HomeMy WebLinkAbout1027 WESTWARD LN - Building Permits ADDRESS OF BUILDING: 1027 WESTWARD LN WIT: CITY OF COSTA MESA — BUILDING PERMIT
' ONNERSNAMEIFg403yN: WESTBLUFF HOMEOWNERS ASSO ERM NO: B 076826
ADDRESS' 111 PACIFIC #250
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• IRVINE CA 92714 PERMIT NO: B 076826 PLAN CHECK NO: N GOVT: N SUPP : N
727-26x0
N AppLitiammun CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT ORDaNEER: LK.NO: JOB DESCRIPTION : T/OFF & REROOF W/BUILT—UP SQ FT: 6, 800
ARCM OR END'S ADDRESS: UMT:
CLAIM VALUE: 6, 800 . 00 CALC—VALUE: 6, 800 . 00 GROUP OCC: R-1 /
caDRAOTOR'SRAm: R.P. HIRSCHMAN ( 714 ) 960-8329
CONTRACTORSMAIW1O 8855 ATLANTA COMMENTS: REROOF 5UNIT CONDO ADDRESS INCLUDES 1029-1031-1033-1035 WESTWARD
ADDRESS: HUNTINGTON BEACH CA uC.NO.: 475948 3E3E3fiEiE3f3E3EwE#iE3E4b3E3E#3E3B3E#9E1EiE1t-lEic-ifiE SkifiE161EiFiliflc-iE1fiES(-jEihltifiEiEiEifiFiE3f-1EiEifiE+EiFillEitlE9c-1EIEiElEifiEiF x-iEiEytiEiE1E 3Eif
92646 OMT: 285 Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty d perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of OMson 3 of the Business epos Code,and my license Is In full force and effect.
Cmucc..jNO.: 038468 LIC.CLASS: C 6 itis..: 475948 EXP: 04 /96 MAIN BUILDING ACCESSORY BUILDING
---_) Dale: `�^ 11.—S L con \ 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 em exempt from the Contractors License Law for the
following reason(Section 7031.5 Business and Professions Code:Any city or County which requires a permit to construct.alter,improve. PARKING REQ: PROV: PARCEL: 00000000 ZNE: REF NO:
' smdnh,or raper any structure,prior to its issuance.enc requites the applicant for such permit to fide a signed statement that he or she
licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Dbnion 3 of the PLANNING NOTES>
dusiness and Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section -c j'l
7031.5 by any applicant fora permit subjects the applicant to a civil penalty of nal more than Me hundred doe= 3b♦E 3E♦E 4**4*♦E 3b ii 3i 4E 3f'3E 3i 3b 3E 3E iE 3i 3E 3E 3E 3E 3E 3E 3b 3E 3b 3b 3E 3b 3E*k♦E 3E 3E♦E 3E 3E#3E ii 4E 3t 3E 3E 3E 3i 3F 4i ii♦E it 3E♦E♦F 3E 4i 4E 4E 4b 4b 4E 3E 3E 4E*3E 3E 3E 3E 3E 3E 3E 3E
• 1........simony.... wages ction.will do the en�sS not ppD 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 So er fs (S«to7044,Business and Professionsaxns Cade:T e Conttr ctos License Law mmnot awlyto an ow roof properly
who builds or 0prove,thereon.and who does such work Nmsell or herself orhis or through her own employees,provided that such
improvements are rot icrended orcifered for sale.It.however,the building or improvement is sold within one year of completion.the ZONING APPROVED/BY : DATE:
ownericuilder will have the burden of proving he or she didnutbuild or improve forthe purpose Of sale).
❑ I.in owner of the property.em exclusively contracting wish licensed convects to construe the project(Section 7044,Statham and 7
Professions Code:The Contract=License Law does nal apply a an owner d progeny who builds o Improves thereon and who BUILDING APPROVED ED B Y : DATE: /
convects for such projects with a contractor(s)licensed pursuant to the Contractors License Law).
❑ I am exempt under Section: B.a P.C.,or this reason: APPLICATION ISSUED BY: DATE: 5IE9tg1
**************/*******************************3E * *lE3E*#**iElEiF*iFif-iFiEiFiFifiE3(-iE#*iE#*iE*iEiE
Dat" Owner: LEGALIZATION•N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby cendy that 1 am aware d d
and understand the requirements d Calami Health and Safety Code Sections 25505.?c .and j'' r1
25534.and that I or any future building coapant will/will not(circle one)need to comply wfh said state codes end the requirements for
apendforconewctionormodificatonh«nthe Ai�tyi.TanepementDistrict.Residential omstnMoneppicatomare exempt from these BLDG PMT PLUMBING ELECTRIC,' MECHANIC FIRE SMIP/RES GRADING
.provisions. PERMIT 90 . 00 .' . 68
Date: Applicant: ▪ o SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:l hereby affirm under penalty of perjury one of the following dedsmons: PLAN
ISSUE FEE
❑ Ihave and wDmdmanceticatedmmenttoself3nsurel«waken'compensation.es prodded l«bySection 3700of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,to the performance of the work for which this permit is issued.
❑ I have and will mainn:n workers'compensation insurance.as required by Stabs 3700 d the labor Code.f«the performance d the TOTALS > 90 . 68 0 . 00 c - 0 . 00 90.68 90 . 68 . 00
work to which this permit issued.My workers'
compensation insurance carrier and policy number we: - (`'
Carrier: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 90 . 68 OVER/SHORT: . 00
Policy Number: 1222R(10—114 10 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed I Me perm'is b one hundred dollars(Se001 o lin) 90 . 00 ).... " . 68
❑ I certify that in the performance d the work for which this permit n issued,I shall not employ any person n any manner so es to
becoresobled to the woken'compensation taws d California,and agreethmul should become subject
to the worker' **44**344E4E4E4E4E*3434*3E4i3i*ii***3i4E4E*4E4E4i3E4i4E*36▪4E**ii*44**44*4444***3Fii*4Eli***4E**1E3E**lili4E*******44idi4E
* o
compensation provisions
ld Section 3700 of the Labor ply provisions.
thoseprovisions. I N D I V I D U A �L' F 'E fE B R E A K D O W N
/ Dat ^
Cede: --. tS � L AIRF i ', t !
Warning:Failure to secure workers'compensation coverage Is unlawful,and shall subject en employer to criminal pentads*and TYPE QTY D E S C R I P T I 10 N • 'j UNIT COST TOTAL COST
civil Daws nig to on hundred thousand dollars(S/06000),M addition to the most of compensation damages as Provided for In . "- /
•
saoum3roa,
5olNaLaborcoInterest,and+Noraysfaaa SFR 6800 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 6, 800 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there ea combustion lending agency for the END'OF;FEES
performance of the work for which this permit n issued(Section 3097.Cit'.C).
�r:/
LENDER'S NAME: P i m
LENDER'S ADDRESS: / J
' I certifythat I have read this application and state that the above information is cored.I agree to comply with all city end county ordinances
and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned Prefab, Vi U 1 -LI 10: 'IC-i :I: '1 3 b ;'-"` .,
l • n
for inspection=Poses.e. r1 .. 'AT '- Dir y . . •_. -. J.
BOB HIRSCHMAN
•1
p/� Print Name �s �h
•'-ii Dater N I(s C 2
Signatured re
Own/ApenVAppicenUContre «
d
L
(5151de WP) White-Building&Safety:Green-Ric Canary-Appecint:Pink-Rename Goldenrod-Assessor
I
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CONSTRUCTION AND PLANNING POOL., SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
.3. Electrical Conduit.Utility-Undrgmd. • 54. Forms
,4. Electrical Conduit•Undrgrnd. • 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd, 57. APPROVAL TO COVER-GUNITE
;7. Footings _ 58. Electrical Conduit-Undrgrnd.
8. Foundation s 59. Gas Pipe, 0 Undrgrnd.,Test
9.•Water Pipe-Undrgrnd. I. 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash& Receptor-Final
12. Sewer Cap I 63. Heater & Vent-Final
13. Roof Drains I 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring. 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ,,
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure. 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing "
✓�� 13. Undergrnd.StorageTank ❑Gas 0011
25. Roof Sheathing - 1,12rig /////������// 74, Overhead Hydro
26, T-Bar Ceiling (Structural) & Monocoat lr ' i
75: Dry Chemical
27. Frame.and Flashing . - 76. Dry Standpipe - .
28. Lathing& Siding - - 77.. FIXED SYSTEM1FINAL
29. Insulation • 78. FIRE PREV, FINAL
30, Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat - - 79. FINAL INSPECTION •
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final-Electric - Notes: ---,7 / del
34. Final.Heating & Air Conditioning �/ A0 /+' c''„ -f7 •ld /yes d
Tse / '1 7� 11�L!e
35. Final Gas-Pipe-Test let 7-4._ 94
1.4 i!��
36. Hood or Canopy -
37, Final Factory Fireplace -
38. Final Plumbing -
39. Water Service-Final -
40. Gas Service-Final - - r . •
41. Solar Domestic-Final ' . . - •
42. Backflow Preventer - •
43. Backflow Irrigation '
44. Landscape Irrigation System • - - ._
. t
45. Sound Attenuation
46. Handicap Regulations • -
47. FINAL STRUCTURE & BUILDING 0
48. FINAL PLANNING -_ - - -
49. Electric Release to.Edison • •
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY - ,
No Date