HomeMy WebLinkAbout2504 KINCAID DR - Building Permits a5121/ itInca/Gl Dr Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
-CITY OF COS A MESA CONSTRUCTION PERMIT P RMIT O. •
TRACT NO. LOT NO. UN O.
Project Address I - e e 101 92807 0 7 a/ t x055 i II
Applicant's Mailing Address 7633 Woodsboro Ave. ,Anaheim,Cat TYPE OF CONSTRUCTION � NEW LJ ADO LI ALTERATION i I REPAIR 1008 . 9/27/85 17C.7G TL
Owners Name Fairview Management Company 714/863-15 0 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.vW 4-20-ria- t o I Zone pp/z-/t/�
Phone DESCRIPTION OF WORK/USE OF BLDG.
Address 1 176 Main St. . Irvine, Ca. 92714 S Main Building: Accessory Building:
Gilbert Aja & ASSOC. Coo 8038 TYPE OF PERMIT L •I GRADING lid FOUNDATION L� STRUCTURAL E Front I f�-' t_ Z
Arch/Eng. Lice No. 100 T RI TrV^'t �� - O
22311i Pr - � _
Address Laguna Hills.YOCnte a 9Urt� @. ❑ TENANT El El 0MECHANICAL B Rear , N
Contractor's Name DMH Builders, Inc. Phone 714/777-4656 ❑ 'OTHER A 7b 'tern Gt2.2�s: E I
Address(mailing/ 7633 Woodsboro Ave. ,Ariaheim,Ca.92807 PROJECT DESCRIPTION SQ. FT. 20% 2920 OCCUPANCY tr1—t C Right N
34704 CONSTRUCTION TYPE VALUATION S-3$73&2?5 IIZ $ Left .
City License NO: _ ZONE GRADING CU.YDS. , ACRES s 1 n R
LICENSED CONTRACTOR DECLARATION Ping. Ref.# - S-y -i - Parking Req-/Provided 1t{Lf +37.C.T E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 'py PlanningNotes: (� i. 0
with section 7000) of Division 3 of the Business and Professions Code,and �� �� -� l t� e I �'Q'Y1 0 �g�'�� refl�• M
my license is in full force and effect. T
Date C zs B 'cense No. 468385 PLUMBING FEES HOLD FOR SPECIAL REOUJREMENTS
`/-\'0 Date 2,f-i' sc-tature
r/ `_ WORK RS'COMPENSATION D ATION ELECTRICAL FEES
1 Bar Sink Showers
/ r 'hereby affirm s ' that 1/Compensation
a insurance,
of consent toidel copy a (Section J Workers'bomp¢nsation Insurance, or a certified copy thereof Backflow Preventer Service Sink - - - -
[�, 3800, Lab.-C.) - Automatic Washer Transformer 0 15-50 KW
e Policy No. 011930 Company Trans American Backflow Irrigation Sewer Cap Construction Pole Sub. 050+KW
I o ed copy is hereby furnished. ,
Certified cgpyjs IS4itft�city But i ion. Bathtubs Sewer Connection Cooking Unit_ Meter D -
up to 100 amps
Date Lr�/— Applicant `
EXEMPTION FROM WORKERS'C 6N DECLARATION . Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps •
(This section need not be completed if the permit Is for one hundred ($100)or
less)- • Dishwasher Solar Piping r 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 su lect to the Drinking Fountains - Solar •Tank Fan •
Workers' Compensation Laws of California. Motors 00-1 HP❑1%-8 "
Date Signature Floor Grains Swimming Pool w/Spa • F.A.U. •
IncInSolar '
.Solar If,after making this declaration, you should become subject to'the ❑9-15 HP ❑16-15+
Workers' Compensation provisions of the Labor Code, you must forthwith . Floor Sinks UrinalFixtures
comply with such provisions or this permit shall be deemed revoked. - - Microwave - ,
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet - Device Boxes
1 hereby affirm that there is a construction lending agency for the performance Pole Light
of the , work for which this. permit is issued (Section 3097 CIv. C.) Interceptors Water Heater Outlets '
Lender's Name Rank OAmerica - - •
Range
Lender's Address 801- N. Main St. , Santa Ana,Ca.92702 Kitchen Sink Water Service Switches Sign
OWNER BUILDER DECLARATION -
1 hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash - - Garbage Disposal I
following reason (Section 7031.5 Business and Professional Code: Any city or 9 P ;Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays • Generator ❑0-5 KW 05-15 KW
any structure, prior to its Issuance, also requires the applicant for such permit Trash Compactor
to file a signed statement that he/she Is licensed pursuant to the provisions ofRoof .Drains - - -
the Contractor's 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 any applicant for a permit subjects the applicant to a civil —...---
malty 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 do the work, and the structure Is not intended or offered - Reinspection Fee i $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law does hot 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 Boiler Hood or Type I ❑ DEVELOPMENT SERVICE p{'Q'UIRE ENTS:
employees, provided that such improvements are not intended or offered foryp y7 _ �`_ / I��
sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ - Zoning Approved By 1--�� 1 Date t stg +
elation, the owner will have the burden of proving he/she did not build Or Im- Duct-Under Ground Building Approved By I `i'-�---•-. Data Z3-F9
prove for the purpose of sale). - /
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System ' Application Issued By 7 A e% 1 Date ^ -eta--
tractors
.tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License law does not apply to an owner of property who Duct-Ventilating ' 00.100,000 BTU 0100,000 BTU $UMM V OF FEES • 7�
builds or improves thereon,and who contracts for such projects with a con- p(�-�
tractor(s) license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $ I1 • $MIP $ 1--at7t'--
proof o// their Worker's Compensation insurance should be provided to me.. Exhaust System 0 Multiple 0 System Repair/Alteration
PLAN CHECK $ PERMIT
0 I am exempt under Section B. a P.C.for this reason Firepl/Fact-Bit. 'CB°# Fire Dampers PLUMBING $ ISSUANCE $
Date Owner 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 0100,000 BTL - ELECTRICAL $ GRADING $
information is correct. I spree to comply with all city and county'ordinances
and state laws rel ng t building construction, and hereby authorize repre- - PLAN CHECK 50% $ 1 MICROFILM $
sentatives of thi • enter upon the above-mentioned property for
inspection purpos ' - _, MECHANICAL $
Signature De ) TOTAL FEE . $
Drivers' License or SS$ 9-/ p5T> Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ / 74. 76'
ilimlis
CMF 0865-46,rev. 10/84 white - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
. CONSTRUCTION AND PLANNING PO. &SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
' 62. Soil Pipe-Undrgrnd. -53. Steel.Reinforcement •
•
3. Electrical Conduit Utility-Undrgrnd. 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 /d)cl$6 s 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 ❑Oil
2'3. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank ❑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: S O /� t/(o
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. FINAL STRUCTURE & BUILDING hex. PI
48. Special Requirements Completed ' /_2-9_
49. Electric Release.to Edison r -
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No. • Date'