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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> > �r�*�u+t+�***#�**#�t*x�tf��r*****�r+t***x��**u+�*+��r*#*�**�***x�*****+r****��#i��**�#�***#+�a�*� 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.