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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 $