HomeMy WebLinkAbout839 DARRELL ST - Building Permits" CITY OF COSTA MESA
�`""'F, BUILDING DIVISION
�`�� 77 FAIR DRIVE. COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-0856 • w�wi.ci.costa-mesa.ca.us
:
° � FOR INSPECTIONS CALL: (714) 754-5626
�fi PERMIT NUMBER: B09-00045
' � , , -r +�;-�
PERMIT TYPE B_ROOF2 STATUS: ISSUED ; ��
APN: 42236310 DATE ISSUED: 03/30/2009
- ISSUED BY: RMD
JOB ADDRESS: 839 DARRELL ST CM Suite/Unit: -
Vicinity: HOUSE AND GARAGE ROOF �- .��(,`.
Squares: 1700 Valuation: " �' $3,500.00 " '� � '
SCOPE OF WORK: � TEAR OFF (E) ROOF MATERIALS, INSTALL 1 LAYER OF # 30 FELT ON �A 4:12 PITCHED ROOF AND REROOF
WITH 30 YEAR COMP SHINGLES ON AN ATTACHED HOUSE AND GARAGE, APPDX 17 SQUARES. REPAIR AND
REPLACE SHEATHING AS NEED. ' � - � - , -
OWNER: ARMIJO, RITA F � . � Address: ,� 839 DARRELL ST ��. � . Unit:
PHONE: , . ' . � -- � ' - � City/State/2ip: COSTA MESA, CA � . � � -
APPLICANT: HERMAN,;TIMOTHY ,
PHONE: 951-015-7189 �
CONTRACTOR: HERMAN ROOFING '
m
Address: 4050 1/2 BROTHERTONUnrt: ��
CitylState/Zip: CORONA; CA ' , 91719
ARCHITECT:
ENGINEER:
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
Bldg Std Admin Fund
TOTALFEES
Address: 4050 1/2 BROTHERTON ' Unit: :
City/State/Zip: CORONA, CA �. ' , �
' � �� ' :' License No. 3462655`� ���
- PHONE:�� - ^ ,. 909-371•0514� _ ",� . � _.ti
CELL:
License No.
�� License No.
$o.ob
:.. $97.25 " .
$0.00
$1.00
$98.25
PHONE:
PHONE:
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, i2-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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 inspections and final approval must be obtained. Failure to obtain inspections and final approval will resuR in the expiration of this permit.
CODE�. INSPECTONTYPE OATE INTITIALS COOEC INSPEL710NTYPE DRTE IN7IlIALS
1616 Fixed Systpm Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 1L 208 Final Plumbing
200 FinalRe-Rwf r'7��� �. 210 FinalElectrical
201 Final Biock/Retaining Wall 272 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204,�� FinalDemolition _, � - 250 FinalBuilding/Occupancy
J ' )( l � e
WORKERS' COMPENSATION DECL4RATIOh.
1 hereby af�rm under penalry of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to selt-Insure (or workers'
compensation, as provitled for by section 3700 of Ihe labor Code, for Ihe
peAormance of the vrork for which this permit is issued.
❑ I have and will mainlain vrorkers' compensation insurance, as requiretl by
secibn 3700 of the Labor Code, for the peAortnance of the work tor which this
pertnit is issued. My workers' wmpensation Insurence carner and policy
numher are: l
(�rrier. �n�i �.v1�N
� �(inis sectan neetllat be mmpete0 nNe peimn is valuetl 1 one nundied da�iars (E100) arless )
�=P�cy Number: � � � '" �Q„2 ^ ��� � � /
❑ I certify that in the pertormance of Ihe work for which this permit is
issued, I shall not employ any person in any manner so as to become subject
to the workers' compensation lavrs of Califomia, and agree Iha[ if I should
become subject to the workers' compensation provisions of Section 3700 ot
ihe Labor Code, I shal forthwith comply with these provisions.
��., _ 3-30-0�
A Ib� �ignalure �a�^i.
{�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($t00,OW), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEV'S FEES.
LICENSED CONTRACTORS UECLARATION:
I hereby aKrm that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Pmfessions Code, and
my license is in (ull force and effecl.
�� � ��e � 3 9
/
� grotu7e " � Oate�"
��..�
CONSTRUCTION LENDING AGENCY:
❑ I hereby aKrm Ihat there is a consWction lending agency (or the
pedwmance of the v.ork fa which this permit is issuetl. (Sec. 3097, Civil Cotle�-
Lender's Name:
Lender's Address:
SignaWre
OWNER-BUILDER DECLARATIONS:
I hereby affrm that under penally o! perjury [hat I am EXEMPT FROM 7HE
CON7RACTORS LICENSE LAW for the following reason (Sec. 7037.5,
Business and Professions Code: Any city or couniy which requires a permit to
construcl, alter, improve. demolish, or repair any struc[ure, prior to its
issuance, also requires the applicant for such permit ro fle a signed statement
lhal he or she is licensetl pursuant to lhe provisions of the Conlractors
License Law (Chapter 9(commencing with Section 7000) ot Division 3 of the
Business antl Professions Cotle) or that he or she is exempt therefrom and
the basis (or the allegetl exemption. Any violation of Seclion 7031.5 by any
applicant for a permit subjects lhe 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 sole
compensation, WILL DO THE WORK, and Ihe structure is not intended or
oflered for sale (Sec. 7044, Business an0 Professions Code: The Con[ractors
License Law does not apply to an owner of pmperty who builds or improves
thereon, and who does such work himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for
sale. It, however, the building or improvement is sold within one year of
completion, the ovmer-builder vnll have the hurtlen of proving that he or she
did not build or improve for purpose of sale.).
❑ I, as owner o( the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTR4C70RS to construct the project (Sec. 7044, Business and
Profes5bns Code: The contrdctors License Law dces not apply to an owner ot
property who builds or improves Ihereon, and who contracts for such project with
a cont2ctor(s) license pursuant to the Cont2ctors license Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
. .• �
Owner ID verifetl by tlrivc, ., ncense. ❑ Yes ❑ No
Dnver's License No. Expires:
Verifcation of Ownership by (type of documenl, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certiFj that no excavation (rve (5) w more teel in depth into wfiich a
person is required b descend, will he made in connectbn with vrork authorizetl
by this permit, and that no building siructure, scaffdding, talsev.ork, or tlemolition
or tlismantling thereof, will be more lhan �hirty-six (36) feet high. (Chap. 32, Grp
2, M 2, Sec. 341, Title 8, Califomia Administrative Cotle).
❑ As owner-builder, I will no[ employ anyone to do work which vrould
require a permit from the Division ot Industrial Safety, as noted above, unless
such person has a permit to do such work trom [he division.
Apphranl's Signalure Ddle
Divisi0n of Industrial Safety Permi[ Number
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need to fle and
certify a Business Plan for emergency response release or threatened
release o( a hazardous material? ❑ Yes No
(Section 25505 ot the Califomia Health antl Safery Code requires, with some
exceptions, that a Business Plan be (letl with the Costa Mesa Fire
Department by every business which has at any one time during a reportetl
year a quantity of hazardous matenals equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas
at standard temperaWre and pressure).
2. Does or wiV the applicant or present or fuNre building occupant ne to fle
a registration form for acWely hazardous materials? ❑ Yes No
(Section 25533 of Ihe California Health and Safety Code, with some
eaceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hantl a quan[ity of acutely
hazardous matenals equal to or greater than a weight of 500 pountls, or a
volume of 55 gallons, or 200 cubic feet o( compressed gas at standard
temperature antl pressure).
3. Does or will �he applicani or present or future builtling occupant need to
prepare an RMPP (Risk Management y�M'Prevention Program for acutely
hazardous materials)? ❑ Yes ,��No
(Section 25534 of the Califomia Health and Safety Code provides that Ihe
Costa Mesa Fire Department may require the preparation, certi5cation and
fling with the Fire Department o( an RMPP by businesses which are required
ro register acutely hazardous materials with the Fire Department.
4. I/ an RMPP is presently required, has Sec[ion 25534 of the California
Health and Safety Code been fully complietl vrith? ❑ Yes _0 No
5. Does or will the applicant or present or future building occupaN require (or
�he work which is the subject of this application a permit (or such construction
or modifcation fmm the South Coast Air Quality ManagemeN Dis ict or from
any other air polWtion control district or agency? ❑ Yes No
(Seclbn 658502 of the Califomia Govemment Code requires that the requested
information be fumished on applications (or nornresidential building pertnits).
6.. Will any part of the (acility to be conswcted under this pertnil be within
1000 fee[ from [he outer boundaries of a school? ❑ Yes ❑ No
Qf'yes", the (acility must meel the requirement of Sections 25534 antl 42303
of [he Califomia Heal[h and Safery Code).
7. If a permit fmm lhe South Coast Air Quality Management Disirict or other
air polNtion control district or agency is required for the vrork which is the
subject ot this application, have all of the disclosures prescribed by California
Heallh and Safely Cotle Section 42303 been made? ❑ Yes ❑ No
8. Qf "yes", attach certifcate of compliance from the appropriate air pollution
control offcer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is conect. I agree lo comply with all state laws and
ciry ordinances regarding Hazardous Materials and Emissions. .
SignaWre Dale
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify untler penalty of perjury that I have read this application and state thal
the information given is correcL I agree to comply with all state laws and city
ordinances relating to building consiruction, and aWhorize representalives of
the Ciry ot Costa Mesa to enter upon the above-tlescribetl property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
SlgnaWreofL alOvmeqs) Date
S�gnawre Dale �_�7.��,_ ,�_ 3;30�7�9
305'!-G6 (3/09) �
ArfdTOl'A "�(&i£e'd'AGG�iraT,:. L ���_�_
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa��,�TRICAL PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Viciniry:
Parcel Nunmber:
839 DARRELL ST
REAR OF HOUSE
42236310
npplicant: DAVID E BURGER
Address: 2677 ORANGE AVE
APT A1
COSTA MESA, CA = � � iG- `:'���
�,. . �
.i� , .
/
Owner:
Address
i
�
/�, i.
contreclor.
� Ad'dress:.
Phone:� 949-3313692 �- -
Zio - .. 92663 -._� '- -� . .
ARMIJO; RITA F - ', ,
839 DARRELI ST � � � Y .
� - - �"�Phone:�
�,COSTAMESA,CA 'y.�:�- ` Zip:
j
-,/��,� �'
�DAVID�E�BURGER
2677 ORANGE AVE
Status: ISSUED
Applied: 0 312 3/2 0 07
Issued: 03/232007
ISSUED B :
� '� ��`� ���
_ , � , ,._, . , .
�_ _ - . i! � i �'-
_. _ �.� �\
� " \����:.'�
92627 �\ . � � \ �
� .-� 1� / A ��A
� ���� _;�� � � �'�A � �
: '��,� �. r ��
��� ���, � � �����
'���. �\
,�, . : �.,.
� .� � .� � A
APTA1'-," . Phone:� 949-331-3692 �� �V % � �� �,';�, �
COSTA MESA, CA Zip: 92663 _ �:; �:.` � � � � �'�' �
%'. License:835541-., - � - ` � . `�
'- - - � . ���'
.. f ��� , , ti��i . . .- . � , i �`,A;
, - �; • � /- ?' --- -SCOPEOFPERMIT��'� ,,: /,. ���' -• ,': �
�.` ' ' UPGRADE SERVICE�.PANEL TO 200A LOCATED AT REAR OF HOUSE; SFD. '._ _;� L,., ���, 1, �',� �. �.. _ �, � 1
� ` � � ' FEE SUMMARY `� �` , .�. ' � � ` .
r' l r
_ .\ •; ti�, _ ,
�
- �-Quandty - -- 'n� - -ti r r - . \,� Quantlty , �, , �� i- - � ., �l
ISSUE FEE .. $23.50 j �' , ��'•�✓� % �' J=� Temp'Dl;t System I.Ligtiting ���,� $0.00 0 �._ � � . :�:+ �� i
Temp service test � . $0.00 . ti- " - � �-°�1= %� Busway 1100 k.!-� �� � � � � � $0.00 0 � T ,i ' � � I `� '
Res: a/c package '� $0.00 �, �' � ' �� ` - - - � - - � Stariding�Section _ .,,; � ' �- � � $0.00 0 �� „�, . � --, � ;� ;
New Res (1-2 units), - � $0.00 `� 0 . , Misc Electrical Equipment / $0.00 0 '� ,� ' � . �
New Res (3+units) . $0.00 � A _ ,; _ Transformeis up to,l�kvalkw $0.00 0 „� j �; � �' ' j `,
Pool / Spa � $0.00 -' 0 _ /. - ::up to;l0�kva/kw � ' $0.00 0 '� �,; _ - ,`�
LighlingFiMs � $0.00 ��� 0 - - -.- — - � �.. `..::upto50kva/kw� ""'� $0.00 0 �-' ' _ ' ',�' �
� ,
Recept Outlets� ^� � � $0.00 ', V' 0 '�` � ' .....-..:_.:S up to�100 kva/kw J $0.00 0 �1�� � i ^� � � # ;
' :..� ... I �..
Switches � . . � � • ' � $0.00 � 0 ..............(over 100 kva/kw ; $0.00 0 � �; � �_ - .._ �; t , � �
Non Res Appl , . $0.00 - 0 Low Voltage Equipment `--, $0.00 Of; J,' �
Res Appl �' $0.00 � 0 Low Volt Wiring System / Ckt $0.00 , O�i ; % =. u7 j�; )� �i
Service to 200a '� � $30.50 � 1 Misa Conduit $0 00 0% 1� '���
Service1d1000a"�� ti �: $0.00 � 0 �j t'` `Misc..Conductor �$000 ��0� �' � �'', !
Service oJer t000a �� �� $0.00 '• 0 { „_ � Circus�(�gen_or ride) $0 00 � -. 0 .,
/
Motors to thp , ��_$0 00 � 0 �- j,�, sr, _ Circus (mech ride or lighis) �$0 00%�1 0, ��'�/
Motorstol0hp, $0.00 0,•.r" ' _ ChristmasTree"Stand�-�- _ ..,$0.00; 0 . � j
Motors to 50hp � � . $0.00- � �'0' � ` � � �Fireworka Stand'� -`-'���' � $0:00 0' � ' i '
Motors to 100hp � ' $0 00 _ �' 0 �, Other Electrical Fee �i$0 00, ",� �� ��
Motors over 100hp�.,� v�; $0.00 ' �� 0 �� + '_ � , , � � ; t ,� � � %� � �� �/ �
Communication drops �� � $0.00. � 0-�� � - . � � Inve36gation Fee - _ _ � %/' $0 00 �
Subpanelto200a � �; �i$000� `"0`��'�'^ ��,� �� FlanCheckFee% -i" $0.00�� ����
Pole Light Pkg A � , $0.00 � - � 0 _- _ - '_' Reinspechon Fee � �A�',$0 00^' �; � '
Sign Circuits � � $0.00, ', � ; ,0,� ,__ -� - " � . � . � ,= / : � �
Temp Pwr Pole ' � � $0.00 ��-- �i ` � 0� f; r _- � ,�- � . _ ., TOTAL CALCULATED�FEES\.854.0� / �
IntermedPole A$0.00�, �� 0� -_ ' _ �'-� �� ,,�
, . 4 � . � . � .,- i: /
' COMMENTS I SPECIAL CONDI71(
_ _ � � � �, ;;_ � . . -''%�' ""
�
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § i, 12-21-92)
EXPIRATION: This permit�shall automatically expire and become void it 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 Inspeetiona and tinal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
zsae�ae (u�oo)
WOPKERS'COMPENSAnON DECIARATON: �
I hereby aRirm untler penalty of perjury one of iha following declarations: _
❑ I have and will meintain e cenificate ot wnsent to self-Insure for workers' compenselion, as provitletl tor by section 3700 of the LeDor Cotle, for the peAortnanca of the
work tor which ihis permit is issued.
❑ I have antl will maintain workers' compensetion insurance, as requiretl by section 3700 ot the Labor Cotle, tor Ne pertoimance of the work for which Ihis permit is issuetl.
My workers' compensation Insurance wrder entl policy number ere: .
Cerrier: Palicy Number.
(This section need nof be complefed i! the permi( is va/ued at one huntlretl tlollaro ($700) or /e55J
that in ihe pertortnance of tha work tor which this pertnit is issueq I shall not employ any person in any manner so es to become subjact to the workers'
satlon lews of Califomis, end egrae that if I should becoma subject to t�e workers' compensation provislons oi Saction 3700 ot ihe Labor Code, I shall forihwith
.�,,,�„ �,,., ,,,o ,��. l, ,. .��i r --�T�� Z 3 c2�
ApPliwnt�Si9neturye: /�68 Date:
WAfWINO;�FAIWHE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO Cfll N�AL PENALTIES AND CIVIL FWES UP TOONE HUNDRED
TlKK1SAND DIXJAFE (5100.000). IN FDDITION TO THE CQST OF COMPENSATION, DAMAGES AS PFiOVIDED FOR IN SECiION 3106 OF THE LABOR COOE, IMEREST, AND ATTORNEI"S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm Ihat I am licensed under prov,'y� ions of Chapter 9(commenr.ing with Section 7000) of Division 3
torce and eflecL Lic. a _ _// _/\
CONSTRUCTION LENDING AGENCY:
antl
❑ I hereby aflirm that ihere is a consiruction lending agency for the peAormance of the work for which this pertnit is issue0. (Sec. 3097, Civil Code).
Lender's Name: Lendefs Address:
Signature:
Date:
license is in full
OWNER-BUILDER DECLARATIONS:
I hereby aHirtn that under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following raeson (Sec. 7031.5, Business end Protessions
Cotle: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any siructure, Onor to its issuance, also requires the aDPlicant for such permit
to ille a signetl statemem that he or she is licensed pursuent to the provisions ot ihe Contrectors License Law (ChaD�er 9(commencing with Section 7000) of Division 3 of the
Business and Proleuions Code) or that ha or she is exempt theretrom and Ihe besis for the alleged exempiion. Any violation of Sedion 7031.5 by eny applicent for e permit
subjects ihe applicant to a civil penalry of nat more than five huntlretl dollars ($500).):
❑ I, as owner of Ihe properry, or my employees wiih wages as Ihelr sole wmpensation, WILL DO THE WORK, and Ihe structure is not intentled or offered tor sele (Sec.
7044, Business antl Protessions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work
himself or herseN or ihrough his or her own employees, provided that such improvemenis are not intendad or oHeretl for sale. It, however, the building or improvement is
sold within one year ot completion, the ownerbuilder will have the burden of proving that he or sha did not builtl or improve for purpose ol sele.). '
❑ I, as owner of the propeny, am EXCLUSNELV CONTRACTING WITH LICENSED CONTRAC70RS to construct the pmject (Sec. 70a4, Business and Protessions
Cotle: The wntractors License Law does not appty to an owner oi properry who builds or improves Ihereon, and who contracts for such pro�ect with a conirector(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt untler sec. Business and Protessions Code for this reason:
Siqnature: Date:
Owner ID ventietl by dnver's license. ❑ Yes ❑ No Dnvers License No. Expires:
Venfication of Ownership by (typa of document, i.e. - properry tez bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certity that no excavation five (5) or more feet in Cepth into which a person is required to descend, will be made in connection with work euthorized by this
permit, anC that no Duiltling strudure, scaHolding, falsework, or tlemolition or tlismantling thereof, will be more than thirry-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttla 8, Calilomia Atlministrative Code).
❑ As owner-builder, I will not employ enyone to do work which would require e permit irom ihe Division of Indusirial Safery, as notetl above, unleu such person hes e
pertnit to tlo such wark irom the division.
Signature: Date:
Division oi Industrial Satary Permit Number.
CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF EMAY: I certify under penalry of perjury that I heve read this application and s�ate that ihe information given is
correct I agree �o compry with ell state laws end ciry ordinances relating to building consWciion, antl authonze representatives of Ihe Ciry ol Costa Mesa �o enter upon �he
above-described properry tor inspection Durposes. I agree not to occupy or allow occupancy ot any 6uilding au�horized by Ihis permit until tinal inspection.
Signature
SODE 1, INSPECTONTYPE
1616 Fixed Sysiem Finel Fire Preven�ion
1266 Pool Spa Final
200 Final Re-Root
201 Final BIocWReiaining Well
202
203
Final Fedory Fire Place
Final Sign
204 Final Demolition
PAIE U�4
CO�E1 INSPECTONTYPE
206 Final Mechanical
208 Finel Plumbing
210 Final Electrical
212 Finel Fire Prevention
220 Final Planning Approvel
222 Final Site
250 Final Building/Occupancy
p7.5Y�Ctli1A41
��ia� �sa-sz�s • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT
Job Address: 839 DARRELL ST
Suite:
Vicinity: SIDE PROPERTY LINES
Parce� Number: 42236310
App�icant: TAKAPU.JOSAIH
Address:
Owner: ARMIJO, RITA F
Address 839 DARRELL ST .
� COSTA MESA, CA �
Contractor: SUPERIOR BUILDERS
Address: 1309 W PARK LN
SANTA ANA, CA
Zip: 92706
Zoning:
Phone: 714-536-7078
Zip:
Phone:
- � Zip: 92627 �.
Phone: 714-836-7078
License:, 746201
77 FAIR DRNE, COSTA MESA, CA 92626
ISSUED BY:
Status: ISSUED
Applied: OS/01/2003
Issued: O5/Ot/2003
Arch : . -- � , Eng: . � ,
Address: ' � �� � - ' ! � Address:
• . Phone: . � Phone: '
Zip: " � License: ' � License: �
SCOPE OF PERMIT
CONSTRUCT TOTAL 137 LF, 6' HIGH BLOCK WALL ON THE LEFT AND RIGFiT SIDE PROPERTY�LINES WITH 5' RETURNS ON 80TH SIDES.
MINIMUM 28' FRONT SETBACK PROVIDED. . � . . . . . . �
Plan Check: $54.11
Permit: $83.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
r - ,
Total: $137.86
PLANNING & ZONING
SETBACK§ -, � � - � �
MAIN STRUCTURE Front 0- 0 Rear 0- 0 Left � 0- 0 Right 0- 0� ,
ACCESSORY Front � 0- 0 Rear 0- 0 Left 0- 0 . , Right - 0- 0
PARKING Existin : 0 Required: 0 Proposed: 0 �
FEESUMMARY ,
Calc Valuation:
Claim Valuation:
$2,�ao.00
$o.00
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 780 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 Inspections and tinal approval must be obtained. Failure to obtain inspections antl tinal approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
244fi-4fi(fl�00)
WORKERS'COMPENSATON DECLARATON: —
I hereby effirtn under penalry of perjury ona of the following declarations:
❑ I have and will maintain a certifiwte of wnsent to selhlnsure for workers' compensetion, es provided for by section 3700 0( ihe Lebor Code, for the pertortnanca of the
woM tor whic� t�is pertnit is IssueO.
❑ 1 heVe antl Will maintain workers' compens9�ion in5urance, as required by section 3700 of Iha Labor Cotle, tor the pedortnance ot the work for which ihis pertnit Is issuetl.
My workers' w ensa �on Insurance carr�e an iry pumber are:
Carner. �,�� � �Policy Nymber.
�Th/s sectlon need hot be complered il the p rmit is valued at one hundred dollaro ($100) or less.)
cenify thet in the peAormance of the work �or which this permit is issued, I shall not employ any person in any manner so es to 6ecome subject to ihe workers'
—� compensetlon laws ot Califomia, an0 egree thai If I should becoma subject to the workers' compensation provisions oi Section 3700 oi Ne Wbor Cotle, I shell tortnwith
com ly with these provisions. � I�_ I!��
plicant Signature: Date: `
WARNINO: FAILL/flE TO SECURE WORKERS' COMPENSATION COVEMGE IS UNL4WFUL ANO SHALL SUBJEGT AN EMPLOYER TO CRIMINAL PENALTIES NND CIVIL FINES UP TOONE HUN�RED
i1qUSAND OOLLARE (E100,000), IN ADDITION TO THE �T OF fAMPENSATION, DAMAGES AS PROVI�ED FOR IN SECTION 3106 OF THE LABOR CODE, IMEREST, ANO ATTORNEV'S FEES.
IICENSED CONTRAC70RS DECIARATION:
I hereby aflirtn thet I am licensed i'ons apCqeptQr 9(commencing with Section 7000) oi Division 3 af the Business �r6�si a�otle, end my license is in full
forca end eflect LIc,JL ���J � Class N ��/ �
�ntractorsSigneWre: Date: � -- �
CONS7RUCTION LENDING AGENCY:
❑ I hereby aMirtn that ihere is a consiruction lending agency for ihe peAormance of �he work tor which �his permit is issued. (Sec. 3097, Civil Code).
Lentlers Name: Lender's Atltlress:
SignaNre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirtn that under penalry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Profeulons
Cotle: Any ciry or counry whic� requires e permit to consiruct, alter, impmve, demolish, or repair any structure, pnor to its issuance, also requires ihe epplicant for such permit
to 111e a signetl stetement Ihet he or she is Iicensed pursuem to the provisions ot the Contrectors License Law (Chapter 9(commencing with Sectlon 7000) ot Divislon 3 of ihe
Business end Proteuions Cotle) or that he or she is exempt therefrom and the basis tor the alleged eaemption. Any violation oi Section 7031.5 hy any appliwnt for e partnil
sub�ects the applicant to e civil penalry of not mo�e than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with weges es their sole compensation, WILL DO THE WORK, antl ihe structure is not intentled or oHeretl tor sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not appy to an owner of property who builds or improvas thereon, and who tloes such work
himself or hersell or through his or her own amployees, providetl that such improvemenis ere not intentled or oflered for sale. If, however, �he building or improvement is
sold within one year of wmpletion, the owner6uilder will have lhe 6urden ot proving lhat he or she ditl nat huild or improve tor puryose ot sale.). �
❑ I, as owner of the property. am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Cotle: The contrectors License Lew tloes no� apply to an owner ol propeny who bullds or improves thereon, and who coniracts for such pmject with a contwcror(s)
license pureuant to the Coniractors License Lews.).
❑ I em e:empt untler sec.
Signature:
Owner ID venfied by tlnvefs licensa. ❑ Yes ❑ No
Business and Professions Coda lor ihis reason:
Verification ot Ownership by (rype of document, �.e. - property ten bill or deed):
DIVISION OF INDUS7RIAL SAFETV PERMR CERTFICATION:
Driver's License No.
Date:
Expires:
❑ I hereby cenify that no excavation five (5) or more feet in depth into which a person Is required to descend, will be made in connection wi�h work euthorized by this
permit, and lhai no building siructure, scaftolding, talsawork, or demolition or tlismantling ihareof, will be more ihan thirty-si: (36) teet high. (Chap. 32, Gry 2, Art 2, Sec.
341, 7tle e, Calilomia Administra[ive Code).
❑ As owneo-builder, I will not employ anyone to do work which would raquire a pertnit from Ihe Division of Industrial Safety, es noted ebove, unless suc� person hes a
pertnit to do such work irom ihe division.
Signature: Date:
Division of Industnal Salery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHOq�nON OF ENTRY: I cenity under penalry of perjury that I have read this epplication and state that the intormation given is
correcL I agree Io comply with all state laws and ciry ordinences relaling to builtling consimction, end euthorize representatives of t�e Ciry oi Cos[a Mesa to enter upon the
ebove-descnbetl propeny for inspection puryoses. I agree not to occupy or allow occupancy of any building authorized by this pertnit until final inspection.
��
�gnature Of egal Ow er(s)
5 �/ -a°�
cAri�dF Authonied Apprc317t""Z Date
CODE �. INSPECTIONTYPE
1616 Fixed System Final Fire Prevention
7266 Pool Spa Final
200 Final Re-Roof
201 Finel BIocWRetaining Wall
202 Final Factory Fire Place
203
204
Finel Sign
Finel Demolition
PdIE U�71 �ts
d�
i
COpE 1 INSPECTION TYPE
206 Final Mechanical
20B Final Plumbing
270 Final ElecMcal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
0
PAIE I�A�g
TYPICAL 6�� CONCRETE BLOCK FENCE
Cement Coping Op��o�al ��
Channel Bbck With 1�3/B�i �
Horiiontal Top ol all
Fencn '
F^'�' .� r' '
For Fences 5'qor 6esr r •
ven. 8ars 3l8"¢S'at 4' -o=' O:C'�
F .*.Y,'=� •-
For fences Higher4Than 5' �� •:�
Ven. Ban 3/8�� at 32''O.C� �
i [ r�y '.
Fill Cells Solid WithSGrou1 �-� -
W here Steel O�cu`rs�,� ':', "
5 --r ,'�'�. `'.
Rn�ircing Sfeel Slqll ` v
Conlmm to Sec.A`75��9',;; :ti �,-�
A.S.T.M. � "y�`S'i . , .-
!.''.i ; ' �...
All Steel to be;Lappad .,; � �
24" or to Cod`e �•r..�^'� �`
� �
NATURALGRAOE-
� �;, { _
� i
'' �
" ' i
♦! � �
o � �
a�' iLL f �
u � �
Y W S
a = ; }
. > i�� �
_. e �
�,,, f �o ;-,.; t
- w O p
_ u � , 3
w n � S
�J LL
�� �
'- i
� ; �
GENERAL- NOTES
MORTAR; p�e Parf Plastic Camenf, and
Thrte Pcrts Sond
GROUT; One Port Cemenf TNee anA
One Half Parts S�and
COPING: One Par1 Cement, Three
Ports Sand
CONCAETE: �yeil M�xed f.2- V2: 3- i/2
Maa of 7-I/2 Gollcns of
Watar Per Sack o( Cement
GHOUT MAV BE POURED FROM TME TOP
OF THE FENCE IN CElLS WNEHE STEEL
OCCUNS.
CELLS AND AREASOF MOR120NTAl REIN
PORCEMENT SMALL BE CLEAR, CLEAH 6
FREE Of ALl MONTAR DEBRIS, ETC.
. ..-., .J,n � _• a ., ' , ` �
TWO7/8"OBARS ' n � . __, � �
CONTINUOUSiOP
& BOTTOM � � KID?H 1C 16� O C'��M11% �" '"
r L SEE CM4Ri � . . • .. .�• � ' --
HORIZSTEEL MUST BE TIEO IN I' BELOW _ - '�,
iLACE AT TIME OF TRENCM I
INSPECTION. p L
��
WALL HEIGHT
WIDTH
THICNNESS
DEPTH OF EARTHTOOTH
SPACING OF EARTHTOOTH
G[ TH LF [qRTHTLOTM
'�" ' ' �, ` _ . '� I�, . V!�iHE HEiGTM 0� FENLE
y � � � � � B�LOW BOTTOM OF �OGT�NG
1••^_ =:. L
l t� \. i', . . u i
�o'� � ; : : `, ' - �;. z_. � SCALE: I/2 = I
>' .
FOOTING� REQUIREMENTS �CHART - �
g ' S : - q',
14�� ' . 14��. . _ _. ". - 12�. ' f
I O" ' I O", ' 8"
24" : 20°- ' � 16"
i2' i4' 16'
_- ` - . : _ *
. i ' ' .,
BUILDING DIVISION - -
.) .
12
e"
�2„
i6'
• 7HIS SKEC�I 15 FOR INFORMATIONAL PURPC76F5
ONLY. APPLICANT IS RFSPONSIBLE FOR ��R OVIDWG
AN ACCURATE R6'RFSFMA7701� OF T}�'R PROPFRIY
1N CASE Tf� S}iAYB AND SIZE DO NOT CORRESPOND
W[I'fi TFiE iNFORMAl70N PROVmID ON hO55i�f.
APPROVED
CITY OF COSTA MESA
PLANNING DIVISION
SUBJECT TO BLDG. DEPT. REG.
N� ADDITIONS, DELETIONS,
_ 01R CARRECTIONS SHALL BE
� DATE: 5��� 3
acaa�a
-- ? --
� .�
' � �
�1
�
? -�
k LL
� ��
' �<
� AE9DEMfi �
�
,' �•. �
' �'--------�----•T£:?- -
� N
\�--
' SOLiD WALLS/FFN�S BEIWEIN 2'�' k 6' A1 }ff]CFTI'SFIALL
BE SEIBAIX AT [EASI' 30' FROM FRONP PROPERTY LINE.
• SOLID WAILS/FFN�S SHAI.L NO'I �(� 2' 6• R�1 FIDGFR
Wf14�J ld OF hIE FRONI' PROPFRTY [AIE (NOI NRB IA1Ej.
• VFR�Y D67AN� FROM CURB'I'O PROPER�Y LINE
AND 4iOW ON PIAN. VERIF7G170N FROM TI-� Q7Y5
PNGQJFBtQJG DN610N LS REQUQtED. GLL (l14) 754S3i3
POR INFORMAT[ON.
(�(� .3' Uo ��
�jij-t-(�GCC ZUGt�i� �'P �l"�D� �,
8
�--
� DIVISIO OF BUILDING S
� C OF C09TA MESa
'� �/� i'PROVEri �
RE40ENCE ��i ��I
re.hA+'N worNjan�t
��
G
,._ e_ �a.�oa_..0 _?. i
�cc��e! 1
STREET
ol
90A
��
v /�
pl�igll y t �� � lo
a � �9
BWALl.NdTba � �
f�
a �tab�an ppr�vei
Ei�F+�%�� M �^t�in� , g.r,dldl � iB I�W..
bt' A' 9ibt r�� �„rr �;,�� •: .
�:>,hil w�+;t�plf��nC�
;'..;,;?3 f?h'..k..'il.�i �i��: iCjrh�. f.n.���`.:�.
,f� � �;iti�.
- -•-�--- -------' :
�
BLOCK WALL LAYOUT FOR BUILDING PERMIT
PLANNING DIVISION
OWNER $AISTOL ESTATES � onre 9_5^56 _
JOBADDRESS 8 Darrell Street BUILDINGPERMITNO. #3608
GENERALCONTRACTOR $, U. Hunsaker VALUE s 8,856.(1�
LOT b�y BLOCK TRACT 2873 Single Res 51�8�_gaP
GROUP I& J TVP� V ZONE �i FIRE DISTRICT 36h2
� � PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
Footing Trench / ��
Foundation Forms and Grade to Ga ge � •
Plumbing, Rough to Slab �u�-U„'�� � � 4/;Q�iC�%� I�� , �' .(o-f3'L ,,,�K I 9-/ �/- S GI / Y�1 7—
r.�r
Heating, Final �/y�Q �j _ ,2-��-SL �, �
'�ewer, House /,(j�� Sewer, SL J'y/ C S / /f'S� /�/�,,,,.%Gi�zG //- 1�- S G 7��-Z �
Septic Tank o iCesspoo �7 C 5 D IY S��..t.a, � i�t ��ic /O � 1r�S-G 70��
Lathinq, In Outx : /A —/�i` :('j_ 0
PI
Fin.al Gas Test
Wiring,Final ,�L�o �
occupancr �j'� � 1�
FOflM 210 3M 10�33
�Costa Mesa Bnilding Department APPIdCATION FOR PERMIT
P. O� Box 3�� •��42 g U I D N G '
COSTA MESA, CAIIFORNIA �
FOR OFFICE USE ONLY
FOR APPI.ICANT TO FILL IN Receipt No. Permft No.
e�aai�9 �
adaress �f m,� L S i � O�
Costa Mesa, �"&I1f014tIa R cei e- y Date Rec'd. Dah Issued
Nearest �. - '
� � � b �%,� �'
Cross St. �i�,
cngmcer
Address
l`nn�n�nMw l •��
TA Building
Address
`FsT T s Costa Mesa; California
4s � U/VRS '�Q Nearest
Tel.�/ y Cross St.
T No/Y%�/���i Zone No.of Type � G
Lfa � I Plans I � .,�
No. Approved�
by Date
C;nRRECTION5
LC 1 LYL �/ s
Description No. � ry� Block � I Tract �
(Attach Metes and Bounda)
SizeofLot �� �%�I NowonLot �
ljseof � � No.ot No.ot
Existing Bldg. FaMilies Rooma
Setback Line from �/ Rear Vard �,L,{" �
CenterofS[reeL A,/i SideVa�d_� ....�.
r
ation � � Addition �
�g I I Demolish I
No. of ,r �
Rooms .2 Stories
Covering /L/CGO I Coveriag . APPROVAI.S
Use of New , �' • .
Buildfng ,tc ��y i,� t,(1� Foundation Location Inspector
Forms, Materials,
� ,. q ,g — Under-Pinning
� Frame: Flre Stops,
' Bracing, Bolts
I hereby acknowledge that I have tead Uus Application
and state that the abme Is correct and agree to comply Lath. Int. �
with all City Ordinances and State Iaws regulating
bullding construction. " Lath. Ext.
Signatureof /�.�
Permittee �'✓ �- Plaster, Int
Authorized Agt. Plaster, Ext
Valuation � Permit Fee $ e�e� — Masonry Reinforced
�., Plan Check $ �� � � Bond Beam
$ � ����� Total
I� Fee �� "� FINAL
`94 10.35�D.P.65. ��
Date
O
�
�
2
D
r