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Home My WebLink About665 WILSON ST - Building Permits�o� "'Fs a � o. r r J 4+ �� (714)754-5273 • Fax(714)754-4856 - CITY OF COSTA MESA ' BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT PLUMBING PERMIT Job Address: 665 W WILSON ST Suite No Vicinity: IN HOME Parcel Nunmber: 42217103 npp�icant: GLOVER, LORIE Address: CIO COAST ROOTER PLUMBING SANTA ANA, CA Phone: 714.241.1414 2737 S. CRODDY #D Zip: 92704 Owner: LOVE, VIKI ELAINE Address 665 W WILSON ST COSTA MESA, CA Phone: Zip: 92627 Contractor: COAST ROOTER PLUMBING HEATING & AIR COND Address: 2737 S. CRODDY #D Phone: (714) 247-1414 SANTA ANA, CA Zip: 92704 License: 529127 ArchlEng: Address: Phone: 2ip: License: SCOPE OF PERMIT GAS WATER HEATER CHANGE OUT. ISSUE FEE Backflow irrigation Backtlow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drein, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outleis) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT 523.50 50.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 50.00 50.00 $0.00 $0.00 orr 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEESUMMARY AMT Laundry Tub / Washer $0.00 Landswpe Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor 50.00 Sink, kitchen 50.00 Sink, service/mop 50.00 Spa (private) $0.00 Spa (public) � 50.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS NUMBER �00705 77 FAtR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 12/17I7999 Issued: 12/77/1999 ISSUED BY: /� �" " / E�p SumpPump Swimming Pool Trap Primer Urinal Vacuum BrkrBkflow(1-0) Vacuum Brkr Bkflow(5+) Wash Basin Wash 8asin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT 50.00 50.00 50.00 50.00 $0.00 50.00 50.00 50.00 50.00 50.00 512.30 50.00 50.00 50.00 50.00 so.00 50.00 50.00 50.00 TOTAL CALCULATED FEES: $35.80 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is no� commenced within 180 days, or if work is suspended or abandoned for e period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply wilh all applieable codes, and ell requlred Inapeetione and final epprovel must be obtained. Failure to obtain inspections antl �inal approval will resuH in the expira�ion o� this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATON: I hereby eHirm untler penalry of per�ury one of the lollowing declarations: � ❑ I heve antl will maintain a ceni/iceta of consem m satf-Insure tor workers' compensation, es provitled for by section 3700 of the Labor Cotle, for lhe peRortnance of the work far which ihis permit is issued. m'J I have and will maintain workere' compensallon insurance, es requiretl by section 3700 0l the Labor Cotle, for tha peAortnanca ot Ihe work tor w0ic0 NIs permit is issued. ( My workeyfs� com nsa/t�ion Insu nce carrier and palicy number ere: �I� �i �p n� Cerrler: �f��c��l�,_y\� )Y�/1 PolicyNumber: l/�n rl �'7 (Thls sectlon eed nof be cromp�ti�he pe ' Is valued af one hundred dollers ($100) or /ess.) ❑ I certify thet in the peAormance of Ihe work lor which this permit Is issued, I shell not employ any person in eny mennar so as to hecome suhject to the workars' compensation laws ol Calilomla, entl agree thet if I shoultl become subJem to the workers' compensetion pmvisions of Section 3700 0l the Labor Cotle, 1 shall fonhwith comply wi�h �hese pravisions. G� Applicant Signature: �� Date: � � �7 ^/ 9 WARNING: FAILURE TO SECURE WORKEFS' COMPENSATION COVEM6E IS UNLAWFUL AND SHALL SU8IECT nN EMPLOVER TO CRIMINAL PENALTIES AND dVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE (5100,000). IN AODITION TO iHE COST OF COMPENSATION, DAMAGES A$ PqOVIDED FOR IN SECTION 3'lp60F THE LABOR CODE, IIJrEREST. AND AiiORNEV'S FEES. LICENSED CONTRACTORS OECLARATION: I hereby aHlrm ihat I em licensed under provisions ol Chapter 9(wmmencinq with Sectlon 7000) of Dlvislon 3 of �he Busine ntl Professions Code, antl my license is In lull force antl atfect. Llc. a �a S'/ a'� Cless k ��0 Contrecbr'S Signature: Dete: � � '1 �%� �J CONSTRUCTION LENDING AGENCV: ❑ I hereby eflirm Ihat ihere Is e construction lending agency lor ihe peAormance of the work tor which Ihis Dermit Is Issuetl. (Sec. 3097, Civll Code). Lentler's Nema: Lentlefs Atltlress: Signeture: Date: OWNER-BUILDER DECLARA�ONS: I �ereby eHirm t�at under penalty of perjury tha� I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Prolessions Code: Any ciry or counry which requires a pertnit to construct, al�er, improve, demolish, or rapair any siructure, prior to its issuance, also requires ihe applicant tor such permit b file a signed statement ihat he or she is licensed pursuant to the provisions of Ihe Contractors Llcense Lew (Chepter 9(commencinq wi�h Section 7000) ot Division 3 of the Business antl Pwfessions Cotla) or Ihat he or she is exempt t�erefrom antl iha basis for the alleged exemption. Any violation of Section 7031.5 by any applicant tor a pertnit subjects Ihe epplicani to e civil penalry of not more t�en fiva hundred dollars (5500).): ❑ I, es owner ol the property, or my employees with wages es their sole compensation, WILL DO THE WORK, end the structure is not Intendetl or oHared lor sale (Sec. 7044, Business antl Professions Code: The Conirectors License Law does not apply to an owner ot propeny who builds or improves thereon, antl who tloes such work himself or herself or throug� his or her own employaes, provi0etl that such improvemenis ere not intended or oHered for sale. If, however, Ihe building or improvement is sold within one year oi completion, the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sele.). ❑ I, as owner oi lhe proper�y, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construcl the prolec� (Sec. 7044, Business and Prafessions Code: The contractors License Lew tloes nol apply to an owner of property who builds or improves Mereon, antl wha contracts for such project with a coniraclor(s) license pursuam to the COntractors License Laws.). ❑ I am exempt untler sec. Business end Protessions Cotle for this reason: Signature: Date: Owner ID venfietl by tlnvers license. ❑ Yes ❑ No Dnvers License No. Expires: Venfication of Ownership by (rype of tlocumem, i.e. - pmperty tax hill or deed): DIVISION OF INDUS7RIAL SqFETV PERMIT CERTIFICATION: •�Ji 'c l ❑ I �ereby certify thel no ekcavetion live (5)�or,more feet In tlepth imo which a person Is requlretl to tlescend, will be mede in connection with work authorizetl 6y this permit, entl thet no builtling�sUucture; �sceflolding, falsework, or tlemolitlon or dismantling ihereof, wlll �e more ihan thirty-six (36) teet �ig�. (ChaO� 32, Grp 2, An 2, Sec. 341, Title 8, Califomle Adinlnistrative Code).,�•, � .�•, ❑ As owner-builder, I will not employ anyone io do work which waultl require a permii from ��e Division of Indusirial Sefety, es noted aDove, unless such persan has a permit to do suc� work irom �he division. Signawre: Date: Division of Induslrial Salety Permit Number. CERTIFICATE OF COMPLIANCE AND AI1TFiORQAl10N OF ENiAY: I certity untler penalty of perjury that I have read Ihis application and state Ihai the infortnation given is correcL I agree to wmply with all state laws end ciry oNinances releting to Duilding constructlon, end authodze representatives ot Ihe Ciry ot Cos�a Mesa to enier upon the ebava-described property for insDection purya5es. I egree not to occupy or ollow occupancy ol eny builtling authonzed Dy this permit until linal inspection. nawre Of Legel Owner(s) Date /a-/ 7 s� P.nd/Or Authonzed ApPlicent Date COpE �, INSPECTIONME j�jE �� i6t6 Flxetl System Final Fire PrevenHon 1266 200 201 202 203 204 2aa0�98 Poal Spa Final Finel Re-Root FIna181ocWRelaining Wall Flnal Fectory Fire Pla�e Final Sign Final Demolition 40oE� INSPECTIONTYPE 206 Finel MechBnical 20B Final Plumbing 210 Finel Electricel 212 Final Fire Prevention 220 Finel Planning Approval 222 Final Slte 250 Final BuiltlinglOauDency p�/g INiITIAI$ • � \ OWNER' -- Fi"TNNY INV, C JOBADDRESS C)bri W1.150II S i=I9iR�7I�[H7� 7CJYi�G7 GENERAL CONTRACTOR $. � �1. Hunsaker � VALUE $ 8i7(�O.CO �07 ], BLOCK TRACT 23$7 Single Family Dwelling GROUP I -� TVPE V ZONE j�y FIRE DISTRICT u%5 PERMITS ISSUED INSPECTIONS �� DATE SUBCONTRACTOR DATE I NUMBER Foundation Formsand Gradeto Rough Framing _ Plumbing, Rough to Slah Plumbing, Rough Complet Qy. -� Temporary Pole Wiring, Rough i Heating, Rough Hsating, Final Sewer, House Sewer, � SeuticTank or Cesspool In Out Plasfering Plumbing, Fin�al, Fixtures Plumbing, Fin�al GasTest /O Wiring,Final �%GC/� �(.�fi'JS I��li .�iU I7.u-.��I_ �- '� Occupancy � � r` �osta Mesa Bnilding Department 117 EAST 20th STREET .COSTA MESA, CALIFORNIA � �OR APPLICANT TO FILI. IN Building Address � �hJ i � � � � Costa Mesa, California Nearest _ . i /'A Legal Lot Deseription No. � (Attach Metes and Bou Size of Lot �� /1 from � City Lie. Block I Tracy'l,� No. of Bldga _3 Now on Lot � INo.of No.ot Families I Rooms i Rear Vard �.S" SideYard S'� �v oF woRg �n I I Addition I II Demolish I APPLICATI(1N l+'UK YL�'iGMI� 11'75 BUiLDING FOR OFN�ICE USE ONLY - _ I .Receipt,No. � mit No. � �O � Received by Date Rec'd. D te Issued �- z7- � Building Address Costa Mesa, California Nearest Cross St. Date CORRECTIONS a•alCing No. of / �0�� Rooms �j Styries �, ,.erior Wali Roof � — Covering I Coverin APPROVALS Use oi New Buildin � Foundatian Location InspeCtor Forms, Materials, � Under-Pinning �/� Frame: Fire Stops, x�"� — � �n �—'� Bracing, Bolb � V� '� . I hereby acknowledge that I have read this Application Lath. Int. and state that the above is rnrrect end agree to rnmply Lath. Ext. with all City Ordinances and S[ate I.aws regulating b�ulding construction. � �.___...__ _. . / � _i , _ Plaster. Int. Authorized Ag . Valuation� �� $ ' — Plan Check $ 3. � O Bond Beam Total Fee $ �'S/ e J FINAL �� `�-n e Q � . . . .- . . , . '., . '.. . .-'. ,..� - . , . . . . ... • .,. � -, . . . .--. -'=.��•- . . . . . �. � .'" . : . . . _ ri.vi ri.e�iv Show Iocation and distances from property line and between buildings � _. ,. -.,' . - .; - ;. ;.�.. _ ` •, � . � _ . , j ., c�•, _ �� , �„ - —� . . . . , . ' � \ ' . . . ... . _ . �- '. _ � . .. . ;. �. . . . ..� • . ' � ._ .`r � - � t •. . . � . ' . . , . �. J . . . .. , I.e ' . . ';. J