HomeMy WebLinkAbout869 WILSON ST - Building Permits�oonrssaem�aw: 869 W WILSON ST
axxexsx.�eiva�anx: B EL ZANO, MATT J JR
� �oo�ss: HELZANO, KAY M
^�^� 869 W WILSON ST
COSTA MESA,CA 92627
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LICETJSED CONTNRCTOFS OECLAN�TION: I Mreby eflkn uMm penely d pajury ihel I am licensetl uMs pomiana d Cheqr 9
(mmme�np xi�h SeMion 100q M Division 3 0l the Bus�ren aM PMeasiona Code, erd my limnee o in lull lace end eMep.
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OWNEP BUILOEH OECL1IHATION: I hereby elfirtn uMer penely d parjury Ihm I em eicemq Imm IM Convedwe Uceme lew la IM
folbxin0 �aeaon (Seqion 10�1.5 Busineaa end Proleseions Catla: Any cily a caunry whkh reyuiree a peimil lo ooneVucl, ellm, imprwa,
, tlemoloh. a repv eny eiiunure, prior �o ns esuence, ebo rapuirea �he apdirant tw wch permit to fib e sipretl eletemeM �het M a ahe
i licanud Wrs��a^� to �he paisiwu d the Coniredas Ucenea Law �Gheqm e(commentlrq wilh SWbn 1000) d Drviion 3 d Iha
iu ' eM PrMeaione Gotlel w �hm M a she n awemW tMrelmm eM Iha bavs far ihe dbY� uemqian. MY vulmion d Seuion
l .��e�ry epplicenl Iw e permil wbjede �M applicaM to e avil penelly d iwl more Ihen live huMred doAen �55001).
I, es avmer W Iha propeny or my empbyees utllh wegas m �hai ede mmpanaelion, will do the woM, ad IM etiunure b nM inleMed
or ollerad fm aele (Seclion )OC<. Busrom arM Professiona Code: Tha Conlredon liunse Lnw Eoee ml app�y loan ownxd pmpary
M buiAs a'vnpro+es therem. end wfio doea euch wrnk IimaeM or hamN n Nrouph ha a Mr own ampbyees, pwideE ihel euch
provameme ere ra� inlendetl a WeraE fa eeb. tl. however, the buiNiiq n inpemanem u sold xilhin arn Y� d oompMion, the
owewr�buiklm xi11 heva the Wken d po+iip M ar ehe Ek rwl WiW ar imqow ta iM purpwa d mle�.
� I. es owner d the PropaM. d^ axduaivey contreqiq wnh liwnsad convenae to construtl iM pml� (Sepion 1W0. Buairow aM
profesmw�n Cale: The Comreaore license law doe. na epply io en awm. d popeily w1w WiNe « impovee ihaieon vM v.fio
wnvena for euN prqees wilA e comreeor(e) Icemetl pureuanl lo Ihe ConlreGan Limnea law .
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WOPKEN'SCONPENSATIONOELLAX�TION:IMroWalf uMwpe�uhydp«juryonedtheblbwiepEedeielaw:
❑ �nevea�exi�meimenecenir�w.aomseo�io.en:�uuAb,.wka�n•cano«mmo�.aw�r«Msmionarooam.�eeu.
Code. fa �M perlormence d Ihe xwk Iw Mvch Nie pamin u iaued.
� I heva eM vril meintain vroMere' compenmlion irourenm. m required bY �im 3]00 d the Lebor Cada. br �he peNormence d tM
woek la wt�iN ihie pem�n n iaeueA. MY ��n' eomper�mlbn inauruiea rerrier eM pdi�y number ere:
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❑ I ceMAy ihe� in �ha peRormenca N �ha wwk f« whch thia peimA ia iavued, I e1Wl iwl emqoy eny penm in any menmr eo n �o
becwne wbjad io iM xorken• comva��bn kvn a celil«nle. eM earee �hm d I ehauk become +�Mea �o �M xvrkeis'
romGemmun Om.mbm d Seaion 3i00W tM lebor COEe. l ehelllMhwilh comMY xdh tlwes pm�mon+.
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Wamlrp: F�llun ro wc✓ro woAeri rompsiwtlon covereps Is unlewNl, �rW Mell su6/sef en �mplopr ro MMiul penWp mtl
Gvll Mros up fo ons �unJretl flpuurtl do1Nn (SfIX{WOJ, M�Wllbn b M� rost ol romomvtbr4 demep� u proWtlb br In
Sxtlan J]06 0l IM LeDor Cori, Intau4 antl ettomys /w.
CONSTNUCTION LENDINO AGENCY: I hareW elfirm unEar penelly oi parjury Ihet tMn ia e wmvuaion bMirp epency M Ne
perlormence d ihe wark lor wh'itl� ihe peimn is ieeuetl (Sedion 30B), Civ. C�.
LEN�EN'S NAME:
LENUEF'S AO�NESS:
I caniy iM1et I heve ned inia epplce�im uM nale thel �he ebwe inlwmmion'w conen. I pree to canpty wilh dl oy ud mumy adiremee
eM elete lews reletng lo W ilding mneuudion eM hereby eu�hor¢e repemn�etivee W �his ary to enler upon IM ebwe�mantioneE qopeM
'°' �°'°°"�°° ""'"°'°° KAY B EI� Z ANO
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(5151de.WP) Wh�e-Build�q 8 Safery: Green-Fle; Cenery-Appirani; Rnk-Perenue; (bWen�oE-Asamear
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: H 079069 PLAN CHECK NO: N
ERM NO: B 079069
GOC�T: N SUPP: N
CONSTRUCTION TYPE; PERMIT TYPE; STR PURPOSE: OTH
SOB DESCRIPTION : TEAR OFF/RE—SHEATH/COVER W/20 YR COMP SQ FT; 2,500
CLAIM VALUE: 2,500.00 CALC—VALUE: 2,500.00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTORS RE�UIRED/INCLUDES GARAGE
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Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 42239105 ZNE: REF NO:
PLANNING NOTES>
- > -.
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D E V EyL O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
HUILDING APPROC�ED BY : _ DATE:
:�
APPLICATION ISSUED BY: DATE: ���
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LEGALIZATION:IJ F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMZP/RES GRADING
PERMIT 74.75 50
PLAN SMZP/NON—RES
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 75.25 0.00 0.00 75.25 75.25 .00
REVENUE DIVISION TOTALS--> COLLECTED: 75.25 OVER/SHORT: ,00
BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
74.75 .50
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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 UNIT COST TOTAL COST
SFR 2500 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 2,500.00
END OF FEES
CONSTRUCTION AND PLANNING - P001 ;PA ` -
APPROVALS Permit # : Date 'inspector � APPROVALS Permit # Date I�spector
t.,Temporary Electriral Service or Po1e � 52. Pool & Equipment �ocation .'
2. �=.oil Pipa�Undrgrnd. � 53. Steel Reinforcement � �
3. Electrical Conduit Utititv-Undrgrnd. '� 54. Forms
4. Electrical Conduit�Undrgmd. 55. Electrical�Bonding '' �
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test � f
6. Electrical U�ER Grnd. 57. APPROVAL TO COVER�GUNITE i
7. Footings 58. Eloctrical Conduit-Undrgrnd. �
8. Foundation 59. Gas Pipe, � Undrgrnd., Test
9. Water Pfpe�Undrgmd. - 60. Backwash Lines, P�Trap, � Undrqmd.
70. Structural Plaor System � 61. APPROVAL TO DECK
t t. Property Sewer Line & House ConneMion �i 62. Backwath & Receptor�Final
12. Sewer Cap 63. Heater & Vent�Final
73. Roof Drains 64. Plumbing System � Finai
5S. Ro�gh Piumbing �� 65. EtectricahFinat
15. Rough Electr�ca�-Condu�t 66. Solar System�Pinal �
i6. Rough EleMric Wiring 6Z Fencinq & Access Approval '
17. Ra�gh 4Viring Sig� 68. APPROVED FOR P�ASTERING �
16. Rough Electrical-T 8ar Ceiling 69. POOUSPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEP7. REQUIREMENT
20. Rough Factory Firepiace APPROVAIS Permit #
21. Oucts, in Structure 70. Underground Hydro
22. Ducts, Ventilating � 71. Product Piping :? Gas G Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing � 73. Undergrnd. Storage Tank C� Gas ❑ Oil
25. Roof Sheathi�g �����' ���74. Overhead Hydro
26. T�6ar Ceiling (Structurall & Monocoat 75. Ory Chemical
2i. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEivI FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Caat 79. FINAL INSPECTION
32. Electrical Power Meter�Finai SD. FOOD CERTIFICATE ISSUED
33. Final Electric � Notes: �
34. Final Heating & Air Condi:ioning
35. Finai Gas Pipe-Test � �
36. Hood or Canopv
37. Final Factory Firepiace �
38. Finai Plumbi�g
39. Water Service-Finai
4Q. Gat Service-Pinal
41. Solar pomessio-Final
42. Backfiow Pre�enter
G3. Backflow �rrigation
44. Landscape Irrigation System
45. Sound Attenuatlon
46. Nandicap Regulation:
4Z FINAL STRUCTURE & BUI�DING �-�,��� �uj�
48. FINALPLANNING �
49. Electric Retease to Edisor,
5Q. Gas Ralease to Southern California Gas Co
51. CERTlFICATE OF OCCUPANCY
No. Date
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ADDRESS $E9 W.
EAAL CONTRACTOR
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Street BUII.DING PERMIT NO. Q7�Q3
SUBCONTRACTOR
_ . 27523
COSTA MESA BUILDINGSAFFfY DEPARTMENT
P.O. BOX 7100 � C08TA ME9A, GALIFORNIA Y2626
For Appllcant Po Flll In Complately
TYPE OR PRINT
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U8H OF CUILDIHY AND WORK TO EQ P[RFORM[D
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THB AYOUNT BNOWM UNOep VALUATION IB POp TX8 j
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VALUATION /`� 7�
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� TOTALFEF $ "�•aO