HomeMy WebLinkAbout797 WILSON ST - Building Permits�.
i'SNAME: 7y � W WILSON ST
aoon[ss: MILKEY, EDWIN FRANK
2294 � 21ST ST
SIGNAL HILL,CA 90806
AflCN/ENGINEEfl:
aooeess:
flEG.NO.:
UNIT:
A-H
uxrt:
PEflMITTEE: WALTER FRENZEL ELECTRICAL (31U)428-2929
AODHESS: 1840 S. GAFFEY ST 40
SAN PEDRO CA 90731
LILENSEO CON7PACTOfl OELLABATION: I hereby a�lirm ��al I am IicenseU under provisions ol C�aO�er 9 kommencing with Section
7000� ol �ivi5ion 9 of I�e Business antl Pmlessions' Cutle. nntl my license is in full force antl ellect.
aTaTeuc.:59992P "' ^
', Dale: �2-/!,+- Y�— Signalure: _
Efl5' COMPENSATION OECLANATION: I �ereUy a�titm 1 a have a�y 1 0� C�B 11 Sell�insure or a tetlili[a�e oI Work¢r5'
Compensalion Insurance. or a cerltlieC copy t�ereol (Seclion 3800, Lab. C.
POLICY NO.: E%P. OPiE:
COMPANY:
❑ Cerliliea topy i5 �¢r¢by IurnisheG. ❑ Cetlifietl tOpY i5 fil¢4 wit� �Ae tiry Building Divisi0n.
.le: Applicanl:
E%EMP710NiHOMWOflKEflS'COMPENSATIONUECUBATION: (iAi55e[Iionnee0 tL�illheperrmlislarone�wMreC�E100�orlew�.
I cetlily Ihal in Ihe performance ol the work lor wAich Ihis permit isy5�i, �nol em I erson in any manner so a5 io become
e )WorMers' Compejnsalion Laws ol Califomi,. /
Oate: /Z'��'�j � Signalure: ` r�—
ICE�II, atter makinp Ihis Geclaration. you s�oulJ be ub�ect lo � y� nsatian O�o�isions ol ihe Labor
COae. you musl Iori�wiih tompty wil� Suth Orovisions ar Ihis per ' dee�vakeA.
CONSTPOCTION LENOING AGENCY: I Aere�y affirm I�at ihere is a conilmction lentling agency lor Ihe pedormance ot IAe wark lor
which IhiS permit is i55ue0 (Seciion 3097, Civ. C�.
IENOEN:
AUOPESS:
OWNEP BWlOEfl UECLRflRTION: I here0y ailum Ihat I am exempl Imm I�e ConVactors' Siale License Law for me lollawing reason
�Semion 703L5 Business and Pmkssional Coae: Any city ol counly whic� requires a permit m wnsimct. alter, impwve, tlemolish, or
repair any simcture. prior lo ils issuance, also requires ��e applicanl for suc� Oe�mil lo IAe a signed 5tatemenllhai helshe i5license0
pursuant lol�e pmvisions ofihe Canlraciors' Sta�e License Law�Chapler9�commencing wi�h Sec�ion 7000) olDivision 3 o�ihe Business
antl Pmlessions Code) ar Ihal he/s�e is eMempl ihere�mm and Ihe �asis �or I�e alleAed exemplion. Any violaiian al Seclion 7031.5 by
any applicanl lor a Dermi� SUUjectS Ihe applicant �o a civil penaliy oi not more t�an live hunGreE tlollars �E500�.
I, as owner ol t�e orooenv or my employees witA waAes as ��eir sole com0ensalion, will do the wark. anA Ihe
❑ simcture is not intenUeU or offeretl lor sale (Section 704a, Business an0 Pmfessional Cotle: The Contracbrs' State License Law
tloes nol apoty to an owner ol a pmDerty wno DuilUs or impmves tnereon, and who Ooes such work himselllherself or inmuBh
�is or �er own employees, pmviaetl I�ai suc� impmvemenis are nat inlendetl or ollerea �or sale. II, however Ihe builtling or
imOmvemeni is soltl wiihin one year ol complelion, Ihe owner will have the burden oi pmving he/she Aid no� bui10 or impwve
lor Ine purpose ol sale).
1, as owner ol the O�oOetly, am exclusively comracting with licensea comraciors lo conslmcl lhe Owlac� (Seclion 7Uaa, Business
LJ anG Gm�essions Cotle: T�e Comraclors' Sla�e License Law does nol apDty Io an owner o� properiy who builds or imD�a�es Ihereon
antl w�o contracls lar such pmlec�s wilh a conVactoqs)license pur5uantio I�e Contracbrs' Slate license Law�. I am aware
Iha� prool ol ��eir Worker's Compensalion insurance shaultl be provi0etl �a me.
I� I am exempt under Section: B, 6 P. C,
for Ihis reason:
Oate: Owner.
I ao nereby certily �hat I am aware ol ane untlerstana tne reQuiremenls ol Caiifomia HeaVh antl Safery Cotle Sections 25505, 25533, ana
2553a anA innt I or any IUWre �uilning occuoanl willlwill not (circle one) need lo comply wiln sai0 slale codes anA IAe �equiremenis br a
permil lor consiruclion or motlilicalion Irom Ihe Air Ou:tlity Managemenl Disirict. flesitlen�ial canslmction applications are exempl Imm
I�ese provisions,
�ale: AppliCanl:
I hereDy cetlily Ihal I havereatl IM1is apPlicalion ana state I�at ihe a�ove
ortlmances and slalelawsrelalingto �uiltling consimclion anU �ereby au
pmperly im inspection purpa5es,
Signaturc:
I agree lo comply wilh all cily and counly
IAis Cilyio en�eruponlM1eaLove�meniioned
�i's license or Sociai Security ..� � / V
t6u1-a6 Wbpc-6uiltlmg�, Greon—Cotle Enlo¢nmom', Canary—Appllcanl; Pink—Revonue; Goltlenrotl—Assessor
, CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO; E 065373 PLAN CHECK NO: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE
JOB DESCRIPTION : NEW SEAVICE
CLAIM VALUE:
CALC-VALUE:
PERM NO; E 06537:
GOVT: N SUPP: N
PURPOSE: ALT
SQ FT:
GROUP OCC: R-3 /
COMMENTS: PERMIT TO INCLUDE UNITS A-D , AND THE HOUSE METER
#**�**��rir*��+r+�*x�itit�tu***�**ir*x�it**u�ir*�r*�r*�uuftrt�t�-�*�r*u*#*u#u**+r� f�-�*#*#jt�#ft*�****+�
2 O N I N GS ERTEB�AUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDINC ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
P-ARKING REQ: PROC': PARCEL: 42241218 ZNE: REF NO:
PLANNING NOTES>
>
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D E V E L O P M E N T S',.E�R C� I C E S R E Q U I R E M E N T S
ZONING APPROVED BY - :�:" DATE;
BUILDING APPROVED BY : .� DATE:
/ �.'
APPLICATION ISSUED HY: DATE; IZ I� ���
*****i�*x�ir*�r�r+�***+��r*�r�-�*ir** x�x�;�*�� x�� h�'**+�+����*��****�'k+r**+t*��**�r-�u��**i �,�;.,e��*
lf iE 1! if iE it i! �lf 161E iE iE i! if i(�?! iE iE �lf it i4 it it iE it iE if iE �E iE ibif it ih iP iF iE iF iE 1E if iF if if i(� 3F iP it # if iF 1f jF 3f �lf iF iF �1F ih iF iF i4 iF # 3f iE iE iF # jE if� iE iF iE iE if *�h-3S
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 92,50
5�%
PLAN
ISSUE FEE 15.00
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK
TOTALS----> 92.50 15.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
107.50
SMIP/NON-RES
TOTAL PAID DUG
107,50 107.50 .00
1U7.50 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN-CHECK
iF ik iE f! it if i! 1F iE iE i(� iE i! ih iE ih 1f if if it iE �E iE iE iE i4 iE iF if i(� if if 9k #!f !E iF iF iE if 9t if 3E if if if i@ if 1E if �If ?P iE 3e if ff iE �lE iF * 1E if if iF if� iE iF iF if dF iF #!E 1E iF �if if # ih
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N ONIT COST TOTAL COST
ELE 5 SERVICES HELOW 600 V& BELOW 201 AMP 18.50 92.50
END OF FEES
01 t707S'42?-0015242"s 1"e� T iD7.�C1
DATE: 12/I6/'+'3 TII�E: f1:19
t
.NS7RUCTION AND PLANNING
=' APPROVALS Permit# � �
1. Temporary Electrical Seroice6r Po�e
2, Soil Pipe-Undrgrnd. f,
3. Electricai Canduit Utility�Undrgmd.
4. E�ectr�cat Condua�U�drgrnd. .�-
5. Steel Reinforcement
6. Electnca! UPER Gmd.
7. Fooungs
B. Foundation ��
9. Nlater P�pe�Undrgrnd. �
10. Structural Fioor System .� ' i�
71. Property Sewer Line & House Conneciion
12. Sewer Cap '
` �
- r
73. Root Dra�ns '
14. flough Pl�mbinq
15 Rough Electrlcal•Condurt
iG. Rocrh Electric6Viring
17. Rough lViring Siyn
18. Rough ElectricaLT Bar Cei6ng
79. Rough Neating & Air Condi[wning
20. Ro�gh Factnry Fireplace
21. Ducts, �:� Structure
22. Duccs, Ventilating
23. Ges Pipe�Rough & Test
24. Roof Pramir.g
25. Foo� Sha.athing
2G. T•Bar Ceilin9 �Structurli & Monocoat
.
27. Frzme ar.� Fleshing
7,8. tathing � Siding
29. Insula�ion
30. D'yc.all tJailing
31. Plaste� Brown Coat
32 E1ecTncal Po�ver MeterFinal
33. Finai Electnc
34. Finel Heatiny & Air Condiiioning
35. Final Gas Pipe�Test
36. Hoad or Canopy
37. Fina� FactorY Fireplace
38. Final Plumbi�g
39. 4Vater Service-Final
40. Gas Serwce-Final
41. Solar pomes:ic-Finai
42. Backflow Preventer
43. Backflow irrigation
4G, landscape irriqation System
45. Sound Attenuation
46. Handiup Regulations
47. FINAL STRUCTURE & BUILDING
48. FINALPLANNING
49. Eiectric Release to Edison
5Q Gas Release to Southem California Gas
51. CERTIPICATE OF OCCUPANCY
No. Date
POOl7 4
Date � Ipspector p�ppROVALS Permit s'k
52. Pool & Equipment Locat�on
�• 53. Steei Reinforcement
- 54. Forms
55. Electrical Bond�ng
56. Rough Plumbing & PreSsure Test
� 57. APPROVAI_TOCOVER�GUNITE
5B. Elecirical Conduii�Untlrgma.
59. Gas Rpe, O Undrgrnd., Test
i I 60. Backwash lines, P�Trap, :7 Undrgmd.
� � 61. APPROVALTQDECK
62. Backwash & ReceptorFinai
� , i 63. Heater & Vent-Finai
' i; � 64. Plumbing System - F�nal
65, Electrical-final
66. Solar SYstem�Finai
67. Fencing & Access Appr�val
68. APPRflVED FQR PLASTERtNG
69. POOUSPASYSTEf,ASFiNAL
FIRE DEPT. REQUIREMENT I
APPROVA�$ Permit#
70. Underground Hydro
77. Product Pipin9 l7 Gas '; OJ
72. Underground Flush
73. Undergmd. Stora9e Tank C7 Gas '� 0��;
74. Overhead Hvdro
75. Dry Chemical
76. Dry Standpipe
77. F1XED SYSTEh4 FINAL
78. FIRE PREV'. FINAL
FIEALTH DEPT. REQUIRENENT
�
�
�
79. FINA� INSPECTION
80. FOOD CER7IFICATE ISSUED `
Notes:
Date Inspector
0
�
owNER PARK FAIRMONT, INC. DnT� 8-1-61
JOB ADDRESS '797-A Wilson Stt22t � BUILDING PERMIT NO. 1506%
GENEftAL CONTRACTOR C3rT��P Constr.�o. VALUE $�000.00 �a�t,�ldg.
_ Vo. _ 2_2 LOT TRACT RIRE 'LONE D�SCRIPTION OP WORK F1T'2 dm�.repai
INSPECTIONS � Signature� DATG GROUP j-j TYPE �/ 7.ONE R,_9
SiJSCONTRACTOR I DATli
coat
tsmimng, n��nai v
OCCUPANCY
"ONM HI16 . SM _ ).Rt
� ���J� ��
C�STA MESA BUILDING•SAFETY DEPARTMENT
P. O. BOX 917 W6TA M6HA. CALIPORNIA
For Applieant fo Fill In Complefely
TYPE OR PRINT
BUILDING �J
ADDREBS / SB'u
COSTA MESA CALIFORNIA
� SIZE
FEE RECEIVED
� FINANCE9DEPT.
cirv oF cosra MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RECHIPT NO. �E�R�$4��
tJV !
BY I �(1 // '10 / I OX.�' i EI
COSTA MESA. CALIFORNIA
FIRE
Q 1�o S' . 1"ONING
zo NO. OP use or Hew I
S i} PLANB O BUILDIN�
NO. — � 3 L¢OAL o,Q c F-1
I NOW oN LOT / DEBCR�PTION // � - �� � ' �
NO. OF BLDGe.
5
DESCRIPTION OF WORK
YARD6
APPROVED
(GBNTER LINe 8T4
i
�
'EXTERIOR WALL � ftOOF
COVHRING COVERII
� U6E 0�6UILDING AND WORK TO BE
�aµ 0
7o O/ G/�r/A f/•�/ Sj} ,,v`-- ��
I HER¢BY AGKNOWLEDGE TXAT I HAVC RGD THIB APPLIGT�ON THE AMOUNT 6HOWN UNOEH VALUATION 19 POR TH¢
ANO"BTATE THAT THE A60VE IB CORR6CT AND AGREE TO COM- pURP08H OF EBTABLIeHING A PERMIT FEE ONLY.
PLY WITH /3.L CITY/ ANCEB AND BTATE LAWB REOUTATINp
BUUDINa CONernurnoN VALUATION
SIGNATURE OF/. PERMIT FEE $ /�� �'
PERMITTE �( �
$ 2 �� PLAN CHECK $ �+.' �
AUTHORIZE� AGENT J � � J S r'„"
TOTAL FEE
. '�' ' • 1��$:.
CQSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 31] COSTA MESA. CALIFORNIA
fOR APPUCANT TO f/LC /N COMPLETjF'_LY
TYPE OR PRINT ��p�
ADDRE55 ,i � �(/�/t'>��� � �.,(
GOSTA MESA, CALIFORNIA.
L�uG1N
c rrv
�oST vI S TNO.B ;
ARCHITECT LIC. �
OR ENGINEER LE�AAI�S NO. �"
AODRE55
ADDRES /7�IT,/���� CeSTA /
LEGAL ILOT I
DESCRIPTION NO. BLOCK
A.P. NO.
'� ��� �
SIZE Z 3rx 'S � I NO. OF
USE OF - � ) O"� �
EXISTING BL�G. IV N
SETBpCK LINE FROM OC /
DESCRIPTION OF WORK
9 NEW
� S ZIE DING <7 ��1 '� NO. OF /V
'� �� ROOMS �,[�� STC
EXTERIOR WALL N IROOF i7
COVERING CLL COVERING I�U Iv'�
USE OF BUILDING AND WORK TO BE PERFORMF
� t �C-e i: � / �s � 9
��� RECEi!!�� z
�-/I-S9 V� �
APPL'IC;�.A`�SEI unw�t. PERMI? �. �
CITY Bu7��Sti9r�4 `� '' oa
c --,C a
' �ox FicF usF oNcy �
Q
RECEIPT NO. PER IT NO.
� �'` � /� �S-7 a
RECEIy /�BY - I pI�T[ RE� E�E / I SbPT� Ju�JJJ �
( � �%/ 1 J
BUILDIN 7
A�DRE55 �
COSTA-MESA, CALIFORNIA I �
]
;n`�n,c rvo� I . �on„o .% � Z
20NING
ZONE NO. OF USE OF NEW
/ PLANS I Bl11LDING
C
APPROV
_ BY DATE
YAROS EVES �
REpUIRED ALLOWEO
ICENTER IINE ST.
FRONT FT.
' _ _-__ -% �' -
I HEREBY qCKNOWLEDGE THAT 1 HAVE REAO THIS APP4CATION
ANO STATE THqT THE ABOVE IS CORRECT ANO AGREE TO COM-
PLY WITH ALL CITY OINANCES AN� ST E LqWS REG LATING
BUILo1NG CONSTR T N. R C I�
% �s
SIGNATURE OF �
PERMITTEE � 'T'r � �
.1 �
.AUTHORIZED AGE �� :/ , }
�1
THE AMOUNT SHOWN UNOEN VALUATION IS FOR THE
PURPOSE OF ESTRBLI9HING q PERMIT FEE ONLY.
VALUATION / J J
OD PERMIT FEE $ /� �
k /� �
$'�I VJ •�� PLAN CHECK $ � //.� �
, ' ��
TOTAL FEE 5 y�
GENERAL CONTRACTOR C8rr18�B COriSt. CO. VALUE S��1�7-00 � _
e io..u�-7
INSPECTIONS
DATE � CROUP h Ki �
'�-ul SUBCONTRACTOR
Form sio—a�n—e-sv " HpLp"FOR SPECIS�L:"RE�iJIIfEIViE�TS UNIT A ��(
ZONE
JOB AbDRESS 797 W11
BUILDING
GENE$AL CONTRACTOR VALUE S _
I !o. LOT TRACT FIRE 'LONE DESCRIPTION OF WORK
INSPECTIONS /�si��-n I DATE I CR(lIlP TYPF. 7.(1NF.
SUeCONTRACT6R
Fo,m 21p—�MJ-59 rint.� FOR SPECIAL REQUIRLMENTS UNIT B
10359
GENERAL CO7
�u.
INSPECTIONS
7
S..
Tes[
In
DATE
GROUP
SUBCONTRACTOR
.w..... . v.� .�:'i....nL
DATE
VALUE
TYPE ZONE
10359
wilgon
GF.NERAL CONTRACTOR
�u.
INSPEGTIONS
Test
�
DATE
GROUP
SUBCONTRACTOR
.:._� FO SPEC!AL
VALUE
TYPE
UNIT D
PERMIT
10359
GF.NERAL CO]
DATE
VALUE
PERMIT
iU. LV1 lL�.[11i1 111�G LVLVL LGJlilil{'11V1Y VP YYV[lLl
INSPECTIONS in-1Ri0 I DATE I GROUP TYPE ZONE
SUBCONTRACTOR
10359
tont 31C fbot oP Iot 46 oT ['eirvier Farns+ ao por aap reoorHod !a £oois 8
Pu�e 71 of 2:ienellerrooub !_ape in !he Bffice oP tho County ROaordcr o4
Oran� Cauntq.
::xcoyting tho ooubi� ,�f3 foot of Cho r�ant,�CO fbo8.