HomeMy WebLinkAbout225 WILSON ST - Building Permits a r
F CITY OF COSTA MESA •
<5` BUILDING DIVISION
i°; :�� 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
A. FOR INSPECTIONS CALL: (714)754-5626 .
PERMIT NUMBER: B08-00303
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 11909105 DATE ISSUED: 10/2312008
- - ISSUED BY: BJK
JOB ADDRESS: 225 E WILSON-STCM Suite/Unit: ::- -
Squares: 2300 ,Valuation: : $4,500.00
SCOPE OF WORK: REROOFRESIDENCEAND ATTACHED GARAGE:COVER OVER EXISTING 3:12'COMP PITCHED ROOF,2 LAYERS
15#FELT,APPLY"CLASS A 30-YEAR GAF,COMP ROOF WITH CLASS A ASSEMBLY. 13 SQUARES..FLAT ROOF
(10 SQUARES): B.U.R. REPLACE WITH SAMECLASS A ROOF. .
OWNER: CAZIER,NANCY ELIZABETH - • -Address: 225 E.WILSON - - Unit:
PHONE: -- - City/State/Zip: COSTA MESA,CA - :
APPLICANT: ROGERS,MIKE - _ Address: 2626 NEWPORT BL - Unit: : '
PHONE: 949-548-1645 City/State/Zip: COSTA MESA,CA -
CONTRACTOR: PETRONELLA ROOFING License No. 460707
Address: 2626 NEWPORT BLUnit: PHONE: 949-548-1645
City/State/Zip: COSTA MESA,CA 92627 - - CELL: " _
ARCHITECT: - - License No. - PHONE:
ENGINEER: License No. . - PHONE:
FEE SUMMARY
Reroof Plan Check: ;,;$0.00 - .
Reroof Permit Fee: $1111:25 - ill) •
Reinspection Fee: , ..
$0 00 .4
, . . .
TOTAL FEES $111.25 ...
•
•
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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:
CODE INSPECnON TYPE MX INnTIALS CODEC INSPECTION TYPEpA�T INTITIAL@
1816 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final77 � 208 Final Plumbing
200 Final Re-Roof JO-30-0 Y by �il 210 Final Electrical
201 Final Block/Retaining Wall by
I 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
11111 .r. I
WORKERS'COMPENSATION DECLARATION: - Owner ID verified by drive e. 9 Yes ❑No T
I hereby affirm under penalty of perjury one of the following declarations: 'Driver's License No. _ Expires:0 I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of.the Labor Code, for the •
perfor ante of the work for which this permit is issued. -- - '
�- ibv4 revs and will maintain workers'compensation insurance,as required by -
section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: - ''
permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: ) person is required to descend,will be made in connection with work authorized
S1-44-_,
-.)L-� / by this permit,and that no building structure,scaffolding,falsework,or demolition
Carrier: -7 -e._ ✓nat or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This section need not be completed*the pent*is valued at one hundred dollars($100)or less) 2,Ant Sec.341,Title B,California Administrative Code).
Policy Number. I g0 I 'C 7`t ` 0Scc
�_ 9 As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers'compensation provisions of Section 3700 of
Applicant's Signature Date
the Lab Code,I sha orthwi ply with these provisions.
/ /90 2?O Q' Division of Industrial Safety Permit Number:
Applicant's Signature. Da HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in fnd
ull force and effect. �7 q a registration form for acutely hazardous materials? 0 Yes 0 No
Licit /
Li
- ->�L'U ° 70 I Class#. `-- -3-- ` (Section 25533 of the California Health and Safety Code, with some
z� n /7 , ®Og exceptions, requires registration with the Costa Mesa Fire Department by
d/WY. `��r'y�--� each business which at any one time has on hand a quantity of acutely
Contracloa Signal a D.e 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued. (Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes 0 No
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 (Sectionfrmt n be fu i the CalifomiaaGovernment Code requiresabuildingnt thee requested
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications for non-residential permits).
Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes ❑No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes ❑No
thereon,and who does such work himself or herself or through his or her own
8. (If"yes", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penaltyof perjury the
did not build or improve for purpose of sale.). , information given above is correct. I agree to comply,with all state laws and
city ordinances regarding Hazardous Materials and Emisions. '
❑ 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 Signature Date '
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: 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.
nal Owsi Is) Dat AP
3057-46(3/07) Signature Dale r// - �G.. // /Q�7
And/or✓`or/Authoriizzed A(pp6VVtant ` Dale
a�
OWNER , •• ,, / DATE _ _ '
JOB ADDRESS 225 E. Wilson St. BUILDING PERMIT NO. #32752
GENERAL CONTRACTOR Dike & COlev..oye VALUE $ 11,218.00
L - 5 BLOCK TRACT 3033 Single res. & gar.
GROUP I & AL TYPE V ZONE Rh FIRE DISTRICT 3308
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE NUM•
BER
Footing Trench / T 0 /5-6
Foundation Forms and Grade to Gar dre
Rough Framing .,•'•
Plumbing, Rough to Slab . -13-ett
d ,e, `Pi%„., I t 1 l„LA. 6-6rF77, 7- /a - y
Plumbing, Rough Complete
Temporary Pole 111
Wiring, Rough / 3i-tN - <1.,_. /.1-.191,art/ 1 G 3 1956 ,7 796, --
Heating,Rough El! ,
Heating,Final _ �'ra ��ct2/e..2,,4i.ar,t_L V3--,57° to /Y ?
Sewer;Ha>/,.' Sewer,St. ._,..,„V -y Qo7/^ t----,7 7--r �i G 4'i ^-
Septic Tank or spool _0•VIrig /i 4 -. 7— , l ez --- ��. /Lathing, In Out , r . t
PH-:.,. 7�f
PInng `.d1G_ p
Plato-Qing,Final,Fixtures Comp t- d /% WY
Plumbing,Final Gas Test _ ,�� - 04 %
Wiring,Final ,�C {/` '�
Occupancy 0 e fa"a1G_4-
FORM 110'3M 10-55
Ma Mesa Building Department - APPLICATION FOR PERMIT \'
P. O. Box3I7 33®8 BUILDING 1
COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN Receipt No. I Permit No.
Building
Address 225 E. Wilson St I 3a 7.r'
Costa Mesa, California Received by Date Rec'd. Date Issued
Nearest 2— 3 ----C-6 n. 5 1956
Cross St. Orange Ave Buildin
Owner R. L. Keppen - Address
Mail
41q E. 17th St Costa Mesa, California
Address Nearest
Costa Mesa Tel•Li. 8-1159 Cross St.
City No. Zone '/ No.of Type `� Grouo O
Architect or Y I Plans I Y e�l��
Engineer Carlson & Middlebrt Approved l/�J
by Date
- "'dress Garden Grove CORRECTIONS
...Infractor Dike and Colegrove N.. Li t707
Address 419 E. 17th St
Legal I Lot I \ ; . \ 1 l '
Description No. 5 I Block I Tract 3033 _
• �s
(Attach Metes and Bounds) - !
Size of Lot 59.0t x ios.gtI No ,
Now.of onBldgs.Lot nolle
0
Use ofNo.of No.of y ..--r 70
Existing Bldg. none I Families- I �l Room$' •
Setback Line frort} Rear Yard 11t GS
..m., r``- cc i.It t' -'tel,
Center of Street 75t Side Yard 5t i ;�� � Vt "— D
DESCRIPTION OF WORK r
New I X I Alteration I I Addition I
Repair I I Moving I I Demolish I
Building 1296 9 ft No.of 1
0`-e ' Q Rooms Stories
:rior Wall I Roof p
.._vexing Stucco Covering Comp
APPROVALS
Use of New Foundation Location Inspector • Date
Building Single family res and gar Forms,Materials,
Under-Pinning
Plan Zb5A Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath.Int.
with all City Ordinances and State Laws regulating
building construction. Lath. Ext.
Signature of Dike and Colegrove
Permittee y..-t Plaster, Int
Authorized Agt. C. , C 'f `"Plaster,Ext.
Valuation Permit Fee $ a 9 Masonry Reinforced
II/ �/� 0-0 Plan Check $ /r Bond Beam
$ Total �/�1
Fee $ / o" I FINAL
-
FORM 20a 10.55 D.P.a 5, a
-7711
d C
2 - "IL -5 s' t
7:57 T.
2.n
�
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•
Crit 1 7-
Street
Street c-: �-
PLOT PLAN
Show location and distances from
property line and between buildings.
qac , .
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•
J
/OWNER MIHT. JAMES C. DATE 2-4-65
yY JOB ADDRESS 225 F. Wilson Street BUILDING PERMIT NO. 21524-
TERAL CONTRACTOR owner DESCRIPTION OF WORK block wall
No. 119_091 -05
LOT TRACT FIRE ZONE VALUE $ 500.00
INSPECTIONS Signature Date GROUP J TYPE III ZONE Rl
Soil PERMITS ISSUED
Gas SUBCONTRACTOR Date I Number I Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con.0
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power
Rough Wiring Heating and Vent.
Trenches 0 Forms 0 Steel Reinf. ❑
Floor System
Bond Beam 0 Steel Reinforce 0 _
Sheathing
Frame and Flashing
L '-lg — In ❑ Out ❑
F r, Brown Coat
Structural, Final Electric
Heating, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test 0
Electric, Final
Building, Final G?1-7 a•.
Snnrial P nnirnmrnte
llI23524 FEE[ RECEIVE
TA MESA BUILDING-SAFETY DEPARTMENT FEB 4 1965
P.O.BOX$17 COSTA MESA,CALIFORNIA FINANCE DEPT.
For Applicant to Fill In Completely AtRIGQFfIccilsk "v rr
TYPE OR PRINT WBUILDING
/I ' For Office Use Only
ABUILDING DDRESS Z Zr S J` //JCN -Pt
/-
RECEIPT NO. PERMIT NO.
COSTA MESA. CALIFORNIA 2:3 h a V
C.
, / T
Rat BY T{pE('[��� BATE ISD/
OWNER � knA, G l LGTI� ` '�yr�/ -1�I//Y 5
MAIL 7. G _ w BUILDING 2 2 CA_)L CSc�
ADDRESS `Z J G` yV il-SC'w 6 1, ADDRESS
rn:C
TEL ZONE TYP ROUP i r
FIRE
CITY�nSTA M�Si� np.(p4�o(✓41�-
APPROVED DATE1-7---A1/4.1:-
OR
ENGINEER AAA.a NQ(p4f0 Z9n
BY
33 Dov 0 M. ZONING
•
At 3S ZOJ NO.OF UEE OP NEW 4R .r
O(
IPLANS z I /�BUILDING ��
CONTRACTOR 'S AAT
LEGAL �
n�y '"'�'� holt S T a 3
ADDRESS l AAA.l_. De cRIPTIOn p p
ry1,cS _ A.P.NO.
CITY SFII / — O / I '. 0•�
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL. 90'TQ SIDE a REAR P.L.
LIC.NO. X NO.
EAVES
F
OLOT 58 �� /Or` I NNO.OF
OW ON LOTS ALLOWED (U.B.C.REQUIREMENT)
YARDS APPROVED YARDS APPROVED
USE OF � � MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
-
(FROM SETBACK LINE FROM ^h /� FRONT C/L STREET) Sa /� FT 4/T/la
CENTER OF STREET / O REAR YARD 6 -
SIDE YARD LEFT '"eh".. I RIGHT Ca-- R.SIDE PT. FT. /
DESCRIPTION OF WORK L.SIDE Fr. --FTS
NEW [/ ALTERATION _ ADDITION REAR FT. FT.
DISTANCE BET. BET.MAIN e
RE MOVING DEMOLISH MAIN BLDQS. ACCESS.BLDGS.
BUILDING ...—_. NO.OF VAR.# DATE
r
SIZE ROOMS —STORIES C.U.P.# / ' APPROVED
•
EXTERIOR �/
---
COVERING WALL �_. I COVVFERING Cr BY /.//]l"AOtIa0 DATE L/7/6`S
USE OF BUILDING AND WORK TO BE PERFORMED n ./ /,N
5 5 cA or CLi ApnTn.Le PVFL r
vidA.(-1..._ . E' u (--Is
N
SQ.FT. �
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY OR• NOES AND STATE LAWS EGULATINGVALUATION �� �/' dr p
BUILDING ALL U �A
SIGNATURE 'P ,1 6.:
PERMIT FEE 5 !
PERMITTEE � �/, 6. /AiL4'- B
$ .....00 O LA C EC / O
AUTHORIZED AGENT 3."<
C 2(`
t TOTAL FEE $ ✓