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