HomeMy WebLinkAbout1048 WESTWARD WAY - Building Permits AD0RESSOpsMtOWO: 1042 WESTWARD WY aST: CITY OF COSTA MESA — BUILDING PERMIT
mipmri Elagaoym: WESTBLUFF HOMEOWNERS ASSO - PERM NO: B 071693
A000es5: 1042 WESTWARD WY
COSTA MESA, CA gqi.liOS PERMIT NO: B 071693 PLAN CHECK NO: N GOVT: N SUPP: N
Apel.MAILING ADDRESS: CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: OTH .
• 1
ARCHITECT OR ENGINEER: LICNO.: JOB DESCRIPTION : T/OFF ,REROOF W/TORCH—ON BUILT—UP ROOF - SQ FT: 5,600
mot OR ENG.'S ADDRESS: DNF �—
CLAIM VALUE: 5, 600 . 00 CALC=VALU %� 5, 600 .00 GROUP OCC: R-1 /
CONWACTarsNM& EVERGREEN ROOFING - ( 714 ) 529—7427
1 �u /
calmACTowssAILIla 1175 ORANGEWOOD DR COMMENTS: ADDRESS INCLUDES 0_42-1048')*ZgTWARb, REROOF 2500SF-4 UNIT APARTME
AIwREu: BREA CA ticma, 679865 ************************** ** it********;'E***rE*************fl*,***•Mtpf.*t * ***+E* •
92621 um: ZONING REQUIREMENTS k.: :•L', )' i .-t '7 1 -<
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury Mal am livened •. preteens of Chapter D SETBACKS `
(commencing with Section 7000)of Division 3 d the Business and Professions Code,and my Eoenae'.:' No force and effect.
CITY LIC.NO.:060741 LC.CLASS: C39 uc.NO.: •865 XP: 11 /95 - MAIN BUILDING ACCESSORY BUILDING•" k...
... 3-35
Done: 3-.35 om0aa«: ��-✓ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
/ LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:1 hereby affirm under penaly of perjury that I em exempt from the Conned=License taw for the
•
•
following reason(Section 7031.5 Bushes,and Professions Code:Andy o carry which requires a permb to construct,alter.improve, PARKING REQ• PROV: PARCEL: 93523039 ZNE: REF NO:
' 'wnolsh,or repair any structure,prior to its issuance.also requires the applicant for such panful to fib a signed statement that he or she
licensed pursuant to the provision of the Contemn License Law IChager 9(wmmmdrq with Semon 7000)of Division 3 Saw PLANNING NOTES> .
Business and Professions Code)or they he of she is exempt therefrom and the basis for the alleged exemption.Any Mallon of Seaon • >
7131.5 by any applicant fore perme nbpds the applicant to a civil penalty of not mote than fee hundred dollen($500)). ******************************************************************************* •
O I.as ownsr ofthe PropenY o my employees with wages as this sob compensation.will do the work,and the smclure is not Mended
or altered for sale(Section 7044.Buamesaand Professions Code:The Contractors License Law does not appytoan Omer Or property D E V E -L O P M E N T SERVICES REQUIREMENTS •
who buids or improves thereon.and who does such work himself or herself or through his or her own employees,provided'hal such
impnoememsere ren imarded a dleted t«wale.E,howlis,the building«inawemem is mk withnaeyear d oandeton.the ZONING APPROVED BY . DATE: •
owner-builder will have the burden of prig he or she did not build or improve ler the purpose d We). -
•
•
0 I,as owner of the property,am exduseey contracting with leased contractors No construe the project(Section 7044,Business aid .
Professions Code:The Contractors License Law does not apply to an owner d properly who builds or improves thereon and who BUILDING APP ROVED B Y : DATE:
contracts for such projects with a contactor(s)licensed pursuant to the Contractors License Law). I
O Iemexempt under Section: B.aP.C.,falhiereason: APPLICATION ISSUED BY: DATE: 3130 (�0
***************************Hi********MM**MMM** **MM**M*******MM*****MMM***MMMM*M .
Dora LEGALIZATION:N F E E SUMMARY - STRUCTURAL SEGMENT:Y
i do hereby ceniy that I am aware of end understand the requirements of California Health end Safety Code sewers re 505.25c11,and
25534.and that I or any future building snows willI mil not(circle one)need to comply with said sate codes and the� rn
uiree to ler
' apermitfom
ona,amodification iy enagww
rfDistria.ria«knuialonmnibn
dappwatkwexempt t
applications BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
' fwovreone. PERMIT 81 .00 . 56
Dale: Applkara: S M I P/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby am oder pmaly d Wiwi, d the blowing dednaiore: PLAN
ffir
ISILE FEE
El I Code,
endwilerormac ofiMewor consenttothis permit
ler issued. compensation,es provided for by Session 3700 of the Leber BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
sed..fathe peromeoeduroworkfawHchthlepemMleeeued. TOTALS----> 81 . 56 0 .00 0 .00 81 . 56 81 .56 . 00
oI have and will maintain workers'cprnpensaton Surance,as required by Section 3700 of the Labor Cede. Performance the performwe d the
work for which this permit s issued.My workers'compensation insurance carver and policy number are: •
Carder: REVENUE DIVISION TOTALS--> COLLECTED: 81 . 56 OVER/SHORT: . 00
Polley Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
` (Tis section need nor ire completed A do wrest is for one hundred dollars IS WO or less) 81 . 00 . 56
OI celty Na in the performance of the work for with this permit S owed,I shall •• •• is any manner so as to
become eubjed to the Bakers'compensation laws d California. end ag I - subject to the anthem' ******************************************************************MM*********** .
compensation provisions d the Lebon Code.I shall fns Radice 3700 mhwl eth • . I N D I V I D U A L F E E BREAKDOWN
..--, Dona: 3 30 '�I.S Applicant: 'civ /.,•`.. <
Warning:Failure to secure workers'Compensation coverage la unlawful,and shall neNat in employer to criminal penalties and TYPE QTY DESCRIPTIO -N. UNIT COST TOTAL COST
civil Ones cc to One Mildred thousand dollars(5100,0001 M addition to the cost of compensation,damages as provided for In
Sacdm 3706 of the Labor Cods,Intens'and attorney's n.
syleeSFR 5600 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 5, 600 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there le a construction lending agency for the END OF FEES .
performance of the work for which this venni is issued(Section 3097.Cf..C).
LENDER'S NAME: •
LENDER'S ADDRESS:
I certify that I have read this application and male that the above information o coned.I agree to comply with all city and county ordinances
and state laws relating to building rorwtrudion and hereby authorize representatives a this city to enter upon the above-mentioned property ,_
fa inspects ,Poses. EXP E�
Print Nem ia
�� - LI1i L./ •
Signature d OwmerKeenVApplconUConueda i
---- .e wo. .(cam_....n��e./`_..a..._..•.s•.....a.r•5.,.,,,,..r.,u......L,s....d,. ..
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
- PERMIT NO. TRACT NO. LOT NO. BLDG.NO. -
eRMIT IS %( ‘..-$ a ,I�9_ I (/12/:_ ane , T,
, �C]_ W_____ __ t TYPE OF CONSTRUCTION - U NEW La
DD LI LTERPTI ON LI REPAIR
Api,..??.- a Mailing Address, ❑ CONVERSION ❑ DEMOLISH I' OTHER kerb ty�}� (� ,, A.P.# IZone
Owner's Name r �-5n/J1E Phone DESCRIPTION OF WORK (u- ' aro ' L-'--y.ar J/oSS $l.r �
S , I A / -i-4__ S Main Building: Accessory Building: Z
• - - - - E 0
Address
TYPE OF PERM II GRADING ❑ FOUN•ATION II STRUCTURAL T Front N
Arch/Eng. License No. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL . I
Rear - N
Address (q1 ❑ OTHER A
Contractor's Name Cust'o.A-. Kcc:-w\/� Pho-rlI);,r71�0??/ PROJECT DESCRIPTION SQ.FT- -2,S V1 OCCUPANCY C Right G
Address(mailing) /41442 2 f /110 .Sf t/ <>4 rafter., GrotL- CON ST RUCTION TYPE • VALUATION$ /� s Left E
ZONE GRADI NG CU.YDS. -ACRESQ
City License No. Zd l''.7 41 Ping, Ref.4 Park.Fees $• U
LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided I
1 hereby affirm that I am licensed under provisions of Charter 9 (commencing •
R
with section 7000) of Division 3 of the Business and Professions Code,and Use of Building: E
my license is in full force and effect.
License Class '- o. �� • - PLUMBING FEES Planning Notes: • • M
Date - a- Signature u-�•� E
ORKERS'COMPENSATION DECLARATION - 'Bar Sink Showers T
T
ie or affirm that have a nsre of consent tfi rel copy or a certificate cion Backflow Preventer Service Sink S
of Workers' Compensation Insurance, or a certified copy thereof ( ection
3800, Lab. Cy/ys_ #y...93 /l Backflow Irrigation Sewer Cap ELECTRICAL FEES
Policy No. 6 T Company C"-��TUv`--
csxtified dopy is hereby furnished. Bathtubs Sewer Connection • Automatic Washer Transformer 0 15-50 KW
rtertified copy is filed with the city Building Division. 0 50+ KW •
Date Applicant Clarifiers Solar Collectors ' Construction Pole Sub.
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dishwasher
(Thissection need not be completed if the permit is for one hundred ($100) or • - Solar Piping - Cooking Unit - Meter Dup to 100 amps - -
less).
I certify that in the performance of the work for which this permit is issued, I Drinking Fountains 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 DElectric Sub Panel
Date - Signature -NOTICE:if,after making this declaration,you should become subject to the Floor Sinks Urinal Fan Motors 00-1 HP 01%-B •
Workers' Compensation provisions-of the Labor Code,-you must forthwith
comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet F.A.U. Inc.Solar 09-15 HP 016-15+
CONSTRUCTION•LENDING AGENCY - -
I hereby affirm that there is a construction lending agency for the performance . Interceptors Water Heater • Fixtures
of the work for which this permit is issued (Section 3097 Civ. C.) Microwave •
Lender's Name - Kitchen Sink Water Service Device Boxes Pole Light
Lender's Address -
OWNER BUILDER DECLARATION Lavatories Outlets Range •
I hereby affirm that I am exempt from the Contractor's License Law for the P-Trap reason (Section 7031.5 Business and Professional Code: Any city or p ' - $witches 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
'o file a signed statement that he/she is licensed pursuant to the provisions of
ie Contractor's License Law(Chapter 9(commencing with Sectlon.7000) of -
ivision'3 of the Business and Professions Code) or that he/she is exempt ' - Generator 00-5 KW 05-15 KW Trash Compactor •
,nerefrom 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
Lienalty of not more than five hundred dollars($500).. Reinspection Fee I $25 Issue Fee $ 3
I, as4 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 Bailer 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 building or Improvement Is sold within one year of com- Duct-Under Ground Application Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- /)
Drove for the purpose of sale). Duct-Structural i Refrigeration System - Application Issued By .0• -7i Date/,,//5///r?I3
U 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 SUMMARY 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 ❑ Multiple ❑ - System Repair/Alteration • BUILDING PERMIT $ „le,Q b SMIP $ .. SD_
tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK . $ PERMIT
❑•I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# 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 -❑0-100,000 BTU 0100,000BTU— GRADING i $
information is correct. I agree to comply with all city and county ordinances -. . . . ELECTRICAL $
and state laws relating to building cons ctlon,and hereby authorize repre- $ MICROFILM $
sentatives of this city t enter u.• / e above-mentioned property for PLAN CHECK
inspection p .r.. s. �_ MECHANICAL $ O.SO
Signature l _ �,� Date /�t'& &3 TOTAL FEE $ 'a`
Drivers' License or SS•P _ = . Reinspection Fee $25 Issue Fee $ 3 PLAN CHECK $ _ '
CMF 0865-46 rev. 7/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor - . _
NSTRUCTION AND PLANNING Pt .&SPA
t Date Inspector Date Inspector
ROVALS Permit# APPROVALS Permit#
porary Electrical Service or Pole • 52. Pool & Equipment Location
it Pipe-Undrgrnd. 53. Steel Reinforcement
. 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 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
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 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 PREV. 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: // !/
/2C.; f"--t- •-in
34. Final Heating& Air Conditioning 49 4 ?y,,
35. Final Gas Pipe-Test
36. Hood or Canopy -
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final •
II 40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer •
I 43. Backflow Irrigation
i
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 '
9,4 fY
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
�'1 j Jh / RECEIVED BY DATE RECEIVED DATE ISSUED
ADDRESS
BUILDING r(A'/ IJg
UP-NO. OP 0� Qa/ Q3 PERMIT NO.
OWNER / i�✓�.. o Ll-� BUILDING
ADDRESS 4./ / ij ADDRESS/
MAIL — / Z/ '4, /n /
TE
CITY /I A Nam, i _ /;' TRACT /.X PD�� Q2/�--0.
-. OC
CONSTRUCTION�/ 9 / tjJ E}M ADD ALTER REPAIR MO ING DEMOLISH
LENDER ,V T,.
BRANCH S 4QQ /" /, ) �
OWNER ,I�r.j IL"Q�/� /!,�`'
ADDRESS /7it . .-rt„ J�/ A- _ VAt.l$
OR ENGINEER ARCHITECT /.L•/C/A-./l/ti Nohg.2-7]�� USE /
// � 91 44
FIRE GROUP
ADDRESS ZONE TYPE
Wk
APPROVED
CONTRACTOR egj-1 ,._, BY DATE
ADDRESS ,/9�
TEL.
CITY NO. v�J�`�F O.OF ^ USE OF NEW,. 9tk c
K .. LANS BUILDING
F STATE CITY YARDS APPROVED YARDS AP OVED
LIC. NO. 24262 ; LIC.NO. MAIN BUILDING ACCESSOR BUILD/trr111GGG
W SIZE NO.OF BLDGS. (FROM C/ /$$�T"���E I illL OF LOT -4L NOW ON LOT FRONT W`" I - FT.
Q USE OF1 i--
cn EXISTING BLDG. R SIDE 'VSL FT. _
h
F Separate permits are required for L.SIDE al/FT. FT.
electric,plumbing and heating work.
WREAR FTI� FT.
USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET. BET.MAIN&
QMAIN BLDGS. ACCESS. BLOCS.
DATE
:3 2 C U.P.VAR. APPROVED SJ 17-74,
}'C act Q n YYY
szi _�AyROVErttiR � -IIATE-'/-2-1--7
.-.1
HOLD((FOR SPEC . L REQUIREMENTS
QI hereby acknowledge that I have read this application and state n
1,4 that the above information Is correct and agree to comply with w
Z. all laws regulating building construction, and I shall not employ a
Z any person in violation of the workman's compensation laws of e
Go] the State of California. �/y
I hereby certify that I am properly licensed as a contractor under /DSO. FT. - �� "�Aade C(///;O n
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR re
Chapter 9, end that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provisions of the State of California Business a
VALUATION PERMIT FEE $
and Professions Code,Division Cha t7 9. n
PLAN CHECK $ °t
Signature o o
Permittee L-.._ $ LL
TAX $ u
U
Authorized Agent TOTAL PAID $