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1084 WESTWARD LN - Building Permits
• PROJECT ADDRESS: 1084 WESTWARD LN � UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 061381 OWNER'S NAME:AL MARTIN Si ADDREss: 1084 WESTWARD LN PERMIT NO: B 061381 PLAN CHECK NO: N GOVT: N SUPP: N '-- COSTA MESA CA 926271 CONSTRUCTION TYPE; 5—N PERMIT TYPE: STR PURPOSE: ALT 'ARCHIENGINEER: . 4 REG.NO.: JOB DESCRIPTION : T/O ROCK, APPLY 'MODIFIED TORCH—APPLIED' SQ FT; 1 , 950 ADDRESS: UNIT: , CLAIM VALUE: 1 , 950. 00 CALC VALUE; 1, 950 , 00 GROUP OCC; R-1 / r,... PERMITTEE: EVERGREEN ROOFING ( 714 ) 529-7427 . ADDRESS: 1175 ORANGEWOOD DR COMMENTS: SMOKE DETECTORS REQUIRED PER THE 1991 EDITION OF THE UBC, BREA CA 92621 **X************************* ************** *X*B **X.*X..X.*..*X-**%.X-*O**.***X.*.***X*X.)F* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(comm ncing with Sect Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license' in full force and effect. SETBACKS CITY LIC.:053 4S 0 STATE LIC.:6 i 5 5 31 SS'_C 3g/ -- Date: 3 •(V -53 Signature:_ _ y ��/ MAIN BUILDING ACCESSORY BUILDIiNG WORKERS'COMPENSATION DECLARATION: I hereby affirm that I nave a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR; FT IN F'RN T: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800, Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.:pWC 210 2 0 0 EXP.DATE: 11 /2 5/9 3 , COMPANY:GOLDEN EAGLE >< 1 1!' E • PROV: PARCEL; 93523008 ZNE; REF NO: 0 Certified copy is hereby furnished. LI Certified copy is tiled wi h t �'di�ng Division. PLANNING N VTES> ,- , — Dale 3—.675 Applicant: >, ************* *.*********************** E**X* EX********i * E*X* E********#M•i * ****X* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less) DE V 'E";,L O P M E N T SERVICES R E Q U I R E M E N.)' S J 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 Workers'Compensation Laws of California. ZONING APPROVED -BY , DATE; Date: Signature: NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : Am DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. 7 CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: i ei '��r DATE: which this permit is issued(Section 3097.Civ.C). LENDER: _ ********************XXX****X**X************X. IP*******************X-3E************ ADDRESS: /-- LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMEiNT: Y f OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 45 , 00 ' 0 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 SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 45. 50 0 , 00 0. 00 45 , 50 45. 50 , 00 does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself 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 or improve REVENUE DIVISION TOTALS--> COLLECTED: 45 . 50 OVER/SHORT: . 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 45, 00 , 50 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law).l am aware **********.***X****X*****X**********..*.*If*.*X.*****XX-**********X•X*X*****X******X*XX* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL, ❑ I am exempt under Section: B &P.C. �. "F E E BREAKDOWN E A K D O W N tot this TYPE QTY D E S C R I P T I O, N-' UNIT COST TOTAL COST Date: owner: SFR 1950 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 950 , 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533.and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from A7, these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating t0 building construction and hereby au 'e represent yes of this city to enter upon the above-mentioned j property for inspection pure s v' 3 , r LDate 3 ✓ Signature: '�� Driver's License or Social Security k_ - 1541,46 White—Building:Green—Code Enforcement',Canary—Applicant:Pink—Revenue:Goldenrod—Assessor `: -* POOL & SPA CONST.'1UCTI0N AND PLANNING APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. 53, Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrno. . 10. Structural Floor System` 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final I 13. Roof Drains 64. Plumbing System - Final ,t4. Rough P;umbing 65. Electrical-Final 1 I r 15. Rough Electrical-Conduit I r 66. Solar System-Final } 1 I I 16. Rough Electric Wiring / 67. Fencing & Access Approval i 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70, Underground Hydro ! 22. Ducts, Ventilating 71. Product Piping 0 Gas 0Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 13 Q����✓✓ww 74. Overhead Hydro -_ 26. T-Bar Ceiling (Structural) & Monocoat [ 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe I 28. Lathing& Siding 77. FIXED SYSTEM FINAL • 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT, REQUIREMENT 31. Plaster Brown Coat • r 79. FINAL INSPECTION 32. Electrical Power Meter-Final p 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: de t4 i et' lie.iliViar 34. Final Heating & Air Conditioning - - y G//dap3 Iff 35. Final Gas Pipe-Test • / ( 36. Hood or Canopy ,- 37. Final Factory Fireplace I 38. Final Plumbing I 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final i ( 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System i 45. Sound Attenuation 46. Handicap Regulations ��l 47. FINAL STRUCTURE & BUILDING / 4 /� 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date _ 4x8,6 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely— Use Ink Only j RECEIVED BY DATE RECEIVED DATE ISSUED 1 BUILDING 9 �� �� / `a / .r ADDRESS a 4.1t S l..C!/h.(, ����(� 01P 2- e0, �j PERMIT NO. OWNER /�C/KC, A.P. NO.I Gia. e✓ V6 �� Q BUILDING .. tLP A DDRESerj� y // ADDRESS �= /p'yI-c�� Jv�y)'� . CITY ����ny%/J.Gs// �/ ii NOL�t Seic% TRACT �J �J LO{ . 7' • • CK CONSTRUCTIO / NEW ADD ALTER REPAIR IMDt/CjI�NG DEMOLISH LENDER XG�YL2 ' BRANCH ���(— OWNER ADDRESS /7 ��� //A'� VALV$ ARCHITECT /2 ) TE,y^//`/ ` /� OR ENGINEER v • �� S %;f��N(./�O/{C�/!S /yy��✓ �3 Sat, FIRE Y---wtil- ADDRESS D ZONE TYPE GROUP APPROVED CONTRACTOR /tn.f` BY DATE ADDRESS /w TEL. ZONE ,�P ANS n USE OF NEW 1W ss--�/ PLANS / _ BUILDING // CITY NO. /II"'�"' E-4 STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO.c e3 LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLDGS. (FROM /L STREET) a OF LOTS I I NOW ON LOT FRONT:(lt (l.*gD FT. Q USE OF �Z/ �j r co EXISTING BLDG. R.SIDE .•rel FTf.i�i{Vyyl,.�� FT. cn-thl • Separate permits are required for L.SIDE 'IV FT.FTt��`/'/��)r FT. electric,plumbing and heating work. REAR i '^t�— FT. ' LC (,,, USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN E. <Q MAIN BLOCS .JI/,s /{� ACCESS. BLDGS. J ✓ •`W!//E.� Ark.�) ( � VA,/J CUP.y+�w /W' LP) DATE APPROVED 5'41-76? } �(/ /�1 APPROVELy'/� fOPo--- / IT DATE /� .2/'�! 7 w �( L/ gfOLDL�FORR(7�SPECIAL REQUIREMENTS 0 I hereby acknowledge that I have read this application and state n ge that the above information Is correct and agree to comply with m R. all laws regulating building construction, and I shall not employ a Z any person in violation of the workman's compensation laws of m W the State of California. 13rgap I hereby certify that I am properly licensed as contractor under 1`� 71!) SQ. FT. �/ . ha a the State of Californi. :u-r ass and Profe to Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro Chapter 9, and that censes a In/ I f•rce a•d effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e am exempt fr• t •• sions or he St e • Cali ornia Busine - VALUATION PERMIT FEE $ < and Profess • s •••e •I sin 3 • •epic/9 _ n 1 I �./ PLAN CHECK $ o Signature of e LL Permittee $ TAX E U. U Authorized Agent TOTAL PAID $ • �,. • • VA _ 42c; E.. ! u . — ,r �, . . ;<. .. � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely —Use Ink Only /� RECEIVED BY DATE RECEIVED DATE ISSUED BUILDISG/ ' •�ADDRESS( (((��� /�OWNER A.P. NO. PEfif�Y�1�:''•.7MAIL �j�( � op ' BUILDINGADDREESS V`LOQ ZI• 1 � ADDRESS'@�C -2-�•L-� wESfLt%a¢O �A( CITY / /'/",1� 1/ Q.( NOS617f2Z TRACT LOT BLOCK CONSY6RUCT1O7 \NEW/ OI ADO ALTER REPAIR MOVING OFMISH LENDER / BRANCH 1' (//w / �t nJ1 ADDRESS a44/4 /,�' ? (/////��1' /� OWNER9f:TH©F&? 14i.L1ARD F ARCHITECT / �j�r e ms, E CC-1101- u/L'in VALUE 1/ t OR ENGINEER ./ ."1:1/714(1. 's' _^', it FIRE �T� +1 f-3 � ADDRESS ZONE TYP - GROVP[-J YYXX CONTRACTOR ✓?iLzAPPROVED BY BY DATE ADDRESS ' TEL. ZONE INO.OF USE OF NEW • CITY - NO. PLANS BUILDING I F STATE �J 1- •� CITY YARDS APPROVED YARDS APPROVED LIC. NO. //5/ 9 p �i 7 LIC.NO. MAIN BUILDING ACCESSORY BUILDING I SIZE A�YYY/. I NO.OF BLOCS (FROM C/L STREET) • P.; OF LOT S 0---C- NOW ON LOT FRONT FT. FT. i 4 USE OF VI ... EXISTING BLDG. R.SIDE_ FT. FT. V) I— Separate permits are required for L.SIDE FT. FT. — electric,plumbing and heating work. CZ-W REAP FT. FT. F. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& Q MAIN BLDGS. ACCESS.BLDGS. CZ < 5--CAA-- `UN/7/`UN/7/ (A)7.; t�/Q �I•'sl�rti'^ CURP,#k DATE APPROVED — 7 APPROVED ,-J RY ` II DATE CC cal Sib. 0:A- uti%;rs J.II 0 41 3- t/30 `id a I hereby acknowledge that I have read this application and state 3iir3q op;0 S i• 7o 3,� 1130 10 n-. that above ng information Is correct and agree to comply with ,f / 'r .�•le- FL' all laws regulating building construction, and I shall not employ Z any person In violation of the workman's compensation laws of 9.1 the State of California. /),,(�,{/ /7 ('')� I hereby certify that I am properly licensed a . contractor under f(' ( � O• FT. T p('](,! gsti ��� \O the State of California 1usi -ss and Professi• a Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR o az Chapter 9, and that s h 1'.•nses at' In fullorce a,d effect,or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt f • th- •ro "io of • e a of Car ornia Busine v ^ / ♦ VALUATION PERMIT FEE E ,n ,�` and Profe •na•o•. O' al 3, a ap' m Permittee Ree ofel s j�°�000 PLAN CHECK E 2[U_�o3/ ti.0 Q\ TAX E /�/ `�-/ U Authorized Agent TOTAL PAID E2/�/Sj/'JL>S/Y_J 7`t t 1. it- y. C tS - min 11h QQ f _t ` COSTA MESA BUILDING-SAFETY DEPARTMENT I P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 7/ APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only ,f r,� �j {, RECEIVED BY DATE RECEIVED DATE ISSUED ADDRESS age. - / 'e-(JWeTri -• _okk1 d PERMIT NO. ,• !: OWNER IC,JI�' f ritr- / _/ 11��_ "' ""JJ a A.P. NO. yt�y^/� [� / • /){ ,ry'I yI rj/ • �s l // BUILDING/0 V. . 7 . V �Q I Y/ DA MAIL • ADDRESS ll ADDRESS ' 'I TEL. i CITY NO. TRACT 1 LOT BLOCK - CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOLISH LENDER \Ju\'• Ill BRANCH .�r/ /��_�fen - ' OWNER 77M t-7 4170 I.0 . ADDRESS ALOE ' ARCHITECT TEL. USE �/ �4 IUC.Lc $ a r..Tt /� OR ENGINEER NO. i FIRE ADDRESS ZONE TYPE GROUP APPROVED i CONTRACTOR BY DATE ADDRESS TEL ZONE I NO.OF USE OF NEW CITY NO. PLANS BUILDING F STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING ad (FROM C/L STREET) cal SIZENO.OF BL O. OF LOT 1 NOW ON LOT FRONT FT. FT. - Q USE OF EXISTING BLDG. R.SIDE FT. FT. Col jF Separate permits are required for L.SIDE FT. FT. c. electric,plumbing and heating work. REAR FT. — FT. j : F USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& � Q MAIN BLDGS. ACCESS.BLDGS, VAR.+ DATE 7.3 a C.U.P.# APPROVED , APPROVED _`L DATE CC r Q I hereby acknowledge that I have read this application and state N ) ' a that the above Information Is correct and agree to comply with m �; all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of 2 wthe State of California. ro I hereby certify that I am properly licensed as a contractor under SO. FT. a 0 the State of California Business and Professions Coda, Division 3, THE- AMOUNT SHOWN UNDER VALUATION IS FOR o • Chapter 9, and that such licenses are to full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business ^rt and Professions Coda, Division 3,Chapter 9, VALUATION PERMIT FEE $ 3 7 X/S U P L PLAN CHECK $ o Signature of T _ 2 Permittee $ ,�" TAX $ 2 U Authorized Agent TOTAL PAID $ 37w,SS IN \ i • • Cap( c° Iy I oSkt 100°1 CITY OF COSTA MESA tOca,1g7lit{ g6a8d PARK FEES N2 248 1 Fee Payment Receipt Project Address/0.27— jo 9 e Ries Park Area I A. P. No. /! 5-- -6t/42-O/1 0121 ppr0 5) O 6 Building Permit No. / Owner's Name ArfA d/G/ 9l� 1 a at-ti Mailing Address a yn n . ea C?5J-44Y /1J.,.B • FEE / Single Family • No. of Units @ $455.20 = / Multiple Family •• No. of Units 64/ @ $321.32 = r2Q YS TotalFee0 Planning Department Ap v: t to // - /t By L_ R P 6— eApplicant's Signature �/ 1 * City Ordinance 7244 •* City Ordinance 7245 ••* City Resolution 74-124 DI 1 i I White-Planning;Canary-Planning;Pink-Finance;Goldenrod-Applicant CMF 0174-26 lJ I it ll. [JMI s c t b ,