HomeMy WebLinkAbout609 BROOKVIEW WAY - Building Permits�„u�,rYjl �� __
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COSTA MESA BUILDING-SAFETV DEPARTMENT .� 1
P.O. 80% 12W CUSTA MESA, CALIF�RNIA 92fi26 ,� /�(/
APPLICATION FOR BUILDING PERMIT
ForA plicantto i i mp te
R Y DATE ECEIV DATE ISSUED
BUILDIN - � -
ADORES
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OWNER HELTZER ENTERPRISES-BROOKVIEW A'P.NO. u��D3 t? �
MAIL BUILDIN �
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ADDRESS 740 N. La Brea Avenue nooaess
a � ciTv Los An eles CA 90038 No� 937-217 TRACT 8� �oT e�ocK
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2 Q CONSTRUCTIO�`l. W A R P
O y LENDER llnited California Bank v
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� � BRANCH Main Branch
JN OWNER �� � �
m J ADDRESS 600 S. S rin St. L.A. 90054 / q� ,�{
J a OR ENGINEE�lE1dS 6 Silverman NE�.653-0160 5 Ll 5 � L'
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W 2 ADDRESS 7.13 N. San Vicente Beverl H11 ZONE TVPE GROUP
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w Z APPROVED
J O CONTRACTOA Geor e J. Heltzer BY DATE
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�� ADORE55 740 N. La Brea Avenue
ww TEL. NO.OF USEOFNEW�. [i��•Jp
�= arv Los An eles CA 90038 No. 937-2171 l��-' "J`"s 2 BUILDING { z,. n�:
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w � STATE CITV �'ARDS APPFOVED VARDS APPROVED
? O uc. No. 3144 LIC. NO. MAIN BUILDING ALCESSORV BUILDING
SIZE NO.OF BLDC'.S. (FROM C/I�R�ET
OF LOT NOW ON LOT ROM 3 FT. FT.
USE OF
EXISTINGBLDG. 5 �� FT. FT.
� SIZEOF NO.OF TOFT.orl' FT.
Z NEWBLDG. ROOMS STORIES 2 L.SIDE
a EXTERIOR WA ROOF
V COVERING �laster COVERING WOOa REAii ��+FT. PT.
-� USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
d Res' dential MAIN BLDGS. ACCESS. BLDGS.
a / ,/� ,/ 7
O `/�V / �� � . K ~ [. .�C C URP, �1`- � �_ -�_3'"7 APPROV ED � ��O -�i
~ APPROVED
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UI hereby acknowledge that I have reatl this apD���etion antl state '� , �, U
� that the abovi informetion is correct antl aprea to cOmply with �
a. all laws ragulatinp builtling consvuction, antl 1 shall not employ 1
F any person in violation of th¢ wOrkman's compensation laws of �
Me State at m
(n California. � � . , . �
Z I hereb cartiW Mat I am �:!' So. FT. �73n ��i'�� o
y prOPerly licens9tl as a cOntraciOr untler
t�e Stare of California Business entl Profassions Cotle, Oivisicn 3, THE AMOUNTSHOWN UNDER VALUATION IS FOR �
C�apter 9, an0 that such licenses ere in lull force antl effect, or 1 THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLV: m
am exempt frOm the provisions af the Staxe of Celifomia Business VALUATION ^/
antl Professions Cotle, Div�'sion 3, Chapter 9. PERMIT FEE S T ♦
� �
Sipnature of , � � J � � � �'[ /') i;� m
Parmlttee � � �l'� G ' -•�(� $ I I G:I / / /" ./ p�qN CHECK $ �//� J E
G �E �� � � o
AuthorizaOApent � ./ LL
TOTAI FEE $
^e(L'S'AOOHE55: 6O1' BROOKVIEW WY
OWNEH'S NAME: B� KV I EW CONDO HOA
aooRess: 630 PAULARINO
CM., CA „ 92627
(7�4) 587-0399
ANCH�ENGINEEfl:
p00flE55:
n[c.xo.:
UNIT:
UNIT:
PEFMITTEE: MESA ROOFING CORPORATION ( 714 ) 548-3012
ADDFE55: $ 4 3 j�J . 1']'['[j $'j'
COSTA MESA CA 92627
LILENSEO CaNTPPCT�R UECIAAATION'. I �e�eJy a�hrm t�at I am 6ceose4 ua6eo ptovisions 0� C�aO�er 9(mmmencing with Sectio�
7000� o� Oiv�,sinn 3 0l Ihe Business and Pmiessions Co�e. an0 my hcense is in an� ellect.
cirvuc.: 035681 sTnreuc.:5691 cuss: C-39
-0a�e. �? �e Signatm -
WOB FS' COMPENSRTION �ECIAflATION: I �ere0y atlir Ina� I have a rerti e o� consen� 1 sel4in re 0� a[etlifical¢ ol Workers'
eomoensation ��µ� o� �cg.rtilt.µ, r8n� mereoi Isecean 3soo. �ao. �.� � O 1/ 9 9
POLICV NO.: E%P. ORTE:
caMrnxx: GOLDEN EAG�LyE
❑ Cenifietl coDY is nerehy lumisned. L9 CetldieC c wR� tne ciiy Builtli !—'�
Wte- � � _ � � APDlfcanl' � —
i
E%EMPTIONFHOMWOBKEFS'fAMGEN5AT10NOEClABAT10 . �inissecUonneeCnolbecompletedifttieperrtutisforoce�unGreE�SIOD�wless�.
� cendy I�a� in Ihe pedormance oi ��e work 10� w�ich t�is oerm�i is issu¢0. I s�all not employ any Derson in any manner so 25 to Oecame
su��eci �o the Wor4eR' ComDensaiion Laws of Cahlom�a.
�ate Siqnawre'.
NOTICE: II. aM1er making i�is declaratian, you 5hou10 �ecome sub�ecl to IIM Workers' Compensation pr0�ision5 ot t�e Labor
Code. you mu5� �otlhwith comDty with suc� Drovisions or Ihis permit shall be deemetl revoke�.
CaRSTPUCi�ON IENDING AGENtY: I herehy a�hrm ma� inere is a cons:mction lenaing agency lor �Ae pedormance ol Ne work for
wn¢n Nis permit is i=suetl ISecimn 3097. Crv_ C�.
LEN�EN:
R��FESS:
OWNEfl BUILOEP OECLANATION: I here�y attrtm iha� I am eeemp� Irom ��e Lont�acrors' $ta�e License Law for I�e follpwing reason
ISecuon 7031.5 Business antl Pro�essional Cotle: Any nty ol muNy wmc� re0uire5 a permil to consimct. atle�. impmve. demolish. or
Rpar. any 9Ncture. Orior lo ils issuance. also re0uire5 the aOPlicanl for suc� permit �o lile a signetl stalemeni Iha� �e/s�e is lic¢nsea
oursuant to tne omvisions o� ih¢ Contramors' State License law IC�ao�e� 9lcommencing with Section 7000) ol Divrsion 3 0� the Business
a�m P�otessons Code1 0� ihat ne�s�e is exempt me�e�vom a�w ;ne �asis �or me aneqetl exemption. Any vioiation oi Sectwn 70315 Oy
any aOPlicanl for a oermii su�lecis t�e apD�itanlio a civi� penally ol noi more Ihan live huntlred Oollars ($500)
I. as nwne� ol ��e propeny or my employees with wages as their sole compensation, will do Ihe work. and ��e
❑ simcture is nof miended o� ollered for sale (Secuon 70da. Busmess anG Professional Code: T�e Coniraqors' Slaie License Lavi
Ooes noi ap➢�Y io an ownei ot a piop¢�y who �m�ds IN impioves Ine�¢On. and who doe5 sucfi work I�imselifh¢rse�� o� thtoug�
�6 or �er own employees. provitletl �hal sucn im�mvemenls are not inlen�e0 or oHereO �or sale. It. however I�¢ builCing or
Imo�ovement is sole witnin one year o� comolelio�. tne owne�'�'��� nave Ihe Dureen ol Dmving he/she tlio not �uild or impmve
lor ine purpose of sale�.
I. as ownei 011�e p�op¢riy. am exclusively mnt�acHng vn;h Ucensec cWt�acto�s to con5tmct the projecl (Section 704a. BuSiness
❑ antl Pio�esvons CoOe: T�e Contracto�s' Siate License Lav.�tloes.�o;aoVlyto an ownerof0�o0eny who CUAds orimprovesihereon
and w�o canlracis lor such projecls wii� a conlydcior�sl 12enst pursuant �0 ��e Coniraciors' Sta�e License Lawl. I am aware
Ihdi p100� 0� Ii1Qif WOtk2f�S COmp2n5dlipn if1511ld�[P Shppld Of 5'�vidQO IO m¢.
-� I am e+empl under Secuon B 6 P C
� �or mis reason
Da;e 0�::.,e
� ao nere�Vi cenity ihat 1 am aware ot an0 unoeman� ihe remniemems o� C_nbrma HeaNh an0 Sa1e1y Cotle Settions 25505. 25535. ana
25i3= and l�al I m amy lulure OutlOmg occuDant willl:viil not IcrtGo pnel oe?c b comply wit� saitl sla�e cotles an4 i�e reQuireTenis for a
p9,mi1 fo� con5buciion or mo�ihcaiion imm �he Arz Ouahry Managemeof Disintl. fle5identlal wnSINCIIon appll[aiions are ¢xempt Imm
: =.se o�ovismns
pZ;o Applrtan;
I.�o�eby Cerlily I�al Illav¢ i¢a0 INs dp0�icali0� dnA SIdIP IGai 1�¢ dh�vPin70•11allOn 6 CO�r¢Ci.ldgf¢¢t0 COmply v:iih dllciiy an0 [ounly
o�pirancesan�slatelawsrelatingloGmlpingconStNclio�ano�e:eb ta4 �IhiScily�oenteru0onihea�ove-menlionetl
Ci 0�4:ty IOf I�Sp^Clbn �UfppSCS
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,;;� —S sg�a���e �—
��i�:e, s ��rense m Sonai 2 1
�5n�a5 Wmie—Bwltling�. Green—Cotle Enbqemem Canar�—qapi�cant Pint—Revenue: Golaenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 064027
PERMIT NO: B 064027 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: � PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : T/OFF, �& 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 INCLUDED b03-605-607-609-611HA�OK�IEW WY
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Z O N I N G R E Q U I R E M E N 5- —
S E T 8 A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PAAKING REQ; pROV; PARCEL: 93405061 ZNE: REF NO;
PLANNING NOTES>
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D E V E L O P M E N T S£ R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY . ___ __ _ DATE:
BUILDING APPROVED BY : DATE:
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LEGALI2ATION: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 DUE
TOTALS----> 108.86 0,00 0,00 108.86 108,86 .00
REVENUE DIVISZON TOTALS--> COLLECTED; 108.86 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
108.00 ,86
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I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T Z O N UNIT COST TOTAL COST
SFR 8645 [tEROOF BY VALUE RESIDENTIAL NOZONE 1.00 8,645.00
END OF FEES
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