Loading...
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