HomeMy WebLinkAbout1072 WESTWARD LN - Building Permits ADDRESSOFBNLGNG: 1070 WESTWARD LN WIT: CITY OFICOSTA MESA — BUILDING PERMIT -'
O,OERSNwEI'Iwa`N WESTBLUFF HOMEOWNERS ASSO _ PERM NO: B 076827
111 PACIFIC #250
IRVINE CA 92714 PERMIT NO: .B 076827 PLAN CHECK NO: . N GOVT: N SUPP : N m
1 727-2680 i .
APP .SWUNG ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STA .
PURPOSE: 0TH
•
ARCNRECT OR ENGINEER: UC NO.: JOB DESCRIPTION : T/OFF 6 REROOF W/BUILT—UP SQ TT: 6, 800 `
ARMOR ENG.'S ADDRESS: Wit: l
CLAIM VALUE: 6, 800 .00 CALL VALUE: 6, 800.00 GROUP OCC: R-1 / t
CONTRACTORSNAME: R.P. HIRSCHMAN ( 714 ) 960-8329 .
CONIRACTORSMMUNG 8855 ATLANTA COMMENTS: REROOF 5UNIT CONDO, ADDRESS 'INCLUDES t072-10744'10U—'40781 WESTWARD
ADDRESS: HUNTINGTON BEACH CA uc.xo.: 475948 ***'***** '**********************'* '**********x'*******"** ** **W,*,..,****************
92646 wv 285 Z ONING REQUIREMENTS ,
LICENSED CONTRACTORS DECLARATION:I hereby diem under penalty of penury two I em licensed under provisions of Chapter S SETBACKS
(commencing with Section 7000)of Division 3 d the Business and Professions Code,and my license is n full face and'fled.
CrTY UC.NO.: 038468 uc.CLwss: C3 .4948 EXP: 04 /96 MAIN BUILDING ACCESSORY BUILDING 1
Date: --5etSo( Co" e_) LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT
3 : FT IN .
OWNER BUILDER DECLARATION:I hereby dart under perish of penury the I am exempt from the Cavadars license Law for the
i 41iowng reason(Section 7031.5 Business and Professions Code:Arty cly a county which requires a permit to construct,after.improve. PARKING REQ: PROV: PARCEL: 93523015 ZNE: REF NO:
femduh,or repo any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she
is k ed pursuant to the provisions of the Contractors License taw(Chapter S(commencing.Rich Section roes)of DM.ian 3 of the PLANNING NOTES>.- • .
Business and Professions Code]or that he or she S exempt therefrom and the basis for the alleged exemption.Ary voWon of Sed'Rn .>'
7031.5by enyapdicent la aperms subjects the applicant to a dee penalty of nor more then fire hundred dollen RSOOD. **************IE******************************************************`aE*********
❑ I.es owner of the ProlowlY or rnY employees with wages as thei sde compensation,Mg do the work and the stnxture is not imended D E V E,-L' OP MEN T SERVICES R E U IR E M E N '3'' 5
offered ered for sale(Section 7044,Business and Professors Cods The Contractors License Law does not apply n to owner el property Q
who bolds or improves thereon,and who does such work himself or herself or through his or her own employees,p vided that such
improvements are not intended or offered for sale.a,however,the building a improvement is add*thin an year dcompdon,the ZONING APPROVED BY DATE: •
owner-Wilywill have the burden of proving he or she did not build or improve for the purpose d efts).
I,as owner of the properly.art exclusively oantradi g with kareed contractors to constructthe project(Section 7044.Business ed /
❑ '
Professions Code:The Contractors License Law does not apply to owner of property who builds or improves thereon end who BUILDING APPROVED B Y DATE: ,
contracts for such prolede with a contractor(s)or(e)licensed pursuant to the Contractors License Law). A: 31 ((a ICO.
❑ I am exempt under Section: B.4P.C..fatisreason: APPLICATION I$SUED BY: DATE:! 1 \ ( l�
************iE******************************* * ******************************
Date: Owner LEGALIZATIONtN F E E SUMMARY STRUCTURAL: SEGMENT:Y - '
I do hereby mealy that I em aware of and understand the requirements of California Health and Safety Code Sections 25505,2som,and 1
25534,end that I or any Assure building occupant will/rep not(ode one)need to comply with said pate codes and the requirements for
a permit faconetnxtian a modification from the Ai eywpenso Diarist. catenation are Move BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
prowhons. PERMIT 90. 00 .68
Dm. Appricent
PLAN b.,. SMIP/NON RES
WORKER'S COMPENSATION DECLARATION:I hereby arum wider penahy el pentry one of the following dednin: ISSUE FEE /1 .
:
❑ I have and will maintain a cendicate of consent to sea-insure for workers'canpensekn,as provided tor by Sedicn 3700 of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,for the performance of the work lar which this permit is issued.
❑ Ihave ailmaintainworkers' inure.asrequiredbySection3702dtheLaborCode,toetheprformanceofthe TOTALS > 90 . 68 0 . 00 ( 0 .00 90.68 90 . 68 . 00
andcompensationan
work for which this pane's issued.My workers'compensation insurance caner and policy number are:
Carter: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 90. 68 OVER/SHORT: .00
Policy Number: 1777A90-94 10/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This ndin need not he completed f the permits for one hundred dollars(5100)or law) 90 .00 / .68
❑ I certify that in the performance of the work for which this permit s issued.I shall not employ any omen in any manner n n to I r,
become subject to the workers'compensation taws o Callan, and agree that N I shouts become cabled to the workers' *********************************kE*********************************************
compensation provisions of Section 3700 of the labor I ewe coni 'h comply with mon pmvisiaw. I N D I V I D U A L FEE BREAKDOWN
Data: 3.-1 S-5Le o :
warping:Fames to swim workers'compenealon tovengalsmmswhd,and shell subject anemptoyerte grimms:penaftlasand TYPE QTY DESCRIPTIO;N UNIT COST TOTAL COST
ofd/Ds nup to ono hundred thousand dollars f$OOg0o01,InaCdlito the s costn
of compensation,damages as provided for In
Section 37Gtofmab
a( orCode,lnraatnro
end fees. SFR 6800 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 6, 800 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under prey of perjury that there is a aamruaion lancing agency for the END OF FEES
pod omnmos of the work for whidl this one is issued(Section 3097.Cee.C). j•
LENDER'S NAME:
LENDER'S ADDRESS: C
4
I certify the I have read this and state that the above information is craw.I agree to oomph*with all dyed county advances
I .
and stale laws Mateo to building construction and hereby authorize representatives of this city to enter upon the ebomm�toned property .')/ f
for bspeden purposes. CI ['At • _.0 - 1 _
BOB HIRSCHMAN i 1j . - . ..
Pere Name
/
/ SignaturedOnerAgVApPaCcnnr3on Data:' 15—Q C. P. :
j
(5151.4S.WP) White-Building I Safely:Green-Fs:Canary-Apple nt:Pink-Revenue;Goldenrod-Assessor - . .._ _ ..
XGI7
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in C mpletely —jjj)))se Ink Only
iJ4_1044,
( / RECEIVED BY DATE RECEIVED DATE ISSUED
BUILDING l/,�/ '�/7('1.�If (/�(r/.1, o
ADDRESS .
OWNER HC
AP. NO. /6 -10(12t0-Az
/c caz
-p `o/ 2 PERMIT NO..
NG
MADADILRES ,/ h seut- "dr
yy /O72 ""ADDRES � OTRACT �Q� I,4zQ�OCKCITY L AN. , �y�
CONSTRUCTIO / /
��ti,/ NEW ADD ALTER1FEPAIR MOVING DEMOLISH
LENDER 1 �j�y�•�/�} >C"..-
BRANCH
/ ,� �,/ Q,��� /.40001,21)
/��, I �� /�
BRANCH \ //JJ JJ ( L// x e/F— /-0 t V`- /.400 1,2 J
ADDRESS 2/ SI-,ft OWNER vY r r '''
�,t ,t VALUE
ARCHITECT TE a,�. / _Si e� •`r i2('�-- $
OR ENGINEER •°P,
FIRE
ADDRESS get')13 szei .Q . ZONE TYPE,I` GROUP
�p APPROVED
CONTRACTOR / 711,,� j� BY DATE
ADDRESS �/
TEL. ZONE _L INO.OF Z.__ BUILDING OF NEW _ ��
CITY NO.
�02 PLANS USE ON NEW
IpArc
.: STATECITY YARDS APPROVED YARDS APPROVED
LIC.NOeC/,72- LIC.NO. MAIN BUILDING ACCESSORY BUILDING
SIZE r NO.OF BLDGS. (FROM CD_ST
ST' : T
OW. OF LOT V NOW ON LOT -ONT P .%i. FT.
471/OF �`y /
C•11 EXISTING BLDG. R SIDE f O Fab FT.
~D." Separate permits are required for ' L.SIDE ZA /
FTm' FT.
Gelectric,plumbing and heating work. REAR "64714-443J FT.
114 USE OF BUILDING AND WORK TO BE PERFORMED
I^ DISTANCE BET. BET.MAIN He -
AL
4 ] f '��jj�.� /�/J� r/ MAIN BLDGS. /(_� //�_?� ACCESS.BLOCS.DATE �/ '7/
4' en✓L" ..yy�� ^^�� C.U.P..qN' 7l!' (.�� APPROVED✓ / / -/LW
)- /® APPROVED / DATE 7--A1.2/-77
Cd
OW.
O I hereby acknowledge that I have read this application and state i TOLD FOR SPECT AL REgUIREMENTS
that the above information is correct and agree to comply with ----
O. all laws regulating building construction, and I shell not employ
Z any person in violation of the workman's compensation laws of A
the State of at California. 757/ ... ..JI
,...tee,
— L_
I hereby certify that I am properly lice sad as a contractor under
a r//� SQ. FT. J'�I�J at w
the State of California t sin: s and Pr•fossions Code, Division 3, THt AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that u• lic ses .re full f.rce and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: -
am exempt f • fe ./ovl-ons the State l' rn :usiness VALUATION PERMIT FEE $ a m
and Profe . .n-C... • I on •t r 9.
en
PLAN CHECK g M
Signature of 0
Permittee , -J $ 'TAX $ P.
2
U
Authorized A•ent TOTAL PAID $