Complete {'11,e S 3.-//-S 7 _
Temporary Pole
Wiring, Rough 3 1957 VCB 4, , --1/4 et , _ - /3 • 5-7 13 y7 3 •--
Heating,Rough f3-/5 3 0
� �Heating, Final " V C-S y-16-s7 7C4-,. ,0 Ft--9/;... '„7- v-I-2 713 0 .� -
✓stwer, House 0(L Sewer,St. /71eS H-I L-S7 / •e ` . . - s cpV rc "--
,-B :Tanko(Cesspooi ,�It y'VI C � 9-lL-S-7 q. e �...>„c y-/5=-57 rl,8‘
La_..mg, In OutX g--E i :2,-/e-.77
Plastering g• -f-�t .9-A 9 SY
Plumbing,Final,Fixtures Complete r".L$ 1-1-'14'4-1
Plumbing, Final Gas Test/Lett knt-i 3-/d1-S7 &agGti —74✓ V/-a75c(J> °--, N
Wiring,Final APR 2 ISS( VCS /1 i , ,, _ i/
Occupancy APR 22 1.57 VCP
FORM 210 3M 10.55 1 1�
209
S 6a
. 4248 , :, iga7 - cJ: Q'-42,\
STA MESA BUILDING DEPARTMENT
P.0. BOX 317
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING 2611 Westminster Place BUILDING
ADDRESS
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO.
OWNER CR 7101 Pe 'Homes Inc_ 9120 J5
MAIL RECEIVED BY DATE RECEIVED DATE 155UE0_
ADDRESS 179 Rochester St. - /-- /s--3 7 /... /S-1 7
CITY Costa Mesa TNOLj-8660T ADDDRESS
I
ORCHGENE LIC.
OR ENGINEER C.
COSTA MESA. CALIFORNIA
FIRE
ADDRESS ZONE
�D �T ZONEINC.OF TYPE GROUP
CONTRACTOFOavid J. Verna yso. 6165 I PLANS //�� I/ /I
ADDRESS 179 Rochester S .TNOL1-86601. APPROVED J Y1-/ DATE / l /JV!/
LEGAL LOT 8 COfnCCTIONS !
DESCRIPTION NO. 4 / BLOCK TRACT 1778
A.P. NO. 7i9 -- I (p I~ a ° APPROVED
SIZEON NO.OF
BL
OFLOT 60x140 NOWLOTOT CITY OF COSTA MESA
USE OF PLA. INC DEPT.
EXISTING BLDG. 1]SUBJECT BI DG DEPT RFG
SETBACK LINE FROM v //�/ /
CENTER OF STREET 501 REAR YARD 4.9, A// // �y
SIDE YARD 51 RIGHT 5i1. LEFT 151 8V/[ DATF' /-5/C /
I PIAN TE-CI
DESCRIPTION OF WORK
NEW X ALTERATION ADDITION
REPAIR , MOVING DEMOLISH
BUILDING 00 NO. 6 1
ROOMS
SIZET9001OF
STORIES
EXTERIOR WALL ROOF
COVERING Stucco COVERING Compo.
USE OF NEW
BUILDING Single family-attached
garage / , /< 3(�7 fl
HAAS ,.-=.r� �/1I �. /y n�'` ///%,.5, i2 / 7�� /, j/
I HEREBY ACHNDWLEDGE THAM NAVE READ THIS APPLICATION AND r/
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC.
TION. VALUATION 3a
PERMIT FEE $
SIGNATURE OF y� ((
PERMITTEE nl PP 1'nme5 . e. PLAN CHECK $ IS
AUTHORIZED AGENT �• �•I / v' $ ��� TOTAL FEE S 46S jar
4 OWNLR GARDNER, DAVE UAIt 11-(-b(
JOB ADDRESS 2611 Westminster Place BUILDING PERMIT NO. 27803
4.4Gf" RAL CONTRACTOR E. F. Focier DESCRIPTION of WORK Add 2 Bedrooms to Res.
4 AF 119-163-04 LOT 4 TRACT 1778 FIRE ZONE VALUE $ 5,100.00
INSPECTIONS Signature Date GROUP I TYPE. V ZONE R-1
SOIL PERMITS 15S ED
GAS SUBCONTRACTOR
Date Number 1 Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS '
ROUGH HEATING AND AIR CONDITIONING y j/( 4
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 0
ROUGH WIRING 4,1���_/e)-.�t , Heati • a c e t. •
TRENCHES C] FORMS 0 STEEL REINF. ❑ i12il 7I7FA7L. rqtafrSAZ.Z� morfra`/�-'lLL .nrm a pPot.
FLOOR SYSTEM -. a. it C k I
BOND BEAM n STEEL REINFORCE E Y1�/n,�.[I,
SHEATHING I-/me Et/ ��7
FRAME AND FLASHI y/ C /r pr i7
LAT"'NG - IN OUT (.Cid v 6-
PL R, BROWN COAT SenThrt-c' .•
STATING. VE FINAL -� ElpCiri(.J //��-� ���
HEATING, VENT., REFRIG. AND A.C., FINAL S//,/OC-(� JAY-ee_e�/
PLUMBING, FINAL AND GAS TEST r] •
ELECTRIC, FINAL /C 9 ,tie.69
BUILDING, FINAL ..O 1/2190
s .-- 27803 a! -7-6-Pc-WOO/ 3O7 .... . 3 '.a
COSTA MESA BUILDING SAFETY DEPARTMENT 7 •c " ,t. ,:t `
\ P.O. BOX 1201 COSTA MESA, CALIFORNIA 92620 - - /..
Z 77 G Sales aria-Let- F.' .L',e-^ipji
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
For Office Use Only
• eu1LDING 2 c If Olen-freer/s rct. RI_,
ADDRESS T'� RECEIPT NO. PERMIT NO.
a COSTA MESA, CALIFORNIA PO
h °.F • ST DAT 'CE B. • - ISSUED 7
u OWNER pa}Vt G�trLONtEk.. 4,
BUILDING
w MAIL 'ADDRESS Z�CI I F S'7TA(M S'7C-L f c. ADDS -e / i
FIRE
CITU C.OS'z•14 MAC`A• NO. =ZONE �� - GROUP
r` ARCHITECT ELA ,_ ATH //- 7.—`�
OR ENGINEER L.C.{ CIG 77 NO. �Ie
° ADDRESS f/8s i 6-IL St& C. C._ .' ZONING '
-
• CONTRA •R�j __ • • (LLI KL. >
• ADDRESS O 1 0 r. �'Lc✓eV L `• I
---
3 --'.nf ii
CITY S 4.er. eig-n4,
.• NOTE: NO EAVE OVERHANG SHALL BE
S THAN
i1 LIC .TNO. CeTAESe a'9 NO. ref.__
w / 'L i _ -
EAVES
OF LOT C m X �Y� NO.OF SLOGS. S;, YARDSYARDS APPROVED C. APPROVED-
pp77 I NOONLO
t USE OF
• EXISTING BLDG ) MAIN BUILDING ACCESSORY BUILDING
. 1
TA. SETBACK LINE FROM ® TI
CENTER OF ST[EET REAR YARD `• .�7 / II
is OPPP
y SIDE YARDI LEFT v I RIGHT /C b 0.. •'./1,/�W /� PT.
_e DESCRIPTION OF WORK Y L.SIDE //err. -6 PT.
•
NEW _ ALTERATION ADDITION /' REAR l!� PT. 9 FT.
'iC DISTANCE err. BET.MAIN&
REPAIR MOVING DEMOLISH .1
MAIN BLDGS. ACCESS.BLDGS.
P VAR.* DATE
-• BUILDING C 'A NO.OF
3 SIZE I?�X 3 d--ROOMS STORIES I C.V.P.Et /J APPROVED
EXTERIOR WALL ROOF �1 APPROVED 011,
1 1 i// // 9_ /•7
COVERING S�T•'CCOI COVERING IfII7 Tt6/ng• • eY �1/V� /n/ (-61y-E b
;7 USE OF BUILDING ANDWORK,TO BE PERFORMED ✓ / D,
• Ant)n 'Two t to Q2:cnr c.t, m
•
1
,i •
,j SQ.FT. '�
• I HERESY ACKNOWLEDGE TNAT.I NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE O
;i AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON. PURPOSE OF ESTASLISHINO A PERMIT FEE ONLY.
• PLY WITH ALL CITY ORD! AND STATE LAWS REGULATING
VALUATION /
BUILDING CONETRUCTI PERMIT FEE $ o� 19
"' SIGNATURE OF r _ E
j PHRMITTHP '1. 8 5 /O A G 170
(/ PLAN CHECK S /0 /5 G.
q AUTHORIZED AGENT 4 4'D1
'. .-. .-+-• s: . .. .�. .-.....,..
it
TOTAL FEU f ♦L� V
CITY OF COSTA MESA
I
This is to certify that I, (/)064(lrf /F/om es 7ev€- _
owner and/or authorized agent for the owner of the pro--erty located at
ol et f w Est ivN s t Ere 71 in the City of Costa Mesa,
California, and identified as being constructed under City Building Permit
No. 472-07472-07C07 , requests the temporary service of fleet 3 ` 75
for the purpose of ,�A�i�� G T 42.0' 7/qs t/CaZ
In initiating this request, I/we relieve the City of Costa Mesa or any of
its representatives or employees of any responsibility or liability and hold
them harmless of any criminal or civil action in the event of the loss of life,
limb, or property, or any damage sustained thereby, due to the occupancy of said
structure, that may result from the granting of this request.
Signed v
1 •
Authorit t ' I v 0-C�'^----)
Date ` e\ Qi ' / 27 / VS—7
This is a'temporary permit and shall be invalid unless the condition iis/ful-
filled - to wit �G�--�� /ctP4
i • / 4W
_�.Se ; ti h_ a �/ ttrring
0
Al
4etC � ;
r:
CITY OF COSTA MESA
A
This is to certify that I, eg,OLrE t}vMFS .TOSe
owner and/or authorized agent for the owner of the pro•'erty located at
jler W k5 f m ip✓,s/re f/ in the City of Costa Mesa,
California, and identified as being constructed under City Building Permit
No. _442 O/ , requests the temporary service of (47-s 77 3/
for the purpose of .4ci' ',vtcD Me,/
y Piastre
In initiating this request, I/we relieve the City of Costa Mesa or any of
its representatives or cmployees of any responsibility or liability and hold
them harmless of any cr`minal or civil action in the event of the loss of life,
limb, or property, or any damage sustained thereby, due to the occupancy of said
structure, that may result from the granting of this request.Q
Signed gp,1.4_ t. Q1 �
Authority a,s,.-v( At
Date heat/ /1) J / S1
This is a temporary permit and shall be invalid unless the condition is ful-
filled - to wit g--o
e )tlf