HomeMy WebLinkAbout871 VILLAGE CREEK - Building Permitsy
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PN0.IECTROOHESS: 8'�S VILLAGE CREEK
owxensxnme: ti�ILLAGE CAEEI{ H2O.A.
. RUONESS: 34Z9 TIMHER LAKE
COSTA MESA, CA 92626
APCM/ENGINEEfl: 5 5 3— 1 8 7 6
noosess:
REG.NO.:
UNIT:
uxiT:
"E"minEE: PETERSON ROOFING ( 714 ) 979-7111
aooeess: 3'�00'}`�6 ENTERPRISE (.,9p
LICENSEO LONTflRLTOP �E�UAA1ioxMF�SA aliirm �na� I am licensee uneerCor�ovisio�n� iCfizpYer 9(cammencing vn�h Seciion
7000) ol Orvision 3 of �he Business antl Pmlessions Code, antl my license is in full lorce antl eflec�.
CITY LIC.: STqTE UC.: CU55:
45995 607872 � C— �n
Oate: � SipnaWre: � �/-r
WOBHEPS COMPEN ATIONDELUIIA710N: IhereDyallirmt�atl�aveacen ateotconsemroseu-insurearacenincateo�woncers'
Campensatian Insurance, or a cenified copy I�ereof �Section 3800, LaE. C�.
voucrNo.: 1021355-93 EXP.ORTE: O4IOS�94
COMPANY: STATE F.UND
�'� ❑ Cenifie� copy is hereey fumishee. [� Cenifietl copy is IileA witn tne city B� iig8rvieie
Oa�e: �— � � �� Applican�'. �
E%EMPTION FBOM WOHRERS' COMPENSRTION OECIABAT10N: (Thi55ecli eed no� Ue ComDle�etl i� �he D¢�mii is br one �unOreO ($1W) or Ie55�.
I cetlily Iha� in �he pedormance ol Ihe work lor whicA �his permi� is issued, I shall not emDloy any person in any manner so as to become
sublecl m �he Workers' Compensation Laws o� Calilomia.
Date: Signature:
NOTICE: II, aner making Ihis Oeclaralion, you 5�ou10 Uecome 5u01e�� �o t�e Warkers' Compensation pmvi5ion5 ot Ihe LaEor
Catle. you musiforihwith comply wiih such O�oNsions or Uis oermii S�all Ge GeemeE revoked.
CONSTBUCTION LENDING AGENCY: I nereDy aliirm I�ai I�ere is a consimclion IenOinq agency tor ihe peAormance ol t�e work �or
whicn I�is oermii is issued (Seclion 3097, Gv. C�.
LENOEN:
ROOflESS:
OWNEB BUIL�Efl DECLAflATION: I �ereby alli�m �ha� I am exempt Iwm �he Comrac�ors' SIaIe License Law �or I�e �oltowing reasan
(Seclion 7031.5 Business an0 Professional CoOe: Any city ol touniy whic� repuirts a Dermii Io constmcl, al�er, impmve. tlemolish, or
reoaii any siruclure. prior to its issuance. also repuires ihe aoolicant for such permit to lile a signed statemenl tlul he/she a IicenseA
pursuanl to tne pmvisions of the Cantractor5' State License Law �C�apler 9 �commencing with 5¢ction 7qp) of Division 3 al the Business
anC Pml¢ssions CoOe� ar �hai he/s�e is ¢�emp� �her¢Iwm anE t�¢ basis for ��e alleBeE exemption. My violali0n 0� $Ection 7031.5 by
any applicant far a Dermit subjects I�e appliWni to a civil penalry ol not more tlun five hunAreJ dolWrs (5500).
❑ I, as owner al t�e D�opetly or my emVloyees wil� waqes as t�eir sole campenution, will do t�e work, a`M t�e
strucwre a not intenaea or oflerea for sale ISec�ion 70aa, Business antl Pmfessional Cotle: The Contractors' State License Law
eoes not apply to an axner ol a O�aDeny who builOs or imD�aves Ihereon, an0 wno Ooes sucn wurk himselllhersell ar iNoug�
�is or Aer own employees. D�aviOeU i�at such improvemenls are not inlen0etl or oftered lor sale. II, �owever t�e Euilaing or
impmvement is sold wi�hin one year oi completian, t�e owner will �ave the bur0en of Dmving he/she did not Euild or impmve
lor t�e purpose of sale�.
I, as owner ol tAe pwpetly, am evclusively caniractinB wi�� licensed comracmrs m consimct the O�ojec� (Section 7044, Business
❑ an0 Prolessions CoOe: The Conlracbrs' Slate License Law does not apply lo an nwner o� pmperty who UmIOs or imD�m'es �Aereon
anA who conirac�s for such prolecls wiih a conVactor(s�license pursuanl to �he Contractors' State L¢en5e Law�.l am awdre
ihat pmof ol iheir Warker's Compensalion insurance s�oultl Ue pmvitleG lo me.
� I am exempt unJer Seciion: B. 8 P. C.
br this reason:
�, Dale: Uvnec
I tlo nereUy ce�ily iha� I am aware o� antl untlerslantl Ih¢ requiremenis ol Calilomia Heal�h an0 $afery Cotle Sec�ions 2550.5, 25533, antl
2553a and Iha� I ar any �Nure builUing occupanl will/will nol (circle one) neetl Io campty wiih said stale codes an4 ihe reQuirements lor a
permi� for consimction or mo0ificalian Imm Ihe Air Oualily Management Disiricl. Residemial canstmciion applica�ions are exemp� imm
��ese pmvisions.
Dale: ApPlitanl: �
I nereUy cerlifylhai I have reaUi�is appbwtion ana sta�e��at�he abave in�ormation i5 wrrec�. I agree to comply vn�h allci�y antl'counry
o�EinancesantlslatelawSrelatingtobuiWingconstmcibnan0�erebyaut�onzerepres � ' CirytoenterupontAeaLove�mentione0
pm0eny Io�inspec0on purpo5es?.
Oaie: � r � � �J S�gnamre:� �
Oriver's License or Social Securiiy x: �� �
16A1-a6 While—BuilDinq: Green—COOa Enlo¢emenl: Canary—Aoolicenl; Pink—Revenue: GOldenrOtl—Ass¢Annr
CITY OF COSTA MESA — BUILDING PERMZT PERM NO: B 063402
PERMIT NO: B 063402 PLAN CHECK NO: N GOVT; N SUPP: N
CONSTRUCTZON TYPE: V—N PERMZT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION :?/OFF SHEATH REROOF W/COMP SHINGLES SQ FT: 4,600
CLAIM VALUE: 4,600.00 CALC—VALUE: 4,600.00 GROUP/�CC: R-1 /
COMMENTS: SMOKE DETECTORS RE� PERMZT INCLUDES 873, 875 6 87 VILLAGE CREEH
*����*�*��***�*#��*�#���*��� �*���**�*��*���*��*�����*���� � C��#D"�`E�C�1'�F�
Z O N Z N G R E U I R E M E N T
S E T B A C K S
________ �iEQUIRED ___
---- MAIN BUILDiNG ---------- --------- iSCCESSO.Y B LLUlI�,
FRNT: FT IN REAR; FT ZN FRNT: FT IN REAR: FT IN
LEFT: FT ZN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV; PARCEL: 93506036 ZNE: REF NO:
PLANNING NOTES> �
,j
iF 3E ih iE iF iE 3f if ft ih if 1(� �)k if iE iE # ir� # iE iE it iE iE iE ir ic� iF it ia it ih iE iE �E ic� iE i6 it iE it it it ih it # it fE iF �1E i(�!E if it iP ib i4 if if it i6 if if if iE iE # it it i6 ib fF iE it� ic� iF k iE it
D E V E L O P M E N T 5 E R V I C E S R E Q U T_ R E M E N T S
ZONING APPROVED BY DATE: �
BUILDING APPROVED BY : DATE: ��
APPLICATION ZS�SUED BY; � G'
�*�********��t**�t*�t****iFiFiF�F�FTr����r��F�iFx3F�F�i�� '��#�,F����r,�#**��D****�t , �. n, �±�
if if iE?f iF iE iE iE if !E iF iE?E iE �E iE 1E It iE i! # 1E 9E iE iE if If iE If if �f iE �E iE iF iE i!!E if iE 1E if �E �lE #�E 3f # if �1F iE # 1E iE # iE iE iE ##�lE iE iE 1E iE # i! 3f ik iF iF fF #!E �f iE k k it
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 72.00 ,50
SMIP/NON—RES
PLAN
ISSUE FEE
BUZLDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAZD DUE
TOTALS----> 72,50 0.00 0.00 72.50 72.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 72,50 OVER/SHORT: 00
BLD7zPM�T� PLUMBING ELECTRIC MECHANIC FIRE SMIP/TO�T GRADING PLAN—CHECK
iE iE 1F7F iE iE iE if if if iE �M-if if # IE 1f if 1E if iF iE 1E iE IE iE 3E iElF IE iE iE iE if iF iF iF i6 ik #### if 11� 1E # iF ih 143t fF iE # iE iE IElf if -1f # if iFlF i(� #!E 1F if #E if # iE ## iE iE 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
SFR 4600 REROOF BY VALQE RESIDENTZAL NOZONE 1.00 4,600.00
END OF FEES
01 Q0144579—Q01445E0 T�7 T 72.50
DNTE: OElQ9193 T1ME- 14:09
�'.
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date inspettor AppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Und�grnd. 54. Forms
4. Electrical Conduit-Undrgrnd. � 55. Electrital Bonding
5. Steel Reinforcement 56. Rough Piumbing & Pressure Test
6. Electrica�UFEFGrnd. 57. APPROVALTOCOVER-GUNITE
7. Footings 58. Electrical Conduit•Undrgrnd.
8. Foundation 59. Gas Pipe, � Undrgrnd., Test '
9. Water Pipe�Undrgmd. . 60. Backwash �ines, P�Trap, 0 Undrgmd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connecdon ' 62. Backwash & Receptor•Final
12. Sewer Cap , , 63. Heater & Vent•Final
13. Roof DrainS 64. Plumbin9 System � Final
14. Rough Plumbing �� 65. Electrical�Final
15. Rough Electrical-Conduit 66. Solar System-Final
76. Rou9h Electric Wiring 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Pireplace - APPROVALS Permit #
21. Ducts, in Structure . 70. Underground Hydro
22. Ducts, Ventilating � 71. Product Pipin� O Gas OOiI
23. Gas Pipe�Rough & Test . 72. Underground Flush
24. ftoof Frarqing �/ 73. Undergrnd. Storage Tank O Gas ❑ OII
25. Roof Sheathing �Z'f��� �j�'i 74• Overhead Hydro
Y � =ft
26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Sidinq • 77.' FIXED SYSTEM FINAL
29. Insulation � �� � � 78. FIRE PREV. FINAL
30. Drywall Nailing ' � ' � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ' j 79. FINAL INSPECTION
'32. Electrical Power Meter�Final 80. 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 � �
40. Gas Service�Final �
41. Solar pomestic-Final
42. Backflow Preventer ' ,
43. Backflow Irrigation � � --�
44. Landscape Irripation.�y�stem
45. Sound Attenuation j �� :
46. Handicap Regulatior�s� � ,�� .
47.FINALSTRUCTUR. �B�DING �L�K �w(�
48. FINAL PLANNING � - c,� � ! � •
i
49. Electric Release to E' is¢n! !: �
50. Gas Release to Soutfiern Califomia Gas Co .
51�. CERT�FICATE OF OC�UPANCY
No. Date
PflOJECTADOHESS: 871 VILLAGE CREEK
OWNEF'SNRME: VILLAGE CREEK HOMEOWNERS
aooeess: ASSOCIATION
3429 TIMBER LAKE
CM VA 92626
UNIT:
PRCHIENGINEEfl: CHESTER CARVZLLE REG.NO.: CS OS
nooxess: 79z2 ARMOUR ST ���T'
S.D. CA 92111
PEHMITTEE: FHOENIX ENTERPRISES INC. ( 213 ) 690-9559
nooxEss: q11 COMERCIAL WAY
LA HAHRA C 631
LICENSED CONTHACTOfl OECLAMTION: I hereby allrtm that I am IicenSeA un vi.' of Chapter 9 i mencing wilh Sec�ion
7000� ol OiNsion 3 of the Business antl Pmiessions Cotle. ana my license i I lorc nd eifect.
cirruc.: 5 7 8 r uc.:376639
Daie'. � � Sigwwre: _ — . —
NOPNEPS' COMPENS ION DECLI�BpTION: I hereby affirm ihat I have a cenificaie ot consent to sel4insure or a c ate oi Workers'
�ompensation Insurance, or a cenified copy ihereof (Section 3800. Lab. C�.
roucreo.: W700354 E%F.OPTE: �% 01 �91
comraxv: CA COMP S FIRE
� Cetlifie0 coOY is hereby lumished. ❑ Certifiea copy is filed � ci� uiltli Divisio
�ale:�L� (/� _ ���.�__ APOlicani: ��
� E%EMPT N FN flOM WORREBS' WMPENSATION OECLAflATION: QhiS SettiOn neetl no� �e Campleietl ii �h¢ permi� i5 �or One hu eU �5100) or 1¢55�.
I cerpfy thai in Ihe peAarmance oi 1he work Ior which �his permi� is issued, I shall no� employ any person in any manner so as �o become
5u�leci lo Ihe Workers' Compensation Laws of Cahbmia.
Dale: Signa�ure'.
� NOTICE: IL alier makmg �his declaralion. you s�aultl become sublec� to the Workers' Compensalion pmvisions o� �he Laba�
Code. you musl torthwrth camply wi�h such pmvisions or Ihis permii shall De OeemeO revoketl.
CONSTPUCTION LENOING pGENLY: I hereDy a��irm that there is a cons�mclion IenAinA agency �or Ihe pedormance o� the wark tor
whit� IhiS permii is i55uetl (SeC�iOn 3�97. Civ. C).
LENOEP:
PDOPESS:
OWNEH BUILDEN DECLAPFTION: I hereby affirm I�al I am exemp� �mm �he Conirac�ors' Sta�e License Law for [he followinp reason
�Seqion 7031.5 Business ane Pm�essional Code: Any ciry of counry which requires a Dermit Io conStmcC al�er, impmve, demolish, or
repair any s�mclure. prior Io ils issuance. also requires lhe appiican� �or such permii to lile a signed 51alemeni �Aal he/she is licensetl
pursuan� to the pmvisions o� I�e Coniraciors' S�a�e License Law (Chapter 9(commencing with Sec�ion 7000) o� Divisian 3 ai Ihe Business
antl Pmiessions Coee) or tnat he/she Is exempi Iherelmm antl �he hasis tor �he allegetl exemp�ion. Any violatlon ol Secfion 703L5 by
any apDlicant br a permi� 5u0jects the aDPlicant ta a civil penalry oi not more �han �ive hundreA dollars (&500).
I, as owner of Ihe pmpetly or my employees wiih wages as I�eir sol¢ compensation, will tlo lhe work, and the
❑ s�mcture is nm in�enaed or ofierea for sale (Sec�ion 70a4, Busmess antl Pmfessional Code: TAe Con�racmrs' S�ate License Law
� does nol appty to an owner o� a pmperty who butltls or impmves Ihereon, antl who tloes such wo�k himSelVhersel� or thmugh
his or �er own employees. pmvid¢tl Iha� such impmvement5 are noi inlended or o��ere0 lor sale. I�, however �he Duilding or
impmvemenl is so10 vnihin one year o� com0lelion. Ihe owner vn0 have Ihe �ur0en of pmving he/she OiU not 6ui10 or improve
lor Ihe Ourpose af sale).
I. as owner of the pwpeny. am eKclusively tonVacling with licensetl tontrac�ors ta cons�mc� �Ae D�ole�� (Section 7044, Business
❑ antl Pw�essions CoOe: ihe Conlrac�ors' Sia�e License Law aoes not appty �o an owner o� pmpehy who builtls or imOmves ��ereon
an0 who conVac�s lor suc� pwletls with a coniractoqs) license Du�suan� �o ihe Contraciors' Sta�e License Law). I am aware
Ihai pmol o� �heir Worker'S Compensation insumnce shoula be pronded lo me.
� I am ezempl untler Section: � 8. 8 P. C.
�or Ihis reason:
Oate: Ownec
I tlo hereby cenify Ihat I am aware ol ana understantl I�e requiremen�s oi Calilornia HeaVh and Safery Cotle Sections 25505, 25533, and
255Ja antl Nat I ar any �ulwe building occuDant v�ill/will no� (circle one) neea Io comDlY with saftl state co�es anA ihe requiremen�s br a
permii br conslmc�ion or motldication Imm the Nir �uality ManagemeN �isVict FesiOeniial consimction a00�icaiions are exempi imm
III¢5¢ pfOVi5i0�5.
Dale: Npplicanl:
Ihere�y cetlityi�all have reatlihis apPlication an0 Slate iha���e above
or�inances antl SlalelawSrelaiing�o huilding cons�mclion and hereby auth
pmperty i^ inspec�ion urpose=
I
Date: � . � � Signature'. �
v—
Driver's License or Sociaf`Securiiy a:
�agree lo
�his ci�y to
all ciry ana
�64t�a6 W�ite—Builtling; Green—Code EniorcemenL Canary—Applicant: Pink—Revenue: ('iD�tlenrotl—Auessor
CITY OF COSTA MESA — BUILDING FERMIT PERM NO: H U5US4
PERMIT NO; B 050544 PLAN CHECK NO: 00148-91 A GOVT: N SUPP; N
CONSTRUCTION TYPE: V—N PERMZT TYPE: STR FURPOSE; REP
JOB DESCRIPTION ; REFAIR SETTLEMENT DAMAGE SQ FT: 143
CLAIM VALUE: 14,300.00 CALC—VALUE: 14,300.00 GROUP OCC: R-3 /
COMMENTS; BiJILDING SETTLEMENT REPAIR/FOUNDATiON
*�***x�*x**�**x*�*xxx*u�*****�******x�********�t*�***�*****�*u�***�t***�*x��r*�r**�x�*x�
2'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 BUILDING ---------
FRNT: FT IN REAR; F'T IN FRNT; FT TN REAR; FT IN
LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
�PARKING REQ• FROV: PARCEL: 93506124 ZNE; R2 REF NO:
FLANNING N6'I'ES> FOUNDATION REPAIR,
i
iF iE f! 1E fE iE iE ii�'If iF if ib 7f� lE')f 7E �)f 1E Jf �F 1Eik 1f 1E if iF if -%iE �1k iF iE iE 1E iE if iE 1E #E 3E ik 1! 1E iF 3k'lElE iF 7F IE 1E ih iE %if 1f K-!h!E iE )h iF 1E iFlP 1F iE'7F if � iE if iE iE lE 3C 1E iE 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
ZONING APPROVED HY ;� �—r�T DATE: O�!!S�/
BUILDING APFROVED HY ; L.i ) L i��� DATE: ��F��
APPLICATION .ISSUED BY: - DATE.
�fiF3f�1(�iElElf•iEif�lhiflfiEiElEiEiE�lElFikiEiE . afil�IflEiFif1F'1F#3f i(�if
iFiE�lt�IfiE�FlE�IEiF�1FlflEiEiElEiEIE�EiElEiEiEiE�EiE1ElFiFiEifiF3F F�1E3F�1F fifif�lFiflE�lEiEiEiElEiEiEibif�lfiE'kifiF#if�iF�lE361fjEifiF�IFiElEiEif�ifiEi(�iE#IEiFiE
LEGALIZATION:N F E E S U-M M A R Y STRUCTURAL SEGMENT;Y
HLDG PMT FT.UMBING ELE_TRIC MECHANIC FIRB SMIP/RES CRADING
PERMIT 162,00 1,00
SMIP/NON—RES
PLAN 26,33
ISSUE FEE
BUILDING—DIV—> FERMIT ZSSUE PLAN—CHECK TOTAL PA3D DUE
TOTALS----> 163.00 0.00 26.33 189.33 189.33 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 189.33 OVER/SHORT; 00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
162.00 1,00 26.33
ik 1E iE iF iP iF aF if iF �E IF if iE �If i(- If iE If if -lf iE IF lE iF iF iF �1F3E iE It iE dE �E 3E K iE �if 1E if if #f 1F If !E if iE af 3E �E If iF )E af iE IF 3f iEaE If IE 3E �E iE fF iF iF iE ib if iE iE IE lE if iE iE iE?E iE
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 $100,00
END OF fiEES
t
100.U0 14,300.00
O1 �ft0;3�;73—�_L�7$iC� 2" � � :r9.33
U.aTE: 0�/23.'CS iIfiE: �?:13 /
�/
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 --�
t
3..'Electrical Conduit Utility-Und�grnd. �t 54. Forms '
4: Electrical Conduit-Undrgmd.i: = 55. Electrical Bonding �_�
5. Steel� Reinforcement 56. Rough Plumbing & Pressure Test
.fi. ElectricalU�rERGrnd. 57. APPROVALTOCOVER-GUNITE
7. Footings � � 58. Electrical Conduit-Undrgrnd.
8. Foundation � 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-U�drgrnd. f' ��/•7 60. Backwash Lines, P-Trap, O Undrgrnd. !.j
10. Structural Floor System�.��" •`� �� 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection �� 62. Backwash & Receptor-Final '^
r•.
12. Sewer Cap � � �; , � '� 63. Heater & VenbFinal . �
13. Roof Drains �'• l ' �
�, �� � 64. Plumbing System - Final F-�
14. Rough Plumbing � n f� � 65. Electrical-Final '�
t5. Rough Electrical�Cond�it �'N iv � 66. Solar System-Final � �
J � N
16. Rough Electric Wiring ��;� �� �,r'"=' 67. Fencing & Access ApProval •-
17. Rough Wirinq Sign - 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling / 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace ' r ' � _ ^ APPROVALS. �Permit #
21. Ducts, in Structure . � _ -� � 70. Underground Hydro
22. Ducts, Ventilating - '� .. . � , 77. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & 7est �� � �. � 72. Underground Flush -
24. Roof Framing '' - ` 73. Undergmd.StorageTank OGas ❑Oit
25. Roof Sheathing ,- �� � - . , � jq. -Overhead HYdro -
26. T�Bar Ceiling (Structural) & Monocoat . � � 75. Dry Chemical
27. Frame and Flashingi . , �, . 76. Dry Standpipe � �
28. Lathing & Siding. �� . - � • � � • 77.- FIXED SYSTEM FINAL
29. Insulation '�. ` � i � 78.� FIRE PREV. FINAL
�30. Drywall.Nailing � � � � ( � � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � � � �_ 79. �FINAL INSPECTION
i
. 32..Electrical Power MeterFinal � 1. 1 S0. FOOD CERTIFICATE ISSUED �
i
33. Final Electric : � ` � � � . Notes: .
34. Final Heating�& Air Conditio�ing�� � � • I . j. � -
�
35. FinalGas�Pipe-Test` ' ; �� �
36. Hood or Canopy _ � . � � I• _> .
37. Pinal Facmry Fireplace • " '' � I; '
I
38. Final Plumbing . . � � • �
i
39. Water Service-Final � � �'
40. GasService-F.i�al . , . . ( ', , �
�41.�Solar pomesticFinal - i �-
�. .
42. Backflow Preven2er • � - { � ,�_ ' � - . .
43. Backflow Irrigation • ' ' '
i . •
44. Landscape Irripation System � - : � .
45. Sound Attenuation • � ' _ ,
46. Handicap Regulations � . � . _ �
47. FINALSTRUCTURE&BUILDING � ! � -=
48. FINAL PLANNING. � , • �
49. Electric Release to Edison � � i �
50. Gas Release to Southern Calitornia Gas Co � j _� -
51. CERTIFICATE OF OCCUPANCY . , . � , � �
No. Date
VWNtK STATS-WIDE Develo'pera,Inc.
JOBADDRESS 871 Villsge Creek
GENERAL CONTRACTOR 5ame
AP No. ' ' T TR
INSPECTIONS Sh
SOIL
GAS
WRTER /
ROl1GH PLUmBING �
PROP. SWR. LINE Q HOUSE CON. �
SPRINKLING SYSTEM '
MISCELLANEOUS
ftOUGH HEATING AN� AIR CONOITIONING
TEMPORARY SERV4CE Oft POIE
UN�ERGROUNO � POWER �
ROUGH WIRING
TRENCNES � FORMS � STEEL REINF.
FLOOR SYSTEM
BONO BEAM � STEEL REINFOpCE
SHEAiHING
FflFME AND FLASHING
LATHING - IN OUT
PLASTER,BROWN COAT
STRUCTURAL, FINAL
HEqTING, VENT., REFRIG. ANO F.C�. FI A
PLUMBING, FINAL ANO GAS TEST 4
ELECT0.IC, FINhL
BWI�ING, FINAL
DATE 4-28-76
:llll��71:[el� �:PII�.[ia
SUBCONTRACTOR
. . Fi � /l/� PSIU �,+,�y�
. 'qAY i3-76r.r����O 6?_3" t�0_�'�
COSTA MESA BUILDING-SAFETY OEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant Lo Fil( in Completely
RECEIVED BV DATE RECEIVE� D TE 1 S�J E
BUILOING 1 1 8_
ADDRESSHJI V��la9e Creek �
I —Z/J—V/�OL -PEP IT
OWNER State-Wide Developers,lilC. �+P.NO. /�'Q��j/I'O t� I`�7
MAI L BUILDING p
9461 GrindlaY ADDRESS p%J V� u G1rtf
GfIf1RF55 - . _
cirv �yf
CANSTRUCTION
No� 826-4550 TRACT �� LOT
BPANCH
ADDRESS
oR%iaM,e`i� Lohrbach/Pulaski No.` 556-661
AooRess17848 SkyPark Blvd Irvine
coNTAACTORState-Wide Developers, Inc.
ADDRE55 9461 6ri ndl ay
C�TY Cypress No`."826-4550
uc No. 224710 �icYNo.
oF �or 12.093 aCPeS NO.OF BIOGS. O
NOW ON LOT
USE OF
EXISTING BLDG.
SIZE OF NO. OF
NEWBLDG. ROOMS STO:��ES
EXTERIOR WALL�b��ter ROOF Shake
COVERING COVERING
VSE OF BUILDING AND WORK TO BE PERFORMED
New construction-Condominiums
1 Residence w/att gar
I hareby acknowletlpe the[ I heva reatl this apPllcation entl ste[e
Mat tha ebove in�ormation is Gorrect end aprea to comply wlth
oll laws re8ule[ing builtlinB construction, antl I shall not employ
enY OersO� in violetiOn ot ihe workma� s tompensaHon laws of
the Stete ot Celifornia.
I hereby cer[ify thet I am propBr�y Iicensed es e eontracior untler
the Stata of Cali(ornie Businesa antl Profassions Cotle, Dlv(slcn 3,
Chapter 9, antl that such licenses are in full forca and afiact, or I
am exompt from the O�ovisions of the Stete ot Cal ornie Business
ontl Professiona Cotlo, Division 3, Chepter 9.
Signatureo te Wide Develo�s Inc.
Permittee
AuthorizetlAeant Vice President
.\
OWNER cN/S./l: G:%iLY1
,��� 1 Res w/att qar
ZONE IPw� ,L I BUILDING F
R2 [Y
VARDSAFPROVED VARDS
(FROM GLS'I
RONT
R"SIDE .A-'!1
�. sioe 3 �
REAR T�
�ISTANCE BET.
MAIN BLOGS.
VAfi. qW
C.U.P. �p�
APPROVED /�
FT.
FT.
BET. MAIN &
ACCESS. BLDGS.
DATE � ��
APPROVED
�z -
RLQUIRE�I9LNTS
2'
THE AMOUNTSHOWN UNDER VA
THE PURPOSE OF ESTABLISNING A P
VALVATION �
3�p3� $qOD� �ERMIT FEE !
$ y� seT PL,AN CHECK 9
TOTAL
e
�
0
Z
�
N
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LL