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Home My WebLink About1073 WESTWARD LN - Building Permits ADDRESS OF BWLDNG: 1071 WESTWARD LN win CITY OF COSTA MESA — BUILDING PERMIT gmNAMEIE"mt WESTBLUFF HOMEOWNERS ASSO _ PERM NO: B 076828 ADDRESS; 111 PACIFIC #250 j , IRVINEEâOCA 92714 PERMIT NO: B 076828 PLAN CHECK NO: N GOVT: N SUPP: N • 1 . APPL.MMLBlG ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH• ANCIIRECT DNENGINEER: UC ND.: JOB DESCRIPTION : T/OFF & REROOF W/BUILT—UP SQ FT: 6, 800 ARCH.OR ENG'S ADDRESS: - WIT: CLAIM VALUE: 6, 800 . 00 CALC—VALUE: 6, 800. 00 GROgP OCC: R-1 / COMBACTO"sNAME: R.P . HIRSCHMAN (714 ) 960-8329 ---" 1 CONTRACTORS MNUNG 8855 ATLANTA COMMENTS: REROOF SUNIT CONDO, ADDRESS 'INCLUDES 1073—'I03-5-10-'7/—l07.9•'ry'IESTWARD . : . ADDRESSEHUNTINGTON BEACH CA LLIC.: 475948 itaE*rESErEiritr�*�k*x ***�t****x***+sat�ErE**itiE�E�E�E�E ****xis* **-44iFic* ********iEit******* *** . 92646 urea 285 Z ONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 of the Business end Professions Code,and my base is in full force and effect. CITY UC.NO.: 038468 UC.CLASS: C o. 475948 EXP: 04 /96 MAIN BUILDING ACCESSORY BUILDING oats. --I S—SL Contra � o FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN ')WNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I an exempt horn the Contractors License Law for the ,flowing reason(Section7031.5Businessand Professions Code:Any city«ooumy which requires a permit to construct.alter,improve, PARKING REQ: PROV: PARCEL: 93523030 ZNE: REF NO: demolish,or repair any structure,prior to is issuance,also requires the applicant for such permit to file that he or she a signed statement a licensed pursuant to the provisions of Me Contractors License LaW[Chapter 9(commencing with Section 7000)of Division 3 d the PLANNING NOTES>. Business and Professions Code)or that he or she is exempt therefrom e d the basis for the alleged exemption.Any violation of Section . ,� 7031.5 by any applicant fore permit subjects the applicant toe civil penalty gnot more than We hundred dollars 15500)). ******************************************************************************* ❑ I.as owner of the property of my employees with wages as their sole compensation,will do the work.end the structure is not intended D E V E :3 O P M E N T SERVICES R V I C E S yTSo offered l«sab(Section 7044.Business and Professions Cab:The Contractors License Lew does not apply Io en owner of property who builds or improves thereon.and who does such work himself of herself or through his or her own employees,provided that such improvements are not intended on offered for sofa.If,however,the building or inprovemax is sold within one year of completion,the ZONING APPROVED BY DATE:' , owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). / ❑ I.as owner of the property.am exclusively C000000112 cath w h licensed contractors to nstud the project(Sectiona 7044,Business d ! /:;'-. Professions Code:The Contractors License Law does notapply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE: , . / contracts Io mn such projects with a codor(s)licensed pursuant to the Contractors License Limy ! - ❑ lamaempSection: aM on: e.&P.c.. aeseon: APPLICATION ISSUED BY: DATE: 3-j-4f fRh, Dae: Owner: ********************************************** *********************** ******* . LEGALIZATIONi•N F E E SUMMARY STRUCTURAL SEGMENT:Y ' I do hereby certify that I am swam of and understand the requirememe of California Health and Safety Code Sections 25505,25533,and ap534,and mel«amrnae catiingomtheAit will QawyMl acgwaD)need Sdd.R comply w.haadoscodestions the exempinmmteforse BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES' GRADING a permit for hat I or ion a mise buildinhamthe Ai Quaky Management Diatela.Residential con.tol o h said g e iand a exempt from Mss provisions. PERMIT 90.00 . 68 Dae: Applicant: SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under Penury of perjury of the o following dedaetos: IS ❑ Ihave and wil maintain certificate ofeonsentlo self-insure for Workers'compensation.as provided for by Section 3700 of the Labor BUS UE FEE r_ Code,for theped«manceotheworkfowhichthispermitisissued. BUILDING—DIV > PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ Ihave and wmaimanworkers'compensationinsursnce.asrequiredbySetimm00otelaborCode,fotheped«manceofthe TOTALS > 90 . 68 0 . 00 0 . 00 90. 68 90 . 68 . 00 will work for which this permil is toed.My workers'compensation insurance camx and policy number we: STATE _ D EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 90.68 OVER/SHORT: . 00 Policy 1J Number. 1277A990 94 10/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need nor be completed l the pent is for one hundred dollars 1$1001 or less.) 90 .00 a68 ❑ f certify that in the pertonnanas of the work for which this permit is issued,I shall not employ any person in any manna to as to became sublet to the workers'compensation laws of California.and ague That it I should become subjet to)he waken' ******************************************************************************* • compensation provisions(of Sections 3700 of the Labor Code hall fodhwth comp&with Mame pmdsians. I N D I V I D U A L F E E B R E A K D O W N 7 Dam: 3—(5— ( ! •Ape • Warning:Failure to secure workers'compensation coverage Is unlawful and shall mated an employer to cdnlnel penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST • evil fines up to one hundred thousand dollars(marro0),M addition to the cwt of compensation,damages as provided for In S«dw3705ofthe Labor Code,Interest,and attorney's fees SFR 6800 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 6, 800 . 00 CONSTRUCTION LENDING AGENCY: 1 hereby affirm under penally of perjury that there is a oontrution lending agency for the END OF FEES performance of the work for which this permit's issued(Section 3097,CN.C). LENDER'S NAME: h LENDER'S ADDRESS: I certify that I have read this application end tale that the above information is coned.I agree to comply with all dry and county ordinances ( and state laws relating to building construction and hereby authorize representatives of this OW to enter upon the above-mentioned property for inspection purposes. BOB HIRSCHMAN G: 621C.---;-- .. 1 ;-: Print Name (� "`-- 'lir ` .==-2,L -. __ 7-_., I Dater—A 5—S L ' Signature d Owner/AgenVApplicaNComrad« t (5151-45.WP) White-Bugling S Safety Green-Fle:Carry-Appcnr Canary-Applicant:Pink-Revenue:Goldeod-Assess« - • - -- --'i ig2 COSTA MESA B ILD �AFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely - U Ink Only [f�f , RECEIVED BY DATE RECEIVED DATE ISSUED BUILDING ADDRESS / J I P515(�j��Q// 0,2/ PERMIT NO. OWNER �J'//jam/(,ea/ rq �J 'IMAIL ADDRESS C /CEJADIDRESS/6731itkoc♦ IlliCITY�� fief TRACT 653 Q `�// CK CONSTRUCTIO ,.S�p+ W ADD ALTER REPAIR GV DISH LENDER �f/ �p BRANCH ea n' / _f gain, �! tI 0 - r ..a a I/ ADDRESS _. T iti VALUE ARCHITECT i TE ./ Sr i//r ,I �./_ $ OR ENGINEER ,/� N•sY / tir ADDRESS edy3 � /2001/0.:"P� ZONE � : FIRETYPE GROUP ��/4� APPROVED CONTRACTOR BY DATE ADDRESS TEL jF ��NO.OF� �USE OF NVv/ CITY NO. fire/• _r• PLANS BUILDING �/yJ��(/� F' STATE (/�/J CITY YARDS APPROVED YARDS APP FIQdCIED LIC. N0Z6 D LIC. NO. MAIN BUILD( G ACCESSORY BIGILDING ILI SIZE NO.OF BLOCS. (FROM C/L STR T) 0• OF LOi NOW ON LOT RONT T. FT. Q USE OF ,�, EXISTING BLDG. SIDE 3 6T• FT. co) (El-• Separate permits are required for L.SIDE 3Q-b el-- FT. electric,plumbing and heating work. WREAR T. FT, I.. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& �Q -2- 6-6414,t_ DATE /n MAIN BLOCS. /�s ACCESS.BLDGS. Q `�/ r` CVR. . ' �r�'ljjpi(pq APPROVEf�l��7 - �'I�t / �P'OLDr f 'Sr'(,J�• �$�T�2� >,.. PEC Q REM NIt w a Q I hereby acknowledge that I have read this application and state N C that the above Information is correct and agree to comply with a 0• all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of 2 W the State of California. //� r1 3 I hereby certify that I am properly Iic-'sed as a contractor under / 4 SO. FT. (11s 90 n the State of California Business and Pry fesslons Code, •ivislon 3, TH AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that s ch licenses . a' full force an. effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: to am exemp o r th- provisi ns • nth- State of Calif. nia Business a VALUATION PERMIT FEE E and Pr• .ssi• •o• ., Divi/n - er 9. m V/ PLAN CHECK $ n Signature . i o Perm Itte• • .. ` _r $ TAX E U AuthOrizetl Agent TOTAL PAID $