HomeMy WebLinkAbout947 DARRELL ST - Building Permits(714) 754-5273 • Fax (774) 754-4&56 • www.ci.cos�a-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
' Job nddress: 947 DARRELL ST
Suite: I
Viciniry: RESIDENCE AND ATTACHED GARAGE
Parcel Number: 42235304
Applicant: SVIR, RANDALL L
Address: 947 DARRELL ST
Owner:
Address
Status: ISSUED
Applied: 08/11/2004
Issued: 08/11/2004
Zoning:
�_,_. ISSUED BY:
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Phone: - 949-6455079 �''�� - �'
COSTA MESA; CA%j'���'"�\ 2ip: 92627 1' 1 C�
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947;DARRELLST .--��"'�-;,.a..�
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COSTA MESA,�CA%� Zip: 92627 �\� ^ \
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`Z`p: �� �License:
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>OF RESIDENCE AND ATTACHED GARAGE:{,T/C
�OF: T/O EXISTING ROOF;
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�heck: � p � $0.00 � �
?ermit: �� $97.25
P Res: �.$0.50
'�Gom: �$0.00
Other:� $0:00
ection $0:\l
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500��SQ�FT —"--�'—_—=
:H DOWN ROOF.
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vt , PLANI
SETBACKS � � /� ��� v�
MAINSTRUCTURE Front> 0-0 �� tRear 0-0"'�--
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ACCESSORY Pront 0- 0_ '�� Rear,'^-0- 0� � �s
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PARKING Ezistin : 0 ��R ired:�0 `��'
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h�one: � �� 1�
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`Licens�: �� (� { ; .
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i�J(��ti i�--,l Iilf
�5NEEDED, 2 LAVcRS s0ii FEiT, HFP!Cf
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Valuation: j ; Sa,000.00
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RighvC
NOTICE: The work authorized by this permit sFiall 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 180 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
required inspeetlona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
zaasre (s�oo) i . ,
WORKERS'COMPENSATON DECLARAnON:
I heretiy eHirrn under penalty ot perjury one oi the following tlec
❑ I heve end will meintaln e certificate of consent to self�ln<
work for which this perinit is issued.
❑ I have and will maintaln workero' compensation Insu2nce,
My workers' compensation Insurence carrier end poticy n
for workers' compensetion, es pravided for hy saction 3700 of the Lebor Cotle, for Ihe perfortnance af ihe
requiretl by section 3700 of the labor Code, tor ihe perfortnance of the work tor which Ihis perrnit is Issued.
ber are:
Carrier: I Policy Number:
(This section need not be comp/eted il the permit Is velued et one hundred dollars ($100) or less.) � .
1
Pcertify �hat in the pert ance of he Work lor which t' pertnit is issued, I shell nol employ any person in any menner so es to become sublect to Ihe workers'
i compansation laws o Ilfomie, d a th it I s� 0 becoma subject to the workers' compensetion provisions of Section 3700 oi the Labor Gode, I shall torthwtlh
comply with t�ese pr sions. /�q ` , r
Applicent SigneWre:' Date: > 1! O� 1� ���-�
WARNING: FAILURE TO SECURE WORKERS' CON,pENSATION COVEPAQE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENPLTIE$ AND CIVIL FINES UP TOONE HUNDRED
THOUSAND DOLLARE (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECiIIXJ 3]OB OF THE LABOR WDE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CON7RACTORS DECLARATION: '
i
I horeby aflirm ihat I am licansed under provisions oi Chapter 9(commencing wlth Section 7000) oi Division 3 of the Business and Pmfassions Code, and my license Is in full
forr,e entl eHect. Lic. # Class #
Comrectofs Signature: � Date:
� . .
CONSTRUCTION LENDING AGENCY: i
❑ I hereby aRirm ihat there is a constmc8on lending agency tor,ihe pedormance ot Ihe work for which ihis permit is issued. (Sec. 3097, Civil Cotle).
Lender's Neme:
Signature: _
OWNER-BUILDER DECLARATONS:
Lendets Address:
Dete:
I heraby aHirm ihat under penalry oi perjury thet I am E%EMPT FROM THE CONTRAC70RS LICENSE LAW for the tollowing reason (Sec. 7031.5, Busineu end Professions
Code: Any city or county which requires e permit lo construct, alter, improve, tlemolish, or repair eny structure, prior to its issuance, elso requires the epplicant for such pertnit
to tile a signed statemant thet he or she Is liCensed pursuent to the pmvisions of the Comractors License Lew (Chapter 9(commencinq with Sectlon 7000) of Division 3 of the
Business and Professions Code) or ihat he or she is exempt therefram and the basis for the alleged exemption. Any violetion oi Section 7031.5 by eny aDP�icant for a pertnit
subjects ihe applicant to e civil penalry of not more than five hundretl dollars ($500).):
�$ I, as owner oi ihe proparty, or my employees with wages es their sole compensation, WILL DO THE WORK, end the slrucWre Is not intended or oflarad 1or sale (Sec.
r� � �044, Business and Protessions Code: The Contractors License Law does not apply to an owner ot property who builds or improves thereon, and who does such work
himselt or hersetl or through his or her own employees, provided ihat such improvemenis are not intentled or oHeretl for sale. If, however, Ihe bullding or improvement is
sold within one year oi completion, the owner-builder will have �he burden of proving ihat he or sha did not build or improve for purpase of sale.). '
❑ I, as owner of ihe property, am EXLLUSIVELY CONTRACTING WITM LICENSED CONTpACTORS to construct the project (Sec. 7044, Business antl Professions
Code: The contractors License Law tloes not appty ro an owner ot properry who builds or improves Ihereon, and who conhacis tor such prolect with a contracror(s)
. license pur ant to tha Contractors License Laws.). I
i
❑ I em e:e t under ec. Business antl Professions Code for this reason:
'SlgnaNre:_' ( _ = _ v� _ � Dete'� � — � (
�Ownar ID verifletl by dnver's license. LI Yes ❑ No � Drivefs Cicense No. Expires: _ O�'iir"I'��
Veritication of Ownership by (type of tlocum4nt, i.e. - property tex blll or tleed): �
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N: I
❑ I hereby certity ihat no excavation five (5) or more feet in deptA into which a person is required to descend, will be made in wnnection with work euthonzetl by ihis
permit, and tha� no building sirucWre, ScaHolding, talsework, or demolition or tlismantling thereot, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, 71t1e 8, Celifornia Administrative Code). 1
❑ As ownervbuilder, I will not employ anyone to tlo work which �would require a permit from the Division ot Industrial Safery, as noted above, unless such person has e
permit to do such work irom Ihe tlivision. �
SignaNre: I Date:
Division of Indusirial Sataty Pertnit Number:
COOE t. INSPECTION TYYE
1616 Fixed System Final Fire Prevention
1286 Pool Spa Final �
200 Finel Re-Raof
t
201 Finel8locWRetaining Well �
202 Final Factory Fire Place
203
204
Final Sign
Final Demolition
DRTE
� � �
�
COUEII INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Flnal Electrical
212 Final Fira Prevenilon
220 Final Planning Approval
222 Final Sita
250 Final Building/Occupency
PATE It�Li
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OWNER BI'15LOZ�SS''St8t2S DATEl4-18-56 .
. JOBADDRESS 9�7 Darreu S�, ^ - BUILDINGPERMITNO. -.�l���i:
GENERAL CONTRACTOR S.V.H�saker VALUE $ 8�87CJ.00
' LOT 42 BLOCK TRACT 2873 Single Res. att+gar
GROUP I& J TVpE V ZONE R'�= FIREDISTRICT 28�1�-
' PERMITS ISSUED
INSPECTIONS D T� SUBCONTRACTOR
� � � DATE NUMBER
Footing Trench ��_
Foundation Formsand Gradeto Gara9e _i �
Plum6ina.Rou9htQ51ab_�:d3U,.�)d!/b _I:t1l-�lLI - � - - �"'_"' - I-.. .— 'Is----- = -- -
Com
Rougl
Final
Septie Tank or�Cesspool'
Lathing,ln c
Plastering
Plumbing, Final, Fixtures
Plumbing, Fin.al GasTest
Wiring, Final
�ccupancy �j"j�-- fl�3J
FOpM 210 3M 10-•v3 �
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A
�_ ., Costa Mesa Building Department �•APPLICATION FOR PERIVIIT
- , , P.o.so.3�� 284� gUiLD1NG ''
i:•� ' COSTA MESA, CALIFORNIA
, FOR OFFICE USE ONLY -
� FOR APPLICANT TO FILL IN
n Receipt No. _ Permit No.
Address �I� � j�'���LL S ( . ' � _ '����5�
Costa Mesa, California Recei e y /� ate Rpec'U/. � Date IssuOed
Nearest � i `- 7 ��O '�J (� I �% ��O �
CrossSt. �%G�� j /� (J� • Building , �
� � ( O .� � � Address , � •
Owner
Ma�� Costa Mesa, California
nddress �bZCp �. �./k-S UfJ/r5 l72 � rvearest i
/ Tel. !� Cross S .
GtY�� l�� �lT� No.�i:'-I—<<J� Zone ' tl Plans I TYPe� Group
Architector Lic. ._ _ _ _ _. _
ContractorS.V, �iViJS�iILCQ,
Attach Metesand Bounds)
� � No. of Bldgs
izeofLot !pG x�EiO I NowonLot �.
iseaf I No.of I No.of
�,xisting Bidg. — Ramilles Rooms
etback Line from � Rear Yard ZS
enter oT Street �� Side Vard c— �+- 1
New ✓
I I Moving I I Demolish
No. of ---�
� � � � Rooms � Stories
Vall Roof m
S� l[i C.L,� Coverinq �C,O C
Date
CORRECTIONS
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APPROVALS
Foundation Location I Inspector I � Date
Forms, Materials,
� — � Bracing, B
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 Iaws regulating
bullding construction. . Lath. Ext.
Signatureof �
Permittee Plaster, Int
Authorized Agt Plaster, Ext
Valuation Pe� Fee$ 'Z`Z.00 MasonryRei
� i� / � O Pian Check $ %�' �� gond Beam
�$ u 1 V �W • Total
Fee $ ' 3�3, c0 FINAL
RM 204 10�95 O. P. 6 5.
YLUT YLA1V
Show lacatlon and tlistancea Trom
property Ifne and between buildinga
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ER �SON, Bruce H.
ADDRESS 947 Darre7
FIRE ZONE
DATE 2-8-71
BUILDING PtRMII N0.
Date GROUP J TYPE
SUBCONTRACTOR
W ATER
ROl1GH PLUMBING
PROP. $WR. LINE Q HOUSE CON.
SPRINKLING SvSTEM
MISCELLANEOUS
ROUGH NEATING ANO AIR CONDITI
TEMPORARV SERVICE OR POLE
UNDEFGROl1N0'Q`POWEk ��
ROIIGH WIRING
TRENCHES � FORMS � STE
FLOOR SVSTEM
BONO BEAM � STEEL REINFC
SHEATHING
FRAME ANO FLASHING
LATHING - IN ❑ OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL
HEATING, VENT., FEFRIG. ANO A.
PWMBING. FINAL AND GAS TEST
: '"
-'� 32707 � . �
COSTA MESA BUILDING-SAFETY DEPARTMENT '
'' - P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
I
�
� For.Applicant to Fill in Completely . R/El�,
BVILDING ^ �J f� � � �1
ADDRESS V'' ` �1 ��1-�'� L- � � •
. OWNER AR��C. � �• VY`iS �G� ' ` .. A.P.
MAIL � p�,,� ' ' � . . BUILDING
ADDRESS�- .'S �>�^ ' ' /1�ORE55
CITV - . ., NOL��� S%Sp TRACT
BRANCH
ADDRE55
ADDFESS
CONTRACTOR
ADDRESS
CITV
STATE
LIC: NO.
SIZE
OF LOT �L
VSE OF
EXI5TING BLDG.
v�
TEL�
TEL.
NO.
CITV
LIC. NO.
�—
INO.OF BLDGS. ,_
NOW ON LOT
-FIRE �/
ZONE
APPROVEO
' - RV
�FeR-8-71cnsnOO 353 ��****5:00
TION FOR BU�LDING PERMIT
� DATE RECEIVE� DATE IS UI
a-- �- a_ �
� S �J �D 7 �PE '
� ���J ��.���
�u /.+� LOT�O� BLOC
> E P
ZO,pI§ _ / NO. OF
%` PLANS �
VAFDS APPROV ED
MAIN.BUILDING_
USE OF NEW
BUILDING i
" VARDS APPROVED
ACCESSORV BUILDING
I— SIZE OF NO. OF � ' - l � '
Z NEWBL�G." ROOMS .STOFIES LSIDE ✓ FT. . FT.
� U EXTERIOR WALL . ROOF ` .. . � ' - �
COVERING .COVERING REAR � I FT. FT. s
�... J USE OF BUILDING AND WORK TO BE PERFORMED , DISTANCE BET.' . BET. MAIN& -
a ' MAIN BLDCS. � �� ACCESS. BLDGS.
a
O ��`�O G�CVEYL' CURP # APPROVED
y µ�l Ll�:�c�...1•L-E `1 APPROVED r , � P��7/
.. z . . , . , . ..
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. V I hereby acknowledge Yhat I have reed ffiis appliwtion and�state . . ,�
� that ffie above information �is correct antl agree to comply with
� all laws regulating buil�ing construction, �antl 1 shall not employ ' -
r�, any person in violation' ot the workman's compensation laws ot
y the Sta{e of California. � ', - - �
zI hereby certity ffiat I am properly, licensetl as a ronttactor untler � SQ. FT. o �
, the State of Calitornia �usiness antl Professions Cotle, oivisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR -�
� Chapter 9, and that such licenses are in full torce antl effect, or I� THE PURPOSE OF�ESTABLISHING A PERMIT FEE ONLY: Q
' am ezempi irom the pro�isions of the State of Caiifornia Business �
and Protessions Cotle, D{�ision 3, Chapter 9. ' VA W ATION '� "a. , ry
� � PERMIT FEE $ / GICS ' ]
Signatura o( ���r . m
. Permittae ���� �cW/4 i ,�� $ � �� . pLAN CHECK $ E
� - O
Authorizetl Agent . • . � u'
' TOTAL FEE $ � D O