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HomeMy WebLinkAbout1152 KINGSTON ST - Building Permits • PROJECT ADDRESS: 1152 KINGSTON ST BRIT' CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 05650`_ I OWNER'S NAME: BORG, DWAYNE E — aoDgEss: 1152 KINGSTON ST PERMIT NO: P 56505 PLAN CHECK NO; N GOVT; N SUPP: N COSTA MESA, CA 92626 . CONSTRUCTION TY E: PERMIT TYPE: PLU PURPOSE: OTH • ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REPLACE UNDERGROUND GAS LINE SQ FT: ADDRESS: UNIT: PERMITTEE: CLAIM VALUE: CALC—VALUE: GROUP OCC: / ADDRESS: FRASSICA SERVICES ( 714 ) 721 -6753 N1B20 PARK NEWPORT C . C 660 )C'2*'*`**4Nc**> *` O**x*I( •****R****906*************m****3 **3E********x*-*x-**xx'E***alxx•x***.x*iE** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed u •• pr. 'ions o1 Chapter 9(commencing with Section z ONING REQUIREMENTS .7000)of Division 3 al the Business and Professions Code.and my license i n I orce and effect. • SETBACKS CITY LIC.: n-39pd STATE L9,5 15059 ' : C39 Date: Sl Signature: `� I MAFN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: thereby aft' I , I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IIN REAR: FT IN FRNT: FT IN REAR : FT IN Compensation Insurance.or a certified copy thereof(Se on 38", CI. LEFT: FT IIN RGHT; FT IN LEFT; FT IN RGHT; FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ. • PROV: PARCEL: 41204203 ZNE: REF NO: ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NUTES> / >* • Date: Applicant: *************** ****•******************l******4,,il''.*****S* ****•*ii*****x. *****k***** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Thirt r not be completed if the permit is for one hundred($100)or less). DEVELOPMENT S E R V�,I C E S�. REQUIREMENTS I certify that in the performance of the work to which thi .• ed,I shall not employ any person in any manner so as to become f - ...x.- subject to the Workers'Compensation Lays 01 Gaf. nl /� // l` ZONING APPROVEDI BY •: - DATE: S Date: J 0 S'enat . . . NOTICE:If.after making this declaration. .. should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY ; , ') DATE: Code.you must forthwith comply with . h . r isions or this permit shall be deemed revoked. �l � 1 CONSTRUCTION LENDING AGENCY: 1 he-by affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: _ eco' c DATE• 3� (0 / l which this permit is issued(Section 3097,Civ.C). ****** {i**** *X*****x*36f *************-]f WF * F PETT-***R************nil 12.5E7 n** LENDER: %**************x*************?E*****3(****************** *******3r**HF*+F3e**ai******* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N • OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 2L5% 0 0 repair any structure,'prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 2 5 k SMIP/,NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 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 five hundred dollars($500). ISSUE FEE 3. 00 I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV-7 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----> 2 , 00 3 , 00 0 , 00 5 , 00 5 . 0 0 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If, however the building or ' improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 5 . 00 OVER/SHORT: 00 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 5 .00 ❑ and Professions Code: The Contractors'Stale License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law).I am aware )4.y.***********************************-x***************************************** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREACDOWN ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: PLU 1 GAS PIPING .SYS OF 1 TO 4 OUTLETS 2 . 00 2 , 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,andEND OF FEES ' 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a , • permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from t these provisions. • Date: Applicant- I hereby certify That I have read this application and sta al I ov ' ormation is correct.I agree to comply with all city and county ordinances and state laws relating to building stru n and r bonze representatives of this city to enter upon the above-mentioned' property for inspection purposes. l// } ",' : - . ; ''1 T',�__ , Date: �i •�*10 7 Z ture: T. • _ _ Driver's License or Social Security n: . 1 164646 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL .. SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector • 1.Temporary Electrical Service or Pole /2. • T 52. Pool & Equipment Location • 2. Soil Pipe-Undrgrnd. r • 53. Steel Reinforcement 3. Electrical Conduit Utility-Uhdrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding '/1 5. Steel Reinforcement _ • - _ 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. / 57.'APPROVAL TO COVER-GUNITE /">\ 7. Footings / 1j \ 58. Electrical Conduit-Undrgrnd. • 1 • 8. Foundation 7, 59. Gas Pipe,0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. - I 60. Backwash Lines,P-Trap, 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 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' 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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 PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 343/Qt- Lie 36. Hood or Canopy .ti 37. Final Factory Fireplace -4-- 38. 1"38. Final Plumbing 3nft 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backf low Preventer 43. Backflow Irrigation - 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 1.f 48. FINAL PLANNING 49. Electric Release to Edison 0_ 50. Gas Release to Southern California Gas Co ) 51. CERTIFICATE OF OCCUPANCY No. Date A�A1 H D t/ v . - 1r16666 II /IL/79 aP6,71 TL COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 RECEIVED BY P Voci , .0 • For Applicant to Fill in Completely-Use Ink Only Y/VI•'7(/f�' BUILDING A.P.NO. 44 -04Z+d ADDRESS Tract 1()278, lot 2 BUILDING OWNER OR ADDRESS I' 54a. KI♦1 5* ���� TENANT McLain Development Co. UNIT OR MAILING SPACE NO. ADDRESS 1470 Jamboree Rd. TEL. D TR.0 -7S LOT BLK. CITY Newport Beach, NO. 640-6800 • CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH LENDER ,/ BRANCH v OWNER ADDRESS VALUE 7♦/♦�.♦ ARCHITECT TEL. USE $ � OR ENGINEER Corbin/Yamafuji NO. 752-556 ADDRESS 3661 Spruce St. Newport Beach ZONE FrAM1 MD TYPE GROUP APPROVED �� CONTRACTOR McLain Development Co. BY D6E • ADDRESS 1470 Jamboree Rd. CITY Newport Beach TEL. NO. 640-680C F APPROVED SETBACKS .4 STATE CITY LIC.NO. 273875 LIC.NO. 18873 Lu SIZE NO.OF BLDGS (FROM C/1_STREET) L ^/OF LOT NOW ON LOT FRONT )7 FT. Q USE OF .F.. EXISTING BLDG. R.SIDE 5 FT. H FSeparate permits are required for L.SIDE ++��5 FT. O • electric,plumbing and heating work: REAR H 1 I FT. - 1.0 USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION ' Q 0 a Single family residence t_DATE APPROVED • ✓ New house APPROVED` / g 0�� /79 LAY DATE .a A C4 W O I hereby acknowledge that I have read this application and state m X that the above information Is correct and agree to comply with a. all laws regulating building construction, and I shall not employ - Z any person in violation of the workman's compensation laws of / • /� w V WW, the State of California. ,at% G CINe SO. FT. -v C� N m I hereby certify that am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, E AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m am exempt from the provisions of the State of California Business VALUATION PERMIT FEE CO and Professions Code,Division 3,Chapter 9C $��7•�•/ in Signature of 4�i C 4C ��7 PLAN CHECK $ /Q• co LL Ns Permittee ���lll [ $71/924: / 92 TAX��' / $ •4 grata or U Authorized Ag Date 777 TOTAL PAID a+♦