HomeMy WebLinkAbout2529 KINCAID DR - Building Permits . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 2463 5/06/85 5U3400 TL
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ITY OF COSTA MESA CON7RUCTI�ON PER I.T PERMIT
/NO. ¢Qi�� TRACT NO. LOT NO. UNIT NO.
✓
Project Address /5/4/e#747 �� ' ` -Area ' 1�y gl—D 4/ , 186-84
41, Applicant's Mailiny�al�r 1641 Commerce St. , Corona TYPE OF CONSTRUCTION lJ NEW 0 ADD L I ALTERATION U REPAIR
Butler Housing 9/9-/450 ❑ CONVERSION ❑ DEMOLISH 0 OTHER A,P.#' I Zone
Owner's Name Phone DESCRIPTION OF WORK/USE OF BLDG.
.} Address 1691 Kettering St. , Irvine S Main Building: _ Accessory Building:
- E Z
Arch/Eng. • License No. TYPE OF PERMIT 0 GRADING 0 FOUNDATION U STRUCTURAL T Front - O
Address • 0 TENANT ELECTRICAL 0 PLUMBING 0 MECHANICAL - B Rear • - - N
Cross State Electric,7�c, 73/-88/0 -❑ OTHER
Contractor's Name one C Right N
Address(mailing) 1'64 1 Commerce St. , Corona - PROJECT DESCRIPTION SQ. FT. OCCUPANCY K Left G
34901 • C Right $
16TYPE VALUATIONS S R.
City License No. ZONE GRADING CU.YDS. ACRES Ping. Ref. # Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION ///��J — ���
t hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: //( Planning Notes: — Q
with section 7000) of Division 3 of the Business and Professions Code, and �1 M
my license is in full form ar�0.ef fact. 4 1 206 1 g,
License Crass V /� Ice e N
Date Signature Signature f% • PLUMBING FEES
•
WORKERS'COMPENSATION DECLARATION Bar Sink Showers
,hereby affirm that I have a certificate of consent to self-insure or a certificate I ' ELECTRICAL FEES
of Workers' Compensation Insurance, or-a certified copy thereof (Section -- - , Backflow Preventer - Service Sink - '
AuTomatic Washer Transformer 0 15-50 KW
3e00, Lab. c.1761NA7293 St. Paul 0 50+KW
Policy No. Company - Backflow Irri• gation Sewer Cap t - Construction Pole Sub.
—
— Certified copy isE hereby furnished..thcity
Caitiff py filed with the city,B Iv' on. Bathtubs Sewer Connection Cooking Unit Meter Lg�p to 100 amps 16 So
Date -85 - Applicant. -
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors . 16 @ 1 ,00 16••0},31 /
Dishwasher afar Dover 100 amps (�` G
(This section need not be completed if the permit is for one hundred ($100)or -
less). • Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel 16 @ 5.00 80
I certify that In the performance of the work fermi-doh this permit Is issued, I 36 @ 1 .0u OU 36.9�
shall not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank ~ Fan ��
Workers' Compensation Laws of California., otors❑0.1 HP 01 Y-8 ,
Date Signature Floor Drains Swimming Pool w/Spa, F.A.U. 8 @ 1 .00 8. )-p $'
NOTICE:If,after making this declaration,you should become subject to the ((110.Solar 09-15 HP ❑1615+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures - SB @ .1U I/' �„Iicrowave o (�
comply with such provisions or this .permit shall be deemed revoked. ��
CONSTRUCTION LENDING AGENCY , Gas Service Outlets Water Closet - Device Boxes 88 @ •1O 1 /�
I hereby affirm that there is a construction lending agency for the performance Ole Light 06 O.
of the work for which this permit Is Issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets 29'6 @ .20—59-7Nange • SF j(J
Lender's Name
Lender's Address Kitchen Sink Water Service _ Switches 148 @ •LU 29.SUign e,-- F40
OWNER BUILDER DECLARATION — - - —m•
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Dis Oral 1�-1 .Vl_j 6•• 3 ,
following reason (Section 7031.5 Business and Professional Code: Any city or GarbageP @ �tanding Sections /4
county which requires a permit to construct,alter,Improve,demolish or repair , P—Trap -
any structure, prior to Its Issuance, also requires the applicant for such permitGenerator 00-5 KW 05-15 KW Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of - Roof Drains
he Contractor's License Law(Chapter 9.(commencing with Section 7000)of -
Jivision 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 any applicant for a permit subjects the applicant to a civil •
malty of not more than five hundred dollars($500). $ 3
LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee
compensation, will do the work,and the structure is not Intended or offered Reinspection Fee f $15 . Issue Fee $ 3 i
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law 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 DEVELOPMENT SERVICES REQUIREMENTS:
Hood or Type provided that such improvements are not Intended or offered for Boiler I ❑ .
sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II 0 Zoning Approved By Date
pietion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By DatO
Dove for the r of the of oe). S� /
tr I, as owner tr the property,rojectamexclusively 7044, Cus nese ng with of licensed con- Duct-Structural —Refrigeration System Application Issued By Date In
hel9rs construct the project (SectiontBo
and Professions property
Cotle: iFE /
The sContractor's License Law does notapply to an owner je is thta who Duct-Ventilating ❑0.100,000 BTU ❑100,000 BTU SUMMARY OF FEES
builds or) improves rsu lit and who contractsac 'sforce such w).I as with a a-
tractor(s1 their pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple❑ System Repair/Alteration BUILDING PERMIT $ SHIP $
proof of their Worker's Compensation insurance should be provided to me.. PLAN CHECK $ PERMIT
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# PLUMBING $ ISSUANCE $
Date Owner, Heating System&Ducting PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL. 363'00 GRADING $
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ MO state laws relating to buildin construction,and hereby authorize repre-
sentatives of this city to ante po the above-mentioned property for
inspection our s.14. ., /} 5-6-85 MECHANICAL $
Signature ////�"'�� ,✓!f1 Y/� Date TOTAL FEE $ �s
Drivers' License or 5S qPReinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev.4/84 White-Building:Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING PG . &SPA
APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
•
3!•Electrical duitljti 't - d. 54. Forms
4.,Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement Warr
56. Rough Plumbing & Pressure Test
6.'1Electrical UFER Grnd. t�� 57. APPROVAL TO COVER-GUNITE
7.:Footings !. 58. Electrical Conduit-Undrgrnd.
8.'5Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9."Water Pipe-Undrgrnd. 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 $7St( .Gi 67. Fencing & Access Approval
17. Rough Wiring Sign / ��V 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 0Oil
23. Gas Pipe-Rough&Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank C Gas C 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 INSPECTION
32. Electrical Power Meter-Final ` 'j 80. FOOD CERTIFICATE ISSUED
33. Final Electric i/ Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final '
41. Solar Domestic-Final •
42. Backflow Preventer •
43. Backflow Irrigation
44. .Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47.•FINALSTRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
,25.29. 1tinUuef Dr. Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 1007 9/27/85
CITY OF COS -A MESA CONSTRUCTION PERMIT — PER&NO. TRACT NO. LOT NO. UNIT NO. i=4 SB TL
Project Address - I - . lisp ' ' • :17 - .20 - 1-�5� I 1 -
Applicant's Mailing Address 7633 Woodsboro Ave. ,Anaheim,Ca TYPE OF CONSTRUCTION ki NEW ❑ ADD Li ALTERATION Li REPAIR •
n 11 ++ -,Owner's Name Fairview Management COmP ,�'ne714/863-1500 ❑ CONVERSION ID DEMOLISH ❑ OTHER A,P,516 It Litz -O I.L../ O Zone P9 e-N C
DESCRIPTION OF WORK/USE OF BLDG. c--^)PrA,Roesr S Main Building: Accessory Building:
Address 1176 Main St. , Irvine, Ca. 92714
Gilbert Aja & Assoc. C008038E f z
Arch/Eng. , License No. TYPE OF PERMIT LI GRADING FOUNDATION STRUCTURAL T Front 'Z(or-`rjlYs,c C H - D
23117-Plaza Pointe Dr. , Ste, 100 • ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL 8 N
Address - - • - - Rear ,/ -�yO.rol D} w\G
' - • ❑WHER A
Contractor's Name DMH Rlli l&ars Tnr Phone7l 4/177-46C 6PROJECT DESCRIPTION SQ. FT. 1460 OCCUPANCY YYl-t C Right . N
Address(mailing) 7633 Woodsboro Ave. ,Anaheim,Ca.92607 CONSTRUCTION TYPE VALUATION$-.16=1,7612_155 . $ Left R
� q City License No. 34704 ZONE GRADING CU.YDS. ACRES C 1I
V LICENSED CONTRACTOR DECLARATION _ Ping. Ref.# - S.�., /Strj Parking Req,/Provided I44 eOUPfP4 E
I hereby affirm that I am licensed under provi5ion501 Charter 9 (commencing Remarks: PG 3 5 35 Planning Notes: I -`e a.,✓�Is wo.ceA &6 (p{s,L;red, M
with section 7000) Of Division 3 of the Business and Professions Code,and u
1 my license Is in full force and effect. - � T.
,I✓//t License C 5 -B B A ., I License No 468385 s
/Y Date -� - 'Signa -U�'-- -.. - PLUMBING FEES HOLD �'OR SPECIAL If�Q01KLMEN?3 • •
U '�s�.
WORKERS'COMPENSATION D CLARATION .
'• Bar _ Showers ELECTRICAL FEES
hereby affirm that I have a certificate of consent to self-Insure or a certificate
('� if Workers' Compensation Insurance, or a certified copy thereof (Section �--_ - - Automatic Washer - - Transformer ❑ 15-50 KW." - -
v A 3800, Lab. C.) Backflow Preventer Service Sink
Y Policy No. 80011930 Company Trans American Backflow Irrigation Sewer Ca ❑ 50+KW ,
P Construction Pole Sub. ,
�.�eefrtt Pied copy is hereby furnished. —
Seer fieri copy i f th the city B ' sion. Bathtubs Sewer Connection - Cooking Unit - Meter ❑up to 100 amps ',/-
Date 7- 2--5-^°Y^ Applicant _ /)ice
EXEMPTION FROM WORKERS'C• ' ' ION DECLARATION Clarifiers Solar Collectors s_ Dishwasher Meter Dover 100 ampi
(This section need not be completed if the permit is for one hundred ($100)or
-
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric ' Sub Panel
I certify that in the performance of the work for which this permit is issued I
shall not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank Fan
Workers' Compensation Laws of California. • Motors 00-1 HP 011/2-8
. Date ' Signature Floor Drains Swimming Pool w/Spa. F.A.U. Inc.Solar 09-15 HP 01615+
'NOTICE: II,after making this declaration,you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks ' Urinal - Fixtures - - - '
comply with such provisions or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which tins _nermlL is Issued (Section 3097 Civ. C.)
Lender's Name Ic of America • interceptors • Water Heater Outlets Range
.
Lender's Address 801 N. Main St. ,Santa Ana,Ca.92702 Kitchen Sink ' Water Service Switches Sign
OWNER BUILDER DECLARATION - '
' I hereby affirm that I am exemptfrom the Contractor's License Law for the s ' Lavatories Auto-Wash . Garbage Disposal ' '
following reason (Section 7031.5 Business and Professional Code: Any.city or 9 P ;Standing Sections I
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays Generator ❑0.5 KW 0515 KW Trash Compactor structure, prior to Its issuance, also requires the applicant for such permit -- .
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law(Chapter 9 (commencing with Section 7000)of :
•
`ivision 3 of the Business and Professions Code) or that he/she is exempt - -
erefrom and the basis for the alleged exemption. Any violation of Section .
031.5 by any applicant for a permit subjects the applicant to a civil _ -J - p -
enalty of not more than five hundred dollars($500).I. as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will Co the work,and the structure is not intended or offered . - Reinspection Fee f $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's ' MECHANICAL FEES
License Law does net 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 - DEVELOPMENT SERVIt1��E REOU REly,1ENTS: _
employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I 0 Zoning Approved By V I /-'c+ Date f /ZS/d"S
sale. If, however, the building or improvement is sold within one year of com-. Canopy Type II ❑ - qp _Q
elation, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date C>�7 O
44.
prove for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By & / Date 9-0.
tractors to construct the project (Section 7044,Business and Professions Code: e
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating DO-100,000 BTU El 100,000 BTU SUMMARY OF FEES
41
builds or improves thereon,and who contracts for such projects with a con- - qpp �^
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ 1f'3 a SMIP $
proof of their Worker's Compensation Insurance should be provided to me.
IDI am exempt under Section B.& P.C.for this reason Firepl/Fact.BIL #ICBG Fire Dampers . 1
- PLUMBING $PLAN CHECK $ PERMIT ERMITE $
Date • Owner f Heating System& Ducting Registers •
PLAN CHECK 25% $ ENERGY P.C. $ '
I hereby certify that I have read this application and state that the above 00-100,000 BTU ❑100,000BTL— - ELECTRICAL $ GRADING $ '
•
information Is correct. I agree to'comply with all city and county ordinances •
and state laws relat g to b ding construction, and hereby authorize repre-
sentatives Of this PLAN CHECK 50% $ MICROFILM $
nter upon the above-mentioned for,.....----inspection purpo i7t/ property for •
a ZP- __ MECHANICAL $ TOTAL FEE $
Signature -..oriS,�
� - -'rlspection.F.ee $15 Issue Fee $ 3 PLAN CHECK 25% $ ! 9r ?
Ii CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
•
- CONSTRUCTION AND PLANNING PO a SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit UtilityUndrgrnd. • 54. Forms
4. Electrical Conduit-Undrgrnd. 55. •Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing& Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings f/ 5 1-Gl 5 58. Electrical Conduit-Undrgrnd.
8. Foundation ' 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60: Backwash Lines, P-Trap, 0 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. Uniergrni.Storage Tank 0 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 INSPECTION
32. Electrical Power Meter-Final '80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: S4-.,Lok 10186
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final •
40. Gas Service-Final
41. Solar Domestic-Final • - . -•
42. BackflowPreventer -
43. Backflow Irrigation - • - -
44. Landscape Irrigation System -4
45. Sound' Attenuation •
46. Handicap Regulations ",= •
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed'_,
49. Electric Release to Edison - •
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. • - Date