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HomeMy WebLinkAbout580 WILSON ST - Building Permitspia� �sa-s2�s • Fax (�ia� �sa-aess Job Address: Suite: Vicinity: CITY OF COSTA MESA BI/ILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 580 W WILSON ST HOUSE 8 GARAGE Parcel Number: 42216107 npplicant: LARRY WILLIAMS Address: BUILDING PERMIT Zoning: . PERMIT NUMBER �' B99-01463 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 0 911 3/1 9 9 9 Issued: 09/13/1999 - . � !:-Phoue:� � ' , `'- - � " - �.. - .. , -i.�- . � i .Zip: � �- .. , - , f �' Ownec HILARIO, TIRSO� , � � � ' - - i�. Address 580 W WILSON ST, APT. A' . � -- , ; �i% �' .� , . / _ .- "Phone _ - . � -' � �-COSTAMESA�CA� � -�-` Zip: 92627 ���V ,��'� �—�� j,��/��� 'V 'j� -. .�. � �\�_�� - :, � Contracror: � ALL-COAST ROOFING � � ' % � � - , _ �.� �� _. " ; � Address: �\2107 WALCACE'AV '��.; �, - - �� \ ; / � ,�/��i Phone: (714)444-1116 � „� � \ COSTA MESA, CA . , � ' �' Zip:� 92627"�j License� 598440 � � � _ ' Arch : � �,� � ; . • ��-_ . . : � Eng: Address: ' � � -�i� � � Address: . . : . � r ;Phone: \ � .,,- � ,.� ,. � ' . i � . � � , ' � ` - Zip: � � � License: Phone: , �';�License: � � �-� SCOPE OF PERMIT � � �� REROOF,- T/O, USINGE EXISTING SHTG, 2 LAYERS OF 15# FELT AND 25 YEAR COMPOSITION SHINGLES. �� , ., , � , FEE SUMMARY Plan Check: . $0.00 � Permit: $11125 � SMIP Res: � $0.50 SMIP Com: $0.00 Other. $0.00 - Jnspection: $0.00 � � ,'. -.�!� — �, /� . . � Calc Valuation: sa,5oo.00 Claim Valuation: 5a,soo.00 TotaL•: $1�1175 � � � - � � �� PLANNING & ZONING- � �- SETBACKS � MAIN STRUCTURE Front 0. 0� ACCESSORY � - Front 0-0- PARKING � �Existina: ' o NOTES: Rear 0- 0 Rear . 0- 0 Re uired: 0 Left 0- 0 LeR 0- 0 Pro osed: 0 Right 0. 0 Right 0-0� . � NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under Califomia 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. I INSPECTIONS: In ordar for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapeetlons end flnal 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' COMPENSATION DECLARA710N: I hereby attirm untler penalry of Derjury one oi ihe tollowing tleclarations: ❑ I have entl wlll melntain e cenllicete of consent to self-Insure tor workers' compensation, es provldetl for by section 3700 ot ihe Lebor Cotle, for the pertormance oi the work for which Ihis permil Is Issuetl. ❑ I have and wil�n{8i�orker compe tion Insurence, as required hy section 3700 oi the labor Code, for the peRormance of the work tor which this permit is iuued. My workers' pe�e n a ce ner entl policy number ara: Cerder. X Policy Number: (This section naed n f be cromplete 11 the permit is ve/ued et one huntlred dollers ($100) or less.) ❑ I certily that In Iha pe rmance of Iha work (.ar 'c� this permit is issued, I shall not employ eny person in eny menner so as t becoma subject to �he workers' compensation lews of lifornie, end egr e �(at �I I hould become subject to the workers' compensetion provislons of Sectlo 3700 f ihe Lebor Cotle, I shall forthwith wmply with Ihese pr ' ns. ,. ., Appliwnt Signeture: Date: WARNING: FAILURE TO SECUP ORKE ' DMPENSATION COVERAGE IS UNLAWFUL AND SHnLL SUBIECT AN EMPLOYER TO CRIMINAL P NALTI AND CNIL FINES UP TO ONE HUN�RED THWSAND OOLLARE (510D,000). IN FDDIiI TO THE CO6T OF COIAPENSNTION, DAM4GE5 PS PROVIDED FOR IN SEGTION �OB OF TME LABOR CODE, IN�EREST, AND AiTOFNEY'S FEES. LICENSEU CONTRACTORS DECLARATON: I hereby aHirtn ihat I em licensed force antl aHecL Lic. » Contractots Signature: _� CONSTRUCTION LENDING AGENCY: wlth Section 7000) ol Dlvision 3 of tha Business an r essions Code, and my license is In full _ Class a �� ! _ Date: _ _ ❑ I hereby aHirtn thei there Is a construction lending agency tor the pedormence oi the work lor which this permit is issuetl. (Sec. 3097, Civil Code). Lenders Name: Lendels Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aftirm ihet under penalry of perjury that I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW For Ihe following reason (Sec. 7031.5, Business end Professions Code: Any ciry or county which requires e permit ro construc�, alter, improva, demolish, or repair eny structure, prior lo its issuance, also requires the applicant for such permit to file a signed statemem that ha or she is licensetl pursuant Io the provisions of Ihe Contractors License Law (Chapter 9(commencing with Section 7000) ot Divislon 3 of ihe Business antl Professions Code) or thet he or she is exempt therefrom and Ihe basis lor the ellegetl ezemption. Any vloletion of Section 7031.5 by any epplicant for a permit subjects the applicant to a civll penalty ol not more than Ilve hundretl tlollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sola compensation, WILL DO 7HE WORK, end ihe structura is not inrended or offered for sale (Sec. 7044, Business antl Protesslons Code: The Contractors License Law doas not epply to an owner of property w�o builtls or improves thereon, and who tloes such work himself or harseN or through hls or her own employees, provided that such improvements ere not Intended or oflered for sale. If, however, the huilding or improvement is sold within one year of completlon, ihe owner-builder will have ihe burtlen of proving that he or she tlitl not builtl or improve tor purpose ot sale.). ❑ I, as owner of ihe property, am EXCLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to construct Ihe project (Sec. 7044, Business entl Professions Cotle: The comractors License Law does not apply to an owner of properry w�o builtls or impwves t�ereon, end who coniracts for such pmject wiih a contractor(s) license pursuant to Ihe Contractore License Laws.). ❑ I am exempt untler sec. Business and Protessions Code tor this reason: Signa�ure: Date: Owner ID verified by drlvers liCenSa. ❑ Yes ❑ No DnvefS Licen50 No. Verification of Ownership by (type of tlxument, i.e. - pmperty tax bill or deed): DIVISION OF INDUSTRIAL SAFETV 7ERMIT CER7IFICATION: Expires: ❑ I hereDy certity tha� no excava�ion five (5) or more teet In depth into which e person is requlretl to tlescena, will be made in connection with work authorizetl by ihis permit, entl ihe� no builtling structure, scaHolding, falsework, or demolition or tlismantling thereot, will 6e more ihan �hirry-six (36) teet high. (Chap. 3.2, Grp 2, An 2, Sec. 341, Title B, Calilarnia Administrative Cade). ❑ As owner-builtler, I will not employ enyone to do work which would requlre a permit trom ihe Division of Intlustrial Safety, as noted above, unless such person hes a permit to tlo such work irom ihe division. Signeture: Date: Division of Intlustrial Sefery Permit Number: CERTIflCATE OF COMPLIANCE AND IZATON OF EMAV: I cetlity under penelty of perjury ihat I have reetl this application and state ihat the information given is correcl. I agree to qqmply with a stet la s an�1 ciry ordinances relating to 6uiltling construction, end emhorize representatives of Ihe Ciry oi Costa Mesa to enrer upon the e6ove-described prA6arty for inspec pu os��gree not to occupy or ellow occupancy oi any builtling authodzea by this pertnit until tinal inspection. GOOE �. INSGECiIONTYPE 1616 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final Blotk/Retaining Well 202 Final Factory Fire Place 203 Finel Slgn 204 Final Demolition 2M6 46 pAjE INTIfIAIS CODEr INSPECTIONTYVE 206 Final Machanical 208 Final Plumbinq 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy DpTE �NTITIRLS ._ • • OWNER DAWSON. HarOld B. -" DA'rE 7-1-57 JOB ADDRESS 5$0-W. W11S01] � UI11t A • BllILDING PERMIT NO. "S36% ZONE & PLAN NO. 'ECTIONS I DATE I SUBCONTRACTOR I PERMITSISSUED DATE NUMBEF OWNER DAWSON, H3TOld B. '� DATE 'j-1-57 )OB ADDRESS �,$0 41. Wilson [init B BUILDING PERMIT NO. sj(7 G�N,NERALCONTRACTQR OVmer-Builder VALUE; 18,3%2•00 . DESCRIPTION OF WORK AAt. 3 UI71bS — �� �ECTIONS � DATE I SUBCONTRACTOR cou[ Test / t � PLAN vEx nn,,rcnN� uar�i� 1wDRnsS 580 W. W31 ERAL CONTRACT R OWl'] >� —� 31 TnA UP H & J TYPE �ECTIONS :hcs Porms Stcel coat �. Cu ii_. j_ -•-- �n -- Unit C �-Builder _ DATE vatuE �E ZONE DESCRIPTION OF WORK ZONE RL� PLAN DATE gUBCONTRACTOR — PERMITS ISSUED NUMBEF i� I� � � 5402 f �� .,�� . COSTA MESA BUILDING DEPARTMENT - P. O. BOX 31� COSTA MESA. CALIFORNIA . FOR APPLICANT TO FILL IN I n�l� i. 9 �� �/GSa �/ fi -- ! COSTA MESA, CALIFORNIA OWNER Q���� Q, ADDRESS�OO/ C.Cii � ER � , F�EE .REC�EIVED �� G/�.s;��s "7 �fIIQANCE EPT. ���y`'p�"COSTA MESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY fEL 4 BLIILDING - NO.l�� ��7� AOORE55 uG COSTA MESA. CALIFORNIA NO. FIRE ZONE ZONE NO.OF TYPE � / LIC. PLTNS ` � CONTRACTOR NO. TEL. APPi�0 D ///� � % / �� ADORE55 NO. ' BV /'. � V t� OPlrE LEGAL LOT , Faa oESCaiPiION NO. �f IyCOT,3/ BLOCK) TRAC A.P. NO. / IS �U � C./ � / SIZE� ��O �/^ n NO. OF BLDGS. OF LOT (00` c� INOW ON LOT �5E oF A�,� E%ISTING BLDG. SETBPCH LINE FROM I cerviEw oF siw[Er SO REAR VARD SIDE YARD RIGHT S� LeFT � M� NEW ALTERATION ADDITION REPAi�. MOVING /^ DEMOLISH SZIEDING O, /a ROOMS / STORIES / E%TERIOR WALL ROOF COVERING lSTL�CO COVERING CRA✓���- BUELDFNGEW /��� J UNIT "7 �'nRAG �. � CORRECTIO SUBJECT T: CH. DEPT. STATE TH4T TME ABOVE IS CORFECT AND LGflEE TO COMPLY WITH ALL CITV OFOINANCES AND STATE LR�NS REGVLATING Bl11LUING CONSTRVC- iiOrv. VALUATION SIGNATURE OF PERMiT FEE 5 PERMITTEE ' J� n�7 +� PLAN CHECK S S / ✓ / l�% AUTHORIZED AGENT TOTAL FEE $