HomeMy WebLinkAbout850 BEAR ST - Building PermitsPflOJECT R�OHESS: 8 S O B EAR CREEK uNiT:
OWNEfl'SNAME: VILLAGE CREEK HOMEOWNERS
aoueess: ASSOCIATION
3929 TIMBER LAKE
CM VA 92626
ANCN/ENGINEEfl: CHESTER CARVILLE eEc.xo.: C18305
AOUflE$$: %9�.�, ARMOUR ST UNIT:
S.D. CA 92111
PEflMITTEE: PHOENZX ENTERPRISES INC. ( 213 ) 690-9559
nooxess: 411 COMERCIAL WAY
LA HABRA CA 90631
LILENSEO CONTflACTOH DELLAflAT10N: I heieby aflirm Iha� I am li ¢a u r pmvisions of ChaO�e� 9(commencing wit� Sec�ion
7000� ol Uiv:sion 3 al �ne Busines: ana Pm�essions CoCe, anE m� c.e is ull lorce anG ¢if�
ciTruc.: ,507 8 �n uc.:376639 H
��. �ale: Signalure: _ _ — _ —
'�. fOflKEflS'LOMPENSATIONUECIAMTION: IhereOyallirmt�allhaveaceniliWteoftonsenitoself-insureoracenificateolWorker5'
vnpensation c rUiietl copy ��ereoi (Seciwn 3800, LaD.
�.icv xo.: ��� ��� E%P. OPiE: 7� O S I 9 S
.OMPRNY: CA COMP 6 FIRE
� Cenilie cooY y5%r¢b i�ahe ❑ Cenifietl cooY is - � n '•�Din n.
Da�e: S � qpplicant:
E%EMPTIONFHOMWOHNEflS'COMPENSATIONOECLAPATION: ((hi55Kiion e�nolbecOmplet¢di�fAepermilislorOn¢hundre0�S100�or1e55).
I cenify Ihal in ihe pedormance ol Ihe work lor wnich tnis oermit is issue4 I shall not employ any person in any manner so as to become
suCletl to ine Workers' Compensaiian Laws ol Calilomia. '
Oale: Sipnature: - -
NO710E: II, a0er makinq this tleclaration, you shoWd become sublect to Ihe Workers' Compensa�ion pmvisions of the Labor
Code. you must bnhwilh comply wilh such O�ovisions or ihis Oermit shall Ue Oeemetl revoketl.
CONSTNUCTION 1EN01NG RGENCY: I nereoy aifirm �ha� Ihere is a conslmction lenaing agency for ine De�ormance of the work for
which lhis permii is issuetl (Settion 3W7. Civ. C).
LENDEfl:
nooxess:
�
��
CITY OF COSTA MESA - BI7ILDING PERMIT PERM NO; B OS0648
PERMIT NO; B 050648 PLAN CHECY, NO: 00062-91 A GOVT; N liPP:
CONSTRUCTION TYPE; V-N PERMIT TYPE; STR PURPOSE: REP
JOB DESCRZPTIOU : REPAIR SETTLEMEhT DAMAGE SQ FT: 143
CLAIM VALUE: 14,300.00 CALC-VALUE: 14,300.00 GROUP OCC: R-3 /
COMMENTS; BUILDING 5'nTTLEMENT REPAIR/FOUNDAiION
It iEiF i(� �1E iF �E iF it iE if IF iF IF 1E 3E iE if !f iElE�IE If !'r 3E 1E �lf 1F It 1f iE fE �k if iE jE?E iElf if if if 1F !E 3E iE K� �(� ff if If iE 3E }f iF IE iE i+� 3e iF k±f iE 3e ih iF )f !F 3E #)F �)E K� if iE �Fif �f if
Z O N I N G R E Q tJ I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR• FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT; FT IN LnFT: FT IN RGHT: FT IN
PARKING REQ• PROV; FARCEL: 93506129 ZNE: R2 REF NO:
PLANNING N�STES> FOUNDATION REPAIR.
>
3E 1E iE�R if jF iF if iE iF if iE if iE if IElf af 1E If 3f 1F if iE iF 3F if if iF if �lf if �)f iE jE 3f jE iE 3E iF iE �f !E 9f if 3k If iE IF 3f-lF lf 1f # 1F if IE iF iE le if iE it 3f iF IF IE iE IE 3F �f if if # iEjf iF IF�lE
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 I j/�/ -�7 � DATE; by/$�/
BUILDING APPROVED BY : `-.i / [_ ,tJ'71-�., DATE; �
APPLICATION SSSUED BY• DATE:
*x�*+��*****x�**K�+�**�**i� , . �*�*��***x���*�
7F3Fi(�9FlEM#h1EiEiE3h3FaFaf�EjE3fiH1EN�3FK�lEikfElF�N�ififlF�FifiElFiEifi �3E�Ed4ifiE3F�E�fihif3EiE1E1fiE3fjFiFN�if�14IF1FlF3FiF1E3Eik�3E�!-3fifififiFifiFikiFif
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
OwNeFl BUI�OEN DECLi1HA710N: � hereby a��irm ihat � am exempt �rom the Coniractors' State License Law �or �he rol�owing reason HLn�'i pM'r PLUMB ING ET eCTR IC MECHANIC FIRr. SMIP /RES GRP.D ING
ISection 7o3t.5 Business ana Pmfessional Code�, Nny city oi county whicn requires a permit to consimct, altec improve, tlemolisn, or P$RM I T 1 6 2�. � � � • 1 0 Q
r¢Oair any s�mtlur¢. prior l0 iis i55uante. als0 requires Ihe ap0liCanl lor Sut� Oe�mil Io lile a SiBnea s�a�emeni thai he/She is IiCen5e0 ' „�,�'T/j,i �l �]�j�T] 'fZES
Dursuant io the D�avisions ol ihe Coniracmrs' S�ale License Law IChapter 9 �wmmencing vnth Section 7000� of Division 3 ai me eusiness p LAN 2 6. 3 3 �
ana Pmfessions Code) ar ihai �e/s�e is exem0� �hereimm an0 ��e basis lor the alleAetl exempiion. Any violation of Seciion 7031.5 by IS$UE F.EE
any applicanl lor a Dermi� su0jects the applican� to a civil penalty ol nol more t�an live hundred dollars ($500�. � ' '
BUILDING-DIV-> PERMIT ISSUE PL'AN-CFIECK TOTAL PAID DUE
I. as owner of tAe orooeny ar my employees with waAes as iheir sole comp¢n5ation, will Eo Ihe work, and t�e
�� stmcmre is noi intenAeO ar aflereG br sale (Secuon 70aa. Busineu ana Pmfeuional Cotle: The Cantracbrs' State License Law TOTAL S--- —> 1 fi 3, 0 0 �. 0 � 2 6. 3 3 18 9, 3 3 18 9. 3 3 , 0 0
aoes not aDPlyto an owner oi a D�openy wno OvilOs orimproves ihereon, ana wha Oaes sucn work himself/herself orihmugh
� his or her own employees, pmvi0ed thal sucn impmvements are not imenaed or ollereU lor sale. 11, however me buiming or REVENUE D.I V I S IDN TOTALS--> COLLECTED • 189 , 3 3 OVER /SHOkT • D 0
imPmvemeniissomwitninoneyearoicomoieYon,tneownerwiiinavetneouraenoio�ovingne�sneoianoteuiidorimprove $LDG FMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECR
lor �he Durpose ol sale�. S 6 2. OO 1, 0 0 2 6. 3 3
I, a5 owner ol Ihe pwpetly, am eMtlusivety COnlratiing wilh IitenSeU toniratlots Io con5imtl t�e pmleti (Seciion 70Ad, Bu5ine55
❑ anOProleS5ion5CoUe: TAeCqnlratlorsStateLicenseLawUcesnotapplylaanownerafpraperrywhoGwlEsorimDrovesihereon *****�****�**�**************µ��***#************�**�*********�*****************�
antl who comracis lor suc� Drojects with a conVactoqs)license pursuanl �o t�e Contraclors' S�ate Litense Law�. I am aware -
ihal pr0ol ol �heir Worker'S Compensa�ion insurance ShoWA be D�ovi0e0 to me. I A1 D I V 1 D U A L ,F .& fi B R E A F� D O W N �
� I am eaempi undet Seciion: 8. 8 P. C.
iormiz�easore . TYPE QTY D E S C R I P T I O N , UNIT COST TOTAL COST
oate: o�.�er: SFR 143 STRUC'PURAL BY VALUE PER "�100.00 100.00 19,300.00
I Go �ere0y cemfy inat 1 am avrare ol anE unEe�s�anG i�e reQuirements ol Californu Healih anA Salery Catle Sections 25505. 25533, antl r
2557< an0lha11oranyluWre buil0ing oauDanl vnlUvnilnol (tirCle ane�neetli0 tompty vn[h Saitl Staie co0e5 ana I�e requirtments for a
permii lo� consimclinn or motlilicalion Imm I�e Art Oualily Managemeni District. Pesiden�ial consimttian applications are eaempt �mm
Ihese pmvisi0n5.
Date: ADOlicam:
I�ere�y cer�ilyi�a� I havereatl I�is applicalion antl siatel�at Ih Oo inl alion is correct. I a comply wit Ilciry anE couniy
orAinancesantls�alelawsielalinglobuiltlinqconsimclionantl� y �hor r¢pr emativesolt ly enleru0on eabove�men�ionetl
pm0erty � msp¢c/l1mn/jjy/�rpose i
Daie: �� / .1�.—� � Signaiur¢: _ _
�-6 l
Oriver's License oi Social Securily N:
i6at-a6 W�ae—Builaing; Green—CaOo Enlo.cemam: Canarv—AoulicanL Pink—Revenue: GOldenro0—Assessor
END OF EES
oi oaa7psi�-o�o���a.o �Ii jai..i.�i
D"nTE: D1/%3141 7:(iL: Q�:17
CONSTRUCTION AND PLANNIfo � $ SPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
1. Temporary Electrical Service�or Pole �52. Pool & Equipment Location �'
c �
�
2. Soil Pipe-Undrgmd. �� , j� 53. Steel Reinforcemen[ �
3. Electrical Conduit Utility-Un�drgrnd. �� � 54. Forms 1.
4. Electrical Conduit-Undrgrnd�- _' 55. Electrical Bonding _ -^
5: Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical�UFER Grnd. 57. APPROVAL TO COVER•GUNITE
7. Footings � 58. Electrical Condui[�Undrgrnd. ��
. 8. Foundation � i�� ��, � 59. Gas Pipe, O Undrgrnd., Test �.'-
9. Water Pipe-Undrgrnd. �' � . i%� 60. Backwash Lines, P�Trap, O Undrgmd. �-�
�/
10. Structural Floor Systemi �"'� ` i, 61. APPROVAL TO DECK •
11. Property Sewer Line & House Connection i 62. Backwash & Receptor-Final .
12. Sewer Cap ' � /�'l 63. Heater & Vent-Final ��
73. Roof Drains r�� �' 64. Plumbing System � Final ����
14. Fough Plumbing � �� 'J 65. Electrical-Final '��'
15. Rough Electrical-Conduit �- 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 Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � APPROVALS Permit #
21. Ducts, in Structure � 70. Underground Hydro •
22. Ducts, Ventilating � � 71 . Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test , ', 72. Underground Flush
24. Roof Framing �• - 73: Undergrnd.StorageTank OGas ❑Oil �
25. Roof Sheathing '" . � 74: Overhead Hydro
26. �T�Bar Ceiling (Structural) & Monocoab � 75:� Dry Chemical
27. Frame and Flashing . � 76. Dry Standpipe ,
28. Lathing & Siding �� � 77. FIXED SYSTEM FINAL _
29. Insulation ' . � (.( 76. FIRE PREV. FINAL
30. Drywall Nailing I � � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � I �. 79. FINAL INSPECTION
32. Electrical Power Meter-Final � I I 80. FOOD CERTIFICATE ISSUED �
33. Final Electric . I I �'. Notes: , ,
34. Final Heating & Air Conditioning. ' I � � �
35. Final Gas Pipe-Test - ' � I ,f, ' •
36. Hood or Canopy � �
I �
37. Final Factory Fireplace " � +
38. Final Pl�mbing , • � ( -
39. Water Service�Final � I
I
40. Gas Service-Final . � � , , .
41. Solar pomesticFinal � � � � -
� .
42. Backflow Preventer . ' j � �
43. Backflow Irriqation • '
44. Landscape Irriqation SYstem �
45. Sound Attenuation • �
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING � � � :
46. FINAL PLANNING � I ' I
49. Electric Release to Edison
� � �
50. Gas Release to Southern California Gas Co i �
51. CERTIFICATE OF OCCUPANCY , , .
No. Date
�I
�
�
7HOJECT p00flESS:
OWNEN'SNRME: BSO BEAR CREEH
� aooness: VILLAGE CREEK H2O,A,
3429 TIMBER LARE
COSTA MESA, CA 92626
� AflCN/ENGINEEN: S S 3— 1 S % 6
RUONESS:
NEG.NO.:
uNiT:
UNIT:
PEXMITTEE:
nooncss: PET6RSON ROOFING ( 714 ) 979-7111
(�(3�0�0T6� ENpTCEnRPRISE �+p�o p
LILENSEO CONTflACTOP BEClAiEIiIOP�`Ylrtrtoy allirm I�a� I am lic¢nse0 unOPrp�av�5ro����pRr 9 �comm¢ndnA ��h Section
7000� ol �rvision ] ol I�e Business and Pm�essions Code, antl my lic¢nse is in lull br[e antl ellec�.
CITVLIC.: � 5 sTare��c.:60787 c s:
Oate: Siqnamre: � —
WONNEB$' CO PENSR110N DECIABATION: I A¢reby al�irm Iflal I �ave a te�i�itale oi CO ¢nt 10 Sell�in5ure ar a Cefii�ica�e a� Workers'
Comoen5ation Insurance. or a cenilie0 coDY �hereof (Sectian 3800. �aU. C�.
roucrxo.:1021355-93 exr.oare: 04/01/94
'' COMPANY: ����� �*"m�
❑ Cenilietl p r I ni����i� Cenilied coDv �s lited wiln t f, ciiy i inp oi ' ion
oate'. ApDlicanl:
E%EMVfION XOMW flKEflS'COMPENSATIONOECLAMTION: (IDiSsetlionneMn0l�etOmpl¢� ilthepermiti5laronehuntlreG�5lql�orkss�.
I cetlify ihat in Ihe pedormance of the work �or whic� this Dermit is i55ue0. I shall not employ any person in any manner so as to �ecome
wGjetl �o Ne Workers' Comp¢nsa�ion Laws ot Calitomia.
Oale: Signamre:
NOTILE: If, afler making IAis declaration, you shoulA become su�le�� �o the Workers' Compensalion provisions of IAe La�or
CoAe, you mu5i �orihwith camply with suc� provisions or Ihis permi� shall De AeemeU revoked.
CONSTPIlCTION LENOING AGENCY: 1 �ereby allirm that there is a consimclion lentling agency for ��e Dedormance ol the work for
which Ihis permii is issued (Section 3097. Civ. C�.
lENOEX:
AODHESS:
OWNEB BUILOEfl DECLAf1ATI0N: I hereby aflirm t�al I am eremp� Uom Ihe Conlraclors' State License Law lor ihe following reason
(Sec�ion 7031.5 Business ana Pmlessional Coae: Any city o� couniy whicA reQuires a permii to con5Uuc1, al�er, improve, Oemolish, or
�epair any s�mc�ure. D�ior to iis issuance. also reQuires Ihe apDlicanl lor such permit Io lile a SiQneG sta�emen� tha� hGSAe is IicenseA
pursuam io Ihe provisions af �Ae Comracmrs' State License Law (Chapter 9(commencing wilh Section 70W) ol �ivision 3 0l t�e Business
aM PmIe55ion5 Code) or �hal he/she is eKemp� I�ereimm antl Ihe 6asi5 for �he alleAetl eeemption. Any violation ol Seclion 7031.5 hy
any apPlicanl �ar a permil SUElectS t�e-appiiran� la a civil penatly ol no� mor¢ I�an live �wMBd dolla2�5500�. __ .
1. as owner oi ��e pmpeny or my employees wiN waAes as �heir sole compensation, will do the work, anA Ihe
❑ stmcwre is nai inrenae0 or offeretl for sale (Senion 7Daa, Busineu anU Profeuianat Code: The Contractors' State License Law
does noi aooly to an owner of a prop¢ny who Euiltls or improves inereon, and who Uoes such work nimsell/herself or inwugh
�is or �er ovm employees. pmvi0e0 Ihai such im0��'emenis are not inlenCM or oflere0 �or sale. 11, how¢ver �tre �uilding or
Improvemen� is solE wi�hin one year o� comple�ion, Ihe owner vnll have Ihe burden of provinA �elshe diA no� builtl ar impmve
lor Ihe ourpose of sale�.
I, as awner o� IM1e pwpe�Y. am extlusiv¢Iy conlraciing wilh licensetl coniraclors �o consiruc� �he pmletl (Section 704E, Business
❑ an0 PmleSsionS CoOe: The Coniratlors' Slaie Lkense Law dces not apDM �a an owner o� propertp who GUA05 or imprOveS ihereon
antl who conVac�s �or such pmlec�s vnth a conlraciar(S) license Dur5uanl �O lhe fAnlfaC�orS' S�a�e License Law�. I am aware
Ihal D�ool of Iheir WOBer's Campen5dtion insutance ShoWG be proviCeO to me.
� i am exempi un0er Sectian: B. 8 P. C.
lo� I�is reason:
Da�e: Owner.
I ao hereby cenify Iha1 I am aware ol antl untlerslana Ine requiremenls of Califomia,Healih ana Saleiy Coae Sections 25505. 25533. antl
2553a antl iha� 1 or any IUWre UuilOing occupam vnlVwill no� (circle one� neeU lo comply wi�� SaiC s�a�e cotles anG I�¢ requiremen�s �or a
permi� lor conslmclion or mo0ification Imm Ihe Au Ouabiy Managemen� DiSiricl. flesiQential canstmt�ion apDlications are exemp� Imm
ihese pmvisions.
Oale: ApP�i[ant:
I hereby reridy I�at I have reatl thi5 applica�ion ana 51a0
oidinances an0 5�aielaw5 rela�inglo buileing consimction
pmperty br inspeciion purposes.
Oa�e: � Signamre:
'�, Oriver's icense r Social Securily a: ' � ��
1641-46 WM1ite—Bmltling, Green—Code Enlorceme
lo compN ��� all ciry and counry
to en�er upon ihe above-mentionetl
�ink—Revenuo: Goltlenmtl—Asseswr
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 063945
PERMIT NO: B 063995 PLAN CHECK NO: N GOVT; N SUPP; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION ; T/OFF SHEATH REROOF W/COMP SHINGLES SQ FT: 4,600
CLAIM VALUE; 4,600,00 CALC—VALUE: 4,600,00 GROUP OCC; R-1 /
COMMENTS: SMOKE DETECTORS RE� PERMIT INCLUDES 852 859 6 656 BEAR CREEIt
**�+t�t�r*�e**�e�e��r�r*+r*�+r�e+r�r**�*�r le��x�e�*�r*�t*+r***x�r�r*�r���*�**xpa� +� �t�r��p
Z O N I N G R E Q 0 I R E M E N T�S'`ti���� v�V � VI'l
S E T H A C K S �EQ�J
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDIN��R E D____
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV; PARCEL: 93506078 ZNE; AEF NO:,,
PLANNING NfSTES> -
> '
iEiE�iE if iF iE if it iE iE �E �E iE iE 1k �E it 1E 1E 1F 1E it i! if i! iE it iF if if if iE iE if ik iE iE if if if �t iE �k 1E if 1E iE 3f if !E iE if iE iE �f ff if if ff if ik iE 1F iF if iE if if iE il.iP i! ik if tF iE iE iE 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 APPROVELI BY DATE: '�
BUILDING APPROVED BY : DATE;
APPLICATION ISSUED BY: DATE: ��.1'.(�
lEiEifiEiEkiEitifiEifiEifififiFlflfiF�EiFiF i(�ifiEiE1ElfikiEiEff t iEiF
if IE �! iF 3F 1E * i! iE iE iEiE iE iE iE 1E iE iF it if iE if iF if if ff 1E if iE ik iE fE iE iE iP i! aE k 1E 1E 1E iF iE 3F�E ik �E if 1E1E iEiE iE iE 3F 1E iE iE iE if iE iF iF iE i! 1E i! �E if iF iE if iF 1t it iF 1t k k
LEGALI2ATION;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 ,SO
SMIP/NON—RES
PLAN
—ISS[7E—FEE — - —
BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAi` PAID DUE
TOTALS----> 72.50 0.00 0.00 72.50 72.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 72,50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMZP/TOT GRADING PLAN—CHECR
%2.�0 ,50
�, ikiEifiEiEifiEifififif3ffEfflEiEififfEiEifiFifififiElElFiEkififiEififiEiEiEiEiFikiE-IEiEiklFffiElfiEiFlkiFiflEiEiElE3fkiEikiEiEillfifiklfiflfikiElE7ElF1f1Elf
I I N D I V I D U A L F E E B R E A K D O W N
ITYPE QTY D E S C R I P T I O N " UNZT COST TOTAL COST
IISFR 4600 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 4,600,00
END OF FEES
�?? ��1�5334—�0?45835 T�JT
DATE: 09/14I93 TIftE% 10:38
72.50
CONSTRUCTION AND PLANNING
APPROVALS Permlt�
1. Temporary Electrical Service or Pole
2. So�I Pipe-Undrgrnd. , �
3. Elcc!ricai Conduit Utitity-Undrgmd.
4. Electrical Condu4-Undrgrnd.
6. Stee; Rc�ntorcement
S� E:tctrica� UFER Grntl.
7 Fooungs
8. Foundation
9. Water Pipe-Undrgrnd.
10.'Structura� Flooi System � ' `
17. Prope•tv Sevrer Une & House Connection
72. Ser:er Cap
13. Roof DrainS
14. Rough Piumbing
t5. Rough Elect�ical•Conduit
16. Rough Electric Wiring
77. RoughtNi:�ngSign .
18. Rough Electrical�T Bar Ceihng
79. Rough Heating & Air Conditioniny
20. no�ph Fgcto�y'Fi'reolace � �
2L Ducts,�nSuucture � • ••
�
22. �uctz, Vcn.tiia{ing , .
�
23. Gas Pip�-P.ough & Tss2 � .
24. Rooi Framing , �
25. Root Sheathing
2E. T�Bar Ceiling (Strur[urall & Mo�ocoat
27. Frame aqd Flashin9 ,
28. Lathrng �+ Siding • �
29. Insulation ; .. ,.
30. Drywall Naihng
37. Plaster Bro�vn Coat •
32. Eiectncai Power Meter-Final �
, - -- -.
33. F�inal EfeGtric - , i �
34. F�inal Heating & A�r Conditiohing -
35. Final Gas Aipe-Test .
36. Hood or Canopy •
37. Finai Fac'tory Firepiace _
38. Rnal Plumbing �
39. Water Service�Final
40. Gas Service-final
41. Sa!ar pomesiic•Finai �
42. B�cktfor� ?*eventer
A3. Backflow Irrigation
44. Landscape Irriqation System � �
45. Sound Attenudtion . .
4'0. Handirap Regulatior,s. �
47. PINAL STRUCTURE"& BUftDiNG
48. FINAL PLANNING � .
49. Electric Release to 2ais,on.
50. Gas Release to Southero California Gas (
5i. CERTiFYCATE OF UCCUPANCY
Date
Daxe
d
�. �
POOl2vSPA
Inspector APp�OVALS Permii �
52. Pool & Equipmen[ Location
53. Steef Re�nforcement
54. Forms
55. Electrical Bondng
56. Raugh Plumbing & Pressure Test
57. APPROVALTOCOVER-G1INITE
58. Etectrical Cordurt-Undrgmd.
59. Gas Pipe, C7 U�drgrnd., Test
I 60. Backwash L.ines, P-Trap, � Undrgrnd.
61. APPROVAI. TO OECK
62. Backwash tG Pecep!orF�na�
63. Heater & VanhFinai
64. Plurmbing System • F�nal
65. Electricai-Fina�
66. Solar System�Finai
67. Fencing & Accesz Approval
68. APPFiOVED FUR PLASTERING
69. POQL/SPA SYSTEh75 FINAL
FIFiE DEPT. REQUIREMENT
pPPROVA�S P'ermit #�-
70. Underg�our.d Hydro
. 71. ProduCt Fi�irp C Gas u �il
� 72. Underground Flush� . �
73. Undergrnd.,StoragoTank L�Gas ❑Oil�
���- 74. Overhead Hydro T
� 75. Dry Chemical
76. Dry Standp,Fe
77. FIXED SYSTEM11 ft�lAL
I 78. FIRE PREV. FIN14l.
!� � HEALTH DEPT, REQUIREI+IENT
i 79. FINAL INSPECTION
�I �-�
i �� 80. F00� CENTIFICATc ISSUED
.!-i�-� --
r Notes:
i� -•-- -
' i
8
fl
a
Date Iinspector
N
0
e
U�NCK
10B AC
GENER
AP No.
ROUGX PLUMBING
MISCEL
RNO FIR CONpITIONING
UNOERGROUNO U POWER
ROUGN WIRING
TRENCNES FORMS n
SNEATHING
FRRME AND FLASMING
LATMING - IN 1
PLASTER,BROWN COAT
STRUCTUFAL FINAL
q.C.. FINAL
BUIl01NG. FINAL
VHIC
SU.BCONTRACTOR
Z .
a cw.�
z
z¢
ON
am
J �
J N
Q W
p] J
- p]
J Q
U N
Z.Q
a�
w
W Z
J Q
m Z
J y-
W W
o=
z�
w�
y K
�O
F
Z
Q
U
J
a
a
Q
�
F
N
Z
O
H
U
�
�
F
N
Z
,
; � �i �
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Ap/7/icant to Fill in Completely
nooa°es"s g5p gear Creek
�i�v i 3-76�"„—<°00 7�;3�:: �.: F 265.6&
APPLICATION FOR BUIIDING PERMIT
RECEIVEDBV DATERECEIVED nexicc�u
OWNEFi State-Wdde �Develo ers I�IC. �+•P•NO. —
MAIL - .- BUILDING �
ADDRESS 9461 Gr-
arv Cypress
CONS�RUCfION
BRANCN
ADDRE55
ADORESS
No.`826-4550 TRACT �
TE
CONTRACTOR 5t te-wiae ueveiopers, inc.
ADDRESS 9461 Grindlay
��T� Cvpress No`$26-455
L C NO. ZZ47�O LICYNO.
OFLOT 12.093 aC►'e5 INOWONLO� 0
USE OF
EXISTING BLOG. '
SIZE OF NO. OF
NEW BLOG. ROOMS STORIES
EMEFIOR WALL $ er ROOF
COVERING Wnnt1 COVERING ShakP
USE OF BUILDING AND WORK TO BE PERPORMED
I hereby eeknowletlBB thet I have reetl thls epplicallon anA atafe
that t�e above Informetion Is correc[ antl apree to comply wi[h
all laws reBulatin8 bu�ItllnB eonenucNon, antl I Ehell not emplay
any person In vlolaNO� of the workman'� eompanfaHon Iawa of
tha Smm ot Celitomla.
I hareby eartify Mat I am properly Ilcan»tl as e contrector unEer
the State of Californi9 Businou ontl Professions Cotle, D(vlsicn 3,
C�eptar 9, entl that s4ch licanses e�e In tull forca antl af� ct, or I
nm exampt f�om tha provlsione of the Stata o( Celifornie usinau
entl Professions Cotla, Divlalon 3, Chapter 9.
..._____�State-Wide DeveloaersD .
Permlttea �
AuthorizatlApa . Vice President
FIRE _ _ - -
20NE
APPqOVED
ZONE NO.OF �
/�z� P�nrs
VARDS AGPROVED
MAIN BVILDING
(FROM C/L�TREET)
DISfANCE BET.
MAIN BLOGS.
VAF. qW
C.U.G. �
APPROVED
HOLD FOR
VALUE
VAPDS
BET. MAIN &
ACCFSS BLOi
DATE
ED
1�
�
17 5 SQ. FT. J-783 �
TME AMOUNTSHOWN UNDER VALUATION IS FOR �
THE PURP�ry'.aE OF ESTABLISNING A PERMR FEE ONLV:
6
VALVATION m
, �/�/O /0 PERMIT FEE S • � �
t� � �
m
PLAN CMECK $ I E
o`
//J u
TOTALFEE S �p0��