HomeMy WebLinkAbout1079 WESTWARD LN - Building Permits ADDRESS Of BUILDING: 1071 WESTWARD LN air: CITY OF COSTA MESA — BUILDING PERMIT
OwNERSN.WEIPclow'N: WESTBLUFF HOMEOWNERS ASSO PERM NO: B 076828
ADDRESS: 111 PACIFIC #250
IRVINE CA 92714 PERMIT NO: B 076828 PLAN CHECK NO: _ N GOVT: N SUPP: N
727-26x0
APPLMAILINO ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH . :
ARCHITECT ORENOINEER: Lt NG: JOB DESCRIPTION : T/OFF & REROOF W/BUILT—UP SQ FT: 6, 800 : .
ARCH.OB ENG.'S ADDRESS: - UMT:
CLAIM VALUE: 6, 800 . 00 CAL VALUE: 6, 800 .00 GROW OCC_: R-1 / '
CONTRACTORS NAME: R, P, HIRSCHMAN ( 714 )960-8329 - r ))
CONTRACTORS MAILING 8855 ATLANTA COMMENTS: REROOF SUNIT CONDO, ADDRESS (INCLUDES 1073 I0J��,10:77-1'079."'WESTWARD
ADDRESS: HUNTINGTON BEACH CA LLNO.: 475948 +t**�t�tat�PSt�E*�E�tst*�ESt*� ***�H�Hit*�E**i�iESE�P****Bt*K-f�*i[-**** *+E+t ** ******iE*SP*at-iP******it*+ ***
92646 IRit: 285 ZONING REQUIREMENTS
LCENSED CONTRACTORS DECLARATION:I hereby anvil under penalty of perjury the Inn Penned under provisions of Chapter e SETBACK S •
(aanmendng with Section 7000)of Division 3 of the Business and Professions Code,and my license sin full force and effect.
CITY UC.NO.: 038468 LIG,CLASS: C O.: 475948 EXP: 04 /96 MAIN BUILDING ACCESSORY BUILDING
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Date: 2 '''-I S—CI C cam 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 affirm under penally of perjury that I am exempt fan the Contractors License Law for the
'r 'fdiowing reason(Section 7031 s Business and Professions Code:Any city or county which requires a permit to orauuct alter.improve, PARKING REQ: PROV: PARCEL: 9 3 5 2 3 0 3 0 ZNE::
lemolsh.or repair any structure,pia to is issuance,also requires the applicant for such permit to file a signed statement that he or she REF NO:
a licensed pursuant to the provisions of the Contractors License Law[Chapters(tommendng ah Section 7000)of Division 3 of the PLANNING NOTES>_ _
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section
7031,5 by any applicant for a permit subjects the applicant to advil penalty of not more than five hundred dolkus[WOW **************dE*****************************************************7E**********
❑ owner ° conor mY ernlaoyees with sscompensation,s as their sole � "��the inotmmature D E V -E;L O P M E N T SERVICES R E Q U I R E M E N S«ororsale(Sec n7044,BusineandProfessiwreCode:TheContactorsLLeLarplytwnopropeny
who builds or improves thereon.and who does such work Nmself or herself a through hs or her own employees.provided that such '
improvements are ret intended aoffered for sale.If,however,the building or improvement.sold within one year afampleton,gm ZONING APPROVED BY :
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.em exdusi,ely contracti a with licensed contractors to construct the project(Section 7044,Businees and : .f;
Professions Code:The Contractors License Law does nit appy to an owner of property Me buids orImproves thenen and who BUILDING APPROVED BY : DATE: . -
contracts for such projects aha contractors)licensed pursuant to she Contractors License Law).
❑ lamexempt under Section: B.aP.c..for this reason: APPLICATION ISSUED BY: D•
ATE: 3'1t (�
********************************************** *********************** *******
Date: Owner.
LEGALIZATIONEN - F E E SUMMARY STRUCTJIRAL SEGMENT:Y "'"`
I do hereby certify that I em aware of and understand the requirements of Calioms Health end Safety Code Sections 25505.P .end ,
25534,end that I or any future building occupant will/will not(circle one)need to comply with said Mate codes and the requirements for i
occupant
a pemiitfor construciion or modification from the Ar QuakyManagement Dian:A.Residential constniction appications are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES. GRADING
pev18ions . PERMIT 90. 00 . 68
Date: Applicant:
SMIP/NON—RES
WORKERS COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the kUasng dederslions: PLAN
❑ I have andwii maintain a certificate of consent to self-insure tor workers'compensalon,as provided for by Secton 3700 of the Labor ISSUE FEE T
Code,for the ped«manceoftework for wNchthis permntstssued. BUILDING DIC > PERMIT ISSUE PLAN CHECK TOTAL PAID DUE
❑ Ihave and wimaintain workericompensation insurance,asrequired byCarbon37000teLabor Code,for tleperformance althe
TOTALS > 90 . 68 0 . 00 0 .00 90 . 68 90 . 68 . 00
work for aim this permit is issued.My waken compensation insurance caner and pobcy number are:
Carrier STATE UD EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 90. 68 OVER/SHORT: . 00
Policy Number. 1979890-94 10/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed I the panni is for one hundred dollars(51001 or lass.) 90. 00 .68
❑ I certify that in the performance of the work for which this permit is ssued.I shell not employ any person in any manner so as to
become cabled to the workers'comPonsmion laws of Calfomi. end agree that N I should bacon subject to the workers' ************************************************************************,*******
compensation provisions of Section3700 d Labor Code >shall fIna laforthwithown*win those provisions. IND IV IDUAL F E E BR EAKDOWN
y Date 3-(S-) _ Apc{m�
Warning:Failure to secure workers'compensation coverage Is unlawful,and shah subject en employer to criminal psnaldes and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($104000),In addlt/on to the coat of conpmaafbry damages as provided for In
S«don 3705 ofteLabor coda,n,rnf,and attorney's lets. 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 construction lending agency for the END OF FEES
performance of the work for which this penni is issued(Section 3097.Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application end Mate that the above information is correct.I agree to comply with all dry and county ordinances
end state laws reletig to building construction and hereby authorize representatives of this dry to enter upon the above-mentioned property
for inspection purposes.
BOB HIRSCHMAN
Print Name • - 1.. .. .,
Deter-- -S C
Signature of Owner/Agent/ACpicent/Controd«
(5151-4S.WP) White-Buidig �
&Safety;Greenle:Cenmy-Applicant;Pink-Reverse;Goldenrod-Assessor - -'-""'
• COSTA MESA WI DING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Complete) — Us• In Only. APPLICATION FOR STRUCTURAL PERMIT
RECEIVED BY DATE RECEIVED DATE ISSUED
BUILDING
ADDRESS
0
�Iu�{/ �
i .'CDIn PERMIT NO.
OWNS• . /,�_ Ja' LI ,_.I� t! �.YIO.GG.2 / Qf/ O3
.�
MAIL �_ BUILDING
ADDRESS ADDRESS '. « iii. ,
i //tt�-
✓J TEL ♦ (e ' /Oa /a
CIT✓� "":I" r•%AC N•if.A. �-16. Pe a. B • K
CONSTRUCTIOy I W •• ••D ALT : P_ : . •A . .s ••-eve ••
LENDER /�/fQ/ ��
BRANCH �� //�� /// Ate//
/ � �/ OWNER OT Gi�/ 1/Ors.riJ !A '
ADDRESS / /-- /
Y/ � /f
fUE
OR ENGINE T. TE Jr. U56("A?� �/T $
OR ENGINEER 745 401
/ T•,+w Lf♦ �Li1�� $ +sJ�FIRE
ADDRESS CU �J / �� ♦{�/,/ APPROVED ZONE TYPEROUP !/"J(
CONTRACTOR 041410 / BY DATE f //
ADDRESS
TEL. �y}J, /J/^/ NO.OF USE OF NEW
dentiek— a)
CITY NO. es
J[ /'/� (PLANS BUILDING
STATE /J �q3 CITY
YARDS NGD ACCESSORY
YARDS APP
LIC. NO. C LIC.NO. MAIN BUILDING ACCESSORY ILDING
ILI SIZE NO.OF BLDGS.
(FROM C/ ' ETI
L i OF LOT I NOW ON LOT RONT T. 'I 1. FT. —
mUSE OF �/��j'�/)_
EXISTING BLDG. R.SIDE [/ / FT. FT.
rn A
H Separate permits are required for L,SIDE CFT.
electric,plumbing and heating work.
WREAR FT. FT.
E., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& '
Q� /A,, MAIN BLDGS. ACCESS.BLDGS.
VA
DATE
:•1•
Pj���♦1 /1 /�/�/t s�,(.(��f�//��� CURP.4 t% —� APPROVED 5.7".19-7,a.
W s -TOLD • • a .11 RrQUIREMENTS
0 1 hereby acknowledge that I have read this application and state to
n
CC that the above information is correct and agree to comply with
m
O• all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of 03
6.
L.17 the State of California.
I hereby certify that I am properly licensed as a contractor under `/l
/'¶///O SQ. FT. y/ 490 se9/0 N
the State of California Business and Prof.ssi•'s Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that sue licenses are I ful orce and a i act,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt fro• hi Vivi •ns of he•tats of Califor f Business co
I . VALUATION PERMIT FEE $
and Prole • sCo•e .
iv n 3, y a• - •. LI)
in
Signature of PLAN CHECK $ eto
0
Perrpte
ISM) r. 4, / $ TAX $ U
Authorized Agent IF
PAID $