HomeMy WebLinkAbout862 VILLAGE CREEK - Building PermitsenonEssaeunou�c: ___$62_.VILLAGE CREEK
av�xswweivaawn: LINDA VANDERPOOL
woness: SAME
APPL.IWIING AUDflEA4:
�RCNRECTON FNfiPlEEX:
ACX.ON EM'S 1DDflESS:
UNT:
FLOOD: AO-38
uc ra.:
UHf:
ar�m�croxse,� RANCHO ROOTER ( 909 ) 989-1980
CQlIIiACi0R5YN1IIl0 9360 BASELINE
woxess ALTA LOMA CA ucw.: 689936
91701 ur�r: C
LICENSED COMF�CTOH9 DECL�fl�T10N: I hereby � m uMer penely d parjury Oim I em Icm�d uMm pwmwu d Chaqr B
(oommercirp xdn Section ]0001 d Diroion J d the Busiiren eM Pmimsbna Code. end mY limnee o in lull lace eM eHed.
�cmuc.xo.: e� uc.cuss: C-36 uc.No.: 689936 EXP.
D . d`��"'�1 / CaNredor:liCfA/��
! 1WNE BUILDER OECLARATION: I Mreby elfiim undar peneYy d per'ry I em emmq Irom the Comrepwa Licenae lew la tha
�.�Ib p reewn (SeUion ]a31 5 Bus'v�eas eM Profeuions COEe: Am� c�y a caunly which requirea e parmit to construcl, eller, improve,
ah, a repei eny elruclure, piw b ib oauence, abo requirea tha epdifaM lor wch pennn to Rk e eqmd ete�emant the� M or eM
� KereeA Ou�wenl lo Ihe povieiare d Ihe Camreqws Lioanea Lew �Chepm 9(oommaiarp wnh Seqon ]000) d D'vibn 3 d iM
Busnw eM Prdemuna Cade� a Ihel he a eha is aaemp iherefmm end ihe beaie Ia �he elbped aaemplion. My voletbn W Setlion
�ae�s M�r mv�vzm �or e rormn wM� �ha eadKam �o e d�;l va�el�r d iw m«a me� M. w�dred dd�em Issooll.
� I.asawrerdtMpopMyamY�VM��h�mlheieaboompeneetion.xilldotMxwk.vM�MeNwWrew�wlinlaMad
«dl«eE I« aeb ISedion )Oa. emrea end PMesaonaCade: The Comraaae licenu law Eoee na ePWYto en amxa property
wlw buids a inP�w'as tMreon. eM v.M Eoea such wwk HmsM a Mnatl a Nraqh hw a her oxn mmpbreea, pwideE ihel such
impweineme ere m� imendeE a dlemd la sab. M. howewr. �he Wiki�p or in�nem u eald wilNn one Y� d compb�ian. Ne
wm«-0uuee. �n naw mo w.e«� d v��a na «sna ad �a d,ud «�mwwe �« me wuw�e a mal.
❑ L a. ownm d �ne wweM. em e.dmrdr ��ree�e wnn 4mnaed convmae ro conema m. w9� (swm'lan. an'vm..m
waessims coae: rno com�.aa. ��v. ie. eoe. �a wMr m e� o�nw a wwa�v wno wua. a�o.�n ine,eo� w.no
eanvena lor wM pqeqa with e eaqradaHe� Ireeread WnueM �o �M Conirmae limrua Lew).
� lem examq uMx Secibn: B.8 P.C..brl�nreeaon:
Dete: Owner:
I do hereby cerliy Wt I em ewere d vM uMeretand tha reQuiramenla d CalLomu Hml�h eM Setary Cade Saeiona 255�5, 25533, vM
25536, eM thm 1 or eny INure buikmp oaupenl �II / wil'wt (rircb ma) need �o comply wih eeid e�eb mEea eM iM requiromenb M
epermtliacamlruciionwmadifi�etionhwnthaAi ue�y enegementDiqnd.ReeiEenlielcanatiudioneppkra�ioneereetemptlromNma
Data: Applirant
WOPKEN'S COMPENSATION DECIARATON: I hereby elfimi uMx pxWiy d prjury me d tM blbxirq Eetleietiona:
� I heva eM wil meiMen e unRktle d ooneam to eetlJneum for xwkert canperoeion. m povided fa by Samon 3]00 W tM labor
coee. i« ma wn� d m. � ia �n ms v�n n m�,e.
_C] inewene.Jmeim.n..wiw.'canw�moninarerce.m�eauireaWseeonaroodm.lam.coe..bthaw���d�n.
2t wak la MiM ihis V�� e inueA. �7 waken' oomPe��ion inureMa wrier and VdiY number ero:
c.�»�: S A E FUND EXPIRES
PaKv�ms« — '7— 07/O1/98
(ihis maion mad mi Es cmnpkted f Vre pvmt is /a-one hvMred ddleis /S1W) a lev.)
� I cenly ihet in the peRormenu d tM woA lar whch this permn u iaued, I Mell M emplq erry pe�son in eiry menria n m lo
e eubjaq lo iM xakere wnpeneetion lewe d CalAwnie. eM eprea thm il I ehouM bamnie aubjaq b IM xorkers'
com m se�ion Vmviiom W SeGun 3100 W IM labn COEe. I sl� IMhwilh wmDN Milh �ho�q�vi5n'u' A %
aml . FeNun fo sxun woAwi compem�tlon eowrgs b unb C�Nll iuD/xf en �mployn fo etlMiulOene/tlu m0
Iv nu up lo om huntlrW fMuuM tlollar� (SfOQ000J, M atltl/tlon b• cwf ol compsnseNon, Wmays� u provltls0 br In
xtlon 3]P6 0l Ms LeborCods, /nfs�s�f, ene ettarvroy'a /su.
CONSTFUCTION LENDINO �OENCY: I hereby e/firm uiMar penely W perlury �het �Mie ie e wn&rudion b�Miip epency la IM
pertormance d IM v.wk tar whiM Ihu peiml ia beued (Sedon ]09). Civ. Cl.
LENDEH'S NAME:
LENUEX'S RODRE59:
I ceniy �het I hera reed Nia epplicetion eM mma �het Uro ebove inlametbn e conap. I apree to cwnply wuh ell dry aM couMy adi�e
aM sU�e bws tNmiq lo Wikvq confUutlbn eed herebyeulhor¢e �apaeenlalives d Ihu tiry to eMm upon iM ebove�mamionad qapany
���m'��'�'�'AGNESE BANKS
oma/a-�g-9�7
(5151de.WP) While-Buildiip 8 Sdety;GreerFFle; Cenery-Applicenl; Pink-Ravenue;(iolEenrod��Asaessor
.._. ____ __CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: P 086235 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU
JOB DESCAIPTZON_ :.WATER HEATER INSTALLATION
iCLAIM VALUE: _ CALC—VALUE:
�- oc� a s
PER NO: P 086235
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT:
GROUP OCC; R-3 /
COMMENTS: X
***�**+rrx+�+��r�r�r*+r�*�*�r�r�r**�r�r�r+rx�*��x�****r�r�r�r**x **�****+r�r�r******�*+r**�**�**+rx **r**
___ Z O N I N G A E Q U I R E M E N T S
S E T H A C K S
------------ MAZN.BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT; FT IN REAR; FT ZN FRNT; FT IN REAR: FT IN
LEFT: FT. IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PAAKING REQ;_ PROV: PAACEL: 93506068 2NE: REF NO:
PLANNING NOTES>
i
1f if iE M IF M 1FlF 1k �k IF 1FiF iF if if if if 1f M f!!k!E ff 1F if if iFiE if if k 4 ik M k 1F M iF 1F iElf if ik if iFitiF1FM iF3t M ik if iFlf MiF 1F k if iF it iE if iF iF iE iE M iF %iE if iE iE iE ik
D E V E L O P M E N T S E R V I C E S R E Q U T A E M E N T S
ZONING APPROVED_BY DATE:
BUILDING APPROVED HY : _ DATE:
���+
LEGALIZATION:N __ F E E S U M M A R Y
HLDG PMT. PLUMBING ELECTRIC MECHANIC
.PERMIT_ __ _ 11.00
252
PLAN.
ISSUE FEE __ _ 22,00
�FiFiFi� * r *�*+Tr+Er+i� �rii'�F�+rr +r �
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
SMIP/NON—RES
BUILDING—DIV—> PERMIT ISSUE PLAN—CAECK TOTAL PAID DUE
TOTALS---->_ 11.00 22.00 0.00 33,00 33.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 33,00 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
33,00
�E k M1F 1F ikiF if iF'1F ii'!F!k ii' * iF ik k iF if i4 i�' M iF iklF iF k if iF1f ft iF M 1f if iF M ik if if 1f iflf i%iF iF iFif i4 if M ikik 4!E M if ff i�' if if ik k ik i�' iFi4 iF iE i%if 1%it if i%ih if' If
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
PLU 1� WATER.HEATER AND/OR VENT 11.00 11.00
END OF FEES
EXPIRED
DA� �� a� w
12-Ib-1937/12:Q8 F;�/833.�'
RCP7#;31-�a17��6
PERPIITe086235
CONSTRUCTION AND PIANNWG � P60� & SPA _
APPROVAIS Permit # Date Inspector qppROVALS - Permit #, � Date Inspector
i. Temporary Electrical Service or Pole 52. Pool & Equipment Locatio� .
2. Soil Pipe-Undrg;nd�, ,. 53. Steel Reinforcement • '
: �� Electricai Condw�i;lfitity-Undrgrnd. 54. Formt � _� -
`;4.ElectricalCond��ilndrqmd. �� 55. Electrical6onding . :�
�,r:5. Steel Relnforcem�n� � 56. flough Plumbing & Pressure Test � .�
M �
*�176. ElectricalUFE8Grnd. 57. APPROVALTOCOVER�GUNITE
� � �,
���7. Pootings �^� ,�, 58. ElectricalCon�i��Undrgmd. �l
y
, ip8. Foundation "�-+ 59. Gas Pipe, O Ur�lgrnd., Test •
-�
r�F 9. Water Pipe•Undrgrnd � • 60. Backwash Line�Y'-Trap, O; Undrgrnd.
' 70. Structural Floor System 67. APPROVAI l"�DECK ' .
it. Property Sewer Line& Hou�+Connection 62. Backwash & ReceptorFinal .
12. Sewer Cap ^; .
'_� 63. Heater & Vent-Finaf
•^13. Roof Drains ^ � ' , 64. Piumbing SVstem � Finai � �
'y J "
G4. Rough Piumbir� � �� 65. Electrical-Final � "
.15. Rouoh Electrical-Ccmduit �� 66. Solar SYsxem- -F�7i'al .
X•
�6. RoughElectric9�liri�tj� 67. Fencing&Acc�,�s�jApProval� .
;;J7. Rough Wiring $�n � � . . 68. APPROVEp R�RPLASTERWG ,
78. ftough Efectricai-T 8ar Ceiling 69. POOUSPA SYST�MS FINA�L
19.;Rough H�atipg &;-I�jr Conditwqing �J'�• g ,� p,y� , r.� F,f�FhE'�Q6PT�iEQU1REMEPkT C
[�7 "iJ70 I*1 u :.� '7
20.r-[io�iyh Facto'A'y Fa`iejilace � S:' "'C' * � '"'� �'� CJ APF�O�q�r,��y F" P�mit #'� ��
z. � ��. 1 f-� c-� X S a: ti ' � '7 x S�J`7'2 L*7 a�-
21.tDuaes,iri�tructuF,�z t S�! x :., ri C1R 70�lJndergroihldl4ydro �
22.�uai3, 4�ntil�ting�* � � � .ti C � rJ F�K 71. Prod�.�PipinS} ', as �Oii �.
.l 4+ �S' 1 ti y#' 1 .�
23. 'Gas�?ipe�to h&-'fi st �,., z, `�t S t`+' c^ Q * i "c � "
� .�l� t; . �c0 � � S� 72. Undergcqund Fjush t r
24.�Roof Framing � � cTf �r r > x�+* • 7�, Underyr,f�d. Stq'�a�e Tan� � Gas ❑ Oil
r.� r x; r+ �� N�: S
25.�,Roc}�;She'athing ; ,,.,; � ; h jx jr�. Overhead Hyd�gr,r �
26.:3"-Bar Ceiling (Struc4ural) & MC7i$coat � O >+ �* 7�', Dry Cher icai n� *,,,, � �
i� 27.;;frame ar_'�J Fiashing„ ��� G, *`r " m� 76. Dry Stag,cipipe�'."�.,�''. �: �:� '�.�-,
E� 28. Lathing!FiSiding 'K ✓ J�F O � T ! � '� 7. FIXED�3PSTF�M��iNA*L" " p
r -- �• :t i p� � i r� + �
�, 29. insulatian k� n M S � I t �,"FIRE�REV. F.iM�4L +� �� =+ F"
�.
30. Drywa11±4Aailing �� �' K H i � K So � on:kFEALTPI DERT. REQUIR'EMENT �_-"
-r � S C' ^ fi ; � C . e . �: ... r;
31. Piaster &bw��,i.Coat� ��,,,,.,, ,.. � 79. FINAL�PECj�,ON �; p �, �• -
r 32.�Electrical�Po6Jer Me%erf?ihal: ��� � f��� 8'61 FOOD C„ERTIF]CATE YSSR1EEi' �
� 33.�inz�Eiec�2ri * :n : '� � � � . � fygtes: y �"' � � � �� u �
:, �+ �i; z� rG i i-:.-� � M �. � � `4� ¢ � i� � s
�• 34.,�ina�T,He�in Air�CFPditioning a� � � � �: �� E-,Q � � �
n r, �; r..
35.;FinayGa�PipB'-Test�a,� .. ��" � � �.�` �`^`� �� �,- �"."
�„
C : � J i rc � �: +. t � i .a i .. �n , :
� 36.�Hoo� or�anoPY * Ci i�z z; > � i.,.� �o * cn tT,
_ R;
_ _ r., o �.� ' N' .: � n; -
� 37. Fina1'Factory Firep,�ace� � '- ,n * N � � '' � � � �, y,
F � '- V � \ i
� 38. Fina'r_Plumbing z r�y i r� y, i � H .x
� N
39. Water Service-Finai%� � • * � � '-� '� �
�� r� u, s I � t-�w • +� [*7
�' 40. GasService-Finai �j' ���.,,r ,�; ,�'� ; � F • oE x�
+ 41. Solar pomes2icFin2� V �t w � "^ '70 0' x�= �
c �s c� a: rj H O� >: �
42. Backflow Pre�enter�` '�'� � � � � �
* tu n �-+:-� x-, x ni m o �` ri
M r v (1
43. Backflow Irr�gation� �-'~ * T � � � � � '
+c -^. � * x• N * 3 O U
?7 ' L •J �:. .e �
�4.�andsca�e I�riGatioq System;;� � rr; � r� � �* E g w jG �� , v
�. .� �. .. , .. ` . .. . . . , ,.,
,.
45.'Sound fVttenuation' � •• •• '� . �''� mr �' "� • �"' �K
ri �+: S * R7 ••�K i F.o ..;.y e
M H .: �. �. m
�.46. }iandicap'Regulatioas < .. W S � � ;q p r. +;
c47.�INY1L STRUCTURE & BUII.DING * 4 �_��` � Q' :r �-'
x � m.r. :� i � iK r h �7 � O
48.;�INY3LPLANNINf� �"`� e;' � Ir � ,�y ru x 4
.
:49. �lecfric Relesse to Edison � y ' � . "� : �C ,�^ y� �+
r. I - ' c t C'..J O: K :1 `+
�50.'Gas�elease to Sou(�iem CaliforRia Gas Co � -`,- �' y: . � p� ;j ; i o
51. CERTIFICATE OF OCCUPANCY � -
No. Date
PPOJECT PODFESS: 8(,�, VI LLAGE CR EEK u"�T:
OWNEfl'SNPME: �7ILLAGE CREEK HOMEOWNERS
nooeess: ASSOCIATION
3429 TIMBER LAKE
CM VA 92626
AXCN/ENGINEFfl: CHESTER CARVILLE "Ec."o.:C18305
nooncss: 7gz2 ARMOJR ST uxiT:
S.D. CA 92111
PEflMITTEE: �HOENIX ENTERPRISES INC. ( 21 3) 690-9559
aoonFss: q i l COMERCIAT. WAY
LA HABRA CA 90631
❑LENSED LONTflRLTOfl OECLIBATION: I �ereEy allirm Ilui 1 am I'., unGer prouisrons ol Ctupter 9(commencing wit� Section
7W0� al OiNsion 3 of t�e Business an0 Professions CoOe. an0 m�� e in IM larce anC e�� �
arruc.: �5� 8�Jyp.—sCr_/�yTe)uc.:376639� %�
�a�e: __e�—�L-l—/J SignaWR: _ S/(��
WONREBS'COMP4E{NJS��TIO0N(OECUMTION: InertOyalfirm11W1ItWvea,c�(enifkaleofconseni�osell� ,ureotacenifiWleolWarker5'
POLICY N0. n I� /aV�� y�j�r0lieE CopY I�er¢ol (�IiEXP�ORTEaO. Vt% � O Z� 9 1
COMPRNV: CA COMP & FIRE
� Certi1 copy is Aere�y �urni5hed. ❑ CenilieU copy is lil R e r uilOinp Uvision.
oate: r� ApDlicanc _ v
E%EMVfIONPPOMWOBNEHS'COMPENSATIONOECtAMTION: (ThissecumntttlnoiDecomDlneUifNepermlisfaon nmNred(5100�orless�.
I[etlily Ihat in I�e Oedormance ol ��e xrork tor w�ic� ��is perrtui is 65uea, I SAall noi employ any person in any manner so as to Gecome
su�jeci io Ihe WorkeK fAmpensation LawS 0� Califomia.
Oate: SiqnaW¢:
NO7ICE:II, afler maMinq Ihis aeclaration. y0u shoul0 CttAme subje[t �o ine wotkers' CAmpenSation provisions olihe Labor
Code. yau musl lotl�wilh Compy with suc� D�a�sions ar t�is permii Shall Ge tleem¢G revoketl.
CONSTPUCTION LENOING AGENCV: I her¢by allirm IAai Ihere is a tanS�mLlbn lentling agency br �he p¢dormante of Ihe work lor
which tnis De�mit is issuetl (Section J097. Civ. C�.
LENDFfl:
nooeess:
OWNEB BUILDEP DECWBRTION: I here0y affirm Ihai I am e�empt Iwm t�e Camracmrs' S�aie �icense Law for t�e followinA �eason
(Seclion 703L5 Business antl Pwlessional CAOe: Any city al Wunty wMch r¢puires a Oerrtut lo consiNct. alter, imDrove, demolish, or
repair any 9mctwe. Orior lo its issuance, al5u rEQuires t�e appFWnt for such permll lo lile a si0�� slalemenl Nat Ae/s�e is licensetl
pursuan� Io Ihe pmvisions of Ne ContractOrs' Stare Lrtenu Law (CIwO�er 9(mmmencinpvnt� Section 7000) ol0ivision 3 0l ihe Business
an0 Piofessions Codq ar ��ai �e/s�c is eaempi I�erzlmm anG t�e Gasis lor I�e all¢ped exemptian. My uiolation of Section 7031.5 by
any aDakant lo� a Derrttit sublec6 lhe apPlkanl lo a Civil pEnatty of nOt rtqre tAan live hunEretl tlallars (5500�.
I. az owner al Ihe prOpeny or my emWoyees vnin wapes as thei� Sole tAmpensation, will tlo ine wark, antl the
❑ s�mcwre is noi imenae0 ar otferea lar sale (Section 70a4, Buvness an0 Pmlessional Coae: The Coniracmrs State License Law
does n01 apply to an Owner 01 a D�op�rty wlq Ouilai or im0�ov¢5 ��ereon, anC wlro Goes Sut� woM1 �im5et�/�erstl� or IllmuB�
�. �is ar her own employ¢¢5, pmviG¢G I�at Suc� imDmvem¢nis am noi inlenOeO or all¢re0 br sale. II, hOwever I�e Guilding Or
impmvement is solC vn��in one year 0� cOrtNl¢lian. Itrc ovmer vnll Iwve I�a butCen ol pmvin0 �e�s�e GiC no� Ouild Or improve
br ine ourpOse ol Salel.
I, as owner ol i�e procehY. am erclusN¢Iy contractinq vnt� ticenSeG contracmrs m construci ihe D�olecl (Section 704d, Buvness
❑ antl Professrms COUe: TM Convactor5' SWte License LawGces not apqy to an wmer ol O�open wla Oml0.c or impraves lherean
ana who mmracis tor sucn pwjttis wilh a comractorlsl license pursuant io ine Cantracmrs' �ia�e Lrtense Law�. I am aware
Ihal Oroot ol Iheir Wa�ker'S Compensation insurant¢ S�ou10 Ge prOviEeO to m¢.
� I am ezempt un0er Setlion: 6. 8 P. C.
Ior inis reaion'.
Oaie: Owner.
I do hereoy cenily �ha� I am aware af ana unOerstane ine repuiremenR of Calilamu Heatth an0 Safety Catle Sectbns 25505, 25533, antl
2553�1 antl ihat I o� any lutWe Guilaing ottup3nt wiiVvnll nol (cirUe one) neea to comON Y^N Saia state cades anJ the repuiremenls for a
permn Io� convmction or moailication imm me ai� uaLly ManaAemen� Oistritl. flevU¢ni91 tOnSlruCliOn apDliCali0n5 are exempl Imm
Inese pravisions.
�ate: ADO��wm:
I nereey cenily��al I �ave rea0t�is aODlaat�on anU staletlWl t�e a . bl� mationii corr¢[I.lagreeto compty vnt� alicily and
ordinancesanOslalelavrsrelatinq�o�uiPoingconslruclionanOtrere � ha .reD�esenWtiues ' 'rytoenieruponihe� � eniionetl
pmpeny fn� nspec�mn p� poses
Oate: ���� (— SignaWr¢: _ . _ _ �
l
od�er's ucense ar Sociai Secudry n.'
i6ai�a6 Wnne—Bviltlmg�. Gieen—COCe Enlorcomenr. Ganarv—AoniicanL Pink—Revenue: GOIEenrotl—Assesme
CITY OF COSTA MESA — BUILDING PERMZT PERM NO: B 050607
PERMIT NO; B 050607 PLAN CHECK NO: 00104-91 A GOVT: N SUPP: N
CONSTRUCTZON TYPE; V—N FERMIT TYPE: STR PURPOSE: REP
JOB DESCRIPTION : REPAIR SETTLEMENT DAMAGE SQ FT: 143
CLAIM VALUE: 14,300.00 CALC—VALUE: 19,300.00 GROUP OCC; R-3 /
COMMENTS: BUILDING SETTLEMENT REPAIR/FOUNDATION
x�x-*�**��*******���*****�r�*�*x x�**�r+�*�**�***x�*����*�x�****x��*�r�*x �x �*�r��t*�****��
Z O N I N GS ERiEBQAUCIK�SE M E N T S
------------ MAZN BUILDING ---------- --------- ACCESSORY BUZLDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: iT IN RGHT: FT IN
PARKING RE�• PROV; PARCEL: 935061?9 ZNE: R2 REF NO:
PLANNING N TES> FOUNDATION REPAIR.
i
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D E V E L O P M E N T S E R C� Z C c S R E Q U I R E M E N T S
ZONING APPROVED BY � �--- � DATE: p/ i_S�'S 1
BUILDING APPROVED BY : [.✓ l c_- ,�"�p�t�� DATE;
APPLICATION ISSUED BY• DATE•
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LEGALIZATION:N F E E � U M M A R Y STRUCTORAL SEGMENT:Y
BLDG FMT PLUMHING ELE fRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 162.00 1.00
SMIP/NON—RE.ri
FLAN 26.33
ISSUE FEE
BliILDING—DIV—>
TOTALS---->
PERMIT ISSUE PLAN—CiiECK TOTAI. FAID DUE
163.00 0.00 26.33 189.33 189.33 .00
REVENUE DIVZSION TOTALS--> COLLECTED: 189.33 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SM.IP/TOT GRADING PLAN—CHECK
162.00 1,00 26.33
IE �lf it N� tf ik lf iF af %� �lF 3F if if iE if 1f iF 3E �1b IE M� iFlf k iE k iF if if 1! iE iF if iE if IE �11� iE iE if iE �lE �IE%iE 34 # if !E If ih 41f M 3f N� fE if IE it iE M� if IE if If M� 1E iEl6 iE?F )f if iE 1f jE ii
I N D I V I D U A L F E E H R E A K D 0 W N
TYPE QTY D E S C R I P T I O N UN.IT COST TOTAL COST
SFR 143 ' STRUCTURAL BY VALUE PER 5100_00 100,00 19,300.00
END OF fiEES
:1 QG�i :'^-C�7'..Lti� i'3'r -- -_
.�•.
GATE: �1, �:; 9! 'Ii_: :0'• 1
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector
�
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location �
i
2. Soil Pipe-Undrgrnd. �• ��. 53. Steel Reinforcement "
3. Electrical Conduit Utiliry-Undrgmd. 54. Forms �
4. Electrical Conduit-Undrgrnd.' _ 55. Electrical Bonding i.
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit•Undrgmd. �
8. Foundation .�. �' 59. Gas Pipe, O Undrgrnd., Test
/
9. Water Pipe-Undrgrnd. ,�i/ � � 60. Backwash Lines, P•Trap, O Undrgrnd. -
� .- _
10. Structural Floor System� , 61. APPROVAL TO DECK
71. Property Sewer Line & House Connection � 62. Backwash & Receptor�Final
12. Sewer Cap . 63. Heater & Vent•Final
13. Roof Drains • „ 64. Plumbing System • Final - i�
14. Rough Plumbing , 65. Electrical-Final �
15. Rough Electrical-Conduit i' . 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access AnProval �
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. flough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT
i
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71 . Product Piping � Gas ❑ Oil
23. Gas Pipe�Rough & Test 72. Underground Flush.
24. Roof Framing 73. Undergrnd. Storage Tank O Gas O Oil •
25. Roof $heathing 74. Overhead Hydro �
26. T�Bar Ceiling (Structuraq & Monocoat - 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding � '• 77, FIXED SYSTEM FINAL
29. Insulation � � 78. FIRE PREV. FINAL
30. Drywall Nailing � i � i HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat j � 79. FINAL INSPECTION
32. Electrical Power Meter�Final i � � 80. FOOD CERTIFICATE ISSUED
33. Final Electric 1 � �' Notes:
34. Final Heating & Air Conditioning ' I �
35. Final Gas Pipe-Test ' I f�
i
36. Hood or Canopy � � i �
37. Final Factory Fireplace � � i
38. Final Plumbing � � �
39. Water Service-Pinal ( � � '
40. Gas Service-Final j ,
41. Solar pomestic-Final I �
42. Backflow Preventer �i � -
43. Backflow Irrigation �
44. Landscape Irriqation SYstem
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING �/
48. FINAL PLANNING . � �'
49. Electric Release ro Edison , �
50. Gas Release to Southem Califomia Gas Co � � ,
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER STATE-F
JOB ADDRESS $(2
GENERA 0 R T ;
AP No. - - ' LOT
INSPECTIONS
soi�
GAS
W ATER
ROUGH PLUMBING
PAOP. SWR. LINE Q HOUSE CON.
SPRINNLING SVSTEM
MISCELLANEOUS
ROUGH MEATING r1ND AIR CONOITIONIP
TEMPORARY SERVICE Op POLE
UNOERGFOUND � POWER �
ROUGH WIPING
TRENCHES � FORMS � STEEL I
FLOOR SVSTEM
BONO BEAM � STE�L REINFORCE
SHEATHING
FRAME ANO FLASHING
LATHING — IN OUT ,
PLASTEfi. BROWN CORT
STRUCTURAL, FINAL
HEATING, VENT., REFRIG. FND A.C., i
PLUMBING, FINFL AN� CAS TEST (�
DATE � �a
SUBCONTRACTOR
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CAL�FORNIA 92626
For Applicant to Fill in Completely
IILDING _ _ _ _
OwNER �tate-wiae
MAI� 9461 Grindl
ADDRESS
cirv �YPress
Cp fiUCTION
LENOER
BRANCH
ADDRE55
ARCHITECT , , , ,
Nr.ii�
,.;,v �s-�e�„�:00 �7Lr+ �,:�238. 3
APPLICATION FOR BUILDING PERMIT
FECEIVEDBY DATERECEIVED nnrcicuu
A�DRESS ��c Z Vt
No� 826-4550 TRACT p°j a
ADDRESS 17848 SkyPark Blvd Irvine
CONTRACTOR State-4Jide Developers, Iec.
ADORESS 9461 Grindlay
arv Cypress nTio`'826-4550
LC NO. ZZ47�O LICYNO.
OF LOT 12.093 dCP2S NOW ON LO S O
USE OF
EXISiING BLDG.
SIZE OF NO. OF
NEW BLDG. ROOMS STOFIES
EMERIOR WA�L Q a� ei� ROOF Shake
COVEflING WOO COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
New construction-Condominiums
I hereby acknowletlBa that 1 have read this application antl state
that the above intormetion is corract entl a8ree to comply with
all la"+s rapuleting building consVuction, entl I shell not employ
eny person in violatlan of the workman's compensation laws of
tha State af California.
I hereby certity 2het I em properly licansetl as a contractor under
the State of Calitornia Business antl Professlons Cotla, Divisicn 3,
Chapter 9, entl ihat such licanses are in full force antl ffact, or I
am exempt from the provisions ot the State ot Calitor la Business
antl Protesslons Catle, Divislon 3, Chaptar 9.
s�e�a��,ao� -Wide Develo er}g� nc.
Permlttee >4-
AuthorizetlAgent Vice President
X
FIRE
ZONE
APPROVED
)NE NO.OF USE OF NEW
22-�/'� P�� Z BUILDING �
VAFDSAPPROVED YARDSAF
MAIN BVI�DING ACCESSOR`
ROM C/L STREET)
DISTANCE BET
MAIN BL a.
VAR. #` '7�
C.U.P. # K
HOLD FOR
BET. MAIN &
ACCFSS. BLO
DATE
A�ROVED .
EO
i�
� 4G� SQ. FT. .�—Ff:Ir1 O
TNE AMOUNT SHOWN UNOER VALVATION IS FOR �
THE PUPPOSE OF E5TABlISHING A PERMIT FEE ONLV: m
¢
lUAT10 (p
OaO PERMIT FEE $ I �
� '
i — m
PLANCHECK$ •�D E
`o
LL
TOTAL FEE $ •