HomeMy WebLinkAbout697 DARRELL ST - Building Permits.
(714) 754-5273 • Fau (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
�ob Address: 697 DARRE4L ST
Suite No
Vicinity:
Parcel Nunmber: 42215301
Applicant: SANCHEZ, CARMEN
Address: 695 DARRELL S7
COSTA MESA,CA
PLUMBING PERMIT
Phone: (949)548-7903
Zip: 92627-2403
Owner: SANCHEZ, IGNACIO & CARMEN
Address 695 DARRELL S7
Phone:
Contractor:
Address:
Arch / Eng :
Address:
COSTA MESA, CA
OWNER-BUILDER
Zip: 92627-2403
Phone:
Zip:
License: 0
Phone:
Zip:
License:
Status: ISSUED
Applied: O6/21/2000
Issued: 06/21/2000
�
ISSUED BY:
SCOPE OF PERMIT
INSTALL 1W0 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 Qce,Soda,etc)
Dental Units
Dishwasher
Drein, Floor �
Drain, Rainwater
Drein, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-4 ouUets)
Gas (Over 4 outlets) �
Gas Repipe
Gas Service
Interceptors (Grease, Oil)
Interceptors (Sand Auto )
AMT
$23.50
$0.00
$0.00
$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
Q7Y
FEE SUMMARY
Laundry Tub / Washer
Landscape hrigation
P-Trep
Pressure Regulator
Process Piping (per 10 ft)
Receptors
Septic Tank
Sewer Cap for Demo
Sewer Connect
Sewer Private Line
Shower
Sink, bar
Sink, commercial
Sink, Floor
Sink, kitchen
Sink, service/mop
Spa (private)
Spa (public)
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$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
Trap Primer
Urinal
Vacuum Brkr Bkflow(1-4)
Vacuum 8rkr Bkflow(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
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
TOTAL CALCULATED FEES: $29.65
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspectione and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARATION:
I hereby attirm under penalry oi perjury one of ihe following tleclarations:
❑ I have antl wlll maintain a certiticate of consent lo selt-Insura for workers' compensation, es provitletl for by section 3700 of the Le6or Code, tor the pertormance ot Ihe
work for which ihis permit is issued. .
❑ I have and will maintain workers' compenutlon insurance, as raquired by section 3700 of Ihe Lahor Cotle, tor ihe pertortnance of the work tor which this pertnit Is issuetl.
My workers' compensation Insurance carrier and policy number are:
Carrier. Policy Num6er.
(Thls section need not be completed il fhe permi( is valued at one huntlred dallars (8100) or less.)
❑ I certily that in lhe pertormance of the work for which this permit is issuetl, 1 shall not employ eny person in any manner so es to become su6ject to tha workeis'
compensation laws of California, and agree that if I should becoma subject to the workers' compensation provisions of Section 3700 of the Labor Cotle, I shall fonhwith
, wmply wi�h �hese provisions.
Applicant Signeture: Date:
WARNING: FpiLURE TO SECURE WORKERS' COMPENSATION CAVERAGE IS UNL4WFUL ANO SHALL SUBJEGT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TOONE HUNDRED
THOUSAND DOLL4RE (5100,000), IN A�DRION TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 3IO60F THE LABOR CODE, IMEREST, AND ATTORNEY'S fEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm Ihat I am IicenseC under provisions ot Chapter 9(commencing with Section 7000) of Division 3 of (he Business antl Professions Code, and my license is in full
torce and ettect. Lic. # Class u
Coniractor's Siqnature:� � Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirtn that thera is a consimction lending agency for the peAormance of tha work for which Ihis permit is issuetl. (Sec. 3097, Civil Code).
Lentlels Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aflirm ihat under penalty oi perjury that I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business antl Professions
Code: Any ciry or counry which requires a pertnit to consWc�, al�er, improve, demolish, or repair any sWcture, pnor to its Issuance, also reqWres Ihe applicant for such permit
to file a signed statement that he or she is IicenseG pursuant to ihe provisions of the Coniractors License Law (Chapter 9(commencing with Section 7000) of Division 3 ot lhe
eusiness antl Professions Code) or Ihet he or she is exempt iherefrom and Ihe basis for t�e alleged exemption. Any violation of Section 7031.5 by any epplicant for a permit
sub�ects ihe applicant to a civil penalry of not more than five hundred dollars ($500).):
� I, as owner of the property, or my employees with wages as their sola compensation, WILL DO THE WORK, antl the structure is not intended or oNared for sale (Sec.
7044, Business and Professions Code: The Coniractors License Law does not epply to an owner of propeny who builds or improves thereon, and who tloes such work
himself or herself or through his or her own employees, provided thal such improvemenis are not intended or oHeretl for sele. If, however, ihe buildinq or improvement is
sold within one year of completion, ihe ownerbuilder will hava the burtlen oi provinq ihat he or she tlid not build or improve for puryosa ot sale.).
❑ I, as owner oi t�e property, am EXCLUSIVELV CONTRACTiNG WI7H LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
� Code: The comrectors License Law does not appty to an owner ot property who 6uilds or improves thereon, antl who contrects for such project with a contractor(s)
license pursuant to ihe Coniractors License Laws.).
❑ I am ex mpt under sec. Business and Professions Cotle for this reason:
Signawre: �W'Lv��n C....��jA oate: 6' `Ji- ao��s
Owner ID venfied by drivers license. ❑ Y ❑ No Orivar's Licensa No. �` Expires:
Venfication ot Ownerehip by (rype of tlocument, i.e. - properry taa bill or deed):
DIVISION OF INDUSTRIAL SAFEfV PERMIT CERTIFICATION:
❑ I hereby certity �hat no excavation five (5) or more teet in depih into which a person is required to descend, will be made in connection with work authorizetl by ihis
permit, end that no building slrucNre, scafloltling, falsework, or demolition or dismantling Ihereot, will be more ihan ihirry-sis (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
347, Ti�le B, California Administrative Code).
❑ As owner-builtler, I will not employ anyone to do work which would require a permit from ihe Division of Indus�rial Safety, as noted above, unless such pereon has a
permit to do such work from the division.
SlgnaNre: Date:
Division of Industrial Satery Permit Number:
CERTIFICATE OF COMPLJANCE AND AUTHORIZATON OF ENTRY: I certify under penalry of perjury that I hava read this application and state ihal ihe information given is
correct. I aqree to comply with all state laws and ciry ordinances relating to builtling consWction, and authorize representatives ot ihe City of Cwta Mesa to enter upon the
abo(v�e-described properry for inspection purposes. I agree noi to occupy or aliow occupancy of any building authonzetl by this pertnit until final inspection.
\ Av i-rv-v� g aw� r�n1k 6— i�— `, cJ O n
Signature 1 L wner(s) Date
And/Or Authorized Applicant
CODE �. INSVECTIONTYPE
1616 Fi:otl System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Root
201 Final Block/Retaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
2446d6
PLi€ INTITIALS
CQOE� INSPECTIONTYVE
206 Final Mechanical
20B Final Plumbing
210 Final Electrical
212 Final Fira Prevention
220 Final Planninq Approval
222 Final Site
250 Final Building�Occupancy
oare INTITIRLS
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OWNER rrjT-:-+_r� .. �LDATE � 1 _? � _(�n
JOB ADDRESS �� BUILDING PERMIT NO. � p� �!,
0��97 nnr„e11 �= vnLUE S.^0.?20.or,
GENERAL CONTRACTOR ^�,er-��� .
AP No.11 -E12-�V - LOT TRACT FIR� Z01*E DESCRIPTION OF WORK � T1 t-.� ��' �`ns .
INSPECTIONS 5ignature DATE GROUP ' TYPE ' 7.O2QE ii. ?
Soil �� 2-9G:' PGRVIITS ]SSGED
G�- �. 31;BC0�7'RACTOI2 nATF \CVLf:i2
lVater i .�',. /7 _..: .: . i . . � ______—_— _—_-� .__
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Building, Final . , 1 /_, f. % " �-
OCCUPANCY �
OWNER RQL�-LTn? M, DATE 1.1-27-62
JOB ADDRESS 95- 97 L'arrell .^-,t. BUILDING PERMIT NO. ��75�
GENERAL CONTRACTOR ^wner-Rldr. VALUE $ 1b00.00
AP No.11S- 12- '9 LOT TRACT FTR� ZON� DESCRIPTION OF �VORK�.''� ��^` "� �
INSPECTIONS I5ignalure DATE GP,OliP J TYP� �' ZONE ^-p
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✓ 18274
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX ii7 COBTA MEBA. CALIPORNIA
Fo� Applieanf fo Fill In Complefely
TYPE OR PRINT
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COSTA MESA. GALIFORNIA
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BUILDING AND WORK TO BE PERFORMED
I HER�BY ACI(NOWLlDO[ THAT 1 HAVH qGD TXi9 APPLIGTION
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PLY WITM ALL CIT' OPDINANCE9 AND 9TATE LAW6 !1[OULATING
Bu11DIN0 CONBTAURION.
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AUTHORIZED AGENT
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APPLICATION XQR �ItMIT
BUILDING
For Offlce Use Only
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