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HomeMy WebLinkAbout898 WILSON ST - Building Permits� �5�p M�s9 e � i ., � % a J ��� * PERMIT TYPE Sub Type: � CITY OF COSTA MESA � BU/LDING DIVISION i 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 6_COMBO RES_ALT JOB ADDRESS: 888 W WILSON ST CM APN: 42235379 Zoning: . , , Vicinity: ATTIC AR�A ConstType: V-B SQ. FT: 0 PERMIT NUMBER: BC09-00105 STATUS: ISSUED DATE ISSUED: 04/07/2009 ISSUED BY: RMD Suite/Unit: Primary Occ:� R-3 Valuation: $5,000.00 SCOPE OF WORK: HOUSING PROJECT: FRAME, INSULATE AND DRYWALL PORTION OF ATiIC ACCESS FROM INSIDE GARAGE, REMOVE 2(E) WALL HEATERS, CAP t GAS OUTLET, REPLACE WI7H 1 FAU < 100 K BTU IN ATTIC SPACE, REPAIR/REPLACE DUCT SYST WITH 1 LIGHT FIXT, 1 OUTLET AND 1 SWITCH. OWNER: MELENDEZ, SALVADOR Phone: 949-548-7702 APPLICANT: LEYVA, ROBERT Phone: 714323-$820 Address: � 898 W WILSON ST City/StatelZip: COSTA MESA, CA Address: 953 UNION AV City/State/zZip: COSTA MESA, CA CONTRACTOR: ROBERT LEYVA CONSTRUCTION � Licen"se No. 825124 Phone: 714323-5820 Address: 953 UNION AVUnit: Cell: CitylState: COSTA MESA, CA ARCHITECT: ENGINEER: COMBINATION PERMIT FEE SUMMARY Building Plan Check: Building Fees: Electrical Fees: Mechanical Fees: Plumbing Fees: SMIP Residential: SMIP Commercial: Bldg Std Admin Fund TOTAL FEES: ^'Refer to fee receipts for all fees paitl for project License No. License No. $0.00 $111.25 $26.80 $5220 $24.60 $0.50 $0.00 $1.00 $216.35 Unit: Unit . ZipCode 92627 PHONE: PHONE: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia staWtes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit lo be considered legal, such work must comply with all applicable codes, and all required inspections and fnal approval must be obtained. Failure to obtain inspections and final appmval will result in the expiration of this permit. CODEt. INSPEC➢ONTYPE OATE INTITIALS COOE% INSPEC➢ONTYGE p E IN� 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Elec�rical �� 201 202 203 204 Final BIocWRetaining Wall Final Factory Fire Place Final Sign Final Demolition 212 Final Fire Prevention 220 FinalPlanningApproval 222 Final Site 250 FinalBuilding/OccuDancy � WORKERS' COMPENSATION DECLARAT I hereby aKrtn untler penalty of perjury one of the following declara�ions: ❑ I have and will maintain a certifcale of consent to self-Insure for workers' compensation, as provided (or 6y section 3700 of the LaDor Code, for the pedormance o/ the work (or which this permit is issuetl. ❑ I have and will mainfain workers' compensation insurance, as required by sectbn 3700 of the Labor Code, for the perfortnance of the vrork for which [his pertnit is issuetl. My workers' compensation Insurance carrier and policy number are: Cartier. � �(Thi55eIXi�nnee�nofbemmplefediltheperm�isvalueda(onehuntlretldollars(3f00)orlessJ Policy Number �I certify ihat in �he pedormance of the work (or which Ihis permit is is eQ I shall not employ any person in any manner so as to become subject to the workers' compensation laws o( California, and agree Ihat if I should become subject to the vrorkers' compensation pmvisions of Section 3700 of the Labor C I sha �I fort with comply vnth these provisions. ��a�///�/�% 0 Apo���nl'sSignaW ' oal WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions of Chapter 9(commencing with Section 7000) o( Division 3 of the Business and Professions Code, and my license is in full force and eHect. n Lic.#� �� ^� /�Z� Class# // ����rZ� i.sil' /�J�lf � —�° �Conl aclor's Sig aWre e� � CONSTRUCTION LENDING AGENCY: ❑ I hereby affrm that [here is a consWction lending agency for the performance of the work fa which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: oate OWNER-BUILDER DECLARATIONS: I hereby aKrm that under penalry of perjury that I am EXEMPT FROM THE CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, Busine5s and Pro(essions Cotle: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior lo its issuance, also requires the applicant for such permit to fle a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9(commencing with Seclion 7000) of Division 3 0( lhe Business and Professions Code) or thal he or she is exemp[ therefrom antl the basis for the alleged exemption. Any violation of Section 703L5 by any applicant for a permit subjects the applicant lo a civil penalty of not more than five hundred dollars (5500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the struclure is not intended or oRered for sale (Sec. 7044, Business and Professions Code: The Contracrors License Law does not apply to an owner of pmperty who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such impmvements are not intended or oRered for sale. If, however, the building or improvement is sold within one year o( completion, the ownei-builder wilt have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS lo consWct Ihe project (Sec. 7044, Business and Professions Code: The contractors License Law dces not apply lo an owner of property who builds or improves thereon, and who contracts for such project vnth a contractor(s) license pursuant rothe Contractors License taws.�. ❑ I am exempt under sec. Business and Professions Code tor this reason: Signalure Oate 905�-46�3/0]) w� Ovmer ID ven(ed by driver s license. ❑ Ves ❑ No Driver's License No. Expires: Verification o( Ownership by (rype of document, i.e. - pmperty taz bill or tleed): DIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation fve (5) or more feet in depth into wfiich a person is required �o descend, will he made in connection with work authonzetl by Ihis permit, and that no huiltling structure, scaHdding, falsework, or tlemolition or disman0ing ihereof, will be more than lhirty-six (36) feet high. (Chap. 3.2, Grp 2, Ari 2, Sec. 341, Ttle S, Califomia Administra[ive Code). ❑ As owner-builtler, I will not employ anyone to do work which woutd require a permit from the Division of IndusViai Safety, as notetl above, unless such person has a permit to do such vrork from the tlivision. np0licam's SlqnaWre oa�e Division ot Industrial Safety Permit Number. _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 7. Will lhe applicant or present or future building occupan[ need lo fle antl cehify a Business Plan (or emergency response to release or threatened release ot a hazardous matenal? ❑ Yes ❑ No (Section 25505 of the California Health and Sa(ety 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 dunng a reported year a quantity o! hazardous materials equal to or grea[er ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature antl pressure). 2. Does or will Ihe applicant or present or Wture building occupanl need to fle a registration form for acutely hazardous matenals? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some excep�ions, requires registration with Ihe Costa Mesa Fire Department by each business which a[ 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 temperaWre antl pressure). 3. Does or will the applicant or presen� or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutety hazardous ma[erials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, ceAifcation and fling vrith the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials wi�h Ihe Fire Depariment. 4. If an RMPP is presently required, has Section 25534 of lhe California Healih and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or vnll the applicant or present or fuWre builtling occupant require for the work which is Ihe subject of this application a pertnit for such construction or modifcation from the South Coast Air Quality Management Disirict or from any other air polWtion control distric[ or agency? ❑ Yes ❑ NO (Sectbn 658502 ot the Califomia Govemment Code requires that Ihe requested infortnation be fumishetl on applications fa non-residential builtling pertnits). 6. Will any part of the facility lo be consiructetl untler this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No Qf "yes", the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7. If a permi[ from the South Coast Air Quality Management Distric[ or other air pollution control distric[ or agency is required for the vuork which is Ihe subject o( this application, have all of the disclosures prescribed by Cali(omia Health and Safety Code Section 42303 heen made? ❑ Yes ❑ No 8. Qf'yes", attach certificate of compliance fmm the appmpriate air pollution contml oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is cortect I agree to comply with all state laws and city ordinances regarding Hazardous Matenals and Emissions. Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that lhe information given is correcL I agree to compty vn[h all state laws and city ordinances relating to building conshuction, and authorize representatives of the Ciry of Costa Mesa to enter upon the above-described property for inspection purposes. 1 agree not to occupy or allow occupancy of any 6uilding authorized by this permit until fnal inspection. S��reo Legal er(s) � � ate / MQ/ r AulM1onzeC App� Dale � :.. • , J . . CITY OF COSTA D4ESA iVeighborhood Improvement Program Final Work Write Up 03/27/09 Name: Salvador & Maria Melendez Home Phone: 949-548-7702 Spanish Pronertv Address: 898 W. Wilson Street All work is to be done per City of Costa Mesa Duilding, Planning and Public Works Codcs. In order to es�ablish smndards of quality, the detailed specifications may refer [o a certain product by name and/or from a major manufacwrer. "I'his procedure is not to be construed as eliminating from competition other products o( equal or better qualiry by other manufacturers. 7'hc Contractor shall furnish the list of proposed desired substimtions prior to signing the contract All items listed on the work description, unlcss otherwise specified, shall include all patching and finish work, induding vim, hardwure, patching and finish painting and/or staining. The Contractor is responsible for all permits, fees, City business licenses, plans, etc. City of Costa Mesa Standard Rehabilitation Specificalions applies to all i[ems listed on work description. �Vurk Descri tion: Estimate: l. Smoke Detectors: Provide and install battery opera[ed smoke detectors in each bedroom and hallway (4). $125 2. Drywall: Close attic access from inside of garage. Frame, insulate, comply with occupancy separation of a 1 hour modified wall (dryv✓al]), prep, p�ime and pain[ wall [o match existing. Comply with curren[ Building Code requiremen[s. Obtain re uired crmits from lhe Buildin Dc L � �800 3. Furnace: Remove existing wall heaters (2). Cap gas, patch, prep, prime and pain[ walls. Provide and install 80,000 BTU FAU, 3 ton unit or better, Energy Star, with new duc[ sys[em, vents, and all associa[ed framing/electrical work [hroughout the $4200 house. Remove 2 existing wall heaters. Cap gas, drywall pa[ch, prime and paint to match existing wall. Obtain required pernuts from thc Building Dept. 4. Termite Damage: Evaluate possible termite damage in attached garage. Provide full [enni[e treatrnent (tenting) including subtertanean. $ I500 5. Closet Doors: Provide and install microred, sliding closet doors for middle bedroom to fit existin � framin . 5700 TOTAL $7,325 1 havc rcvicwetl Ihe above work tlescnp[ion antl untlerstantl Iha[ any changes, addihons or delenons shall have prior approval by the City of Costa Mesa Neighborhood Improvement Personnel. $ignamre of Property Owner Date Signamrc of Contractor Date • �• � CITY OF COSTA MESA • ; _ . � T""'Fs,, BlIILD/NG DIVISION it�� 77 FAIR DRNE. COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-0856 • www.ci.costa-mesa.ra.us f ° ` FOR INSPECTIONS CALL: (774) 754•5626 �`�un� `� PERMIT NUMBER: E09-00068 PERMIT TYPE ELEC APN: 42235319 JOB ADDRESS: 898 W WILSON ST CM Vicinity: KITCHEN AND GARAGE STATUS: DATE ISSUED: ISSUED BY: Suite/Unit: ISSUED 03/10/2009 RMD SCOPE OF WORK: HOUSING REHAB PROJECT. ELECTRICAL PERMIT TO UPGR4DE SERVIE PANEL TO t00A ADD 7 NEW CIRCUITS IN KITCHEN AND GARAGE. OWNER: MELENDEZ, SALVADOR PHONE: 949-548-7702 APPLICANT: SULLIVAN,�RICKY PHONE: 949-933-2749 CONTRACTOR: 1 SUPERIOR ELECTRIC INC Address: 10481RVINEAVUnit: UNIT408 CitylState: NEWPORT BEACH, CA ZipCode: 92660 ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $61.70 Reinspection Fee $0.00 TOTAL FEES $61.70 Address: 898 W WILSON ST Unit: Ciry/State/Zip: COSTA MESA, CA Address: 10481RVINEAV Unit:UN1T408 City/State/zZip: NEWPORT BEACH, CA License No. 883400 • PHONE: 949-933-2749 CELL: NOTICE: The work authorized by this permit shall wmply with all appliwble handicap access requirements under Calitomia statutes and related regulations. (Ord. No. 92-28, § t, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for lhe work authonzed under this permit to be considered legal, such vrork must comply vrith all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit. CODEf, INSPEC770NflPE 1816 Fized System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Pinal Faclory Fire Place 203 FinalSign 204 . Pinal Demolilion OATE NTII TIALS C� INSPECTION ME 208 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuiltling/OccuOancy oa�r ix1i11RL5 . -WO�ii KERS' COMPENSATION DECLARATION: I hereby aRirm under penalty of perjury one of the following declarations: ❑ I have antl vnll maintain a ceAifcate of consent lo selbinsure for vrorkers' compensation, as provided for by sectipn 3700 of Ihe Labor Code, lor the per(ormance of Ihe work for which Ihis permit is issue0. ❑ I have and will maintain v.arkers' compensation insurance, as required by sectbn 3700 0! the Labor Code, fa �he peAortnance ol the �+vrk (w wfiich this pertnit is issued. My workers' compensation Insurance carner and policy numberare: �� ( , � Carrier: c�.� N �_(Thrs Seclbn nred irof be comWefetl �If�e pe�mtt is valuee af one huntl�ed Collars (5100/ a less ) Policy Number. I��7 R' Z� f( Z�O O$ r���:� ❑ I cerii/y that in Ihe peRormance 0f [he work for which this permit is issued, I shall not employ any person in goy manner so as to become subject to the workers' compensation laws of California, antl agree that if I should become subject �he workers' compensation provisions of Section 3700 of the Labor Code, s i I forthwith comply with these provisions. .3-lv-v� C3M5'Signalure ( D"a�e,:y WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREO THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF 7HE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm thal I am licensed under provisions of Chapter 9(commencing with Sec[ion 7000) of Oivision 3 0( ihe 9usiness and Professions Code, antl my license is in tull force and eflect. ���J:,:. i�3 r�v ���#� c_.-� � --�.-:-,-� 3-to -o ^L Cy ' tSgnaWre o,OalBi" CONSTRUCTION LENDING AGENCY: ❑ I hereby affirtn tha� there is a Constructbn lentling agency !or the performance o! the �+ork fa which ihis permit is issued. (Sec. 3097, Civil Cqde�. Lender's Name: Lender's Adtlress: OWNER-BUILDER DECLARATIONS: I hereby aHirm Ihat under penalty of Oery'ury that I am EXEMP7 FROM THE CONTRACTORS UCENSE LAW for the following reason (Sec. 7031.5, Business and Pro(essions Cotle: Any ciry or counry which requires a permil to construct, alter, improve. demolish, or repair any slrucWre, D�or to its issuance, also requires the applicant for such permit to file a signed statement Ihat he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) o( Division 3 of Ihe Business and Professions Code) or that he or she is exempt therefrom and lhe basis for the allegetl exemption. Any violation of Seclion 7031.5 by any applican[ for a permit subjects the applicant [o a civil penalry of not more than five huntlred dollars ($500).): ❑ I, as ovmer of the property, or my employees with wages as their sole wmpensation, WILL DO THE WORK, and the stmcWre is nol intended or oRered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply ro an owner of property who builds or improves thereon, and who does such work himself or hersel( or through his or her own employees, provided ihat such improvements are nol intentletl 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 provinq 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 construq the pmject (Sec. 7044, Business and Professions Code: 7he cont2ctas Lirense Law dces not apply to an owner of property who builds or impmves thereon, and who contrects for such prqect vrith a cont2cfa(s) license pursuant to the Contractors License Laws.). ❑ I am exempt untler sec. Business and Pro(essions Code for this reason: ](IAd6(3/0]) Owner ID venfetl by tl r5license. ❑ Ves ❑ No .. .� Dnver's License No. Expires: Verification of Ovmership by (type of tlocument, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certHy that no excavation frve (5) a more feet in depth into wfiich a person is required to tlescend, will be matle in connectbn with work authonzed by this pertnil, antl that no building structure, scaffolding, falsework, a demolition or dismantling �hereo(, will be more �han thirty-siz (36) feel high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, California Administrative Code). ❑ As ovmer-builder, I will not employ anyone [o do work which would require a permit from ihe Division o( Intlustrial Safety, as noted above, unless such person has a permit to tlo such work from the tlivision. Applicanfs Signalure Date Division of IndusMal Sa(ery Permit Number _ H/1ZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 7. Will the applicant or present or fWure building occupam need ro fle and certify a Business Plan !or emergency response ro release or threatened release of a hazardous ma�erial? ❑ Yes ❑ No (Section 25505 of ihe Califomia Health and Safery Code requires, with some exceptions, lhat a Business Plan be fled with the Costa Mesa Pire Depariment by every business which has at any one time during a reportetl year a quantity of hazardous materials equal b or greater than a weight ot 500 pounds, or a volume of 55 gallons, or 200 cubic feel of compressed gas at standard lemperatura and pressure). 2. Does or will the applicant or present or (uWre building occupant neetl to file a registration fOrm (or aCutely hazarCous material5? ❑ Ve5 ❑ NO (Section 25533 0( the Cali(omia Health and Safety Code. with some ezceptions, requires registration vnth the Costa Mesa Fire Department by each business which at any one time has on hantl a quantity of acutely hazardous matenals equal to or greater ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at stantlartl temperature and pressure). 3. Does or will the applicant or present or future building occupanl need to prepare an RMPP (Risk Management and Prevention Program for acutely hazartlous malerials)? ❑ Yes ❑ No (Section 25534 of Ihe Calilornia Health and Safey Code provides that the Costa Mesa Fire Department may require [he preparation, certificalion and filing with the Fire Department of an RMPP by businesses which are required to register awtety hazardous materials with the Fire Department. 4. If an RMPP is presentty required, has Section 25534 of the Califomia Health and Safety Code Deen fully complied with? ❑ Yes ❑ No 5. Does or will the applicanl or presenl or future building oCcupant require for the work which is the subject of this application a permit for such construction or modification from Ihe SoWh Coasl Air Quality Management District or fmm any olher air polWtion control district or agency? ❑ Yes ❑ No (Sec�bn 658502 of the Califomia Govemment Cotle reQuires that the requested in(wmation 6e fumi5hed on applicalions (a rwmresidenf�al building pertnits). 6. Will any part of the facility ro be constructed under this permil be vnthin 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No Qf "yes", the faciliry must meet Ihe requirement of Sections 25534 and 42303 of Ihe Califomia Health and Safery Code). 7. If a permit from the South Coast Air Qualiry Management District or other air pollulion control disUict or aqency is required !or lhe work which is the subject of this applicalion, have all of the disclosures prescribetl by Califomia Health and Safety Code Section 42303 been matle? ❑ Yes ❑ No 8. Qf "yes". attach cerlifcate o( compliance from Ihe appropriate air pollution conhol oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the intortnation given above is correct I agree ro comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. SiB�aWre Oale CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalry of perjury lhat I have read this application and state t�at the information given is correct I agree to comply with all state laws and ciy ortlinances relating to buil�ing construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not ro occupy or allow occupancy of any building au[horized by this permit until final inspection. Slgnalureo Le alOwner(s) oaie p �'—'I( D _� l � �ArMbr u zCCFppIRan�' "pal�"' e — Silvia Kennerson FAX#: 714-754-5330 CITY OF COSTA MESA Neighborhood Improvement Program Emergency Grant Work Write Up Name: Salvador & Maria Melendez Propertv Address: 898 W. Wilson Street � Home Phone: 949-548-7702 Work Phone: N/A All work is to be done per City of Costa Mesa Building, Planning and Public Works Codes. In order to establish standards of qualiry, the detailed specifica[ions may refer to a certain product by name and/or from a major manufacturec This procedure is not to be construed as eliminating from competition o[her products of equal or be[ter quality by other manufacturers. The Contrac[or shall furnish Ihe list of proposed desired substi[u[ions prior [o signing the contract. All items listed on the work description, unless otherwise specified, shall include all patching and finish work, including trim, hardware, patching and finish painting and/or staining. The Contrac[or is responsible for all permi[s, fees, City business licenses, plans, e[c. Cit}' of Costa Mesa Standard Rchabilitation Specifications applies to all items listed on work description. Estimate: Electrical Servicr. Replace 100 amp service panel, stucco repairs and paint, provide and install 7 new circuits, remove exposed Romex garage, pipe and wire; and repaidrewire kitchen li�hdswi[ch to meet curzent electrical code requirements. Obtain all required permits from the Buildin2 Department. TOTAL $2,265 $2,265 I have reviewed the above work description and understand [hat any changes, additions or deletions shall have prior approval by the City of Costa Mesa Neighborhood Improvement Personnel. Signature of Property Owner Date Signature of Contractor Da[e , - CITY OF COSTA MESA � avno►N� �nr►s�oN �� ' � _ � DEVELOPMENT SERVICES DEPARTMENT � PERMIT P RMITNUMBER �� d0' B98-01483 (714) 754-5273 • Fa�c (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 898 W WILSON ST Suite: Vicinity: Parcel Nunmber: 42235319 Applicant: MELENDEZ, SALVADOR Address: 898 W WILSON ST COSTA MESA,CA � � owner: MELENDEZ, SALVADOR Address 898 W WICSON ST , COSTA MESA,CA Contrector: � - - Addressi � � � ,,��� � BUILDING PERMIT Zoning: Phone:. 949-548-7700 Zip: 92627 Phone: Zip: 92627 ` � . Status: ISSUED Applied: 08/19/1998 Issued: OB/19/1998 ' ' , Phone: � . ZiP . . ' � � License�� Arch / Eng : - �'� , � - • , � Address: � � ' . . .. �� ' Phone: � � , � . . - . ' . � � ZiP: - - . . � License: - � � � SCOPE OF PERMIT ,TEAR OFF & REROOF WITH 30 YEAR COMP. SHINGLES. - . Plan Check: $0.00 Permit: $56.75 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 , FEE SUMMARY - -_ � � . / � Total: $57.25 � PLANNING & ZONING ' SETBACKS MAIN STRUCTURE Front ACCESSORY Front 0-0 Rear 0-0 0- 0 Rear 0- 0 PARKING Existina: o NOTES: Required: 0 Calc Valuation: s�,eoo.00 Claim Valuation: E�,aoo.00 Left - 0. 0 Right Left 0-0 Right Pr000sed: 0 0- 0 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work 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 requlred inapectiona and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS' COMPENSATION DECLARATION: I hereby eHirtn under penelry of pe�ury one of the tollowing declaretions: ❑ I have end will maintain e certificate ot consent to self-Insure for workers' compensetion, es provitletl tor by sectlon 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. ❑ I heve and will maintain workers' compensation in5urence, as required by sedion 3700 ot Ihe Lebor Code, for iha peAortnence ot ihe work for which this pertnit is issued. My workers' compensatlon Insurence cartier entl policy number are: Carrier: - Policy Number: (Thls secNon need nat be crompleted i/ fbe permif is valuetl et one hundred dollars ($100) or /ess.) ❑ I certity that in the pertormance of the work for which this permit is issued, I shell nm employ any pereon In any manner so es to becoma sub�ect to the workers' compensation laws of Cali(omie, and agree ihat if I should become subject to t�e workers' compensation provisions of Section 3700 oi the Lebor Code, I shell forthwith comply wiM these provisions. ApPlicant Signature: Date: WARNING FAIIURE TO SECURE WORKERS' WMPENSATION COVERAC+E IS UNLAWFUL AND SHALL SU&IECi PN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE NUNDRED TFIOUSAND Dd1ARE (E100,OW), IN AD�RIIXJ TO THE WST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 310fi OF THE L�BOR CA�E, IMEREST, AND ATiORNEV'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby eflirm Ihat I em licensed under provisions of Chapter 9(commencing with Saction 7000) of Division 3 of ihe Business entl Professions Cade, antl my license is in full force Bntl eBecl. Lia u� Gass 8 Contrectofs Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby eifirtn Ihat Ihere is e construction lending agency for the perfortnance of Ihe work For which ihis pertnit is issued. (Sec. 3097, Civil Code). LentlaYs Name: Lentlar's Adtlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirtn ihat under penalty ot perjury Ihat I am EXEMPT FpOM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requires a pertnit ro construct, elter, improve, demolish, or repeir any structura, pnor to its Issuance, elso requires the applicant tor such permlt to iile a signetl statement ihat he or she is licensed pureuent to the provislons of the Contrectors License Lew (Chapter 9(wmmencing with Section 7000) ot Division 3 of ihe Business antl Professions Coae) or Ihat he or she is exempt Iheretrom end the hasis for the elleged axemption. Any violatlon oi Section 7031.5 by eny applican� for a pertnit subjecls the applicant to a civil penelry oi not more than frve 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 oMeretl for sale (Sec. 7044, Business and Professlons Cotle: The Contrectors License Law does not apply to en owner ot proparty who builds or improves thereon, and who does such work hlmself or hersetl or through his or her own employees, provitletl Ihat such improvements ere not intentletl or ottered for sale. tl, however, ihe bulltling or Improvement is sold within one yeer ot completion, the owner-buildar will have the burden of proving thet he or she did not build or improve tor purpose of sale.). ❑ I, es owner af ihe property, am EXCLUSIVELV CONTpACTING WITH LICENSED CON7RACTORS to canstruct ihe project (Sec. 7044, Business and Professions Code: The contractors License Lew tloes not apply to en owner ot properry who builtls or Impmves ihereon, and who coNracis for such project with e contractor(s) license pureuant to ihe Coniractors License LawsJ. ❑ I am exempt under sec. Signeture: Owner ID verifietl by dnvefs license. ❑ Ves ❑ No Business antl Pmtessions Code for ihis reason: Vetlfica0on oi Ownarship by (rype of documen�, i.e. - property tex blll or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICA710N: Drivers License No. Date: Ezpires: ❑ I hereby certily thet no excavetlon flva (5) or more feet in depth Into which a person Is required to descend, wlll be mede in connection with work authonzed by this pertnit, end that no building stmcNre, scaHolding, felsework, or demalition or tlismentlinq thereof, will be more then thirry-si: (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title e, Califomia Administrative Cade). ❑ As owner-builder, I wlll not employ anyone to do work which would require a pertnit irom the Division of Indusinal Sefery, es notetl above, unless such pereon has a pertnit to do such work fram the division. Signature: Date: Division of Industnal Safery Permlt Number: CERi1FlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certity under penalty of perjury that I have read this epplication and state thet the informetion given is correct. I agree to comply with ell stete laws end ciry ordinences relating to building construction, and authorize representetives of �he City of Costa Mese to enter upon Ihe above-described property tor Inspeclion puryoses. l agree oot to occopy or altow ocwpancy of any h�ilding authorizad by Mis permH uMil final inspadion. Signeture OI Legal Owner(s) Date AnNOr Aulhonzed Applicant COOE I INSPECTON TYPE 161fi Fixed System Finel Fire Prevention j288 Pool Spe Final 200 Final Re-Root 201 Final BIocWRetaining Well 202 Finel Fectory Fire Plece 203 Final Sign 204 Final Demolitian 204Gd8 p� �{,5 SppE1 ixsvecnoxTrre 208 Final Mechenicel 20B Final Plumbing 210 Finel ElecMcel 212 Final Fire Preventian 220 Finel Planning Approval 222 FinalSite 250 Final Building/Occupancy �dff U�AlS 'L+c�i`-Y ✓.��Zs�' OWNER �j�jppV TI]V83tiR8ri't-COIRD3IIV� DATE 11-1&—{6 . JOBADDRES3 898 West. Wilson,Street BUILDINGPERMIT,N0.2798 GENERALCONTRACTOR $.�r.Nunsaker VALUE s 8,�56.i� � z5 s�ocK raacr 2873 Single Res. w/att gar GROUP I Sc J TVpE V � ZONE RLL FIRE DISTRICT Z6�.S PERMITSISSUED INSPECTIONS � DATE I SUBCONTRACTOR I �� /��" DATE NUMBER Footina Trenr.h /� lJ i�. 1 i=� Foundation Forms and Grade to Rough Frgming j � Plumbing� Rough to Slal��y, Plumbing, Rough Compl� Temporary pole Wiring, Rough Heating, Rough a 'ng in 1 _ � � ew i, us d' Sewer, S Se^'�eTanko Cesspool"'j��' L .ig, �n Out L Plastering /�j� Plumbing, Finai, Fixtures Co�'. Plumbing, Final Gas Test ( 3 Wirinq. Final �2. � / Icl I'O ' � � Dccupancy /y�/j �� V/; 31,5 _�, I FOFM210 JM �0.55 �� � O� R�`1 J V /�r /�l� r SdQ���� . - Costa Mesa Bailding Department i� � P. O. Box 3!7 COSTA MESA, CALIFORNIA FOR APPLICANT TO 1�'ILL IN s���a��9 � �f/, u//GSa�J ST Address , Costa. Mesa, California c� sssc. /%lo,t/�GY//�9 A�✓� APPLICATION FOR PERMIT 2615 BUILDING � FOR OFFICE USE ONLY I ReceiptNo. Per�i� o. 7 D Received by Date Rec'd. Date Issued �,.�/ l,�-i.� -a ��/g��' Owner U/�/� / v�.57'�f,Eg�r Cp Address Mail p /�� y ,ur Costa Mesa, California Address /�i���0 E LT3 /�ivi7� d�. Nearest s �� � Te� . �y Cross St. o�t,,y""EmFG6. ��r,.Y No` %/��5� Zone No.of Type ./ Arohitector ' Lic. I Plans I /� Engineer No. Approved „ b D: _Address a.'. /� -:_ . .�,M1 . ., � ,�.,i:... ----wiv���— �'..i•.V f�2�/✓i�'�'�/�CitY Lic. �f�arfn� wi.. . �.v. ��. �. n 11t'1 S� I �, ' LOt Hon No. Metes and ljse of .• /. Existing Bldg: �� Setback Lineirom rr/ No. of Bldgs O Now on Lot No.of 1 I No.ot New IN Alteretion I I nddition I Repair I I Moving I I Demolish I Building „No.of / Size �Q � 7" Raoms Storiey =r�o9wa�STL. GGO I Roof '`/�� r— erin � Covering �/1Q�✓�� Build�na�WS/A/li LE �.�i/17/GY • j I hereby acknowledge that I have and state that the above is correcl with all Clty Ordinances and S1 building rnnstructton �vql+r � 3ignatureof Pefmittee this Application 3gree t0 Comply APPROVALS Foundation Location Inspector Forms, Materials, Under-Pinning Frame: Fire Stops, Bracing, Bolts Lath.lnt. Lath. Ext. Plaster. Int Authorized Agt. J ' ` � Plaster, Ext Valuatlon Permit Fea $ aa .� O Masonry ReinTorced �J�� Plan Check $ / I�� Bond Beam $ � Total � Fee 3 3. ° �I FINAL O A � Z D r � PLOT PLAN Show locatlon and distances from property Iine and between buiidinps �• � �;, ., �;.. �> -��.,_,� : . .::�.� '>•.�'. �'� . �� ���� �4... 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