HomeMy WebLinkAbout2383 NORSE AVE - Building Permits7
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PflOJECT FOOflE55: Z 3$ 3 NORS E.�V
OWNEH'SNPME: OSAKO, EISUKE
aooness: �363 NORSE AVE
COSTA MESA,CA
859-3420
RHCN/ENGINEEfl:
aooxess:
UNIT:
92627
XEG.NO.:
UNIT:
vexmme¢: ALCANTRA ROOFING (714)837-5376
aoonEss: 24781 WINTERWOOD DR
LAKE FOREST CA 92630
IICENSEO CONTBACTOB OECLABATION: I �ere0y af�irm �ha� I am IicenSeA untler pmvisions o� Chap�er 9(commencing with Section
7000� of Oiv��sion 3 of ihe Business and Pmiessions Code, antl my license is in full force antl efiect.
CITY LIC.: STATE LIC.: S 9 4 Z H Z� cuss: _ 3�9 /) � �
Oaie: �� �� 43 Signalure:_3'�/-'�i 11 GGe�
wOflKEBS' COMPENSATION oECIAflATION: I nereby attirm ihat t have a cenilicate ot tonsen� b selt-insure or a cenificate of Worker5'
Compensation Insurance. or a certihed copy Ihereof (Sectian 3800. Lab. C�.
POLICY NO.: EXP. OPTE:
COMPANY:
❑ Cenitied coDY �s hereby lurnisnetl. ❑ Cenifie0 coDY is IiteU with ihe city Builtling �ivision.
Da�e: ApPlicanP.
E%EMPiIONFAOMWOBREBS'COMPENSATIONOE0.ABRTION: (ihissedionnee0nolbecomple�e0ilihepermi�isloroneAunOretl�5100�orless�.
I cerlify Ihat in ��e petlorman[e ol Ihe work lor which this permit is issyetl, I shall not emplo� rson in any manner so as �o become
sueieci io me lOrk¢R' Campen5dti0n Ldws 01 Cdiilomia. � /� ��
Oale'. %/ /� 9.� Signamre: 11 (/Cti'�-�/ G�
NOTICE: II, al�er making ihis Oeclaration, you s�ou10 become sublect to the Workers' Compensation pmvisions oi ihe Lahor
CoOe. you mu511ohhwiih com0ly wilh suc� pwvisions o� t�is permit s�all 6e tleemed revakeA.
CONSTPOCTION LENUING RGENCY: I hereby afiirm that there is a cons�mclion lentling aAency tor the pedormance ol t�e woM �or
which Ihis permit is issuetl (Section 3W7, Civ. C�.
LENDEN:
AUOPESS:
oWNEF BUILOEB oECIAPATION: I hereby altirm ihatlam exempifmm the Contmctors' State License Law forihe following reason
�Semion 7031.5 Business antl Pmfessional Cotle: Any ciry of counly which requires a permil m constmct, alier, impmve, tlemolish, or
repair any simcture. prior to its issuance. also requires the applicant for such permit to file a signeU statement ihat he/she is licensetl
pursuan� �a �Ae pmvisions a� ihe Comracmrs' S�aie License Law �ChaD�er 9(commencing wi�h Section 7000) ol Division 3 0� IAe Business
ana Prolessions Cotle) or ihat he/she is exemo� Iherefrom and ihe basis lor ine allegetl exemption. Pny violatian of Section 703L5 by
any applicanifor a permil sublec�s Ihe applicanl to a civil penalry ot no� more than tive hunAreO Aollars (5500�.
. as owner of �he propehy or my employees with wages as their sole compensation, will ao ��e work, antl �he
❑ stmcture is not intentle0 or olteree br sale (Section 704a, Business and Pmfessional CoOe: The Conlraclors' State License Law
does nol apPly to an owner o� a propetly who builtls or impmves thereon. an0 who tloes such wark hims¢If/hersel� or IAmugh
�is or her awn employees. provitle0 Ihat such impmvement5 are noi in�en0ed or ofiere0 lor sale. I�, �owever t�e building or
improvement is 5010 within one year ol completion, �he owner will have Ihe burden ol pmving he/s�e Oitl nol builtl or impmve
lor ��e purpose o� sale�.
I. as owner oi the pmDerty. am ezclusivelp contracting wilh licensetl contractors to constmct t�e pmlact (Section 70ad. Business
❑ an0 Pmfessions COAe: The Contracmrs' State License Law Ooes not apDly �o an owner of Dmperry who bmlds or improves ihereon
and who [onlracts far Such pmjects wilh a contractoq5) license pur5uanl �o the Contracto�s' Siate License Law). I am aware
tha� pmo� o� Iheir Worker'S Compensa�ion insumnce ShoWd �e provided Io me.
� I am exemp� uneer Seclion: B. 8 P, C.
lor ihis reason:
Oaie�. Owner
I tla here�y cenily iha� I am aware a� antl untlerstantl Ihe requiremems o� Calilomia Heatlh and Safery Code Sections 25505, 25533, and
25534 antl Ihai I or any W�ure 6uilding occupani will/will no� (circle one) neetl �a comply wi�h said state cotles and the requiremen�s for a
permii for canslmclian or moddicalion imm �he Air Qualiiy Managemen� Dis�rict. flesiden�ial cons[mction ap0lications are exempl trom
Ihese pmvisions.
Date: Npplaam:
I hereby certi�y Iha� I have reatl �his aDPlicalion and s�a�e �hat ��e ahove information is carrecL I agree ro camDly wi�� all ci�y an0 counly
or�inancesandstaielawsrelatinglobwltlingconslmclionantlher yau rzerepresentativesofi�J�'tyioenterupontheabove�mentionetl
pmperiy lor in� ection urposes. // �/f �
,/�/ /!/ � s
r Dale. �� 0 � 3 Sgna�ure: �Le� N"� ��
Driver's �icense or Sociai Securi�
Applicanl: Pink—Revenue; GOltlenroC—Auessor
CITY OF COSTA D1ESA — BUILDING PERMIT
PERMIT NO: B 064847 PLAN CAECK NO; N
CONSTRUCTION TYPE: PEFtMIT TYPE; STR
SOB DESCRIPTION ; REROOF W/CLASS "A" COMP SHINGLES
PERM NO: B p6489;
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT; 2.100
CLAIM VALUE: 2,100.00 CALC—VALUE: 2,100.00 GROUP OCC: R-3 /M-1
COMMENTS: REROOF 2100SF W/COMP SHINGLES
')E-%-1E'N'iEifif')I'if'IFiEiEiFitiEiF'I'cY'iE'j("N'�E1fi%1!'N'iFif'K"1('1Fif1f'1Fi('1'I'if'lE'IF'IEih'Y'N'iEiEiE1E'IEi('jfiFiE'IFiF' iEt -hR�n �R F'N'�
ZONING REQUIREMEN���K'ED�TE�TC7R.
S E T B A � K 5 REQUIRED ___,
-----------= MAIN BUILDING ---------- --------- ACCESSORY HUILDING --
FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
PARKING RE • PROC': PARCEL; 11949250 ZNE: REF NO;
PLANNING N TES>
� �
iE !Ei! 3f if iF f! # f1 iF !f iE iE iE #!E if if�lE #!f # 1E !E !f 1f # if if lfif if 1F iF iE 1f if iE if 1E if if jf 1f 'fi * if 1t � if ?t iF iF !E if 1f ##F !F iFiF 1F if #!E 1f iE if iE.if�jf # iE iE iE 1fif�lE i�-
D E C� E L O P M E N T S E R V I C E 5 R E Q U I R E M E N.T S
ZONING APPROVED BY PATE: •
HUILDIPJG APPROCrEP BY ; DATE: '
APPLICATION ISSUED BY; DATE; ��1�0 �
if �E 3f if if iE iE if if 14 if if �f iE 1E 8k 1E 3c iE iE iE ff . . ii 9f it iE iE # if %� 9[- iF��K�iF�7Fif iF
if iE if if iE it jE 3E jf- iE iE af if iE �f 9E i! iE iE if 1E if if jE iE iE M jF iE if if it iE if it 3F iE if iE 9E if iE if iE jE aE 1E iE iF iE �E it if 1f K�f if iE ic iF iE if iE 1t 3F iF aF iE if iE if iE iF #� i4 9f if if iE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIF/RES GRADING
PERMIT 59,00 ,50.
SMIP/NON—RES
PLAN � "
ISSUE FEE -
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALI" PAID� DUE
TOTALS----> 54.50 0,00 0.00 54.50 ' S9,50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 54.50 OVER/SHORT; ' ,00
BLDG PMT.PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING,PLAN—C'xECK
59.00 ,50
jE if 3E 1f ff if iE if iF if iE if iE if iE i! iF ac?p �* iE iE if 1E iE 1f iE iF if iE ik if iE if !f i! ff ff iE iE if if if 1E iE i! M ib iF if # if iE jE jf iE it if it iE it iE * iE if iF iE 1f fE if ia 9f 9t 4 iE IF jE if
I N D I V I D 0 A L F E E B R E A K'D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 2100 REROOF BY VALUE RESIDENTIAL NOZONE ^.1.00 � 2,100.00
END OF FEES �,
"u�':3�1�?423-001�0424 T �[T S¢ `0
DA'se: 11/10%93 TIME: 1?:45
1---�
CONSTRUCTION AND PLANNING - POOL & SPA
APPROVALS Permit #'� Date Inspector APPflOVA�S Permit � Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soi� Pipe-Undrgmd. � 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgmd. 54. Forms
4. ElectriGal Conduit-Undrgrnd. � 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electr:cal UFER Grnd. 57. APPROVAL TQ COVER�GUNITE
7. Footings 58. Electrical Conduit�Undrgrnd.
8. Foundavon , . 59. Gas Pipe, O Undrgrnd.. Test '
9. Water PiPe-Undrgrnd. �. � 60. Backwash Lines, P�Trap, � Undrymd. �
70. Structurel Floor System ,;, 67. APPROVAL TQ DECK
1 7. PropertY Sewer Line & House Connection 62. Backnvash & Rec2ptor-Final � �
72. Sewer Gap - , 63. Heater & Vent�Final ' '
73. Roof Drains • '+ 64. Plumbing Sys.em - Finai
74. flough Plumbing �' 65. Electrical�Final
75. Rough Elecvical-Conduit 66. Solar System-Final
16. Rough Electric Wiring �� 67. Fencing & Access Approvai
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' �'
18. Rough Electrical-T Bar Ceiling 69. POOL:SPA SYSTEPAS FINAL
19. Rough Heating & Air Conditioning FIRE D[PT. REQUIREMENT
20. Rough Factory Firepiace APPROVALS Permit �
27. Ducts, in Structure 70. Underground Hydrp
22. Ducts, Ventilating 71. Product Piping OGas ❑Oii
23. Gas Pipe-Rough & Tes. . 72. Undergroi�nd Fiush
24. floof Framing 73. Undergmd.S[orageTank �Gas ❑0���
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Geiling (Strucwrall & Monocoat 75. Dry Chemica(
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEh1 FINAL
29. Insulation 78, FIRE PREV. FINAL
30. Dryevall Nailina HEALTH OEPT. REQUIREP+7ENT
31. Plaster Brown Coat . 79. FINAL INSPEC.TION
32. Electrical Powzr MeterFinal 80. FOOD CERTIFICATE ISSUED
33. Finai Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood o� Canopy �
37. Finai Factory Fireplace .
38. Final Plumbing -
39. Water Service-Final �
40. Gas Setvice-Final
47. Solar ClomestirPinai
42. BackflOwPreventer . �,,, � r�Q_/J`
T
43. Backflow Irrigaiion^.
44. LandscaDe Irrigatioti'Sy�ie`m �
�.
45. Sound Attenuation� � �
46. HandicaP Regulatit{� -��
47. FINALSTRUCTU '&3UI10(NG ! ��� �(A/��. S�� � .h /,,. A .
p�- _..�r�i�--
48. FINAL PLANNINC�' j ;, � , ,
49. Electric Release to E'tlison
^�, -�
50. Gas Release to Sout�}�em California Gas Co .
51. CERT4FICATE OF OCCUPANCY
No. Date
AOV���ant to fill in all ipaces except those wltM1in heavy Gortler lines anC si9n a1l aov�opriate aeclarations. -
PER NO. ' TRACT NO. LOT NO. � UNIT NO. ' � � �
K�i7 oFCOSTaM� a CO 1STRUvCT�ION'PERMIT ' "}�a��,7p , � ' ,
. Project Address �✓�r �/ ' r � - . � 7956 � I /23/86 . , 5<00 �
� � . � � - �TVPE OFCONSTRUCTION NEW ADD � ALTERATION REPAIR �
Applicant's Mailing' d�ess � � '
/u�n/n ❑ CONVERSION ❑ DEMOLISH ❑ OTHER , q,p, # ' ' Zona
Owner's Name � PhoneC%Z�f1127 DESCRIPTION OF WORK/USE OF BLDG.' � �
Address ' ' � - - � ' - � .S Main Building: - � � ' � Accessory Building�.
Arch/Eng. , � ' License No. TYPE�OF PERMIT GRADING FOVNDATION STRVCTURAL , T Front "' ' . . �
Addre55 ' ' � ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL + A � Rear ' ' . � - ' . N
ConVactor'sName Phone �:OTHER ,
I i PROJECT DESCRIPTION Sa. F7. ' • oGCUPArvGv C� Right . N
Addresslmailing) ./� , CONSTRUCTION:TVPE VALUATION$ ' g Left ' R
City License No - ZONE GftADING CU. VDS. ACRES ping. Ref. # . Parking Req./Provided , E
LICENSED CONTRACTOR DECLARATION � ' Q
rl hereby affirm that, I am licensetl untler provislons of Charter 9(commencin9 Remarks: • ' Pl3nniny NOt¢5: ' � ' M
�with section ]000) ot Division 3 of [he Business antl Proiessions Cotle, antl .�.
my license is in f� ta. c antl effect. /� S
� License C s � e F .
� Date Signature PLUMBING FEES
�WORKERS' COMPENSATION DECLARATION 82� Sink ShOW¢�5 .
1 hereby atfirm that 1 Fiave a certificate of consent to self-insure'or a certificate ELECTRICAL FEES
� oi Workers' Comp a e_ g��certifi copy there t ection gackflow Preventer Service Sink ❑ 15-50 KW
(, 3800, Lab. ) • � '��/ i " - Aummatic Washer Transformer ' -
� Policy No. - Company Backflow Irrigation ' � Sewer Ca � 1 . '� 50+ KW
P Construction Pole Sub.
�Certified copy is nereby turnishetl.
Certi i py is filea with the city Bu7�pr�q Cy'v{$ion.�/ Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Dale�_ APPlicant ��%�`
EXEMPTIO FROM WORKERS' COMPENSATION DECLARATION Clarifiers Sola� COIlECtO/5 Di5hwd5hC� ' M2Le� ❑Ove� 10�drttp5
(Thissection neetl nof be completetl if-the permit is for one huntlretl ($300) or - '
less). Dishwasher Solar Pipin9 Dryers ❑Gas ❑Electric Sub Panel
1 certify that in the perlormance of the work for whi[h this perm�t is i55uetl, I
shall not employ any pelson in any manne! so as to become subject to the D�inking FOufltdi05 5013I T2pk F2n - MOtOfS �0-1 HP 01 %-$
Workers' Compen5ation Laws of Calitornia.
� Date Si9nature � Floor Drains Swimming Pool w/Spa . F.A.U. '� Inc.Solar �9-15 HP �76-15+
'NOTICE: It, after mdking this tleclaration, you shoultl become subject to the
Workers' Compen5ation provision5 of the Labor Cotle, you muSLforthwith � FIoo�Sinks ' U�indl fiXtu�¢S MiC�OwBv¢
comply with such p�ovisions or this permit shall be tl¢emetl revoketl.
CONSTRUCTION LENDING AGENCV � '� . GdSServiC¢ OutICtS W2t¢lCIOS¢t. � DevicEBoxes
1 M1e�eby affirm that fhere is a construction lentling agency to� [he pe�fo�mance h POI¢ Liyht
of [he wo�k for whlch this�permit is issued (Section 309] Civ. CJ Interceprors - WaterHeater � {� �uU2t5 Rdn 2
�ender's Name 9
Lentler's Atltlress Kitchen Sink Water Service Switches Sign '
OWNER BUILOEN UECLARATION ' � ' �
I hereby affirm Ihat I am exempt trom the Contracto�'s License Law-tor the Lavatories - � Auto-Wash - Garbage Disposal ' ', Standing Sections
following reason (Section ]031.5 BuSiness antl Professional Cotle: Any�city or '
county which requires a permit to construct, alter, improve, demolisn�or repair P—Trap �� Laundry Treys - Generamr DO-5 KW �5-15 KW Trash Com actor
any structure, O�Io� to its issuance, also requires the applicant tor such permit P
lo (ile a signetl statement that he/she is Ilcensetl pursuant to the provisions ot Roof Drains
[he ContractoYs License Law (Chapter 9,(commencing with Section ]000) af �
Division 3 of Ne Bu5ine55 antl Profe5von5'Catle) o� tnat ne/sne is exemp[
ihe�efrom antl the basis for the allegetl exemption. Any violation of Section .
7031.5 by �any ap0licant tor a permit subjects the applicant to a civil
��enalty of not more than five nuntlred tlollars ($500). �.-
I, a5 owner ot the prope�ty or my employees with, wages as�thei� Sole R¢inSpettiOn FeB - ' $15 ^ ISSUB Fee $ 3 ,
compensation, will tlo the work, antl the 5[ructu�e is not intentletl or offeretl RBinspBtti00 FeB $15 ISSue Fee $ 3
for sale (Section 7044, Business antl Protessional:Cotle: The Contractor's' . MECHANICAL ' FEES�
License Law tloes not apply to an owner of a property who builtls or improves � ,
thereon, antl who aoes such work himself/herselt or through his or her own � - ; DEVELOPMENTSERVICESREQUIREMENTS: , '
employees, provitletl tha[ such imOrovemen(s are not in[entletl o� otfe�etl tor B���e� HOOd o� Typ¢ I ❑ ' � �
sdle. It, however, ihe builtling or improvement is soltl within one year oi mm- � Cdnopy Type I I ❑ • ' � Zoning Approved By Date
ple[ion, the owner will have the burtlen ot ptoving he/she tlltl not builtl or im- DUct- Under G�Ound - BUildi�g ApproV¢tl By Date
�rOve tor the pur0ose ot sale). '
I, az owner oi the property, am exclusively contractin9 with licensetl con- Duct- Structurol Refrigeration System �- Appliqtian Issued By / Data�
Vactorsto construct the project (Section 7044, Business antl Professions Cotle: �'
The Contractor's License Law doez nof apply.to an owner of property who Duct - Ventilating ' ❑0-100,000 BTU ❑700,000 BTU . SUMMARV OF FEES
builtls or improves the�eon, antl who contracts for Such projects with a con- -' - - ' - � �
tractor(s} license pursuant-to the Contractor's License Law). I am aware that ' � BUILDWG PERMIT $ � SMIP $
proof of thev Worker's Compensation insurance shoultl be provitletl to me. ExheuSt SySt¢fIi ❑ MultiPl¢ ❑ System Repair/Alterecion . � � �
PLAN CHECK $ � ' , PERMIT .
❑ I am exempt untler5ection B. & P. C, ior this reason Firepl/Fact. Blt. ICBO #' Fire Dampers � PLUMBING $ ,�dU � �SSUANCE $
Date owner � Heating System & Ducting � Registers , .
PLAN CHECK � 25% $ ENERGV P.C; $
I hereby certity tnat I-have reatl this application antl state tnat the-above - 00.100,OOOBTU-�100,OOOBT - ' ' ' - ELECTRICAL . , GRADING $�
intormation is mrrect: I agree to comply with all city antl county ortlinances ' , $
and 5[ate laws �elating to building const�uction, antl hereby authorize repre- , � � , $ MICR�FI �M � $ -
sentatives ot this ciry to� ente� r upon the above-menHonetl property for . � � r , , PLAN CHECK 50% � . ,
inspection p os / � � MECHANICAL' $' � S� �
Signature �1 Date� � ' ' ' ' . TOTAL FEE $;
Drivers' License or SS � Reinspection Fae � $15 luue Fae � $ 3 PLAN CHECK' 25% $ � �
CMF 0865-46, rev. 30/84 Pink - Accounting: Goitlenrotl - Assessor T
. _ . . ..
,�,. .
�• �CONSTRUCTION AND PLANNING POOL &SPA '
��; APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. , � 53. Steel Reinforcement ,
3: Electrical Conduit Utility-Uridrgmd. '� 54. Forms � '
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding �
5. Steel Reinforcement � . � � 56. Rough Plumbing & Pressure Tesi � .'�
6. Electrical UFER Grnd. . . 57. APPROVAL TO COVER-GUNITE
7. Footings � 58. Electrical Conduit-Undrgmd. � �
� 8. Foundation • ' , 59. Gas Pipe, O Undrgrnd., Test .
9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trep, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final `
12. Sewer Cap ; . 63: Heater & Vent-Final � ��
13. Roof Drains ' ° 64. Plumbing System - Final -
� 14. Rough'Plumbing . 65. Electrical-Final �
75. Rough Electrical-Conduit . 66. .Solar System-Final �_
i 6. Rough Electric Wiring �67. Fencing & Access Approyal , .
�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
20.� Rough Pactory Fireplace , APPROVALS Permit # �
21. Ducts, in Structure 70. Underground Hydro -
22. Ducts, Venfilating 71. Product Piping O Gas ❑ Oil � �
23. Gas Pipe-Rough & Test � 72. Underground Flush - - ' -
24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil '
25. Roof Sheathing 74. Overhead Hydro �
26. T-Bar Ceiling (Structural) & Monocoat � - 75. Dry Chemical , �
27. Frame and Flashing � 76. Dry Standpipe - � � '
28. Lathing & Siding � 77. FIXED SYSTEM FINAL � �-
29. Insulation 78. FIRE PREV. FINAL � .
30. �Drywall Nailing HEALTH DEPT. REQUIREMENT ,
31. Plaster Brown Coat � 79. FINAL INSPECT�ION - .
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ' '
33. Final Electric NotesE Z_3/_�j,(� L�TGq/Zp. C�E.il
34. Final Heating & Air.Conditioning � . ' - - -
35. Final Gas Pipe-Test � � - � �
36. Hood or Canopy � �
37. Final Factory Fireplace , � � , �v . � . .
38. Final Plumbing ' �/j/ y� � . �
39. Water Service-Final i :� -
40. Gas Service-Final . �
41. Solar pomestic-Final i-`. ' •
42. Backflow'Preventer � ' '
a�: , �
43. Backflow Irrigation ' "�" ' ' ��
44. Landscape Irrigation System ,_ � . �
0
45. Sound Attenuation -:.a ' � ' "
46' Handicap Regulations �' � . .
47. FINALSTRUCTURE&BUILDING ,
48. Special Requirements Completed � � .
49. Electrie Release to Edison ' .
50. Gas Release to Southern California Gas Co - ' '
51. CERTIFICATE OF OCCUPANCY ' - �
No. Date �� �
OWNER OS'AKO, Eisuke.. DATE �
T
L
'� PROP^$WRmIINI
J SPRINKLING SVS
C MISCELLANEOUS
NEATING RNq AIR CONOITIONING'
UN�ERGFOUNO U POWER
ROUGH WIRING
FLOOR SYSTEM
BOND BEAM �] �STEEL fiEINFORCE �
SHEATHING
FRAME AND FL�S�H1ING
LRTNING - IN L' OUT n
PLASTER.BROWN COAT
STRUCTURAL, FINA�
HEr1TING, VENT., R[FRIG. AND �.C., FINAL
PLUMBING, FIN4L qN0 GAS TEST I-I
BUIL�ING. FINAI
SUBCONTRACTOR
/, �
`� � �3357
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSYP� MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
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BRANCH
ADDRESS
ARCHITECT TEI.
OR ENGINEEfi NO.
ADDRESS
CONTRACTOR
ADORESS
TEL.
CITV NO.
F STATE CITV
� LI0. NO. LIQ NO.
�.y SIZE NO.OFBLOGS.
0. OF LOT NOW ON LOT
a USE OF
� EXI5TING BLOG.
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FSeparate permits are required for
Q electric, plumbing and heating work.
[.W.� USE OF BUILDING AND WO�K TFI�BE PERFORMED
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APPLICATION FOR STRUCTURAL PERMIT
REC�V.� BV q=T�RECEIV DATE ISSUE�
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NO.���I �
OWNER
FIFiE
ZONE
APPROVED
VALUE
DATE / � �O �
N �NO.OF USE OF N
FLANS UILDING
YARDSAPPROVED VAqD'
MAIN BUILDING CCES
iOM C/L STREET
71YT . �
%
' E FT. �O
/
:IDE FT.
._ _ � /ii �-�
% DISTANCE BET.
MAIN BLDGS.
VAR. �k
OATE
APPROVED
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0 I hereby acknowledga that I have reatl this application entl state ' , �
� that tha above information �s correct antl a0rea to comply with
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a all laws regulatinB buildin8 consttuction, antl I shall noi emplay
Z eny pe�mn in vlolation of She workman's compensaiion laws of a
W the State ot CeliforNa. � -
3 1 hereby certify that I am pfoperly Ilcensed as a conttector under SQ. FT. N
the State of Calitornia Business antl Professions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALVATION IS FOR m
Chapxer 9, end thet sueh IicBnses ara in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONIY: �
am exempt from the provlslo�s of the S[ate of Califor ia Business VALUATION a
and Professlons Code, Oivislon 3 Chapter 9. PERMIT FEE $ � � N
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� PLAN CHECK § r� M
Signature of ♦ � �
Permittee $ T/7 TAX $ r� LL
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� Authorizetl Agant TOTAL PAI D E
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 C05TA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
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OWNER
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CITV "/� s��
CANSTRUCTION �
BRANCH
ADDRESS �
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ADORESS �Q
CONTRACTOR
ADDRESS
CITV �I
STATE CITY
LIC. NO. 7, %�/ UC. NO. �3
R-wa_�._R-� I
OF LOT �i ,r iz � I NOW ON LOT�
USE OF
EXISTING BLDG. a
Separate permits are required for
' electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
I haraby acknowledge Shat � have raatl this application and siate
that the ebove information is correct antl agrea to comply with
all laws regulating.builtling �onstruciion, and I shall not employ
any, person in violation o£ the workman's compensation laws of
the State ot California.
I he�eby certify that I am p�operly Iicensetl as a contractor untler
the State of California Busi�ess and Professions Code, �ivisian 3,
Cnaptar 9, antl that such litenses are In f�ll force and effect, or I
am exempt trom th prov ons of the State of altforni usiness
antl Professians Co , Di on 3, Chaptar 9.
Slenatura of
Parmlttee
Authorizatl gant J M
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a.Pe2z-�r,F`'��OQtir,t;;- *,*210.83
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FOR STRUCTURAL PERMIT
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A.P. NO. I I \
BUILDING �
ADDRESS
FIRE -
20NE T E GROUP
APPROVED
BV DATE
ZO NO.OF USE OF NEW �
Z . PLAPLS Z BUILDING �
VARDS APPROVED YARDS APPR
MAIN BVI�DING ACCESSORV B
(FROM C/L STREET
RONT FT. . PL
/ ��
E FT FT.
/ /r
L SIDE � FT. FL
REAR FT. ' FL
DISTANCE BET. BET, MAIN &
MAIN BLDGS. ACCESS, gLDGS.
C URP.#S' /'-I APPROVED 1 —
APPROVED ' �
�OLD FOR , �Ci !. REQUiii
' THE AMOUNT SHOWN UNDER VALU
THE PVRPOSE OF E5TABLISHING A PERI
VALUATION PERMIT FEE $
. �-_l PLAN CHECK $
$ ��1Y71 TAX $
��+ V
TOTALPAI� $
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