HomeMy WebLinkAbout245 WILSON ST - Building Permits CITY OF COSTA MESA
BUILDING DIVISION
77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
1.1114111 - FOR INSPECTIONS CALL: (714)754-5626
4
PERMIT NUMBER: B09-00154
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 11909110 DATE ISSUED: 0811712009
ISSUED BY: BJK
JOB ADDRESS: 245 E WILSON ST CM Suite/Unit:
Vicinity: RESIDENCE AND ATTACHED GARAGE
Squares: 20000 Valuation: $4,000.00
SCOPE OF WORK: REROOF RESIDENCE AND ATTACHED GARAGE:T/O EXISTING COMP SHINGLE ROOF, REPAIR/REPLACE SHTG AS
NEEDED, 2 LAYERS 15#FELT,APPLY 20-YEAR GAF COMP SHINGLES. PITCH 3:12 2000 SQ FT
OWNER: RIDENOUR, DOYLE FRANKLIN Address: Ill Unit: COSTA
MESA,CA
PHONE: City/State/Zip: 245 E WILSON ST
APPLICANT: LEMUS,RAFAEL Address: 28241 CROWN VALLEY PKWY Unit: :UNIT
F-161
PHONE: 949-735-2377 City/State/Zip: LAGUNA NIGUEL,CA
CONTRACTOR: LEMUS ROOFING • License No. 826813
Address: 28241 CROWN VALLEY PKWYUnit: UNIT F-161 PHONE: 949-735-2377 '
City/State/Zip: LAGUNA NIGUEL,CA 92627 CELL:
ARCHITECT: License No. PHONE:
ENGINEER: License No. PHONE:
FEE SUMMARY
Reroof Plan Check: $0.00
Reroof Permit Fee: $97.25
Reinspection Fee: $0.00
Bldg Std Admin Fund $1.00
TOTAL FEES $98.25
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 S. INSPECTION TYPE DATE INT111ALS CODES INSPECTION TYPE DATE INTTALS
1616 Fixed System Final Fire Prevention _ 206 Final Mechanical
1266 Pool Spa Final I 208 Final Plumbing _
200 Final Re-Roof WM/ 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
.• r
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. ❑Yes ❑ No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
O 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
performance of the work for which this permit is issued.
c---;),Lt I have and will maintain workers'compensation insurance,as required by
slion 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 0 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
�p by this permit,and that no building structure,scaffdding,falsewnrk,or demolition
Carries ' ,/ L ✓� or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This ser�u7fn mol bee pleled e!heep�ernuts rvalued al one hundred cbnars(5ldo)oe less) \2 Ant Sec.341,Title 6,California Administrative Code).
Policy.Number: /5 y.J g l /
❑ As owner-builder, I will not employ anyone to do work which would
O 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 Dale
the L C de, haJhfortfwith coi^ply with these provisiions.
`/ L. ®//7/D q Division of Industrial Safety Permit Number:
��/YYY AppndRdb nature /�- .,d/ate 1 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 full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No
Lic.#-_ 87 6 $[ 3 Class it < — 39 (Section 25533 of the California Health and Safety Code, with some
n exceptions, requires registration with the Costa Mesa Fire Department by
rFY /1(� 1pv L• B((�[7(/lJ� each business which at any one time has on hand a quantity of acutely
rs
ContractoSi afore date hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feel 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)? ❑Yes ❑ 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 0 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? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits).
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 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? ❑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? ❑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 penalty of 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
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Dale
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
El 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.
ignat re of,/6/pIg/al errs)/ m ale
Signature Date �� pre L.
O07/D 9
305]36(3ro]) And/or Aut n Applicant Date .-
OWNER K lltr, it R j, / DATE 7 5 56
JOB ADDRESS 2)i5. F Wilcnn BUILDING PERMIT NO. #3280
GENERAL CONTRACTOR Dike & Col grove VALUE $ R,R90.00
LOT 10 BLOCK TRACT 3033 Single rec R. gay,_
Gn.jUP TYPE ZONE FIRE DISTRICT 3313
INSPECTIONS D• TE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
r ,.
Footing Trench _ 4637, 'Y
Foundation Forms and Grade to Gar!.
v
Rough Framingc.I i /�
Plumbing,Rough tn�.:u - r,ti'f ' �v% _ „' cr .. ��/��tL 1+1-✓t!,. 7- e :
•s ,r�r —
*4,
Plumbing, Rough Complete ' CJPDJC
Temporary Pole V •
Wiring, Rough '/, - • rr %u'-/+n ::r n' rr
., ' Alla 3 1956 .2 ( —
0/
Heating,Rough E1l a "' C
Heating,Final A aj/ry o r .-9„ 67.9,1 rNr. !t
Sewer, House (,p�//ff Sewer,St. L dye' • 9"/�, Oma_ �'
Septic Tank or Cesspoolf i�Q `r ' C' // // f..J/,s L //_ r, --
Lathing, In Out ` i
P eying r /d 0
F. .gybing,Final,Fixtures Complete A a /
Plumbing,Final Gas Test • / i� tra
v �i-- i
Wiring,Final �e O:2G-i7 _
Occupancy oe 6-1a -f
FORM 210 3M 10-S5
. 'Costa Mesa Building Department APPLICATION FOR PERMIT
P. O. Box 317 3313 BUILDING I
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
FOR OFFICE USE ONLY
Receipt No. I Permit No.
Building
Address 245 E. Wilson St. I •3a d7O
Costa Mesa, California ReceeivivFFred-by Date
Date Recd. Date Issued
Nearest 7-- 3 -caCross St. Santa Ana Builjut 1956
ding
Owner R. L. Keppen Address
Mail 419 E. 17th St Costa Mesa, California
Address Nearest
Costa Mesa Tel•Li 8-1159 Cross St.
City No. ZoneNo.ofI Type Group
Architect or I Plans
Engineer Carlson & Middlebrf t Approved
Garden Grove by Date
Address CORRECTIONS
ntractor Dike and ColegroviEloy uc27�
Address 419 E. 17th St -'`v f ,
LegalLot
Description I No. 10 I Block I I Tract 3033
(Attach Metes and Bounds) - _
scfi
Size of Lot 57.151 x 1051 I NNow oo Lot none
Ilse of I No.of 1 I No.of 700
Existing Bldg. none Families Roome / / /�
Setback Line from I Rear Yard jot t �I I cif 1I(' r.I .�i-e.1� .(,t.h
Center of Street 50 Side Yard 5 - - " '• '
DESCRIPTION OF WORK r
New I X I Alteration I I Addition I
Repair I I Moving I I Demolish I
Building No.of
Size 998 sq ft Rooms 54 Stories 1
terior Wall Stucco Roof Comp
Bering I Covering APPROVALS
Use of New
Building Single family res and gar Foundation Location Inspector Date
Forms,Materials,
Under-Pinning
Plan Z62BR 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 Cole ove
Permittee Plaster, int
.......
t
Authorized Agt 2. Plaster, Ext.
Valuation Permit Fee $ a a — Masonry Reinforced
0-0
$ / Q PlanTotalCheck$ // —g Bond Beam •
�� Fee $ 43,3 — FINAL •
i
FORM 204 10.55 O.V.6 5.
•
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ti J ,
•
i d
•
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r C
-
Z.:
Street C r-
PLOT PLAN
Show location and distances from -
property line and between buildings.
• :l
1 1
OWNER WILSON, Cecil J. 0
DATE 2-14-$8 _
JOB ADDRESS 211$ W. Wilson St., BUILDING PERMIT NO. 6379
GENERAL Armitage Builders VALUE $ 9,200.00
` .I LOT28c3 TRACT 57 FIRE ZONE DESCRIPTION OF WORK Residence w/att Garage
r 'UP I & j TYPE V ZONE RI; PLAN NO.
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
C �_�^ ..7r— DATE NUMBER
& S Trenches Forms Steel G '.'f 'Y
Floor System
Steel Reinforce Chimney Re-Rod _ // s+ •
Bond Beam g iF' .S• —/.-Jp:) g _.d'/:G,e es r e_S.
Framen ,and Flashing ��i7��if - ,S'�t�'r_.C�7
Lathing, In Out IL-We-Cy
brown coat 6 -211::- /-
Underground soil/iq,S W/G Pipe Testkiic.F-eo-,q-Sr
Top Out 11lo-et //05S--10-6'� ii, _ s>7' :,,: �sis�% -2---S----Sir•
Furnace / / 7 7 3
Gas Vents , i
Rough Plumbing IN//S S.---2-°3'r a/ .1L - a-1-7:5-kr
Cesspool Septic Tank 'f\�(
Prop. Swr. Line House Con: St. t' " $15i(( .,c ecjay„ /-f 1/4- (flr' ( ;_T 1.-7-----
Sprinkling System
Heating Final LW ?-11)-14 ,
P+.-,,,JFixtures, Final t / if V-/A.as
-Gas Test /S 6-W 9-is—R$ I V�IConstruction ole / /,
Underground Power
Rough Wiring AA7 ' /. dde /o 4b' 'Fixtures, Final 1:41:1
r S-ja.. y' A ' '-OCCUPANCYr r�.—/Q- p
1...,, /
Form 210-5M-1-57
379
rT n #ut M
6379 ''EB -4-58t DSESA 511- ****36.00
COSTA MESA BUILDING DEPARTMENT
P.O.BOX 3I?
COSTA MESA. CALIFORNIA
•
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING, VS lf/ cdx.& ? , �, n BUILDING
ADDRESS T y� �c.u.� ��/
•
COST
MESA. CALIFORNIA FOR OFFICE USE ONLY
I il a RECEIPT NO. PEI{y'
OWNER1///,Y_'/� </(�— !/
`�� RECEIVED BY DATE RECEIVED '.DATE ISSUED
MAIL y
ADDRESS�ai , �I .—yW7� 4,-4?
{-4 J —IAF
TEL. BUILDING 2y 4444,/ p
CITY NO. ADDRESS 7
ARCHITECT LIC.
OR EN^•NEER NO. COSTA MESA. CALIFORNIA
FIRE 3
ADDRL..S �.�i ZONE
CONTRAC �/ tit
�L/fCUV ZON //NO.OF TYPE V GRDUPc '
�/�5� / '.a�( ��Tro L, T 7 O APPROV a1 DATE /414//I
ADORES/7rgra
LEGAL ILOT/��� c CORRECTIONS
DESCRIPTION No..;F+{- . �J BLOCK�77TRACTfJ 7
A.P.NO. //J / / mC. - / / {� i in" -
SIZE
SIZE V �J F SLOGS. / Arey.i v lin
OF LOT VA p • y J 0 �1 I ON LOT r A.�
USE OF --y'�` CITY OF STA MESA
EXISTING BLDG. L/ ‘*?.-:45.'
_NA
_ PAAM .Z DEPT I
ETR4CN LINE FROM /_ �Q 'T�O DG. REG.
CENTER OF STREET ` F EAR YARD C..I eG3CiL
SIDE YARD RIGHT 09o1.1.-,/LEFT '
PLAN Y
DESCRIPTION OF WORK BY LIP_ DATE-1 ` 4, p
19-77
NEW ALTERATION ADDITION
REPAII (/ MOVING ttI DEMOLISH
BUILDINGAAAAsOA a" w , NO.OF
SIZE a/, A ROOMS G/ STORIES /
EXTERIO WA ROOF -
COVERING COVERING
.-
USE OFNEW / __�
BUILDINGE ` s C../ $
Cr —
�
./0 SOtli ,r e k.
I HEREBY ACKNOWLEDGE THAT HAVEREAD THIS APPLICATION ANL {/
STATE THAT THE ABOVE S CORRECT ANDAGREE TO COMPLY WITH ALL }A_J
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTflUC
TION. VALUATION
SIGNATURE OF/ A PERMIT FEE $ �' C[ ^
PERMITTEE ( /
PLAN CHECK $ /a
$ ate _ _
AUTHORIZED AGENT TOTAL FEE $ 36 _ vAfr
2443n CITY OF ��STA M€SA
COSTA MESA BUILDING-SAFETY DEPARTMENT JULI g 1965
P.O.BOX 317 COSTA MESA.CALIFORNIA J +
. For Applicant to Fill In Completely AP AT10<�FERM
1 WE OR PRINT �� �f
BUILDING `� reit use tJnly
ADDRESS .-p
R6C8IIT NO. LT. 'a
COSTA MESA. CALIFORNIA AS
Mt/ /rye Mr, ED t .(.E IS LIED
OWNER //�JA N/7i � ,
MAIL ( BUILDING r) 4 I . Q { L ,.,`
ADDRESS •-C� �/v UO S
ADDRESS _ / A /
FIRE
TEL. Ai
CITY �� - •TO. 1 • . ZONE TY-. T GROUP _ __
APPROVED
ARCHITECT TEL. BY /illr DATE 7/c? 6
OR ENGINEER NO. ZONING
i n
AL is Z. - NO.OF USEOFNEW �{/
��. /J (/}�I� PLANS Q I mtd
BUILDING (,l/
CONTRACTOR S a.$l/¢A/ [f om. e/7 r•_
DE
DEGAR O
ADDRESS LEGAL BION /� r�
l— /y`� _ /
CITY A' L:yPne �SlCicA A.P.NO. �1 _ /
// NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
STATE7 Q2 g TEL. 90'TO SIDE*REAR P.L.
LIC.NO.120 (J L NO.
VES
SIZE I NO.OF SLOGS. AJ ALLOWED [U.B.C.REQUIREMENT)
OF LOT L Now ONµ+I �C
I YARDS APPROVED YARDS APPROVED
USE OF
EXISTING BLDG. /Oj/J MAIN BUILDING ACCESSORY BUILDING
(FROM C/L STREET)
SETBACK LINE FROM
FRONT FT. FT.
CENTER OF STREET REAR YARD
SIDE YARD I LEFT I RIGHT R.SIDE FT. FT.
DESCRIPTION OF WORK L.SIDE FT. Fr.
NEW II ALTERATION ADDITION REAR PT. FT.
Illlll DISTANCE BET, BET.MAIN Q
MAIN BI-DGS. ACCESS.BLOCS.
REPA,rt MOVING DEMOLISH
VAR.# DATE
BUILDING NO.OF
SIZE ROOMS STQRIE$ C.U.P.# APPROVED
EXTERIOR
COVERING WALL I CROOF OVERING APPROVEDY ) _ �/p I• • 7— /q .
1/
USE OF BUILDING AND WORK TO BE PERFORMED IWr (
2 Ra-C, ,vv, C.-N s. 4-1
• N
• SQ.FT. G
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 OP ESTABLISHING A PERMIT FEE ONLY. Q
PLY WITH ALL CITY ORDINANCES AND STATE WS REGULATING VALUATION p
BUILDING CONST ION. / { /j // N
.411PERMIT FEE $ CC.1 D
SIGNATPERMITTEF RE 0 ,P�
/ It ig 0 PLAN CHECK $ 5
AUTHORIZED GENT CO
i TOTAL FEE 5 AP