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Home My WebLink About677 DARRELL ST - Building Permitse (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.cBaUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 677 DARRELL ST Suite: Vicinity: ROOF Parcel Number: 42215305 Applicant HAN, AUSTIN Address: 1022 W ORANGETHORPE " -� FULLERTON;CA"-��-- /, ,' Ownec FOLEY;,EDWARD E Address i602 E MICHELTORENA ST #4 ." i� /V� � " � SANTA BARBARA,CA'� Convactor: �ACE ROOPING SYSTEMS CC . Address:: 1022 W ORANGETHORPE . -� � � . , :, i- . ',FULCERTON,CA _ Zlp: � 92838' Arch `. , � ' , Address: . �' � - • - - • , Phane: i: \ . � . , � ��Zip: � �i License: Zoning: Phone: (774)67d�-9923- �, Zip: 92838 � _.`'� Phone: �� Zip: 93103-4204 Phone:.��(714) 871-9923 Status: ISSUED Applied: 11/20/2002 Issued: 11/20/2002 � . �' �� , � , -� �� \ , , , � �� License:'. 679543 ,�,.�.;'� �_ Eng: � , _ . Address:. ' � --; 7,.-., SCOPE OF PERMIT�. c--,•-r ,., � TEAR OFF EXISTING ROOF. INSTALL 30# FELT, 30 YEAR, COMPOSITION SHINGLES� 1,500=S.F �INCLUDES ATTACHED GARAGE.', , Y . . _ � . .. _. . _ . ._ . . . _ . . � � �, i � Plan Check: Permit: ` � ��, SMIP Rex �� SMIP Com: ' ' Other. Inspection: . , ' �, �� Total: � $0.00 $97.25 $0.50 $0.00 $0.00 $0,.00 $97:75 � FEE SUMMARY � -, i r- „ ; ; Calc Valuation %, ' ,-.g3,zoo.00- J - — . -" , � �� ;', _ �_ ClaimValuation. i"�` _ ga;zoo.00` � /r � . �r ,. ,�;�' , ,� �r,' SETBACKS `� �� , MAIN STRUCTURE�Fmnt, ,'0- 0 -, �,�. ACCESSORY Fronf 0-0 � � � �. ,: �f�' .� � ..� � . .:�. ,� i / , . ,. , ` BL'ANNING &ZONING � " ��'�� ' � i;� � ; � . - ;. ,.� �. �/ �`, , Left � 0- 0 _ _ , � �Right ��'0- 0 , " �-i - / - . .� / Lek 0-0 . - Right.��0-0, % �� \` j . i: . Proposed: 0 " 'i Rear' � � 0-;0 Rear 0- 0 PARKING ex�stioa: , o ��- , �Required: � �o NOTES: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related �, regulations. (Ord. No. 92-28, § 1, 12-21-92) � EXPIRATION: This permit shall automatically expire end become void if work is not commenced within 180 days, or if work is suspended or abandoned for a pariod of 180 days. � INSPEC710NS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required InspecNons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 ��. �.» �„��„� WORKERS' CDMPENSATION DECLARATION: � I hereby aXirm under penalry ot perjury one of the following tleclarations: ) ❑ I heve entl will m&��ain a cenificate ot consent to self-Insure for workers' compensetion, as provitled for by section 3700 of Ihe Labor Cotle, for the peAortnance oi ihe work tor wNch ihis pertnit is iaued. f I�ve and will maintain workers' mpensation ins nce, as required by section 3700 of Ihe labor Code, for tha pertormance of the work for which Ihis pertnll is iuuetl. "' y workere' compensaf nce certier en olicy number ere: C rtier.�7 �%�� r �P�icy,Numbe'�'r:��%� �� (Tiiis sectlon need not be p/ered i! th rmit l�ye/ued at one hundred dollars ($f 00J or less.) ❑ I certify that in the peAormance of the work which this pertnit is issued, I shall not employ eny person in any manner so es to become subject to the workers' compansatlon laws of Califomla, antl egre h 1 t I shoultl become sub�ect to t�e workers' compensetlon provisions of Section 3700 the LaboJ Cotle, I shall forihwith comply with t�ese P�a�sions. j / NPW!�!'_.BnOWrSf`e:�'--�'--'' �Dete:—� l� r%/v / 6 2 WARNING: FAILURE TO SECURE WORKERS' COM EMGE IS UNLAWFIIL AND SHALL SUBIECT AN EMPLOYER Tq CRIMINAL PENAL ES AND d\ L FlNES UP TOONE HUNDRED T110USAN0 WLLARE (3100,OOOI, IN ADDITION TO T OF CAMPENSATIIXJ, DAhU1GES AS PROVIDED f-0R IN SEC710N 3'lOfi OF THE LABOR CODE, IMERE57, AND ATTORNEY'S FEES. LICENSED CONTRACTORS OECLARATION: I hereby attirtn thai l em �kensed under prov'�ons of with Section 7000) ot Division 3 of the�Business and Professions C�/7Q , end my license Is in full CIa59�N�'1 e ?ai-7 7i-' �- Date: . i i/' n s, r�! � i CONSTRUC710N LENDING AGENCY: �% ❑ I hereby aRirm thA� there is a construction lentling agency lor the pedormance ot Ihe work for whic� Ihis permit is issue0. (Sec. 3097, Civil Code). Lendefs Name: _ Lentlers Address: Signeture: Date: OWNEH-BUILDER DECLARATIONS: �i u �?r� I hereby aHirtn that untler penalry,of perjury that.l em EXEMPT FROM THE CONTRACTORS LICENSE LAW lor the following reason (Sec. 7031.5, Business end Profasslons Cotle: Any ciry or counry which reqWres a peirnit to'conswct, elter, improve, tlemolish, or repair eny sirucNre, prior to its issuance, also requires ihe applicant for such permit to Ole e signed stelement that he or she is'licensetl pursuznt to Ihe Orovisions of Ihe Contrectors License Law (Chapter 9(crommencing with SecUon 7000) ot Olvtsion 3 of the Business and Profeuions Code),or that �e or she�is�exempt therefrom and the besis tor the alleged eaemption. Any violation o� Section 7031.5 by any applicem for a pertnit suhjects Ihe epDllcent id a civil penalry of not more ihan fNe hundred dollers ($500)J: ❑ 1, es owner of the P�operty, or my employees with�wages as ihair sole compensation, WILL DO 7ME WORK, antl ihe structure is not intentled or otterad for sale (Sec. 7044, Busineu antl Professions Code: Ttie Coniractors License Law tices not apply to an owner of pmperty who builds or improves ihareon, end who tloes Such work himself or herself or Ihrough his or her own employees, provided Iha� such improvements are not inientletl or oflered for sa�e. If, however, the building or improvemen� is so10 wi�hin one year ot completion, the ownerbuiider will have the burden of proving that he o� sha did not build or improve br Durpose ot sele.). � ❑ I, es owner of the P�oPerty, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to con5truct ihe project (Sec. 7046, Busine55 end Protes5ion5 Cotle: The contractors License Law tloes not appty to an owner oi property who builtls or impmves ihereon, and who contracts tor such project with a contrector(s) license pursuant to ihe Coniractors License Laws.). ❑ I am exempt unde� sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by tln�eYs licensa. ❑ Ves ❑ No Drivers License No. Expires: Verification o1 Ownership by (rype af dacument, i.e. - property tez 6ill or deed): DIVISION OF INDUSTqIAL SAFE7Y PERMIT CERTIFICA710N: ❑ I hereby certity thet no excave�ion five (5) o� more feet In depth into which a person is required to descend, will be mede in conneciion wiih work euthorizetl by this pertnit, antl that no building slrucNre, scaflolding, fa�sework, or demolition or tlismantling thereof, will be more than Ihirry-six (36) feet high. (Chep. 32, Gry 2, Art 2, Sec. 341, Title B, Calitomia Adminisirative Cotla). ❑ As owner-builtler, � will not employ anyone to tlo work whlch would require a permit irom Ihe Division oi Indusiriel Satety, as noted above, unless such person hes e permit Io do such work fmm the division. Signature: Date: Division of tntlus[rial5a�ary Parmit Number: 3 Will Ihe epplicant or present or future building occupant need to file and certity a Busineu Plan for emergency response fo releasa or Ihreetened release of a hazerdous metedal7 ❑ Yes ❑ No (Section 25W5 of the Californie Health and Safery Gotle requires, with some ezceptions, that a Business Plan be filed with the Coste Mesa Fire Depa�ment by every business which has at any one time during a reported year a quantiry of hazardous matenals equal to or greater ihan e weight ot 500 pounds, or e volume of 55 galions, or 200 cubic teet of compressed gas at stantlartl temperature antl pressure). ............................................................................................................................................................................................................................................................................................................................................................................. Does or will the applicent or present or future building occupant need to file e regisiration Form for ecutely hazartlous materials7 ❑ Yes ❑ No (Section 25533 oi lhe Califomia Health and Safery Code, with some exceptions, requires regl5iretion wilh iha Costa Mesa Fire Department by each business which al eny one time has on hend e quentity of acutely hazerdous materials equal to or greater then e welght oi 500 pounds, or a volume ot 55 gellons, or 200 cubic teet oi compressed ges et stentlard tempareture and pressure). ........................................................................................................................................................................................................................................................................................................................................................................... Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely harardous materials)7 ❑ Ves ❑ No (Section 25534 ot ihe Calitornia Heal�h entl Satery Coda provides Ihat Ihe Coste Mesa Fire Depahment may require the preparation, certiticatlon and filing wi�h Ihe Flre Depertmern oi en qMPP by businesses which are requirad to register acutely hazardous matenals with Ihe Fire Department. ....................................._............................._................................................................................................................................................................................................................................._......................._............................................ If an RMPP is prese�tly required, has Seciion 25534 0l ihe Calitornia Healt� and Sefery Code 6een fully complied with7 � Ves ❑ No ............................................................................................................................................................................................................................_..........................................._................................................................................................... Does or wlll Ihe epp��nt or present or fuwre Duliding occupent raquire (or the work which is the subject of this e plication a permi� for such consiructlon or modlticaHon trom the South Coast Air �ueliry Management Disinct or from any other eir polWtion control tlistnct ar egency.� � ves (_] No (Section 658502 01 ihe Califomia Govemment Gode requires Ihat �he requesietl inbrmetion be tumishetl on applications for nomresidential building pertnits). ........................................................................._..............................._......._...................................................................................................................................................... Will an .................................................................................................. y patl of the taciliry to be wnsimctetl untler ihis permit be within 10001eet irom the outer boundanes of a school? ❑ Yes ❑ No (tl yes , ihe faciliry must meet the requiremem of Sections 25534 and 42303 of the Cali}omia Health and Safety Code). ................................................................__........................................_............................................................................................................................................................._........................_.............._...................................................... If e permlt from thB Soui� Coast Air Oualiry Managemen� Dis�rict or oiher eir pollu�ion conVol tlis�rict or agency is requiretl br the work which is ihe sublact of IhiS epplicatlon, have all oi the aisclosures prescribetl by Califomle Heelth entl Safery Code Section 42303 been made? ❑ Yes ❑ No ....._ .............................................................................................................................._............................................................._._...................................................................................................................................................................... (N yas", ariach ceMficata ot compliance from the appropriate air polNtion control oHicer). CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the intormation given above is correct. I egree to comply with all state lews end ciry ordinances regarding HazartloUs Matenals and Emissions. Signature: Date: CERTIFlCATE OF COMP AND AUiHORIZATION OF EMAY: I cartity under penaliy of perjury that I have read this application end state ihat ihe informetion given is wrrect I agree to wmp�y it � I state laws entl ciry ordinances relating to building construction, and authorize representatives of the Ciry of Coste Mesa to enter upon the above-tlesc � etl prope for � e➢lion puryoses. I aoree no��or allow occupancy of any building authonzed by this Dermit until finel inspection. COOE 1. INSPECTIONTYPE 1676 Fixetl System Final Fire Pravention 1266 Pool Spe Final 200 Final Re-Roof 201 FInaI Block/Retaining Well 202 Final Factory Fire Place 203 FInalSign 204 Final Demolitio� QAjF �$ 4QQf� INSPECTIONTYPE 206 Final Mechaniral �208 Final Plumbing V 7 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval _ _ . . _ _ . _ . 222 Final Site 25o Finel BuildincyOccupancy 1�111.��j e C IT Y OF G 0 STA i•iESA CALIrORi�iIA P.C. IlOY 317 P'rom the G£fice oF the Planning Department December 1� 1961 PQyerco, Inc. 1517 Suerior Ave.� Newport Beach� California Dear The City of Costa ilesa wishes to advi�e you that in revising street a�dresses, the numbers listed belot�� were changed: Old Address P1e*.a Address Ap # �� 683 Darrell 677 Darrell 115-612-42 I�y\ 68�+ Darrell 678 Darrell " n � �' 685 Darrell 681 Darre]1 " � �� i. For your convenieace tae are listing the age:cies belota that ��e �aill notify of this ch�r.ge. In addition to those listed, you may desire to notify your correspondents o£ the change, Your ceoperatior in this matter is appreciated. DL:rlb Very truly ycurs, t�d. L. Dunn, Director of Planr:ir.g �� A Dave Leigh�on, Planning ^1ecl:nician cc: Southern California Edisoa Company Southern Counties Gas CompanY Costa I�Iesa County Y7ater District Facific Telephcne Corpany Fost Offic� Public ?;orks Department Er.gineering Department County Clerk (Ly)� �� 1� owNEx r� JOB ADDRESS AP No. 115-612-I�2 LOT INSPECTIONS OCCUPANCY (N�) DAT� NO. �i.�der vnLUE S 15,000.00 TRACT Z7,/S RIRE ZONE DESCRIPTION OP WORKRes Signature DAT7? GROUP I& J TYPE V 7.ON� / - j- � P�RMITt .. ._ .� . SUBCONTRACTCR .,.,,.., /att 2 �:,�.`r �.��:�� CCj35TA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 CO6'�A MEBA. CALIRORNIA For Applican+ to Fill In Complefigly �' TYP.E OR PRINT � BUILDING ADDRESS COSTA MESA CALIFORNIA FI MAIL ■ STATE �-i TEL. � NO.I TEL. NO. OF S6TBACK LINE FROM I CENTER OF 6TREET REAR YARI SIDE YARO I LEFT EJ � I RIGHT DESCRIPTION OF WORK BUILDING SIZE S EXTERIOR COVERING USE OF BI AND OF �t� �t��rv�u ��/ AUG 291961 �r fINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT euauiN� For Office Use Only NECEIPT NO. I PEPMIT NO. COSTA MESA. CALIFORNIA APPRpVEO ZON NO. OF 6 OF E �� PLFN9 Z B ILD�IJ LE6AL �_ / ^'J� OE9CRIPTION IV �� A. P. NO. I,�J _" I Z —( L YARDS EVES APPROVED ALLOWED (LBNTER LINE BT.yiy.� 1 HEREBY ACKNOWLEDOE THAT � HAVE READ TH19 APPLIWTION '��{E AMOUNT 6HOWN UNDER VAL�ATION IS FOft THE ANO BTAiE THAT THE ABOVe 1� CORIiEGT AND A6REE TO COM- pURPOSE OF ESTABLI9HING A PERMIT FEE ONLY. eLY WITX ALL CIT' OR�INANCEB A E tA 8 R¢6IILATINO BwLo1Nc CONeTfm YALUATION ,/ SIGNATURE OF PERMIT FEE $ �i�' � PERMITTE '7 - $/�J�l,/II � PLAN CHECK $ I-/ � (p V AUTHORIZED AGENT ,/ � � TOTAL FEE DE LA VEGA, Robert JOB ADDRESS DAT� 5-11.-62 BUILDING PERMIT NO. 1%O O _ GENERAL CONTRACTOR Coritirienbal COriSt. VALUE S 28Ll.00 AP No. 11 ��0 LOT TRACT FIRE ZONE DESCRIPTION OR WORK OC 3 INSPECTIONS Signature � DAT� � GROUP J TYPE 1SI 7,ONE SURCONTRACTOR '�--,-,. I 70�s0 C�TA MESA BUILDING-SAFETY DEPARTMENT ' P. O. BOX 9f7 COBTA MEBA. CALIFO6NIA For Applieant fo Fill In Complefely COSTA MESA. CALIFORNIA OWNER �.J �g� MA1 L _ / ADDR 5 '� �Y�. TEL. —� CITY NO. ARGHITEGT TEL. _�.�.. OR ENGINEER NO. 2 C SHTOACK LINE PROM BUILDING SIZE. EXTERIOR WALL COVERING USE OF BUILDING AND / / /� 1 HEREBY ACKNOWLeDG9 ANO BTAi¢ THAT TXE AI PLY WITX ALL GI HO BUILOINa GONB SIGNATURE OF PERMITTE AUTt10RIZED AGENT � O I NO. OF BLDGB. NOW ON LOT REAR YARD I RIGHT DM OF WORK ATION I II AOOITION IG I II DEMOLISH NO. OF �EE RECEIVED MAY 1 1 i�2 FINANCE OEPT. APPLICATION FC�T�E�fv11�OSTA MESA BUILDING For Office Use Only RECEIPT NO. PE MIT NO. ��.n l . BY I D/�!�_�CF�Ii Eq I O.1TE I6%iE %' i �i / / 2V i COSTA MESA. CALIFORNIA I� APPROVED �� BV J 20NE 1 I NO. OF vLANB LEGAL �� ICENTEN LINE 6T.1 APPROVED U8E OF NEW � �1 x �� THAT I XAVB� HAD THIB APPLIWTION TXE AMOLINT 9HOWN UNDER VALUATION 19 FOR THE DVE 18 GOR AN A6REH TO COM� pUPP09E OF, EBTFOLIBX�NG p p¢pMIT vEE ONLY. HANCEB AND T¢ W GULATIN6 VALUATION PERMIT FEE $•� � $ �Z 8�'� � `(� PLAN CHECK $ TOTAL FEE � �