HomeMy WebLinkAbout270 WILSON ST - Building Permits •
44w� CITY OF COSTA MESA
;, - BUILDING DIVISION
I.
"'•"4 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
PERMIT
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99-01158
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 270 E WILSON ST Status: ISSUED
Suite: Applied: 07/27/1999
Vicinity: HOUSE&ATTACHED GARAGE Issued: 07/27/1999
Parcel Nunmber: 11913201 Zoning: �j /�
Applicant: MILLER, DAVID ISSUED BY: 'K-7r" 1
Address: 3027 ROYCE LN - - ' - _ 1
CA Phone: 949-631-1924 -
COSTA MESA . ' Zip: 92627
Owner FERGUSON, DARREL
Address 270 E WILSON ST ,
_ Phone:
/ I
/ COSTA MESA,CA _ Zip: 92627 ,
- '
N ,, ,
Contractor: ORANGE COAST ROOFING ,
Address: 3027 ROYCE LN
CA Phone: 949-631-1924
COSTA MESA
Zip: 92627 License: 434674 '
Arch : �,-'� Eng: .
Address: - Address: _
Phone: Phone:
Zip ` — License: Zip: License:
- SCOPE OF PERMIT
REROOF HOUSE&ATTACHED GARAGE(19 SQ).mace oP-F 4 ((JZT.tL.(,� a - '�j# par s ZD`0R- cow
FEE SUMMARY -
Plan Check: , $0.00 / Calc Valuation: $3,055.00
Permit: $87.25 Claim Valuation: $3,055.00
SMIP Res: • $0.50 ,
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00 - I ,
Total: $87.75
PLANNING&ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 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:
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 //
RECLAQATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have end 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 •:int: •workers' nation' ranee,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My worker • pe t ti•on Insu ce carrier a policy number are: I 7-7Carrier: Policy Number: J
(This section need not be completed if the permit Is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance 01 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: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND S EJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED
THOUSAND COI-LASE(5100,003),IN ADDITION TO THE COS • COMPENSATION,DAMAGES AS.-• •ED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
/
LICENSED CONTRACTORS DECLA-•` ON:
I hereby affirm that I am licensed ,r•.•• '01 ter 9(c encing :action 7000)of Division 3 of the Business and Prof ion e,and my license is in full
force and effect.Lic.x A �/ Class e 6-- J
Contractors Signature: _ // 7 (/ . Date: ? —,L?'cC 5'
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).
Lender's 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 sac. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑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,faisework,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,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 froin 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 0 No
(Section 25505 of the Callfomia 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? 0 Yes ❑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 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 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 this application a_permit for such construction or modification
from the South Coast Alr Quality Management District or from any other air pollution control district or agency? LJ Yes U 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 end 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 Celifomia Health and Safety 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:
CERTIFI OF PLI E AND •UTHORIZATIO' •F ENTRI certify under penalty of perjury that 1 have read this application and state that the information given is
correct.I a roe to ply h all stat' laws and city • •manes relating to building construction,and authorize representatives of the Cityof Costa Mesa to enter upon the
above-d s ribed erty f r inspectio. purposes.I ear•: not to occupy or allow occupancy of any building authorized by this permit until final inspection.
at
e Of Legal•y er(s) r7 Date
AnAu el •••plicant Date
CO IN6PECTi0N TYPE PATE INTR PL$ COOS f INSPECTION TYPE PAT@ • INT'ALE
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final � 6 208 Final Plumbing
200 Final Re-Roof • r zat/t 4e ,-- 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
2446-46
OWNER MATRANGA, GEORGE F. DATE 7_lO.. 6
JOB ADDRESS 2ZQ_Wi 1 son Street, BUILDING PERMIT NO.
#33no
GENERAL CONTRACTOR Dike & Colegrove VALUE $ 8,858.0o
L 5 BLOCK TRACT 2959 ,Single res gr •ar
GROUP I & J TYPE V ZONE R)j FIRE DISTRICT 912),
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
1 ,I DATE NUMBER
Footing Trench /may 1, .11?—4.4.-
Foundation Forms and Grade to Garl6(ge
Rough Framing ���� /j i � "'Vn
Plumbing,Rough to Sl "Ith/4/4" ? S 1.cz ,, n� . Ya11. 7•1p-5-6 Sa, 9, •�
Plumbing, Rough Com ete .?
Temporary Pole U _
Wiring, Rough Zees -ii r r �7--7l r,lryf-u--7J 9"-3o -s a y 73
Heating,Rough 1°./.. ^ `...' 7,li -4 /d//'' [-e 97,-,,&1=A-4 o S-4.2Heating, Final e r- t
�.Sewer,_Hoa Sewer,St. !U� , �' `�'�(�i ,y� — 9 7- s--4 l G // —
Septic Tank or Cesspools .r,'71
I i' U 9.,A 7-,I6 / / r/
L ng, In Out rr Apt 1-/
P,__•ering In ./o//A4
Plumbing,Final,Fixtures Complete .., - - _
Plumbing, Final Gas Test
Wiring,Final •�•__Occp
Occupancy
FORM 210 3M 10-555
01.1Vosta Mesa Building Department APPLICATION FOR PERMIT
P. O. Box3IT 3324 BUILDING
t - COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN
Building Receipt No. g ermtt No.
.3 O
Address 270 Wilson Street I 4
Costa Mesa, California Received by Date! Rec'd. Date Issued
Nearest 7- b - S67-t0 S `�
crossst. Westminster Building/
Owner
George F. Matranga Address
Mall 419 E. 17th Street Costa Mesa, California
Address Nearest
Costa Mesa Teiti. 8-1159 Cross St.
City No. Zone to 1 No.of I Type / Grou '/
Architect or /C. `f' Plans (� yy
Engineer Carlson & Middleblik,'k Approved
Address Garden Grove by Date
tier t. t/ CORRECTIONS
,tractor Dike & Colegrove No, Li �i/d'
Address 419 E. 17th Street
Le l Lot
Description I No. 5 I Block I Tract 2959
(Attach Metes and Bounds)
Size of Lot 68 X 115 I Now o n Lots none
Use of No.of No.of r 73
Existing Bldg. none I Families lI Rooms5
Setback Line fromni Rear Yard jot -- --+ ^ - 2
Center of Street 5 Side Yard 151 ^ - S . kA' i .. } -C\ D
DESCRIPTION OF WORK • r
New I X I Alteration I I Addition
Repair I I Moving I I Demolish I
Building No.of
Size 998 sq ft Rooms 533 Stories 1
fin/ �� ran et-Wall Roof — -•l" '
_ .ring Stucco I Covering Comp -;"" ° L"- cJLAPPROV'ALS
Use of New
Building Single family residence and gars eFoundation Location Inspector • Date
Forms,Materials,
Under-Pinning
Plan x63BR 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
Permittee I • - : i• .• a a • : Plaster,Int
Q /
Authorized Agt. C. Plaster,Ext
Valuation Permit Fee $ a s - Masonry Reinforced
d0 Plan Check $ // --- Bond Beam
$ $7 tsar " Total
Fee $ FINAL
Ar
FORM 204 10.55 0.P.•s.
• 4111
C u
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a i
COSp
t VS .
•
Street
PLOT PLAN
Show location and distances from •
property line and between buildings
L
3
OWNER PR$SSLESY,-3. W. MAY 1 1957 DATE 1-24-57
JOB ADDRESS 270-E, Wilson BUILDING PERMIT NO. #11237
GENERAL CONTRACTOR Owner Bldr. VALUE ; 193.00
L 5 BLOCK TRACT 2959 Fence 1
GROUP TYPE ZONE FIRE DISTRICT 4281
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Footing Trench
Foundation Forms and Grade to Garage
Rough Framing
Plumbing,Rough to Slab _
Plumbing, Rough Complete
Temporary Pole
Wiring, Rough
Heating,Rough
Heating,Final
Sewer, House Sewer,St.
SPotic Tank or Cesspool
ing, In Out
Plastering
Plumbing,Final,Fixtures Complete
Plumbing, Final Gas Test
Wiring,Final �11 _
Occupancy .ad
FORM 210 SM 10-55 4237
FENCE PERMIT Q., APP. L,' ,5( ;4JS ,
° C 1 FOR APPLICANT TO FILL IN
• —Er -141-0°1 .. BUILDING ADDRESS J,,�o - S �/L so/V
STREET o k
i Omer /y,� /
P
71:-C _ _ Mail A es‘ - a - i!�. _
I -UTE-or-63.2 Sta , -- t-11-1F- for SW Sto� City ' , 'o. ,
I I
1 I Contractor (7,,‘,,,,,r,, [9-tc
`' Address
: ' `' , City Lie, No._:—.. , No, ,4i i,PO 6�
V (( Size of Lot 6 8'x It Ps AP# , <-T Daysy
F-_- 40s— ;;� 40 —� Setbacks: C,tre Rear
I F if I t of p.op. SiOs Yard .a Right S C r n
is
I r , Type of Fence ig
I
I r I
-I
` __ I
I hereby acknowledge that I have read
C • ALLEY OR PROP. Li ' C fib w this application and state that the
F above is correct and agree to comply
w {.�: .v tier- : . .,-;., t �::- .. '{ w with all City Ordinanres and State
w 1 �' 6.°% t F Laws regulating building construction,
l o - 1 `° ' Si!FteJ'21
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triI gP 1 1 oft '
11 .
ki
I ,c•t �ofr�a ..�� I�"�� q� FOR OFFICE USE ONLY
I 11 �� jta o i, 1 14, irlo--.
- . i:i 0ri 101' Daate Rec Date aI eq -
see)
VALUATION Permit Fee $ „A
1 1, z - i —
I k3 ! o .. I Plan Check $ -' c
I ‘",& $ . ,,1
i 5 0 .5 .a - , I
o - /75 ._ TOTAL FEE $
S
1 1
1
IS t 1 w
Max. Ii° fence may be placed on •• •tted lines $
Max. 62 fence may be o!ecedd on 'soltd' lines � R-"r- --e-
a—S.
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