HomeMy WebLinkAbout1077 WESTWARD LN - Building Permits '00Rm0°BM1D1°' 1071 WESTWARD LNCITY OF COSTA MESA BUILDING PERMIT
DANERSMhMEIFIMON'N: WESTBLUFF HOMEOWNERS ASSO PERM NO: B 076828
A""M�R° 111 PACIFIC #250
IRVINE CA 92714 PERMIT NO: B 076628 PLAN CHECK NO: N GOVT: N SUPP: N
727-2660
•
APDL.MAIM ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR DONEES: [SIC JOB DESCRIPTION : T/OFF & REROOF W/BUILT—UP - SQ FT: 6, 800
ARCM OR END.'R ADORERS: - [RAT: r .
CLAIM VALUE: 6, 800 .00 CALL— VALUE: 6, 800. 00 GROW OCC: R-1 /
CT0RSwut R.P. HIRSCHMAN (714 ) 960-8329 ` / i ))
CaMRACTURR YAWNS 8855 ATLANTA COMMENTS: REROOF SUNIT CONDO, ADDRESS ',INCLUDES 1073—�i 1077—T07954JESTWARD
. ADDRESS: HUNTINGTON BEACH CA mono_ 475948 *******�E�r,tt�r�k�rx�k�r�EnAE�E�Ex+E�EfE****�EAkAE*+ESE**;tk*�r�t�ret�r*Alt ic+E, �k**w**itAEute**********+E***+t
92646 min 285 Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty or perjury that I a,n licensed under provisions of Chapter 9 SETBACK S
(commencing with Section 7000)of Division 3 d the Business and Professions Code,and my license Si.fill force end effect.
ClTYUC.NO.: 038468 UC.CLASS: C f--"°: 475948 EXP: 04 /96 MAIN BUILDING .ACCESSORY BUILDING
Done: 2 —IS—SZ cwt • FRNT: 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 a firm wider penalty of perjury that I em exempt from the Contradors License Law for the ,
following reason(Section 7031.5 Business and Professions Code:Any city ocaunty which requires a permit tomnewd,eher,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 a signed statement that he or she
e licensed pursuant to the provisions d Me Contractors License Law[Chapter 9(commendrg with Section 7030)of Melon 3 d the PLANNING NOTES>"
Business and Prolesaons Coder or that or shed he is exempt therefrom and the basis for the alleged exemption.Any violation Section $ ,
7031.5 by any applicant for a permit subjects theepptiunt to a civil penalyd not more thanfin hundred dollars iS5001). ********************************************************************if**********
❑ noedcol lnualoyees dsolet� : and w'oure is nol mtended
D E V E;L O P M E N T S E R V I C E S R E Q U I R E M E N T S«oHerfo sae(secuo7 .nProfessonsCode:TheheContr Contractors �eaeworkanot alytaproperly
who bolds or improves thereon.and who does suds work limeeff or herself or through his or her own employees,provided that such -
improvements are ad intended or offered(or sale.If,however,the building or improvement a sold within one year of completion. ZONING APPROVED BY DATE:�"",
owner-builder will have the burden of proving he or she did 1101 build or improve to the purpose of sale).
o I,n owner d the properly.am em exclusively contradig with licensed contractors toconstructthe project(Section 7044,Business and /:
Professions Code:The Contractors License Law does not apply to an owner d property who builds or improves thereon and who BUILDING APPROVED BY : DATE:
contracts for suds projeds with a contractors)licensed pursuant to the Contractors License Law). ! l
❑ Iemexempt under Sekon: B.AP.c..for this reason: APPLICATION ISSUED BY: D•
ATE: 0.1-11iSA, •
Date: Owner: ********************************************** ********************df-** *******
LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y -- ""
I do hereby certify that I am aware of end understand the requirements of California Health and Safety Code Section 25505,25533,end
25531,end that I or any Mune building occupant will/wit not(circle one)need to comply will said state codes and the requirements for
e permit construction or modification from ue-6T1y anagement District ResidenlielmmnKsion eppkmiore are exempt from Mese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RESP
fa constructionhGRADING '
Provisions. PERMIT 90 . 00 . 68I
Date: Applicant: SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one at the blowing declarations:
P LAN
. ❑ I have and wilmeintan acenifcete of consent to self-insure for workers'compensation,as provided for by Sedion 3700 d the Labs ISSUE FEE T—
Code.fotheperformanceofthework(owhichtapermhaased. BUILDING DIS > PERMIT ISSUE PLAN CHECK TOTAL PAID DUE
o Ihave w; ncompensation nsurance.asreguieSection athe for
Code. TOTALS > 90 . 68 0 . 00 0 .00 90 . 68 90 . 68 . 00
end
work for which this permit is issued.My workers'compensation insurance cagier end policy rvmber are:
• Caner: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 90.68 OVER/SHORT: .00
Policy Number 1992890-94 10/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed S the panni a for one hundred dollars($t00/or len) 90 .00 . 68
❑ I certify that in the performance of the work for which this permit is issued.I shell not employ any pens in any manner o as to
become subject Io the workers'ccmpensation laws d California.and egree Mat 9I should me•died the e en
oM • *******************************************************************************
compensation provisions ens Section 3703 of 37the L.mshall r toes.l n forthwith comply wuh those provisions. IND IV IDUAL FEE BREAKDOWN
.9 Date: 3—(5—) L
Warning:Failure to satins worker.'compensation corsage Is unlawful,and shall subject an employer to oln6el penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines rpt to one hundred thousand dollars(S100,000),in addltbn to the cost of carrpwatIon damages as provWW for in
s«don 3706oTMaLabor Code,lnenC .
end rSFR 6800 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 6, 800 .00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there Ss construction lending agency for the END OF FEES
performance of the work for which this perms is issued(Satan 3097.Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS: -
I certify that I have read this application and state that the above information is coned.I agree to comply with all dry end county ordinances ,
end state laws relating to building construction and hereby authorize representatives of this thy to enter upon the above-mentioned property
for inspection purposes.
BOB HIRSCHMAN
Print Name •
-.. .. . .
Date r-k5-S C,
Sipnelure d OvnerlApenVApplcant/Contredo
1
(5151-45.WP) White-Boildig A Slay:Green-Rle:Canary-Applicant:Pink-Revenue:GOMenrod-Assessor - --
•
COSTA MESA BUILDING-SAFETY DEPARTMENT •
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —U3e I Only y RECEIVED BY DATE RECEIVED DATE ISSUED /'
BUILDING ��//
ADDRESS ? W� f� L ...•s
�/�,/p/ //P"NU ��,�Q��chr,e3,4tERMIT NO.
OWNER �/• L^�%�h�L/�CJ� B
MAIL �/�� BUILDING � ��� � L
ADDRESS 74.' ,%/,411` soiy ADDRESS/�� Z4Scin� �e-
TEL. . . TRACT/4;75-1 1,7/QJlO • /SOCK
CITY �� j -I ���1� Nem !(7.77 �MOVII9�
CONSTR CTION ir / hf EW ADD ALTER REPAIR % MOI ISH
LENDER \��•��///i�� ///� ��/
BRANCH�`-- ei •�C /,�r�/���. /� '
yr/ OWNER ��f// P./ / ril
ADDRESS /�!/( i/j�f �j n VA UE
ARCHITECT (7 4 C TEL • // USE izX,r �`Jr $
OR ENGINEER v. ,� NO U
ADDRESS r6.41:5,4/_ /j I / �.7� ZONE TYPE • GROUP
��•���VJJJ / FIRE
APPROVED
CONTRACTOR (16•204.094...., BY DATE /
ADDRESS xj n NO.OF �/r USE OF NE �/
TEL. 1r�1/I//f` //p�..� •/ BUILDING �JJJ
CITY TENO. 1. 1"�
I-• STATElj� ..7. CITY YARDS APPROVED YARDS APPROV
LIC. NE
LIC.NO. MAIN BUILDI G ACCESSORY BU ING_
Rd SIZE NO.OF BLOTS. (FROM C/L ST BEZ.
L OF LOCI.--
' ( I NOW ON LOT FRONT 4 (]/gLl- FT.
Q USE OF -�(J
N EXISTING BLDG. 9,SIDE_ 3 *T. FT,
Fin 33
Separate permits are required for L.SIDE FT.
electric,plumbing and heating work.Cc REAR aifFT.
F USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& t '
Q /�,, �//R MAIN BLDGS. ACCESS. BLDGS.
VA
v/V ylji �n �C URP#P/A'^/'/u(/I.(^A�jCr APPROVEDS/7-'74
>. Ts
11// /J gePPROVEDC�W/\ �OATE /—. /.---7-2
W J�/) HOLD FOR SPECIAL REQUIREMENT ;
0 I hereby acknowledge that I have read this application and state n
I 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 L'
/� v
= the State of California. I 071:, /: //Ij'0 ///� e /_ m
I hereby certify that I am properly lice <d as a contractor under 1 SO. FT. J {!{JI. �,�(,•� (�
the State of California Business and Pr. essions Co•e, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are' full force -nd effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from t provisions'f th State of C- 'forma Business VALUATION PERMIT FEE $ >
and Prof essio•. i.:7-, vision ,Ch pter 9. ro
��, IIla1 $ TAX PLAN CHECK $ ^
Signature of o
Permittee LL
U
U
Authorized Agent TOTAL PAID $