HomeMy WebLinkAbout616 BROOKVIEW WAY - Building Permitsf"
PR9.fEti ROORESS: 6 I Z BROORVIEW WY
o xaME: BROOKVIEW CONDO HOA
ppURES$: 6]O PAULARItJO
CH „ CA., 92627
(714) 567-0399
RHCNfENG1NfER:
�OOPE55:
xEc.Na.:
uxiT:
UNIT:
PEpMiTTEE: MESA AOOFING CORPORATION ( 714 ) 548-3012
aonness. 843 W. 17TH ST
COSTA MESA CA 92627
�ICFNSED CONTppLTON OECUBATfON: 7 Irereby aHirm inat I am licensetl unaer 9�o+'isions ot CfiaD�et 9(commencing wi\� Section
7W0) ot Div�sion 3 0l Ihe Business antl 7�o1e55ion5 Cotle, anE my license is in full lor �ind ¢t1¢cl.
c�rruc.:03568J1� BT�TEIIC.:SG�{SS u�� C-39
Oate. ,��-7 � Signature: �!� �'���—�
WOfiN�OMPENSATION OELLABp710N: I �ereby a i i at I �ave a ce e of consent to selbi sure or a cenificale of Workers'
Compen5ation Insurance or a ceriified cop t�ereof (Seciion 3800. Lab. q.
roiicrxo.:PWC2416750� exv.oaTe: 07/O1/94
comrnxv: GOLDEN EAGLE
❑ Ceniflee coDY it �ereby lmnis�e6. � Cenitietl co ' wiih ihe city Bmltlin -' ion
�ale: � � _�- J APWicam:
i
E%EMPTIONFpOMWORNENS'fAMPEN5pT10N0EClABAT10N: (iM1isSedqnM�notGecom0�eledifttqpermlis�narehuMreO(511q)o�less�.
I cerli5y IDal in ihe Dano�manc¢ ot 1�e wotk br w�ith t�K Pe*mi1 IS i55u¢C, 15hall noi ¢mpby any pe(son in a�y mann¢r so a5lo betome
sublec� �o Ihe Workers' Compensation �aws oi Caldornia.
Date: SiBnature:
N0710E: II, aRer making Ihis detlaration, you s�oula Decome su�jecl to t�e Workers' Compensa�bn pmvivons o� Ihe La6or
COde. you mus� �onhwith camD�Y �l� such pwvisions w t�us permit sl�all Oe deemed revnketl.
CONSTBUCTION LENOING PGENCY: I here�y allirm Iha� �Aere is a cons�mction lentlinp agency �or Ihe pedormance of Ihe woM �or
which Ihis permil is i=SueE �Section 3D37. Civ. C�.
LENOEH:
q��NESS:
OWNEft BWLDER OECURATION�. 1 herehy aHirm t�at 1 am eeempt irom t�e Contracm�s' Slate license Law lar the fallowing reasun
�Section 70315 Business and Pmiessional Cotle: Any ci�y ol counry w�ich requires 2 De�mi� Io constmci, al�¢r, impmve. demolis�, ar
repair any simcture. prior to its issuance. also reduires ih¢ apPlicanl for such permit to lile a signed slatement [hat �e/she is Iicense0
pur5uani Io I�e p�ovisions ol Ine Comractols' Slaie License Law �CAapier 9 ieommencing wit� Section 70p0) 0� Division 3 0� ihe BuSiness
ana Protessions Cotle) or ihat �e/she is eeemp� iherelrom and t�e basis lor t�e allegetl exemD��on. My violation o� Section 7031.5 Oy
any aODlicant �or a p¢rmi� su6jec�s Ihe aDP�icani Io a civil penalry oi no1 more than tive �untlre0 tlollars (5500�.
I, as owner af tAe O�openy or my ¢mployees with wages as their sale compeniation, will Qo Ihe work, and ihe
❑ AmCWr¢ is �t04 inl¢ndetl ar atlered �or Sal¢ (Sectwn 7044, Business an� Protesiional Code'. ihe Conlractors SWIe LiCens¢ Law
tloes not apply to an owner ol a propeny who builas or improves iher¢on, antl who does such work himself/hersetl or thmup�
hi5 or �¢r own ¢mpl0yees, provideA Ihai Suc� imD�o�emenis afe not inlenE¢A Or otlereE tOr 5aie. tl, Iwwev¢r tM1e �uilding of
improvement is So10 �iMn one yea� ot completion. c�e owne� vnlV nave ihe bur0en o� provinp h¢Islie AiC MN buiw a imp�ove
�or �he purpo5e o� sale�.
I, as owner oi ihe pmperiy, am exclusivety comratting wn� IicenseA coniraqors to conavuclIDe D�ojeci �Section 7044. Busness
❑ antl Pm�essions Cotle. 7he Coniraclors' State Licenre law tloes no� ap0y to an owner of Dropetly who GuilUs or improves thereon
antl who caniraclsfo� such p�ajecis wiih a con�racior(s�license OuRuant �o �he Con�qtlor5' State Licens¢ Law�. I am aware
Ihal pr0ol ot�heir Workefs Compen5aiion insurance ShoNd be D�ovided lo r0e.
� I am exemo� un0er $ecfion: B. b P. C.
'� lor inis reason:
Date: 6wner:
I ao hereby cenify Inat i am aware o1 antl uneerstantl tne requirements o7 Calilomia Healtn an0 Sdiety CAae Sections 25505, 25533, antl
2553d an0 Inai � or any fulure �uiltling acupani wOUwil1 noi Icircle one) neetl to comply wit� said ttate coAes an0 the �e0�rements io� a
permi� Im consimction or motlificaiion Imm Ihe Air Oualiiy Management �is�ric�. Fesidential conslNtfon ap0licaiions are exemp� imm
�IIPSC O�Ovi510114 �
Date: ADplicanC i
I heie�y cetlily IAaI I have reaa t�is appii�a�ion and s�ate IM1ai Ihe a�ove intormatbn is corred. � agree Io [omD�Y ��n all city and counly
oramancesan4s�alelawsrelalingloDuilOingcansimclionantlhere talivesotlM1ittiryloeMerupont�eabove�meniionetl
propetly lorinspeclion purposes.
Dafe�. � �� Siqn �
,-
onvers License or Social Secuniy M:
1641-46 White—Butldmg: Green—Code Enfomement: Canary—Applicanl; Pink—Revenue: 6deenrotl—Asussor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 064034
PERMZT NO: B 064034 PLAN CHECK NO: N GOVT: N SUPP; N
CONSTRUCTION TYPE; PERNIT TYPE: STR PUAPOSE: OTH
JOB D£SCRIPTION ; T/OFF, �� i'� REROOF WICOHP SHIt3GLE5 SQ FT: 8,645
CLAIM VALUE: , 8,645.00 CALC:VALUE: 8,645 OO�GROUP OCC: R-3 JM-1
COMMENTS: REROOF iilCOMP SSINGLES, INCyUDED 6de�-614 16 OOKV�EW
w***w**�rr**�c�***rr*w*****�r*�rw�rw�r*+r***rr+�*w**+rr+�**r**+� x*+r�e****+r***w+r*+r**�x�****
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 ---------
FRt1T: FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING AEQ• PROV: PARCEL: 93405065 ZNE: REF NO:
PLANNING N6TES>
�-
!f}liflFlfltfflflliElE1f1F1fiklFiflfikNlfltikiflkk7fik1k1k1fkiF1F1f1f IflfififlfltkikiFlllkklflfklfkkMkif�FMiF1E1f1fM1E1k1F1FM1f%Mlf1FlkMiklEk
D E V.E.i O P M E N T S E A V I C E S R E Q U I R E M E N,T S
ZONZNG APPROVEb:BY DATE: "�
HUILDING APPROV�D BY : DATE• ' %
APPLICATION ISSUED BY; DATE: �;����
ltkifiEitMfflfif1f1f1fiFM1flfiEklfkkiE ik1E1Fk1E/tklflFk 1E1E
1tltifffMifkiFlFiflfiF�EifMifkMffffiFfflfitfFltitMfFMM�tMffltikffklFlfkffMMkMffMiEklfMlfkMMlk/EiflElffflEK�FMiFiFM iEffffifillfMMlf
LEGALIZATION;N F E E S U H H A R Y STRUCTURAL SEGMENT;Y
BLDG PMS PLUMBING ELECTRIC NECFiANIC FIRE Sl7ZP/RES GAADING
PERMIT 108.00 ,86
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 108,86 0,00 Q.00 108.86 108.86 .00
REVENUE DIVISION TOTALS--> COLLECTED: 108,$6 OVER/SKORT: ,00
BLDG PMT PLUHBING ELECTRIC MECFIANZC FIRE SMIP/TOT GRADING PLAN—CFIECK
108,00 ,86
ff1FlfMftifMlfifMkMik�{kkifklfikftklfkfflFkMiklflFiflkiflfififM4kMiFMMkkfFMlkNkkdffffklhMlFklEkft#fMkMkltkfElElkiElflfifklFlt
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 8645 AEROOF BY VALUE RESIDENTIAL NOZONE 1,00 8,645.00
END OF FEES
li��r��i`�` ' :ti..
' `� �c ftC;! G}�i
RF�QUIRFA
p: ?Q:4?Sib-p�;1.E?`i� T e_tT IU`c.�E
L�RT�; Ocj:3�c; j3r:: i1:5:
�
N
,,q �'is
.. • . . I,..,���[N�+IJY�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
„-,-� _ _,_. "_ ?�..-__..____'_"... . .
v.�+��,
. : -, , .--:i.. .�i:i: . __ .� i ('.: Ljc
APPLICATION FOR BUILDING PERMIT
b1 D BV [y4TE qECE1V DATE ISSUI
BUILDI G • �•' I� �'� --- �f �/ �
d 'Y'�
ADDRE
/ �9 .
OWNER HELTZER ENTERPRISES-BROOKVIEW A.P•NO. — �0�,
MAIL ; BUILDING
2
ADDRESS 740 N. La Srea Avenue ADDRE #1�
a� cirv Los An eles, CA 90038 No��937-2171 TRACT�z.� �or s�ocK
~ Z W A A P
Z Q W�STRUCTION
o� LENDER United California Bank �
am
J N BRANCH Main Branch [�
OWNER T.L �/
m J ADDRESS 6OO S. S TiSl S. L A ' ' �uE
m ARCHITECT TEL. 5 •$ ��
J a OR ENGINEEF2FielaS 6 Silverman N 653-0160
U Q FIRE �
w� ADDRE55 113 N. San Vicente Beverl lil�.l ZONE TVPE GROUP
n w
APPROVED
J O CONTRACTOR Geor e J. Heltzer 8Y DATE
m Z
.� � ADDRESS 740 N. La Brea Avenue
W w TEL. Z NO.OF USE OF NEW3 GONDO
Z F CITY Los An eles CA 90038 No 937-2171 � Pu"'� 2- BUILDING �
� STATE CITV YARD$ APPROVED VARD$ APPROVE�
y Q ��c. r,o. 3144 LIC. NO. MAIN BVILDING ACCESSORV BUILDING
� O (FROM C/L ST EET
SI2E NO.OF HLDGS. �j�
OF LOT NOW ON LOT r] FROM 3 T. L'I � FT.
USE OF
EXISTING BLDG. .SFT. FT.
� SIZEOF NO.OF 2 L.SIDE O FTl � FT.
Z NEW BLDG. ROOMS STORIES
a EXTERIOR WA ROOF
V COVERING �laster COVERING WOOd REAR t FT. I FT.
= USE OF BUILDING AND WORK TO BE PERFORMED OtSTANCE BET. BET. MAIN &
d Res' ential MAIN BLDGS. ACCE�. BLDGS.
a
� 3(J�/� ; c u.P ��E i3 �% APPROVED� 20'�%.3
F APPROVED
N
Z
O /�
V1 herebV ecknowletlBe tAat I t+ave raatl this epPlication antl sLte
� Met ih¢ ebove Informetion is correct entl apree to comply with
� ell lews rap�latin0 builtlinp consnuction, enE I shall not employ Tp.x
F any person in violation of tho workmen's compensetion laws ot ---
ZMe State oi Californle. . �..`f SQ. FT. /3Gs G.4-� o
— I hereby certify Mai 1 em p�operly licensetl as a contrector unCer ,
Me State ot Celifornia Business antl Professions Cotle, Divizicn 3, TME AMOUNT SHOWN UNDER VALUATION IS FOR '\
Chapter 9, and thet suM lieences ore In full force en0 effect, or I TME PURPOSE OF ESTABLSHING A PERMIT FEE ONLV: �
am eaemot f�om M provisioncof MaState of Ceiifornia Bucinaa VALUATION
and Protassions Cod ivision 3, Chepter 9.
t4% .vERM1T FEE $ ]
SiBnatura ot � m
PermitLee $ �� p0" PL4N CHECK $ : � E
� O
LL
AuthorizeE Apent
TQTAL FEE §
c