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HomeMy WebLinkAbout894 WILSON ST - Building Permits. : i (774) 754-5273 • Fax (714) 754-4856 77 FAIR DRNE, COSTA MESA, CA 92626 Job Address: 894 W WILSON ST Suite: Vicinity: HOUSE & AT7ACHED GARAGE Parcel Number: 42235318 Applicant: MILLER, DAVE Address: 3027 ROYCE LN COSTA MESA, CA Owner: BOYD, R06ERT R TR Address P O BOX 691 CORONA DEL MAR, CA Contrecror. ORANGE COAST ROOFING Address: 3027 ROYCELN COSTA MESA, CA Zip: 92627 Arch : Address: BUILDING PERMIT Zoning: Phone: (949) 631-1924 Zip: 92627 Phone: Zip: 92625 Phone: (949)631-1924 License: 434674 Eng: Address: ISSUED BY: Status: ISSUED Applied: O6/20/2000 Issued: 06/20/2000 Phone: Phone: 2ip; License: License: . SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE & A'iTACHED GARAGE (18 S�). TEAR OFF EXISTING ROCK ROOFING, INSTALL 7 LAYER OF 15# FELT UNDERLAYMENT, R REROOF WITH 25 YEAR COMPOSITION SHINGLES. Plan Check: $0.00 Permit: $83.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: 0 NOTES: Rear 0-0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 sz,ssa.00 $2,664.00 NOTICE: The work authorized by ihi5 permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced wi�hin 180 days, or if work is suspended or abandoned for a period of 780 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 requlred Inapeetlons and final approvel must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMVENSAnON DECLARAnON: I hereby attirm under penelry ol perjury one of the tollowing tleclarations: ❑ I have entl will melntain e Certificete ot consent Io self-Insure tor workers' compensation, es provitletl for by saclion 3700 of the Labor Cotle, tor the peAormance of ihe work tor which Ihis pertnit is Issued. . �ave entl will maintain workers' com nSaG nsurance, as r uired pe eq by seclion 3700 of Ue Labor Code, tor the peRortnance of Na work for which this pertnil is issuetl. My workers' c ensati n Insuraace cerrier policy number are: n�� _�� � Cartier. Policy Number. ix (Th/s sectlon need nof be complete i the pertnit i a/uetl et one huntlretl dollars (5100) or less. ❑ I certily thet in the peAorma of the w r tor which his permil i issued, I�all n mploy eny person in any manner so as to become sublect to the workers' compensation lews of Califor ', end agr Ihat if I s ultl become s b' ct to the wo s' compensation provisions of Section 3700 of the Lebar Cotle, I shall fonhwith � comply wit� these provis s �� � /� :ApplicantSigneWre: Date: � /`—�`-�—�e� WARNING. FAILURE TO SECU RK 5 CAMPENSATION CAVERAGE IS UNUWFUL AND SH4LL SUBJECT AN EMPLOVER TO CRIMINAL PENFLTIES AND CIVIL FINES UP TO QYE HUN�RED T10USAN� Dd14RE (5100,000), IN ADOITIdJ TO THE WST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SEGTION 3]W OF THE LABOq CODE, IMEREST, AND ATTORNEY'S FEES. LICENSEDCONTRACTORS I hereby aNirm �hat I em licen: force antl eHect. Lic. N Contractor's Signature: _ 9( mmenying Ith Saction 7000) of Division 3 of ihe Business�nd�rof5ssi�s Code, entl my licensa is in full Class # �� J / Da�e: li `�J—U' � CONSTRUCTION LENOING AGENCY: ❑ I hereby aHirtn thai there is a construction lending agency for the peAormance of the work for which this permit is issued. (Sec. 3097, Clvil Code). Lender's Name: Lendefs Atltlress: Signeture: Date: OWNER-BUILDER DECLARATONS: I hereby aflirm t�at under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the Following reason (Sec. 7037.5, Business end Professions Coda: Any ciry or counry which reQuires a permit to consiruct, elter, improve, demolish, or repair any sWCNre, prior to its issuance, also requires the applicant for such permit �o file a signed statement that he or she is licensetl pursuant to the provisions of the Contractoro License Law (Chapter 9(commencing with Section 7000) of Division 3 ot the Business end Professlons Code) or ihat he or she is exempt iherefrom antl the basis tor t�e allegeC ezemption. Any violation of Section 7031.5 Cy eny applicant tor a permit suhjects the applicent to e civll penalry of not more than tive huntlred tlollars ($500).): ❑ I, as owner of tha property, or my employees with wages as iheir sole wmpensation, WILL DO THE WORK, antl the structure is not inten�ed or oHeretl for sale (Sec. 7044, Business end Professions Cotle: The Contractors License Lew does not epply to en owner of property who builds or improves Ihereon, end who does such work himself or herselt or through his or her own employees, provided that such improvements are not intendetl or ottered for sale. If, however, the building or improvement is sold within one year ot completion, the owner-builder will have the burden oi proving thet he or she did not build or improve for purpose of sale.). ❑ I, as owner of Ihe properry, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRAC70RS to construct the pro�ect (Sec. 7044, Business and Professions Cotle: The contrectors License Law tloes not apply to an owner of property who builds or improves thereon, and who contrects for such project with a coniractor(s) license pursuant to the Comractors License Laws.). ❑ 1 em ezempt under sec. Business end Prolessions Cotle br this reason: Signature: Date: Owner ID verifietl by driver's license. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (rype of document, i.e. - properry tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ' ❑ I hereby certify Ihat no excavation five (5) or more feet in tlepth Into which e person is required to descentl, will be made in connection with work authorized by ihis pertnit, and that no building strudure, scattolding, falsework, or demolition or dismantling thereoi, will be more than thirry-sis (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celitomia Atlministretive Cotle). ❑ As owner�builtler, I will noi employ enyone to do work which would require a pertnii from �he Division of Indusirial Safety, as notetl above, unless such person has a permii Io tlo such work from ihe tlivision. Signature: Date: Division ol Indusirial Salety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will Ihe epplican� or present or fuWre building occupant need m file and cenity a Business Plan lor emergency response to release or threatenetl release of a hazardous maleriel7 ❑ Ves ❑ No (Section 25505 of the California Healih and Safery Code requires, with some exce0�ions, that e Business Plan be filetl with �he Coste Mesa Fire Depanment by avery business which hes et any one time dunng a repotletl year a quantiry of hazerdous meterials epuel to or greater ihan a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standartl temperature and pressure). .._'_.._....._....__....__._......'.__...._ ........................._..._........_......'....._............._.......".."_'...._.....—._.__._................................................._............ . ......"...._ .. ....'....._....._........._._..'......_.. 2 Does or will the epplicant or present or futura building occupant need to file e regisiretion form for acutely hazartlous materia151 ❑ Yes ❑ No (Section 25533 of the Calibmia Health antl Safety Cotle, with some ezceptions, requires registration with the Costa Mesa Fira Dapariment 6y each business which at any one time has on hand a quantity of acutely hezartlous meterials equal to or greater t�an a weight of 500 pountls, or a volume ot 55 gallons, or 200 cubic feet ot compressed ges etstendard tempereture and pressure). ___..__.—_—_..---_—_—'_.__.'__"'____._'___.__'._..._ ......................_..__._........'_.....................__......_.'............................._.._._ . 3 Does or will the epplicant or present or tuture building occupant need to prepare en RMPP (Risk Management end Prevention Program for ecutely hazardous materials)? ❑ Yes ❑ No 25534 0l Ihe Calitomia Healih antl Safery ent of en RMPP bv businesses which are i an of thai the Costa Mesa Fire Department may require Ihe preparetion, certification and filing with the Fire ter acutelv hazardous matenals with the Fire Depariment. uoes or win me eppuwm or prasam or mmra ounoing occupam �BqW�B t0� ��B wOM w01Cl1 �S lhB SUblBGI Oi tbi5 3 O�Icatlon e gertnit for sucY from Ihe Sout� Coast Air Oualiry Management Disirict or tmm any other air polWtlon conirol tlisinct or agencyt � Ves LJ No (SeCtion BSB502 ot i�e Call�omia Govemmen� Cotle requires Ihat Iha requestotl inlormetion be fumishetl on epplications for nomresidentlal h WIII eny pah of Ihe faciliiy to be conswctetl untler this pertnit be wllhln 1000 teet Irom lhe outer boundanes of e school? ❑ Ves ❑ Nc pf yes , the teciliry must meet the requiremem of Sections 25534 and 42303 of the Califomia Healih and Safety Code). tl a permit irom ihe South Coast Air Qualiry Management Dis�nc� or o�her air polWtion conirol distnct or agency is requiretl tor Ihe work epplicatlon. have all of the tlisGwures prescribed by Californla Health and Safery Cotle Section 42303 been made? ❑ Ves ❑ No or Is the sublect of B pf yes". etlac� certificate oi compliance from Ihe appmpnate air pollution comrol otticer). CERTIFICATE OF COMPLIANCE: I certify that untler penalry of perjury the inbrmation given above is correct. I agree to compry with all state laws entl city ordinances regartling Hazerdous Materials end Emissions. Signature: Date: CER7IFICATE OFF77 COMPLIAN� E AND AUTHORVA710N OF E : cenify untler penalry of perjury �hat I heve read this epplication and slate that ihe intormation given is correct. I agree t� comply wi�fi�all state laws antl city ordinances a1 ing to building consimaion, and amhorize representatives of the Ciry af Costa Mesa to enter upon ihe ebove�describetl roperty to�ir{spectioq purposes. I egree not to c py or allow occupancy of any building authorized by Ihis permit until final Inspection. CO�E �. INSiELTIONTYPE 1816 Fixotl System Final Fire Prevention 7266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Well 202 Finel Fectary Fire Place 203 Finel Sign 204 Final Demoli�ion 2646-46 � ��a��� oa�e D�A f, �$ �� INSPEC710NTYPE 206 Final Mechanical 208 Final Plumbing �,�Q7� ��f � � 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final BuildinyOccupancy QgjE INTRIRL OWNER ���'� ���� � DATE 4��R—�6 � . �"�* in*�est�r�rt Ccu�;��n3� JOBADDRESS 89Lt'r%stWilson-Street BUILDINGPERMITNO. 2797 GENERALCONTRACTOR $.1%. HUnsaker VAWE $ 8��56.G� L� 2�} BLOCK TRACT 2873 Single Res. W�att gar GROUP I& J TYPE V ZONE RJ,� FIRE DISTRICT �GIµ PERMITSISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Footing Trench � 9—I — Grade Rough Framing Plumbinq. Rouqh to y(h`ew�i�dousT' N )6 Sewer, St. Septic Tank or% esspool �" � /j ' Lath'^q,ln Out �� PI. ng % Z Plumbing, Final; Fixtures Comp e� Plumbing, Fin,al GasTest � Wiring, Finalf � Occupancy ��� FORM 210 3M IO�vS LC: 0 C � � ��'��G<�:.��,.- ��r�- L , _,. G°o R R.c� i s v �l.lttir�e •. �^.-� #� 13 . ' Costa Mesa Building Department :�PPI,ICATION FOR PERMIT _ .S P.O.Box3�� BUILDING COSTA MESA, CALIFORNIA 261-� FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN Receipt No. Permit No. Buildfng �{ � Addresa � u% `�f "LSo � � o`� � � Costa Mesa, California Rece�ved by Date Rec'd. Date Issued Nearest �1n �/ . ��/�U � `��/`'� CrossSt. i�/0�+�0 �% �T�� Building Address Owner (,� y i- �� � Costa Mesa, California Mail /� Address %O ,�-(� /ra �� ]`(//!//�',f Q�Q Nearest Te�, Cross St. Cfty �/jJ G E' � No. //,t Zone (/ No. of Type Grou Architector Lic. �r I Plans I :� � Engineer No. Approve by e Address �. i1. `1dNS.4 c�ty ua M Contractor �7 /��� No. f'P"t3� Address IF-NJ[" ,�ps�G-- De cr9ptio� I No. �� I Block ���L 3 � � _� (AttdCh MBteS atld Bound3) pL�N. TECH. No. of Bldga Size of Lot � Now on Lot v 45e of No. of f No. of -�' � Existing Bldg. �� I Families / I Rooms.i � Setback Line from / Rear Vard +� j�r- Z Center of Street Side Vard y DESCRIPTIONOFWORH �� ,_� � � �GSn � New I Alteration I I Addition I Repair I I Moving I I Demolish I _ Building �7 �y/No.of - Size ��� / Rooms � Stories_ � ' Exterior Wall Roof — Covering .�j %G�C^CC! I Covering T�� � l/EL APPR,OVa��w�' L�7IQ+� Useo1 New Foundation Location Inspector � Date Building S/NCyG2 JCi4/fJJG�" Forms,Materials, LL,/ C �%i' C' L,G Under-Pinning C Frame: Fire Stops, Bracing, Bolts � I hereby acknowledge that I have read this Application and state that the abme is correM and agree to rnmply Lath. Int. with all City Ordinances and State Laws regulating building construCtion. Lath. Ext. Signatureof �UNj�Y /��/� ���[/� � Permittee Plaster, Int. Authorize t � Plaster, Ext Valuatlon - Pe�mit Fee $ � r� U Masonry Refnforced � O�/ � Plan Check $ � / . � � gond Beam $ � Q �� Total Fee $ 3 3 � � � FINAL �' u J n 0 � a � � 1 Street PLOT PLAN Show Iocation and distances from property lina and between bulldinga ` � \�)� ...! ., . J: �` ) - '� �. . _ •`� � , • . . , � �` - - - - � � : � ��. , _ - ' , ' , ,' �. .,.: � '',,-'� . 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