HomeMy WebLinkAbout1796 CAPETOWN CIR - Building Permits -f .
PROJECT ADDRESS: 1796 CAPETOWN CIR UNIT: 68 CITY OF COSTA MESA - BUILDING PERMIT PERM NO: G 051182
OWNER'S NAME: KAUFMANN 6 BROAD -
ADDR1SS : 180 N. RIVERVIEW DR PERMIT NO: G 051182 PLAN CHECK NO: 00715-91 A GOVT: N SUPP: N
•
SUITE 300
ANAHEIM CA 92808 CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE MEC PLU STR PURPOSE: NEW
921-0506
ARCH/ENGINEER: MIKE WOODLEY REG.NO.: 015730 JOB DESCRIPTION : SFD AND GAR SQ FT: 2, 910
ADDRESS: 180 N. RIVERVIEW DR Grim 300
ANAHEIM CA 92808. CLAIM VALUE: 169, 417.00 CALC-VALUE: 172, 657. 70 GROUP OCC: R-3 /M-1
• PERMITTEE: KAUFMANN 6 BROAD ( !14 ) 921-0500
ADDRESS: 180 N. RIVERVIEW DR 300 COMMENTS: REF PLN-CK 234-89 A
ANAHEIM CA 92808 ****ifEE+E+rkL***+r*****sF*;'PSE+E*****v** .***x****TF*x*kF*+ ***kE*************+F+E*************
LICENSED CONTRACTOR DECLARATION: I hereby. ' - am .used under provisions of Chapter 9
(commencing with Section Z ONING REQUIREMENTS
CI TY1 I .:0 4 3 of the9 Business and LICPro.:
Cade.and my lice e iA in full I ce an _ C SETBACKS /
clrruc.: 046894 STATE LIC.: ' 495 cuss:
Date _J-(=V Signature: 744_ MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm I have a certificate of consent to self-insure or a certificate of Workers' FRNT: 1.5 FT IN REAR: 10 FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section '00.Lab.CI. LEFT: 5 FT IN RGHT: 5 FT IN LEFT: BOLD svvcUVREnTS FT IN
IP9ucYN0.: 4189-1090 'l 13/07/91
COMPANY: TRANS. INS, PARKING REQ• 2 PROV: 2 PARCEL: 42452131 ZNE: PDR- REF NO: PA-88-40
71 Certified copy is hereby furnished. di Certified sfiled with the cit BuildingOivisioPLANNING NOTES> NEW SINGLE FAMILY RESIDENCE WITH AN ATTACHED TWO CAR GARAGE.
I � > HALF OPEN PARKING SPACE PER UNIT PROVIDED ON-SITE,
1
Date: 3- -V Applicant: / n.'�i/ /� ***********************************************************************de*******
EXEMPTION FROMWORKERS'COMPENSATION DECLARATION: m section 0 coif th
t be completed e permit DEVELO P•M E N T SERVICES • R E U I R E M E N T S
(�one hundred(5100)or less).
I certify that in the performance o1 the work for which this permitis issu•..I shallot);employ any person in any manner so as to become
subject to the Workers'Compensation laws of California. ZONING APPROVED BY Ulm It- DATE: (/7.-1--7
Dale: Signature: BUILDING APPROVED BY : . /�71 t-t. /�-•-2 DATE:
NOTICE:y:u,after making this wwideclaration.you should become chi subjectmito the deemed empensation provisions of the Labor
Code.you must lonhwim comply with such provisions or INS permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there B a construction lending agency tor the performance of the work for APPLICATION ISSUED BY• .. DATE- •
which this permit is is5ued(Section 3097.Civ.C). ********************** . . . .:-yi:::r ,azr.�
::s. . .-.. . . .. . . . . . . . **********************
LENDER: ***************************************** ' **1F**************************iE******
ADDRESS: LEGALIZATION:N F E E S U M A ,11 Y STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRI' MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 895. 00 41 50 82 . 9 •'• 28,25 12 , 09
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement That he/she is licensed <5% 50 t 25% SMIP/NON-RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7900)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 PLAN 145 . 44 •.
my applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 3 . 00 15 . 00' 15.00
I. as owner of the properly or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 1059 . 83 33 . 00 14'6 . 44 1238 . 27 1238 . 27 . 00
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 employees,provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 1238 . 27 OVER/SHORT• , 00
for the purpose sold e). one year of completion.the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
for the purpose sale).
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 895 . 00 44 • 50 97. 99 4 3 ;,2 5 12 . 09 145 . 44
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon
and who contracts for such protects with a contractors)license pursuant to the Contractors'Stale License Law).I am aware ****9 *******) *********************************************W **************M****
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F-,E E BREAKDOWN
❑ I am exempt under Section: B.&P.C :3 \��
mr this reason: TYPE QTY DESCRIPTION '•'!, UNIT COST TOTAL COST
Date: Owner: SFR 2371DWE-TYPE V-WOOD FRAME -GOOD 69 . 00 163, 599 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 76 R ES-BALCONY, EXTERIOR STAIRWAY 13. 80 1 , 048 . 80
25534 and that I or any future building occupant will/will not(circle one)need to comply with said slate codes and the requirements for a
SFR 463 RES-GARAGES TYPE V 17 . 30 8, 009 . 90
permiheseprovisions tMr ruclion or modification from the Air Duality Management District.Residential construction applications are exempt from ELE 2 371 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT . 03 82 . 99
MEC 1 INST FORC-AIR/GRAV FURN <= 100 K BTU 9 . 00 9 . 00
Date. MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9 . 00 9 . 00
I hereby certify mat I have read this appbc.Inn and state that the a. ye information is correct.I agree to comply with all city and county MEC 1 GAS PIPING SYS 1 - 4 OUTLETS u t 00tA;r0A L:vi r s� - _ ' 3 . 00 _
ordinances and state laws relating to building.c struction and hereby uthorize rept" natives of lh any center the above-mentioned MEC 1 GAS PIPING SYS 5+ OUTLETS PER OUTLET on: fl:r75'S1 0,i'-': . 75
property lot inspection purposesg � AP NEC 1 FACTORY FIREPLACE 6. 50 -
6 . 50
Date: /` !C/ Signature: . . - A . AP •-�C � PLU 2 BATHTUB 2. 00 4 . 00
$/ PLU 1 DISHWASHER 2. 00 2 . 00
Driver's License or Social ecurity a:
1641-46 While-Budding;Green-Code Enforcement Canary-Applicant Pink-Revenue:Goldenrod-Assessor
• CONSTRUCTION AND PLANNING PA
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 Reinfbrcementt 56. Rough Plumbing & Pressure Test
-6. Electrical UP ER Grnd. 57. APPROVAL TO COVER-GUNITE
7.'-Footings - ,i 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 SigrT 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
1' - . _ _ . r .. .. .
i.. _ 20. Rough Factory Fireplace r _ C- • APPROVALS' -Permit # •- -
21. Ducts,in Structure70. Underground-Hydro
22. Ducts, Ventilating .' _ 71. Product Piping 0 Gas OOil
23. Gas Pipe:Rough & Testr , 72. Underground Flush' ; -
24. Roof Framing •• _ '73.• Undergrnd.StorageTank 0Gas 0Oil
•
�t
25. Roof Sheathing ' '. =.Oils/ Cue/ .74. Overhead Hydro
26. T-Bar Ceiling (Structural) &-Monocoat /(/&7 2 • 75.try Chemical
27. Frame and Flashing a = ,` / vC; 76. Dry Standpipe J
28. Lathing& Siding - • - e `9 . - /./t.:.-- : 77. FIXED SYSTEMFINAL - ?' - _ -
29. Insulation 6/(((� ,�(�; 78. FIRE PREV. FINAL ,,, r _ . .
• 30. Drywall Nailing . /'/( Z• ChJ!'( . HEALTH•DEPT. REQUIREMENT -
a
31. Plaster Brown Coat' ' ,e
, � Z pvH ,79. FINAL INSPECTION . - _
32. Electrical Power Meter-Final /U / ,80. ,FOOD CERTIFICATE ISSUED .
33. Final Electric , Notes: - : ' ' -
;34. Final Heating& Air Conditioning_ - ' 8•`6-19( COD,, • T
35.'Final Gas Pipe-Test' ._ ' - 7(2/q,) LcA; ' anoilittliCUSWAtai
J
36.Hood or Canopy - ,b•. •
'
37.7Final Factory Fireplace.,, p'S4'( . GOP • `� 2��` %KJ << �
38.-Final Plumbing ' �•4( • CS) - �,
"39. Water Service-Final 8-'C4? . GEA' ' - _
40. Gas Service-final ' , . G' -
;41. Solar Domestic-Final • •••.1 • _ _
42'Backflow Preventer' - , •
43. Backflow Irrigation. - ` .. t ' . •
44. Landscape Irrigation System a ,t . . I _ � _ - _
.45: Sound Attenuation - .
_46. Handicap Regulations -
.47. FINAL STRUCTURE & BUILDI$IG • S fl, el/�
48-f I NACIll ALLe4ttNCt5{J� &Sp . J I ) (12-21.2`'._`. •
49. Electric Release to Edison
50. Gas Release io Southern California Gas Co . ' . -
51. CERTIFICATE OF OCCUPANCY
No Date
S ..
PROJECT ADDRESS: UNIT:
OWNER'S NAME:
ADDI(ESS: PERMIT NO: G 051182 PLAN CHECK NO: 00715-91 A PAGE: 2
14*****iFi49F14****fF14#4M1Ei4***ick**14******54i4iE94k9494#iF****i4141�tt9444R4k*14*1E149EIFi494*************94*
r ARCHIENGINEER: REG.ND.: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
ADDRESS: UNIT:
PLU 1 LAUNDRY TUB OR WASHER 2 . 00 2 . 00
. PERMITTEE: PLO 2 SHOWER 2 . 00 4 . 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 lull force and effect. PLU 1 WATER HEATER AND/OR VENT 2 . 00 2 . 00
CITY LIC.: STATE LIC.: CLASS: PLU 1 WATER SERVICE 2 . 00 2 . 00
Date' Signature: PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2 . 00 2 . 00
WORKERS'COMPENSATION DECLARATION: I hereby affirm that f have a cerlilicate of consent to self-insure or a certificate of Workers PLU 1 GAS PIPING SYS 5+ OUTL-PER OUTLET . 50 50
Compensation Insurance.or a certified copy thereof(Section 380 .Lab.C). PLU 1 GAS SERVICE 2 . 00 2 . 00
POLICY NO.: EXP.DATE: PLU 1 SEWER, BUILDING / TRAILER 5 . 00 5 .00
COMPANY: END OF FEES
11 Certified copy is hereby furnished. 0 Certified copy/s tiled with the city Building Division.
Date: Applicant:
EXEMPTION FROM WORKERS'COMPENSATION DECLAMATION: (This sett=need not be completed if the perm,'is for one hundred($100)or less).
I certify that in the performance of the work for which this permit is issued,I shag not employ any person in any manner sip as to become
sublet)to the Workers'Compensation Laws of California.
Date' Signature:
NOTICE:If.alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for
which this permit is issued(Section 3097.Civ.C).
LENDER: •
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from 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 far 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 he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by
my applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).
I. as owner of the properly or my empployees with wages as their sole compensation, will do the work, and the
I ❑ structure is not intended or offered for safe(Section 7044,Business and Professional Code: The Contractors'State 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 employees.provided that such improvements are not intended or offered for sale.If,however the budding or
improvement is sold within one year of completion,the owner wig have the burden of proving he/she 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
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon •
and who contracts for such projects with a contractor(S)litense pursuant to the Contractors'State License Law).I am aware
that proof of their Workers Compensation insurance should be Provided to M.
o I am exempt under Section: B.&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 25505.25533,and
25534 and that I or any lutute building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
!hese provisions.
DCA TD .. A ti'l'e _.Z. - - -
•
Date. Applicant. I o• : r •--
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county DATE: 03/014471. Trry�` ',4' '
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes
Date Signature:
Driver's License or Social Security n:
1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL PA
4
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 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 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural):& Monocoat 75. Dry Chemical
27.-,Frame add 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 Biown Coat _ , - 79. FINAL INSPECTION
32. Electrical Power Meter_Final - 80. FOOD CERTIFICATE ISSUED
33. Final Electric: i Notes:
34. Final Heating & Air Conditioning
35. 'Final Gas Pipe-Test
36. Hood or Canopy ' -
37. .Findl Factory Fireplace
38. Final Plumbing
39. Water Service-Final .
40. 'Gas Service-Final
41. Solar Domestic-Final
42..Bacliflow Preventer
43. Backflow Irrigation'
44. Landscape Irrigation System -
45. Sound Attenuation
46. Handicap Regulations
47.-FINAL STRUCTURE& BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF:OCCUPANCY r
No. Date
I
PTA
IWA ENGINEERS
17390 8rookhursf Sheet,Suite 100
Fountain Valley,California 92708
(714)968-1221 •FAX(714)968-9286
July 26, 1991 . J.N. 207-05
City of Costa Mesa
Building Department
77 Fair Drive
Costa Mesa, CA 92628
Attention: Mr. Victor Clift
Subject : Fine Grade Certificate
Dear Mr. Clift :
I hereby certify that the fine grading for Lot 68 of Tract 13224
were graded as shown on the precise grading plans for said project .
aitidijoirliedcanga/
Llewellyn D. Incledon, R.C.E . 17593