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Home My WebLink About615 BROOKVIEW WAY - Building PermitsL03ECT ADDRESS: 613 BROOKVIEW WY - UNIT: 'jWNERS NAME: BROOKVIEW CONDO HOA ADDRESS: 630 PAULARINO - CM„ CA„ 92627 ARCH/ENGINEER: (714) 587-0399 REG.NO.: ADDRESS: UNR: PERMITTEE: MESA ROOFING CORPORATION (714)548-3012 ADDRESS: 843 W, 17TH ST COSTA MESA CA 92627 LICENSED CONTRACTOR DECLARATION: I hereby aff lm that I am licensed under provisions of Chapte ection 7000) of Dwjsion 3 of the Business and Professions Code. and m I CITY UC.: — 8 STATE LIC.:564I CUSS' Date: Signature: �. WORKERS' COMPENSATION DECLARATION: I hereby nm that I have a de consent mself-insure a certificate of Workers' Compensation Insurance or a certified copy thereof (Section 3800. Lab. C). PDucYNO.: PWC24167500 EXP. DATE: 07/01/94 COMPANY: GOLDEN EAGLE ❑ Certified copy is hereby furnished, [X CeNfied y is filed with the city Be a¢0 sio Date: 2,3 — / —Applac-111 w EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need rpt be Completed if the permit is for one hundred ($f00)a, less). I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: 11, alter making this declaration, you should become subject to the Workers Compensation provisions of the Labor Code. you must forthwith Comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for wInch this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: 1 hereby affirm that I am exempt from the Contractors' State License Law for the following reason fSeclion 701 Business and Professional Code: Any city of county which requires a permit to construct, atter, improve, demolish, or repair any structure. prior to its issuance. also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law )Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not all than five hundred doi (5500). 1, as owner of the property or my employees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044. Business and Professional Code: The Contractors' State License Law does not apply to an owner at a property who builds or improves thereon, and who does such work himsell/herseB Or through his or her own employees. provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion, the Owner will have the burden of proving he/she did not build ar improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed conlractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractors) license pursuant to the Contractors' Stale License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section: B. 8 P. C. for this reason: Date: Owner 1 do hereby certify that I am aware of and understand the requirements of Calilornia Health and Safety Code Sections 2550.5, 25533, and 25534 and that I or any future building occupant writ/will not (circle one) need to comply with said state codes and the requirements for a permit for Construction or modification from the Air Duahty Management District. Residential construction applications are exempt from these provisions. Date. Applicant: I hereby certify that I have read this application and state that the above information is correct. l agree to Comply with all city and ordinances and state laws relating to building construction and hereby auth t his city to enter uponria a ove on property f�2 for ospeclanpurposes rBare'. a/ —�_ J Sffilu ce FDriver's License or Social Security #r 16,1646 While—Building: Green—Code Enforcement. Canary—Applicant Pink—Revenue; Goldenrod—Assessor t CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B06402 PERMIT NO: B 064028 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: SIR PURPOSE: OTH JOB DESCRIPTION T/OFF,xii S REROOF W/COMP SHINGLES SQ FT: 8,645 CLAIM VALUE: 8,645,00 CALC,VALUE: ,645,00 GROUP OCC: R-3 /M-1 COMMENTS: REROOF W/COMP SHINGLES INCLUDED 615— 17-619-621-623 BROOKOEW MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM;FMMMfYMMMMM MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM Z O N I N G R E Q U I R E M E N T S 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 RIGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING RES. PROV: PARCEL: 93405055 ZNE: REF NO: PLANNING N TES> r > rif —itMkifkkitk MkiE ff ff%MrEMkfFM iFk M1FMMMff if if if MitklE if if MfF lE iF Mltkft Ef%ft if iE iEMM MMifkif fE fF iF fE ik KiFMit ff if 7Ek if lFMMif if D E V —E -,L 0 P M E N T S E R V I C E S R E Q U I R E M E- T S ZONING APPROVED BY DATE: -' BUILDING APPROVED BY : DATE;/ ,`• APPLICATION ISSUED BY: DATE: MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMifMMKMMMMMMMM1t.MiFMMMMMMMMMMM 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 DUE TOTALS ---- > 108.86 0,00 0.00 108.86 108.86 .00 REVENUE DIVISION TOTALS--> COLLECTED: 108,86 I OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 108,00 .86 ifMiEMiE if if%if iFMMiEMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM 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 I O N SFR 8645 REROOF BY VALUE RESIDENTIAL NOZONE END OF FEES CI '.... _ REQUIRED UNIT COST TOTAL COST 1.00 8,645.00 �it i5 +'`iC•_l"_'-:=%`.''i TELT Ir14.`G 1j^ TE GY'/'.