HomeMy WebLinkAbout887 BEAR ST - Building PermitsPfl0.1ECT RDOflESS: 8 Q% B EAR CREEK
awxes•sxnme: VILLAGE CREEK HOMEOWNERS
aoosess: ASSOCIATZON
3429 TIMBER LAKE
CM VA 92626
uxiT:
AflCH/ENGINEEH: CHESTER CARVILLE flEC.NO.: CLB3OS
nooeess: 7922 ARMOUR ST uxiT:
S.D. CA 92111
PEflMITTEE: j�HOENIX ENTERFRISES INC, ( 213 ) 690-9559
aooeess: 411 COMERCIAL WAY
LA HABRA CA 90631
❑CENSEO CONTNACTOP UECtABATION: I here�y allirm ihal I am lic a nUer orovisions ol C�ap�er 9(c encing witA Section
7000� o� Oivison 7 0l �ne Busineu anG Pmlessions CoOe, anA my n ¢ in lu� rce anE eflett.
ciTruc.: 5 7 8�/(►sTareuc.:376639
Dale: —� ��l_I— Sipnamre _ _i: <� ��
WONNENS' COMPENSAiION OECLANATION: I �ereby allirm ��at I �ave a certilicate of rnnsent to setl-insure or a cenificaie Workers'
CompertutionLtw�3Ac¢, a( 3.c¢nifiea copy inereol (Section J800, lae. G1.� � 1� 1
raucr no.: CAvCOMP 6 FIRE E%P. DRTE: �
�OMPANY:
CeniheG cooY is nere�y lumrshetl. ❑ CenifieE capy is IileO U it 8� B''' n. �
Oate: �� �. AVVlicant:
E%Efi1FfI0N FlIOM WOFNEflS' COMPENSATION DECUMTION: (ihis sepron ntttl m� be cw�etW i� ttre paml is �a me hunOr 700) w less�.
I cenity that in ine oedormance ol ine vrork lar wliich tnis oermi� is issueG. I sAaA not employ am Pe�� �� any manner w as ta hecome
su�lecl Io t�e Workerz Compensation laws of CalilOmia.
Dale: Signalurt:
NOTILE: 11. atler malting iNs Geciaration. you s�oulA 6ecome suUl�� �o ihe Workers' ComcensaGon prwisions al I�e LaEor
CaAe. you mu9 IOtllm�tll comON �^�� suc� 0«sions or I�is permii s�all Ge OeemeO reuvked.
CONSTBUCTION LENOING �GENCY: I ne2oy aitirm Inalinere a a constmction IenOinq aqen�y for ine petlormance of the wark lor
w�ich Ihis permit is i:5ue0 (Seclion 3097, Gv. C�.
LENDEN:
pO�flFSS:
OwNEB BUILOEB OECIABRiION: I he�e�y allirm Ihal.l am exempllmm tne Contrac�or5' State Lkenu Law lor tAe following reason
(Seclion 7Q31.5 Business an0 Pmletsional CoOe: Any city ot county wAich repuims a Oerrtnt lo constmcl, alter. improve, tlemolish, or
repair any Sim[lure. p�ior la iis i55uante, a15o repuires �he applican� lor SUC� Dlrmil IO �i10 a SiqneA Sfalemeni Ihai �e/She i51it¢n5etl
pursuant to ��e pmvisions oi the Comracmrs' Staie License Law (ChaOier 9(commencinq wit� Section 7000) ol ONision 7 oi ��e Business
ana Prolessions Coae� or iAat nrJsne is exem0� lhcrelmm antl i�e �asis lor tAe allepea eKemption. pny violation ol Seclion 7031.5 by
any applicant for a De��� suUiecis ihe ap0licant ta a civil penally ol not more inan five Aundred tlollars (5500).
I, as awner ol Ihe prooerty a� my employees with waAes as their 5ole Comp¢nsation, will tla the work, antl Ihe
❑ stmcWre is w� imendetl aroilereG lor sale (Secuon 70a4, Business an0 Pmiessronal Catle: The CaNractors' State License Law
eoes na� aO�M �o an owner o� a pmDeny w�o UuilOs ur improves Ihereon, anU who Aoes such work �imsell/Aersell or throupfl
his or �er own emD�%'ees. O�ovi4eG ihal such im0�ovement5 are no� intende0 or otl¢reG br sale. Ii, however Ihe builAing or
impmvemenl i5 s01G vni�in on¢ y¢ar ol com0leiion, Ihe owner wiil �ave ��e OurOen o� proving he/she ditl not �uild or impmv¢
tor ihe putoose ol Sale).
I. as owner ol Ihe O�operty. am eMclu9vely rAniracling wittl Iicense0 coniractoR to Consimct ihe pmlect (Sectian 7044, Business
❑ antl Prote55im5 COOe: T�e Contrattors' Stata L¢ense Law aces not appty ro an owner oi Oroperry who Gmlds or imD�%'es ihereon
and wh0 tdltraqs Iar SUCh p�OiEt�s wi�h a COnffaclor�5) liten5e OurSuani t0 ihe COntracio6' Slat¢ Li[ens8 Law). I am awaR
thai 0��� o� I�eir Worker's Compenuibn insurante shoulA h¢ 0«4� Io me.
� I am exempt uMei Sectron: B. 8 P. C.
Ior this reason:
Uate: Owner.
I ao nereGy cenify Ihdt I am aware ol anE unJerstana ine roQuirements of Calilomia Healln aM Sdtery Cade Settials 25505, 25533, ana
2553< and Ihdi I or any Iuiure buildinp occupanl will/will not �circle one) nee0lo ComDN ��� �� state WOes and Ih2 r¢puiremenis �or a
Oermii loi construtlqn or mo0dicalion imm I�e Air uali�y ManagCmeni Oislri�l, pevGenGal con5iruction applica�ions are e�emD� ��om
IIIEX plOVl510R5.
Dale: applicanC _
I h¢i¢py C¢rlily IAdil �dv¢ r¢dCI�iS appbCdliOn dnC Sla�¢ I�al 1
or0inantes an0 Slalelax5relalinq100uil0ing [mSlmtiion an0 he
pmPerry'or ins ^tl�,n�r�purpose/�
4 �//�
Date: �V "1 Signature: _'
Driver's �icense or Socul Securi p.:
i64ba6 Whne—Butleing; Green—Cotla Enlorcemont; Canary—Applicam; Pink—Fevenue: GolOenroE—Assessar
CITY OF COSTA MESA — BUILDING FERMIT PERM NO: 4
PERMIT NO: B 050644 PLAN CHECK NO; 00066-91 A GO T: ; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: REP
JOB DESCRIPTION : REPAIR SETTLEMENT DAMAGE SQ FT; 143
CLAIM VALUE: 14,300.00 CALC—VALUE: 14,300.00 GROUP OCC: R-3 /
COMMENTS: BUILDING SETTLEMENT REPAIR/FOUNDATION
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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 BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
LEF1'; FT TN RGHT; FT IN LEFT; FT IN RGHT: FT. IN
PARKING RE(� • PROV: PARCEL: 93506124 ZNE: R2 REF NO;
'PLANNING NO'PES> FOUNDATION REPAIR.
>
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D E V E L O F M E N/T S E R V I C E S R E Q U I R E M E N"T S
20NING APPROVED BY ( ir7 �� DATE: Ol I S`j f
HUILDZNG APPROVED BY ; U��— � DATE: �
APPLICATION ISSUED BY DATE• '
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LEGALI2ATION:N F E 5 U M M A R Y STRUCTURAL SEGMENT:Y
BLDG FMT PLUMBING E'ECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 162.00 • 1,00
SMIP/NON—RES
PI.AN 7.6.33
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DiJE
TOTALS----> 163.00 0.00 26.33 189.33 189,33 .00
REVENUE DIVISION TOTALS--> COLLECTED; 189,33 OVER/SHORT; ,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/TOT GRADING PLAN—CHECK
162.00 1.00 26,33
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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 5100,00 100.00 14,300.00
END OF FEES
Ol ;76i�7S��'�-CGOi�f3_ e 63 S '�;. ;:
DRTE: Dil2aiv± Tin�-: oti:21
CONSTRUCTION AND PLANNING P�d� & SPA
Date Inspector Date Inspector
APPROVALS Permit # APPROVALS Permit # �
1. TemDorary Electriwl Servicebr Pole �� 52. Pool & Equipment Location �
2. Soil Pipe-Undrgrnd. �!. � i� 53. Steel Reinforcement .=-�
3: Electrical Conduit Utility-l;ntlrgrnd. ' 54. Forms '�
4. Electrical Condui[-Undrgrnd. .. •� 55. Electrical Bonding �
5. �Steel Reintorcement , 56. Rough Plumbing & Pressure Test '
6. Electriwl UFER Grnd. 57. APPROVAL TO COVER�GUNITE
� 7. Footings 58. Electrical Conduit�Undrgrnd.
8. Foundation . i� •� 59. Gas Pipe, O Undrgrnd., Test
.%�-
9. Water Pipe-Undrgind. /�,/� /��� 60. Backwash Lines, P-Trap, O Undrgmd. +� ,� ^
' i: in '-
10. Structural Floor System �%,-� �' ;/�, 61. APPROVAL TO DECK �i7
11. Property Sewer. Line & r6use Connectio� -� 62. Backwash & Receptor-Final "�
12. Sewer Cap % ' � -
/7 63. Heater & Vent-Final � ,
13. Roof Orains � � 64. Plumbing SYstem • Final .'
14. Rough Plumbing /�; � , -' 65. Electrical-Final � � �
i . i � �
15. Rough Electriwl�Conduitr : �f � 66. Solar System-Final "'
«�
16. Rough Electric Wiring %� + ��
. / 67. Fencing & Access Approval �^
17. Rough Wiring Sign ��,�� 68. APPROVED FOR PLASTERING
18. Rough Electriwl-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ��
19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT �
20. Rough Factory Fiieplace � � ' �APPROVALS � Permit # ��
21. Oucts, in Structure �- .70. Underground Hydro
22. Ducts, Ventiiating � • , � 71. Product Piping O Gas O'Oil �
23.GasPipe�Rough&�Test _ ,,, 72. UndergroundFlush
24.•RoofFraming �73. Undergrnd.StorageTankOGas ❑Oil
25. Roof Sheathing . ' , � - �74, Oyerhead Hydro � �
26. T�Bar Ceiling (Structural) & Monocoat _ . • 75..Dry Chemical .
27.' Frame and Flashing, �,. , � 76. Dry Standpipe '
28. Lathing&Siding . ; �. - • '�: . 77, FIXEDSYSTEMFINAL_
29. Insulation . - I � I� 7g,. FIRE PREV. FINAL • '
' 30. Drywall Nailing .' � � j� HEALTH�DEPT. REQUIREMENT
31. Plaster Brown Coai . _ I I �' 79; FINAL INSPECTION -
32. Electrical Power Metei•Final� � � � 80. FOOD CERTIFICATE ISSUED
33. Final Electric ' ' �, �� � Notes: . , .
34. Final Heating�& Air Conditioning � � � 1 ,
35. Final Gas Pipe-Test ' � • ' I "� • _ '
. 36.� Hood or CanoPY � • � ' � I �. .
I
37. Final Factory Fireplace � I �, '
38. Final Plumbing � � � � • - '
I
39. Water Service�Final� � � � ' '
40. Gas Service-Final , - � � ` -
41. Soiar pomesticFinal -� � � �
� I
42. Backflow Preventer 1 � � - . �
.. . � �.
43. Backflow Irrigation � �
44. Landscape Irripation System � � �. ..
45. Sound Attenuation ' - � • �
46. Handicap Regulations , -- ,
47. FINAL STRUCTURE & BUILDING � ' �- '
48. FINAL PLANNING . , � i'
49. Electric Release to Edison i i � � � _ �
50. Gas Release to Southem California Gas Co j I •' •
51. CERTIFICATE OF�OCCUPANCY . � . .
No Date
urvntK RTATF.-WTnF.
JOB ADDRESS � Be�
GENERA CONTRAC�TO,�R,,�.��_
AP No. _ _ + 0"� T
INSPECTIONS
50�� o� e
GAS
W PTER
ROUGH PLUMBING
PROP. $WR. LINE � HOUSE COry, �'
SPRINKLING SYSTEM
MISCEILANE0U5
ROUGN HEATING AN� FIR CONDITIONING
TEMPORNRV SERVICE OR POLE
UNOERGROUN� � POWER �
ROUGH WIRING
TRENCHES FORMS � STEEL REINF.
FLOOR SYSTEM '
BONO BEAM � STEEL REINRORCE �
SHEATXING
fRAME ANO FLRSHING
LATHING - IN �' OUT
PLASTER, BROWN COAT
STRIICTURAL, FINAI
HEATING, VENT., REFRIG. AN� q,[„ FINAL
PIUMBING. FINAL AN� GAS TEST �(i
FIRE ZONE
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
ADIDRESS HH7 BCFIY� Creek
OWNER State-Wide Developers, Inc.
AooRess 9461 Grindlay
TE L.
ciTv Cvoress Na•826-45!
BRANCH
ADDRESS � /tj4tf JKVNaP
CONTRACTOR State-Wid
AooREss 9461 Grindla
��T� Cypress
� c No. 224710
OFLOT 12.093 acres
No`.' 826-4550
LITV
LI0. NO.
INO. OF BL�
NOW ON LOT O
SIZE OF NO. OF
NEW BLOG. ROOMS STOF
EXTERIOR WALL F}S er ROOF
COVEFING WOOd COVERING Shake
USE OF BUILDING AND WORK TO BE PEFFORMED
I nereby acknowledBe thet I have reatl thia aPpllcexion end steta
that tha abova information is corract entl aB�ee to comply wit�
nll lawa repulaSinp builtlinB consttuGilon, end I shall not employ
eny person in violaHon of the workman's compenmtlon lews of
ffia SWte af California.
I hereby eartify that I em prope�ly Iicensetl es e contteetor untler
the State ot California Business antl Professions Cotla, Divlaicn 3,
Chepter 9, antl thas cuch Itcenses ere In full force and affect, or I
am axempt irOm [ha provisions of Ihe Steta oi Calitornie Businesa
anC Professions Cotle, Divislon 3, Cheptar 9.
S�a�a��,eO Stat -Wide Develo e, Inc.
Palmlttae
AuthorizatlAgant Vice President
PAI� �c {�•sO
"AY 13-7h�n�,00 683�.. 2($.68
APPLICATION FOR BUILDING PERMIT.
:EWEDBV DATERECEIVED nerc�emmn
S
�
VALUE `—Tqv
�sE 1 Res w/att gar $
ZO E TVPE 5 cAouPI & F-
APPRpVED
ZONE
VAR
MA
DI5TANCE BET
MAIN BLOGS.
VAR.aY+ .� _
HOLD FOR
VALUATION
��V,n�r� �n'�
S .icaj�ew�
USE OF NEW/rj
2 eui�owc
) VARDS APPR
BET. MAIN &
ACCE�. BLD
DATE
7
J-783 �
IOWN UNDER VALUATION IS FOR =
ESTABLISHING A PERMIT FEE ONLV: Q
N
PERMIT FEE $ ]
PLAN CHECK $ • �D E
0
LL
TOTAL FEE $