HomeMy WebLinkAbout499 WILSON ST - Building Permitsm
PHOJECTADONESS: 4Cjf) W WILSON rJT
OWNEfl'SNAME: CITY OF COSTA MESA
RDDPESS: 7'� FA IR DR
C.M. 92628
AflCHIENCINEEN:
nooxess:
NEC.NO.:
UNI7:
uxir:
PEpmiTTEE: N,D, ELECTRIC (714)498-1799
RODPESS: z$ S G V IA AMAPOLA
SAN CLEMENTE CA 92673
LICENSED CONTBACTOP OECUIHATION: I hereDy alfirm Ihai I am licensed unaer O�ovisions o� Chapier 9(cammencinp wiN Section
7000) o� �ivision 3 al Ine Business and Pmlessions Code. an0 my license is In lull force an0 eifecl.
ciTruc.: 060254 srnteuc.:52361j�j C-SO EX • 9/94
i¢ _$ ^�0 "�Q Si naiure: — ���� ,
RE85' COMPENSRTION �ECLABFTION: t ere0y afiirm t�a� I �3ve certificate ol consent to sell-insure or a certificale o1 Workers'
oensation Insurance, or a ceNfietl copy ihereof (Section 3800. Lab. C).
roucreo.: 1066062-94 exr. oare: O1 /01 /95
•amraxr: STATE FUND
Cenilietl couY is �ere�y fumishe0. � Ceniliea coDY is IileG wilh the ciry BuilEinp Division.
•Dat ,_ �'0 ^��T qppiiWnt: ��
EI(EMPTIONFBOMWOflNENS'COMPENSATIONUECIAPRTION: QAissec�ionneMnotUewmpletetlii�hepermilisforone�mqrM(3100�arless�.
I cetlily I�al in Ihe pedormance o� t�e work lor which I�is permit is i55ueE, I 5hall not employ any per5on in any manner so as l0 6ecome
Su�jetl lo I�¢ WOrkerS' Compensation Laws ot Calilomia.
Oa�e: Signawre:
NOTICE: IL after making this Oeclaration, you shoulU 6ecome su�iect to ihe workers' ComDensation pmvisions of t�e Labor
Catle, you must fotlhwil� comply wilh such pmvisions or ihrs permii shall be tleemed revoke0.
CONSTPUCTION LENDING AGENCY: I hereby a�hrm I�af IAer¢ is a cOn5lmtiian IenOing agenry �or IAe De�ormance ol Ihe wOrk �af
w�ic� Ihis permii is issuetl (Seclion 3097, Civ. C�.
LENOEH:
FDDflESS:
OWNEB BUILOEB OECIABRTION: I hereDy aflirm I�a� I am exempt Imm �he Coniratmrs' S�a�e License law tor IAe �ollawinp reason
(S¢Ction 7031.5 Bu5ine55 antl Pro�esSional Cade: Any ciry al wunly whit� r¢Quirts a Oermit to cOnStmct, alteL impmve, 0¢m01i511, of
re0air any simcture, prior to its issuance. also repui2s t�e applicant for suc� p¢rmit to lile a signed statement t�at IIPJs�e is litensetl
pursuam ia t�e pmvisions ot ��e Comracmrs' State license �aw (CAapter 9(commencing with Section 7000) of DNision 3 0l the Business
ana Pmiessions Cotle) ar IAaI ne/she is exempt Iherefmm anA the basis �or ine allepea exemD�ion. Any `nolation of Seclion 7031.5 Oy
any apDlicanlloi a p¢rmii SuUjeciS ihe applicantio a ciNl penalty o� nol mofe �han �iv2 hunAred Oollars (5500�.
I. as owne� ot tAe pmpenY or my employees wii� wages as their sole comDensation, will tla ihe wOrk, anU ihe
❑ slmcWre is not intenUetl or offere0 for sale ($ection 7044, Business and Professional Code: TAe Coniractors' State Litense Law
does not apDly ta an owner ol a pmDehY who Duilds or imDmves t�ereon, antl who tloes such work �imselt/herself or thmu0h
�is or �er own em0loyees, pmvide0 Iha� suc� impmvemenls are noi inten4e0 of ofler¢0 �or sale. If, howevef lhe OuilOinq of
impmvement is soltl vnl�in one year oi comple�ion, Ihe owner vnll �ave Ihe burden ot Orodnq �e/she tliA noi �uilA or impmve
� lor tne purpose ol sale�.
I, as owner oi ��e propetly. am exclusively conVaciing with licensed conVac�ors to consimct Ihe pmlec� (Sec�ion 7044, Business
❑ antl Pmfessions CoGe: The Comractors' State License Law aoes noi aDPly lo an owner of properry who bwl0s or improves theieon
and who Coniracls tor such pmlecis wilh a conlracim(5)license pursuant to �he Canirac�ors' State L¢ense Law),I am aware
Ihat pmOf 01 Iheir Worker's Compensaii0n in5urance S�oWd be prouided Io me.
� I am exempt unAer Seclion: B. 8 P. C. ,
� �or I�is reason:
Date: Ownec
I Oo nereby cerlily that I am aware ol antl waerstanG t�e requirements ol Califomia Healt� and Safery Coae Sections 25505, 25533, antl
255JE ana Inai I or any IWure OuiltlinB �cupant wilUwill not (circle ane) neea to tamVN �t� SaiO siate codes anA tAe reQuiremenR for a
pe�mi� br canstruction or motlifica�ian �mm 1�e Air Oualiry Managemen� DisVici. flesiUeniial constmc�ion appliwtians are exempi �rom
inese provisions.
paie: Applitani:
1 �ereUy terlityl�al I haver¢ad I�iS aDPlita�ion ana SlatelAalihe abav¢inlOrmalioni5 corr¢CI. I apreeia tomply vn�h alltiry anE t0unry
ortlinances antl slate Iaws relaiing to builtling canslmclion anG here�y aNhoriie re0�esenialives of �his ciry to enter uDon Ihe above�menlioneC
�Qeriy Glorinspec�ion purposes. y/
.�qh¢;/+5.—"'V �� $ignalure:�jL��
i �-+
o�iwrs ucense or sociai secudty x:
t6eLa6 W�no—Builtling', Green—CaEe EnlorcemenL Canary—AOpliwnl; Pink—Revenue; GOICenro�—Assessor
CITY OF COSTA MESA - BUILDING PERMIT PERM NO: 6 06841
PERMIT NO; E 068416 PLAN CHECK NO; N GOVT: Y SUPP; N
CONSTRUCTION TYPE: PERMIT TYPE: ELE --�FIIiFFOSE; OTH
JOB DESCRIPTION ; INSTALL. ELECT, SERVICE TO BUS SHELTERS SQ FT:
CLAIM VALUE: CALC-VALUE: GROUP OCC; B-2 /
COMMENTS: POWER TO BUS SHELTER FOR LIGHTING
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Z O N I N G A 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
PARKZNG REQ• PROV: PARCEL: 00000000 ZNE: REF NO:
PLANNZNG NdTES>
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D E V E L 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 ,
BUILDING APPROVED BY :
APPLICATION ISSUED HY:
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LEGALIZATION:N
BLDG PMT PLUMBING
DATE:
DATE:
DATE: 4
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F E E S U M M A A Y STRUCTURAL SEGMENT:N
ELECTRIC MECHANIC
PERMIT 30.25
50�
PLAN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 0.00 0.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
FIRE SMIP/RES GRADING
SMIP/NON—RES
TOTAL PAID DUE
0,00 ,00 .00
.00 OVER/SHORT: ,00
EIRE SMIP/TOT GRADING PLAN—CHECK
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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
ELE 1 FIXTURES, LIGHTING 1 ST 20 EA. ,75 ,75
ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 18.50 18,50
EL6 1 MISC CONDUIT NOT LISTED REQ PERMIT 11,00 11,00
END OF FEES
V
02 00165746-00165746 T d T ,Qp
DATE: OE/11/94 T1ME: 10:0?
CONSTRUCTION ANDPLANNING POO SPA
Date f�spector �. Date inspector
APPROVALS Permit# APPROVALS Pern��t?k
t, Temporary Electrical SerJrce"pr Poie � 52. Pool & Equipment Location _
i
2. Soii Pi e-Urtdr rnd. .r�." ���
P 8 �..�C 53. Steel Re�nForcement
B: �Electrical Conduli;.ULility-dndrgrnd-,;•^ 54. Forms '
y��'
�'�'Electrical Conduit�yndrgrnd. ` �� " 55. Electrical 8onding
=51 Steei Reinforceiaen *• �- � 56. Rough Plumbing & Pressure Test -
: �
.�;6�� £IectricalUFER;Grroj. ;;: 57. APPROVALTOCOVER�GUNITE `
717-. FOotings -�';T "� 56. Electrical Condmt�Undrgrnd.
r ,..� ^ -
& Fd',undation • "'i 59. Gas Pipe, O Untlrgrnd., Test / �'
;�9; Water Pipe-Undrgrqd. ''/ 60. Backwash Lines, RTrap, O Undrgmd. r
10. Struciural Ploor System �� ' �� 61. APPROVAL TO DECK -�
11, property Sewer Line�& Houee Conn�tion 62. Backwash & Receptor�Ffnal '
72. $ewer Cap ` " ' 63. Heater & Vent-Final �
:, �
13. Roof Drains �o ,; - 64. Plumbing System � Final
74, (iough Pfumbirig � 'T 65. Electrical�Final
15. Rough Eteccrical;Condu�t _ 66. Solar System-Finat
76. Rough Eleciric�LViring J 67. Fencing & Access Approval
V. Rough Wiring Sign ` 68. APPROVEO FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL%SPA SYSTEMS FINAL
79. Rough Heating & Air Cond;tioning FIRE DEPT. REQUIREMENT
� _� r._•_._. • , .a�; �,�
20. rRough �3ctory FiCeplace ; z;:n Q', C• ? =* i' APPRO?1AC5:�� Bermft # .� "�
- �e .r: .: t s� •,Jti-. � r . M
21. ucts,�',inStr�tu ` � r•_• ;,;s .Y .a -y '7= .. ^ �� �;�-y•- � � ^�
•� , t�i a' i . . � S ,. S �7 ' < -�0. Undergro}ind�!Y�lo
22.�Puc,�, V.entiiating,� :� ; a� � 2 E� i'71. ProducbPi�rig Q"� ❑Oil
23. Gas.r ipe"�iougfi &'T`est � � ^ ;' �' ^ „ - Q, Under ro�utd; Flu i ; ,
:-i H .� o I .'� S #� ?7 . � ._ � t a �-� 9 � . -
24.,RooFFrzming'• ^�,,. i �--F J • � J r �r'r <J3.��'Undergmd:•Storaje±'ank OGaz ��Oit ''
� 7' � I
25. Roo4NSh�a[hing '� v ,;, � .� .7 `'! ' � ; ; ` ": '
.1 4. ; � '"74. �Overhead F�ydro.7
c Y .. � ,
26. -�-Bar;Ceiling (Stryc6ura�) & _onocoat t s 7 �t : ; 75. -0r Chemical � � { �- 3
� i - �
27. •Frama and Fiashing �; � ^ r � � �„ ; '� 76. Dry Stand�pe n� � Y �� �;. �
.� �' l-� ��,^�^ n - � ~ ,J . _ .. -
28. 'La,hing � Siding ti : .t '-t C,a: r.; + � ^`t * 77. �FIXED Sl`STEA1TINAL' !z 1 ;!
-29. Insuiati n _'. � '� ~�" '� '' '� '�' r � 78.�-FIRE PREV. FINAy - �r� � ~
� :a z � � • � ;, , . ,.
-30. D�Y�`�ali f�aifing -�. ! �- HHALTH�BEPT!REQUIREML'BJ�T
;31. Plaster B�'own_CoaNx , i ;,.�, � �{ : �]9.'FINAL IN�Sj'F�CTI0�1 , ' y ;'-
�32. ElectricarPow`gr f�leyer,-Final i `� � - � � � ,80. 500D CERT CATE ISSUED ' '+
�2 > - ! CS' �
33. ina*' tectric: , =' �: �� " J :��r
F TE • , � ���13�95,� k � �rvoca�� . ,•, � , ,
-,: z �.�., � _-;.x --i, i �.�
'34. F,inaF=Hea#ing`§� Air. Conditionin�S � - •5 ;�', . - � -�7
,•
35. ;fina'.�Gai`Pipe-Test:: ' � I` _ • -',�, m � . - ,•"
`Y "' .-1 "' J �. O N ""YI.•
� � .. j .. � = I � I: ` �., . .. . . r• ti .'�.
„�36. Hoodior.�anoPY >�.,� �'.��y . . r g :' .'lo
.,. ,�,^• _ .0 .� �_
37. ��'inaPFacYory PirePl�ce'',,, i � r � �• � 1., � ` � `- - ; ` - =�•,
i -+ i- � � I p •
38. Fina{:P�umbi�9 • �v� ! ..•. .. j ` � •, � . '
39. Water'Seivice-Final %.. C � � �' * � . .,
s
40. Gas Service-Final ,. r •tr,,�,- > " � � I lr � - ' � � �
4:1. 5olar pomesticFinat� : C� � •• � - I
�. _:�
I� 7 � ' �
42. BackflovSNPreventer � .• -� ; `' I � ' r _ -. -� ,
��
43. 8ackflow trriqation � S ' . � � ` � - ' " ; _ ..� .: +
w
�a - �ra; • � n e, �.. . - .-
4�4. Landscape Iri�qation System � „ , ,� . _,� `, - �* c� z; � - = �
' i. �_ �-� [.:;, . 1 r� -1 :C�i
45. 5ound Aitenuation: ^'� • -•
�n •� '1 ,n tr,r F- -� • F�`? '
, . .. .. .. t . .. ...
�., � .. .. . �
�
4fi. HandicaP.Re9V.lations C. .j � ` t , ^ t - : .
47. �INA�L STRU6TURE & BUIIDING � � - ``� ` "� • �-
z 4 �
48. F�NQ}PLANNWG� �r . . � � zj �
49, ��lectric Release to Edison � �� � ' ,
50. Gas Release to Souttiem California Gas Co � �M1 . i�, ' _� � � • V •
-�
51. CERT•4F4CATE OF OCCUPANCY' . - �; - _ -' � >�'
No. Date J
i