HomeMy WebLinkAbout1797 CAPETOWN CIR - Building PermitsIWA ENGINEERS
Fount &oo Valley,
Sheer. Suite 100
Fountain Valley, California 92708
(714) 968-1221 • FAX (714) 968-9286
March 13, 1991
City of Costa Mesa
Building Department
77 Fair Drive
Costa Mesa, Ca. 92628
Attn: Mr. Victor Clift
Subject: Fine Grade Certificate
J.N. 207-03
I hereby certify that the fine grading for lots 1, 11, 40, 41 and
45 of Tract 13224 were graded as shown on the approved precise
grading plans for said project.
-----------
Llewellyn D. Incledon R.C.E. 17593
li AOJEESS: 1797 CAPETOWN CIA UNIT: 72
• OWNER'Sy ME: KAUFMANN S BROAD
ADDRESS: 180 N. RIVERVIEW DR
SUITE 300
ANAHEIM, CA 92808
ARCH/ENGINEER: MIKE WOODLEYIREG.RO.:C1T30
ADDRESS: 180 N. RIVERVIEW DR 300
ANAHEIM CA 92808
PERMmEE:
KAUFMANN 6 BROAD (714)921-0500
ADDRESS: 180 N. RIVERVIEW DR 300
ANAHEIM CA 92808
LICENSED CONTRACTOR DECLARATION: I hereby am licensed under provisions of Chapter 9 (Commencing with Section
7010) of Division 3 of the Business and Profession ode, and ense is in full force and effect.
CITY uc.:00(46894 STATE LAC.:334 CLASS:H 1
Date: LSignature:da 41 1
WORKERS' COMPENSATION DECLARATION: Iherebyaffirmt have a certificate of consent to sell Insure or a certificate of Workers'
Compensation Insurance or a certified copy thereof (Section Lab. C).
PDucYNO.:4189-1090 r,. 03/07/91
�OMPANY: TRANS. INS,
Certified copy is hereby furnished. ® Certified C 's filed with th city Buildin{POivision.
Date: U _/ �'-/ 0 Applicane
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This sect end not be completed if the permit is for one hundred ($100) or less).
I certify that in the performance of the work for which this permit is is d, 1 shall not employ any person in any manner so as to become
subject to the Workers' Compensation Laws of California.
Date: Signature:
NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor
Code, you most forthwith comply with such provisions or IMS 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 pemut 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 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 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 penalty of not more than five hundred dollars ($500).
I, as owner of the property or my am levees with wages as their Sale compensation, will do the work, and the
El structure is not intended or offered for sale(Section 70". 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 don such work himself/herself or through
his or her own employees, provided that such improvements are not intended or offered for sale. 11, however the building or
Improvement is sold within one year of completion. the owner will 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 m improves thereon
and who contracts for such projects with a contractions) license pursuant to the Contractors' Btate License Law),I am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B. d 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 future building occupant wilUvnll not (circle one) need to comply with said stale codes and the requirements for a
permit for construction or modification from the Air Quality Management District. Residential construction applications are exempt from
these provisions.
Date: nt:
I hereby certify that I have read this application a= that the abov information is correct. I agree to C OI with all city and county
ordinances and state laws relating to building cost and hereby aulh rize reprec�e tines of INS o r upon the above-mentioned
property for inspection purposes.
7
Date: -17 /� SiOnature:
Driver's License or Social Security x:
1641-46 White-Buildinpl Green -Code Enforcement Canary -Applicant; Pink -Revenue: Goldenrod-Aeaaaaor
CITY OF COSTA MESA -,BUILDING PERMIT PERM NO: G 046969
PERMIT NO: G 046969 PLAN CHECK NO: N GOVT: N,SUPP:.N
CONSTRUCTION TYPE: V -N PERMIT TYPE: ELE MEC PLU.STR PURPOSE: NEW
SOH DESCRIPTION ; NEW SFD SOFT: 2,537
CLAIM VALUE: 144,063.00 CALC-VALUE: 146,817.30 GROUP OCC: R-3 /M-1
COMMENTS: PC#234-89A 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---------
FRNT: 18 FT 6 IN REAR: 10 FT IN FRNT: FT IN REAR: FT IN
LEFT: 8 FT IN RGHT: 5 FT IN LEFT: FT IN RIGHT: FT IN
PARKING REO• 2 PROV: 2 PARCEL: 42433101 ZNE: PDRM REF NO: PA8840
PLANNING N TES> SINGLE FAMILY RESIDENCE WITH ATTACHED TWO CAR GARAGE AND
> HALF OPEN PARKING SPACE ON STREET FOR GUEST��MF�j�$
MMMMMMMMMNNNMMNNMMNNNN N.NMM.N NNNMkNNNNNNNNNNMMNMMNMMMMMMMMMMk
D E V E L.O P.M E N T. S; E R V I C E S, R E Q U I R E M E N.'1' S
ZONING APPROVED" BY `�M�(� �- DATE:
BUILDING APPROVED BY ,-- > DATE: �d ' L'�� U
APPLICATION IS�iUED.HY:' DATE: >
NM NMNNNNN N N M kk k ked
it Sir MMMM MMkM k
M MMMMNMNN NitNkMM N N k N N N k N k MNN ilk N ii";I-* it Mi FitkMMMMkMMMNkNNNMirNNMMMkkkM k NNjtitNNMNMNMMN
LEGALIZATION:N F E E U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELEC IC MECHANIC FIRE SMIP/RES GRADING
PERMIT 804,00 39.50 6 :86 32.75 10.28
25% Sot 25t SMIP/NON-RES
PLAN
ISSUE FEE 3.00
BUILDING -DIV-> PERMIT ISSUE
TOTALS ---- > 956.39 33.00
REVENUE DIVISION TOTALS--> C
BLDG PMT PLUMBING ELECTRIC
804.00 42.50 84,86
Dili
SFR
SFR
SFR
ELE
MEC
MEC
MEC
MEC
MEC
PLU
PLU
RM
1976
465
1996
1
1
5
1
1
2
1
I N D I V I D U A L
D E S C R I P T I O
15.00
HECK' TOTAL PAID DUE
0.00 989.39 989.39 .00
D: 989,39 OVER/SHORT; 00
75 FIRE SMIPO/TOTT GRADING PLAN -CHECK
.28
MNMMMMMMMNNNMNNNNMMMMMMMMMNMMNMMMMMNNNMM
E E B R E A K D O W N
DWE-TYPE V -WOOD FRAME -GOOD
RES -BALCONY, EXTERIOR STAIRWAY
RES -GARAGES TYPE V
NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT
INST FORC-AIR/GRAV FURN <= 100 K BTU
REFRIGERATION SYSTEM <= 100 K BTU/H
GAS PIPING SYS 5+ OUTLETS PER OUTLET
FACTORY FIREPLACE
VENTILATION FAN CONN TO SINGLE DUCT
BATHTUB
DISHWASHER
UNIT COST
TOTAL COST
69.00
137724.00
13.80
1,,048.80
17.30
8,044.50
.03
69.86
9.00
9.00
.75
3,75
6.50
6.50
4.50
4.50
2.00
4.00
01 0w�0S0l93-00058797
TCST 2 0984,39
DATE: 04/17/90
TIME: 11:41
a_
I&
AL
7',. CONSTRUCTION AND PLANNINGVIP
PO PA
�. APPROVALS Permit # Date
Inspector
APPROVALS Permit #
Date Inspector
'1.1. Temporary Electrical Sery ee or Pole.l..
52. Pool & Equipment Location
oil�Pipe-Undrgrnd... 03 ' t- Jqb
_,
53. Steel Reinforcement
qr•. . Q.;s
L- cE.lecoic3f;Eo�it-$ility-Undrgrnd-
54. Forms
��P'MrricakCorrTd YUndrgrnd. oS
55. Electrical Bonding
'.'_steel-RetD o cement V x
56. Rough Plumbing & Pressure Test
w
UFeq'Grnd. `'J
57. APPROVAL TO COVER-GUNITE
F'•'1',Fr'•;7Electrica
3L2f:Foo3,ings ,m MR1 /
58. Electrical Conduit-Undrgrnd.
rn
ou�datio�^
59. Gas Pipe, 0 Undrgrnd., Test
A
7Ci3
y 9. CYJater PipeT�Undrggn• d. l Q�
60. Backwash Lines, P -Trap, 0 Undrgrnd.
^J
10. Structural` loor System
61. APPROVAL TO DECK
11. Property Se,,Qr Line& Hoose Conrtection
62. Backwash &Receptor -Final
12. Sewer Cap cu cu c.,
,AfAV
63. Heater & Vent -Final
'
13. Roof Drains0-� 0
64. Plumbing System - Final
14. Rough Plumbir+g w
65. Electrical -Final
15. Rough E12ctrictconduit
66. Solar System -Final
16. Rough Electric�Wiring
67. Fencing & Access Approval
X17. Rough Wicg o
68. APPROVED FOR PLASTERING
18. Rough Electri -T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
r rn a r�
_ a't ,<:
FIPE DEPT. QUIREMENT
-] c r. r s H NN
•l_ ..., Y >• ir'R`
PPR9VA�LSj�•rOP, ef'it #.
it'?ES_F EtrC
'7mmm m`7 ;
[r' 'r I Gm C'7 # O
20. Rough Fcto eplace
0 tr'* T
_
mnnnc,noa
21.r•Du52s, iT StrMtur9* I ••• •• HS * S
0 H* %'
V _
70. VndergPoHTnd!Hr§ro
H rr
x.
22.SDucis, Vsnti�a'tingJ* CJS
F* a
71, Produc[W'ping C�s
yW-•' d d
I_f.0il
23. Ga9RRipe-RoQgh & Fest i w� mS 'w ,; C
¢ Ow *
72. UndergroCnd Flvsh�o
Vs
r.. , -n
'1
24."Rovf Fr"ming' #* I H`•-' --i- * O
C *
rna Stora "Y k'. Gas 0651
C7
� HT x
,.73yUnder
_ 9 9&3n >�
25. Roof, ShP. sathing wT qv v •
7 ( 1* >K
�74.9Grverhead HydrC�
N m
ar Ceilin9�Stcirrurall &=Nl�rt�coat H
0 m* k
' '7 IK H 0 0rz
75`Biy Chemic)
SH'T, CJ >[D'J
y
Ot
FD 3M
mSmcC m¢�--+
27.4rapte asd F'shQ �Mc: V O ♦
}
76. Dry Stane�{ipe Fr.�c� >k I 1-1 ,I
i FFj,, HM
• •...�
n n• vn
v+r•.r v^
"�48. LatWiingl S?ingO*G♦ F �`�± - •.I
•.I�(Q
77 J FIXED S S,JEf C"�`7
-00MCr, <mN
.TF11fVAla*e ..I n
29. Insulation w t S •• •• � 4_L J �
78£F4RE PREV. FINA * >
1
r L-, , n e•-•
'30. DrywallMNailTn9 * ti n
- I�'/ Ir %c
H^•rn •Fu1 ALTI_'PEPI* FTtQbIR�NItA2<H C^S
* orJ 7• y
V� t
Sru ru C; * OtUm
C31. Plaster BrowmCoatT S i TT r G
�G% t
r79. FINAL INSPkTIf - Z Om
wtT i�N'
`02 Electrical Pour Mek{e`r7nal; =^m•'
F00D CERTIFI'CATR IS�4JED, `"
!80mM.
"ma>'N` `
tU:` i
7 --I ir'm
�Nf n
•�.
:33.yinD1 Electric x _m I _Kc
.. >K
Notes_:• -r'7 7 T ^: O <r-+ n m0 S
a34.rginig Heatin§j& Air;Coridition;FF n=•' Q I
y�. *
Gr
80
% m m n
x
0� a y H
135.rFinal Gas Pipe•Test%, O}' '� x H
j r• *
- [c '`-7- v_"'i r `♦
a36. Hood or Canopy I t*`7 aH. '%: n I
.I
*
no %: . Sit •�^ H
s o = n l M m cru
!
m xo * m H ocr s
;�7.iZFattorY Fireplacex i FF w^� -,Q�I
TN
xw •+ _ # < :JoV T, •7
w a
X38. Fina'GPIumb * I ` F ^' //
�'�14�
*
G�
S k a O
'7 * 1 01 ,
x HIL rJ 0 o,M %: 1 IU71 0
I
t39. Watei Service
1.Jy
,Final
y * O
M
t40. GastService-Final R m <rrrtr Srrti e mdi
! '• %'
G�, uN % H0.%;H
E41. Solarpomesffc-Fin 1S_ n ••HI)
_
r"`^y _C;
42. Backflow Preventer* cu UOM a'
:k MSS S_
43. Backflow Irrn �X
`gationr y ,� ,Y,.F
�:
x:
•+. •-' r. •
1; x ;,
,-
^
r'44. Landscape Ir`rigatiofi Systerrr"'�mn. x '• m G
O 'O* *
z N N a xCJ * N 000uoorJ0000
r• n '-, e7'
v-^ •C X a'
> F_ Lim
F45.�Sound Atteruatio'r `xi- p"�'s"Z `-'
rtr. '7 •• 0T J' m
H F� t'
m 'm T
�1 H ,-+ cu
c •-•I tr < • H :♦ V
i46.•Handicap•Regulatio'ns r 'D <.x • •
:* M
CZ 0c✓ S >k
r
e rr, CG iJ r
STRECTURE & BOLDING
N7S
,J47.=Fir'FAL v
46.f&LN'tdiiVi3 59�; F {r'EE '
m <
C; N T
a49.`,ElecF%ic`Rele_se to Edison
o1:n
<
c50._Gas_'Release to Southern California Gas Co.
�
�
4 •^•^• • •. • '
m t I c
•' C
C.)O [ . !' N C:D'J�OOI,�N'U00
051. CERTIFICATE OF"OCCUPANCY J
`
r •� me _ Vu•
No. -_ Date
PROJECT ADDRESS: - UNIT:
. UPJNER'S HANE:
ADDRESS:
ARCNIENOINEER: REG.NO.:
ADDRESS: UNIT:
PERMITTEE:
ADDRESS:
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing win Section
70DO) of Division 3 of the Business and Professions Code. and my license is in full force and effect.
CITY LIC.: STATE LIC.: CLASS:
Date: Signature:
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -Insure or a certificate of Workers'
Compensation Insurance, or a sonified copy thereof (Section 3800, Lab. CL
POLICY NO.: EXP. DATE:
Certified copy is hereby fumished. ❑ Confined copy is filed with the city Building Division.
Date: Applicant:
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be compklco it Me permit is for one hundred ($100) a less).
I certify that in the performance of the work for which this permit is issued. I spall not employ any person in any manner so as to become
subject to the Workers' Compensation Latae of California. '
Date: Signature:
NOTICE: If, after making title declaration, you should become subject to the Workers Compefaation provisions of the Labor
Code, you must lormwhh comply with such provisions or this peanut shall be deemed revoked.
CONSTRUCTION LENDING AGENCY:1 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 lot 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 IWsi a 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 five hundred dollars (5500).
I, as owner of the property or my empployees with wages as their able compensation, will do the work. and the
El structure Is not intended or Offered for sale (Section 7044, Business and Professional Code: The Contractors State License Law
does not apply to an owger of a property who builds Or improves thereby, aro who does such work Nmsell/herself in through
his or her ownemployees, provided that such Improvements are not intended or offered for sale. If, however the building or
improvement is add within are year of completion, the owner will have the burden of proving Wine did not build or improve
lot the purpose of sale).
I, as Owner of the progeny, am exclusive contracting with licensed contractors to construct the project (Section 7044, Business
❑ and Professions Code: Too Contractors' State License law does net apply to an Owner of property vino builds or improves thereon
and who contracts for such projects with a contracta(s) license pursuant to the Contractors State License Law). I am aware
that proof of their Worker's Compensation Insurance should be provided to me.
❑ 1 am exempt under Section: B. A P. C.
for this reason:
Dale: Owner:
I do hereby cenity 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 future balding occupant wiftj plot (circle one) need to comply with said auto codes and the requirements lot a
Permit for construction or modification from theAirToality Management District. Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby candy that I have read this application and state that the above information is correct. I agree to comply with all city and county
ordinances and state laws renting to building construction and hereby anulite representatives of this city to enter upon the abnve mentldned
property for inspection purposes.
Date:
Driver's License or Social Security 4:
Signature:
1641-46 White—Building: Green—Cada Enforcement: Canary—Applicant; Pink—Revenue: Goldenrod—Assessor
PERMIT NO: G 046969 PLAN CHECK NO: 03412-90 N PAGE; 2
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU
1
LAUNDRY TUB OR WASHER
2.00
2.00
PLU
1
SHOWER
2,00
2,00
PLU
1
SINK, KITCHEN
2,00
2.00
PLU
.4
WASH BASIN
2,00
8.00
PLU
3
WATER CLOSET (TOILET)
2,00
6.00
PLU
1
WATER HEATER AND/OR VENT
2,00
2,00
PLU
1
WATER SERVICE
2,00
2,00
PLU
5
GAS PIPING SYS 5+ OUTL-PER OUTLET
,50
2-,50
PLU
1
GAS SERVICE
2,00
2,00
PLU
1
SEWER, BUILDING / TRAILER
5,00
5.00
END OF FEES
}� CONSTRUCTION AND PLANNING sop
APPROVALS Permit #
Date
Inspector
PO SPA
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.E ouXgh Head
GIV a+rCo0131rrrncg
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
20,gg o4gh Fact _,•.; cj
21.tDucts, in Structure
" r
70. Underground Hydro
22. Duc4s, Ventilating
71. Product Piping 0Gas 0Oil
23. GastPip(-Rough & Test
x
72. Underground Flush
24."Ro4. Framing... u�
73. Undergrnd. Storage Tank 0 Gas 0 Oil
25. Roof Sheathing
74. Overhead Hydro
26.`�-B C�lin�'�coat
75. Dry Chemical
27.,Frameand FiBtT1D1R7f�r1
n "Ma
76. Dry Standpipe
28. LattingA S§Rgx'40nxrumC
77. FIXED SYSTEM FINAL
29. Instilati6d F I----iO.4azSHS
ncn• 1.
78. FIRE PREV. FINAL
30. Dry�;valINailTRO RM] FGClNMt7
HEALTH DEPT. REQUIREMENT
31. Plaster BrowtCCoat ^C (U S
79. FINAL INSPECTION
32.t,Ele*ricAPojer Meter-F>alr,
80. FOOD CERTIFICATE ISSUED
33.4inaf EIELtriC Mtz T F-M
v
Notes:
n. O
34. �in�l He�tin�& Air CbF�itit�m�
35.t_P,inal Gas Pipe-Test F h mtr
Mr"
30o' or Canopy to
37. ?�inal Factory Fireplace N
n
38.2ini Plumbing n
39jVatpr Service-Final M
40.'Gas'Service- F ilial
41. o1aw DgTestic-Final
.
42. Ba ck f low; Preventer
x
43. Backfloyutlrr g8iio4 .�J�c .o�N
44. Lanldscdpe IRi4_860a S'ysierri»0
x
45. Soupd Attenuation
46. Handicap Regulations
47.E INPL STRUCTURE & BUILDING
48.rf.l%I,LP ANNING
49. Electric Release to Edison
50.-GwRe4a,se to Southern CalitornixGas Co
r i 000000n�oo
51. CERTIPICATE6Fr0RGVP`A r
No. Date
ft
June 6, 1991
IWA ENGINEERS
17390 Brookhurst Sheet, Suite 100
Fountain Valley, California 92708
(714) 968.1221 • FAX (714) 968-9286
City of Costa Mesa
Building Department
77 Fair Drive
Costa Mesa, CA 92628
Attention: Mr. Victor. Clift
Subject: Fine Grade Certificate
Dear Mr. Clift:
J.N. 207-03
I hereby certify that the fine grading for Lot 72 of Tract 13224
were graded as shown on the precise grading plans for said project.
00 ALek ,-
LiewelTyn D. Incledon, R.C.E. 17593
No. 17598
EXP. 6n0193