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1046 WESTWARD WAY - Building Permits
ADDRESSOFBMLDINO: 1042 WESTWARD WY WIT: CITY OF COSTA MESA - BUILDING PERMIT C!Mn'B EtFIOIOarN: WESTBLUFF HOMEOWNERS ASSO PERM NO: B 071693 • ADD I RESS: 1042 WESTWARD WY COSTA MESA, CA O qir/ /05- PERMIT NO: B 071693 PLAN CHECK NO: • N GOVT: N SUPP: N ADPL.SWUNG ADDRESS CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE; OTH AxtdITTECT OR ENGINEER: WC NO:. JOB DESCRIPTION : T/OFF ,REROOF W/TORCH-ON BUILT-UP ROOF - SQ FT: 5 ,600 mot OR ENCS ADDRESS: WIT: �— CLAIM VALUE: 5LC=VALU %0 , 600 . 00 C 5, 600 .00 GROUP OCC: R-1 / NRtACTOI mrSNAtE EVERGREEN ROOFING - ( 714 ) 529-7427 / � 'u / mNR1AC10RSMNum 1175 ORANGEWOOD DR COMMENTS: ADDRESS INCLUDES 042-10481AESTWARb, REROOF 2500SF-4 UNIT APARTME A90BESs BREA CA uCw.: 679865 ************************** * **********,,***************/Eif**.BE*,..***t*ttt***** 92621 WIT: Z ON ING REQUIREMENTS t.:.-•`: " !'' E y ( ; alt!e)ri LICENSED CONTRACTORS DECLARATION:I baby Beim under peely of perjury that I am!sued •.. provisions a/Choler 9 SETBACKS (commencing with Senior,7DDD)d Di.6ion 3 d the Business and Professions Code,and my fens'-' d ...and effect. CtnLIC.NO.:060741 WC.CLASS: C39 WC.NO.: w • 865 XP: 11 /95 _ MAIN BUILDING - ACCESSORY BUILDING ' ---.) "'�\ ,i FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN Daae. 3-3O 7C-- corn.. Z I LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN 1 / ; OWNER BUILDER DECLARATION:I hereby affirm under penely of perjury that I am exempt from the ContMpn License Law for the • following mason(Section 7031.5 Daiwa.end Professions Code:Any city a county which requires s permit a coatrud•akar.knpr°.e, PARKING REQ: PROV: PARCEL: 93523039 Z NE: REF NO: (*mash,or repair any structure.prior to its isunce,also requires the epplimnl for such per's to Se a signed statement that he or she is licensed pursuant to the provision d the Contra dors License Law(Chapter 9(commencing with Section 7000)of Qvslon 3 d the PLANNING NOTES> goeinoss and Ptdessuns Cadel or that he or she is exempt therefrom end the base for the alleged exemption.My vdeton of Section • > 7031.5rIWs th by any appticenl for a ane sL ade applicant to a civil penally d not more than fee hundred dollars 115000. lit OOD. *if*************3**********3************ ******3f**********#3***3********if***3**** I: or offees red i«stallee(S�ectioomn y 7oaiemployees wand PmeaSOnnsas!wade The Csole ontractors license Law dims rot atpplplyloan astructure n o/property 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 who builds a improves thereon,and who does such work limed or herself or or or through hisher own employees.provided that such inpmmris er reee nd'Mendedimded or offered for sale.P.however,the buiding orina...mor i*cid within one yes of completion,the ZONING APPROVED BYDATE: owner udder wig haveburden d the parkg he or she did act build or improve for pa the paee d sale). _ . -_ I.a owner of the property.em exclusively contracting with tensed contractors to mrstud the poked(Section 7044,Business and professions Code:The Contadoa License Lawdoes nor woe a an owner dpvpsey who buAde or insides thereon end BUILDING APPROVED BY : DATE: contracts for such propos with a contradoris)licensed pumas to the Contractors License Law). d Iaesemptunder Sedoan: B.AP.C,.ftireason: APPLICATION ISSUED BY: DATE: par3121 (k m ***,fifef*itifiE***********iFififiFif****iFiFifi ******ifif#*if i *****ififif****3*****3***4*4*****if3*M Die LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y I&hereby artily that I am aware et and understand the requirements d Cellornia Health end Safety Code Sections 25,505.95539.and 25634,end that I or any More Wilding occupant wdl/mil not(ode one)need to comply with said sate codes and the requirements for construction for theme BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING •• prpvir«e. PERMIT 81 . 00 . 56 Dale: Appo.nt: SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby athmcs parInnen).d psjuone d fo y othe fowirg deWCon.: PLAN ISSUE FEE 0 Ihave and tmaintanaanifrtedmsstosMwittirefor orker'cmpenWopari n,asdedforbySeon3703oftheLabor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code,f«maperformance ddewakfa":hk°°amkissued. mTOTALS----> 81 . 56 0. 00 0 . 00 81 . 56 81 . 56 . 00 ❑ I have and will maintain workers'mmpeneson insurance.as required by Section 370n of the Labor Code,for the performance d the work to which this permit is issued.My woken'compensation insurance canter and pricym number are: Carder: REVENUE DIVISION TOTALS--> COLLECTED: 81 . 56 OVER/SHORT: . 00 Pdicy Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This Naion need not be compered I the permit is for one hundred dollars/1100/or Nsss.) 81 . 00 . 56 ❑ t certify that in the performance d the work for which this;emit is emoted,'shall .. . in any manner so as to become subjed lo the workers'compensation laws of Caroni&and eg ' I . . : .... . erbjedtothewedwe' *********************if***********************************if**if***if*******if****** compensation7]pmmsons of Section 3700 d the Laker Cob,I shall fathwe a.,. . . . I:. .. I N D I V I D U A L F E E B R E A K D O W N Dale. 3 3° ' !ps App a o: 'Pt./ Wf/fnesFup tonne hundred ttho��nddddlars otOgoom,3,a�dn to and ostlof cop�arbl, ae provided form TYPE QTY D E S C R I P T I O .N UNIT COST TOTAL COST Section 37veof dm Labor Cods,Interne,endow Ya "` SFR 5600 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 5, 600 . 00 • CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of peilry that there is a conarudicn lending agency for the END OF FEES pe.t ma rte of the work for which this permit is issued(Section 3W7,Civ.C). LENDER'S NAME: LENDER'S ADDRESS: I oar*that I have read this appliWan and state that the above kesmation is coned.I gree to comply with M cats aid meet'oNkw'tee ed stele laws relating tobuidng m a,tct n and hereby nut-ciao rapresentanm d this myto enter upon to.boa-matured popery 17 P E ,_ for mason• rposes. ♦ A // c - 7 & ( � J / �/ J Pi" pts lint • •_ � �l 0- r�__--n.-- :;7 5 TOT b_ 56 (v -s-a • Da: . - RV - /V CA i';'. : . Ti.r.... %•!• . . "J1 --L, ,-- Signature :nuappianta:«nrm« '' t • ......a Wel Whew-Brririnn A Sian, floe rFle:Cawv-Anolant:Pink-Rennie:Goldenrod-Assessor COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely— Use Ink Only APPLICATION FOR STRUCTURAL PERMIT �0tidal � RECEIVED BY DATE RECEIVED DATE ISSUED BUILDING ADDRESSPERMIT NO. OWNER " Ar - /1 �7 BUILDINGMAIL / ADDRESS 2Q- Q It. ( JCI' ADDRESS (�{,/& .. f� 4 CITY 0.- 4 , ,,TEv. 4_ Z TRACT PR5 I/,_ SOCK LONSTRUCTION / NEW ADD ALTER REPAIR MOVG OD'FMOLISH LENDER '941....t2.-- BRANCH �y/�Y..G— �Jl/ X . BRANCH (� � t OWNER 1 -- /p�r1/'1[,,,,ct 1 0' I - _ ADDRESS /'zt} / .e VAL E OR ENGINEER A �� � .__ E e Is ARCHITECTT�, 4 —7 S_ .i1 .• / FIRE ��t//� ADDRESS2�¢1 '[/ ons - ZONE TYPEi �i• GAO Upr APPROVED CONTRACTOR anise/\ BY DATE I,//Y ��J ADDRESS ��y�E �t NO.OF USE OF Nefleil j(J al/ TEL. K / �.{/ (PLANS�/ BUILDING �Q CITY NO. e� vl /T jJQ'�� F STATE / CITY YARDS APPROVED YARDS OVER (/ gLIC. NO26Rlis LIC.NO. MAIN BUILDING ACCESSO BUILDING SU SIZE ^ NO.OF BLDGS. S © (FROM C//y S.T T OF LOT �KL NOW ON LOT OM i /U FT. Q USE OF EXISTING BLDG. R.SIr1F ed. FT. co FSeparate permits are required for L.SIDE QT. FT. electric,plumbing and heating work. W REAR oar FT. r-. USE OF BUIL NG AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& ' <Q / MAIN BLDGS. ACCESS. BLDGS. / 0DATE C VAURP,.• #16 APPROVER6 /7---7 > � / , APPROVEDau SATE ' ' w — HUII) MR CpFC1A1 RFCMJIRFMFNTS o I hereby acknowledge that I have read this application and state to N $d 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 er� s S.' the State of California. 13, SO. FT. y /..Qr(. N 30. do I hereby certify that I am properly licensed as a contractor under �/f the State of California Business and Professions Code, Division 3, TH AMOUNT SHOWN UNDER VALUATION IS FOR ro Chapter 9, and that such licenses are in full force end effect,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 $ xt and Professions C Division 3,Che t r 9. th PLAN CHECK $ n Signature of o Permittee $ A TAX $ 2 u Authorized Agent TOTAL PAID $