HomeMy WebLinkAbout862 BEAR ST - Building Permitsn
PX0.IECT ADOflE$S: 8 6 2 B EAR CREEK
OWNEN'S NRME: ��jLLAGE CREEK HOMEOWNERS
aooness: ASSOCIATION
3429 TIMHER LARE
CM VA 92626
UNIT:
ANCHIENGINEEN: CHESTER CARVILLE nec.xo.: C18305
aonness: 7922 ARMOUR ST uxir:
�S.D. CA 92111
PEflMITTEE: pHOENIX ENTERPRZSES INC. ( 213 ) 690-9559
aooxcss: 411 COMERCIAL WAY
LA HABRA CA 90631
LICENSEO CON7HAC70P UECIANATION: I �ereDy affirm tAat I am lice mAer o sions ot Cnapter 9leommencinp wiiA Semion
7000� o� �ivnion 3 al ine Buvness anU Pmlessions Coae. ana my f e' in hy'�� a"e antl effec/t.�
c�Truc.y0�/0��]188��euc.:396639— ��✓tY�/ ��L%/,i�
Da1e: _l j-r_1 ` Si naWre: _ % v v r
WOflKEflS' COMPENSATION OEC RTION: I �ereby allirm 1�ai l have a t¢rlih�lle oI cOnS¢nI l0 5¢I4in5ure 0r a enilicate oi Workers'
ComPensation �sufa�cb a� �cr4ruuea caPy m�reoi �secroo �eoa, tao. �7 � O 1/ 91
9LILY NO.: E%P. ORTE:
�OMPANY: CA COMP 6 FIRE
CeniliS/ rn� {a AertOy W� -h ❑ Cenilied copy is IileE � e c BuilEin Div¢ron.
Oate: r er��� noviicam:
E%EMPfION FNOM 140PNEfl5' COMPENSATION OECUPATION: (TN5 5e[Iion necO noI Ge campleteE ii tle permt is tor ane ,nNeA (51U(p or less�.
I cendy inat in ine pedormantt o1 Ihe vArk tar wnicn ihis permil is Rsuea. I snall not emDloy any persan in any manner 5a as lo �ecome
SUOje[f �o I�¢ Work¢R' CAmDensaGan LawS 01 Cali�Omia.
Date: Signawre:
' NOTICE: If, alter making t�is Eedaraiion. you slroula Aewme subjed lo l�e WOMers Comce�tbn provisions oi I�e La�or
COee. yW musl IOnlmii� comply wiI11 sucn Dmvisions ar ��is permil s�all Oe Eeem¢E r¢vokeE.
CONSTPUCiION LENOINC RGENCY: 1 nereEy allirm ItWt Inere 6 a conslmction IenUing a0enty lor Ine petlormdnce af the vrork for
w�it� t�is pCrrtui i5 ¢SulU (SKtiOn 7(197. Civ. C�.
lENOEN:
RDOflE55:
OWNFfl BUIIDEfl OECUMTION: I �ere0y a�lirm Ilut I am eaempi �mm I�e Coniracmri Su�e License Law lor ��e lollowinp reason
(Sec�bn 703t.5 BusineA and Pm�essional CoOe: My cily of munty whicn repuires a ce�M� 10 cautmct. alter, improve, aemolish, or
�eoair airy slru[Ime. O�b� lo its issuance, also repuires Ihe appliWnt br SucA perrtot ta Ide a 9gne0 statement tlwt �e/s�e is IicenseA
pursuam Io I�e O�ovrsions al Ihe Comracmrs' Staie License Law (C�apter 9(wmmencinp wit� Section 7W0) ol Division 3 oi ��e Business
ana Pto�es4ons COOe) or tlWi �e/Slie R eKempt I�erefrom and IOe Oa5i5 lor tAe alleqe0 ecem0�ion. My vioWtion ol Section 7031.5 by
any apWicam lor a permit w01K�s t�e apWiqnt io a civil penalty ol nai rtrore tAan IHe hunOreO tlallars (5500).
I, as awner ol Ine pmveny or rtry em loyees with wapes az tAeir sde ca�ce��. �+o ao me work. antl Ihe
� stmcmre 6 nai ime�e0 or ollere0lar sale I�Uon 70a4. Bus�ness anG Protessional CoOe: TAe ContraIXors' State License Law
Eces not aoDN ro an owner ol a O�opetiy who UuilOs or improves t�erron, anE xTo Gaes suc� work Mmull/herself ar I�mugll
�is or �er Own em0�0yeM. pfovi0¢0 Ihal SUth im0�0u¢m¢nts are noi intlntled or oflertJ �Or 5ale. I�. �ow¢vef Ihe 6vilding Or
im0�ovemem i5 solU xit�in one year ol comoletion, I�e ovmer vnll have ihe Gurtlen of D«�9 �uSAe diE noi �uilU or impmve
tor the Durpou al 5aie1. .
I, as owne� ol t�e procerty, am e�Uusively contrac6nA w��n licensea comracmrs �o consimct the pmject (Secuon 7044, 6usiness
❑ an0 Professims CaOe: TM Contractors' State Lkense Law aces not appty to an awner ol D�opeM � �ml0s or im0�� ���ron
an0 who convacts lor sucn pwlects with a cantractoqs�license WrsuanitotAe Comractors' State Licertse Law�.l am aware
Itwi praai ol t�eir Worker'S Campensation insuranc¢ shoula G¢ prOviGetl �0 me.
� I am e.empi un0er Seclion: B. 8 P. C.
tor mis reason:
Oa�e: Owner.
I do nertCy cenify tnat I am awam af anC un0erstane �ne repuirements af Calibmia Healt� ana Salery Code Sectmrrs 25505, 25533, ane
2553< ana Ihal I or any Iuiure Euil4inB O[tupanl wiA/will nol (tirtle One) nee0lo mmON ��� sai05laie ca0e5 antl Ihe reQuirtmenl5 tor a
permp lor conslmclion of mOEilicalion Irom Ihe Ai� Managemen� Oi51rit1, fleSiUenlial con5iruction aDUlicalions are exempi �rom
IAese O�ovipons.
Oate: p001icanl: _
I OeieOy cetlily��al I �ave rea01�i5 applicalion and slale 1�;
orainancesanaslalelawsreWlinqtohw inpconslmclionanU
pmpetly I i inspe����on i]poses/A/
�ate: _l^� XJ_7-4- _ Signamre'. _
V '
orivets �icense or saui Secuuty �:
ion is corren. I agre�e m�Q' m�pty wit� alt ciry ana
esenialives of INS rJYjjqCnlJ� Ihe a��
`� I!' j `% /
/
i64t�a6 Whno—Building: Green—CoOe Enlorcemenl; Canary—Applicant: Pink—Revenue: GoldenroE—Assessor
CITY OF COSTA MESA - BUILDING PERMIT PERM NO; 8 OS
PERMIT NO; B 050653 PLAN CNECK NO: 00057-91 A GOVT; N SUPP:
CONSTRUCTION TYPfi: 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
x**************�r**�***�r�r�x���r�*****�**���r***+�x��*�rxx*�:*+��r+��r��******�*��+e�**�**�u*
Z O N I N GS ERTEB�AUCIKRSE M E N T S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --=------
FRNT: FT IN REAA: FT IN 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:
PLANNING NfSTES> FOUNDATION REPAIR.
� .
�IE iE 3F it aF iF it jf iE iE iF #E 3E �(-iF af it �R ik it iF it i63t i4 i(� iE �1E �t iE �fE �)f ib if iF iE iE iE if� it if iF �E iE If atif •If %� 1F if 1E # iF iF iE iE i(� iF !F iE 3t if #f 1E 1f aF iE iE 1E iE iE 1'r iE �F if aE if k
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 C�p - 7�T DATE: ��/..S-%/
HUILDING APPROVED BY : �-✓ � �--/»`� DATE; �
APPLICATZON ISSUED BY• DATE•
iE iE if ik fF 1E 1f 1(� iF 3F iE IF if IE iE iE iF j4 if 3E IE if�iFi fE iE if if ik �f if 1F 16 iE�'£if 3F
iFiFlf�7E1F3FiE1ElfiElElEi1��1FiFifiFlfiEiFiEiF�IflfiElElE1E1E1EiFfElfififlfiFi E1EIfi4iE%�IflhifiEiflfiFiFlFiEifiElElFlFiEiFIl�iFiFiflflEifif�lElEififlEiFl4�IFIEif
LEGALZZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING EL TRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 162.00 1.00
SMIP/NON-RES
PLAN 26.33
ISSUE FEE
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/SHOR'�: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
162.00 1.00 26.33
3F jE iF af %aF 3f i63F if �f 16 iE IF �E �E iF IE 1f iF *-lE iE �E if iF iE IE if iF 3E iF �f if iF if fF iF iE dR 1f iE i41E iF i6 iFaE if iE ik iE if fF iE jf 3F iE 3f �f iE 3E 1f iF #f IF )f 1f iF iE if if iE If �f �F 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,VALUE PER g100,00 100.00 14,300,00
END OF fiEES
Oi 60fi?��12-fCfl7EIIl4 F la3 13?.�3
DATE: OI.'23/91 TIfiE: 09=1.`'i
V
�
CONSTRUCTION AND PLANNING ' ` $ SPA
APPROVALS Permit # Date Inspeetor AppROVALS Permit # Date Inspector
1. Temporary Electriwl Service� Pole , 52. Pool & Equipment Location i
2. Soil Pipe-Undrgrnd. �. � 53. Steel Reinforcement '�f
3.' Electrical Conduit Utiliry�Undrgrnd. �� 54. Forms '
4. Electrical Conduit•Undrgrnd:- -• �_ 55. Electrical Bonding '�-�_
5. �Steel Reintorcement• . 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-Undrgmd. '�� �- �J � 60. Backwash Lines, P�Trap, O Undrgmd. " �
n
10. Strutturel Floor Syscem :':- ^ 61. APPROVAI TO DECK - �`
. � '
17. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ���
12. Sewer Cap �` ^ 63. Heater & VenrFinal �
l
13. Roof Drains �•� ^` 64. Plumbing System - Final ���
14. RoughPlumbing �� �%' _� 65. Electrical�Final �
15. Rough Electrical-Conduit j� • 66. Solar System-Final ��'
16. Rough Electric Wiring ;� �� 67. Fencing & Access ApProval f
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. Duets, in Structure. . - .70. Underground Hydro
22. Ducts, Ventilating, � � ' 71, Product Piping OGas ❑Oil
23. Gas Pipe�Rough &�Test . � 72. Underground Flush � '
24: Roof Framing ' ' � �73.-Undergmd'StorageTank OGas ❑Oil
25. ftoof Sheathing . � '., 74, Overhead Hydro �
26. T-Bar Ceiling (Structural) & Monocoat � 75. D.ry Chemical '
27. Frame and Flashing _ 76: D'ry Standpipe .
28. Lathing & Siding . t i � 77. FIXED SYSTEM FINAL'
29. Insulation � � � � ! 7g; FIRE PREV. FINAL �
� 30. Drywall Nailing I I HEALTH DEPT. REQUIREMENT
31. Platter Brown Coat . � I �' _ 79: FINAL INSPECTION �
� 32. Electriwl Power Meter�Final � � �- � 80. FOOD CERTIFICATE �SSUED
33. Final Electric I I, 'Notes: � , ,
34. Final Heating & Air• Conditioning � (: .
35. Final Gas Pipe-Test ' ' I �, ;
36. Hood or Canopy. � � I'` �
37. Final Fattory Fireplace -• � �: � '
38. Final Plumbing , . . � ! I �
39. Water Service�Final � � �
40. Gas Service-Final � , . , . � .
41. Solar pomesticFinal � � �
42.'Backflow Preventer - � � i, ' .
43. Backflow Irrigation� � � • �
44. Landscape Irrigation System , .
45. Sound Attenuation � ' •
46. Handicap Regulations ' .
47. FINAL STRUCTURE & BUILDING g � • •
48. FINAI PLANNING ( � ' � . � .
t
49. Elearic Release to Edison ; � �
50. Gas Release to Southern California Gas Co � � � '
51. CERTIFICATEOF,OCCUPANCY , , . �
No. Date
muu�a
GENER
AP No.
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PROP. SWR. LINE � I HOtISE CON.
UNDERGROUNO I� POWE0.
REINFORCE
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FRAME FN� FLASHING
LATHING - IN � i
PLPSTER, BROWN CORT
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41746
COSTA MESA BUtLDING-SAF�TY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
Fo� Applicant ta Fill in Completely
BVILOING _ . _ .
OwNER State-Wide Developers, Inc.
ADORESS 9461 Grindlay
TEL.
cirv C ress No. 826
CONSTFUCTION
LENDER
BRANCH
ADDRESS
ARCHITECT TEL.
����� LohrbaehT4�ulaslei NO�536
AooRess17848 SkyPark Blvd, Irvine
CONTRACTOR S'CfitB-W� CIe D
ADDRESS 9461 Grindla
c�rv Cypress
STATE
uc. No. 224710
OF�OT 12.093 acres
SIZE OF
OF
No'"826-4550
CITY
LIC. NO.
INO. OF BL�OGS O
NOW ON LOT
NFio�Q �38r< ftku238.23
RAY 13-76c���r
APPLICATION FOR BUILDING PERMIT
RECEIVED BV DATE RECEIVED nnrc icc�u
¢iZ-Zi/--vi oZ I
A.P. NO. !�✓b -OD�-G/
AODRE S S�2 �L�[ L�lP�Qk
TRAC? {��� LOT
Att qar VALUg
OVED
NE NO.OF USE OF NEWi
%2 �'%� FLANS 2 BUIIDING
YARDS AP7ROV ED YAFDS API
MAIN BUILDING ACCESSORV
WAIL riaszer ROOF
G COVERING FE/>R
JILDING AND WORK TO BE PERFORMED DSTANCE BET.
MAIN BLDGS.
New construction-Condominiums cuP�wZG
1 Residence w/att gar �4PPROVED
HOLD FOR
� FT.
BEf. MAIN &
ACCE'S. BLDGS.
/ DATE
� APPROVED —
./ Cl %%_�
1 �eraby acknowletlpe Met I have raotl thif eppllcetion antl itata
that tha abova Informetion is corraet antl eprae to eomply wiN
all lews re0��etinp builtlinp eonnrueUon, antl I shell not amploy
nny parson In vlolntion of Me workman'f companfatlon law� of
`�e S"" o` `'�'�°."�'. 1480 J-645
I haroby eertify thet 1 em proparly Iieensetl ea e eontreetor untlar SQ. FT.
tha Stete of CeII(or�la Builness antl Prolasslona Code, Divisicn 3, THE AMOUNT SHOWN UNDER
Chaptar 9, antl tha[ sueh Iicenws ero in full foree antl affeet, or 1 THE PURGOSE OF ESTABLISHING
am exampt from Ma provlibns ot tha Siete ot Catft nla eudnass VALUATIO�
entl Profeasiona Cotla, Olviiion 3, Chepter 9. � PERMR FE
State-Wide Develop r Inc. � Q Q�
ste�emre o
Parmlttae $ PLAN CHEI
Aut�oNzatl ABent Vi ce Pres i dent rorA� Fe�
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1 IS FOR a
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