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Home My WebLink About186 WILSON ST - Building Permits (2) CITY OF COSTA MESA ,t ►° BUILDING DIVISION o rl DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 0141 1 PERMIT 1M03-00521 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 MECHANICAL PERMIT Job Address: 186 E WILSON ST Status: ISSUED Suite No A Applied: 10/16/2003 Issued: 10/16/2003 Vicinity: UNIT A(HALLWAY CLOSET) Parcel Number: 43926225 ISSUED BY: Applicant: PARSONS, GORDON Address: 2282 ORCHARD DR Phone: 949-456-0064 NEWPORT BEACH,CA Zip: 92660 Owner JO ALICE WALLINSKY TRUST Address: %ROBERT WALLINKSY COSTA MESA,CA Phone: 186-B E WILSON ST Zip: 92627-1565 Contractor: ABC HEATING AND NC Address: 2282 ORCHARD DR Phone: 949-456-0064 NEWPORT BEACH,CA Zip: 92660 License:810481 SCOPE OF PERMIT CHANGE-OUT OF A FAU IN UNIT A IN AN EXISTING DWELLING. 1 INST FAU<100K BTU. NO OTHER WORK AUTHORIZED WITH THIS PERMIT. FEE SUMMARY Quantity Quantity ISSUE FEE $23.50 Repair/Alt Absorbtion Unit $0.00 0 Inst FAU<100 k BTU $14.80 1 Repair/Alt Refrigeration Unit $0.00 0 Inst FAU>100 k BTU $0.00 0 Ventillation System $0.00 0 Repair/Alt Cooling/Heat $0.00 0 Evaporative Cooler $0.00 0 Inst/Rep.Recess Wall Htr $0.00 0 Commercial Incinerator $0.00 0 Refrig Sys<100 k BTU $0.00 0 Domestic Incinerator $0.00 0 Refrig Sys>100 k BTU $0.00 0 Compressors/Absorption Systems Gas Piping $0.00 0 Up to 3 hp/100 k BTU $0.00 0 Factory Fireplace $0.00 0 3 To 15 hp/500 k BTU $0.00 0 Hood w/Mech Exhaust $0.00 0 15 To 30 hp/1,000 k BTU $0.00 0 VAV Box $0.00 0 30 To 50 hp/1,750 k BTU $0.00 0 Vent Fan/Single Duct $0.00 0 Over 50 hp/Over 1,750 BTU $0.00 0 Appliance $0.00 0 Boilers Fire Dampers $0.00 0 Up to 3 hp $0.00 0 Smoke Dampers $0.00 0 3 To 15 hp $0.00 0 Inst or Relocate Appl Vent $0.00 0 15 to 30 hp $0.00 0 Air Handlers< 10000cfm $0.00 0 30 to 50 hp $0.00 0 Air Handlers> 10000cfm $0.00 0 Over 50 hp $0.00 0 Floor Furnace $0.00 0 Other Mechanical Fee Floor or Suspend Heater $0.00 0 Investigation Fee $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES $38.30 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California 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 suspended 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 all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446.46(Neel WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to sell-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the w which this permit is issued. 1 have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'�compensationTInsurance cJarrer and policy number are: if Canter: '/�/� �he KP/ Policy Number: 4,75 3 '/z/' 2'C3 (This section need not be completed if the rmit is valued at one hundred dollars($100)or less.) O 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,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: ��y-6�Y /4� Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOU.ARE(SIOO,C00),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licen d under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.a /O " g'/ Class# C' 2� Contractors Signature: _�J..di�. /C Date: /G—/.j —C 3 CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or 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 more than five hundred dollars($500).): ❑ I,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(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: O I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Gm 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑Yes ❑No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be tiled with the Costa Mesa Fire Department by every business which has al any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Section 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required t0 register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of thisapplication a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). .r.._ — — _ _......_.o _. 6 Will any partof the fadlity to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District ar other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safely Code Section 42303 been made? ❑Yes 0 No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. • Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. signature Of Legal Owner(s) Date And/Or Authorized Applicant G — /Date CODE. INSPECTION TYPE PATE INIID'LS LODE. INSPECTION TYPE BATE bri 1616 Fixed System Final Fire Prevention 206 Final Mechanical 10-23-(i3 N 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy OWNER WILLIANLSON, LEONA M. DATE 6-20-60 JOB ADDRESS 186 (b) E. Wilson St. BUILDING PERMIT NO. 32225 GENERAL CONTRACTOR_ Shoreline Const. CO. VALUE $ 13.959.00 AP. No. 1194)52-17 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Res.w/att.Gar. INSPECTIONS Lw DATE I GROUP I & J TYPE V ZONE RIl OF"',j;;ground SoilAl/.4U.G. Water Lief .�ii/-aG PERMITS ISSUED U`v #groundGas AA' /1__./O SUBCONTRACTOR DATE NUMBER , Overhead Water and Gas f� • ,,,r, ,/qs,r� •7_5=GJ _ J� / Rough Heating �PC /� � -/ Rough Plumbing ��/� �� z, Miscellaneous / Prop. Swr. Line House C.1--'�yf . ,• tan]� . , . V-/- 6 v Se7s- Sprinkling System ��yyy by Heating, Final (/f '.I .� f py+ / �D Plumbing Fixtures tit + v •�,Iy.� Final Gas Test 14,4( L k/oc .o. lr 9 Construction Pole Underground Power y AA ,9 , Rou•h Wiring .a 7-7-60 d.,/, A,,,- 7-5--4 a / a7G'1 ' Trenches r Forms ' Steel Aw r -771 - Z 3 O ' Floor System Steel Reinforce Chimney Re-Rod Bond Beam Sheathing /WIC 7(- Cn Frame and Flashing role_ q_,?_ ee I lg, Iia_2�- /. rna ? — r. j—C. 0 P,...,.er, brown coat ,. $ -a—40 Plumbing Fixtures, Final W F{ .€'d Electric Fixtures, Final (e 49 al Final "Z OCCUPANCY I . Form 210-SM-11-59 5-e P 12225 �' 12225 COSTA MESA BUILDING-SAFETY DEPARTMENT SEE^ pRECEIVED P. O. BOX 917 COSTA MESA. CALIFORNIA ll `C to 1 O - �J For Applicant to Fill In Completely APPLICATION FJJJDDD O� DEPT, TYPE OR PRINT STA MESA BUILDING V ADILDINGDRESS RL'AR O/ /Fa C , w/Lso NCB) ADDRESS COSTA MESA. CALIFORNIA For Office Use Only LONA t lib ti/y M SO� t RECEIPT NO, I PERMIT NO. OWNER //- r� /V//// I /3 MAIL /� RECEIVED BY DATE RECEIVED DATE ISSUED ADDRESS 2'290 /VE t'RT /.(/,O, /tg_-•7o i-/O -60 tie A TEL.W- BUILDING CITY CDS TA J L��1 N0,Flir IC ADDRESS ARCHITECT TEL. COSTA MESA. CALIFORNIA • OR ENGINEER NO, ADDRESS FIRE ZONE /�/n,, 1, /' FONE TYPE /7 GROUP "'f CONTRACTOR 5//ORth/Nf CANSTNVcrens, Ce. APPROVED BY DATE ADDRESS 3 OSLO NA-at/fba7 /3r the; ZONING � ((�� ,�P� /� // 2 /-� Z / NO.OF USE OF NE)VjiX CITY (. D sr, / /i J� .�L,� I PLANS I SUILOINO (( ivi LIC.TNO. ‘7o O6V' TEL.NO,/ /I J 03r DESCLEGALRIPTION' po / ko f '/V 9 t?34D SIZE N F OF LOT ��33 -i 3S- I NOW ON LOTS / A.P.NO. / / --OSa -/ 7 USE OFIrts/Dla7/� 4 YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK LINE FROM /- S.- (CENTER LINE BT.) int CENTER OF STREET J C7 REAR YARD FRONT A,c-FT. ii flil IN, SIDE YARD I LEFT I RIGHT R.SIDE FT. ,� 1 IN. DESCRIPTION OF WORK CET, IN, , / L.SIDE NEW I V ALTERATION I II ADDITION REAR 5 FT. / IN. '/ REPAIR I I MOVING I NO. OF I DEMOLISH APPROVED ( / ��TE / r(7.-‘a r 7. tGa SIZE DING 06Gle O6/ ROOMS 6 STORIES / [/�'.-Lf/`/�'•A_L�/ HHH,,, EXTERIOR WALL ✓ ROOF I i I_ COVERING -5TUCCd COVERING CGNPO- Rorty -- ' IP"A,, USE OF BUILDING AND WORK TO BE PERFORMED I Rt-6 ii,24.AJC - w H 4rr4c a ' — J a2 7 eO 3-6i `' - c� ® � s—o I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOW UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AN ATE LAWS REGULATING BUILDING CONSTRUCTVALUATION �9 SIGNATUREITOF // PERMIT FEE $ 3�. rn p m $ /3i 9S 7 PLAN CHECK $ /`' AUTHORIZED AGENT ///7 p TOTAL FEE $ 7IKV y