HomeMy WebLinkAbout3425 TIMBER LAKE - Building Permits�_
PflOJECT AODNE55: 3 4 Z S T IMH ER LAK E�
OWNEB'SNRME: `�ILLAGE CREEK HOMEOWNERS
nooeess: ASSOCIATION
34?9 TIMBER'LAKE
CM VA 92626
UNIT:
AXCH/ENGINEEfl: CxEST•ER CARVILLE ' XEG.NO.: C1$��5
aooeess: 7,9 2 z AgMOUR 5T
PEflMITfEE: S. D. CA 9 2 S S S
aoonEss: PHOENIX ENTERPRISES INC, ( 213 ) 690-9559
411 COMERCIAL WAY
LA HAHRA CA 90631
LICENSED CONTHACTON UFCL4flATI0N: I hereby zfli�m �ha� I am licensed under pr isions o� ChaD�er 9(commencing wilh Seciion
7000) of �ivision 3 0l �he Business antl Pm�essions Code, antl my license � tull e and e��ecl. ��
ciTvua:. 5 p sT e ic.:376639 ss:
�ate'. i� ��/� Signa�ure: _ . _ � ��'��� '--
WOflNEflS: COMPENSpTI N OEC flFTION: I hereby aflirm that I have a cerii�icate conSenl �o sel4insure or a certi�iw� Workers'
Compensalion Insurance or a certilietl capy thereof (Seclion 3800. Lab. q.
lOLICYNO.:t+j%��3rjQ ' EXP.OFTE: �Q .�91
comvnxy: CA COMF 6 FIRE
� Cehitiea /cap'y i5 here�y lumi hed ❑ Certilietl wpY is lile he ciry iiding Division.
Dale- ` v � I NpplicanP. /—
EEEMPTION FXOM WOANEflS' COMPENSATION OECIANATION: Qhis seclion need no� � m01ete0 if the permit is for one hun S1W) or less�.
I cetlily that in the pedorman[¢ a� t�e work lor which Ihis permit i5 i55ueA. I shall no� employ any person in any manner so as lo become
su�lect lo tAe WoBers' CamDensa�ion Laws of Califomia. �
Oate: Signature:
NOTICE: II. a�ter making Ihis declara�ion, you shaultl become su�lem ta �he WorkerY Compensation Dmvisions of Ihe Labor
Catle, you must larthwith comply with such pmvisions or ihis permit shall 6e 4eeme0 revoke0.
CONSTPUCTION �ENOING AGENCY: I hereby affirm tha� there is a cons�mction lentling agency �or �he pedormance o� the work �or
which Ihis�permit is issued (Sec�ion 3097, Civ. C).
LENDEfl:
" aooeess: - , ` ` � . �
OWNEB BUILDEfl DECLAflFTION: I hereby attirm Iha� I am exempL�mm the Contracmrs' Slate License Law for �he following reason
(Sec�ion 7031.5 Business an0 Pmiessional Catle: Any ciiy of counly which �equires a Oe�mi� to conslmct, al�er, impmve, tlemoliSR or
repair any 51mcWre. prior lo i�s issuance, alsa requires �he applican� for such permi� lo �ile a signetl statemen� tha� he/she is licensetl
pursuam m the pmwsions ol ihe Contracmrs' State License Law (ChaDter 9(commencing wiN Section 7000) af �ivision 3 oi �Ae Business
antl Pmlessions Code� or Ihal �e/she is exemp� Neretrom antl ��e basis lor ��e allegetl exemption. Any violaiion o� Section 7031.S�by
any applicanifor a permit subjecis Ihe applicant lo a ciuil penally of nol more ihan five hundred tlollars ($500).
I. as owner ol the pmpeny or my employees with wages as their sole com0ensation, will tlo ��e woB, antl the
? s�mclure is not inlentled or otteredJor sale (Section 7044, Business and Pmlessional Code�. The Contraclors' State License Law
Ooes not apPty to an owner o� a pmperty w�o �uiltls or improves ��ereon, antl who daes such work him5el�/herself or ihrou0h
his or her own employees. provitleE Iha� suc� imV�ovemenls are noi inlen0e� or ofleretl for sale. I�, �owever ��e builaing or
impmvemeN is sold wiihin one year oi completion. �he owner will have I�e 6urUen o� proving he/she aitl not builtl or impmve
�. for �he Durpose oi salel. '
I, as owner of Ihe D�opehy, am exclusively contracting with licensea coniractors to conslrucl the D�oiecl (Seclion 70E4, Business
❑ and Pmfessions CoOe: The Conlractors' State License Law does nol apply to an owner of propehy who 6mI0s or improves ihereon
antl who coniracts lor such pmlec�s with a contrac�oqs)license pursuan� to the Contractors' S�a�e License Law),I am aware
�hal pmo� o� Iheir Worker's Compensation insurance should 6e D�ovitleA �o me.
� I am exempl untler Sec�ian: B. 8 P, C.
lor this reasan: .
Date: � ' Ownec
I tlo hereby ceNty ihal I am aware ol antl unders�an0 ihe requiremenis ol Calitomia Heallh and Safeiy Code Sec�ions 25505. 25533, an0
25534 antl �hat I ar any lu�ure builtling occu0anl willlwill no� (circle one) neetl ro comply wilh sai0 s�ate cotles and �he requiremen�s for a
permi� lor cansimc�ion or mo0i�icaiion Imm Ihe Nir �uahry Management Districl. fle5iden�iai cons�mction applications are eKempt Iwm
��e5e provisions. '
CITY OF COSTA MESA — BUSLDING FERMIT PERM NO: B. 050536
PERNIT NO:�B 050536 , PLAN CHECK NO;100152-91 A� GOVT; N SUPP: N
CONSTRUCTION TYFE: V—N. PERMIT.TYPE: STfi PURFOSE:�REP �
JOH DESCRZPTION : REFAIR SHTT'LENEN�T�.DAMAGE � SQ FT; ;, 143
CLAIM VALUE: 14,300.00 CALC—VALUE: 14;300.00 'GROUP OCC:'R-3 /'
COMMENTS: HUILDING SETTLEMENT REPAIR/FOUNDATION � • �
�***�*****���*�r*��*�***����**�****+�**��**********�r*��**�*��*****�*��r�*�x*+�****� .
� Z O N I N G R E g U I R E M E N T S
S E T B A C K S
------------- MAIN BUSLDING ----------' --------- ACCESSORY BUZLDING -------=—
FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT ZN RGHT: FT IN
PARKING REQ• FROV: PARCEL: 93506124 2NE: RZ' REF NO;
PLANNING Nf5'I'ES> FOUNDATION REPAIR,
� _
aF jF iE 3(� 1ElE �f !F 1E !E iE 1E �E iE 1F if %1E fE iE 1Fif iE jf IE if if if jf iF iP if if iF IE if if !F IFlF if 1E iE If 1E if �F i4�E 3E IF 1f if if iF dE )F if if i(� If iE iF if !F 3f iE 1f iF 3F iE �1!� �E iE if iF dF # iF
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`T •S�
ZONING APFROVED. BY �n L��,. } DATE; (�'I 1;S �) 1
BUILDING APPROVED :BY : L_,' I C.- I7A�� DATE: �
APPLICATION ISSUED BY; DATE: �
�If iE iE 1F 3F 3k If If �f iE iE IE iE 3E If 1E iF 3E IE )f if if !E iE 1E 3E iE 3F iE iF iP ifi%�'�'�iFiF iE
lEififlElEif3F3FiF�f3E3EiElEit3E�E3faElE�E3kifiE3E1FIFif3tififiEiF1� EiEiE3E iFkiFiFfF3EifiEiffEif3EiEikiEifiFiEiFiFifiE3E�IElEifiElE�FiEif3Fif�EiEiEit3E3EfF
LEGALI'LATION:N .F E E U M M A R Y � STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECT�C MECHANIC FIRE SMIP/RES GRADZNG
PERMIT 162.00-� / ' 1.00
' SMIP/NON—RES
PI.AN • � -26. 33 '
ISSUE'FEE�
BUILDING—DIV—> ' PERMIT ISSUE PLAN—CHECK TOTAL � PATD �DUE
TOTALS----> 163.00 0.00 26,33 189,33 189,33 ,00
REVENUE DTVISION TOTAL'S--> COLLECTED:� 1Q9.33 OVER/SHORT• 00
BI�DG PMT PLUMHING ELECTRIC MECHANIC. FIRE SMIP/TOT GRADING PLAN—CHECK
162.00 � ` 1.00 26.33
.
�E if ±E �N� If *�)f �)f 1F �f 3P 3F %� 1F 3f iE iE iF �f K 1E 3F iP iE IF 3F iE if 3F 1h if iE �IE df 3E * 3E 1F if af iF ik IF if if iE ib�if iE 3E IF 3f IF 1E 3F if iE iF if if if 3E iE 1f iE 1E IE 3E ff iF 3F iE i(� jf IF 3E iE iE iF
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 I P T I O N UNIT COST ' TOTAL COST
SFR 143' STRUCTURAL BY VALUE� PER -$100.00 100.00 19,3D0,00
. END OF FEES �
Date�. Applicanc
I here�y cer�dy I�at I have reaa this ap0licalion antl Slaie Ihat the aUovey+ nalio s correcL I agree�AAly with ail city and coun�y
or0inance5andslaleiawsrelatingtobuildingconslmclionanditerebyai r repr nialiveso�thisary I�ruponlheabove�meniionetl --
pmperty f inso �on p rpases/.�
�ate: _�v'��� `�_ SignaWre'. '
od�ers �icense o� sociai secu�ny : __
ieai.ae wnna—a���in���� r.,><�—r.nnP
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CONSTRUCTION AND PLANNING �
APPROVALS Permit# � Date
_ /
1. TemOorary Electrical Service�or Pole �� .
2. Soil Pipe-Undrgrnd. 'rJ ' �'
��.
3. Electrical,Conduit Utility-U drgmd. i
-4'.Electrical Conduit-Undrgmd �•-, , '' �
5. Steel`Reinforcement • �
; 6. ElectriwliUFER.Grnd. - �
" 7. Footings% ' ' '' �
,�8. Foundatio,n . � ./
9i Water Pipe�Undrgmd. �r ".� �,r.�
//in �
10: Structural Floor System�` ,'",.� �� `� �.
11'. Property Sewer tine"& House Conneytion "� �`
12: Sewer Cap � ,�-� - �y - i
` <
13. Roof Orains �• Y�i r�
14. Rough Plumbirig � �'� �3 y �
15. Rough Electrical•Conduit �,. � ��
16. Rough Elect�ic Wiring !,., � � y�
17. Rough Wiring Sign � = ' � �'
.� �
18. Rough Electrical�T Bar Ceiling �
19. Rough Heating & Air Conditioning
20. Rough Factory Fi7eplace -f .
>.-. .�
21. Ducts', in Structure . . „ . - ,
22. Ducts, Venti�ating " � •
23.�Gas'Pipe-Rough & Test � `� - _ .
24. Roof Framing > . •
25. ftoof Sheathing ' ' � `
J,
26. T�Bar Ceiling IStructural) & Monocoat � � � t
27. Frame and Flashing' _ �_ . � "
'28.rLathing�&Siding .� _ -•_r'�^ ` � �
1
.. : .�, . ... . �
'29. Insulation �. ' �
.30. Drywall Nailing � = i
, 31 . Plaster Brown Coat � , . , , '
32..ElectricaFPower MeterFinal : i �
33. _Final Electri � ! - " ��, �
��34. Final Heating�& Air'Conditioning� � i
. ...
35. Final Gas�Pipe-Test ` � • ` -i
36. �Hood or Canopy ; � ,� , , !
37. �Fina� Factory Firepiace , �••'� ` ' �
� i
38.,Final Plumbing .. ., L � I
39. Water Service-Final� � �
,40.' Gas Service-F,inal � � � -
� 41.�Solar pomesticFinal � � � - - �
�
42. Backflow Preventer - , , �
I 43. Backflowlrrigation� `'.-�'� N
_ �.
" L' l.
44. l.andscape liripation System �, . � . -
I '45 Sound Attenuation - �
1 � 2L JYH
Inspector AppROVALS Permit # Date Inspector
52. Pool & Equipment Location �w
53. Steel Reinforcement
54. Forms
55. Eleit�ical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVALTOCOVER-GUNITE
58. Electrical Conduit�Undrgrnd.
. 59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines, P-Trap, O Undrgrnd.
61. APPROVAL TO DECK
62. Backwash & Receptor�Final
63. Heater�& Vent-Final
64. Plumbing SYstem � Final '
65. Electrical-Final
66. Solar System-Final
67. Fencing & Access ApProval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
� � •� v
'� �-' - �APPROVALS-'� �Permit# ,
A 70. UndergroundrHydro • �
�''' 77. Product Piping � Gas ❑ Oil
- . 72. Underground Flu`sh- � ' .
- '' ' 73. �Undergrnd.Storage-Tank OGas �OOiI -
�; '; �74.'Overhead Flydro �-
- ' 75. �Dry Chemical ' �� .
�: . ' 76. Dr'y Standpipe ' . ` �
� 77.-FIXED SYSTEM{FINAL� .
� 78.� FIRE PREV, FINAL :�
� HEALTH DEPT�REQUIREMENT
� (: ,; ..79.` �FINAL INSP.ECTION � � - "
i ��80.• FOOD CERTIFICATE ISSUED -:
i • �' �; `Notes: , . ; - . . ,
�46. .Handicap Regulations ' " �
47. FINAL STRUCTURE & BUILDING � 6
,
48. FINALPLANNING. ' � .
�49. Electric Release to Edison ? �
i
' 50..Gas Release to Southern California Gas Co �� �
,51. CERTIFICATE OF OCCUPANCY ,.
No
Date
• �.- r, i- . . _
1
; i�
OWNtR
JOB ADDRESS
GENERAL C01
AP No. -
INSPECTION$
sm�
cns
WATER
STATE-WIDE
Timber Lake
ROUGH PLUMBING
PFOP. SWR. LINE Q HOUSE CON.
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CON�ITIONING
TEMPORHRV SEFVICE OR POLE
UNOERGROUN� � POWER �
ROUGH WIRING
TRENCHES � FORMS � STEEL liE1NF
FLOOR SVSTEM -
BON� BEAM ❑ STEEL REINFORCE �
SHEATHING
FRAME HN� FLqSHING �
LNTHING - IN ��OUT �L�
PLASTER, BROWN COAT
STRUCTURAL FINAL
Inc. �A�t 4-28-7
BUILDING PERMIT
DESCRIPTION of WORK Res. _�w ai
FIRE ZONE VALUE $ 3�
Date . TYPE V GROUP I& F-]
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
4at 73-7b��z:0�1 59'L� '::r{`Z�i.Z�
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEIVEDBV DATEfiECEIVED
nooAes"s 3425 Timber Lake
OWNER State-Wide Developers Inc. A.P.No. � o���`�6i Z
MAII AD�RE S ..�"! 7� TYYJ /�E
nooaess 9461 Grindla p
CITV Cypress No`.826-4550 TRACT ��(J l07
CANSTRUCTION �' A� �+ P
BRANCH
ADDRE55
ADDRE55 � /t
CONTRACTOR
ADOFESS yGb� Grinelav
cirv Cypress nTio`.826-4550
L C NO. 2'L4710 LICVNO.
SIZE � NO. OF BLOGS.
OF LOT 12.093 aC1'BS I NOW ON LOT Q
USE OF
EXISTING BLDG.
SIZE OF NO. OF
NEW BLDG. ROOMS STORIES
EMERIOR WALL 1a$ter ROOF
COVERING "�Ooa COVERING Shake
USE OF BUILDING ANO WORK TO BE PEFFORMED
I hereby acknowledee ihat I hava reatl this application antl sta<e
that the above intormation is correct antl agree to comply with
all laws reguleting builtling constructio�, antl I shall not employ
any persOn in violetion of the workman's compensation lews of
the Stata of Calitornia.
I hereby cartifY thec I am properly licensetl as a contractor untler
tha State of California Businass and Professions Cotle, Divisicn 3,
Chaptar 9, and that such licanses are in tull force an eltect, or I
am exempt from the provisions of the State of Celifo ia Business
antl Protessions Cotle, Division 3 Chap er 9.
tate-Wide deve�ope s nc.
Sipnature ot
Permittee
Authorized ABent Vi ce Presi dent
OWNER jf'J%� (�(
use 1 Ra��
FIRE
20NE TV
APPROVEO
BV
ZON%IZGP PLANS 2
VARDS APPROVED
MAIN BUILDING
VAR.
J
DATE
USE OF NEW
BUILDING
BET. MAIN &
ACCESS. BLDGS.
OATE
APPROVEO I� lr—
THE AMOUNT SHOWN UNDER VALUATION IS FOR
THE VURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
VALUATIO � `
�d n n 1 PERMIT FEE $ I�(��
TOTAL
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