HomeMy WebLinkAbout233 WILSON ST - Building Permits CITY OF COSTA MESA
;`y � BUILDING DIVISION
1.1 `•___ '� DEVELOPMENT SERVICES DEPARTMENT
�+� PERMIT PERMIT NUMBER
%owns'!"
698-01310
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
PPM
Job Address: 233 E WILSON ST Status: ISSUED SJ
Suite: Applied: 07/21/1998
Vicinity: ROOF OF SFD&ATT.GARAGE Issued: 07/21/1998
Parcel Nunmber: 11909107 Zoning:
Applicant LEHMAN ROOFING, INC.
Address: 03444 W HARVARD .
SANTA ANA CA 27/ - _Zip. 92708
Owner STEFFEL,THEODORE J ' y..
Address STEFFEL-,CLAVDIA M . - ' .
C
OSTA MESA,CA cPhone \ 7 -
/x,233 E WILSON ST Zip: 92627 - '\ ti < -
Contractor' \\,Z> &
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Address: \, 'X
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;i7!% Phone:
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'i`� _� ``-7/ License. _ - -
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Arch LEng /r/, _. ::' _ 2 `"- .4 . :, 1
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a' License:
- ' SCOPE OF PERMIT •
/ - 7 TEAR OFF EXISTING ROCK ROOF.APPLY NEW COMPO-ROOFING:2.5/12 PITCH.
-t - . . - .. ._ . kt
'` ' ",.�.'. N FEE SUMMARY A% . ,
Plan Check ' , %-s•$0.00 -- �_ r`'_
. / (;.:. Cat Valuation: $3,000.00
'Permit " $74.75 - -- - Claim Valuation:, $3,000.00
' `SMIP-Res ;:'$0.50
vSMIRCom: '',7„A;N$0.001 / • -�
',"`' Other:;\ x:$0.00
Iriepection:, v;$0.00
\
Total ;\ $75 25 `, \
'.,AN A \ t / A
- �; v:'. \ , ,-PLANNING &ZONING
SETBACKS y`
MAIN STRUCTURE NFront O.;0 . Rear 0-0'' ' 4- • Left'- 0-0 Right 0-0
ACCESSORY Front' 0-0, '�./ / Rear 0-0 Left.. 0=0 Right 0-0 -
•
PARKING Existing: 0 - Required: -0 Proposed: 0
NOTES:
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
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 self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I 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.
CarrieMry wo sG c-� �nsation Ir ran✓ er and policy number are:
Policy Number: 'l �' S �0C� e b
(This section need not be comp- 'd the permit is vat -�at one hundred dollars($100)or less.)
O I certify that in the p- 7�e of the wo /hich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws la,and agry If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with these •. : `/_��
Applicant Signatu s rA _ Date: Gl
WARNING:FAILURE T. UfyiRK•''!' 4rr NSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED
THOUSAND DOLLAR- •'.,.f,' A!:I. I.,THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECrON 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CON -ACTORS DECLA-AI 0/
I hereby affirm that I am licensed,un'' ', ns of Ch:. :/commencing with Section 7000)of Division 3 of the Business and Protessiins Code,and my license is in full
force and effect.Lic.« [.f ��/!!! Olv9' close« 3 d
Contractors Signature: / Date: '7 ZC fir
CONSTRUCTION LENDI' '- A!- CY:
❑ I hereby affirm tha ere is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's 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).):
O 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. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 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,Grp 2,Art 2,Sec.
341,Title 8,Califomia 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? 0 Yes ❑No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire 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 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 Flre 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 California 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 to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the Califomia 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 this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes O No
(Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 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 or 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 Califomia Health and Safety Code Section 42303 been made? 0 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 COMP • CE AND AUTH•y- 'TION 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 corn. with all state I. d city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-describe op: y for inspect
Si. c1. :inspectio�,.'e'.ses.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
• • Legal Owner(s) D to
yr
/ 7. 2(-7r-
- •. • Authorized Applicant Date
,-)i 41., ..' DATE iNTmALS CODEC INSPFCTION TYPF DATE =ALS
1 Fixed System mel Fire Prevention 206 Final Mechanical
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 Signm 222 Final Site
204 Final Demolition 250 Final Building/Occupancy 7— Z y-r0y
2446-46 /
OWNER HEPPEDT, B Z_ 2 DATE 7-c-56
JOB ADDRESS 233 E. Wilson St. BUILDING PERMIT NO. p3277 •
GCNERAL CONTRACTOR Hike k Cnleg nve VALUE $ 11 ,218.00
LOT 7 BLOCK TRACT 3013 , ingla TEG_ R gar
GROUP I & J TYPE V ZONE RI, FIRE DISTRICT 1310
PERMITS ISSUED
INSPECTIONS DAT SUBCONTRACTOR
/ill-
DATE NUMBER
J YO
Footing Trench
Foundation Forms and Grade to Garage
Rough Framing C[,�, Colt
,��
Plumbing,Rough to Slab�O(.i� i1 1-i�f-515 S•e•e-LC.Q,. ./,, QUILL, 7-/3-S4 se75 —
Plumbing, Rough Complete/ l�rjJK+yt�l" ACM, i
Temporary Pole
Wiring, Rough �/,' 2. ;b Az,t.,•.•rt....." ! • . i., 7S,IY
Heating,Rough % ,
Heating, Final !1 4� 4 qinl
_ -9-e,C-(1-.4 in; i-YEL (.L[. /2,3,.�/ ,moo fJ• /
Sewer,Hou e7/ji�(.'1' Sewer,St. /;, ./ 1/4-7.,/,.4----; y , 7- / /4 ��
.Sr Tank or-reel-43;a) •/n . .4 ie' g '9-_';7_ I% 6‘, t4
La.....Ig, In Out 60A7/ ',M'
Plastering 4r! /•/r,se,y
Plumbing,Final,Fixtures Complet- 1 ./
Plumbing, Final Gas Test rr.A�r ./^"./^" ` -
%��
Wiring,Final If CI, .O-1.0 -,
Occupancy .(pec/ /Da1<5d
FORM 210 3M 10.55
Costa Mesa Building Department APPLICATION FOR PERMIT
P. O. Box 317 3310 BUILDING 1
T •' COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
Receipt No. I Permit No.
Building
Address 233 E. Wilson St I .303 7 7
Costa Mesa, California Received by I Date Reed. Date Issued
Nearest Orange Ave •�� Y 3 - k 6 I�I 5 1956
Cross'St. Building
Address
owner R. L. Keppen
Mall Costa Mesa, California
Address 419 E. 17th St Nearest
• Costa Mesa Telti. 8-1159 Cross St.
City No. Zone Q`/I No.of I Type / Group _
Architect or Lic. 7 Plans ll(///CT`
Engineer Carlson & Middlebrook°. Approved
by Date
Address Garden Grove CORRECTIONS
I ,ntractor Dike and ColegroveCNo. LIo2707
Address 419 E. 17th St
Legal I Lot I I 3033
Description No. 7 Block I Tract -
i
(Attach Metes and Bounds) - ,1 - ` ' \
I No.ofidI
Size of Lot 57.15' x 10511 Now on Lot none ' r
Ilse of No.of No.of c1 .. 2/
Existing Bldg. none I Families-LI Roomsup _ , _ _ i'`' - B
Setback Line from Rear Yard 411 t
Center of Street 55 Side Yard 5 2
D
DESCRIPTION OF WORK - ___ / / :::!:QA r
"0 th Y pp:7J
New I X I Alteration I I Addition I ..
Repair I I Moving I I Demolish I
Building No.of
_Size 1296 sq ft Rooms 6i Stories 1
`erior Wall p
I Roof —
ering Stucco Covering ComAPPROVALS
Use of tingle familyand Inspector • Date
Building g g res gar Foundation Location
Forms,Materials,
Under-Pinning
Plan Z65A 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 Plaster, Int.
CI:
Authorized Agt di . 4(ri—
Plaster,Ext
Valuation Permit Fee $ rimy I Masonry Reinforced
// �/� r�Plan Check $ // Bond Beam
$ Total !,/
Fee $ reg I FINAL
FORM 204 10.35 0.P.&S.
O
C u •
0 o. 1Te s
a
Zfr y •
• - -: �•
•
Street r f
PLOT PLAN
Show location and distances from
Property line and between buildings.
•-••, ) i
OWNER VINSON, ROBERT DATE 6-1-60
JOB ADDRESS en E. Wilson Aye. BUILDING PERMIT NO.12150
GENERAL CONTRACTOR Security Builtt Cont. VALUE $ 35n,nn
AP. No. LOT TRACT _ FIRE ZONE DESCRIPTION OF WORK
I ECTIONS DATE I GROUP TYPE ZONE R4
U,.,.erground Soil U.G. Water PERMITS ISSUED
Underground Gas — — SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
Heating, Final
Plumbing Fixtures
Final Gas Test
Construction Pole
Underground Power
Rough Wiring
Trenches Forms Steel
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Shaing
S0. and Flashing
Lathing, In Out
Plaster, brown coat
Plumbing Fixtures, Final
Electric Fixtures, Final , cv`--��/f 1 � / 3 /
Bilding, Final C� b
OCCUPANCY
Form 210-5M-11-59 S B P 12150
12150 FEE RECEIVED
n
COSTA MESA BUILDING-SAFETY DEPARTMENT �4"BefJk-,_ (_ (ae)
P. O. BOX 917 COSTA MESA. CALIFORNIA FINANCE DEPT.
For Applicant to Fill In Completely AppLicAfriBial gRC 11MESA
TYPE OR PRINT BUILDING
BUILDING 2 ADDRESS (3 3 E G✓�L S c/V
COSTA MESA. CALIFORNIA For Office Use Only
��''DD ( t 1 RECEIPT HO. I / PERMIT
OWN ERRCRA RT I!�N4 L'4./ a?/,
MAIL •� .7 I,. RECEIVED BY DATE RECEIVED DATE 16$/IED
ADDRESS 2 y,3 C hi"L S C /v �y� I L--//�'F O/�//��✓/]�/�(--G v
Cie J
TEL.1/ BUILDING 3 L l/�y�i -
CITY .S TA /F.S/4 NO. 8 2700 ADDRESS ✓ //�' (��
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR .INFER NO.
ADDRESS FIRE
Sec /� ZONE TYPE l GROUP'/7'
CONTRACTOR
j SC C L��ZC� .r�( Rel LT (CNT. APPROVED DATEADDRESS .331 //�SCorn .5c //////////// ZONINGCITY 4p Al(f YEA C IT E I NO.OF FLARE
d-I BUI ONGLIC.NO.I47 .. 2 NO. . /E / ZO CrnPnoryLU! / Tf/1 -'f .3SIZE 1 NO. OF BLOCS.
OF LOT h�. �.5 l d 1� Now oN LOT A.P.NO. 11V- 01 / y 0 '7
USE OF YARDS EVESE
EXISTING OLDG. APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.) a
CENTER OF[STREET REAR YARD FRONT 5-0
FT. 2 IN.
SIDE YARD LEFT I RIGHT R.SIDE .ra•FT. IN.
DESCRIPTION OF WORK L.SIDE FT. DIN.
NET I II ALTERATION I II ADDITION
REAR FT. 3 IN.
REPAIR I II MOVING I DDEMOLISH I APPROVED I A'Q DATE Cl.".. ..-, 6 ' / -/ l
BUILDING NO. OF �•(�1 / IJV
SIZE ROOMS STORIES
EXTERIOR WALL I ROOF
COVERING COVERING
UoE OF BUILDING AND WORK TO BE PERFORMED
LocK ALL.
2/` xs/cxSrI PUr. f2 („ig c Cat LaA2-u,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN 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 AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. /� VALUATION
SIGNATURE OF ��� eg 1 IPL PERMIT FEE S �� �O
PERMITTEE „ '""�/���'�•� l � O U _ n
S36-0 PLAN CHECK S MY
i
AUTHORIZED AGENT0-0 H
TOTAL FEE $ �• w