HomeMy WebLinkAbout725 VICTORIA ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 725 VICTORIA $T
Suite:
Vicinily: CITY RIGHT-OF-WAY
Parcel Number: TPN00402
Applicant: KINCADE, KEVIN
Address: 5071 HARVARD AV
WESTMINSTER, CA
Owner: CITY OF COSTA MESA
Address
Contracror. KEVIN KWCADE MASONRY
Address: 5071 HARVARD AV
WESTMINSTER, CA
Zip: 92683
Arch :
Address:
Zoning:
Phane: 714-892-5988
' Zip: 92683
Phone:
Zip:
Phone: 714-892-5986
License: 544722
�� Eng:
Address:
Phone:
ISSUED BY:
StaWs: APPLIED
Applied: O5/O7/2002
Issued:
Phone:
Zip: License: License:
SCOPE OF PERMIT
REPAIR DAMAGED 11 LF 8' HIGH BLOCK WALL ON THE CITY OF COSTA MESA RIGHT-OF-WAY. STRUCTURAL CALCS
PER CITY STANDARDS FROM TOM BANK IN PUBLIC SERVICES.
Plan Check: $0.00
Permit: $0.00
SMIP Res: $0.00
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $0.00
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Existinq: o
NOTES:
Rear 0-0
Rear 0- 0
Reauired: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Lek 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation
Right 0- 0
Right 0- 0
so.00
so.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements untler California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void ii work Is not commenced withln 1B0 days, or if work is suspended or abandoned
for a perlod of 7 BO days.
INSPECTIONS: In order for the work authorizetl under this permit to be considered legal, such work must comply with all appllcable codes, and all
required Inspeetlona and finel epproval must be obtained. Failure to oblain inspections and final approval will result in the ezpiration of this permlt.
POR INSPECTIONS CALL: (714) 7545626
�aawe �eiw)
WORKERS' COMPENSATION DECLARATION: .
I hereby aftirm untler penalry of perlury one of the following declarations:
❑ I heve and will �aintain e certificate of consent to sel4lnsure for workers' compensation, es pmvided for by section 3700 of the Labor Cotle, tor the pertortnance ot the
work tor which thjs permit is issuea. - .
I have antl will maintain woBers' compensation insurence, az requiretl hy section 3700 of �he Labor Code, for ihe pertortnance of the work for which this pertnit is issued.
My workers' CAmpq[ISa�ion Insurance carrier and poli�y number are:
one
PolicyNumbec�� � Q�� ���U�aV"�
or less.) L" �-- "'-- "—
❑ I cenity that in the pertortnance of the work for which this pertnit is issueq I shell not employ any person in any manner so es to become subjact to the workers'
compansetion laws af Celifamia, e ree that if I sho Id become subje t to Ihe workers' compensation provisions ot Section 3700 0l the Labor Cotla, I shall forthwith
comply with these provisions. . `-
Applicant SlgnaWre: � / �� - -- �� Datel > S— � �' � 2
WARNINGFAIWRETOSEGUREWOPNERS'COMP iSATIONCOVEMGEISUNLAWFULANDSHALLSUflIECTANEMP�OVERTOCRIMINALPENALTIESANDGVILFINESUPTOONEHUNDRED
THOUSAND DOLLARE �5100.000�. IN ADDITIqJ TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O6 OF THE LABOR CADE, IMEREST, AND ATiORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eNirm that I em licensetl untler provis ons 1 hapter 9 c�mmencing with Section 7000) of Division 3 ot Ihe Business and Pwlessio Coae, end my license is In full
force end eHect: Lic..a� � � y - % —� A �Class N) G Z �
Coniractols_SignaWre:� _ A lDa^te: �
`_r—__ o
CONSTRUCTION LENDING AGENLV:
❑ I hereby aHirtn that there is e construction lending egency br ihe performance oi Ihe work br which ihis permit is issuetl. (Sec. 3097, Civil Cotle).
Lendefs Name:
Signaiura: _
OWNER-BUILDER DECLARATIONS:
Lendefs Atltlress:
Dete:
I hereby aHirtn that under penelry ot perjury Ihet I em E%EMPT FROM THE CONTRACTORS IICENSE LAW for the following raason (Sec. 7031.5, Business antl Professions
Code: Any city or county which requires a permit to consiruct, alter, improve, tlemolish, or repair any sWcture, prior to its iuuance, also requires Na epplican� tor such pertnit
to file a signed statement that he or she is licensed pursuant to the provisions of tha Contrecrors License Law (Chepter 9(commencing wilh Section 7000) of Division 3 of the
Business end Professions Cotla) or that �e or she is exempt thereirom and the basis for Ihe alleged eaemption. Any violation of Section 7037.5 by any appliwnt for e permit
subjects Ihe applicanl to a civil penalty of not more lhan live hundred dollars ($500).):
❑ I, as owner ot che property, or my employees with wa9es es their sola compensation, WILL DO THE WORK, and Ihe structure is not imendetl or oHered for sale (Sec.
7044, Business and Professions COAe: The Coniractors License Law tloes not apply to an owner of property who 6uiltls or improves thereon, and who does such work
himself or herself or through his or her own employees, providad Ihat such improvemenis are not intended or oHered for sale. If, however, Iha building or improvement is
sold within one year ot completion, the owner-builder will have �he burden of proving Ihat he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (SecJ044, Business antl Professions
Cotle: The comractors License Law tloes not apply to an owner ol pwpeny who builtls or improves Ihereon, antl who contracis tor such pmject with a contractor(s)
license pursuam to the Coniracbrs License Laws.).
❑ I am exempt under sec. Business and Professions Code for ihis reeson:
Signature: Date:
Owner ID veriFietl by dnvels license. ❑ Ves ❑ No Drivers License No. Expires:
Verification of Ownere�ip by (type of tlacument, i.e. - property taz bill or tleetl):
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION:
❑ I here6y cerlify ihat no axcavetion five (5) or more feet in tlepth into which e person is required to descend, will 6a matle in connection with work euthonzed by ihis
permit, and that no building strucWre, scaHolding, falsework, or demoli�ion or dismantling thareol, wiil be more than Ihirty-six (36) leet high. (Chap. 3.2, Grp 2. Art 2, Sec.
341, Tltle B, Celifomla Adminls�reiive Cotle).
❑ As owner-hullder, I will not employ enyone to tlo work which would require e pertnit irom the Division ol Industrial Safery, es noted above, unless such person �as e
permll to do such work irom tha division.
Signatura: Date:
Division of Indusirial Salety Permit Number:
CERTFICATE OF COMPLIANCE AND AUTHORIZA710N OF EN7RV: I certiy undar penalry of perjury that I have read ihis application antl state that ihe infortnation given is
correct. I agree Io comply with all sta�e laws end ciry ortlinances releting to building construction, and authonze representaiives of ihe Clry ot Casta Mesa to enter upon the
above-descnbetl property for inspection purposes. I egree not to acupy or ailow occupancy ot any building authorized by ihis permit until iinal inspection.
CO�E 1, INSPECTIONTYPE
161fi Fixed System Final Fire Praventlon
1266 Paol Spe Final
200 Final Ra-Foof
201 Finel elwWRetaining Well
202 Final Fectory Fire PlaCe
203 Final Sign
204 Final Demolition
CODEI �xsvecnoNlrae
206 Final Mec�anical
208 Final Plumbing
210 Final Elecirical
212 Final Fire Prevention
220 Final Plenninq Approvel
222 Finel Site
250 Finel BuildinyOccupancy
S �—/ 'd �Zi
PAIF It�Li