HomeMy WebLinkAbout3432 TIMBER LAKE - Building PermitsPflOJECT AOOPESS: (J
OWNEH'$ NAME: A
ROOHESS: �
A
LAKE
UNIT:
CHESTER CARVILLE C18305
FHCH/ENGINEEfl: ']9'L'2 ARMOUR ST flEG.NO.:
aooaess: S. D'. CA 9 2 1 1 1 uxir:
PHOENIX ENTERPRISES INC, (213)690-9559
PENMITTEE: Q 1], COMERC IAL WAY
aooness: 7,A HABRA CA 90631
LICENSEO CONTBRCTOX OECIABATION: I hereby al�irm �hat I i e under provisions ot Chapter 9(commencing wi�� Seclion
7000) ol Di�ib� �Opl��usiness and Profe�it��Ej e e 5 in t��o�ce a 1
ciTr u ��r r�. ia�/� `�� , _ �
�C
' ( (1/T
Date: �� Signature'. — — _ �f
WOBREPS' CO EN LAHATION: I hereby aflirm Iha� I have a ic �y,oyco �yn to self�insure or a certi�icale of Workers'
CamOensation d a �i�ietl cop Ihereof �Sec�ian 3800, Lab. �� 1 �11 � 7�
oucvxo.: CA COMP 6 F�ZRE E%P.UAT'
}�OMPNNY: ' -
❑ Cetlilied ncopY/is /hereby �u nishetl. ❑ CenifieA copy' �i' � ciry Buildin - io .
Oate. � /' , ` � • �Applicant:
ESEMPTION FNOM WORKEPS' COMPENSATION DECNPRTION: (This seclian neeE noi he comple�ed if the permit is � e hunEred (5700) or less�.
I ceNty Ihai in Ihe perlormance o� t�e work lor which I�is permil is i55ue0. I shall not employ any Derson in an manner so a5 io 6ecome
sublecl Io Ihe Workers' Compensation Laws of Calilomia
Da�e: - SignaWre:
NOTICE: If, aller making IhiS declaration. you 5hoW4 become SuDject lo Ihe Workers' Compensa�ion Drovisions of the Labor
Cotle. you mu5i torthwiih compty wilh such provisions or �his permi� shall be tleemetl rewked.
CONSTHUCTION LENOING AGENCY: I hereby afiirm �hat �here is a consimmian lending agency tor Ihe pedormance of Ihe work for
whith IhiS permii i5 iEsue� �SeCtian 3097, Civ. C�.
�exoex:
aooeess:
OWNEH BUILDEB OELLFPpTION: I hereby afiirm tAa� I am exempt fmm tAe Coniracmrs' State License Law for (he lotlowing reason
(Sec�ion 7031.5 Business antl Pwlessional Cotle. Nny ciry of county which �equires a permit �o cons�mct, al�er, impmve, tlemolish, or
repair any stmcture. prior lo ils issuance, also requires ihe applicant for such permit to file a signeU statement ihat helshe is licensed
pursuanllo�he pmvisions oi�he Contrac�ors' Sia�e License �aw(Chapter 9(commencing with Section 70110�otDivision 3 o�ihe Business
antl Prolessions CoCe) or I�al he/she is exempi lhereimm antl t�e basis tor �he alleBed exemption. Any violalion of Sec�ion 7031.5 Cy
any apDliean� �or a permit suble�ts ��e applican� to a civll penalty of no� more than five �untlred tlallars ($500�. '
I, as owner �oi the D�operty or my employees with wages as iheir sole comDensation, will tlo ihe work, antl tAe
� slmcWre is no� inlen0e4 or ofleretl br sale (Seclion 70a4, Business ana Pm�esSional CoOe: The Coniracmrs' Slaie License Law
tloes not apply lo an owner of a proper�y w�o builtls or improve54hereon, an0 w�o tloes such work himself/her5¢I� or �hmugh
hi5'or her own employe¢5. provi0e0 Ihat SUCh impmvements are n01 inlendetl or oneretl �or Sale. II, however Ihe builtling or
, impmvement is Soltl within one year of completion: the owner will have the bur0en oi pmving he/she Aia no� builtl or improve
lor the purpose ol sale).
I, a5 owner ol Ihe prOperty, am e�Clusively COntraCtinB wiih Iiten5e0 ConlraC�ors lo tonsirut� ��e prole�� (Section 7044, BUsiness
❑ and Pwiessions Gaae'. The Contraclors Sta�e License Law Ooes nol aDPty to an owner oi pmperty who Ouilds or improves �hereon
and who convacts for such pmie«s with a convacmr�s�license pursuantto the Conirac�orY State License Law�. I am aware
�Aa� pmol ol Iheir Worker's Compensation insurance shoultl be pmvitletl to me.
� I am exempt untler Seciion: ' B. 8 P. C.
lor lhis reason: � � ' '
Da�e� Ownec
I do herebVi cenify I�at I am aware a� ana understantl Ihe requiremems of Calilomia Healih and Safery Code Sections 25505, 25533, and
25594 and Ihat I or any IUWre building ocapanl will/will not (circte one) neeA to comply with saitl slate cotles antl ihe repuirements lor a
permil br constmction or mo0ilicalion imm ihe Air �uality Management Ois�ricl. Resi4ential consimction aDPlications are exem0� ��om
�hese pmvisians.
Oate: ppplitanl: _
I hereby cerlityihall have read �hls appllcaiion and Slale Ihai
ortlinance�s antl slate laws relalinq to bwltlmg constmction ana Y
Daie:a �li� -�'_�.
Oriver'S License or Social Sewrily a:
I agree t9,wip0ly wilh all tify antl
1641-a6 White—Builtling; Green—Cotle Enlorcement Canary—Applicant; Pink—Revenue', Goltlenmtl—Assessor
CITY OF COSTA ME5A - BUSLD3NG PERMIT 4
PERMIT NO: B 050619 . PLAiV CHECK IvO: 00092-91 A
CONSTRUCTYON TYFE: V-N PERMIT TYPE; STR PURPOSE: kEP
JOB DESCRIPTION ; REPAIR SETTLEMENT DAMAGE S� FT: 143
CLAIM VALUE; 14,300.00 CALC-VALUE; 14,300.00 GROUP OCC; R-3' /
COMMENTS: BUILDING SETTLEMENT REPAIR/FOUNDATION
*�r***��c****��***�***���e*�r****�**�r�*x�rx*�*�*u �r*��*��**x�**�**�****�x**�*�i*�r****x�*
Z O N I N G' R E Q U I R E M E N T 5 �
S E T B A C K S
-----------'MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT; FT ZN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT; . FT IN LEFT; FT SN RGHT; FT IN
�RKING REQ• PROV; PARCEL: 93506129 ZNE; R2 REF NO:
LANNING Nt3TES> FOUNDATION REPAIR. ,
�.
3E if *�IE if jR 9f 3E 1F if �f aE if iF iF IF iF aE iF jF 3E 1E jE 3f iE iP 3E 3F 3F iilE 3FiF If iE iF iE iF iFi(� �F jE iF iF 3E if jF 3F iF iF 1E-1! �F 1F if iE If if iE jf IE±f iF iE �E iE 1f if 3E.3f iE if af if iEif iE If iF
, D E V E L O F M E N T S E R V Z C E S R E Q U I R E M E N�T S
ZONING APPROVED BY ;� L�, DATE: o•jis"�1
-HUSLDING AAPAOVED BY ; �✓ / c_ i7X}-,-.� ' DATE: �
APPLICATION ISSUED B • DATE:
1f iElF iF iE i6 �IF )F 3F if� 3F9f 3f iF dF iE iF If iE 3E if iE 3F iF iE lF�f if iElE�'3F IF iE
if�IfifiklfiFiFiEdf�3fifikifif�7E�Ififil�lfiFlfiFlFiflflFlflfiF�1F �E�IE�]f�7E� �E3EifdF1Flf�iEiElfiEiFfEififiEif�lf�lEiE�EifiEiF�1E�1ki(-IF�IEif3E3FiF�1E3F3E3i•iFifiE�lfiE�]E
LEGAI,IZATION:N F E E S U M M A R Y STRUCTUF2AL' SEGMENT:Y
BLDG PM't FLUMBING.�E CTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT . 162,00 1.00
, SMIP/NON-RES .
PLAN 26,33 . ,
ISSUE FEE '
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS--,-->' 1,6�3.00 0.00 26,33 189:33 189.33 ,00
REVENUE DIVISION TOTALS--> � COLLECTED: 189.33 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMZP/TOT GRADING PLAN-CAECK
162.00 . , 1,00 Z6,33
3E �1F 3f �%� iF 1F df ih,IF i(� 3F±F if * if 3E iF iE ik iE iF iE if iF �E M� iE'If iE if iE if 1E it 1f iE 1E iE iE iF If iE iE iE iF 1F iFiE iE iE iF If 1f iF if iE IE 1E i4 iE i!� IE i(-iE iE iF fF if )f if # i41F iF'if ih If iE 9E
� 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 F T I O N UNIT COST TOTAL COST
SFR 143 STRUCTURAL BY VALUE FER 5100,00 100,00 14,300,00
END OF fiEES
�
� �2 �J007�9�b-��II072346 �&'a�T 1�:.33
aA'?E:'uI/?3."i] TiM'c� 14:0�
CONSTRUCTION AND PLANNING.. - . - �L & SPA
Date Inspector Date Inspector
- APPROVALS Permit # - - APPROVALS Permit # %
1. Temporary Electrical Seivice�or Pole '';' q p�' '� P
, 52. Pool & E ui ment Location
` �
2. Soil Pipe-Undrgrnd. : � 1' 53. Steel Reinforcement - �%
3.. Electrical Conduit Utility=Undrgrnd. 54. Forms '
C�.�
4. Electrical Conduit=Undr9rrid�' "- 55..Electrical Bonding /"
5. Steel Reinforcement , - 56. �Rough Plumbing & Pressure Test
. 6. Electrical UFER Grnd.. - - 57. APPROVAL TO COVER�GUNITE �
� 7. Footings , ' - � 58. Electrical Conduit•Undrgrnd.
.�;"
8. Foundation �_ ;�j �; �� 59. Gas Pipe, O Undrgrnd., Test � i;-��,
.
% 9. Water Pipe-U�digrnd.� '�_' ,� � i� 60. Backwash Lines, P�Trap, O Undrgrnd. . ��'�
.
70. Structural Floor Syste "m �/� . :' y� 61. APPROVAL TO DECK �' �% �
-11. Property Sewer Line & House Connection � � 62. Backwash & Receptor-Final `�'
� 12. Sewer Cap ' ��! ,_ i�'+: 63. Heater & Vent-Final �
13. Roof Drains �.� t-�� 64. Plumbing System • Final ,�'�
r
74. Rough Plumbing �� %� 65.-Electrical-Final � � � .�/
15. Rough Electrical-Condu�t '�f/ ,`�'✓ 66. Solar System-Final '���
' ..,
16. ftough Electric Wiring / 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �
78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �
f
19. Rough Heating & Air Conditioning ' � FIRE DEPT. REQUIREMENT �
20. Rough:Fattory.Fireplace �. '�. ' - qPPROVACS � Permit#' ' �
t c � .,� �
21. Ducts, in Struciure � �� � •,, 70.�Underground Hydro
22. Ducts,�Ventilating ' •• r �',; 71. ProductPiping'OGas ��Oil
23. Gas Pipe-Rough & Test , �� 72, Underground Flush_ _ -
24. Roof Framing . � � ' 73. Undergmd. StorageJank � Gas ❑-Oil
25. Roof Sheathing � ' � - ' , � , ' 7q, Overhead Hydro
26. T�Bar Ceiling (Structural) & Monocoat ' • � 75._Dry Chemical � ' - -
27. Frame and Flashing � � _ �` 76. Dry Standpipe' � •
28. Lathing & Siding- � .-. ' � ' �� � �� - 77, FIXED SYSTEM FINAL
29. Insulation' .,' . � I � �. . 78. FIRE PREV. FINAI �,
30. Drywall Nailing� � I �* a HEALTH DEPT. REQUIREMENT
�,, .
31. Plaster Brown Coat �� I +, ., 79. FINAL�INSPECTION �. �
32. Electrical Power MeterFinal� � �� . j �� �� 80. FOOD CERTIFICATE ISSUED '
�
33. Final Eleciric '' � 4 � �' �� , �; ; Notes: ' '
34. Final Heating & Air Conditioning �� .j � �� . � �- � , �
35. Final Gas Pipe�Test _ � � " '
� � �
36. Hood or Canopy ` • � � • > . .. - �
37. Final Factory Fireplace � i � � , ' '
38. Final Plumbing�,� � ,, � - ..
39. Water Service-Final 1 4' �� .'
40. Gas Service-Final . � I I�� � - �
41. Solar pomesticFinal - I � � - . - _
42. Backflow Preventer ', , � � j: � � - . .�
43, Backflow Irrigation � - " � ' _ -
44. Landscape Irripation SYstem� � _ . ;, _ .. • � ' -
45. Sound Attenuation � ` _ �- _ . - �, . �
46. Handicap Regulafions � � - -„ .
47.. FINAL STRUGTURE & BUILDING //� f//
48.FINALPLANNING i '�� � � ,,
49. Electric Release to Edison I � �
i. �
- 50. Gas Release to Southem California Gas Co . + � �. � ..- �
51. CERTIFICATE OF OCCUPANCY : . ,
No. Date
OWNtN STAT_E-WTDE Develo rs � Inc UAIt 4-28-76
JOB ADDRESS �liz�. ma,.,i.e,. T.ska BUILDING PERMIT N0. i., �c�
TRACT RRSA FI
GAS
ROUGH PLUMBINi
PR�P. SWR. LINI
SPRINKLING SVS
MISCELLANEOUS
ROUGN HEATING
TEMPORARV SEP
UN�EFGROUND [
ROUGH WIRING
TRENCHES �
FLOOR SVSTEM
HOUSE CON.
ND AIR CONOITIONING
ICE OR POLE
POWER rl
SMEATNING
FqqME AND FLA$HING -
LATHING - IN OUT �
PLASTER,BROWN COAT
STFUCTURAL,FINAL
HEATING, VENT., REFRIG. ANO P.C.
PWMBING, FINAL AN� GAS TEST �
ELECTRIC, FINAL
Bl11LDING, FINAI.
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
Pe.;u
4AY 13-7�,�n���0 635� "�'`L38.2'S
APPLICATION FOfl BUILDING PERMIT
aooRE55343Z IIffIDE►' LdKE ' �
QJz-1//-O�// 02., PEfiMI N .
OWNER State-Wide Develo ers, Inc. .4.F.N0. g0—C�7"Ol
MAIL BUILDING 3 3Z /
nooaess9461 Grindlay ADDRESS C�t-
CITY
C ress No`.�826-4550 TRACT bo�� LOT BLOCK.
CANSTRUCTION W ADD P
BRANCH
ADDRESS
ARCHITEf
CONTRACTORSLate�W�Qe�VeVf
o.00Ress9461 Grindlay
��T� Cypress
STATE
LIC. NO. 2'Z47�0
OFLOT �2,093 acres
USE OF
EXISTING BLDG.
SIZE OF NO. OF
NEW BLDG. ROOMS
EXTERIOR WALL�� a er ROOF
COVEFING WpO COVERI
USE OF BUIlO1NG ANO WORK TO BE
dence w/att
I
Na g26-4550
CITY
LIC. NO.
INO. OF BL� aS.
NOW ON LOT O
�
I hereby acknowietlpe that 1 have reetl this apPlication antl stete
ihai the above intormation is correct and agree to comply with
all laws raBulating builtling consttuction, antl I shall not employ
any person in violation of the workman's compansation lews of
the Stata ot Calitornia.
1 herebY certlfy ckai 1 am properly Iicenaed as a conuacmr untlar
the Siate ot CalifoYnie Business antl Vrotessions Code, Oivisicn 3,
Chapte� 9, antl that such licenses are in tull forco and effect, or I
am exempt from the D�ovisions of tha State of Ca 'tornia Business
antl Profassions Code, Division 3, Chaptar 9.
S.e�a � eO tate-Wide Develop Inc.
Parminee
Authorl2edABent Vice President
OWNER
FIRE
ZONE
APPftOVED
DATE
20NE `� INO.OF I USE OF NEW (/�
I�'1 C}� P�� � BUILOING —� 9��
VARDSAPPROVED VAROSAPPROVEO
MAIN BUILDING ACCESSORV BVILDING
VAR. # '`
C.U.P.�G.�
APPROVEO
HOLD FOR
DATE
— AGPROVED
� v -� -
C:AL PGQUI$Ei:ENT
�
�
1480 SQ. FT. J-645 0
THE AMOUNTSNOWN UNOER VALUATION IS FOR �
THE PURPOSE OF ESTABLISHING A PERMR FEE ONLV: m
¢
VALVATION m
3�,/O � PEPMIT FEE S �
,O�r• C�n m
��. PLANCHECK$ r./V E
w .� /� I� u
TOTAL FEE