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Home My WebLink About645 WILSON ST - Building PermitsO M � ., t � 0 F _ �. J�� (714) 754-5273 • Fax (774) 754-4856 CITY OF COSTA MESA BUILD/NG DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 645W WILSONST Suite: Vicinity: ParcelNunmber: 42218202 Applicanc ARION, BARBARA Address: owner: LEON, LUISA S TR Address 645 W WILSON ST COSTA MESA,CA Contractor: MESA ROOFING Add�ess: 843 W 17TH Arch / Enq : Address: Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: COSTA MESA, CA BUILDING PERMIT Zoning: Phone: 949-5483012 Zip: Phone: 645-6744 Zip: 92627 Phone: 949-548-3012 Zip: 92627 License: 564151 Phone: . Zip: License: SCOPE OF PERMIT TEAR OFF INSTALL 25YR COMP. SHINGLES OVER i LAYER 15LB FELT. $0.00 $74.75 $0.50 $0.00 $0.00 $0.00 $75.25 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING Existina: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Lett 0- 0 Pr000sed: 0 : ... PERMIT NUMBER 898-0'I 95'I 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 10/28/1998 Issued: 10/28/1998 Calc Valuation: Claim Valuation Right 0- 0 Right 0-0 EX\o �ED DA'1'E�� sz,e25.00 sz,ezs.00 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 ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred 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) 7545626 . WORKERS' COMVENSATON DECLARATION: I heraby eNirm under penelry oi per�ury one oi the tollowing tleclarations: ❑ I �eve end will meintain e certilicate ol consent to sell-Insure lor workers' compensetion, es pmvided for by sedlon 3700 oi t�e Labar Catle, tor tha pertortnance of ihe work tor whith Ihis permlt is issuad. � I have antl will maiMain workers' compensation insurence, as required by section 3700 of Na Labor CaOe, tor the perfortnance ol ihe work fw whiU Nis pertnit is issuetl. My work rs' p4nsetlo�f—n -Insurenc certier entl polity number are: n r/,�n /�(7 Cartier �� t— � �� Policy Number �7i�i' �— )C J� l—`1lS (This secbon nee nof �pletetl il (he peimit is velued et one hundred dollars ($100) or less.) ❑ I cenity that in Ihe perlormance of the work tor which this pertnit is issued, I shell not employ any person in any menner so es to become subject to the workers' crompensation laws ol Celilomle, end agree that if I should become subject to the workers' compensation provisions of Section 3700 oi the Lebor Cotle, I shall forthwith comply with t es rovision . "� /l.�y,��q /� ^ /jQ ApplicamSigneture: n j�n� I 1 I(/n �� / Dete: I( )^CY�—VCi WARNINO: FAILURE TO SECURE WORKERS' WMPENSATIIXJ COVERAGE IS UNLAWFUL AND SMALL SU�ECf AN EMPLOYER TO CRIMINAL PENALTIES ANO GVIL FlNES UP TOONE HUNDRED THWSAND WLLARE �5100,ppp), IN ADDITION TO THE COST OF COMPENSAiIIXJ, OAMAGES AS PROVIDEO FOR IN SECTION 91W OF THE LABOR CODE, IMEREST, M1D ATTOHNEYS FEES. LICENSED CONTRACTbRS DECLARATION: I hereby effirtn Ihat I em licensetl u erfjrovisions ot Chepter 9(commencing with Section 7000) oi Division 3 0l t�e Busi ess 1antl Protessions Code, and my license is in full torce end eflect. Lic. a e�'] c� 1 _ - Cless N�Ll,Q Contractors Signature: �6(� �Q� � Dete: _��= CONSTRUCTION LEND�NG AGENCV: ❑ I hereby eHirm thet �here is a consiruction lentling egency for ihe perfortnance of the work for which this pertnit Is Issued. (Sec. 3097, Civil Code). Lenders Name: Lenders Atldress: Signature: _ �ate: OWNER-BUILDER DECLpqATIONS: I hereby eHirtn ihet untler penalty oi perjury �het I em EXEMPT FROM THE CONTRACTORS LICENSE LAW far Ihe following reason (Sec. 7031.5, Business flnd Profes5ions Code: Any ciry or wunry which requlres e pertnit to consiruct, alter, Improve, demolish, or repelr any siructure, prior to Its issuance, elso requires iha applicant for such permit b file e signetl statement t�et he or she is Ilcensed pursuem ro the provisions of the Contrectors IJcense Lew (Chepter 9(commencing with Section 7000) of DMsion 3 ot ihe eusiness and Professlons Code) or thet he or she is exempt therefrom arM the Dasis tor the elleged exemptbn. Any vlWetlon ot Section 7031.5 by any applicant for a permit subjecis t�e applicam to e civ�l penelty of not more than fiva hundred OWlare ($500)J: ❑ I, es owner ol Ihe propeny, or my employees with weges es their sole wmpensatlon, WILL DO THE WORK, entl t�e struqure is nat Intended ar atlered tor sele (Sec. 7044, 8usiness entl Protessions Cotle: 7Te ContraMors License Law does not apply to en owner of proDerty who Duiltls or improves thereon, antl who does such work himself or hersetl or through his or her own employees, provitled that such Improvements ere not intended or ottered tor sale. If, however, the builtling or impmvement is soltl wit�in one year oi completlon, the owner-builder will have the burden oi proving that �e or s�e tlltl not builtl or improve for purpwe ol sale.). ❑ I, es owner of the properry, em EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS ta construct Iha project (Sec. 7044, Business antl Professions Code: The coNrectors Llcense Law does not eppty to an owner ot property who builtls or impmves thereon, end who contrects For such project with a contracbr(s) Ilcensa pursuant lo �he Contrectors License LewsJ. . ❑ I em e:empt under sec. Signature: Owner ID venfletl by drivefs Ilcense. ❑ Ves ❑ No Business and Professions Code tor Ihis reason: Vedlitation o� Ownershlp by (type ol dwument, i.e. - property !ax bill a deetl): DIVISION OF INUUSTRIpL SAFETV PERMR CERTIFICA710N: Drivefs Litense No. Date: Ezpires: ❑ I hereby ceNiy Ihat no eacavetlon Ilve (5) or more leet in aepth into w�ich e person Is requlretl to tlescend, wlll be mede in connection wlth work authorized by this permiL anC thet no building strucWre, scaflolding, fatsework, or demolition or dismantling Ihereof, wlll be more then t�irry-six (36) feet high. (Chap. 32, Grp 2. Atl 2, Sec. 341, Tltle B, Celllornla Adminlstretive Code). ❑ As ownerbuilder, I will not employ anyone to do work which woNd require e permit Irom the Division of Industnal Safery, as noted above, unless such person has a permit to do such Work from ihe division. Signature: Date: Division ot Industnel Safgry Permit Number: CERTIFlCATE OF COMpLIANCE AND AUTHORIZATION OF ENTRV: I certify under penalty oi perjury that I have read this epplication entl state that the information given is conect. I egree to comply with all stete laws and ciry ordinances relating lo building consWction, end euthonze representellves ot the Ciry of Costa Mese to enter uDon the aboye-descnbed properly tor inspection puryoses. I agree not ro occupy or allow occupenq of any builtling euthonzed by ��is parmit unGl final inspection. �n Sig u Oi Legal Owner(s) `R _�R �a�� 111 l�—CdL�E�l12� [[ 1 And/Or Authorized Applicant � Date CQOE I. IN�V� QAiF II{�l5 1616 Fixed Systam Finel Fire Preventlon 1266 200 201 202 203 204 2446d6 Pool Spe Finel Finel Re-Raof Final BIaWRetaining Wall Finel Fectory Fire Plece Final Sign Finel Demolition CQpFj INEPECTONTYVE 206 Final Mechanical 20B Final Plumbing 210 Final Electdcal 212 Final Fire Prevention 220 Flnel Planning Approvel 222 Flnal Siie 250 Finel Builtling/Occupancy OAff U1iIDA64 ApPlitaM1t t� IR �spaees excev� lhosa witnin heavy Gortler lines anE si9n all avP�opriate tleclarotions. CITY OF COSTA/M' E3[A � C N'JSTRUCT O P R T, Pf RMIT NO. TRACT NO. LOT NO. , UNIT NO. � Project Address S(�7� � ( S0� � � � � , �I • 'Applicant'sMai�pg(Ad� jT ed{'� �'�—.�� Owner'sName K Q� i Phor��("� Address � � � Arch/Eng.' License No. Address Contractor's Nam �W n Phone Address Imailing) City License No. LICENSED CONTFACTOR DECLARATION 1 hereby affirm that I am licensetl untl¢r provision5 of Chavi¢� 9(comm¢ncing � with section 7000) oi Division 3 ot the Business antl Professions Cotle, antl my license is in full force antl etfect. , License class License No. Date Si9nature WORKERS' COMPENSATION DECLARATION ,i here�y aifirm that I have a certificate of consent [o zelf-insure or a certlflcate ' Workers' Compensa[ion Insurance, or a certifietl coOY thereoT (Section h� 300. Lab. C.) ' ' � Policy No. Company 8 Certitietl copy is hereby furnishetl. Ce�ti(ietl copy i5 tiletl with the city Builtlin9 Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Tnis section neetl not be completetl it the permit is for one huntlretl ($100) or less). I certify that in the performance Of the wo�k fo� which thiz pe�m�t is i55uetl I sM1all not employ any person in any manner so as to be me s�,q ubject to t�e Workers' Compensation Laws of Galif nie.� � ��/ �// � Date �'(1^LLQ��Si9natur¢ �/�''f+/�*� /'�ti'-/`r NOTICE: �t, after making thi5 tletla�ation, you shoultl become SubjE<t f0 Ihe Workers' Compensation provisions of the Labor Cotla, you must forthwith compty ,with such provisiond or this permil 5hall be tleemeG revoketl. CONSTRUCTION LENDING AGENCV 1 hereby afiirm that there is a construction lentling agency (or the performance of the work tor wnich tnis permit i5 i55u¢tl (SectiOn 3097 Civ. CJ �en0er's Name' Lentler'S Address OWNER BUILDER DECLARATION ' 1 hereby aitirm lhat I am exempt irom the ContractoYs License Law for the following reason (Seclion �031.5 Business antl Professional Cotle: Any ci[y or county which �epuir¢5 a petmit to conStruct, alle�, imp/ove, tlemoli5h o� �epai� any structure, orior to its issuance, also reQuires Ihe applicant for such permit to file a siqnetl sta[ement that he/she is licensetl pursuant to the provisions of -the ContracroYs License Law (Chaoter 9(commencing with Section 7000) of Oivision 3 ot the Buziness antl Profession5 Cotle) or that h¢/She is exampt +erefrom and the basis tor Ne allegetl exemption. Any violation o( Section ]31.5 by any applicant for a permit zub�ects the applicanl to a civil ��en Ity bf not more than five nuntlretl tlollars (E500). , as owner of tne prope�ty or my employees with wage5 as thei� Sole com0ensation, will tlo the wo�k, ana tM1e structure is not IntentleE o� otf¢r¢tl for sale (Section ]046, Business antl Professional Cotle: The Contractor's License Law tloes not apply to an owner ot a property who �uiltls or.improves the�eon, antl who tloes such work himself/hers¢I( o� th�ough his o� har own emDloyees, providetl Ihat such improvemen[5 are not inteptl¢tl o� offeretl to� sale. If, however, the tiuiltling or improvemenf iz soltl witbin one Year of com- O�etioq the owner will have the bu�tlen ot p�oving h¢/SM1e tli0 not builtl o� Im- prove for the purpose of sale). . � , ❑ I, as owner ot the Orope�ty, am exUusivety m0t�acting with IlcenS¢tl COn- tractorsto consVuct the project (Section 7044, Business antl Protessions CoOe: Tbe Contractor's License Law tloes not apply to an owner ot property who builtls'or improves thereon. antl who contract5 �or such oroiecls with a r.on- tractor(sj hcense pursuant ID me ContractorY License L.aw). I am aware that proof o{ their Worker'S Compensation insu�ance shOultl be provitletl to me. ❑ I am exempt untler Section B. & P. C. for this reason �arora•c�•r.�r.rm that I have reatl tbis application and state that the above 'rect. I agree to comply witn all <ity antl county ortlinances lating to building construction, antl hereby authorize repre- � citv to enter upon the above-mentionetl.Property tor �'VPE OF CONSTRUCTION LJ NEW �-�`ADD LI ALTERATION LI REPAIR ❑ CONVERSION ❑ DEMOLISH ❑�OTHER DESCRIPTION OF WORK/USE OF BLOG. �U�T'�'%'�� G c Piu,cJ��c..F TVPE OF PERMIT GRADING FOUN�ATION STRUCTURAL - ❑ TENANT ❑ ELECTRICAL �LUMBING ❑ MECHANICAI ❑ OTHER PROJECT DESCRIPTION Sa. FT. oCCVPANGv CONSTRUCTION TVPE VALUATION $ ZONE GRADINGCU.VDS. ACRES Remarks: Bar Sink Backflow Preventer Backflow Irrigation Bathtu6s rinking Fountains loor Drains loor Sinks asService Outlets Kitchen Sink lavatories P—Trap Roof Drains Reinspection Fee � $15 Boi�er ' Duct-UnderGround Duct - Structutal Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. iCBO � - Hea2ing System & Ducting • ❑ 0-100,000 BTU 0 7 00,000 Signature/ � % ��/ uate[�o--�.c^a a_ Drivers' Li_ <a -rA.N�i— fieinspection Fee $15 0865-46, rev. 5/88 Wnite - Builtling; Canary - APpliwnh Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connec[ion Solar Collectors $olar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Issue Fae Hood or Typel ❑, Canopy Typall ❑� Refrigeration Sysiem � ❑0-100;000 BTU ❑100,000 BTU System Repair/Alteretion Fire Dampers Registers ; Issue Fee $ 3 $ 3 A.P. # S Main Bu E T Front B Rear A C, Pight K . Left S Ping. Ref. # Planning No� /Provided ELECTRICAL Auromatic Washer , Trenstormer'� 15-50 KW Construction Pole Sub. � 50+ KW Cooking Unit Meter �up to 100 amps Dishwasher ' Meter'�overi00amps Dryers ❑Gas ��Electric � Sub P2nel Fan Motors�al HP�1X-8 � F.A,U. ' -- , Ina Solar �9-15 HP 076-15+ Fixtures Device Boxes � OUtI¢t5 Switches , Garbage Disposal Generator Da5 KW 05-15 KW Zone Range Sign Standing Sectioni Trash Compacror Reinspection Fea �$15 � � Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Applieatian Issued By FEES $ 3 SUMMARV OF FEES � BUILDING PERMIT $ , SMIP $ � PLAN CHECK $ PERMIT PLUMBING $ S•oJ , . ISSUANCE $. PLAN CHECK 25% $ ENERGV P.Ci $' ' ELECTRICAL � $ GRADING $ ' PLANCHECK 50% $ MICROFILM $ MECHANICAL $ TOTALFEE $� 'r �D PLAN CHECK 25% $ � . N I N G R E � M T S. oi OO�1u4S�-OD016y4D TC►T. `.GO . ��rF: iniiz�s�_ rinE: ,4:�,a CONSTRUCTION ANDPLANNING � POO 3P.A - APPROVALS Permit# Date Inspector p�ppROVALS Perniit# Date Inspector 1. Temporary Electrical Service or Pole '{- 52. Pool & Equipment Location 2. Soil Pip�-Undrgrnd. . ' 53. Steel Reinforcement .�� '3%Electrical Conduit Utility-Undrgmd. 54. Forms , � '� �4!Electrical Conduit-Undrgrnd. 55. Electrical Bonding � • �� ? Steel �Reinforcement 56. Rough Plumbing & Pressure Test . .6r Electiical UFER Grnd. 57. APPROVAL TO COVER-GUNITE /� � 7,? Footings . � 58. Electrical Conduit-Undrgrnd. � '8� Foundation � l 59, .Gas Pipe, O Undrgrnd;; Test 9! Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 1�0� Structural Floor System � 61. APPROVAL TO DECK ...- 11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final ., 121 Sewer Cap ._ 63. Heater & Vent-Final ' 1�3. Roof Drains 64. Plumbing System - Final � 14. Rough Plumbing 65. Electrical-Final � 15. Rough Electrical-Conduit 66. Solar System-Final . Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ., •18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL r1,9. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � 20. Rough Factory Fireplace APPROVALS Permit# 27. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough,& Test 72. Underground Flush 24. Roof Framing' ' 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar�Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76� Dry Standpipe 28. Lething;& Siding 77. FIXED SYSTEM FINAL 29. InsulAtion 78. FIRE PREV. FINAL 30. Drywal�Nailing HEALTH DEPT. REQUIREMENT 31. Plaste'r Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final `, • 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: � 34. Final. Heating & Air Conditioning 35: Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace � 38. Final Plumbing /0`/7�� ,L� 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer • 43. Backflow Irrigation ,� 44. Landscape Irrigation System �� (� ��' L�(� ��45. Sound Attenuation �46. Handicap Regulations r� 47. FINALSTRUCTURE & BUILDING 48. Soer.ial Requirements Completed 49. Electric Release to Edison �� 50. Gas Release to Southern California Gas Ca , '� • 51. CERTIFICATE OF OCCUPANCY - . No. Date -