The URL can be used to link to this page

Home My WebLink About3411 TIMBER LAKE - Building Permits�� CONS RUCTION ANAGEMEH CHE ( t n772 E. 17�h Stree�, Sui�e 107 Tus�in, Cali�omia 92680 CONSULTAN75 �C�44� ` OC� �G°�G1a�G�0��G�[� -z.sv ,/� b ATTENTION To �i1��i� Tr� �<va � d�l�/� GZ � RE: 77 �.�//Z .L�ZJ�I / � � /CL/'��JG�C�JZL/�K T/��GIS %sr,o ��, �, 342 y' % �m/�-�2 �,�� Cn'si�- .�r��:�, �i�- q2�'ZC� WE ARE SENDING YOU ❑ Attached ly'Under separate cover via �� /� the following items: ❑ Shop drawings ❑ Copy of letter coPies I onre I No. ❑ Prints ❑ Change order ❑ Plans � ❑ Samples ❑ Specifications DESCftIPTION �=9• i� rz 9/ �� o-✓ ��rr�z a,��Fdi,��` � � Tsri� .a.� �� ,55U�� y T�,,�� ; �2 yo� ��v��.-r, THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted fH'For your use ❑ Approved as noted L�YAs requested ❑ Returned for corrections ❑ For review and comment ❑ ❑ FOR BIDS DUE REMARKS ❑ Resubmit copies for approval ❑ Submit copies for distribution ❑ Return corrected prints 19 ❑ PRINTS RETURNED AFTER LOAN TO US L COPY TO �LG SIG II enclosu.es e.e not es no�ea, xina�r �oril TESTING December 12, 1991 Laboratories °/ �ou�Yn �a�i.fovzia, �nc. � 3310 Airport Way Long Beach, CA 90806 Mail: P.O. Box 47. 90807 (213) 426-3355 (714) 828-6432 FAX (213) 426-6424 G.P.A. 333 City Blvd West, Ste 720 Orange, California 92668 Project: Subject: Gentlemen: VILLAGE CREEK TOWNHOUSES Costa Mesa, California Testing and Inspection 1514-D North SuSan Str¢et Santa Ana, CA 92703 (774) 554-2645 FAX (714) 554-4960 As required, this letter may be considered the final report and is to affirm the performance of material testing and inspection by.special registered inspectors, through Twining Laboratories of Southern California, Inc., on Reinforced Concrete for the above project. To the best of our knowledge, the structure is in compliance with the approved plans, revisions, specifications, and the workmanship provisions of the current Uniform Building Code. Copies of all test and inspection reports were distributed to the Owner, Contractor and the City of Costa Mesa Building Department. TWINING LABORATORIES OF SOUTHERN CALIFORNIA� INC. Hu T. Nguyen Chief Engineer HTN/BB/fa/village B �11��P�� r�./ Director of Inspection G.P.A. L�OS AN�€LES DIVISION NOV 13 1991 ALL qEPORTS REMAtN THE PROPERTY OF TW INING LABORATORIES OF SOUTHERN CALIFORNIA, INC, AUTHORIZATION FOR PUBLICATION OF OUR REPORTS, CONC�USIONS, OR E%TRpCT$ FROM OR REGARDING THEM IS RESERVED PENDING OUR WRITTEN APPqOVAL AS A MUTUAL PflOTEGTION TO CLIEN7$ iHE PUBUC AND OURSELVES. � � I� PXOJECTAODNESS: ,3411 ,t,i�`�1��1� 3ta��i•�, OWNEP'SNPME: VILLAGE CREEIt H.O.A. nooeess: 3429 TIMBER LAKE COSTA MESA, CA 92626 RPCM/ENGINEEP: 5 5 j— 1 8 7 6 nooness: HEG.NO.: UNIT: UNIT: PEXMITTEE: PETERSON ROOFTNG ( 714 ) 979-711i � aooRess: 3006 ENTERPRISE Tp F� LICENSEO CONTPpCTOB OE�IAAAt�OxMFrSA anirm ma� � am licensed undeCr pmvisions oiCFaO�e� 9l�ommencing with Section 7000) ot �ivision 3 ol ihe Business antl Pmfessions Cotle, antl my license is in fu0 force ana eliec�. ciTv uc.: �„ � 4 STATE LIC.: 6 O% S% Z cuss: � � Oate: �� SignaNfe: __ �3:� WOfl1IEfl5' COMP SFTION DECLAflATION: I hereby aflirm �hai I havi cemiiwte oi consent m sel4insure or a certificate oi Workers' Compensalion Insurance, or a cenifieA coDY ��ereol (Section 3800, La . C�. voucv xo.: Z 0 213 5 S- 9 3 EXP. ORTE: O�i I O 1 I 9 4 COMPANY: STATE FUND ❑ Cetli�ietl copy is hereby lumishetl. Q Cetlifietl copy is liled wi�h the��yyy9....ggu�� i Oivision Date: ApplicanC �AJd�� ENEMPIION OMWO KEPS'COMPENSIITIONOECIAflRTION: Rhissec� neeUnalbecomplete0il�hepermAiS�oronehUnAretl�$7W�arl¢55�. I cehity ��al m the pedormance ol ��e work �ar w�ic� thi5 permit is issued, I shall nat emDloy any person in any manner so as �o become sublec� lo �he Workers' Compensalian Laws ol Calitomia. Oate: SignaWre: NOTICE: If, a�ter making Ihis tleclaration, you shauld become 5uhlect �o �he WorkeK Compensa�ion provisions of ��e Labor CoOe, yau must �anhwi�� comply with suc� pmvisions or I�is Deimit 5hall be OeemeO revoketl. CONSTqUCTION LEN�ING RGENCY: I hereby affirm ihat there is a constmciion lentling agency �or Ihe Denormance ol Ihe work for whic� �his permit is issuetl ($ection 3097. Civ. C). LENDEN: p00NESS: OWNEB BUILOEB OECIAflF�ION: I hereby aifirm �hal I am exempt imm (he Comrac�ors' State License Law far �he followinA reason (Seclion 7031.5 Business antl Professional Coae: Any ciry o� counry which requires a permil �o conslmct, al�er, impmve, demolish, ar repau any s�mcWre. Orior lo i�s issuance. also repuires t�e applicant far such permii to file a signetl slalement thal he/she is Iicen5e0 pursuam lo Ine pmvisions o� �he Comracmrs' S�ate License Law (Chapter 9(commencing wi�h Seclion 7000) o� Division 3 of �he Business and Pm�essions Cotle� or I�ai he/she is exemp� �here�mm and Ihe 6asi5 lor ��e alleAed exemption. Any viola�ion o� $ection 7031.5 by any applican� �or a permi� su61e��5 �he applicant�o a civil Denal�y ol no� more �han �iv¢ huntlretl dollars (5500�. I, as owner of ihe prope�y or my emplayees vnth wages as their sole comDensation, will tlo ihe work, and ihe ❑ simdure is not inten0e0 or offered for sale (Section 7044, Business and Pmfessional CoOe�. The Coniractors' State Licenu Law does nol apDly Io an owner ot a pmpeny who builtls or improves thereon, antl who does such work himsel�/hersell or �hmugh his ar her own em0loyees. pmvideA ihat such imD�avemenis are not intendetl or oflered for sale. If, however ihe 6uilUing or 'mpmvemeni is sold wilhin one year ot com0le�ion. �he owner will have the burtlen o� proving �e/she ditl no� 6uild or improve �or �he purpose ol 5ale�. I.as ownerofthe propehy, am excluSlvely contrac�in9 wi�h fcensed contractors ro constmctthe Dmlecl�5ection 7044, 6usines5 ❑ and Professions COGe: The GonVaciors' State License Law Ooes nol aDPly m an ovmer oi pmpeity who builtls or imprwes t�ereon antl wha conVacls �ar such prolec(5 wi�� a con�racmr�s)license pursuan� to �he Con�ractors' State License Law�. lam aware �hal prao� o� ��eir Worker'S ComOensalion insurance shoWE be provide0 Io me. � I am exemp� untler Sec�ion: B. 8 P. C. lor Ihis rea5on'. Oate� Owner I ao here�y cetlity Ihat I am aware o� and unJerslantl �he requiremems o� Calilomia HeaI�A antl Sate�y Code Sec�ions 2550.5. 25533, antl 2553A antl thal I or any INure �uilding occupani willlwill no� (circle one) neetl b tomply wiih sai� sta[e coUes antl �he requiremenls �ar a permil for consUuclion or mo0ilication Imm Ihe Air Oualiry ManagemeN Distric�. flesi0ential cons�mciion applications are exempi �mm these pmvisions. Oate: Fpplicani: I �ereby cer�ity that I have read Ihis applica�ion antl slate Iha� ��e above inlormalion is correci. I agree io comply wilh all city and counry orUinances an� slatelawsrelalingto buil0ing cons�mction and hereby aWhoriiereDresen�a�ives of��is ci�yio enteruponlhe above-mentionetl pmperly lor in5pection purpases. �� ale: � SignaWre_ � �.C�.�/ �� Oriver's License o ocial Seari�y M: � , Canary—Aoolicant�, Pink—Revenue: Goltlenrotl—Assessar <.i'�Y L�e 4,t?r,^xaR t�aE�r'1 — C�€tit��'I:{Lt= ='£E?2?'_ P=P.MIT NO: 5 0h3�00 PL•AN CHECK NO: N CONSYP,GtT�Oti TYPE: V—N PERMIT TYPE: STA JOB DESCRIP?_TON : TlOFF SHEATH R�ROOF W/COMP SHINGLES CLAZM VA?.Ur: 2,540.00 Cat.C—vaLUE: 2,500.00 r,P �ERM PItI; B 063400 GOVT; N SUPP: N PURPOSE: ALT SQ FT: 2,500 OUP OCC: R-1 / COMMENTS: SI�C�KE DETECTORS R£�1 PERMiT INCLUDES 3913 TIMHER LAKE *�t�**;�*t�?e;�**u*+�*�u#*±��*�****t�. �±�x�*�**��*�*#***+�****�r�r**�r;�* �x�* �+�-� 2 O N: td G R E t2 U I R E M E N T S�� LJR S E T B A C K S p�('� fR� ----------- MtlIN BUIiUT_NG ---------- -------- ACCESSORY BUI�FiLi'��L"'��-- FRNI': FT IAI AEAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT II3 PARKZNG RE • PROV; PARCEL:.93506040 ZNE: REF A10: PLANNING N TES>. !: ) .. iF if iE if aE jE iE 1F iE iE jc If iF If'3E N- iF 3f 1E iF iE 3F iF iF 3E iE iE iE %jFlF iE �E 3E iF 3E if 3E iElE iE k�lh iE iE iE iE iEiF iE 3f iE iEiE if � iE iF 1E if !E iElE iE iE iE K iF iF;lP iFi(� iF iE 1E if if iE 3t D E V£;'L O P M E N T S E R V I C E S R E Q U T A E M E N�T S ZONING APPROVED'HY DATE; � BUILPING APPROVED BY : DATE: '� � . APPLICATION IwSUED BY: �_ �� DATE: , �*i�i�iciFx��cir�it�tc*i��c'�E�1c�#F3E�1Ei�iF#E3F�t3F'iF'iF3F�r�riF�3EiF��r�r7FiF�F—i�%a#,r�r�r3FiFiF�t�iFiF'iF�FitiEi�iCiEit�3EiEi�if x�R ,r�t ' itiE 3E 3E if iF iE iE i: iE if jE iF iF fE aE iE 3E ib iE 1E 4E 1E 3E 3F iE 1E iE 1E 1E 4E iE iE 1E iE IE if iE if �E iE if !E iE if 1F i! iF iElf if iE �E fElE �E 1t i! iP 3F if iE 9EiE it iE ih �E 1E fk iP it iE *!E!E 1E iE if �E dF LEGALIZATION:N F E E S U M M A R Y STRUCTORAL SEGMENT;Y aLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 54.00 ,50 SMIP/NON—RES PLAN ISSUE FEE BJILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID D'JE TOTALS----> 54.50 0.00 0,00 54.50 54.50 ,00 REVENDE DSVFSION TOTALS--> COLLECTED: 54.50 OVER/SHORT: .00 BLDG PM? Pi:UMHING ELECTRIC MECHANZC FIRE SMIP/TOT GRADING PLAN—CHECR 59.00 .50 jf 1E iE iE if iF iE # ik iElE 1E iF iF iE # iE i4 if !F if iE 1E iE jF iE �E 1E iE iElf dE 1E i! iE if iE iE aE if iE if 1f �f !f if if �f iE iP iF1F iE iE IE iE 1E i(� iElE iE iE 3E 1E iE iElF ii ik iE 1E ik iE iE �kif iklf iE I N D I V I D U A L F E E B R E A K D.O W N TYPE QTY D E S C R Z P T I O N UNIT COST TOTAL COST SFR 2500 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 2,500,00 END OF FEES O1 G0144591-0�1144gg2 T��T DATE: GS/09/93 TITIE: 14:12 � 54.50 ; - CONSTRUCTION AND PLANN�NG . _ -. POOL & SPA . APPROVALS Permit # �Date Inspector AppROVALS Permit # Oate �Inspector }, Tempo*ary Electrical Service or Pole , , � 52., Pool & Equipmeni tocation .� 2. Soil Pipe�Undrgrnd. - � ' � 53. Steel Reinforcement - - � ��. 3. Electrica� Conduit UtilitV-Undrgmd. - 54. -Forms . 4. Electrical Condui[-Undrgrnd. . - � 55. Electrical Bonding 5. Sreet ReinSorcement � 56. Rough Plumbing & Pressure Test 6. Electrical UFEA Grnd. - 57. APPROVAL. TO COVER�GUNITE 7. Footings ' 58. Electrical Conduit-Undrgrnd. 8. Foundation � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgmd. � � � 60. Sackwash �ines, P-Trap, � Undrgrnd. ' 70. Structural Floor System . 61. APPROVAL TO DECK 71. Property Sewer Line & House.Connection 62. Backwash & Receptor�Final 12. Sewer Cap ., � � 63. Heater & Vent-Final - 13. Roof Drains - � -� 64. P4umbing System = Pinal 14. Rough Plumbing ' 65. Electrical-Fi�al . 15. Rough Electrical-Conduit - 66. Solar System-Final 76. Rough Electric Wiring � 67. Fencing & Access Approval 17. Rough Wiring Sign � 68. �APPROVEO FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT , � 20. �Rough Facmry Fireplace ' • - � � �� • 'qppROVALS Permit # ' �: . 21 . .Ducts, in Structure, � . . � � � 70. Undergrou�d Hydro 22.Ducts,Ventilating � ' 71,Product�PiPin,g�Gas �Oil 23. Gas Pipe:Rough &�Test � , . „ � , � . 7z, Underground�Flush � � • , 24. Foof Framing � �� ' ' -.' 73. Undergrnd.,Storage Tank O Gas ❑ Oil 25. Roof �5heathing �� Q 13�q� �(,.�( 74. Overhead Hydro �� 26. T�Bar Ceiling (Structurap & Monocoat ' 75.' Dry Chemical ' 27. Frameand Flashing , •, . . 76.�Dry Standpipe 28. Lathing&Siding� . '� • "� ' 77.'�FIXEDSYSTEMFINAL' ' 29. Insulation �� . .� I � � 78. FIRE PREV. FINAI 30. Drywa�l Nailing � ; I HEALTH DEPT. REQUIREMENT ' 31. Plaster Brown Coat �,,. � � i. .,79. FINAI INSPECTION � 32. Electrical Power Meter�Final 80. �FOOD CERTIFICATE ISSUED ' � 33. Final Electric' , " � � � ' Notes: ' , 34. Final Heating & Air Conditioning� � � � �, . . � 35. Finai Gas Pipe-Test . ' � �' � 36. Hood or Canopy � - i � � • � 37. Final Factory Fireplace � ' � � ' - 38. Final Plumbing � , j , 39. Water Service-Final � � G � 40. Gas Service�Final � ' " I i � I 47. Solar pomestirFinal � � , � " i 42. Backflow Preventer - � ; - 43. Backflow Irrigation - • . 44. Landscape Irriqation SYstem � , � - . � 45. Sound Aitenuation ' � _ , 46. Handiiap Regulations . _ � 47. FINAL STRUCTURE & BUILDING � • , -I z-4K; GwG� 48. FINA4PlANNING • i ' _� � 1 49. E�ectric Release to Ed(son 4 � ; -� 50. Gas Release to Southem California Gas Co � ' - . I 51. CERTIFICATEOFOCCUPANCY • . I No. Date PHOJECTB�DAESS: 3411 TIMBER LAKE � uxir: owr+cesxame: VILLAGE CREEK HOMEOWNERS eooness: ASSOCIATION '3429 TIMBER LAKE CM VA 92626 AXCM/ENCINEEH: CHESTER CARVILLE REG.NO.: CS OS nooness:. 79�2 AgMOUR ST �� PERMITTEE: S� D� CA 9 Z S I 1� nooncss: PHOENIX ENTERPRISES INC. ( 213 ) 690-9559 411 COMERCIAL WAY LA HAHRA CA 90631 LICENSEO CONTNqCTOB OECLAPpTION: I hereby allirm I�al I am IicenSeA untler provisions o� Chapter 9 �commencing wi�� Section 7000) of Div,sion 3 0l Ihe Business and Prolessions�Cotle. an0 my litense ull rce antl efleci. • ciTvuc.: 5U-� pg�ar/p uc.:376639 c s: � ;' oaie: �� '/ 1 Signature: _ _ � — — — v -\— WOBREq ' COMPENSBTION OECIANATION: I hereby alfirm 1 ai I �ave a ce , ca�e ol consent �o sel4insure or ¢a�e of Workers' Compensaiion Insurance. or a certifietl copy �hereoi (Seclion 3800. Lab. C�. �oucr.No.: W700359 E%P.DATE: O% O1 /91 COMPFNY; CA COMP 6 FIRE � Cetlitietl copy is hereby tumis� tl ❑ Cenified capy is filetl cit � iltlipg Oivision. / /A% �ate: � �.6 ` App6canP. " �r ' - E%EMPTION FpOM WOPKEBS' LOMP pT10N DECLAflATION: Qhis settion n¢etl noi be romplelea if the permi� is br one retl ($1W) or less). I ce�ify �hal in Ihe perlormance of �he work lor which Ihis permi� is issuetl, I shall not employ any person in any manner so a5 �0 6ecome sublecl lo �he Workers' Campensation Laws ol Calilorma. I Oa�e: Signa�ure: ' NOTICE: If, atter making t�is declaratian, yau shoulA become subject 10 Ihe Workers' Compensatlon provisions af ihe Labor Code. you mu5� fort�wiN comply with such pmvisions or ��is permit snall he Oeemetl revoked. CONSTBUCTION LENOING pGENCY: I hereby affirm iha� ihere is a consimction lentling agency for ihe vedormance of ihe work for which NI5 �permA Is issuetl (Sectian 3097. Crv. C). . LENOEH: AOOHESS:- � �� OWNEH 6 EB OECUIBATION: I hereb aifirm �ha� I am exem � Imm Ihe ConVactors' Sta�e License �aw �or �he �allowin reason UILO y P 9 (Seciion 7031.5 Busmess and Pmfessional Code: Any ciry oi counly which reQuires a Oe�mil b wns�mcl, alter, improve, Oemolish, o� repair any Slmciure, prior ro its issuance. also require5 ihe applican� �or suth permi� �o �ile a signed 5�aiement that he/she is licensea pursuani lo ihe pmvisions of ihe Contracmrs' Slaie License Law �Chapier 9(commencing wilh Section 7000) of Division 3 oi the Business antl Pmlesswns Cotle) or t�at he/she is exemp� �herelmm antl ihe basis lor Ihe allegee exemp�ion. Any violation o� Section 7031.5 by any aDDlicant lor a permi� sublec�s Ihe appl¢anl �o a civil penalty ol not more �han �ive Auntlred dollars (5500�. I. as owner o� t�e pmpeny or my employees wiih wages as �heir sale compensa�ion, will tlo �he work, anA �he 7 stmc�ure is not imenaed or oifere0 lor sale (SeCliOn 704C. Bu5ine55 anU Prolessi0nal CoOe: The ConiraClors' Slaie LiCense Law Does nol apply �o an owner oi a D�oDerty who builds or imDmves lhereon, antl wiw does such work himsel�/hersel� or ��mugh his or M1er own employees. pmvided t�al such improvemenis are not inlenAee oralleretl tor sale. If, however t�e building or improvement is 5oitl wi�hin one year ol completion, Ihe owner will �ave t�e bur0en oi pmving he/she Oitl noi build ar impwve , � for �he purpose ol sale). I. as owner o� ihe pmpeny, am exclusively coniracling wi�h Iicen5e0 conlraclors to conslmct �he pmle�� (Sec�ion 704d. Business ❑ antl Pm�essions Cotle: T�e Conirac�ors' State License Law tloes nat aODly to an ovmer af Dmperty who builAs or imD�oves t�ereon and who mnlracis �ar such pmjec�s wiih a conlrac�or(5) license pursuant lo t�e Contraclors' Staie License Law�. I am aware Nat pmol oi iheir Worker's Compensalion Insu�ance shoul0 be pmviAeJ to me. � I am exempi untler Section: B. 8 P. C. for �his �¢ason: Wte- Ownec 1 Uu hereby ce�ify tha� I am aware ol anC unaerstantl Ihe requiremenis ai Califomia Heal�h an0 Safery CoEe Seclions 25505, 25533, ane 2553A antl t�a� I or any lulure builtlmg occupan� wilVwill no� (circle one) neetl lo compry wiih saia sia�e cotles antl Ihe requirements lor a permi� tor consimclion or motli0caimn Imm Ihe Air Ouahly Managemen� Di5lrici. qe5idenliai cons�mction applica�ions are exemp� imm �he5e provisi0n5. - Date: !1p01icam: I hereby cenify ihat I have read Ihis applicalian antl sia�e �hal ihe ahov ' or ation is correci. I agree to cnmply wi�h all ciq ortlinances and s�ale laws relaiing 10 building consimction an0 hereDy mri repr , ma�ives � his ciiy i n r upon the abo� pmpeny �or7nsPecbon pur �5 5 � / ! '�/ -0aie: Signalure: Oriver's License or Social Secun�y a: � $$ � ' 1641-a6 W�ite—Builtling; Green—Cotle EnlorcemenC Canary—Applicanl: Pink—Fevenve'. Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 05054_ PERMIT NO; B 050543 PLAN CHECK NO: 00144-91 A GOVT; N SUPP: N CONSTRUCTION TYPE: V—N FERMIT TYPE; STk PIIRFUSE; REP " JOB DESCRIPTION ; REPAIR SETTLEMENT DAMAGE S� FT; 143 CliAIM VALUE; 14,300.00 CALC—VALUE; 19,300,00 (;ROUP�OCC; R-3 / COMMENTS: 3UILDING SETTLEMENT REPAIR/FOUNDATION • **x**�c��***��c,��r�-**x*+�***x�****xx�**��+��r**x�***�*x*�r*+r��r�rx*x�*********�**u�****� . Z O N I N G R.E Q U I R E M E N'T S S E T B A C K S ------------ MAIN HUILDING ---'------- — ------- ACCESSORY BUILDING -------=— FRNT: FT ZN REAR; FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN -PARKING REO• PROV: PARCEL: 93506129 ZNE: R2 REF NO: PLANNING N13TE5> FOUNDATION REPAZk, a � _ • !E iF 3E �1ElE iE 3E iE iE if� lE M� iE iE iF iE iE �f 1f if- i6 jE�1h if iE 1E IE if iE i41f if• i6lf �f if 1E �IE 1F if 1f �1F iF iF iE if 3f �)E �lf-iE �E �1F iF if # dE af if i6 !f� aF 3E 3F lE iE 1f i( ik If.l(; it 3E 1E iF iE �E IE i(� if D E V,E L O P M,E N/T' S E R V I C E.ri R E� U I R E M E N"�T S ' ZONING APPROVED BY (�✓ � t-- c— � DATE: �7/S�/ BUILDING APPROVED BY ; G.�11_i>l'c—rr DATE: � APPLICATIUN ISSUED BY;' DATE: �E �1E !E 3E iE 3F �IE iF �E 3f 3F iE if jF )f!F 1F iF dE If 3E �E iE iF 3f 3E iE iE 3E �E iElE�!'�£�iF# 1E if3FafjFlE�elEifiE1E3F3EaElEiF3E3fiEiEiflEiflEififiElf�E�fiE�E IfiE iE3FiFiE3fiE1E*iEiEaF-If1EiE3E�E3EiE3E3E�1EiE3EiF3EiFaf3FfF�EiFiE�EifiE3f16if�lFififif LEGALIZATION:N F E E S U M M A R Y STRUCTUR`Ali�SEGMENT:Y BLDG PMT PLUMBING E CTRIC'�MECHAN C I FIRE SMIP/RES GRADING PERMiT 162,00 � ' SMIP/NON—RES PiAN 26.33 • ISSUE FEE HUILDING—DIV—> PERMIT ISS E PLAN—CHECK TOTAL PAID DUE TOTALS----> 163.00 0,00 26.33 159.33 189.33 .00 REVENUE DIVZSION TOTALS--> COLLECTED• 189.33 OVER/SHORT• 00 HLDG PNT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADTNG Pi,AN—CHECK 162.00 1.00 26.33 ih �K� iF iE 3f iE 3E 3F fE ik 3f �f iF 3F iE i( iE ih 7F 36 i(� #� iF dF iE IE �lE �E 1F ff �Elh ih iE if if if li• 1E iE iE if lf 3f jF �( 3E 3F iE � 3E lE iF iF 1f )f 1E 3f if jF �(� if 3E 3t iE 3E if� l6 iE f( %� !E If IE iF if iE 3f if I N D I V I D U A L F E E B R E A K U O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 143 STRUCTURAL HY VALUE PER 5100.00 100.00 14,300.00 END OF FEES �t �°}I.�i{:��'ii]fF"��jl`i'��J ��L„7"�" Gr,TE. C�:J23fv: iIME; t?;1:� CONSTRUCTION AND�PLANNING � � � ` $ SPA � APPROVALS Permit # - Date Inspector APPROVALS Permit # Date Inspector 1: Temporary Electriwl ServicC or Pole �'' . . 52. Pool & Equipment Location � .��, 2. Soil Pipe-Undrgrnd. ''(� � � i� 53. Steet Reinforcement '� .-, 3. Elecc.ical Conduit Utility-Undrgmd. r 54. Forms -''t 4: Electrical Conduit-Undrgmd� '%-' ' 55. E�ectrical Bonding � `-�--- 5. Steel Reinforcement � . 56. Rough Plumbing & Pressure Test �6. ElectricabUFER:Gmd. _ 57. APPROVALTOCOVER�GUNITE � ' 7. Footings ' :' � ' 58. Electrical ConduirUndrgrnd. � �.�8. Foundation� , y � ,y 59. Gas Pipe, � Undrgrnd., Test �. 9. Water Pipe-Undrgrnd. �i��,� �; fy 60. Backwash Lines, P-Trap, O Undrgrnd. ,� ��t .� , 10. Structural Floor System� j�� i i� Y` 61. APPROVAL TO DECK v✓ �� 11. Property Sewer Line &� �use Connection �}4� � /' 62. Backwash & Receptor-Final 12: Sewer Cap .' ��/' , ��' 63. Heater & Vent-Final 7 13. Roof Orains ' � ' � � � � 64. Plumbing System � Final �,.y`� 14. Rough Plumbing �; �i ,w 65. Electrical-Final .;^ 15. Rough ElectriCal-Conduir�/� � .%� � 66.-Solar System-Final r„ �-� 16. Rough Electric Wiring � Y�/ �,..� 67. Fencing & Access ApProval `� 17. Rough Wiring Sign , , _ 68. APPROVED FOR PLASTERING � 18. Rough Electrica��T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning ' FIRE DEPT: REQUIREMENT � ,, 20. Rouyh Factory Pireplace � . � �_ _ - APPROVALS� � Permit # 21. Ducts, in StruGture . � � . ,. � . ,70. Underground Hydro 22. Ducts, Ventilating • _ � � 71. Product Piping O Gas OOiI 23.' Gas Pipe-Rough & Test � �, 72. Underground Flush . . " 24. Roof Framing% ' ' , . . . - � `•73. `Undergrnd. Storage Tank O Gas ❑ Oil - 25. Roof Sheathing �� ". 74,�•Overhead Hydro- ` 26. T-Bar Ceiling (Structural) & Monocoat ' ' = 75. �Dry Chemical � � 27. Frame and Flashing� ' , 76. Dr Stand i e -' � � � Y P P i_ 28. Lathing & Sid�ng � . . � i_ _ 77. FIXED SYSTEM�FINAL . ; � 29. Insulation � � � ! �. 78. FIRE PREV. FINAL � - � 30. Drywall Nailing • � � �� HEALTH DEPT. REQUIREMEN7 -31. Plaster Brown.Coat � � ' � � �' : Jg, FINAL INSPECTION . 32. Electrical Power Meter:Final � I � I� SO.:FOOD CERTIFICATE ISSUED � 33. Final Electric. ' : . ` . ' I I i' , "Notes: , . !34. Final Heating�& Air Conditioning. . � � �. , ` ' i 't � 35. �Final Gas:Pipe,Test' � � •-i ` � .36. �Hood or, CanoPY � � ' . . . � � i f �� ` + .. , t i_ 37.� Final Factory Fireplace • _ ' i �' � ' �38. -Final Plumbing � • � I , � _. �'39. Water Service�Final ' = ! � ` � ' 40. Gas Service-Final , ' ; � � � ' j � �41. Solar pomestic-Final . ` � � , 42. Backflow Preventer. I � . . _43. Backflow Irrigation � � . 44. l.andscape Irrigation System � ; , ' „- � �45. Sound Attenuation • �� • • � �� ` :46. Handicap Regulations • � ; � _ 47. FINAL STRUCTURE & BUILDING � l0 Q , 48. FINAL PLANNING� ' . � i • 49. Electric Releaae to Edison � � . � . I ! i: 50. Gas Release to Southem California Gas Co " �; ' �� ' � - � 51. CERTIFICATE OF-OCCUPANCY , , , . � , � No. Date OWNER �� JOB ADDRESS 3 GENERA CO TR� �0 O AP No. 1 INSPECTIONS SOII cas W ATER ROUGH PLUMBING PROP. SWF. LINE Q HOUSE CON. SPRINKLING SVSTEM MISCELLANEOUS FOUGH HEATING ANO HIR CONDITI TEMPORARY SERVICE OR POLE UNOERGROUNO � POWER � ftOUGH WIRING TRENCHES � � � 5 F FLOOR SVSTEM ' BONO BEAM [� STEEL REINFf SHEATHING FRAME ANO FLASHING ' LATHING - IN OUT PLASTER, 6ROWN COAT STRUCTURAL, FINAL HEHTING, VEN7., REFRIG. AND A. Pl11M81NG, FINAL AN� GAS TEST Date DATE 4-28-76 BUILDING PERMIT N0. E VALUE SUBCONTRACTOR Z . d U za ON am J � J N aw m J • p7 J Q U � Za W � aW WZ J Q m Z J � W w � ZH W � � � � z Q :..: J a a Q 0 F y Z " O F U � � r � z � �.i ��.� COSTA MESA BUILDING•SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Comp/etety 6VI�DING____ _, , . pWNER State-Wide Developers, Inc. MAIL'"_. � . .. CITv CVI (',ONSTRUCiION LENDEfl BFlP.NCH aooRess PRCHITECT . p11ERO1N[�R qDDRESS j ]f CONTRACTOfl qDDRESS 946� Grindlav CITY Cypress STATE ��^��O �IC. NO. y SIZE 12 093 acres OF LOT USE OF EX�STING BLDG. 512E OF NO. OF NEW BLDG. ROOMS EMERIOR WALL� ��ter ROOF COVEPING COVERI U&E OF BUILDING AND WORK TO BE 1 Residence No`.'826-4550 CITV LIC. NO. � NO. OF BL�DGS. „ ;,A\' 1z-7fvnlo�0 695� ....':?_lO.P7 c,ss� APPLICATION FOR BUILDING PERMIT RECEIVEDBV DATERECEIVED nnr�icciu �/L =pI/— O/�a'G-. I PERMi. A.P.NO. I46-bS.1-b% -�t BUILDING q�i iim�ii p�c��K ADDRES$ -3 TRACT ap� LOT B FIqE ZONE APPROVED ZONE NO.OF USE OF NEW/j/y� LJ/ /C z, � (� 7LAN5 Z B�UILD�NG �� YARDSAPPROVED VARDSAPPRWED MAIN BUILDING ACCESS(]Rv RI/ILoI � DISTANCE BET. BET. MAIN & MAIN flLDGS. ACCE$$. BlOGS. VAR. # q� DATE �U(IIS C.U.P.qWG.(� ��y� APPROVED — APPROVED ��1� � c HOLD FOR SF.iC7ar. rzFn�ir�FsrrS1* : � hereby acknowledBe thet I have read this application antl state that.tha above information is correct antl agree to comply with all laws reBulating builtlinB construction, antl I shall not employ anV person in violation of the wOrkman's compansation laws oi the State ot California. I hereby certify that I am prOperly Iicencetl as a conSracior under tha S�ata of Cafiiornia Business antl Profassions Cotle, Divlsicn 3, Cnepter 9, antl that s�ch licenses are In full force and effect, or 1 am exempt from the provisions of the Stare of Calif rnia Business entl Protessions Cotle, Division 3, Chapter 9. ...___..c�5tate-Wide Develop� Inc. Parmittee / A�thorizetl Agent Vi ce Presi dent 1254 sQ.FT. J-655 0 TF1E AMOUNT SHOWN UNDER V ALUATION IS FOR ' THE PURP�E OF ESTABLSHING A PERMIT FEE ONLV: � VALUATIONM ¢ �i� �(/Y PERMIT FEE $ � � � ✓� m PLAN CHECK $ � � E `o /r� LL TOTAL FEE $ L/