HomeMy WebLinkAbout871 BEAR ST - Building Permits..�
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O / 1 DLAL\ l.I\LLA
reaecrnooaess: VILLAGE CREEK H.O.A.
OWNEN'SNRME: 34'Z9 TIMBER LAKE
noosess: COSTA MESA, CA 92626
553-1876
RflLX1ENGINEEH:
nooxess:
PETERSON ROOFING
PEflMITTEE: 3006 ENTERPRISE
nooness: COSTA MESA
UNIT:
flEG.NO.:
uxir:
(714>979-7111
CA 92628
LICENSED LONTNAC70P UELIABRTIDN: I nereoy allirm ihat I am IicenseA un0ei provisions ol Cnao�er 9lcommencing wi�h Seclion
�000l oi �i�i� j� ye�ugness ana Pml�;7� �A my license is in ��Il lurej afa eueci.
CITY IIC.: ST�TE LIC.: C 55:
Oa�e: % SignaWre: � _ ,� - —
WOHNENS' 041P 10pBE6LARAi1�N: I hereby alfirm Ihal I have a rLli�ateac n`to self-insure or a cenilicate ol Workers'
Compensalion Y� d d celRed �bpy inereol �Seciion 3A00, La0.�4 / V 1 �`�
POLICY NO.: S ATE FUND ' EXP. ORTE:
COMP�NY: X
❑ CenilieA copy is nert�y IumisneE. ❑ Ceniliee copy is IiteA with tne/�ity BUA ' Oivisi7o
�a�e: pAVlicant: � �y.,�.L(.�� ✓�� —
T /
E%EM7fI0N flOM WU NEflS' LOMPENSRTION OECWIATION: (This seclpn neeG not Ee comDletN i� pa�m a lor one huMretl �EiOD) or lest�.
I ceNly tlut in ine p¢normance ol tne vrork �or wNcn iNs p¢rrttit is is5ued. I StWI nol employ any per5on in airy manner so as to �ecome
SuOj¢[I la Ihe WOrkers' Compmsation �aws al Califomia.
Oare: Signa�ure:
NOTICE: If, atler rtuYing t�6 GeUaratim. you s�oulE Cecome subiect ta t�e Worker5' Compensatioo D�a'/��ons of tlle LaDor
CoOE. y0u musl lorllmil� compty wil� Sut� provisians ar Ilris permii shall Ge G¢¢meE fevokeE.
��� CONSTPUCTION 1EN01NG RGENCY: I �ereUy aliirm t�al ��ete is a mn5lmtlion 1¢n0inq ap¢ncy �or Ihe Detlarmance a� l�e work lor
wAic� ihis permit i5 isSuM (��ion 3097. Civ. C�.
�xoce:
noon[ss:
OWNEP BWLUEB OECUPRTION: I �¢r¢by aliirm Ihai I am ea¢mpi IrOm IAe ConVaClors' Sta�e License Law for t�e lollowinp reason
�Section 70J7.5 Busineu anG Pmlessional Code: Any cily ol counly wflic� require5 a permil ta tonslNci, alter, improve, Oemalish, or
r¢pair any SIrUtlUre. pri0i l0 ils issUance. al5o requires I�e applitani for sucA permii �o lile a 5ipneE 5[alemenl I�al helS�e is licensed
pursuant lo Ih¢ piovisions ol lbe ComracmrY Slale License Law (C�apler 9(commencinp vni� Seclion 7000) of Oivision 3 0� t�e Business
antl Pmlessions COtle) or Ihdl �elshe is exempt iherefmm antl Ihe basis lor I�e alle0etl eKemption. My vioWtion al Seclion 7031.5 Oy
any aoDlicanl lor a permi� su0lecis ihe applicant to a civii oenally ol nat more Ihan Ihe nuntlrN EWlars (E500).
I, as ovmet ot Ine pmperty or my employees with wages as ineir sole com0en5atian, win tlo �ne work, ane Ine
❑ strucm�e rs noi intenaeA or atlerea lor sale �Section 70a4, Business ana Prolessional COEe: T�e Coniractors' State License Law
COes not aoWY �o dn ovmer of a propeny wlb builds or impmves inereon, anC wtw Goa Sutn work Nmtelf/hers¢If or Nrouqh
�is ar �er ovm empoytts, prmdCeG tha� suc� impmvemen�s are no1 in�en0etl ar a1kreG �or ule. If, Mwever ��e buil0ing or
imprOvemeni 6 id0 mtNn ane year al wmpletion, I�e owner mll luve Ihe bwEen o� prOvinq �e/5A¢ di0 mi �ui10 or improve
lor ine ourp05e ol ulel.
1, as Ow'ner ot I�e D��Verty, am ¢RClusivep comrac�ing vn�h licensed contraclors to conSlruci I�e Drqeci (Section 7044, 6usiness
❑ ana Pmiessbns Caae: The Coniraztors State License Law Coes not apDN lo an ownu of property x1m bu1LLs or impmves t�ereon
anC wlw contratls to� suN pml��s wi�h a conVacmr(s) license pursuani Ia I�e CanUactars' Siate License �aw). I am aware
rtwt yool ol �li¢ir Woder's Comce��� insurance shouW �e provbe0 to me.
CITY OF COSTA MESA - BUILDING PERMIT F M
PERMIT NO: B 063993 PLAN CHECR NO: N r.nvT. N Sf7AP• Al
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 /
+Cr�*�+Er�+Tt*�r***�***D�*�**�+Rr�r**�f�e�r*�+Rr***�t*��*�+Et*�t8**fe�t+8t**�e� 877� ryBqE�ARr CR�}EwEK +j+�J-�+y-�
Z O N I N GS ERTEH�AUCIKRSE M E N T�vnC�C� � lJ�
------------ MAIN BUILDING ---------- --------- ACCESSORY aG���IR 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 2NE: REF NO:
PLANNING N(51'ES>
i
iE 1E iE if iE if iFif %iE if if fE if iE �f ff iF iFif if it if if ihlE ik if iflf k!f iE iE iE iF iE k iE if iE 1E 1k iE i! 1k iE if �f iE iF 1f fE iF iF ff 1E 1E iF iF iE iE * i! 1E iE iE 1ElP iEiFlF 1F if 1k ik iF iF i!
� 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 DATE; �
BUILDING APPROVED BY : DATE: �
APPLICATION ISSUED BY: DATE: ��
ifiEiflfiEiEifiEiEitiFiEiliFiEfE1FiE1Eif1Elfifi�lF�iFiFif7FiFiF'iFiF3Fii�7FitiFiF�F£iFM1tlEiflE�ltlEiEiEiE t itif
1E if if if 1f if 1E if 1f iE 1f if iF il7F if it If iE 1f 1E iE if ik M iE if iE If l41F 1E if ik ik')f 1f iF 1E i61E 1E 1E iE if !E if iF�IF if 1E if IF if if if 1Elf if !E iF 1F �1! iE 1E 1E i4 %� 1FiF ik it # iE # iE it # if
LEGALI2ATION:N' F E E S U M M A R Y STRUCTURAI;'SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 72.00 50
SMIP/NON-RES
PLAN
ISSDE FEE
BUILDING-DIV-> 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 FIRE SMIP/TOT GRADING PLAN-CHECIC
72.00 .50
ik if if if iE iE if 3E if iE 1f i! iP iE jF iE if i! if iE i! 1E iF if 1E iE IE �f iE 1E iE k if if iE if iE iE it iE iE iE ik it iE iE if!! if iE iF iE iE k if ik * iE if 1Elf if iF iE iE iFiElE iE iE iF it iE i! iE if iE iFlE
I N D I V I D U A L F E E B R E A K D O W N
p i am e.empi u�aer secwn: e, s P. c. TYPE QTY D E 5 C R I P T I O N UNI T COST TOTAL COST
for mis reamn:
oate: p,me�. $ FR
I Oo �ere�y cerli�y Itu� I am aware ot anE unAerstana ��e requir¢menis al Calilomia Heait� an0 Saleiy CoOe $e[lions 25505, 25533, and
25534 antl Inal I m any luture �uAAing occupant will/will not �circle one) neea lo tamON w��h ui0 slate ca0es ana ibe reQuiremenis for a
permp lor tonslmtiion or mo4�liCdlion bom Ihe Air Oualily ManaAement �isVicl. Fe5i0enlial Conslmclion aDDbcalions are exempt Imm
Ihese pmvisrons.
Date: Appl¢ant:
I �ereGy ceriily �lul l fuve �eaa lhi5 applicaiian antl slale lhal Ihe above in�ormalion is roracl. I a0�ee �a comply wilh all [ity and couniy
mainancesanOSla�eWwsreWlinptobmlaingconslmctionandhereUyaulhorit reD��entativesollNsdtylo¢nrerupanlheaUove�memioned
proUerlY lor inspetlion Durposes ��J �
�ale: ��� �� �
�river's LitenSe or $ocial Secunty .:
�6aLa6 W��te—BmlGmg: Green—Coae Entorcemenl: Canary—AOP�Kan�: Pink—Reven�e: GdOenroC—Assessor
t
9600 REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
1.00 9,600.00
01 OO1;ti842-00146243 T C�T 72.50
DAIE: 04/14/93 TIItE: 10:4i
i CONSTRUCTIOR AAtD PLANNING
APPROVALS Permit �
1. Temporary Eiectncal Service or Pole
2. Sod Pipe-Und�gmd.
3. EI-c!�iwt Cor,duit Ut:�ity-Undrgrrd.
4. Electric�i Cor.du�bUndrgrnd.
5. St��. Reinfa�crment
� 8. EleeVita'. i,FER Grr.d.
7. Foourgs
8. Foundat�on
9. 4"ater P�pe�Undrgrr.d.
� 10. Suuctura! Flaor System � ,
it. Crap-a•ty S^rrer L�ne (4 HouseConnectio�
� 12. Saa�er Cap - '
f------
I 13. Roof Dra�ns
14. fiough Fiumb�nq
�
15 Rough Eiectriw6Condu4
� 16 oR ugh Elec[ncl'Aring
V, Rough!Y�nnpS�an
18. Rocgh E:ect��cal�T Bar CeiLng
19. Rough Hcct�.n? & A�i Cocdiuoning
20. Ro�y`� Fdci�rj� ��rrp'aca ,
21. Ducts.'n S:r�cture � • �
22. [Jucts, Vcnt�Wun�
-•-'--
za. e>d. Pipa�Rough & Test �
24. Ronf Framing ' '
25. Roof Shtathing -
26. T�Bar Cciling (Strur,urall $ Monocoat
27. �rarq: ard f-!ashing ,
Z8. lath�nq �. S�d�nd . . � � _.
�9. �^SulOti�n �
3J. .^.�v::ail'.all;rn '
31. Piast:� Bro:.n Co�;
32 EL�trx.�, P�: �i ?.:sterPinai
33. F�nal �Itctnc � • i
34. Final Hcat�ng 3i Air Cond:tioning �
35. Final Gas Pipe�Test
36. Hood Or Canapy
37. F�na� Fccto.y F�replace
38. F�nal Plumbing •
39. lVater $ervice-Firal
40. G�: Suc:cz�Final
I41. Solar pomestic•Final
42. Gackflow Pre�onter
A3. B.dcflom� Irrigat�on
4C. Landscapa Irriqa?ion :
�.�. Sound Attenuation
46, Hendicap Reguiations
Dote
n
0
4). FINAL STaUCTtiftE & BUILDING 3'_L
46 FINAL PLARhIP1G_
49. E�.ectr�c Release to'Edison
50. Gas Retease to 5.^,u[hern California Gas Co
Date
P�JL & SPA I
Inspector AppROVALS Permit;�
52. Pool & Eqwpment Locauon
53. Steel Reinforcement
_ 54. Forms
55. E�ectrical Bonding
56. Raugh Plumb�ng & Pressure Test
57. APPROVAL TO COVER�GUNITE
56. Electrical Conduit�Unargrntl.
59. Gas Pipe, O Undrgrnd., T¢St
' 60. Baclavash �ines, P-Trap, � Undrgmd.
67. APPROVAITODECK
62. Baekc+ash t4 Ree.+;ror•P�nal
u3. Heater & VanbFinal
64. Plumbing Systum � Final
_ 65. Elactrical�Final
6fi. So�ar System�Final
67. Fencing & Access Approval
68. APPROVEO FOR PLASTERIhG
69. POOUSPASYSTE:.75F1^JAL
FIRE DEPT. REQUIREMENT
' APP�lOVA�.S' P�ermit ir�_
70. Undergr6and Hytlra
71. Product Pipin9 f-: Gas OOiI
72. Underground Fiuth �
73. Undergr,nd. Sror2�c 7ank Q Gas �: Ou
� W� 74. Overhead Hydro
V 75. Dry Chemiwi
76. Dry Standpipe
� 77. FIXED SVSTE'�.9 FIPJAL
78. HRE PREV. r�I�JAL
' HEAL'i H DEPT. REQUIRE?:�ENT
:�
.
Date �Inspector
0
79. FINAt.`>1SPECTiON � �
I
- _'_-{-- _ � -_--�
BC. FDOD CEHTIF ICATE ISSUED �
--i
fVotes:
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i
����a� d71 BEAR CREER
wrsxaru�eir�ww�xHILL ROBERT
.ua�ss fl71 �h`AR CREEK
COSTA MESA,CA 92626
241-38G7
�vw. w�nmo �s4
1RCXR�f OX EN(@lEFA:
APCX.OfI Elq.'4 MONE59:
ca�m�cTars�•�.
tdllylttpf4 Yi1111N0
�OONESS
uMr:
FL�OOD: AO-7f1
a�- K
L1G N0:
UNT:
11C Iq:
uxr:
ucQaEn corrtaacroas oEcuaarroH: � n�r .T uWar pmWy d pmjuy tlw 1 em Gceemtl �mder pwiome M Cheqm 9
(mmmw�q xilh Seclian ]000) d Oimion 3 d iM Busimq enJ Vml»duu CoEe. and my 4cerma n F 1u01aw md aflW.
cmuc.No.: uc.cuss: uc.No.: EXP:
ow: co�vaaa:
OWNEF BUILDEN DECIAXATON: I hrtly dfirm uMx psiWy d parjury ihet I em vamq Iran iM CMrenm linros law fa tlr
IoOwip �um (Swun ]W t 3&onxs eM RWmdone God�: �mW n adaoY nhiN mPma� s V�Y �o mmNJ. Mx. vnpwe.
MmMeh, a repei mr/ slruqun. pna n b'sw'm, eho rpwp tM eppYUN fa wdi peniu lo fiM e dpn�d ppw�ei� Nq M a�M
a coe,wa w�.� m me wo,e�. a m. comna«. uoa,,. i.. ICNa« e(wmm.�a Mnn s.ao� roro) a o�.e6� a a in.
BimNn W Aden"orro Codsl a tM M a tlr u exemq Ihsehum md �M Eam tar iM dbped �wry�ion. Np'violYcn d Swion
1N1.5 by mry epp4rem la e permC �Ejev Ihs appfceea to e wi penety d nd mas Nm (xe huMntl EoYvf �SSaap.
�] I.moxiwtl�haVW�YnmYambMewhwapeeotheiwbmm0a�mtim.radoNer.M.Wtlr�mrdmenol'vtleMeA
a MenE lar ab (SeNan ]w,. &�sa eM PMeasms Code: Ths Caamf m lioeme Lew does m1 e00b to m ower d peaperty
»ro aai. «maaw m.�..,d.ro me. r�n wM+:m.sn«iw.x a m,o� ns or n� o�m «�Wonm. o�w mm wcn
impwammYa ero mt intardeE a dland la eeb. tl. howa�wr. IM ddEi�p a inpamneM ie wIC whhm pw yaer d comqstion. Me
pwnar-0utlCw will Aeve IM dadan d poviiq M a Nie did m� buiN a'unpon la �he q�ryms d qk).
❑ I. n ownar d Iha propeily. un utliewtly wmreaiq xilh IicNnad contractas b rmwutl Ihe M%aG (Swfion ]Ou. Bwiim� ud
Prdeaeim� Code: TM Wurrfm L'canw leM Aom nal en wnw U pW Y who Cu11d� a YnPa'a �Ivson W wM
caNrecb lor a�N MM� WN e m�meM�) licenssd W w e CaNr w� w �.
❑ I em a�emq uMm SM'v�: B. 8 P.G. lor n:
o.i.: �D ��'{-1—Ci� o.,,.,:
I Ao I�apy pntly tIW I un ewen d ad uiCentxid Ihs �aVwmn ol CeOaris Nselh ud S M/ COCs 9afiom AS505.15.41t. xd
255�t. eM tlu� 1 v em/ N�va dnlJuiO omq�� M4 / wil rwl (drcb ) neaE b camqy wih ' ans mM� eM th nWi�snerN br
•DKmLtnmroi�uqonMmodifim�ionlromlMA4�ly ar�MnMDolritl.hsdetlielmnlMnn�44�iauenavmPltmnNws
a�.
om.; nyd�v:
WOflKEF'S COMPENS�TION DEC WI�TON: I Mreby dllrm uq�r prupy el prpry ono W IM IdbNnp btlret'av:
❑ CoM.1dM DM ^'amenca W Yw M lor wtirh��Ne D� e Musd. ,�M�ion. n Ca+ded ta M 9�ebn �1W d �M lebar
❑ �n....newm�nun.o�k..•mmowronnwre�c....nw�dMs.eo„arooam.temcod..wu.w�«�wc.ain.
wwk la wM1id� Mo v� b mwA. M'.abY oomW�bn inwrtrc� m�wr .d paWy mmbr.n:
Certw:
PNry Mvnbr
f7Au asdion roW rot de mnNMed 1 rtwWm+] o fa aro hwMM doAan If100� 41mJ
❑ I canh tM u Ne ox�omwiu a �h wMc ror whkn th'v pe�mn u ewwE. I tlW na emqw aM o«nn n enY meniwr m o to
Mcaro wblb �o iM v.nrken' m�ymwion Mvn d CelLmie. vd V�M tlW E I ehould bcoms aillb lo �M xvrlw'
mnpemmian Vmrisiom W SWbn 2/00 G ihs lebor COEe. l MeA IaNxilh wmDN wN� Nou pioviebne.
om.� nooi�w: '
w�^WY: F�Yun ro ucun wilr�ri eenp�nraon eov�nW l� wMY'M �rMWII uON�r �n �'Mlonr ro u4Niul Vwltlu uM
clY9 niw �p m on. nindnd tMuuN dolhn fi104aWA m Mfldon ro tlr� cmr or rompmuUon � n prvNbtl ror In
�tlan 11G6 0l IM Ltlor COA, IN.rnt W�ftamn"� fwa
CONSTNUCIION LENWNO �GENCY: I Aseb� elfvm uMs pmuYy d perjW iM IMn u e amuvaion InEip prY.y la IM
W�Mmnw d tM Mak la r.fiitl� tM1"s prmA u'swod (Swion Josl. Cwi. C).
IENpEX'S NYIE:
LENUEN'S ADDPESS:
I cMiFy ihel l lwe iaad thia epplee4m and apa tAea Ne ebove inlamYion o conee. I piee to mmply Mth N tiry �nd mumy ad'mema�
end �W� Iew� nitl�q lo dnMM tmmuuion entl hxsbY aulharss nAe��+a d �hu dly b�Mer uP� IM OEave�meNonod peopMy
�� �'°�°��iRQB�RT H I L L
! � / !L a /1
�.: `i"- ( -�Z
(SIS1Jq.WP) WhYsB�ikiq8SalMy,O�asr�FJa:Cenery-�ppimq:PinkJiwanus:(bWsnep�Asw�sar
Cl'1'Y OF COS'CA MESA - BUILD'iNC FERtdIT
PERMIT NO: M 082'267 PLAN CHECK NO: N
PERM P10: M OD'2"167
GOVT: N SUPP: N
CONSTRUCTION TYPE; ��-N PERMIT TYPE: MEC PURPOSE: OTA
JOH DESCRIPTION ; LEGALIZE A/C UNIT INSTALLATION S{j FT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-1 /
COMMENTS; NO OTHER WORK AUTHORIZED BY THIS PERMIT
1f� 1E fF iElE 1E if'1F i(� 1E if 1F fE fE 1E ff IE 7f # If 1E �(' IE Ik 1F 1F 1F 1E 1F 1f 1E �1F iF 1E fE 1t if� if it 1E i(� iF 1E fE �E 1E 1E fk i4 ik if If Ik 1E if 1F iE 1E 1E if 1E if� if iE 1E 1E if ik if iE iE 1E IE 1E �lE 1E iE 1E if
2 O N I N G 12 E Q U Z R E M E N T S
S E T B A C H S
----------- MAIN BOILDING ---------- --------- ACCESSORY BUILDING ------
FRNT: F7' 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: REF NO:
PLANNING NOTES> ,
> �
iE 1E iFlf if !E 1f 1E iF iF 1f �f if 1k 1E 1E 1E fE iE If iE 1E iF 1E 1E if 1E 1E 1E iE 1E iE 1F If 1E iE 1k 1f 1E iE iE it if !E iElElE fE iE k IElE IElf 1E 16 jE ik 1k iE 1E 1F if if iE iF if 1E k 1f 1f iE 1f ik iE if 1F 1E iE
D E V E L O P M E N T S E R V I C E S� R E Q U I It E M E N T S
ZONING APPROVED BY • DATE:
BUILDING APPROVED BY ;
APPLICATION ISSUED HY; �(qr
+ric *�ftx ft*it**�+��+tx�*�*t��fe
LEGALIZATION:Y F E E S U M M A R Y
BLDG PMT PLUMHING ELECTRdC MECHANIC
PERMIT 26.50
PLAN ',. r, 25t
ISSUE FEE 22 00
FIRE
DATE:
DATE; �
�*x*�*�r� **
STRUCTURAL SEGMENT:N
SMIP/RES GRADING
SMIP/NON-RES
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK � TOTAL PAID DUE
TOTALS----> 26.50 22.00 _- 0.00 48.50 48.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 48.50 OVER/SAOR'(': .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECR
4 8 .".5 0
!E M iE 1P iE if 1f 1E iE 1F 1E IE IE fE 1f 7f 1ElE fE fE iE iE iE if iE 1k M� 1E iF 1F 1E iF iE!(�l61f fE fE fE iE iF iF 1F 1F 1E iF 1f Ib 1E iE iE If fE 1f iE IF 1E iE iF 1E k �t 1f 1f IE fk ib 1k 1E 1E iE 1E 1E 1E iE if if iE iE
I N D Z V I D U A L `.'F E E B R E A K D D W tJ
TYPE (�TY D E S C R I P T I O N`; UNIT COST TOTAL COST
MEC
] REFRIGERATION SYSTEM <= 100 K BTU/H 13,25
END OF FEES
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13.25
84-81-1997/88;44 pM/f4A.58
PERMI TPT082267
CONSTflUCTION ANO PLANNING -- _ PO�� & SPA '
APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service o� Pole 52. Pool & Equipment Location '
2. Soil Pipe�Undrgrnd. ' 53. Steel Reinforcement
3. Electrital Conduit Utility•Undrgmd. 54. Forms
4. Electrical Conduit•Undrgrnd. 55. Eiectrical Bonding �
�. Steel Relnforcement ' 56, Rough Plumbing & Pressure Test
�6. Electrical UFER Grnd. 57. APPROVALTO COVER�GUNITE
�7. Footings 58. Electrica� Conduit-Undr9rnd.
8. Foundation • 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe-Undrgmd. . 60. Backwash Lines, P-Trap, O Undrgmd.
10. Structural Floor System 61: APPROVAI TO DECK
i t. PropertY Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap ' . 63. Heater & Vent•Final
13. Roof D�ains 64. Plumbing SYstem - Finai ��
14. Rough Plumbing 65. Electrical-Final •
15. Rough Electrical•Conduit . 66. Solar SYstem-final
16. Rouqh Electric Wiring � � � 67. Fencing & Access Approval .
17. qough Wiring Si9n 68. APPROVED FOR PLASTERING
18. Raugh E�ectrical•7 Bar Ce�ling � 69. POOL/SPA SYSTEMS FiNAL
19. Rough Heating & Ai. Cpnditioning 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 Fiush
24. Roof Framing - . 73. Undergrnd.Stora9e Tank Q Gas ❑ Oil
25. Roof Sheathin9 • 74. Overhead Hydro
26. T-Bar Ceiling (Struccural) & Monocoat 75. Dry Chemical -
27. Frame and Fiashing - 76. Dry Standpipe
28. Wthing & Siding _ � � 77. FIXED SYSTEM FINAL
29. Insulation • 78. FIRE PREV. FINAL
30. Drywall Naiting , HEALTH DEPT. REQUIREMENT
31. Plaster 9rown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final . 80. FOOD CERTIFICATE ISSUED
33. Final Electric � Notes: _��c�.�CQR_Q.C�.TfQN �_ _ �f.Y
34. Final Heating & Air Conditioning �
. °L�% �Gifz_ _ _ .
35. Final Gas PiOe�Test ����� - -
36. Hood orCanopy
37. Final FeCtory Fireplace -
38. Final Plumbing _ /�/ _
\39. Water $ervice-Final� .
40. Gas Service-Final � '
41. Solar Oomestic•Final
42. BackfloW P�eventer _
43. Back4loW lrrigation .
44. LandscaPe Irripation System ' � - _ .
45. Sound Attenuation . .
46. Handicap Regulations -
47. FINALSTRl1CTURE&BUILDING
48. FINAL PLANNING
49. Electric Release to Edison � � �
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Oate
reaecTaooeEss: 871 HEAR CREEK
owxEs•snnme: VILLAGE CREEK HOMEOWNERS
noneess: ASSOCIATION
3429 TIMBER LAKE
CM VA 92626
uxit:
APCN/ENGINEEH: CHESTER CARVZLLE flEG.NO.: CSA3OS
aooxess: 7922 ARMOUR ST p, uxir:
PEflMITTEE: PHOENSX ENTERPRISES INC.921(213)690-9559
aooness: 411 COMERCIAL WAY
LA HABRA CA 90631
LICENSEU CONTRACTOP OECNBIITION: I herehy ailirm I�al I am �. ' tl unAer provisions al Ctupter 9(commencinp wil� Sec�ion
70001 0l OiviSion 3 0l Ine Business antl Pmlessions Cod¢, antl m ic se is in lull force antl elle
c��ruc.: 507�8/8 s Te ic.:376639 ss/: B�� �^�
�' Uate; _� � `t � �-r SignaWre: _ - - V —'{�//����
WOXREB$' COMPENSRTION OECLABATION: I �ere0y at�in that i have a cenilicate af consenl ta selbinsure or a c' etl111Caie OI Workers'
ComOensalion LtSu{3�'KQ� o( ycPj�ilietl coDY Ihereol �Seclion 3000. Lab. CI � O 1� 9 1
POLICY NO.: W/ 1/ V.7 7 4 E%P. DFTE: lJ
�OMPpNY: CA COMP 6 FIRE
Cenilie0 copy is nereEy tumisne0. ❑ Cenilie0 copy is til uitding 9Nision. /f
�� Daie: _y� PpplitanL � /v L �
EXEMPfION FBOM WOBKEBS' COMPENSATION OELUNAPON: �This sed�on neeC nu� be canpleleC if �he perml is Iw one hunEreO (5100) or less�.
I certity inal in ine p¢Aormance of ihe work for which �nis permit is issuee. I shall tmt empl0y am PQrSan in any manner so as to Oecome
subie�� �o �ne Warkers' ComDensa�ion Laws ol Calibmia.
Oa�e: Signawre-
NOTICE: II, alter maiting iNs Ceclaration. you shoul� Eecame subiect to t�e WaM1ers' CAmpeia2iqn pmvi9ons of Ihe LabOr
CoOe. you musl Iarihwit� comDN ��IA suc� Dmvisions at Ihis Oe�mi� s�all Oe CeemeC revOkeG.
CONSTPUCTION LENOING PCENCY: I nere�y allirm inat ihere is 8 constNction lentlinq a0ency lor ine petlormance ol ine work lor
w�ich Ihis permil u i55uM (Sttiiw 3097. Gv. C�.
LENOEN:
aonncss:
OWNEB BUIL�EB DELUBRTION: I hereby affirm ��at 1 am exemp� imm t�e Contractors State Lkense Law lor �he lallowinp reason �
�Senion 103t.5 Buvness an0 Prole55ional CoEe; Any city oi counry which repuires a Dermit ta consimct, alter, improve, Cemolis�, or
repdit any SlruGlute. D�b� �oilS i55Wn[e. a150 reQuires Ihe appliCan� �Or Sut� ptriltil Io lile a 90�e4 51a1e(li¢ni tlldl hP15h� IS IitCnSeA
pursuanl to tne pwvaians o� the Contracmri S�ate License Law (Chap�er 9(wmmeircifp witn Section 7000) ol Division 3 0l ihe Business
anG Pmfessbns CaAe) o� Rwt �e/s�e is exempt t�ereimm ana t�e Gasis lar �Ae allegeE eaemDtian. My vioWtiw ol Secliun 7IXi1.5 by
any apolitanl lor a oerrtnt subletls the avPli6ant to a tivil Denalry o� �� �re rtWn ilve �unOrtA OdWrs (55001.
I, as awner oi ine prop¢rty or my employees wilh wages as Iheir Sole CompeiRation, win Uo Itre vrork, and Ihe
❑ slmciure ¢ no1 intenGeG or oltereE lor ule (Secuon 70a4. Business anA Pmfessional Cotle: T�e Contraclars' Slale License Law
aoes nol aDoN ta an ownet of a propeny who builas or improves inereon. and wilo Oce5 suN work nim5¢Ifinersell or IhrouOh
nis or ner own employees. O�wiCeO tiut such impmvemenR are nol inlentlM or otter¢O lar Sale. If, Mwever I�e builtling ot
improvement is SOIC wilhN One year ol completion. t�e owner Nd�l have the �ur0en af pmvulg �Plslle NU na� OuilU ar imD�ove
tor tAe Durpose ol sate).
I. as ownu ai Ihe pwp¢rty. am exclusively rontracbng vnth IicenseC contraciws Io con5wct the prOjttl �Seciion 7Daa, Bu5ine5s
❑ aM Pra�e55iartt CoOe: The ContratlOrs S�ate LeenSe Law d0es not appty la an wmer ai prope�ywM Gwl0.s w improvu IherCon
and wM mnira[Is lor such prqecis wi�� a contra[tar�s) lic¢nSe puriwnt Io Ne Canl�actars' Sute License Law�. I am awam
��� 0��� ot I�eir Worker's Compensation insurance s�oulG �e prariaed to me.
� I am e�empl un0er $eCtiOn: B. 8 P. C.
lor t�is reason:
CITY OF COSTA MESA — HUILDING PERMIT PERM NO: B U
PERMIT NO: B 050642 PLAN CHECK NO: 00070-91 A GOVT: N S P: N
CONSTRUCTION TYPE: V—N FERMIT TYPE: STR PURPOSE: REP
JOB DESCRIFTION : REPAIR SETTLEMENT DAMAGE SQ FT; 193
CLAIM VALUE: 14,300,00 CALC—VALUE; 14,300,00 GROUP OCC: R-3 /
COMMENTS: HUILDING SETTLEMENT REPAIR/FOUNDATION
*x**�*�t**�**��r*�***�t�t**�t��t*�tx*�r**�t�r**+t*�t*�t**�r**x�**�t�*�t**�r�*�r**�rit�tf�u��-x���t**�t*�**�t
Z O N I N GS ERTEBQAUCIKRSE M E N T S
------------ MAIN HUILDING ---------- ------=-- ACCESSORY BUILDING ---------
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 REp � PROV; PARCEL: 93506124 2NE: R2 AEF NO:
PLANNING N(ST'ES> FOUNDATION REPAIR,
i
�k iE 1E 3f IF iE �f �E ii 1E If iF if iE If iF Ik iE if lFiE 1f if �7F if iP IE if if iE �f Ik iE 1E iE iF iE �F 1ElF if iF ff if 3E 3b iE iF if 3E 1f iF iF )f iE 1E iE if iE 1F iF il� If If iE fE iE If iE 1E 1E iE iE iE � if 1f if �f
D E V E L O P M E N T 5 E R V I C E S R E Q�U I R E M E N-T S
ZONING APPROVED BY �i�• �--�� �� DATE; O i i,� �
BUILDING APPROVED BY : U'��A�' DATE; �
APPLICATION ISSUED BY: DATE;
iE k If if if k M iE if if iF iE IE aE iE 1E ik iE iE if iFlf � . 1E if iF i(� If k 1E 1E k if��if 1f jE
iE1flEiflElfifiElfiFiF1l�f�1EiE1EiFIfIfiFlEiFlEifff ffflflEk�Elf�7flfiflklfiflElfif�IFfEil�kfElfiEififlffEkiEiElflfaf�#kIFMlfibiElElflfiFjF
LEGALIZATION;N F E S U M M A R Y STRUCTUfiAI, SEGMENT:Y
HLDG PMT PLUMBING 'LECTRIC 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 1A9.33 ,00
REVENUE DIVISION TOTALS--> 'COLLECTED; 189.33 OVER/SHORT; ,00
HiDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
162,00 ' 1,00 26.33
1E fEif if if If if iF iE 1f iF if 1E if IF 3E k if *!F IF iE IE ik IE iF iE 1E !E iF iE 4E 3E fE iE k iE iE �E aE IE iF iF If If if M 1P iE iE 1f iE iE j(� if iF IF if If IE IF it iF 1ElF iE 1E iE IFiE iF ie if 1k Ik if IE 1f if
I N D I V I D U A L F E.E B R E A K D O W N
TYFE QTY D E S C R I P T I O N UNIT COST TOTAL COST
Oate: �'^e�� I SFR
I tle AereGy cenily itut I am aware ol an0 unAerstantl the repuiremen�s al Calilomia Healih aztl $dtety COde Stttions 25505. 25533, antl
25534 ana tlui I or any luture buil0ing acupant vnlVvnll not (circle one) neea m compty witn saiE state wAes and Ne requiremems lor a
Oermii loi consimction ot mo0ilicaiion irom ihe Air u� Managemenl DisMc�. flesiGential consiruttion aDD�iWlions are exempl trom
inese orovisions.
Dale'. Applitan�;
I �¢rtby c¢tlify Ihal I have r¢aa IAiS aDPliWlion anU Slale IAai Ihe a � ntOrm- n is mrrKL I aA� "'o Camply vn�h all Cily anJ
orGinances anU slaie laws relaling Io builUing consimclion and �er Aze r es¢nta�ive501 �M iiy em r upon IAe aEove-me
propetly Ia/�in50,e.d�ion ur0ose�
� Dale: _��f!��� Signalure: �� _
od�ers ucense or saiai secudiv ��
i6ai�a6 Wnne—Bvittling; Green—Cotle Enlorcemenl; Canary�AOPlican�; Pmk—Revenue; GolOenrotl—Assessor
' � _ � � '
143 STRUCTURAL BY VALUE PER 5100,00
END OF fiEES
100.00 14,300.00
Oi ;,Q{77oa'L—� �C7�353 'i o:o'�" lt:9.33
aA1E: 0!/2:/91 ?Ii�E: u?:23
CONSTRUCTION ANDPLANNING POu SPA
APPROVALS Permit # Date Inspector p�ppROVALS Permit �k Date Inspector
1. Temporary Electricat Service or Pole 52. Pool & Equipment Location ��
�
2. Soil Pipe-Undrgrnd. �. 53. Steel Reinforcement ;,,_
3: Electrical Conduit Utility-UnCrgrnd. 54. Forms
r-�
4. Electricel Conduit�Undrgrn� : 55. Electrical Bonding
5. Steel Reinforceme�t , 56. Rough Plumbing & Pressure Test �
6. Electriwi �UFER Grnd. 57. APPROVAL TO COVE�R�GUNITE
7. Footingi ' 58. Electriral Conduit-Undrgrnd. ��'
. 8. Foundatiom _� t � Y `% 59. Gas Pipe, O Undrgrnd., Test ,��'+
9. Water Pipe-Untlrgrnd. � 9% � ,�� � 60. Backwash Lines, P-Trap, O Undrgrnd. ���. �
10. Structurol Floor System � _� � 67. APPROVAL TO DECK ' �'-
„ �.
17. Property Sewer Line & House Connedion � 62. Backwash & Receptor-Final ���
72. Sewer Cap ,, ' � ' "� 63. Heater & Vent-Final
„'1
13. Roof Drains ��J� %\ 64. Plumbing System � Final �d
14. Rough Plumbing � �� 65. Electrical-Final � ���
�
15. Rough Electriwl-Conduit �i ; i' 66. Solar SYstem-Final ��
16. Rough Electric Wiring �' �� 67. Fencing & Access ApProval �
77. Rou9h Wiring Sign ' 68. APPROVED FOR PLASTERING �
18. Rough Electrical-T Bar Ceilin9 69. POOVSPA 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 �Gas OOiI
23. Gas Pipe�Rough &�Tes[ . � .., 72, Underground Flush rr�
24' Roof Praming . ' • ; • '^73. Undergrnd.SrorageTank OGas OOiI
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 �� 78, FIRE PREV. FINAL �
30. Drywall Nailing � � �• ' HEALTH DEPT. REQUIREMENT
•31. Plaster Brown Coat � � ;� , 79. FiNAL INSPECTION ,
32. Electrical Power Meter-Final . � � i- . 80. FOOD CERTIFICATE ISSUED .
�
_ 33. Final Electric � ' ' ., Notes:
34. Final Heating & Air Conditioning. � I � �� � .
35. Final Gas Pipe�Test �; i --
36. Hood or Canopy �, _ � I
�
37. Final Factory Fireplace � '' i � �- ,
38. Final Plumbing .- � �� ( � • �
i
39. Water Service�Final� , � ; i
40. Gas Service-Final . � � '�
� 47. Solar pomesticFinal • � i � , ' -
� '
42. Backflow Preventer , � I . �- �
I
43. Backflow Irrigation �� ' '
44. L.andscape Irripation System - _ �
45. Sound Attenuation • • ' i �
46. Handicap Regulations , � ,.
47. FINALSTRUCTURE&BUILDING 2 � •- �
48. FINAL PLANNING � �' I '��
49: Electric Release to Edison � �
50. Gas Release to Southem Califomia Gas Co I � i . ' : '
� �
51. CERTIFICATE OF.00CUPANCY , . � .
No. Date
OWNER gT
JOB ADDRESS
GENER 0 N R T
AP No. ' '
INSPECTIONS
SOIL
cns
WRTEH
ROUGH PLUMBING
PROP. SWR. LINE HOUSE
SPRINKLING SYSTEM
MISCELLRNEOUS
NOUGM HEATING ANO AIR C0�
TEMPORARY SERVICE OR POL
UN�ERGROUNO � POWER
FOIIGH WIFING
TRENCHES � FOflMS
FLOOR SVSTEM '
BOND BEAM ❑ STEEL RE
SHEATHING
FRAME AND FLASMING
LATHING - IN � � OUT f
PUSTEP, BHOWN COAT
STRUCTURAI, FINAL
MEATING. VENT.. REFRIG. A�
UAIt 4-
1:191
TRACT RRSA FIRE ZONE
SUBCONTRACTOR
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� COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING___ _ _ .
OWNER
MAIL
ADDRE
CITY
BRANCH
ADDRES
ADORESS � ��
CONTRACTOR
ADDRE55 94E
cirr RCv�
STATE
LIC. NO. 2'L4
SIZE
OF LOT �'L
USE OF
ExISTING BLDG.
SIZE OF
NEW BLDG.
EXTERIOR WALI
COVERING
USE OF BUILDI
$$
NO. OF
ROOMS
ter ROOF
COVERI
ID WORK TO BE
No 826-4550
�
�. �
TE
TEL.
No. 826-
CITV
LIC. NO.
NO.OF BLDGS.
NOW ON LOT
1 Residence with att
MA.Y 13-76PnIuOO 744*� ***Z10.i,�
cr,�,
APPLICATION FOR BUILDING PERMIT
RECEIVED 8V DATE RECEIVED p TE ISSUEI
1
�il� ^ZI/-OI�OZ •PER N •'
A.P. NO. b - - U �'
BUILDING � //{�,, /� /
ADDRESS .�7� "�'r� ✓�"
TFACT �S�S� LOT BLOCK
FIRE
ZONE
APPROVED-
NE INO.OF I USE OF NEW
�Z�P ' PLAN$ Z BUILDING a
VARDS APPROVED VARDS Af
l. JIOt FT FT.
REAR � FT. FT. �
DISfANCE BET. BET. MAIN &
MAIN BLDCaS. ACCE55. BLDC:S.
C U v, •,�c..� � APPROVED �5��
APPROVED ✓ � i i �if
<( i�o
FiOLD FOR S ECIAL RLQUIRE:IEi�"�
I hereby acknowledBe that I hava reatl this aDP�icallon antl stete ���
that tha ebove intormation is corract antl e0�ea ta comply with
all laws regulating builtlin8 �oncVucNon, antl I shell not employ
eny Oerwn in violetion of the workman'� compenaation laws of
the Staie of Californle. m�q
I hereby certify that I em properly licensetl asa conveciar under 1254 sn. Fr. J-655 d
tha State ot Celifornle Business entl Professions Cotla, Divisicn 3, TNE AMOUNT SHpWN UNDER VALUATION IS FOR ;
Chapter 9, antl Met suth lieenws are in full toree entl effxt, or I THE PURP06E OF ESTABL6HING A PEfiMR FEE ONLV: Q
em exempt irom Me prov(sions of the State of Cal ornie Buslness VALUATION � /�
antl Professi C de, iyi ion Cha ter 9. � pERMIT FEE $ � a""CJ m
�aie �li�e �'eve�o�s inc. � ;
Slpnature o( m
Permittea PLAN CHECK $ � O E
A�thotliadABent Vice President � 0. � �
TOTAL FEE
O LL