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Home My WebLink About1053 WILSON ST - Building Permits PROJECT ADDRESS: 1053 W WILSON ST UNIT: CI-TY Or COSTA MESA — BUILDING PERMIT PERM NO: E 066212 OWNER'S NAME: FIOCK, RICHARD E ADDRESS: 2479 ORANGE AVE PERMIT NO: E 066212 PLAN CHECK NO: N GOVT: N SUPP : N COSTA MESA,CA 92627 CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: OTH ( 714 ) 645-0968 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : ELECTRICAL SERVICE CHANGE OUT/UPGRADE SQ FT: ADDRESS: UNIT: CLAIM VALUE : CALC—VALUE: GROUP OCC: R-3 /M-1 PERMITTEE: RICHARD E. FIOCK ( 714 ) 645-0968 '� ADDRESS: 2479 ORANGE AV COMMENTS: ELECTRICAL WORK ONLY, NO BUILDING PERMIT INVOLVED COSTA MESA CA 92627 yE�E+r*�F�E*y6�F�F*�6*y6yr****�Fy *******et-*4*****+F*+F* -**+r*yF***yFyFyFy6 rt*yFyF* -*yFyEy6 -***********+r* • LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z 0 N ING R EQU IR EMEN TS r 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect Nit CITY LIC.: STATE LIC.: CLASS: S E T BACK S Dale. Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR• FT IN Compensation Insurance.or a certified copy thereof(Section 3800, Lab.CI. LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ- PROV: PARCEL: 42207107 ZNE: REF NO: U Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > fate: Applicant ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION 0 ATION: ( a sec • ne of completed if the permit is for one hundred($100)or less), DEVELOPMENT 'SERVICES REQUIREMENTS I certify that in the performance of the wor r which this perm is'-sued.I sha n employ an erson in any manner so as to become subj ctro the Workers'Compensation ws of California- ZONING APPROVED BYDATE: - • Date, 1- 3- Signature: NOTICE:If,after making this declaration,you shout beco e subject to the Wor ers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE; Code,you must forthwith comply with such provisi. s or is permit shall be deemed revoked. . �'+ ^_ Q CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: _ '` DATE • 1� which this Permit is issued(Section 3097,Civ, C)- ********************************.******.**************.*.y..>E..N.*.tc-K..%..w.,N,***** c .** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 18 50 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement That he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 5 0% SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15 . 00 I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—D IV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 18 . 50 15 . 00 0 . 00 33 . 50 33 . 50 . 00 does not apply to an owner of a property who builds or improves thereon.and who does such work himself/herself or through his roher awn ops within provided year of thatsuch improvements are not intended bddeofsale./ Ie, ihowever ird or iimpg or imrve REVENUE DIVISION TOTALS--> COLLECTED : 33 . 50 OVER/SHORT: . 00 forthefsold sale). BLDG one year of completion.the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property,am exclusively contracting with licensed applycontractorsto tto construct the project(Section 7044,Business 33 . 50 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of pro erty who builds or improves thereon and who contracts for such projects with a contractor(s)often' . :.. batt.s'Slate License Law).l am aware *******************************************.*.*******,*.*.*,*.**,***,******,********,*,**** that proof of their Worker's Compensation insurance •:.. .e pro .ed to me. INDIVIDUAL F E E BREAKDOWN d I am exempt under Section: B P 7 0 4 . B.8 P.C. mnhis mason. BY OWNER TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date a,-;J • gcr Owners , • ELE 1 SERVICES BELOW 600 V b BELOW 201 AMP 18 . 50 I do hereby certify that I am aware of and understand the requirementornia Health and Safety ode Sections 25505,25533,and END OF FEES 1 8 . 5 O 25534 and that I or any future building occupant will/will not(circle o • r(. a comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: Applic..' I hereby certify that I have read this appli .n and state that e above••or 'lion is .rect.I agre o comply with all city and county ordinances and state laws relating to buil.I q construction and hr eby a orize repr- .ti .5 of is city enter upon the above-mentionetl properly Ipps�inspect n purposes. l ® y / —S • _ 01 00156148-00156148 TOT 33.50 r. Signature /' DATE: 02/28/94 TIME: 08:18 Drivers License or Social Security s: 164146 White—Building:Green—Code Enlorcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor '% 1 CONSTRUCTION AND PLANNING POOL 'A - APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector . 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location I 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. B. Foundation • __ 59. Gas Pipe, 0 Undrgrnd., Test - 9. Water Pipe Undrgrnd. 60. Backwash Lines, P-Trap, 0 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 9 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 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hyoro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 8. Lathing & Siding 77. FIXED SYSTEM FINAL 329. 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 3_3�y� n n 33. Final ElectricNotes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace tt 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer , , n 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 I