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HomeMy WebLinkAbout335 WALNUT ST - Building Permitsi i � CITY OF COSTA MESA , > =v �. .. ,... ...` .. .._ BUILDING DIVISION '_...�.:.. . . .�/ : DEVELOPMENT SERVICES DEPARTMENT �' PERMIT PERMIT NUMBER �� 898-01850 (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 J BUILDING PERMIT Job nddress: 335 WALNUT ST �_ ' �� Suite: Vicinity: Parcel Nunmber: 4ZBZ92OB Zoning: Applicant: LEE, RENATO 8 CINDY YASUTAKE-LEE Address: 335 E WALNUT ST Phone: COSTA MESA,CA . Zip: 92627 Owner: LEE, RENATO 8� CINDY YASUTAKE-LEE Address 335 E WALNUT ST � � ' ' , . - � _ _ Phone: - . . _ � ' COSTA MESA,CA � � Zip: 92627 �- Contractor. Address: Arch / Eng : Address: Plan Check: Permit SMIP Res: SMIP Com: Other: Inspection: Total: Status: ISSUED � Applied: 10/13/1998 Issued: 10/13/1998 \ � Phone: � � - � Zip:, � � - � � � . License:� . . . - . . _ ' _ _. � • �. �� �1 " . - - � � . "Phone:�_ - - � � . . � � Zip: . . License: SCOPE OF PERMIT �T/O EXISTING & REROOF THE HOUSE AND GARAGE WITH COMP. SHINGLE, ROOF CERT ATTACHED TO PERMIT. � � � " $0.00 $87.25 $0.50 $0.00 $0.00 $o.00 $a�.�s SETBACKS MAINSTRUCTURE Front 0-0 ' ACCESSORY Front 0- 0 PARKING Existinq: 0 NOTES: FEE.SUMMARY,, __ . / / � PLANNING'& ZONING Rear 0- 0 Left 0- 0 Rear 0- 0 LeR 0- 0 Reauired: 0 � Proposed: 0 Calc Valuation: ga,000.00 Claim Valuation: ga,000.00 Right 0-0 Righl 0-.0 EXPIRATION: This permit shall eutomatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period ot 180 days. INSPECTIONS: In order (or the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapectiona end final epproval must be obtained. Failure to obtain inspections and finai approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 . �I� ` i WORKERS' COMPENSATION DECLARATION: � I hereby aKrm untlar penaly ot perjury one of the following tleclaretions: ` ❑ I have antl will maintein a certificata o1 consent to seli-Insure tor workers' compensation, es proviAatl for by section 3700 oi the Lebor Code, for Ihe pertormence of the � work for which Ihis permit 15lssued. ❑ I hava end wlll melnWin workers' compensaGon insurence, es requiretl by seIXion 3700 oi the Lebor Code, tor ihe parfortnance ot Ihe work for which this permit Is issueG. My workers' crompensation Insurence cartier and policy number ere: Carrier: Policy Number. (PNs sectlon neetl nat be comp/eted i! the permit is velued et are hundred tlollars ($700) ar /ess.) ❑ I certity thet In tha pertormance of Ihe work for which this permit Is issued, I shall not employ eny person in eny manner so es to become subject to the workere' compensetlon laws of Celifornla, entl egree ihat Ii I shoultl become subject to the workers' compensetion provlslons of Section 3700 of ihe Lebor Cotle, I shell forthwlth comply with these provisions. Applicant Si9neture: Dete: WARNING: FAILURE TO SECURE WORKEfiS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL Sl1BlECT AN EMPLOYER TO CRIMINAL PENALTIES AN� GVIL FlNES UP TOONE HUNDRED TMOUSAND DOLLARE �E100.000), IN ADOITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 31080F THE LABOfl WDE, INfERE$T, PND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn that I em licensed under pmvisions oi Chapter 9(commencing with Section 7000) of Division 3 of the Business and Profeuions Code, entl my license is in full force and eflect. Lic. x Cless k Contractors Signature: Date: CONSTRUCTION LENOING AGENCY: � �i ❑ I hereby eftirtn thel Ihere i5 8 constructian lending egency for the peRortnanca oF the work for which this permit is issuetl. (Sec. 3097, Civil Cotle). ' Lendefs Neme: Lendefs Atldress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn ihat under penelry oi per�ury that I am EXEMPT FPOM TNE CONTRACTOHS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business end Protessions Cotle: Any ciry or counry which requires a permit to construct, alter, Improve, demolish, or repair any structura, pdor ta its Issuance, also requires the epplicent tor such permit to flle a signed statemem Ihet he or she Is Iicensed pursuent to Ihe pravisions of iha Contractors Llcense Lew (Chepter 9(commencing with Section 7000) of Dlvlsion 3 at the Business and Professlons Cotle) or Ihai he or she is e:empt Iherelrom end Ihe basis for ihe alleged exemption. Any vlolatlon ot Section 7031.5 by any applicant tor e pertnit subjects ihe epplicent ta e clNl penalry of not more ihan five hundrad dollars �$500).): � I, as owner of the property, or my employees with wages as Iheir sale compenution, WILL DO THE WORK, end the siructure is not intentled or ottered for sale (Sec. 7044, Business entl Profe55ions Code: The Coniractors License Law does not apply to an owner oi property who Dulltls or improves thereon, and who does such work himsetl or herself or thmugh his ar her own employees, provltletl thet such impravements ere nat Intendea or ottered tor sale. It, however, the builtling or Improvemem is soltl vnthin ona yeer of completion, the owner-builtler wlll heve the burden ol proving Ihat he or she did no� build or improve for purpose of sale.). ❑ I, es owner ol the property, am EXCLUSIVELY CONTRACTING WIT}1 LICENSED CONTRACTORS to cons�ruct Ihe D�olect (Sec. 7044, Busineu anG Profeuions Coda: TTe contrectors License Lew tloes not apply to en owner of property who bullds or impmves ihereon, end who contrads for such pro�ect wlth e contrectoqs) license pureuent to tha Contracbrs License Laws.). ❑ lam Owner ID verifi�tl 6v drivers license. ❑ Ves ❑ No Business entl Professions Code for this reason: oatet/ /c.—/3-9 Drivefs License No. Expires: Verification of Ownershlp by (rype of document, i.e. - proparty tax blll or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: ❑ I hereby certify that no excavation tive (5) or more leet in tlepth Into whlch e person Is required to descend, wlll be made in wnnection with work eut�orizetl Dy this pertnit, and that no builtling structure, scaffolding, lalsework, or tlemalitlon or dismantling thereof, will be more then thirty-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, iltle B, CelNomie Administretive Code). ❑ As owner-bullder, I wlll not employ anyone to do work which would reQuire e permit from ihe Division of Industriel Selary, es noted ebove, unless such person hes e pertnit to Oo such work from the divislon. Signeture: Data: Division of Indusirial Sefery Parmit Number. CERTIFlCATE OF COMPLIANCE AND AUfliORIZATON OF ENTRY: I certily under penalty ot perjury ihat I heve read �his epplication and state that �he informetion given is conect. I egree to oo�ply w' all state lews end ciry ordinances releting to building consWction, end euthonze representetives of the Ciry ot Costa Mese to enter upon ihe ebove-descnbetl pr e � spection purposes. I agree not to occupy or ellow occupency ot any huiltling authonzed by Ihis permit un�il final inspection. ,/ ,/ /r� • /3—�i c.�i —�'' ' Signeture Ot Legal Owner(s) Dete AnNOr Authonzed Applicant Date COOE t. INSPECTIONTYiE 1616 Fixed System Final Fire PrevenGon 1266 200 201 202 203 204 2446d8 Pool Spe Finel Final Re-Roof Finel BIocWRetaining Well Final Fectory Fire Plece Final Sign Final Demolitlon � I�� � � i • '�Y;�� LppFj INSPEttIONTYPE 206 Final Mechenlcal 20B Final Plumbinp 210 Final Eleclrical 212 Final Fire Preventlon 220 Fnal Planning Approvel 222 Final Site 250 Final Building�Occupency �ff I��