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Home My WebLink About672 DARRELL ST - Building Permits(714) 754-5273 • Faz (714) 754-4856 • www.Ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 672 DARRELL ST Suite No Vicinity: WASHER 8 DRYER Parcel Nunmber: 42215220 Applicant: MENDEZ, JOSE B�"'` � ` Address: 672 DARRELL ST�� ' �, COSTA MESA, CA �-- .` Owner: �MENDEZ; JOSE B Address 672 DARRELLST, COSTA MESA, CA Contractor: OWNER-BU ILDER Address: ' _ ; � Arch / Eng : Address: PLUMBING PERMIT � Phone: (949) 722-7091 � ; Zip: 92627 � , Phone: (949)722-7091 Zip: 92627 Status: ISSUED Applied: 08/24/2001 Issued: 08/24/2001 ISSUED BY: � :' � � `�' �� \ � _. �' \ \�\\ �. � � � � �,. . �' � . `��; • � � , ., D ;'� E��IRE � : DA'� . � - � - Phone: � � . . • . /� � ,. ' - .. , , Zip: � - , . , � License: 0 - ', � . � , � i:• . -� , � . . � __; _ ..- - , - � .,._ '_ ' _ '_ .!�_._ _�, � � . . Phone: .. .. Zip; , . ' . License: . . .�� - , SCOPE OF PERMIT " � INSTALL GAS LINE & WATER PIPING FOR RELOCATION OF EXISTING WASHER 8 DRYER. - FEE SUMMARY . . . .'. � AMT QTY • AMT " QTY , - ISSUE FEE �; � , $23.50 �, _ . �Laundry Tub / Washer � $9.80 ; -1 . � , .� Sump Pump - ' . Backflow irrigation $0.00 �� 0 . Landscape Irrigation $0.00 0 - Swimming Pool . Backflow Preventen i$OAO 0� � ' P-Trap - � $0.00 , 0 , Trap Prirrier , � � Bathtub , , _�$0.00/ : 0 -, ;_ Pressure Regulator $0.00 0 ..= . Urinal,. � %= : �� / Clarifer System � �$0.00; / 0 -�� Process Piping (per10 ft) $0.00 0 Vacuum,Brkr Bkflow(1,4) Connect pce,Soda,etc)� �� $0.00 � 0. -Receptors � 50.00 - 0 - �-�Vacuum Brkr BkBow(5+) Dental Units � , $0.00' • 0 � - SepticTank $0.00 0 � �Wash Basin;� - � Dishwasher .$0.00 0- Sewer Cap for Demo $0.00 . 0 . Wash Basin�Set Drain, Floor $0.00� 0� � Sewer Connect 50.00 0 ' Waste and Vent System Drain, Rainwater $0.00 � 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 � N/ater 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 WaterService Gas (7-4 outlets) $6.75 1 Sink, kitchen $0.00 0 Water Sokener 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 (puhlic) 30.00 0 PLAN CHECK Interceptors (Grease, Oip $0.00 0 REINSPECTION I�terceptors (Sand Auto ) $0.00 0 COMMENTS / SPECIAL CONDITIONS AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0,00 $0.00 TOTAL CALCULATED FEES: E49.25 QTY 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 C 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 � for a period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all I , requlred Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 i 24a6361N00) WORKERS'COMPENSAnON DECLARAnON: � I hereby eflirtn untler penelry oi perjury ona ot the follawing declarations: � ❑ I have and wlll maintain e certificate oi consent to self-Insure tor workers' compensation, as provided for by section 3700 of the Lflbor Code, for Ihe peAortnance o1 t�e work tor which this pertnit is issued. ❑ I have end will maintain workers' compensation insurence, as required by section 3700 of tha Lebor Code, tor the pertortnance oi the woM for which this pertnit is Issuetl. My workers' compensallon Insurence cerrier end policy number ere: Carrier. Policy Number. (Thls sectlon neetl nof be comp/eted il the permit is velued et one bundred Uallers ($100) or /ess.) ❑ I certity that in the pertortnance of Ihe work for which ihis permi� is issuetl, I shell not employ any pereon in eny manner so es to become suDject to the workers' compensetlon laws oi CelHomle, entl egree t�at ii I shoulC become sub�ect to the workers' compensetion provisions of Sactlon 3700 of the Labor Cotle, I shell forihwith comply with ihese provisions. AppliCent SlgneNre: Dete: W/ RNING: FAILURE TO SECURE WORKERS' CAMPENSATION COVERAGE IS UNLAW FUL AND SHFLL SUBIECT AN EMPLOYER TO CflIMINAL PENFLTIES AND CIVIL FlNES UP TO ONE HUNDRED TFIOUSAND DOLLARE (5100.000). IN ADDITION TO THE COST OF COMPENSNTION, DAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR OODE, IMEREST, AN� ATTORNEV'S FEES. LICENSED CONTAACTORS DECLARATION: I hereby attirm that I em licensed under provisions ot Chapter 9(commencing wiN Section 7000) of Divislon 3 of the Business antl Professions Code, and my Ilcense Is in tull lorce end eflect. Llc. M Class # Contracrofs Signature: Date: CONSTAUCTION LENDING AGENCV: ❑ I hereby eNirtn thal Ihere is e construction lentling agency tor Iha pertormance of Ihe work for w�ich [his permit is issued. (Sec. 3097, Civil Code). Lenders Nema: Lendels Address: SignaNre: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirm thet under penelry ot perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business end Protesslons Code: Any ciry or counry which requires e pertnit to consiruct, alter, improve, demolish, or repair eny structure, pnor to its issuence, fllso requires the eppllcant tor such pertnit to flle e signetl stetement ihet he or she is licensed pursuant to the provislons oi the Contradors License Law (Chepter 9(wmmencing with Sectlon 7000) of Division 3 of t�e Business and Professions Code) or thet he or she is exempt ihereirom and tha basls tor the allagetl exemption. Any violation of Sectlon 7031.5 by any appliwnt for e perm�' sub)eds ihe epplicant to a clvil penalry of not more than tive hundred dolle�s ($500).): ,-��I,-es owner oi Ihe property, or my employees with weges as their sole wmpensaHon, WILL DO TME WORK, antl ihe structure is not intentletl or ottared for sale (Sec. �-7044, Businass and Professions Cotle: lTe Cantractors License Law does not epply ta en owner of property who builds ar improves ihereon, and who daes such work himselt ar herself or Ihmugh hIs or her ov.•n employees, provided that such improvements ere not intentled or oHered for sale. N, however, ihe building or improvemant is soltl within one year�of completion, the owner-builtler will heve ihe burden of proving ihat �e or she tlitl not build or improve for purpose of sale.). ❑ I, es ownar of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Lew tloes nm epply to en owner ot property who builds or improves thereon, antl who contracis lor such project wlih a contrecroqs) license pursuaN to the Contrectors License Laws.). �y tlnver's license. ❑ Yes ❑ No Verlfication of Ownership by (type oi document, i.e. - property tex bill ons Code tor ihis reason: �Y �G� - � � / � �Date:-- - �' LicenseNo:ft' -: , Eapires�% ' �.i' O � ..�.�__ DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICATON: ❑ I hereby certity ihet no excavation five (5) or mora teet in depth Into which a person is required to descend, will be made In connection with work authonzed by this permit, and that no builtling siructure, scaXolding, talsework, or tlemolition or dismentling Ihereot, will be more than thirty-slz (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Califomia Administretive Gode). ❑ As owner-builder, I wlll not employ enyone to do work which would requlre a permlt irom ihe Division of Industnel Safery, as notetl above, unless such person hes e pertnit to tlo such work trom Ihe division. Signeture: Date: Division oi Indusinal Safery Permii Number: CERTIFlCATE OF COMPLIANCE AND AUfliOROJ1710N OF EMRY: I cenify under penelty of pe(ury ihat I have read this application and state that the information given is conect I agrae lo compy with all state lews end ciry ortlinances relating to builtling construction, and authodze representatives of the City of Costa Mesa to enter upon the ebove-described property for inspection purposes. I agr e not to occupy or ellow xcuDency of any building authorized by this pertnit until final inspection. �-�C � -, �u�h— S 'a-Y �a l Signature Ot Le� s).-== � � Date ; CODE�, INSPECTIONTYPE Qe¢, � � 616 Fixed Systam Final Fire Preven�lon 1266 Pool Spe Final 200 Final Re-Root 201 Flnal BIocWRetaining Well 202 Final Feciory Fire Place 203 Final Sign 204 Final DemoliUon COOE� INSGECTIONTYPE 206 Final Mechanical 20B Final Plumhing 270 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Si�e 250 Final Building�Occupancy PAi II�ELS OWNER Santa Ana Ranchos DATE q_�p_�g JOB ADDRESS 6 2 W. Darrell Street BUILDING PERLNIT NO. 76%0 GENERAL CONTRACTOR VALUE $ 1� 26.00 AP. No. LOT 1`j TRACT 2215 FIRE ZONE DESCRIPTION OF WORK S1riglE R2S. Ab'F,. Gaz'. GROUP � 1� � TYPE ° ZONE "'-� PLAN NO. INSPECTIONS DATE gUBCONTRACTOR PERMITSISSUED - DATE NUMBER Trenches Fotms Steel �'--�' F /(j `Lfi-$d' Floor System " � Steel ReinEorce Chimney Re-Rod Bond Beam !f_�1: 2 -3 �. CJ' ,Cdr Frame and Flashing _/b; %+� �/.i,'. f jF' LatLing, In Out C�`-�E -� i" -�` - r' S% Plastcr, brown cOat _is%-4 Y- 2'1 ••d'd Final Gas Test COSTA '7�'��) MESA BUILDING DEPARTMENT P. O. BO% 31� COSTA MESA. CALIFORNIA ��E� RECEiVED �-�� fl NCE DEPT. wew. n�- w m�n vr w�in er� FOR APPLICANT TO FILL IN APPLIGATION FOR PERMIT ADDRE55 yy BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY - RECEIPT NO. Mq�tWyy'� OWNER Santa Ana Ranchos /�I�,: RECEIVE� BV L1ATE FECEIVEO DATE ISSVEO ADDRE55 419 E. 17th St. � -� - �EP 3 CITY Costa Mesa Calif• TNO •.�. 8-1159 Aoo E'S5 ARCHITECT ' �.-;� �OO'• LIC. OR ENGINEER �LLUla 8 �o. COSTA MESA. CALIFORNIA /�� FIRE AO�RE55 G}�art�d,,eny� �SL'OVQ ZONE Ly1tic OC CO�E OP�;TV LIC. . ��E p�eN$ TVPE ' / GROU CONTRACTOR NO. � V ''"' ADDRE55 �9 E• 1lth St• TNU!�-• ��yS7 � BPPROVE DATE ` `E�"` � �oT I'/ ^r� CORRECTIONS OESCRIPTION NO, �/ BLOCK TRPCT«�S A.P. NO. oF �or 61.05 x 98.86 "� �` eL�`� now oN �o. I30A8 USE OF' EXISTING BLDG SETBACK LINE FflOM 1 tf c[Nren or srn[cr O� REAR�YARDy •pb� SIDE VARD RIGHT � �EFT 6� DESCRIPTION OF WORK - NEW ALTEFATION ADDITION REPAIR MOVING DEMOLISH Bl11LOING 1/po s ft�ROON50 STORIES � SIZE .�+�> EXTEftIOR WALL 1 ROOF COVERING SYUCCO COVERING C • USE OF NEW BUILDING Sin le famil residence with attached ara e. Plan 130BR I MEREBY PCNNOWLE�GE TH4T I XFVE RENp THIS APPLICATION AND - STATE THAT TXE ABOVE IS CORPECT ANO AGflEE TO COMPLY W!TH 4LL CITY ORDINANCES AN� $T�1TE LAWS REGULATING BUILUING CONSTR C- iiOr+. yALUATI ON �}I SIGNATURE OF PEFMIT FEE SJµ�� PERMITTEE r� nn � � / $ u,'S^�•OO PLAN CHECK $1/�W }�})� T_ F. AUTHORIZED AGENT 1118e & Colegrove J13C• TOTAL FEE $��OO 8A1F