The URL can be used to link to this page

Home My WebLink About692 DARRELL ST - Building Permits0 ► ,. (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 692 DARRELL ST Suite: Vicinity: KITCHEN WINDOWS Parcel Number: 42215224 Applicant: ARCE, GABRIEL R Address: 690 DARRELL ST COSTA MESA, CA owner. ARCE„GABRIEL R Address 690 DARRELL ST ' COSTA MESA, CA- Contractor: OW N ER-BU ILD E R Address: Zoning: Phone: 949-515-1898 Zip: 92627-2404 Phone: - Zip: 92627-2404 Phone: Zip: License:-. 000000 Arch : � , ' Eng: Address: � ' Address: Status: ISSUED Applied: 04/28/2003 Issued: 04/28/2003 ISSUED BY: . . : Phone: � � , , Phone: �- Zip: License: �License: _ SCOPE OF PERMIT CHANGE-OUT OF 2 KITCHEN WINDOWS (IIKE FOR LIKE) IN AN EXISTING SFDt .� , � NO OTHER WORK AUTHORIZED WITH THIS PERMIT. �" - �'� , �.Q,Q ' �'n �... // t1 � Plan Check: Permit: SMIP Res: SMIP Com: Other: inspection: Total $o.00 $23.50 $0.50 $0.00 $0.00 $0.00 $24.00 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existina: o PLANNING & ZONING Rear 0- 0 Left 0- 0 . Rear 0- 0 Left 0- 0 Required: 0 , Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0-0 $300.00 $300.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia 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 this 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 final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 taas�as (s�ao� � WORKERS' COMPENSATION DECLAflAT10N: ' I hereby eNirm untler penalty oi perjury one ot Ihe following tleclarations: ❑ I have end will meintain e certificale ol wnsent to self-Insure tor workers' compansetion, es provided for by section 3700 of lhe Labor Coda, tor the pertormance of the work far which Ihis permit is issuetl. ❑ I have and will maintain wo�ers' compensation insurance, as required by section 3700 of �he Lebor Code, for ihe pertortnance of the work for which this permit is i55ued. My workers' compensation Insurance carner and policy number ere: Carner: Policy Number: (This section need no( be completed i!!he pertni( is veluetl at one hundred dollars ($100) or less.) �I cenity that in the pedormanca of the work for which this permi� is issued, I shell not employ any person in any manner so as to become subject to ihe workers' � compensatlon laws ot CelUomia, antl egree that if I shoultl become subject ro the workere' compensation provisions of Seciion 3700 oF the Labor Cotle, I shall forthwith comply with theseo•�Iw� sian . ,/ /�� (� Applican�Signature: ��/ ��,��1 / �' Date: � � �D'�� WARNINQ: FAIWRE TO SECURE WORKERS' COMPENSATION CAVERAGE IS UNUWFUL ANO SHALL SUBJECT AN EMPLOYER TO CPIMINAL PENALTIES AND CNII FlNES UP i00NE MUNDRED TtId15AND DOLURE (f100,000), IN ADDITION TO THE WST OF COMPENSATIqJ, DAMAGES AS PROVIDEO WR IN SECTION 3IW OF iHE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eNirm ihat I am licensed untler provisions of Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Professions Code, and my license is in full force antl aflecL Lic. N Class x Contractofs Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ 1 hereby attirm ihat there iS a consWction lending agency tor ihe pedormance of ihe work for which ihis permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lentlers Address: Signeture: Dale: O W NER-BUILDER DECLARAT�ONSi (J' '2 � n ��i �_ I hereby ettlrm Ihet under penalty of perjury�that I�am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business ana Professions Code: Any ciry or wunry whic� lequires a pertnit,to wnsirucL alter, improve, tlemolish, or repair eny struciure, prior to its issuance, also requires the applicent tor such permit to lile e signed statement that he or she is.licenseil pursuant to Ihe provisions of the Contrectore License Law (Chapter 9(commencing with Sectlon 7000) ol Division 3 of the Business and Professions Gode) or thet fie'br she is exempt thereirom and the basis Por the alleged e:emption. Any violation of Section 7031.5 Dy any appliwnt for a pertnit subj s the epplicant to e civil penairy of notinore ihan five hundred dollars ($500).): Ias owner ot Ihe property. or my employees with wages as iheir sole compensation, WILL DO 7HE WORK, antl the structure is not intendatl or oftered for sale (Sec. 7044, Business and ProfeSsions Code: The Coniractors License Law tloes not apply to an owner ot property who builtls or improves ihereon, antl who does such work himseN or herseN or through his or her own employees, pmvitletl �ha� such improvements are not intended or oHered for sale. If, however, the building or improvement is soltl wit�in one year ot wmpletion, ihe owner-builtler will have t�e burden ot pmving ihat he or she did not build or improve for purpose ot sale.). � ❑ I, es owner ot the property. am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 704d, Business antl Professions Cotla: The comractors LicBnse Lew tloes not apply to an owner of propeny who builds or improves thereon, antl who coniracis for such pmject with a contractor(s) license pursuant to tha Contractors License Lews.). ❑ I am eze unde sec. � � Signature: Owner ID venfied by driver51iC8�5e. Venfication of Ownership by (type of �� Business and Professions Code tor this reason: � �03 Yes ❑ No Dnver's License No. '� Expires: (�— `D it, i.e. - propeny tau bill or tleed): � DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihat no e:cavation five (5) or more feet in depth into which a person is required to descend, will be made in connaction wit� work euthonzed by �his permit, and thai no building structure, scattolding, talsework, or tlemolition or dismantling thereof, will be more ihan thirty-si: (36) faet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title e, Califarnia Adminisiretiva Code). ❑ As owner-Duiltler, I will not employ anyone to tlo work which would require e permit irom ihe Division of Intlus�nal Safety, as noted above, unless such person �as e pertnit to do such wark irof� ihe division. SignaWre: Date: Division of Industrial Salery Perrriit Numbar: CERTIFICATE OF COMPLIANCk AND AIJT}IORRATION OF ENTRV: I certify under penalry of perjury that I have read Ihis application and state that the infortnation given is conect. I egree to wmply with ell state laws end ciry ordinances rela�ing �o builtling construction, and authodze represematives of the Ciry of Costa Mesa to enter upon the above-descn d property r inspection puryoses. I agree not � cupy or allow occupancy of any building authorized by ihis p�rtnit u,ntil fne� � tion. O � �� A— 0 � Signature Oi Lega ner(s) Date \� � AnNor Aut�orizetl Applicant Date COpE I. INSPELTIONTYGE QAIE INTff1AL5 1676 Fixed System Final Fire Preveniion 1266 200 201 202 203 Pool Spa Final Final Re-Rool Final BIocWRetaining Wall Final Factory Fire Place Final Sign 204 Final Demolition LODE 1 INSPECTION TYFE 206 Final MeChanical 20B Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site �250 Final Building/Occupancy QZiE L�IDA15