HomeMy WebLinkAbout1025 WILSON ST - Building Permits r
1 .
i CITY OF CctSTA MESA ,
4 9 A suuri NG DIVISION
Net/roar`,
' `,i• - DEVELOPMENT SERVICES
S DEPARTMENT PER NUMBER
1. 1 in... -
J rill PERMIT
do P06-00949
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ccaLUMBING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1025 W WILSON ST Status: ISSUED
Suite No Applied: 11/27/2006
Issued: 11/27/2006
Vicinity:
Parcel Nunmber: 42207121 \--..
Applicant STERLING, DAVID Q ISSUED BY: \
Address: 1025 W WILSON ((JJ
Phone: 714-357-5637
COSTA MESA,CA Zip: 92627-3920
Owner: STERLING, DAVID Q 0{ h
Address 1025 W WILSON i.' i
Phone: 714-357-5637 _ `^ t
COSTA MESA,CA Zip: 92627-3920
Contractor: OWNER-BUILDER NI tv,
Address: ' ' ' t
Phone: k - -
Zip:
. License: 000000 '•
SCOPE OF PERMITy
1 BACKFLOW PREVENTER FOR THE INSTALLATION OF A SPRINKLER SYSTEM FOR A SFD.
FEE SUMMARY
AMT QTY AMT QTY AMT QTY
ISSUE FEE $23.50 Laundry Tub/Washer $0.00 . 0 : • Sump Pump $0.00 0
Backflow irrigation $0.00 1 Landscape Irrigation $14.80 1 Swimming Pool $0.00 0
Backflow Preventer $9.80 0 P-Trap $0.00 0 Trap Primer $0.00 0
Bathtub $0.00 0 Pressure Regulator $0.00 0- Urinal $0.00 0
Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0
Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 .. Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0
Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0- Wash Basin Set $0.00 0
Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0
Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0
Drain,Roof $0.00 0 Shower $0.00 0 Water Heater/vent $0.00 0
Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0
Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0
Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 0
Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 Water Softener $0.00 0
Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00
Gas Repipe $0.00 0 , Spa(private) ' $0.00 - '0 ' - VIOLATION $0.00
Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00
Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0
Interceptors(Sand Auto) $0.00 0
TOTAL CALCULATED FEES: $48.10
COMMENTS/SPECIAL CONDITIONS
•
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California 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
fora period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections 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
2446-46(6/00)
I
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one 01 the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed If the permit is valued at one hundred dollars($100)or less.)
0---1 certify that in the performance oft • ork for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
L__ compensation laws of : gree the/ I s.••d be subj to the wo rs'compensation provisions of Sectio 3700 of the Labor Code,I shall forthwith
comply with these provisions. /Nj /Sectio 3700/
Applicant Signature:--r 1 California,i, 4I.i I' rDate` -( 7/ Z 7! o b
rr&y {s
WARNING:FAILURE TO SECURE .OR RS'COMPENSATION AVERAGE IS UNLAWFUL SHALL SUBJECT AN EMPLOYER TO CRIMI PENALTI AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGE AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.# Class#
Contractor's Signature: Date:
' CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
Gori ras owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not Intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contra • License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant e Contr: to - 'cen -ws.).
7
❑ I am exempt • /•A. i w �inst Business a • Professions C••e for this reason:
Signature:. Ad// (Senkair.�Aa �> —• r Dame: ���r��JG'
Owner ID verified bydriver's license. ❑Yes ❑No Diiver's'Licerise No.
pl
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes ❑No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be tiled with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses Which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication azermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? DI Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control 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 Safety Code Section 42303 been made? ❑Yes 0 No
8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application end state that the information given is
correct. I agr e o comply with all tate la A and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-desl e ropert or in e . • t ree no o occupy or allow occupancy of any building authorized by th»��r it until fi al inspection.
/j /, L7 0 C!/,
Sig ature Ol Legal.Owner(s) _ I r Date— -
And/Or Authorized Applica�— Date
•
you/. INSPECTION TYPE PATE INTITIAL$ CODE( INSPECTION TYPE PETE IN1ITIAL$
1616 Fixed System
206 Final Mechanical
1266 Pool Spa FinalFinal Fire Prevention 208 Final Plumbing
is//iia A.-)
200 Final Re-Root 210 Final Electrical
201 Final Block/Retaining Wall' 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site -
•
204 Final Demolition _ 250 Final Building/Occupancy
Ib CITY OF COSTA MESA•
-
4`. ► BUILDING DIVISION
It
' we.:-.74
.,fir DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
t.Iv. ' IPA I PERMIT
S-44 ,,m,a6° P01-00300
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
PLUMBING PERMIT
Job Address: 1025 W WILSON ST Status: ISSUED
Suite No Applied: 05/21/2001
Issued: 05/21/2001
Vicinity: FRONT YARD
Parcel Nunmber: 42207121 ISSUED BY:
Applicant: STERLING, DAVID
Address: 1025 W WILSON
- Phone: 714-357-5637
COSTA MESA Zip: 92627
Owner: STERLING, DAVID
Address 1025 W WILSON
Phone:
COSTA MESA Zip: 92627
i Ai i
Contractor: (t✓
Address: A. ,
Phone:
Zip:
License:
Arch / Eng: - -
Address:
Phone: -
•Zip:
License:
SCOPE OF PERMIT .
BACKFLOW FOR LAWN SPRINKLER SYSTEM IN FRONT YARD. - •
•
- ' FEE-SUMMARY"
AMT QTY AMTQTY _. . AMT QTY
ISSUE FEE $23.50 , Laundry Tub/Washer $0.00 0 ' Sump Pump $0.00 • 0
Backflow irrigation $9.80 0, Landscape Irrigation $0.00 0 Swimming Pool $0.00 0
Backflow Preventer ' , $0.00 ' 1P-Trap - $0.00 0 ,- Trap Primer $0.00 0
Bathtub $0.00 0 • ''Pressure Regulator $0.00 0-, Urinal - $0.00 0
Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0
Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units $0.00 0 Septic Tank $0.00 0 ' Wash Basin $0.00 0
Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 • Wash Basin Set $0.00 0
Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0
Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0
Drain, Roof $0.00 0 Shower $0.00 0 . Water Heater/vent $0.00 0
Drinking Fountain $0.00 0 Sink,bar $0.00 "0 Water Piping(Inst or Rep.) $0.00 0
Expansion Tank $0.00 0 Sink,commercial - $0.00' 0 Water Re-pipe $0.00 0
Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0
Gas(1-4 outlets) $0.00 0 Sink, kitchen $0.00 0 Water Softener $0.00 0
Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00
Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00
Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00
Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0
Interceptors(Sand Auto) $0.00 0
TOTAL CALCULATED FEES: $33.30
COMMENTS/SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California 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 wod<is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections 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
2446-46(6/00)
DECLARATIONS ( ) I n
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are: 0 • . .
ardor: Policy Number:
hiss n need not be completed if the permit is valued at one hundred dollars($100)or less.)
I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Calif a,and a r e th f I shottdybecome subject to the workers'compensation provisions of Sect n 3700 f the Labor Code,I shall forthwith
comply with these provi
Applicant Signature: ."d C C72%IY Date: ,� '2d/ e 1
WARNING:FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UN L AND SHALL SUBJECT AN EMPLOYER TO GRIM AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($l00,000),IN ADDITION TO THE COST OF COMPENSATION,0 .?AGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.# Class#
Contractors Signature: _ __ _ Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lenders Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
ubjects the applicant to a civil penalty of not more than five hundred dollars($500).):
I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I,as owner of the property;am-EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of properly who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant I a Contractor's Limns. Laws.).
❑ I am exempt •c '�' / �� �• ' ss and Professions Code for this reason: /
Signature: // 711ULfP l /Eft /�� S JO 0)
Owner ID verified h drivers license. .•_' es ❑allo, 0 Driver's License No. ✓ ) \ E pines:
Verification of Ownership by(type of document,i.e.--property " bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made In connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec,
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑Yes ❑No
(Section 25505 of the California Health and Safety Code requires,with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? DI Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control 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 Safety Code Section 42303 been made? 0 Yes 0 No
8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all slate laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date: _
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree t o ply with all state laws an. city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-descd pr arty for in cti urpose .I .ree no•. • : allow occupancy of any building authorized by this mit until final inspection.
_iii, . rte, e
Signatur Of Legal Owner(s) / Date
And/Or Authorized Applicant ` Date
CODE 0 INSPECTION TYPE DATE INTITIALS CODE r INSPECTION TYPE PAIS INTmAL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
ADORESSOiBML15r10: 1025 k4 WILSON ST UMr: CITY OF COSTA MESA — BUILDING PERMIT
oxNExsNAwEWa *,t STERLING, DAVID PERM NO: B 083791:
om.sx 1025 W WILSON
COSTA MESA,CA 92626 PERMIT NO: H 083792 PLAN CHECK NO: 02831-97 S GOVT: N SUPP: N
APPL.wuIioAOORES& CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR MINER uC N0.: JOB DESCRIPTION : SOLF 30" HIGH BLOCK, PILASTERS 8FT APART SQ FT: 62
ARCA OR ETasAITURF5.3. WIT: CLAIM VALUE: 1 , 000 . 00 CALC—VALUE: 1 , 120 . 00 GROUP OCC: R-3 /
WNDICTOWSMML*iO COMMENTS: WROUGHT IRON BETWEEN PILASTERS, ELECTRIC GATE ON THE FRONT
CONTRACTOR'S wMlgq **********141E**********************************-*********************************
ApORF55, UC NO.
UMt ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby diem under penalty of pmjury Nem licensed I order 'mmd
proa Chaplet 9 SETBACK S
(commencing with Section 7000)of Division 3 of the Business and Professions Code,end my license is in h0 force and erred.
CITY UC.NO,: tic.CLASS: L1C.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dee: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty Of perWy the I am axempl from the Ce tretw license Law for the
/owwigreason(Sedion 7031.5 Daiwa',and ProfessionsCode:Any ay orooaeywhich requires a perms to construct.altar.improve. PARKING REQ: PROV: PARCEL: 42207121 ZNE: R2—M REF NO:
demolish,
°mom ee repelpursany
pro. Friar a"theCCoontnon.dods°rs Law(C"°°wa'erg(such to file
Div�on3he ot" PLANNING NOTES> 50 LF, MAX 2 . 5 ' HIGH BLOCK WALL W/ 6 ' HIGH PILASTERS, 18"
usinesa and Profession Code]or that he or she a exempt therefrom and the base la the alleged exemgon.Arry violation d Section > MAX WIDTH 6 ' HIGH MAX HEIGHT, 8 ' MIN SPACING W/WI . 6 ' MAX.
O31.5byanY applicant forapplicantd a permit subjects the applicant to a civil penalty ofnmore Than lire hundred dollars($5001). **************************************************************************dE****
❑ Las..ofthe property or my amplovmsweh wages astheir sole compensoion.wiE do the work,ed Ne structure i°not intended DEVELOPMENT SERVICES REQUIREMENTS
or offered for sale(Section 7044,Business and Professions Code:The Contractors License law does not applyloan Orates d properly
who odds or in proves Iherean.and who does such work himself or herd or taauph he or her own empl gees.provided the such �� q2(�
improvements are not Wended offered for the or inpnovernem a sold within one year o cmplete/1,the ZONING APPROVED BY TnJ rl DATE: 1 'Sift�
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
o Prtl sC�e:T"°eeConr�os se°e Lawdd��ot licensed lytoantregasof ProffertY who or thereon and BUILDING APPROVED BY DATE: I '
wbo
contrasts for such propels with a muradoris)licensed pumas to t few)./1 ��n�,�Yd ��//�
❑ Iaro ex under ton: B.8 P.C.,for the aCi•I_X/WA/1 APPLICATION ISSUED BY : L 1 DATE:—712A ( 9 )
n y *****************D*****1Ex1E**1E***?E****1t*1E**at**1E* 1v************1E1E*iE#i�A non**
D" ( I0 � Dw"°r' LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:Y
T I do hereby���nnnalyy that I an.atlre of and understand the recuiranrm of California waver and Safely Code Sections 25505, .and
25534,and Nal I or any future building occupant win/veil not one)need to complywih said state codeerd the reg' erasf BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for construction or modification from the As Cuekty Management Diddd.Residaatat mmtnxton appfcatids an ex from them PERMIT 40 . 25 . 50
provisions.
Date: Applicant: PLAN 26 . 16 SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following dedrations: ISSUE FEE
❑ I have and nil maintain a certificate of canon'lo sell.insure kr workers'canpensetion,as provided for by Sertith 37C0 of the Libor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code.for the performance d thework for which the permit ieissued. TOTALS----> 40 . 75 0 . 00 26 . 16 66 . 91 66 . 91 . 00
❑ I have and wil maintain waken'compensation insurance,an required by Section 3700 of the Labor Code,for the performance d the
work for which this permit ewued.MYw«kere compensation insurance carrier and poky number r': REVENUE DIVISION TOTALS--> COLLECTED : 66 . 91 OVER/SHORT: . 00
P •
olicy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
hg section need nor bre completed i the pamf is for one hundred dman/51OO)a Apr.) 40 . 25 . 50 26 . 16
❑ I candy that in the performance of the work for which the permit is issued I Mall net employ any person in any manner so a to
becnrn.ubjed to tin workers'oompensation law°o California,and agree Ne d I shddd beans subject to the workers' *******************************************************************************
compensation provisions d Swan 3700 o the Labor code.I Mall forthwith campy with those provisions. INDIVIDUAL F E E BREAKDOWN
Data: Applicant:
Warning:Failure to secure workers unlawful,coverage is unlawand shell subject en employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
evil lines upto one hundred thousand dollars(SlO0000),In octagon to the cost of compensation damages as provided for In
Section 3706 of the Labor Code,Interest,end attorney's less. SFR 50 RES—CONCRETE BLOCK WALL / FT. 20 . 00 1 , 000 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty o perjury that Ihae is a construction lending agency he the SFR 12 RES—W. IRON/CHAIN LINK FENCE / FT. 10 . 00 120 . 09
performance of the work for which the perms is issued(Section 3097,Cir.C), END OF FEES
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and date that the above information is correct.I agree to campy with a0 city and county ordinances
and state
peewereboilto building conabudSand hereby authorize repreaemaHvmdthe city'asneer upon the above-mentioned propab �� �
for inspection purposes. STERLING
y ^�A n 7 (it'
' 9 PERMIT:08�3792
/�►'�/i/J DeB; / Q C DATE PERMIT:983792
d Owmer/Agetnr/AppliCant/COnuw
(5151.49.WP) White-Building 8 Safety:Green-FIe:Canary-Applicant;Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL ?A
APPROVALS Permit# •Date Inspector APPROVALS Permit# Date Inspector
i
1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location -
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test •
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER•GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, O Undrgrnd.
•
10. Structural Floor System - - 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection -. - 62, Backwash & Receptor-Final
12. Sewer Cap • _ 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System • Final
14. Rough Plumbing - 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final - -
16. Rough Electric Wiring 67, Fencing & Access Approval
17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank O Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy '
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING -
48. FINAL PLANNING •
--
49. Electric Release to Edison •
50. Gas Release tp Southern California Gas Co
CERTIFICATE OF OCCUPANCY
No. Date
ADDRESS OF BUILDING: 1025 W WILSON ST wit CITY OF COSTA MESA — BUILDING PERMIT
OWNER'S NAME IF KNOWN: STERLING, DAVID
1025 W WILSON PERM NO: E 083794
ADDRF':
1 COSTA MESA,CA 92626 PERMIT NO: E 083794 PLAN CHECK NO: N GOVT: N SUPP: N
APPL.NULNNG ADORES& CONSTRUCTION TYPE; PERMIT TYPE: ELE PURPOSE: OTH
a ARCHITECT OR ENGINEER: GC.NO.: JOB DESCRIPTION : ELECTRIC METER UPGRADE & SUBPANEL SQ FT:
ARCH.OR ENG.'S ADDRESS: WIT:
CLAIM VALUE: CALL—VALUE; GROUP OCC: R-3 /
CONTRACTOR'S MICE:
CONTRACTOR'S MAIUNG COMMENTS: NO OTHER WORK IS AUTHORIZED BY THIS PERMIT
ADDRESA MC.ND.: **************************************************+F*d4******************* ** -***
Dir: ZONING REQU IR EMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commenting with Section 7000)of Dirision 3 of One Business and Professions Code,and my license is in full force and effect.
Cm UC.NO.: UC.CLASS: LIC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dale: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury That 1 am exempt from the Contractors License Law for the
following reason(Section 70315°useless are Professions code:Any coy«county which requires a permit to oonao-un,eller.improve, PARKING REQ: PROV; PARCEL ; 42207121 Z N E: REF N O:
demolish.or repax any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she PLANNING N V TE S>
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commenting with Section 7030)of Didion 3 of the
Business and Professions Code)or that he or she is exempt therefrom end the basis for the alleged exemption.My violation of Section >
7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than fwe hundred dolt=j5500]). *******************************************************************************
L a owner of the properly or my employees with wages as their sole compensation,win do the work.and the'tincture is not intended 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
oroffered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to an owner of property
who builds orwhoknpreves thereon,and does such work himselfor head or through his or her own employees,provided that such
isiprovemenssare rot intended or olfansdfor sale,f,however,the building«:nprovemeoissold within one year acompletion,the ZONING APPROVED BY DATE:
owner-hui:w win have the burden of proving he or she did not wild or improve for the purpose of sale).
❑ I,as owner of the properly,am exclusively contracting vdth licensed contractors to construct the project(Section 7D44,Business and BUILDING APPROVED BY DATE:
Professions Code:The Contractors License Law does not apply to en owner of property who builds or improves thereon and who
contracts for such projects with a oorerector(s)licensed pursuant to I/�.[s. tractors License Law).
time m and« B.APC.,MN` r e i / i APPLICATION ISSUED BY: S DATE: -7 Ii
/y� y ! IT- **********************• x )Y4*****************• *><**
O'°' ice 1 � Owner / (/ ' LEGALIZATION:N F E E S U M M A R STRUCTURAL SEGMENT:N
Ido hereby candy that I am aware of all understand the requirements of Calfomoclfeaen and&defy Code Section. �.25533,and
2.5534,andhml«°nyrnu=wiiongonlheA (Duality Management
ct.Re denpywnstnl aaemde°°M !. 'laments tele BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
aovi4,and that I ranor fture building
Du/ova Inon°gemaoe)strict. to comply
opnatadiotalecoesere- - - ptMmlhea
Provisions. PERMIT 43 . 50
Dae: Applicant: 50% SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following dedarations: ISSN
ISSUE FEE 22 . 00
❑ I have and vd mallet a certificate of consent lo sell-insure for workers'compensations.provided for bySection 3700ofthe Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,for ar
the pedorma.dthe work for which thispe.md is issued. TOTALS----> 43 . 50 22 . 00 0 . 00 65 . 50 65 . 50 . 00
❑ I have and will maintain workers'compensation insurance.as required by Section 3700 of the Labor Code,for the performance of the
work for which This permit is issued.My workers'compensation insurance caner and policy number are:
Ceder: REVENUE DIVISION TOTALS--> COLLECTED : 65 . 50 OVER/SHORT: . 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed y the permit is for one hundred dollars MOO)or less) 65 . 50
❑ I certify that in the performance of the work for which this penny is issued.I shall not employ any person in any manner es as to
became subject to the workers'compensation laws of California.end agree Nd N I should become subject to the wok= * *
e ' **************************************** *************************************
compensation provisions o Lebow Section 3700 of the LebCode.I shall forthwith co=py with those provisions. IND IV IDUAL F E E BR E AKD OWN
Date: Applicant:
Warning:Failure to secure workers'compensation coverage lsunlawful,and shell'Weer anWtPtoyectocc/MyWPenaNuend TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil tines up to one hundred thousand dollars(Sfaao50A In sddldon to the cost of comper=etlon,damages as provided for in
Section 3705 of the Labor Cods Interest,andsgomey's lees. ELE 1 SERVICES BELOW 600 V & BELOW 201 AMP 27 . 25 27 . 25
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the ELE 1 SUB—PANEL 16 . 25 16 . 2 5
performance of the work for which this Panna is issued(Section 3097.Cu.C). END OF FEES
LENDER'S NAME: a�kwE �r-�,
LENDER'S ADDRESS: C S ( P
I certify that have read this application and dale that the above information is masc.I agree to comply with all Sty and aunty ordinances dY•�'i L
end stale laws relating to building construction and hereby authorize repr sentathss of this city to enter upon the ebwrmemioned property
Mr inspection purposes. DAVID STFT'LTNG DATE �y
/� / nn N /� 07-18-1997/10:23RCPT001-8809304
4 /ll Z y y ,. Dale: f 771*7 PERMIT:083794
L C n u e rc{v^drlAg°nt'AppIic°nVConnad« / / /
(5151.03.WP) While-Build g A Safety:Green-Ale:C Meant;Pink-Revenue:Goldenrod-Assessor
r
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location
2.`Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. - - 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding •
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, ❑ Undrgrnd.,Test •
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, ❑ Undrgrnd.
10. Structural Floor System , ` 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection • ' ' 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 1 ,._ .67. Fencing & Access Approval
17. Rough Wiring Sign • 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26, T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION : .4
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric • Notes:
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test R-
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING •
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
t
. . • OuRVEY OF LOT LINE
MAY BE REQUIRED
. NOTE
ADDITIONS, DELETIONS, OR CORRECTIONS;SM LL
BE APPROVED BY THE P12IIM ERASMI
50 L- F, 2 " kir b►
# 1399 wi.Th a ' k^ �(�- , t v" w� de
Eni gg:: :It s i s-�, o APPROVE' ot yo l k\.4V
sm m i aug o 7.g 0 � erry;OF COSTA MESA 1
> >' ie 30 ,„
a Ifl
PLANNING DIV_ i alow o� S BJECT D ` I W�o ; 1-� � >Kw V i BY 1fE ng7 '`'r. tLt:: 05 5.
y � s� 'ti0� •
O in.Q. 0 '?. tOR 0- -}� '" � Vim '_
m N hO � Q(�' l�GU.
k
5 � fl $ DCr°4- .C 13
C� tgFy `J
am As
oo' o* m —1
o E-
c o S 3 r"� RESIDENCE RESIDENCE RESIDENCE RESIDENCE
o .113 -.[\
�C1Z5 ccoc ki
I.. F.
N N
s
O
1V 1vil ton STREET 6
NI
TYPICAL 611 CONCRETE BLOCK FENCE
•
Cement Coping Optional :-7' GENERAL- NOTES
Channel Block With 1-3/8stS I
Horizontal Top of all -
Fences I MORTAR: One Part Plastic Cement, and
Three Parts Sand
For Fences 5'or Less 'QI I GROUT: One Part Cement Three and
Vert.Bars 3/8' ¢at 4' -O"O.C. .tl o `' • cb One Half Parts Stand
a x
COPING: One Part Cement, Three
For Fences Higher Than 5' w I- 'I !I, Parts Sand
Vert.Ban 3/8"O at 32" O.C. > w CONCRETE: Well Mixed 1:2-1/2: 3-1/2
cr xMax. of 7- 1/2 Gallons of
Fill Cells Solid With Grout I 1 > Z " Water Per Sack of Cement
Where Steel Occurs-- > — el
Reinforcing Steel Shall f tDGROUT MAV BE POURED FROM THE TOP
- a _ _ OF THE FENCE IN CELLS WHERE STEEL
Conform to Sec.A-15-39 w o I OCCURS.
A.S.T.M. •• ' O r
CELLS AND AREAS OF HORIZONTAL REIN-
All Steel to be Lapped. � W M _' --- I- FORCEMENT SHALL BE CLEAR,CLEAN&
24"or to Code•, - ,11 i EN FREE OF ALL MORTAR DEBRIS,ETC.
_ -•NATURAL GRADE I ' I
- oW - " //: v v
TWO3/8"S BARS ' r e A
. CONTINUOUS TOP
&BOTTOM WIDTH • - TO 16' 0.C. MAX.
SEE CHART , -s �. •
HOR7ZSTEEL MUST BELOW BE TIED IN � DEPTH OF E 4RTHTCOT H
PLACE AT TIME OF TRENCHD--I . e e. 1/3 THE HEIGTH OF FENCE
I INSPECTION. • - L SL
• OW BOTTOM OF FOOTING.
k4--11o'� 1- 2-1-- SCALE: I/2 I'
•
- FOOTING REQUIREMENTS CHART
WALL HEIGHT 6 ' S - 4' 3'
WIDTH 14" 14" 12" .• . 12"
THICKNESS 10" . l0" - 8 " . . . 8 "
DEPTH OF EARTHTOOTH . . . 24" 20" 16" . . . 12"
SPACING OF EARTHTOOTH. . 12' 14' 16'. . 16'
• City of Costa Mesa, California - -
• •Building Department
EVISEP Nov.82.
(03/27/98) -'1ILDING PERMIT SYSTEM (11 :38:42)
BP74 JWSE INSPECTION RESULTS
NUMBER: 1025 STR: W WILSON ST UNIT:
PERMIT NO: E 083794 PLAN CHECK NO: 9702833 PARCEL: 42207121 OCC: R-3 /
NOTES: PERMANENT CERT. OCCUP: DATE:
TEMPORARY CERT. OCCUP: EXP DATE:
CODE DESCRIPTION DATE INIT Y/N
0000 EXPIRED 02/04/98 KC F
FUNCTION: F:FORWARD N:NEXT T:TOP U:UPDATE X:EXIT
NEXT CODE:
MSG: NO MORE RECORDS FILE: ACT PRINTER: REM