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Home My WebLink About956 DARRELL ST - Building PermitsPERMIT TYPE PLUM STATUS: FINALED APN: 42235232 DATE ISSUED: 08/12/2008 ISSUED BY: YH JOB ADDRESS: 956 DARRELL ST CM Vicinit Suite/Unit: Y. SCOPE OF WORK: REPLACE WTR. HTR. WMEW 40 GALLON WTR. HTR., REPLACE BAf�E�l��6 ��#2, �tAE€ SHOWER/TUB, SINK & TOILET IN MASTER BATH & REPLACE KITCHEN SINK. � OWNER: PHONE: APPLICANT: PHONE: OOSTERHOF.JAN PRADO, SOFIA 714-960-7052 CONTRACTOR: J K CONSTRUCTION Address: 915 LAKE ST City/State: HUNTINGTON BEACH, CA CELL: 714-960-7052 ARCHITECT: ENGINEER: Address: 956 DARRELL ST City/State/Zip: COSTA MESA, CA Address: 915 LAKE STREET : City/State/z2ip: HUNTINGTON BEACH, CA License No. PHONE: i48 NOTICE: The work authonzed by this Dermit shall comply with all applicabla handicap access requirements under California statutes and relaled �regulations. (Ord. No. 92-28, § i, 12-21-92) � - EXPIRATION: This permit �shall automatically expire and become void il work is not commencetl within 1 BO tlays, or il work is suspended or abandoned lor a period o1 1 BO tlays. - INSPECTIONS: In ortler for ihe work authorized under this permit to be considered legal, such work must comply with all applicable cotles, antl all requlred Inepectlone end linal epproval must be obtained. Failure to obtain inspeclions and final approval will resull in the expiration ol this permit. FOR INSPECTIONS CALL: (714) 754-5626 . 7N6J6 (8�00) WORKERS' COMPENSATION DECLARATION: '� V I hereoy atlirm untler penalty ot Oequry one ol Ine lollowing declarations: ❑ 1 �ave end will maintain a cenAicate ol consenl Io sell-Insure for workors' compensalion, es provitled �ur 6y section 3700 of Ihe Labor Cotle, for Ihe perlormance ol t�e work for w�ich t�is permil is issuetl, ❑ I navB an0 will maintein worker5' [omponsalion insurance, es requirea by section 3700 0l �he Labar Cotle. tor �he pedortnante of Ihe work IOr which �his pBnnii is I55ueC. My workers' compensaiion Insurance carriar antl policy number are: Carner: Polity Numb.�r. /T��S soctinn neu0 nof be compiofed d f�e permrf is valuetl at one hunOrud tlo0ai5 /S700J or less ) ❑ I cetli�y Ihel m Ine DeNarmance of Ne work tor which Ihis permit is issuetl, I shall not employ any Oerson in any manner so as to Decome subjacl to t�e workers' COlnpensJ�ion laws 01 Cdl�tOmi3, antl agrBe Iha� i� 1 shOultl become suD�ec� to �be wofkBrS' cOmpensation pfovision5 01 SBCllon 3700 01 IhB L"abol CIX1B, I 5�011 foflhwiih comply wun tnes'e pmviswns. Applicam SignaWre: Da1a: WARNING' FMIURE TO SECURE WOqKFRS' COMPENSPTION CAVERAGE IS UNUWFUL AN� SHRLL SUBJECT AN EMPLOYER TO CRIMINrLL PENnI.TIE$ AND CIVIL TIqUSAND WLUPF (5100,CW1. IH AD�RION 10 THE IX�T OF COMPENSr1TION, DAMAGES AS PROVIDEO FOR IN SECTIpJ 9106 OP THE LABpR CADE, IMEREST, � LICENSED CONTRACTORS DECLARA710N: I heraby atlirm t�al I am licensetl untler provisions ol C�apter 9(commencing wilh Setlion 7000) ol Drvision 3 0l Ihe dusiness lorce antl etleCi. LiC. � Class � ConiratNr s Signawrnr CONSTRUCTION LENDING AGENCV: ❑ 1 �ereby aHinn Ina� Ihere is a r.onStmCllon lentling a9ency lOr ��e pertormantB of Ihe Work fof Lender'S Nama: Lantler's Atltlress: Signaturu'. � OWNEX-BUILDER DECLARATIONS: I Oerooy atlirm ihat under penalty ot perlury Ihal I am E%EMPT FROM THE Code: Any city or counly wh¢n reQwres a ponnit �o consimct, aller, improv� io itle a signea steinmeN mat he or sne is licensetl Oursuant to Ihe proviiic Business and P�otesaions Cotle)-or thal he o� s�a is eaempt theretrpnranc suo�ects me applicanl to a tivil penaliy of not more I�an live nuntlreE Gdlei� s �-:6 e;..-aue ❑ 1, as owner ot Ihe propeny. or my employaes wi�h wages ai IMh sob 7U44, Business antl Pmtessions Cotla: 1he CONr ❑imselt or hersxlt or Ihmugh his or her own emplc solJ wRhin one year of com0�etion, t�e owner-buil ❑ I, as owne� nl the propeny, am EXCLUSIVELV C Cotle: The convacmrs Licnnsu L'aw tloes nol app license Fwsuant io Ine Conlraaois;Cicense Laws ❑ I am e.amp� untler sec. SignaWre' Ownor ID ven�ietl oy dnver's U h!', Ven�icatirn� u� Ownership by,(� hill or D�VISION OF INDUSTqIAL'SAFETY PERMIT CERTIPICATION: 3�:.b.4'r!.'i? ' 'lfi�A+uiq,b ❑ � horany caniry ihaeno azcavabon hve (5) or more teet in tlepih imo permi�, antl �hat rio builGinq slmcture, scaHoltling,'�tels9woik, or tler 34i, Title 8, Caidomia'Acminisvatrve Code�. �u�`�"�� , D'ate: , or repei �eny;srucWre,"prin,to ns issuance anVa2tas LJcense Luw,(Cfiepier 9 (commei br tliye�allepe0 exemfpuon A�n.yy violalion ol ; Eii�v'� �C��=9j ion, WICL DO;TME:WORK; ena me struclur iply lo an�owrior;0lyiopeity.who �uiltls or im �em9n�5 Bi6}�f101 IntBlMBtl,�Or ottertltl lor sal6. ing Ih`eThe'ur�dfie,ddiiof builC or improve tc w.r++.x'-�..+. _x..,:u:: �w 'D CONTRACTORS to�constmcllhe pminct iuilds;Or; �f Neieon, and who conirac ons Co,,tlAe�'for�INs reason: ' �+`��'� Uaia: _ UP 1 O ONE MUNDRED TORNEV'S FEES. my license is in lull 31.5, Business and Prolessions as ihe applicant tor sucn permit mtion 7000) ol Uivision 3 atlhe .5 by any applicaN tor a permit �tletl or ofleretl for sale (Set. on, antl who tloes such work Ine �uilding or imp�ovnment is sala.). fiusiness antl vrotessions �o�eci wnh a contracioqsl Expires: tlescend, will bn matle in connection with work authorized by Ihis will Ge more Ihan Inirty�sia (36) Iee1 high �C�ap. 32, Grp 2, An 2, Sec. ❑ As oNnerDui14etb11wiN'nol employ anyone �o do woAc�`wh¢ti wouk'ieQWie e pnrmit Irom �he Division ot Indusirial Safery, as noletl abova, unless sur,h Verson has e oermrt lo tlo suc,��w.ork�'It,rom Ihe tlrvisioa ��.p�� ;?-,s,•a�� :�„'��'y�; i��'w��,'.`�in�7r Signature: Date: r71i��,'�'.'!� r'�,;,+�1"w.i'$•�' ��5`, `�,y,y+' q'.' . Division ol IntlusiriaGSatery Permit Numbei:5��'�+ '�"��*f��'�:�.�k v�:w-a„.e�ap t�+.,,�.� HAZARDOUS MATERIALS'AND EMISSIONS CERTIFICATION: �'M1�•`iPi➢Tc� I^Ii.:�rt�•.�• t W ill Ihe appllcanL,or,presenl ortWW�B buAding occupant n6etl to lile antl cenity a fiusiness Plan �or emergency rasponse �o releasa or Ihreatenetl releaso of a hezartlous �Sec�ion 25505 i bvsiness which I nr 2W cu�ic teet . .. . ....... ......... _......... _...... _.. 2 Uces or will Ne � requires, with some exceplions, t�at a Business Plan be liled wilh the Costa Mesa Fire Depanment by evury r a quantiry ol nazartlous matenals equal io or greaie� Nan a weight of 5U0 pounas, or a volume uf 55 gallons, ue antl oressurel. ISerlion 25533 nf itie'Cehtoinia'Healih antl Satery Code, wn� some eaceptions, reqwres regisiration wnn Ine Costa Mesa Fire �epariment by eacM1 businuss wnich al [iny onx urt�e has on nanAie;qu9iWry of aculely halaroou5 mutenals equal to or qreater ihan a weight of 500 Vuuntls. or a wWmx ot 55 gallons, or 2U0 cubic fnel o� compressea gas ai sianoard temperaWre ana piessure�. --� s or will Ihe app6can� or preseM or tutwe builtling occupam neetl to prepare an Yet �J Nu ISection 25534 of tha CalAomia Heali� antl Safety Cotle provides Ihat Ibe Costa Masa Fire Deparlment may require Ihe Uepanment ot an RMPP Uy businesses whic� are requuetl to register atulely hazardou5 malenals wilh Ihe Fra DepaNne ..........._..._..._......__. ...................._.___ ................................._......................._......_....................._._._._....._. _...._................._..............................................._...._... acutoly �azartlnus materials�? certilication and tihng with I�e Fire II an H1dPP is presenity reQurteq M1as Secbon Z�SJa Ot In0 G2momia neaim ana Saiery coae oaen �wiy compuea wim � U vos U rvo _ . ..... ........._.. ,...._........... .. .................... .........__ .. ......._....._... . .............. ........_.. ......... . .,. ........ . ... ....... . ......... ........... Uoes or will Ine appbcani of pre5tlnl or �uWftl builtling o[cupan� fequire �Dr �he wOrk wMC� is Ihe subleci of rt�is �plicalion ap_ermn 1or sucn consvur.uon or moditicatlon Imm �be Soulli Coasl Av Uuali�y Menagement Distrm� or Irom any omar av pollubon convol msmct or agnncy? LJ �ae LJ No ISection 65P502 oi Ine CdlitOmia GovBmmenl Code �equi�es Ihal Ihe �epuestetl inlormalion be lurnis�etl on applicalions tor nomresitlentiel bwltling permits). .. _ ............. .........___. ... . ..._........ ............ .. ..,.._ . Will an ._ . ....... . .......... y pan ot me lacniry �o be constmctetl under this permil be wuhin 10001eai Irom tne outer bountlanes of a schoul'? ❑ Vas ❑ No Itl yes". Ihe tacihty mus� mee� Ihe requiremenl of Sections 25534 entl 42303 0l Ihe Calitomia Heal�h antl Sa�ety Cotle). . ......_. ......... ...._....._.... ...............,.. .......... ........,.... . ......... ...,............ . ................. ,..._............ ., . ............ ... ......... ............ il a Germii tro�n Ina Soulh Coasl Air Oua61y Managemenl Dislrict or othar air pollulion conVol dislriq or agency is required lor ��e work which �s Via subler.� of I1iis applmauon, nnvn all ol Inn disclosures prescri�ea by Calilomie Health antl Sately Gotle Senion d2303 been matle? [] Vns ❑ Nn . ,.. .. ........... .................. ................. . ..,.,.... .....c,...._......_.. . .......... . ........._...... . _................ .. ............ . ................ ,........... ..... .. (If yes", ettacn ceniLcnle o� rompliance fmm Inn appropnate air pollulion conirol otlicer). CFRTIFICATE OF COMPLIANCE: I ceniry Ihal untler penalty ol perlury ihe informalion given e6ove is mrracl. I aqrea to comply with all stale laws ana city orainanr.es regarmng Haxartlous Mawrials and EmiSsions. . Signaiure: Daio: CERTIFICATE OF COMPLIANCE AND AUTHORIZA710N OF EMAV: I certily untler penalry ol perjury Ihal I �eve read Ihis epPlicalion antl slaie Nat I�e mformaiion given is correct. I agree to comply witn all state laws entl city oremances relaung to Duiltling construction, antl autnorize reprusentatwes of Ine Ciiy of Costa Mesa in entor upon the above-tlescribetl propeny lor inspection purposes. I egree not lo occupy or allow occupanq ol any building authorizetl by this permil uniil bnal inspeciion. cooe ,. IH3PE i ira� 1616 FiYW BYftem,l Fire 203 20a Slgnelure O� Lugnl Owner(s) ntl/Or Auinonzetl ApPlitant D�TE IH ITI� re�Frevention -�-�^ jT�y r�"+•+ �'�r�o eP`,t� -,= '- �'v.(`��}�u ^'L�' c� �.��N. �� i' ��t��+ Wall �.�t.4'-�+ k''i 4Qp� INSPECTIONTYPE 2�_TE LTRLALS �;��:�� y�� i ,,::s::' i " � ;f , � CITY OF COSTA MESA BIIILDING DIVISION ' �� "' "� 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT TYPE ELEC APN: 42235232 JOB ADDRESS: 956 Vicinity: SCOPE OF WORK: 3 GFI (1 IN OWNER: PHONE: APPLICANT: PRADO, PHONE: 714-960- CONTRACTOR: J K Address: 915 City/State: HUf CELI: 714-960,7052 m Electrical Plan Check Electrical Permit Fee: Reinspection F�e TOTAL FEES ..�.��si t.:.: OUTLETIN '� � :$27.90 � �.�;. PERMIT NUMBER: E08-00328 • ti - . � . ' _ • 1!•'.. . STATUS: DATE ISSUED: '.�a,-ISSUED BY: � $0 OOr � A .� � ��>� �i � , � = �c � a, �� I� 3:� $27 90,'. � � ,� ; ' .=� �� ,,_� -� ,�; .p r` �'..,4 i-.'�-;"� z 2S-_ s x�. Mt M,.�,�' ` � rr x . . a - u, v.'+R �tir.�f { :f�p -, k X��`Y,"' "' .,.-c.�._ � ei. -7` y "3 ".R„`� �,-";'9« {: � �trt ,-;uEe i _ � k .. ......, ��" . r = � .�.,-.�'' �..�,.... - +c�t�.e ._.r'T..�.,--. m 'ISSUED � 08/12I2008 YH � 5? � ��.� n ��_[ «_=� °;�"`? - :��i";.0 ,�.,�... - . . .� . � ' .,...'11"! ,� rJ, `_ .. 1 . ' . .'o � aTzn(R :{;�}..` 4J NOTICE: The work authonzed by ihis permit shall wmply with all applicable handicap access requirements under Califomia stalutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) . EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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 inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiratlon of this permit. CODE/. INSPEGTIONTYPE DRTE INTITIALS COOEt INSPEC710NTYPE ORTE IN L 1616 Fized System Final Fire Prevention 206 Final Mechanical � 1286 Pool Spa Final .. . 208 Final Plumbing 200 Final Re-Roof 210 Final Electlital �� 201 Final0locklRetaining Wall 212 Final Fire Prevention 202 Flnal Factory Fire Place 220 Final Planning Approval 203 FinalSign , 222 FinalSite •9'�-.% �•;, 204 ' � ' Final Demolition � !` ' � � � 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARATION: � I hereby�aKrm under penalty of perjury one of the fo lowing tleclarations: ❑ I have and vnll maintain a certifica[e of consent [o self-Insure for workers' compensalion, as provided for by section 3700 of the Labor Code, for 1he pe ormanCe o( Ihe work (or which Ihis permit i5 issUed. � ' I have and vnll maintain vrorkers' compensation insurance, as required by sectbn 3700 0/ ihe Labor Code, for the pertormance of the work for which this pertnit is issued. �My( workers' compensation Insura e carrier and policy numberare: �� ( , �r% Carrier: %�.iJi�(� 1 (This secta� neetl rrol be cnomdeletl/��Ihe peimi! k/ v�ueCtl at one hunCmdOdlars (5100) orless.) Policy Number. I D Yj l0 SCO J ❑ I certity lha[ in Ihe peAormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should bewme subject to the workers' compensalion provisions of Section 3700 0( the Labor 1. h II f t with ompl with these provisions. `�:(i-0� p011canf Siq ur Dale WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNL4WFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby aKrm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Professions Code, and my license is in full force antl effect. Lic. # Class # �� Gonlr ctors �gnaWre � Oate/ � CONSTRUCTION LENDING AGENCY: ❑ I hereby affirtn that lhere is a cons[ruction lending agency for Ihe peAortnance of the wurk fa which this permit is issued. (Sea 3097, Civil Cotle). Lender s Name: Lentler's Atldress: OW NER-BUILDER DECLARATIONS: I hereby affrm that under penally o( perjury [hat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW (or the following reason (Sec. 7031.5, Business antl Professions Cotle: Any city or coun[y which requires a permil lo construct, alter, improve, demolish. or repair any slrucWre, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to ihe provisions o( the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code) or ihat he or she is exempt therefrom and the basis (or [he alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalry of not more than fve hundred tlollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and �he strucWre is no[ inlended or oftered for sale (Sec. 7044, Business and Protessions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or ihrough his or her own �employees, provided that such improvements are not intendedbr offeretl for sale. If, however, the building or improvement is sold within one year of completion, the ovmer-builder will have the burden of..proving ihat he or she. did not build or improve for purpose of sale.). �" � ' �❑�. �I, as owner.�of'the property, am:EXCLUSIVELY CONTRAC7ING WITH LICENSED CON7RACTORS to consiruct lfie project (Sec. 7044. Business and Professbns Code: The contractors License Law does not.apply ro an owner o� �property who builds or improves thereon, antl who conlracts for such project wilh � a con[ract«(s) license pureuant ro the Comractas License La'vrs:). ` 'h� .•.� . ' . . ❑ I'am exempt under sec' - Business and Professions Code for this reason: ___ SignaWre . - - , Date 7057-46(3/Ol� Owner ID verified by tlriv, ,� �] Yes ❑ No Driver's �License No- Expires: Verification b( Ownership by (rype of document, i.e. - property tax 6ill �or deed): DIVISION�OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: � ' • ❑ I hereby cenAy that no excavation frve (5) or more feet in depth into v.hich a person is required [o descend, will be made in conneclion with work authorized by this pertnit, antl that no building sWCWre, scaf(dding, falsework, or demolition or dismantling thereot, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, M 2, Sec. 341, Title 8, California Administ2tive Code). ❑ As owner-builder, I will not employ anyone ro do work which would require a permit from the Division of Industrial Sa(ery, as noted above, unless such person has a permit to do such work (rom the division. Appliram's SignaWre Date Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: i. Will the applicant or present or fuWre building occupant need to file and ceAi(y a Business Plan for emergency response [o release or threatenetl release of a hazardous material? ❑ Yes ❑ No (Section 25505 of Ihe Cali(ornia Healih and Safety Code requires, with some exceptions, that a Business Plan be filed with ihe Costa Mesa Fire Department by every business which has at any one time tlu�inq a reported year a quantity ot hazardous materials equal [o or greater than a weigM of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard tempereture and pressure�. 2. Does or will �he applicant or present or fu[ure building occupanl neetl to f le a registration form tor acutely hazartlous materials? ❑ Yes ❑ No (Section 25533 of ihe California Health antl Safety Code, wi[h some excep[ions, requires registration with lhe Cos�a Mesa Fire Deparlment by each 6usiness which al any one time has on hand a quantiry of acutely hazartlous materials equal ro or greater lhan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic (ee[ of compressed gas at stantlartl temperaWre and pressure). 3. Does or win the applicant or present or fuNre building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)?� ❑ Yes ❑ No � (Section 25534 of the Califomia Health and Safery Code provitles that the Costa Mesa Fire Department may require the preparalion, certifcalion antl fling with Ihe Fire Department of an RMPP by businesses whiGh are requiretl to register acutely hazardous malerials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 0( the Califomia Health and Safe�y Code been fully complied with? ❑ Ves ❑ No 5. Does or will the applicant or present or fu[ure building occupant require for the vrork which is the subject of lhis application a permit /or such consVuction or modifcation from Ihe Soulh Coast Air Quality Management District or (rom any o�her air polW[ion con[rol district or agency? ❑ Yes ❑ No (Section 65850.2 of the Califomia Govemment Cotle requires [hat the requestetl in(ormation be (umished on applica�ions fa non-residential building permits). 6. Will any part of the (acility to be wnstructetl untler this permit be vrithin 1000 (eet from the ouler bountlaries of a school? ❑ Yes ❑ No Qf'yes", [he facility musl mee[ the requirement of Sections 25534 and 42303 of the California Health antl Safety Cotle). 7. If a pertnit from the South Coast Air �ualiry Managemen[ DisMct or other air pollution conirol disirict or agency is required for the vrork which is the subject of this application, have all ot the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No . 8. Qf'yes", attach certi(cate of compliance from the appmpnate air pollution control oKcer�. � ' . , - � _ - " CERTIFICATE OF COMPIIANCE: I certify that under penalty of perjury Ihe information given aboJe is correct I agree to-co}nply with alf staie lavus and city ordinances regarding Hazardous Materials and Emissions. �, , , CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify'under penalty of perjury that I have read this application and�state tAat the information given is correcL I agree to comply with all state laws and city ordinances relating to building constmction, and authoriie representatives of the Ciry ot Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authoriied by Ihis permit until fnal inspection. Si a1� e( eg 10� e(5 /��Date( / Au1M1on G Appll nl Oale� u , � , (714) 754-5273 • Fax (714) 754-4856 • www.c�.costa-mesa.�.�qLDING PERMIT � � . �� Job Address: 956 ' DARRELL ST Suite: Vicinity: REAR YARD . Parcel Number: 42235232 Zoning: Applicanr. OOSTERHOF, JAN � —_, G�� Address: 956 DARRELL ST ��/J,!'/ __._ �. _ ��..r.--�� Phone:��-949-54� COSTA MESA,'C�A/' /�� Zip.� 92627 �/�/ � � �� r 1 ! Owner: OOST.ERHOF �JAN � � L__1 �-1 . ., � � � _ -____ Address 956�DARRECL�ST�`� - _=—_ / \ \ � �1 /./Uf��, � \ 1 `'�/i��-Ph nQ--��-'C Zip: 92627 77 FAIF DFiIVE, GOSIA MtSA, GA 92626 ISSUED BY: � � ��j Phone:� ;�' ° � � ., ,� � ,� , � � Zip:, l� � Llcense:� r� � /,� n�i r �� - �u � �/� � :-, °o o n ! f �7 Arcti . � � ///��-� � � p (��` � r'd `J�Eng�: �7� U �Addres`s:�l/ /��(�r��? t �!��4� �/%�'< � �--�-�c--� � Addies`s:! -•.i � � ✓ � _J �7 �/ 1 ! ao Phone:�= ' ,-,-_. -� )� � �� l i�>� .Jt--'i' "-- ��, �, �� .�� i nZip: 1 r,/ °a't L"'� \ iLicense: �( � � t'-i i �',1 �-'� �� SETBAC ACCESSORY PARKING 65% AND c:, a� 'o $o.00 t:��$38.75 s. � $0.00 i: Q$0.00 r: $0.00 i:' � $0:00 \� � I: ��$38.75 i \ Existinq: ' i i ' , � � � I 1 � ' � -�..,.�J ' ' °��4�'�':a, ?•�✓�,��, p�o � �p 0 �'U«'� Y:+aV7$;n�oo� '�(j �'� °nJ � � i� �� „��°r,PLANNING�&ZONIP ,�.�.,, o',-' ., \ fl �� _ o, o �'� C�,.� - ' - - - - _ 0, �„ � Left 0-A � �� /jf O��1i�"%� �0� J t Pro osed: �0) � ��IJ U �i Status: ISSUED Applied: 09/17/2003 Issued: 09/17/2003 '✓' Valuation: �/ � ('-5i i Valuation: �� l " �l { � � /; V �� n�l � O 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, 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 tor a period of 180 days. � INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapeetions end final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. \ FOR INSPECTIONS CALL: (714) 754-5628 446d6 (8/00) WORKERS'COMPENSAnON DECLARAnON: — � I hereby ettirm under penalty of perjury one of the tollowing declarations: ❑ I have and will maintain a certificate of consent to self-Insure for woi wark for which this permit Is issued. - ❑ I have and will maintain workere' crompensation insura��no�o1,, es iret My workers' compensation Insur c�t",� er are: Carrier: (Thlbsecfion need not be completetl i/ �he permit is value f one hundre� compensation, es provided for by section 3700 of the Labor Coda, for the peAormence of the by section 3700 of the Lebor Code, for �he peRormance af the work for which this pertnit is issued. ,,'� Policy Number: �rless.j ' �I certity ihat in ihe performance of the work tor which ihis pertnil is issueQ I shall not employ any person in any manner so es to become sublect to the workers' compensation lews of Calitomia, end egree Ihat il I should become subjecl to tha workers' compensation provisions oi Section 3700 of the Labor Code, I shell forthwith comply with these pr isio � – � / , /�l � �^7 ApplicaN SigneWre:,.�� H��Z��/.UJlC� f Date: `� 1 i �, � J WARNING FAILUFE TO SECUFE �qKERS' CAMPENSATJ N COVEFiAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES D GVIL FlNES UP TO qJE HUNDRED TFKKISAN�DOILARE(5100,0OO�,INADOITIONTOTHEC(�$ OFCOMPENSATION,�AMAGESASPROVIDEDFORINSECTION3]O60FTHELABORCADE,IMEFEST,ANDATTORNEI^SFEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 oi ihe Business antl Professions Code, entl my license is in full force antl ettect Lic N Class # Coniractofs SignaNre: Date: CONSTRUCTION LENOING AGENCY: ❑ I hereby aHirtn that there is a consWction lending agency for ihe peAormance of the work for which ihis pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: SignaWre: Date: I hereby aXirm thet untler penalry of perJuryytfietil,em E%EMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business and Professions Cotle: Any ciry occounry which requires a�permit to'constmct, elter, improve, demolish, or repair any struciure, pnor to its issuance, also requires the epplicant for such pertnit to file e signetl stetement ihat he or she is'llcense`B pursuant to the provisions of Ihe Comractors License Law (Chepter 9(commencing with Section 7000) of Divislon 3 of the Business end Professions Code) or that he or she is e:empt iherefrom and ihe basis for the alleged exemption. Any violetion of Section 7031.5 by eny applicant for e pertnit subjects ihe epplicant to a civil penalty of no� �ore Ihan tive huntlretl tlollars ($500).): [�� owner ot Ihe properry, or my employeas with wages es their sole compensetion, WILL DO THE WORK, end ihe strucWre Is not intentlea or ottered for sele (Sec. 7044, Business and Professions Code: Tha Contractors License Law tices not apply to an owner of property who builds or improves thereon, and who does such work himselt or herseN or through his or her own employees, providetl Ihat such improvemenis ere not Intended or ottered for sele. If, however, tha bullding or improvement is sold within ona year of completion, ihe owner-builtler will have tha burden of proving that he or she did not build or improve tor puryosa of sale.). ' ❑ I, as owner ot the property, am EXCLUSIVELV CONTRACTING WITH LICENSEO CONTRACTORS to consiruct the project (Sec. 7044, Business and Professions Cotle: The contractors License Lew tloes not apply to an owner ot propeny who builds or improves ihereon, end who contrecis lor such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt e� s Business antl Professions Cotle for ihis reason: Signature: ��1 Date: �J Owner ID verifiad Dy dnv s license. V ❑ No Dnver'S License No. Expires: Verificetion of Ownership by (type of docume�ll; i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PEHMIT CERTIFICATION: ❑ I hereby cartity ihat no excavation five (5) or more faet in depth into which a person is raquired to descend, will be made in connection with work authonzed by this permit, and that no building siructure, scattolding, talsework, or demolition or dismantling ihereof, will be more than thirty-sis (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Celifornia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require e permit from Ihe Division of Indusirial Safety, as noted ebove, unless such person hes e permit to do such work from the division. Signature: Date: Division of Industrial Safery Permit Number: CEHTIflCATE OF COMPLIANCE AND AUTHORVATION OF ENTRV: I cenify under penalry ot perjury ihat I have read this epplication antl state Ihat the information given is correct. I agree to comply with all stete laws end ci ortlinances relaling ro 6uilding construction, and authonze representetives ot the Ciry of Costa Mesa to enter upon Ihe ebove-descnbe rop for i�Spe tion p rposes gre, ot to occupy or ellow occupancy ot eny building authorized by Ihis permit until finel inspection.' Signature Ot Leg nar(s) � I� Dy (e �� lJ " J And/Or Authorized Applicant Date CODE 1. INSPECTIONTYPE 1616 Fiaetl System Final Fire Prevention 1286 Pool Spa Finel 200 Finel Re-Roof 201 FInaI BIocWReteining Wall 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition Q� " INTRI�LS CODEa INSPELTIONTYPE 206 Finel Mechanical 208 Final Plumbing 210 Finel EleClrical 272 Finel Fire Preventlon 220 222 250 Final Plenninq Approvel Final Site Final Building/Occupancy Pd�f. INIRI�l3 1 � � \ �G" itiST �L = x /ST/.v�l iu/NJ �vvr� Z✓!n/D o<✓ �-�/<<> �� o �NS%�� /�,�' �"•9 �f � EET �Tco �olC�r��SR.� � /3n�K �x�sT�,�,S '_ i_ — �T /iNrw 6�nH.X�s✓. _ � �,�. "WcMDaWS �/g"��,oac< <['t(lUC �-c� wi tH s��T' sc.c�r�.�.1„ , . � � \1 �F-LoCfC�, w4t�. f461p 1 `i � aNEv'[rL6A w�_ � �] �i.E.A�.� F�£ (05� � ep£e( .u.a�i. �O \ o) \ e `r c �'t_ . f_.;FI}�'�i_D:NG';r,(Li"�l. ` 'I"Y OF �u:,'.A MESA _ AY['�f)VE'J �� 1 'r�-- - --"��w� �_�_._. � "�� °` �i �,MUSTbekeuicntn�sH�L�atalltirresan��i!��:awt.iic _—� r, , � �i�N r / G �� C�-��-"�� ,<raL.onsa�newi0n�lwr.7d�;�.�csun!ror^�",2u�+r�urN9�iPor�; ana Safery. C�y of Costa 6!a.a. s�a�^pi�p, uspl�r�zn�;re::i�w�ia�sSNU1NOTtblfeelt,0?:'�aorlotr;an,nPmova� / J� �/.''C! ��metiio.aS:,� of any 7iovisinns M nnv C�Y �t r^' 7 Mese Urdinsrce smy'ur Stat� �sw. � ci �tJ �� These p6ns eba LennA 6nii1 ¢Wuz Cy �r+aiU.*� rw bE�W��e �ii m•.0 u�l:,l li IhF b�i �0 iig::! � �voit is r,�i ronvr,z�cw a�e m�.r.�J na*�e xi tilG 63G314) w�Cn +.YD i.;s d. 'r_, i�n;.e. �C>S /�9 //' �'� /� . �y j..� Y.�-��%x ! . \ , 4 . . ..'1,.. (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��SLDING PERMIT �� FAIR DiiIVE, GOSTA MESA, CA 92626 Job Address: Suite: Vicinity: 956 DARRELL ST HOUSE & ATTACHED GARAGE Parcel Number: 42235232 � Zoning: . Appllcanr. OOSTERHOF, JAN ..�- -�-;�,��;,�-,—,-:�,--��r �`�...� ISSUED ev: /'� _ � W .�--_"�.�.- ��^?` � Address: 956 DARRELL ST � � �'"�U �---�.;- --�� "`�.. .r:'r�� ,------� ,-.._ �._, � "� -Phone:' (949)548-0712 ��`�`. - -� ' Status: ISSUED Applied: 05/24/2001 Issued: 05/24/2001 COSTA MESA, CA _ - � �� Zip: 92627 J � � � � ��,= �, , � ' f � / .� , i . _ � , � '� _ � � � •^ Owner: OOSTERHOF JAN — �' � � � � ' " - �� ( '�.� � �'. Address �' 956 DARRELL ST ` F" .` �-' - " °' � r � = �..,� \ ' ` � ` ., . ,`� . � ':': � ,'�' � � '� � � � Phone: (949) 548 0712'��. � ' • . . , f_ - _ .,, ..� . . ' � COSTA MESA; CA"- �- "-: �" Zip: 92627 ��. � � . i - ; � .' Contrector. OWN ER-BU I LDE R Address: ' �`- �= �'� � � . Phone��l �.,;� :. �. - . I �,`r�A . �ii �; � C •, - _`� � Zip _ _ � � : aLicense _ .0 �., • ` � i' - , - � ,:,. � °,=' r , �, - Arch : -� � - ' � - r . ��r :' -Eng:.� � � i � y J l Address: .��,, r � ( �,�� - ` " �� Address: ; I�-`t�_ � . � �f - v, � WITH 40 ;YEAR nj �� ,�'' } f �Pla � '�. ' -Phone: � '-;'�,. �}��i p v . - -� l �- ' . _ ..ti. �" t Zip:_ , � . . . � License: �� ,� - � f�� , �� - _ _—_ _'_ � i�D,=�' % !�`��ily �?j; ,SCOPE�OF PERMIT�� 7�� \;� ri Check`��L;� n $0.00 � `�? = - �--_ �Permit: �, n,$139.25 �IP Res: ��\��$0.68 � � IP,�Com� '��$OAO � �� O'ther.'� � �$OAO ! SETBACKS MAIN STRUCT ACCESSORY PARKING NOTES: ,6 r. o oa, �a #,��`�`�'i�+' } J�o �o � �i � �rr ./� o Do � .��-}�;1.?.n'. O�V Q �G O ll �"y� OdnU�L4'c;9G.02��/g. 1,� �� . '. � , �, i ��„ � � ,� Phane: _ � � �, � � � ', � � L�cenate'� ;; � � i � li�ij: i'_'--ti �\i ��c��ii i � C—; ` �� ll �� Valuation: i Valuation: �,' V�� \ "o' �."'8^-",;`' J;o•oU ��,..�....��'�� i \ ; f�.,, �� _ =� �-� ��.., Fr, ont�\0'-\0� (� � f �,Rear 0- 0� _—"L"eN �0-� 0 Right �0- \J \'t I ,` Front`, 0-0 Rear 0'0�-; � L"eft 0-0 0 Righ 0� \\ u� �vf �� ;u1�i ��/ Existina: 0 �Required: �0� '.-t�.��.Pioposed: 0 � �� n NOTICE: The work authonzed by this 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 expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 7 BO 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 Inapeetions and final approval must be obtained. Failure to obtain inspections and final approval will resul� in ihe ezpiration ot this peimit. FOR INSPECTIONS CALL: (714) 7545626 v �a»o o ia�� WORKERS' COMPENSA710N DECLARA710N: I hereby aflirtn under penalty oi perjury one of the Following declarations: �. � � ❑� I heve and will maintain a certificate of consent to selhlnsure for workers' compensation, as provided tor by section 3700 of the Labor Code, tor the peAormence of the work for whiCh IhiS permi� is issuetl. ❑ I have antl will maintain workers' compensaiion insurence, fls required by sectlon 3700 of the Labor Code, for the perfortnance of ihe work for which Ihis pertnit is issued. My woMere' compansation Insurance carrier antl policy num6er are: _ Carrier: �' Policy Numberi - _ - (lhis secfion need not be complered il the permit is valuetl et one hundred tlollers ($100) or Iess.J ❑ I certify that in ihe pertormance of ihe work for which this pertnit is issuetl, I shall not employ any person in eny mannar so es to become subject to the workars' compensation laws oi Celifornia, antl agree that if I should bacome subject b t�e workers' compenseNon provisions of Saction 3700 of ihe Labor Code, I shall torthwith comply with ihese provisions. Applicent SlgnaNre: � Dete: WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION CAVERAGE IS UNUWFUL AND SHALL SUBIEGT AN EMPIOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED T}IOUSAND DOl1ARE (E100,000), IN ADDITIIXJ TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION �Ofi OF THE LABOR COOE, IMEREST, MID ATTORNEY'$ FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Oivision 3 of the Business and Professions Code, and my licanse is in full force and eAact. Lic. # Class # Contrectors Slgneture: Dete: CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn that ihere is a construction lending agency for the performance oi the work tor which this pertnit is issued. (Sec. 3097, Civil Cotle). Lenders Name: LentleYs AOdress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirtn �ha� under penalry ot perjury �hat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions Cotle: Any city or counry which requires a permit to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires ihe ap0�icant for such pertnit to file a signetl statement that he or she is licensetl pureuent to t�e proNsions of �he Contractors License Lew (C�apter 9(commencing with Section 7000) of Division 3 of the Business end Professions Code) or thal ha or she is eaempt the�etrom and the basis for ihe alleqed exemption. Any violation of Section 703L5 by any applicant for e pertnit subjects the epplicent to a civil penalry ot not more ihan five hundred dollars ($500).): ❑ I, as owner ot ihe property, or my amployees with wages as their sole compensation, WILL DO 7HE WORK, and the stmcWre Is not intendatl or oflered for sala (Sec. 7044, Business and Professions Code: The Conirectors License Law does not epply to an owner of property who buiids or improves ihereon, and who tloes such work himself or herself or through his or her own employees, provided that such improvemenis are not Intended or oHered tor sele. If, however, the building or improvement is sold within one year ot completion, the'owner-builder will heve ihe burden of proving that he or she did not build or improve for purpose ot sale.). ,��I„a5 owner of the property, am EXCWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business antl Professions ^'• ,.. Code:-The coniractors License Law does not apply to an owner of pmpeny who builds or improves thereon, and who contracts for such prolect with a coniraaor(s) license pursuan� �o the Con�rettors License LawS.). ❑ I am ex�Qnder seA. . . Business and Professions Code for this reason: .. dnver's license. VQ] Ves ❑ No Venfication 4if Ownership by (type of document, i.a. - property taz bill or DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify ihat no excavation five (5) or more feet in tlepth into which a person Is required to descend, will be matle in connection with work authorized by Ihis permit, and Ihat no building s�ructure, scaHolding, felsework, or demolition or dismantling �hereof, will be more than Ihirty-si: (36) feet high. (Ghap. 32, Grp 2, Ar12, Sec. 341, Ttle B, Calitomia Atlministrative Cotle). ❑ As owner-builder, I will not employ anyone to do work which woWd require e permit from the Division of Indusirial Safery, es noted above, unless such person hes e permit to tlo such work from the division. Signature: Date: Division of Industnal Safery Permit NumDer: CERTFICATE OF COMPLIANCE AND AU7HORIZA710N OF ENTRY: I cenity under penalty ot perjury ihat I have read this application end state ihat the information given is correct. I egree to comply with ell state laws and city ordinances relating m building constmction, and euthorize representatives of the City of Costa Mesa to enter upon the above-describad property for inspec' urposes. I egn3e not o o upy or allow ocapancy ot any builtling authorizetl by this permit until final inspection. rl =aH�„7oo/ Sig re t egal Owner(s) Date '`_� AnNOr Authorized Applicant Date COOE t, INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Poo� Spa Final 200 Final Re-Roof 201 Final BlocklRetaining Well 202 Final Factory Fire Place 203 Final Sign � 204 Final Demolition p� IMRI COOE 1 INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 , Final Building/Occupancy pqtE IMRIRLS � •4 OWNEfi' Br1St01 ESt3t25 DATE �-18-56 - JOB ADDRESS 956 Darrell Street BUI�DING PERMIT NO. 28�3 GENERAL CONTRACTOR S.V,Hunsaker VALUE $ 8��56,�� LOT 56 BLOCK TRACT 2873 Single Res. W�att gar �� GROUP I& J TYPE V ZONE RLt FIRE DISTRICT 2869 PERMITSISSUED INSPECTIONS DATE SUBCONTRACTOR ;./ � � DATE I NUMBER Foundation Forms and Grade to Garage (_� Rough Framing ' p �� —_P_Ium6ing�Raugh�to�Slx � - �-�l�p=->_ Plumbing, Rough Complete � � Temporary Pole Wiring. Rough � C� �� Heating, Rough "Heating, Final L l�e �j ) y�51 Sewer, Hause �.r � Sewer, St. j_�z_, SepticTankor,Cesspool � /1 _ Lathing, ln � Out � � �/ � ` Plastering ,m "� � � , Plumbing, Fin�al, Fixtures Completem Ls_ g� �' Plumbina Fin.al GasTest �S'�/1i A� �d Il, Occupancy FOqM 210 3M 10-�3 _ _ �_— "_' I' — ' __ _I'—__�- — ---=c_ _ _ � __ � � Costa Mesa Bnilding Department � " P. O. Box 3!7 � � COSTA MESA, CALIf-0RNIA FOR APPLICANT TO FII.L IN Building n S / T��^ ��/ � Address I (..r �� ,C l. Costa Mesa, California Crossst. V,L µG�N/ //£ /y-,-1 Owner��/S%QL �5�� nad�e55g�z�C �. L�S /!/NR-$ � Tel. ��tY /��r�Lc ,ry Na�-�- Architector � —� Lic. Enainee� � n�n Contrector�• �� New 5 i Metes and Bounds) Lot � 5 X /L g Bldg. < Line from OT Street �0 Size � i G Exterior Wall :k j TracF g No. of Bldgs. � Now on Lot No.of No.of F,a'milies Rooma Rear Vard 2 �i � � Demolish of T ms J Stories Roof /J _ APPLICATION FOR PERMIT. BUiLDING ' FOR OFFICE USE ONLY � ; ;. Receipt No. �� •ceived y Date Rec'd. Date Issued �,f� �-/�'-S� �-/�'-s �. 9ing •ess ; Costa Mesa, California , Plans � APPROVALS Foundation Location Inspector Forms, Materials� Under-Pinning Frame: Fi re Stops, I hereby acknowledge that I have read this Application and state that the abwe is correM and agree to comply Lath. Int. with all City Ordinances and State Iaws regulating building construction. " Lath. Ext. Signatureof � Permittee Plaster, Int. � J Authorized Agt. Plaster, Ext .Valuation Pe it Fee $ ZZ _O O Masonry ReinTorced $ 8/� p�Gj ,�� Total heck $ �� • o O gond Beam Fee � � � �� FINAL qM 209 10�55 O. P. G 5. Date PLOT PLAN Show locatlon and distaneea from _ property line and between buildinga. - , • . ,: ,_ ,_,-..-.��-. 1 „"=, :. � -, . , , � _;�ros-in�.' . _ .,-. ..., - , � �_� . ,� , ._ . _ ..� . _ �,`'�. .'�' �. C i : 'j . \ :.. '..: 1-., ' �� ... �'� ' . \ � _. ` _ . _ -.. �� '. . , 1, ,\•_.1�... � ,�� ,}:,.i;��`\• �'.�._. _ :� , �. �. ` , t ,,� �, > ' , � ' ..'")� • . -: ' ..� _ � ," , ._ � 1\�; � \'.l \ - _. . , .,��,'� � r': '; `�1j'�-;- ' , � . .. . J`, ��\� _-. _-` � ;\.�. ' i \ _" ' .�-- �`2. - `1. - ��. :.t' :\ ... . , _ . , ` �� . .. � � -� ...._ �\'. i„ ��`....._ . .. +� t.,' , � �, �.1.. i'�.. _. r` . �,�� ' .. . ,, � . ! i �. ] . , , .l "i . . :.:. / . . '\--., " -J _. . �l' . _ :. `