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Home My WebLink About695 DARRELL ST - Building Permitsr (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 695 DARRELL ST Suite No Vicinity: Parcel Nunmbec 42215301 Applicant: SANCHEZ, CARMEN Address: 695 DARRELL ST COSTA MESA, CA PLUMBING PERMIT Phone: (949)548-7903 Zip: 92627-2403 Owner: SANCHEZ, IGNACIO 8 CARMEN Address 695 DARRELL ST COSTA MESA, CA Contractor: OWNER-BUI LDER Address: Arch / Eng : Address: Phone: Zip: 92627-2403 Phone: Zip: License: 0 Phone: Zip: License: Status: ISSUED Applied: 06/21/2000 I ssued: 06/21 /2000 ISSUED BY: � r . ♦ ' //. � �- r �. � SCOPE OF PERMIT INSTALL TWO NEW GAS OUTLETS 1 FOR THE STOVE AND 1 FOR THE GAS DRYER. SUBJECT TO FIELD INSPECTION. � ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $6.15 $0.00 $0.00 $0.00 $0.00 $0.00 QTY FEESUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank $0.00 SewerCapforDemo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS SumpPump Swimming Pool Trep Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr BkBow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $o.00 $D.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: 529.65 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order tor the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required inspectlons and final approval must be obtained. Failure to obtain inspections and tinal approval will result in the axpiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 � � WORKERS' COMPENSATION DECLARATION: ' I hereby affirtn untler penalry of perjury one of the tollowing tleclarations: ❑ I heve anC will maintain a certiticate oi consant to self-Insure for workers' compensation, as provitletl for by section 3700 of the Lebor Cotle, tor the pertormance of the work for which ihis Dertnit is issued. � ❑ I have and wiil maintain workers' compensation insurance, as required by section 3700 of ihe Labor Cotle, for ihe peAortnance of ihe work lor which Ihis permit is issued. My workers' compensati0n InsuranCe carner end poliCy number are: Carrier: Policy Number: (This section need nof be completed i! fhe permit /s valued et one hundred dollars ($f 00J or less.) ❑ I certify Ihet in the pertortnance ol the work tor which this pertnit is issued, I shall not employ any person in any menner so es to become subject to the workers' compensation laws of Celifomia, end agree Ihat if I should become subject b the workers' compensation provisions ot Section 3700 ot Iha Lebor Code, 1 shall forthwith comply with thesa provisions. Applicant Signeture: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL ANO SHALI SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TOONE HUNDRED THOUSAND DOI.LAFE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAM4GE5 AS PFiOVIDEO FOR IN SECTION 3]O60F THE LABOR fA�E, IlJrEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn that I am licensed under provisions ot Chaptar 9(commencing with Section 7000) of Division 3 of ihe BUsiness and Professions Code, end my license is in full forca antl eflect. Lic. # Class a ComractoYs Signature: - Date: CONSTRUCTION LENDING AGENCV: ❑ 1 here6y aMirtn that there is a consWction lending agency for ihe peAormance of the work for which ihis permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lenders Adtlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aftirm that untler penalry of perjury ihat I am EXEMPT FiiOM THE CONTFiACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any structure, pnor to i�s issuance, also requires ihe applicant Por such permit b tile a signetl statement ihat he or she is licensed pursuant m t�e provisions of ihe Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Bus' ess and Professions Cotle) or ihat �e or she is evempt therefrom and the basis tor ihe allegetl e:emption. Any violation ot Section 7031.5 by eny applicant for e permit su ects the applicam to a civil penalry of not mora than five hundretl tlollars ($500).): I, as owner oi the property, or my employees with wages es Iheir sole compensation, WILL DO THE WORK, end the stmcture is not intentletl or ottered for sale (Sec. 7044, Business antl Professions Cotle: The Contractors License Law tloes not apply to an owner of property who builtls or impmves thereon, end who tloes such work himsetl or herself or ihrougli'his ar,her own employees, provitletl that such impmvements are not intentletl or ottered for sala. tl, however, the builtling or improvement is soltl within one year ot completion; Ihe owner-bmlder will have the burden of proving that he or she did not bui10 or improve for puryose ot sale.). '�*Grl w ., r il.-�_ ❑ I, as owner ot the property, am•EXCWSIVECV'CONTRACTING WI7H LICENSED CONTRACTORS m consiruct the projact (Sec. 7044, Business antl Protessions Cotle: The crontractors License Lew do'es+not ap01y to,an owner of property who builtls or improves thereon, and who contrecis tor such projec� with e contrector(s) license pursuant to lhe Contractors License Laws')u(�J R 4 am esmm�t u�ar sea � Business antl Pmfessions Code for this reason�. Signature: ' r '�� Owner ID verified by drivers license. es ❑ No Venfication of Ownership by (type of daument, i.e. - property tax bill or dead): DIVISION OF INDUSTRIAL SAFETV VERMI7 CERTIFICA710N: Driver's License No. Daie: � -- � � 'j ,r>o'J )�,(/ [ �- Expires: ❑ I hereby certify t�a� no azcavation tive (5) or more feet in tlep�h in�o which a person is required m tlescend, will 6e matle in connection with work aut�orizetl by ihis permit, end ihat no building stmciure, scattoltling, falsework, or demolition or dismanNing Ihereoi, will be more than thiRy-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Califomia Adminisiraiive Code). ❑ As owner�buildar, I will not employ anyone to do work which would require a permit from ihe Division of Intlusirial Safery, as notetl above, unless such person has e permil to do such work irom the division. , Signawre: Date: Division of Industnal Safery Permit Number: CERTIFlCA7E OF COMPLIANCE AND AUiHORIZA710N OF EN7RY: I certify untler penalty of perjury that I have read this epplication antl state Ihat Ihe intormation given is correct. I agree to comply with all state laws and ciry ortlinances relatiag to building wnstructiw�, aad authoriza representatives ot the Ciry of Costa Mesa to enler upon She a�jve-described pro0erry tor inspection purposes. I ag�ee not to occupy or allow wcupancy oi any buildinq authorizetl by this permit until tinal Inspection. l' o.� w. n,� C a,... �rs 6- � �� a-c7 c� SignaWreOf alOwner(s) Date And/OrAuthonzed AppliGant Date . cooe �, wsvernaNnve pATi INTRIALS 7676 Fixod System Final Fire Prevention 7266 200 201 Pool Spa Final Final Re-Roof Final BIocWRetaining Wall 202 Final Factory Fire Place 203 FinalSign 204 Final Demolilion 2466<6 COOE� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuiltling/Occupancy RTE PL OWNEA RODHEIM�M. DAT� 11-27-62 JOB ADDRESS 69� 6Q7 Darrell St. BUILDING PERMIT NO. 18271y GENERAL CONTRACTOR pymer-Bldr. VALUE $ 20.280.00 AP INSPECTIONS � LOT TRACT RIRE ZONE DAT� DESCRIPTION OF WORK .•,]�plex 5. I TYPE t� 7.ONE R-Q SUC3CONTRACTOR c3 .. _ � - � i �z�� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 977 C08TA ME6A, �.'��RORNIA For Applieant to Fill In Compleiely " TYPE OR PRINT ADDREBS �/3 �� / � LI� � COSTA MESA. CALIFORNIA, ■ MAIL cin �— STATE TEL. LIG. NO. NO. OF LOT .��S X J Q I � IS U6E OF • EXISTING BLDG. �� HHTBACK LIN6 PROM {./ ` r� �' CENTlR OP 6TPlET � � /e-i � � �E. , RECEIVED eaov z 6 ��2 FyINANCE SOA PM � APPLICATION'FOR �EttMIT BUILDING . For Office Use Only RECEIPT NO. I /�� BY IDATE RqCEIIFjD�y�- �TE 19SU� � ii 6U1 7 �95 -1a97 COSTA MESA, CALIFORNIA FIRE ZONE APPROVED ZONFJJ^ I puNB � I BUILDING i . . �eon� • _�cM� ( DEBCR�PTI01� • r�.AQ,�,D NO. OF 0LD68. ^ �S � / � � _ , ) � NOW ON LOT �J A. P. NO. V � YARDS EVES APPROVED ALLOwE[ (CENTHR LINE BTJII .� .. OF WORK NG l L V'�n NO. OF 0 � I HHRBHY AGKNOWIPDOE THAT 1 M,AVE RC� TH�6 APPLIWTION AND BTATE THAT THE ABOVE IS CORR¢CT AND AGREE TO COM- PLY WITH ALL CITY ORDINANCE9 AND BTATE LAWB REOULATIN� BU�LD�Na CONeTRUCTION. �/ i� il // , AUTHORIZED AGENT � '/121. /L Y "�y ' IN. ...�� )�- 1� -G' 0 � p� THE AMOUNT 9HOWN UNDER VALUATION I9 FOR THE vUIiPO6C OF, EBTABLIBHINO A PERMIT FeE-ONLY. VALUA710N ) � PERMIT FEE $ �� ` �- $� ^ �1 ^ �� PLAN CHECK $ �C7 J `/' � U TOTAL FEE � owrr�rt ROIn{ELM, M. DATE 11-27-62 JOB ADDRESS 695-697 _<D2.Y'P2ll St. BUILDING PEAMIT NO. 1tS27`J f� GENERAL CONTRACTOR OWrieT'-B1dY'. VALUE $ 1 00.00 AP No115�12- J LOT TRACT RIRB ZONE D�SCRIPTION OF WORKDet.CptS. INSPECTIONS � Signature� DAT� GROUP J TYP� V 7.ONE $-`Z �f� OCCUPANCY �9 �l_zIK�] 0 n Y:�Cy! K�IC? � " 18275 COSTA MESA BUILDING•SAFETY DEPARTMENT P. O. BOX 917 COBTA M68A. GALIRORNIA Fo� Applieanf io Fill In Completely TYPE OR PRINT BUICDING i 9s- / An �. . _ .� � , . � r COSTA MESA CALIFORNIA ■ MAIL i ADDRESS "�^ arv �- 6TATE TEL. APPROVED LEOAL FEE RE�EIVED �1✓ fiV 26 i:iS2 �r FINAN� DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Offiee Use Only RECEIPT NO. P6RMIT NO. /�,��5 er unre r�cervec ow�e ieaueo , �� ae 6 2i i-a -�a / .�--/0 1 � CASTA MESA. CALIFORNIA wre / � Z ING � NO.OF U8E OP NCW vLANB ..�j BUILDING� ti 61ZE �. NO. OF B1D08. O OF LOT :S I r+oW ON LOT q, p. NO. - IS '"- � USE OF _ - YARDS EXISTING BLDG. APPROVED SETBACR LIN! FROM /G / I� ti ICBNTCR LINe eTJ /n / D LEFT �S RIGHT DESCRIPTION OF WORK J BUILDING 3 �1 �/ �,� NO. OF SRE � �� ROOMS EXTERIOR WAI�L.� ROOF COVERING > ✓CG O COV6F USE OF BUILDING AND WORK TO E I ! ur��J r., > 1 H8R8[Y ACKNOWLEDGB TNAT 1 XAVE RHAD THIB MPLIGTION THE AMOUNT BHOWN UNDEP VALIIATION 19 FOR TXE AND HTAiE THAT TH6 ABOVE IB COPREGT AND AGREE TO GOM- pURP08E OP E6TA6LIBHINa A PERMIT F6E ONLY. PLY WITM ALL CITY ORDINANCE6 AND 6TATE IAWO REOUTATING 9u11A1No coNeTRucT1oN. � YALUATION ...'1 V (/ SIGNATURH F `� (Q��/�'� PERMIT FEE $ PERMITTE ' � sj7 J�DD � ' F'LAN CNECK $ AUTHORIZED AGENT � TOTAL FEE S 4