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HomeMy WebLinkAbout1030 WESTWARD WAY - Building Permits 1TY or o D S t A MESA F. Cl- SOX 12013 • COSTA MESA, CAL!FDRN. . 52626 TEL E714 MESSAGE TO 2e_ fLr�S. o _ .1 ____-_ __-___� DATE /•-. c / 5 _----- _ — SUBJECT - -ZZAJ i,e /��.�cs- �---- �_ sem= rtz7• - //� , SIGNEair ! v. 'C. • REPLY • . DATE — L / _�9_/L 4� /l . - Q24.2 )4, 4z /,:ei _ A ) , (.iJ A „ l N /9 Col i „� � 7 --7cF • SIGNED -1- _ ._..._.— _ rwm xs xn©m. o,...a�.•e.iR.e..ws,Deis,m. RECIPIENT KEEP THIS COPY, RETURN WHITE COPY TO SENDER �� _ ._ . , 'S. ' 1024 WESTWARD LN CITY OF COSTA MESA — BUILDING PERMIT ADDREss a BNLgNG. WIT: arxERswMEDD�ra WESTBLUFF HOMEOWNERS ASSOPERM NO: B 076825 Dllus: 111 PACIFIC #250 IRVINE CA 92714 PERMIT NO: B 076825 PLAN CHECK NO: N GOVT: N SUPP: N 727-2680 APDL.MAILING ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH ARCRDECT OR ENGINEER: Lt Na: JOB DESCRIPTION : T/OFF 6 REAOOF W/BUILT—UP SQ FT: 6, 800 ARCH.OR ENDS ADDRESS: WIT: CLAIM VALUE: 6, 800 . 00 CALC=VALUE: 6, 800 .00 ROUP .000: R71 / mNinACT S'UWE: R.Pe HIRSCHMAN (714 )960-8329 \ commuTOWSMAILDIO 8855 ATLANTA COMMENTS: REROOF 4UNIT CONDO, ADDRESS INCLUDES 1026,:'1028 ( 10�t"F-0 WESTWARD ADDRESS: HUNTINGTON BEACH CA UCNm 475948 ****************************************************** *' ' �"*'a ****************** 92646 ups: 285 Z ON ING R E Q U I R E M E N T S --� LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury trail am licensed under provisions of Chapter 9 SETH ACES (ommendng with Section 7000)of DOSS S of the Fleetness and Professions Code.and my'cense is in full force and deed. Dive: ater ND.: 038968 uauss cC3� '�' EXP: 04 /96 MAIN BRIARING ACCESSORY EAILDING FI 1 FRNT; FT IN REAR: FT IN FRNT: FT N REAR: FT IN °e 3- ]S-ci i ` « LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:thereby dhrtn under penalty of perjury that I em exempt from the Contractors License Law fa am following reason(Seoion70315Business and Professions Code:My oaya countywhigh satires aperms to m¢hud.Mer,improve, PARKING REQ: PROV: . PARCEL: 00000000 ZNE: REF NO: w fin ed pursuant to the structure. toits Contractorscalso L�m°�s Law applicant (commencing to Sea Section a statement M theaPLANNING NOTES> Business and Professions Code)or that he or she is exempt therefromthe and the basis for alleged exemption.My vide/On of Section '>=' "..._-.. 7031.5 by any apgicent tot a Perri*tibiae's the apylcan to a cid snarly of not more than Toe hundred dollars 1$500D. ************N*******************iE***********************************ii.********** ❑ I.as owner of the property or my employes WA wages es the ode compensation,will do the w&and the apnxWne is no intended D E V. E'L O P MEN T SERVICES REQU IRENE N %f7 S or offered for sale(Section 7044,Business and Professions Code:The Contractors license Law does not app to an Owner of property i who builds or improves thereon, su end who does ch work himself or herself«ethrough S or her own employees,provided that such , improvements are not Mended or offered for sale.II.however.tMbuilding or improvement is add within one year of completion, ZONING APPROVED' BY DATE: i owner-builder will have the burden d;snag he«she did rot build or impure f« wd ra the pape le). ❑ 1,n owner d owr the property.am ex sf exy connecting g wkh licensed contracts a Coedited the project(Section 7044,Business and Professions Code:The Contractors license Law does napply to an owner of property who bells or improves thereon end who BUILDING APPROVED' B Y ' : DATE: // or contracts for such projects with a contrad«(s)licensed pursuant to the Contractors License Lire). . ci- 2] i.9 (q ` Owner1/4 Iamaxemqunder Se on: B.AP.c..t hennson: APPLICATION ISSUED BY: DATE: J1 y Dale: OwdE SE*iE***1E 1E iF 1E iE IEiE gE aE*1E dE iE dE dE*iFkiE*iE 1E iE iE iE*IE dE*******SE**iE*IE *Sf*****1F IE*IE*iE*1E*dF3E*1E*1E 1E df iE iE dki LEGALIZATION N F E E SUMMARY STRUCTURA1 SEGMENT:\ L I do hereby candy that I am aware d and understand the requirements of Calfoenia Health and Safely ly Code Seda15505,2eS'a,and apenebtand ihatla°nyrnurobuikinpon theAQualtRiM(circle toe)need d,Rdentiawih conMmdn 9ecmre areazama from ents mthse • BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADIN( apermit for that IOf an or modification Occup t tel,/wit notonagrleotLand. osomply can Mud wale codes at eneherempremndorsa Provisions. PERMIT 90 . 00 . 68 Date: Applicant: SM I P/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under Wowing der penally of perjury oneof the owing ddkrs:enePLAN ❑ I have and oil maintains certificate of consent vett-insure e«kes'compmmion,mp Medforby Sectio 3700athe Labor ISSUE FEE Code,totthe pen«mono.auw.work e«which this permitleSued. eBUILDING—DIC > PERMIT ISSUE PLAN—CHECK TOTAL PAID DUI o Ihave and wilmaintain worksao compenaninsurance.es required bySedpn3700of the Labor Code,let reperlamanceathe TOTALS > 90 . 68 0.00 0. 00 90w68 90. 68 O work for which this permit is Sued.MY workers'compersatio,inurance ranier end policy number are: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 90 .68 OVER/SHORT: . 00 • Policy Number: 1277R90-94 10/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECI (airs section need not be completed f the penia s for one hundred dollars f$lOO)or less) 90 . 00 . 68 • • ❑ t only that in the pert«menee d the work for which the permit is issued,I Mab rot employ any person in any manner so as to beam subject to the workers'composition laws ofCaMoms and agree Mal ii.l*hotel become strata to the workers' *******************************************************************1E*ab********• compensation provisions of Section 3700 d + the l(ayar�T� hwth camp" provisions. theseprovisions. INDIVIDUAL F E E BREAKDOWN J Date: , b- 5 7 CC / Warning:Failure t secure workers'conpsnesuon coverage IS unlewlul,and wll&Meat an employer to otter pe and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COS cMl fines cc to our hundred thousand dollen(StD40001 M addition to the cwt of compensation damages as prorAd d for in - Section the °'I "a'ta"°anonwyaren. SFR 6800 REROOF BY VALUE RESIDENTIAL NOZONE 1 ,00 6, 800 . 0 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury the there is a crisis's lending agency for the END OF FEES performance of the work for which this permit is issued(Seelig,3097,Civ.C). LENDER'S NAME: LENDER'S ADDRESS: 1 I certify that t have read this application end see that the above information is cored.I agree to can*with all city and county ordinances , and state laws relating to building con mupai and hereby authorize e ize represeativee of this city to enter upon the above-mentioned property _ for inspection purposes. 1:i _ BOB HIRSCHMAN i',-47' - i . Prim PNave Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. a694 I , /::9/. , 8..a 5. T A MESA r PE IT NO. ,./ TRACT Vl. LOT NO. - BLDG.NO. • C IV CTION PERMIT _ ./�9T { . Project Address O .� `�d� (..l ' TYPE OF CONSTRUCTION ,U NEW r��IU�.ADD U/A/�TERA N U REPAIR , 1 _ D Applicant's Mailing • ••re ^ ❑ CONVERSION ❑ DEMOLISH III-OTHER l4'r rr'!o A.P. # I Zone Owner's Name U--1@.s5 / 6f'J f/N"c¢[JN'eahon¢e -liarSCRIPTIOqN OF WORK Qre_ LO- ver c-,'/...5.5. >a..-7 s' .two (p 2/1S // p,- ! — S Main Building: Accessory Building: Z Address • 0 • TYPE OF PERMIT il GRADING . FOUNDATION U STRUCTURAL f T Front N Arch/Eng. License No. ❑ TENANT -❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear I Address ❑ OTHER A - N Contractor's Namp CC 123........• p�rl�,O 'Phone PROJECT DESCRIPTION SQ.FT. 2 0°0 OCCUPANCY C Right - _ _ - G Address(mailing) /y72'i /Arc- 6o- e.-, town CONSTRUCTION TYPE VALUATION$ /050 $ Left R E �(1Q/.f ZONE GRADING CU.YDS. ACRES Ping. Ref.# Park.Fees $ Q City License No. / • U LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided • I I hereby'affirm that I am licensed under provisions of Charter 9 (commencing R 1 with section 7000) of Division 3 of the Business and Professions Code, and PC �Q� Use •of Building: E ,�/l\ • my license is In full for d effect. % License las C ' /• e .,� . 996 PLUMBING FEES Planning Notes: M Date /1- MI: Signature -I1t r�� E Bar Sink Showers N ' IORKERS'COMPENSATION DECLARATION • __. _ _ - T .hereby'affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer Service Sink S of Workers' CompensationIsurance, or a certified cppy thereof ( <tlon • • - Po0Q Lab. Cl. /y; T/4,/ - /7 w Backflow Irrigation Sewer Cap ELECTRICAL FEES • I Policy N . 6 Company J'1 f e-.'�ci - )6 Certified copy is hereby furnished. • * ' Bathtubs Sewer Connection Automatic Washer Transformer 0 15-50 KW M U'Certified copy is filed with the city Building Divislo l J Cunt() O�(L ' Clarifiers 0 50+ KW Date Applicant C un .J �i`� `` '' Solar Collectors Construction Pole Sub. EXEMPTION FROM WORKERS'COMPENSATION DECLARATSN "i Dishwasher Solar Piping • (This section need not be completed If the permit is for one hundred ($100) or - Cooking Unit - Meter' ❑up to-100 amps -- - Iecer - DrinkingFountains I certify [hat in the performance of the work for'whio this permit is ttuetl, I Solar Tank Dishwasher Meter (Dover 100 amps ' . shall not employ any person in any manner so as to become subject to the ' Workers' Compensation Laws of California. ' Floor Drains' Swimming Pool w/Spa Dryers ❑Gas ❑Electric t .Sub Panel ' Date Signature - NOTICE: If,after making this declaration, you should become Subject to the Floor Sinks Urinal Fan ' Motors 00-1 HP 0114-8 Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be'deemed revoked. . Gas Service Outlets CONSTRUCTION LENDING AGENCYWater Closet - F.A.U. Inc.Solar 09-15 HP 016-15+ I hereby affirm that there is a construction lending agency for the performance Interceptors Water Heater , 'Fixtures of the work for wbieh�i�ezmit Is issued (Section 3097 Civ. C.) p Microwave Lender's Name NN OO Kitchen Sink • Water Service - • - Device Boxes ' Lender's Address - • Pole Light OWNER BUILDER DECLARATION ' - Lavatories - Outlets Range I hereby affirm that I am exempt from the Contractor's,License Law for the ' p-Tra following reason (Section 7031.5 Business and Professional Code: Any city or P - i " Switches Sign 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 - Roof Drains - • Garbage Disposal Standing Sections to file a signed statement that he/she is licensed pursuant to the provisions of ' the Contractor's License Law(Chapter 9 (commencing with Section 7000)of Generator ❑0-5 KW ❑5-15 KW Trash • Division 3 of the Business and Professions Code) or that he/she is exempt - • Compactor , 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 • ' Uenalty of not more than five hundred dollars($500). Reinspection Fee I $25 Issue Fee S 3 I, as-owner of the property or my employees with wages as their sole Reinspection Fee $25 Issue Fee , $ 3 compensation, will do the work, and the structure Is not Intended or offered MECHANICAL FEES - for sale (Section 7044, Business and Professional Code: The Contractor's PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I 0 thereon, and who does such work himself/herself or through his or her own _ Zoning Approved By Date employees, provided that such improvements are not intended or offered for Canopy Type II ❑ sale. If, however, the buildingor Improvement is sold within oneyear of com- Duct-Under Ground d .Application Approved By Date///e �? salt. If, the owner will have the burden of proving he/she did not build or im- prove for the purpose of sale). Duct-Structural • Refrigeration System Application Issued By Date LJ I, as owner of the property, am exclusively contracting with licensed con- ❑0-100,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating SyDpARV OF FEES . .The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration • BUILDING PERMIT $ GO. O <— OSMIP $ 0. J tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT ' O I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBO# PLUMBING $ ISSUANCE $ Date Owner Heating System& Ducting PLAN CHECK ' $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,000 BT GRADING $ Information Is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws relating to building cons action,and hereby authorize repro- PLAN CHECK MICROFILM $ sentativesi of this cit enter u-• /the above-mentioned property for $ inspection e . ses. / J a� MECHANICAL $ 20,Co Signature •ilii' .L Sr - t Date2/r O 3 TOTAL FEE $ Drivers' License or SS# Reinspection Fee $25 Issue Fee $ 3 PLAN CHECK $ CMF 0865-46 rev. 7/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - - 1 . • CONSTRUCTION AND PLANNING - POOL&SPA 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 3, Electrical Conduit.Utility-Undrgrnd.' - 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement • 56. Rough Plumbing& Pressure Test 6. Electrical UFER Grnd.,.7 57. APPROVAL TO COVER-GUNITE 7. Footings - 58. Electrical Conduit-Undrgrnd. 8. Foundation t - - 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water 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'Cap -. 63. Heater & Vent-Final 13. Roof*Drains 64. Plumbing System - Final 14. Rough Plumbing. 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 1q. Rough Wiring Sign 68. APPROVED FOR PLASTERING 11.8. 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 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 1 25. Roof Sheathing 74. Overhead Hydro 26. T-Bai Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: '&7_3,4 j-D o _ ce 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test #I9 2Y 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation ,' 44. ,Landscape Irrigation System • • 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY _ ' No. _ Date