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Home My WebLink About2512 KINCAID DR - Building Permits ;57 /61C4) e 71e. Applicant to fill in all spaces except those within heavy border tines and sign all appropriate declarations. CITY OF COS A MESA CONSTRUCTION PERMIT PEF?,1s71T NO. 0-^7 TRACT S LOT NO. UNIT NO. l((J Elf � .. I205j L Project Address - • - - .. I � r 92807 �.i�y�G Applicant's Mailing Address 7• ••• •• • • - 4 • . •- ' It a TYPE OF CONSTRUCTION tli NEW U ADD U ALTERATION U REPAIR _ -- . - ,y� yy� Fairview Management om•any ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.qlt s-, („�,�� BIZ- I (� yl Zone�IS1G'fi" Owner's Name 4 •hone714/R6'i-15h0 DESCRIPTION OF WORK/USE OF BLDG. ` S Main Building: AccessoryBuilding: Address 1176 Main St. , Irvine, Ca. 92714 , �rppIi Gilbert Aja & Assoc. C008038 TYPE OF PERMIT U GRADING ® FOUNDATION L^I STRUCTURAL E Front 0 Arch/Eng. License No. T r � v� 23117 Plaza Pointe Dr Ste. 100 ❑ • TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B LSI 2SI o g.ii-NCM'C1 N Address Laguna Mills, Ca. 02645 A Rear I 714/777-4:66 ❑ OTHER Contractor's Name DMH Rw 1dere, TAv Phone730 yin C Right - - N Address(mailing) 7633 Woodsbor0 Ave- ,A7laheim,Ca.92807 PROJECT DESCRIPTION SQ. FT. OCCUPPA_dN_C_Yma K G • 34704 CON ST RUCTION TYPE VALUATION-4,000 G)iC a. s Left R City License No. ZONE GRADING CU.YDS. ACRES e' tI LICENSED CONTRACTOR DECLARATION / _ - - Ping. Ref.# W�3t_ ig Sf} Parking Req./Provided 1(/-L'. • , 1 E I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: P<' c_3(-0 5 -S.3 Planning Notes: 1 r �o� w Ve�-4 -R.O re.4 s • , M with section 7000) of Division 3 of the Business and Professions Code,and '. 1 C my license is in full force and effect. T —• License C.ass B 1 I icense No. 468385 S' PLUMBING FEES HOLD FOR _ �` pate -L7^b Signature .4Z2, ✓ y.VORKERS'COMPENSATION DECLARATION Bar Sink /� `1`("thereby affirm that I have a certificate of consent to self-Insure or a certificate ELECTRICAL . FEES V y of Workers' Compensation Insurance, or a certified copy thereof (Section _ I Service Sink 3800, Lab. C.) • ■ f1 Policy No. 80011930 Company Trans AmericanSewer p Construction Pole Sub. ■ , 1] �y-e./fiea copy is hereby furnished. /� L7'Cert lie c is f�"l•d witn the city Bu1Idf I Ion. 1j. :m11i Backf •• ■ . Meter Our)to 100 amps II EXEMPTION Date 4"5-r IS l Applicant ��'/�I` EXEMPTION FROM WORKERS'COPE ATION DECLARATION Clarifiers Solar • . Dishwasher • - Meter Dover 100 amps III (This (This section need not be completed if the:permit is for one hundred ($100)or less). ENDishwasher ■ 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 • ■ 11p..moii _Workers' Compensation Laws of California. I Date Signature _ 'NOTICE:If,after making this declaration, you should become subject to the III Fixtures Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed•revoked. Microwave CONSTRUCTION LENDING AGENCY Outlets Water Closet Device I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for rwtiV &!LAridTisissued (Section 3097 Civ. C.) Lender's Name OLL C Interceptors Water Heater Outlets Range Lender's Address DE N Main St. ,SSfff8f4167fX7tXSa9t 7 Ana,• . , . Sign -, OWNER BUILDER DECLARATION 92702 I affirm that I am 7031.5 from the Contractor's License Law for the :Standing Sections following Lavatories Auto-Wash Garbage Disposal reason (Section 7031.5 Business and Professional Code: Any city or County which requires a permit to construct,alter,improve,demolish or repair P-Trap 'Laundry Trays ■, ■ KVV Trash Compactor any 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 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 - nalty of not more than five hundred dollars($500). U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee compensation, will do the work,and the structure is not Intended or offered Reinspection Fee $15 Issue Fee $ 3 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 Hood or Type I 0 • • REQUIREMENTS: employees, provided that such improvements are not intended or offered for BoilerZoning Approved By DWC.• Pk- sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II 0 •" pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground prove for the purpose of sale). • A ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System •. tkirtrax 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 0o-100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- . tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration 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# Fire Dampers PLUMBING $ ISSUANCE $ Date Owner Heating System& Ducting Registers . PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I .ve read this application and state that the above ❑O-100,000 BTU 0100,000 BTL GRADING Information Is correct 'ree to comply with all city and county ordinances ELECTRICAL $ and'state laws re.•J in• ;• building construction,and hereby authorize repre- • ,. - sentatives of t 1j' Jo enter upon the above-mentioned property for PLAN CHECK inspection pur• 6 Signature •�o� - mate /-2- D Drivers' License or 55 • - Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ • CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor ' CONSTRUCTION AND PLANNING P` \\ 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 Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical OF ER Grnd. • 57. APPROVAL TO COVE R-GUNITE 7. Footings )1446. OS 58. Electrical Conduit-Undrgrnd. , 8. Foundation 59. Gas Pipe, O 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 67. Fencing & Access Approval - • 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18.' Rough Electrical-T Bar Ceiling 69. POOUSPA 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 ❑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: 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. Backf low Preventer. - 43. BackfloW Irrigation 44. Landscape Irrigation System - 45. Sound Attenuation 46. Handicap RegulationsI - - 47. FINAL STRUCTURE & BUILDING ,lance, P? 48. Special Requirements Completed-- (_Z ea� • 49. Electric Release to Edison - - . 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY • No. - - ' Date