HomeMy WebLinkAbout620 BROOKVIEW WAY - Building PermitsJob Address: 620 BROOKVIEW WY
Suile:
Vicinity:
Primary Occ: R3 Type of Conslruction: V-N
Parcel Number: 93405066 Zoning:
App�icant: BATIOFF, JOHN
Address: 14569 33RD STREET
SINGNAL HILL, CA
owner. KUNZE, MANFRED K JR •
Address 620 BROOKVIEW WAY �
COSTA MESA, CA
Contractor: HOME DEPOT USA'INC
Address: 1456 E 33RD STREET
SIGNAL HI�L, CA
Zip: 90755 � � �
Arch :
Address:
Phone:
Zip:
License:,
Phone: 714381-7974
Zip: 90755
ISSUED BY:
Stalus: ISSUED
Applied: 17/18/2005
Issued: 11I18f2005
Phone: �
Zip: 9262&3125 `
�
Phone:�1600 ,
License: 602331 '
Eng:
Address:
Phone: ,
license:
SCOPE OF PERMIT
6 WINDOWS CHANGE OUTAND 3 SLIDING DOOR CHANGE OUT, ALL LIKE FOR LIKE FOR SFD. WINDOWS SHALL MEET 1997 UBC EGRESS
REQUIREMENTS. . .
- FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $2,2sz.00
Permit $83.25 Claim Valuation: Sz,25z.00
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00 -
Inspection: $0.00
Total: $83.75
PLANNING 8 ZONING
SETBACKS
MAINSTRUCTURE Front 0-0 � �-- Reac. 0-0 ,
ACCESSORY Front 0-0 Rear 0-0
PARKING Existina: 0 Required:� 0.
Left 0- 0 '
Left 0• 0
Pr000sed: 0
Righf 0- 0
Right 0-0
NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under Californla statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or If work is euspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with ali applicable codes, and all
reQulred Inepectiona and final approval must be obtained. Failure to obtain inspedions and final approval will result in the ezpiretion of this permit.
POR INSPECTIONS CALL: (714) 7545626
zaers (erool
WORKERS' COMPENSATION DECLARATION: }' 3
I hereby aMirtn under penalty oi perjury one of the tollowing declarations:
❑ I have end will maintain a ceN9cate of consent to sel4lnsure tor workers' compensation, es proNded tor by section 3700 of Ihe Lebor Coda, tor the pertortnance ot Ihe
work tor which this permit is issued.
(� I.hsve antl will maintain workers' compensation insuranca, as requireC by section 3700 of the Lebor Coda, for the pertortnance of Ihe work for w�ich this pertnit is Lswed.
��My workers' mqensation In urance carrier antl policy number ere: C� C
Camer � � 1%1.���i_ Pvq Number:—�^'7� L 4�� 1
(This section need nof be campleted i/ the pe it is valuetl at one hunOred dollars (3100) or less.)
❑ I certify Ihat in the pertortnance of ihe work for which this permit is issued, I shall not employ eny person in any manner so es to become subleci �o �ha workers'
compensation laws of Califomia, end agrae that II I shoultl bewme su��ect to the workers' compensation proWslons of Sactlan 3700 of Ihe Lebor Code, I s�all fort�with
comply with Ihese provisio rl
AppdcantSigristuie: _____'��— �p�etq:` >6 �^/ `�. -�
WARNING FW WRE TO SECURE WOfiICERS 00MPEN$ATION COVERAGE IS UNLAW FUL AND SHALL SUBIECT AN EMPLOYEA TO CRIMINPL PENALTIES M!� CML FlNES UP TO ONE HUNORED
hKK1SFND OOLLARE (5100,000), IN ADDITION TO iHE Q�ST OF OOMPENSATION, DAMAGESlS PROVIDEO FO{i IN SECTION 3I08OF THE LABOR �DE, IMEREST, AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
1 hereby effrm that I am licensed nder provisions of Chapter 9(commencing with Sectlon 7000) of Division 3 0l ihe Businessau� Professions Cade, antl my Iicense is in full
torce and eftec�.[ic: tt'—R �'��-d-, Z-- � 3 1 Cless.a 1 7
Contrecrors Signature�— J-r` `a'}1 � Date;--' i �-7(�i
^� �=-��s—f� ���Ti �
CONSTRUCTION LENOING AGENCY:
❑ I hereby aHirm Ihat Ihere is a consiruciion lending agency for tha peAormance of Ihe woAc tor which this pertnit is issueA. (Sec. 3097, Civil Code).
Lenders Name: Lenders AAtlress:
Signature:
Date:
OWNER•BUILDER DEC 710NS:
I hereby aHirm that untler p ry oi peQwy that I am EXEMP7 FROM THE CONTBACTORS LICENSE LAW for the follaxing reason (Sec. 7031.5, Business end Professions
Code: Any ciry or counry which require5lp pertnit b consWct, alter, improve, demolish, or repair any slrucWre, pdor ro its issuance, also requires Iha eppliwn� lor such pertnit
ta tile a signed statemeN that he or she�'Is IicensetlEursuent to the pmvisions of the Contradors License Law (Chepter 9(commencing with Section 7000) oi Division 3 of t�e
Business end Professions Code) or thet he or sFi4'Is e�(e�m�pt theralrom end tha Casis for ihe elleged exemption. Any violation of Section 7031.5 hy any flpplicant for e pertnit
subjects Ihe appliwnt to e civil penalry of not more IhenYWe hundred dallars (5500).):
❑ I, as owner of Ihe pmperty, or my employees wlih wages as�elr sWa�wmpensation, WILL DO 7HE WORK, end the sWcture is not inteiMetl or oflered tor sale (Sec.
7044, Business and Professions Code: The Contraciors License L3v.Tdoes not epply to an owner of property who builtls or Improves thereon, end who does such work
himsetl or hereelf or Ihrough his a her awn employees, provi0etl �hat such improvements are no� Intended ar oftered for sale. If, howaver, t�e building or improvement is
sold wit�in one year of completion, tha owner-builtler will have t�e 6urden of Oroving ihat he or she tlid not build or improve for purpose of sale.). '
❑ I, as owner of the property, am EXCLUSIVELV CON7RACTING WI7H LICENSED COMRACTORS to construct the project (Sec. 7044, Business and Profeuions
Code: The wniractors License Lew does not epply to an owner ol pmperty who bullds or improves Ihereon, entl w�o contracts tor such pmject wit� a contwctor(s)
license pur5uanl lo lhe ContraClOrs LicenSe LawS.).
❑ I am exempt under sec.
SignaNre:
Owner ID venfietl by tlrivers license. ❑ Yes ❑ No
Business antl Proteuions Code for Ihis reason:
Verification of Ownership by (type of document, i.e. - property tart bill or daed):
DIVISION OF INDUSTRIAL SAFETV VERMIT CERTIFICATION:
Drivers License No.
Date:
Expire5:
❑ I hereby cenify that no excavation fiva (5) or more feet in depth into which a person Is required to tlescenq wlll be made in connection wlth work authorized by ihis
pertnit, and that no building strudure, scaHolding, IalsewoAc, or demolition or disman�ling �hereot, will be more than thirty-six (38) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Calitomia Administrative Gotle).
❑ As owner-builder, I will not employ enyone to do work which would require a pertnit from the Division of Industrial Sefary, es noted ebove, unless such persan has e
pertnii to do such work from the division.
Signature: Date:
Division of Intlusirial Safery Permit Number:
CERTIFlCATE OF COMPLJANCE AND AUTHORVA710N OF ENTAY: I certiry under penalry of perjury that I have read this application and state that the inlortnation given is
correct. I agree to wmply with ell state laws and ciry ordinances releting to building construction, and authonze representatives of the Ciry of Costa Mesa to enter upon the
above-described property for inspection puryoses. I agree not to occupy or allow occupency of eny building authorized by ihis permit until final inspection.
CODE �. INSPEC110NTYPE QejE INTRIRLS
1616 Fixetl System Final Pire Prevention
1266 Pool Spa Finel
200 Finel Re-Roof
201 Final BIocWRetaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition .
COOE 1 INSPECTION TYPE
206 Final Mecheniwl
208 Final Plumbing
210 Final Eleciricel
272 Final Fira Preventlon
220 Final Planning Approval
222 Final Site
250 Final BuildingiOccupency
��l.�l .11117.1R-7
�
�=,;iai'Lb�h 16:32 rd�528766�_ . PER�IIT SERJICES IN� ra�t dy
� :1/14/'?035 15:03 5629�'1461 �Ha�£ DEPpT INSTP�' PAGE 02
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rn6;icinooxeas: 618 BAOOKVIEW WY
oweee'sx�ine: BROOKVIEW CONDO HOA
nooaess: 630 PAULARINO
CM „ CA., 92627
I !-_--- ( 714 ) 587-0399
flEG.NO.:
UNIT:
UNIT:
� ""'""`'MESA ROOFING CORPORATION (714)548-3012
PDOflESS: 843 W. 17TH ST
COSTA MESA CA 92627
UC SEU CONTBAC70N DECUpATION: I nere0y allirm ttut I am IicenSeG un0er pmdsions of C�apter 9(commencinp witM1 Section
7 I ol Orvision 3 olt�e Business antl Piolessions CoOe, anG my bce HenceznC�N�
v uc.: 6 1 sra.e uc.: 5691 euss:
Dale: SiAna /���
WONKEfl$'COMPENSPTIONOELUflA710N: I�eteLyafli tna�tnaveacenitiwiemconsennoutl-inmreoracenibcaleolWon�ers'
Compensalion Insurance, ot a cenAieC copy Ine�eol (SecUo� 3800. Lao. CI.
,voucrno.: PWC24167500 EXP.O�TE: O%/OS�9�i
camraxr: GOLDEN EAGLE
O C¢�i�ied topy is nere6y lumi5�e4. I� C¢tllhe0 ro vni� I�e city Buiidin'�d'
�ate: N� ��J AP�lic f) �� ��
f%EMPiWNFROMVNRNE0.$'WMPENS0.TIUNUEG/Lfl�T1UN: (��peN t6emmWet�iltlCp 1@�adleMttdtN(Sl��arless�.
� cenily fiat fn ine oerlormance ol Ine work lor w�icn Inis permit is issuea, I s�all not employ am/ ce�sUn in any manner so as to �ecome
su��e[I lo Ihe Wor4er5' Compensatlon laws ol Califomia.
Dale: Signature:
NOTICE:If. atler making t�is declaration, y0u t�oola �ecome tu�jetl toi�e WotkerY Compensation DioviSiDns ot t�¢ Labo�
Lode. you must lon�wiln comply wi�h such Omvisions or ihis permii shall be UeemeE reroke0.
LOkSTBUCTION LEN�ING AGENCY: 1 here0y 3��irm Ilut IM1¢re i5 a ronSimdion IenAing agenty lOf ��¢ pedOrm2nt! 01 I�e work �of
wnicn inis permit is issuea ISection 3097, Civ. C1.
LfNDEN:
FODflESS:
OWNEfl BUILDEfl OECIABRTION: I �eBOy aliifm Ihai I am ¢Kempl Imm I�e CAnlratior5' State License law br me IaltowinA �eason
�Se[Iion 7031.5 BuSine55 an0 Profe55i0nal COtle: Any tiiy o� Couniy w�ith rtquires a Oermii Io constrUtt. alier, impmve, Oemolish, Or
rep3ir any stNclure. O�ior lo its issuance, also requires fhe aOD�ican� lor suc� Dermit ip lile a sipneE statement ihat �e/s�e is licensetl
pursuam m ihe o�ovisians of i�e Comrapors' Stam Licenze Law (Cnap�er 9lcommencinq wtn Section 7000) ol Division 3 of tne Business
an0 Pmless�ons CaCe) o� t�at he/sbe is e�empi IAeretmm anE tne Gd5i5 lor I�e allegM exemptian. My violation o� SettiOn 7031.5 Cy
any appiicant bi a pe�m�t suCjects t�e applicam ta a ci�ril p¢naRy al fwt mwe ttun iNe nuiM2a doAars (5507�.
I, as owner o� ��e pmDeny or my employees �th wapes as t�eir Sole wmpensdtian, will Oo itle wOrk, an0 t�e
❑ simcture rs not �menGeG or a��ereU lor sale �Section 70aa, Busness an0 Professional COEe: The Comracmrs' Slate License Law
tloes noi aOPly �o an owner ol a pmperty w�o �uilds or improves I�ereon, and w�o aoes sucA work �imsell/�ersell Or I�rough
nis o� hei own employees, Wovitled iM1at suc� improvements are no� intendetl or aHereC lo� saie. Ii, Iwwever Me buAtliag ar
impmvement is wIC vnthin one year ol comptetion. the owner will luve ihe EurAen ol p�ovin0 �/s�e tli0 not bui10 or imD�m'e
for Ne ourpose oi Sale).
I. as owner ol Ine omperty, am eKclusively tontra[ling wilh IicenSeO [onlratlDrS io tOnSUup Ine proleti (Seq�on 7064, Business
❑ aM Pwtesvans CUCe'. ihe Ca�traztari S��e License law Oces �ot apDN to an oxmr ol pracerry �o �uBGs o� improves tnereon
anU who Wnira[�s for such Oroietls wit� a canlracior�s) litense Oursuani lo �he Con�nctors' State License Law�. � am aware
t�31 prooi ol 1�¢ir WOBer'S ComDenSaiio� insuranw ShoU10 �e D�OviG¢E �o me.
� I am exempl unAer Secimn: B. 8 P. C,
lol th4 rea5oa'.
Oa�e: �ec
I ao nereCy cendy ItWt I am aware o� ana unAerstand tne reaN�emenis ol Cabfomia Heatlh ana $dlely fAde Sections 255115, 2593. an0
2553a and �hat 10� any IuWre 6uila�rtg octUpanl wilVwiil not (cirUe One) need t0 tomply Wil� Saa Slate todei and l�e tepuiremenls �or a
permn lor wn9mclion oi moOA¢ation imm Ihe Art �ualiiy M3napement DiSVicL FevUenlial wnslruction applicalion5 are erempl irom
t�ese pmvisions.
Dale'. ApplicanC _
I �U¢Uy Certity�pol IIIdvPr¢aa UIiS ep0�icdli00 dna S�a�¢ IIIdi IhP
ortlinances and statelax5relalingto Ouilding WnsIN[Iipn anC M1¢r
O�opetlV la� insoection pWpases.
ct. I aprm ro comDN �ro all city an0 wunty
of 0�¢ ply �o eniei upOn tne a�ove�menii0netl
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 06�`
PERMST N0: B 064033 PLAN CHECK NO; N GOVT; N SUPP: �
CONSTRUCTION TYPE; ��,,1 PERMIT TYPE; STR PUAPOSE: O,�_
JOB DESCRIPTION ; T/OFF, �pi!-6 REROOF W/COMP Sf{INGLES SQ FT; 8,645
CLAIM VALUE: 8,645.00 CALC_VALUE: 645.00 GROUP OCC: R-3 /M-1
x��+Mr*�**i�r�i*�wr+Wrw*�**�r�*��www*%r+Irw�Yk«��p*�r�w�r�rZ� rww+rBw���«+Wr�rw�rw�rrw«w�r�e**�r
2 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 BDILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: 9T IN R£AR; FT IN
LEFT: FT IN RGHT: FT IN LEFT: ET IN RGHT; FT IN
PARKING REQ• PROV; PARCEL: 93405065 ZNE; REF NO:
PLANNING N6T'ES> ,..,
>• -
ifkMklfMlfMItMMMMkiFMffMMMifMifMKiflFlkMMlF1k1f7fM1f1tMkklkMififitMMlfMlkklfMMlFMkMfElflfkkMlfiFMif1F.lfMlflfiF4ifMM1E
D E V E L O P M E N T 5 E R Q I C E S R E Q U I R E M E 21,-T S
ZONING APPROVED BY DATE:
BUILDItdG APPROV�D HY : DATE: � '�
APPLICATION ISSUED BY; L DATE: ��A{������
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MMiFKifM1tMMMiEMk1tMMMMKMMMMMkkMMfFMMiflFlfifM/fkifMMifMMMMMMMM1f1fMMkMlEifiFMkffIFMMifMklFiE MiflffFifMMM
LEGALIZATION:N F E E S U M M A R Y STRUCT[JRAL SEGMENT:Y
BLDG PMT PLUHBING ELECTRIC MECHANIC FIRE SHIP/RES GRADING
PERMIT 108,00 ,g6
pL� SMIP/NON—RES
ISSUE FEE
HUILDING—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 OVER/SHOR?: .00
BLDG PMT PLUNBING ELECTRIC HECHANIC FIRE SMIP/TOT GAADZNG pLAN—CHECK
108.00 ,g(
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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 I O N UNIT COST TOTAL COST
SFR 8645 REROOF BY VALUE RESIDENTIAL NOZONE
END OE FEES
_
SMOKE DETECTOR
REQUIRED
1.00 8,645.00
J� OL��?':c''q_�]?%`:i° TiiT 1J°.F.S
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Propert�
Owner
Permit No. 1� �.P `t�3 3
Contractor
State Contractor License Number
Classification � —��
I hereby certify that I have installed, or caused to be installed, a minimum Class C foof covering at the
above address in conformance with Chapter 32, and Section 1704 of the latest adopted edition of the Uniform Building
Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the
manufacturer.
�I further certity that I am the owner of the property. (Owner-Builder permittee only).
I further certify that I am:
❑ Owner of sole proprietorship company
❑ Full partner of the company
p❑� Limited partner of Ihe company
lq� Officer of the corporation
\
I certify that as an authorized officer or agent of the company or corporation, I am empowered to make
this certification, which shall be binding on all successors or assigns of the company or corporation.
I shall deliver a copy of this Certification to the above listed owner, after submittal ot form to the Building
Division for acceptance. •
Received by Building Division
By:
�'!� � �i� /`� 3
Initia�at�
� � �,� ,Nfl1►.I�/1 .1���
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� COSTA MESA BUILDING•SAFETY DEPARTMENT
P.O.BOX1200 COSTAMESA,CALIFORNIA92626
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APPLICATION FOR BUIIDING PERMIT
jeLj/f�BV DATEyECEIVRD ❑pTFlssu
OWNER HELTZER'ENTERPRISESIBROORVIEW A•P• N�' ), � �� "'
MAIL BUIIDING �
2 . 'J
ADDRESS 740 N. La Brea Avenue A�DRES �
a U CITV LOS An eles (�.F� 0 8 N�L _ TFACT �/� LOT BLOCK
F Z W A A R P
Z Q CONSTRUCTION
O N LENDER United California Bank
am
J � BRANCH
J N OWNER
m J ADDRESS Ej�O S S Ti - ��/ ',�. AL E
� Q Ofl ENGINEEa Fields & Silverman NE� 653-016 ����G $ ��
U Q FIRE
W K ADDRESS 113 N. San Vicente, Beverl H111 ZONE TVPE GROUP
a w APPpOVED
J O CONTRACTOR George J. Heltzer BY DATE
m Z
�� ADDRESS 740 N. La Brea Avenue
w W TEL. f�j"�� (p NO.OF USE OF NEW 3 Gp�1O0
Z� CITY ]�OS An eles, CA 90038 No. 937-2171 J�'S P�� � BUILDING G
� STATE CITY �ARDS APPROVED VARDS APPROVED
y Q �ic. r,o. 3144 LIC. NO. MAIN BUILDING ACCESSORV BUILDING
_� 512E NO.OF BLDGS. (FROM C/L STREETI
OF LOT NOW ON LOT RONT FT FT.
VSE OF
EXISTING BLDG. O F
F� SIZE OF NO. OF .{- �w `
Z NEW BLDG. ROOMS STORIES Z L. SIDE �� FT. f/�I, FT.
U EXTERIOR WALL ROOF 3� �T. � FT.
COVERING COVERiNG REAq
J USE OF BUILDING AND WORK TO BE PERFOFMED DIS7ANCE BEf. BET. MA�N &
a Res dential MA�N BLDGS. ACCFSS. BLDGS.
a �/// l (y'^ �j
O � [./N � %�...� � • i(J C URP.11E� —73 7 / APPROVEDO —LV '�,7
� APPROVED
N
Z
O
VI hereby acknowleOBe that I heve reatl tMs application antl stata v •
] me< me above informaiion is corroct antl aprea to comply wiffi
� all laws repulatinB builtlin8 �onstruction, entl I shall not amploy .
� anV Oe�so� �� Wolation of Me workman's compenxation laws of �
m
ZMa State ot Celitornle. [9 �7 /��is //�2� ' � �
� I hereby cartify that I em properly Iicensetl as a conbacior unGer �� SQ. FT. �j' O �
Ma State of California Business nnd Profeuions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VAIUATION IS FOP �\�
Chapter 9, entl that cuch licenses are In full forte end effect, or 1 TNE PURPOSE OF 67ABL6HING A PERMR FEE ONLV:
am ezempt from Me Dro 'sions oi Na State ot Californ(a Business VALUATION
antl Profeuions Cotle, D' on 3, Chepter 9.
w'� PERMR FEE $ I O ]
Slpnatwe ot n �J f / m
Permittee S ,( ���d/ PLAN CHECK S ��7 E
�� `o
LL
AuMorized Apent TOTAI FEE E
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