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Home My WebLink About360 WILSON ST - Building Permits� CITY OF COSTA MESA � B!/ILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • w.rN.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT TYP� ELEC APN: 41905112 JOB ADDRESS: 360 W WILSON ST CM Vicinity: WILSON PARK WALL ADJ TO APTS PERMIT NUMBER: E09-00030 STATUS: ISSUED DATE ISSUED: 01129/2009 ISSUED BY: BJK Suite/Unit: SCOPE OF WORK: CHANGE-OUT OF AN ELECTRICAI SVS AT WILSON PARK. 1 SVS TO 200A OWNER: CITY OF COSTA MESA Address: CITY HALI Unit:PARK PHONE: City/State/Zip: COSTA MESA, CA APPLICANT: WHITE, MfKE � PHONE: 951-453-0275 CONTRACTOR: CHOICE ELECTRICAL CONSTRUCTION Address: 3195 REDHILI AVE.Unit: UNIT D City/State: COSTA MESA, CA ZipCode: 92626 ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $54.00 Reinspection Fee $0.00 TOTAL FEES $54.00 Address: 3195 REOHILL AVE. Unit: City/State/zZip: COSTA MESA, CA License No. 811367 PHONE: 714-556-5684 CELL: NOTICE: The work authorized by this permil shall comply with all applicable handicap access requirements under Califomia statutes and related regulalions. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPEC710NS: In order for the work authonzed under this pertnit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obfained. Failure to oblain inspections and final approval will result in the expiration of this permit. COOEt. INSPECTIONTVDE DRT INIRIRL GO�Et INSPEL710NTVPE O�TF IN1fML5 1616 Fized System Final Fire PrevenUon 206 Final Mechaniral 1268 Pool Spa Final 208 Final Plumbing �� 200 Final Re-R�( 270 Final Elecirical 201 Pinal BIocIC/Relaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning ApO��al 203 Final Sign 222 Final Site 204 Final Demnlilion 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARATION: I hereby affirtn under penalty of peryury one of the following declarations: ❑ I have antl will maintain a certifcate of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, lor t�e peRortnance of the work for which Ihis permit is issued. � a I have and will maintain v.orkers' compensation insurance, as required by ec ion 3700 of lhe Labor Code, for the peAamance of Ihe v.ork for which this permit is issued. My workers' compensation Insurance carrier and policy number are: CCsrtiei: � (� COl2�L[.2C � � � (Thisseclanneetlirorbe(m�msd�e��Alhepe i rs_alue0?atonehmMiedtlollars(St00)orless.) (Policy.Number: %' `' �Z`f � '�— Ul 0� I certify that in Ihe peAormance of Ihe vrork for which �his permit is issued, I shall nol employ any person in any manner so as to become subject ro Ihe workers' compensation lavrs of Cali(omia, antl agree that if I should become subjecl to the workers' compensation provisions of Section 3700 of IhB1�a��e, I shall f�p i" rcamply with [hese provision . eb e% /� 9 O f Wiranfs Si9�ature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000�, IN A�DITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEI"SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Cotle, antl my license is in full force antl effect. l.ic. u� >�7�'� ��/ 6 c�ass q' �� ,t � Convaa«sSignature � Oa� • V y CONS7RUCTION LENDING AGENCY: ❑ I hereby affvm thal there is a constmction lentling agency for Ihe peRortnance of the v.ork tp wfiich this pertnil is issued. (Sec. 3097, Gvil Code). Lender's Name: Lenders Atltlress: oate OWNER-BUILDER DECLARATIONS: I hereby affrm that under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe follovnn9 reason (Sec. 7037.5. Business and Pmfessions Code: Any city or wunry which requires a permit to consWct, alter, improve, demolish, or repair any structure, pdor to its i55uance, also requires Ihe applicant (or such permit to file a signed statemenl that he or she is licensea pursuant to Ihe pmvisions of the CoMractors License Law (Chapter 9(Commencing vnth Section 7000) of Division 3 of tha Business and Pmfessions Code) or Ihal he or she is eaempt theie(rom and Ihe basis for Ihe alleged exemption. Any violation of Seclion 7037.5 by any applicant for a pertnit suhjecis the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of lhe property, or my employees with wages as their sole compensalion, WILL DO THE WORK, and the slructure is not intended or oflered for sale (Sea 7044, Business and Protessions Code: The Contracbrs License Law dces not apply lo an owner of property who builds or improves Ihereon, and who does such viork himself or herself or through his or her ovm employees, provided thal such improvements are not intended or oRered for sale. If, however, the builtling or improvement is sold within one year of completion, the ovmervbuilder will have the burden of proving that he or she did not build or improve for purpose of sale.�. ❑ I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS [o conslruct the project (Sec. 7044, Business and Professbns Code: The cont2ctors License Law tices not apply to an owner of property who builds or improves thereon, antl who contracts for suc� project with a contracta(s) license pursuant to Ihe Contractors License Laws.). ❑ I am exempt under sec. Business and Pro(essions Code /or this reason: SignaWre 305)-46(3/09) Ovmer ID verifed by tlnver e��.:ense. ❑ Ves ❑ No Dnver's License No. Ezpiies: Verifiwtion of Ownership by (rype of document, i.e. - propeAy tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cetlAy that no excavation frve (5) or more feet in depth inlo which a person is required �o descend, will be made in connection with work authorized by this pertnit, antl Ihat no building struclure, scaffdding, falsewark, a demolition or dismantling �hereol, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2. Art 2, Sec. 347. T�le 8, Cali(omia Administralive Cotle). ❑ As ovmer-builder, I will not employ anyone to tlo work vfiich would require a permit /rom the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from ihe division. Appliwnfs SgnpWre Dale Division o( Intlustrial Safety Pertnit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will Ihe applicant or present or future Duiltling occupant need to file and certify a Business Plan for emergency response to release or Ihrealened release of a hazardous matenal? ❑ Ves ❑ No (Section 25505 of the California Healih and Sa(eiy Code requires, with some exceptions, that a Business Plan be filed vnlh the Costa Mesa Fire Department by every business whic� has at any one time dunng a reported year a quantiry of hazardous materials equal ro or greater lhan a weighl of 500 pountls, or a volume of 55 gallons, or 200 cubic teet of compressetl gas at stantlartl temperature and pressure). 2. Does or will the applicant or present or Wture building occupant neetl to Poe a registration fortn tor acutely hazardous matenals? ❑ Yes ❑ No (Section 25533 of the Califomia Health antl Sa(ery Code, with some enceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on �and a quantily of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume o( 55 gallons, or 200 cubic (eet of compressed gas at standard temperature and pressure). 3. Dces or vnll the applicant or present or future Duiltling occupant need to prepare an RMPP (Risk Management antl Prevention Program for acutely hazartlous materials)7 ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safery Cotle provides that Ne Costa Mesa Fire Depanment may require Ihe preparation, cenification and filing with the Fire Department o( an RMPP 6y businesses which are required [o register acutely hazardous materials v+ith lhe Fire Department. 4. It an RMPP is presently required, has Section 25534 of the Califomia Health and Sa(ery Code been fully complietl with? ❑ Yes ❑ No 5. Does or will the applicanl or present or future building occu0ant require for the vrork which is tha subject ot this application a permit for such consiruction or motlification from the South Coast Air Quality Management DisMct or from any other air polNtion contml district or agency? ❑ Yes ❑ No (Seclbn 658502 of the Califomia Govemment Code requires that the requested infortnation be (umished on applicatbns fa ran-resitlential builtling pertnits). 6. Will any part of �he faciliry to be consiructed under this permit be within 1000 feet (rom Ihe outer bountlanes of a school? ❑ Yes ❑ No (If yes', ihe facilily must meet the requirement of Sections 25534 antl 42303 of the Calilornia Health antl Sa(ety Cotle). � 7. If a pertnit from the South Coast Air Qualily Management District or other air pollution conirol district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Salety Code Section 42303 been matle? ❑ Yes ❑ No 8. (I('yes", attach certificate of compliance �rom the appropdate air pollution control officer). ' CERTIFICATE OF COMPCIANCE: I certify that under'penalty of perjury the information given above is correcL I agree to comply vnth all slate laws antl city ortlinances regardinq Hazardous Matenals and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I ceAify under penalty of perjury that I have read Ihis application and state that ihe inlormation given is correcL I agree lo compty with all state lavrs and city ordinances relating to building construction, antl authonze representatives ol the City of Costa Mesa to enter upon ihe above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building aWhorized by this permit until final inspection. iB^at of Legal Ovmer D te, � � Z AnE/orAulhonxeEApphwnl � Oate PHO�ECT AUOPESS: 3 6 O W W I LSON .i T UNIT: OWNEfl'SNAME:CITY OF COS'TA MESA AODPE55:77 FAlR DR 3RD FLR COSTA MESA CA 92626 ( "/14 ) %54-5304 RflCHIENGINEEfl:DAVID EVANS & ASSOCIATES pEc.xo.:NONE aooness: 1000 E. GARVEY AVE. SOU'fH 0N1T 250 WEST COVINA CA 91%90-2"/20 PEflMITTEE:CITY OF COSTA MESA (%14)%54-5300 ADONESS: ']'] FAIR DR COSTA MESA CA 92626 uLENSEO CONTflACTOB OECL�1flATI0N: I �ereby atlirm I�ai 1 am licens¢0 un0er pmvisions oi Chapter 9(commencin0 wilA Seciion 7000) ol Div�sion 3 af ihe Business antl Professions CoUe, an0 my license is in futl brce and ellect. cirr uc.: srnTe uc.: cuss: E X P: Oate: Signawre: WOflNEflS' COMPENSATION OECIABATION: I �ere0y ailirm ��ai I �ave a t¢rii�i[a�e o� ConS¢ni l0 Sel4in5ure Or a ceRilitale ol WOrkers' Comvensation Insurance. or a certilietl copy inereof (Section 3800. Lao. q. I POLICY NO.: E%P. �ATE: COMPANY: ] Cenifietl copy ¢ nere0y tumisnetl. ❑ Certifiea copy is �i�eE vrith ine city Buildinp Oivision. Dale: ApDlicanC EEEMPTION FflOM WOPNEflS'COMPENSATION OECIPNATION: (T s on neetlirotAecompletedlfl�e permit' rone hunare0�5tOD)orless�. I tetlAy Ihat in Ihe pedOrmance 01 Ihe wOtk for whith I�is Der il is is ueE. I 5�all no mpl y a, r5 � n�I tanner 5o a5I0 �GCOm¢ su�l�� to the War ri Uensation Laws ol CaAlomia. Daie' � � � SipnaWre: ' NOiICE: II. afler kinq ihis aeclaratian. you sMu OeCOme suDi�� to e �ers fAmDensa6on D�ovi9ons al Ine LaEOr COUe. you musl Iorihwit� comply vnlh such pronsions ar IAis Oe�mi� s�al e e ed avoke0. CONSTBUCiION LENOING AGENCY: I nereoy aHirm thal inere is a cansimc o en0inq aqency lor �he oeAormance af the work lor wnicn Ihis permit is issued �Sectian 3097. Civ. C�. LENUEX: ROOPESS: OWNEB BUILOEB OECLAflRTION: I �ereEy allirm IAat I am eKempt irOm IAe Canlractors' Siate License Law for ihe followinq reason ISedion 7031.5 Business ana Pmfessional Coee: Any city of counly wnith requires a permit to consiNc�. alter, improve, Aemolisll, or repair any slmclure. prior to ils iuuance. also rtpuires Ihe applicant for suU oermit Io lile a SipneE statemenl IOat hpJshe is licensea pursuant to �he pmvi9ons oi t�e Convactors' State License Law �C�aO�er 9(commencinq wiiA Seclion 7000) ol Oivision 3 0l tAe Buvneu and Pmi¢55ion5 CoOe� Or t�a� he/5�e iS exem0� Iher¢Iwm anE I�e Gasis lOf Ihe alle0e0 e�¢mpiian. Any violaii0n oi SeCliOn 7037.5 by any apDlicant lor a Oetmil sublecls Ihe a001icanl lo a civil penalry ol no� more lhan �ive �unErtO Oollars (5500�. I. as owner of ihe pmpeny or my employees vnin waAes as �neir sala compensation, will tlo ihe work, antl iha ❑ simcwre is noi inten0etl or ofierea for sale (Secimn 70aa, Business anU Pmlessional Coae: The Coniractors' Siale License Law Ooes no� apply to an Pxner ol a pmpeny wtq �uiltls or imo�oves ihereon. an0 who Oces such wOrk Mmsell/nersell or �nroupn his or �er own employees. pwvi0etl t�a� sucA imD�ovements are noi intenaeA or otlere0 for ule. Ii, Aowever tAe �uilding or impmvementis solC wi�hin one yearaf comple�ion,tAe awner wiil have ihe hur0en of piovinq helshe EiJ not hui10 orim0�ove lor Ihe purpose of 5ale�. I, as owner ol Ihe pm0etly. am ezclusively conVacting wilh IicenseA contratlors to constmct Ihe pwle�� Sec�ion 7004, Business � antl Pm�essions CaUe: The Contracmrs' State License Law Eoes not appry lo an owner ol propelrywlw buAOs or imprwes �hereon an0 who ConVatlS lor SUt� pmlects wiN a tantrat�or�s) lic¢nSE pursuanito Ihe COnVaCtOrs' $lafe LlcenSe Law�.l am aware ihat prool ot Ineir Worker's Comoensation insurance snoula be pmviaea to me. � I am exempi unaer Setlion: B. 8 P. C. lar Inis reas : ai Owner I Ca �ereby cerl y Ihal I a aware of an0 un0ers1an0 ��e reQuir¢ments al Califomia Mealth an0 � y oAe Seclians 25505, 25533, anE 2559a antl ihat I or any Imure huilding occupanl wilVwill noi (circle one� neeC lo comDty wiih s i0 aie cotles anE the reQuirements for a � permii lor conslmction or moadicalion Imm ��e Air Ouality Management Districl, Fesidenlial Imciion apPlica�ians are exempi Imm �hese pmvisions. Daie: Nppbcanl: I �ere�y cetlily Ihai I have reatl Ihis applicaiiDn an0 5�aie Iha� I� e inlormation is correci. I� c Ply wilA a0 ci�Y andbounly ortlinanw5antl51alelawsrelalingtobwltlmgcon5lmc�ionanOh ya Ihorizereprese aliv ofihisci�y teruponlheahove�men�ioneA pmoenY �ar insDec ion purpo s. a1e' Signamre'. orive�'s lice se or Socia� Securiry x: [� 16d1�a6 WOile—Bmltlmq; Gteen—Cotle nlorcemenl; GalEnnroO—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 07038 PERMIT NO: B 070380 PLAN CHECK NO: 00126-94 L GOV'f: Y SUPP: N CONSTRUCTION TYPE: PERMIT 'TYPE; STR PURPOSE: OTH JOB DESCRIPTION : DEMOLISH 6 REPLACE 'TOT LOT' EQUIPMENT SQ FT: 900 CLAIM VALUE: 90.000.00 CALC—VALUE: 40.000,00 GROUP OCC: A-9 / COMMENTS• DEMOLISH OLD 'TOT LOT' EOUIP. S REPLACE WITH NEW @"WILSON PARK" �*�iE**�***iF**��*�*�***�*��**�**��iF�**��***xx�*�**��*�*��it��*�*iE��*iE*�r*��* Z O N I N G R E Q U I R E M E N T 5 5 E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDlNG --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEF'T: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKIIdG REQ: PROV: PARCEL: 00000000 ZNE: I6R REF NO: PLANNING NO'TES> REPLACE TOT LOT TO CONFORM WITH ADA REQS. i �****�****�***�*�*�*�**��**�******��*��*�*x*�*�*�**�**�*��*��***��***��xx�** D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY :__�.8�__ DATE: „�� BUILDING APPROVED BY :..� �� _ DATE: _L.2�S/� APPLICATION ISSUED BY: � DA'TE: _��/� ifiEiEiEififiFifiEiFiEiEiFiE'7EifiEififiEifiE3F iFiF�FiF�£if1E�lEiEiEiEif3Elfif•�iE�F�1E'iF�il� iFif iEiFdEiEiEiE1EiE�EiE1EjFiElEiEiEiEiEiE7EiEiEjEiEiEififififiEiEiEiEiFjEifiE�lEifiEiF iEiE 1EiEiEiEIEiEiEiEiE�EifiE�lfiE�7EiEiEiEif�EiEiEif1f1f1EiEiElEiEiEiE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 349.50 . SMIP/NON—RES PLAN 227.18 ..-;, 8.40 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE �PLAN-CHECR TOTALS----> 0.00 0.00 — ' 0.00 REVENllE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC TOTAL PAID DUE 0.00 .00 .00 .00 OVER/SHORT: 00 FIRE SMIP/TOT GRADING PLAN—CHECK if'lf aE af lE if if'7f if if'If if if if if x if iEif if if if if if af iF IEiEiEif iFiEaf iF if'If �f if 1f If'If'lf iF'� af'lf if lf �f if aE if aEaf'lEif # lEif if if �Eif if if if'7f'x iF iF if if aEaEaEaf if �f aE I N D I V I D U A L. F E E B R E A K D O W N TYPE QTY D E 5 C R I P T I O N UNIT COST TO'TAL COST SFC 400 ALTFR BY VALUATION COMM. /5100.00 100.00 90.000.00 END OF FEES . j o� o�a�aass-oon.,sa4 -�ni- aarE: 12�1,/v; ittfE: Io:2� � �� CONSTRUCTION AND PLANNING PO 9 SPA . � APPROVAI$ Permit� Date Inspector APpROVAIS Permitdk Date Inspector L Temporary Electrical Service or Pole 52. Pool & Equipmeni Location 2. $oil Pipe-Undrgrnd. , 53. Steei Reinforcement � 3. Electrical�Conduit Utility-Undrgrnd. 54. Forms 4. Electrical ConQuit-Undrgrnd. 55. Electrical Bonding ' 5. SCeel Reinforcemen; 56. Rough Plumbing & Piessure Tzst � 6, E�ectrica� UFER Grnd. 57. APPROVAL TO COVER-GUNITE � 7. FOotings , 58. Electrical Conduit�Undrgrnd. 8. Foundation �- 59. Gas Pipe. O Untlrgrnd., Test �� 9. Water Pipe,Undc9rnd. �' 60. Backwash Lines, P-'irap, 0 Undrgrnd. � 10. Sttuctural Floor Syscem 61. APPROVAL TO DECK , i 1 t. Property Sewer Line.& House Conneciion � , 62. Backwash & Receptor�Final � 12. Sewer Cap . ' 63. Heater & Vent-Final ' 73. Roof Drains , ^ � � 64. Plumbing System - Final " 74. Rough Plumbing 65. Electrica6Final 75. Rough Electriral-Condu�t l � 66. Solar SYstem-Pinal . � 16. ROugh EI'ectric Wiring 67. Fencing & Access ApProval - � 17. Rough Wirin9 Sign 68. APPROVEO FOR PLASTERING 18. Rau9h Electrical-T Bar Ceiling 69. POOI/SPA SYSTEMS FINAL 19, ROugh Heating & A:r Conditioning FIRE DEPT. REnUIREMENT 20.,�Rou�h Factory Fir.epiace ' � ' APPROVALS, _ Permit # � I 21. �Ducts, in Structure� � � ' - 70. Underground'Hydro ' 22. Ducts, Ventilatin9 ' �. - � � 71. Product�P.tning C7Gas �Od 23. GAs P,ipe•Rough & Test . .- - 72. Undergrot+nd Flush � 24. ROof Framfng '': � � 73. Underyrnd. Stora�e Tank O Gas n Oil � 25. ROof Sheathing • . - � 74.'Overbead Hydro � 26. _T�Bai Ce�ling (Structural) & Mohocoat _� . ' " 75. �Diy Chemical -. ' � ' 27., Frame and Flashing � . 76. Dry Standplpe � ' 28. Lathing & Siding ' " ' • . � ' " 77. -, FIXED SYSTEM�FINAL' 29. Insulation . � 78._FIRE PREV. FINAL �� • � �30. Dry�vallNailing ' - _ HEALThfDEPT. REQUIREW7ENT � 31. Plaster Brown Coat 79. �PINAL IN$PECTIpN 32. Electricat Potyer MeterFinal -' � ' '•,'8D. Fl1��!D iCAT.� ICATE ISSUED ' 33. Finai Electric _. � '+ i Note ! u � ' .. -- �_! _ _,� �a..��//_� �-j-/-/�-,, 34. finai Heating & Air Conditioning _ _ _ ^=�f�Kur=1-► / ( •� � Y .� 35. Fi�ai Gas Pipe-Test � . �- _ � ,� • 36. HOod or CanopY .- � . - O(� _�•�'✓�, q S- � � v.. � _ 37. Final,Far,ory Firepiace , � ' , ' � � 1 38. Fina4 P�umbing � - - � � 39. Water Service-Finai' � - . ' � ' ' ' 40. Gas Service�Final ;. ,; . , , . ' - � � _41. So�ar Oomestic-P��at -� � �� y , 42. Backflow Preventer - � - � 43. Batkflow irrigation ' , - 4A. Landscave irrigation System . � �� - 45. Sound Atienuation • • ' � ' . '� " 46. Hendicap.Regulations � . � � � � 47.'FINAL STRUCTURE & BU�LDING �,��L� - ' ; 48. FINALPLANNING .. • �. � � 49. �Electric Release to Edison � � ` 50. Gas Release to Southem Califomia Gas Co � -• � 51. CERTIFICATE OF OCCUPANCY No. Dace anuxEssaeu�ou+o: 360 W WILSbN ST urar: o,vrhnsruMeiva�vxr+: CITY OF COSTA MESA mox�ss COMMUNITY DEVELOPMENT 77 FAIR DR 3FL :OSTA MESA,CA 92626 754-5309 �vr�. �uimc,wox�s: urcxnEaonexa+�+: JAMES DOCKSTADER uc.ra.: C urcx.onv+�•s�ooxess: 2099 S COAST HWY uar: 1 LAGUNA HEACH CA 92651 cartn�cTa+s run: carmucTaxs �uiwo wo�ss uc. xo.: uxr: LICENSED COMRACTOP4 UECLAA�TION: I hareby elfim uMs penelly d pwjury Nel I em licmxtl wMs pwieone d Chaqa 9 (mmme�iip Mh Senion ]000) d Divieion J ol tha &ninea uM Vrcleauare Code, arM my limnx e in IUA brte vM eMatl. cm uc. No.: uc. cuss: uc. No.: O EXP : ome: com�m«: OWNEH BUILDEN OECLAH�TION: I heeeby elfirm uMer penNy d pmjury Ihm I em e�emq liom �Ae Comimm Liean�e lew la Ne �Ibv.ip reeaon (�=� ]W t.5 Buei�eee eM Pmlmaioru Cada: Afry eiY a eounlY M�� V�uras a pe�mil to eaneteud. Ms. impws. .femdeh, u repei vry evudum, pria b ea eav�oe, eho rpuirm tM eppliram Ia wrli paemu to fJe a eqned ewemaM Nn he a�M b ficenaed W iauenl �o ihe V�s W Ne Lmvedon lionue law Icnaa� e loom�m .nn saa� �000> w oHem a a m. Businem eiM Prdeseona COEe� a �he� ha or ahe is exemq Ihseham aM IM beaia lar Ne elbpeE aaemqian. My videtion al Sadian ]W t.5 b/ eny eppticenl �w a pmrvi wEpG� Ihe appficeM lo a arJ perelry ol nal mas �hen fva hwdmd ddlan �SSOOp. � I.mox�rdlMqapeity«myemployeeewlhwapeaesiheiadeoompeneetion.wiAEothewak.andlheabucMe4MimeMed a MereC br sde (��an ]OM.Buei�wea ud ProtmaionsCode: Tha Gomraqen Limnea law dou nd epply lo en owner d propeM �.ro wu, «mw«� ��»�. �a.ro ms. a�a,.�x mm.arc «n�� «wwor� w«n« ow� �o�w.a. o�b �nr w, impwamew me na inieMaE v dlaed ta eab. tl. howewr.IM Witl'up a inprv.ansm e wld wilhn ans yaer W wmpletion. Ihs V owner-0uiHer xill heve the GuNen W prv+iiq ha ar ahe d'd m� buiW a imD� I« Ihe purpwe ot eds�. �L.J I. m owroe d tn. poro�n. am e.dvv+dr ouvreena wqn ronsea oowm�a. m canvue u. vd� (seaun )ou. Bua'va.. md Rdesdwu code: Tha CaMreaae Licenx law tloea nol nDo�Y lo en ownar a G'W�Y who bnWs « impw' tlw1aan uq who mnlrecb la wM prqeea with e mMretlor�c)1'renaad Wnuw 1 Irapore Limua lew). !'1 S�� B �,,: �i��/,1� ,!%ii� ne: cen�N uw i.m,�..,. a.ne uneenW,d me nc��m d c.ii��sdwr cue. s«ru,. assos, us�a. ene Ne� I a enY �uro WiMi�q aavpent xill / w11 �qt (drcb arol neaE Io roid pele wMa end iha rpuirsmaW for meWctionamod'dralonhamlMAiaue�eropamareOiYritl.Rs�idxtl tdW�utlione00N'dumenmemqhqnlMs WOPKEfl'S COMPFN9�TION OKL�N�T10N: I heraEy e1Nm urder parW�y d pajuy ans M Ms bAow'vp ESWatiam: ❑ i n.Ye ene w meoua:� e c«wr�. a m�.au m.w:�wu. ro,..w.: mmv��... a� �« W s.uion a�oo a w. �am. coa.. �« ine oe��. a me wa �a.M1cn w o«rta e a,uee. ❑ inw.ene�;eme�Me:�.on�.rs�mmo��N��..m�wW�.eMs.e�amodm.iee«coe..wm.o�«memewine wak �n xAidi m» o� e'veuee. Mv warFe�.' wmc�+mb� i�w��u�cs mn'w .na ooGry rwmbr en: c� Pd'ry Number: (ih'u asaian neeC nIX bs canP'Wed l �M 0�1 u M ars hun0nd �/J100f w Mu.l � I cMAy Mal in tha petlamence W Ihe wpk br which Ihie pemiu o uwad. I Mdl ml emplq vry pnon in ury mervw n m lo beroero a�d'ptl lo the xwlmn' mmpemeiian iarn M CeWamie. end pne iM� Y I�hnJd beeans adjW to iM wkre' com�w�, o�u� a sae� �oo d me iem. coe.. i.neu ionn.en o�vN.an mo.. ywi�m.. od.: ww�: Wam/np: F�Nun M�seun woMeri rompwwtlon eov�rap� h unlewNl. aiW �IWI a,b/�ef �n mplorw ro eNm'rW p�nelUls �M WN nroi'q ro om h,ntliW tnouynd eN4n lsltq000A m�JJltlon ro tlN cwt ol rompwu�Non d�P� u poHtlW ro• In Sectlon JN6 0l Me LeDor Cob, lirtrut ��%� Inw CONSTfiUCfION LENDINO AOENCY: I hanby tlfirm uMer pxuUy d psjury thea tMn u e mMiutlian bnd'uq qpicy br tle pmtamar� tl IM wdk br xfi'rh Ne Gam1 o eaued (Sednn �09]. Cx. GI. LENOEN'S NMIE LQlDEN'S �ODFE55: 1 mnily IMt I hava reeE Iho eppfKation vd ame thet Me ebv.e iMpmetion'v conec. I ep�eetocampty wil� N ary eM ooumy ad"mences eM ntate lewe nla�ip lo buildtp cauV Wion e�d hseby euthor¢a npeaeNe�iwa diNa rSyto eNv upan IM abv.smaYipwd pvpMy �°`°'°° °�w`°�"'DAVE ALK.MA �ry/� — Dme: � � _ ._ .� �:�,: M �....� (S151J6.WP) 6 Se1MY GreerFb: C+miY-�W�: Fnk-He.an»: OOldenmA-Maaav CITY OF COSTA MESA —&UILDING PERMIT PERMIT NO; B 087999 , PLAN CAECK NO: 00735-98 L CONSTRUCTION TYPE: PERMIT TYPE; STR Y � 8- bo(� �-= PERM NO; B 087999 GOVT; Y SUPP: N PURPOSE: OTH JOB DESCRIPTZON : CONSTRUCT SIDEWALKS AND PREFAB BRIDGES SQ FT: 44,000 CLAIM VALUE; 44,000.00 CALC—VALUE; 44,000.00 GROUP OCC: B / COMMENTS: REPLACE 4 WOOD HRIDGES & PEDESTRIAN WALKWAYS IN "WILSON PAAK" �cr�r*�rr****�*r**it�cat****�it�*rat*r�r*�r*rif*�c�r�r*�***rit**w**iF*rw**�c*it*at�c�*+rit�rr*+�r**r** Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN HUILDZNG ---------- --------- ACCESSORY HUILDING --------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT_ IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PAACEL: 00000000 ZNE: I6R REF NO: PLANNING NdTES> INSTALL PARK IMPROVEMENTS IN WILSON PARK. > 1tMififM�fkikikifkkifif�kififkitikiEMifikk�fifkififilitikMiF�Fifkihk�tifMifMMifikMifif4ltitiFififiEMiFiEfflfififlFiflElEiFifkiFifik3tiEifik D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N�T S ZONING APPAOVED BY ��1�✓l DATE; _�__� BUILDING APPROVED BY : V �/P DATE: APPLICATION ISSUED BY: DATE: � �r�r**�e*�r*�r�r�r�*r******** **��r+r*+r*�*��r+r LEGALIZATION:N F E E S U M M A A Y STRUCTUAAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADZNG PERMIT 520.75 SMIP/NON—RES PLAN 338.49 9,24 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 0,00 0.00 0.00 0.00 ,00 .00 REVENUE DIVISION TOTALS--> COLLECTED; ,00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK NkikitkMit�fitlflFkMMitlfififitifikfkikikMlFiEififlklfkMifkkiFkkififkiEifMifif3fMiFkifitiEMMitKMMlFifMMif%iEMMMMIfif1f1f1EMikiF I N D I V I D U A L F E E. B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFC 44000 ALTER BY VALUE COMMERCIAL NOZONE 1.00 44,000.00 END OF FEES 'i-s'i-S53�/�i:�3 F��/6,'�.�,: `t:E��:ci �,:P�3E: a'Ef:�I1� =&.f3/::�� CONSTRUCTION AND PLANNING . P� "& SPA � � APPROVALS Permit # Date Inspec(or i APpROVALS Permit # Date Inspector � 1. 7emporery Electriwl Service or Pole ,,, 52. Pool & Equipment �ocation �.� 2, SQiI Pipe-Undrgrnd. . 53. Steel Reinforcement ..3�_Electrical:Conduit UtilitY•Undrgmd. ", ' 54. Forms � " � � T4;�lectrica(rConduit-Undrgrnd. 55. Electricai 8onding , "' J �• - mEi:Steel ReiDiacement 56. Rough Piumbing & Pressure Test y. l� "'6.,�Igctrica�:U�YRGmd. 57. APPROVALTOCOVEii�GUNITE '� � s ',_'T„ _Footings��', 58. Elecirical Conduit�Undrgmd. �87'Eoundation . 59. Gas Pipe, O Undrgmd., Test ' 'r.. .,;.�9.' N1Sier Pipe-l'Jndrgrnd. . ��' 60. Backwash l.ines, P�Trap, O Undrgrnd. 10; S��uctural Floor System l.. 61. APPROVAL TO DECK 11". P[operty Sewe� Line & House Connection .� 62. Backwash & Receptor�Final �Z• Se�^'e' CaP ` -�- 63. Heater & Vent-Final ; 13. Roof Orains r' , 64. Plumbing System -'Final 14. Fough Plumbi g -.; � �- � 65. Etectricai�Ftnal 15. flough Electrical-Conduit - � 66. Solar System-Final 16. Rough E�ectric Wiring � � ! 67. Fencing & Access Approval 17. Rough Wiring Sign : . s$. APPROVED FOR PIASTERING 78. Rough Electrical�T Bar Ceiling 69. POOVSPA SYSTEMS FINAL 19. Rough Heating & A � Conditioning TT .r, _ _ FIRE DEPT„pEQUIREMENT ' r � z� � r- �� 20.:'�ioug� Fa�torY F�epface [v, a� S � �,; ,' APP80V�A�S� Petmit# ,�- ., 21.�Ducts, in_Strpcture i� •^ �.S v S C' �^ � 70. ,UndeF�el�7d F,'�dro � 22..Duct�. Ventitiiing � � `� - . r � .k :�S > a;F :i Y �. �, s+ � ;-.:� 77. Produci�Piping'�3�Gas [l0il y 23. �Gas.Pipe-Rough & Test -r, ^ r i 7 O � � 72, UndergroUhd Ftvsh "� `' �� 24.=Roof=Fra:ming� Q ,`' --' "� - �J ��.. _„� � 7�, Undergrtjd.5tqrp�Tank OGas ❑�il 25. RoqE�She�thing r,�>� � � �� -� il+ 74t�-Overhead Hydrtl ^ 26. �T-Ba� Ceiling (StrS'tl�ureq & ft9p�o�oat < < , � '' -' c y 76�. bry_�hemical � � � '� `'..�' .� i. .e. � . e-� :, '_ " .. , , - 27.�rameand F�ashingk - - - � +: -- - _i. 76. DryStarYtlpipe=•"r .� � m 26. Lathing¢SSi�ng��-: -�„� c_ � � '.� ..K 79� FIXED�SX$T6Q(I',fINA�..., ;� � -� 29. Insulation � : � .� c� 5 .. .. ^�' k � � �� 78. FIRE PREV. F'INP,L � > � ! � 30. D�Y�vali Nail'mg ;y� .._, z ," �,,, � i � s y}i�ALT,H DEPi: REQUIR�MENT ~ . x I � � � .� . � .� . �� 31. Plaster BrgwmCoai.. � �•r,- _, z � * 79. FINAL tNS?ECYtON �: m ' 32.�Electrical'�Po"'r MeCe:�FRsai x'�� N^ 80; FOO� CERTIF�CATE I��UED, -� .�' '~ ' I � l � X T ' . �: - - 33,�F�nat�Ele'�Tric•. �;e � �'• .4� � f�otes: �[�7 ��"" O E[�! t' 34..Findl:Hedtio9� Atd�Conditionii-ig� �� + ... � � N� -' : •1 = � � "��' a 7t _.. . � i } ;r � .� ...r, � n: 35..FnalGat,yPiPeTetTj, �,-. �� .~. � � �K' ' > C� k� �� 36.�Hood�or�CanoPY "`' '-- � ' ~�• � �.. � � �" ' " � .�. rr .-a:: y ��r! i "i !'f f^ . : �r r �q. . S ` :� � .. �] " - i .37.�inal.FachoryPire��ace- „ - . ��;'� �1 .�..' - . a 'i 38.=Final:Plutnbint� •' - �-' � I `J� �i�. 5 �� w P �-1 'T Y O "� tr. ; .-! [C 39. iNate� SeTvice`FinOf r i J'.n'-. �: f , �i. ) '� �� M� y ; 40. Gas Serv�ce•Finaf �:� -; C.,- : �u x .r - ! :�=- > .rm +� n F O<. '� " - 41. SO�ar pomesti�•Fina� � ;f '�� , -- I , ;; ,, j^; 7 , � � 42. ackflow�Preventec- n: �. � � •' �� = =� •' ^ ^" � � -,i :hn � 43. Backflow Irrigati6a '. y," �� q ;� - �r� ,j: " � � � ;q4. Landscape Ircipation Systema -.� � . J ""�+' " co �� .: C? " ^' - --�•` r r- x�" �5. �pund A;tenuation' - . .. ' � .��, `' `. � `�' � � �. � �.p .� J � -n e [" _ - ... �_46. �HandicapAegulations - � �� " • - - - r � �� r i-� _ i C: * �7.'FINi�L STROCTI�E & BUFLDING ' ` ' `�} - - �' �. 48. INAL PtANNINGr . - !: -- Ia � • ,r .Z ' �. ` � �-' � � ^ � ♦ S 4g, �Eleciric Rete e to 2"dison * �'� �' � �: r `� j5 � _+- �« t •�� -, p -50. Gas Releaie to Southem Califomia�Gas Cn � t! = � � • �r' - � ' ,.,� �� r. - -j.� i` ' N 51. CERFIFICATE OP OCCUPANCY - :? _T10 � - � No. Date ua JOB ADDRESS : GENERAL CO AP No• 115�7 1. ECTIONS Test DESCRIFTION OI' WORK SUBCONTRACTOR Yd�)�!�! 25544 COSTA MESA BUILDINCrSAFETY DEPARTMEM P.O. BOX 1TJ0 GOSTA MESA, CALIFORNIA 926M For Appflcae�f �o Flll In Completaly TYPE OR PRINT B°��,~' ,�SG L o GU, C�J��.s�/ aooResa COSTA MESA, CALIFORNIA f1WNP�i /T / \.• I E� [�� RS�B.—� ,2/ o� /�Art i3o � • �-�o ST7J �Ls'�� No 41TECI' T!L �D � � :e:,°�w �°.a. � iGTOACK LINi MOY DESCRIPTION OF WORK C[71 WALL 1 HCRBBY ACRNOWL[DO{ TNAT 1 NAV6 p6AD TMit MPLIGTON I�ND BTAT@ TNAT TH6 I1pW6 1� COHR6R�AN0 11YqH[ TO COM• PLY WITN 11LL CITY OpO1N�NLtl AND �TAR LI1W0 R[OYLATIHO BUILOINO CONBTRUGTIOX. � SIGNATURH OP PfiqMllTba � .�� AVTHORIZiD A06NT CITY OF C-;:SiA Mi APR 5 1966 fT �ow Of(Ice Use Ony YARDBAPPROV6D MAIN BUILDINO vwn. # ,� ZONIN(i .�� 7-�.9 � —/30-��. 1AN0 BHALL B8 LEBB THAN .L (U..B.G.RfiOUIRHMBNTI YARDSAPPROVHD ACCEII80RY BUILDINO owre er" IZIr- j• � � DAT! �� O a m � ec. Rr. � iN6 AMOUM OMOWN UND6R VALY�TON 19 tOR T116 � NRrot6 0I [RABLIBMINO • P6qylT IH8 OHLY. VALUATION � PERMITFBH ��— � s �� 6 � � TOTALFEB S � � �=��i�� COSTA MESA BUILDING�SAFETY DEPARTMENT P.O, BOX 1200 COSTA MESA, CALIFORNIA 92626 For qpplicant to Fill in Completely — Use Ink Only ADORESS 3�a Gv. GU�GSo�v � OWNER / �\ � �S/�A ///��iA MAIL � OX � � � � ADDRESS -+ I CITV �ny i /1 %%%4�S/'1 No`.'S3"� ° BRANCH ADDRES: C�TV 0� �OSYd IViESA j � �urd 1 s i977 �N FOR STRUCTURAL PE � ° 'BarE gE�E�vEo P A I � "%,T�% A.P. NO. �� BUILDING ADDRESS � r�] TRACT � OR ENGI EE R A' LSS7 ///� +J�j �,,�, ,�` _ FII ADDRE�S��7 `I BLL �Yw�U Z� ER Z�ERMIT NO. . k/�4Si�►'i/ �LO ( BLOCK _ / _ �— � � d APPPOVFD _ I _ ' CONTRqCTOR BV DATE (� ADDRES �" ( ZONj$[� / NO.OF USE OF N l� CITV • � �y � ` NOLSSZ3 �i � • - V P�� BUILDING �(�j � � F STATE CITV �'ARDS APPROVED YARDS APPROVED � LIC. NO, ;��Z 7 LIC. NO. MAIN BUILDING ACCESSORV BUILDING 6r,� SIZE NO.OF BLDGS. (FROM C/L STREET) t1+ OF LOT NOW ON LOT FRONT FT. T. a USE OF � EXISfING BLDG. O FT. FT. � FSeparate permits are required for �. sioe T. FT. electric, plumbing and heating work. r O REAR FT. FT. W USE BUIL ING AND W RK T PERFO MED a ��Eg�Z � �/ ANCE BET. BET. MAIN & L. AIN BLDGS, ACCESS. BLOGS. � ��.✓JA� VAP.#S DATE � �p{,�(�(pw, C.U.P.q(E PPROVED Q � APPROVE e ��/L�� %" � .d R� W QI herebV ecknowledge ihot I have read thia applfcailon antl state � y� thet the above intormntian is correct antl egrae to comply with m �+ all lews repulating builtling consvuction, and I shall not employ z uny perSon In violation of Me workman's compensatlon laws af m 5 Ne Stata ot California. m 3 I hareby cartity thet I em properly licensetl as a contrector untler SQ. FT. �+ the Statg of California Business antl Profassions Cotle, Dlvlsion 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, entl that such lieenses are In full force antl effect, or I THE PURPOSE OF ESTABLISHING A PERMR FEE ONLV: � am axamp2 from the provizlons of the State of Celifornie Businass VALUATION PERMIT FEE 5 a ond Pratessions o, ivislon 3, Chepter 9. V� u+ � PLAN CHECK E � �� "� Slpneture of 0 Permitt0e � $ � TqX E ' (� � U Authorlketl Apant TOTAL PAID E