HomeMy WebLinkAbout3433 TIMBER LAKE - Building PermitsJYJJ � l ll'lOGll LY.[�L
PHOJECTROOflESS: �IILLAGE CREEK HdMEOWNERS_
OWNEx'SNaME: ASSOCIATION
Aoosess: 3429 TIMBER LAKE
CM VA 92626
UNIT:
CHESTER CARVILLE ' C18305
PflCHIENCINEEX: 7 9'� '�7 ARMOUR JCT flEG.NO.:
aooness: S, D, CA 9 2111 uxiT:
PHOENIX ENTERPRISES.INC. (213)690-9559
PEflMIREE: Q1], COMERCIAL WAY . '
nooness: LA HABRA CA 90631
UCENSEO CONTpACTOH OECLNHIIiION: I hereby a��irm Iha� I am li eA r pmvisions ol Chapter 9(commencing.with Section
7000� oi Div�iO� ��7�i�8usiness and Pmle�i0��¢3 U�tl m�� �ce e i. �forc� fecl
CITY LIC.: T LIC.:
Da�e: � � � SignaWre: _ _ _ . —
WOflNEHS' COp1PF�!�ppUy DE BRTION: I hereb a��irm thai I have a icatRo coa�yn to sel4insure or a ce ¢ale af Workers'
Compensabon MkdiaENaD tilied cop ihereof (Section 3800. Lab. �. / V / 7 �
'�oucv No.: CA COMP 6 �'IR E EXP.OpTE:
EOMPpNY:
❑ Ce ie0 tOpy is here y fur d ❑ Cetli�i¢4 tODY i5 itl i e.ii Uild g �iuisi0n.
��
i
Pale- — ApPlicanC
EXEMPiIONFHOMWOBNEflS'fAMPEN5NTI0NUEClABATION: (Thi55ettionn¢¢Ono fAmple�e�i7t�epermiiis�Oroneh re0�5100�orIMS�.
I cetlity Iha� in Ihe Dedormance ol the work tor w�ich Ihis permit is issuetl, I s�all no� employ any person in any manner so as lo become
subleci �o the VJorkers' Compensation Laws o� Calilomia.
Date: Signamre'.
NOTICE: If. alier making I�is Oeclaraiion, you shoultl become su6letl to �he Workers' Compensaiion pmvisions of Ihe Labor
Code. you mus� forihwiih camply wilh such pmvisions or [his permit shall 6e AeemeO revokeU.
CONSTPOCTION LENOING AGENCY: I hereby aHum I�a�Ihere I5 a cons�mction lending agency tor�he pedormance olihe workfor
which Ihis De�mlils §sued �Secdon 3097. GN. C).
LENUFfl:
nooness:
OWNEfl BUILOEB DECLAHpTION: I here�y a�firm Iha� I am exemp� irom the Contrac�ors' S�a�e License Law for the lollowing rea5on
(Section 7031.5 Business and Pmfessional Code'. Any city ol county which repuires a permit to con9mct. aller, impmve, tlemolis�, or
repair any slmc�ure. prior lo its issuance, also requires �he applicanl for such permil [o lile a signee sta�emen� �hat �elshe is licensed
pursuaN m Ne pmvi5ions ot Ihe Comracmrs' Sia�e License Law (ChaD�e� 91�ommencing with Section 7000) oi Division 3 of ihe Business
an0 P�olessions Code� or Ihal helshe is exempt I�erelmm ana Ihe basi5 �or ihe allegeC exemption. Any viola�ion ol Sectian 7031.5 by
any applicanl lor a permit sublec�s ��e apPlicanl to a ciNl penalty oi no� more ��an five huntlretl 4ollar5 (5500�.
I, as owner ol ihe pwperty or my employees with wages as iheir sole compensation,� will do ihe work, and the
� stmcmre is not IntenOetl or ollered for sale (Section 704a, Busmess and Pmfessional COUe: The Coniractors' State license Law
does no� apply Io an owner ol a Dmperly who builtls or improves �hereon, and w�o tloes such work Ilimseltlherselt or �hrouAh
his or her own employees. pmvided that such improvements are nat intentletl or oiferetl for sale. Ii, �owever the 6uilaing or
Impmvemen� Is soltl wiNin one year af comple�ion, �he owner wtll have �he burtlen of pmving he/she did nol huild or impmve
for Ihe purpose ol sale). � �
I,as ownerailhe prope�y,am exclusively coniracting withlicensetl contractors b can5tmc��he pmlecl�Section 70d4, Business
❑ antl Prolessions Code: T�e Conlraclors' Stale License Law tloes not appty to an owner oi pmperry who 6uilUs or imD�oves Ihereon
anA who comracts lor suc� pmiects with a mnvactm�s) license pursuan� �o �he ConVac�ors' Sta�e License Law�. I am aware
Ihat proo� ol I�eir Worker's Campensation insurance 5hou10 Oe pmvitlea ro me.
� i am exem0� untler Section: B. 8 P. G.
lor this reason:
Oale: Owner:
I tlo �ereby cerlify �hat I am aware ol and unaerstand lhe requiremenis o� Calilornia Health and Safely CoAe Sec�ions 25505, 25533, antl
25534 antlthatl oranylulure buil�ing occupanlwilVwill not(circle ane) neea to comply wi�h saitl state catles andihe reQuiremenls for a
permi� �or conslmc�mn or motliticalion hom Ihe Air Ouality Managemen� Oislrici. Fesi�ential cons�mction applications are evemD� ��om
Ihese pmvisions.
Oale: Npplicanl: _
I here�y certity�ha� I have rea0 Ihis aOPlication ana 5�a�e�hatihe
orAinances an0 staie laws relating m b�iiDing constmction and here
property �rt insoy/'jjon qGrpasvh / �
OriveYs License or Social Securily a:
t6aba6 W�i�e—Bwltlinq�. Green—Gotle Enlorcemenq Canary—Applsant: Pink—Revenue; Goldenrotl—Assessor
_ �' _ .
CITY OF COSTA MESA — BUILDING PERMIT
PERMZT NO: B 050617 PLAN'CHECK NO; 00094-91 A -�- ^ •'
CONSTROCTION TYPE:�V—N ' PERMIT TYPE; STR � PURPOSE:'REF
JOB DESCRIPTION : REPAIR SETTLEMENT DAMAGE • , 5Q FT: 293
CLAIM VALUE: 14,300,00 CALC—VAI,UE: 14;300,00 GROUP OCC: R-3 / �
COMMENTS: BUILDING SETTLEMENT REPAIR/FOUNDATION '
x�***�*******x-*�****�**��**�x*�**�**�****x��**�c***�*�*#***�*��*��tx�*****�*�*����
'L 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 BUILDING ---------- --------- ACCESSORY B[JILDING --'--- --
FRNT; FT IN REAR: FT ZN FRNT.; FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
PA__ �G REQ• PROV: PARCEL: 93506124 ZNc: X2 REF �10:
,r�[.NNING NVTES> REPAIR TO EXI5TING FOUNDATION,
i
1E iE 1E IF iF iF 1E iE iE iE 1E if if ik if iF if if iE iE If iE if 3f if iF iE iF 1P jF k �E iF �f if jE iE iE ff 1k if aF if 1f iE ff iElE iE i€ YF if iF iE 3f if iE iE �k iP 1t #iFjE If iE �E 3E if 3E k 1E ih iE it �� jF iE iE
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
20NING APPROVED BY __ c.�> �--� ' DATE: � i i.'� I
HUILDING APPROVED BY : �� 7[�� DATE:
APPLICATION ISSUED BY: DATE: '�
iEitkiEiE1E1F�EiFiEfE)flEifiElf)E1EiEiEiEiF � IfiEififiFiFiFif3fN��3F1Ei!
3F�1F1E1FiflfifiEiEiEjf�FaEiElEiElEiFiflfiE�YiFiFiElEifafiEiEifiEiPiflf IfiEiFi4iF�EiFiE1EjElE3f1F3EiE1EiFiElf�lEiE3E3f1E�1FIf�lEifiElEif'iE3kiFif�EK'if3FiE1EiF
LEGAi,I2ATZON;N F E E S U M M A R Y �TRUCTURAL:SEGMENT:Y
BLDG PMT PLUMBING ECTRIC� MECHANIC FIRE SMIP/RES GRADING
PERMIT 162.00 ' 1.00
SMZP/NON—RES
PLAN 26.33
i SSUE FE:E
HDiLDING—DIV—> FERMIT ISSUE PLAN—CHECK TOTAL PAID D"JE
TOTALS----> 163,00 0:00 26,3.3 189.33 189,33 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 189.33 OVER/SFIORT': .00�
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMSP/TOT GRADING PLAIv—CHECK
162,00 � 1,00 26,33
if If iE iE iE * jP N� 3f iE 1E 3f iE iFiE 3E iF-lf iE iE iF iE 3E M fE If 3f �E ff iE �ElE �lE ik if 3f iE-7E iF 1E 3F k-1E jE 3E iE iF fE iElf iE 3f 1E iF1E iE 3E �)f iF if If iE if If 1E !F iE 1E If 3F iE if� iE 7F if �M� jf 3f �
I N D I V I D U A L r E E B R E A X D O W N
TYPE QTY
SFR 193
D E S C R I P T I O N UNIT COST
STRUCTURAL BY VALUE PER g100.00 10U.00
END OF FEES
�
i
TOTAL COST
].4 , 30�0. 00
Q� Q��%i�iQi�—�d{a7��fi% �i'_'!,� �,:'%.,:::
DATE: 01/,'s/4i 7:f4E: :D:St �
CONSTRUCTION AND PLANNING'� • P� "& SPA
APPROVALS Permit# � - Date Inspecior AppROVALS Permit# Date Inspector
�-^
t. Temporary Electriwl Service or Pole ' � 52. �Pool & Equipment Location /
�
��+
2. Soil Pipe-Undrgmd. �� �• ' 53. Steel Reinforcement --•`a,
3. Electrical Conduit Utility-Undrgind. 54. Forms � ��
' 4. Electrical Conduit-Undrgm�l!-� �� 55. Electrical Bonding �'
5..Steel Reinforcement ., ` 56. Rough Plumbing & Pressure Test �'�
�•r 6. �Electrical UFER Gmd. ' • 57. APPROVAL TO COVER�GUNITE .
. 7. Footings ' ' S8. Electrical Conduit-Undrgrnd. "
i.
8.� Foundation � "+� - �� 59. Gas Pipe, O Undrgrnd., Test , i
� . j�1 ` i:{.� �.,.
9. Water Pipe-Undrgrnd. �`����� � f' 60. Backwash Lines, P-Trap, O Undrgrnd. �,��„
10. Strunurel Floor System��'1t �,.� .-�� 61. APPROVAL TO DECK _ '%�
11. Property Sewer Line & Hou�ConneGtion r„ � 62. Backwash & Receptor-Final �'./'
12. Sewer Cap - 1 . -j 63. Heater & Vent-Final
13. Roof Drains Y^j 64. Plumbing SYstem - Final �/.' �J'
�
14. Rough Plumbing ��f �� i�_ 65. Electrical�Finah ���'/�
15. Rough Electrical�Conduit � " -� �� " 66. Solar SYstem-Final N:�
16. Rough Electric Wiring '��y' '"Jr%' 67. Fencing & Access ApProval ���
17. Rough Wiring Sign / � 68. APPROVED"FOR PLASTERING �
18. Rough ElectriWl-T Bar Ceiling ' - 69. POOL/SPA SYSTEMS FINAL - �'
19. Rough Heating & Air Conditioning i FIRE DEPT. REQUIREMENT �
20. Rough Factory�Fireplace ' • •"� �"+ - - APPROVACS��- Permit # - �
.. x �
21. Ducts, in Structure ,,, ..� 70��Undergiound Hydro
22. Ducts,,Ventilating _ -�' j 71. Product.Piping'O�Gas �OOiI
23. Gas Pi e-Rou h& Test �� . ` '
P 9 r 72. Underground Flush .
24. Roof Framing • -� - ' -- "- 73. Undergrnd.Storage7ank OGas OOiI
25. Roof Sheathing : ' � ., 74:-Overhead Hydro �
26. T�Bar Ceiling (Struct�ral) & Monocoat " 75 �Dry Chemical � - �
27. Frame and Flashing . , � 76.`Dry Stand'pipe � �" �
28. Lathing & Siding• . � - •'_ : 77, FIXED SYSTE�M� FINAL
29. Insulation " ' - � � ! !. . 78. FIRE PREV. FINAL � �
30. Drywall Nailing' � � • HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � I, 79. FINAL'INSPECTION �
i .
32. Electrical Power Meter-Final �� �. �� S0: FOOD CERTIFICATE ISSUED �
33. Final Electric ' � , I ;'. � `; � Notes: ' � ', , ,
34. Final Heating & Air Conditioning ' - � . � � _ �
i
� 35. Final Gas Pipe-Test _ ' _ � � ' ` �
36. Hood or Canopy � . � ._ ✓
37. Final Factory Fireplace � ' , , . ; '
38. Final Plumbing" . � • � �
39. Water Service-Final 1 f� . ' -�
� •
40. Gas Service-Final, ' _ . � � � - . . . �
41. Solar OomesticFinal - � f- . -
42. Backflow Preventer - I � � , ' : '
43. Backflow Irrigation ` • , � � �
44. Landscape Irrigation System . _ � i . _ , � - '
45. Sound Attenuation % ' . '�
46. Handicap Regulations , . , . .
47,. FINALSTRUCTURE&BUILDING � �
a8�. FINAL PLANNING . .
� .
49. Electric Release to Edison � � �, - � .
�
50. Gas Release to Southem California Gas Co ; � '. ' _- '.
51. CERTIFICATEOFOCCUPANCY . , ,-
No. Date �
OwNER STATE-1
JOB ADDRESS 343'
GENERAL CONTRACTOR
AP No. _ = r OT
INSPECTIONS
soi� yj
GAS
W ATER
ROUGH PLl1MBING
PROP. SWR. LINE � HOUSE CON. �
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONOITIONI
TEMPORAFV SERVICE OR POLE
UNDERGROUND � POWER �
ROUGH WIRING
TRENCHES � FO C LEI�
FLOOR SVSTEM '
BONO BEAM ❑ STEEL REINFORC
SHEATHING
FRAME ANO FLASHING �
i eruiur. — iu iC� our .,
STRUCTURAL,FIN
HEATING, VENT.,
PLUMBING. :INAL
PEFRIG. ANO A.C.
DATE
TRACT RASR FIRE ZONE
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTN
P.O. BOX 1200 COSTA MESA, CAIIFORNIA 921
- For Applicant to Fi!l in Completely
ADDFESS 3433 Timber Lake
OWNER State-Wide Developers, Inc.
A�oAEss 9461 GrindlaY
CITY
BRANCH
ADORESS
ARCHITECT
ADDRE55 �]f
CONTPACTOR
crrv �y
STATE
LI0. NO. 'z'L
SIZE
OF LOT 12
USE OF
EXI5TING BLDG.
NO`. HZ6-
No`826-4550
CITV
LIC. NO.
NO. OF BLDGS.
NOW ON LOT O
SIZE OF NO. OF
NEW BLDG. FOOMS STOF
EXTERIOR WALL P1 aster :�OOF
COVERING Gfflpfl COVERWG SYii
USE OF BUIIDtNG ANO WORK T� BE PERFORMEO
Naw rnnctrnctinn-Condomin'
1 Residence w/att gar
1 hereby acknowledpe thet I Heve read this apPlication and state
that the above infOrmation is correct an0 aprea to comply wiih
all laws regulating builtlin8 construction, antl I shall not employ
any person in violation ot t�e workman's compensation laws ot
the State ot Celifornia.
I hereby certify that f em prope�ly IlcanseA as a confractor under
the State ot California Business antl Professions Cotle, Divisicn 3,
Chapter 9, antl ffiat such licen5es are (n tull force anA etfect, or I
am exempt from the provisions of tha State of Calitornia Businass
and Professions Cotle, Division 3, Chapter 9.
s�9�et��ao State-Wide Develop r Inc.
Permittee
/+uthorizetlAgent �/jCe P}^e51C�2ilt
�fAY 13-76P,-°00 68q„- ;:'��7_33.23 I
r.p ,
APPLICATION FOR BUILDtNG PERMIT
IiECEIVEDBV DATERECEIVED nn.rcie iu
q /Z — P —O/ O L
A.P.MO. %�{J—O 'Oj
ADOR'E S 3933 Tm��
FIRE
ZONE
APPqOVED
)NE NO.OF USE OF NI
?2� P � PLANS Z BUILDING
VARDSAPPflOVED VARDS
MAIN BUILDING ACCESSC
ROM GL$TftEET)
OISTANCE BET
?PPRpVEO
iOLD FOP.
BET.
ACCE
DATE
1480 sn. Fr. J-645 �
0
THE AMOUNTSHOWN UNDER VALUATION IS FOR '
THE PVRP�E OF ESTAHLISMING A PERMIT FEE ONLV: Q
VALUATION `n ' m
^'/ � PERMIT FEE $ j
/SJy�J O E
$ PLAN CHECK �
`o
n� � i� u