HomeMy WebLinkAbout1063 WESTWARD LN - Building Permits BSf thLNC 1062 WESTWARD LN alai: CITY OF COSTA MESA — BUILDING PERMIT
avNEWSNMlElrlOCMf:WESTBLUFF HOMEOWNERS PERM NO: B 072683
muss: 7400 CENTER AV
HUNTINGTON BEACH PERMIT NO: B 072683 PLAN CHECK NO: N GOVT: N SUPP: N
Mit.IMAMS ADDRESS: CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: OTH
• J\OB MC.NO.: DESCRIPTION : T/OFF ,REROOF W/TORCH—ON BUILT—UP ROOF SQ FT: : 5,500 • • ,
ARCH.OR WM.'S ADDRESS: - NAT: '- .
CLAIM VALUE: 5, 500.00 CALC—yAI�uE -> 5, 500.00 GROUP OCC: R-1 /
coNnnACTORSNAIE:EVERGREEN ROOFING ( 714 ) 529-7427 ---- ---'1 (pp jj
ccwnCioRSNYING 1175 ORANGEWOOD DR COMMENTS: REROOF UNITS 1062-1068' 1
ADDREss:BREA CA mw., 679865 ************************.*********x* r •4e4t*SEx***********Af******SE***Sr******AE*x***SE*
92621gM: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penaly d perjury that I ern . d Chapter g - SETBACKS
(commencing with Section 7000)d Division 3 d the Business and Profess my I' a', ull lace- •effect.
C.NO. uc.cuss:C39 uc.ND.: 865 EXP. 1 ' ' MAIN BUILDING ACCESSORY BUILDING
Date 6 —‘5-1— 7s- c«me e: .% ^E� FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
following rreasLn(StlEUWA5 BBuusiess hereby affirm
under penaltyMyr imounty which nexempt
guir�m the
ramie Cv1°m' bed.ors License eller.imrove. PARKING REQ: PROV: PARCEL: 93523017 ZNE: REF NO:
demolish,or repair any structure.prior to its issuance,also requires the applicant for such permit to rite a signed statement that he or she PLANNING NOTES>
is licensed pursuant a the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 d the
Business end Professions Code]or that he or she is exempt therefrom and the beads for the Sloped exemption.My Medial of Section >.
7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more then rove hundred dollen M5001). ************* *****************************************************************
❑ I.as ovmer othhe pmperty or my employees with wages as their Kee compensation,will do the work,and the stnsture is not intended D E V E L- O P M E N T SERVICES REQUIREMENTS
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply loan owner of property
who bolds or inprowa thereon.and who does such work himself or herself or through his or her own employees,provided that such •
improvements ere notintended o offered for sale.I.however.the building or improvement is told*thin one year a completion.the ZONING APPROVED BY DATE:
owner-builder will have the burden d proving he or she did net build or improve for the purpose of sale).
❑ I.as°wner d the poverty.an'exdusnely c°ntradigwihlceneed mafactoab°marud teprged(Sedin"44.Bu°ineas and BUILDING APPROVED BY : 'DATE:
Professions Code:The Contractors License s improves
Law does notapply to an ownof property who bugle or thereon and who
contracts fors such projects with a mmrador(s)licensed pursuant to the Contractors license Law). (�
❑ Iamexempt under Section: B.AP.C.,for this reson: APPLICATION ISSUED BY: � DATE: 1
*************************************** ************************ ****** I
Dale: Owner: LEGALIZATION:N F E E S U M MAR Y STRUCTURAL SE MENT:Y
I do hereby certify that I ern aware of and understand the requirements of Calfomia Health and Safety Code Sections 25505,25533.end •
25534.and that l or any future Wilding occupant will/wilnot(circle one)need to comply with said este codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for construction or modification from the Air Tiety�anpernrlt District Residential constructer,appicaHore are exempt from these PERMIT 81 .00 55
Provisions. SMIP/NON—RES
Date: Applicant. PLAN , . .
WORKER'S COMPENSATION DECLARATION:thereby elfinn wider penalty al perjury one Sita following declarations: ISSUE FEE -
•
❑ Ihave and SImaintenacengkateaconsent meefinsumbrworkers'compensatSection ion,esprosidedforbyS3700altheLabor BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
cade.for the performance of wwpkfowhkthis h permiti.lseuea. TOTALS----> 81 . 55 0. 00 0. 00 81 . 55 81 . 55 . 00
❑ I have and wit maintain workers'mmperaelion insurance.as required by Section 3700 of the Labor Code,for the performance of the
mak for with the permit issued.My workers'compensation insurance order and polity number are: REVENUE DIVISION TOTALS--> COLLECTED: 81. 55 OVER/SHORT: . 00
Cerner:
•
Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(cors section needcs be completed the Perm.as Ar on hundred dollars 1$f001 or Jess,' 81 .00 _ e 55
•
y
that in the performance of the work for which this permit is lased,I shall not employ in any manner so as to
eubed to the workers'compensation laws o California,end erg f Isahon provisionsa'ions Seo mction 3700 e Labor Code.ilureb
/ure secure workers'compensation b on eorerspsunlawful,and subject to IoyerpintnlPrraMINDIVIDUAL -F .E E
es and TYPE QTY DESCRIPTIO N:, BREAKDOWNUNIT COST TOTAL COST
civil lines up to one hundred thousand dollars fS100.000),M addition to the mat of compensation,damages
as provided for In
Secdm3,O5oftheLaborCode,Interestandemmeya/eea. SFR 5500 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 5, 500 . 00
• CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjrry that there is agency the for END OF FEES
performance of the work for which this permit is issued(Section 3097,Civ.C).
LENDER'SNANE:ADDRESS INCLUDESa -`
LENDER'S ADDRESSX A i'�e f/y'iry.,
I certify that I have read this application and state that the above information is coned.I agree to comply with all city and county ordinances EXP RE S�.'faKE DETECTVI 1
and eats laws relating to building mn°Vudion and hereby authorize representatives d this oily lo enter upon the abosammorad popery /,�
for inspection purposes.ziel x //c 7� DATE/U 6- 16 REQUIRED 0 _ . _. .
4121.
-.St—. 4/ Date: 6.—J—5S --
sgnalure a e •/Agent/Appinan r. ... = i. - 1
(5151.46.WP) White-Buildi g A Safety;Green-Flo;Cenmydppimri:Pink-Revenue;&Merced-Messes . . . - - - __
COSTA MESA BUILDING-SAFET DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
N APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Co pletely — Use IJIk II my RECEIVED BY DATE RECEIVED
/1/J DATE ISSUED
BUILDING ((////I 2
ADDRESS 0 / 3 6 l
II 1042'0402_4.3 PERMIT NO.
OWNERAirs..,,
VVjai
li/s..,, Irr d. I BUILDING
OS
MAIL i. ADDRESS 0/41 '� _ ao
ADDRESS 'a.*CI • ea . •
CITY 4 NE. - `= TRACT • � O
l�2 � • OCK
CONSTRUCTION EN{ ADD ALTER REPAIR MO G 04 , LISH
LENDER /n—e 24"_
BRANCH SA .
( ,
• OWNER4 e. • LC If-'
ADDRESS .` d-. .1..: /J
ARCHITECT USE/'-rn2A� 2eJ�
_ OR ENGINEER I.� /t .-4•-•i VALUE
FIRE �/ /{lam
ADDRESS 2c, jl 4-3 tn. ZONE TYPE/ GROUPy 7
APPROVED
CONTRACTOR O(VM,QjY BY DATE
ADDRESS
TEL. /�NO.OFea USE OF NE
CITY NO. CP C PLANS BUILDING
F' STATE Q{� CITY YARDS APPROVED YARDS APPRD({£D/
LIC.NO..4 O O Z3 LIC.NO. MAIN BUIL• NG ACCESSORY BtUUUlIIILDING
(y SIZE NO.OF BLDGS (FROM C/L ST T)
0. OF LOT S A-L NOW ON LOT ROM FT. FT.
USE OF `�'� . 7/.
Ca EXISTING BLDG. R.S DE U�'FS �-�s FT.
rA ^
FSeparate permits are required for L,SIDE /42/6FT.
c electric,plumbing and heating work. REAR T. FT.
k7 USE OF BUILDING AND WORK TO BE PERFORMED
F DISTANCE BET. BET.MAIN&
0 MMAININSLOGS. ACCESS.BLDGS.
Q 3cina,") C.0 P q �6 - 3 DATE
APPROVES/!—7l
} APPROVED rAY /I�_/J�� _��J
Le MOLD FORLa I SPECIAL O i
a0 I hereby acknowledge that I have read this application and state n
Ce that the above Information is correct and agree to comply withco
0.. all laws regulating building construction, and I shall not employ
i
Z any person in violation of the workman's compensation laws of
Sthe State of California. �/J .:
I hereby certify that I am properly licensed as a contractor under 13 I SO. FT. Js. �/(7rJ �•�
the State of California Business and Professions Code, Division 3, TIE AMOUNT SHOWN UNDER VALUATION IS FOR ro
Chapter 9, and that such licenses ere In full force and effect,or I THE PURPCGE OF ESTABLISHING A PERMIT FEE ONLY: m
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $
v
and Professions Code, Division ,Chap r 9. m
PLAN CHECK s 0
Signature of o
Permittee S TAX S 2
u
U
Authorized Agent TOTAL PAID $