The URL can be used to link to this page

Home My WebLink About1068 WESTWARD LN - Building Permits 40501 CITY OF COSTA MESA S t a^�, 9q�,••, BUILDING DIVISION f' �""'.�•- DEVELOPMENT SERVICES DEPARTMENT . ' PERMIT NUMBER ° PERMIT P00-00089 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 1068 WESTWARD LN Status: ISSUED Suite No Applied: 02/16/2000 Issued: 02/16/2000 Vicinity: Parcel Nunmber: 93523020 ISSUED BY: t..----141 Applicant: RON NOCK Address: 11612 KNOTT ST Phone: (714)895-1246 GARDEN GROVE, CA Zip: 92841 Owner MORRIS, TOM Address 2020 BAL EARIC DR .ti- Phone: SYS �/e'a COSTA MESA,CA Zip: 92626 r Ift 0 Contractor: NOCK PLUMBING . _ Address: 11612 KNOTT ST - -Phone: (714)895-1246 GARDEN GROVE,CA' Zip: 92841 License: 707775 Arch/Eng : • Address: Phone: Zip: • License: SCOPE OF PERMIT WATER HEATER CHANGE OUT, FEE SUMMARY AMT QTY AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain,Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00. 0 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 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 DECLARATIONS C r) r ) 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 wo for which this permit is issued. have 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. My workers'c'omppeensatio Insurance arrier and olicy number are: .-�Gy W" Carrier: X Policy Number: ,[f )ax-4 / ! 3 T n/D (This section need not be completed if 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 o lifornia,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these pr vi Applicant Signature: Date: WARNING:FAILURE TO SECU WORKERS'COMPENSATION COVERAGE • _ •' 'ND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($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 provisions • h..= = 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lie.# S Class# Contractor's Signature: Date: _ V 6�s'i , 4a1r 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 countywhich 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 ProfessionsjCode)orthat 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,ot not more than five hundred dollars($500).): �=L t -.I )$ f.; ❑ ownersiof the Professions s Codeloyees with wages License their sole compensation,WILL DOn THEfWORK,and the structureimproves is not intended or offered for salecwork 7044,amf or h ers and Prough hiss her ow e Contractors rided Law does not apply to an owner i t property or wer builds orlimprhowster,eon,the and who does such nt is himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.It,however,the building or improvement is sold within one year of completion,theowner-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 am exempt under see, Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes ❑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? ❑Yes ❑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). ......... t _._. future occupant ion -c.ue.l materials? 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous m ❑Yes ❑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). -.-.-.. t-.. -... .r.... t.u_. 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. _....-... __.. __ .........ti. ......th...- ...et._. been ................. ,.--_..... ._.... ............. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No ....-..."-_ ill-th uta 5 Does or willthe applicant or present a emen busting occupant at other for the work which isi the nor this application app�ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? �Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). .......---_. _ a.....--. yo.. e ..i.nom...th bound..... ..........- .__.....-- ...-......"-- .._....__ 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Ves 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). mit._.. ..h Management _... district is for th which e__of this 7 application,a tiofrom the Stheh CoastAir prescribed Quality eanygement is Healthat or otherd air p Codedon controln42303 been agency required the work which is the subject this have all of the disclosures by California and Safety Section made? Yes ❑No ....8--...... ro. t. opa __t__.._ __toot ._..... ................ .... ---..... .....--. .......-. 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 all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Of Leg wner(s) / _Date nd/Or Authorize pplicant D to CODE X. INSPECTION TYPE DATE INTITIALS CODE INSPECTION TYPE RATE INTITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical (/� pp/�-.rr�, 1266 Pool Spa Final 208 Final Plumbing _c J-Oy -i b&)L6N�I 200 Final Re-Root 210 Final Electrical J 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 2446-46 ESSOp ISMLDfKi: 1062 WESTWARD LN mai: CITY OF COSTA MESA — BUILDING PERMIT owNEBSNANEIVIwoT,WESTBLUFF HOMEOWNERS PERM NO: B 072683 mmm 7400 CENTER AV HUNTINGTON BEACH PERMIT NO: B 072683 PLAN CHECK NO: • N GOVT: N SUPP: N DL.MAILING ADDRESS CONSTRUCTION TYPE:. 5—N \ PERMIT TYPE: STR PURPOSE: OTH AP ARCHITECT OR ENGINEER: LIC.NO.: JOB DESCRIPTION : T/OFF ,REROOF W/TORCH—ON BUILT—UP ROOF SQ FT: _ 5, 500 MICN OR Dal ADDRESS: - INT: CLAIM VALUE: 5, 500 . 00 CALL-17 ' 3 E• " 5,500.00 GROUP OCC: R-1 / . cam*CTarSNi&.EVERGREEN ROOFING (714 )529-7427 - �- ( —let' CaxmACTOWSlwlwG 1175 ORANGEWOOD DR COMMENTS: REROOF UNITS 1062.-1068. l . �E�i .rte " Al1DREm BREA CA mem, 679865 IEEE*if�r� ******SEAT******As*�E*�E+t*GEv+trE***SP41*Ar SESPSESrSE*****it SE*Sr*it*SESe Gr SEGrSe*Srx SE**+E***SPSEAr*+t* 92621 UMT: Z O N IN G REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby atfrm under penalty of patty that I ern pr. ••• of Chapter P SETBACKS (commencing with Section 7000)of Division 3 of the Business and Professions my is , ull force •sed. D.ND:060741 uc.cus&C39 LICA .; 865 EXP. 1 MAIN BUILDING ACCESSORY BUILDING L _J_ 75--- �� FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Dm.: C, Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN NEP BUILDER DECLARATION:I hereby affirm under penaly d perjury that I am soma from the Contractors License Law for the t fabwng reason(Section 7mt.5 Babas OM Pmteeaiore Code:Any csy«county wfih regiree permit towcebuct.alter.improve. PARKING REQ: PROV: PARCEL: 93523017 ZNE: REF NO: . dermal,. ay or repany structure.prior to eion * e ras ,So rsq .a the appbau fer such Wee le fee a signed"meet t ai he«she PLANNING NOTES> i. s fmaed pursuant lo the provisions of them Contractors License Law(Chapter 9(commencing Tilt Section 7000)of Division 3 el the Business and Professions Code)or Oh he or she is exempt thereh«n and the taus for the afeped exemption.My v lotion of Section > 7031.5 byanY taken!for•Poona shade the applicant lo adi penalty at n of more tai five SMedhaws I$5001). ******************************************************************************* 1:1I.a°ownar or the prpenyormyermployeee with wages as thea he compensation sell dote work and the madme's not intended D E V E L' O P MEN T SERVICES REQUIREMENTS or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to an owner of properly who Wads or improves thereon.and Pato does such work himself or here or though he Of hat own emplgw,Provided that such mproemeds ere not intended(•dferad for sate.I.however,the cuming or inprmamere is sold*Chu one yes ofmmplssn.the ZONING APPROVED BYDATE: owner-budder will have the burden a Proving he or els did not build or knprava for the purpose of see). — ❑ I.®ownerathe ere"'enawhilvaty=teethe"Alb ondoreb mrW b"needcfrconto Proled(Seethe 44.e'si 70neea sed BUILDING APPROVED BY : DATE: •• Professions Code:The Contractors License Law does not apply to an owner of popery who bolds or imams thereon end who _ contracts ler sdr protects with a contredor(e)licensed pursuant to the Contractors License law). ❑ Iern exempt under Section: B.&P.C.,for this mason: APPLICATION ISSUED BY: �� DATE: *************************************** *********************** * ****** I • Dm Owner LEGALIZATION:N F E E SUMMARY . _ STRUCTURAL SE MENT:Y I do hereby certify that I am aware of end understand the requirements d California Neagh and Safely Code Sections 25505,25533.end 2553.end thm I oreny future buildup ooapent wig/wdnot(circle one)need tocmpfy with sod thee codes and the requirements ler BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a penton for coswctionor modaicalon horn the Ai�Managsnia District Residential mmndah appirmbm we exempt horn these PERMIT 81 . 00 - 55 provisions. Date: Appl`an PLAN SMIP/NON—RES WORKERS COMPENSATION DECLARATION:I hereby affirm wider penalty of pejry one el the foloivp d•daratians ISSUE FEE ❑ Ihave and wmaimanacertificate amnasatoeen: nt coe for wairdwmpersmat..pm eidedforSection o byS3700theLabor BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code.f«taped«m.n.adaw«ll«wh this perat .issued. TOTALS----> 81 . 55 0 .00 0. 00 81 .55 81 . 55 . 00 ❑ I have and ad marital•octan'comgmation insurance,as required by Section 3700 of the Labor Cad°.ler the performance of the work myna anter:issued compensation insurance u ""d°el"n'mb`°°: REVENUE DIVISION TOTALS--> COLLECTED: 81 . 55 OVER/SHORT: .00 Poky: Parry Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This sectionusedna be ccmPletad E the Parma is f«one hundred dollars/SiW/«Nes) 81 .00 v,.'., . 55 ythat in the performance a the work for which the Penne is issued.I mal ltd employ n any manner so a to cabled to the workers'compensation laws d California.and 2I shed to IM workers' ***************************************************************************** metbn provisions d Section 3700el the Lab«Code. INDIVIDUAL ;:FEE BREAKDOWN 6-S->-rOudbsecura womers•conperwtlon coverage Is unlaw?i,and slWlam)egtan..ployerb«Irmn/praftlu and TYPE QTY DESCRIPTION . UNIT COST TOTAL COST chill lines w to one hundred thousand dollars($100,000),hi addldon to the coat of compensation.damage e as Provided ler In Section LSO, SFR 5500 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 5, 500 . 00 l ! CONSTRUCTION LENDING AGENCY: I hereby atom under penalty of perjury that there is a construction landing agency for the END OF FEES performance of the work tor which the penny is issued(Section 3097,Civ.C). . LENDER'SNAMEADDRESS INCLUDES yr :, , LENDER'S ADDRESSX I certify that have mad the application end mete that the tore information is correct.I agree to comply with a city and county ordinances EXP RE IP SMOKE DETECTOR and state laws tie to Whim construction and hereby authorize reprssYativee d the illy b enter won the move-merdkved property for is Pectdn pmQosss� ,�� (//c f-- DATE :�s • REQUIRE® - -', ._ = - n.. . € /U)� _ Tri: 7.l-t .—. �` Dale: 6-O _5�, t 1 Signatured • -/Agent/Appican - .� I. r (5151a6.WP) While-BuildM&Safety:Green-file:Crnery-Appicanl:Pink-Revenue;Goldenrod-Assessor . - . - - - .. Viae nr COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Comg Liplete ly — U Irt�c Only BUILDING Onl RECEIVED BY DATE RECEIVED DATE ISSUED ADDRESS bi i ,/ a- olio . PERMIT NO. OWNS- -./�.,__i, AN i• ..../..../- _al . ..P. (JJ �Q et d MAIL �J BUILDING 'j ADDRESS G / W ADDRES S ;e , �f t SJ / TRACT SJ poor, rCKCITY /// �_S _, /L Ai Ni ,, ..` �'' 6 CONSTRUCTION EW ADD ALTER REPAIR MOVINGDFFMOI ISH LENDER "Pe. "reit BRANCH Kra/0, y ' OWN }� p� { r—�- fWADDRESS /7_ RJ / i� ARCHITECT TEL �/ VALUE OR ENGINEER ''// //L__� Nei% /,�J/ .r" �.r �� $ �to.Y� /�C_.Q 04./ ZO E ` �1/ / ADDRESS FIRE YPE r GROUPJ.� APPROVED CONTRACTOR /Q.- fl&( , BY DATE //yyam� ADDRESS Z�/p/y/� NO.OF �/s FUSE OF NEWti`far �� CITY NO,TERSL.7' PLAN �f—BUILDING n/7f A F STATE //�J �j CITY '`/YARDS APPROVED6_ YARDS ROVED/ sC LIC. NO.?gr1'�Z3 LIC. NO. MAIN BUILD NG ACCESSO BUILD! G SIZE !!// NO.OF BLOCS. (FROM C/L R E aa, OF LOT 3 . NOW ON LOT 0 FRONT T. C�/ /QT.LL/ Q USE OF n/��j/�' V) EXISTING BLDG. R.SIDE �7TV' Y- FT, rn 2 Separate permits are required for L.SIDE 9s9l FT. Gelectric,plumbing and heating work, REAR FT. {r] USE OF BUILDING AND WORK TO BE PERFORMED_-r [� DISTANCE BET. BET.MAIN& GI z MAIN BLO jCS S.. ACCESS.BLOCS. �J�J DATE —1 (/ !;�,L'_ '��_ I _CURP•��X—c3 APPROVED // —/I „,/ APPROVED _ / } .i i . PG'is —__e ar C • ' Os 'ECIAL REQUIREMENTS W - 0 I hereby acknowledge that I have read this application and state i'. N. that the above information is correct and agree to comply with m L all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of 0 W the State of California. n 3 I hereby certify that I am properly licensed as a contractor under 1/ �//6 $O• FT. �:1140 / e I✓ w the State of •rnia B siness and Pr essions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, d t at 'uc• lieens err full force end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: — so am exam.t fro t/p/vizio of ' tate of California Business a VALUATION PERMIT FEE $ and Professions ••e, r iv to 3, r 9, _ m PLAN CHECK $ en Signature of _ o Permittee \ S TAX $ Is. 2 U Authorized Agent TOTAL PAID $