HomeMy WebLinkAbout2511 KINCAID DR - Building Permits 1f / / #i Q(clZ D). •
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF C STA MESA CONSTRUCTION PERMIT PERMIT qNO�.,, p TRACT NO. LOT NO. UNIT NO. . . . .
ProjectAddress Tract 12055 - Carport 'F' 92807 A —4' 70 Ito SS ( 1005 9/27/65 99036 Tl.
Applicant's Mailing Address 7633 Woodsboro Ave. ,Anaheim,Ca. TYPE OF CONSTRUCTION U NEW IJ ADD LJ ALTERATION U REPAIR n i
Owner's Name Fairview Management Ccmp9X',e714/8A1-15j)0 ❑ CONVERSION ❑ DEMOLISH ❑ OTFtint A.P.#(4�.- 0I2--( 0 Zone.1,a(2-4
1176 Main St. , Irvine, Ca. 92714 DESCRIPTION OF WORK/USE OF BLDG. (( -
Address tt--JJ 1�I S Main Building: AccessoryBuilding:
Gilbert Aja & Assoc. 0008038 TYPE •OF PERMIT U GRADING 11(1 FOUNDATION II STRUCTURAL E Front Z
Arch/Eng: Lice No. _ T 0
Lill/ Plaza Pointe Ur.License luU El TENANT ❑ ELECTRICAL.El PLUMBING ❑ MECHANICAL B N
Address Laguna Hills-, Ca. 92653 A Rear f,(rol„1 �c-(e/ �n0 �{ '�y,
0 OTHER
Contractor's Name OMR Atli 1 Aare, Int-
PROJECT
714/77 7-g6b6 rrrryyyyt��t-��- 1��1 C Right
PROJECT DESCRIPTION SQ. FT. 1460 OCCUPA - ,
Address mailing) 7633 WOnr75bnrn Ave ,Anaheim,Ca 92A07 CONSTRUCTION TYPE VALUATION$ j75S(n $ Left - R
City License No. 347Q4 • ZONE GRADING CU.YDS. ACRES - Ping. Ref.# � 5 _ Parking Req./Provided , E
�, LICENSED CONTRACTOR DECLARATION rrll�� �p ,` A IN- ♦ - '
1 hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ¶f 5 _5- Planning Notes: Ph�E '.— r5-r�OAS ' 0—D rocs 1Q. ( a„I M
with section 7000) of Division 3 of th• Business and Professions Code, and (� ✓Y' V
my license'is in full force and effect. • _�— T
LeiLicens Class 13- % License Ne: 468385 s
Date ' t - PLUMBING i I FEES HOLD FOR SPECIAL REQOIRLMLN.TS
Signature 4/�
,1; WORKERS' COMPENSATION D CLARA ION' •
Bar Sink Showers
I hereby affirm that I have a certificate of consent to self-Insure or a certificate ELECTRICAL FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink -
3800,'Lab. C. - - Automatic Washer ' Transformer 0 15-50,KW
A
' aNN 'B 80011930_ Trans AMerican " 0 50 KW -
Policy No. pony Backflow Irrigation Sewer Cap j Construction Pole Sub. + i
rtifi copy is hereby .furnished. •
Certi£ co yjStiletl a city B . 1 Won. ' Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date��S Applicant -
EXEMPMPIONT FROM WORKERS'COM SA AON DECLARATION Clarifiers • Solar Collectors ' Dishwasher Meter ❑over.100 amps :
(This section-need not be completed if-the permit is for one hundred ($100) or - - - - . .
less). Dishwasher ' Solar Piping Dryers ❑Gas DElectric 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 Motors❑0.1 HP 01'/x'-R
Workers' Compensation Laws of California. i •
•
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 0915 HP 016:15+
NOTICE:If,after making this declaration,you should become subject to the ,
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal _ Fixtures - Microwave -
comply with such provisions or this permit shall be deemed revoked. •
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 Tack gp uerrPip is issued (Section 3097 Civ. C.) Interceptors, - Water Heater '
Lender's Name dI1K Oi /Grit P Outlets Range
Lender's Address 801 N. Main St. .Santa Ana,ra 92702 . Kitchen Sink Water Service Switches' Sign
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories • •
Auto-Wash Garbage Disposal
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 172.-Trap - • 'LaundryTrays '
any-structure, prior to'its issuance,also'requires the applicant for such'permit y Generator 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 -- -
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 - .
herefrom 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 '
penalty of not more than five hundred dollars($500).
LJ 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
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES $ 3
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 • I Hood or TypeDEVELOPMENT SER ICES REQUIREMENTS: C14-S3
,', _ ` �/
employees, provided that such Improvements are not intendedhinor offered for Boiler I 0 - Zoning Approved By ' Date -t -S3 /e�
sale. If, however, the building or improvement is sold within one year of tom- , Canopy Type It 0 • 1
pletion, the owner will have the burden of proving he/she did not build or im-, Duct-Under Ground Building Approved By - rI Date
prove for the purpose of sale). 1 �y� _
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural ' Refrigeration System Application Issued By //11 / Dat O�
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 .
SUMMARY OF FEES $$
builds or improves thereon, and who contracts for such projects with a con •
-
tractors) license pursuant to the Contractor's License Law). I am aware ithatExhaust System ❑ Multiple❑ System Repair/Alteration BUI LDING'PER MIT $ cos Ko SMIP $ ..4'f
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.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $
Date I - ' Owner Heating System& Ducting , 1 Registers .
• PLAN CHECK 25% $ ENERGY P.C.. $
I hereby certify_that I h ve read this application and state that the above 00.100,000 BTU 0100,000 BTL ELECTRICAL $ GRADING $
information is correct. I -•ree to comply with all city and county ordinances
and:state laws r in• • building construction,and hereby authorize repre-
sentatives of. t io enter upon the above-mentioned property f -
inspection y,e� G1 r$� MECHANICAL $ TOTAL FEE $ 9 1,'71
Signatur •
specti ..100_--...
Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% 99. 3
Drivers' Lice se o S# $ -
CMF 0865-46,rev.10/84 White - Building; Can(ry -Applicant; Pink -Accounting;Goldenrod - Assessor
CONSTRUCTION AND PLANNING ' - POL a SPA
APPROVALS Permit# - Date Inspector APPROVALS Permit# Date -I nspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
. 2. 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 UF ER Grnd. - 57. APPROVAL TO COVER-GUNITE
7. Footings � 3 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. Undergrnd.Storage Tank 0 Gas DOH
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 I j 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 6
33. Final Electric Notes: OK ,Ifo/ Ci fo
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 r-=
43. Backflow Irrigation
44. .Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING i` (/ S
•
48. Special Requirements Completed `-2q�7 "/i. Cap
49. Electric Release to Edison ��LL .
50. Gas Release fo Southern California Gas Co
51: CERTIFICATE OF OCCUPANCY _
No. - • Date