HomeMy WebLinkAbout3423 TIMBER LAKE - Building Permits�
—,�._.: C � OS
�� CA 92111
�,vcERPRI5E5 INC, ( 21 3) 690-9559
y�l"1 COMERCIAL WAY
__— HABRA CA 9063].
' CONTpA�T�p OECLANATiON: I hereby affirm (hat I am licensetl un rovh• s o� Chap�er 9(com cing wit� Section
��C ON oE pi�;sion 3 of the Business ane Pmlessions Cotle, antl my license i forc nd etlect
S�RT uc.:376639 �� /�/, _�
�ItY LIC.: O.I_ — / �,���i..__t_'Cl/� —
t_ Signature: _
��fe' �LOMPENSATIONOECIAflATION: Iherebyaf�irmih IhaveaceNh�al¢olconi¢nito5el6in5u�eoracertificaie o�kers'
QOrpPeERa�ion ���0 0 3 5 q��nea coov me�eo� �se�aexreonT[ab p 7/ 01 / 91
����y NO.� A COMF & IRE
ppNY: C
gpM js �ere0y �umiSheA� Certdietl copy is filetl w' ciry mgpihsion.
� Certifie0 co Y ` ` �
� ` Applicanl: `
Date: QM�yppNEflS'COM7ENSAIONOECLAflpT10N: (Thi55ettionneedno ecomple�¢ditth�p¢rmitis�oronehunaretl( oNess).
E%EMpTION FA,ne Pef�o�mance ol Ihe work tor which ihis permi� is issuetl,.l shall noi employ any person m any manner so as lo become
� �ertiL, �oalhe Workers� Compensation �aws oi Caldomia.
suble ' - • Signalure: -
pate
CodeCYOU��m�s���o�ryw9h tomply wi�h Suth prov�5ionseor Ai550erm� 5�allebe deeme0 2wk¢tla�ion pmvi5i0n5 0� the La or
N LENDING pGENCY: I hereby attirm ihat there is a cons�mction IenOing agency for Ihe petlormance of the work for
WONSTR��Pe���� is issuea (Semion 3097. Crv. C). '
LENDEH
p00NESS: '
���pEp UELLAAAT�ON: I hereby ailirm �hai I am ¢xempt Iwm �he Contracmrs' Slate License Law �or ��e �ollowing reason
pWNEA Bp31 5 Business antlPmlessional Cotle'. Any aty ol county which requires a permi� lo constmct, alter, impmve. Oemolish, or
�eva�� a^y StNCW�e. p�ior lo Its issuance, also reauires ihe aDD�icant tor such permit to file a signee statemem that he/she is licensetl
rsuam m�ne P�ovisions ot tne Conttac�ors' Slate License Law (Chap�er 9(commencing with Section 70W) o� �ivision 3 of ��e Business
0"d proiessio�s Code) or fiat �e/s�e is exempt Ihere�mm antl �he basis for Ihe alleged exempiion. Any violaiion oi Section 7031.5 by
anY ypplican� �o� a Pe�mil subjet�s Ihe apPlitanl �o a Clvil penally D� nol more than five hUntlreU tlollars �3500).
. a5 oµ,�e� o� �ne pm0eny or-my employees with wages as �heir sole compensation, will do ihe work, and the
svuc�ure is noi inten0ea or oifere0 br sale �Section 70a4, Business and Professional Cotle: The Contractors' State License �aw
does no� app�Y ro an o'�+ner o� a pmperty who butltls o1 impmves ��efeon, antl who tloes such woB himsel�/herselt or Nmugh
, �is o� ner own employees. provitle0 ihat such imOmvemenis are no� inlen0etl or otfered lor sale. If, however the builtling or
impm�emenose o� ea eiihin one year oi compleiian, IAe owner will have �he 6urtlen o� pmving he/She Eid no� build Or improve
m� me a�r�
I, as owne� o� [he pmpetly. am eKdusivety contracling with licensed contrattors �o tonstmc� Ne pmlec� (Section 7044, Business
� an0 Pmfessions Code: T�e Contrac�ors' S�ale License law does no� appty to an owner al pmperty who builds or impmves thereon
antl who contracts for such prolects wi[it a contracroqs) license pursuan� to �he Contrac[ors' Stale License Law). I am aware
Nat P�o°� o� �heir Worker's Compensalion insurance s�aultl be pmvitletl to me.
,i am exempt under Section: � B. 8 P. C. . �
❑ m� m�s reaso�:
�
ow�e�:
Date'.
bY �ynity Ihat I am aware of ana untlersiand �he requirements o� Cali�omia,Health an0 Sa�ery Coae Seclions 25505. 25533, ana
I tlo ne�e d Iha� I or any WWre bmltlmg occupani will/wdl noi (circle one� nee0 io comOty with saitl slate coDes and the requirements lor a
p5534 T� cansimclion or modificaiion �mm Ihe Fir Oualiiy Managemenl Disiric�. ftesiaeniial consimctian apPlications are exempt �rom
permit�a�nsions. ' .
mese am
�_ AOPiicanc
Da�e� � i�Y�h�� I have reatl �his aOPlica�ion ana 5taie Ihatthe ahov n� �� ia�io is correcl. lagree 1 ly wi�h allciry an0 caunry
I here�Y �ef �a s�ate laws rcla�ing �o �mltling cons�mctian and hereby h e rep� enlaiives ol ��is ci� e r upon the above�men�ionetl
ord�nances alns eelio Our os�
pmPertY�� � .
J SignaNre:
�ate — � -
y or Social Securily #:
� �'s Liced .
_-.-:�OP COSTA MESA BUILDING PERMIT PERM NO; B 05053 1
_—e�f 050535 � PLAN CiiECK NO: 00153-91 A, GOVT: N SUPP; N
CON TION TYPE: V—N PERMIT TYFE: STR ' PURPOSE: REP
JOB DESCRIPTION : REPAIR SETTLEMENT DAMAGE,-� SQ FT; - 193
CLAIM VALUE: 14,300,00 CALC—VALUE: '14,300.00 GROUP OCC;�R-3 /
COMMENTS: BIJILDING SETTLEMENT REPAZR/FOUIvDATION -
*�*��***x*x�rx***�r�x�*�t�t***�*****x***�******�t**a��x*�r�t�rK��t**x***�r�r****�********�.***
' Z U N I N G R'E Q U Z R E M E N T S
j' S E T B A C K S �
------------ MAIN BUILDING =--------- ----�----- ACCESSORY BUILD'ING ----=----
FRNT:' FT IN REAR: F1' IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT: , FT IN LEFT: FT IN RGHT: 'FT , IN
PARKING REQ � PROV: PARCEL: 93506129 ZNE: R2. REF NO; �
PLANNZNG NZ7TE5> FOUNDATION REPAIR,
, �
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D E V E L O P M E N T S E R V I C E 5 R E Q U I R E M E N.T S
ZONING APPROVED BY 1<� G,�—{—� � DATE; �//S�. )
BUSLDING APPR'OVED BY :____ �,1 1 L p��' DATE: �
APPLICATION ISSUED BY; DATE: �
3F�flfjki(�ifiEif�iF�tiFiE3f-iFiEiEiFiFiF�lEiFif � F�3EN-#3EafiEjElFiF1F�iF£if3E
3F�lEiEkiF�7Pif1fik3F3E1EiEiEifikiFiE-1EjEiFlElFlk#iFifjElf3EiFiFiFi EiF3EiEif3EiEiE,iEiEiFib�EiFlFifltiEiElElE�kiElFiEiE�EiEiE3fjFlE3fiEiElF�fltifiE
LEGALI'LATION;N F E E U M M A R Y STRUCTURAL'SEGMENT;Y
BLDG PMT PLUMBING ELEC IC MECHANIC FIRE SMIP/RES GRADING
PERMZ'T 162.00. . 1,00
'SMIP/NON—RES
PLAN. 26.33
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN-CHECR TOTAL PAID DUE
TOTALS----> 163,00 0.00 =26;33 189.33 189.33 .00
REVENUE DIVISION TOTALS--> COLLECTED; 189.33 OVER/SHORT; ,00
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
162.00 1,00 26,33
iE if iE !F iE if 1F �E if af 1F if �lE 1f If 3E if af IE 3E IE jk 3t fE 1F iE iE iE iF 1F IE 1E 1E iElE 1f 3f If iE iE fE �f if iFlF dF if 1f !f jf iF iF iE )E 3F i61f 1f iF 3E 3E if iE jF IF ib iE jE af iF iE iE iF if if jE iE lE �E
I N D I V I D U A L F`E E B R E A K D O W I3
TYPE QTY D E S C. R I P T I O N UNIT CO5T TOTAL COST
SFR 143 STRUCTURAL BY VALUE PER 5100,00 100,00 14,300,00
END'OR FEES . �
, ' , /
- 1 . V
� i u.t �OD7&6?9—p9D78aE1 T+�'4' 12?.33
Dme �
�Bwltling:Green—CotleEnlorwmenCCanary—ApplmanpPlnk—Revenue;Goltlenrotl—Assessor� - �AI��'�1%��a�4� �ThF± t,j:e� . '
164446 Wh'�
'mit # Date
�'�-�_ Inspector '� - & SPA
APPROVq�s permit #
�al $ervice�or Pole; _ J� '
' . � . 52• Pool & Equipment Location
� �" • i
/ �� � 53. S[eel Reinforcement
�:.-:, � ~ i-
'Utility•U�d�qmd."' %'^ 54. Forms
�'Undrgrnd� ^ 55. Electrical Bonding
entS �� . 56. Rough Plumbing & Pressure Test
,�.Grnd. 57. APPROVALTOCOVER�GUNITE
�
�� ' 58. Electrical Conduit-Undrgrnd.
� ,
��- ' ' 59. Gas Pipe, � Undrgmd., Test
i .
idrgrnd. �� ., �� 60. Backwash Llnes, P�Trap, L] Undrgmd.
ooi�System '�.% �? ��. 61. APPROVAL TO DECK
,
'yver Line'&Nouse�C.onnectiorc � ' 62. Backwash & Receptor-Final
� � � ��� � .. ' ,n 63. Heater & Vent-Final
ns �'
� / 64. Plumbing System - Final
/um6:.�y j/ 1 ' �
✓� • /'� j 65. Electrical-Final
�lectrical•Condu'�{ �� -
/ - (- f/ � � ;� 66. Solar SYstem-Final
'EleCtriC Wiring �� ,'�/';,J -. 67. Fencing & Access ApProval
�Wirinq Sign ,i+ � ��� 68. APPROVED FOR PLASTERWG
n Electrical•T Bar Ceiling�' �� 69. �POOL/SPA $YSTEMS FINAL
�
3h Heating & Air Conditioning - FIRE DEPT. REQUIREMENT
igh Factory Fi�eplace • � C � - +"' * � 'APPROVALS � ,� Permit #
!-, ' .i Y � . r .f;Q �} ^
.� . .
i
tts, in_Structure _ ".. � S � • 70. Underground.Hydro
ucts, Ventilating • - ; " ' � �77. Product Piping O'Gas ❑ Oil
ias Pipe-Rough &�Test , ''' , - � ; ;72, Underground•Flush�� _ • .
�
�RoofcFraming - '� �- � ' •'-73. Undergmd: Storage Ta�nk O Gas ❑ Oil
' Roof Sheathing . � :; .� � - , ; �74.;Overhead Hydro �
� T�Bar Ceiling (Structuraq & Monocoat '_ ' _ u . � � " 75. D ,ry Chemical - � - � �
7. Frame and Flashing : . ` ' , ' , 76. D`ry Standpipe - � '
L8. Laihing & Siding � . '��� �• • � �i i_ � 77. =FIXED SYSTEM F:hNAL' '
�29. Insulation '. � �� � '..- - � I 78.�FIRE PREV. FINAL . �, �
�
30. Drywall Nailing • .i' � I• HEALTH DEPT �REQUIREMENT
31. Plaster Brown-Coat �;� , i � ��, :.79.`FINAL INSPECTION , �� �
32. Electrical Power Meter-Final � y .. � � f.- 80. FOOD CERTIFICATE ISSUED
33. Final Electric '�' , , � � � (; " ��Notes: � ,�
`34. Final�Heating��&Aii�Conditioning; .- . ' '! �, _ . `
I� �- e . .�,.7
35. Final Gas'Pipe-Test' •
36. �Hood�or�Cano x �' ��
PY C_ •_7
37. Final FaMory Fireplace „ � �
.. .. ..
38..Final.Plumbing = x r�� -
-39. Water Service-Final ' "
'A0. Gas Service-Final - , - �
�41. Solar pomestic�Final � � �
�
42. Backflow Preventer � �
R3. Batkflow Irrigation > � ��
R4. Landscape Irrigation SYstem • , � ,�
a5. Sound At[enuation � .
R6. Handicap Regulations ' �
A7. F.INAL STRUCTUfiE & BUILDING
R8�. FINALPLANNING: . �� ��
i
A9. .Electric Release to Edison
50. Gas flelease to Southern California Gas
51. CERTIFICATE OF OCCUPANCY'
No. Date
+ , -• �.
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ee�
. r�
_ �� �
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C
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Date -Ilnspector
�- .
OWNER �p�_y�DE
JOB ADDRESS 3423 T
AP No. C�R � OT S�
INSPEC710N5
SOIL
cns
WATER
ROUGH PLUMBING
P0.0P. SWR. LINE HOUSE CON.
SPRINKLING SVSTEM
MISCELLANEOUS
0.0UGH HEATING ANO AIR CONDITIONING
TEMPOFARY SERVICE OR POLE
UNOERGROUN� � POWER �
ROUGH WIRING
TRENCHES � FDqMS � STEEL FEINF
FLOOR SVSTEM '
BOND BEAM � STEEL REINFORCE �
SHEATHING
FRAME AND FLASHING -
LATHING - IN � OUT ri
PlASTER,BROWN COAT
STRUCTORHL,FINAL
HEATING, VENT., RpFRIG. AN� A.C„ FINAL
PLl/MBING, FINAL AND GAS TEST �LY,Z��(I
FIRE
DATE
BUILD
SUBCONTRACTOR
__ _. �_�.�bs
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For�Applicant to Fill in Completely
no�oAes"s 3423 Timber Lake
OWNER State-ldide Developers, Inc.
ADDRESS 9461 Gri ndl a
ypv 13-76�M�:�OU 693" - �*L7_�.i"�
APPLICATION FOR BUILDING PERMIT
A,P. NO. /
BUIIDING
ADDRESS
Z .
a v ciTv CypY'2S5 nTio�826-4550 TRACT 3'$
z
Z Q CANSTRUCfION � W AD
O N IENDER
am
J � BRANCH
J N OWNER
m J ADDRESS -
J Q A�R�CH�I�TE� , NEL � R S W a
U.Q FIRE
w� ADDRESS 7'7848 SkyPark Blvd Irvine ZONE
a w APPROVED
w Z CONTRACTOR BV
J � �
m
�� ADDRESS 9461 GPtndld
;s4-a ( ` I ___: �:.i�:ra.
�3 l i .5�� �4�e
S8 LOT BLOCK.
P
�
VALUE
t ar
TVPE 5 caouPI & F-
DATE
W w ZONE NO.OF USE OF N
�= CITY C r'es§' NO.`826-4550 � �22cP PLqN$ a BUILDING
Z �-.
W O STATE CITY VAflOS APPROVE� YARD:
y� LIC. NO. 224%�� ' LIC. NO. MAIN BUILDING ACCESS
� O � (FROM C/L ST EE'
OFLOT' �2,093 acres NOWONLO � ONT Z FT.
USE OF
EXISTING BLDG. F
� SIZE OF NO. OF
Z NEWBLDG. ROOMS STOfiIES L.SIDE FT.
U COVEFlONGALL aS er CO�ERING REAR
3Z' FT
J USE OF BUILDING AND WOFiK 70 BE PEFFORMED D7SSANCE BET.
�' MAIN BLDGS.
a
Q VAR. � q�.
O � C. V .P. #!r' �
� l Residence w/att gar � �pRovEo
z HOLD FOR SP.:
O
UI hereby acknowletlpe thet I have reatl thia apPllcation and state
= that the ebove information is corract and apree to comply wit�
� all Iaws reguletin8 builtling consttuctlon, end 1 shall not employ
� any perso� in vlolation of the workmen's compensation laws of
y the State of California.
Z I hereby cartify that I am Draperly licensetl as a contractor untler � 381 SQ. FT,
the State of CalHomia Business end Professions Cotla, Divisicn 3, THE AMOUNT Si
Chapter 9, anE that such iicenses are in Soli force antl effxt, or I TH£ PUFP06E OF
am exempt trom the provisions of theSiate ot Calif rnia Business VALUATION
antl Prof¢ssions Code, �ivision 3, Chaptar 9. ��
ate-Wide Devel p s Inc. ,�� pp�'
Signature o
Germlttee $
AuthorizadAgent Vice President �
BET. MAIN &
ACCESS, BLD
DATE
-534 0
JNDER VALUATION IS FOR '
_SHING A PERM7T FEE ONLV: Q
N
iM1T FEE $ � ]
m
>N CNECK $ � O E
0
iAL FEE $
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