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