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HomeMy WebLinkAbout830 DARRELL ST - Building Permits4 .� (714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA BU►LDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT Job Address: H3O DARRELL ST Suite: Vicinity: HOUSE & ATTACHED GARAGE Parcel Number: 4223621 S npp�icant: HERNANDEZ, JOSE Address: 854 W 19TH ST , CA COSTA MESA Owner: GREY, RUTH H TR Address 830 DARRELL ST COSTA MESA, CA Contractor: THUNDER ROOFING Address: 854 W igTH ST CA COSTA MESA Zip: 92627 Arch : Address: Zip: Phone: License: BUILDING PERMIT Zoning: Phone: (714)646-4122 Zip: 92627 Phone: Zip: 92627 Phone: (714)646-4122 License: 638744 Eng: Address: PERMIJ NUMBER � p��99-01577 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 09/30/1999 Issued: 09/30/1999 Phone: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE & ATTACHED GARAGE (18 SQ). TEAR OFF EXISTING COMPOSITION SHINGLE ROOFING & REPLACE SHEATHING AS NECESSARY. INSTALL 2-LAYERS OF 15# FELT UNDERLAYMENT & REROOF WITH 25 YEAR "ELK" DIMENSIONAL SHINGLES. FEESUMMARY Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $97.25 $0.50 $0.00 $0.00 $0.00 $97.75 SETBACKS MAIN STRUCTURE FrOnt 0- 0 ACCESSORY Front 0- 0 PARKING Existin : 0 NOTES: Rear 0- 0 Rear 0- 0 Required: 0 PLANNING & ZONING Left 0- 0 Lek 0- 0 Proposed: 0 CalcValuation: $s,too.00 Claim Valuation: $s,ioo.00 Right 0-0 Right 0- 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspectlona end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: I here6y aflirm untler penalty of perjury one of the tollowing declaretions: ❑ I have antl will maintain a certilicate of consent to salf�lnsure tor workers' compensation, as provitled for by section 3700 of Ihe Labor Code, for the pertormance ot the wo�k tor which ihis permit is issued. , ❑ 1 have and will maintain workers' compensation insurance, as required by section 3700 of the Lebor Code, for the pedortnance ot ihe work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need no( be completed il fhe permif is valued et one huntlred Uollars ($f 00) or /ess.) �I;certify Ihat in the perfortnance of the work for w compensation laws f Califomia, and ree ihat if I comply with these ovisions. �j., Apphcant SigneWre: WA�WJING�FAILURE TO UFE WORKERS' COMPENSATION f THOUSANDDOLLARE(5 ,OW�.INADDRIONTOTHECOSTOF LICENSED CONTRACTORS DECLARATION: L� I hereby aflirm I I,em lic nsa�d1 untl rovis' Io of Chapter 9 �r � � � \ �� LF�. force and ettect _LIc:;N' n . CONSTRUCTION LENDIN�IGENCY: � ❑ I herehy aHirtn that there is a consiruction lending aqency Lenders Name: SignaNre: OWNER-BUILDER DECLARA710NS: permit is issued, I shall not employ any person in any manner so as to become subject to the workers' ecome subject to Ihe workers' compensation provisions of ection 3700 of the Labor Cotle, I shall forthwith � oe�a:.--: �D� � �49 �'. _ IS UNL4WFUL AND SHALL SUBJEGT AN EMPLOVER TO CRIMINAL P NALTIES AND CIVIL FINES UP TO ONE HUNDRED j�1TION, DAMAGES AS PROVIDED FOR IN SECTIIXJ 3]O60F T}iE LABOR COOE, IMEREST, AND AiTORNEYS FEES. with Section 7000) of Divisian Code, antl my license is in full peAormance of ihe work for which this pertnii is issued. (Sec. 3097, Civil Code). Lendets Atltlfess: Date: I hereby attirtn that under Denalty of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business antl Protessions Code: Any city or county which requires a permii �o construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signetl siatement tha[ he or she is licansed pursuant b the pmvisions ot ihe Contractors License Lew (Chapter 9(commencing with Sec�ion 7000) ot Division 3 of �he Business antl Professions Code) or thet he or she is exempt therefrom and ihe basis for tha allegetl exemption. Any violation of Section 7031.5 6y eny epplicant tor a permit subJects the applicant to a civil penalty of not more ihan five hundred dollars ($500).): ❑ I, as owner of ihe proparty, or my employees with wages as their sola compensetion, WILL UO THE WORK, antl the structure is not intentletl or offered for sale (Sec. 7044, eusiness and Professions Cotle: The Contrectors License Law does not apply to an owner of property who builds or improves ihereon, and who tloes such work himseli or harself or through his or her own employees, pmvided Ihat such improvemenis are not intended or oHered for sale. If, however, the building or imprevament is sold within one year of tompletion, ihe owner-builtler will have the burden ot proving Ihat he or she ditl not build or impmve tor puryose of sale.). ❑ I, as owner of Ihe pmperty, am E%CLUSIVELY LONTRACTING WITM LICENSED CONTRACTORS to construct the pwject (Sec. 7044, Business and Protessions Code: 71ie contrecmrs License Lew tloes not apply to en owner ot property who builds or improves thereon, antl who contrects for suc� project with a contractoqs) license pursuant to the Coniractors License Laws.). ❑ I am axempi untler sec. Business and Professions Cotle for this reason: Signature: Date: Owner ID venfietl Dy tlriver's license. ❑ Yes ❑ No Driver's license No. Expires: Venfica�ion of Ownership by (rype ol document. i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certiy Ihai no ezcavation five (5) or more feet in tlepth into which a person is required to tlescend, will be mada in connection with work authorized by this permii, antl t�at no builtling structure, scaffoltling, falsework, or tlemolition or dismantling ihereot, will be more than ihirty-siz (36) tee� high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, California AdminisVative Code). ❑ As ownervbuilder, I will not employ anyone to do work which would require a permi� irom ihe Division of Indusirial Safery, as noted above, unless such person has a permit to do such work trom the tlivision. Signature: Date: Division of Indusinal Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVATON OF EMAV: I certify under penalty of perjury tha� I have read Ihis application and state that the information given is correct I agree to comply with all state laws and ciry ordinances relating to building conswction, antl au�honze represematives of the Ciry ot Costa Mesa to entar upon ihe above-describetl propeny for inspection purposes. I agree not to acupy or allow occupancy of any building authorizetl by t�is permit until tinal inspection. 1 INSPECTION TYPE 616 Fixetl System Final Fire Pi 1266 Pool Spe Final 200 Final Ra-Roof 201 Final Block/Retaining Wall 202 Final Faciory Fire Placa 203 Final Sign 204 Final Demolition 2446d6 Ij,9jF INTRIRLS IJ� ;�ii ..� GOOE♦ IN$PECTIONTYPE 206 Final Mechanical 208 Final Plumbing 270 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy P� INTITIplS ; y CITY OF COSTA MESA BUILDING DIVISION ROOF COVERING CERTIFICATION Permit No. ��� • � �S� � Property Address (�wner �'�%� State Contractor License Number � J O ��� I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the above address in conformance with Chapter 32, and Section 1704 of the latest adopted edition of the Uniform Building Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the manufacturer. ❑ I f Fther certity that I am the owner of the property. (Owner-Builder permittee only). I further certity that I am: Owner of sole proprietorship company ❑ Full partner of the company ❑ Limited partner of the company ❑ Officer of the corporation I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on all successors or assigns of the company or corporation. I shali deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Division for acceptance. Received by Buiiding Division By: y}(�'�/1' ������ Initial Date 0990AfiMW9/9) Whi�e-BuilCingDi¢:Canary-ConVac�oqPmk-0wner wooress ..� ow Nea BftISTOL ESTATES DATE 9-5-56 JOBADDRESS 830 Darrell Street BUILDING PERMIT NO. #36i 3 GENERALCONTRACTOR S. V. Hunsaker VALUE $ S�S56•OO LOT 69 BLOCK TRACT 28%3 Sin�le Res. W�8tt. ear. GROUP I S[ J TVPE V ZONE RJ1 FIRE DISTRICT 36b7 INSPECTIONS J DATE SUBCONTRACTOR PERMITSISSUED DATE I NUMBER Footing Trench �f��(� i� Foundation Forms and Grade to Garage Rouqh Framing � , . 4: �S�li'� to SI Com 'O �//� 6'SG �C/>` /�Y C�'Zc/._ /!, "Q � �n ��ioi S- --' 5 i�-�y�r���„ � ",�2P " . �-iv�sG �5'3�- -- �$ /-h�� 7 §ewer,House L(/1L Sewer,st. !'K.L r�y56 ��. �7�i„-�G /�'%—S� 70A7 ^' Septic Tank o� Ce spool ��> ��j, f ,i� ��..,. � iY-�,�„ G /D-� .�6 %O �% '� Lathing, In Out �i/�' �B�%.Sn� 6 � Plastering __ � Plumbing, Final, Fixtures Complete 1'Yj, L' S '/ �. -57 // / � Plumbing,Fin.alGasTest/S� }�n�5 J�_' _ .��''I.�'// -�r�-�.1 l Wiring, Final AC„y ✓ / � OccuPancy - C ��/-� FORM 210 3M 10-vi � Costa Mesa Bailding Department APPLICATION FOR PERMIT �--'"'''• P. O. Box 3�� .`��a"� B U L D N G ' • COSTA MESA, CALIf-0RNIA , FOR APPLICANT TO FII�L IN FOR OFFICE USE ONLY Reeeipt No. Permit No. Buildin9 .�/�jCi .C./�9iN�.���. S. � � /� Address O J Costa Mesa, California Rece' eA by Date Rec'd. Date Issued -- Sl�-�.� - �S �.S c�o ss� ���cc i — Owner �.y�l/S�G Mail Address �pZG � � S City /yJ/},c�F C�// Arohitector � Engineer —' A'ddress �• Contractor,r//f �,./.p/$a¢� Address t'�q� � Legal a�— Description I No. � I BI� � (Attach Metes and Bounda) SizeofLot �jd�/Q6 I l�se of I Existing Bldg. � Setback Lfne from i Center of Street �Q DESCRIPTION 1 New I Alteration Repair I I Moving Buildina ._. � i No. of Lic. No. of Bidgs Nowon Lot � No.of No.ot Fa'milies Rooms � Costa Mesa, California Nearest Cross St' Zone . i' I No. of I Type 1/� . Date CORRECTIONS Covering � r r p � Covering �SG �PROvLiLs Use of Ne ' Building ;� �� Foundation Location Inspeetor Forms, Materials, li(j � �. � P> Under-Pinning n Freme: Fire Stops, Bracing, Bolts I hereby aclmowledge that I have read this Application and state that the abme is correct and agree to comply Lath. Int. with all Clty Ordinances and State Laws regulating building construction. Lath. Ext. Signature of //l �c� �%�� Permittee /1�17.1,/17 !%rX�/ ,�.�1 Plaster.lnt Valuation Pe�mit Fee $ � a — Masonry Rei -�/- GQ Plan Check $ � -- gond Beam $ O� � �j �- Total a Fee $ �J J FINAL xM 2oa io..s o. r. a s. Date O T