HomeMy WebLinkAbout856 BEAR ST - Building PermitsPfl0.1ECTp00NE5S: AS6 BEA22 CREEK
OWNEH'SNRME: VILLAGE CREEK HOMEOWNERS
aooeess: ASSOCIATION
3�29 TIMHER LARE �
CM VA 92626
UNIT:
FBCHIENGINEEN: CHESTER CARVILLE � flEG.NO.: CLf}3Qrj
aooAess: 7922 ARMUUR ST uxiT:
S.D. CA 92111
PEFMITTEE: PHOENIX ENTERPRISES INC, ( 213 ) 690-9559
aooeess: 411 COMERCIAL WAY
LA HABRA CA 90631
LICENSEO CONTHFCTOfl OECLABAiION: I herehy a��irm tha� I am lite etl u r provisions ol Chapter 9(commencing wilh $e ion
7000� ol Division 3 0l ��e Business antl Pmlessions Goae, ana my P e � lull lorce and elle�
ciiruc.: 5n-� � T uc.:37663��-"" Y ` s:
yv� i
, �a�e: �� Signaiure: _
W O PRE p S' C OMPENSATION DECLANATION: I hereb y atlirm �bat I have a cerlilica�e o� consent lo sel4insure a ceM1ilica�e ol Workers'
� Compensaiion Ltsu{apc� o� �ceJidiea copy I�ereof (Section 3800. Lab. fJ7 � O � 9 I
POLICY NO.: CAuCOMP 6 FIRE E%P. ORTE: V
OMPANY:
Ceriifietl copy is hereb fumish Cetlitied copy is �il - i uildin ivision.
�
Oa�er �� � Applicant: - /
E%EMPTION FflOM WOBNEHS' COMPENSA ION OECLAflPTIQN: Qhis seciion nee0 nol b¢ compl¢tetl if �he permi� is for One hunOreO (3100) or 1¢55).
I cetlify Ihal in the petlormance of �he work lor which ��is permil is issuetl,.l shall not employ any person in anY manner so as �o become
sublect �o Ue Workers' Compensa�ion Laws ai Califomia.
Date: Signature:
NOTICE: II, af�er makmg this tleclaration, you should become sublect to Ihe WOBers' Compensa�ion provisions of the Labor
CoOe. you must lotlhwi�h comply with suc� pmvisions or Ihis permit s�all 6e tleemed revoked.
CONSTBUCTION LENOING RGENCY: I hereby allirm �hat Ihere is a con5�mciion lending agency for Ihe Derlo�mance of the work �or
which Ihis permit i5 isSueA (Section 3097. Civ. C). ' ,
LENOEP:
aooeess:
OWNEF BOILOEP OECLABATION: I hereby ailirm Iha� I am eeempt fmm the Conlraciors' Slate License Law for ihe �ollowin8 �eason
(Seclion 7031 5 Business antl Pmlessional Code: Any ci�y ot coun�y which reduires a permii to constmct, al�er, improve, Oemolish, or
repair any stmcNre, prior lo ils issuance. alsa requires ihe applicant �or such permit to file a sipnetl s�a�ement that he/she is licensed
pursuanl to Ihe pmvisions oi �he Contractars' S�a�e License Law (Chapier 9(commencing wi�h Sec�ion 7000) o� Oivision 3 0l �Ae Business
antl Pmle55ion5 Coae) or Ihat he/She is exempl theretrom and Ihe 6a5i5 tOr ��e allegetl exemplion. Any violaii0n of Settion 7031.5 by
any aOPlicant �or a permii sublecls Ihe appticant Io a civil Denally ol nol more �han hve hunareA dollars (5500).
I. as owner of the propetly or my emplayees with wages as [heir sole compen5ation, will tlo �he woB, antl �he
❑ stmcWre is nat imended or offereA for sale (Section 70a4. Business antl Prolessional Code�. The Contmctors' State license Law
tloes not apPly lo an owner ol a Drope�y w�o Ouilds or impmves ihereon, and who does such work himself/hef5ell or Ihrough
• his or her own employees, pmvided Iha� such improvemenis are no� inlen0ed or otlere0 lor sale. I�, however �he buii0ing or
imOmvementis solA wilhin one year ol completion,the owner will bave Ihe hurden oi Draving �e/she ditl not 6uild orimD�ove
lor Ihe Ourpose of sale�. , ,
I,as ownera��he properry.am exclusively contracting wi�hlicensed conlrac�ors�a conslmctthe D�olec�(Secfion 7044, Business
❑' and Professions Cotle' The Coniractors' S�a�e License Law Ooes no� aOPly Io an owner o� pmperty who 6uilOs or improues �hereon
and who contracls �or such O�ojects with a contracmqs) license pursuanl to Ihe Comractors' State License Law�. I am aware
ihal pmol oi Iheir Worker's Compensa�ion insurance should be pmviAeO lo me.
� I am exempi untler Seclion: 8. 8 P. C. ' .
�.. for Ihis reason'. . '
Oate: � Ownec
I tlo hereby cenity t�at I am aware al antl untlerstand Ihe requiremen�s of Califomia Health antl Safely Code Sectiore 25505, 25533, and
25534 antl Ihal I or any lulure building occupant willlwill not (circle one) need to compty with said s�a�e cotles and �he requiremen�s far a
permil lar cons�mclion or motli�icaiion imm Ihe Air Ouality Managemen� DisUic�. Fesidenlial cons�mc�ion applications are ezempl trom
Ihese pmvi5ion5.
Daie'. Apphcanl'. _
I hereby cerlity��ai I have Bad this applicalion and 51aie ih�
or0inance5 antl staie laws relaling to hmltling cons�mction and
pmpetlY I r in50e or 0 r0o.
�a�e. _ ✓ V�� Siqnamre: _
oriveYs License or Social Searuy ar
I agree �o ca iih all ciry and
�hi5ciiy�oe onth�above�me
tfiat�afi Whne—Butl�ing. Green—Cotle Enlorcemen�; Canary—Applicam; Pink—ilevenue; GOldenro0—Assessor
CITY OF'COSTA MESA - BUILDING PERMI"C P�R :� 5
PERMIT NO: b 050651 PLAN CHECK NO: 00059-91 A 1: Y:
CONSTRUCTION.TYPE; ��-N FERMZT TYPE: STR PURPOS£: REP
JOB DESCRIPTION : REPAIR SETTLEMEN3 DAMAGE SQ FT; - 143
CLAIM VALUE: 19,300.00 CALC-VALUE: 14,300.00 GRUUP OCC; R-3 /
COMMENTS: BUILDING SETTLENENT REPAIR/FOUNDATION
�*�*+��*a�.*�c**�**x �****��****x*K*****x **�t*****��t�tu�***t�*���t**+�*��x*�t����t�r+� �***��*
Z O N I N G R n Q U I R E M E N T S
S E T B A C K S�
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR; FT IN
L E F T: F T I N R G H T; F T I N L n F T: F T I N R G H T: r T I N
PARRING REp • PROV; PARCEL; 93506124 ZNE: R2 REr NO:
PLANNING N(STES> FOUNDATION REPAIR.
� _ '
jf 3r #Eif iE if �E iF IE iE 1E �F iF iE 3f !F iF?f �f iE if �IF #� if �F 3F 3F �lE 3F # iF if if 3F �lE iE iE iF If iE 1E IF 3F 3E 3E iF iFlE 3f if iE iE iF iEiE aE if iE iE if IE 3F if if if �N� iF IE iFiF1E !E iF if iF �1E if iFlE
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 �ilJ �`- � DATE; OI lS �/
� ��
HUILDING APPROVED BY ; w��-i� f{-�7 DATE: ,__!�_[____
APPLTCATION ISSUED BY• DATE; �-
iE if 3f if iF if iE 3f 1f if if iF-If i(� iE iE 3F iF ik if 1F 3E iE iE iE iE if 3E i(� 1E iF ik��iF3E �7E
iE3EiFiEiE3k�kkiE�lEif�F�F3f�1F3E�E1ElF3EiflElE�fiF1E�EiEiE)FifiEiEdfiF�E1F lEfFjfif�lEiFiEiE�E�E1E3EifiFiFiE3E1fiE1E1fiE3EiE�Fif3PlfiEiFifiE3fiFiflE'FjFlf�f3fit
LEGALIZATION;N F'E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/RES GRADING
PERMIT 162.00 1.00
� .SMIP/NON-RE5
PLAN . 26.33
ISSUE FEE � �
BUILDII3G-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 163,00 0.00 • 26:33 1II9.33 1II9.33 • ,00
REVENUE DIVISION TOTALS--> COLLECTED: 189.33 OVER/SHORT: .00
BLDG PMT PLJMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECR
162,00 • 1.00 26,33
if 3E iF if� i(� iF 1f 3f iF iE iF if� 3(-%1F 1F iF 3ElF 3E 1f 1F iF 1F iE i6 iE iF 1E 1F 1f iE iE �7f If 1f iF if iE �k if if if ih �1E if 1f 3f if 3f if i(��lE 1F 3f iE 1F iF !6!f iF if iF iF �IE� iF �IE 3E iE #F iE iE iF iE iE 1E 3f IF if
I N D I V I D U A L F E n B R E A K D O W N
,
TYPE QTY .D E S C R I P T 1 O N UNIT COST TOTAL COST
SFR 143 STRUCTURAL�BY VALUE FER 5100.00 100,00 14,300.00
, END OF XBES ,
41 Ot7p1&E27-�00788?S a a7b"
DATE: U1/2314t IIftE: Qy:?�
CONSTRUCTION AND PLANNING PuJL & SPA
APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector
1. Temporary Electriwl Service or Pole. .', 52. Pool & Equipment Location •
2. Soil Pipe-Undrgrnd. '�^ �� 53. Steel Reinforcement .�
3. Electriwl Conduit Utility-Undrgrnd. � '� 54. Forms
' 4. �Electrical Conduit-Undrgrndl- ��„ 55. Electrical Bonding --"
5. Steel Reinforce'ment � 56. Rough Plumbing & Pressure Test -�
6. Electrical UFER Grnd. � 57. APPROVALTO COVER�GUNITE
7. Footings - 56. Electrica� Conduit-Undrgrnd.
• �
8. F,oundation in ;� 59. Gas Pipe, O Undrgrnd., Test �- r
9. Water Pipe-Undrg'rnd. ��i' ;�� 60. Backwash Lines, P�Trap, � Undrgmd. /�
10. Structurel Floor Systerr�i=� '' L�� 61. APPROVAL TO DECK � �! �
11. Property Sewer Line,& Hoaie�Connection 62. Backwash & Receptor-Final .
' ^ '
1Z. Seeve� CaP '; 63. Heater & Vent-Final _-
13. Roof Orains �%' .�r 64. Plumbing SYstem - Final �
14. RoughPlumbing �� .� �„; � 65. Electrical-Final j'�
15. Rough Electrical•Conduit' �.�r' 6 �� 66. Solar System-Final �,`
16. Rough Electric Wiring � (,i 67. Fencing & Access ApProval '�� f
17. Rough Wiring Sign �� _ 68. APPROVED FOR PLASTERING i
18. Rough Electrical-T Bar Ceiling ( 69. POOUSPA SYSTEMS FINAL /
19. flough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �
20. Rough Factory Fireplace � � ^• �APPROVALS Permit #
21.-Ducts, in Structure �. - � 70. Underground'.Hydro
22. Ducts, Ventilating • , . ' '77. Product Piping O Gas O�OiI
23: Gas Pipe-Rough & Test ' - 1 , �,. 72. Underground Flush� � �
24: Roof Framing � , J73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing ', ' ,� ;�;Y t"74. Overhead Hydro �
26. T-Bar Ceiling (Structurel) & Monocoat - � • 75: Dry Chemical - �
27. Frame and Flashing, � . . . 76. Dry Standpipe . .
28. lathing & Siding '� � i i 77.- FIXED SYSTEM FINAL
29. Insulation , � ` � ` �: , 7$, FiRE PREV. FINA�L -
30. Drywall Nailing � ' HEALTH�DEPT. REQUIREMENT
31. Plaster Brown Coat- ,. i � 79:"FINAL INSPECTION �
32. Electrical Power Meter-Final � .� � � 80. FOOD CERTIFICATE ISSUED
i
33. Final Electric, , � ' ' Notes: � , ,
34. Final Heating & Air Conditioning � i _ . .
�.
35. Final Gas Pipe-Tesr ' _ i ,� �' '
36. Hood or Canopy � � � � �J �
v
37.� Final Factory Fireplace ' ' ' ' . ,
38. Final Plumbing � �� � � I . .
39: Water Service�Final � � ' '
,'
40. Gas Service-Final � , . i ' � .
41. Solar pomesticFinal �• ' � _.. ' •
i � . p
42. Backflow Preventer I I r
43. Backflow Irrigation � � .
44. Landscape Irrigation System • . ., , � . -
45. Sound Attenuation � " .
� 46. Handicap Regulations - ' '
47. FINAL STRUCTURE & BUILDING ' �
i
48. FINAL PLANNING ., �� � .
49. Electric Release to Edison � �-
. 50. Gas Release to Southern California Gas Co ; i i
51. CERTIFICATE OF OCCUPANCY � . � . „ , . .
No. Date
�
COSTA MESA BUILDINGSAFETY DEPARTMENT �AY 7 3-76Pa��'Q� 74O'' i7�r'' Z� O.H7
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 �h- �
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Complete/y
HECEIVEDBV DATERECEIVED nnT��cc�mn
OWNER State-Wide Develo ers, Inc• q,p,�7p, 9�L—T�I�D��
BUIIDING
AODRESS 9 6 G' dla ADDAESS �Sz
Z .
a v ciTv C Y255 0�826-4550 TRACT
�z
Z Q CONSTflVCTION A
O � LENDER
am
J � BRANCH
J � OWNER
m J ADDRESS
m ARCHITECT TEL. 5 W aLt aI
�a s�eaa�A�a Pulaski ro 556-6610
N
w¢ ADORESS 17848 $k PaPk B1Vd Irvine io E TVPE
a W APGROVED
W Z CONTRACTOR State-Wide Develo ei�$ Inc. BY
J p
m
w� ADDRESS 9461 Grindla 20NE NO.OF
TEL.
Z � cirv No.826-4550 °w`�
w� STATE CITV VAROSAPPqOVEO
y� IIC. NO. 'z'z47�O IIC. NO. MAIN BUILOING
�� SIZE NO.OF BlDGS. (FROM C/L STREET)
OF LOT � 2.093 acres NOW ON LOT � ROM �3 FT.
VSE OF
E%15fING BLDG.
I� SI2E OF NO. OF
Z NEW BLDG. ROOMS STORIES L. SIDE IO FT.
�! C VEERINGALL a er CO�ER�NG ke REAF S�'FT. c
J USE OF BUILDING ANO WORK TO BE PERFORMED DIS7ANCE BET.
a MAIN BIDGS.
a
an-Condominiums CURP ��'�� �
y 1 Residence w/att gar /+�ROVED
p -�IOLD FOR aPEC
UI hereby acknowletlga thet I hava reatl this epplication antl state
� that tha abova Information is correct antl aprea to comply wit�
� ell lews re0ule[InB builtlinp construetion, antl I shall not employ
F eny perso� in vtolation af tha workman's wm0ensation laws af
y tha State of Celitornie.
ZI hereby certity that I em proparly licenutl as a eontractor under 1254 SQ. FT.
the Smte of Californie Business antl Profeuions Cotle, Divisicn 3, THE AMOUNT SHO�
Chapiar 9, end that such Iteanses ere in tull force and ect, or I THE PURPOSE OF E$
am exempt trom tha pro�Isions of tha State of Celifor i Business V ALUATION
entl Professions Cotla, Dlvislon 3 Chaptar 9. �
State-Wide beveloper , c. 3��00^
, Slpnatura o �
Permlttee �
AutharizeAAOeni Vice President
USE OF NI
BUILDING
VARDS
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STATE-WIDE
JOB ADDR
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SUBCONTRACTOR
ROUGH PLUM6ING
PROP. SWR. LINE
MISCELLANEOUS
FOUGH HEATING AN� AIR CONOITIONING
TEMPORARV SERVICE OR POLE
UNOERGROUN� � POWER �
ROUGH WIRING
TRENCHES � FORMS � STEEL REINF.
FLOOF SYSTEM -
90N0 BEAM I-I STEEL REINFORCE I I
SHEATNING
FRAME AND FLASMING
LATHING - IN lIT
PLASTER, BROWN COr1T '
STFUC7URAL,FINAL
HEATING. VENT.. REFRIG. FNO F.C.. F
ECTRIC, FINAL
ILOING, FINAL