HomeMy WebLinkAbout852 BEAR ST - Building PermitsPNPIECT FDDFESS: R S 2 B EAR CREEK
OWNEH'SNAME: VILLAGE CREEK HOMEOWNERS
nooREss: ASSOCIATION
3429 TIMBER LAKE
CM VA 92626
UNIT:
pflCHIENGINEEfl: CHESTER CARVILLE eec.xo.: C18305 �
aoowEss: 7922 ARMOUR ST uxiT:
S.D. CA 92111
PEflMITTEF. P$OENIX ENTERPRISES INC, f213 ) 690-9559
aooxess: 411 COMERCIAL WAY
LA FiABRA CA 90631
IILEN5E0 CONTBRCTOP DECUIBATION: I �ereEy allirm Ihal I am 1¢ u r pmvisions ol C�ap�er 9(commencinp with Seciion
7000� ol Division 3 0l Ihe Business antl Pro�essions Catle. anA m z� i n Iliorce an0 —
ciTvuc.: 5 7P8 a uc.:376639 c s:
Oate: � � � � Signalure:' _� —
WOflNEflS' COMPENSATION OE UIPATION: I �ere0y alhrm t�at I Have a cetliliwte of con5eni �o selbins or a tetlilica�e al Workers'
ompensation c �ilieU co �nereol ISecUon 9800, la�.
�oucr xo.: ��� ��� PY exr, ont �� O 1/ 91
,+�,OMPANY: CA COMP 6 FIRE
YJ CeniC copq �s hereby tw�' ❑ CenitieC copy M' w « city 8u 1/Mn 's+ n.
/
Date: Z �_ Applicant: � V
E%EMPTION FflOM WOPKEBS' COMPENSATION OECLAPATION: (T�i55¢f�ioniMetl noI �e camplel¢a il lhe p¢ iI i5 �Or one huntlre0 (5100) of 1e55�,
I cetlify �hat in Ihe petlormance o� the work �or which �his permit is issuetl. I shall no� employ any person in any manner so as lo become
sublecl lo �he Worker5' Compensalion Laws al Califomia.
Dale', Signatura
NOTICE: Ii, alier malting I�is declarabon, you shoWd Decome 5ubjecl to the Workers' Campensa�ion provisions ol lhe La6o�
Cotle. you mus� lotlhwi�h comply with such pmvisions or Ihis Pe�mit shall be tleemetl revoked.
LONSTBUCTION LEN�ING RGENCY: I here�y allirm Ihai ��ere is 3 consiruc�ion lenaing agency for ��e petlormance of �he work for
whicn ihis oermit is issuetl �Section 3097. Civ. C1.
lENOEfl:
IIOOPESS:
OWNEN BOILOEB OELLRMTION: I �ere�y aflirm IAaI I am Cx¢mpt �mm the fAntrattors' State License Law for the lonowinp reason
(Seclion 7031.5 Business and Pmfessional Cotle: Nny city o� wuniy which repuires a Oermi� lo conslmc�, allet, impmve. OemoliSA. or
repair any simcmre. prio� io iis issuance. atm repuires t�e ap0�iwn1 lar such Oe�mit io lile a signe0 staiemem tAa� hNSAe i5licenseG
pursuam m t�e pmvisions oi �he Coniratlors' Sia�e LicenSe Law (Chap�e� 9(commencing vm� Settwn 7000) ol DNision 3 0l t�e Buvneu
and Pro�¢ssi0n5 Catl¢� Or,ihal he/S�e is exempl l�erelmm an0 ��e basi5 �of Ihe allege0 exemD�iOn nny molalion of Sec�ion 7031.5 Uy
any applicant �or a p¢rmii su�le«5 t�e appliwni to a civil penalry 0� no� more �han five hunOred tlollars (SSOU).
� I. as owner ol Ihe propeny or my employees with waAes as I�eir sole compensa�ion, will Oo �he wolk, antl lhe
stmcWre is not intenEetl or oilere0 for sale (Section 704d, Business and Professional Cade: The Caniractors' Slate License Law
Ooes not aD01y la an awner ol a D�oOe�Y who huilas or imD�aves thereon, antl who tloes such work himseli/�erself onhmuph
his or �er own employees, pmvi0e0 i�at such impmvemenis are not intendeU or oifered for sale. Ii, Aowever �he �uiltling or
impmvemem is so10 wi�hin one year of compleiion. ihe owner will have ihe hurtlen ol pmving he/she dia not huild or impmve
�or Ih¢ purpose o� sale�.
.I. as ownero�ihe propeny, am eKclusively con�rac�ing wil�li�ensed coniractorsto canslructt�e prolecl(Sec�ion 7044, Business
❑ antl Pwlessions CoUe: The Coniractors' S�a�e LicenSe Law does not apply to an owner of pmpetly wha bwltls or improves ihereon
antl who convactsfor such prole<�5 wil� a coniractoq5�iicense pursuant�o I�e Contraclo�s' S�ale License Law�.l am aware
thai pmot ol �heir Warker'S Compensa�ion insurance should be pmvidetl �o me.
� 1 am exempt uneer Sectian: B. 8 P. C.
lar this reason',
Date: Ownec
I do here�y cetlily ��al I am aware al and un0erstan4 ��e requiremen�s o� Calilamia Heal�h anG Sa�ery Cotle S¢tlions 25505. 25533, and
2553<and ihat 1 or any imure hui�ding occuDam wilVvnll not �circle one) neetl lo camDN ��h sai0 state cotles and ihe reQuirements for a
Dermil lor ton5tmction or moAilica�ion imm �he Air Oualiry Managemen� OiSViC�. fles�denlial ConSimCliOn apD�iCa�ion5 are exempi imm
Ihese pmhsions.
�a�e: Applicanl:
I hereDy wtlily�hailhavereatl Ihis applitaiion antl Stale�ha��he . 0 in� maiionis corre ' agreeio compty wit� ailci�y an0 coun�y
ortlinancesanOstalelawsrelatinglo uil ingcon9mclionandne ry �hor ce resentativ of isi yloen uponihea�ove-mentione0
pmp¢tly f in5pe•"�n ^u Oses
Oa�e: � �� SlgnaWre'.
ori�e� s �icense ar soci i securi�y a�
1641-a6 White—Builtling; 6reen—Code Enbrcemenl; Canary—�Applicant: Pink—Revenue; GalEenrop—Assessar
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B } q
PERP4iT NO: B 050699 PLAN CHECK NO; 00061-91 A GOVT; N SUPP:
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: REP
JOB DcSCRIPTION : REPAIR SETTLEMENT DAMAGE S� FT: 143
CLAIM VALUE: 14,300.00 CALC—VALUE; 14,300.00 GROUF OCC; R-3 /
COMMENTS: BUILDING SETTLEMENT REPAIR/FOUNDATION
**�*+��*�**��*+�� u *�c•***�x�****+�**+�**��*�t*�c+�� �**�c-*******�x****�*x�+� *x��*#���*��r**x * �*
Z O N I N GS ERTEB�AUCIRRSE M E N T S
---------- MAIN BUILDING ---------- ---------'ACCESSORY BUILDZNG ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR; FT IN
LEFT; FT IN RGHT: rT IN LEFT: FT IN RGHT; FT IN
PARRING RE�• PROV: PARCEL: 93506124 ZNE: R2 REF NO:
PLANNING N 'fES> FOUNDATION REPAIR,
i
If dF N� lf iF if 1f lE it 1f iE jE iF iE if 1F 3E 1F If iE If if IE iE iE N� i(� 3F if !f )f 1E iE iE �E�F iE 3F if if iF iF if IE iE jElf iE M� k i(� ih Ik iE 3E If 3r 3f iE �IE lE iE if 1f iE aE iE 3ElF jf i6 fF If iF 3(� 1't iF iF 1!
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 BY _�/J �� � DATE; OIIS`�l
BUILDII3G APPROVED BY ; L� 1 C_ e7 �1—�^-- _ DATE: �
APPLICATION ZSSUED HY; DATE:
1(�lEiF3FiE1F3EiFlfiFifiEfFiflEiEiElF3fiEiE3f . Fii� � if�1EiE�lE#iFiFiF�lfif�iFiF#EiE
if iF 3k if iE if jf if �k 1E iE 3F aE 1E iE 3E iF jk 3E iF 1E 3E iE if iE iF iF df iF if �f � �f 1E iE' � 3F if iE iF iE �E jE iE �F iE •]F iifF !F!F 3E iF ff iF if if !F if iE iFlf ±E iF If fE �f jE fF if• if 3F I(� if if iE iE N�±F
LEGALZZATION:N F E S U M M A R Y STRUCTURAi SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC .MECHANIC FZRE SMIP/RES GRADING
PERMIT 162.00 • � 1,00
� SMIP/NON—RES
PiAN 7.6.33 -
ISSUE EEE
BUILDING—DIV—> PERMIT IsSUE PLAN—CHECK ' TOTAL PAID. DUE
TOTALS----> 163.00 0.00 26.33 189.33 189,33 .00
REVENUE DIVISION TOTALS--> COLLECTED: 189,33 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC, FIRE SMIP/TOT GRADING PLAN—CHECK
162.00 1.00 26.33
IE IF iF iE if 1E #3EiE IFlF aF 3f iF If iE 3f iF 3f !F if 161f if iE if fF IE 3F �F iE aF ib iE iE iF iE IE iF 1E ik if:�4 X� iF 1F 1E k iF �E �E * iE ib iE jE 3E ik iE 1E 3f �f * iF # if k%iE # IF if �t �F 1E iF If �k if
I N D I V I D U A L F E E H 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 5100.00 100,00 19,300,00
END OF FEES
01 f3D078821—GGOi&E?3 Y CA�' 1�4,"s=
OATE: O.t/2�i91 7IqE: 09:I?
/
CONSTRUCTION AND PLANNINv " & SPA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
.+ /
1. Temporery Electriwl Service or Pole ' 52. Pool & Equipment Location t
2. Soi1 Pipe-Undrgrnd. "�. �_ 53. S[eel Reinforcement ���r
3. Electrical Conduit Utility-Undrgrnd. � 54. Forms �
-a.
4. Electrical Conduit-Undrgrnd^_. �� y' 55. Electrical Bonding ""''-'�
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6.. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE �
7. Footings 58. Electrical Conduit-Undrgrnd. �;��
8. Foundation j�� i�r. 59. Gas Pipe, � Undrgmd., Tes[ �
: /y..
i. �
9. Water Pipe-Undrgrnd. �� �� � ;�, =--� 60. Backwash Lines, P-Trap, O Undrgmd. `' �
10. Structural Floor Systemf ='� �. 61. APPROVAL TO DECK --^
71. Property Sewer Line &�Floug2 Connection - 62. Backwash & Receptor�Final
��
T2. Sewer Cap ,. ' . ' " 1 "I ; � 63. Heater & Vent-Final ''`� ��
�' �
13. Roof Drains � f �' �� 64. Plumbing System � Final :�
14. Rough Plumbing ��.',.,,�. ; 65. Electrical�Final '
15. Rough Electrical-Conduit ' 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access ApP�o�al
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. FtEQUIREMENT
.
20. Rough Factory Fireplace • - � • APPROVACS Permit #
�
21. Ducts, in Struaure. � � � 70. Underground Hydro
22. Dutts, Ventilating �� i 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough &�Test , _ , , � 72. Underground Flush� - �
24. Roof Framing ' � ' • 73.' Undergmd.StorageTank OGas ❑Oil
25. Roof Sheathing ' �74. Overhead Hydro _
26. T�Bar Ceiling (Structurall & Monocoat ' 75. Dry Chemical , ' •
27. Frame and Flashing ' . 76. Dry Standpipe � . -
28. Lathing & Siding - • ' � � � � � 77. FIXED SYSTEM FINAL" ,
29. Insulation . ( ' i' 7g, FIRE PREV. FINAL •
30. Drywall Nailing I,�: HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat I I i .79�. FINAL INSPECTION ,
32. Electrical Power Meter�Final . I ' � 80. FOOD CERTIFICATE ISSUED �
33. Final Electric ; �. � � � �� Notes: ,
34. Final Heating & Air Conditioning � I . F. , . - .
35; Final Gas Pipe-Test � I ' ` �
36. Hood or Canopy ' � ' � � �. `
37. Final Factory Fireplace ' . ,
38.�Final Plumbin9 . - � i . �
39. Water Service=Final �
40. Gas Service�Final , . . -
41. Solar pomestic-Final' _ •
�
42. Backflow Preventer � I I � , . � �
43. Backflow Irrigation '
44. Landscape Irrigation System . � �_ .
45. Sound Attenuation • � �
46. Handicap Regulations . " � �-
47. FINAL STRUCTURE & BUILDING �� Q � � 1 �
48. FINAL PLANNING � 1 G
� �
49. Electric Release to Edison � � .
i �. �
50. Gas Release to Southern California Gas Co � � j
51. CERTIFICATE OF OCCUPANCY .
No. Date
v�vcn RTpTE.W�DF. Devel�pers� Tnc_ �^'� v�o io
JOB ADDRESS fi5� Aeux� (`reek BUILDING PERMIT N0. 41750
AP No.I46-054-I3I''""LOT TRACT 8858 F
GAS �
WATER
FOUGH PLUMBING
PROP. SWR. LINE � HOUSE CON. [�
SPRINKLING SVSTEM
MISCE�LANEOUS
ROUGH HEATING AND AIR CONOITIONING
TEMPORARV SERVICE OR POLE
UNOERGROUNO � POWER �
ROUGH WIRING
TRENCHES � FORMS � STEEL RE
FLOOR SYSTEM -
fRAME AND FLASHING �
LATMING - IN / OOT
PLASTER, BFOWN COAT
STRUCTURAL, FINAL
HEATING. VENT., REFRIG. AND P
PLUMBING. FINAL lN0 GAS TE51
FINAL
SUBCONTRACTOR
�-ZONE R2-CP
Z .
Ww
aV
z
z¢
ON
am
J �
J N
Q W
m J
•m
J Q
U �
2 a
w�
aW
W Z
J �
m Z
J �
W
0 =
?r
w�
� �
H
Z
Q
U
J
a
a
Q
0
�
z
O
F
U
�
�
r
N
Z
4..1.75E�
COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
eu��o�N� g52 Bear Creek
ADDRE55
OWNER State-Wide Developers, I
ADDRESS 9461 Grindlay
TEL,
GTV CVDY'PSS NOA
BRANCH
ADDRESS
ADDRE55
ADORESS gq61 �rindla
CITV Cypress
�?c No. 224710
OFLOT �G.093 acres
USE OF
EXISTING BLDG.
SIZE OF
NEW BLDG.
E%TERIOq WALI ._a� er
New constructi
1 Residence w/
TEL.
No.tSLb-9
CITV
LIC. NO.
NO. OF BLDGS.
NOW ON LOT
PEFFORMED
I ha�aby acknowledBo Nat I heve reatl thia appllcati0n antl sta(e
thet tha abova Information ia correct entl eBrea to comply wiih
ell lawa reBulatinB buildin8 �onrtruction, antl I s�ell not amploy
eny Dorson In violation of the workTen'a compenseiiOn laws of
tha State of Calitornle.
I heraby cartify that I am properly licenxetl es a contrector undar
tho State of California Businass antl Profesalons Cotla, Dlvisicn 3,
Chepter 9, end that such �icensas ere In full force end tfect, or i
am ezempt from tha provisions of the Stata ot Califor e Business
ontl Professi z C tla iy� ion Cha ter 9.
3'�aieel�i�e �evegoper , c.
Slpneture o
Permlttee -
AuthorizetlApant Vice President
'a;,Y 13-76�M�-`.,OQ 747_:F ��*238.Z3
APPLICATION FOR BUILDING PERMIT
RECEIVEDBV DATERECEIVED nexwcimn
A.P. NO. /fd —
BUIIDING ��7
ADDRESS �p�
TRACT �a
APPROVED
ZONE NO.OF
/j2 cX� P�o.rs 2
VARDSAPPROVED
VAROS APP
BLOCK
REAR �FT. � FT. �_
DISTANCE BET. BET. MAIN &
MAIN BIDGS. ACCEQ. BLDGS.
VAR.#t DATE
C.U.P.�� APGflOVED//5�
APPPOVE ✓ �� ��/
�o
I�OLD FOR ECIAI REQUIRFsyi _ S
I YOV SQ. FT. U-04�
THE AMOUNT SNOWN UNDER VALUATION IS FOP
THE PURVO6E OF ESTABLISHING A PERMff FEE ONLV:
VALUATIO�
PERMIT FEE $ � �/
$��f' , O PLAN CHECK $ I o'G!
mp
d
;
¢
N
�
m
E
o`
LL