HomeMy WebLinkAbout1094 WESTWARD LN - Building Permits CITY OF COSTA MESA - BUILDING PERMIT '
ERS NAME If KNOWN:. WESTBLUFF HOMEOWNERS ASSO PERM NO: B 076829
AD0111 PACIFIC #250 •
IRVINE CA 92719 PERMIT NO: B 076829 PLAN CHECK NO: N GOVT: N SUPP: N
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727-26b0
L.NDIMlG ApORE55: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: 0TH
ARCHITECT OR ENGINEER: LX NO.: JOB DESCRIPTION : T/OFF & REROOF W/BUILT-UP - SQ TT: . 6,-800 , I .
AWL OB E1G'S ADDRESS: DNS:
CLAIM VALUE: 6, 800.00 ' CALC-VALUE; 6, 800,0.0_ GROUP OCC: R-1 / t '`
caNngnar9MuTE R,P , HIRSCHMAN (714 )960-8329
ONmACTO
CRSYMLJG 8855 ATLANTA COMMENTS: REROOF 5UNIT CONDO ADDRESS INCLUDES '1092411094-1096'-1098 WESTWARD
ADDRESS: HUNTINGTON BEACH CA mm.: 475948 iEu'At**AE*it**+ *A9***99*sE******iE+r:*4*9E**At*+F* FSE****** 9E*+E.**+E.f�*9EN•aEx'i��Ex*�t*******�9it*****�r
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92646 tem 285 Z ONING REQUIREMENT 'S
LICENSED CONTRACTORS DECLARATION:I hereby Minnanm under penalty perjury Net I licensedMager under provisions a ager a SETBACKS
LI ,
(commencing with Section 7000)of Division 3 of the Business and Professions Code,end my license is in full force and effect
cITYuc.N0,: 038468 uc.cLASS: C36 LIC.No.: 475948 EXP: 04 /96 MAIN BUILDING ACCESSORY BUILDING
oma: (S-S(_ c« FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT •
IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION;I hereby affirm under penalty of perjury that I am exempt from the Contractor.License Law for the
following reason(S«aion 7031.5 Business and Professions Code:Any thy o county whim requires a permit to oonatrua,eher.improve, PARKING REQ: PRO V: PARCEL: 93523005 Z NE: REF NO:
demolish.or repair any structure,poor to its issuance,aso requires the applicant for such permit to fib a signed statement that he or she
is licensed pursuant to the provisions of the Contractors License Law!Chapter 9(mmmenong with Section 7000)a Oielion 3 ei the PLANNING NOTES>.
Business and Professions Code!or that he or she S exempt therefrom and the basis for the alleged exemption.My viaetion of Section :'>- '
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/031.5 by any applicant for a permit subjects the applicant to a Mil penehy of net more than five hundred dollars 1950011. *********************************************************************aa********* ,
oorefiSa74Bu° adweBs as o �Cosn.will do a � pr°� D E V ESL O P M E N T SERVICES R E Q U I R E M E N, SDeere« e ron04 usnePrasi sCdeTheC«necnorL Lw doesnno and�looan owner tructure is mpropeny
who bolds or ieprovee thereon,and who does such work himself.or herself or through Na or her oven employees,provided that such ,
improvements are not intended or offered for sale.If,however.the building or inprovemem is ask within one year of completion,the ZONING APPROVED' BY ; ;' '.
owner-builder St have,he burden a proving he or she did ea build or improve l«the prpsa sale).
e).El
Professoreosvner Codtdee.Tha ont�ractorsLic�'ennsee all nwwd�wnalapolyloa beamed annpierapitywhobbuthe "ksBgo(rilnpmvdion'esthih:ronennd end
BUILDING APPROVED BY : DATE: >' ''
contracts for such projects with a contrador(s)licensed pursuant to the Contractors License Law), c
p lee exempt under Section: B.B P.C..kr the reason: APPLICATION ISSUED BY: DATE: 1 - L
Dale: owner: *****************************iF**************** ****************** **
LEGALIZATION:N F E E SUMMARY . STRUCTURAL SEGMENT:Y
I do hereby certify that I atm aware of and understand the requirement of Caliomia hleesh and Safety Code Sections 75A05.25533,end }
25531,and that I or any future building occupant. Residential m
will/wiI not(orb one)need to comply wbh said ape codes and the requirements for
e pamm fac« W
nclion or modifraten from the Ai agerrent istrict.Residential
rappfmti ,a arsexemp these the BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 90 . 00V,- . 68
D ale: Applicant: % '
' SMIP/NON RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm wider penalty of perjury one ode following declarations: PLAN
ISSUE FEE
o Ihave and*Smaintain acertificate el consent toseX+rounbecdca mnpe,„cion,esprovidedforbySemon3700d,heLabor BUILDING—DIV—> PERMIT ISSUE PLAN..CHECK TOTAL PAID DUE
Code.f«the Pen«ma performance f«which ila permit isissued. TOTALS----> 90. 68 0. 00 ✓: 1, 0 . 00 90 . 68 90 , 68 .00
o I have and wit maintain workers'compensation insurance,as required by Section 3700 of the Labor Code.for the performance of the
work for which this permit s issued.My workers'compensation inurmge carrier end policy number are:
Carrier STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 90.68 OVER/SHORT: .00
Policy Number: 1222R90-94 10/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed y the Perms is for one hundred dollars(sf0o/«toss) 90.00 i , 68
' 0 I oerify that in the performance of the work for*Dish this permit is issued.I Mall nor employ any person in any manner so as to - i )
become subject to the worker'compensation bee of Canorns.and agree that {p
it I should become subject to the workers' ************************************** ****************************************
compensation provision,of Section 3700 d the Labor with comply with those provisions. I N D I V I D U A 'L" F E E BREAKDOWN
1 Date. 3-1 c S—( Appl' ._ �. %.
/ Warning:Falun to secure workers'cenrpen.esdon coverage Is unlawful,and shall subject an employer to criminal penalties end TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
elvll linea up to one hundred thousand dollen(9104000),M ad1leen to the cost of crompenastbq damages as provided for In
secdw 3706 of Ma Labor Code,interest.and attorney's fees. SFR 6800 REROOF BY VALUE RESIDENTIAL NOZONE 1 ,00 6, 800 .00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this petrel S issued(Section 3097.Civ.C).
LENDER'S NAME;
LENDER'S ADDRESS: l •
I certify than have read this application and elate that the above Information is correct,I agree to comply with all thy end county ordinances
and stale laws relating to building construction end hereby authorize representatives of this thy to enter upon the above-mentioned properly
for inspection purposes.
BOB HIRSCHMAN
Print Name - '
Dale 4—r S-53 (a
-Signature of Clymer/Agent/Applicant/Connecta' - /
1 /
(5151.46 WPI While-Building 8 Safety:GreemFk:Canary-Appicant: Goldenrod-AssessorPink-Revenue:
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4/aOBS
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
/^/ ^ , f RECEIVED BY DATE RECEIVED DATE ISSUED
ADILDINGDRESS i / jai s/�t . —
BUDREN3 [ ` L i
-
4 ocO . PERMIT NO.
OWNER /L.."ii . .1 / //)/i_-_/- .'"MAIL , / A.P. NO. /�/wyO/ E •�_j�.((��\ t�i
ADDRESS e7 /[i al. L" /� ADID RIESS /V /'1 ���`aJ`s Wt ` !� t.•""
TEL. _ 22 ltg_*dy IIT
CITY «��,� ��� ( Ne,/1� /.- TRACT�a LOT1 * �/LOCK
CONSTRUCTION 4/f ;." NEW ADO ALTER REPAIR MOVING DEMOLISH
LENDER ���/�K/[(� / f� `/X/_
BRANCH /fret_" 1\`•'� r>✓
/7 /� r OWNS Ryan s
ADDRESS / VALUE
ARCHITECT '7 TEL A..... �� S. �-�" f� $
OR ENGI EER C> /i. s s4467.
�L�J _
ADDRESS Z(,�j� ���///� FIRE
ZONE TYPE GROUP 41.1/4
APPROVED ./".
CONTRACTOR BY DATE
ADDRESS pp� N I GN4� LIJ`�
TEL. Zpjf - N0. BUILDIN USE OF NEW �//fi�.�
CITY NO. F/!/
STATE /�/Q�J CITY YARDS APPROVED YARDS APPROVE
LIC. N�(�`Q C 3 LIC. NO. MAIN BUILDING ACCESSORY BUILDING
(y SIZE /f NO.OF BLOCS. (FROM C/L STREET)
L OF LOT Urge....-- NOW ON LOT FRONT EXISTING �'I�/BLDG. �71 FT,
cip Q USEA SIDE OUP .���II 0
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� 7
FS Separate permits are required for L.SIDE `1 Fter FT. -
electric,plumbing and heating work. A,.../ �6�
O REAR J� II/ IJ FT.
[W-, USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
Q MAIN BLOCS. ACCESS.BLOCS.
JL fO CVAuRl.#1 . 1AV9 DATE 6- 1 &
Q . .P. APPROVED
APPROV
z HOLE6 FOR SPEC ha
tZt�15
w
A. 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
A. all laws regulating building construction, and I shall not employ n
Z any person in violation of the workman's compensation laws of (�•�/�/� //Y� u
e State of
a.
Ihhereby certify that)I am properly licensed s a contractor under /3,a SQ. FT. (kelp ...
s 'h N
the State of California Business and Profess).ns Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that sue licenses re In ful force .nd effect or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from h: • •visions• the • a.. of Ca fornia Bu ness m
and Professio• .., ..Ivi: •n ,Cha• er =.Ar VALUATION PERMIT FEE E e
m
PLAN CHECK S N
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o
Signature of
Perm Ittee $ TAX S 2
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Authorized Agent TOTAL PAID $