HomeMy WebLinkAbout2616 WESTMINSTER PL - Building Permits , 4' • CITY OF COS1/A MESA
BUILDING DIVISION
>• 6x .4. : DEVELOPMENT SERVICES DEPARTMENT P MIT NUMBER
11.11(411 PERMIT B07-00157
J
4 QpC41)•� RfI14D
B. LDING PERMIT
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.c.a.vs 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 2616 WESTMINSTER PL Status: ISSUED
Suite: Applied: 02/12/2007
Vicinity: REROOF RESIDENCE AND ATTACHED GARAGE Issued: 02/12/2007
Primary Occ: R-3 Dwellings/Cong Res<10 Type of Construction: 1
Parcel Number: 43920117 Zoning:
Applicant: FERGUSON, LEW -
Address: 1216 N HANCOCK S/
SUITE 107 Phone: 714-777-4040 .•
•
/
ANAHEIM,CA Zip: 92807 ISSUED BY: '�•
Owner: GOEMER, GARY M
Address 2616 WESTMINSTER PL
Phone:
COSTA MESA,CA Zip: 92627-4643
Contractor: MC CORMACK.ROOFING
Address: ,- 1216 N HANCOCK
SUITE 107 , • Phone: 714-777-4040
•
ANAHEIM,CA
Zip: 92807' License: 643700
Arch H Eng:
Address: • Address:
Phone: " ' - Phone:
•
•
Zip:. " .License: ' License:
SCOPE OF PERMIT
REROOF RESIDENCE AND ATTACHED GARAGE:T/O EXISTING WOOD SHAKE ROOF AND TAR/GRAVEL, INSTALL 1/2"CDX WHERE NEEDED, 1
LAYER 30#FELT,APPLY OWENSCORNING 30-YEAR COMP ON 1700 SQ FT PITCHED ROOF.3 PLY AND ROCK ON 600 SQ FT FLAT ROOF.
PITCH 5:12 •
FEE SUMMARY "
Plan Check: $0.00 Calc Valuation: $5,400.00
Permit: ,$125.25 Claim Valuation: $5,400.00
SMIP Res: $0.54
•
SMIP Com: $0.00 - - -- -
Other: $0.00 •- - - -
Inspection: $0.00
Total: $125.79
• ';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"
•
•
•
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
2446-46(6/00)
e -
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
O 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.
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: G/.
J CY
{carrier:✓--- - S / A-7 t- �L;i::� Perayu mbar / 4/ 7 43
(This section need not be completed it the permit is valued at 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 Californi nd gree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provision r -_,
-Appllcant_Signature: �g vpataT'`--+ 0.;2-//—/c 7
WARNING:FAILURE TO SECURE WORKERS'COMPENSATfON••VERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COS}}• COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of_Chapter 9(commencing with Section 7000)of Division 3 of of ttheeBBusiness a d-PPr f s ions Code,and my license is in full
force and effect.Lic:N-. �c. L,3 7Gv •Class 1 C'tc
Contra�ignatturre rEN--c`7 Date^ C-7-1/�—�12—/o,
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 properly 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.).
O 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. ❑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:
O 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? ❑Yes ❑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 al 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 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? 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 akermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 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? ❑Yes ❑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 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.
Signature Of Legal Owner(s) Date .
`Agd/Or-uthorized Applicant- rDSte-->
LOPE C INSPECTION TYPE PATE INTRIALS CODE II INSPECTION TYPE PAT€ INTRIALS
1616 Fixed System Final Fire Prevention '��7/ ��/ )�/ 206 Final Mechanical
1266 Pool Spa Final --"/ 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final BIocWRetaining 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 _
OWNER. MARSHALL, HUGH C. " / DATE 1-27-56
JOB ADDRESS 2616 Westminster P1. BUILDING PERMIT NO, 2302
GENERAL CONTRACTOR Hugh . Marshall CO. VALUE $ 10,126.00 -
L 12 BLOCK TRACT 1778 Residence with att. gar.
GROUP I $t J TYPE V ZONE R!, FIRE DISTRICT 2285 --S.--
PERMITS
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
Footing Trench 4-&�-EL .._52 .y
Foundation Forms and Grade to GaraglaS 3-/
Rough Framing " • '��� -
Plumbing,Rough toSlab CGG r re
Plumbing,Rough Complete ) - - /.rhq^..L� 3-2-C6 '42 2 3
Temporary Pole ,�W'• ' _J i��"11�"_ �� <pE�J� �� e.. Z-) -[ �0SQ
Wiring, Rough ,1,CA 'j-fi- dL7A- A Y1'�tA/1.[if/1 //_/O-C , ,-,L/ 9A
Heating,Rough , ,//
Heating, Final •-- -44---e- /,( „. '/d. s-6 ,74/3 y . -----
VS-ewer, House, i Sewer,St. 4/-23.5 / e 7/ • / C S S-7, A/C/O
*---
Septic Tank o esspoo { , L
L, g, In ., .,r Out/ rok.
Plastering -yjj�,L�`�►�/• / 5=4 7-st
Plumbing,Final,Fixtures Completeplt./L�:%L )-(-3-‘.
Plumbing,Final Gas Test /,x b a e ?_6-5-.? ett&z ' a.,✓ 2- 9-.14
Wiring,Final 4.0.40 /-).e - -' .&J 7-"7_Sh _ -r,-
Occupancy 4/21 y L -,
W,...,.,•1 n r_u 1 cnn 1-cc J in,
to Mesa Building Department r�nAPPLICATION FOR PERMIT
COSTA MESA,IF
CALIFORNIA STREET X255 BUILDING 1
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL INReceipt No. Permit No.
Building I I )3 b cZ/
Address 2616 Westminster Place,Costa Meg
Costa Mesa California e ded by Date Redd. Date Issued
Nearest 03--06 /-a 7-S Z
Cross St ppb Mar A1TP • Build ng
Address
Owner Hugh C. Marshall Co. Costa Mesa, California
Address 2113 South Main St. Nearest
Tel. Cross St.
City Santa Ana,Calif. No. ](1.23569 Zone I No.of I TypeT Group
Architect or Lie. Plans fL
Engineer No. Approve
by Date
Address CORRECTIONS
City Lk.
_ tractor Huah C.MarshaLl Cdlo. 3362
Address 211 So Main St. Santa Ana
Lel Lo .
De crption I Not 12 I. Block I Tract 1778 '
(Attach Metes and Bounds) J'La \X ( ) �`�
I No.of Bldgs. ._ \ .t` �� ��
Size of Lot 60 x 140 Now on Lot none ‘----------e �
Use of I No.of I No.of Z=-J A
Existing Bldg. Families Rooms
Setback Lino from Rear Yard 591 .43 1SJ I Z
Center of Street 501Side Yard 51 min. y
DESCRIPTION OF WORK - L1 r
New I X I Alteration I I Addition I �' OF ���'ii IY t5/
Repair I I Moving I I Demolish I je7 y — /.3 00 I ei-&' Kb -a.
Building No.of (-no �ci -1_� i)
Size 1160 so.ft. Rooms 5 stories 1 CY - ,
'� ^"�
F •erior Wall Roof —
,ring Storer) I Covering Rock APPROVALS •''-
B_-di New Foundation Location Inspector Dat
Building One family dwelling with Forms,Materials,
attached garage Under-Pinning
Plan #1070 Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath.Int.
with all City Ordinances and State Laws regulating
building construction. Lath.Ext
Signature of
/
Permittee r ' aa.. u- •- • Plaster, Int
Authorized Agt// / % // Plaster,Ext.
Valuation / / Permit Fee $ .2(o r 06 Masonry Reinforced
Z 62 Plan Check$ fd , 0 v
$ / 61Totalg p Bond Beam
' Fee $ ci / ' O 6 FINAL
FORM 204 S-BP 2M 6-55
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J„!I ?3-r_7EPDRIn?17a .,r 39.^9
Street
•I
PLOT PLAN
Show location and distances from
property line and between buildings.
OWNER Q
DATE -GG O
OB ADDRESS 2616.
JG.
Westminster Place BUILDING PERMIT NO. 26819
4GENERAL CONTRACTOR Allied Builders DESCRIPTION OF WORK Add 2 bdrms. & bath
AP No. 119-16.3-16 LOT TRACT FIRE ZONE VALUE $ 5:887.00
I i, CT,IONS Signa a Date GROUP I TYPE V ZONE R-1
^-iA^(r, I PERMITS ISSUED- 317.6"] SUBCONTRACTOR
Gas ,tape Date Number Signature
Water / 3-y7,r7 Plumbin
Roughp. Plumb' / 4 >-2 7 E -2 -!o ,d
Prop. Swr. Line House Con.r j 27-f,E•l
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power C) '
Roush Wirin: ' �' Heating and Vent.
Trenches or orms tar Steel Reinf. r IS AU' -1ErWL 7
Floor System
Bond Beam 0 Steel Reinforce 0 a
Sheathing %' c SQL'=! - 7 .
Frame and F1�sg - - y
Lathing—In /j O t j Pi/05 /-
Plaster, Brown Coat o
Stri' "ral, Final rna-WI.di7 Electric
He ,, Vent., Refrig. and A.C., Final "%77 di-7
jefinCti. 4L/7#47470 344
Plumping, Final and Gas Test ❑ _ 7bS 67
Electric, Final / 7 I
-n... r r n
'ls' 26819 I MAR 22-67CMSAPAIAOO 763* **t*31.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 - COSTA MESA, CALIFORNIA 92620
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
Bu1Lo1ND �I / //__ For Office Use Only
ADDRESS d C0/62 iNe.S/AeweS"Ea- R/
RECEIPT NO. PERMIT NO.
COSTA
//MESA.
CALIFORNIA 2G E?/7
/ L-r Ql][ C�� WV G► .3.7, '7 p^Tz16z ED/7
OWNER c-. YBUILDING
r/f' J%.-i (/U .JJ lo.
MAIL /I . 2 �! a ADDRESS
ADDRESS 4 //"/� PSs`7 ,yc/ ,/417 FIRE
CITY G/n5 l� l� oq NO. 7 4/le ZONE TYPE / GROU�Ps
APPROVED ::1/ 3- .z _/`7
ARCHITECTGINE /� /�' /4 ,aA/STEL /Se BY �{� DATE c• V
NOIN EBR (,1• [-T� K
ADDRESS x/45 ,4^ /.,./, /8G V. ZONING /`
[ tii zON NO. I USE r -L ��,
��L�G� 1 �
PLANS ....../-- BUILDING 6
CONTRACTOR r: G/(�� -F1-S
LEGAL
ADDRESS �'Tn�/l l-7 444y6,L. DESCRIPTION Q . i /
CITY AYI,! /-1 H $ e INOTE: NO RAVE A.P.NO. /// /�-7 —'/.b
STATE �/ 5 . P TE. 7 72 - 51t 80'TO SIDE 01 REAR P.L. O BHA`L BE LE88 THAN
LIC.NO. J,
//�� /� , / EAVES
OF LOT 1..70 T I'-G a I NOW pN LOT . r ALLOWED (U.B.C.REQUIREMENT/
USE OF YARDS APPROVED YARDS APPROVED
EXISTING BLDG. 51t Aic' L-, �9,0-+/l- L. MAIN BUILDING ACCESSORY BUILDING
(FROM C/LSTRE1
SETBACK LINE FROM �/ S` FRONT 7T FT.
CENTER OF STREET REAR YAaD 1`3 ��/�(.�P'
S / 6 R.SIDE C/`�L . FT.
..0 SIDE YARD I LEFT /3 I RIGHT /06 /
DESCRIPTION OF WORK _L.SIDE /J Fr. FT.
ALTERATION _ ADDITION C REAR 6 Fr. 7// /�./C/i FT.
/ DISTANCE BET. • BET.MAIN e
REPAIR (NINa DEMDUSH MAIN BLD ACCESS.SLOGS.
/� DATE
BUILDINGia9 .OF APPROVED
SIZE v ROOMS F / STORIES/CIE /
PROVED
COVERING g7UGC.0 I COEXTERIOR WALL VERING// /% C4' DATE 3 a.2 G
4 USE OF BUILDING AND WORK TO BE PERFORMED a
® 01
4Db/7/oAye 0/ ---aea%)R , 1
a,ci ire/_ d' i/7/e-cBc.PT. 1
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j
AND STATE THAT THE ABOVE IS CORRECT AN AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT PEE ONLY. LJS,
PLY WITH ALL CITY ORDINANCES STAT WS REGULATINGINVALUATION ON
BUILDING CONSTRUCTIO C/L'/}%�E.A v PERMIT FEE $ �/
PERM ITTEF SIGNATURE OP ` '1
$ Lc, 7/ PLAN CHECK S/�7e"..(3 V 1r'
AUTHORIZED AGENT TOTAL FEE $�'}/i5-0