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HomeMy WebLinkAbout913 DARRELL ST - Building Permits� jl � 4 (714) 754-5273 • Fez (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 913 DARRELL ST Suite: Vicinity: RESIDENCE & ATTACHED GARAGE Parcel Number: 42235311 Zoning: Applicant: PIKE, GARY Address: 434WESTAMERIGEAVENUE „� Owner: Address SETBACKS ACCESSORY PARKING NOTES: FULLERTON,CA i ii. 92632� ///U �� i ) � G� �-, �O EXISTING ROI ' CLASS A COMP �OFING AVENUE °r-°^-., `�: 714 871 92632 Zip: 92627 Status: ISSUED Applied: 07/23/2001 Issued: 07/23/2001 ISSUED BY: � O �� `\ �"` � o�� � O � \\✓ 4 871-8103 3576 � .00 � Eng: Address � �,�- � . D?APPCY FECT�PER MFGR SPECS, REI OWN:ON�,SMALL-FLP,T:AREA. 25 SQ �_ � �� JIMARY%/i1w�. �+ �� Calc Valuation: � �Claim Valuation: � �_`__� Sr, '� t ,� �.. -� � � y ;,�� , �','�� ° � 0 ° ° � � .� .�'�G�;-•-�o�� pQ'�r �0 co � % �,c O q �Q�q � [t . a -- \O�`;° o'^�FLANNING'&ZONII � \�`` J �\\\�=`C� ��oc:-�>_c'��i"/�(<"����� 'F�ont� 0-0� �i Rear 0-0'-�---:L"e8---0=0 Riglit�/.0-0 J/�� C\ ��� Fron\0-0� ��Rear 0' ����j ijLeft l0 �0 '�` i\ Riqht 0 0 �i�� � �� '� � i � �;L/ �� Exis tin : 0 R� e uire d:_ 0���5� Proposed: 0.�-� C� ,�o----� �—OJ c'c�r�c���/-�i0 „ ---_ -------- . m � 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 780 days. ' • �.- INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inepeetlons end final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 446-a6�N00) WORKERS' COMPENSATION DECLARATION: ' ' ' ' ' � I hereby afrirm under penalry of perjury one of the following declarations: � ' ❑ I heve end will meintain e cenificate of consent to setl-Insure for workers' compensation, as provided for by section 3700 of the Lebor Code, for the pertormance ot the work tor which this permit is issuetl. ❑ I have antl will maintain workers' compensatlon insurance, es required by sectlon 3700 of Ihe Labor Coda, for the perfortnance oi Ihe work for which ihis pertnit is issued. My workers' compensation Insurance cartier antl pollcy number era: Carrier: Policy Number: (This section need nat be comp/eted i! the permit /s ve/ued et one hundred dallers ($100) oNess.J . . . �'�certiy ihat in the peAortnance af the work for which this ertnit is issueq I shall not employ eny parson in eny manner so es to bewma subject to ihe workers' compensation laws of Calitomla and egree that it I sh come suh�ect to ihe workers' compensetlon pmvislons of Section 3700 of the Lebor Cotle, I shell forthwith comply with �hese prowsio / _ ApplicanlSi9neture: /Yie . �,-( i��� � - Dete: ' WARNING: FAILURE TO SE RE WO RS' COMPENS Tl COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES PND CIVIL FlNES UP TOONE HUNDRED T}IOUSAND OOLLARE (5100,000),IN ADDITIIXJ TO THE CQST OF COMPENSATION, DAh41GES AS PROVIDED FOR IN SECTION 37060P THE LABOR CODE. INTEREST, AND AiTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am force and effect. Lic. # Contrectors Signature: Chapter 9(cammencing with Section 7000) of Divisian 3 of the Business end Prafessions Code, end my license is in tull Class k � _i _ �_.Dete: � 7 27%n/ CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn that there is a construction lending egency for ihe pertormance of Ihe work ta which this pertnit is issued. (Sec. 3097, Civil Cotle). � Lentlefs Name: Lentlers Address: Signature: Date: OWNER-BUILDER DECLARA710NS: I hereby aHirtn ihat under penalry of perjury ihat I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business entl Professions Code: Any city or counry which requires a permit to construct, alter, improve, demolish, or repair eny structure, pnor to its issuance, also requires the applicant tor such pertnit to tile a signetl statement ihat he or she is licensed pursuent to ihe provisions ol ihe Contrectors Llcense Lew (Chaptar 9(commencing with Sectlon 7000) of Division 3 of the eusineu and Professions Code) or thet he or she is exempt therefrom and the besis for the elle9ed e:emption. Any violetion of Sectlon 7031.5 by eny applicent for a pem+' subjecis the applicant to a civil panalry of not more than tive hundred dollers ($500).): ❑ I, as owner of ihe properry, or my employees with wages es Iheir sole compensation, WILL DO 7HE WORK, and iha structure Is not intended or otteretl for sale (Sec. 7044, Business and Professions Code: Tlie Contractors License Law does not apply to an owner of property who builds or improves Ihereon, and who does such work himsalf or herself or through his or her own employees, provitletl that such improvements are not Intended or offered lor sele. If, however, the building or improvement is sold within one year ot completion, the owner�builder will have the burden of proving that he or she tlid not build or improve tor purpose of sele.). ❑ I, as owner oi the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 704C, Business end Professions Code: Tlie contractors License Lew does not apply to en owner of propeny w�o bulltls or Improves ihereon, end who contracts for such project with e contrector(s) license pursuant to ihe Contractors License Laws.). ❑ I am ezempt under sec. Siqnature: Owner ID verifiad by dnvers license. ❑ Ves ❑ No Business antl Professions Code tor this reason: Veniication of Ownership by (type of document, i.e. - proparty taz bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIfICATION: Driver's License No. Dete: Expires: ❑ I hereby certity that no excavation five (5) or more teat in depth into which e parson is required to tlescentl, will be made in connection with work euthorized by Ihis permit, and that no building sVucWre, scaflolding, talsework, or demolition or dismanNing thereof, will 6e more �hen ihirry-slx (36) teet high. (Chap. 3.2, Gry 2, Art 2, Sec. 341, Title B, Calitornia Atlminisirative Code). ❑ As owner-builder, I will not employ enyone to do work which would require e permlt irom ihe Division of Industrial Sefety, es noted ehove, unless such person hes a permit to do such work irom �he tlivision. Signature: Date: Division ot Indusirial Safery Pertnit Numbec CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTTiY: I certify under penalty of perjury ihat I have read ihis epplication an0 state Iha� ihe information given is correct. I agree to � ply wilh ell state s antl city ordinances rela�ing Io building consiruction, and authorize representatives of the City ot Costa Mesa to enter upon the above-descnbe for inspecti oses. 1 agree not to occupy or allow occupency of eny building authorized by this permit until final inspectian. /'�L%=���C'c-7 � ignA ure O egal Owner(s) ate \ 1 � ��F-,r cr �1 � � � �� � o r AnNOr Authonzed Applicant Date COOE �. INSPECTIONTYPE 1616 Fixed System Final Fire Preventian 1266 Poal Spa Finel 200 Final Re-Roof 201 Final BIocWRetaining Well 202 Final Factory Fire Place ' 203 Finel Sign 204 Final Demolition � �� Qdifi �u�eis COOE 1 INSGECTION TYFE 206 Finel Mechanital 208 Finel Plumbing 210 Final Electrical 212 Final Fire Preven�ion 220 Final Planning Approval 222 Final Site 250� FinalBuiltlinryOccupency UATE INTITI1l5 . , . . . . . , qte OWNER $r1St01�1+'StBt�S DATE �y-18—CEi - ' ,.IOBADDRESS 913 Darrell St.�" ' BUILDINGPERMITNO.�R�� GENERALCONTRACTOR $.�1.Hunsaker VALUE $ 8�856.Q0 LOT (y9 BLOCK TRACT Z8%3 Sin�le Res. W�att gar - GROUP I& J TVPE V ZON�7� FIRE DISTRICT 2�il�A � PERMITS ISSUED INSPECTIONS D�TE SUBCONTRACTOR / DATE NUMBER Footing Trench �� 6 S� " Foundation Forms and Grade to Garage . ,� Plumbing, Rough Complete ��/T J_ Jtj�• Temporary Pole Wiring, Rough G"�" Heating, Rough �n � Heating, Final �—�/�$ Sewer„Ho su e Sewer, St. 7-G Septi�ank or Cesspool p •� � �� Lathing, In Out —/3 Plastering — Plumbing, Final, Fixtures Corr�plet Plumbing, Fin,al Gas Test Q � Wiring,Final � � :,2L Occupancy �- )� FONM 210 3M 10�'.15 _ _ _ � _ . _ _ � _ __ — _ _ �GSL�Y�/.1G� H�/ /�JG �f10/U '� � ,��.:- /_ _si - rti .v 7 9� - � ��— � , ti _ r=i � � � � - -�,,, - Gosta Mesa Building Department s r�B��PLIGATION FOR PERMIT ,.• ,. P.O.Boz3�� BUILDING ' r� COSTA MESA, CAUFORNIA ;' FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN Receipt No.� Permit No. , naaae� �t 13 17/�TziZ��.L S . . - .�/��� � Costa Mesa, California i Rec i d 6y' �Date Rec'd. Dat/e QIssued- ��j Nearest �i7 �G�� " • .�-� '�� '/ V �� C-� CrossSt. I' �. //� (f� - Euilding -� v(� � S O� Address 1 . Owner ' ' Costa Mesa, California � Mail ' ' AddressQFJZCp �, �fESTU�iES ��L• rvearest i � /� Tel. Cross St � / Cfty E" L� l. � No. %� f�- (1 � Zone , I No, of I 7ype Group Architect or Lic. Plans Engineer . No. Approveil ' by � Date , Address � � CORRECTIONS � i/ I � ✓ t /�v S��C City Lic. - Contrector ff �/Z,No. 'Z�p�/ j Address � Legal I Lot a� I � 2$�13 — Descriptioo No. T Block I Tract (Attach Metesand Bounds) � � I No. of Bidgs i Size of Lot ia> O X I E=0 Now on Lot � ' Useaf � I No.of I No.ot ' Existing Bldg. Familles Rooms F Setback Line from c-� � Rear Yard 'Z ��-f— _ Center of Street J � Side vard c c� 4 � r oemolish I Steries I � � O __' _"" " . y n•-r � � I�JD Z _.._._ . _..��_.._ _.D r APPROVALS Faundation Location I Inspecto Forms, Materials, Bracing, Boltsr I hereby acknowledge that I have read this Application . and state that the above is correct and agree to comply Lath. Int. with all City Ordinances and State Laws regulating building rnnstruction. Lath. Ext. � Signaturaot '" Permlttee Plaster, Int. Authorized Agt Plaster, Ext. Valuatlon � Pe� it Fee $ Z Z- � � Masonry Reinforced �p ry�� O � 'Plan Check $ � � ' � � gond Beam $ � / �S Total � O Fee $ 3� • FINAL FORM 309 10�55 D. P. h 5. � Date . . . �����)M'. "" Street PLOT PLAN . Show location and distances from - property Iine and between buildings. ' � � "_ . :: t'i �. 1 i �.. i __ � j� , � _ . ♦ . - t -. • — 7 , !`•. � -P ' 1 , e i' .I ' , � . _. -� . �- � . : . J'� :.r' � ':.� �:. i � � ' �l�� �� I 1 (: � : . i =..: ' .1 , _ , � .��.� i.)'� � F� ��sT� Q('R 1 £�_-Sf, Fu�a :�-: r :. � . � � . ;, 1 .'. �: _, � j ': , . . ., � -, HGS_J. . �, �:: ,.'" i �3 {� . � � . " \ _. C�' _.. �-e � ..� ,`;� .l..�l .. � . .'.-, � ;.. . _ ` \' . . . . _ i .. .. ("J a � �':l i � . J '� I � — , �.. r ` (.J " . . ...: i l,. � �_. . , '+t , �:3..�,: . .. , i _ ' . ' _ �� ' ' �V'. i �'.:: � � 1 : i 1 �. �'. .� _ ' � .. � 1= • . 15 _ \1��., .. . —_.0 _ :�: �� = .'i`. A,-. �}��� � .. ' ��. ' �. � ' . �� , ,' 4 �' � .�. ... .} '` ` ,� � . --� � � `,.` � . 1'.; � i . , . !7 . .. .� . . . ..i :'�l . ) 1 . •'> - _" _ - , ' ' ` : A) '.l r�` ,. ._ ii :.. �.-' -. • . xFr,�t�t:= -PxzL JOB ADDRESS ylj ua� GENERAL CONTRACTOR INSPECTIONS OCCUPANCY Form 410—SM-11-59 5-e P DATE SUBCONTRACTOR VALUE . t0 PERMITS ISSUED ' .• 5. 11586 .. . � ;� - � _ `_. . a `�.i:��: �tv�li/��� COSTA MESA BUILDING-SAFETY DEPARTMENT ', �/�S/� o P. o. aoX 9�, �o�„ M�,,, ��Po��„ ,. fINpNCE �EPi For Applicanf to Fill In Complefely ��pppLICATIOt� FOR`�PERMii TYPE OR PRINT � BUILDING a���o� /3 jZ _ � �ti��enY� AD�RE55 COSTA MES �ca, - o �a . For Office Use Only � � . / � / •• aeceiar NO. PEF d ARCHITECI' cin STATE e TEL. NO.� TEL. TEL. NO. ❑ . I NO. OP BLD69. 68TBALK LIN6 FROM cerrrew oc erneer � REAR YARD SIDE YARD I LEFT I RIGHi DESCRIPTION OF WORK ` BUILDING /� '`� L ROOMS STORIES SIZE EXTERIOR WALC ROOF COVERING ICOVERING USE BUILDI G AND WORK TO BE PERFORMED ! � A-�� a 1 �PEBY AGKN Le�a �THAT HAVE RPaO 19 A lAGT10N A 9T/�T¢ THA THE OV¢ I GOPRECT AND AOPEE TO COM- PLY WITH ALL GT( ONDINANCE6 AND BT TE {AW8 RE6UUTING eU1LpIN0 CONBTRULTION. ��. _n % i % �� � AUTHORIZED AGENT FIRE ZONF APPF BY ZONB COSTA MESA. Z�IVING xo, or � use or ruNs em�om �L� � �� � � :CNTER YNC 9T.) y�� 20NT � �fJ�i(/ .FT. // ��� IN. SIDE ST. c%fN. � SIDE ."7 FT. �N. EAR O FT. J 1. . . ap�_ _'__6� � � _ � ' 4f . i � ' r! u .1.' ' u.� � . . V _ "'l i.: :' � V ' •- � � +��i � ,�l +� .. ( . p� - �I — — ";, _ _ � 5'- r o - THE'{AMOUNT X, /1 / OER �f0 { ��T N'IB-PON'Tpi�' -PORP6H�07!-EBTqBL19XING-A PERMIT pEE ONLY. - ....�r..... i i .. � 1 CHEGK $ O �