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
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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