HomeMy WebLinkAbout3435 TIMBER LAKE - Building Permits_, ._ , ApPlicant to fill in all spaces eacept �hose wilhin heavy bortler lines anC si9n.al1 apOropriate tleclarations.
� � E MI N TRACT NO. LOT NO.� . UNIT NO.
qTY,OF COSTA MESA � CONSTRUCTION PERMIT � �-��. a�'4/' , , ,
ProiecfAddress � � l � , ,
AppliCant's Mailing Addr 55 - O TYPE OF CONSTRUCTION NEW • ADD, ALTERATION REPAIR !
❑ CONVERSION •❑ DEMOLISH ❑ OTHER A P #
Owner's Name � ' Phone � DESCRIPTION OF WORK/USE OF BLDG. �
Address � � i • S Main Buildi
Arch/Eng. � - ' � License No. TVPE OF PERMIT GRA�ING FOUNDATION � STRUCTURAL T Front
Add�¢SS � 'O TENANT ❑ ELEGTRICAL � PLUMBING ❑ MECHANICAL 6 R¢d�
Contractor'sNam Phone ,�oTr1ER - _� . —'�- ' C Right
� PROJECT DESCRIPTION �Sa.FT. � � oCCUPArvcv
AddreSs�mailing) _ . �CON�STRUCTIONTVPE � VAIUATION$ g Left
City License No. � � ' '
, ZONE GRADING CU. VDS. ACRES- P,Ing. Ref. #
LICENSED CONTRACTOR DECLARATION • • ' �
I he�eby af}itm that I am licensetl untler provisiOns of Chdrter 9(comm¢ncing Remarks :� � � ! ' . - - � . Planning Notes:
with section ]000) of Division 3 of the Business'antl Protesslons Cotle, antl
my license'is in tull f zntl eifecL �� ' ' •� � ' - • . � ��
License CI 5 � � �c nse N � '
Date � Signature � ' ,.� . _ . ' •� PLUMBING . , . . FEES .
WORKERS'COMPENSATION DECLARATION • �
I hereby dffirm that I have a certificate of consent to selt-insure or a certificate
of Wo�kers' Compen5ation Insurance, ov a certifieC coOY tM1e�eof (SeCtlon '
3800, Lab. C.}jn I �7.1,i.ip n ' 1
Policy No. ��� ���'�Y � � Company ' �
�Certifietl copy is he�eby fu�nishetl. � : � ,
�� Ce t' "etl o is filetl with the city 8 inq iv' i � � ��
Date��—Applicant � �
EXEMPTION FROM WORKERS' COMPEN�ECLARA`'b—` TIaFI �_
(This Section n2etl not be Completetl i/ the permit i5 for one huntlr¢tl (y100) o�
less).. � '
I certity tnat in [he performance ot the wo�k for which this Oe�m�t is i55uetl; I
snall not employ any person in any mannenso as to become subject to the
Workers' Compensation Laws of Galitomla. • '
Date ' Signatute ' �
-NOTICE: If, atter making'this "tleclaration, you shoultl became�subject to the -
Workers' Compensation provisions of tne Labor Cotle, you must forthwitn -
comply wi[b sucM1 provision5 or thi5; permit shall be tleemetl revaketl.
CONSTRUCTION LENDING AGENCV - '
1 bereby affirm that there Is a cnnstruction lending agency tor-the Oerformance
of the work for which this permi['is issuetl (Section' 309] Civ. C.)
Lenaer's Name
Lentler'S AEtlreis - - - -
OWNER 6VILDER OECLARATION ' '
I hereby a�firm that I am exempt trom the Contracto�'S License Law 70� the
followin9 reason (Section 7031.5 Business antl Professional Cotlel Any city or
<ounty wnlch requires a permit to construct, alter, improve, demolish or repair
any structure, prionto its issuance, also iequires the applicant for such,perrtiit
t0 file a siqnetl Statement that he/she is lirensetl purouant to [he provisions of
the Conbaclor'S License Law (Chapter 9(commencing with Section 7000) of
� Division� 3 of the Bu5ine55 antl �Pro(esslons Cotle) o� that he/she -is ezempt
i thereRom antl the basis tor tbe allegea'exemption. Any violation of Section
' 7031.5� by any applicant ror a permit sub�ects tne apo��cant to a civil
. enalty of not more than (ive huntlretl tlollars (E500). '
� I, as �owner of the.Orope�ty o� my employees witn wa9es as their sole
: compensation, will tlo•the work, antl tne structure Is not intentletl or offeretl
. for sale (Section;7o44, Business antl Protessional Cotle: �TM1e Cantractor's
� License l2w tloe5 not apply to an owne� of a property who builtls,or improves
' thereon: antl who tloes such work himself/herselt or through his or her own
emploYees, provitletl [M1at such improvements are not Intendetl or offeretl for
sale. If, howeveq the builtlin9 or improvement is soltl within one year of com-
pletion, the owner will have the bu�tlen of provin9 he/she tlid no[ builtl o� im-
,. prove for the pu�pOse of sale). - . , � , ' _
❑ I, as owner of the property, am ezclusively contracting with licensetl.con-
, tractorsto construct the project (Sec[ion �044, Business'antl Professions COCe:
' The Contractor's License Law does not apply to an owner of property who
' builtls or improves tnereon, antl who contracts for such o�ojects with a con-
tractor(5) I�c¢nse �pursuant to the Contractor'S LIC¢nse Law). I am aware that
proof of their WorkeYs Compensation insurance shoultl be provitletl to me:
� L� I am exempt untler Section _ - ; B. & P. C. for this reason �
�Date' - ` � ' Owner �
' I heretiy certify tnat I have reatl tnis application antl state that tne above
� information is mrrecL 1 a9ree to comply with all city antl county ortlinances
•antl.state laws relating.to builtling constructlan, and hereby authorize repre-.
sentatives of this�cM�tt tp enter,. upop the 'above-mentionetl property for.
. insPection PurPos45•'/�% A�n �A n /�1 i , . . / 7 / �n
Backflow Irrigatio
Bathtubs - �
Clarifieisl , _
Dishwasher , '
Floor Drains' . � •
Floor Sinks '
Gas Service Outli
Interceptors
KitchemSink�
Lavatories �
P—Trep ' '
Roof Drains '
i �
Reinspection � Fee
Boiler , �
Duct- UnderGround
Duct - Struc[ural
' Showers ; . '
.Service Sink '
. 'Sewer Cap' ; ,
- Sewer Connection � I .
. ' 'Solar Collecmrs ' �
�Solar Piping
� �SolarTank �
. � Swimming Pool vu/Spa � �
Urinal
:s Water Closet ' �
Water Heater � .
' " Water Service ' '
Auto-Wash . ,
' Laundry Trays .
$15
Exhaust System ❑ MWtiple
FirepVFact..Blt. ICBO #
Heating System & Ducting
. ❑6100,000 BTU 0100,000
��` I I Femspection Fee � I $15
Pink - Accountin9; Goltlenrotl - Assessor
t
' � . 1
� � Issue Fee
� Hood or TYPe I ❑
� Canopy Type I I ❑
Refrigeration System �
'- Oo-ioo,000sru,Oioo,000
, System Repair/AI[eretion
Fire Dampers . � �
Issue Fee "
i .
Automatic Washer
' Const�uction.Pole Sub.
' Cooking Unit.
Dishwasher '
� Dryers ❑Gas ❑Elec
$ 3
FEES
�
F.A.U.
Fixtures '
Device eoxes
Outlets
Switches
Garbage Dispoul
Generator DO-5 KW
c
� Reinspection Fee
�
DEVELOPMENTSER
Zonin9 APProved BY_
Building Approved By
ApplicatiOn Issued BV_
� i � �
. 2�82 2/10/87 , 5.00 ;TL
� . , � '.
_.. - . _ • ._ :—. Zone . . -,
' 'Accessory Building: �
Z
� O
. , . N
�
. - , N
G
R
"' Parking Req./Provided • � E
_ Q
, . .�.___....._� ___ _ ._. .M
ELECTRICAL �' , �
� Transformer ❑ 15-50 KW
. ' . . ❑�50+,KW
- Meter ❑up ro 700�amps � .�
Meter,�over.t00amps •
�� , Sub'Panel �
- Motors �U7 HP �tY � 8,
Iric.Solar 09-15 HP �i6-15+
Microwave
Pole Li9ht ' i
Range
. . . S.9n _ _ .
' S[anding Sections
-15 KW Trash Compacto� ,
�$15 � � IssueFee
REQUIREMENTS: ' �
FEE$
�
A
_ � :$ 3 ':
—
-Date
�_. .
- � SUMMARV OF FEES .� � � � .
' BUILDING PERMIT $ � �SMIP • '- $ _ -
PLANCHECK $� �' PERMIT� ' ��
. PLUMBING '— �$ � ..�SSUANCE � $ � �
� PLAN CHECK ' 25% $ � ' ,ENERGV.P.Cr $ `
� ELECTRICAL . $.. GRADWG $ �
- -� PLAN,CHECK ,50% $,; .MICROFILM_. $
� �� �
MECHANICAL , $ _ , TOTALFEE $ �
$ 3- PCAN CHECK 25%' $ ' � �
CONSTRUCTION AND PLANNING
APPROVALS Permit #
1. Temporary Electricgl Service or Pole �
2, Soil Pipe-Undrgrnd: �
3. Electrical Conduit Utility-Undrgrnd.
4. Electrical Conduit-Undrgrnd.
5. Steel Reinforcement
6. Electrical UFER Grnd.�
7. Footings
8. Foundation
9. Water Pipe-Undrgrnd. , . '
10. Structural Floor System
11. Property Sewer Line & Hause Connection
12. Sewer Cap �
73. Roof Draini
14. Rough Plumbing �
15. Rough Electrical-Conduit
76. Rough Electric Wiring
�17. Rough Wiring Sign
16. Rough Electrical-T Bar Ceiling "
19'. Rough Heating & Air Conditioning �
20. Rough Factory�Fireplace �
21. Ducts, in Structure
22. Ducts, Ventilating-
23. Gas Pipe-Rough & Test ,
24. Roof Framing � .
25. Roof Sheathing • � �
26. T-Bar Ceiling (Structural) & Monocoat
27. Frame and Fdashing �
28. Lathing & Siding
29. Insulation �
30. Drywall Nailing . �
31'. Plaster Brown Coat ,
32. Electrical Power'Meter-Final
33. Final Electric
.34. final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Faaory fireplace �
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final .
41. Solar pomestic-Final �
42. Backflow Preventer �
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
�46. Handicap Regulations
�47. FINALSTRUCTURE&BUILDING
AS. Special Requirements Completed
'•9. Electric Release to Edison
�
�. Gas Release to Southern California Gas Co
I. CERTIFICATE OF OCCUPANCY
� Date
Date
' POOL & SPA -
Inspector AppROVALS Permit # "• '
52. Pool & Equipment Location`
53. Steel Reinforcement
�s
�54. Forms ' "''
55. Electrical�Bonding :.
�:
56. Rough Plumbing & Pressure;Test
57. APPROVALTOCOVER-GUNITE
58. Electrical Conduit-Undrgrnd�.
59. Gas Pipe, O Undrgrnd.,�Test
60. Backwash Lines, P-Trap, O Undrgrnd.
61. APPROVAL TO DECK .
62. Backwash & Receptor-Final
63. Heater & Vent-Final
64. Plumbing System - Final
65. Electrical-Final
66. Solar SYstem-Final
, 67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
� 69. POOL'/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
70. Underground Hydro
71. Product Piping � Gas ❑ Oil
72. Underground Flush
73. Undergrnd. Storage Tank O Gas ❑ Oil
74. Overhead Hydro � �
75. DrY Chemical �
76. Dry Standpipe � .
77. FIXED SYSTEM FINAL �
78. FIRE PREV. FINAL
� HEALTH DEPT.REQUIREMENT
79. FINAL INSPECTION
80.. FOOD CERTIFICATE ISSUED
Notes: '6(�l8� L�r CQeu. L,�:a
Date � Inspector
,
PflOJELTR00XESS: VILLAGEyCREEKyHOMEOWNEkS uxir:
OWNEP'SNAME: j�$$�Cjj�'i'I�N
nooeess: 3429 TIMHER LAKE
CM VA 92626
CHESTER CARVILi,E C18305
RflCHIENGINEEP: '] 9 z z �(✓�(j]; lJ'�' pEG.NO.:
AOOflESS: S. D, ' � CA 9 2 1 1 1 UNIT:
PHOENIX ENTERPRISES INC. (213)690-9559
PEFMITTEE: Q11 COMERCIAL WAY
, aooRess: LA HABRA CA 90631
LICENSEO CONTPACTON OECIAeAT10N: I hereby amrm Ihat I am lice un , pmvisions of Chapler 9(commencing with Seclion
7000� ol Oi�i6 0o'➢t��usiness antl Pmfe�i�(�� A�U my ' n is farr,e antl efle
CITY LIC���('� /� SJ� TE IC.: : w - � -
f — i--{—`"L� - - - 'L�ti -
Date Signa�ure�.
WOPNEFS' C 0y BEQLAPATION: i Aere6y al irm ihat I have a�rt�fic1lDoico�q�nt�to selbinsure or nificate oi Workers'
��ompensation ra .p(a�c$�ilie�copytpergo�5ection3800.La�.
OtLICYNO.: ��1�A� ['lfi EXP.ORTE:
40MPANY:
❑ Cenih tl coOY �s he�re/�y �umis e0 ❑ Cenifietl coDY is fil e Building �ivisi
�aie:—`��,-�i��'APPlicanC '�/✓
EXEMPTIONFqOMWONRENS'COMPENSPTIONOECLAFRTION: Qhi55eIXionneeOnolbeComple�e4i�111epermiiis�or ehundreU�$700)oNeSs�.
I cetli�y Ihat in Ihe peAormanc¢ of [he work Ior wNth Ihis permit is i55ued, I S�all n01 employ any persOn in any manner 5o as to beCome
subleq IO Ihe Workers' Compensation Laws o� Calilomia.
Oa�e- Signalure: -
NOTItE: ll, alrer making tAis declaration, yau s�ould �ecome suble�� ro ihe WoBers' Compensation D�ovisions of ihe La6or
Cotle. you must IOMwiih campry wit� such pmvisions or �his permi� 5hall he deemed revoketl.
CONSTPUCtION LENOINC FGENCY: I hereby affirm t�at t�ere is a consimction lending agenry for Ihe pedormance oi the work for
which this'permn is issued (Section 3097, Giv. q.
LENDEP:
�AOOflESS: ' ' '
OWNEfl BWLDEH OECIABATION: I hereby afhrm Ihai I am exempt �mm Ihe Comracmrs' S�a�e LicenSe Law for [he lollowing reason
(Sedion 703L5 BuSiness and Pmiessional CoOe: Any ciry o� c0unry whiCh requires a permil �o con5lmCi, al�¢r, impmVe, tlemolish, or
re0air any stmcNre. prior IO iIs i55uanw, als0 requires Ihe aODliCan� �or Suth permi[ �o lile a 5igned Staiement t�at helsh¢ is liCensed
pursuant to Ihe provisions ol lhe ConVacmrs' Slaie License Law (C�apter 9(commencing with Seclion 7000) of Division 3 0� the Busineu
antl Pmfessions Code) or ihat helshe is exempl iherelrom ano ihe basis for Ihe allege0 exemption. Any violation of Seclion 7�37.5 by
any applicani.lor a Dermi� SuDjec�s ��e applicanl �o a civil Oenalry of not more �han five �unOred tlollats �5500). '
i
I, as owner ol �he property or my employees' with wages as iheir sole compensation, will do the work, antl lhe
7 siructure is not inlende0 or oflered for sale (Seclion 7044, 6usiness and Professional Code: The Contrac�ors' S�a�e License Law
aoes not appty lo an owner of a WODe�Y who builds or improves ihereon, and wno tloes such work himselVherself or ihrougn
his or ner own employees, pmvided Ihat such impmvemenls are not intende0 or offeretl for sale. I( M1owever Ihe builtling or
impmvemem is soltl wi��in one year oi comple�ion, Ihe owner will have the 6ur0en ol pmving he/she Uid not builtl or improve
'�ar Ih¢ purpoSe ol 5ale�. • '
� I. as awner of ihe pmpetly. am exclusively coniracting wilh licensed coniractors to construct ihe pmlect (Section 709A, Business
and Pmfessions Code: The Coniractors' State License Law does not apDty ro an owner of pmDehY who builAs or improves ihereon
antl who canuac�s for sur.h pmiects with a contracmqs�iicense pursuant m ihe Comractors' Stare License Law). I am aware
�hai pmaf ol Iheir Wprker'S Compensation insurance s�ould be pmvided to me. "
----_
.. CI7'Y OF COSTA N,ESA - BUILDIN RPG MI't---
PERMIT NO: B 050616 PLAN CHECK NO:' �00095-91 A �rnsTT. ni pn �-- _�_
CONSTRUCTION TYPE: V-N PERMIT TYPE; STR � PliRPOSE: REP
JOB DESCRIFTION : REPAIR SETTLEMENT DAMAGc� SQ FT: 143
CLAIM VALUE: 1'4,300.00 CALC-VALUE: 14,300:00 GROJP OCC; R-3 /�
COMMENTS: BUILDING SETTLEMENT REPAIR/FOUNDATIOIv •
�f iF iE �f� if iF iFiF �E �1E iF 3f * if iF if ff 3E iE iF f(� iE if iE IE 1E 1E iF !F if� iE IE �f 1f 3E 1E iF IE iE 1F #E 1E if !E if #E 3f iF iE iF 1PlE if if 34 )E iP iF fE i£ iE iE if 3(� 3F iE iE lF�F 3F iF �F iE if �E IF 1(� �' *
' Z O N I N G R E Q U I R E M E N T S �
S E T H A C K 5 '
----------�-- �SAIN BUILDING ---------- --_------ ACCESSORY HUILDING ---------
FRNT: FT IN REAR: F'f IN FRNT: rT IN REAA: FT jN
LEFT: FT IN RGHT; FT IN LEFT: FT Itv RGHT; FT ;IN
PARKING REQ• PROV: PARCEL• 93506124 ZNE• R2 REF NO:
PLANNING NbT'ES> FOUNDATION REPAIR,
i
3f �F �f 3E iF aF 3F iF if iE iE if if iE if 1E 1E iE iE iF iE iF iE !E le if if iFi(' iE%3E if df if iE iE 1F if iE fE Ik iF % If� if If iE If N� i4'IF if iE iE if' If 3E iE i61f IF if iP 3(� 3F if iE 3E iF jf df 1E 3e iE if �' K' *
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& M£ N�T S
ZONING APPROVED BY �/a-� � � DATE; Q�/ ���—
HUTI.�DING APPROVED .BY :� � DATE: !
***�%***�*��x***�*D�B*i� �*�i��D*�*�t*�**
�ie'i�'�
iE�1fiE7E�1f3F1FlElfif3flEN-i4kif1E1E1fiEiflfif7tiflEiE3EiFif�Ih3FiElk)(-3FlE E1F�1f1E3Eifif�IE3FfhiFlf�3FiFlfifif3Fifikic3FiElFlfiEiFitiE�%IfifftifiFaf7�'iEiE)E?F
LEGALIZATION:N F E E S U M Ne A R Y STRUCTI7RAL SEGNENT;Y
HLDG PMT PLUMBZNG. EL TRIC MECHANIC FIRE SMIF,/RES' GRADING
PERMIT 162,00 1,00
PLAN ?.6,33 ' SMIP/NON-RES
ISSUE FEE "
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID ' DtiE
TOTALS----> 163,00 0,00 26,33 189.33 189.33 .00
REVENUE DIVISION TOTALS--> COLLECTED:., � 189,33 OVER/SHORT; .00
BLDG PMT PLUMBING ELECTRIC MECHANIC� FIRE SMIP/TOT 'GRADING PLAh-CiiECK
162._00 � � 1,00 26,33
iE 1E iE iE if )k if-jE if 9(� iE 1E iE iF if aE IF iF iklF if if if * iF If 1E 3E iP if iF 3f �E 3E �f iE 3FiE 1F if iP 1F IE �E if if IF iE # iE 1f 3E if iE 3f i(� if iE af iF iE iE jF N� 3F iE iE 3(� � iF iE if if iF * �F iF 3E ie
I N D I V I D U A L F:E E B'R E A K D O W N
� � am e�emv� under Sec�ion: e. s a. C. TYPE QTY D E S C R. I P T I O N. UN1'T COST TOTAL CO.iT
�lor Ihis reason'. � ' i ' '
5PR 143 STRUCTURAL BY VALUE PER 5100.00 1U0.00 14;300,00
Daie: � Ownec ,
. , • END OF 'FEE5
I do hereby ceN�y Ihal I am aware of anU untlers�antl ihe requiremen�s ol Cali�omia Healih and Sa�ery Cotle Sec�ions 25505. 25533, antl • '
2553a and Ihal I or any fuWre huiltling occupanl willlwill noi �tirtle One) neeU l0 compty wilh Said Slale COaes and �he repuifemen�5 for a - - .
permii �or conslmc�ion or modilica�ian Imm �he Air Ouality Management DiSVicL Resitlen�ial conslmc�ion applicalions are evemp� Irom ,
Ih¢5¢ pf0VI5i0115. �
Oale: � Applicam: _
I hereby cetlilyiha� I have reatllhis applicalion and slale�hat Ihe
or0inance5 and Slale laws relalinp Io tptltlmg conslmciion and herel
�river's License o� Social Security n:
is correcL I agree�(�yymply wilh all cily antl
t6aba6 WM1i�e—Buil�ing: Green—Code Enlorcemem: Canary—Aopl¢ant�, Pink—Revenue: Goldenrod—Assessor
� " � . .
N
V •
QI �0078i'12—OOCi�#iY2¢ Ts37 iS�+.+;ti'
�JN7�: f t/23191 i I?9's: 10�".�n
CONSTRUCTION AND.PLANNING -
� APPROVALS Permit #T_
�
1. Temporary Electriwl Serviceor Pole
:'
2. Soil Pipe-Undrgrnd. � � ' �
3. Electrical Condui[ Utility�Undrgrnd.
4. Electrical Conduit=Undrgmd <- .
' 5. Sieel Reinforcement � . �
. 6. Electrical UFEF Grnd. . �
7. Footings` � ��
8. Foundation �� .
� 9. Water Pipe-Undrgrnd. f i�� �;
-.10. Structural Floor System�� '� � ., �
11. Property Sewer Line & Hotxe Connecfion
12. Sewer CaP� ,' .
73. Fioof Drains /., l ��
14. Rough Plumbing �- � �
,: +
15. Rough Electrical-Conduit �' - �
16. RoughElectricWiring '� ��� -
i
17. Rough Wiring Sign ' ,
16. Rough Electrical-T Bar Ceiling ��
19. Rough Heating & Air Conditioning
20. Rough�Factory_Fireplace � t �.
21. Ducts, in Struclure '. .
22. Ducts, Ventilating � �
23. Gas Pipe-Rougti & Test . `
24. Roof Framing �
25. Roof Sheathing ; " �� „
26. T�Bar Ceilin9 (Structural) & Monocoat
27. Frame and Flashing -
28. Lathing & Siding ��� .
29. Insulation � _
30. Drywall Nailing � �
31 . Plaster Brown Coat �. �
32. Electrical Power�Meter�Final
33. Final�Electiic - '
34. Final�Heating & Air Conditioning �
35. Final Gas Pipe-Test �
36. Hood or Canopy. ' .
37. Final Factory Fireplace - _�
38. Final Plumbing . �-
39. Water Service�Final
40. Gas Service-Final�
41. Solar pomestic-Final '
42. Backflow Prevenfer, - �
I43. Backflow Irrigation '
�44. Landscape 1rriGation SYstem�,-
45. Sound Attenuation � '
16. Handicap Regulations
��7.. FINAL STRUCTURE & BUILDING
B. FINAL PLANNING
1'. Electric Release to Edison
'� Gas Release to Southern California Gas
CERTIFICATE OF OCCUPANCY
Date
�
r _&Saa
Date Inspector pROVALS P 't # Date
0
fl
pp ermi
52. Pool & Equipment Location
53. Steel Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVALTOCOVER-GUNITE
58. Electrical Conduit�Undrgrnd.
59. Gas Pipe, � Undrgrnd., Test
60. Backwash Lines, P-Trap, O Undrgrnd.
61. APPROVAL TO DECK
, 62. Backwash & Receptor�Final
63. Heater & Vent-Final
64. Plumbing System - Final
65. Electrical-Final
66. Solar System-Final
67. Fencing & Access Approval _
68. APPROVED FOR PLASTERING
69. POOI/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT ' -
' ' APPROVALS' Permit#"�
� - 70. Underground Hydro �
"�`' 77. Product.Piping"OGas ❑Oil
r
- . . 72. Underground Flush . '
' ' - 73. Undergrnd.StorageTank OGas OOiI
, _ 74.;,Overhead Hydro � .
� 75. •Dry�Chemical ' .
�. �
, , 76�."Dry Standpipe' �: �, " � '
,� . 77. FIXED SVSTEM FINAL
`. . 78. FIRE PREV. FINAL - . r
'.. .
HEALTH DEPT. REQUIFiEMENT
' . 79. FINAL�INSPECTION � �
i•
�1� Y 80. FOODCERTIFICATE�ISSUED
�' ' Notes: . ' -
- ' 6�-!� ' /L.
. -- , . .
1 . .. � _ -
a
Inspector
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OWNER STp•ry W7ng �veloUers Inc DATE 4 28 76
JOB ADDRESS �l��5 Timber Lake BUILDING PERMIT N0.
AP N�GENERA C0� R T�I� gAfno oESCRIP710N of WORK Res w att garage
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PROP. SWR. IINE ❑ HOlISE CON.
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ROOGH HEATING AND AIR CONOITIONING
TEMPORAFY SEFVICE OR POLE
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fi// in Completely
eui�ow
nnnaccs 435 Timber Lake
OWNER State-Wide Develppers, In
MAIL
TE
arv CVC
CqNSTRUCTION
BRANCH
ADDRESS
ARCNITECT . . . . ._ . . . TE
ADORESS � /�(}jS �KyYdP
CONTRACTORSYBtP—W7fI
nooaess9461 Grindla
c�Tv Cypress
STATE 2247�0
114 NO.
OFLOT 12.093 acres
USE OF
EXISfING BLDG.
SIZE OF
!RIORY44LL 1'IdSLe�'IROOF
ERING �.�O�d COVERI
OF BUI�DING AND WORK TO BE
PAI�
,�nv L's- i6�r,>, 00 o8g:: i'•:: Z65.6S
APPLICATION FOR BUILDING PERMIT
ADDRE 5 �%.3S T7yILM�I
TflACT �6 SO LOT
ROVED
TEL. ZONE PLANS Z BUILDING EW ��
No. 826-4550 /sZ "cP
CITV �'ARDS APPROVED YApDS APPq ED
LIC. NO. MAIN BUILDING ACCESSOFV BUILDII
NO.OF BLDGS. (FROM GL STREET)
I NOW ON LOT O FROfYT I7 FT. FT_
I hereby acknowletl8a that I have reatl this application antl steta
that the above information is correct antl ag�ee to comply wlth
ell laws regulating builtling consnuction, antl I shall not employ
any perw� in violetion of the workman's compensetion laws o�
the Siaie of Celifornla.
I hereby certify that I am properly Iicensetl as a contractor untler
iha Sxe[e of California Business entl Professions Cotle, Divisicn 3,
Chapter 9, and that such Iicenses ere in full torce antl effeci, or I
am exempt from the provisions ot the $tate ot Cali rnia Busine55
antl Protessions Cotle, Oivision 3, Chapter 9.
_. �State-Wide Develop�rs Inc.
Pe�mittae �
a�cnor�:ad nea�t
VAF. #
C.U.P. #�
APPROVED
BET. MAIN &
ACCESS. BLDGS.
DATE /
APPROVED / s
�7%� %
1715 SQ. FT. J�7�3 0
THE AMOUNTSHOWN UNDER VAIUATION IS FOR '
THE GURPO6E OF ESTABLISHING A PERMR FEE ONLV: ¢
VALUATION �p
��D� PERMIT FEE S j
m
PLAN CHECK $ � O^ E
� � ! _ LL