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Home My WebLink About1793 CAPETOWN CIR - Building PermitsPRaecTAP' ass: 1793 CAPETOWN CIA IPNER'3�(ME: 'KAUFMANN S BROAD ADDRESS: 180 N. RIVERVIEW DR SUITE 300 ANAHEIM, CA 92808 ARCH/ENGINEER: MIKE WOODLEY ADDRESS: 180 N. RIVERVIE ANAHEIM PERMITTEE: KAUFMANN 6 BROAD ADDRESS: 180 N. RIVERVIE LICENSED CONTRACTOR DECLARATION: Ihereby 7000) of Division 3 of the Business and Profession Cade, and my CITY LIC. 4 6 g STATE L C.: 3 3 4 Date: �] �� Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that Compensation Insurance, or a certified copy thereof (Section POLICYNO.: 4189-1090 E%P. A COMPANY: TRANS. INS , PLAN Certified copy Is hereby furnished. ® Certi/ie opy L51 )'7 90 Date: /—" Applicant:.: UNIT: 33 REO.NO.: C151730 W DR NIT: 300 CA 92808 (714)921-0500 W DR 300 CA 92808 red under provisions of Chapter 9 (commencing with Section se is in full force and effect. ^n Cuss: B- t n Y/ icare of consent /07/91 the chy CITY OF COSTA MESA - BUILDING PERMIT PERM NO: G 046981 PERMIT NO: G 046981 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: ELE MEC PLU STR PURPOSE: NEW JOB DESCRIPTION : NEW SFD SQ FT: 2,537 CLAIM VALUE: 144,068,00 CALC-VALUE: 146,817.30 GROUP OCC: R-3. /M-1 COMMENTS: PC#239-89A PD Z O N I N GS E R T E B Q A U C I K R S E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- of Workers' FRNT- 18 FT IN REAR: 11 FT IN FRNT: FT IN REAR: FT IN LEFT: 5 FT IN RGHT: 10 FT IN LEFT: FT IN RGHT: FT IN EXEMPTION FROM WORKERS' COMPENSATION DECLARATION'-, (IIvSLectlm need no be Completed it the permit is for one hundred ($100) or less). 1 certily that in the performance of the work for which this pe in a issued,1 shall not employ any person in any manner so as to become subject to the Worked Compensation Laws of California., Date: Signature: NOTICE: It, after malting this declaration, you strould become subject to the Worked Compensation Provisions of the Labor Code, you must forthwith comply with such prgvisums or this Derrlut shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby atom that'there is a construction lending agency for the performance of the work for which INS permit is lowed (Section 3097, tiv. C)., LENDER: ADDRESS: PARKING REQQ 2 PROV: 2 PARCEL: 42433101 ZNE: PDRM REF NO: PA8840 PLANNING N(STES> SINGLE FAMILY RESIDENCE WITH ATTACHED TWO CAR GARAGE AND > HALF OPEN PARKING SPACE ON STREET FOR GUEST'S MMMMMM**MMMMMMMMMMMMMMMMMseMMMMMMMMifMMMMMMM*MMMie,*MMMMMMMMMMM D E V E.L O P.M E"N T S E R V I C E'S P ✓'� yEl Q�'I R E M E N� S ZONING APPROVED BY DATE: 7e BUILDING APPROVED BY C—C) ^,—li DATE: c- 1-7 APPLICATION ISSUED BY: DATE: MMMMMMMMMMMMMMMMMM%NEEM �7FMMMMMMMMMM MM MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMa MMMMM MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM LEGALIZATION:N F E Et S U4 M A R Y STRUCTURAL SEGMENT:Y 7 OWNER BUILDER DECLARATION: I hereby affirm that l am exempt lmm Me Contractors' State License Law for the tollowing reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business no Professional Code: Any city at County which requires a permit to construct, alter, improve, demolish, or PERMIT 8 0 4 , 0 0 39 .50 6 9 , 8 6, 32.75 10.2 8 repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed 1996 2 5 t 50%, 25t S M I P / NON -R E S pursuant to the provision of the Contractors' State License Law (Chapter 9 (Commencing with Section 7000) of Division 3 of the Business PLAN ra. 76 and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by 13.80 11048.80 any applicant for a permit subjecu the applicant to a civil penalty of not more than live hundred dollars ($500). ISSUE FEE 3 .00 1 5 . 0IF' 15 .00 I, as owner of the property at my employees with wages u Neir solo compensation, will do the work, and the ❑ forsale(S7044, Business Professional Code: The Contractors' State License Law BUILDING PERMIT TOTALS ---- > 956.39 ISSUE PLAN—CHECK 33.00 0.00' TOTAL PAID DUE 989.39 989.39 structure is not intended or offered action and does not apply to an owner of a property w'ho builds or improves thereon, and who doss such work himself/herself or through SQ FT ,03 .00 imphis or her own employees, provided that such Improvements are not intended or atlered for sale. 11, however the building or old Vitale Completion, one year aiCompletion, the owner will have the burden pl proving he she cid not build or improve REVENUE DIVISIONTOTALS--> _OS /S forihe purpose ofsae) BLDGPMTPLUMBING ELECTRICMECHANIC FIRE/TOT SMIPOGRADING PLAN -CHECK 1, as owner of the proper�ty am exclusive contracting with licensed contractors to construct the project (Section 7044, Business ❑ builds improves thereon 804.00 42•50 84.86 4 7 (=�% 5 10.28 and Professions Code: pro Contacted State License Law ones not appy to an owner of property who or and who contract for such projects with a contractor(s)0cense pursuant to the Contractors"Stare License Law),I am aware MMMMMMMMMM MMMMM MMMMMMMMMMM MMMM MMMMM MM Mij,MMMMMMMM MM MM MMMMMMMM MMMMif ie it if ie ie iENiefeie fe ie ie ifM that groat of their Worker's Compensation Insurance should be provided to me. I N D I V I D U A L W., E E B R E A K D O W N ❑ 1 am exempt under Section: O.3 P. C. MEC 1 FACTORY FIREPLACE for this reason: TYPEQ TY D E S C R I P T I O N �' UNIT COST TOTAL C ST Date: Omer: 1 do hereby certify that I am aware of and undersund the requirements of California Health and Safety Cede Section 25534 and that I or any future building occupant WIVWll not (circle one) need to comply with said state codes and the permit for Construction or modification from the Amery Management District. Residential twsim nction applicallo these provisions. Date: Applicant: I hereby certify that I have read but appli anion and std ordinances and sure laves rearing to huilNng cones property for/inspection purp o ses. Date: —7 -1;7-1'50 Signature: Driver's License or Social Security e: 533 25505, 25, and requirements for a as are exempt from is Correct. I agree to Comply with a0 City and county actives of this city to enter upg"e above-mentioned 1641-46 White—Building; Green—Code Enforcement; Canary—Applicant; Pink—Revenue; Goldenrod—Assessor O SFR 1996 DWE-TYPE V -WOOD FRAME T -GOOD 69,00 137,724,00 SFR 76 RES -BALCONY, EXTERIOR STAIRWAY 13.80 11048.80 SFR 465 RES -GARAGES TYPE V 17,30 8,044,50 ELE 1996 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT ,03 69,86 MEC 1 INST FORC-AIR/GRAV FURN <= 100 K BTU 9.00 9.00 MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9.00 9.00 MEC 5 GAS PIPING SYS 5+ OUTLETS PER OUTLET ,75 3,75 MEC 1 FACTORY FIREPLACE 6.50 6.50 MEC 1 VENTILATION FAN CONN TO SINGLE DUCT 4,50 4,50 PLU 2 BATHTUB 2,00 4,00 PLU 1. DISHWASHER 2.00 2,00 01 00U58/88-00058792 TICST Y89.39 DATE: 0.4/17/90 TIME: 11:40 CONSTRUCTION AND PLANNING POOL SPA APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector . Temporary Electrical Service or Pole. _. 52. Pool & Equipment Location 2:_SoQeipe;Undrgrnd� °p :off 53. Steel Reinforcement �i3._Electiica l:Corfd-uit-Ufility•Undrgrnd? 54. Forms `- 4:'Electrical•Co' W t-U_ndrgrnd. js 55. Electrical Bonding .c$tee' I•R eri forcemeat �a -enrh L ��: l �•� 6{yIO�' 56. Rough Plumbing & Pressure Test '6.�Ele`ricatUFEfi_Grnd. c �p �t/� 57. APPROVAL TO COVER•GUNITE ry� _ w rkpFootings 58. Electrical Conduit-Undrgrnd. _ B;iFo Thdation,�H 59. Gas Pipe, 0 Undrgrnd., Test - J x 9.r'Water PipeyUncirgrnd. ,� g Qv �f(p 60. Backwash Lines, P -Trap, 0 Undrgrnd. C, 10. Structural:Floor System 61. APPROVAL TO DECK 11. Property Sewer Liri�& House Connection 62. Backwash & Receptor -Final 12. Sewer Cap w 63. Heater & Vent -Final 13. Roof Drains,,, 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit Solar System -Final M. Rough Electric Wiring Fencing & Access Approval --17. Rough Wir�in g SJ 68. APPROVED FOR PLASTERING 'g 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning_ FIf �.E D�FPT. REQUIREMENT I:•-, rnr- X: u. _ elk* rr t•., r l•, +. H ,^.:N -'�1PPR' V xC PA it # �4 �.JH t, 'I rrl ._« ^c o -* a': * v 20, Ro' h Facto`y Firgplace � c x x _ _ r ,�,•;. ,� ¢ r .i C t; x __.S1 ^ 21.`Du6s, i. ructu rk* " " '--'S x S "' K * a70. Undergib nal Hy3ro S ;I * H x n (:** •> .J V: r" 't , H:. [J5 i. 22.SDucts, Vent ting; ,� e,x .x n _,* - 1 'r7rn Prod 0 G_as OIOil 4: Z.- w 471. ucWving 23. -Gas -Pip!'Rouqh & Test r rr tr m O x 72. Underground FRajhla X ;� rcY rtS rJ,., r•,� 24:'Roof Framin nk E'I- ••F A: l 9 -^ •e n S m -,., �N 0Gas 0011 �rp�-.•�.•-.-_ •.., ssw m x cr Hu x ••73ryUndergrna�StoragerTenk 25. Roof Sheathing 744pyerhead Hydro' x rn �' 2 � N:'! to 26,�T•3'2'r Ceiling (Str�utural) &-M�n`�coat Mx * LT 75TD--_ry Chemical ; b* } 27.zFrameandFaashingc xtGtq n' b •(�I,,y * 76.' DryStandprpe :-+�1c� Yc� �IV I F.� ! FxS _28. Lathing'& Siaing7-k �S •. Y77y > eC FIXED SY'T'EK�O x ,rx Nm*O[J,.it; vl,"xrt 11 X29. InsulatiDh *`v S ••"Ll M.�qQ �W� *• 78�FIREPREV.FINFiL xa ^ H.1x r"30. Dr wall Nai Ping YS'V'J * •F!'EP.LTH?DFPT`AtQUIR9M �- tr 1� 0.�. _..r .S x. HONK: C31. Plaster Brown Coati S IT rV ::x � I M: •Yv _a 3W9. FINAL INSPECTIOG'N• a: V OM �n ` nnf•J"•c Power Meter -Final, `t;��•'_ rl ?=fOOD CERTIFIZCATEE ISkED,y �tl� +t1n t;32CElectrical tr[a _-33;sFinal Electric. x M 1 X47 O < M0 S n .+• Y S' M •-1 c ^•S' ti34r inel Heating&Air*Corltlition'engS C1S i r t %�v x •V nx" x S MtC W,x 4 1' H ,J?ln .�' I x V HCOO O I Fv^t� k: tx '7 F 35`^Final Gas Pipe -Testi- r}l _ x H f ( �x a: ] Hootl or Canopy * J i r-7 cL; � 'a n -36. i I ! * 'jk n �-+ SII •+^ J $ l:' K n 1 !". tq UF^ X 1 S. -=* I I l•ar.4l l 1 -:37.•Fi.. al Factory FireplaceM :-•F n -, t I&R> V * x:-.1 -, rJ0 %-i T'� 7:38. Final Plumbing * ' F /J� I �j��) r 5• n H xm O 1 .J * CTt OF �atl 1 �;•/ * 0 rl! J O Cl1T M 0 39. Water Service;Finala_ g 1 n * � � k * y .% O tom" _� '`A0. Gat'Service-Final x n rEv`r Smile r-. j * O� unl k r xwF• is I X41. Solar Domestic -Finals F7717 • 4: x [^ yv ^•-. x� 42.. Backflow Preventer^ - Cu 70tt* I i h; x > F-•^ 43. Backflow Irngatiortl, v ¢ bx � f� r L * n •_• •. D144. Landsca'Da I�rigatidn SystenLmO SV ' M G G D* * R N N ai x0 +' N o00u n'J000Z� 45. Sound Attenuation J ... w 1 rn» M - •a F•.- k ?46. -Handicap Regulaticins Y-1 00 taf _ x- k G •S C1 GO S K cc r'n 0 k STRUCTURE & BUI'LDINGo,< ,,47.'FINAL _(t�,I{i 48 1 H, a rn .,Wc ji C . y49 Eleliric'Release to Edison ^' '50. Gas:Release to Southern California Gas Cn ' ' ''' . . 'T ' ' a' .J 0:.. •j CO001 : VOO 51. CERTIFICATE OFIOCCUPANCY LJ 01 No. Date PRWECT ADDRESS: UNIT: —kNER'6`401iE; ADDRESS:` PERMIT NO: G 046981 PLAN CHECK NO: 03399-90 N PAGE: 2 +Exxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx ARCHIENGINEER: REG.NG.: TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ADDRESS: UNIT: PLU 1 LAUNDRY TUB OR WASHER 2,00 2,00 PERMITTEE: PLU 1 SHOWER 2,00 2,00 ADDRESS: PLU 1 SINK, KITCHEN 2,00 2.00 PLU 4 WASH BASIN 2.00 8.00 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section PLU 3 WATER CLOSET (TOILET) 2 , 00 6 . 00 7000) of Division 3 of the Business and Professions Code, and my license is in fun force and effect. PLU 1 WATER HEATER AND/OR VENT 2 .00 2 .00 CITY LIC.: STATE LIC.: cuss: PLU 1 WATER SERVICE 2.00 2.00 Date: Signature: PLU 5 GAS PIPING SYS 5+ OUTL—PER OUTLET .50 2,50 PLU 1 GAS SERVICE 2.00 2.00 WORAERS' COMPENRATION DECLARATION: I hereby effirm that I have a certificate of consent to selfinwre or a certificate of Workers' Compensation insurance. oracertified copy thereof (Section 3800, Lab. C). PLU t 1 SEWER, BUILDING / TRAILER 5,00 5.00 POLICY NO.: EXP. DATE: END OF FEES COMPANY: io Certified copy is hereby furnisher. ❑ Certified copy is riled with the city Building Division, ' Date: Applicant EXEMPTION FROM WORKERS' COMPENSATION DELL UUIT10N: (This section need trot he completed it the permit is for one hundred 13100) or less). I cenily 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 Workers' Compensation Laws of California, Date: Signature: NOTICE: If, atter making ties declaration. you should become Subject to the Workers' Compensation provisions of the Labor Code, you must forthvdth comply with such pmvidora or this permit sfan be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a con9ruction lending agency for the performance of the work for which this permh is issued (Section 3097, Civ. Q. LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt tram the Contractors State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair 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 the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that hefshe 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 penalty of not more than live hundred dollars (5500). I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044, Business and Pretessionxl Code: The Contractors State License Law does not apply to an owner of a property who builds or Improves [barren, and who does such work himself/herself or through his or her own employees, provided that such Improvements am not intended or offered for sale. It, however the building or Improvement is sold within one year of completion, the owner win have the burden of proving WShe did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business El ane Pmf iesiaa Cade: %. Can==* Sate License Law does rot apply to an vomer of property Who btnlds or improves thereon and who contracts for such projects with a cehtractogs) license purwant to the Contractors• State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. A P. C. for this reason: Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 255%, 25533, and 25534 and that I or any future building occupant vrALl not (circle one) need to campy with said sate codes oho the requirements /or a permit for construction or matlitication from the Air arty Management District. Residential construction applications are exempt from these provisions. Date: Applicant I hereby cenity that I have read this application and state that the above infernakin is correct. I agree to comply with all city and county Ordinances and state laws relating to building emstNcden and hereby autinrby representatives of this city to enter upon the above-mentioned property for Inspection purposes. Dare: Driver's License or Social Security A: 1B414e Whits—Building: Green—Cade Enforcement: Consrv—Aoplicam: Pink—Revenue: Goldenrod—Assessor A CONSTRUCTION AND PLANNING - APPROVALS Permit # Date Inspector PO L WSPA APPROVALS Permit # Date Inspector 11. 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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 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, Hough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough HeatingConditioning rn rn--rnr-rn rr rr r:.rnrn FIRE DEPT. REQUIREMENT APPROVALS Permit # 20�1o�gh Fa1.ctory FF,t eplace7y`7" 21.�Duats, in Structure L y 70. Underground Hydro 22.SDu's, Ventilating 71. Product Piping 0Gas El Oil 23.vGasePipe-Rough & Test 72. Underground Flush 24r-Ro jf FramiiTg° ```a`u`rV `` 73. Undergrnd. Storage Tank 0 Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. DT -Br Ceilingyi tHd�J�a�f jy,,6ocoat 75. Dry Chemical 27.zFrTam eAnd Flesbs4ltm_C;n7 m 76. Dry Standpipe 28. La*'ping,& S�"�C1mCucT 77. FIXED SYSTEM FINAL 29. Insulation F FHO<LQS_"M ^ 78. FIRE PREV. FINAL 30. DlWalrNaili'ng MM" l[U"" HEALTH DEPT. REQUIREMENT 31. Plaster BrowA Coat .,�Ct�N S_ 79. FINAL INSPECTION 32b,Ele trical Per Meta-_PnaJ 80. FOOD CERTIFICATE ISSUED 334inxal Electrty tvM + F1*1 Notes: 34 Finil HFating•& Air L'oi4ditipning:o n « m Z 35zfinaI Gas Pipe -Test ; rats 36s,Hood or Canopym ^m 37.4inal Factory Fireplace iu 38. Final Plumbing F 39..µJV er Service -Final m 40 _,Gas*Service-Final 41 a.,Solr Domestic -Final 42.;Backflow Preventer f c. 1 n . L"i �7 'A'J 43. Backflow Irpiga'Itign, , 44. Landscalie Iftigat16A6ystem'»0 45. Sound Attenuation 46. Handicap Regulations 46. 47 FIJAL,STRUCTURE&BUILDING 48 rFINALPLANNING 49. Electric`Release to Edison r 50:.Gas,Release to Southern Caliiornis Gas Co 51. CERTIFICATE"OF'OCCUPANCY No Date Laf2s C�lYLIO IWA ENGINEERS 17390 Brookhurst Street, Suite 100 ?U-Tt-'6q"pi�� Fountain Valley. California 92708 (714) 968-1221 • FAX (714) 968-9286 October 29, 1990 J.N. 207-03 City of Costa Mesa Building Department 77 Fair Drive Costa Mesa, Ca. 92628 Attn: Mr. Victor Clift Subject: Fine Grade Certificate I hereby certify that the fine grading for lots 23 through 35 and 88 through 92 of Tract 13224 were graded as shown on the approved precise grading plans for said project. } / 9 Llewellyn D. Incledon RCE 17593 I