HomeMy WebLinkAbout2514 KINCAID DR - Building Permits a5/// 7�/nca/W 7/Y• Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COS MESA_? CONSTRUCTION PERMIT PET NO..1 �7 may^ TRACT NO. LOT NO. UNIT NO. •
Project Address MESA
12055 - Carport 'E' 92807 K� t'�t 07 84L/ 12ai 1006 9/27/85 59038 TL
Applicant's Mailing Address 7633 Woodsboro Ave. ,Anaheim,Ca TYPE OF CONSTRUCTION in NEW U ADD U ALTERATION U REPAIR
Company ❑ CONVERSION ❑ DEMOLISH ❑ OTH
Owner's Name Fairview Management Phone714/RRRX9ffi[�tb( � A.P.# tf•D-O 12- 10 Zone R_1�.0
DESCRIPTION OF WORK/USE OF BLDG.
Address 1176 Main St. , Irvine, Ca. 92714 863-1500 S Main Building: Accessory Building:
Arch/Eng. Gilbert Aja & Assoc• Licerue No. C008038 TYPE OF PERMIT . U GRADING ® FOUNDATION 1i STRUCTURAL E Front 2k" ,cry c 1) O
23117 P,a o me Ste. 100 0 TENANT ❑ ELECTRICAL 0 PLUMBING ❑ MECHANICAL B •f� N
Address Las -- - , ca- 922tta A Rear •cSowt 7Slb�';ncaid yY, 1
Contractor's Nam DMH Builders Inc Phone 714/777-4656 ❑ •OTHER
PROJECT DESCRIPTION 50. FT. 1460 - OCCUPANCY 1Y1-1 C Right . N
Address(mailing) 7633 Woodsboro Ave. ,Anaheim,Ca.92807 12 K G
C O N ST RUCTION:TYPE -. - VALUATION$ 0.17( 155te $ Left
City License No. 34704 R
ZONE GRADING CU.YDS. ACRES Ping. Ref.# r /1- Parking Req./Provided Ng -MO E
LICEN5ED CONTRACTOR DECLARATION - _ C-V-if /T Ng -!r+l r•`-• • G
N.3.
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: '�G .. 3�5_'3 Planning Notes:pkp 4e )- (_o_e-A�'h CpyQ,reA p ,i, neta, M
L_�V with section 7000) of Division 3 of the Busine s and Professions Code,and y
I my license is in full force and effect. •468385 ... • D�• ,r Is1•ii,1 �f•�p S'
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License lass icense No, HOLD FOR SPLCIt1L I .QU�lu.l!lE1'I 1.7- -
(-4 Date Signature PLUMBING FEES • •
•
.4 WOR ERS'COMPENSAT A ,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:
80011930 Trans American 0 50+KW -
Policy No- _ Company Backflow Irrigation Sewer Cap Construction Pole Sub.
dieIartd copy is hereby furnished.
Certified cooa fited,^w�f'�'i'''•e�city B A r. . ' ' Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date 7-9-,5 r`! Ai Pplicant -teav��, __
EXEMPTION FROM WORKERS'COMPENSAT ON DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps •
(This section need not be completed if the permit is for one hundred (4100)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 Motors 00-1 HP 011/2-8 '
Workers' Compensation Laws of California. '
.Pate Signature Floor Drains Swimming Pool w/Spa 1 F.A.U. - Inc.Solar ❑9-15 HP❑16-15+
'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 - - •
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
the
ofwork for Yvthispermit issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range -
Lender's Name panic
K oAmerica
Lender's Address 501 N pili n St ,Santa Ana.Ca...97709 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
following reason (Section 7031.5 Business and Professional Code: Any city or s Garbage Disposal !Standing Sections -
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator 00-5 KW❑5-15 KW • 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
nerefrom 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
Cenalty of not more than five hundred dollars($5001• -
I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ g
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 Boiler Hood or Type I ❑ - DEVELOPMENT SERVIC1�ESyyR��EIII1REMENTS:
employees,le, if, provided that such improvements are not td or offered for Zoning Approved By 1/I�• I/'L- Date • 2C 'a' _
sale- H, however, the building or Improvement is sold within one year of com- Canopy Type 11 ❑ -
pletlon, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By Date i -•
prove for the purpose of sale). - � /j _l
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System - - Application Issued By `L. nate % oVy'
415—
tractors to construct the project (Section 7044,Business and Professions Code: p
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 .G�-}-
$y
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 BUILDING PERMIT $ MB. SMIP $ 1
proof oft their Worker's Compensation insurance should be provided to me. Exhaust System ❑ Multiple ❑ System Repair/Alteration
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLAN CHECK $ PERMIT
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 ❑0.100,000 BTU 0100,000 BTL _ - - ELECTRICAL $ GRADING $
Information Is'correct. I ag ee to comply with all city and county ordinances
and state laws rel in• to •uiIding construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of lhii • enter upon the above-mentioned property for
Inspection pure•/ =q Date 5 2-5-r �0 --r— MECHANICAL $ - TOTAL FEE $ Y id
Signature .t
Drivers' License or S - » Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ 9 9--30
ISflilMNIMMIIIIflliIMIS
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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
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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE
.7. Footings i/ o/1/4c s' 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, ❑ 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. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
22, 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 i 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: c_alyttiak OK rtbo 8�
' 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 & BUILDI(JG /a/ /o,
48. Special Requirements Completed (-2-9-476
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY •
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No. Date ,