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Home My WebLink About931 WILSON ST - Building Permits� O�p MFS 9 e, ' ' e s.w.. ... � : L � �o�� • CITY OF COSTA MESA • BYILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.wsta-mesa.ca.us FOR INSPECTIONS CALL: (7'14) 754-5626 PERMIT TYPE ELEC APN: 42238106 JOB ADDRESS: 931 W WILSON ST CM vicinity: '❑ �:� 1�1 �� 1� 1�1 �=��i��1�' 1 1 1 STATUS: DATE ISSUED: ISSUED BY: Suite/Unit: SCOPE OF WORK: ELECTRICAL PERMIT TO UPGRADE SERVICE PANEL TO 700A FOR A SFD. OWNER: FLORES, HELEN AND CRUZ, PHONE: 949-293-5476 � APPLICANT: FLORES, HELEN AND CRUZ, PHONE: 949-293-5476 CONTRACTOR: OW NER-BUILDER Address: Unik PHONE:- Ciry/State: ZipCode: ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $54.00 Reinspection Fee $0.00 TOTAL FEES $54.00 ISSUED 04/01/2009 RMD Address: 931 W WILSON ST Unit: City/State/Zip: COSTA MESA, CA Address: 931 W WILSON ST Unit: City/State/zZip: COSTA MESA, CA License No. 000000 CELL: � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statules and related regulations. (Ord. No. 92-28, § 1, 12-21-92) � EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must compy with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspeclions and fnal approval will resWt in the expiretion of this permit. CODEN. INSGEClIONTYPE DATE INIIlIAlS COOEt INSPECTIONTYPE O�T INIITALS i616 Fixed System Final Fire Prevention 206 Final Mechanical t266 Pool Spa Final 208 Final Plumbing �� 200 Final Re-Roo( 210 Final Elecirical 201 Final BIocWRetaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 FinalSign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy � �NORKERS' COMPENSATION DECLARATIO . I hereby aKrm untler penally of perjury one o! Ihe lollowing declarations: ❑ I have antl will maintain a ceAificate of consent to sel4lnsure for vrorkers' compensation, as provitletl (or by section 3700 of the Labor Code, for the performance of the work for which Ihis permil is issuetl. ❑ I have antl will maintain �wrkers canpensatan insurance, as required by section 3700 0( Ihe Labor Cotle, for the peAortnance o( the vrork for which ihis permit is issued. My workers' compensation Insurance carrier and policy number are: Carrier: (rhis secAon need rro( 6e mmWefeUAMe peimK�s value0al one hunO�eOCUlars (SiCO) orless.J P�o�li�cy Number: tlC—I'certify that in the pertormance of the work for which this permit is issuetl, I shall not employ any person in any manner so as lo become subjecl to ihe workers' compensation laws of Calitomia, antl agree ihat if 1 should become subject [o the vrorkers' compensation provisions of Section 3700 of th0 Labor Code, I shall forth�� h comply with these provisions. � � l O �=�-�/m� �1 � I �D cl ��-� � ,'� Rod��'s gna u�re- .Oa�e . ' � - WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P�NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE COS7 OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF 7HE LABOR CODE, INTEREST, AND Al70RNEY'S FEES. LICENSED CONTRACTORS DECLARATION: � hereby affirm that I am licensed untler provisions of Chapter 9(commencfng with Section 7000) of Division 3 of the Business antl Professions Code, and my license is in lull force antl eHect. Lic. # Class # ConVactor's Signalure Oale CbNSTRUCTION LENDING AGENCY: ❑ I hereby aKrm that ihere is a consWction lending agency for the performance o( Ihe work for which this permi� is issued. (Sec. 3097. Civil Code). Lender's Name: Lender's Adtlress: OW NER-BUILDER DECLARATIONS: I hereby affirm that untler penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, BUsiness and Professions Cotle: Any city or counry which requires a permit to cqnstmct, alter, improve, demolish, or repair any stmcWre, prior to its issuance, also requires the applicant for such permit to file a signetl statement Ihat he or she is licensetl pursuant to the provisions of the Conirac[ors License Law (Chapter 9(commencing with Seclion 7000) of Division 3 of the BUsiness and Professions Code) or �hat he or she is exempt therefrom and the basis for Ihe alleged ezemption. Any violation of Seclion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): •`�"I;t`as owner o( the property, or my employees with wages as their sole ��Ompensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Pmfessions 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 herseif or lhrough his or her own employees, provided that such improvements are not intended or offered for sale. If, however, Ihe building or improvemenl is sold wi[hin one year of completioq the owner-builtler will have the burden of proving that he or she did not build or improve (or purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the projeG (Sec. 7044, Business and Professbns Code: The conlractas License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a coniracta�(s) license pursuant to the Contractas License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: 1 �/�� - Si9n� re .pa�e 3U5]-a6 (3/0]� : � Owner ID verifed by tlri r s license. res ?��1 No G Driver's License No. � Expires: �� O �� i Verifcalion o( Ownership by (type o! document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: ❑ I hereby certHy that no excavation (rve (5) or more feet in tlepth into which a person is required to tlescend, will be made in connectbn with wnrk authpnzed by this pertnit, and that no building strucWre, sca(fdding, falsework, or demolition or dismantling thereof, will be more ihan Ihirty-six (36) fee� higb. (Cbap. 32, Grp 2. Art 2. Sec. 341, Ttle 8, Califomia Administ2tive Code). ❑ As ownerbuilder, I will not employ anyone to do work which would require a permi[ from the Division of Industrial Safery, as no�ed above, unless such person has a permit to do such vrork from the division. .4pphca^t's Slgnalure Division of Indusirial Sa(ety Permit Number _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: i. Will the applicant or present or fuWre builtling occupant need to fle and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Cali(ornia Health and Sa(ety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Departmen[ by every business which has a[ any one [ime during a reportetl year a quantity o/ hazardous materials equal to or greater than a weiqht of 500 pounds, or a volume of 55 gallons, or 200 cubic feel of compressed gas af standard temperafure and pressure). 2. Does or will the applican[ or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 0( the California Health and Safery Cotle, with some exceptions, requires regislration with the Costa Mesa Fire DepaRment by each business whic� al any one time has on hand a quantity of aCutely hazardous materials equal to or greater Ihan a weight of 500 pounds, or a volume o( 55 gallons, or 200 cUDic feel of compressed gas at standard temperature and pressure). 3. Does or wrll the applicant or present or (uture builtling occupant need to prepare an RMPP (Risk Management and Prevention Program for aCutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing vrilh the Fire Department of an RMPP by businesses which are requiretl to register acutely hazardous materials vnth the Fire Department. 4. If an RMPP is presently required, has Section 25534 of Ihe California Health and Safety Code been fully complied wilh? ❑ Yes ❑ No 5. Does or wiU ihe applicant or present orluWre building occupant require fo� the vrork which is the subjec� of this application a permit (or such consWction or modifcation from [he South Coast Air �ualiry Management District or from any other air polNtion control dis[rict or agency? ❑ Yes ❑ No (Section 658502 ot the Califomia Govemment Code requires �hat the requested infortna[ion be furnished on applications for nomresidential building pertnits). 6. Will any part of the facility to be constructetl untler this permil be wilhin 1000 feet from the outer boundaries o( a school? ❑ Yes ❑ No Qt'yes", the tacility must meet the requiremenl of Sections 25534 and 42303 of the Cali(omia Health artd Safety Code). 7. If a permit from the South Coast Air �uali[y Management Dislrict or other air polWtion contml tlislrict or agency is required (or Ihe work which is the subject of this application, have all o( the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf "yes", attach certiticate of compliance from the appropriate air polWtion control oRcer). CERTIRCATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws antl cityordinances regarding Hazardous Matenals and Emissions. Sgnawre �a�e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certffy under penalry of perjury that I have read this application and state that ihe informa[ion given is correct I agree [o comply with all state laws and city ordinances rela[ing to building construction, and authorize representatives of the City of Cos[a Mesa to enter upon lhe above-describetl property (or inspection purposes. I agree ot to occupy or allow occupancy o( any buildinq autho e b � is permit i�, inal inspection. , i 9gnatu of egalOwneqs) Da�e ' An4lorAulhorizeE AOPlicanl OWNER HUNSAKER, $. V. 8c $�N$ DATE 5-31-57 JOB ADDRESS 991 W. vlilson Street BUILDING PERMIT NO. .//51�q GENERALCONTRACTOR Owner Bldr_ VALUE$ q�g76.00 1� Vo. LOT 8 TRACT 3185 FIRE ZONE DFSCRIPTION OF WORK RES. w�8tt. �7`_ GxJUP T R .T TYPE V ZONE Rh PLAN NO. S15S INSPECTIONS I DATE I 8UBCONTRACTOR I DATE PERM�TgNUM ER n� e-.c� �� 5155 �COSTA MESA BUILDING DEPARTMENT P.O.60x 3I� COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN BUILDING %�2��i��/�4� �+� AODRE55 � �� fC ri -.�/ _COSTA MESA. CALIFORNIA OWNER OR F.ni�.%"�EER ` i:i. ADDRE55 � CONTRACTOR J'T'�� TEL. NO. LIC. NO. , - FEE RECEIVED y�pY 2 1 1957 9- �,. FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY FECEIVED BY D4TE RECEIVEO D4TE ISSUEO . _-Lr�,.J^✓ V`-a�o—S MAY R 7 „ �./ BUllfllNG ,y ADDRE55 COSTA MESA. CALIFORNIA CITV LIQ �YIO/_ NO. � �i� TEL. AOORE55 S ��III NO. LEGRL LOT `/ �j/` oescnivnov NO. �} BLOCK TRACT J A.P. NO. SIZE /a X � �'O.OF BLDGS. OF LOT W J �OZ-S Q nOw Oru Loi � SETBACN LINE FROM � Q�J cErvrca or sra[[* SD REAR YARD ,J G.. SIOE YARD RIGHT �' LEFT � V / DESCRIPTION OF WORK NEW V A�TERATION I ADDITION REPAIR MOVING DEMOLISM SIEDING //y�7 ROOMS S STORIES I D EXTERIOR WALI�r� T ROOF COVERING J/UCC�„J COVERING USEOFNEW� ..�/ ��__J.i � i� _ �-ry i i v APPROVEO BY DATE � CORRECTIONS NL .r�U � ' L� 1 HEREOV sCNNOWLEOGE rtN4T 1 N1VE RE�D TNIS APPLICATION �MD ST�TE TN�T iNE �BOVE Ifi CORXER eN0 wGREE TO COMVLV WITH �LL CITV ONOIN�NCES �NO STI.TE l WS XEGUL�TING BIIILpIryryry�yy�CONOTXUC� norv. � _ ) '-Mw� � VALUATION _ �� PERMIT FEE S � SIGNATURE OF �� PERMITTEE K� � �7�� P�AN CHECK S �� S � AUTHORIZED AGENT TOTAL FEE 5 ,36 � �s�r OWNER LAWSON� W. E, DATE ZZ-Z%-ST )OB ADDRESS 931 W. wilson SL. BUILDING PERMIT NO. 6ZI.�% � GENERAL CONTRACTOR (h.r�Pi,_p��; ��Pt. VALIIE $ ZOO.00 D" No. LOT $ TRACT ql$5 FIRE ZONE DESCR�PTION OF WORK patio Demolition � �UP I TYPE V ZONE PLAN NO. INSPECTIONS . I DATE I gUBCONTRACTOR I DATE NUMBER coa[ Pinal � ' 624`7 COSTA MESA BUILDING DEPARTMENT P.O. BOX 31] COSTA MESA. CALIFORNIA . FOR APPL�CANT TO FILL IN BUILDING /7 A ! �Irt�/.� _ (�� COSTA MESA. CALIFORNIA I OWNER ARCHITEC OR E" 4 ADDRE55 LEGnL LOT DESCRIPTION NO��:f A.P. N�. ^ SIZE OF LOT USE OF E%ISTING BLDG. SET9ACH LINE FROM TEL. NO. LIC. NO. CITY LIC. .�� .G�` ��_�� ,��3�-5�� '�^.(�CEn DEPT. ^� '.i� l,l.'SIf� �� I� APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY / A�DRE55�� W ��'��4 '�/ `—� COSTA MESA. CALIFORNIA ��' FIRE V ZONE / 20NE NO.OF TYPE GNOVP � TRACT'JIfC� CORRECTIONS � f7 G $ -7� � �/ � � no. or e�ocs. � NOW ON LOt � � � a � �...�oo�_ ,,_ .�,�Cr�� SIOE YARD RIGHT LEFT DESCRIPTION OF WORK n NEW ��_ ALT�R/�TION ADDITION REPAIR MOVING DEMOLISH BUILDING � � ROOMS STORIES SIZE � . �Q �. EXTERIOR WALL �F t'nvroiur OVERING L. 1 HEFLBY 4C%NOWLEDGE TNPT 1 HAVE REA� THIS 4PPLICPTION AN� V' STiTE THiT THE FBOVE IS COAAECT AND FGREE TO COMPLV WITH PLL CITY ORDINANCE$ FNO STFTE L4W5 liEGUL/�TING BUILOING CONSTRVC- TiON. � VALUATION P RMITTEE OF ��J� OU I �(N�-�ivt�t t10, �QJ�1f`�'v � S �J iCJO� P'� d PERMiT FEE 5 O V PLAN CHECK S � TOTAL FEE 5 � � � `°M� �