HomeMy WebLinkAbout665 DARRELL ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 665 DARRELL ST
Suite No
Vicinity: � , ,
Parcel Nunmber: 42215307
0
Applicant
Address:
Owner:
Address
MOSS, TANIA.� y" �
2737 S CRODDY ; �
i v _
STE�D; �.- . - � '
SANTA;ANA; CA � � � � � �
G U E RRE RO, ;C ESAR�
665 DARRELC ST
COSTA MESA, CA
PLUMBING PERMIT
:
� Phone: (714)241-1414 �
, Zip: 92704 � .
Phane:
Zip: 92627
Status: ISSUED
Applied: 02/25I2002
Issued: 02/25/2002
ISSUED BY: �
' �" �
Contractor: COAST ROOTER PLUMBING HEATING & AIR CONDITIONING
Address: 2737 S CRODDY � � � � - � ,.
� . ,: STE�D . . ' �. Phone: Q1'4) 241-1414 _ �
� � SANTA ANA', CA Zip: 92704 _�
' � License: 529127 `��
Arch / Eng :
Address:
"_ � ,
Phone:
Zip:
. - � License:
SCOPE OF PERMIT
REPLACEMENT OF WATER HEATER
FEE SUMMARY.
� � AMT� QTY � AMT '��� QTY ���
ISSUE FEE ` � �. - $23 50; �� � i �=-• .�•.� Laundry Tub / Washer $0 00 ','0� ;��y'�-= - Sump-Pump �
Backflowirrigation, $0.00 ��,0 �- Landscapelrrigation - 50.00 0� - �- SwirnrningPool
Backflow Prevente� . " $0:00 `0�� - - P-Trap � '� " $0.00 ' 0 _ � -'-Trap Priiner �,
BamWb ����, ��;$O.00i .0� � c�..PressureRegulator " � $0.00 0 ���Urinal% �!�j
Clarifier System , � � $0.00,�, � 0 - ��� Process Pipin9 (per 10 ft) $0.00 , - 0 -Vacuum Bikr Bk
�
� r
'. AMT
�, �$0.00
; �Ji�$0.00
� < $0.00
%; � $0.00
Connecl pce,Soda,etc) � - $0.00 �, 0 � Receptors $0.00 � - 0 � � Yacuum BrkcBk���w�o-�
Dental Units � $0.00� � � "0� � ' Septic Tank 50.00 " 0 � ��'� Wash'Basin� �� j
Dishwasher ��50.00 �0�,.- , �SewerCapforDemo 50.00-,:�0-1, ��''Wash.Basin,Set
Drain, Floor 50.00 - 0 � Sewer Connect � $0.00 0 � Waste and Vent System
Drain, Rainwater 50.00 0 ��Sewer Private Line $0.00 0�� -� Water Closet (Toilet)
Drain, Roof $0.00 0._ ., Shower $0.00 0 ��Water Heater / vent
Drinking Fountain $0.00 0� _ Sink, bar $0.00 - 0%-'- . - Water Piping (Inst or Rep.)
Expansion Tank $0.00 0 Sink, Commercial -$0�.00`� 0-" Water Re-pipe
Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service
Gas (1-4 outlets) $0.00 0 Sink, kitchen $0.00 0 Water Softener
Gas (Over 4 outlets) $0.00 0 Sink, service/mop $0.00 0 OTHER
Gas Repipe $0.00 0 Spa (private) $0.00 0 VIOLATION
Gas Service $0.00 0 Spa (public) $0.00 0 PLAN CHECK
Interceptors (Grease, Oil) $0.00 0 REINSPECTION
Interceptors (Sand Auto ) $0.00 0
COMMENTS I SPECIAL CONDITIONS
$0.00
$0.00
50.00
50.00
50.00
$0.00
$12.30
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES: E35.80
QTY
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
NOTICE: The work authorized by this permit shall comply with all applicable 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 ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inapeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2416d8 (N00)
WORKERS' COMPENSATION DECLARATION: � - � '
I hereby ettirm under penalry ol perjury one of Ihe following declarations: � � ' �
❑ I heve and will maintain a certificate oi conseni to selGlnsure tor workers' wmpensation, as provided for by section 3700 of the Lebor Code, for the peAortnanca �of the
tor which Ihis pertnit is issued.
I have antl will maintain workers' compensation insurance, as requiretl by section 3700 oi the Labor Code, br Ne pertortnance oi Ihe work br which this permit is issued.
My workers' compensation Insurance carder and p number are: �j-� �^
Cartier �T T� � l,r PolicyNumber. � �� � ]'t )c 1-
(This secfion neetl nof be co e il the permif is veluetl et one huntlred dollars ($100) o� /ess.)
❑ I certity that in the pertorm ca oi tha work f which this pertnit is issueQ I shall not employ any person in any manner so as to become subject to the workers'
compensation laws ot Calif mia, entl gree tl at il I shoultl become subject to the workars' compensation pmvisions of Section 700 ot t e Wbor Code, I shall fort�with
comply with these provi � s. �i
�!PPI�i�Slpneiu�� re: .� �� D�t�`e�..�'` CX .ri � �
WARNING FAILURE TO SECURE ERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUflIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED
TFIOUSAND DOLLPAE (5100,000), IN ADDITION TO THE WST OF COMPENSAiION, DAMAGES AS PROVIDED FOR IN SECTION 3]O6 OF THE LABOR CODE, IMEREST, AN� ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLAflAT10N:
9(commencing with Section 7000) ot Division 3 of.[he Business and Professions Cotle, and my license is in full
CClass�#,' � i0 � � �
. DaterPi 6�� —�_�
, CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirm that Mere is a construciion lentling agency for ihe DeAormance of ihe work for which ihis pertnit is issued. (Sec. 3097, Civil Code).
Lendefs Name: Lender's Atltlress:
Signature: � Date:
OWNER-BUILDER DECLARATIONS:
I hereby attirtn that under penalry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the toilowing reeson (Sec. 7031.5, Business end Professions
Cotle: Any ciry or counry which repuires e permit to consWct, alter, improva, demolish, or repair any struaure, pnor to its issuance, elso requires the applicant for such permit
to tile e signed stetement thet he or she Is licensed pursuant to ihe provlsions of the Contradors License Lew (Ghepter 9(commencinq with Sectlon 7000) ot Division 3 of Ihe
Business flnd Profeuions Cotle) or that he or she is exempt therefrom end the besis For the elleged exemption. Any violation of Section 7031.5 by any apDlicant tor a permlt
sublecis the epplicant to e civil penalry ot not more Ihan tive hundred dollars (5500).):
❑ I, as owner oi �he property, or my employees with wages es Iheir sole compense�ion, WILL DO THE WORK, and the structure is not in�endetl or oftered tor sale (Sec.
7044, Business and Professions Cotle: The Contractors License Law dces not apply to an owner of properry who builds or improves thereon, and who does such work
himsell or herself or Ihrough his or her own employees, provided thet such improvements are noi intendetl or oNered for sale. If, however, �he builtling or improvement is
soltl within one year ot completion, the ownerbuilder.will have ihe burden of p�oving ihat he or she did not build or improve tor purpose ot saleJ.
❑ I, as owner ot �he property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Professions
Code: The contractors License Law does not epply to an owner oi propeny who �uilds or improves thereon, and who contrects for such project wii� a conirector(s)
license pursuant ta the Contractors License Laws.).
❑ I am exempt untler sec, Business and Professions Code tor this reason:
Signature: Date:
Owner ID venfied by drivels license. ❑ Yes ❑ No Drivefs Licensa No. Expires:
Vedtication of Ownership by (rype of tlocument, i.e. - property tax bill or tleed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
\�/f N//,-��.
❑ I hereby certity that no excavetion 6ve (5) or more teei in depth into which a person is requi�ed to descend, will be made in connection with work euthonzed by this
permit, and that no building sifucture, scaHolding, talsework, or demolition or dismantling thereof, will be more than thirty-sia (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Ttle B, Celifomla Adminisl'ra�ive CoBe). i-
� U�l i
❑ As owner-6uiltler, I will not employ enyone to tlo work which would require e pertnit from �he Division of Indusirial Sefety, es notetl above, unless such person hes e
permit to do such work twm Ihe division. ,-,
SignaWre:
Divislon of Industnal Safety Permit Number:
Date:
CER71FlCA7E OF COMPLIANCE AND AUTHORIZATON OF EMRY: I cenity under penelty of perjury that I have reatl this application antl state Ihet the infortnation given is
correct. I egree to compty wlih all s;ate laws and ciry ordinances relating to building consiruction, antl euthonze representatives of the Ciry of Coste Mesa to enter upon the
above-describad property for ins0ection puryoses. I agree not to occupy or allow occupancy of eny building euthorized by this pertnit until finel inspection.
COQE 1. INSPECTION TYPE
7616 Fixed System Final Fire Preveniion
1268 Pool Spa Final
200 Finel Re-Roof
201 Final BIocWRetaining Wall
202 Final Fadory Fire Place
203 Final Sign
204 Final Demolition -
Z
Q� �L COpE1 INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electncal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Si�e
250 Final Building/Occupancy
Q97E It�Li
�+-� -o�► ��
OB ADDRESS 6i
GENERALCONTRACTOR Dike cc Cole�,rove � VaLusg 15�j2�']•00
AP. No. LOT 15 7'RACT 2215�FIRE ZONE DESCRIPTION OF WORK Sinv1P Res Att rar
GROUP I& J 1'YPE V ZONE � PLAN NO.
INSPECTIONS I DATE I I___ PERMITSISSUED
SUBCONTRACTOR
Test
��� ,�, .. '7�£��3
+�OSTA MESA BUILDING DEPARTMENT
P.O. 80X 31�,
COSTA MESA, CALIFORNIA
���� RECEIVED
�_3o-S�
fIf�ANCE DEPT.
CIt11 4f �SiA 1lE�1
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BIIILDING 665 W. Darre]1 st. BUILDING
ADDRE55
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. Ij
owNER Santa Ana Ranchos R% �
MAIL RECEIVE� 9Y L1PTE PECEIVED ATE ISSUED
aooRess 9 E. 17th St. — 3d 'J� E� 3 0 1958
TEL BUILI�ING
ciTr CO3nt8 Mesannn��� C2lif: �o:�� $�1], nooREss
AftCHITECT V��$S1�OO� IIC.
OR ENGWEER (fl No. COSTA MESA. CALIFORNIA
FIRE
nooaEss Garden �tL'OVC ZONE
20NE NO.OF TYPE GROUG
Ts CITV �IC. PLnNS - /
CONTRACTOR yy e � NO. ' �(a-'
AD�RE55 4�9 1'+• 1! Wt �Jt• Np. �. 8-]159 BVPRaVED
pATE
�E�a� �or r � � CORRECTIONS
oESCeirnorv NO. ZJ BLOCK• TRACT
A.P. NO.
SIZE 61 $ 1VV NO. OF BLDGS.IIOSIP
OF LOT ��oW orv LOT
LISE OF
E%ISTING BLOG.
SETBACN LIN£ FROM � /1L,
cENiEA OF siae[i 54 REAR YARD �0
SIDE VARD RIGHT � LEFT V�
DESCRIPTION OF WORK
NEW (� ALTERATION pDDITION
REPAIR MOVING DEMOLISH
BUILDING A$ Yt � ROOMS � STOR�ES 1
SIZE O
E%TERIOR WALL ROOF
COVERING COVERING
USE OF NEW
BUILDING
'th atta hed ar e.
� MEREBY 4CKNOWLEDGE THAT I HPVE REPO THIS APPLICATION AND
STATE TMAT 7HE PBOVE IS CORFECT 4NO AGREE TO COMPLV WITH ALL
CITV OFOINANCES FNO STATE / WS RE 4TING BUILDING CONSTPUC-
TiOrv. VALUATION
SIGNATURE OF PERMIT FEE S 6 C�O
PERMITTEE nn
• ' $'t��}M�� PLAN CHECK � ���Vy
.L J</ M
AUTHORIZED AGENT � � TOTAL FEE $ 54�w
e Js
OwrrER IEONHARDT,- JOHN C DATE 5-17-60
JOB ADDRFSS 665 Darrell St. BUILDING PERMIT N0. 12101 --
GENERAL CONTRACTOEZ Better Hilt VALUE $ 19L.00
AP. No. ll�i-G12-1H LOT TBACT FIRE ZONE DESCRIPTION OF WORK COmm. B10CkWa11
WSPEGTIONS I DATE I C;R(li1P TVPF. 7.ONF. R_l
SUBCONTRACTOR
OCCUPANCY � �_
Form 210-SM-11-59 5-e P U � �
121�Z
:.,
�,,`,` �f �,��_���
EEOSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 91T COBTA MEBA. CA�-�FORNIA
For Applieani fo Fill In Complefely
TY/PE� OR PRIN7 '
BUILDING I � / D / /%�i .2--
COSTA MESA. CALIFORNIA
� wEn. .�`
FIRE
ZONE
APPROVED
�E� RECEIVE�
�' � .7 -li-��-�
APPLICATI�I��jC� P�I�
BItICDI'N��Y� �E��
For Office Use Only
RECEIM NO. I� PE � TO �.
/C
GY DATE pECE1V OATE 183UEO
I �{�'/i—�n I �i��i�-�o
COSTA MESA. CALIFORNIA
��
ZON I NO. OP^ / I U6H OF NEW �
I. � PLhN9 �,/ BUILDIN6
U /,�
� �Q I LEGAL � �/� .
OE6CRIPTION � �
NO"OP-BLDGB. � I l/ � i{�� t�
� BETBACK LINE PROM
DESCRIPTIOM OF WORK
BUILDING NO. OF �
SIZE ROOMS
EXTERIOR WALL IROOF
COVERING GOVERING
USH OF BUILDING AND WORK TO BE P�R
��� CPIr�� S� �,
(CENT[P LINC'8Tq
�
FT. IN.
FT. OIN.
FT. � IN. �
�FT. -- IN.
��z��//S�^� �7 � 6
.t�p"'
Jr
/�-�'� V I -
�
1 HEqEBY AGNNOWLEDOE THAT I HAVE RWD TH19 APPLIWTION }Hg AMOUNT BHOWN UNOER VALUATION 19 FOR TN¢
AND BTATE THAT TXE ABOVE �6 GORRECT ANO AGRHE TO COM-
PUHP08H OF EBTABLIBHING R P¢RMIT FEE ONLY.
PLY WITH ALL CITY OROI GE6 AND HiAre ✓�W9 RH6ULATING
emLolNo CONeTRucTI VALUATION �J
SIGNATURE OF • PERM17 FEE $ /(i '-'�
PERMI7TE - /%/� Q (�
$ l / y� p�qN CHECK $
Al1THORIZED AGENT � 4_
� TOTAL FEE