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Home My WebLink About923 WILSON ST - Building Permitst \ CITY OF COSTA MESA � f � . o B!/ILDING DIVISION F � 77 FAIR DRIVE, COSTA MESA, CA 92626 • p14) 754-5273 • Fax p14) 754-0856 • wv+w.ci.costa-mesa.ca. �, FOR INSPECTIONS CALL: (714) 754-5626 `�`'oy�o�m�w M' PERMIT NUMBER P08-00014 PERMIT TYPE PLUM APN: 42238108 STATUS: ISSUED DATE ISSUED: 01/1512008 ISSUED BY: SOK JOB ADDRESS: 923 W WILSON ST CM Suite/Unit: vicinity: SCOPE OF WORK: CLEAN OUT SEWER LINE ON PRIVATE PROPERTY. OWNER: TAYLOR, GLENN K Address: 843 CONGRESS PHONE: City/State/Zip: COSTA MESA, CA APPLICANT: CATHY CLEVELAND � Address: P O BOX 1116 : PHONE: 949-642-7531 � City/State/zZip: NEWPORT BEACH, CA CONTRACTOR: D C DRAINS INC License No. 763925 Address: P O BOX 1116 PHONE: 949-642-7531 City/State: NEWPORT BEACH, CA ZipCode: 92659 . CELL: ARCHITECT: � License No. PHONE: ENGINEER: License No. ` � PHONE: PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: PERMIT FEE: TOTAL FEES: $0.00 $48.15 $48.15 NOTICE: The work authorized by this permit shall wmply with all applicable handicap access requiremenls under Califomia staWtes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 160 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply wiN all applicable codes, and all required inspections and final approval must be obtained. Failure to oblain inspections and fnal approval will result in the expiralion of this permit. GODE/. INSVECTIONIYGE ORTE INTITIr1L5 LOUE/ INSPELlIONTYPE ORTE INif11RL5 1816 Fized System Final Fire Prevention 206 Final Mechanical —{.�� d )�� 1268 Pool Spa Final . 208 Final Plumbing ��'...�D� Tf o R ��L�Qt�]'Y7 �-,,.__.,w, , Q 200 Final Re-ROof 210 Final Electncal 207 Final BIocWRetaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Flnal Sign 222 Final Site 204 Final Demolition 250 FinalBuiltling/Occupancy ; �. WORKERS' COMPENSA710N DECLARATION: I hereby aRrm under penalry of perjury one of Ihe following tleclarations: ❑ I have and vrill maintain a certi(cate of consent to sell-Insure for workers' compensation, as providetl for by section 3700 0l the Labor CoOe. for the peAo ance of Ihe work for which this permit is issued. ��have and will mainlain workers' compensation insurance, as required by pn 3700 of the Labor Code, for the peAortnance ot the work for which Ihis pertnit is issued. My vrorkers' compensation Insurence carrier and policy numbeuare:('+ tGarrier. 1/1l�WC�'�CR I��,S�+�GrtZ ClxP d-fF1irn�Z�� (This SetYm needmt Oe mmp'eletl0(he peimd a value0 ai one �urMmC dAars (5f00) a IessJ Policy�Number. � �-.�� Ob) �7 S30 � �_ ❑ I certify that in Ihe per(ortnance of the work for which this permit is issuetl, I shall not employ any person in any manner so as to become subjecl to the vrorkers' compensation laws o( Califomia, and agree thal if I should become subject to the workers' compensation provisions o( Section 3700 of the _ or Cotle, I shall forthwith comply with these provision . � /S O �_ ApplimnfsSignaNre � ate WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALI 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 ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affrm that I am licensed under provisions of Chapter 9(commencing vrith Section 7000) o( Division 3 of lhe Business and Pmfessions Code, and my licens�e7is in 2tull torce and eRecL � Lic. # [� J� 2� qass # �' (' S� D CQ�� I� S d L_ _ Contraclor's Slgnalure �ale —'— CONSTRUCTION LENDING AGENCY: ❑ I hereby affrm tha[ there is a construction lending agency for the pedormance of the work for v.hich this permit is issuetl. (Sec. 3097. Civil Code). Lentler's Name: Lender's Address: Dale OW NER-BUILDER DECLARATIONS: I hereby affrm that under penalty of perjury that I am El(EMPT FROM THE CONTRACTORS LICENSE IAW for [he (ollowing reason (Sec. 7031.5, Business and Pmfessions Code: Any city or counry which requires a permil to construct, alter, improve, demolish, or repair any strucWre, prior lo its issuance, also requires the applicant for such pertnit to file a signed statement �hat ha or she is licensed pursuaN to the provisions o( Ne Contractors License Law (Chapter 9(commencing vnth Section 7000) of Division 3 of Ihe Business and Professions Code) or Ihat he or she is exempt therefrom and Ihe basis for the alleged exemplion. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant [o a civil penally of not more than five huntlred dollars ($500).): ❑ I, as owner ot the property, or my employees wilh vldges as their sole wmpensation, WILL DO THE WORK, and lhe slructure is not inlended or oflered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an ovmer of property who builds or improves ihereon, and who does such work himself or hersel( or Ihrough his or her ovm employees, provided that such improvements are not intendetl or oRered for sale. If, however, the building or impmvement is sold within one year of completion, the owner-builder will have the burtlen of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of [he property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business and Professbns Code: The contractors License Law does not apply to an ovmer of property who builds or impmves thereon, and who conl2cts for such projec� with a cmtractor(s) license pursuant to the Contraciors License Laws.�. ❑ I am exempt under sec. Business and Professions Code for this reason: Signawre 3051�a6 (3/0]) Owner ID venfed by drive .cen�e. ❑ Yes ❑ No Driver'S License No. Ezpires: Venfication of Ownership by (type ot document, i.e. - property tax bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: � 1 hereby certily thal no excavation frve (5) or more feet in depth into wfiich a person is required to descend, will be made in connection with work auttarizetl by �his permit, antl that no builtling structure, scaffdding, falsevrork, or demolition or dismantling thereo(, will be more than thirty-s6c (36) feet high. (Chap. 32, Gry 2, M 2, Sec. 341, Title 8, Califomia Atlministrdtive Code�. ❑ A5 owner-builder, I will not employ anyone to do work which would require a pertnit from the Division o! Industrial Safety, as notetl above, unless such person has a permit to do such work trom che division. Appliw^fs Signalure Division of Industrial Safety Permit Num6er: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to file antl certify a Business Plan for emergency response lo release or lhreatened release of a hazardous matenal? ❑ Yes ❑ No (Section 25505 of �he California Health and Safety Code requires, with some eaceptions, 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 ro or greater than a weighl of 500 pounds, or a volume of 55 gallons, or 200 cubic (eet of compressed gas at stantlard temperature and pressure). 2. Does or will the applicant or present or future building occupant need [o fle a registration lortn (or acutely hazartlous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safery Code. with some exceptions, requires registration with the Cos[a Mesa Fire Department by each business which at any one time has on hand a quantity of aculely hazartlous materials equal lo or greater than a weight o( 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperaWre and pressure). 3. Does or will the applicant or present or fuWre building occupant need to prepare an RMPP (Risk Management and Prevention Program (or acutely hazarCous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safety Code provides that ihe Costa Mesa Fire Depariment may require the preparation, certifcation and filing wilh the Fire Department ot an RMPP by businesses which are required to register awtely hazardous materials with ihe Fire Department. 4. If an RMPP is presenlly required, has Section 25534 of the Cali(omia Health and Satery Code been fully complied with? ❑ Yes ❑ No 5. Does or will Ihe applicant or presenl or fuWre building occupant require for the work which is lhe subject of Ihis application a permit lor such construclion or modifcation from ihe South Coast Air Qualiry Management DisMcl or from any other air pollution control dislnct or agency? ❑ Yes ❑ No (Sectbn 65850.2 of the Cali(omia Govemment Code requires that Ihe requestetl information be (umished on applications far ron-residential building pertnits�. 6. Will any parl of Ne (aciliry to be consWcted under this pertnit be wilhin 1000 feet from the outer boundanes of a school? ❑ Yes ❑ No (If "yes". the faciliry must meet the requirement of Sections 25534 and 42303 of Ihe Califomia Health and Salery Cotle). 7. If a permit from the South Coast Air Quality Management DisMcl or other air pollulion control districl or agency is required for the work which is the subject of this application, have all of the disclosures prescnbed by Califomia Health anG Safety Code Section 423�3 been made? ❑ Yes ❑ No 8. Qf yes", attach ceniflcate of compliance from the appropriate air pollution control oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correcL I agree to comply with all state laws an0 city ordinances regarding Hazardous Materials and Emissions. SignaWre Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty o! perjury that I have read this application antl state that the information given is covecL I agree to comply with all state laws antl city ordinances relaling to building construction, and authorize representatives of the City of Cosla Mesa to enter upon the above-descnbed property for inspection purposes. I agree nol to occupy or allow occupancy of any building authorized by this permit until fnal inspection. SignaWr olLegalOwner�s) D �e �CiS��+(�..�.� �l- _i J�v�i � AnNw AuthwiECO AOdipnl l. _ O3t¢ " Own*ER HUPISAKER, S. V. & SONS DATE 5_31-57 ._ JOB ADDRESS 923 W. Wilson Streeb BUILDING PERMIT NO. #5161 GENERALCONTRACTOR OwnPr B7.�lr_ VALQE S o R��_nn AP. No. LOT Fi TRACT 3185 FIRE ZONE DESCRIPTION OP WORK IhaPECTIONS � � DATE I SUBCONTRACTOR coa[ Plr Pin. PERMITS ISBUED . - . ^ 5�53 � COSTA MESA BUILDING DEPARTMENT P.O.80X 31] COSTA MESA. CALIFORNIA BUILDING AO�RE55 OWNER C MAIL ADDRE55 CITV � AftCHITEC OR ENGIN AD�RE55 FOR APPLICANT TO FILL IN / Z-3 J.lf//�So.0 ST. COSTA MESA. CALIFORNIA �ECA� LOT OESCFIPTIOrv NO. A.P. NO. e TEL. NO. !�'� IIC. NO. FEE RECEIVE,�D` �AY 21 1957 � C� . fINANCE DEPT. � CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. i�[1L�T/!lj Ll�lli•]��[tl COSTA MESA. CALIFORNIA CITY NIOC. �p7�.,/ I 20rv¢�. � / [�cP TEL. APPROVED $1ZE � � NO.OF BLOGS. OF LOT �3 �� SO now oN ior � USE OF EXISTING BLDG. SETBLCN LINE FROM _- � � Z eee�rer+ or s.wcc. SO REAR YARD SIDE YARD FIGHT � / LEFT �V / DESCRIPTION OF WORK NEW Y A�TERATION I ADDITION REPAIR I IIMOVING I DEMOLISH BUILDING // y�i� NO.OF � SIZE CS ROOMS STORIES COVERINGWALL/S�TUCCO COV�ERING �� USE OF NEW (' 7�u�/�� r�A BUILDING 1/ir/r i•- /Ju�F//.. CORRECTIONS — _�� ,ci -� —.� MEXEBV ACNNOWLEOGE TM�T I NRVE RE4D TNIS r�PPIIC<TION AND ST1TE TH�T THE �BOVE IS CORRECT �rvO �GREE TO COMPLV WITM wLL CITY ORDINANCES M1NO 6T�TE L�WS REGUTATING BUILDI CONSTRUC� norv. VALUATION SIGNATURE OF� PERMiT FEE S PERMITTEE � � y / l eiiTunoivrn ercur �'r� /�% PLAN CHECK S 1 $ � _ TOTAL FEE 3