HomeMy WebLinkAbout3413 TIMBER LAKE - Building Permits�
PNOJECT AOUHESS: 3 4 1 3 T IMB ER LAKE
OWNEfl'S NIIME: ��ILLAGE CREEK HOMEOWNERS
aooness: ASSOCIATION
3429 TIMBER LAKE
CM VA 92626 ,
e
uxir:
'AflCHIENGINEEN: CHESTER CARVILLE � � - pEG.NO.: CS OS
ADOqE55: ''� fj 2 z ARMOUR ST �' ��' '
PEHMITTEE: S,D, � CA 9211�1
aooness: PHOENIX HNTERPRISES INC. ( 213 ) 690=9559
911 COMERCIAL WAY
LA HAbRA CA 90631 -
LICENSE� CONTPRCTOfl UECIAflFTION: I here�y afiirm iha� I am licensed untler pm isions o� C�apter 9 �commencing with Sec�ion
7000� of Drvision 3 0� �he Business and Pmtessons Code, antl my license-�n lull i e and e�lecL — `
c�rruc.: 5 . �Ty���'376639 — /� i ���
Oate: � Signamre: _ G .
WOBREBS' COMPENSRTION OECLAHATION: I Aereby aftirm at I have a ceriihca of consenl to SelGinsure or a ceN ¢ate ol Workers'
Compensalion Insurance. ar a certi�ied copy Ihereol (Section 3800. Lab. C�. �
=oucvNo.:W700354 EXP.OPTE: n%/OSIJI
comraNr: CA COMP 6 FZRE
� Cetli�iea capy is herehy fumished. ❑ Cetlified copY is fileA w ci� iltli �ivision
oate: ` APPlicam: � .
EXEMPTION FBOM WOPNEAS' LOMPE! ATION DECLAPp710N: ( is seclion neeA not 6e compleleA il lhe permit is furone hu (51W) or less).
I cenily t�at in the pedormance oi the work for which ihis permit is issued I shall not employ any person in any mann r so as to hecome
subleCl lo Ihe Workers' Compensa�i0n Laws oi Calilornia. '
Da�e�. Signature: � '
NOTICE:II, after making this tleclaration: you shoWd become subjem to tAe Workers' Compensation D�o�isions of ihe Labor
Code. you mustforthwiN comply with suc� D�ovisions or �his permit shall be Oeemed revoketl.
CONSTflUCTIDN LENDING FGENCY: I �ereby alfirm ��at there is a consimction lentling agency �or the pedormance otthe work lor
which Ihis permit is issuetl (Semion 3097, Civ. C�.
LENOEB: ,
ADDflESS: " -
OWNEP 9UILDEB OECLpBGTION: I hereby affirm I�a� I am exempt irom Ihe Contrac�ors' S�ate License Law for the following reason I
(Sectian 7Q31.5 Business antl Pmlessional Code: Any ciiy oi counry which iequires a permi� �o constmct. aller, improve, tlemolish, or
repair any s�mclure. D�ior lo its issuanceralso requires ihe applican� for such permit to �ile a signed statement �hai he/she is licensed
pursuam m tAe provisions ol the.Conlracmrs' Stale License Law (Chapler 9(commencing with Section 7000) oi Division 3 0l t�e Business
anU Pmiessions Code) or Ihal he/she is exempt �here�mm antl �he basis �oYthe alleged exemplioa Any viola�ion oi Sec�ion 7031.5 6y
any apDlicant lor a permit suble��s ihe appiicant m a civil penalty ol nol more ihan five hundreA Aollars �$500). � '-
I, as owner of ihe Dropetly or my employees wi�h wages as Iheir sole compensation, will do the wark,- and ihe
7 stmcWre is not inlen4e0 or oflered for sale (Sec�ion 7044. Business antl Professional Cotle'. The Con�ractors' State license Law
tloes no� appty ta an owner ol a pmperty who builds or impmves �hereon, and who does such work �imself/hersel( or NrougA
his or ner own employees. pmvided �hat such impwvemems are not intendetl or oflered lor sale. I�, �owever �Ae �uilding or
impmvemenl is soltl wi�hin one year o� completion, Ihe owner will have Ihe burtlen of pmving he/she ditl noi 6uiltl or impmve
for the purpose of salel. . •
I, as owne� oi ��e pmperiy, am excNsively conVac�ing vnih hcensea conVactars m cons�mct the Omlect (Section 7044, Business
❑ and Pmlessions Cotle. The Contracmrs' State License Law Ooes not appty to an owner of pmperry wAo huilds or impmves ihereon
and who cantrac�s tor such pmlec�s with a canVactoqs�license pursuan��o �he Contractors S�ate License Law�.l am aware
Iha� proo� ol iheu Worker's Compensation insurance ShoWd be pmvi0ed �o me.
� I am e�empt under Sec�ion: B 8 P, C.
� for I�is reason'. �
Daie: � Owner
I tlo hereby ceni�y Ihal I am aware o( an� untlerstantl ihe requiremenis ol Calilomia Healih an0 Saleiy Cotle Seclions 25505, 25533, an�
2553a and Iha� I or any iWure builtling Occupanl willlwill nof(circle one) neetl to comply wit� saitl s�a�e code5 and ��e requiremen�s for a
permii for conslmction or modilication �wm �he Air OuahtV Management �islric�. flesieential consimction applica�ions are exempi Irom
Ih¢Se p�ovisions.
� CITY OF COSTA MESA — BUILDING PERMIT, PERM NO: B 050538 .
PERMIT NO: B 050538 . PLAN,CHECK NU: 0015,0-91 A GOVT; N SUPP: N,
, ,
CONSTRUCTION TYPE: V—N PERMIT•TYPE: STR PURFOSE: RBP �
JOB DESCRIPTION -; REPAIR SETTLEMENT DAMAGE SQ FT: 7.43 ,
CliAIM VALUE: 14,300.00 CALC—VALUE: ' 14,300:00 ;GROUP OCC; R-3 /
COMMENTS: B[7ILDING SETTLEMENT REPAIR/FOUNDATION
�*�r*�**��**�******�u*�***+��*�+r�u*****�x��**�*****�*��**+�*x*x**�c**�*��u�*��+r�****
- 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 BUILDING ----------' —=------- ACCESSORY BGZLDING ---------
FRNT; FT IN REAR: FT' IN FRNT: FT IN REAR: FT IN
LEF.T; FT IN RGHT: FT ' IN LEFT: FT TN RGHT;� FT .SN
PARKING REQ• PROV: �PARCEL: 93506124 ZNfi; R2 REF NO:
�LANNING Ni3'I'ES> FOUNDATION REPAIR.
> - - -
iE iE if IE iE iF If iF iE if 1f if 16 if if 3(� 1E 3F if iF lE iE if iF iE iE IE iF �E ih if k iE if if !f iF 3E iF iE iE jE 3f 3F 3E iE 3E iE 1ElE if iE 3E iF %iF 3F 1E af if if 3E 1E iE 3f iE 3f #E!f iE 3E j(' iE 1F iF �f iF iE if
DEVE.LOP�MENT SERVICES REQUIREMEN,T•S
ZONING APPROVED BY �� � --l--�: ' DATE: ��C (,S—JI 1
BUILDING APPROVED HY � ��;i Ll71�7� DATE:
APPLICATION ISSUED BY: DATE•
)fiFiEltiElEiFiFiEiFlf%3E�E�1fk3f1E�1FiEaEIE FiFSF'iFSFififlflEiEiEifih3E3E . �1f�1e
iE�EiEifiEiEiEifif3f3Eifjki(�3E1fiEiEik1E1(�iEiE�lFlfiElEifififiEitif iEifi fiEiElFiflfiE3Eif#iflEiEiEf6lFififfEiEklEiflEiF3FjEiEjEiF3EiFiE%�lflfiE3ti?�iF
LEGALIZATION:N F E E. U M M A R Y� , STRUCTURAli SEGMENT;Y
BLDG PMT PLUMBING ELEC RZC MECHANIC ' FIRE SMIP/RES GRADING
PERMIT 162.00 1,00 '
PLAN 26,33 . SMIP/NON—RES
ISSUE F'EE � '
BUILDING—DIV—>. PERMIT ISSUF. PLAN—CHECK TOTAL FAID DUE
TOTALS----> 1�63,OU, 0,00. 26.33 1B9.33 189.33 .00
REVENUE DIVISION TOTALS--> COLLECTED: 189.33 OVER/SHORT: 00
HLDG PMT FLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
162.00 1.00 26.33
3E * If ik iF iE iF iE iE iE Ik #:k IE �E 3f if� 1F lE 1F IF ff iE if iE �f if iE IF-0F 3E )f if IE IE 3F if iE 3E iE 3E if 3E iF iElE iE 3E IF �E 3E IE iE iE 3F IE i(� if if iFiE �F 7E �lE IF K�lE iE if� 1f iF lh iElE k ik IF �IFiE
I N D I V I'D U A L F�E E H R E A K D O W N
TYPE QTY . D E S C R I P T I O N UNIT COST TOTAL COST
SFR ' 143� STRUCTURAL BY VALUE. PER �100.00 100,00 14,30p,0U
. END OF•rEES.
Oale: Applicanl: 1
I hereby cetlity Iha� I �ave reatl this applica�ian and sta�e I�at Ihe a�ove i r� ion is rrecL I agree lo c Il�ly wilh all cily an nty
or4inanwsantl5ta�elaw5relalinglobuil0ingcons�mctionandherehyai rn eDres livesolthisciry� ffa oniheab �nen�mned
pIOPCf�y �01 IOSP IIOfI /pOIPOSBS �.i
�alel _�-- �."��� Signature:
o�i�ers �tense o� Sociai security a: '
t641�06 Wbi�e—Butltling; Green—Code Enlorcemen��. Canary—ApplicanC Pink—Revenue: Goldenrotl—Assessor
a
�i �Q['7Hs'.�.E—OOG78S�0 :c�i' �r.;,
DATE: 01/23I�Y 'rIi;E: ;7�_'•.
0
V.
CONSTRUCTION ANO PLANNING � - � ' �' SPA
. ' Date Inspector � Date Inspector
APPROVALS Permit # � - APPROVAIS Permit #
l
1. Temporary Electrical Servtce�or Pole4 �i 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. - �' -- _ ;�� 53. Steel Reinforcement �
' 3. Electrical Conduit Utility-Unc�rgrnd. ��;. �` 54. Forms . ,
4'.�Electrical Conduit-Undrgrnd� �,._ 55. Electrical Bonding
5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test
6. .Elettrital UFER Grnd. � 57. APPROVAL TO COVER-GUNITE
' 7. Footings _� 58. Electrical Conduit-Undrgrnd.
'8. Foundation. �_ � � ,9' / 59. Gas Pipe, O Undrgrnd., Test
.:
• 9. Water Pipe-Undrgrnd. ,.� , �� 60. Backwash Lines, P-Trap, O Undrgrnd.
10�. Structurel Floor SYstem�"�f � I�,��" ' 61. APPROVALTO DECK
L /�
1�1: Property Sewer^Line & House Connection � 62. Backwash & Receptor-Final �
12. Sewer Cap „ , .; .^ ,_ " `� 63. Heater & Vent-Final
73. Roof Orains � ' .� ' 64. Plumbing System - Final
14. Rough Plumbing ��r � �` .�' 65. Electrical-Final �
15. Fiough Electrical-Cond�t, �� ��
� � ,'n 66. Solar SYstem-Final
16. Rough Electric Wiring (/� �
�/ /� % 67.=Fencing & Access ApProval
77. 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. iRough Factory Fiieplace a ;. - ' ' � :APPROVALS��-' �Permit # _
21."Ducts, in Structure � ' � ,�'' , - � . � � - �
. � 70. Underground Hydro
22. Ducts, Ventilating '�t � y �•' ',-71, product,Piping OGas ❑�Oil
23..�Gas Pipe�Rough & Test "� �, 72. Underground Flush^ � "
24. Roof. Freming � . � � - � `03.'Undergrnd. Storage�Tank O Gas ❑ Oil
25. Roof_Sheathing ; ' � ' - j "" . -'74.=0verhead Hydro-�
26. T�Bar Ceiling (Structurall & Monocoat �� • - ^ 75.-Dry Chemical . • �
27. Frame and Flashing, , t. - ;_ _ L' ' 76.� Dry Siandpipe . ' -•
. 28. Lathing & Siding� �- �- Y' �•� � • � : 77. FIXED SYSTEM-FdNAL'
�29. Insulation �' . _ " - � . � I I �, 76.�FIRE PREV'FINAL . ��
�30. Drywall�Nailing y � k; HEALTHDEPT�FiEQUIREMENT
�31. Plaster Brown Coat � ; t,.. ; � i, " 79: FINAL INSP.ECTION - `
� 32.:Electrical'Power Meter-Final � . � � � �� �� 80. �FOOD CERTIFICATE ISSUED .
.. _ ;
33.�'Final Electric_ -� - . � � � .j j, `' �Notes: �s , ,
; 34. �Final Heating & Air Conditioning , � . i �; ' : . .
35.'Final'GasPipe-Test, - - ` ' '� -� � .:
:36. Hood or, CanoPv . ��- � - . � . I �. � .-- , �
�:
37. �Final Factory Fireplace _ ' . �j f {` : . j � .-
�..
38.,:Final Plumbing . - ~ � � �• � ,� .
I
"39. Water Service-Pinal� " • i j (. "� � ' -
^ l
,'40.'Gas Service-F.inal � . �� , . I � i" , � : ,
i '
' 41. Solar pomestirFinal _ • ; i ' .. �
i - -
42.'Backflow Preventer• ' - _ ' ( , � . �, ; � _
43. Backflow Irrigation • _� - '_ •
� u . . .
44. Landscape Irrigation System, , - _ . ' ,
�45..Sound Attenuat�on ' - - � � �• f
'�
�46. Handicap Regulations - � � .. -
47. FINAL STRUC7URE & BUILDING r!� �� -. � �
48. FINALPLANNING ' t - i . ' .
.49.:Elec[ric Release 4o Edison . � � ' �
� � i
50.,Gas Release to Southern California Gas Co � � �. �� - - .
�
'51. CERSIFICATE OF OCCUPANCY' . , - , , ,
Date
OWNER STATE-WIDE Developers, Inc. DA7E 4-28-76
JOB ADDRESS er e BUILDING PEf�nI.T. N0. 41771
AP No.14�=d5�i�b1
INSPECTIONS
s0i�
GAS
W ATEF
ROUGM PLUMBING
PROP. SWR. LINE HOi
SPRINKLING SYSTEM
MISCELLANEOUS
FOUGN HEATING RND p�R
TEMPORARV SERVIC� OR POLE
UNDERGROIIND � POWER ❑
ROUGH wIRING
TRENCMES � � FE
FLOOR SYSTEM '
BON� BEAM � STEEL REINFORCE
SHEATMING
FRAME AND FLASHIN� �
L•
PLASTER,BROWN
STRIICTORAL FI�
R
ELECTRIC, FINhL
B111L01NG, FINAL
FIRE ZONE VALUE
TVPE GROUF
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
pWNER state-wide ue
AooREss9461 Grindla,�
CANSiRUCitON
4ENDEF
ORANCH
ADDRESS
GONTRACTORstate�Wl
AooRess9461 Grindl
c�T� Cypress
STATE 2247�0
LIC. NO.
SI2E
OF LOT �%_O9.i il[PP
EXI5TING BLDG.
S�ZE OF
NEW BLDG.
EXTEflIOR WALI
COVERING
VSE OF BUIID
NO. OF
ROOMS
�" ROOF
COVERI
WORK TO BE
nTio`.826-4550
CITv
LIC. NO.
NO. OF BLDGS.
NOW ON LOT
� hereby acknowlatlge that I have reatl this epplication enE state
tMat the above information is correct end apree io comply wiih
el� laws re8ulatinp builtling consttuttion, antl I shell not employ
arV Person in vtolaSion of the workman's compe�sstion laws of
tNe State ot Californta.
� hereby certify tnat I am properly licansetl as a conttactor untler
tha State of California Buainess antl Proteuions Code, Divisicn 3,
C�apter 9, antl that such lieenses are in iull torce antl effact, or I
am exampt lrom tha provlsions of the State of Cal{ rnia Business
ana Professlons Cotle, Division 3, Chaptar 9.
Si0^ature tat -Wide Develope s, nc.
Pelmittee �
AuihorizetlAgent Vice President
ratc ;;�r.e: (1 "�
,; � 00 h95r 7_Z_.��
pf 13-7Cicos�n
APPLICATION FOR BUILDING PERMIT
RECEIVEDBV DATERECEIVED nnTFiccw
v=� s9=� �
�39/s 7�n%
X
„SE 1 Res
-
FIRE
20NE
APPROVED
ZONE NO.OF USE OF NEW
2'L [ � PLANS Z BVILDING
VARDS APPROVED VARDS Ai
MAIN BVILDING ACCESSOR'
MAIN &
VAR. #
HOLD FOR
BLOCK
�
��
�
1381 sa. Fr. J-534 ;
THE AMOUNT SHOWN UNDER VALUATION IS FOR j
THE PURP06E OF ESTABLISNING A PERMIT FEE ONLV: m
Q
LUATION nn m
�)� PEfiMiT FEE $ � �
7
� W
m
PLAN CHECK $ /�D E
/7' S'a °
LL
TOTAL FEE $ �