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HomeMy WebLinkAbout591 WILSON ST - Building Permits(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT .lob Address: 591 W WILSON ST Suile: A Vicinity: RESIDENCE A ONLY Parcel Number: 42219102 Applicant: GONZALEZ, TEODULO Address: 591 1/2 W WILSON ST COSTA MESA, CA Owner: GONZALEZ, TEODULO Address 591 1/2 W WILSON ST � COSTA MESA, CA Contracror. O W N E R-B U I LD E R Address: Zip: Arch : Address: Phone: 2onin9: Phone: 949-645-3687 Zip: 92627-2412 Phone: Zip: 92627-2412 Phone: License: 000000 Eng: Address: ISSUED BY: Status: ISSUED Applied: 04/09/2003 Issued: 04/09/2003 Phone: Zip: License: License: SCOPE OF PERMIT REROOF RESIDENCE A: OVERLAY OVER EXISTING ONE LAYER OF ASPHALT SHINGLES WITH ASPHALT SHINGLES. 200 SQ FT REF: CO3-1202 Plan Check: $0.00 Permit: $44.85 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $45.35 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existin : 0 Rear 0-0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Righl 0- 0 Right 0- 0 si,2oo.00 s�,zoo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permil shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 780 days. INSPECTIONS: In order for the work authonzed under this permit to be considere0 legal, such work must comply with all applicable codes, and all required Inspeetlons 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 2446a6 (N00) WORKERS' COMPENSATION DECLARATION: I hereby eXirm untler penelry of perjury one oi ihe tollowing tleclarations: ❑ I have entl will malntain e certificate of consent to self-Insure for workers' compensetion, es provided for by section 3700 of tha Labor Code, for t�e peAormance af the work lor whith thi5 permil is issuetl. ❑ I heve and will maintein workers' compensation insurance, es requiretl by section 3700 of Iha Lebor Code, for Ihe peAortnance of Ihe work for which Uis pertnit Is Issuetl. My workers' compenseNon Insurance carrier antl policy num6er ere: Cerner. Policy Number. (�77�isr sec(ion need not be complered i! the pertni( is valuetl et one hundred dollers ($100) or less.) H I certity t�et in the pedortnance ot the work tor which this pertnit is Issueq I shall not employ eny person in any manner so as to becoma subject to the warkars' compensa�ion laws of Califomia, end agrea t�at if I should ecome s iblecl �o !Oe workero' compansation provisions ol Sectlon 3700 of �he Labar CaAe, I shell lotlhwlth comply with these prohs n. //I� n Appllcent Signeture: ___V9E� �. .Ao Dale: �/l � Q�- L� � WARNINO: FAILURE TO SEG O KERS' COMPENSN IdJ COVEPA I IS UN NFUT AND SHALL SUBIELT AN EMP�OVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED TiqUSM1D OplAFE (5100.000), IN ADDITION TO THE COST OF COMPENSATION, DMUGES AS PROVIUED FOR IN SECTION 31O60F THE LABOR CO�E, INrEREST, AN� ATiORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I here6y aHirtn Ihat I em licensad under provisions oi C�apter 9(commencing with Section 7000) of Oivision 3 ot the Business and Professions Code, antl my license is in tull force and ettect Lic. M Class # Comrector's SlgnaNre: Date: ' CONSTRUCTION LENDING AGENCV: i, ❑ I hereby eHirtn that there is e consimction lentling agency tor Ihe peAormance of the work for which Ihis permit is issuetl. (Sec. 3097, Civil Cotle). . Lender's Neme: Lender's Atlaress: � Signeture: Date: OWNER•BUILDER DECLARATONS: I hereby aHirtn thet under penelry ot perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Proteulons Cotle: Any ciry ar counry which requires e pertnit to consWct, alter, improve, demolish, or repeir any strucmre, prior m its issuanca, also requires the appliwnt for such pertnit to tile a signed statement ihat he or she is licensed pursuan� to ihe provisions ot the Contractors lJcense Ww (Chapter 9(commencing with Sectlon 7000) ol Dlvision 3 ot the Business entl Professions Cade) or that he or she is exempt t�eretrom enC tha Casis lor the elleged exemption. Any violation ol Section 7031.5 by any epplicent far a pertnit 6' is Ihe epplicent to a cNil penalty ot not more Ihan five hundred dollers (5500).): U, es owner ol ihe property, or my employees with waqes as Ihelr sole compenselion, WILL DO THE WOqK, and iha structure is not intentlea or oflered for sele (Sec. 704a, Business antl Professions Cotle: The Contractors License Law tloos not apply to an owner of property who buitds or improves Ihereon, antl who does such work himsetl or �ersetl or through his or her own employees, provitletl that such improvements ere not intendeC or oHered for sale. If, however, the builtlinp or improvement is soltl wit�in one year ol completion, the owner-builder will have the burtlen ot pmving �hat he or she did not build or improve for puryose of sala.). � ❑ I, as owner of the property, am E%CLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS Io construct the projeci (Sea 7044, Business antl Professions Cotle: The contrectors License Law tloes not apply to en owner ol propeny who bulltls or Improves thereon, end who contrects for such project with a coNrector(s) license pursuant to the Coniractors License Laws.). ❑ I em ez se . Signature: Owner ID i i d by dnvefs licen5e. VedNce ion oi Ownership by (type of Business antl Protessions Codo for �hi5 reason: Date: � - �- s ❑ No ' Driver's License No. Ezpires: a�^ i.a. - propeny tez bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity tha� no excavation five (5) or more feet in dep�h into w�ich a Derson Is required to descend, will 6e made in connection with work euthonzetl by Ihis permiL antl that no 6uilding struclure, sca%olding, talsework, or tlemolitlon or tlismantlinp ihereof, will be more ihan thirty-six (36) teet high. (ChaO� 32, Gry 2, Art 2, Sec. 341, Titla B, Celifomla Atlminl5irative Code). ❑ As owner-bullder, I will not empby anyone to tlo work whic� woultl require a permit from the Division ol Indusirial Safety, as notetl ahove, unless such person has e permit Io do such work Irom the division. Signa�ure: Dale: Divi5i0n ol Intlusirial Sa�ary Permil Number: CER7IFlCATE OF COMPLIANCE AND AUTHORVATION OF ENTAY: I cenify under penalty ol perjury ihat I have read ihis appliwtion flnd state Ihet the infortnation given is correct. I egree to comply wit� all stata laws and ciry ordinances relating to building consiruction, anC authonze representatives ot the Ciry of Costa Mesa to enter upon the ebove-desc� pmDe y for; pa n ryoses. I a e not to occupy or allow occupancy of eny building aulhorized by this permit until finel inspection. j�-n9�n3 Signature Oi gal Owne s) Dat And/Or Authorized Appiicant Date CO�E 1. INSiECTIONTYPE 1676 Fized Sys�em Final Fire Preven�ion 1266 Pool Spa Final 200 Finel Re-Roof 201 Finel BIaWReteining Wall 202 Final Factory Fira Place 203 Final Sign 204 Final Damolition QZIE It�IIlA�3 CO�E♦ INSPECTIONTYPE 206 Finel Mechanical 20B Finel Plumbing 210 Final Electrical 212 Flnal Fire Prevention 220 Final Planning Approval 222 Final Siie 250 Finel BuilAing/Occupancy aeie mtme�$ JOB ADDRESS 591 w, GENERAI.CONTRACTOR c.�u OCCUPANCY DATE 2-26-60 VALUE SUBCONTRACTOR I PERMITSISSUED -a-�, ez.36✓� -ez-G� 2 �G.r Form 21�5M-1L59 5-B P , -� 115� ' - ���:�o COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA. CALIFORNIA fOR APPUCANT TO F/l[ /N COMPLETELY TYPE OR PRINT BUILDING �/ ..� . 1 �_�% . . [.� /�i .AA COSTA MESA. CALIFORNIA LEGAL ILOT \ ' OESCFIPTION NO. y A.P. NO. / � V SIZE r I1 ��� OF LOT � USE OF EXiSTING BLDG SETB�Ce LINE FROM TEL. NO. FEE R�.CtiUED � -��-�� FINANCE OEPT. v u CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING fo,e officF usF aNu� APPROVED COSTA MESA; CALIFORNIA Y D I KO. OF I USE OF N BLOCK ' A PLANS BWLDINO � APPROVE BV DATE Ino. ov a�ocs. A ypRDS NOW ON LOT �� REOUIRED AL WED (CENTEF LINH ST.1 � _. FRONT =� �— FT. Ci / DESCRIPTION OF WORK ING�O� P'�tlY�c NO.OF L ROOMS ✓ STORIES IOR �(Jl�� � � I ROOF ... _A � �� 1 HEPEBY ACNNOWLEDGE TMAT I HAVE REAO TH�S APpLICATION AND STATE THAT TNE ABOVE IS CORRECT /�NU AGFEE TO COM� PLY WITH ALL CITY OHDIN�NCES AND STATE LAWS PEGULATING BUILDINGCONSTRyC`ION.-�� ^ SIGNATUREor�.,,,, . i.. . . , AGENT � � IG! THE AMOYNT SNOWN UNOER VALUATION 18 FOR THE PUPPOSE OF E9TABL�SHING A PEHMIT FEE ONLY. VALUATION ,`y� PERMIT FEE $aQ /�q,�f � $�J / (� ��� PLAN CHECK E /D �� � vv9 ae � TOTAL FEE $ B OWNER SIIERWOQD, NIRS. FVELYN APR G 1960 DATE lp_l l-�$ ]OB ADDRESS 591 W. W1150I1 BUILDING PERMIT NO. SO57 �.�R�.�CQ�ITRACTOR Owner _ VALUE $ 7,000.00 AP No. LOT 32 1'RACTI'' • F. p�E ZONE DESCRIPTION I �"'7UP TYPE ZONE PLAN NO. Ii.�PECTIONS I DATE I SUBCONTRACTOR I DATE I VNUMBER Test � , 805� � COSTA MESA BUILDING DEPARTMENT ' � P.O. BO% 31� � COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN nooaess __��1 �-�1, WIL`�1'� COSTA MESA. CALIFORNIA OWNER rnrz�,: �uEc. MAIL ADDRE55 �Z� I Z CITY , 1��y�� IZ.1 � ARCHITECT OR ENGINEER ADD �y�l�?)GGtJ �li D21UE � TEL. NO. LIC. NO. GTY LIC. NO. TEI.. �eea� ILOT �� I / I �^"� i r� DESCRIPTION NO. BLOCK A.P. NO. I S'�' lJ O /•� /I $I$E !� � ,/ /� I NO.Oi BLOGS. n � OF LOT� ✓ /l. ��`� ��Ow ON Loi v "sE �F Ow�1�-tvl� �' GA 12H6� EXISTING BLDG. S CENTER OF STREEi _T� �� L� NEAN YPHU y'� � SIOE YARD RIGHT . ' � LEFT �C'' DESCRIPTION OF WORK NEW ALTERATION II ADOITION REPA MOVING DEMOLISH � BUILDING/I NO.OF SIZE �}�,J� ' ROOMS STORIES � E%TERIORWALL�QQQ ftOOF ' ����j1 , COVERING COVERING r V USEOFNEW ��.�„��..� �s •. 1U�27�-5��!�Qnesr' 3�ZSa` �rsf'+t�]�Q�1 U �(� ���L�ou�i� �►������ �ICJ�,��C d��T. ��v� �s on^4�1 r^FS�I APPLICATION`FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. PEf�AIT I b ( � � � R/c/ s��VEpJ� BY [V�TE RECENr�EO�J DiiF I55 �/J/I! . %�._ i�� l Y � �/ 1 ADDRE55 J/� C`� p�( /S C"� COSTA MESA. CALIFORNIA FIRE ��' /Dll4G�� �+ DATE /�/�r , ,._,GDRR�ECTI ONS SUBJECT TO BLDG. DEPT.l+'EG. ��� STATE TNAT TNE RBOVE IS CORRECT ANO AGREE TO COMPIY WITH PLL � � � ������� ������ �� CITY ORpINANCES PNO STLTE L1 GULATING ILOI CONSTFVC� �n iiorv. / VALUATION , u � S�GNATURE OF l PERMIT FEE S PERMITTEE ' a� PLAN CHECK S 5/7/ �Qp' AUTHORI2ED AGENT � � C � ' TOTAL FEE S� � Wf OWNER GARDINER, Mrs. Evelyn DEC 3 1 195� DATE $_Z_57 JOB ADDRES$ 591 W. W11SOtl S't. BUILDING PERMIT NO. 5520 � G�NEqA[,�ONTRACTOR Owner-Builder VALIiE $ 800.00 . LOT TRACT FIl2E ZONE DESCRIPTION OF WORK Ft� lUP PEHMIT818&UED INSPECTIONS I DATE � SUBCONTRACTOR coat ✓ . , ` 5S4'7 i' COSTA MESA BUILDING DEPARTMENT P. O. BO% 31� COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN BUILDING�,-��_�, �� .s,�, `c AODRE55 ` , COSTA MESA. CALIFORNIA _ OWNER � MAII � AODRE55 GTV � J ARCHITECT OR ENGINEE AD�i CITY LIC. N�. IEGAI ILOT I I oescraPnoN NO. BLOCK TRAC A.P. NO. / IS �C/ O � � �j SIZE NO.OF BLOGS. OF LOT now orv �oi use oF EXISTING BI.DG. $ETBACN LINE FROM � 1� CENiEF OG STREET SIOE YARD . RIGHT Y DESCRIPTIO �OI NEW ALTERATION '� REPA MOVING BUILOING NO.OF SIZE ' �� X�� ROOMS EXTERIOR WALL` ROOF EAR VARD U WORK ADDITION STATE THAT TME TBOVE IS CORPECT aNO nGFEE TO CITV ORDINANCOES /N� STATE LaWS flEGULiTING BV TION. //I SIGNATURE OF ,%l �l" " //��, (� PERM�TTEE // -�--1 / STORIES -. � FEE �EC�111ED G��� , �/ � � ;r� � �'� . FINqNC� DEPT. s ��Y OF COSTA MESA AP ICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY PECEIPT NO PEFMIT O� s �O IECEIVlD BY DTTE /R�ECEIVED `/�f TE 'IJSSUEO[ � �` J _ �t // �IX � \\ COSTA MESA, CALIFORNIA NO.OF TVPE '/ G � PLANS CORRECTIONS A Mc � OEPf • DA' WITM wLL CONSTRUC- VALUATION PERM�T FEE S � QO PIAN CHECK $ $ TOTAL FEE $ i• � wr