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HomeMy WebLinkAbout2110 ORANGE AVE - Building Permits�_cr noon[ss: � 1 10 ORANGE AV � OWNEP'SNpME:KAMIYA, TADAO nooness: KAMIYA, MZTSUKO 4423 E OLIVE BRANCH WAY ANAHEIM,CA 92807 646-0372 RPCHIENGINEEN: flEG.NO.: AOUHESS: uxiT: UNIT: PEflMITTEE: G T ELECTRIC ( 714 ) 995-6817 nooeEss: zq665 SUTTON LAP7E LAGUAdA NIGUEL CA 92677 LICENSEO CONTPRCTOP OECtABATION: I �ereby affirm Ihal I am licensetl unAer pmvisions oi Chap�er 9(commenci with Sec�ion 7000� of Division 3 of Ihe Business antl Pmfessions Code, an0 my license is in tull force and ellect. ciTruc./: % Osr euc.:480745 cuss:�(' 1y�0 P; ^„^. (� ` � • + / � Signalure: /�� WOflNENS' COMPENSPTION UECUIHATION: I hereby af�irm Ihai I have ehi�icaie of consent �o self-insure or a cerii�icate ol Workefs' Compensa�ion Insurance. or a cenified copy Ihereo� (Sec�ion 3800. L C�. POLICY NO.: E%P. OpTE: COMPpNY: ❑ Ce�ilietl copy is here�y �um�is�/hetl. ❑ Ceriified copy is file0 with Ihe ciry Builtling Division. Date: G' Z�� { J Applicant: E%EMPTI�NFflOMWOflKEflS'COMPENSATIONOECIAFRTION: (T�issec�ionneetlna�becompletetli��heDermiti5loronehunOretl(3100)arless�. I cetlity thai in ��e pedormante 0� Ihe wOrk �or which �his permii is i55ue4. I Shail not empl0y any pe n in any manner s as ro become su� eq Io ihe Workers' Com ensa�ion(,�3ws o� California. � � a�"� �,�' � � � " SignaNre: � NOTICE: Ii, aller making �his declara�ion, you shoultl become suble �o the Workers' ComDensation provisions of ihe Lahor Cotle. you musl fonhwilh compiy wit� suc� pmvisions or Ihis permit sAall he Oeemed revoke0. CONSTBIlCT10N LENOING AGENCV: I hereby aflirm ihat there is a consVuction lentling agency for ihe pedormance of the work for which Ihis permil is issuetl (Seciion 3097. Civ. C). LENUEH: AODflESS: OWNEH BOILUEfl OELLAHRTION: I herehy a�lirm �hai I am exempi trOm (h¢ ConVactOrs' State License Law far ihe followinA �eason �Seclion 7031.5 Business antl Professional Code'. Nny ci�y ol counry which requires a permil �o consimc�, alter, improve, demolish, or repair any stmceure. prior lo its issuance, also requires Ihe aDDlicant for suc� permit �o lile a signed slatement that he/she is licensetl pu¢uam to Ihe pmvisions ol Ihe Contraclors' S�ate Llcense Law (Chapter 9(commencing with Seclion 7000) ol Division 3 ot �he Business antl Professions CoOe) or Ihal helshe is exempl Iherefmm and the basis for ihe allegeA exemption. Fny violation oi Section 7031.5 by any applicaN br a Oe�mit suble��s lhe applicant �o a civil penalry al not more than tive �unare0 tlollars (5500�. I. as owner of �he propetly or my employees with wages as ��eir sole compen5ation, will tlo �he work, antl the ❑ simcture is noi in�entle0 or ofieretl for sale 1Section 70a4, Business and Pmiessional Coae: T�e Cantractors' State License Law tloes not appty to an owner oi a Droperty who �uilds or impmves therean, and who does such work himsel0�erself or ��muAh his or her own employees. pmvi0ed �hat such impmvemen�s are not intendetl or oflereA (or sale. If, �owever lhe huiltlinp or impmvemen� is soltl wit�in one year of comple�ioq Ihe owner vnll have ��e burtlen o� pmving he/sAe di0 no� 6uild or improve �or Ihe purpose ol sale). I,as ownerollhe D�openy.am exclusivety coniracting withlicensea coniractorsto conslmcithe O�alect�Section 7044, Business ❑ an0 Pmfessions Code: The Conlrattors' State License Law tloes not apply m an owner oi proDehY who 6uilds or improves Ihereon antl who contracis �or such pmlec�s with a conVacior(5) license pursuan� to the Contracrors' $la�e LicenSe Law�.l am aware Ihal pmaf al Iheir Warker'S ComDensalion insurance 5hou10 be provitlea lo me. � I am erempt untler Sectmn: B. 8 P. C. �or mis reason'. Oa1e'. Owner. I tlo here�y certity that I am aware ol an0 underslana the requirements ot Calibrnia Health antl Safery Cotle Seclions 25505, 25533, antl 255Ja and ��al I or any fulure builtling occupant will/will noi (circle one) need lo comply wi�h 5ai0 siate co0es and Ihe requiremen�s tor a permii for cons�mclion or motli�icatmn Irom �he Air Oualiry Management OisVicL ReSitleniial cons�mc�ian applica�ions are exemOt �mm �hQSC pfONSi005. oa�e: noor�a�c I here�y cerlilylhai I have reatl Ihis applica�ion and state that Ihe above informa�ionis correct. I agree�o comply wi�h all ciry an0 artlinances antl 5�aielavurelating�a bmltling consimction antl herebyaulhanzerepresenta�ives olthis ciryto en�erupon the �ove-me pmperty for inspeclion purposes - ,/1 1-�2-ft � `'��� ^_'� Signature: �� DriverS L¢ense ai Social Securi� 1641-46 While—Bmltlmg: Green—Cotle Enlorcemem: Canary—ApPlicanC Pink—Revenue; GolOenrotl—Assessor J��� CITY OF COSTA MESA — BUILDIP7G PERMIT PERM NO: E 070912 PERMIT NO; E Q70912 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION ; SERVZCE UPGRADE SQ FT: CLAIM VALUE: 600.00 CALC—VALUE; GROUP OCC; R-3 / COMMENTS: THIS PERMIT NOT FOR 1/2 UNIT *�-+t*+r�t�t+Eat�r+r�cx+��t��r**-» �t*ac*ic�c**-�t*+t��t+tar..+tat-�3t*-�r+e-x��-**�r��t*r�+t*�f ***�t�t-�c*�*ar**+r*r�+t��s-�ac*�-�r��*�r Z O N I N G R E Q U I R E M E N T S 5 E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR; FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT: FT IPI RGFIT; FT IN PARKING REQ • PROV: PARCEL: 426141Q2 ZNE: P,EF NO; PLANNING Nd'I'ES> i �t**�t+r***�r+t+ritit�r�tit�*it*�r*�u*�tit+r�lt��r*****i�+t�*�t**r*******�t***r***�t**�c***x�*�t+�**�-�-r*****i��t* D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONIDIG APPROVED BY , bUILDING APPROC�ED BY : APPLICATION ISSUED HY it if ik i! iE iE k k 1F it 1E ik 3f ff 1E iF �f k 7E if 1f 1EiEif if 1f ifif iE iE i! 1E�M 1f if it iE 1f if if if iE LEGALIZATION;N HLDG PMT PERMIT DATE; DATE; DATE: /"� it iF iF if it r iF iE iF if iF iF if iE iE 3E iE iE if if i! M if if iE iE if 1E �f M 3t if jf it iE jE iE K if M iE 1f ff iE i! iF iF �f if it iF jF �f if 1f iE �1M it F E E S U M M A R Y STRUCTURAL SEGMENT;N PLI7MBING ELECTRIC MECHAT7IC FIRE SMIP/AES GRADING 18,50 50� PLAN ISSUE FEE 15.00 BUILDING—DIV—> P6RMIT ISSUE PLAN—CHECK TOTALS----> 18,50 15.00 0.00 REC�ENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMHING ELECTRIC MECHANIC 33.50 SMIP/NON—RES TOTAL PAID DUE 33,50 33.50 ,00 33,50 OVER/SHORT; .00 FIRE SMIP/TOT GRADING PLAN—CHECK iF 1f ff �)f it k i! fE iE iE if iE if it M i: if iE if iE i! if if 4 if �f �f if iE it if 3f if iF if if if iE iF it if if� x iE 1f iE if 1E if M if iE if-if iE af iF iE iF iE iF iE �?t iF x if fF 1k �f 11� if fE i! iE iE it iF iE if � I N D I V I D U 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 ELE 1 SERVICES BELOW 600 V 6 HELOW 201 AMP 18,50 1g,50 END OF FEES 8dr�°'bq`'ij��.soi717fYE: 13�'gT 3:,:iL'(✓ � � CONSTRUCTION AND PLANNING ' POOL & SPA � Oate Inspector Date Inspector APPROVAIS Permit � f APPROVl�IS Permi2 �k 1. Temporary Electrfcaf Se*vicetor Pole � � 52. Pooi & EUuipment Location ' 2; . Soil pipe�Undiarnd. j�. �' S3. Sleel Reinforcement .� � r, :.7' - � �'3�.�t�lec2rical Condui��JtilitY•U�drgmd. �ry� 54. Forms . ''4;'Elecirital Cond3i-Undrgrnd~ f 55. Electricai Bonding � - n,�-1r�.. : 5. SteeL' Reinforcemeq� 1 .56. Rough Plumb'ing & Pressure Test � ���. rEleC`Erical UFEF�'�ir^d. - 57. APPROVAL TO COVER-GUNITE ' '. rt '7;!�Pootings ��-�h � 58. ElectricalConduit�Undrgrnd. � B.:FmLndBtion 2 � 59. Gas Pipe, � U�drgrnd., Test f,' � I 9. Wa�ter Pipe-Undrgrnd. ii�>: G� 60. Backwash Lines, P-Trap, � Undrgmd. � 10. Structural Floor System 61. APPROVAL TO DECK . -i t. Proparcy Sewer LineV& Hoii�e'Connectioa- - -- ! -- �62. Backwash & ReceptorFinal � �: _„ 12. Sew�r Cap y �'/1, � 63. Heater & Vent-Final i 13. Roof D�ains ^✓ � �,, � 64. Plumbing System - Finai - 74. Rough Plumbirig � �� r 65. Electrical�Finai � 15. Rough Electrira!-Conduit �' j j 66. Solar SVstem-Final ��,• 16. Rou9h Electric Wiring � � 67. fencing & Access AnP�oval 17. Rough Wiring Sign 68. APPROVED FOR PIASTERiNG 78. Rough Electrical-T Bar Ceiling 69. POOIlSPA SYSTEA"iS FINAL � 19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT �:-� ,-: .,, ��;�`�'i tr' o•-��H a: . . � 20. �Rou h Pacto� F're lace '° - � � � Z. 9 � Y ; ,p j x.,., ',..�'C �. :� „�.,: �P,PPR�VA�S���ermit # . 27.�-bucis, in:Structu're., : .... •`� •� - : �' - �„ _ _ � � -�� y `= �'� � y 0. Underg�ou_nd�Hy,{3ro � 22..Ducts,Ventirtincj: � «5 � „_ �t" s��, p�oducf;P�;in ��Gas DOif - < q � O +� ��. .. : '. .: ' P . 9 � 23.-Gas Pipe�Rough &�Test � �C7}; ,c _,7 � �, �j=�_,. �72. Underground Flush; � � 24."Roof Framing _.�. � t"•" 'E' '�i %� � �� _ t ;t :73.�Indergrod�'�.Smrage;7ank �Gas �Oil i*1 J � • 25. Aoo� 5heathin ,�." "' :4 '. `•' `� " ` •` `• . 9 74yOverhead Hydro' 26. T�Bar Gefling (Structura�) & Mo}�Ocoat # O � J aa 4 75 �ry Cher�[cal �_ � - ' ' 27.'frame and Flashipg . ,j,� �; n � � �� # 76� Dry Standpipe :- �� ' ,. 28. Lat�ng & Siding ,' �� " � a '� �` "r"� 77:= FIXED S y�� EM�FiNAL. . ^iM.'-� !� ;i �� ••� � iF 7 f'+� .J • ,J�t` . .�...� ;� >c,q 'ty .1 � - �29. �nsulation . , s » i � t * 78TFIR�E PFEV. FINA! ' � 'r 30. Dry�.va��.Naili'ng ''� ,� � � H ��� � j HEALTH:DEPT. REQUIREMENT ,� ,31. Plaster BrowmCoatq� g j MM =/• ! � '� a79. FINAL INSP,ECTION � � . 32. ElectricaF�Power MeterPinal Z/�( Q� :��- '80.'`FOOD CERTIPICATE ISSUED _, - f , 33. Fina) E�ectric. � � � �' � . Notes: • ; , r, 34. Final. Heating-& Air Condrtion�ng. ' �� _ . _, . _ ,. 35.�Final Gas Pipe-Test � • � . _ • . „', 36. Hood Or Canopy � - ' � � ' -' ' - r� i 37. Final Factory Fireplace . � .� �� 1 ., -. � - � i 38. Final.Plumbin9 : � , ' • - 39. Water,Service-Final - , . . F � � . ' . .40. Gas Service-Pinal �• ' ^ - - � ' � - x ' 41. Solar pomesticFinal ` - ' � �� . � ' 42. Backfipw Preventer ' • � • � 43. Backflow Irrigation' �� . . ' ; 44. Landscape Irrigation Systzm ' • � � � ' � _ ` � 45. Sound Attenuation , ; � � . , � . '• � _ 46. Handicap,Regulations �• • � • . • , ' 47. FINAL STftUCTURE & BUILDfNG � . 48. FINAL PI.ANNING � � 49. Electric Release to Edison � ' � � ' ;� . 50. Gas Release to Southern Cafifornia Gas Co • �'r 51. CERTIFICATE OF OCCUPANCY � No. Date