HomeMy WebLinkAbout952 DARRELL ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa. ,���SLDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 952 DARRELL ST
Suite:
Vicinity: REAR PROP LINE
Parcel Number: 42235231
Applicant: PEREZ, ALEJANDRO
Address: _
Owner:
Address
ACCESSORY
PARKING
NOTES:
LIN. FEET
h$29.15 �
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) $0.50
Il $0.00
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Zaning:
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Zip: 926273316
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Status: ISSUED
Applied: 07/26/2002
Issued: 07/26/2002
ISSUED BY:
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NOTICE: The work authorized by this permit shall comply with all applirable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
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 Inspectlona and final approval must be oblained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545826
46A616/00)
WORKERS' COMPENSATION DECLARATION: . . . , - ,
I hereby eHirrt(urider penalry ot perjury ona of the following declarations:' . � � � �', - "
❑� I have and will maintain a ceniticate of consent to setl-Insure tor workers' compensetion, as provitletl for by section 3700 of the Labor Cotle, for Ihe pertormance of �he
work tor whiCh this permit is issued. . ,
❑ I have and will maintain woMers' compensation insurance, as required by section 3700 oi the Labor Code, for the pedormance of the work for which Ihis pertnit is issued.
My workers' compensation Insurence carrier antl policy number ere: . - ,
Carriar. Policy Number. -
(This section need not be completed il the permif is velued ef one hunOred dollars ($100) or /ess J
❑ I certity that in the peAormanca of t�e work for w�ich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' �
compensation laws of Califomia, and egree that if I should become subject to Ihe workers' compansation provisions of Section 3700 oi the Labor Code, I shall forthwith
comply with these provisions. .
Applicant SignaWre: Date:
WARNING: FAILURE TO SECURE WORKEPS' COMPENSATION COVERAGE IS UNL4WFUL AND SHNLL SUBIECT AN EMPIOYEF TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNORED
THOUSAND DOLLARE (5100,000), IN ADDITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 3106 OF THE LABOR WDE, IMEFEST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION: -
I hereby aMirm that I am licensetl untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Protessions Code, end my license is in full '�
force and eflect. Lic. M Class N
Comractor's SignaNra: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirm fhat ihere is a construction lending agency for the pertormance oi Ihe work for which this permit is issued. (Sec. 3097, Civil Code).
Lendefs Name: Lender's Address: '
SignaNre: � Date: �I
OWNER-BUILDER DECLARATIONS:
1 hereby aHirtn ihat under penelry Ot.perji
Cotle: Any city or county which re`quires
lo file e siqned statement that heLPstiei
Business antl Protessions Coda) or',thet
subj s the applican� �o a civil penalty ol
1, as awner at ihe properry;or my e
7044, Business and Protessions C�
himself or herselt or ihmugh his or
sald.within one year of completion,-.
❑ I, as owner ot �he property, am E%1
Catle: The coniractors License LeN
license pursuant to the Conlrador5
❑ I am exempt u r ec. �
Signature:
Owner ID verifie bv tlri ers license.
that I am EXEMPT FROM 7HE CON7RAC70RS LICENSE lAW tor the following reason (Sec. 7031.5, Business antl Protesslons
ermit to constmct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires the applicant for such permit
censed pursuent to the pravislons of ihe Conirectors License Lew (Chepter 9(commencing with Section 7000) of DlNsion 3 of the
,or she is eaempt therefrom and the basis for tha allagetl exemption. Any violetion of Section 7031.5 by any applicant tor a permit
t more than five hundred dollers ($500).):
loyees wiih wages as iheir sole compensation, WILL DO�THE WORK, and the stmcture is not imentletl or oHeretl for sale (Sec.
:'f�ie�Go`ntractors License Law dces not aDPty to an owner of pmperty who builds or improves lhereon, and who does such work
� ownderp��ees, provided tha� such improvemenis are not intended or oflerad for sale. If, however, ihe building or improvement is
�,ownefbVllder will have ihe burden of proving Ihat he or she did not build or improve for purpose ot sala.).
1SI�IELY CONTRACTING WITH LICENSED CONTRACTORS to construct ihe prolect (Sec. 7044, Business antl Protessions
�es not'epply to an owner of property who builds or improves thereon, antl who contracis for such project wiih e comractor(s)
Business and Professions Code tor ihis reason:
, � Yes ❑ No Drivels License No.
Veriticatlon of Ownership by (type of tlocument, i.e. - pmpeny tex bill or deed):
DIVISION OF INDUS7RIAL SAFEN PERMIT CERTIFICATION:
Ezpires:
❑ I hereby cenify that no excavation five (5) or more feet in depth into which a person is required to descend, will he mede in connectlon wit� work authonzetl by ihis
permit, and that no building simcture, scalloltling, falsework, or demolition or dismanNing thereof, will be more ihan thirty-six (36) feet high. (Chap. 3.2, Gry 2, Art 2, Sec.
,341, Title 8, Californla Adminisirative Cotle).
❑ As owner-builder, I will nof employ anyone to do work which would require a permit from ihe Division of Indusirial Safery, as noted above, unless such person hes a
permit to da such work tram the division.
Signature: Date:
Division ol Industnal Sefety Permit Number:
CERTIFlCA7E OF COMPLIANCE AND AU7HORVA710N OF ENTAV: I cenify under penalty of perjury that I have read ihis epplication and state that the infortnation given is
correct. I egree to comply wilh ell state lews end ciry ordinances relating m building construction, and authonze representatives of t�e Ciry oi Costa Mese to enter upon Ihe
above-descnbed pro �lor inspection purposes. I agr ot to occupy or ellow occupancy of any building au�horized by this pertnit until final inspection.
�.��- .,�� -� �a�� d z
SignatureOfLeg wner(s) � Date
AnNOr Authonzetl Applican� �
COOE11. INSFECTIONtYPE '
1616 Fized System Final Fire Prevention
1266 Pool Spa Final
200 Finel Re-Roof
201 Finel BIocWRetaining Wall
202 . Final Factory Fira Place *� �
203
204
Final Sign
Final Demolition . „ . .
INTRI�LS �Qp��' INSPECTIONTVVE
� � � 206 Finel Mechanical
200 Finel Plumbing
210 Final Electrical
�
�
212 Final Fire Prevantion
220 Final Plenning Approval
222 Final Site
250 Final Building/Occupancy
�(�,� :,:.,
' THIS Si�7'Qi LS FOR INFORMAI70NAL PURAC156
ONLY. APPLICANI' 6 RESPONSIBIE FOR PROVIDING
AN ACNRATE REPRESII�TA7iON OF Tk4R PROPFR7Y
IIV USE'[i� SHAPE AND SIZE DO NOT CORRPSPOND
WiTH 7HE WFOEtMAl70N PROVIDFD ON 7t� 5}�El'.
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CITY Or COSTA f��FS�
p�q,"l�JiNG DIV.
SUBJECT 70 6LDG. DEPT. R� G.
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• 50I]D WALLS/FFNQS HElWEIIJ Y'b' k 6' DJ F�i1'SHALL
BE SE18AIX A7 LEASIIO' FROM FRONL PFOPER7Y 1A1E
• 9DIID WA[LS/tFNQ�S StIALL NOT IDCCi}D Y 6' IN ta1CHT
WfIt�I ld OF iHE tRONf PROPERIY fIIJE �f01'CURB LQ�hj.
• VFRIFY D6TAN� FROM CURH lU PROPERiY UNE
AND4iOWONPUIN. VERQ�7GYIONFROMTHEQIY'S
pJL'RJEER¢JC DIV�ON b RFQU�tED. CA1L (714) 75�534i
PDR WPORMAliON.
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BLOCK WALL .LAYOUT FOR BUILDING PERMIT
PLANNING DIVISION
�
Cemmt Coping Optiona� �
Channel Bbck With 1�3/8�
Hori:onnl Top ol all -
Fenoes
For Fences 5' or Lea
Ven. Bars 3/B" � at 4' �0" O.C.
For Fences Highe� Than 5'
Ven. Ban 3/8"m at ]2" O.C. �
Fill Cells Solid With Grout
WhereSteelOccurs .
Rr.�nl�rcing Sleel Shall
Lonlorm to Sec.A�15-39
A.S.T.M.
All S�eel to be lappad ,
24" or to Code
NATURAIGRADE
T Wp �/e"d BARS
CONTINUOUS TOV
6 BOTTOM
HOfi1ZSTEEI MUST BE TIEO IN.�
PLACE AT TIME OF TqENCN
INSPECTION.
TYPICAL 6��-CONCRETE BLOCK FENCE
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THICKNESS
DEP�H OF EARTHTOOTH
_ SPAC�NG OF EARTHTOOTH
FOOTING REQUIREMENTS CHART
IO"
2 4" .
12'
14
10"
' 20"
14� .
BUILDING DIVISION
'e y
16"
16'
GENERAL- NOTES
MORTAR; pna Porf Plosfic Cement, and
Th�ee Parts Sand
GROUT: One Port Ceme�f TMee ana
One Halt Parts S�ond
COPiNG: One Port Cement, Three
Ports Sond
CONCRETE: Wen M�xed 1:2-V2:3-i/2
Moi of 7-1/2 Goltons ot
Water Per Sack of Cemen�
GROUT MAV BE POUflED FqOM THE TOP
OF TME FENCE IN CELLS WHERE STEEL
OCCURS.
CELlS AND AREAS OF NORIZONTAL REIN
FOPCEMENT SMALL BE CLEAR, CLEAN 6
iREE OF A�L MORTAP DE6RIS, ETC.
'H L�' C4RTHTC07H
VS Tr1E NEiGTN OF FENCE
B�LOW BOTTOM pF fOG7iNG
SCALE: I/2" = I'
8�
12"
16'
�..��...�..�... . � i -. .
BUILDING PERMIT
Job Address: 952 DARRELL ST �
Suite:
_ Vicinity: RESIDENCE AND ATTACHED GARAGE
Parcel Number: 42235231 Zoning:
,'
Applicant: WILLIAMS, KELLY
Address: 613 SHASTA LN ���� �
��?�,..� Phone:
r
� COSTA MESA, CA'� � Zip:
Owner:
Address
CA
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REROOF RESIDENCE AND ATTACHED'G
�GAF FIBERGLASS SHINGLES "24 �SQUAF
� I I 4;Ci�1 I C�
,�'� �,�611 `�
! Plan Check: � 4 $0.00 �
�� ��Permit������$125�.25 °`a
\ SMIP Res: ;�, $0.54
�8MIP Com: '�$0.00
�� Othe� �$0:00
Insp`ection': $\0\00 �
\�`Total.�t�; $125�.�79 �
\�\ �`' „ �\����,;�.
�`�,��',,> ��..�
SETBACKS�Cj
MAIN STRUCTU E�Front 0�
�.�`>�. ;�
ACCESSORY Front � 0-,0 �,
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PARKING Existinq:�`�0�� _�.,
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Zip: 926273316
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nse:� 598440 �
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' Status: ISSUED
Applied: 09/08/2004
Issued: 09/08/2004
ISSUED BY:
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�^ License: `
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yLAC S TG AS NEEDED, 15# FE�T, APPLY�"1
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NOTICE: The work authorized by ihis permit'shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) �
EXPIRATION: This permit shall automatically ezpire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 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 Inspeetiona and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626 �
aa6<s (6roo)
WORKERS'COMPENSATON DECLAFiAnON: � � ` -� �
I hereby affirm untler penalry of perjury one oi the following declarations: �. ' ' .
❑ I have end will melntain e certificate of consent to self-Insura for workers' compensation, es provitlad for by sectlon 3700 of the Lebor Cotle, for ihe pertortnance of ihe '
wark tor which t�is permit is Issued. �
�r I have end will malntain workers' compensetion insurance, as required by section 3700 oi Ihe Lebor Code, for ihe peAortnance of the work for which this pertnit is issueC.
My workGers' `compensatian I urance rder entl policy number ere: p
Ceiner. a)�-1�._�il �Y�� PolicyNumber. —O 2 U/�OOa 1.5'
(This section need not be comp/etetlll the permlf is valued et one hundred dallers ($f 00) oNess.) ._--- • . ,p�.� � ��. �
❑ I cetlily Ihet in t�e peAortnance ot the work for which t�is permit is IssueQ I shall not employ eny person in any manner so as to become subJect to ihe workers'
compensation laws of Califomla, end agree ihat ii I should become sub�ect to Ihe workare' compensetion provisions ot Section 3700 oi the Lebor Code, I shall forthwith
comply with ihese prpvi6io�� � � ' ^ /�/� �
Applicant Slgneture: �Y Da�e: � ���
WMNINO: FAIWRE TO SECURE WORKE ' COMPENSATIIXJ COVERAGE IS UNIAWFUL AND SHNLL SUBJECT AN EMPLOYER TO CRIMINAL PE ilES AND CIVIL FINES UP TOONE NUNDRED
TIqUSAND DOLLARE (5100,000). IN ADDITION TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVIDED WR IN SECTION 31O60F THE LABOP CODE, IMEREST, AND ATTOfiNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm that I am
lorce end eHeCt. Lic. Nt_
Contractor's Signature:
Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Pmfessions Cotle, antl my license is in tull
� Class A . i� - � �
Date: Q � / /l CI
CONSTRUCTION LENDING AGENCY:
❑ I hereby eHirm thet Ihere is a consiruction lending agency for the performance ot the work for which this permi� is issued. (Sec. 3097, Civil Code).
Lendefs Name: Lander's Adtlress:
Signature: Date:
OWNER-BUILDER DECLARA710NS:
I hereby aHirm that under penalry of perjury �hei I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Profeuions
Cotle: Any city or counry which requires a permit to construct, elter, improve, demolish, or repair any sWcture, pnor to its issuance, elso requires the applicam for such pertnit
to ille e signed statement ihat he or she is licensed pursuent �o �he provislons ot ihe Contractors License Lew (Chapter 9(commencing with Sectlon 7000) of Division 3 of the
Business end Professions Code) or that he or she is exempt tharafrom and the besis tor the ellegetl exemptlon. Any vloletion of Section 7031.5 by any epplicent tor e pertnit
subjects tha applicant to e civil penelry of no� more than tive hundred dollers ($500).):
❑ I, as owner of the property, or my employees with wages as iheir sole compensation, WILL DO TME WORK, and Ihe struclure Is not intendetl or oHaretl for sale (Sec.
7044, Business end Professions Code: The Contractors License Law does not apply to en owner ot property who bui105 or improves ihereon, and who does such work
himseif or herself or through hls or her own employees, provided that such improvements are not intendetl or otteretl for sale. Ii, however, Ihe buiiding or Improvement is
sold within one year of completion, �he owner-buiider will have ihe burden of proving that he or she did not build or improve for purpose of sale.). '
❑ I, as owner at the pmDerty, em EXLLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7046, Business antl Proteuions
Code: 7Te comractors License Law does not appty to an owner of propeny who builds or impmves thereon, and who conirecis for such project with a conirecmr(s)
. license pursuant to t�e Contractors License Laws.). .
❑ I am exempt under sec.
Business antl Pmfessions Code for this reason:
Signature: Date:
Owner ID varitied by tlnver's license. Yes ❑ No Driver's License No. Expires:
Verificetion oi Ownership by (type ol docum t, i.e. - propeny tax bill or tleetl):
DIVISION OF INDUSTRIAL SAFETV PERMR CER7IFICATON:
❑ I hereby certify thet no excevation five (5) or more feet in depth into which e person is requiretl to descend, will be made in connection with work authorized by this
permit, and t�at no building stmcture, scaHolding, telsework, or tlemolition or tlismantling thereof, will be more than Ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title B, Califomia Atlministrative Code).
❑ As owner-builder, I will not employ anyone to do work which woultl require a permit from the Division of Indusirial Safey, as noted above, unless such person hes a
permit to do such work from ihe division. �
Signature: Date:
Division of Indusirial Sefery Permit Number:
ICERTFICA7E OF COMPLIANCE AND AUTHORIZA710N OF ENTRV: I cenify under penalty of perjury ihat I have read Ihis ap0lication and state that ihe information given is I
correct I agree to comply with all stete laws and ciry ordinences rela�ing to building cons�ruciion, and authorize representa�ives of �he City ot Costa Mesa to enter upon the
ebove-descnbed proparly For inspection purposes. I agree not to occupy or allow occupancy of eny building authonzed by this permit until final inspection.
Rf1 n uga�wre L al Owner(s)
�LY� )
. _Antl/Or Authonzetl Appliwnt
COOE 1. INSPECTION TYPE
1616 Fixetl Systam Final Fire Prevention
1266 Pool Spe Final
200 Flnel Re-RooF
201 Fina181ocWRetalning Well
202 Final Factory Fire Place
203 Final Sign
I 204 Final Demolition
GODEt 'INSPECTIONTVPE
206 Finel Mechanical
208 Finel Plumbing
210 Final Electrical
212 Finel Fire Preventlon �
220 Final Planning Approval
222 Final Si�e
250 Final Building/Occupency
4dIF. It4ID9L5
I�
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PflOJECT FODPESS: 9 S Z DARRELL ST ;
OWNEfl'S NRME: SCOTT, BRYAN D�'�
, noosess: SCOTT LYNDA
952 DARRELL ST
COSTA MESA, CA 92627
pHCHIENGMEEfl: 7 2 Z— 7 8 6 3
FODHE55:
UNIT: ,
BEG.NO.: �� _
UNIT:
reeminee: LYNDA SCOTT � ( 714 ) 722-7863
nooeEss: g52 DARRELL ST
C.M. CA 92627
LICENSED CONTflACTOP DECLAflAT10N: I herehy aflirm I�ai I am IicenSeA under D�ovisions of Chap�er 9(commencing wi�h Seclion
7000) ol Div��sion 3 0l the Business an0 Pmiessions Cotle, antl my license is in lull torce anC eHecl. . �
CRY LIL:, � STFTE UC.: LLASS:
Da�e'. ' Signature:
WONKENS' COMPENSRTION DELNBATION: I hereby a��irm Iha� I have a cenificate o� consent �o seli-insure or a ceeificate ol Workers'
Compensa�ion Insurance. or a cenifie0 coDY �hereof (Sec�ion 3B00. Lab. C). .
POIICY NO.: ' E%P. OATE: , '
COMPANY: ' '
❑ Cetlifietl copy is hereDy furnishetl. ❑ Certilied coOY is file0 with the ciry Building Oivision. �
Dale: Applicant:
E%EMPfIQN FflOM WOfl8Efl5' COMYENSIITION OECLAMTION: (TAis sec�ion neea no� be completed i� the permil is lar ane �unOred (5100� or less�.
I ce�ity ��a� in the pedormance ol �he work tor which ��is permit is issued. I shall noI employ a9 person in any manner so as to hecome
subled lo �he Workers' Compensalion Laws oi Cali�omia.�� � /�� ,
Gp C/
DaICi ' O ��S / � SignaWre. -
NOTICE:I1, afler making Ihis aeclaration, you s�ould 6ec e subject�o the Workers' Compensa�ion pfovisions of Ihe Labor
CoOe. you musl fotlhwiih comply wiN suc� pmvisions or ��is Oermit shall be tleemed revokeU. � �
CONSTflUCTION LENOING AGENCY: I �ereby al�irm Iha� there is a consiruc�ion lentling agency ior IAe peAormance o� �he work for
which Ihis permi� is i�sued (Sec�ion 3097, Civ. C). , ,
LENOEfl:
AOOBESS: " . � .
OWNEB BUILOEB �ELUflFTION: I hereby a��irm that I am exempl tmm Ihe Contractors' Staie License Law tor �he �ollowing reason
(S¢ction 7031.5 Business and Pmlessianal CoOe'.. Fny ciiy of county which reQuires a permi� [o cunstmc�, alter, impmve, demolis�; or
reDair any s�mclure: prior lo iis issuance: also reQuireS ihe applicanl br suth permit �o �ile a 5igne0 slatemen� �ha� he/she is licensetl
pursuam m the pmvisions oi ihe Contractors' Slaie License Law �Chapter 9(commencing w�h Section 7000) ai Division 3 ot ihe Busineu
an0 Pmfessions Cotle) or Ihat he/she is exempt therelmm ana Ihe basis for the alleged exemption. Any violation of Section 7031.5 hy
any applicam for a permi� suble�is t�e applicant to a civil penalty of not more ihan tive hunOreO Oollars (5500�.
�I, as owner ot Ihe proDeny or my employees with wages as their 5ole compensatian, will tla �he work, �and the
s�mcture Is not imenAeA or oflered lor sale (Section 70ad, Busineu antl Protessional Code: The Coniractors' Slate License Law
Ooes no� apply to an owner o� a pmpetly who builtls or impmves �hereon, antl who tloes such work himsel�/hersell or througA
�his or �er own employees. pmvitle0 ��at such impmvemenis are no� intentletl,or oMered tor sale. II, however Ihe builtling ar
imO�Dvemenl is Soltl wit�in One year Oi tomple[ion, Ihe owner vnll have Ihe burCen o� pmving he/she did no� build of impmve
for Ihe Durpose ol sale�. _ .
I, as owner of the OroDehy. am excNsively con�racling with licensetl contraciors lo conSlNc� �he piole�� (���ion 7044, Business
❑ anOPmfessionsCode: T�eContracmrs'StateLicenselawtloe5noiapplytoanuwnerofpmDertywhobuiltlsorimprouest�ereon
and who conVacis lar 5uth pwle��s wiih a Contradoqs) litense pursuani �o Ihe ConVaC�ors' S�ale LiCense Law�. I am aware
, that prooi oi iheir Worker'S Compensation insurance should �e pravitletl ta me.
� I am exemp� untler Seciion: • 8. 8 P. G'
�or Ihis reason: - yn//�� " 7���
Daie: � 'a� ' �3 Owner �l�l� � ✓/ � �/�
I Oo �ereby cetlity that I am aware ol anC untlerslantl the requiremenls of Califomi Healih antl Safery CoOe Sedions 25505, 25533, and
25534 and �ha� I or any fuiure building occu0ani will/will not (circle one) need to comply wi�� saitl state codes and �he requiremenis br a
permit for constmction or motlificaiion imm ihe Air Ouahiy Managemen� OislricL Fe5i0ential con5imction appiications are eeempl irom
these o�ovisions.
Oa�e: AOOlicanl: '
I hereby cer�ity �ha� I �ave reatl Ihis applicalion antl sla�e Ihallhe a�ove inlormaiion is wrrecL I agree to comply wiih all city an0 counry
or0inances ane slale laws relaling Io buil0ing cons�mction an0 �ereby autMr'¢e represematives ot Ihis ciry Io enier uDon lhe above�mentionea
pmpetly far inspeclion pw�pjoses. � O� �
Oate: �'�� � / � � Signature: � � ���
Driver's License or Social Securny a:' ���
t6nt�a6 W�ile—Buildinq: Green—Cotle EnbrcemenL Canarv—Aoohcanf. Pmk—Pevenue: Goltlenrod—Assessnr
r�
� CITY OF COSTA MESA — BUILDING PEAMIT PERM NO: B 06364
PERMIT NO: B 063699 PLAN CHECK NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE; PERMIT TYPE; STR.. PURPOSE: OTH
JOB DESCRIPTION : T/OFF REROOF W/COMPOSITION SHINGLES ' SQ FT: 3,000
CLAIM VALUE: ;3,000.00 CALC—VALUE; 3,000.00 GROUP,OCC: R-3 /M-1
COMMENTSi REROOF RESID b GARAGE W/COMP SHINGLES ' •'
***���e*�r�**����r*�r�r�r�r�r�x��e��r**�***�r+�*�r�r��r��**x*+��e�r�r��r�r�r�*�r+r* @r+�+6
_'. Z O N I N GS ERTEBQAUCIKRSE M E N T§���*�V��
-------- --- MAIN BUILDING ----------' --------- ACCESSORY BU����RE V___
FRNT;� FT IN REAR: FT IN FRNT: FT IN REAR; • FT IN •
liEFT: " FT �IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARKING'REQ • PROV: PARCEL:' 42235231 ZNE: REF NO: �
PLANNING N25TES> ' �,� �
� .. .
ifiE�f�f�f�EiEfEif�f�fif�fifif�fiEiEiE�kifif�EiEitlFifiEiEiEiE�F�FiEiEiE�EiEiEiFiEifiEiEiElfifiF�F�flflE�fiEikiElEififikifiEiflFiEiFlfiFiEiElfiFlfilif�fiflf�k '
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�iT S',
ZONING APPROVED BY ' DATE: tr�
BUILDING APPROVED BY : " DATE: '��
APPLICATION ISSUED BY• � � �A� DATE: _A �S �
�liFiEit�tiEiEffiE�kif�fik�fiFit�lflfiFiF�IFifif7F7F��F'iF�f"iF"iF"{F"it"iFif ��FitlfitiElfitifiEiEit i(��t
if if,if if 1f �k �f iE 1F M k if ik �Eif 1f it �f iF 1! 1Eit ff �E 1E it if �liF iE �E if if �f if iE if ik iF if 1t iE 1f �klE�E if �F1E it if iE i! 3lif iF.if iE'�f i�'(. i! �Fif 3f k 1k if i! 1E �! �1f iFif iEiE �f iF iF if
LEGALIZATION:N ' , F E E S U_M M A R Y ��� STRUCTURAL SfiGMENT;Y
,
BLDG PMT '�PLUMBING ELECTRIC MECHANIC FIRE �, SMIP/RES� GRADING
PERMIT. 54.00 ; ra 50"
' ' r �/ SMIP/NON� RES
ISSUE FEE . w , `�, ,
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL f,� PAID �' DUE
TOTALS--,-.—> „ 59,50 _0,'00 0.00 . 54.50 , J 54,50 �;* ,00
REVENUE DIVISION TOTALS-->V " COLLECTED; 54',50 OYER/SHORT; .�r%'4 ,00
BLD59P00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TO,T�� GRADZNG PLAN—CHECK
, �� :
_��'
iFiEifiElEifiFififiFikififiF3fiFiFiFiFiEfEikififikifiFklflFifiEiEifkiklfiFiFiEiEif�lFififiEifKiFiEiEiElEiFjElFltiFiEiFlfifiEiE#iF�lfiFikiEiEiE�lkiEiEiEiEiklk '
' I N D I V I D U A L F E E H R E A K D O,"W N �
/
TYPE QTY D'E'S G R I P"T I O N ` ' UNIT COST %TOTAL COST
SFR 3000 •REROOF BY VALUE RESIDENTIAL NOZONE ''1'(00 ' 3,000,00
END OF FEES ` «
, . . _ r ('y �
. y� ` � '
' . n, /,' !% .
/Y f � �%
. � . � - �� � � �
�. ' v'1�0�14:b?E-�!7i45h29 T�J 1' Sy.50
r�,�T�' t'�� �`fi: SICIE: t!,:45 '
. _ . . .. . .. '�—" .
i
� , .1 - �; , �1 _
CONSTRUCTION AND�PLANNING �" - - , . Pu�1l & SPA . � �-� � - - � ! C,
nc t•'
' '� " � Date "Inspector ` � - "� ' Date Inspector+
� APPROVALS Permic# ' '� -'-- F AP.PROVALS Permit # - � - ,,
- a � �� - } - - � - -
� 7 -Temporary"Ele�vical Service oi Pole � ; -52 Pool�&.Equipment L'ocauo,n; , _ . � � _
. �:
��� 2. Soil Pipe�Undrgrnd. s; . , ': _ = >�� � �53.•'Sfeel Reinforcement , ' . , ;�; y
Q,�iEle�trjc�"I Condm't�U�u��ty-Undrgmd. � � .� � ` s � 54. `Forms_ � _ _ � � , _ � . _ � � # � ;
t -� -. ; �;. i �= r , � > .,, � � _ � :
� v��.(�@St�Fal Condu�t,;Undrgrnd. '� * 55 ElectrPcal Bonding ,�'' - _ -+ i^
� �5. SteekR'�inforcei�eat _ - � _ � G - � � - 56. �Rough;ptumbing-& Pressu�e�'Test � - � : 1 �
4''Gi` v:�:�W t v - ' `'i'
r; :r���n;. • _ _ ,. _ .a
x6,.EIe_'cEricai UPE��nd; � - - � - _ � . - - 57. APPROVAL�TO COVE�ii-GUNITE ' _ � ��
' i7i�Footing: '-J . - _ ' - � ' ', 58. �Electrical Conduit-Undrgrnd. . � c
r-f n *•t
B F`ouit�ation � , - 59. �Gas Pi e❑ Undr rnd:,Sest ' "� �
t ni N - - � d t. = P, 9 . . _.
` 9. Water�Pipe-Undrgrnd. � � � � - 60. �Backwash Lines, P-Trap; O�Undrgmd. �
10. Stru Sural Floor System �. �� _ � '. - ' 61. �APPROVAL TO DECK - � , � , '
it. �ropertySewerLing�&`HouseCqhnection � ;• 62..Backwash&�Recepmr�Final. • , ' � k'i
_ 12. Sewer Cap �J � , . - � � 63.� Heater�& Vent•Final . � �
n- -
�. V I .: � . i . . , ' . r , � ' .
. 13. Roof Drains' rqr :- i- -' 64. Plumbing System : Final�.:� � ��
i - .. : -
14. Rough Plumbingi u'- - 65. ��Electricai�Final = : ' " . '' ! "�
� 15. Rough Electrica�=Conduit � . � � 66. Solar System-Final . - ,X i
5 - � ' _ • � - (- - � .Y
�'16. Rough Electric Wiring-� . �:, t � 67.�Feocing & A'ccess�ApproJal
17. Rough Wiring Sign - _ 68.-APP.ROVED�FOR P�ASTERING� �
78. RoughElectrical�TBar'Ceiling = . ' . 69.;POOUSPASYSTEMS•FINA� '
n
� 19. Rough Neat'ing & Air Conditioning' '' � � �� ' FIRE DEPT, REQUIREMENT ` � �
-'7 C�' b'HCCii-� �, t. � 1..� �.ti
20.i�Fough Fectory Fireplace �:r�,j :y�j ,:. �� 5 a�X x� tpPPROUA� -LS�DCPermit # • ��
r t-� s i �'f • M'n� � 4.� `% 1 �9' q-1 � o t' rp
m t�: � i-u[.� :k,$ %: i-� '7 '7>: a; " SCJ'^J•T bt b i:t
21.,DuC�ts, ir�.Stru`t!tu�g� } � .. .. ��;g *� S �j �a�, ;:; .-�i0. Undergr,ound�tiVdro u
.� .-
22. DuG[5. Vgnti(3Sing-,:r � f?� x 'S �y x ��1. ProducttPi�irl� Q'Gfis O.OiI
� [ . ... � � t'.^ x � ��r �-1 i. ! [, '+•- i �.' C� �.� :), y�
23. �Gas Pipe'�iou`g�h &'l'est /� '�2. Under round FIuS}i �
H 4-! Ai { tH.� .1� �.T� Q� � 'Jt T 1-. 9 �tRi �� t�: 1.�
� �_. . � P,�i _. � .. �. _� .n.�.. -� v ..� .... .
24.�Roq�Framing: �q� i F•F-• •�t� .x;: c.; m x��73.�lJndergrndiStorege�Tank OGas ❑O[P
�� a� .. �-� �a--. r
25. Roo�',Sh athin � ' � �' F n' ri � "�': r�, �' °"i`"c t
� 9�;� � J � �,.k.. ,: 74.��erhead I�Vdro,�` .�;
r` J' i�'. x I-� • w' J �-� .-/ *. :. r.
26.,-;��62f;Ceiling 4Structural} & Monocoet ' .« ¢+ � ��y. < 75.^.Dry Chemical ,°i y s-� C.` x
27.�Frame and Flashin9'' '� ''� `� ~" �� 76.��Dr �+", L�' ' � ", l:
� :�. �� y„r, 7tx w �: Lr ?� cox .- Y Stand�'P,e "r-,C7 .#. b
�28.`Lathin ~Sidin �-i� ,� !-''`;r, [i' :,<;� • r.... ., ,_,
r. 9�� 9G»� - -.Sa: ::, x�: ••* fi 77.U'FIXED S1'STEM�iF�fNAL'r i�'
�,_.. �
M o ,-ir: t� �_: :'.. :> T m 's :< * � ^ �,
%29. Insulation v s * I �,..r. 78.� IRE PREV.�FII�AL ,f y,z �,
r: J (J}C `+ IJ :•: S r i� t. '• F
�r.30. Drywall �P[a�iling ;L: z� � �-+ HEALTH� • EPT.+�R�EQUIREMENT
8.F C ..,,-. .., f. M t� �-9
f31. Plaster Biown;Co X i trrr �; .K;, ��79• PINAL INSf�ECTIQ�N .s ,�
�>
•'r' t�^ `�'.�. *'11F `~ 1 HH x x.1! rui-,. � H �: i
�.32.rfilectrical Powgr Meter;Final � ,�, �.L ;; v r.$O.rFOOD CEFTIFICATE ISSUED � � �
t33.'F.in31'EleStri��� "�x, �� 1 . �, "�r� `..;��`Notes: ''J' "!S a �K
t- m i i -i: M i .? 1.' X a' �� '7 `".�.7 �'7 :� :J�'I
{' d. ��:.. I ii_� �- i!. t, . �:f t^ '� i�ll � � ri.:
34.,Final=Heatin9�&Aic(Gondjtiop`r�g� �j * x.. �� � �-,,�-; .1: �, r]�
35.tF.in8l�Gas':PiPe�Test::,��� '� .x" 'a: n . c� (Tl5 �:«• ''`:.
,,i �.wrr r�-: •z.� d�a ��.' �,�.
36.'�iood� or'CanoPY "�� �� .� K :c i a� i;. . ..� � h: , .,.
. F- H,: 1 t��'y :• :"1 �C .7. % 2. r':c: .
�37.cEinallFacrory Fireplece�r, � J�' �' •` :'1 �� K � i r � ` r., �
H � 1.'�' I L�i-� lal C� L Y ). :J
� •• •• [n,ly [T 1 •. .. �J ?: rH ,r, x ty � �:, y, - .
,38. Final�Plumbing ,�x ��� i U . �'�.,; x ,�,`-, r-� _:;: (j
I ,39. Water. Service�Final?� :• + ,-� � s �' � C'� r�.r.; a .� �
-.� �e ti' i r� T, r, _. a. .�:
� C40. Gas Servi ce-Final a iw q,,,�� `�-' M h, i: : r ��.V r�s�% .x �� ��
r � �-
141. Solar pomestie-Finel > ��� � •• �r � i� =� 6' � �-+ "
.. ... a M v. I 4 X p+-iz` � ^ M �e :'. :J '
�'42.^Backflow Preventer,',,� F' j � "'' f '� �~/ �o J " �
c'L; `Q 3- l��m . r. �C S l.�2c, G�.-LCp�.
" - - �.
43. Backflow Irrigationt' 'V �.SS - ¢� � ` �xr=/-� �� �"� "�
� .- �. ::. , � �,-�+v �oves� ; Y�a s rC-l-m�?C-�-fG
. , - ...- -� :z :: .: i- cu T :r
. �44i Landsca�e IraigatiooSYstem�,��� 'x � �t � r,� rJ::: ,� .,r, n5 '�li _�CJ ?� P sc .
�45�. CSound AitenLationf�; •. -i-�c f:. i= � :e:. E � E:i: � :� N; r. �T'.i �z.ti * � .
1... �'. `n .:C lv L, �T I:P H; C a � :!- '
; �46; FFiandica�;Re�ulatiorii;`� :• �'' . j M ``� . .. •.�''"' ;� •S ~�� � * � .
:+ :� � �o
47�.•FINALSTRUCTUR�E&B,UI!tDING �. �:s � '+ v *
' _ .. � 16�Q� x � ��-�elu. � r �,E, - �/
�46i'FINALPIANNING�� :,,�� rr�t+ i .-.= z�� i; -� .x y�i
.�. .1 f:-_ f'?" I;-i F� :e !u <1J s. Jt '.T 1r, ' L f' i �"
�49��Electric Release to Etlison-�i a � ic = Z �'� ��" :; :� i� -
- : rv� •f'' y O
�;50; �Gas Rel{�$e t'o SoutHern California,Gas Co i "' �� �5,, ,�y' , �'r t' `�
� - ,. �, r..
;51'. CER�TIFICATEOF;pCCUPA CY' ` " .
. N � + r �,., ;�,o y: E.:� --•
No. .�-Date
.. . „. . _. _ . ,.�-: : �-s _
OWNEH �ri a�ol Est.dt,as ' � , ,• DATE �1-1H-56 -1 . .. . .
JOBADDRESS 952 Darrell St. - � BUILDINGPERMITNO. 28i12
GENERALCONTRACTOR $.T�.Hunsa}cer VALUE $ 8,856.��
LOTSS BLOCK TRACT 2873 Single Res, w/att ¢ar
GROUP I�'J TYPE 0 ZONE au.� FIRE DISTRICT 2868
PERMITSISSUED
INSPECTIONS ' D TE SUBCONTRACTOR
DATE NUMBER
Footing Trench � �
Foundation Forms and Grade tp Garage
� .r�um
Plum
TemF
Wirir
Pole
Sewer, Housedl.//.-�(' Sewer, St. : �1 .
� i
SepticTankor,Cwspool �Q,[?.. �.�y.,
Lathing, In Out � /g-
Plastering , � �.. g
Plumbing, Fin�al, Fixtures Complete C `�
Plumbing, Final GasTest� /'`/� G5 � �(a/
Wiring,Final �/,/Q �-/S
Occupancy . ._ �y,� � %9 -
FOHM 210 3M 10-i5
[��
�� v�3a J --
�
�
�
_, _; ,-Costa Mesa Building Department F
'►, _,-� P. O. Box 3! 7 a
' ,i<_3 - ' � COSTA MESA, CALIFORNIA E
FOR APPLICANT TO FILL IN
nadde� 9S Z �A-22,.�GL 5%•
Costa Mesa, California
Nearest
CrossSt.� �C�/i%�%/iQ -�� .
Owner ,(J /$'—� � � � �
naa e5s9�'z� •� . �ra-� %G��i4-S !72
Tel.�1 -f _ �/
CItY _ L� . � % No.+�T�' / /lJ/
Arehitector , Lic.
Engineer No.
Address
Contractor �
Address g
�egai �ot
Descriptio� No. �� Block
(Attach Metesand Bounds)
�bX �OO I No.of
Size of Lot Now t
l�seof ..�- No.of
Existing Bldg. Famil
Setback Line from i Rear
Center of Street S� Side
DESCRIPTION OF �
New I� I A�teretion I
Repair I I Moving I
Building No. ot
3ize �� f 7 %� Rooms �
Exterior Wall I Roof
APPLICATION FOR PERMIT
�8 BUILDING '
! FOR OFFICE USE ONLY
� _ _ Reeeipt No. _ . _ Permit No.
��`�-�L
•ceived Date Rec'd. Date Issued
�,c�=, � ��-s� ���..�s�
Address
i
t �3 ---_; .
, �
i �
� ; �
. ..s . -. . -� - - .
Addition
Gf
Mesa,
Il'�R ( .g i0��(� �
.. ic
Uts�G�`{N f'd7h�A
r,-,.
APPROVALS
Forms, Material:
�-�;q/,����d/I Q�+ - Under-Pinning
/ ' � {� -- Frame: Fire Stops,
Bracing, Bolts
I liemby 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 construCtlon. Lath. Ext.
Signatureof � ' '
Permittee Plaster, Int
Authorized Agt. Plaster, Eut
Valu,ation Pe it Fee $ � Z- 00 Masonry Reinforce
�y ry, r/ O O Plan Check $ ��• � � Bond Beam
$ d� d J �p Total
Fee $ 3�� �d FINAL
em xoa w�ss o, r. a s.
��
_':s;-��� _ -� .. ..
r an�.a r aini� �
Show Iocation and disYances from
property lina and between bulldinga
� yti_f
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