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HomeMy WebLinkAbout671 DARRELL ST - Building Permits(714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Addtess: 671 DARRELL ST Suite: Vicinity: ROOF Parcel Number: 42215306 Applicant: DAVILA, ELIAS Address: 19651 EDUCATION LN. HUNTINGTON BEACH, CA Owner: PEREZ, JOSE Address 671 DARRELL ST COSTA MESA, CA Contrector: E D ROOFING SYSTEMS CO Address: 19651 EDUCATION LN. Arch : Address: HUNTINGTON BEACH, CA Zip: 92646 Phone: Zoning: Phone: (714) 968-6135 Zip: 92646 Phone: Zip: 92627 Phone: (714) 968-6135 License: 672009 Eng: Address: Status: ISSUED Applied: 09/27/2002 Issued: 09/27/2002 ISSUED BY: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF, REPLACE DAMAGED WOOD, INSTALL UNDERLAYMENT OF 30# FELT, 30 YR, ELK PRESTIQUE COMPOSITION SHINGLES. 2400 S.F. INCLUDES ATTACHED GARAGE. Plan Check: Permit: SMIP Res: SMIP Com: Other. Inspection: Total $0.00 $97.25 $0.50 $0.00 $0.00 $0.00 $97.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existinq: 0 Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 . Pro�osed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0- 0 sa,000.00 Sa,000.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with aIl applicable codes, and all required Inspeetions and final approval must be obtained. Failure to oblain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 �aae-ae la�oo� WOiME1tS' C3MPENSATION DECLARATION: � � � I here6y attirtn under penalry of perjury ona of the following declarations: ❑ I have entl will maintain a certiticate of consent to self-Insure for workars' compensalion, es provided for by section 3700 of the Lebor Code, for the pertormence ot the work for which ihis pertnit is iuueA. ) I heva end wlll maintain workers' compensation insurance, as requlreC by section 3700 of the Lebor Code, for the peAortnance ot the work for which this pertnit is issue0. ' My workers' mpensation Insurence cerd/er -and �policy �nyury ber ere: // � �7��// C8 � gr:� . ��_(.la—� �C/ /✓U EP.diCy.Numbar:�./� S�V � / O %This secfion neEe'd�r o�e co leted i! the oe it is va/ued af e nundred dollars ($f00� or /essJ . � � I certify that in the peAortnance of ihe work for which this pertnit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensatlon laws ot Calif e, entl egree Ihat ii I should beco su6�ect to tha workers' compensetion proNsions oi Saction 3700 ot the Wbor Coda, I shall forthwit� comply with these provisi s. �'� � � rtoohcant.�Oru4ue�� �� �� / f::';�Oale��'� iQ51'' /'. ���� WAPNINO: FNLUHE TO SECURE WIXiKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHQL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED THOUSAND DOLLARE (5100,000�. IN ADDRION TO THE COST OF ('/JIdPENSATION, DAMAGES AS PqOVIDED FOR IN SECTION 3�06 OF THE LABOR CADE, IfJrEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aRirm that I am licensa undar provisions of Chapter 9(commencing with Section 7000) of Division 3� —o�t ihe� B�usiness a}�Q Pmfessions Code, and my license is in full i�eflect�uc:i� Z✓%/i �-% A _ ' '�G1ass�z_3 1i3� ^ � CONSTRUCTION LENDING AGENCY: ❑ I hereby aNirtn that ihere is e construction lending agency for ihe performance oi the work for which ihis permit is issued. (Sec. 3097, Civil Cotle). Lentler's Name: Lender's Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby eHlrm the� under penalry ot perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Buslness and Professions Code: Any ciry or counry which requires a pertnit to construct, alter, Improve, Gemolish, or repair any sirucNre, prior to its issuance, also requires the flpplican� tor such pertnit to file e sipnetl statement that he or she is Ilcensed pursuant to ihe proNslons ot Ihe Conirectors License Law (Chaptar 9(commencing with Section 7000) of Dlvlsion 3 of the Busineu enA Professions Code) or ihet he or she is exempt theretrom entl t�e basis for the alleged exemption. Any violation of Section 7031.5 by any epplicent for e pertnit sublects Ihe eppllcant lo e civil penelry of not more than five hundred dollars ($500).): ❑ I, es owner ot ihe property, or my employees with wages as thair sole compensation, WILL DO THE WORK, antl tha structure is not in�entletl or ottered for sele (Sec. 7044, Business and Professions Cotle: The Contractors Licanse Lew does not apply lo an owner of property who builds or Improves thereon, and who does such work himselt ar herselt or Ihrouqh �is or her own emplayees, provided ihat such improvements are nat Intended or oHered far sale. If, howaver, ihe builtling or Improvement is sold within one year of completion, the owner-builder will have the burden of proving ihat he or she did not build or improve for purpose oi sale.). ❑ I, as owner ot the property. am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (SecJ044, Business and Pmfessions Code: The wntracrors License Lew does not apply to an owner ot properly who builds or Improvas thereon, and who coNrects for such project wlih e contrector(5) license pursuam to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code lar this reeson: Signature: Date: Owner ID veritied by dnvers license. ❑ Ves ❑ No Drivers License No. Venfication of Ownership by (type of document, i.e. - property tex bill or deed): Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby certity thet no excavation five (5) or more feet in dep�h inio which a person is required to descend, will be matle in connection with work euthorized 6y ihis pertnit, end ihat no builtling swcture, sceHolding, falsework, or demolition or tlismantling thereot, will be more Ihan ihirty-si: (36) teet higR (Chap. 32, Gry 2, Atl 2, Sec. 341, T1Ue B, Celifomia Adminisirativa Code). ❑ As owner-builder, I will not employ enyone to tlo work which would require e pertnit irom ihe Division ot Industrial Safery, es notetl ebove, unless such person hes e permit to tlo such work from the division. Signawre: Date: Division ot Industrial Safety Permit Number: CEPTIFlCATE OF COMPLJANCE AND AUTMORIZATION OF EMAY: I certify under penalry ot perjury that I have read this epplication and state ihat the information given is correct. I agree to compty with all sta�e laws end ciry ordinances relaling to 6uilding construction, and euthonze representatives of the Ciry of Costa Mesa to enter upon the ebove-tlescnbed property for inspection purposes. I agree not lo occupy or allow occupancy of eny building authonzed by this permit until finel inspection. CQOE A, INSiELT10NTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spe Finel 200 Final Re-Root 201 FIneI Block/Retaining Well 202 Final Fectory Fire Place 203 204 Final Sign Finel Demolilion Owne�(s) � Ap���t� .CJ�� O�TE INTRIALS /�'-3-fl1 � CO�E� INSVECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planninq Approvel 222 Finel Sita 250 Finel Building/Occupancy pAIE I�ELS � 's� ��� � COSTA MESA BUILDING DEPARTMENT P. O. BOX 3I� COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN ADDRE�s"s Ei77i. W� DazTe11 St• COSTA MESA. CALIFORNIA / IOWNER E. 17th St. b �E RECEIUED ci�it�c� t. CiTY QF i�SSTA MiSA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY � RECEIPT NO. pF�p1A.IT NQ 7 RECENEO BY LiATE RECEIVEO D eTE ISSUE .,__ � 9-3e -5 SEY 3 p j rE�:Ia1. 8-11$9 nooRes"s CITV NO ARCHITECT a:' a�l OOlf ��c. COSTA MESA. CALIFORNIA OR ENGINEER NO. /�� FIRE ADDRE55 G}�a}r'vdeno� V1'OPe ZONE ' yjy� C� CITV LIC. IONE pOqNs TYPE � CONTRACTOR NO. ApDRE55 �9 E� 1/uu SY• TNO.�• g—�159 BYPROV D DATE "`"` L - CORRECTIONS oescaivnor+ NO. ZV BLOCK TRAC�15 A.P. NO. SIZE [ M NO.OF BLOGS � OF LOT Ol�� x Zvv ��ow orv �o. none USE OF EXISTING BL�G. serawcn � rve rwom Ot CENTEa O: SieEET � REAR YARD SIDE VARD RIGHT �� LEFT S� DESCRIPTION OF WORK NEW A ALTERATION ADOITION REPAIR MOVING DEMOLISH SIZgDING 13i55 $ 1uROOMS 6 STORIES 1 EXTERIOR WALL �.i ROOF . COVERING ��UIICCO COVERING C USE OF NEW C .,.,.'1 BUIL�ING U'li� e fcuu�.1. reai.cience with attached garage. P.lan 110BR I HERE6Y FCKNOWLEDGE THPT I H4VE RE40 THIS APPLICLTION ArvO STFTE THPT THE ABOVE IS CORFECT RND AGPEE TO COMPLV WITH PLL CITY ORDINANCE$ ANO $TATE A�NS PEGIILATING BUILOING CONSTRVC- norv. . VAWATION SIGNATURE OF PERMITTEE • , 1 ♦1 $ 13,919.� nurHoaizeo nceNr I?ike & Cole ove IIIC PERMIT FEE 63'l•W PLAN CHECK $16�W TOTAL'FEE 5��� V8M{ �:., `F�IA�-�t'-�r� . L�� CbSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 977 COSTA MEBA. CALIFORNIA For Applicanf to Fill In Complefely TYPE OR PRINT � COSTA ME5A. CALIFORNIA S //K�' NO. �,�� TEL FIRE ZONE APPROVED �EE I.,�REC�IV�D .� `t� S- I 'l � (ec� FINANCE DE�'P, APPLI�fYTI�R� F+.�BTAE� BUILDING For Offlee Use Only PELEIPT NO. PERMIT NO. izioz. BY IOATE PELEIV UATE IBBU .r-i7-�a� .r-i�-�o COSTA MESA. CALIFORNIA DATE `I_' � � � I PLAN6 �I BUILDINO EW 'STATE � TEL._ /; G_�//D2 LIC. NO. ' NO. \/ � / (o Y SIZE I No. oP eLDGB. LINE FIiOM /' ICENTBp LINE BT.1 iF BTREET �h U��__ REAR YARD '�% � FRONT RD I LEFT �G �` ( RIGHT —^ R! SIDE DESCRIPTION OF WORK EXTERIOR WA�L IROOF COVERING COVERING USE OF BUILDING AND WOIYK TO BE PERFORMED � l� / y � � .0 �s� I HEREBY ACNNOWLBO6E TNAT i HAVE REAO TNIB APPLIGTION AND 6TATE TXAT THE ABOV¢ I6 CORRECT AND A6REE TO,COM- PLY WITN ALL WTY OPGINANGEB AND BTATE IAW9 REOULATINO BUILDINO CONeTRUCTIOq. 91GNATURB OP � �������� ' APPROVEO � �� ��� yy� � 'J -( /Z '�% EVES � ALLOWED �_ � FT. IN. ^ FT. —^ IN. FT. O IN. � FT. � IN. DATE � "� ��� d i /j�/ v A �"� / 8i{i C��B-/r�z_.-av _N'-cv.c-t�-�'� � � . . £ �Ce�-�-ec.��c�f� 'TXE AMOUM 6HOWN UNDER VALUATION 19 FOR TH¢ PVRPOBE OF. EBTABLI6HING A PERM�T FEE ONLY. 1LUATION I � �« a!�. --- �� S � D� � PLAN , AUTHORIZED AGENT � z �. TOTAL FEE $ � - COSTA MESA BUILDINCrSAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92628 For AppI1mM ro Fill In Complohly TYPE OR PRINT COSTA MESA, CALIFORNIA n�ze no. or e�oo�. OF LOT NOW oN IAT EX � NO �LD6. �_� � v/r'lL/ - i%4/ILL1P eerowcK urv¢ �noM / cermn on erxesi RRAR YAR � i1D6CARCl L61T �� / RI6FR l�� DESCRIPTION OF WORK � ltiatzt�Ua�2� �*****6.00 ArPLICATION FOR PERMR BUILDING f0I Of(iN {ll0 �IIhI ncc�irt no. � n po'� $ Cy��{6 y[(i � �/ii��//f Lr-��//¢/i NO. 0► U6[ O� NI ILAN1 ,� lYILDINO L60AL �� D�YC111RION A.P.NO. JIJ " Hore: No enve oven 80' TO BIDE Q REAR F EAVE9 ALLOWED YARDBAPPROVED MAIN BUILDINO vue. #, �- i CHALL BH LlHS THAN YARO9 MPROVeD ACC6890RY BUILDIN6 CAT6 �� � � IV�Y VR Dirg�Rl�IIY � v (4 ia ' SC Gen a Bf/ic i'Cnrc- a�s�e �re 1 ' � � sC. rl'. � 1 XHR[!Y ACKNOWLiDGC TXAT.1 H�V6 P�AD TNI� AP�LIGTON TMi AMOUM 1NOWry YNDCR VwLUAT10N 16 POR THe � AND eTAT6 THAT TN{ AGOVi IB CORR6C1' ANO AOp66 TO COM- PURP068 O! fdTApLI8XIN0 A P6pMIT FE[ ONLY. PLY WITH A{.L CITY OROINANCO A(1D Q i[ L11YW X[OYLAT11/Y y/LL,UATION ' � sUiLDINO CONQ}NUR N. � � r � PERMIT FEE p P6RMITT6 6 � fJ - � C S V D w AUTMORIZ[OAO[N'[ % _� TOTAi.REE « -OWNER Santa Ana Ranchos DA'rE q_3p_�g JOB ADDRESS 6%1 W. Darrell Street BUILDING PERMIT NO. ']C69 GENERAL CONTRACTOR Dike & Cole�rove VALUE $ 13�919.0� AP. No. LOT l�i TRACT 2215 FQ2E ZONE DESCRIPTION OF WORK Sj,R?le Res. Att. G3Y�, GROUP I& J TYpE V ZONE R.L� PLAN NO. INSPECTIONS � DATE I SUBCONTRACTOR I PERMITSISSUED _ DATE f NUMBER coat .Final Gas Test OWNER � INS � soii � GAS PROP. $WR. LINE I I NOUSE CON. MISCEL ROUGH HEATING ANO AIR CONOITIONING ROUGH WIRING TRENCHES � FORMS � STEEL REINF. FLOOR SVSTEM SHEATMING FRAME ANO FLASHING BUILDING, FINAI DATE 5-21-68 BUILDING PERMIT N0. 21PTION of WORK Enclosed A ZONE VALUE9B00.00 lUP J TYPE IV i SUBCONTRACTOR PER B OWNEH SCHADEE� ANDRIAN(TS DATE 5-»-60 JOB ADDAFSS (�71 DaT'rell St. ' BUILDING PERMIT N0. 12102 GENERAL CONTRACTOR Better Bllt VALUE $ 300.00 AP_Nn.11�._iil9�l7 LOT THACT FIREZONE DESCRSPTIONOFWORK(:nmm RIW�II R. - INSPECTIONS I DATE OCCUPANCY `�`� SUBCONTRACTOR I PERMITSISSUED P. Form 21�SM-71-59 S-B P " 121�2