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HomeMy WebLinkAbout1032 WESTWARD WAY - Building Permits Y7L`�'7 ..%) CITY OF COSTA MEA 04" BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 1. 1 www+• I PERMIT BO5-01503 41tbiThoRMED est (714)754-5273 • Fax(714)754-4856 • www.cl.c-:.(t+ a= a.cE1G P!MIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1032 WESTWARD WY I�1 Status: ISSUED Suite: Applied: 09/06/2005 Vicinity: UNITS 1032-1038 Issued: 09/06/2005 Primary Occ: R Type of Construction: V-N Parcel Number: TPN99015 Zoning: Applicant: • ddressRON SELL �1 1� Address: 18032 LEMON (�r�/�// Phone: (714)528-1758 ISSUED BY: YORBA LINDA,CA Zip: 92686 Owner: WESTBLUFF VILLAGE HOA Address MIKE BERRY Phone: IR��''''1., ) 1024 SEA BLUFF DR Zip: 92626 EL Contractor: SELL ROOFING COMPANY DATE-5-11/04-*7 Address: 18032 LEMON Phone: (714)528-1758 YORBA LINDA,CA Zip: 92686 - License: 323842 Arch : Eng: Address: Address: " Phone: - -- Phone: Zip: License: License: SCOPE OF PERMIT INSTALL 4 PLY BUILT UP ROOF OVER EXISTING BUILT UP ROOF.(REROOF OVER EXISTING SHALL BE APPROVED BY BLDG INSPECTOR-PER SHA)FOR UNITS 1032-1038 WESTWARD WY. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $6,900.00 Permit: $139.25 Claim Valuation: $6,900.00 SMIP Res: $0.69 SMIP Corn: $0.00 Other: $0.00 • Inspection: $0.00 Total: $139.94 • PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 ' " Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right, 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 • • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21.92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned Mr a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and fInal approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(WOO) DECLARATIONS c2 WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will mai tain workers'compensation ins ce,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued. My workers'co nsura carrier and icy number are: 7•0�G S-5—,6 Carrier: ..,r� this ,r,�.1-, N Policy Number: (This section need not be completed if the permit is vs ed et crie hundred dollets'($f 00)dr less.)yt ' - ❑ I certify that in the performance of the work for which this permit is Issued; ishall not employany persominariy{manner so as to become subject to the workers' compensation laws of California,a ree that if I ould subject"l'o the wd9rs'compensation,pr6vislons of Section 370 of the abor Code,I shall forthwith comply with these provisions. ° '" 4744' J 4 Applicant Signature: A` Date: 6 or WARNING:FAILURE TO SECURE WO RS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE TIES D CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 31060E THE TABOR CODE,INTEREST.AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisig1s of :• : • • mencing with Section 7000)of Division 3 of the Business and Pro slons and my license is in full force and effect.LIG.ft / / - Class q Contractor's Signature: _ FV Date: -7 a .� 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 sheis 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 fora 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 em 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 Masa 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 apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Li 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 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). ....t..Management ....n.. t i.t. of 7 a permit fromv the South Coast Air Duality cri ed bygement aiHeal or dhSr et pollution ioncontrol district3 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? 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 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 : - . ' laws ands ity ordinances relating to building construction,and authorize representatives of thecity of C to Mesa to enter upon the above-described property for •:c'in purpose-.I a 2.St to occupy or allow occupancy of any building authorized by this perm' unt' inal in ion Co 0 S':. = re Of Legal mer( ^D /� And/Or Authodzerd Pilton ``j/ at CODE t INSPECTIONTYPE gAg BMW LODF! INSPECTION TYPE PATE MBA 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 Demolition 250 Final Building/Occupancy yl GC:t'•� 1 0 3s cF� �n-7h�r PAID 41 n'` ?:,:959.dx1 t COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT I For Applicant to Fill in Completely— Use Ink 0 RECEIVED BY DATE RECEIVED DATE ISSUED e BUILDING h 1-}I- .r ADDRESS //Z-La+"!d + C /Q' PjtM .1 OWNER A- -AdCr`�e.„.:,BF v C !7 A.P.NO. PCia.°�s�Gt MAIL 1,�, //1 BUILDING n T��U/'nto ADDRESS 24� yv , C...[, 4 //{4 ADDRESS it/ y-�j-g 'it/Ay A/14: ' T TRACT LOT BLOCK CITY N ��- NO�L ,, _, CONSTR/RU�� ON EW ADD ALTER REPAIR MOVING DFMOI ISH LENDER BRANCH /.^.•f'�� (/s���(�.. �s OWNER ! Y"ni v'_ f bi sol ADDRESS L�}/ A_ - -/ — ��y.� ARCHITECT /r ` /� TEL. USE ! (.�Y�LI.LTrJ �Krl scV- - l�-S DR ENGINEER �.- S1114 NO '}Qt, ADDRESS rC� //r S �12, , ZONE TYPE FIRE l GROUP APPROVED CONTRACTOR &wn ea-- BY DATE ADDRESS ZONE INO.OF USE OF NEW TEL. pLA� BUILDING CITY �s-a� NO. F STATE) f/ X `23 CITY YARDS APPROVED YARDS APPROVED 41 C. NO. A v LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZENO.OF SLOGS. (FROM C/L STREET) O. OF LOT ..5-14.c_ _ I NOW ON LOT FRONT FT. FT. Q USE OF cn EXISTING BLDG. R.SIDE FT, FT, CO FSeparate permits are required for L.SIDE FT. FT. electric,plumbing and heating work. tiREAR FT. FT. I.. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& QQ MAIN BLDGS. ACCESS. BLOCS. VAR.# DATE ', ��O�m45 C.U.P.# APPROVED 7 APPROVED -J BY DAJE CX �=// oT'S�3a� y' eC. D. I hereby acknowledge that I have road this application and state z, G"a� 1= n 1i �'.T y3o Flu(/ r& cc that the above Information Is correct and agree to comply with a al• all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of m I+.1 the State of California. J(/ �I'' /� ,,., I hereby certify that I am properly licensed as a contractor under ‘CO' V•+ D SO. FT.'S/ '��lf•(J ��(� ry cNi the State of California Business and Professlo a Code, Division 3. THE AMOUNT SHOWN UNDER VALUATION IS FOR m • Chapter 9, and that such lic:nses are in full orce and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: — h fe am exempt from the provi ons of e at: v of California Business to s/_ and Professions Co•e, ylv lo• 3, •'ap-r •. / VALUATION PERMIT FEE S -v Signature of / i I sat S /i,sr; r n TA PLAN CHECK $2/!A• � U Permittee dJ V Tt/ Authorized Agent TOTAL PAID S 25,E 9/ 1- D1 411 "J! 3, 77*nr.t X01324 LI** 36225 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely— Use Ink Only A �J f/G- RECEIVED BY DATE RECEIVED DATE ISSUED BALID IDRDESS/13 , .PJYe vn 'o* PERMIT NO. OWNER .1/ t../. / `e, L D A.P. NO. MAIL BUILDIN..y Q79,6%. 4 gemb , ADDRESS ADDR-+� !I, Vie '(, TEL. CITY NO. TRACT LOT BLOCK CONSTRUCTION NEW ADD I ALTER I RFPAIR I MOVING OFMQI LSH LENDER /r\X// BRANCH et _ a/ O OWNER ADDRESS ,� ,.,, / t , VALUE ARCHITECT TEL. USE t /s4. cam. S OR ENGINEER NO FIRE ADDRESS ZONE TYPE GROUP APPROVED CONTRACTOR BY DATE ADDRESS ZONE IND.OF USE OF NEW TEL. PLANS BUILDING CITY NO. .F. STATE CITY YARDS APPROVED YARDS APPROVED LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING su SIZE I NO.OF BLOCS. (FROM C/L STREET) O. OF LOT I NOW ON LOT FRONT FT. FT. Q USE OF i EXISTING BLDG. R.SIDE FT. FT. co F Separate permits are required for L.SIDE FT. FT. electric,plumbing and heating work. ❑ REAR FT. FT. LW USE OF BUILDING AND WORK TO BE PERFORMED F DISTANCEBET. BET.MAIN& Q❑ _MAINAINSLOGS. ACCESS.BLOCS. a VAR.+ DATE C.U.P.# APPROVED APPROVED } —HY DATE fY IQd O I hereby acknowledge that I have read this application and state tn cC that the above Information Is correct and agree to comply with m 0t all laws regulating building construction, and I shall not employ i Z arty person in violation of the workman's compensation laws of o Ly„ the State of California. - I hereby certify that I am properly licensed as a contractor under SQ. FT, co the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are In full force and affect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e am exempt from the provisions of the State of California Business VALUATION PERMIT FEE S ��� S and Professions Code,Division 3,Chapter 9. rn / n PLAN CHECK 6 n Signature of -/S/ 0 Permittee $ ��`.3LL TAX S. u. Authorized Agent TOTAL PAID $,.....3f/..) 2.' Yf COSTA MESA BUILDING-SAETY DEPARTMENT P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely —Use I k Only RECEIVED BY DATE RECEIVED DATE ISSUED ADDRESSBUILDING •/7/ //�Ltl / J jtil A , p - .' ot 0 iO3, PERMIT NO. OWNED Air . MAIL �"� / BUILDING ADDRESS 2-v/Q -ry, .. 24!s/�s� ADDRESSIQ� .IJL��' ^� ��(/ CITY ��� NOyTEL.s Y'S �`I��2• TRACT /'-LOj O /, CK CONSTRUCTION NEW- ADD ALTER REPAIR MO-91i/ DF OI LSH LENDEROSa..-� X BRANCH a ADDRESS /'J, .,g.- 2.� /'/�1 s /,(, ARCHITECT ,/� TEL. ''/l �77 US •-._ eL/ VALUE OR ENGINEER .Lf . NO '4z-1,r� FIRE ADDRESS n p �� _,� �/ IZONE TY/ GROUP APPROVED CONTRACTOR Oil te,1 BY DATE ADDRESSTE / NO.OF / E OF NEWJ�p CITY NO. '�(i�P � ILDING L/�1'�� y STATE CITY YARDS APPROVED YARDS APPRO'a�f LIC.NO. Z 1 gOp .; :_IC.NO. MAIN BUILDING / ACCESSORY Bei DING LU SIZE NO.OF BLOCS. (FROM C/l GR, .�) I 0.. OF LOY -r AC I NOW ON LOT © FRONT _Y FT. G USE OF co EXISTING BLDG. 9,SIDE T. FT, un /a � � ' F Separate permits are required for L.SIDE F 4 FT, electric,plumbing and heating work.Ci REAR 15,27FT FT. W USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& C g MAIN BLDGS. ACCESS.BLDGS. ATE 7 /b. �{'A VAR..- ` / APPR qJ X. 4 (� d(/`i�VK' C.U.P, -L �L./3 APPROVED/-/ /� APPROVE n 17_J7u—f)'ATE I�2I )- -a f� ►O� OR'\SPECIAL REQUIRES O I hereby acknowledge that I have read this application and state n x, that the above Information Is correct and agree to comply with m O. all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of }l m ,W1" the State of California. H719 ' 1/36 _Ad fr m I hereby certify that I am properly licensed as a contractor under SO. FT. Wl/1 70 tv the State of California Business and Professions Code, Division 3, T E AMOUNT SHOWN UNDER VALUATION IS FOR u Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: to am exempt from the provisions of the State of California Business VALUATION a and Professions Code,Division 3 Chapter 9. PERMIT FEE $ n 1 PLAN CHECK $ fl Signature of _ o Permittee _ - $ TAX $ U. . 2 U Authorized Agent ,. TOTAL PAID $