HomeMy WebLinkAbout3434 TIMBER LAKE - Building Permits�
_,
PNOJECT AOOflE55:
OWNEfl'S NFME:
nooness:
C�lu�+t:l
zAxE
UNIT:
CHESTER CARVILLE C18305
PHCH/ENCINEEfl: % 9 Z Z ARMOUR J� T flEG.NO.:
aooeess: S,'D . CA 9 211 1 uxiT:
FFiOENIX ENTERPRISES INC. (213)690-9559
. PEBMITTEE: . Q 1 S COMERC IAL WAY ' '
• aooxess: LA HABRA CA 90631
LICENSEO CONTBACTOB OECLAflFTION: I �ereb�9 allirm mat I am lic n0er mvisions of CnaD�er 9(commencing witn Section �
70001 0� oi�QiS 0o��$usiness ane PmfeS�iqT�e3 6�0 my n s in � lorce an0 ettect.
CITY LIC� �6TPTE LIC.: • ,
/ �
Date. � SignaWre' _ _ _ _ _
wONNEBS' C �yp� fjLAflATION: I hereey alfirm ihat I have a ic �{ co `ta setf-insu or a cenifi e of workers'
�omDensation ra q(p?c��i�ie�coryy,�pa�g�SectiEXPBUATEab ��Jbj f�l
�QLICY NO.: VMk' Y lt<
��OMPANY:
�.Certif�opy is �ereby furnishe ❑ Ceniiletl copY is IileO �' e. ilding D' ion.
Dale'. ApPlican�'.
E%EMPTIONFpOMWOPNENS'COMPENSATIONDECIANATION: (ihi55edionnee4nolbecOmDle�eOi�thepermi�is�oranehundretl(51 orless�.
I certily Ihal in �he pedormance o� Ihe work lor which Ihis permi� is issued. I shall nat employ any person in any manner so as lo become
subleci la Ihe Workers' Compen5aiion Laws oi Califomia.
Date: Signalure:
NOTICE: IL alier making Ihis tleclaraiion, you shoNU 6ecome sublect �o Ihe Workers' Compensatlon provlsions oi �ha Labor
Catle. You must �otlhwiih compty wi�h such pmvisions ar this pe�mi� shall �e deeme0 �evoke0.
CONSTFUCTION LEN�ING AGENCY: I hereby affirm Ihat there is a canstmc�ion lentling agency br Ihe pedormance n� ihe woB far
which Ihis permit is issuetl (Seciion 3097, Civ. C�. .
LEN�Efl:
AU�flE55: '
OWNEfl BUIIDEfl DECLAflATION: I here�y aflirm Iha� I am exempi �mm the Con�racmrs' State License Law lor ��e tollowing reason
(Section 703t.5 Business and Prolessional CaOe: Any cily ot county which reduires a permit to consiNct, alter, impmve,'tlemolisn, or
repair any 51mcNre. priar to its i55uance. al5o requires ihe applican� lor suc� permi� to lile a signea 5tatemeni Ihai helSAe is licensed •
pursuam m ihe pmvisions of Ihe Contractors' Sia�e License Law (Chapter 9(commencing with Section 7000) 01 Division 3 oi ihe Business'
and Prolessions Cotle) or �hat helshe is exempt �herelrom and ihe basis for �he allege0 exemption. Any violation of Sec�ion 7031.5 by'
any applicant for a Dermii sublects the apPlicanl to a civil penal�y ot no� more Ihan tive huntlretl OOIIaB ($500�. �
I, as owner b� Ihe property or my employees with wages as their sole compensalion, will do the work, and Ihe
� slmclure is not inten0etl or offere0 br sale (Section 7044, Business antl Pmfessional CoOe'. �• The Coniracmrs' State License Law
tloes no� apply �o an owner oi a pmpe�y who builtls or impmves �hereon, and who does such work himselflhersel� or �hmugh
hi5 or her own employ¢es, pmvitled Iha� such improvements are no� imendetl or oflered for sale. tl, however the buil0ing or
impmvemenl is sold wil�in one year ol completion, Ihe owner vnli �ave ihe burEemot pmving helshe aiJ noi huitA or impmve
lor Ihe purpose of sale�. , �
�
I, as owner ol Ihe pmpetly. am�exclusively' conlracting with licensetl coniractors to conslmct the pmject (Section 704d. Business
❑ antl Pmfessions Cotle: The ConVacmrs' State Licenre Law tloes no� ap01y m an ovmer o� pmpeny who Uuilds or impmves �hereon
'antl who conirac�s �or such pmletl5 wi�h a conirador(5) license pursuant to ��e ConVactors' S�a�e License Law). I am aware
9hat prooi o� Iheir Worker's Compensation insurance should 6e pmvi0etl to me.
� I am exempt untler Seciion: B. 8 P. C. �
I �or ihis reason: � ' ,
Oale'. Owne[
I tlo here�y cerlily Ihal I am avixre o� and unUers�antl �he requiremenls o� Calilomia Health antl Saleiy Cotle Sections 25505, 25533, antl
25534 and Ihat I or any IUNre builUing occupan� will/will no� (circle one) nee0 �o comply wiih said s�a�e coaes and �he reQuiremen�s for a
permil for consimction or motlAicalion imm Ihe Air Ouality Managemen� �iSVicL Resitlenlial cons�mclion applications are exemp� �mm
Ihese provisons.
Daie: Applitani:
I hereby cetlily Ihat I have reatl ��is applica�ion antl s1ale Ihz� Ihe abov arma' is correcL I agree �o comply with all ciry and unry
oreinaniesands�atelawsrelatinglobuildingconslmctionantlhereby rizere sen�a�iuesof�hiscity rupon��eabove� ntionetl
PraPeny or msoeam o���rP�os��J
Daie' �—Y-I— % ��
Oricer's License or Social Securily p:
1641-46 Wbpe—Bwltling; Green—Cotle EnbrcemenL Canary—Applicant; Pink—Revenue�, Goldenmtl—Assessor
CITY OF COS'PA MESA -.HUTLDING PERMIT n� r. ��
PERN,IT NO; H 050620 -. PLAN CHECK NO; 00091-91 A �•
COhSTRUCTTON TYPE: V-N PERMIT TYPE: STR �, PURPOSE: REP
JOH DESCRIPTIOt3 : REPAIR SETTLEMEN,T,DAN'.AGE '. :SQ FT: 193
CLAIM VAI,OE: 19,300.00 CALC-VALUE: 14,300,00 GROiJP OCC; R-3 /
'COMMENTS: BUILDING SETTLEMENT REPAIR/FOJNDATION
u*��*********�*�**�****�+�***x***��t******x*�r**�******�**x�r**�r***�*�r**��***�+��***
Z O N I N G R E(J U I R E M E N T S
� S E T H A C K S -
------------ MAIN BUILDING -------=- , --------- ACCESSORY BUILDING ------=--
FRNT: FT IN REAR: FT IN FRNT: e7' IN REAR: FT IN
LEFT; FT IN RGHT; FT IN LEFT;: FT IN RGHT: FT IN
FARKING REQ• PROV; PARCEL: 93506124 ZNE: R2 REF NO;•�
PLANNING NiSTES> FOUNDATION REPAIR,
i �
!"iE �lE iE 1E �F Ip 3E 1E If jf �f if * 3F�F 3f iF �E if �f !E af dF �lf �F if IP 3E 3F 1E if IE fh IE if 1F 3F if ff 3F iE If iFlF if 3k IE �f !f !b a6 iE if iF if iE if 3ElE 3E �E if 1E iF fE iE ak iE 3f If iP �E 3E 3F 3E df -7f jf �F
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 APPROVED BY �i�� �-- -l-�- -, DATE: G I/.�"11
BUILDING APFROVED BY : �-- � �->>/`4v DATE:
APPLICATION ISSUED BY:. DATE•'�����
3Elfik�F�ElfiEiEiF7Fif3F3FifiElf36iEif�lf3FiE . .. . iF3fiE�YlEiEjFiEiE�7E iFjE
lEaE3f�aEifiFlE�%ikifiE-IEiEiflflfiflflEiflFdf�lEaElFiFiE*3Eifif3E1F1likjFiF :iE�7EiE�iEaEiEiflfiE)(��f�1ElkiFfEaF��fiEiP3FitiiEiFiFiFiEififaEiF!(�k�3flEiEiEif3��ifiF
LEGALIZATION;�N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
` BLDG PMT FLUMBING ELE RIC MECHANIC FSRE SMIP/RES± GRADING
PERMIT 162,00 ' � 1,00
- SMIP/NON-R�S
PLAN 26.33 ,
ISSUE FEE �
BUILDING-DZV-> FERMIT ISSUE PLAN-CHECK TOTAL PAID DiiE
TOTALS----> 163.00 0,00 26:33 189.33 189.33, ,00
REVENUE DIVIST N TOTALS-�> COLLECTED: . 189.33 OVER/SHORT: _.00
BLDG PM FLUMBING ELECTRIC MECHANIC FIAE SMIP/TOT GRADING PLAN CHECK
162.00 • 1.00 26.33
� iEififdFlflF�EiF1E3f1f�F�F�Ik3E3FiE1Fif3EffifiEfFK�fEifiEiEiEiEIFlEifiFiEiEiEiE�EiFlfiflfiElfifiEk3E1ElElElf3fiflFiElfiFifiklF3FiFiEifif3(��E�Eif3EiE1EaE3E3fiE
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 5100',00 100.00 14,300.00
END OF FEES
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pi ann?as$r-oao?�94� -rr�.�.
DATE: pl!'1�/SS TIHE: 21�Qi
8
u
CONSTRUCTION AND PLANNING -�• . - �L & SPA �
Date Inspector Date Inspector, _
APPROVALS Permit # APPROVALS Permit # `.-�
��
i. Temporary Electrical Servic� or Pole � � 52. Pool & Equipment Location �•
2. Soil Pipe-Und�grnd. --' 53. Steel Reinforcement - '==-
'i
3. Electric3l Conduit Utility�llri�'dPgrnd. � � 54. Forms _��
: 4. Electrical Conduit-Undrgrnd~~ �� 55. Electrical Bonding �
5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test ��
., 6.. Electricel UFER Gmd. � - 57. APPROVAL TO COVER�GUNITE
'�.7. Footings ' 58. Electrical Conduit�Undrgrnd.
8. Foundation �!� �� 59. Gas Pipe, O Undrgrnd., Test .S/n`
�
_ �
' 9. Water Pipe-Undigrnd. ��i��� ., �41 60. Backwash Lines, P�Trap, O Undrgmd. .���^
10. Structural Fldor System '%' �- ��/�`�' 61. APPROVALTO DECK ��i'i
11. Properry Sewer Line & House Connection �� 62. Backwash & Receptor�Final ' `�.
� 12. Sewer Cap, � ' � � � _ • 63. Heater & Vent-Final �''
13. Roof Drains �� �� ' 64. Piumbing System - Final ����
14. Rough Plumbing �� � . � �� 65. Electrical-Final � �`n
15. Rough Electrical-Conduk •✓, . � i 1 66.-Solar System-Final ��;
r
16. flough Electric Wiring '.9 /�' � 67. Fencing & Access ApProval
��
17. Rough Wiring Sign "� � ;' 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling , �� 69. POOL/SPA SYSTEMS FINAL
' 19. Rou9h Heating & Air Conditioning -� -' PIRE DEPT. REQUIREMENT
20. RbughFactorY'Fireplace - � '' - APPROVALS'- Permit#�
i �. ' �
21. Ducts, in Structuie , : -�• � 70. Undecgr.ound Hydro �
22. Ducts,�Ventilating • '�, 71. Product Piping OGas 'OOiI
23. Gas Pipe�Rough & Test ; , �� 72. Underground Flush� '
24. Roof�Framing t-- - - -� 73. Undergmd.Storage Tank O Gas ❑ Oil -
25. Roof'Sheathing . ' �.�•! ' �� ' , ' 74�� Overhead Hydro � -
26. T-Bar Cei{ing (Structurall & Monocoat '- - • 75. Dry ChemicaV_ • � �� . -
27. Frame and Flashing � �� 76.` Dry Stand`pipe� _' �
28. Lathing & Sid�ng- �( .� _. � �••�: '- 77. FIXED SYSTEM FINAL
29. Insulation`' � ' - f � �. 78. FIRE PREV. FINAL . � �
30. Drywall Nailing • �I i �` � HEALTI-I DEPT.•REQUIREMENT
31. Plaster Brown Co_at � . � ' i: . 79. FINAL'INSPECTION ; - � �
� -�
32. Electrical Power Meter-Final �. ' � I C•. - 80. FO00 CERTIFICATE ISSUED �
33. Final Electric � ' � � . ( �' ;; `� Notes: ' '
34. Final Heating & Air Conditioning . � � � ' '� . , ;
I f..
35. Final Gas Pipe-Test_ � i • ' ' - • '
36. Hood or CanoPYy ' . � � .
' ., Z ,
37. Final Factory Fireplace " � : � �
38. Final Plumbin9 �. � �
39. Water Service�Final I � • " '
i -
40. Gas Service-Final ' ' � � ', � �:
i i
47. Solar pomesticFinal � ; ' � s_'_ ' -
�. .
42. Backflow Prevenfer " " � . '-" '
� � I'� j .
43. Backflow Irrigation ` ' ' - � � : � -
44. Landscape Irripation System � . , �� - - , ;
45. Sound Attenuation � � � ' . `
46. Handicap Regulations - . � - , _'
47. FINAL STRUCTURE & BUILDING / � >
48. FINAL PLANNING - � `
49. Electric Release to Edison ; ' : �
i
50. Gas Release t0 Southem Celifomia Gas Co j j i� � ; " � �
51. CERTIFICA7E OF OCCUPANCY , c-. � -
No. Date
I
urvnerc
JOB ADDRESS
GENERA 0
AP No.
INSPECTIONS
SOIL
GAS
WATER
ROUGH PLUMBIN�
PROP. SWR. LINI
SPRINKLING SVS
MISCELLANEOUS
ROUGH HEATING ANO AIR CONDITIONING
TEMPORARV SERVICE OR POLE
UNDERGROUN� �I POWER
NF.
BONO BEAM ❑ STEEL REINFORCE
SHEATHING
FRAME ANO FLASHING
LRTHING - IN IT�
HEATING, VENT., REFRIG. AND A.C.
PWMBING� FINFL ANO GNS TEST �
ELECTRIC. FINAL
uait 4-28-76
BUILDING PERMIT N0.
IRE ZONE VALUE
TYPE GROUf
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant io Fill in Completely
ADDRESS 3434 Timber Lake
OWNER State-Wide Developers, Inc.
ADDRESS 9461 Grindlay
TEL.
cirv f.vnrvcc No.826-45
BRANCH
ADDRESS >>�4� ,�KyYarK ���ii
CONTRACTOR State-Wide �eVf
ADDRE55 9461 Grindlav
c�rv Cypress
LIC. NO. 2247� Q
OIF LOT 12.093 acres
USE OF
E%I5TING BLDG.
SIZE OF NO. �F
NEW BLOG. ROOMS
EXTERIOR WALL aS er ROOF
COVERING IJ(1Q(I COVERIN
USE OF BUILOING AND WORK TO BE P
K1 Residance w/att
TEL.
n�io.`826-4550
CITV
LIC. NO.
INO. OF BLDGS.
NOW ON LOT O
9
��Ay 13-7F,PaieO� 6�'S>t ;:x��;22Q.rQ
CMS, ,
APPLICATION FOR BUILDING PERMIT
A.P.NO. � YYO'�.51�'6�OZ l .._.__tt_LJ�L
ADIDFlIE SlTI��I //77J�-'f'f LG �e
TRACT iCS(S� LOT BLOCK.
OWNER
FIRE
ZONE
APPROVED
DATE
20NE NO.OF USE OF N
�QZG%� P�� Z BUILDING
YARDSAPPfiOVED VARD:
aer.
VAR. # DATE
QU.P.3WZC-r A�ROVED
APPROVED nA�
✓
iOLD FOR S_ECTar. Rr-nTirur
FT
ILDING
1 hereby acknowlatlga that I ha�e reatl this applicetion antl state %--_
that the above information is correct antl apree to comply wlt� ��
all tews reguleting builtlin8 consttunion, and I shall not employ
any perwn in violation of the workman's compensetion lews of
�ha s�e�a of ce��,o���a. 1381 J-534 �
I he�eby certity that I am proparly I(cansatl as e contractor under SQ. FT. O
H+e State ot Californla Business and Professions Cotle, D1vlsicn 3, THE AMOUNTSHOWN VNDER VALUATION IS FOR �
Chapter 9, and that such licenus are In tull force and effect, or I THE PUFP06E OF ESTABLISHING A PERMR FEE ONL�': Q
am exem0< from Me provisions of the State of Celi ornie Business VALUA710N -n
antl Protessions Code, Division 3, Chapcer 9. / p�� N
^� PERMIT FEE $ ]
Signatur Sta -Wide Develo r, Inc. , .$,p E
Permlttee $ PLAN CHECK $
A�tno,��adAaa�t Vice President ^ LL
TOTAL FEE $ / �