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Home My WebLink About3431 TIMBER LAKE - Building Permits, ' Appllcant to fill in ali spaeas except lnose within heavy�jorEei CITY OF COSTA MESA .� ' P MIT NO. - TRACT NO. I CONSTRUCTION PERMIT " �, S , Prqect Address �� - TYPE OF CONSTRUCTION NEW ADD AppliCant's Mailing Addless �� /� - ' q� ❑ CONVERSION ❑ DEMOLISH ❑ OlrER Owner'SName — �L ///1/1�S�Q Phoneyy'��Z DESCRIPTIONOFWORK �' � d Address � . TVPE OF PERMIT GaaDiNG �❑y FOWDA' ArCh/Eng. - LiCense NO. '❑ TENANT ❑ ELECTRICAL LJ PLUNBING Addrest , ' ❑ �OTHER � � Contracror:s NamP �%nc /b�u,:...��,`o.0 ��.�� i,_.. /,�c�,��a 8'i5�-40SS PROJECT DESCRIPTION SQ. FT. � 9 ��-��-der. U.�.•L N _�(/iht CONSTRUCTIONTVPE I Address (mailin 1 g . ��y ZONE ' GRA�ING CU V�S. Eb City License No. �3� 9 jS l � LICENSEO CONTRACTOR DECLARATION � � - • Remarks: ' . � I � �, I hereby affi�m that I am Ilcensetl untler provi5lon5 of Cha�te� 9(commencing : � wi[h Section ]000) oi DiviSion 3 ot the Bu5ine55 antl Profe55ion5 Cotle, antl . � ' � � my license is in full (orc and eft ct. ' ,. \� Licen CI s � � Lice e No. ' PLUMBING ' `�� Date Siqnature � WORKERS• GOMPENSATION DECLARATION Bar Sink Showefs 1 hereby attirm that I have a certititate of.mnzen{ to selt-insure or.a certitiWte � gackflow Preventer �Service Sir o� Workers' Compensation Insurance, or a certifietl copy tnereot (Settion 3800, �ab, c. ,1(� � /�/ - (��,{� � . Backflow Irrigation � Sewei Ca POIICY No.Y�T1�1�'��J ComPanY � � " . P ny C—ertifietl copy is hereby furnisheC. Bathtubs ' Sewef Con ^ �tif'iep c�,is tiletl wiN the city B " , ►pJvisi � . , Date)G�Y :YM ApplitaniX E� Clarifiers SolarColle EXEMPTION FROM WORKERS' COMPENSATION DECLAHATION lines antl si9n all appropriate tlecla�ations. ° JT NO.. BLDG.. . i I ALTERATION . LJ REPAIR N STRUCTURAL 7 MECHANICAL _ OCCUPANCV' LUATION $ ACRES FEES (Thissection neetl not be completetl if the permit is for one huntlred ($300) or � Dishwasher � . Solar Pipin9 less): • i Drinkin Fountains I certi(y�that Jn the performance of the work for which this perm�t is Issuetl, I 9 � Solar Tank s�all not employ any pe�son in any manne� so a5 to become subject to the ' .. - workers'� Compensation Laws ot Cali�rnia. - Floor Drains� . � Swimming Pool w/Spa � . Date IC • ' Signature ' - NOTICE: If,iaftermakin9 [hls tleclaratlOn, y0u�shoultl�become Subj¢cf to thB FI00� SinkS � '�- � U�in21 �' � Workers'. Compensatiou provisions of tne Labor Cotle, you must forthwith ' . '� _ comply .wlth� such provi5ion5. o� � thi5 permit shall be tleemetl revokea. I � Gas Service, Outlets Wat¢f CI052L ,� �� CONSTRUCTION LENDING AGENCY � I hereby aitirm Ihat there is a constructlomlentlin9 agency�for the performance Interceptors � ' �, j_ Wa[ei.Heater Of the ,work tor whicn this permit' Is�issuetl..(Section 3097 Civ. C.): Lentler's Name ' Kitchen Sink �' Water Service ' � Lentler,'s �Atltlress ' � k � � , ., ., . .OWNER BUILDER DECLARATION ' �� `� � � ' , L3v2tOf125 . , � � � , � 1 hereby aflirm that I am exempt f�Om the,Contracto�'S; License �Caw to� the . p-T�a ' . following reason (Section-7031.5'Business antl Professional'Cotle: Any city or ' P.� ' - .county which requires a permit to construct, alter, improve, Oemolish or re0alr . - . � "any 5tructure; prior'to its issuance, also requires [he-appliwnt for 5uch permit ROOf Dfains . � 'to tile a siqnetl stafement that'he/she is licensetl pursuant to the'provisions of � _ the Contractor's License Law (Chapter 9(commencing with�5ection 7000) ot �- Division„3 of the Business antl Professions Cotle) or� that he/she is exempt � ' - . theretrom antl.the basis for tM1e allegetl exemption.-Any_violation of Section . - ,Z031�.5 by. any applicant for' a permit. subjects the.applicant ro a. civll ,'Reins c[ion Pee . enalty o( not more than fiva huntlretl tlollars'($500): ." '• � � �, �? '� I;�as,owner of the:property or�my employees.with wages'as their sole � _ MECHANICi com ensation will tlo the work antl the structure Is not9ntentletl or ofteretl ' ' � P LOf 531C� 5¢CLi00 i046 BI1510E55 dfld Pf0(ESSIOIIdI Cotle: The Contractor's License Law tloes not apply to an ownar ot a property who�builtls or imp�ovas � goiler ��,. ' Hood a Ih¢reon; antl�who tloes such�wo�k�himself/hersal( or througM1 his o� be� own � '- ' ' am0loyee5, piovitletl that such improvements are not Intentletl O� oiferetl fo� �^�Pl sale. It, howeveq the builtlin9 or Improvement is soltl within one year o( com- � Duct- Undei Ground � ' pletion, the ownen will �nave the burtlen of provin9 he/she tlitl not �uiltl or im- . �rove for the purpose ot sale�. � t , . Duct - StrucNral , Refriger u i, as owner m tne propert� tractorsco constructthe projei The Contrattor's License Lav �uiltls or improves thereon,�a tractor(s) Iicense oursuant to;t ❑ I,am exempt untler SeCtlon � DdSO O�n Signature L�< Drivers• License or 55 � CMF 0865-46 rev. 12/83 Builtlin9; owner ot property who uch pro�e<ts with a con- Lawl: 1 B. & P. C. for this reason' ttiat the above.+ unty ortllnances �� authorize repre- tl -property tor , . �..�GJ-�� 1 Exhausf System ❑ MWtiple Firepl/Fact.elt.ICBO�`- � Heating System & Ducting . ❑0.100,000 B7U �100,000 t � . ' — - ' I .: I ReinsPectionFee I ,$25•I Appliwnt; Vink - Accounting: GalAenrotl - Assessor � � � " . Isue Fee• . � Type I .�❑ ' Type I I ❑ . fl $YSLCT )BTU ❑700 i . • .. • luue Fee � � � •� $ 3 � ' FEES ' t $ 3 A.P. # S Main Buildin9: E T Front ARear C Right g Left Ping. Ref. # Parking Req./Provii Use of euilding: Planning Notes: 4597, 7/20/84 " 5.i10 TL ' . � . ' ' Zone . . , . . � - Accessory Building: Z O N � N -. G R E Park.Fees $ n I' V �. � R E . . E , N , T - - $ ,ELECTRICA6 'FEES Automatic Washer Canstruction Pole Sub. Cookin9 Unit �IShVY25�12f F.A.U. • Fiztures Device Boxes ODU¢t5 - Garbage Disposal ' Generator �0.5 KW �5=15 KW � • Reinsoection Fea � $2E PUBLICSERVICES HEQUIR r � . Zo'nin A roved B _� 9 PP Y � Building Approved.By — . ApplicatiOn Issued BY Transformer ❑ 15-50 KW . ❑ 50+KW Meter �upto100amps� Meter �over 100 amps ' � Sub Panel � � Motors �0-1-HP �1 % � 8 Inc.Solar �9-15 HP 016-15+ Microwave Pole Light . ' . t ing Sections . � Compactor , luue Fee 0 e $.3 . � ]ate I • { nn� � �;f� ,i � � ' . . SUMMARV OF FEES � � ' F ' � � BUILDING PERMIT $ � ' SMIP� f$ � � ; � PLANCHECK f$ • PERMIT " � . i — PLUMBING� � $ �S� 6� � � ISSUANCE �$ -�� ' - � PLAN CHECK 25% , $ � " ' '. ENERGV P.C. $ �� " � r �'i'� � I ' GRADING $ �' � �.,,, �, ELECTRICAI �$ � , . , PLAN CHECK 50% �$� MICFOFICM "�$ � ' " MECHANICAL ' � $ ' TOTAL FEE $. .��- �O ! � ��:! PLAN CHECK 25%' $ � � - � �CONSTRUCTION�AND�PLANNING - r'<." -' ` "' �.�-�, �1 _ ^,:?OOL.&SPA��iF�v ::_ : � � ; .r�:; = .� � - " • � ' .'Date! ' Inspector ` ' = ^ Date :�� Inspector � : APPROVALS Permit # -^ � • � �� APPROVALS Permrt # - � : _ . 1 ' :, �+>: i t 1. Temporary Electrical Service or Pole° �- � _ 52r Pool &'-Equipment L'ocation �� •�� = r t, �i 4 � 2: Soil Pipe-Undrgrnd.� - � . ' - `�. �. " 53 ' Steel Reinforcement ' .`� _ _ �._ v :'- �- �' � � ��_5 , '. `" + 3. Electrical Conduit Utility-Undrgrnd. � . � �- ' 59e, Forms; - :'�' `�'� '''='-� ': �•.., - ' r.1 � �, ic - - i . 4: Electrical Conduit-Undrgrnd. " - - _ � - '55° Electrical,Bondirig �- _ � �r,;,: .._.. � ' ; . � � �� : � _z .i�, 5. Steel Reinforcement � � . � � 56. Rough �plumbing'& Pressure;Test � : ,� r ��^ � '� ' � + .,.M' �� 6. Electrical UFER Gmd.. ' � • � ,� • � 57� APPROVAL TO�GOVER-GUNITE� _ � ;�'' � 1 t{ : =,; ° ' '�- � r 7. Footings , . . � _ ,�� - �, �� - 58' Electrical� Co`nduit-Undrgrnd:: ' ;�',, .- � ' � � ;,� '. _ - i � ' � 8. Foundation • . � � � �� 59. -Gas�Pipe;�O Uodrgrndc, Test= � -- - ' � ' _'^� � tr .f � - � ,� y. _ � - � ', 9. Water Pipe-Undrgrnd. � ' ' _% • i �`60. Backwasli'Lines �P-Trap; O�Undig`rnd.= y ;_ .,` � = j . . . _ .: . .. . . :. ' � ' � � c 10. Structural Floor System " r� �'�� ' , 67. APP,ROVAL TOtDECK �' �� ; � - �.� 11 . Property Sewer Line &' House Connection '�� a - ,62. Backwasti �&' Receptor-Final-= � ' ° � • ., ' •" � s 12. Sewer CaP ' : � :. �^� . 63. Heater &�Vent�Final, -. - .- z � -- _ 13. RoofDrains • . • ' -64. Plumbing�System-Final '-� ��.. f,"-:' " ,;! , , � 14. Rough Plumbing _ � ' � � � 65. Electrical-Fina( � -'- ' � • �" V ' t ` - � - � � � . 15. Rough Electrical-Conduit � � '� ��-r - � ��66. Solar`Sy'stem-Firiaf, "-'�"-� ` -,- "-: ' " '" � � � �'. � . ' c �16. Rough Elearic Wiring � . - _ � ' ;67: Fericiug & Access App ovaP �� - - -- y'. T ` � "f'"'?-- �. ` _ 17. Rough Wiring Sign , � � ; �68. APPROVED FOR PLASTERING � � �_ f �- , �� t j � �' - 18. Rough Electrical-T Bar Ceiling � � �69: �POOUSPA SYSTEMS FINAL � � � % ` ' � 1 �:�. � I "�i, � 19. Rough Heating & Air Conditioning , � ' ,FIRE'DEPT.;REQUIREMENT , � � � •' y - I t � , i i ' , i' .'1� �i,r � ' � � 20. Rough Factory Fireplace i APPROVALS' ' Permit,# � -' i c., , ', I � � ' � � ' ! I 1��`'-` - t 21. Ducts, in Strucwre , � � i' 70.' Underground Hydro . ,.� ��- i 22. Ducts, Ventilating . ',> . ' �71 � Product Piping � Gas� O Oil � � . �� ; � ,% 7 , _. ..._. -- -- - - - - - - - _ , _ _ t __ . _._____ _ 23. Gas Pi�e-Rough & Test ' �72J_Underground Flush ` � T. � f� � i ; I 24. �Roof Framing � •� �� ; . � ' � � � {73: Undergrnd. Storage Tank•� Gs'r O Oil �' > � � � � � 1 -zo�n��s o„�e�ni��y � _ � � �74: Overhead Hydro - : - � - . �� j `� ; � ' i 26. S-Bar Ceiling (Structural) & Monocoat � � 75. Dry Chemical � - �. � � �� _ i � � I � +e . 27. Frame and Flashing � , , - 76. Dry Standpipe � � , �� _' -' � � � '- I � � � � n ' , 28. �Lathing & Siding � ' � � � 77. F.IXED SYSTEM FINAfL � -� � ` ; . j � { ; � � ' ,.; i � 1 29. Insulation ' � � 78. FIRE PREV. FINAL ; � � ,- � � � � 30. Drywall Nailing ' � . � " 'HEALTH DEPT. REQUIREMEIUT� � � � � - - ---r-- - -�'--i-� �• -�- -- 31. Plaster Brown Coat ' , 79: FINAL INSPECTION �. i � � iT 32. Electrical Power Meter-Final � . � � 80.;'FOOD CERTIFICATE ISSUED � � , �. � 33. Final Electric � Notes: �1 ' . - � ` �_ G,t� _G �'i� �l�! • G. �_...... � . _ � 34. Final Heating & Air Conditioning i,: _�A,MG�c.. IkS_ �_ a.o:;3 � c�,�c. . y/�' s'� v H� 35. Final Gas Pipe-Test � � - , ' �-. � ' •::� � , . . � : s�' s _ _ �i �! ' i-. :- ., ., �j 36. Hood or CanoPY � : . � . , ..'„� ` . _, _ _. � �. ,- � `s,� N � - - - {1 37. Final Factory Fireplace � � � t , I, � �''� �� i -� � � : - - � _ �; � - '� 38. Final Plumbing ' � -_ � � ' � � � � 1 � . �A '�: „ ? , ' �i �� -„ . :.; a �.. 39. Water Service-Final � � -. i•� � . i i - , �� . , 40. Gas Service-Final � � � � � � ' � � � � " � ° . � _ - � . 41. Solar pomesticFinal � ' _ � -j- � . . � , k, � ' � � � � • � f � �1- �I " i I � ��e ' j � . �'��. . � ��, � r? 42. Backflow Preventer , ' t _ _T . __ _ _ _�_ ;: _ • , :_ 1 • � , � , i' 43. Backflow Irrigation ` _ � .- - .;; ,,� = '.. . - ; - � ,�'o • � � � ' �'s' 44. ,Landscape Irrigation System � . � - � � ' " � j . ; : ?; � _ I� 45. Sound Attenuation � � ' . � : > � • ' � . - ' n? -� - r= , � �, .J j 1 . I" r � '_ 1. ♦ . 1 .,r � Y .i 46. Handicap Regulations � � . , , , { . - _ � � 47. FINAL STRUCTURE & BUICDING , ' � ' ' � _ � u�, ` C ' �' ' - , �a .: v. • . . i. r 48. Special Requirements Completed , + � � , , , • , � � � �� 1 1 14 49. ElectricReleaseto-Edison - ' "' - �--- "� - � �'" , � j; i � �, "' 50. Gas Release to Southern Califomia Gas Co �� I � , � � i�� , ,- ��1 � ' �, � 51. CERTI FICATE OF OCCUPANCY - i - - - - '--,- -. i � � '. � i ' � ; No. � Date - ' -_. _ -t- - t-�--� - �.. : _ __ � . �,�.:_- :-' i�/�,! I I � / � PBOJECT RDOPE55: 3 4 3 1 T I MB ER LAKE OWNEfl'SNFME: `�1LLAGE CREER H.O.A. nooecss: 3429 TIMBER LAKE COS?A MESA, CA 92626 AflCNIENGINEEN: 5 5 3— 1 8 7 6 ROOflESS: NEG.NO.: UNIT: UNIT: PEqminEE' PETERSON ROOFING ( 714 ) 979-7111 aoosess: 3006 ENTERPRISE p ❑CENSEO CONTBRCTOA OELG'lAPp710N�F'�rDy alliim that I am licensee un�le.Cr povisio?o�CRapier 9(commencing with Setlion 7000� ot Oiv;sion 3 of the Business and Pmlessions Coae, and my license is in lull torce and ettect. LITY LIC.: STRTE LIC.: CIAS� 045445 607872�� oate: �i��1 �h 3 Siqnamre'. WONI(EPS' COMPENSRTION OECLAflFTION: I hereby affirm that I have a cehificate oi consent to sel4insure or a certificate of Warkers' Compenu�ion Insurance, or a cenitietl copy �hereol (Semion 3800. La�. C). roucvxo.:1021355-93 E%P.UATE: OQIOI�94 comrnxr: STAhTF� FI�ND ❑ Certtlietl copy is eB y �umis ed. 4 CertilieA Copy i5 �ileU wilh the ti�y Building �ivi5ion. Daie. � ADPlicanc �t,(�� E%EMVTION Ffl01 WONMEPS' fAMPEN5NTI0N UECLPflPTION: (This se ion neetl na� be comple�eU i� tAe permit is for one hunOreG (5100) m less�. 1 cetlily I�al in �he Dedormance o� the work lor whicn this permii is issuetl, I shall noi employ any person in any manner so as �o become su0le�� o ihe woBerS' Campensation Laws ol Califomia. �a�e'. Signature.- NOTICE: II, al�er making Ihis tleclaraiion, you shoul0 hecome su�lec� �o �he Workers' Compen5ation pmvisions oi [he La6or Cotle. you must �art�wilA comply wi�h such pmvisions or �Ais De�mi� shall be tleemed revoketl. CONSTPUCTION LENUING FGENCY: I hereby alhrm ihai ihere is a constmction lending agency for �he performance of ihe work for w�ith �his permi� i5 i=5uea (Set�ian 3097. Civ. C�. �Exoea: aooxess: OWNEB BUILOEB OECIABpTION: I here�y aifirm ihat I am exemp� irom ihe Coniractars' State License Law for ihe following reason (Seaion 703t5 Business an0 Pmlessional CoOe: Any city of counry which requires a permit to construct, alter, improve, tlemolish, or repair any s�mcture. prior �a iis issuance, al5o reQuires ihe apP�ican� �or such permi� �o file a signetl statement that helshe is IicenseA pursuam to Ihe O�ovisions ot the Contraaors' State License Law (Chapter 9(commencing with Section 7000) oi Oivision 3 of the Business antl Pro�essians CoEe) or I�a� �e/she is exemp� ��erefmm antl ��e basis lor ��e allegetl exemption. Fny viola�ion o� Section 7031.5 6y any applican� �or a permit suhlecis Ihe aDOlican� to a civil Oenally oi not more than five hunJred dollars (5500�. I, as awner of the pmperty or my employees vnih wages as their sole compensation, will Oo ihe work, and ihe � s�mcture is not intended or affereA for sale (Section 7044, Business anA Pmieuional Code�. The Conimctors' State License Law Aoes noi aDPly Io an owner o� a pmpeny who builds or improves �hereon, antl who tloes such woB himsel�/hersel� or �hmugh his or her own emDloyees, pmvitled ihat such impmvemenis are no� intentled or oifere0 tor sale. Ii, however the building ar impmvemen� is sold wilhin one year o� completion, �he owner vnil �ave t�e bur0en ol pmNng he/ihe ditl no� �uiltl ar impmve �or �he purpose o� sale�. I, as owner oi �Ae pmpeny, am excWsiv¢ty contrac�ing wi�h IicenSeU contrac�ors to constmct �he prolect ($ec�ion 7044, Business ❑ antl Pmlessions Cade: The Contractors' State License law tloes not apDry ro an owner of Dmperty who 6wltls or impraves Ihereon antl who con�racisfor such pro�ects wi�h a conlrac�m�s)license pursuani lo Ihe Coniractors' S�a�e LicenSe LaW�.I am awafe �ha� pmaf of Iheir Worker s Compensation insurance should be provi4e0 to me. � I am ehempt unUer Semion: 9. 8 P. C. lor this reason: �ate: Ownec I Oo hereUy cenify �nal I am aware of ana undersiantl Ihe requiremenls ot Califomia Health and Satery Code Sec�ions 25505, 25533, antl 25534 antl Ihat I or any WWre huiltling occupani will/will nol (circle one) need to com0ly wiih SaiU s�a�e coUes antl �he repuiremen�s tor a permit for cons�mction or modilication Imm ��e Air Ouali�y Management Oisiric�. Pesitleniial cons�mction aDPlica�ions are exemp� imm Ihese pmvisians. Oale' AppticanC I hereGy certity�hal I �ave reatl�his aDPlication antl 5la�eiha� Ihe a6ove inlormalion is correcL I agree b comply wilh all ci�y and county ortlinances an0 Sta�elawSrelaiinglo builtling cons�mc�ion antl hereby authonze representa�ives Oi�his tirylo enterupan lhe above�mentionetl propetly larinspec�ion purpases. Dale'. Signaiure: �� river s License ar Sociai Securily p: ^� 1641 n6 W�i�e—Building; Green—Cotle Enforcemen�; Canary—ApPlicanf. Pink—Revenue'. Golaenrotl—Assessor CFTY Or' COSTA N£S� — BUIiD:NG PEAMIT P�RM UO: B 063397 PEAMIT Nt�: B 063347 PLAN CH^cCR NO: N GOVT: N SUPP; N CONSTRUCTION TY?E: V—i� PERMZT TYPE: STR PURPUSE: ALT JOb UESCRIPTION : T/OcF SHEATH REROO£ W/COMP SHINGLES SQ FT: 3,700 CLAIM VAI,U£: 3,700.OQ CALC—VALUE: 3,700.00 GROUP OCC: R-1 / COMl�iENTS: SMORE DETEC?ORS RE� PERMIT INCLUDES 3933 S 3935 TIMBER LAKE ***t�**�r�r�r*�r**x�*x��*��+�**�r��r** ��**+r+r*�t*�***t�*�*�rt�*x**�:�r��*��t***�r*+r�r��*�r�r�r*t*�rx Z 0 N I N GS ERTEB�AUCjKRSE M E N�OK� D�.ECTOR FRNT: FT MAIINBREARING FT IN FRNT: FTCESSORG1��y$p'P+j'��--="IN t� Aj[ kJ t (�S LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: IN PARKING RE.• PROV; PARCEL: 33506046 ZNE: REF r10:., PLANNING N TES> "' ! iF 3E iE iE 3F iE 3c 3E iE # iF 1E iE ii;iE iF iE iE iF if iF if iE iE if iE iE iE iE iE If iF iElf iF 3E iF iE jt iE if if iE 3f iF iF iE iE # iE 3E it 1ElE iF9E iE :� iEiE # iP �143E if iE if iF �E,# iF iF 1E i! �f * it if dE D E V E.%� O P M E N T S E R V I C E S A E Q U I R E,'� E N�':T S ;,�� ZONING APPROVEI) BY DATE: •�. i BUILDING APPRO�,V-ED BY : DATE: / /i APPLICATION ISSUED BY: DATE: ��CL�� if�iEiEiE3E�E�EiE3FiEiEafjE,iFiEiFif�rt3Ei(�iEiE3Fitr'Fi'ri'FiF3FiFi'F�Tri'F�ti'F3FiF7FiFiF ?t�tr'� �tiF�ti�F3F�F3fiFiFiF�iEiFiEiF�E�IFiE1E3E�lEiFR��iFiPiE *�*+t�t+t***�t�**�riEiE�r*at*�****+�**#**x�**+�**it�rit**�r*�ir*�*+��*x*x��*�*****fFfe� ��r*it*ie****��r�r LEGALIZAT?UN:N F E E S U M M A R Y STRUCTUAAL SEGMEN'?':Y Bi,DG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRAlliNG PERMIT 63,00 SO SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSIIE Pi.AN—CHECK TOTAL PAID DUE TOTALS----> 63.50 0,00 0.00 63.50 63.50 .00 REVENUE DIVISION iOTALS--> COLLECTED: 63.50 OVER/5HORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC PIRE SMIP/TOT GRADING ?LAN—CHECK 63.00 ,50 1E iE 3E iE aE iE aFlE �ElElE iE iF 3E iE #' iE iF i! if iE iF i! �E iE 1k iE �t �)E ik if 1E iE 1f 1Elf !f if �7F iF IF iF �E iElE �E iE iF jE �f 1Elf iE iE!! if ik 1f iE �E �k if iF iE fE iE?t!E If 3E iE if iE it it iE iE 1ElE I N D I V I L U A L � E E B R E A K D O W N TYPE QTY D E S C R I P_T I O N (JNIT COST TOTAL CO�T SFR 3700 REROOF BY VALUE RESIDENTZAL NOZONE 1.00 3,700.00 END OF FEES O1 00144s9?—�014460�] T�77 63.50 DATE: 08%p9l93 TIV1E: 14�16 � '� . . , CONSTRUCTION AND PLANNING � - � P�� & SPA Date inspector Oate inspector � APPROVALS Permit # , APPROVALS Permit # _ 1. Temporary.Electrical Service or Pole � .52. Pool & Equipment Location � 2. Soil Pipe-U�drgmd. � . , 53. $teel Reinforceme�t - 3. Electrical Conduit Utility-Undrgmd. � :- 54. -Forms � - 4. Electrical Conduit�Undrgmd. 55. Efectrical Bonding � 5. Steel Reinforcement -.. ' 56. Rough Plumtiing & Pressure Test 6. Electrlcal UFER 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. Backwash Lines, P�Trap, O Undrgrnd. '� 10. Structurei f�oor System ' - � '�. 61. APPROVAL TO DECK � 7 t. Property Sewer Line & House Connection _ 62. Backwash & Receptor�Final 12. Sewer Cap � . 63. Heater & Vent-Final 73. fioof Drains - .. 64. Plumbing System � Final 14. Rough F�umbing 65. �Etectrical-Fina� 15. Rough Electrica6Condurt ' - 66. Solar System-Final 76. Rough EleGtric Wiring _ 67. Fencing & Access ApProval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrica��T Bar Ceiling - 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning � " FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace � ' APPROVALS' 'Permit # , . 21. Ducts, in Structure ��. � � - � 70. Underground Hydro 22. Ducts, Ventilating � 71, Product P�ping �Gas ❑Oil 23. Gas Pipe�Rough & Test , „ . . , � , , 7Z, Underground�Flush , . . 24. Roof Framing ' � � / ' ' 73.'Ondergmd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing � � - � ZyZs/�3 � _ . � 74, •Overhead Hydro � L l 26. T-Bar Ceilin9 (Structurell & Monocoat 75. �Dry Chemical 27. Frame and Flashing . .. �. 76. Dry Standpipe . 28. Lathinq&Siding � - �'� 77.,'FIXEDSYSTEMFINAL ' 29. Insulation � � � ; 78. FIRE P(iEV. FINA� 30. Drywall Nailing i . ; • HEALTH DEPT. REQUIREMENT 31. Plasier Brown Coat , . ; � 79. FINAL INSP,ECTION . 32. Electrical Power Meter-Final � � � 80. FO00 CERTIFICATE ISSUED 33. Flnal Eleci��c �� i i '. Notes: � , 34. Final Heating & Air Conditioning j i � . � 35. Final Gas PiPe-Te;t I � � ' � 36. Hood or Canopy . �� 37. Final Factory Fireplace , . �. 38. Final Plumping , • (- � 39. Water Service-Pinal ' j 40. Gas Service-Final � � 41. Solar pomestic-Final f4 .' � � I ' 42. Backflow Preventer '��' �� ; � � i _43. Backflow i�rigation ;,,j . j• j`�. .....q . �44. Landscape Irripation Syuem t 1 t . � 45. Sound Attenuation •y ��-" � � � � �+ ._ 46. Handicap Regulations ? i� � ' � . - 47. FINAL STRUCTURE &BUIL�ING 3,LZ_q G�✓� � 48, FINAL PLANNING : ,% �L -' � 49. Electric Release to Edisory- � • 50. Gas Re�ease to Southern C@lifornia Gas Co � . 51. CEiiTIFICATEOFOCCUPANCY No. Date .JYJ1 11!•1D8t1 LNAL PBOJECTAOONE55: VSLLAGr, CREEK� AOMEOWNERS u"�T: OWNEfl'SNPME: ASSOCIATION � aooeess: �qZg TIMBER LAKE ' C,N VA 92626 CHESTER CARVILLE ' C18305 AHCHIENGINEEP: �]9Z2 ARMOUR ST ' � XEG.NO.: aooxess: S. D, CA 9 21 11 uxiT: PHOENIX ENTERPRISES INC. (213)690-9559 PEHMITTEE:� Q S S COMERCIAL WAY nooness: LA HABRA CA 90631 IICEN5E0 CONTpACTOP OECIABATION: I M1ereby allirm mat I am h e ntle r isions of Chapter mmencing with Sec�ion 7000� of Diy`�i6y 0d➢t�8usiness an0 Prole�iq—h6e�5p� �a m e rs in rce and eifect. . CITY LIC.: `I � I T�' ' — — — / ' . � / .<�. ' I� Date�. � Signamre'. � f,f� WOFNENS' C pq�FGLAflFT10N: I here6y aHirm I�at I have a,a�r71ic oic�y�nito sel6insure ar a ce dicate ol Workers' r IUCY N0. n��1�7�ilie� copy, `erg��Secti E%P8� 7Eab. 9�. . p 11t �FOMPANY: , ❑ Cetl��ietl copY is hereby �umiSflW. ❑ Ce�ified copy is filetl e� ing � vision. � �� a�e:/ ~_ � Applicam: E%EMPTION FHOM WOPHEBS'COMPENSATION OECIABATION:��ThisSeciion need na�be completedi�ihe permi�i5foronehunOr 100�or1e55�. I cetlify ihat in I�e petlormance at lhe work �or w�ich t�is permil is issued, I shall not employ any person in any manner so as �o become suble�� o Ihe Warkers' Compensalion Laws ai Calitomia. �ate � � Signature: ' NOTICE: II. alier making I�is tleclaration, you should Cecome sublecl Io Ihe Workers' Compensation pmvisions of the Labor CoOe. you must lonhwrth comply wilh such pmvisions or ihis permit shall Ue OeemeO revoke0. � CONSTflUCTION LENOING AGENCY: I hereby affirm Ihal there is a consimction lentling agency far ihe pedormance oi the work for which ihis oermit is issue0 �Seclion 3097. Civ, C). �exoex: aooness: OWNEB BUILOEB DECLABR7ION: I hereby aflirm tnat I am exempt imm the Coniractors' Stale License Law Ior ihe lollowing reason (Section 7031I5 Business and Pm�essional Coaer Any ciry ol coun�y which �equires a De�mi� to con5im[I, al�er, improve, tlemolish, or repair any s�mclure. prior �o iis issuance, also requires Ihe apPlican� for such permi� to �ile a signea s�a�emeni Ihal he/she is licensea pursuant to Ihe pmvisions of Ihe Coniracmrs' Stale License Law (Chapter 9(commencing wii� Section 7000) of Division 3 of the Business antl Pmiessions Cotle) ar Ihat he/she is exempt Ihere�mm antl Ihe basis lor I�e allegea exemp�ion. Any viola�ion o� Section 7031.5 by' any applican� lor a permil sublecis �he aDPlican� �o a civil penaliy oi nol more ihan five huntlred do�lars (5500�. ,� I. as owner oi the pmpetly or my employees wiih wages as their sole comDensation, will do �he work, antl Ihe simcWre is nol intenUed or oflerea for sale (Section 7044, Business antl Pm�essional CaOe'. The Contrac�ors' S�a�e License law tloes nai applY �o an owner al a property who builtls or impmves ihereon, antl who tloe5 such work himsel�/herseli o� lhrough ' his or.her awn employees. provi0etl thal such impmvemenls are not inlendetl or ofiered br sale. If, however ihe building or � impmvement is soltl wi�hin one year of comple�ion: Ihe owner will have lhe burden o� proving he/s�e tlitl no� builtl or imDmve for �he purpase of sale). ' , I, as owner of the pmpetly. am erclusively conVactinp with Iicense0 con�ractors to consVuct the pmlec� �Seclian 70a4, Business ❑ and Professions Cotle: The Coniractors' State License Law Uoes not apply lo an owner of pracenY who builtls or impmves ihereon and w�o coniracis tor such pmlecis with a comramoqs�license pursuantlo ihe Coniractors' Slate License Law),I am aware iha� pmo� 0� U¢ir Worker'S Gompensalion insuranCc should be pmvidetl to me. i � I am exemp� under Seclion: B. 8 P. C. for Inis reason�. ` Da�e'. Ownec I tlo here�y ceeAy �hat I am aware al antl un0ersland t�e requiremems ol Cali�amia Heallh antl $afery Cotle Seciion5 25505, 25533, antl 25534 and Ihatior anyfuiure builAing occupantwill/will nol (circle one)neetl Io comDly wi�h saiU s�a�e codes antl�he repuiremen�s�or a permil �or con5imclion or motlification imm Ihe Air Oualiry Managemen� �istrict. fle5ideniial cons�mction applica�ions are exempi tmm �hese pmvisians. Date: ApplicanC _ I �¢reby cerlity��al I have reatl Ihis aDPlica�ion antl s�ale Iha��he oreinance� nd Slalelawsrelalmgto bwltliP9 consimction antl heret pmpetly i r mspP uon p rposes/� �✓J) � / Date:_ —�L �I L .... �' �� i �nvor's Gcensc or Social Securey a� is carrect. I agree lo cnmply wi�h all ci�y ana n�a�ivesofthiscitvip tii)rupon�heabove-mi 1641-a6 Whi�e—Buil�inq: Green—Cotle Enlo¢emen�'. Canary—Ap0licanl; Pink—Revenue'. Goltlenmd—Hssessor 0 CITY OF COSTA MESA - HUILDING PERMIT n• " PERMIT NO; B 050618 ' PLAN CHECK NO: 00043=9•i,A r � CONSTRUCTION TYPE: V—N PERMZT TYPE: STR' FURPOSE: REP JOB DESCRIPTION ; REPAIR SETTLEMENT DAMAGE � SQ FT: 193 CLAIM,VALUE: 19,300,00 CALC—VALUE:' 14,30U.00 GROUP OCC: R-3 J COMMENTS: HUILDING SETTLEMENT REPAIR/FOUI3DATIOIJ � *x��****� �********�******�*�*x*�t��*��*x�******x+��t*�*****�rx�*x********x�**;�***�*** • Z O N I N G R E Q U I R E M E N T S S E T B A 6 K S � ------------ MAIN BDILDING ------•---- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: �T IN LEFT: FT IN RC>HT: FT IN LEFT: FT , IN RGHT: FT IN PARKING RE9• PROV: PARCEL: 93506124 ZNE: R2 REF NO: PLANNING Nt3'EES> FOUNDATION REPAIk, � � ��*****x�***�t**�t**�**�r�t*x�*�r****�c��*��**�*****+t**��*�**x*t��*****�t***********�t*�r�r D E V E L O F M E /N� T� S E R V I C E S R E Q U I R E M E N'C,S ZONING APPROVED HY (��Jj l —� DATE: O// �"1,L BUZLDING AFFROVED BY :� �( L D�� '.DA`TE: AFPLICATZON ISSUED BY• 1f 1E if aE 7E �1( 1f 1E iE �IE 3E 1t 1EiE iF !f IE iE aE iE IE iEIF 3F 3E iE 3E iE �E It iF 3E aE iE i(� iE �E iF 3t if )E 3ElF If �E 3E iE 1F iE iE LEGALZZATION;N • BLDG PMT PLUMBING PERMIT 162,00 PLAN ?.6,33 DATE: � 14 iE IF iF iE i4 iE iE ik �E�iF3FfE if 9f-�f-i �ifiE3E1EjE1kj(�iFiFkkiFiFiEif3EiEiFiE3E3Fifif)Elfif-%iFiEiE3ElEfEif}EiFlE3EiFiEiEi4 F E E S U M M A R Y S'PRUC,TURAL SEGMENT;Y EL CTRIC MECHANZC FIRE SMIP/RES GRADING 1,00 , SMIP/NON—RES ISSUfi FEE BUILDING—DZV—> FERMIT ISSUE PLAN—CHECK TOTAL PAID DIJE TOTALS----> 163.00 0.00 2G,33 189.33 189.33 .00 REVENUE DIVISION TOTALS--> COLLECTED: 189.33 OVER/SHORT; ,00 ' BLDG PMT PLUMBING ELBCTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECIC 162.00 , 1.00 26.33 1E iF �%� IE iE iE iE�%ih iE If if if iF i!� iFlE 1F iF 1t k iE ?e if iF if 1f� iE if iE �e 3f 1F �1E if iE 3E ik iEiE i(�!E iE 3E iE iF iE 3F iE 3E fk if iF iE i(� fE 3E 3f ik iE ih tf iElf iE lE 3F ii� iF �lE iE i4 3E If iE'1F )f IE iE I N D Z V T 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 14,300,00 E1vD OF FEES �). C��1!�+?2413—GUt]7E4?;) 'y'� +'� DP.7E� QI/23/9? TiP{E: 2�:51 ic`�.�.�' CONSTRUCTION AND PLANNINb . L& SPA � Date Inspector Date �Inspector APPROVALS Permit # J,. � � APPROVALS Permit # . 1. Temporary Electrical Servi e�or Pole ' - - 52. Pool & Equipment Location (� � 2. Soil Pipe-Undrgrnd. ,�'� �' 53. Steel Reinforcement �� '3. Electrical Coridui[ Utility-Undrgrnd, ! 54. Forms j ' 4. Electrical Cond�it-Undrgrridc ` ��.. 55. Electrical Bonding "" ' 5..Steel Reinforcement . 56. Rough Plumbing & Pressure Test � � 6.�Electrical UFER Grnd. . 57. APPROVAL TO COVER�GUNITE .. 7. Footings �' ' S8. Electrical Conduit-Undrgrnd. 8., Foundation , �,��t 11� 59. Gas Pipe, O Undrgrnd., Test �: �y y ' 9. Water Pipe-Undrgrnd. �� •, �� 60. Backwash Lines, P�Trap, O Undrgrnd. '!i ��' + ' 10. Structural Floor System f� �%� %�� 61. -APPROVAL TO DECK '�!"% _ 11. Property Sewer Line 8v'House Connection� ��'• 62. Backwash & Receptor-Final .� . :,. 12. Sewer Cap '� f, • i'� 63. Heater & Vent�Final . . 13. Roof Drains ' ^ � 64. P�umbing System - Final ,- � 14. Rough Plumbing � �� / �I 65. Electrical-Final . � �' a 15. Rough Electrical-ConduiY ' �%,� ,�t 66. Solar System-Final . iJ, 16. Rou h Electric Wirin ��'�i � ! 9 9 �i , / �, 67. Fencing & Access Approval � 17. Rough Wiring Sign '�� ei� 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL i� 19. Rou9h Heating & Air Conditioning i FIRE DEPT. REQUIREMENT � 20. Rough. Factory. Pireplace - - _ " � � APpROV_ALS Permit # �� 21. Ducts, in Structure . . , -�. ` 70.~Undergr.ound Hydro 22. Ducts,•Ventilating � � ' � � 71. ProductPiping�Gas ❑Oil 23. Gas Pipe�Rougfi & Tese . . " , ' _ 72. Underground Flush �. ' 24. Roof Framing � " - � : ��• 73. Undergrnd. Storage Tank � Gas O Oil � 25. Roof Sheathing , . �r .,, - ' . � � � 74: Overhead Hydro. � a 26. T�Bar Ceiling (Structural) & Monocoat . _ ' ' - 75. Dry Chemical - � � 27. Frame and Flashing ' �� 76: Dry Standpipe _' � 28. Lathing & Siding- . .. _" i 77. FYXED SYSTEM F1NAL � .T. 29. Insulajion ,; - � � � �� . Z8. FIRE PREV. FINAL . 30. Drywall Nailing � I�� j, : HEALFH DEPT. REQUIREMENT i 37. Plaster Brown Coat_ � � ! ` 79. FINAL �NSPECTION ; • ' � i 32. Electrical Power MeterFinal � , � �� . .. 80. FOOD CERTI,F.ICATE ISSUED • 33. Final Electric ' � , i (- ` Notes: , r„ 34. Final Heating &�Air Conditioning � �� . ,. . , - .. ,� - 35. Final Gas Pipe•Test • I:� �/ � 36. Hood,orCanopy��,_ 1 � ' ,� �; - , ' � " .. 37. Final Factory Fireplace • ' ' �' " ' � �^ - 38. Final Plumbing: .,, � � �- � . 39. Water Service-Final - � - ' � I• - - 40. Gas Service-Final , . I � ' , _ - 41. Solar pomestic-Final � � " � � f' : . . 42. Backflow Prevenfer � � ' I � ' _ ` 43. Backflow Irrigation ' ' ' `- � 44. Landscape Irripation SYstem� � , � , . . � � -' , 45. Sound Attenuation • - � " � 46. Handicap Regulations - . _ . 47,. FINAL STRUCTURE & BUILDING � � �� ; _ . 48. FINAL PLANNING , i . � 49. Electric Felease to Edison i �, • . 50. Gas Release to Southern California Gas Cn i j ; '" _ ' 51. CERTIFICATE OF OCCUPANCY , , , ,; � , No Pate OWNER STATE—W JOB ADDRESS 3431 AP No.A C�yTRA ;0 OT g � INSPECTIONS SOIL 7 GAS P- W ATER ROUGH PLUMBING PROP. SWR. LINE HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING ANp AIR CONOITIONIP TEMPORARV SERVIGE OR POLE UNDERGROUND � POWER � ROUGH WIftING T-RENCHES � /F ��i $r,[EYI FLOOR SVSTEM • ' BON� 6EAM ❑ STEEL REINFORCE SMEATHING FRHME AN� F�ASMING LATHING - IN �"- OUT � � PLASTER, BROWN CONT STRUCTURAL, FINA� HEATING, VENT., REFRIG. AND A.C., 1 PLUMBING, FINAL qND GAS TEST ELECTRIC, FINAL BUILDING, FINAL DATE FIRE ZONE VALUE TYPE GROUI SUBCONTRACTOR Z a U Z ZQ ON am J7 J � Q W p] J •m J Q U N Za W � aw wz J Q m Z J � W w 0 z� w� 70 � Z Q U J a a Q 0 H N z O F- U � � F y z ,; COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 For Applicant fo Fill in Comp/etely nooRes"s3431 Timber Lake own,eR ,State-Wide Developers, Inc. GTY BRANCH ADDRESS ARCHITECT aA�FBfl6EER � ADDRESS �%£ CONTRACTOR ADDRESS J4� arv Cy� STATE LI0. NO. 'L'z� SIZE OF LOT �, USE OF EXISfING BIDG. SIZE OF NEW BLOG. EXTEflIOIi WALI COVERING USE OF BUILD TEL NO. rs. In s No`'826-4550 CITY LIC. NO. NO. OF BLDGS. arr�ne I NOW ON LOT (� NO.OF ROOMS �r qOOF COVERIN WORK TO BE P �] FF1L �f:�zze cu :�AY 1?-7hcws��0 G9"vt` APPLICATION FOR BUILDING PERMIT A.P. NO. BUILDING ADDRESS � TflACT OWNER FIRE ZONE APPROVED 7s4-U/ I -- �/7H 6Y/� L4.�1. f LOT 5 Gfl DATE NE NO.OF USE OF NEW i �Z � (-� PLAfuS Z BUIlO1NG � VARDS APPpOVED YARDS API MAIN BUILDING ACCESSORV VAF. q1E I OATE //�_ APPROVED K �iOLD FOR�"Si £C:A PC�UIREb1 ' S I hereby acknowletlBa that I have reatl this application and state �,� that ffie above i�formation is correct antl aBrae m comply with . all laws reBulating builtlinB construction, antl 1 shall not employ any person in violallon of the workmen's compensation laws of che State of California. ol m f hereby cartify that f em properly licensed es a confrecior untler ��O I Sn. FT. J-534 p the Stete of Celifornia Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDEF VAlUAT10N IS FOR � Chapxe• 9, and ahea such licenses ara in full force antl effect, or I THE PURPO6E OF ESTABLISHING A PERMIT FEE ONLV: m am ezBmpt from the provisions ot the State of Cel ornia Business VALUATION ¢ and Professlons Code, Divislon 3, Chapter 9. � w � m PERMIT FEE $ �(�'C/ State-Wi de Devel op r Inc. ,�5 DO �" � Sipnature / m ParmlHee $ PLAN CHECK $ � E �// LL Autholized Agant Vi ce Pres i den TOTAL FEE $ ' �•� O �