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Home My WebLink About3436 TIMBER LAKE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3436 TIMBER LAKE Suite No Vicinity: Parcel Nunmber: 93506049 PLUMBING PERMIT n, . Applicant SZABO, KEVIN�.-%�!� � � � " ��,, . , -`_ _ . Address: 2737 S CRODDY r " - � � ` ' �' r� -- STE D � -i .�-�� - ' � � Phane: (714) 241-1414; . . . SANTA ANA; CA ��. . � _ Zip: 92704 - � ,,� �,;, �' J . � � ! �'. .. ..."�� -V - Owner ��PHILLIPS,�ELIZABETH �.��!� � �� Aiidress �%aALLEN, ROBYN��A -�� `�" � � � . � NEWPORT BEACH, CA Phone: , ; , � � , ". 3148 CORTE PORTOFINO Zip: 92660 ��`,�, . ,. _ . = ,. _ _ Status: ISSUED Applied: 04/09/2002 Issued: 04/09/2002 ISSUED BY: �/� �.' � � � �V •. ; � �, _ '_ ;r . . ' �� A �Contrector. COAST ROOTER PLUMBING HEATING & AIR CONDITIONING ��;,`, ' , �� ' � � ,.� ,_ _ �, � ' � , Address .' 2737 S CRODDY � `.� , . - ' ' �� . - � �� . � ', '�STE�D , '.r�• , - - - Phone: p14)247-t414 - "� � i ;��•� ,�`,1 ,- � ��,'�1 i i �_ -�SANTAANA,CA Zip: 92704 �� , � , %- �, , . , i � . � �� , � � �� - � - License: 529127 � \. � , Arch / Eng : � Address: � i : ` Phone: � ' Zip: . � - License: REPLACE WATER HEATER � ISSUE FEE `� ` , BackFlow irriga6on� 8ackflow Preventer � Bathtub � ' Clarifier System � �' Connect Qce,Soda,etc) �, Dental Units � Dishwasher Drain, Floor Drein, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (7-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) Y^�i \ �. �� SCOPE OF PERMIT � , ;=FEE SUMN AMT� ' aTY ' � $23.50��-^ i�-=:�• r,�LaundryTub/Washer ` $0.00 � � 0'�� - �- Landscape Irrigation ' $0.00 �0 � c, ., � P-Trap � " ' ,$0.00 ; 0 � _ �. Presswe Regulator " �$0.00", 0 . --�Process Piping (per 10 ft) � $0.00 0 ; Receptors ' �$0.00 � '� - 0 � � � � - Septic Tank �$0.00 , 0 , Sewer Cap for Demo $0.00 �- �0 Sewe�,Connect - $0.00 � �0 � � - Sewer Private�Cine $0.00 ��0�'�--, ,--.Shower� --- $0.00 0 � -� Sink,:bar _ $0.00 0 -8ink, commercial $0.00 0 Sink, Floor � � $0.00 0 Sink, kitchen $0.00 0 Sink, service/mop $0.00 0 Spa (private) $0.00 0 Spa (public) $0.00 0 $0.00 0 y ";'�' , AMT � QTY ,'� AMT /- $0.00: ; �0 �. ;ry'^`J'Sump Pump ' �' $0.00 $0.00 0 � � - Swimming Pool � � . � � 'j $0.00 $0.00 0 ��Trap Prirner - i ,� � $0.00 $O.W� ` 0 ' �-'Urinal� <.�! � �!' J $0.00 $0.00 0 - � .Vacuum Brkr Bkflow(1-4) $0.00 $0.00 - 0 . , VacuumBrkr Bkflow(5+� $0.00 $0.00 0 , -�WashBasin -� �� $0.00 $0.00 0 � ,Wash Basin"Set� $0.00 $0.00 0 � Waste and Vent System $0.00 $0.00 0 �-�WaterCloset(Toilet) $0.00 $0.00 0 , - � � Water Heater / vent $12.30 $0.00� 0,%- �- "� WaterPiping(InstorRep.) $0.00 $0.00''� 0- Water Re-pipe $0.00 $0.00 0 Water Service $0.00 $0.00 0 Water Softener $0.00 $0.00 0 OTHER $0.00 $0.00 0 VIOLATION $0.00 $0.00 0 PLAN CHECK $0.00 REINSPECTION $0.00 COMMENTS / SPECIAL CONDITIONS TOTAL CALCULATED FEES: 535.80 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of ihis permit. FOR INSPECTIONS CALL: (714) 754-5626 zaawc (a�oo� WORKERS' COMPENSA710N DECLARA710N:� —� I herehy eflirm under penalry of perjury one of the tollowing tleclarations: ❑ I have end will maintain a certificate of consent to setl-Insure for workers' compensation, es provided for by section 3700 of iha Labor Code, tor the pertortnance of ihe work tor which ihis permit is issued. � ..�•+ iJ�l'nave antl will maintain workers' compensetion insurance, as required by section 3700 of the Labor Code, br the pedortnance of ihe work tor which this pertni� is Issuad. My workers' com sation Iqsuran�r antl poli number ere: c�- �-��-rS�-�k--2 A u�� P�a�e.�-�., I(o I l� 2.�n -O:Z (This sectlon need not be com /etetl i/ the permu is velued at one huntlred dollars ($f 00) or less.) ❑ I certiry Ihat in the. ed rmance of lhe k r which this permit is issued, I shall not employ any person in any menner so as to becwne subject to the workers' compensation law o Califomia, agre hat if I shoultl Dewme sub�ect to tha workers' compensation provisions of Sectlon 37y0 ot ihe Labor Code, I shell fort�wlth comply with Ihese visioirs' . � ) 'n //� 2 �l'Signe'Nrei- � �g•m+'ei- "� `•� ( N WARNINp: FAIWRE TO SE E W PENSATION CAVERAGE IS UNLAWFUL AND SHALL SUflIEGT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED THOUSAND DOILARE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOfi IN SECTION 3]OB OF THE IABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATON: I hereby aHirm ihat I am license under m�sic orce;enCeN"�ect!Lic A�-- � CONS7RUCTION LENDING AGENCV: (commencing with Section 7000) af Division 3 af the Business and Profy�sions Cod end my license Is in tull 55 paa, � � �/) i-'f � � �D�[g:?�rl, l.l — �] —i(i ❑ I hereby aRirm ihat there is a construction lending agency for the peAormance of the work for which Ihis permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lentler's Address: ir Signature: � � �� - - � Date: OWNER-BUILDER DECLARATIONS:Y'� � . "t� I hereby aHirtn that under penalry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the tollowing raeson (Sec. 7031.5, Business end Professions Cotle: Any ciry or counry which requires e permit to construct, alter, Improve, demolish, or repair any structure, prior to iis issuance, also requires the epplicant tor such permit to fila a signetl statement that he or she,is licensed pursuant ro ihe pwvisions of the Contractore License Lew (Chapter 9(wmmencing with Section 7000) of D'Mslon 3 ai Ihe Business and Pmfessions Code) or thet he or she is axempt therefrom and the basis for the elleged exemption. Any violation oi Section 7031.5 by any appliceN for e permit subjects the epplicent to a civil penalry of not more ihan five hundred dollars ($500).): ❑ I, as owner of t�e property, or my employees with wages as their sole compensation, WILL DO TME WORK, and Ihe siructure is not intended or ottered tor sale (Sec. 7044, Business and Professions Code: The Coniractors License Ww dces not apply to an owner of properry who builds or improves Ihereon, and who does such work himself or hereelt or Ihrough his or her own employees, provided ihat such improvements are not intandetl or ottered for sale. It, however, Ihe building or improvement is sold within ona year ol completion, the owner-builder will have ihe burden of proving that he or she ditl not huild or improve tor purpose of sale.). ❑ I, as owner ol lhe property. am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The coniractors License Lew tloes not apP�Y �o an owner of propeny who builtls or improves Nereon, and who contracts tor such prolea with a contractor(s) license pursuant to �he Coniractors License Laws.). ❑ I am exempl under sec. Signature: Owner ID venfied by tlriver's license. ❑ Yes ❑ No eu5ines5 end Professions Coda tor this reason: Veriticetion oi Ownership by (type of tlocumeni, i.e. - pmpeny tex bill or tleetl): Dnvefs License No. Date: Ezpires: DIVISION OF INDUSTRIAL SAFETY PEHMIT CERTIFICATION: ❑ I hereby certity that no exwvation tive (5) or more feet in tlepih into which a person is required to descend, will be mede in connection with work euthodzed by ihis permit, end �hat no builtling structure, scaHolding, falsework, or demolition or tlismantling ihereof, will be more Ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tiile B, Califomia Adminisirative Code). ❑ As owner-builder, I will not employ anyone to tlo work which would require e permit from the Division of Intlustrial Safety, as notetl e6ove, unless such person hes e pertnit to do such work from Ihe division. SignaNre: Date: Division ot Indusirial Safery Permil Number: CERTiFlCATE OF COMPUANCE AND AUTHORIZATION OF EMAV: I certify under penalry of perjury [hat 1 have read this application and state thet the infortnation given is correct. I egree to comply with ell s;ate laws and ciry ordinances relating to builtling construction, and authorize representatives ot the Ciry of Coste Mese to enter upon the above-descnbad propehy for inspection purposes. I egree not to occupy or allow occupancy of eny building authorized by t�is permit until finel inspection. CO�E �, INSPECTIONTYPE 161fi Fixed System Pinal Fire Prevention 1268 Pool Spe Final 200 Final Re-Roof 201 Finel BIocWRetelning Well , 202 203 204 Final Pactory Fire Place Final Sign Final Demolition �.I71i�IiiYur141 CO�E� INSPECTIONTYPE 206 Final Mechenical 208 Final Plumbing 210 Final Electrical 212 Final Fire Preventlon 220 Final Planning ApOroval 222 Final Sile 250 Final BuiltlinryOccupancy PAg II�LS r • . • � \ � _� PPOJECT AOOflESS: OWNEN'S NRME: AOOflESS: LAKE ERS � uNiT: CHES'tER CARVILLE C18305 FflCHIENGINEEB: 7�J'12 ARMOUR J�T flEG.NO.: nooAcss: S. D. CA 9 211 1 u"�T PHOENIX ENTERPRISES INC, (213)690-9559 PEXMITTEE: Q11 COMERCIAL WAY nooeess: LA HABRA C_A 90631 ❑CENSEO CONTBpCTOH OECIAflRTION: I hereby alhrm ��al I am 6c u pmvisions ol Chap[er 9(commencing wiih Section 7000) ol �i�6?� �QPi��usiness and PmleS�il�li�g 9tl my ' i n� force and e� CITY LIC 1 $TATE LIC.: � :/ �. �ate: y � _( Signalure: . V`"� WOflNEflS' C0GIPENSAAW ABAiION: I hereby aihrm Ihat I have a f{tific t o1cop5�npo seli-insure or a cenifitate oi Workers' -iompensa�ion IBkiA�khAlob Illietl copy �hereol (Seciion 3800. Lab Vj �� 1/ 7 F � �IICY NO.: Cfi �'U%'i� 6 F�IRF. E%P. UqTE: "'�iSOMPANY: ❑ Cenifi copy is here6y fumishetl. ❑ Certilied copy is fi ' �he ' Building �iuisio - �- �ale. NpplicanC � E%EMPTION FNOM WOBNE 5' COMPENSRTION UECLABATION: (This sec�ian neea no� be campletea il the permi� is lor one re0 (5100� or less�. I cetlify �ha� in �he OeAormance ol the work for whic� ��is permil is issued I shall no� employ any person in any ner so a5 to hecome sub�ec� lo the Workers' Compensalion laws ol Cahlomia. ' �ate: SignaWre: ' - NOTICE: II. alier making Ihis Ueclaration, you shoultl �ecome subject �o Ihe Workers' Campen5aiion pmvisions o� Ihe Lahor �' Coae. you mu5i lorlhwil� tomply wilh SUCh pmvisions or �his permi� 5hall De Aeemea revOkeA. CONSTBUCTION LENOING AGENCY: 1 �ere6y altum ��a� ��eB is a constmc�ion lentling agency tor �he pedormance ol Ihe work lor w�ich ihis peimit is i=5ue4 (Sec�ion 3097. Civ. C�. LENDEfl: aooeess: OWNEB BUILUEB OECLANATION: I here�y allirm Ihat I am exemp� �mm I�e ConVactors' S�a�e License Law �or the �ollowing reason (Sec�ian 7031.5 Business antl Pmlessional Coae: Any ciiy ol counly which requires a permi� �o con5�mci, alter, impmve, demolish, or repair any Slmcture. prior Io ils issuance. also reQuires ihe applican� lor such permi� to �ile a signetl s�a�emeni �hal he/she is licensetl pursuam m �ne pmvisions ol ��e Comracmrs' S�ale License Law (Chap�er 9 �commencing wi�h Section 7000) of Division 3 0l �he Business ana Professmns Cotle) ar that he/she is exemp� Iherefrom ana Ihe basis �or �he allegea exemptian. Any violation oi Sec�ion 7031.5 by any applicant tor a permii SubleCis �he applitan� Io a tivil penalry o� not more �han five hunAred tlollafs (3500�. I. as owner of �he pmpeny or my employees with wages as iheir sole comDensation, will Oo Ihe work, anB �he � stmcture is not intentled or offeretl lor sale (Section 7044, Business and Pmiessional Coae: The Contractors' State License Law does not aD01y lo an owner of a pmperty who builtls or improvestherean, antl who tlaes such work himseA/herself or ihrouBh his or her own employees, pmvitletl ihat such improvemen�s are not intendetl or oiferetl for sale. If, however ihe huilding or impmvement is soltl wilhin one Year a� comple�ion. �he owner will have �he burden of proving he/5Ae tli0 not builtl or impmve for �he purpose of sale�. � � I.as ownerof�he propetly.am exclusivelp coNracling wiU licensetl con�ractors�a construc�ihe pmlec��5ection 7044, Business ❑ antl Pwfessions COAe'. The Contractors' State License Law tloes not appy to an owner oi propeny who builds or impmves thereon antl who conlracls �or suctl pmlects wi�h a conirac�ar(s�license purSuaN �o Ihe ConVac�ors' Sta�e License Law�. I am aware Ihai pmol o� �heir Worker's Compensation insurance shoultl be pmvided m me. � I am e�emp� untler Seclion'. � B. 8 P. C. for mis reason: oate: �wnec I tla here0y certity ihat I am aware oi antl un0er5�an0 ihe requiremems o� Cali�omia Health and Saf¢ry Cotle Sections 25505, 25533, anG 25534 antl�hal IoranylNure �uiitling ocwpaniwill/willnol (circle one� neetlto comply wiih saitl siate cotles antl th¢ requi�emen�sfora permil br constmciion or motlilica�ion Imm I�e Nir �uahty Managemenl Oislricl. q¢5itleniial <onstmc�ion applicalions are exempi Irom Ihese pmvisians. - ' �aie: Applicanl: I hereby cerlifyiha� I haverea0 Ihis applicalion and SlatelAal Ihe a�o m rm� an is correcL I agreeio comply wi�h allciiy anA caunty o�tlinancesantls�alelaws�elalinglobuil0ingconsimclionanehereby i ze� re5en�ativesoflhiSiEy enterupon��eabove-memioneU pmper�y rt in5 ?tlio purpose5 � � oate: �.�� Siao��y� - � Driver's License or Social Securily a: t641-a6 Wlme—Bulltling�, Green—Code EnlorcemenP, Canary—Ap0lmanL Pmk—Revenue; Goltlenrotl—Assessor � CITY OF COSTA MESA — BUILDING PERMIT PERMIT• NO: B 050621 PLAN CHECK NO: 00090-91 A �r.nzrT. i Gi7pp• N ' CONSTRi7CTION 'TYPE; V—N ' FERMIT ,TYFE; STR ' PURPOSE: RE�' JOH DESCRIPTZON ; REPAIR SETTLEMENT DAMAGE , SQ FT; 143 CLAIM VALUE: 14,300.00 CALC—VALUE: � 14,300.00 GROUP OCC; R-3 / COMMEIvTS: BUILDING SETTLEMEI3T REPAIR/FOUNDATION � iE iE if if iE iP iE K� iE 1E iE #E 1E 1E iE 3f 3f # 3E iElE if IF 3t iF 1f� iE !f iF iE iF iF iF if 3E ik ik 1E iE.ih ik 1E iE iE iF iE 3El4 iE # iE 7f IE 3FlF i(� iF k N� iP 1F if !f )E if 9f lf )E if 7E iF 3f iE k* iF 1E K� it Z O N I N G R E Q U I R E M E N T S �� S E T B A C,R S ' ----------- MATN BUILDING ---------- ------=-- ACCESSORY BUII,DING --------- FRNT: FT IN REAR: F'P IN F'RNT; FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT; FT TN RGHT; FT, IN PARKING REQ • PROV; �PARCEL; 93506124 ZNE; R2 REF NO; PLANNING Nf)TES> FOUNDATION REPAIR, �' 1f 3F 3E if 3F 3(� iE �IEjE K 1f lf iF �E 3E iF iF �E 3E 3P 3E 1E 9E 3E if 1E 3E fE �k 1E fE 3E IF 3f if iF 1E 1F 3f iE !E # if iF iElf 3E 3f 1F 1P �f 3E !F 3F fE if iE ik �E iE k�)F iE if if if iE IE aE �F iE 3E 3f 3F iE %� 1F #E if 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 ZONZNG APPROVED BY �i�� L—=--- i � DATE; B/i S�1/ HUILDING APPROVED BY ; ��--� 7�--.D 7T+..� DATE • APPLZCATION ISSUED BY; �� 3f if if� i6 3E iE iF �F 7f if iE 1E iE �1E IE IE iF IF �7f �E 3E 1E�if� iE iE 1F ik iF #E iE �F iF 3f if �E �If if IF �E 1f jf K iE 1E iE iE iE iE if 9F if iE iE 1E iF LEGALIZATION;N F E BLnG FMT PLUMBING � PERMI'P 162. DO � • '. o`� DATE�: iE iE k 3f iE ik 1f� 3F if iE�iFiFiF if 3E lE 1FiE iF iE iE iF 1f 1E iF iE3E IE iF 3f 3F if !E #iE �f iE iElE 1f )F%if� iF iE iF jE if 3E 3E �3E �E �E iE iE iE )f 1E S U M M A.R Y ; STRUCTURAL.'SEGMENT;Y RLC .MECHANIC � FIRE SMIP/RE5 GRADING 1,00 �PLAN 26.33 T ,SMIP/N013—RES ISSUE F'E:E BUILDING—DIV—> FERMIT ISSUE PLAU-CHECK TOTAL PAID DUE TOTAL5----> 163,00 0.00 , 26,33 189.33 1A9.33 ,00 REVENUE DIVISION TOTALS--> COLI,ECTED; 189,33 OVER/SHORT; pp • BLDG PMT FLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 167.00 � i 1.00 26.33 iF 3f iF if iF if if # if !E 3E iF 1E iE iF 3E iE iE iE iF 3F iE 1F 1E iE I6 iF iF iF iE iE iE iF 1E 1F �E Ik ik iE )F i4 3E 3F IE iF f't iE iE * iF 1E 3f If 1E �f iE iE iE iF 1E iE iE 3E 1F 1F iE if iE IE IE 3E � 3E a41E iE 3F 3F 3f I N D I V I D U A L F E E B R E A R D O W N TYPE t,�TY 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 UAT CONSTRUCTION PND PLANNING . ' - $ SP'4 Date Inspector ' Date Inspector APPROVALS Pe�mit #T- APPROVALS Permit # _ _ �� 7. Temporary Electrical Servic�� Pole �'� . _ 52. Pool & Equipment Location � i ' _. 2. Soil Pipe-Undrgrnd. %'= - `�ti 53. Steel Reinforcement -f-, 3. Electrical Conduif Utility-U�drgrnd:. �� 54. Forms y�.J� 4. Electrical Conduit-Undrgrnd�" -!'- 55. Electrical Bonding �� ' 5. Steel Reinfarcement 56. Rough Plumbing & Pressure Test � 6. �Electricel UFER Gmd. - 57. APPROVAL TO COVER-GUNITE , 7. Footings �' ' � 58. Electrical Conduit-Undrgrnd. 8. Foundation , �� r j ,�� 59. Gas Pipe, O Undrgrnd., Test 1,:=' 9. Water Pipe-Undrgrnd. `��%� :r �, 60. Backwash Lines. P-Trap, O Undrgrnd. �/. �f- .> �� ' - 10. Structural Floor SYstem/� �,. � , 61. APPROVAL TO DECK . �`� !�� 11. Property Sewer Line & House Connection '� � 62. Backwash & Receptor-Final -"7 12. Sewer Cap „ _:..1 . � 63. Heater & Vent-Final „ti 13. Roof Drains ' �� '�1 64. Plumbing System - Final %' � 14. Rough Plumbing ; j� y ;� 65. Electrical-Final -i • 75. Rough Electrical-Conduit `� � j' r 66. Solar System-Final . /� 16. Rough Electric Wiring .% '" . 67. Fencing & Access ApProval �,' 17. flough Wiring Sign �� 68. APPROVED FOR PLASTERING �. 18. Rough Electrical-T Bar Ceiling ' 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & A�� Conditioning FIRE DEPT. REQUIREMENT 20. Rough.Factory:Fireplace � ; - � - �� APPROVALS Permit#' > 21. Ducts, in Structure • �, .� 70�Underground Hydro � 22. Ducts, Ventilating '- _ . � . 71. Product:Piping OGas OOiI � 23. Gas Pipe-Rough & Test . _ , . . . . 72, Underground Flush. � " 24. Roof Framing ' • � �' � 73. Undergrhd. Storage Tank 0 Gas ❑ Oil 25. Roof Sheathing ; ' � ' „ � 74.-Overhead Hydro , � . 26. T�Bar Ceiling (Structuraq �& Monowat . •� 75. Dry Chemical • • - 27. Frame and Flashing ' .: 76. Dry Standpipe .� . ' - 28. Lathing & Siding - ' ' � i •�. : 77. FIXED SYSTEM�FINAL 29. Insulation` . � ' ; •�, . 78. FIRE PREV. FINAL � - 30. Drywall Nailing • �_� !• HEALTH DEPT. REQUIREMENT r ' 79. FINAL INSPECTION 31. Plaster Brown Coa4, .� � � r - �� 32. Electrical Power Meter-Final •. . � � � S0. FOOD CERTIFICATE ISSUED 33. Final Electric '' � � ` - :Z � � I � Notes: 34. Final Heating & Air Conditioning � � ( � .' � 35. Final Gas Pipe�Test � - �= i' ' � ;_ . 36. Hood or Canopy .. ' . . � ' � � ' i 37. Final Factory Fireplace • ' � . I 38. Final Plumbing'. �. . . - ' j 4 . . . . - 39. Water Service�Final � ' " - I 40. Gas Service�FinaL I I k �� . , • 41. Solar pomestic�Final : ' � i i• . 42. BackflowPreventer , ,'� " i � I� � � 43. Backflow Irrigation � � � � ' - 44. Landscape Irriqation System� _ _ . � . - , ; - 45. Sound Attenuation � , ,� - � -' - � ' 46. Handicap Regulafions � . � . � , _ 47.. FINAL STRUCTURE & 6UILDING Z�O � " . 48. FINAL PIANNING ' � . _ - 49. Elearic Release to Edison ',_ I I 50. Gas Release to Southem California Gas Co � � � �, ' ,` . . 51. CERTIFICATE OF OCCUPANCY . . , , , , No_ - Date � � PNOJECTPUDHESS: 3�t�� 7IMBER LAKE , uxir: � � OWNEN'S NRME: �AR TI SV �' .I. ' nooxess: 3436 TIAlBtR' LAKE , ' COSTA MESAy Ct1 ; • RHCN/FNGINEEfl: 7 S 1—� OZS ' �. �� pEG.NO.: . ' �' nooeess: :, ' , a uxiT: • � i + + i7D000• PE"MinEE: IV�iCK .ALUM9IN6 f714)895-124b � „RODHESS: 11610 SEABDARD CIK A ,, sTa��vrnrv � . • cs� eoe�o ' UCENSED CONTMCTOP UECIAMTION: I Aereby affirm ihat I am licensed untler Drovisions oi Chapter 9(commencing witA Section 7000) oFDiNsiou 3�of the'Business anA Protessions CoOe, antl my license is in full (orce anA e((ect ' cm uc.: 050386p �' BTRTE LIC.: Sil �71 CIA� ss: f�y��-�b � �Ue�e'1.� — /_n _ H . Signature: s� �f�..l.wy ' 9'% / , WOBNEBS' COMPFNSpT10N �ECLAl1ATI0N: I h¢rehy aifirm that l have a certiticate of nsent io sefl-insure or a cerli�icate o1 Workers' ComOensation.lnsurance, or a cenitietl copy thereof (Sec�ion 3800,. Lab. C). � ucrxo.:116799290 ezr.onTe: 03/01/9:'L OMPRNY: �TA7E � � ' L� CeRifieO coDY is here6y furnishetl. � CertifieA copy is filed wi�h the CiN'BuilOi A Oivision. Date: � � � � — $/ Applicant: E%EMPfIOX FBOM WOBKEHS' COMPENSIITION DECUMTIOX: RAis section need not te compl eA if Me De�it is for one hunOreO (5100) or less). I certity ihat in tAe petlarmance of the work for which this De�mit is issueQ 1 shall not employ any person in any manner so as to 6ecome sublect to ihe Warkers' Compensation Laws of Calitornia. � Date: ` � - -SiAnature: NOTICE: Ii, atter makinA �his Aedarotion, 'you shoWA become suhlect ro ihe Workers' Campensation pmvisions of the Labor Code you must torthwith comply with such pmvisions or this Dermit s�all 6e deemed revoke0. � CONSTflUCTIDN LENOING RGENCY: I hereby attirm.�hat ihere is a consimction lendinp agency for ihe pertormance of the work for which ihis Dermit is issue0 (Section 3097, Civ. C). LENOEfl: , , ' , nouxess: - - . � - OWNEP BUIWER DECIAMTION: I here6y anirm that I am exempt fmm ihe Contractors' S[ate License Law tor ihe tollawing reason (Section 7IXi1.5 Business ana PrMessional Catle: Any ciry oi counry which requires apermit ro consimct, altei, impmve, Oemolish, br repair any slmcNre, pnor to Rs issuance, also aquires ihe applican[ for such permit to file�a signed statement that he/she is licensad pursuant to tAe pmvisioris of the Contracrors' State License Law (ChaD�er 9(commencing witfi Section 7000) of �ivision 3 of the Business and Professions Cotle) or that he/she is exemD� [hereimm and t�e basis for ihe alleAed exemption. My vialatian of Section 7031.5 by any aOPlicanifor a Dermit sublects ihe applicant to a civil penalry oi not more ihan tive hunUreA Aallars ($500). . I, as owner oi ihe proDeM ar my employees with wages as iheir sole compensation, will Oo the work„an0 t�e simcture is'not inten0e0 or offere0 for sile (Section 7044,�Busines5 anA Protessional Coae: The Conirectors' State License Law Ooes not apDty to an owner of a�pmDehY who builtls or impmves [hereon, antl who does such work himseltlhersetl or ihrouAh . �,his or her own'employees, Dmvidetl Ihat suc� improvemenis are not intenUetl or ofleretl for sale. If, however [he building ar. improvement is sold within one year af com0letion, the awner will have the Uurtlen ot pmving he/she tliA not bui10 or imOrove . for Ihe'Durpose of, sale). • � , � I, as owner'o� the pmpeRy, am exclusively contracting wii� IicenseA con(ractors ta cons[mc[ ihe prolect (Seclion 70A4, Business � and Pmfessions Code: The ConUactors' SGte License Law ahes not appry m an owner of properry who huAds or impraves thereon an0 who contracts for such D�olects witA a wnVactor�s) license Dursuant ro[he Contracrors' State License Law�. I am aware t�at pmoi of their Worker's Compensation insurance should 6e pmvidetl to me.' �� I am exemDt unAer Sec[ion: B. 8 P. C. � � for this reazon: � � ' Date: � Owner: � I da hereby certiry Ihat I am aware of and untlerstan0 ihe requiremenis of Calitomia HealtA antl Safery COAe Sec[ions 255Q5, 25533, antl 25534 anA ihat I or any fuNre huilOinA occupant will/will not (circle one) neetl to comDty wit� said state cotles and the requirements for a permit for consimction or modification irom tha Air Qualiry ManaAement DisiricL Residential constmction applica[ions are exemD� ��am Ihese_Omvisions. , Daie: � Applicant I hereby cetliy that I have reaU [his application antl state that the above information is coriect. I agree ro comDly with all ciry an0 counry ordinances an0 state lavrs relatinq ro builAing consimc[ion and tiereby authonze re0�esentati s of this ciry to ent r uDon th ove-mentione0 pmperry tor-ins0ec[ion Durpous n � �'Z io _ l B ` �t� , `// � ,Da�te'., SignaWre:�[��LVI � / Driver's License or Social Securiry #: � � 1641-a6 White—BuilCing; Green—Coae Enbrcament; Canary—ApplicanC Pink—Revenue: GOldenroE—Assessor . CITY DF COSTA MESA — SUILDING.P�RMtT. PERN NG�=_P: 052303 PER39IT NG: P 052303 - PIAN,CHECK Nb� h � GOVT,.h SUPP.: A CGNSiRUG7I0tV TYP,E: V—N . ' P£RMI'i" TYPE: PI,U . PURP(35E: trTH JD� OESCRIPT,IOi�i : GHANGE t]UT �iATER HEATER �. ' SG FT_: ,;:. . � � ° . CLAIM YA�UE: ' CALG—VALUE: . -GROUP ,GCG; .R=3 . / � GOA4MENTS: SMOKE [lET�GTtiR RE-QUIKED IN THE HGME � - �t# #####zt#�#�X�*�##�##�###*#X�#X�####�####�##�##�R3t�###3�f###0#####�F�K##X�X�####� #��%�#� , Z G N I N G R E fl U I R E M E N T S '' � . S E T 8 A G K S. '-- �MAIh SUILi7ING -- -- -- -- AGGESSOAY BUILDING,--=-- FRN7: � F7 IfV REARt FT` IR FRN7:� `F7 IN REAR: .. FT IN � LEFT: FT IN RGHT: � F7 , IN LEF7. FT IN 1iGHT:, " F7 IN PAI2KING RE9: PRi]M: PARCEL.'04350604 ZNE: REF NO: " PL ANN ING NGT ES> ` iF$%RX��R�####Xf#:�#####�K#r#�-`*i�#�k�k#i�".�#�t#��}'###��$##%�##;C��ka'k�C�R#4###i�#$###�k#�k#�k3�#XF####ik## . , II E V E L O. P M E N i S E R Y I C� S`;., R E'Q U I'R, E M E N T S i ZONING APPRUVfD 8Y _ • DA7E: � . . . BUILD'!NG APPr2L�YED 13Y �--�C�,�,- --- — -: DA7E: � ' APPLIGATIt�N ISSUeD SY: ' __-.-CYI�-�Y_�� —� -------- DATE� 6""�� _ ####%��ak#%�#Y�####�k##>. #�3t#�##�#t##t�#�##i�# LEGALIZATI03+I:N F E E, S ' SLDG P�9T PLUMf3ING EIECTRIL PERMIT "' `2.00 .. Z�J� �%�##�#�F#3##########�k#�#YF#########?##�t#�R, _ M M A R Y. SiRUG7URAL SEGtAENT:N � � � ihEGHAiVIC FIRE� SMIPIRES ' GRAUING S A4I Pl t�L=N—RE S PLAN . IS'SUE F�E 3.00 + $UILGING—DIV—> PEKA4IT ISSU� PLAiv-CHECK TOTAL PAID DiIE Ti]Tt1LS=--> 2.00 3�OQ 0.00 5.OU 5.00 .00 itEVENUE. G3Y�ISIOY Ti3TALS=-> LGLLEGTED= S.OU GVER/SHCR7: �.OG BIDG P�T �LUHBING tLEC7RIC MEGHANIC �IRE SP4IP1T0� GRAGIIVG.PLAh=CHEGK • 5.OU � ## r#%��XF#$$>k�sk��'K###� 3it#�k�F�#��C#$##Yt�lik##�#######�###�k##X�X<##�k$�R?C%`##��##�k�##ie##�# I N L I V I Q U A L F E E H R E A K Q ii li t� � TYPE C�7Y D E S C it I P T I O N UNIT Gi357 , T�TAL COST PLU 1 WATEK HEAT�R AND/OR VEN7 , 2.00 � 2.OU END OF FEES ' A A � i � �(�fS'( E�(I�V{1�J��.'^i�l}yE�Jil{A}..J{ iaY 9 h NNlEi y7?SY��%�1 .lifi%-� }yiV.R u 0 :1 .9 - ` � CONSTRUCTION AND PLANNING� � � ' ' $ SPA� � - APPROVALS Permi(# � '�Date- Inspector AppROVALS .P.ermit# ' Date� Inspector 1. Temporary Electrical Service or Pole�-„ ' ' 52. Pool & Equipment Location _ T� � r. � s 2. So�IPipe-Undrgrnd.,� � ;;,� n.. ' 53. SteelReinforcement '� =3. ElectricalCondu'it�Ut_ility-Undrgrnd:w ;�. 54. Forms �'4'�Elettrical Conduit Un'drgrnd. ` . 55. Electrical Bonding ��5..Steel Reinfarcement . � �: _ , 56. Rough Plumbing & Pressure Test �v ,6`. El�ctrical UFEF3;G'rnd. � " - 57. APPROVAL TO COVER�GUNITE � �7. F,00tings � ' ' : � 58. Electrical ConduiDUndrgrnd. . ' � I -'-8. Foundation f,-� . �' 59. Gas Pipe, O Undrgrnd., i'est �� 9. Water Pipe-Undrgrnd. . "' 60. Backwash Lines, P-Trap, O Undrgrnd. � 70. Structural Floor SYstem :.� � ,« 61. APPROVAL�TO DECK � 17. Property Sewer Line & Houfe Connection "- - � � . � -s�, - . � 62. �Backwash & Receptor�Final _, 72. Sewer Cap . � ' -:� l � �� - 63. Heater & Vent-Final . .- .. ', . 13. Roof Drains ": � 'l ` � 64. Plumbing SYstem - Final- 14. Rough Plumbingr !_ "r . 65. Electrical�Final . �� 15. Rough ElectricaKConduit �'� •; � 66.�Solar SYstem-Final . �-� 16. Rough Electric.Wiring ' , ' j " ' 67. Fencing & Access ApProval �-' 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING . - , 18. Rough Electrica�'T Bar Ceiling . ' 69. POOL/SPA`SYSTEMS FINAL � 19. Rough Heating & Air Conditionin� FIRE DEPT. REQUIREMENT � ,'7 n 1�' 1 � -'f A et s�1 .T <r ^+.a.:•-� � r S i -1 't a ( :.:1 ��'1 !S ' -) .J S :} YI '1 "1'i � � T! ?s y' 20. ;Rough Factory Fireplace �. � z �, a y T„_ � qPPROVALS„_,•_Perrrut # - 21. Ducts, in�Structure��.� I • •• _ - � - •�r � �0. Undergrou�d�-lyd�o �' . � .,�_ 22. Ducti, Ventil�'tingy�; � �~ :� ,� t �-j .s,: ;��, j7. Product P,ipin9 � Gas ❑ Oil 23. �Gas Pipe-Rough & Test i .�i s �' . ,r %�:� � ,y2, Undergro�urid�lu�h • �� " r�- a't J� ' t X' r 'k r 24.'�Roof'Frairin'g' -;� I --r- .,�- :t> .7 -:t r� _� -� �.:< , �-� : -� .;, > V ,,;� y� ,73.=Undergrnd� Storage l'ank lD Gas ❑ Oil 25. Roof•Sheathing .+•` c v�ar ��i � �r• i: 7q. Overhead Hydro � x ..z.. �z �r -.r 26.1 -Ba"r, Celling (Structural) & Monocoat ;;, � y� �' ..� �,"rt 75. Dry Chemical _� �" 7 y 27. Frame and Flashing;;. _j ," '�- R 76. Dry Standpipe r' �� i - �.. s.. » � i . � 'P8. Lathing&Siding�a�}'� j:�= j t' "i �� ;�f 77."�FIXEDS,Y.�TEM,�INAL;r_., � � :. ,: �29. Insulation �+s _ - � �• x _ I I<} a 78?FIRE PREV. FINAL �� ` ;,: 30. Drywall.Nailing "f .? � I I;r ^� �� ..n � i 7:E-. i +r.- I �, ��tn ;; � -��ALTH DEPT.�FtEQU�REMENT :37. PlasterBrown:CoaU�r = I r.';^ �� F �99, �FINAL�INSAECTION +4 �-2 � �- h '- : � � si ro � � .'1fF f} ` Y � .7 _32.: Electrical`Power M�ier-F� al � � � � .�^ � SO.�OOD CERTIFICA�I E ISS�I,ED ,,.� � -i i ,s i _ er �. an.�i a33. _Final.Electric7 ..n � I ; i I ��Id . Notes: '� n:n v •-+ � .: n w �34.�Final'Heating'& Air!Conditiohing� '% � T � f ��bi* e s `: �'%�" a �•� � r. � �-x n �7 Y. � I I��.IiE o ru I �-3 i!� �':t �35 •Final'GasPip��,-Tesij� � � ''�'� I � � . +s i� .. !F �-+ I 1 j!ill� # 7 � _,'] J-.� ry �T 36. Hood or Canopy �*E .-,~ i '^"+ .:: � ^� 1 I' `7o- � :t ' ^�n :� � .�. -r ris y 1 5�� 1! i I I+t o ."'i ,c:� #�i n ` ' 1 ^l_•t -� I c .0 4t �.l i u . � . .. -: -37.�,Final,Factory Fireplace- �_v„ N y. I Ihn � 2 a rv - - �' `38. Final'Plumbing � y•� I � x �i� i�� lao I i -• ±:ri - ��"`7 I Is a x �-+ •Y tr • ii 1 �F �` 1 it R � . x. 39. Water Service-Final..,, �. � .;y = � I la� a�- �� ,• x �� `'40.GasService-Final d"n Cr�' � h"^ � �+t# ''�v �^� +} ' 1 I IIF 6 -� + U: =f 4 �47. Solar pomesticFina( ' �� " " � � ! �� R �"' '- x ;:'1 ,7 I � Irt a n' '1� J' t! 'C � 42. Backflow Preventera .v ��s 1 in n � s�- a;� .+ ., .:...� � it '1 � i�. J # l- , 43. Backflow Irrigation.��, r`� �•-;. �. ti v i^ a��^; V: ., � .� � . •44. Landscape IrrigatiortSYstem'� ^�•� -� �+"f � �� K 'ti •� -� � 'f •'S •� - '� . l4 .Y .,' R:i .K i S •-I i M�C . 1 -- � :t -. x�- ri� # s r- :. �-u a . � �.. . �-:� a ,z '45. rSound Attenyationx .� „ , ;, M .T -n y. +� r cr r a . �-, •� u _ , � �, '46..Handicap.Regulations �i n � :r �r at rc ' 7J �' �� c I 1F +� . .T. i'� t� # �47. -FfNdL STROCTURE & BUI�LDING #,� r �! I# a-t N c a I 1 t;t �e 1 a �- 48.:FINALPLANNINGx i!-:� ^U "'-��+m ^ �' "' � i i I.. K-, r, �o - � a �49.�Elect�ic Relea'se to Edison � � � �`' R `= " ' ' y c I �: � � ,'!# a r'1 d �� q .50rGasrRelease to Southem CaliSomiaGas Co � 1 I � ln a �- - � • ��^� �k "� • .a 3{ k u r n, G :') $ N ,51. CERJIFICATE OP'OCCUPANCY s� s •� � •� � � " �� No. Date OWNER STATE-WSDEDeveloners. Inc. DATE 4-28'=76 JOB ADDRESS �4�6 Timber Lelce . BUILDING PERMIT N0. 41760 r GAS - W ATER ROUGH PLUMBING PROP. SWR. LINE MOUSE CON. ROUGH HEqTING ANp AIR CONDITIONING UNDERGROUNO U POWER ROUGH WIRING INF. SYSTEM BONo BEAM I I STEEL REINFORCE FRAME ANO FLASHING ' / Iqt� .NL/ / LATNING — IN OUT , O�y1.�? PLASTER,BROWN COTT I HEAiING, VENT., REFRIG. AN PLUMBING. FINAL 4N� GAS T FIRE ZONE VALUE TYPE GROUF � SUBCONTRACTOR � .. . ,��asn,,., ..� � ,,.�, :_ . _ J-. _e COSTA MESA BUILDING-SAFETV DEPARTMENT pk;p P.O.BOX1200 COSTAMESA,CALIFORNIA92626 MitY13-i(��;�,�� 6�U�' �P��"Z�Q.�7 APPLICATION FOR BUILDING PERMIT ForApplicanttoFillinComp/etely qECEIVEDBV DATERECEIVED D TE S ED ADDRESS 3436 Timber Lake � � /Z-Z /-O�D� � PE I OWNEF State-Wide Develo ers Inc. A�P�NO. b-a�4-�' -/�- •- MAIL BUILDING 7A�� m [_ /4 rCQ Z ADORESS 9461 G1'1nd18 ADDRESS JY �.ei � aU CIT'�' C ress Na`�826-4550 TRACT�o.�6 LOT BLOCK Zz Q CANSiRUCTION AD A O� �ENDER am J � BRANCH J� OWNER C m J ADORESS • VALUE � ' J m AR HITECT TEL. $ a � N . U Q FIRE w� ADDRE55 ZONE TVPE GROUP aw APPROVED W Z CONTRACTOF � �� BV DATE J Q m �� ADORESS 9461 G1'7 ndl a W W TEL. ZONE NO.OF USE OF NEW/(qpGJ Z� CITY C ress "��826-4550 �ZCP P�� 7' BUILDING w 0 STATE CITV VAqDS APPROVEO VARDS APPqO ED (n � IIC. NO. 22LF��o LIC. NO. MAIN BUILDING ACCESSORV BUILDING � O (FROM C/L STREET) SI2E NO.OF BLDGS. OF LOT 12,093 acres � NOW ON LOT � RONT Z� FT. FT. USE OF EXIS'r�NG BLDG. F FT � SIZE OF NO. OF /� Z NEW BLDG. ROOMS STORIES L. SIDE�"� FT. FT. a EXTERIOR WALL aS er ROOF V COVERING WOOC� COVERING Shake REAF Z FT FT. � 1 J USE OF eUILDING AND WORK TO BE PERFORMED DISiANCE BET. BET. MAIN & a MAIN BLOG''i. ACCE�. BLOGS. oa ��J� New construction-Condominiums CURP��(�(�� APPROVED —��y y1 Residence w/att ar �RoVED p HOLD FOR PECIAL REQUIRF'l^ S UI harebY ecknowledpe that I have reetl this eOPlication antl stete � that tha above information iz corract and agree to comply with � all laws reBulating builtlinB construction, antl I shall not employ F any person in vialation a7 the workman's compenseNon laws ot y ffie Siate ot California. w zI heraby certify that I am properly licensetl as a contractor untlar SQ. FT. � O tne S�ete ot California Business and Professiona Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALVATION IS FOFi ' Chapter 9, antl thet such licenses are In f�ll for<e and atfact, or I THE PVFP06E OF ESTABLISHING A PERMIT FEE ONLV: Q am e%ampt trom the provlsions of the Siate of Californla Buslnass V ALUATION antl Professlons Code, Divislon 3, Chaptet 9. � W State-Wide Develop r Inc. �� PERMITFEE $ j sienature�� ✓�/�� m Permlttee PLAN CHECK $ ! E o` a Vice President LL A�thOrizetl A ent TOTAL FEE $ �