HomeMy WebLinkAbout870 BEAR ST - Building Permitsu
PNOJFCT ROUNE55: 8 7 O � E�i CREEK
OWNEfl'SNFME: VILLAGE CREEK HOMEOWNERS
aooacss: ASSOCIATION
3429 TIMHER LAFtE
CM VA 92626
UNIT:
RflCHIENGINEEN: CHEJTER CARVILLE a¢c.xo.: C18305
noox[ss: �9z� ARMOUR ST uxit:
S.D. CA 92111
YEflMIREE: pHOEN1X ENTERPRISES INC. (213)690-9559
aooRess: 411 COMERCIAL WAY
LA AABRA CA 90631
LICENSEo CONTHALTON UECIABpT10N: I �ere0y ailirm tAat I am IkenseG u� er pr sions ai Chapter 9(commencinp wit� Section
7000� ot bvision 3 o�t�e Business an0 Pmtessions COGe. anG rtry licenu ' � IUA rce an0 ellec�
ciTruc.: 50 ��neuc.:376639
Date: �� Signature: — _ —
WOBNEBS' COMPFNSR710N OEC W BRTION: I nereey aflirm ilut I Iwre a ceniliwte ol coizent to ull�insure or a ceniticate ol Workers'
Compensation �isufa�r0 a� �cr4nireo conv inerroi ISenion 3em. �ao. �1.� � O 1/ 91
OL1CY NO.: � E%P. D�TE:
�OMPANY: CA COMP & FIRE
CendieG a0Y �s hereCy IumistreG. ❑ Cenifie0 coOY �s file0 •. • e dr tldinq OlviSio��
oare: ^ MWwnc �'`
E%EMPIIONiNOMWOflNE 'WMPEN TIONOFCIAMTIdN: ��iutsttomnreUmlOewmWeUOi�UepMm�bla0ce�unEM�5100�orkss�.
I cenify t�at in tlle Oedormdnce ol t�e work tOr w11k0 tNs permit is 6Sue0, I sha0 not emd%' any persan in alry manner Sa as to Oecame
Subltt� lo IAe Workers' ComDe�tiOn LawS at Caliiwnu.
�a�e: Si9wtme:
NOTICE: II, after making iNs Geclaration. you shoula bewme suEjttt to tAe Wofrceri Campew�bn Drwisions al l�e LaOor
CaOe. y0u mus� �orthmt� ComD�Y w+�� wt� prmiSiW¢ Or IIiS p¢rmi SINtl Oe Eeem¢O r¢vOk¢O.
LONSTNUCTION �ENOING RGENCY: I �ertN/ allirm Itwi Ihere is a cmS(ruttbn lentling aOe�Y �Or I�e petlormante a� �he wOrk �or
wniU �Ns p¢�mitis iSSuea (Seciion 3W7. Gv. C�.
LENDEN:
AOOPESS: '
OWNEP BOILOEB OECIABRTION: I �ere0y allirm rtut I am exemD� Imm t�e Contracrors' State Littnse Law lor tAe idlawin0 �eason
(Sec�ron 70.71.5 Buvneu aM Pmiessional Coae: My uty ol rnunty wMcli repuires a permit to consVuct, alter, impmve, Oemolis0. or
repair any stmciw¢. prior lo its iuuance, aISO rGpuires IIIe aDDlipnt lor suc� permil to lile a ApneG statement Illdt 0'Ushe is IicenseU
Oursuant Io Ihe pmvisions ol t0e Comractors' S�ate Liunse law �CIUD�ei 9(wmmencinq wit� Seclion 7000� ol Division 9 of ihe Business
ann Prolessions Coee� or t�al he/s�e is e+emD� �healmm anA �ne Uavs lar I�e allepe0 eKemp�ion. Any �riala�ion ol Section 7031.5 Ay
any applicant �or a permt su0j¢Cts t�e applitant to a titil penalty of Wt mOR Itun live hunErEA GWWrs (5500�.
I, as awne� ol Ine D�openy or my employees wilh wapes as ineir 5ole wmpen5ation, wiil do ihe woA. an0 �ne
7 stmcmre is nm imenaeU ar oaereE lar sale Isecbon 70aa. Busmess anA Pmfessional CoOe: T�a Comractors' Sute Licensa Law
Coes noi apply to an owner ol a propertY � Duil05 or improves Nereon, antl who Ooa such work himself/Aersell or thmup�
his or �er Own ¢mplpy¢e5. O�OvbeA tlw� 5ut� imp�Ov¢m¢nI5 are nOt inlBnAeO a! a11ere0 for sale. II, �OwBver Ihe Eu1lAlnp ar
impmv¢men� is 501E wilbin One year ol complelian, I�e Own¢r wiil have 1�¢ Eurden ol O�ovinp he/She OiU noi GuiIE of impmve
lor Ihe Durpose ol salel.
I. as owner ol iAe O�openy. am exclusively wntnctinp un1� IicenseE coniractors lo ConSlruti Ih0 proleci �Seclian 7074, Business
❑ anE Pmiessions COGe: T�e COnirdctors' S�ale LiCenSe Law Go¢5 n0i aODN lo an owner ol properiy w�o Cmlds or im0�o�es the�eon
anU w�o contratls for sucA pmlects witA a contractor(5) license pursuam m �he Conuactars' State Licensa Law�, I am aware
that pmof al t�eir Worker'S CamDe�sa�a� insurance stqNO De Orovided io me.
� I am exemp� un0er Section: B. 8 P. C.
torihis ieason:
Date: O«ner.
I ao nere�y cenity Inat I am aware af ana un0erstand Ine reQuiremenls of California HeaIN anA Safery fAAe Seclions 25505, 25533, antl
2557a antl ihai I or any luture UuilOing acupant wiNwiil noi (circle one� neeC to compty mih saiE state coEes anA ihe requiaments lor a
permil br consimction or motlilitation Irom I�e Au Ouality Management Oislrict. fl¢SiAeniial conslNctlon applications are eMemD� ��om
IM1ese pmvisions
�a�e: AOPlicant: _
I hereby teililyihal I have reatl�his apD�icalion and s�alel�alihe
ordinances and s�ate laws relaling �a �uiltlmg tonsbuclion an0 �erel
pfop¢tly I insD ° � /pJurfff���5¢S
Da�e: ���( Signamre: �
Driver's License or Social 5ecunly a:
IS L01�2t1. I
i6aba6 White—BwlEing: Green—Gatle Enlorcemem: Lanary—Apphcanl: Pink—Revenue: GolEenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMZT PERM NO: B
PERMIT NO: B 050655 PLAN CHECK NO: 00055-91 A GOVT; N SUPP:
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: REP
JOB DESCRIPTION ; REPAIR SETTLEMENT DAMAGE SQ FT: 14,300
CLAIM VALUE: 14,300.00 CALC—VAL[JE: 14,300,00 GROUP OCC: R-3 /
COMMENTS: BUILDING SETTLEMENT REPAIR/FOUNDATION
��rx z �*��*****x***�*a���*�r+�*x�*�it**xitir**�t�*�r�c-*�c *ac**it*itir***�r***�tit*���r****�+�x**�r***�r
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 FANT: FT IN REAR: FT IN
i,EFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: cT IN
PARKING REQ• PROV: PARCEL: 93506129 ZNE; R2 REF NO:
'PLANNING NUTES> FOUNDATION REPAIR.
�
%� 3E iE if 1F 3E if i(� iE �1f if iF 3E iE 3E 3f iE jF iE aFlE ii� iE iF ie i! iE iE iF 1F 1E if if iE iE iE if if 1E iF �1F iF if ik iF �%iF iE iE iEiE IE iE aF #E IE IE #�F if iE iF 1F if 1E k iF if if iE if 3F iF iE 3f If 3E iE if
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 ��� �- =z-Z. — DATE; O // .S—� /
BUILDING APPROVED BY : ���—� �� DATE;
APPL'iCATION ISSUED BY; DATE: �
iFiflfifififiFlEififiFiFiEififiFiF�EififiFiF . iFifif3EiEjFiElFiEif�'�iF3E�f
If�fiE1E�F3FiljEiEiEiklEN-IE3E1fiFiEfEiFifiEiflEkikiEiflfiElE3F3fjElE1E 1f1E±FififiEifiFlEiflE3flEifiElEiElEiEjFkifif3EiEiEiF1EiE1f�F1EifIF�fiFiFi(��E3E�f
LEGALIZATION:N F E E S U M M A R Y STRUCTURAi SEGMENT:Y
HLDG PMT PLUMBING E�ECTRIC •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/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
162.00 1,00 26.33
if if ik fF If if If iE �f IF if if �E iF 1F if 1E IE 1E iF 1f if iE 3F 3E iE iE �F 1F IE�EiE IE 36 iE If iF iE iElf if if if ik iF lE if i! iE iF k iE if iE 1ElE iP If K� iEiE iF�k if 1F iE iF 1f IP iF 16 iF iE if iE ii if k!f
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 CbST TOTAL COST
SFR 143 STRUCTURAL BY VALUE PER 5100.00 100,00 19,300,00
END OF FEES,
r
�
o� abt7s�e.-ceo7ssua ,-^�-e 1.�9.a�•
D�tE: �1;?s';91 TIr�: .^R:J:I
- � CONSTRUC710N AND PLANNING - ' - $ SPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
�
1. Temporary Electrical Service or Pole • 52. Pool & Equipment Location /
2. Soil Pipe-Undrgrnd. - �� 53. Steel Reinforcement �'
3. Electrical Conduit Utility-Untlrgrnd. ' 54. Forms
4. Electrical Conduit-Undrgrnd:i' /' 55. Electrical Bonding �
r
5.� Steel Reinforcement 56. Rough Plumbing & Pressure Test `
6. Electrical UFER Grnd. 57. APPROVAL TO COVER•GUNITE •
7. Footings �- � 58. Electrical Conduit�Undrgrnd.
.
8. FoLndation � , •�� 59. Gas Pipe, � Undrgrnd., Test .�
9. Water Pipe�U�drgrnd. � �n 60. Backwash Lines, P•Trap, O Undrgrnd.
, / /
10. Structural Floor System, ��' . %r 61. APPROVAL TO DECK �
11: Property Sewer Line & House Connectiofi 62. Backwash & Receptor�Final
T2. Sewer Cap � � � . , 63. Heater & Vent-Final
i
13. Roof Drains 5 i-� 64. Plumbing SYstem • Final �
14. Rough Plumbing �- �• � '� 65. Electrical�Final '��
15. Rough Electriwl-Conduit " ^ ,� 66. Solar SYstem-Final �-,�
16. Rough Electric Wiring '� ��- 67. Fencin9 & Access ApProval ��
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �
i
18. Rough Electrical-T Bar Ceiling � 69. POOLlSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace • APPROVALS � Permit #
:•
21, Ducts, in Structure. . � ��70. Undergcound� Hydro �
22. Ducts, Ventilating � '� �;71. Product PiPing O�Gas O'Oil
23. Gas Pipe-Rou9h &�Test � 72. Underground FlusFi� .
24: Roof Framing ' �• . ' �•73'.• Undergmd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing : . 74.- Overhead Hydro � .
26. T-Bar Ceiling (Structural) & Monocoat > ' 75. Dry Chemical �
27. Frame and Flashing � ' 76. Dry Standpipe �' � �'
28. Lathing & Siding � _ � � � 77. FIXED SYSTEM FINAL .
29. Insulation �. . .• I I f. • 7g•, FIRE PREV. FINAL • �
30. Drywall.Nai�ing � �HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat. � � �. _ 79: FINAL INSPECTION �
32. Electriwl Power Meter•Final . I �80.�FOOD CERTIFICATE ISSUED �
33: Final Electric " S' I�. Notes: ` _ '
34. Final Heating & Air Conditioning. • , � � �
35. Final Gas Pipe-Test � � ' ' . -'
36. Hood or CanoPY . .• � ' �� � �l" f
37: Final FactorV Fireplace • ` `
38. Final Plumbing , , � � . .
i
-39.:Wa[er Service-final I ' . � : '
�. .
40. Gas Service-Final „ _ � � !: _ � � �
� 41. $olar pomesticFinal - � � ' `
42. Backflow Pre�enter, � " , . I , . �
43. Backflow Irri9ation ' � • � . � - �.
44. Landscape Irriqation System . � . . .
45. Sound Attenuation � '
�
'46. Handicap Regulations ��
47. FINAL STRUCTURE & BUILDING / Q � � t �
48. FINAL PLANNING � � • , •
49. Electric Release to Edison I -
r
50. Gas Release to Souther� Catifomia Gas Co . � � �� "
51. CERTIFICATE OF.00CUPANCY � � . , .
No. Date
�
--�
--i i
mecTnooeess: VILLAGEVCRE
OWNEB'SNFME: 3Qz9 TIMBEF
RDOHESS: COSTA MESA,
553-1876
O,A.
2626
uxiT:
AHCH/ENGINEEN: AEG.NO.:
nooxEss: uxit:
PETERSON ROOFING (714)979-7111
PEPMITTEE: jOO6 ENTERPRISE
aooness: COSTA MESA CA 92628 `—
7'000) oE D Off� 0� 1Qe�uslNne55 en0 �PmineCi��a�r�th��aa�my license s lo f(li I Jere'S�tl effecl ��er 9(commencing wi�h Section
CITY LIt.: STFTE IIC.: LA
Oa�e: SignaNre� —
Comqpenflaiion�� et�tt dcGLAedT_cDpY ��ereolbjSectiE%R D TEab�&i1i q c��ro self-insure or a c i icale oi woBers'
POLICY NO.: 1 h b�UNll
COMPANY: X
❑ CeNhetl copy is hereb Wmished. ❑ Ce�ifietl copy is filetl wilh t ciry 8'I np Divisio�
i i�� /
Oa�e: 9 ADPlicanl:�`� •�1
E%EMPTION OM WO EflS' LOMPENSATION OELNflATION: (This secUon neetl nol be complet iI �he permit is for one huntlre0 (510 .
I ceriify Iha� in the pedormance o� �he work tor which �his permii is issued I shall not employ any person in any manner so as �o become
sublect �o Ihe Workers' Compensa�ion Laws ol Califomia.
Date: Signa�ure:
NOiICE: If, alter making thi5 tleclaralion, you shoultl become subleci ro the Workers' Compensation pmvisions o� ihe LaUor
Cotle. you musl forlhwiih comply wilh such pmvisions ar Ihis permi� s�all be tleemetl revoketl.
CONSTflULTION LENOING AGENLY: I �ereby allirm tha� ihere is a cons�mclion IenUing agency lor �he pedormance o� �he work for
which thls permit Is issuetl (Sec�ion 309Z Cv. C).
LENOEX:
RDOflESS:
OWNEfl BUILOEB UECLAPRTION: I hereby affirm �ha� I am exemp� hom �he Conirac�ori' Slale License law �or ihe �ollowing reason
(Seciion 7031.5 Business and Prolessional Code: Fny ci�y ol county which repuires a permi� [o cons�mc�. alter, impmve, tlemolis�, or
repau any slmcture, prior Io ils issuance, also requfres Ihe applican� lor suc� permil to lile a slgnee sta[ement �hal he/she is licensea
pursuam lo Ihe pmvisions ol l�e Contracmrs' State License Law (Chap�er 9(commencing wilh Sec�ion 7000) of �ivision 3 0� Ihe Business
anU Pmlessions Code) or Iha� he/she is exempl iheretrom and the hasis br Ihe alleged exemplian. Any violation o� Seciion 7031.5 by
any ap0licant for a permil subleqs Ihe applicant �o a civil penalry ot noi more than �ive hundred dollar5 ($500).
I. as owner ol Ihe pmpehY Or my employees wilh wages as Iheir sole compensa�ion, will Ao the work. antl Ihe
❑ simcWre is na� inten0etl or a�tered �ar sale (Sec�ion 704a, Business and Pro�essional Cotle: T�e Coniractors' S�a�e License Law
tloes na� apPly lo an owner o� a Dmperty who builtls or impmves I�e�eon, and w�o Ooes suc� work himsel�/herself or Ihrough
his or her own employees. OroviAed �hal such impmvemen�s are nol intentled or olleretl tor sale. I�, however IAe buii0ing ar
improvement is sold wi�hin one y¢ar o� comple�ion, �he owner will have �he burAen o� pmving helshe tlitl not huild or impmve
�or Ihe Ourpose ol sale�.
I, as owner ai the Dmpe��y. am extlusively conirac�ing wilh licensee coNractors to cons�mc� �he pmjecl (Sec�ion 7044. Business
❑ an0 Pmiessions Code: The ConVaclors' Sla�e License Law Aoes no� apDly �o an owner a� proDerty who 6uilOs or improves lhereon
antl who contracls tor suc� D�olecis with a conirac�or(s� iicense pursuant to �he Contraciors' Slaie License Law). I am aware
�hai pmol ol I�eir Worker's Compensation insurance s�oultl be provitlea �o me.
� I am exempl un0er Seclion: B. 8 P. C.
for Ihis reasan:
Oate: Ownec
I tlo hereby cenify I�a� I am aware of an0 unaerslana Ihe requiremems o� Califomia Health antl Sa�ery Code Seciions 2550.5. 25533, and
25534 antl Iha�l or any�uture builtling occupan�will/will not (circle one) neetlta comply with 5ai0 sla�e catles antlthe requirementstora
permil br consimciion or modificalian Imm ihe Air Oualiry Managemen� �isVitl. Aesiaenlial canslmclion apD�ica�ions are exemp� imm
IheSe provi5ion5.
Oale: NPOlicani:
I �ereby cerlity�hat I havereae Ihis apPlicatmn and staie Iha� Ihe ahove informa�ion is correcL I agreelo comply with all ci�y and coun�y
or0inance5 antl stalelaws�elatinglo �uilding consimclion antl herebyaulho e repre Ia�ivesol his cit �a enleruDon�he above-mentionetl
pmpetly lorinspecuon p/urpases.
6ate'. —_�������'__� ���% �
�river's License or Soc�al Secunly p:
164LE6 W�ne—Bmltling: Green—Coae Enlorcemem; Canary—ApplicanC Pink—Revenue; Goldenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT 9
PERMIT NO: B 063944 PLAN CHECK NO; N �• SUPP� N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE; ALT
JOB DESCRIPTION ; T/OFF SHEATH REROOF W/COMP SHINGLES SQ FT: 9,600
CLAIM VALUE: 4,600.00 CALC—VALUE; 9,600.00 GROUP OCC; R-f'—/
COMMENTS• SMOKE DETECTORS RE�i PERMIT INCLUDES 872 874 6 876 BEAR CREER
iF�FiE1f�EifiFifififkiEifiEitlEiElEiEiEiEiEiEiEiEiFiti! �FiEiEiEiflE�EfEit�)(�nlEifiFiE3E�1E�FiEiF�F;FiF1fiElE�E1E��i(��k�-1�i(�{pJ(..��E�
Z O N I N G R E M U I R E M E N_T_ P� U�=
S E T B A C K S
------------ MAIN BUILDING ------_--- --------- ACCESSORY BUILDlIa��� � �---
FRNT: — FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT— IN RGAT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ • PROV; PARCEL; 93506078 ZNE; REF NO;
PLANNING NbTES>
�..
if 1E if if if if iE iE if if iE if iE 1E�1EiE 3E iE iF if aEif if iElE fE iE iF if 1E if iE iE if if if iE if if if iE if iF iE iE 1F iE 1E 1F �E if iEiE iF iE if iF 1E iEif ik if dE 1f 1E iE 1E if if iE 1f !f ik i! iFiE iE iE if
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
20NING APPROVED BY DATE: �
BUILDING APPROVED BY ; DATE: 7?'�
APPLICATION ISSOED BY: �" DATE: " (�}�
1ffEifif-IFiFiEifiEiEiEif�lEiFitiEiEiFifiFifiE�iF3FifiF3fiF3F3F3FiF3Fif'iF�F'i� 3f�F�F3F�F3FiFiF3F3f3f�i'f3f3F3F1'FlEiFiEiflEiEiEifafiF i 1 aEaE
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LEGALIZATION;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 ,50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIl7—> PERMIT ISSUE PLAN—CHECK TOTAL 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 FZRE SMIP/TOT GRADING PLAN—CHECK
�2,�� ,5�
IE iEiE if �F iE if 3E iE 1f iFif �E 1E 3! iE 1E iE iE 1E iE iE iE 1E iE iE iEiE iE �E iE if iElf !f it jE fE iF iE iE if if iE iE iE if if �F fE iE 1F �E Ik iE 3f �EiEiP iE iF iF iE iElE 1F 3FiFlE iE iE iF 1F ff 1E if �k IElE
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 4600 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 4,600,00
END OF FEES
�1 �014o844—GC�14634` T n T 72,SQ
��TE� 04/14.J43 T?t1E� 10:42
.
CONSTRUCTION ANO PLANNING
APPROVALS Permi; #
i. Temporary Electrica� Serv�ce o,r Go�e
2, Soil Pipe•Undrgrnd. '
3. Electrical Conduit Utihry�Und�Smd.
4. Electrical Conduit•Undrgrnd.
5. Steel Reinforcement
6. Electcical UFER Grnd
7. Footings
8. Four.dat�on
9. Water Pipe-Untlrgrnd.
10. Structural Floor SYstem
1 t. Property Sewer line & HousC Connection
12. Sewer Cap
13. Roof Drains ' '
14. Rough Plumbing
15. Rouyh Electrical•Condu�t
16. fiough Electric Wiring
77. Rough Wiring Siyn
18. Rough Electrjcal-T Bar Ceil�n9
19. Rough Heating & A�r Conditioning
?0. Rough Factory Fireplace � �
21. D�cts, in Structure � '. �
22. Qucts, Verrtilating
23. Gas Pipe�Rough & Test .
24. Roof Framing � '
25. Roof Sheathin9 �E
26. T•Bar Cedin9 (Structurall & fdonocoat
27. Frame and Flashing . ,
28. Lathing & Sitling
29. Insulation. � '
30. Drywail Nailing �
37. Plaster Brown Coat . .
32. Electrical Power Meter�Final
33. Final Electric , ' �
34. Pinai Heacing & Air Condition;ng
35. Finai Gas Pipe�Test
36. Hood or Canopy .
37. Final Factory Pi�eplzce �
38. Final Plumbing
39. Wate� Service•Pinal
40. Gas Service-final
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irnqation System:�
45. Sound Attenuation
46. Handicap Regulations
47. FiNAL STRUCTURE & BUILDING
48. FINAL PLANNING •
49. Electric Release to Edison
50. Gas Release to Southern California Gas Q
Date
� PO�� & SPA I I
Date Inspector Date Inspec[or i
0
0
APPROVALS Permit �k
52. Pool & Equipment Location
53. Steel Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAITOCOVER-GUNITE
58. Electrical Conduit�Undrgrntl.
59. Gas P�pe, � Ur.drgrnd., Test
60. 8acktvash Lines, P-Trap, L� Undrgmd.
67. APPROVAL TO DECK
62. Baekr:;.sh 14 Receptor-Finai
63. Haaier & VenbFinzi
64. Plum6ing System � P��al
65. Electrical�Final
66. Solar System-Ein24
67. Fencinq & Access Anp�uval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTENiSFINAL
FIRE DEPT. REQUIREMEIVT
APPROVqL5' Permit �'rT�
70. Underground Hytl�-o
71. ProduCt,Pipin9 C)Gas ❑Oil
72. Underground� Rush � �
73. Underg�nd. Storege Tank � Gas �? Oii
� %4. Ovenc�ad Hydro
75.' Dry Chemical '
76. Dry Standpipe �
77. FIXED SYSTEAI FINAL
78. F�RE PREV. FINAL
HEALTH Dt�PT. FEQUIREMENT
, � 79. FINAL IR'SPECTION .
80. FOOD CERTIFiCATE I$SUED
Notes: �
` 4,1882
COSTA MESA BUILDING-SAFETV DEPARTMENT
• P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
ADDRESS 870 Bear Creek
OWNER State-Wide Develo ers, Inc�
ADDRESS 9461 Gri ndl ay Ad-V�
Z
du ��T� C ress �o`.� 826-455
ZZ
Q CANSTFUCTION
O N LENDER
am
J � BRANCH
J N
m J ADDRESS
m AqCHITECT TEL
J a CGiWGIWGGR N
U �
W� ADORESS 17848 Sk Park Blvd, Irvine
aW
J o coNTnAc,orgtate-Wide Develo ers Inc.
mZ
�� ADDRESS 9461 6ri ndl a
w W TEL.
Z� c�T� C ress Na� 826-4550
y� L C NO. 224I�O LICyNO.
� � SIZE NO.OF BLDGS.
OFLOT 12,093 dCY'25 NOWONlOT 0
USE OF
E%I5TING BLOG.
� SRE OF NO. OF
Q NEW BLDG. ROOMS STORIES
EMERIORWALLP�] ter ROOF
L% COVERING � COVERING
aJ USE OF BUILDING AND WORK TO BE PERFORMED
0.
� New construction-Condominiums
�
~ 1 Residence w att ar
y
z
O
� I hereby acknowletlpa thai I heve reatl this apP���ation and state
.� that t�e above information is corraci entl eB�ee to complV w�th
a all laws raBulat7ng building conatruction, antl I shall not employ
r any pe�Son in violatiOn of the workman's compenmtion lews ot
y Ma Stam of California.
'� I heraby cartify thet I am proParly licensatl es a contracior untler
the State ot Calitornle Business end Profeazions Cotle, Divisicn 3,
Chapter 9, entl that such licensaa are in tull torca entl effeet, or 1
em exempt from the provisionz of the Sta[e of Callfor fa Business
enA Protesslons Cotle, Division 3, Chapter 9.
ste�amro
St te-Wide Develo r Inc.
Permlttee
Authorizetl Agant Vi ce Pres i dent
veto y. ,t:�a�-_
':dv 7 3 76�r;'c• OO �36- 0�.68
' APPIlCAT10N FOR BUIIDING PERMIT
RECEIVED BV OATE RECEIVEO neTc icci�
BUILDING �7 /j� �I,
ADDRESSo T� �J(G{ ✓�!
TFACT ��58 �p
$ W�att Qar VALUE�
AP7ROVED
� NO.OF USE OF NEW
�.f� PLAfS Q BUILDING
�RDS APPROVED VAROSAi
DISTANCE BET
MAIN BLDGS.
VAR.qW �_
HOLD FOR
BEf. MAIN &
ACCESS.BLD
DATE
�
�
1715 sn. Fr. J-783 �
THE AMOUNTSHOWN UNDER VALUATION IS FOR ''
THE PVFPOSE OF ESTqBLISN�NG A PEPMIT FEE ONLY: Q
LU!{TION � w �
� PERMR FEE $ j
y��- m
PIAN CHECK $ I E
`o
LL
TOTAL FEE $ �