HomeMy WebLinkAbout873 VILLAGE CREEK - Building PermitsPHOJECT AUUPESS: 8'� 3 VI LLAGE CREEK uNir: �
OWNEfl'SNPME: VILLAGt CREEK HONEOWNERS ' �
aooeess: ASSOCZATION
3429 TIMBER LAKE
CM VA 92626
pflCHIENGINEEN: �HESTER CARVILLE AEG.NO.: CS OS
aoosess: �97.2 ARMOUR ST ��'
S.D. CA 92111
PEflMITTEE: pHOENIX ENTERPRISES INC. ( 213 ) 690-9559
FDDflESS: 411 COMERCIAL WAY
LA HABRA A 90631
LICENSEU CONTBACTOP UECLAflRTION: I here�y aliirm that I am licensed pm ons of ChaD�er mmencing with Sec�ion
7000� ol Div'�sion 3 of Ihe Bu5ine55 antl Pmiessions Cotle. and my I¢ense i ull 1 � antl elleci
ciTruc.: 5 p s ic.:376639 '�
— �aie'. ,__� �_� SignaNre�. _ _ . . _ _
NOflNEBS'COMPENSFTIONOECIAPATION: I�erebyaf�irmthail aveaceM1ilica�eolconsen�tosel4insureoraceN¢a�eafWarkers'
Compensalion Insurance ar a cenilie0 copy thereo� (Section 3800, Lab. C).
roucrNo.: W700354 EXP.OATE: O I 01 �91
comeaxr: CA COMP 6 FIRE
� CeN�ietl copy i5 hereby lumis�etl. ❑ Cetlified topy i5 Iil¢tl ' e Cit uil g Divisi �
Daie: � � _� ApplicanC �
EXEMPiIONFAOMWOFNEPS'COMPNSATIUNOECLANpTION: (Thissectionneetlnoibecample�eaiithepermitisbronehuntlred�$100�arless�.
I cehity thal in the pedormance a� Ihe work for which �his permi� is is5ued. I shall noi employ any person in any manner so as �o bEcome
su�ietl to Ine worker5 Compensation Laws oi California.
Da1e: SigwNre: '
NOTICE: II. aller making �his Oeclaraiion, you shoWd become suGject lo Ihe Workers' Compensation provisions o� Ihe Labor
CoOe. you musl tohhwith comply wi�� such pmvision5 or �his permit shall �e tleemed revoketl.
CONSTflUCTION LENOING AGENCY: I hereby ai�irm ��ai there is a COnslmciion lentling agenty for the petlarmance ol �he work tor
which �his permii is issued (Seclion 3097. Ci¢ C�. �
LENOEP:
aooRess:
OWNEfl BUILDEB UECLAPR710N: I hereby ailirm ihat I am exempt imm ihe Coniractors' State License Law br �he tollowing reason
(Seqion 7031.5 BuSinesS and Pmie55ionai Cotle: Any ciry ol caunty which repuires a permit �o conStmcl, alter, impmve, demoiish, or
repair any slmclure. prior Io its issuance, also requires Ihe applicant �or such permii �o file a signetl sta�ement�ha� he/she is licensed
pursuanuo ��e pmvisions of Ihe Comrac�ors' S�a�e License Law (Chapier 9(commencing with Sec�ion 7000) o� Oivision 3 ol �he Business
and Pmlessions COAe) or �hat he/she is exempl Iherelrom antl ��e basis �ar Ihe allegea eremplion. Any viola�ion ol Section 7031.5 by
any applicani lor a permit sublecis �he aD0lican� to a civil penalry o� not more [han five hunOreO Oollars ($500�.
I, as owner of I�e pmpeny or my employees with waqes as iheir sole compensatioq will Uo Ihe work, antl ihe
❑ s�mmure is nol imenaetl ar afferetl for sale (Sec�ion 7044, 9usmess antl Pm�essional Cotle: The Conlrac�ors' Stale License Law
tlaes nat aDPly lo an owner oi a pmpeny who builds or impmves thereon, antl who Coes such work himseltlherseli or ihmugh
his or her own employees. pmvitletl Ihai such impmvemenis are nol intentletl or oflerea br sale. It, however the builAing or
improvemenl is 5010 wi�hin one year af comple�ion, �he owner will �ave Ihe burtlen o� pmvmg helshe tlid nat builtl or impmve
far tne purpose of salel.
I, as owner oi the pmpetly. am exclusively coniracling with licensed contrac�ors to cons�mci Ihe pwjec� (Section 7044, Business
❑ and Pmte55ion5 CoUe: The ConlraCiors' State License Law tloes not apply to an owner of pmDem/ who builOs or im0�oves thereon
and w�o ConiraC�s lor 5uc� pmletts with a CONraci0r�5) liten5e pursuan� Io Ihe ContraCiors' Slale LiCense Law). I am aware
I ��a� pmaf oi their Worker'S Compensation insurance shoul0 be providetl �o me.
�I � I am exempt under Section: � B. 8 P. C.
for Ihis reason:
Da�e: Owner.
I tlo hereby cenify ��al I am aware of an� understantl t�e requiremenis oi Caiilomia Health anU Safety Code Sections 25505, 25533, antl
2559G antl ihat I or any fulure bwldmg occupani wtlllwill naI (circle one) neetl �o comply with saitl state codes and �he reQuiremenis for a
permii �oi conslmction or moAificaimn iwm the Nir �ualily Managemenl �isirict. Fe5i0ential constmction applica�ions are exempt imm
�hese pmvisions
�ale' Ppplicani:
I hereby ceilily Ihal I havereatlthis aDPlica�ion and slalel�atthe above
or0inance5 antl stalelaws�elalingto builtling conslmction antl �ereby aulh
pmpe�iy foi inspeciion pmp ses.
�/ //
�ale. __�{J� Slgnature: _ _
oriver's L�cense or Social Security a
I agree
�i5 Ciiy
wilh all ciiy and
1641�46 Whue—Bmltling; Green—CoEe Enlo¢emenL Canary—Applican�: Pink—Revenue: Goldenrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 050595
FERMIT NO; B 050545 PLAN CHECK NO: 00147-91 A GOVT: N SUPP: N
CONSTRUCTiON TYPE: V—N PERMIT TYFE: STR PURPOSE: REF
JOH DESCRIPTION ; REPAIR SETTLEMEIJT DAMAGE � SQ FT; 193
CLAIM VALUE: 14,300,00 CALC—VALUE: 14,300.00 GROUP OCC: R-3 /
COMMENTS: BUILDING SETTLEMENT REPAIR/FOUNDATION
iF �F-IE if iF if �lf )c iE if if )f 1F if iF 3f Ik if IE 1E 1E 1E 1E jf 1E-IElf iF iE iE IE iE iFiF � iE * iE iE iE iElf !E iE iE 7E iE IE If lE 1F if 3F if IF IE iF i4 3E �IE iFlF if k if iE If iF 1E 3F if ik i(' iE �1E 3E 1E if iE
Z 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 BUILAING ---------- --------- ACCcSSORY BU.T.LDING ---------
FRNT; FT IN REAR: FT ZN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV; PARCEL; 93506124 ZNE: R2 REF NO;
PLANiVING NC7'I'ES> FOUNDATION REPAIR.
�
IF jf iEjE �E iE k �FiF iF �ElF3E iE IE �E 3E 3E �F 3F if iF fE iE 1f if 1f if iE �f 1F if fElf IE 1E If iE 1F !! IE if iF iF-IE iE iE 1F 3E If �F iE iE 1E iE iE 1E if iF 3E 3E 1E i41F if IE If iE iE iF iF iE * lE iF 3! if iF iE
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 i�l T S
ZONING APPROVED BY �� �. �— DATE; G9 � � �`� /
BUILDING AFPROVED HY : DATE:
APPLICATION ISSUED BY: DATE:,!
1f3fafiF34iEiF�filifiElEiFiEif3FiFiE3EiElE1k iEiEiE1E3Eif�fiE1E3E ifiE
iFiFiEifiElElEiEifiEifiFiEiEiEiE3ElEififiE3f�E1E1F#�E�1't�1Eif 3fiElFiElEjEiE1E�EkiF1EjE�fiElEifiElEiElE3E�kiFiFiEiEiE3F1EiEiEiFiEiE1FlEif3FlEif
LEGP.LIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT FLUMBING ELE TRIC MECHANIC FIRE SMIP/RES GRADZNG
PERMIT 162.00 1.00
SMIP/NON—RES
PLAN 26.33
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAZD DUE
TOTALS----> 163.00 0.00 26,3J 189,33 189,33 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 189.33 OVER/SHORT: ,00
BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
162,00 1.00 26.33
iF iF If if'!k i41f iE 1f iF lf lE if iE af iE iF 3f ik iE�f ik if if if iE �f if if If iE if !f iF �1E iE iE iE iE iF if 1E iE 3f iE if 1f iF IE iP iE 3F iE i4 iE iE iF 1F * iF if 3f 1f if iE 1F �f if if fE if if if if iE iE iE if 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 VALIIE PfiR g100.00
END,OF FEES.
100.00 19,300.00
Ol Q007�7�70—D0�787G2 'r%3� 154.3'0
flfiTE: �;/�3J?1 TIME: ;7.15 /
✓
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
1. Temporary Electrical ServicC•or Pole _ �� 52. Pool & Equipment Location
1
2. Soil Pipe�Undrgrnd. 'i :, 53. Steel Reinforcement � ��
�_.
3. Electrical Conduit UtilitY-Undrgmd. 54. Forms C�'
4. Electrical Conduit•Undrgrnd"-� � 55. Electrical Bonding '
5. Steel Reinforcemen[� 56. Rough Plumbing & Pressure Test
6. Electrical'UFER Grnd. - 57. APPROVAL TO COVER-GUNITE
��'7. Footings 58. Electrical Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. . f �� 60. Backwash Lines, P-Trap, O Undrgrnd. %�
�10. Structural Floor S stem ;f: � r '
y ��� 61. APPROVAL TO DECK �':�?
11. Property Sewer Line & House Connection �;, 62. Backwash & Receptor-Final - �� '
�
12. Sewer CaP • ' � � "
63. Heater & Vent-Final � i�
13. Roof Droins ' �� �ri �� 64. Plumbing System - Final -'r
74. flough Plumbing ( . �� i� 65. Electrical�Final .
15. Rough Electrical-Cond it i� � 66. Solar System-Final ��: �
16. Rough 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 CPnditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Pireplace - � - - � APPROVALS• 'Permit #
,
21. Ducts, in Strutture � � . 70. Underground Hydro
22. Ducts, Ventilating � ' f 71. Product�Pjping OGas OOiI
23. Gas Pi e�Rou h& Test ,`
P 9 �. ,. 72. Underground Flush" .
24. Roof Framing ' �_ �73. Undergmd,.SmrageTank OGas ❑Oil �
25. Roof Shea[hing , , �` 74, Overhead Hydro �
26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical '
27. Frame and Flashing , . 76. Dry Standpipe .
28. Lathing & Siding .. 77, FIXED SYSTEM FINAL•
i � �.
29. Insulation , � � 78., FIRE PREV. FINAL
•30. Drywall Nailing I � HEALTH�DEPT. REQUIREMENT
31. Plaster Brown Coat.' � � �� 79. FINAL INSPECTION �
�
32. Electrical Power Meter�Final . . I I •�80. FOOD CERTIFICATE ISSUED
33. Final Electric � . ' � i �Notes: - �
34. Final' Heating�& Aii��Conditioning� •� � I � �� . ��
35. Final Gas Pipe-Teit ' ' �
� i• .
36. Hood or Canopy � I
37. Final Factory Fire0lace `� � i ',�
38. Final Plumbing � � . .
�
39. Water Service-Final � i I•
40. GasService-Final - . �� • i I. '
41. Solar pomestic-Final � � � f�
42. Backflow Preventer �. , � � I _ •
43. Backflow Irrigation �- - � '
�44. Landscape Irrigation System - � � . � . .
45.� Sound Attenuation � • • � ' �
-46. Handicap Regulations - . ' .. - . �
47. FINALSTRUCTURE&BUILDING �
48. FINAL PLANNING � � � . . _
49. Elettric Release to Edison � I � .
i. .
�50. Gas Release to Southern California Gas Co � I � .
51. CERTIFICATE OF OCCUPANCY , , , � .
No. Date
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COSTA MESA BUILDIIVG-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
"AY t�i-lfi�F�.-OO e2},� frzt; Zz�.('Q
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEIVEO BV DATE RECEIVED p TE ISSUED
BUI�DINGo
ADORESS p Uj �a e C�eek � �
OWNEP STate-Wide Developers, Inc. ,,.,.No. `f�Z�Z«-°�'°z PE O
AooREss9461 Grindlay AD'DR'E55 873 �li9 � �1.¢��C
��TY. Cypress NO`�Z6-4550 TRACT �� LOT BLOCK
CONSTFUCTION ' A D A
LENDEfl
X
BRANCH �7 'I' I/ /��� �
A�ORESS OWNERJ (/V/4G jL�'il� c
ARCHITECT , TE S 1Res w/att gar VALUg3r�OA o.+
Ys V
4R.EJJG WiGi N
o.00REss17S48 SkyPark Blvd Irvine ZONE TVPE GROUPI�
APPROVED
CONTRACTORStHtE�W�dE DeVEE�OPePS� Inc. BY DATE
ADORESS946� Grindlay
ZONE NO.OF USE OF NEW
CITY Cypress No`$26-4550 /� C/% P�� Z BUILDING
STATE CITV YARDSAPPROVED VARDSAPPqOVED
LIC. NO. 2247�� I.IC. NO. MAIN BUILDING ACCESSORV BUILDING
SIZE NO.OF BLDGS. �FROM C/L S7�i�T)
OF LOT 12.093 acres NOW ON LOT O qOM L T. FT.
USE OF
EXISTING BLDG. SI F7 FT
SIZE OF NO. Of
NEWBLOG. FOOMS STORIES L.SIOE F7. FT.
EXTERIOR WALL a$ er ROOF Shake
COVERING COVERING REAR FT. FT.
USE OF BUILDING AND WOFK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BlDGS. ACCESS. BLOGS.
New construction-Condominiums VqR'# -7� -7 DATE
C.U.P.qWG�i �/ - APPROVED —5��
1 Residence w/att gar APPROVED � SL_2?,7
HOLD FOR SPECIA . REQU�2EB3ENTS
I heraby acknowladBe that I �ave read this aPplication antl ststa 1� s O
that the above information is correct anE aprea to comply with
all laws �agulaNnB building conrtruction, and � shall not employ
anY Person in violeUon of the wotkmen'c tOmpensatiOn laws ot
ina s.e�a or cereo,��,. 13g1 J-534
1 hereby cenity ffiat I am proparly Iicensetl es a contrector untlar SQ. FT.
the Stata of Cellfornla Business antl Professbns Code, Divislcn J, TME AMOUNT $HOWN UNDEP VA�UATION IS FOR �
Chapter 9, and the[ such licenses ere In tull force antl etfect, ar I THE PURPOSE OF ES'fABLISHING A VEfiMIT FEE ONLV:
am exempt from tha provisions of tha State of Calif rnia B�slness VALVATION �� /�
antl Professions Cotle, D��ision 3, Chepter 9. � pEqM1T FEE $ •(/'C/
s�o�e= State-Wide Developer , nc. ,357'O7� —
Parm(ttae $ .�`�,. � PLAN CMECK $ SO
AuthorizedAgant Vice Fresident� � C
TOTAL FEE $ /�/O
�
JOB ADDRESS
GENERAL C0�
AP No. p_
INSPECTIONS
SOIL
GAS
W ATER
ROUGH PWMBING
SPRINKLING SVS
MISCELLANE005
ROUGH HEATING
TEMPORARV SER
UNOERGROUND [
FOUGH wIRING
TRENCHES �
FLOOR SYSTEM
AI
POWER
STEEL REINFORCE
FflAME ANO FLNSHING
LATHING - IN � OUT
PLASTER,BROWN COAT
STRUCTURAL, FINAL
HEATING. VENT., PEFRIG. ANO A.C., F
PLIIMBING, FINAL AND GFS TEST �
ELECTRIC, FINAL
BUILOING, FINAL
I:Dll��71�[e]
SUBCONTRACTOR
ZONE Ri (:P