HomeMy WebLinkAbout1037 WESTWARD WAY - Building Permits •
CITY OF COSTA MESA
4�
i., 9 BDILDIN� DIVISION
• • .r ,
., DEVELOPMENT SERVICES DEPARTMENT PE MIT NUMBER
O righ • PERMIT 05-01410
a#
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa..tLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1037 WESTWARD WY Status: ISSUED
Suite: Applied: 08/23/2005
Vicinity: ROOF,UNITS 1037-1045 Issued: 08/23/2005
Primary Occ: R1 Type of Construction: V-N
Parcel Number -9 Er t4E3 Zoning: - .
TPN co 15
Applicant: SELL,RON
Address: 18032 LEMON
Phone: (714)528-1758 ISSUED BY: 'i ,Lr to
YORBA LINDA,CA Zip: 92686
Owner HUNTINGTON WEST.PROPERTIES - .
Address 10381 GOLDEN WEST- ) bill -
)331a • Phone ,
WM,CA s i 03 -- Zip -
Contractor SELL ROOFING COMPANY -
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 BUILTUP ROOF OVER EXISTING BUILT UP ROOF.(REROOF OVER EXISTING SHALL BE APPROVED BY BLDG INSPECTOR-PER
SHA)FOR UNITS,1037-1045,- e�=- z'-,
• baa - FEE SUMMARY
Plan Check: $0.00 Calc Valuation $6,90&00
Permit: • . x$139.25, =Claim Valuation: . --$6,900:00
SMIP Res': -'Prr $069"
SMIP Com $0:00
Other. $0 00: r,
Inspection: ,."$0.00
Total: , . $139.94'
•
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0- - ""
,,,,7;;. 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.,t ,. 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(WOO)
DECLARATIONS
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'h ret 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.
v'My_workers'compennsatlo Insurance and poli number are: /62
C
LC --1 514 14' L. IV Policy Numtier:'-- C Y� 6 _CS—V
(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 California,eydagroe that if hould b ome subject to the workers'compensation provisions of Section 37 of the Lapor Code,I shall forthwith
comply with Ihe-fovlslons. (Z 3 /�4
ArplicenLSignature:- ( �� Date: //(J
WA '
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL MD SHALL SUSIECT AN EMPLOYER TO CRIMINAL PE TIES MD CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOUARE($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 am licensed under prwis'.nes of Chapter 9 commencing with Section 7000)of Division 3 of.the.Bl�ness and Profggsions,Cydo,and my license Is in full
force and,effect.Lic.# 3 z- . T L— / iClass# C� y
(Contractor'sSl gnewre:; i. /.'-_ i ems' /O / —G
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,em 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? 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 ermit for such construction or modification
from the South Coast Air(Duality Management District or from any other air pollution control district or agency? DI Yes 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 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 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 COMPUANCE 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 I: s and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspec'. p •uses.I a ee not occupy or allow occupancy of any building authorized by this permit until final inspection.
Si.nature�gaIO ner w/ Date
CC// c
r-AndTOr'AutfiorizedApplicant )Date � Q
CODE I JNSPECTION TYPE PAIL ltluQ1AL5 CODE! JNSPFCTION TYPE PAIL INTITV16@
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final y i/� e-'1••; 208 Final Plumbing
Z
200 Final Re-Roof - ( IitL 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
•
4
90-4:57\
0- (5 1
. ;�l'lf Sous 4'iuim4 R
1100 Irvine Blvd. #398 Tustin, CA 92780 Phone: (714)832-4419
State Board Contractors License#323842
July 1, 2005
WESTBLUFF HOMEOWNERS ASSOCIATION
Buildings needing new roof system are the Westward Lane 5 from buildings.
Addressesl) 1050-1058 2) 1060-1068 3) 1037.1045 4) 1080.1088 5) 1030-1038 6)1047-1057
GAF ROOF SYSTEM APPLIED — 4 PLY GRAVEL ROOF SYSTEM
GAF Roof System consisting:.
Three(3)layers of GAF 11 pound ply sheets
An A-1 05 granite rock
All plywood will be inspected end replaced AS NEEDED per city requirements ata rate of$50.00 per
sheet(note,these are unforeseen extra charges not included in this bid).
BiY.fj i�PAPRtif OT]OIY ,-.. ..
A-1 grit pant,05 granite will be applied to manufacturer's specifications and city codes.
METAId
Metal flashings,drains,scuppers,air conditioning AC pans,coping metals and Z-bar will be primed with
HENRY'S spray primer.All mastic and granules will to be applied per HENRY'S specifications.
LOW SPOT,
Low spots will be addressed for drainage as necessary.
SCOPE OF WORK
Furnish all labor,materials,equipment and services necessary for completion of all roofing related work as
specified in this bid.
MAINTENANCJ
Three tires annually we will dispose of all debris,trash,leaves, etc on the above buildings,making sure all
drains are clear and draining properly for a charge of$150.00 per building. This cleaning service will be
undertaken and accomplished in conjunction with our contracted maintenance program with your HOA.
PAYMENT DUE ON INTIAL VISIT
WARRANTY
10-YEAR OUARANANTEE against leakage providing there are no penetrations or alterations from other
sources. There will be no other maintenance needed cm these roofs as long as there is annual
cleanings done as mentioned above.
PRODUCTION GUIDELU'&
rime unonng WILL require truce til parking spaces along inc souw wail ur cuuquex row masa sus ani
equipment.
Complete clean up,all debris hauled away on job per day
Obtain necessary permits and inspections per city requirements.
Safety cones,etc.will be visible at all times.
Professional crews on job
TOTAL COST LABOR AND MATERIAL§
$8000.00 PER BUILDING(5 UNITS EACH BUILDING).
ALL 6BUILDINGS 548,000.00 TOTAL—DUE ON COMPLETION
Approximate Start Date 8/8/05 Completion Date 8/29/05
RON MANIOC.,PRESIDENT
BUYER REPRESENTATIVE araltA A ILiT5 /(0 trr.J(—
Msr Vied— ResiLA
08/22/2005 18:25 FAX . ®001.
• WestblufiVillage
Costa Naga,,.California
Cial) RocF Schedules a W- I 40. t01 * , it- , i 4 , 1a-
Mot
1034 u^ NeW foo'OddCanyon Park
1t Oi. \. h I N .A A '•Qf. 1.µi /l
t,., lir mem iriar
R Ria 1011 TM j
tt q�yp �NaV I o ta4m�f c��c..}�}� s�c4ppy,� �q�qpp 0 1911011 OH
t Oa al WO
y � N O OIO O O ! OjQ Ia
0
et IS
IS . INS RR7R!
13 at WS
t y 5 I •
a ilolo olo • •
ASS ■ Costa Pacifica —
mei Development
ccpp
ni4jlebW4 v. 1.- - 0 a •• .
I r•
• wet
• torr ' °:
1063 • 1073 P 1•�er
_ a•
~ 10_85_ 1075 �• R•R�
_ R•
e1 1067 1077 • 4:ti •
1 IR 1069 . 1079 • •
R I R ► • 4 r r r
t •
0 • 1050 1080 1070 • 1080 1090
S s4, 1052 1062 . 1072 1082 1092
. i I 1054_ _1084 f _1074 1084 I _10_94
• 1096 1068 1076 1086 1096
88 1058 101078 1088 _ 1098
•4111•11 Mae 411111111•6
1058 06$
re
Si 941/ UFC7Ston
, A
-a' PROJECT ADDRESS: 1037 WESTWARD LN UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO; 9 06'576
OWNER'S NAME: :4ESTBLUFF HOMEOWNERS
ADDRESS: 7400 CENTER AV PERMIT NO: B 067576 PLAN CHECK NO: N GOVT: N SUPP : N
HUNTINGTON BEACH •
CONSTRUCTION TYPE; 5-N PERMIT TYPE: STR PURPOSE: ALT
ARCHIENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF , REROOF W/TORCH ON BUILT-UP ROOF SQ FT: 7, 300
ADDRESS: UNIT:
CLAIM VALUE: 7, 300 . 00 CALC-VALUE; 7, 300 . 00 GROUP OCC; R-1 /
PERMITTEE: EVERGREEN ROOFING ( 714 ) 529-7427
ADDRESs: 1175 ORANGEWOOD DR COMMENTS: SMOKE DETECTORS REQUIRED PER 91 UBC, REROOF 3800SF-5 UNIT APARTME
BREA CA 92621 ******************** -+c-**************at*+ +E*************rk**ak******r-ac+r*+c***a *******
LICENSED CONTRACTOR DECLARATION: I hereby atlirm that I an,licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITY LIC.: 060741 STATELIC.:679865 C39 EL 11 /94 '
— 'Date.___C=4.3=-1/4.,_6.9.4-_-tSignature:— -o-r" ,,Z_ , MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECRATION: Ihereby aftir hat l have a certificate of cons tto self-insure or a cenilicate of Workers' RNT: FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.Cl. LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
POLICY ND.: EXP.DATE:
, COMPANY: PARKING REQ: PROV: PARCEL: 42203209 ZNE: REF NO:
I: Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES>
>
Date: Applicant:
*******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the per ' r one hundred($1W)or less). DEVELOPMENT SERVICES REQUIREMENTS
I certify that in the performance of the work far which this permit is issued, key not employ any p any manner so as to became
subjectsubjectto the Workers'Compensation Laws of California, i/ /�/ ZONING APPROVED BY DATE:
Date: ��-erm�`� Signature:usy BUILDING APPROVED BY ;r' r
NOTICE:u,after making this ec,aratmn,you should become subject to the Workers'Compensation provisions of the Labor / 'nn` __,"— DATE
Code.you must DING G with such firm that this permit shall beendingdeemed revoked.to / 3-91
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY- DATE: 3*
which this permit is issued(Section 3097,Civ.Q. *********************4****4****************** - *************r**********.****
LENDER: ****************+F*******************************************************3***
ADDREss: ADDRESS INCLUDES - LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:Y
1037-1045 WESTWARD WY
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt troth the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 99 . 00 . 73
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensedSMIP/NON-RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/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(5500). ISSUE FEE
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
TOTALS----> 99 . 73 0 , 0 0 0 . 00 9 9 , 7 3 99 . 73 0 0
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through .
his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED- __ 99 , 73 OVER/SHORT' . 00
orimprovement is of s le). one year of completion,the owner will have the burden of proving he/she did not build or improve •BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
far the purpose of sale).
I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
99 . 00 .. _ , 73
❑ and Professions
Code. The Contractors'State
LicenseLaw does t apply to aowner tfctorsrtywhobcensimprovesthereon
and who contracts for he projects with a contractor(s)
ontraLaidoese pursuant to the Contractors'
ooprope'Stateicense Law).lam aware
*******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL ' F
I , E BREAKDOWN
❑ I am exempt under Section: B.&P.C. i •
tor this reason: TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
Date: Owner: SFR 7300 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 7, 300 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and END OP FEES
25534 and that I or any future building occupant wilVwill not(circle one(need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from 4
these provisions.
Date: Applicant,
t
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all cit •nd county ,
ordinances and state laws relating to building construction and hereby aeth ' presentatives of l '.city to enter upon the.J. mentioned
property Ion pectian purposes. �'//
—Oil: 9/7 Signature: ^`v DATE01 : 06/13/942170 TOT11: 99.73
7
Driver's License or Social Security a:
n t641'46 White-Building:Green-Code Enforcement;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor
I \/
p •
`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. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit•Undrgrnd.
8. Foundation r 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ 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 I 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 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing Ally
/i 1 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding ,, 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: 1I
34. Final Heating & Air Conditioning tri/9 • /1T„_ itczbi--`
35. Final Gas Pipe-Test tL 0 p� C/Pt2
36. Hood or Canopy •J ^ ' 'e _
(p - l`l---�1 zJ - .
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. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co 1 "
51. CERTIFICATE OF OCCUPANCY
No. Date
PROJECT ADDRESS: 1033 WESTWARD LN
oV:!R'S NAME: WESTBLUFF HOMEOWNERS UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06540C
• ADDRESS; 7400 CENTER AV PERMIT NO: B 065400 PLAN CHECK NO: N GOVT: N SUPP: N
HUNTINGTON BEACH
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: OTH
ARCHIENGINEER: REG.ND.: JOB DESCRIPTION : T/OFF RESHT,REROOF W/TORCH ON ROOF SQ FT: 2,050
ADDRESS: UNIT:
CLAIM VALUE; 2, 050 , 00 CALC—VALUE: 2,050, 00 GROUP OCC: R-3 /M-1
PERMITTEE; EVERGREEN ROOFING ( 714 ) 529-7427
RoofleSs: 1175 ORANGEWOOD DR ' COMMENTS : SMOKE DETECTORS ARE REQUIRED AS PER 1991 U.B.C.
BREA CA 92621 ****+r+FTr+P*+ +H*+P«*+r********+r*******Ar***************x****;,E**********+r+r*************
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQU I R EMENTS
7000)of Division 3 of the Business and Professions Code,and my licensis in full force a d effect. SETBACKS
CIT/ 053490 STATE LIc.:615531 LASS; C39
/. /Z'� 3 signature: -cam_ MAIN BUILDING ACCESSORY BUILDING
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
A • :'KERS'COMPENSATION DECLARATION: I hereby affirm that I have a cenilica a of consent to set sure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
Compensation Insurance,or a certified copy thereof(Section 3800.Lab.CI.
?OLICYNO.: EXP.DATE:Certified
PARKING REQ: PROV: PARCEL: 93523058 ZNE: REF NO:
co
1] Certified copy is hereby furnished. ❑ CertifiedPLANNING NOTES>
copy is filed with the city Building Division. -
> .4
*********************************************************************.**********
Date: __ Applicant ,
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if t ermit is for one hundred(5100)or less). D E V E` L O P M E N T S E R V I C E S R E Q U -I R E M E N T S
I certify that in the performance of the work for which this permit i iss hall not employ person in any manner so as to become ' `•w
subject to the Workers'Compensation Laws of California. NTNG APPROVED BY DATE
Z-240—SS
signature: BUILDING APPROVED BY : DATE:
///• i TICE:II,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. I 'T
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE: L" �J
which this permit is issued(Section 3097.Civ.Cl.
*********************************** * ************************** * **
LENDER: ********************************************************************11**********
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/RES/ GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 54 . 00 , 50
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SKIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by 7
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500). ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID ' . DUE
I. as owner of the property or my employees with wages as their sole compensation. will do the work, and the
TOTALS----> 54 . 50 0 . 00 0 ,00 54 . 50 54 . 50 .00
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'Stale License Law
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through -
his or her own employees.provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED; 54 . 50 OVER/SHORT: A • 00
• for fheepurpl is of
within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
for the ipumprovement
s ofd t.
I,as owner eI the property,am exclusively contracting with licensed contractors Io construct the project(Section 7044,Business 54 . 00 , 5 U
❑ and Professions Code: The Contractors'slate License Law does not apply to an owner of properly who builds or improves thereon
and who contracts for such projects with a conlractorls)license pursuant to the Contractors'State License Law). I am aware *******************************************************************************
that proof of their Workers Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN i
❑ I am exempt under Section: B.&P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST 'TOTAL COST
Date: Owner SMOKE DETEOvTOR BY VALUE RESIDENTIAL NOZONE 1 . 00 •
2, 050 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a Ft E(^lVlU 1`1 RE' ,'
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from I l
these provisions. .. '
Dale:__ Applicant: 01 00152569-00152570 TOT `4.50
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county DATE: 12/20/93 TIME: i3:33 ('�
Sidi .. es and state laws relating to building construction and here. out..' • .•resentati Sof this ci o enter upon the above-mentioned S.
•or • inspection purposes.
/2 20 01 00152562-00152564 TL— '�` 104.50
Date: —/ Signature: DATE: 12/20/?3 TIME: •4:2
k .er's License or Social Security a:
t641-46 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor
CONSTRUCTION AND PLANNING ' P(._< & SPA I
!,APPROVALS Permit�r ' Date Inspector APPROVALS Permit ;= Date Inspector
1. Temporary Electrical Sersjce or Pole 52. Pool & Equipment Location
'2. Soil Pipe-Undr9rnd - • 53. Steel Reinforcement
-i..
ectrical Condruttth ility Jndrgrnd. 54. Forms I
t. Electrical Conth
roJlt-Ucdrgrnd. 55 Electrical Bord.ng
--_,
__ yitee, Reinforc_;r-ant 56. Rough i-'un.b;rg & Pressure Test
• `(-:1 ,.ctr•cal UFEF 3rnd -, 57. APPROVAL TO COVE R.GUN•TE c
^ ,. otings C3 '..' 58. Electrical Conduit-Undryrnd. ;o
••r-r-------an
-�Lo$.• >Pioundation 59. Gas Pipe, 0 Undrgrnd , Test J
'S:9. Water Pipe-Unirugrnd. 60. Backwash Lines, P"ra P, :: Undrg"id 1
n1 . Structural Floor System 61. APPROVAL TO JECK i
11. Property Sewer Life & W-use Connection I 62. Back.:a;h & Reee,.to- F.,.r! _ _-_`__
12. Sewer Cap -" 63. Heater & Vent-Fina! 1 1
13. Roof Drains 64. Plumbing System - Final
I
14. Rough Plumbing •-' • 65. Electrical-Final
1 - --
15. Rough Electri al-Conduit 66. Solar System-Fin;'
16. Rough ElectriCWiring 67. Fencing & Access AJProva' -- --T-
17. Rough\'airingbign 68. APPROVED FOR PLASTERING I
18. Rough Electr&btT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL I
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
S --: .__-• .-. ^* :J .-.-. .. t t a-.1..a.-4--:, .J' - _ ..,. ,* c
201Ca
RuDgh actiby "ep!ace i 7:M a"1 J ^* 4 APPROVFC'SDG Pu;mit - * r+ `-�
--�C`f -1_ 7,4 • Srn d:• f S . -F ti 4., �"J.i F-. }' C' _I.
2 D s, 5:- cty d t .. .. ,-.S r p ^: 70. Mndertr:Cm. Fitt'a «
22.Duats; ri ,.3ent�fatir-t ; aS * •_ { `1 et f =a 71. •Proou�'t,Ft'!injr as Oil
2P;GaPi -Roo h& test p t^ v. e1 1 y.i y r F. .. yqd t t-
-r R-- 9 * L... v D; e^ ry CJ:' "' :b 72. Underground FA.,..ton..; r f-. _, *,
24=i Ruff fi-amisg _' I ='F 7-. 0' J t/ �*ri - 4. 7� Undergrr .Storijr;>,-enktL]Gas ::ell `�x"
25. Ralf Sbhathing','r •'�-3.1/-g7:6wa- t 74R-Qverl-ead H•;ur,),'�0 - j,,
. , . ._ �i...�. �-, --4-- --
26 T-Fier Ceiling ;Stn ;torah F?.Verrocoat . mi 'D :• 7Ir * 1 71�,�• Dry Che_.ca, '7 T
i-•.7 _-
27:Fame and �asit-i}i J= .r. '
:� r- >,*f 7tr,s ir~ toy 7ti�i rV Star ;j a F� K y ..i
t 5 r 1-4-1:7e1
�nt i s u• r Jam+ F� '. _,__�d'7-9_-�"? .' --- -
128. La3PinQ& Srdin3.Y' c- tx w * a •• ••* r 77Y FIXED 81111,7 MSc INAQ I
"29. Insulation t* S ;, 1 Et I 1r et
* 7tt�• FIRE PREY. FI,NyL * L> • :•1 !
rs * v v-e - --•
•.30. Drywatt:Naitingal..- 1 It r In i'dEALTtr1DEPY..REGUIR£MENT
-.31. Piaster drown C _c �.r. I I r . 79? FINAL I ; ECTRN `r _i - - I
•
4. tr,A i L,f I ' t•iL r.�-�-r-r, T- 4-
- 32r EiectritRl Pcfve b;xt.r-F.na1 • * " tt r 7118Qr, FOOD CERTIFAZ-ATE 1SSJED I
' 33•Fi t�i .l EG.ctr. •-•;;f, '1 , .r ,r Fc : Ntffes: 'Ti ^'n * ,y '1 •� -n
3�•Fir l it F�atic`-j &:{?,ix C•gnditionirtg r, 1 . 114# * c - ,-,•1-; r
I
' 30T1Fiaal Gas Piye•Tes't _
ie --,0 r • • i Cr 3 - rr
C - - - -
I r.- ^.T .. s » - 1. '7 ;CC C',-. c i- "
0136'Hoed ({rjCanOP! m c * : I I_ * F. '.•
C:*•
37:+Fis3I FAtory Fi 'ut : .7.- r..• a ,• 1 • . .I.• n r 'u
a , .. .. ori * r: I ',- -r `i -- . * ----
,y38. Findl Plumbing_.y -; .V r �. 1 : r r * co J 11
i G :> - 4 ... . =• _p`-- • i
S
-39. Water Service-Fibut ^' •r 1 -r R ; . t i 0
40. Gas ServjceT Inal - n I r. .; ,to * ' 1
i -�}t,_._ .4,-----;--,..- -- C, 1
Ed
.Z41.
Solar Domstic- naL- •• * a, tr r rr 70 rt
-i .a nt p
42%;-"Backflow Prevenjei 1- n,. ;:• J 1 Ir* ie �' moi. • * r, e--• --- •
--"-^r _ . r - M :r 4k1-' `F _-
43. Backflow Irtgation - SS * + =.i_. t
�
_ - u r r
X44. Landsctape tarigati0n Syste m rr, a . 1 ti, :+! t th rya t4 'SCJ + > CO '_
C; _ -, ---.a .0 7,:., ti •l`"--tT�T F,-i- S - ---
tat45JSound Attebuation 1,-4M I- >, s, F Fr r t' - •-.a - r
,-, •s m Tr] n -' ,--' C rt S • t...t.. * - -- - 4
l`46'Handickla RQgulat.Ans E D * T' .. .. . . - �c .- .
47•.;FI AL STFUCTURE & BJILDINC ',Z9 RI h l'
N
/fir -. 1 454.-....,,g,. acrrrs�
4CFI6t4L PLANNING •-•rtn ; CJ I I, , ;J n v * -I
,49.,'Electric Release tcAEdisonI (- :.
u50_Gas Release to So{thern Caljf�nia Gas Co * 1 I 1; • F. F-. r; s O ` -,
051. ,CERTIFICATE Ott OCCUPANCY "A - NC ��-'. -
No. Date