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
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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 $
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