HomeMy WebLinkAbout2896 BAKER ST - Building Permits DTWA.DDRESSE
SNAME: FUJIMOTO: 2896 BAKERSHIZ ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 064219
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▪ • ADDRESS: KIYOSHI (�,� 1'Qr,, PERMIT NO: B 064219 PLAN CHECK NO: N GOVT: N SUPP: N
2896 BAKER ST 5 o- 4 f001
CONSTRUCTION TYPE: PERMIT TYPE: SIR PURPOSE: ALT
ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION : T/O EXIST REROOF W/ASPHALT SHINGLES SQ FT: 5, 800
ADDRESS: UNIT:
CLAIM VALUE: 4, 800 . 00 CALC—VALUE: 4 , 800 . 00 GROUP OCC : R-3 /M-1
PERMITTEE: ACTION FIRST ROOF CARE (714 ) 841-7663
ADDRESS: 18352 GOTHARD ST COMMENTS : REROOF 2900SF RESIDENCE �r /�T
HUNTINGTON BEACH CA 92648 **�e+E****arxsr*+r*+a*+ETH**+r+r*****+e******+lis **********************teAnof`�a.kry.�YYY aV 1
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am li nsed under provisions of Chapter 9(commencing with Section Z O N I N- G R EQUIREMENT S1/4"1 V' C ()VECTOR OR
7000)0l Division 3 of the Business and Professions Code.and my li nse A in full force and effect. SETBACKS
CITY LIC.: 04 13 STATELIC.:50290 SS; C-39 E�I ' R
Date: 51 Signature:_ MAIN BUILDING ACCESSORY BU ITlaii --
WORKERS' PENSATI N DECLARATION: I hereby affirm that I have a certific eof consent to selbinsure or a certificate if Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
CompensationInsurance or a c rtified copy thereof(Section 3800.Lab. C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 10 4200u-9 3 EXP.CATE: 0 9/01 /9 4
COMPANY; STATE FUND PARKING REQ:_ PROV: PARCEL: 00000000 ZNE: "R&E NO:
O Certified cop is hereb furnished. EX Certified copy is filed vi the g Division. PLANNING NOES> ."-
,>
Date: Applicant: . *********************************************************************'**-4*******
—L EXEMPTION FRO WORKER 'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(3100)or less). D E V E_S L OPMENT SERVICES R E Q U I R E M E NIT S
I certify that in the performance of the 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 Laws of California. ZONING APPROVED! BY • DATE: --y
Date: Signature:
NOTICE:It.alter making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: !?
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. r
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY . DATE: 1 9•
which this permit isissued(Secbon3g97,Civ.C). *************iF***************************************************** *********
LENDER: *********************************************************************'**********
ADDRESS: LEGALIZATION:N FEE ,SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter.improve,demolish,or PERMIT 72 . 00 . 50
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 01 the Business . r� Y SMIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). ISSUE FEE //
I, as owner of the properly or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 72 . 50 0 . 00 J3 �C 0 . 00 72 . 50 72 . 50 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
ownhisroeisshprovided thatsuchimprovements are note the ed or opfor sale. II,einotd buildingvr REVENUE DIVISION TOTALS--> COL'L'ECTED: 72 . 50 OVER/SHORT: . 00
hisimprovementor er soldmwithin one year ofth completion.suhlmp the entsr will have the burden of provingdhe/she deo not howeverbuildthor improver
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
72 O O •v F 5 0
1❑ rly and Professions Code: The Contractors'State License Law does not apply to an owner of propewho builds or improves thereon j . i
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'state License Law).I am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL 'F E E BR EAKDOWN
❑ I am exempt under Section: B.8 P.C.
for his reason TYPE QTY D E S C R I P T Ik"O N UNIT COST TOTAL COST
Date: Owner: SFR 4800 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 4 , 800 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant wilVwill not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Ouanty Management District.Residential construction applications are exempt from •
these provisions.
Date: Applicant: /•
I hereby certify that I have read this application and state that the ahoy informs' n is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby a order r senlatwes of this city to enter upon the above-mentioned Fr
property for insp ction put laws re oses. G✓/ 01 00147902-00147903 TOT 7',;_
Date: Signature: DATE: 09/28/93 TIME: 13:53
Ddyer's ucens or Socia security a:
I7
1641-46 Wmie—Building'Green—Code Enforcement:Canary—Appbcent;Pink—Revenue;Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL & .., a
mp Date Inspector Date Inspector
- APPROVALS Permit# APPROVALS Permit #
1. Temporary Electrical Services ole .� 52. Pool & Equipment Location 'I
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement
'3,".EJ-ectrical Conduit Utility-Undrgrnd.''' 54. Forms ".,
'. 47Electrical Conduit-Undrgrnd.' 55. Electrical Bonding F -
=.5.-Steel Reinforce;d&nt• 56. Rough Plumbing & Pressure Test i '
I .
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation '• , \ 59. Gas Pipe, 0 Undrgrnd., Test b•
97Water Pipe-Undrgrnd. - 60. Backwash Lines,P-Trap, 0 Undrgrnd. '
10. Structural Floor System- - ~, 61. APPROVAL TO DECK •t-_
7.
, 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ,
I 12. Sewer Cap 1 63. Heater& Vent-Final
13. Roof Drains . 64. Plumbing System - Final S r
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT F
20.•-Rough Factory Fiteplace - • 'APPROVAYS Perrfiit# -
21. Ducts, in Structure - %
_. .-' - - _• :70. Undergrounn
d:Hydro
22. Ducts, Ventilating-- ,� 71. Product Piing 0:C'ias 0Oil
23.:.Gas 'ipe;Rough &Test - .S : t -72. Underground Flush)- -
24 .Roof Framing _ ' ' ' "„ ! -"73.'Undergrndl Storaige Tank p Gas 0 Oil
25. Roof Sheathing ' Ge/ ' 4; '61,41-- 74. Overhead Hydro '
26. T-Bar Ceiling (Structural) &ivionocoat 75...Dry Chemical -
27. Frame and Flashing, - 76. Dry Standpipe _ 1
28. Lathing:& Siding'' -• 77. 'FIXED SYSTEM FINAL
29. Insulation . - - :. I I •, . 782FIRE PREV. FINAL • - i
:"30. Drywall Nailing - i' - HEALTH DEPT. REQUIREMENT
t
-,31. Plaster Brown Coat ..79. FINAL INS?ECTION 7
-32:Electrical Power Meter-Final , ' • •80. FOOD CERTIFICATE ISSUED
33. /0/z0/9434;
Electric r Notes:Jja t 4)077; 7� /9/4p /O/zc/9
34, Final Heating& Air Conditioning= •• . 't 5 'dee- Lai ,'
35: Final Gas Pilie-Test' - I .
.
36. Hood orCanopy I
,137.,Firi l F4tory Fireplace._ • - .'
-
38. Final Plumbing • - , I •• � Ir a -•
''39. Water Service'Finah I (# r
n
.40. Gas Ser'v'ice-Final ,•
. . - . _ - i„ . . . ,
41. Solar Domestic-Final.-. • i -'i '
•1 - '
42.-Backflow Preventer ' t ' -
. 43. Backflow Irrigation. - •' -
. t
..44. Landscape friigati a_$ystem -.- -
•
45. Sound Attenuation:: ' .
'46. Handicap Regulations , 1, _ _ n
47,.FINAL STRUCTURE-& BUILDING //z$ 92 ‘Age-ii‘Age-ii: % _
`_ [ V
48. FINAL PLANNING; .T-�
49.'Electric Release to csorrh - -. •
50. Gas Release to SoutherCalifornia Gas Co
_ _
51. CERTIFICATE OF QCCUPANCY - •
No late
5 . 1 1191 •FEE RECE, iVED
rt. - 1-1-g-(00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 317 COSTA MESA. CALIFORNIA _ FINANCE DEPT.
CITY OF COSTA MESA
TOR APPLICANT TO f/LL IN COMPLETELY APPLICATION FOR PERMIT
TYPETOR PRINTI � (� •-/}- BUILDING
ADDRESS U ci(y f J 6 hG 1[, sir,
COSTA MESA,,/CALIFORNIA f0R 0ff/CE USE ONLY
E Lic eK)r I N V EST C o I RECEIPT NO. 11 PERIgIT,.N51
OWNER /A� �JJ'•91
ADDRESS f 565 I s- e(-Cay% 1 a RECEIyEq BV I DATE RECE1v F�pO I O TE ISSUED c,
CITY 1V . TEL
NO. BUILDING , �q 6 7 ( Y A!/ !(C
ADDRESS
ARCHITECT LIC. COSTA MESA. CALIFORNIA
OR ENGINEER NO. �/�/ I� '
FIRE
ADDRESS . /I// l...-L.
ZONE TYPE il GROUP . W
M1.. , go y L. LC.NO. By APPROVED o
CONTRACTOR BY DATE
ADDRESS 1!e I ZONING
p+r�{
LEGAL I LOT- I ZONE — NO.OF USE OF NEW ..i(J
DESCRIPTION NO. BLOCK TRA T 1/vIF PLANS I BUILDING �� �/I/"`
'' O� pp APPROVED I, "� '/ 7 Y
A.P.NO. �`'�Qirv� BY iv
�i/JJ I ,++ DATE •.- n -6
SIZE O D )[ > f o3 NNO.OF OW ON LOTS YARDS y(,EVE$
OF LOT '\ REQUIRED ALLOWED
USE OF (CENTER LINE ST.) 0
EXISTING BLDG. FRONT S FT. IN.
SETBACK LINE FROM /r--� ® z g I
CENTER OF STREET :J REAR YARD R.SIDE vc FT. IN.
SIDE YARD I LEFT IRIGHT J 1 L.SIDE /
a FT. IN.
DESCRIPTION OF WORK tal
REAR FF. IN. .
NEW I II ALTERATION I II ADDITION
REPAIR I II MOVING I II DEMOLISH I •
BUILDING , 970 0 ..NO:OF
SIZE V ROOMS 7 STORIES I
EXTERIOR WALL cTVCI ROOF
COVERING 1 COVERING 1ct
'
USE OF BUILDING AND WORK TO BE PERFORMED
% - FOM -0 W f4 LL E N I'T. &SR.
1
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL INANCES D STATE LAWS R GULATING
BUILDING CONSTR• / ///� ■I VALUATION
PSIGNATURE RMITTEE OF •/1 i( 1 ..- ' \ r PERMIT FEE $
W.�` v' N✓✓Y✓FVD'Y $ / t.1 €7.3.:;-___
/3 J PLAN CHECK $ 71'''-
AUTHOR
/'�
AUTHORIZED AGENT �/ 7 TOTAL FEE $ 7•�