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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 � ��i. • Yr 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 . . � ______—_— _—_-� .__ �" -iy� � � s�ll'Z.c- Qt/i!�S� �C [a�1 �4��( �-�� _Z �/_ _7l , c�eL�z-.� �t1_ �� - (� `� �7_.7a' � L�)�C'=, ) —'-rJ _ ---- � � � � �� �-`� �/ 0.r LJ 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 Sod P�P�II^1 S ISSL�ED (]� SliB.'�,0\TP,.4CTOR r�nmr.�:-�ror.i -- -- ------ �----- — -- ------------- ------ ---- � --- -- ------.. -------� ---� --- ---- - ---- ------' .'- - -- - - ---I----- ------ � -- ' � _..---�--�------ -- -- � -�-. _-- �- - •.__.. - ---t---------------�------I-�- - - - �—.�.- �'— ---- -- - -----) - -- --- --- - -- --- - � '-: = -- ------. -----�-- ------- ✓ 18274 � COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX ii7 COBTA MEBA. CALIPORNIA Fo� Applieanf fo Fill In Complefely TYPE OR PRINT DDRE'86 G9�'� �i l->r4AArii- .;T� COSTA MESA. GALIFORNIA MAIL Cl2 1'VL6F1: AODRE� ��' cirr bTATE r--. TEL. � 11Q NO. NO. OF LtlT SS X J � I i I..S� I�o. oI etaGe. � HOW ON LOT USE OF EX16T NG BLDG. �— ggTgA[X LIM! PROM ('. � /�� �� ceNiEft OP STR[6T �% `� REAR YARD O r �/ SIDE YARD LEFi r'� I RIGNT �5 DESCRIPTION OF WORK vrw I�� II s� rrwennu I II enninnu I l' NO. Oh c � ?'� ROOMS STORIE 1R WALL _ I ROOF ' � VG ._��'��� COVERING.J:�iI� « BUILDING AND WORK TO BE PERFORMED I HER�BY ACI(NOWLlDO[ THAT 1 HAVH qGD TXi9 APPLIGTION AND PTAT6 TXAT TXE A�OVE IB GORXECT A!m AGRlH TO COM- PLY WITM ALL CIT' OPDINANCE9 AND 9TATE LAW6 !1[OULATING Bu11DIN0 CONBTAURION. /)� � icruruae oF i � :f '�_( :l , , , . , AUTHORIZED AGENT F�� RECEiVED �� NOv 26 ��2 FyINANCES�APM s� APPLICATION XQR �ItMIT BUILDING For Offlce Use Only PECEIP� NO. I PlRMIT NO. . pY I%ATL RPCENFy�- qATE IBSUlD G e � �L :� 9� — � 97.k��,�lf _ �, COSTA MESA. CALIFORNIA FIRE ZONE APPROVED ZOHF��7 � I puNe � I BUILDING 1 ��L (✓ll'.K. I DElCPIPTIOt���n 4.W A. P. NO. I/S V I�– T' �I YARD6 EVES APPROVED ALLOWEC (aNT[R L1N[ BTJ{I .. .. ) � _,�C-G iOv7� �� THC AMOUM BHOWN UNDEH VALUATION IB FOP TNE YUpP08E OF EeTABL19HING A PERMIT FE¢ ONLV. � N � a S �K � PLAN CHEGK $ c� i L — n-t-. � J `� r,,,., «< � �9 0