HomeMy WebLinkAbout3427 TIMBER LAKE - Building PermitsPFOJECT AOOHE55: 3 4� 7 T IMB ER LAKE uxiT:� �
OWNEP'SNAME: VILLAGE CREEK HOMEOWNERS -
aooaess: �SSOCIATION '
3429 TIMHER LAKE '
• CM VA 9,2626 ,'
PflCH/ENGINEEfl: CHESTER CARVILLE , "Ec."o: Ci$�OS
nooness: 79 z Z p,RMOUR ST "'
PEflMITTEE: S. D, CA 9 Z S S 1 �
aooness: pxOENIX ENTERPRISES INC. ( 213 ) 690-9559
411 COMERCIAL WAY
LA HABRA CA 90631
UCENSEO CONTPACTOfl DECLABATION: I here�y aflirm Ihat I am I¢enSeA unAe rovisions o� Chapter 9(commencing wilh Sedion
7000� of �rvision 3 oi �he Business and Pmiessions Code. and my license is u brc na effecl. -
ciTruc.:05 7 8 TaT ��c 376639 ' S /��
�
, Daie: Signature: % _L
�'� WOFNEFS' COMPENSATION DECLl�BpTION: 'I hereby aifirm that I have a cetlificate o consent ro self-insure or a certifica of Workers'
Sompensaiion Insurance.-or a ceriilied copY �hereol �Section 3800. Lab. C�.
nicr No.: W7 0 0 3 5 4 E%P. DFTE: Q"] � � 9
COMPFNY: CA COMP fi �IRE
� Cenilie0 copy is hereby lumishy� Cenilied coDY �s liled wilh ' Bui10' Divisi
Da�e � � . � _ AP�IicanC �
E%EMPTION FAOM WOfl1IEfl5' COMPENSF ION OECLAflRTION: (This sedion neeA not be comDleleO if the permit is lar one huntlree (51W) or less�.
I retlify Ihal in Ihe Oeriormance of �he work lor whic� Ihis permi� is issuetl. I s�all nol employ any person in any mann¢r so as to �ecom¢
5u��eci to Ihe Workers' Compensalion Laws of Caltlomia.
�aie'. � - Signalure: ' �
NOTICE: II. a�ter making this aeclaration, you shoultl become su�lect �o �he Workers' Campensation pmvisions ot �he Labor
Cotle, you mus� fotlhwii� comply wi�h such pmvisions or �his permi� shall 6e deemed revaked.
CONSTBUCTION LENOING ACENCY: I �ere�y afiirm ��ai there is a construc�ion lentling agency lor the pedormance oi ��e work lor
which I�is permit is i=suetl (Section 3097. Civ. C).
LENDEP:
AO�HE$$:
OWNEB BWLOEB OECIABATION: I hereDy a��irm Ihat I am exemp� trom Ihe ConVac�ors' S�a�e License Law br Ihe bllowing reason
(Section 7031.5 Business anU Pmfessional Cotle: Any ciry al counry which requires a permi� �o cons�mct, aller, impmve, demolish, or
repair any slruc�ure. prior �o ils issuance. also repuires I�e applican� far such permi� to lile a signetl sla�ement �hai he/she is licensetl
pursuanuo the O�ovisions o� Ihe Comracmrs' Sia�e License Law (Chapter 9(commencing wi�h Section 7000) oi Division 3 0l �he Business
antl Pmfessions Code) or Iha� he/she is exemp� Iherefmm and �he basis for ihe alleAed evemption. Any viola�ion o� Section 7031.5 by
any aOPlicant �or a permi� Sublecis Ihe applican� to a civil penal�y ol no� more Ihan live �unOrea tlollars (5500�-
I. as.owner of ihe pmpetly or my emVloyees witn wages as their sole compensation, will ao ine woB, antl the �
7 simcWre is not inten0etl or ollereA far sale (Section 7644. Business antl Pmlessional CaOe: The Coniraclors' Slate License Law
aoes not aDPly m an owner ol a pmDeny who �uiltls or impmves ihereon, and who Ooes such work himseli/herseli or thmuA�
his or her own emplayees, pmvitletl Iha� such impmvements are no� imendetl ar o��ered �ar sale. I�, however �he �uilding or
impmvement is soltl wilhin one year of comple�ion, Ihe owner will have ihe Gurden ol pmving he/5he ditl noi huild or impmve
lor Ihe purpose ol saie�. •
I, as owner of �he pmperty, am e�clusively contracting with licensetl conVac�ors �o constmc� �he pmlect (Seclion 704A, Business
❑ an0 Pm�esSions Coae: T�e Contraclors' Siale LicenSe Law tloes no� appy to an own¢r ot pmperty who huiltls or improves �hereon
�antl who conlracts lor such pmlecis wi�p a conVaclor�s)license pursuan�io I�e GonVac�ors' S[aie License Law�.l am aware
ihal proof ol lheir Worker's Compensation insurance shauld he pmvided Io me.
� I am exemp� untler Sec�ion: B. 8 P. C.
br �his reason: ' '
�a�e: Owner:
I tlo hereby certily Ihat I am aware of antl unders�and Ihe requiremenis oi Calilomia Health and Sa�e�y Code Sec�ions 2550.5, 25533. an0
25534 and Ihal I or any fulure �uilding occupant vull/will noi (circle one) neetl �o comply with said stale cotles antl �he requiremen�s �or a
permii for conslmclion or motlilicaiion imm �he Nir Qualily Management �i5lricL Fesiden�ial consimction applicatians are exempt fwm
�hese Omvisions. .
oate: ApolicanC _
I �ere�y certi�y��atl have ieatlihis applicalion ana state �hal Ihe a
oNinances �md siate laws relating to bwltlmg cons�mcllon antl hereby
pwpetly lor inspectian purpases
�a�e: _/_J _ � �� SignaWre'. �
�river s �icense or Sociai Secunry n:
lo c y wilh all ciiy and
e �uponiheabave��
t64t�46 Whi�e—Builtlmg: Green—Cotle Enlorcament; Canary—Appllcan�; Pink—Revenue: GoleenraE—Assessor
� �. CITY OF COSTA MESA —.BUILDING �PERMIT PERM NO: H 05053
PERMI7' NO: B�:050537 PLAN CHECK NO: 00151-91 A GOVT: N SUPP: N
CONS'TRUCTION TYPE: V—N FERMIT TYPE: STR '. , . FURPOSE: REP
JOB DESCRIPTION ; REPAIR SETTLEMENT DAMAGE , �. SQ RT:,. , 1,�i3
CLAIM VALUE;' 19,300.00 CALC—VALUE; ", 19,300.00 GROUP OCC: R-3 /
COMMENTS: BUILDiNG SETTLEMENT REPAIR/FOUNDATZON '
**�u****�r+rx**�r*x*****x*xx�r*�r***�**�r**��*���t�*M*ar�r*****�**��**� x*****x**u���t�c�u*r*
j 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 BUILDSNG ---------- -------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT 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: R7. REF NO:
PLAt3NING Nt7TE5> FOUNDATION REPAIR, � �
�
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D E V E L O P M E N T S E R V T C E S R E Q U I R E M E N•T. S
ZONING APPROVED HY �� ��-- �, DA'PE; O'I I,S`� J
HUILDING APPROVED HY ;-7�-✓ 1 t— ��, 1 DATE;
APPLICATION ISSUED BY; DATE: ��,
lf if if if iE if If 3f �)f iF iF if af iE if )E 3f #!E iF iF iE Fi�IF3F1E iF 1E 1f iE 1E iE # 3E if3�'�'�� iF if
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LEGALIZATION;iJ F E E S U M M A R Y STRUCTUfiF1L� SEGMENT;Y
• BLDG PMT PLUMBING EL TRIC ,MECHANIC FIRE SMIP/RES GRADING
PERMIT 162,00 •1.00
SMIP'/NON—RES
PLAN. 26.33 �
ISSUE FEE
BUILDING—DIVr> PERMZT ISSUE PLAN—CHECR TOTAL PAID DUE
TOTALS----> " 163.00 . 0.00 26,33 ' 189.33 189.33 .00
REVENUE DIVISION T'OTALS-->� COLLECTED; 189,33 UVER/SHORT: 40
BLDG PMT PLUMHING BLECTRIC,MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECIi
162.00 ' 1.00 26.33
. t
if 3E if ih 3E �lE iE iE iF �lf iF if� iE if if 3f� iE if 3f lE iE K� 1E�lE �E if iElf 3E iE 3E )t iE 1E if iE iF If iF if �IE if 3E iE �1F iE iE iE iE iF 3E k iF iE 3F if iE 3E 1ElF it iE 3E if if iF iF If ik If lE k 1E iF 1f iE af 3E 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"� UNZT COST TOTAL COST
�
ScR ' 143 STRUCTURAL BY VALUE PER $100,00 100.00 19,300,OU
� END OF FEES , �
1 '
6f. r�U07r.573-CCL�TF.E?5 Y-='•'
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CONSTRUCTION AND PLANNING - � ,L & SPA �
APPROVALS Permit # Date Inspector 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. Porms '�
- � .,
� 4:, Electrical Conduit-Undrgrnd.�-- . 55. Electricai Bonding .„ �
5'. Steel�Reinforcerr'�ent � 56. Rough Plumbing & Pressure Test
� 6.� Electrical UFEft•Grnd. . • 57. APPROVAL TO COVER�GUNITE
- 7. Footings � �` ' ' 58. Electrical Conduit-Undrgmd. .
•,8. Foundatiori . �. � � ' 59. Gas Pipe, O Undrgmd., Test �i.
9:, Water Pipe-Undrgr�d. ��, j:. 60. Back�wash Lines, P-Trap, O Undrgmd. „���fi
10� Struttural Floor System ",�� : '! �� �
61. APPROVALTODECK'
11: Property Sew f Line &,Hous�Conneciion � 62. Backwash & Receptor�Final ' �^
12�.' Sewer Cap „ �. -�' ;��'-. � 63. Heater & Vent-Final .
13. Roof Drains - . . � �� ' �' 64. Plumbing SYstem - Final ���+
i
14. Rough Plumbing � �� ` 65. Electrical-Final � /, .��
15. Rough Electrical�Conduit� .1 ``� 66. Solar SYstem-Final �'
16. Rough Electric Wiring ,tE ;. ( /.•��� 67. Fencing & A'ccess Approval /
17. Rough Wiring Sign ���f ��� 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL ��
19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT �� '
" "L, i
20. Rough Factory Fireplace � � ' - = ' APPROVALS" % Perrriit # '
cc � -
21. DuC[s,inStruCture' .. ,- . - - =. �� �j0. Underground.Hydro �
22. DuMs, Ventilating ' � ' _ � - `�7. Product.Piping O-Gas ❑ Oil
23. Gas Pipe-Rough & Test .:� � Q., 7Q, Underground�Flush= �� ` ��.
24. Roof Framing • '- y i '` 73. �UndergmdrStorage Tarik O Gas ❑ Oil'
25. Roof Sheathin9 - � � � � j ' �x r .74..Overhead Hydro , � �
26. T-Bar Ceifing �St�ucWrall & Monocoat _ � � _ ' 75. Dry Chemical � - •-
27. Frame and Flashing.; . ; ' _ ', 76.'D`ry Standpipe • , � �
� .
.28. Lathing & Siding - . _ . � � i � 77.= FIXED SYST,EM-F.INAL' . ,
29. Insulation ` . �, � � ' - � I , 78.:FIRE PREV. FINAL .
�30. Drywall Nailing � • i j ��' HEALTH DEPT: REQUIREMEN7
i.
31. Plaster Brbwn Coat ; ' _ _ ' � I (; ' 79,' FINAL INSPECTION �� '
i -
'32. Electrical�Power Meter-Final � . i �� r- 80. F.00D CERTIFICATE ISSUED
�
33. Final Electric., ., � � _ I � �; ' �Notes: ' � ' . '
34..Fina1'Heating�&Air.Conditioning� � . � .�,��' ,`,T ', � ,
35. Pinal Gas�Pipe-Test ' - ' � � ' '
i I 'r.
36. Hood or Canopy _- . .. � � � � ; ' - , � � . � • .
' i i 4.
'37. Final Factory Fireplace �' � ' � � � �' � - ' �,'�
i ��
�38. Final�Plumbing �� � � i � ^ . _ • � r�
39. Watei Service�Final - " � � • � -� ' '
- v i. i I s
A0. �Gas Service-Final . , . � �
i I �
:41. Solar pomesticFinal ' � ` . � ! j ; _ - �
'42. Backflow Preventer ' � ` � ( ;� .
43. Backflow Irrigation � � � "- - "
44. Landscape Irrigation System � � { _ . ` , '
45. Sound Attenuation� �� � � ' ' , ` � _ ' -
46. Handicap Regulations � � - � . - ", , _ � �
47. FINALSTRUCTURE&BUICDING �Z�O� � `� ` ,
48. FINAL P�ANNING� ' ' � • I' � � . .
49�. .Electric Relea4e to Edison � ! t ��
50. Gas Release to Southern Caiifornia Gas Co � t �` . �
, r .
51. CERTIFICATE OF OCCUPANCY � .. ,. � �
No Date
OWNER
JOB ADDRE;
GENERA C
AP No.
INSPECTION
SOIL
GAS
WRTER
ROl1GH PLUMBI
PROP. SWR. LI
SPRINKLING 51
MISCELLANEOI
ROUGH HEATING AND AIR CONDITIONING
TEMPORARV SERVICE OR POLE
UNOERGROUNO � POWER �
ROUGH WIRING
TRENCHES n FORMS n STEFL REINF.
BON� BEAM U STEEL
SHEATHING
FRAME AN� FL
LATHING - IN
HEATING, VENT„ REFRIG.r1N0 A.C„ F
PLUMBING, FINqL AN� 6A5 TEST /�,
ELECTRIC, FIN
BUILOING, FIN
DATE 4-28-76
SUBCONTRACTOR
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COSTA MESA BUILDING•SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALiFORNIA 92626
For Applicant to Fill in Campletely
IILDING_.__ _. . . .
QWNER
MAIL
ADDRE'
(�ITV
BRANCH
pDDRESS
nRCHITECT
ADDRE55 �]j
CONTRACTOR
ADDRESS 94f
C�TY C,Y�
STATE
L�C[ NO. 'L'2C
SIZE
pF LOT �2,
vwiu
?AY 13-76c:;;.-00 591;: -��26�.6$
APPLICATION FOR BUILDING PERMIT
��EIVED BV DATE RECEIVED Il6TF ICRIIFh
-Wide Developers Inc. �+•P•NO. T� -
BUILDING n
Grindla �+DDRESS �Yz�
S$ No.`826-4550 TRACT 00.�8
ss No` 826-4550
O CITY
LIC. NO.
NO. OF BLDGS.
3 acres NOW ON LOT Q
EXISTING BLDG.
SIZE OF NO. OF
NEW BLDG. ROOMS STOf
EXTERIOR WALLP aster ROOF
ppVERING \rJf1f1(I COVERING ShBf
U5E OF BVILDING AND WORK TO BE PERFORMED
I nareby acknowledpe that I have read this application antl state
that ihe above information is correct antl agree to comply with
all lews ragulaiing builtlin8 construction, antl I she�l not employ
anV person in violation of the workmen's com0ensation laws ot
the State ot California.
� bereby certify thet I am properly Iicensed as a contractor untler
the State of Californie Businass antl Protessions Code, Divisicn 3,
CMapter 9, ana tnat such licenses ere in full forca and effect, or I
am ezempt from the provisions of the Stata ot Calif ia Business
antl Professions Cotle, Division 3, Chapter 9.
Stat -Wide Develo er nc.
g7pnature o
Pefmittee
AUthorizetlABent Vice President
/ '` I.__.'t.6J.L
m �, P ��
OWNEp (�(/`Q( �, C
VALUE
use 1 Rac w/att h�r S
FIRE
ZONE TYPE 5 GROUP�
APPROVED
BV DATE
ZONE NO.OF USE OF NEW Z�(�
�Z�p PLAf.S 2 BUILDING
VARDSAPPROVED VAR�SAPPRO
MAIN BUILDING ACCESSORV BUILC
(FROM C/L REET)
ROM FT. FT.
R. SIDE �� F FT
L. SIDE FT. FT.
REAR FT. GT.
�I5TANCE BET. BET. MAIN &
MHIN BLOGS. // ACCESS. BLDGS.
C.U.P���WC (r �j"�7 qPPROVED �I-��
THE AMOUNT SI
THE PURPOSE OF
L��� �
� �
m
m
O
VAlUAT10N IS FOR
A PERMIT FEE ONLV: �
¢
m
_ $ � N
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K $ ,so E
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$ / �b LL