HomeMy WebLinkAbout1075 WESTWARD LN - Building Permits ADDRESS OF BUILDING: 1071 WESTWARD LN °"' CITY OF COSTA MESA — BUILDING PERMIT
I ONNEWS NAME IR IOIDA'N: WESTBLUFF HOMEOWNERS ASSO ERM NO: B 076828
ADDRESS: 111 PACIFIC #250 : l
IRVINE CA 92714 PERMIT NO: B 076828 PLAN CHECK NO: N GOVT: N SUPP : N '
727-26e0 '
APPL.MAILING ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR . PURPOSE: OTH
•
ARCHITECT DR ENCORES: LICK JOB DESCRIPTION : T/OFF 6 REROOF W/BUILT—UP SQ FT: 6, 800 ' I
ARCH.OR CS ADDRESS: - UMT:
CLAIM VALUE: 6, 800 . 00 CALC- VALUE: 6, 800 .00 GROUP OCC: R-1 /
c«^RACTOR'SNAME: R.P. HIRSCHMAN ( 714 )960-8329 : 11
CWTRACTOWSUMLNG 8855 ATLANTA COMMENTS: REROOF SUNIT CONDO, ADDRESS eINCLUDES 1073=1100J-5-4071-107.9.4 ESTWARD
• ADDRESS: HUNTINGTON BEACH CA LK ND, 475948 ************************RE********************* t(E_ x'**W*RE***1E-Rk*iERE****3E*34****
92646 WR: 285 ZONING REQUIREMENTS .
LICENSED CONTRACTORS DECLARATION:I hereby'Aim under penally of perjury Owl I am kevc order provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Div on 3 d the Business and Professions Code.and my&sense is in full forte and Men.
CITY UC.NO.: 038468 LIG.CLASS: c "e. ' 475948 EXP: 04 /96 MAIN BUILDING ACCESSORY BUILDING
Dale 2 �( S—St Cora 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;I hereby affirm under penally of perjury that I am exempt from the Contractors License Law tor the •
following reason(Section 7031.5&aimse and Professions Code:Any city or moray which requires a permit to construct Mer.improve, PARKING REQ: PRO V: PARCEL: 93523030 Z NE: REF NO:
demolish,or repair any structure.prior to its issuance,also requires the applicant for such pend)to Se a signed statement that he or she
a licensed pursuant to the orations of the Contractors License Law(Chapter 9(commencing with Section 7003)of Dirbion 3 d the PLANNING NOTES>,
Business and Professions Code)or that e an she S exempt therefrom and the baba for the alleged exempla'.Airy violation of Section j
7031.5 by any applicant for a perms subject the appinad to a civil penalty of nplmae than five hundred dollars 1$5001), ****************IEiEiEiE1E1E1EiEiEiElEiE****1EiE1E1f-*iEiEiEiEiElEiEiE1E1E1E1EiE1EiE1EfE1E1EiE1E****iEiEiE***iE*1E*1EiEiElE***
❑ I.as owner of the property ormyemPb)nswith wages as their pole compenamion,wildolMweek.and dastuthnSn tended D E V £ L; O P M E N T SERVICES R V I C E S R E
or Mend for sae(Section 7044,Business end Profession Cods:The Contractors License law don nod apply to en owned property Q U I R E M E NST S
who bolds or inproves(hereon.and who does such work lama or hersel or through his a ssuch her own employe .provided that
improvements we not intended or offered tor sae.If.however.the building or improvement a sold within one year d compel ion.the ZONING APPROVED BY DATE:----. �-
owner-builder will have the burden d crowing he a she did not build ampr
improve for the Peron of aelel.
Icensed contract=
❑ d
ProessiasCode:°TTec«n�ads Lawffarrely °doesnint oot w relprwpertyOmb the «�/esl'O1hereon nd*too BUILDING APPROVED BY : DATE: �7
contracts for such projects with a mnrectons)licensed pursuant to Ihe Contractors License Law). -
❑ lamexempt under s«tion: B.A P.C..for this reason: APPLICATION ISSUED BY: DATE: 3.1-jq f(4� •
Dam: Owner: *************Rg******************************** ***************4t******* *******
LEGALIZATIONf41 F E E SUMMARY STRUCTJJRAL SEGMENT:Y "- `
I do herebyCandy that I am aware of
and understand the requirements d CaliforniaHealth and Seely Sodas Code Sod s 25505,25533,and
25534,and mall or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for } •
apemu for consimnan ormodrfmcation fromthe Ai Quality Management COOS,Residential cormnaon applications we exempt fromOns BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES: GRADING
provisions. PERMIT 90 . 00 . 68'
Dale: Applicant: S M I P/NON—RES
•
WORKER'S COMPENSATION DECLARATION:I hereby affirm wrier penally of perjury meal following cedar.tans: PLAN
Elt
Ihave and wmeintanacenfwdmM
ensenttosidsonsureforworkers'compensation,asproidedforbySen3700ofthe Labor ISSUE FEE
Code.for the perfommnceofthe work forwithIbiper mbbasued. BUILDING DIV > PERMIT ISSUE PLAN CHECK TOTAL PAID DUE
❑ move and wit maintain works&conperaa,aminsurance, required bySection 370odthe Labor Code,for the performance athe TOTALS----> 90 . 68 0 .00 0. 00 90 . 68 90 . 68 . 00
work for which this permit is issued.My workers'compensation insurance canner and policy nanber are:
STATE FUND EXPIRES REVENUE DIVISION TOTALS —> COLLECTED: 90. 68 OVER/SHORT: . 00 •
Policy Number 12291;90-94 10/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need nor be completed if the perm.is for one hundred dollars(5100)or less.) 90 . 00 .68
❑ I certify that in the performance of the work for which this permit a issued I Nall not employ any person in any manner so as to
become subject la the workers'oompenalion laws Of Caliemia.and agree that 91 shook'became W led to the "swim's' *******************************************************************************
compensation provisions of sed..,3700 d the labor Code shall mnhwith comply with chose provision. INDIVIDUAL F E E BREAKDOWN
y Dala: 3—(5--.) C.
Warning:Failure to secure workers'compensation coverage is unlawful,and shell sW)ect an annoyer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
c/vll fines w to one hundred thousand dollar.($104300),In addition to IM cost of conpsnsaf/ory dameges as provided for In
Section 3704 of the Labor cods,interest and attorney's foes. SFR 6800 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 6, 800 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm order penally of perjury that there le e mhstruaioo ending agency for the END OF .FEES
performance ef the work for whldt this permit is issued(Section 3097.CN.C).
LENDER'S NAME:
LENDER'S ADDRESS: '
I certify that I have read this application and sale that the above information a coned.I agree to can* h all cry and mutt'orthnwtrn n
and state laws relating to building construction and hereby authorize rreeenmlhes of this cry to enter upon the above-mentioned property .
for inspection purposes.
BOB HIRSCHMAN
Print Name (;:1 I,- C h 2: : :,-., . .-.
Date ---
) ,
Signature d Owmar/Agent/Applrant/Contrena
•
(5151-46 WP) While-Buidxg 8 Safety:Green-Fie:Canary-Appkunt:Pink-Revenue;Golnmro
ed-Assnw .- -
laita
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Us4 Ink_ Only
(/'t/) ,(/ l//¢_tam RECEIVED BY DATE RECEIVED DATE ISSUED
BUILDING y7
ADDRESS '�(/!�/
' ifN oa-0/ig 0' PERMIT NO.
OWNER g_ter /L ✓ ..r �� �.Y d C�O�^,/
ADDRESSC e a�( l� BUILDING
��������//// /� ADDRESS /�
CITY S ' / S NEE /�� TRACT �� �OS� t/,�—M OCK
CONSTRUCTIONNDER //� el /C� Et'v ADD ALTER REPAIR fv1/OOV-HH/tI" MOI ISH
BRANCH /�J -S��z// �JY Lr W �11��[J�!/(/��-- (1"7��J� •
ADDRESS // /' f� /� OWNEnR����rl�% I- , / __ UE
ARCHITECT C TE • /J'� cc USE/ n. (N/// LUE
ENGINEER j-�(�/� J C/,� J.J
C (5 7 4/4. Ata _ZONEFIRE �r rr or
ADDRESS TYPE GROUP
APPROVED
CONTRACTOR /`lam BY DATE
ADDRESS a �G J/
TEL. (p/,//� NO.OF /v USE OF NE tare -/%
CITY NO. ps [/� PLANS BUILDING
E-.
/�
STATE z' CITYC. YARDS IN NYARDS APP B D
i LIC.NO ll////�� LIC.NO. MAIN BUILDING ACCESSORY BUILDING
CSIZE I NO.OF BLDGS. (FROM C/ S )
n OF LOT � � / I NOW ON LOT FRONT FT. FT.
Q USE OF 2
EXISTING BLDG. R.SIDE � CA. FT,
cil
E-.
Separate permits are required for L,SIDEFT.
electric,plumbing and heating work.
b.1REAR a7.h. FT. •
I.., USE OF BUILDING AND
AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
G /� ��ZZs/VY✓c� MAIN BLDGS.�j� T` ACCESS. BLDGS. �/
DATE
Q '//liy//yt•',//ry/('q ��'/{J� C U.P. ?trs /(p ' PW(/��'APPROVES J7-- 4
C I / OVED�� `�
19'67-DATE l/'I2I— %1�
te -10LD FOR SSPECIAL REQUIREMEKITS
IL,
0 I hereby acknowledge that I have read this application and state n
/X that the above Information Is correct and agree to comply with
co
O. all laws regulating building construction, and I shall not employ i
Z any person in violation of the workman's compensation laws of I v
= the State of California. 17t — i/�wE/�1 r 4)89 m
a
I hereby certify that I am properly licensed a contractor under SQ. FT. J _{!/•, r `"
the State of California Business and Profe -.ns Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such/tenses are in force and effec or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: n
am exempt from th:. .t sions of the Et. e of California t -amass VALUATION PERMIT FEE $ e
and Profession- T Ision 3 h/ e 9. Ji
re
�, //� / PLAN CHECK $ IL
Signature of o
Permittee $ TAX $ LL
U
Authorized Agent TOTAL PAID $