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Home My WebLink About854 WILSON ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c�ILDING PERMIT n FAIR DRIVE, COS7A MESA, CA 92626 JobAddress: 854 W WILSON ST Suite: Vicinity: HOUSE AND GARAGE ROOF Primary Occ: R3 Type of Conslruction: V-N Parcel Number: 42236320 Zoning: npplicant: CALDERON, RAMON Address: 854 W WILSON ST COSTA MESA, CA � Owner: CALDERON, RAMON Address 854 W WILSON ST "- - Contractor:� - - Address: Zip. --'Arch :�" Address: Zjp: ` COSTA MESA, CA . ,: OWNER-BUILDER Phone: - License: � Fhone: 949-631-6943 -' � Zip: 92627-3334 Phone: ' Zip: 92627-3334 Phone: License: 000000 Eng: Address: Status: ISSUED Applied: 10/O6/2005 Issued: 10/O6/2005 ISSUED BY: �� 0 •' SCOPE OF PERMIT i T/O EXISTING MATERIALS ON FLAT AND PITCHED ROOF AND INSTALL 2 YERS OF 15# FELT AND R 35 YEAR COMP SHINGIES ,�_�� ON AN ATTACHED HOUSE AND GARAGE, APPROX 2400SF. R�t�k'ii� A� r.�plk�..�, Q.�i'z+��l�{v� �"(,.r�-�S�E� lln✓�S. FEESUMMARY .— Plan Check: . $72.31 Permit: $111.25 SMIP Res: $0.50 ;.'. SMIP Com: $0.00 Other �' $0.00 - �",Inspection � � $0.00 �Total: $184.06 � r�r�iv�vuv�.a �vrvnv� SETBACKS =�' � �- ' MAIN STRUCTURE Front 0- 0 �� :. Rear` 0- 0 Lek � 0- 0 tl ACCESSORY �Front,. 0-.0 '... a.�Rear �.0-0 ", �Left ,0-0 •� �. 4 . . .. ... ... � ' PARKING � '-Existinh:��. 0� ��Reauired. 0 � ��Pr000sed: "° �0 � � , Right �. 0- 0 . RigM 0- 0 ss,000.00 ss,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12•21•92) EXPIRATION: This permit shalt automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned for a periotl of 780 days. INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetions and final approval must be obtainad. Failure to obtain inspections and final approval will result in the expiration of this pertnit. FOR INSPECTIONS CALL: (714) 754-5628 VZer-,s_r:7f'�i;S WORKERS' COMPENSATION DECLARATION: . � � � . I hereby eHirm under penelty of perjury one of the tollowing declaretions: � i� �� ❑ I heve entl will malntain a cetlificate of consent to selbinsure for workers' compensetion, as provitled for by section 3700 oi �he Labor Code, for the pertormence of Ihe work tor which this permit is issued. , ❑ I have and will maintain workars' compensation insurance, es required by section 3700 ot Ihe Labor Cotle, tor the pedortnance of Ihe work tor which �his permit is issued. My workers' compensatlon Insurance wrrier antl policy number ere: Carner: ' Policy Number. ' (This section need no( be cromp/etetl il fhe permif is valued et one huntlretl tlollers ($100) or less.) ... �E7 I�cerL'�r,lhat in the pertormance of the work for which this permit is issuad, I shall not employ any person in any manner so es to becoma subject to Ihe workere' mpensation laws oi Celifomia, agree that it I� Id becoma subJect to the workers' compensation pmvisions oi Sectlon 3700 ot the Labor Code, I shall fotlhwith comply w't hese provisions. Appl' �igneWre: �i�%�% �� a�; * � �� S (l�l WARNING. FAILIIRE TO $ECURE WORKERS' CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOIXJE NUNDRED THOUSAND DOLLARE (5100,000), IN ADDITIIXJ TO THE COST OF CAMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 3]OB OF THE IABOR CODE, IMEREST, AND ATTORNEI"5 FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm thet I em licensetl untler provisions of Chapter 9(commencing with Section 7000) ot 0ivision 3 of iha Business entl Professions Code, and my license Is in tull force antl ettect Lic. a Cless N Con�reC�or's Signatwe: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby ettirm Ihat there is a consWdion lending egency for tha pertormance ot the work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Atldress: Signeture: Date: OWNER•BUILDER DECLARA710NS: I hereby eNirm ihet under penalry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or counry which raquires a permi� to consiruct, elter, improve, tlemolish, or repair any structure, pnor to its issuance, elso requires Ihe applicant for such pertnit to file e signed statement thet he or she is licensed pursuent to Ihe provlsions oi the Contradors License Law (Chepter 9(commencing with Section 7000) ot Division 3 ot ihe Business entl Protessions Code) or thet he or she is exempt therefrom antl the besis for the ellegad exemption. Any violatlon of Saction 7031.5 6y any applicant for e permlt ub'3 �ecis ihe applicent to e civil penelry oF not more ihan live hundred dollers ($500).): P.� �..� ❑ I, as owner of the property, or my employees wlth wages es Iheir sole compensa�ion, WILL DO THE WORK, entl the s�ructure Is not intended or oHeretl for sale (Sec. 7044, Business and Professions Cotle: The Coniractors License Lew does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided ihat such improvemenis are not intended or oflered for sale. N, however, ihe building or impmvement Is sold within one year ot completion, the ownar-builtler will heve the burden ot proving ihat he or sha tlid not build or improve for puryosa ot sale.). ' ❑ I, as owner of the property, am EXCLUSIVEIV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Gode: The contrectors License Lew tloes not epply to en owner of propeny who builtls or Improves thereon, and who comrects for such projact wlih a contrector(s) license Dursuant to ihe Conirectors Licanse Lews.). ❑ I em e:e�m/p��,�under sec. �� Business end Professions Code tor Ihis reason: lur9. //G/.�/////Gf A(v'a'G//( / -ate� —i'U!� Owner ID venfied by dnvers '�' sn a�, ❑ Ves ❑ No '�wD`�er's[�Ic'ense No. Exp '.`^C�—U� Ventication ot Ownership b��of}document, i.e. - pmperry tex bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICA710N: i. .. ❑ I hereby certify �het no ex tion Tive (5) or more feet in depth into which e pereon is requiretl to descend, will be made in wnnection with work euthonzed by this permit, and tha� no buildin�clure, scaHolding, falsework, or demolition or dismantling ihereof, will be more than t�irty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title B, Calitomia Atlminisiralive Code). ❑ As owner-builder, I will nat e��loy snyane to do work which would require e pertnit from the Oivision of Indusirial Sefery, es noted above, unless suc� person has e pertnit ta do such work from th �'WYisjon. Signature: ��"�f Date: Division of Intlustnal Safety Permit Number: MAZARDOUS MATERIALS AND EMISSIOfl�'il 1 Will t�e epplicent or present or future bui� me�erlel7 ❑ Yas ❑ No (Sedion 25505 ot Ihe Galifomia Health antl business which has at any one time dunng e or 200 cu�ic feet of compressed gas at stan< ient neetl lo file entl ceniry a 8usiness Plan tor emergency response to release ar threatened wlease ot e hazerdous CoOe requlres, with some exceptions, that a Business Plan be tiled wilh the Costa Mesa Fire Depanment Dy every 3d year a puantity of hazartlous matenals equal to or greater ihen a weight ot 500 pounds, or a volume of 55 gallons, Does or will the applfcant or present or futura Dullaing oCcupant neetl b tile a regisiration form for acutely hazartlous metenels7 U �es U No (Saction 25533 of the Califomia Health anG Safery COCe, wlih some exceptions, requires registration wlih the Costa Mese Fira Department by each business whlch et eny one time �es on hantl a quaniiry of acutely hazerdous materiels equal to or greater ihan e weig�t of 500 pauntls, or e volume oi 55 gallons, or 200 cublc feet of compressed ges et standard temperaWre anA pressure). .................. ........................_..... .................._........ ............................................................_.___........................................... Does or will Iha applicam or p�esent or tuture building occupam need to prepare an RMPP (Risk Manegement end Prevention Program tor acutely ha¢artlous metenals)? (Section 25534 ot ihe California Health and Safety Code provides tha� ihe Casta Mesa Fira Department may require Ihe preparatioq certification and filing wi�h ihe Flre Deperiment of an RMPP 6y businesses which ere required to register acutely hazartlous materiels with Ihe Fire Depanmem. ....................................................................................................................................................................................................................................................................................................................................................................................... 4 N en RMPP is presently required, has Section 25534 of the Celifornie Health end Satery Code Oeen fully com0�ied with7 ❑ Ves ❑ No .......................... .. . ............................................................................................. .............................................. ...................., 5 Does or wlll the eppllcent or present ar future builtling occupent require for ihe work which is the subjecl of lhis e plication a permit for such consiruction or modificatlon from ihe Sou�h Coest Air Oualiry Manegement District or irom eny other eir pollution conlrol disidd or agency? � Vas u No . (Section 658502 ot ihe California Govemment Code requires thet the requested information be fumished on applications for non-residential building pertnits). ........................................................................................................................................................................................................................................................................................................................................................................................ 6 Will any pan of the faciliry to be constructed under Ihis permit be within 10001eet trom ihe outer bountlaries ot a school? ❑ Yes ❑ No (It "yes", the tacility must meet the requirement oi Sections 25534 antl 42303 of the California Health entl Safery Cotle). ....................................................................................................................................................................................................................................................................................................................................................................................... 7 If e permit from Ihe South Coast Air Oualiry Manegement Distdct or other elr pollution control district or agency is required for the work which is the subject ot this applicallon, �eve ell ot the disclosures prescnbed by Celitomia Health and Satery Cotle Section 62303 baen mada7 ❑ Ves ❑ No .......................................................... ............................................................................................................................................................................................................................................................................................ 8 (tl yes', ettech cenificate of compliance from the appropnate air pollution control oHicer). CERTIFICATE OF COMPLIANCE: I certify that under penelty of perjury lhe information given a6ove is correct. I egree to comply with all sWte laws and city ordinences regerding Hazardous Matenals and Emissions. Signature: Date: CERTiFICATE OF COMPLIANCE AND AUTHORIZATON OF ENTRY: 1 ceeify untler penalty ot perjury ihat I have read ihis epplication and state ihat the iniortnation given is correct I egree to comply with all stata laws and ciry ortlinances relating to buitding consiruction, antl authonze represemetives of the Ciry ol Costa Mesa to enter uDon �he above-described property for ins ection purpo s.�l egree not to occupy or ellow occupancy of any building authorized by this permit until fnal inspection. J ��T . / fD —S —o � � Wgna�LegafOWner(s)�..— rDee. ��..�, And/Or Authorized Applicant Date CODE t. INSPECTION7YPE , 1616 Fixed System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roat 201 Final BIocWRe�aining Well 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition ' PAiE INfITIRLS �v �3�� . � fQp� INSVECTIONTYPE 206 Final Mechenlcal , 208 Final Plumbing 210 Final Eleciricel 212 Finel Flre Preventlon 220 Final Planning Approvel 222 Final Site 250 Final Builtling�Occupancy PAIE Uf7II1SL$ OW NER BRSSTOL ESTA2ES DATE 9_5 s6 JOB ADDRES3 854 wilson Street BUILDING PERMIT NO. �i�97 GENERALCONTRACTOR S. V. Hunsaker v�a�r3 �or 16 s�ocK TRACT 28'j3 Sinale Res. x/att gar G�..iUP I Sc J TVPE V ZONE Rli FIRE DISTRICT 36?6 PERMITSISSUED INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER Foundation Forms and Grade to Plumbing, Rough to Slab �,Lri,: ;-.,,C S '4iiyjfb . y� � 1- S 6 /, �.5 �-^� Plumbing RoughComplete LwCS /o//y�5� ,on � TemporaryPole � .� .�Vp� �t n. q-l4-SL .�O �ny '�'` Wiring, Rough %�/r/�, �(). i' i�, /.L.`� rT��/%�/ i:, �/ �J �li-.i�G � /C7 / � Heatinq,Rough �1A.P.� IDII(/S"b .{'7E.�..n_U. ..�. . .a. 9�11`S�o /_ ��Si� � Heatinq,Final /neS � Sewer, House L Sewer, St. D/I Septic Tank oi� esspoo v D/I ,� Laihing, In Out �+ /p-d0 P' 'ering /O '3/ P. .bing, Final, Fixtures Complete }jJ Qj_ �z�� 7-. Plumbing, Fin.al Gas Test � � ./p- Wiring, Final C - � /2_/D � o��uaa��Y 1% � . .,�r r� /2 /� S iORM 210 3M 10-v3 oC G — O / l �. Costa Mesa Bnilding Department �;' P. O. Box 3 U ' � COSTA MESA, CAIIFORNIA • � FOR APPLICANT TO FILL IN Building � � ,I/ . / � ST Addresa v l�v f� / _ Costa Mesa, California Cross St. Owner Mail Size of dnd Bldg. '�� Llne trom ,_ , � Builaing rd No. of Size �� l `f` Room� F 'rior Wali��• R � rim . ] /� �� f.� n ck �" � Traet� � � No. of Bldgs Now on Lot 0 No.of No.of Familles Rooms Rear Vard ,3,.�' Sida Vard ..^s .. � Addition � � � APPLICATION FOR PERMIT .`��2� BUILDING � FOR OFFICE USE ONLY I I 3S9a eive .py Date Rec'd. Date Issuec � 9- �- �� 9-S%S ng ss Costa Mesa, California vlans I V Date CORRECTIONS APPROVALS Foundation Location I Inspector Forms, Materials, I hemby acknowledge that I have read this ApplicaUon and state that the abwe is correM and agree to comply Lath. Int with all Clty Ordinances and State Laws regulating building cronstntction. Lath. Ext 3ignatureof /7��'� �,% �ry. Permittee KJ- =GC6G�o� Plaster, Int 4� Authorized Agt �Gt� Plaster, Ext Valuatlon Pe�m(t Fee $ �— Masonry Reintarced Go Plan Check $ ��— gond Beam $ � �� — Total Fee �� __ FINAL pM R04 10�R5 O. P. 5 5. _ Date � R � � O A � 2 D r .r� L LV 1 1 Lt1L� Show Iocation and distancea Trom o`=1-' prope'!y Iine and between bulldinga N w w � a IA V N! O �D � c� \' . . - . � ' ' -. ., • . _ . . . , , , , p : . . . . � ! ., � a' � . . _' " ' , t . - . . . �. - . ( - . , , - - - - _ - `• ... �VYYIVGR '�") ' LH1G •�`hl �/) �/"/ I)JOB ADDRESS LS5�4 W86t WilsOri BUILDING PERMLT NO. 24210 �i GEN�RAL CONTRACTOR oWneP-buildex' DESCRIPTION OF WORK Add 'bo ReS- �- AP No 115-57�-20 LOT TRACT FIRE ZONE i VALUE$ 2.000.00 � 'ECTIONS I Sienature I Date I GROUP T TYPE V ZONE Rl SUBCONTRACTOR Final a � ?42i0 j' COSJA MESA BUILDING-SAFEfY DEPARTMEM P.O. BO%91] COSTA MESp, Cp��ppRNIA For Applicant fo Fill In Completely TYPE OR PRINT BUILDINOe�/- {�%//SpU ADORESS 8� �V �� COSTA MESA, CALIFORNIA OWNER Q/'� L�- • l3N Fw e� MAIL i• ..... .. . . � _ No:'6'f h P N�� 1 6TATE TEL LIC. NO. NO. OF LOT V/ X I Q Q/ I nOW Orv �Oi � USE OF EXISTING BLOG. C SETBwCK LINE FROM � � '-'� �� REAR YMD � EFT �/ I RIGHT �% / DESCRIPTION OF WORK �1 ,I NO.OF � T ROOMS I R'row�es � I HBREBY ACNNOWLBDOE TNAT 1 HAVH rygAO TXIB APPLICATION FNO BTATB THAT TH8 ABOVE IB CORHHCT ANO AOqEB TO COM. PLY WITH ALL CITY OAOINANC88 AND 8TAT8 AWB PHOULATINO Bl11LDINOCONBTFtI ION. � SIGNATURE OF PERMITTE AUTHORIZEDA6E T . CITY 0� C�S�'A MESA MAY 24 1965 ' LICATI F P�tNl41 ILDI� Fs� �i.J For Office Use Only l � I nuHer �, I eu �o no W ' CPIPTION ,e-G�1 e, r R, a�� ..No. /�5-573- �o fE: NO EAVE OVERHAN6 BHALL BE LESB THAN ' TO SIOE @ REAR P. L. 'ES .OWED (U.B.C.REQUIREMENTI YARD3APPROVED YARDSAPPROVED MAIN BgU�ILDING ACCESSORY BUILDIN6 )ONT""�--P'T�� Rf. �/ / i1DB 5' FT. �'. ' / i1D8 � FT. �. VAR. Jk DATE // N 10 6Q. Ff. � ^TH8 AMOUNT BHOWN UNDeR V�LU�TION IB FOR TNB � pIIRPOSB OP 88TABL�BXINO /� PERMIT FHE ONLY. p VALUATION pQ n PERMIT FEE � �m S $ E'l � d ` 4 I TOTALFEE $ I�