HomeMy WebLinkAbout601 BROOKVIEW WAY - Building PermitsB
OWNEF'S NAME: H
ADONESS: (
�M., CA „ 92627
(719) 587-0399
AFCN/ENGINEEF:
pDOflE55:
WY uNir:
HOA
flEG.NO.:
UNIT:
PENMITTEE: MESA ROOFING CORPORATION ( 714 ) 548-3012
RDDHE55: $Q3 j,J, 1'�'j'j�j $'('
COSTA MESA CA 92627
UCENSEO CONTHACTOP OECLAHATION: 1 hereby afiirm Iha� I am licensetl under Dmvisians ol Chapler 9(commencing with Section .
7000101 �ivision 3 of �he 9usiness and Pmfessions Cotle, and mv license is m antl eflect.
ciTruc.: 035681 srnTeuc.:5691� ��?ss; r_aa _�
Se: � SignaNrc� �����/��/ /� �
149fl BS' COMPENSA"TIOlN 3DECprLtA�B¢AT�I,OpNy: I �ereby a�fir .Ihav( I I have a t¢rii e of23f � �pps¢n� �G5¢Ibin re ar a teRifitate O� Workers'
POUCY N0. n��` `� 1�0 /� V�V ihereol ISemiE%PBOPTEab. � 7 I O 1/ 9 9.
comvaxv: GOLDEN EAGLE
❑ CeNhetl copy is hereby lurnis�ed. � Cenilietl couv-iei wii� the ciry Builtli sie
�j c
"oate: � � —/ � ApplicanC --���°��������� — —
E%FMPTIONFNOMWOPRENS'COMPENSATIONDECLANATIO. Qhissecliannecdnotbewmpletcd�thepermitis�oronehundre4�8100)orless�,
I cetlily Iha� in ihe petlormance of ��e work lor which this permi� is issued, I shall nat employ any Derson in any manner so as Io become
su�ject Io the Workers' Compensaiion Laws o� Cabbmia.
oate: signawre:
NOTItE: II, after making �his declaration, you shaultl �ecome suble�� �o Ihe Workers Compensation pmvisions oi the Labor
Cotle. you mus� fonhwi�h comply with such pmvisions or �his permit shall be tleemetl revoked.
CONSTPULTION LEN�ING FGENCY: I hereby al�irm that Ihere is a constmciion lentling agency �or �he Dedormance oi Ihe work for
w�ich �his Oermi� is I=Suetl (Seciion 3097. Civ. C�.
LENOEfl:
aoosess:
OWNEH BWLOEB OECLAHATION: I hereby aifirm iha� I am exempt Imm ��e Con��actars' S�aie License Law for the �allawing reason
(Sec�ion 7031.5 Business and Pmfessional Cotle: Any ciiy of counry which requires a permi� �o cons�mc6 aller, impmve, demolish, or
repair any s�mcture, prior lo iis issuance. also repuires Ihe apP�ican� for such permit �o file a signea Slaiement �ha� �e/s�e is licensed
pursuam to Ihe pmvisions of I�e Conirac�ors' Siate license Law (Chapier 9(commencing vnih Seclion 71100) ol Division 3 oi I�e Business
antl Pmiessions Code) or t�al he/she is exempt ��erefmm ana Ihe basis lor the allegetl e�emp�ian. Any violaiion of Seclion 7031.5 by
any apPlicant for a permil sublec�s Ihe applicant to a civil penalty af no� more �han �ive hundred tlollars ($500).
I, as owner ol �he pmperty or my em0�oyees wilh wages as �heir sole compensa�ion, will do ��e work, and Ihe
❑ stmclure is not inlen0etl or o�feretl tor sale (Secnon 70E4, Business antl Pmlessional Code: The Contractors' $ta�e license Law
tloes no� appty Io an owner ol a properly who builtls or improves �hereon, and who does such work �imself/hersell or �hrough
his or ner own employees, provitletl Ihal such improvements are nol intentle0 or o��ered lor sale. If, however �he buil0ing or
impmvemen� is soltl wilhm one year af com0le�ion. ��e owner will have �he 6ur0en of pwving he/she Aid no� build or impmve
for �he purpose ol sale�. .
I, as owner oi Ihe praperiy, am exclusively canVaciing wiih Iicen5e0 cantractors la cons�mcl the D�olecl (Section 7044, Business
❑ antl Pmiessions Code: The Comracmrs' Stale License Law Ooes nol apply ro an ownerof pmDeny who builtls or impmves [hereon
and who coniraas for such pmjects wi1� a caniractor(s) license pursuantlo Ihe Coniraaors' State License Law�. I am aware
Nat pmol ol Iheir Worker's Compensalion insurance should he pmvitletl ro me.
� I am exempi unaer Section�. B. 8 P. C.
tar mis reason�.
Daie: Ownec
I do hereby certily iha� I am aware ol antl untlersland �he requirements o� Califomia Healih an0 Safery Code Sec�ions 25505. 25533, antl
25534 antllhal I or any IWure 6uiltling occupan� willlwill no� (circle ane) nee0 tn comply wAh saitl slale codes antl Ihe requirements lor a
permil lor conslmclion or motlifica�ion irom�he AirOualiry Management Oi5lricL Revtlen�ial con5lruciion apDlicaiions are eKemp� irom
tnese pmvisions.
Dale'. Appbcanl'
I heieby cetlily Ihai I have reae this application anA slate Ihat Ihe abave inbrmation is correcL I agree Io comply wi�h all ciiy antl couniy
ortlinances and s�a�elaws relaiingla bwltling constmclian an0 �ere Itllo`iio.�9p�a6GalaY �his cilylo enlerupanthe above�mentionetl
properry Iorin50�c�ion purpases.
�ale: � � ��� Signaiure: ��
odver's uconse or Soma� Securny a:
t6aL46 Whne—Buileing: Green—Coae Enlorcement; Canary—/Pplicanf, Pmk—Revenue: Goltlenroe—qssessor
CITY OF COSTA MESA — BUILDING PEAMIT PERM NO: B 064027
PERMIT NO: B 064027 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: � PEAMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : T/OFF, � 6 REROOF W/COMP SHINGLES SQ FT: 8,645
CLAIM VALUE; 8,645.00 CALC—VALUE: 8 645 00 GROUP OCC:�R-3 /M-1
COMMENTS: REROOF W/COMP SHINGLES INCLUD 603-605-607-609-611B OK�IEW WY
iEitiklFiFiFitltiFffikMlF%lkftiFMiF1tlEikitMMffitlflf1f1E1f;flkifiFiflflElfftlFf �+tt_ F_iF�IFifIEiFiFifMiEiFMiklFiFif)IFiF 1E1EMlFlPiflflFlEIEiE
Z O N I N G R E Q U I R E M E N—'1`-5----�
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGFIT: FT IN LEFT: FT IN RGHT: FT IN
PARKZNG REQ: PROV: PARCEL: 93405061 ZNE: REF NO:
PLANNING NOTES>
i /
*�r�+r«�r�r�r�r*�r******�rr*�e�e*****�r�**�r�r�r***�x�****�r+�*x��r+r�*��«***x��r�*+�*****�***x*******
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
.
ZONZNG APPROVED BY DATE: `
__
BUZLDING APPROVED BY : DATE: '..
APPLICATION ISSUED HY: DATE: ���F����
ifMitMMMitiFifik%ifiEMkkiFiflfiFiFif 1fiFMiffflEiFM1FfF it
it M it iF if if %if ff ftlf if ik if M iE it if 1f 1F iF iE it if iF k 1k M 1t ik M K if if if M M iF 1f it iF M it if M iE if ft if 1k ik M/t iE iF 1F it fE iF i! if iE 1E if 1f ik iE 1!!F it iF rt if if iFlf if if iE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 108.00 86
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DQE
TOTALS----> 108,86 0.00 0.00 108.86 108,86 .00
REVENUE DIVISION TOTALS--> COLLECTED: 108.86 OVER/SFIORT: .00
BLDG PMT pLUMBING ELECTRIC MECHANIC FZRE SMZP/TOT GRADING PLAN—CHECK
108.00 ,86
iF 4 M ik if 4 k!k if if M 1! if If 1E if ik it it iF if if 1f k iF fk iE k iF %ik if if M iF if ik M if M k M iF %iF M it ff 1f iE if iF ft M 1F M if ik 1F if iE iE 1f if 1E M iF 1E 1f i! iE if if if %if if 1f ik
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C A I P T I O N UNIT COST TOTAL COST
SFR 8645 REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
���o�E ��rEcro�
R�QUIRED
1.00 8,645.00
a: acis;<<s-ao:a�s�� -rr,-r
L�7E: !l?/:[3/93 TI�'tEjll:"
ioa.aE
i _
r� COf��STRUCTIO�� ARp PLANN�r�G ' POOL & SPA 1f � i
I` - Date Inspector� 1, � j �nspector ,
APPROVAIS Permic � APPROVALS Permi*, „- �
r --+
7, TemV��dry FleCtn�a� S^r.�� o� Pole'� 52. Poal & Eq��pment LoCaDo:� ii �
�2, 5oil PIpe�Undrgmd: ^ �� 53. Stecl Reinforcement � �
ii- '- . '' - '--- ------ -- -
=3.;�iac'.[i;a� Con::Ew 1�t.� ty:jJndrgrr.n;� . �I 5G. For�-�s �
---z--�---� -�--� - --- -{----;
A.-Electrscal Cantlu�:�1�3'dr;'oC. • I 55. E'ect�ical Hond�nq �
, . � �r �
_� � y
�,�Y�'�ee:�ei�foret�,rr�hy � y'_� I 56. Rough Plumbing & Prestur;. TeSt ��
��b:.:E�eetr �:a� UFFe-F�-^:'d .� -��, �57. APPRO:`F.i TO COVER Gl'�IiTF � t-"-�
. . .� - -�--- - -----t----r----�-�.
> �� =`-nou�q s .�''"" `"' � } 53. Elcctrical Conduit-Untlrqrnd. `
'-� �,. � I 2 :J' 2 � _ __ � _ - ___ � R _'�
--�8. F�pu^rTation �.,, - --_ I 59. Ca; Pipe.-=� Uncrnrr�d . Tc:t - �
� �3:A 4Vate� P�pe-Unci'rgmd. �I 6J. ftac!cwash Vne�,P�Trap, f�l Undro�nd
> > . -}--
lb. Structural FIa.J.^{ Svstem � ' 61. A: PftOVAL TQ UECK { �
s -- - - "
11 . Proacrtv Sec,e�. Lu rt & Hotisa Corrr.ct,on i rt� � u2. Bac!<c.2�h S Rt.c. ,� ..iFi.,,� �-� __ _ I
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12 Se�.vcr Cap • �' ��, � 63. I-Inater �'� i
„ �-___ ' �_ _ _ _ �
13 Root Dra�ns ^ ' _ __ _ � __ I u1. ?;ur, �L - _ .I �
14. Rough Pwmb,Ly� " _ _ � GS. Electricai�F�nal __ _ L i
15 �o�.,�h Electr ��-Co���: r i� I 6'0. So'ar SYstam-Pin�l �
�-- -
76. Rough Eiectr cLVinng - 61. 'encing & Access ApP���:�,1 v �
17. Rough ;'J�r,r,-, 5ign � G8. APPROVED FOR PLASTERING
19. �ouyh Elccb�r,e^J�T 6a� Ce�brq G9. PC� VSPA SYS?:" �S FI�!AL
i
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COSTA MESA BUILOING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
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OWNER H$L1'Z
AODRE55 J�VO
cirv Los Ang
CANSTRUCTIO
LENDER Rl
BRANCH Mfll
ADDflESS 6OO S
TEL.
, CA 90038 No.
California Bank
ORENGINEE� leld5 & Silverman No'653-
ADORESS 113 N. San Vicente, Beverly
CONTRACTOR George J. Heltzer
ADDRESS 740 N. La Brea Avenue
TEL.
cirv Los Angeles, CA 90038 No. 937-
STATE CITY
uc. n,o. 3144 LIC. NO.
SIZE NO.OF BLDGS.
OF LOT I NOW ON LOT
EXISTING BLDG.
SIZE OF NO. OF
NEW BLDG. qOOMS
EXTERIOR W�+�laster COVOERI
COVERING_
USE OF BUILDING qND WORK TO BE
Res'den
U�!' !Y"s
PhIL
"nn � c-7�;�,;< 0� 52.�:= �* � 156.73
��.
ATION FOR BUILDING PERMIT
R6QE7{/Fp/BV DATE9ECEIVSD �oTG�cciirn
A.P. NO.
BUILDIN
ADDRESS
TRACT
FIRE
ZONE
APPFiOVED
DATE
BLOCK
NO,OF USE OF NEW� C.Qh
l "Cri PLANS 2 BUILDING �� �
VARDSAPPRpVED VARDSAPPROVED
MAIN BUILDING ACCESSOPV BUIIDII
POM GL STR�ETJ .
)RIES 2 L.SIDE ��FT.b FT.
(1 REAR �� ±FT. FT. �
� DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLIX'>S.
� ,� C URP. # �� 7� � APPROVED ((J � �/�
APPROVE�
I hereby acknowletlge thet I have read this apP�ication and state
that tM1a above infotmation is cor�ect antl agree to comply with
all laws regulating Guilding construction, antl I shall not employ
any person in viola�ion of tfie workman's compensation laws of
th¢ State of Calitornia. /
I hereby cartify that I am properly licensetl as a convactor untler � �� SQ. FT.
ihe State of Califorhia Business antl Profassions Cotle, Divisicn 3, THE AMOUNT SI
Chapier 9,�antl that such licenses are in full torce and affact, or I THE PURPOSE OF
am exempt trom the pro isions of the State of Calitornia Business VALUATION
entl Professions Code, Di '�'bn 3, Chapter 9.
SiB�atura of tR 1 % M
Perm Ittee $ / /�, �/ �n� ` ,
�� � r
Authorized Agent
27��r Ga.�A"--/ o
�WN VNDER VALUATION IS FOR �
STABLISHING A PERMIT FEE ONLV: m
PERMIT FEE $ � I �
�� m
� PLAN CHECK $ E
0
LL
TOTAL FEE $
Copyright OO 1996-97 Experian Page: 1 of 1