HomeMy WebLinkAbout873 BEAR ST - Building Permits9
PflQIECTRDUHESS: A%j HEAR CREEK
OWNEN'SNFME: VILLAGE CREEK HOMEOWNERS
nonncss: ASSOCIATION
3429 TIMBER LARE
CM VA 92626
UNIT:
AflCHIENGINEEH: CHESTER CARVILLE NEG.NO.:CIiJ3OS
aoonEss: 7922 ARMOUR ST uxiT:
S.D. CA 92111
PEPMITTEE: PHOENIX ENTERPRISES INC. ( 21 3) 690-9559
aooness: 411 COMERCIAL WAY
LA AABRA CA 90631
LICENSEU CONTflALTUB OECUIFIITION: 1 hereDy allirm I�at I am lice un D�ovisions o� L�apter 9(commencing wi�h Section
7000� ol Oivision 9 of I�e Business antl Pmtessions Cotle, and my I n is i II brce antl eifec
eiTvuc.: � 7I88 r euc.:376639 S B
I Oate: � �" � Signamre: _ _ _ _ �� — _ _ —
WONNEBS'COMPENSRTIONOECUIMTION: I�ere0ya71irntlutlAaveacetlificateoicansennaself-insureora icateofWorkers'
comoensa6on ��cb aj �c�ndieU copy mereol ISecuon 7eoo. �an. �.� j O 1/ 91
POLICY NU.: E%P UATE:
omraxr: CA COMP & FIRE
� C¢NIieO copy is hereby fumiSheQ ❑ Ceni(ieC copy is fi th y BuilAinp OiNsion.
Dale: � � AP�licant: _�'r�
EXEMPTION FqOM WOBNEflS' COMPENSFTION OECLAflRT10N: (T�is ser,iion nee0 noi e COmplelea il�he permi� i5 for one hUndretl ($100) or 1e55�.
I cetlily Ihal in the pedormance o� �he work for which ��is permil is issuetl. I shall no� employ any pe�son in any manner so as lo become
suble�� �o t�e Workers' Compensalion Laws ol Cali�omia.
Oa�e: Si9nawre: ' '
NOTICE: If, aller making this tleclaraiion, you s�oula �ecome Su01e�� �o t0e Workers' Gompensation Dmvisions ol the LaDor
Coae, you must tonnwith comply witn such pmvisions or �his permit shall be deemetl revokea.
CONSTPUCTION LENUING RGENCY: 1 �ereby affirm I�at t�ere i5 a canSimGiiOn I¢nding agenty lOr ��e p¢dOrmante Oi Ihe wark �Or
which thi5 permil is i=5ue4 (Section 3097. Civ. C�.
LENUEX:
AODNESS: - '
OWNEB BUILDEP OECLABpTION: i hereby alfirm Ihat I am eKemGt Imm I�e Contracmrs' State License Law Im the I011owinA �eason
(Seclion 703L5 Business and Pmfeuianal GOEe: Any tity ol county whic� require5 a Dermi� to cansimct, alter, improve, tlemolish, ar
repair any simeture, prior lo its issuance, also requires ihe applica�t lor suc� permit to file a signeU statemeni ihat he/she is Iicensed
pursuanl to Ne pmvisions a� �he ConVactors' S�ale Lirense Law (Chap�er 9 �commencing wilh Section 7000) oi Division 3 0� the Business
an0 Protessions CoOe) or I�ai �e/she is edemp� tAerelmm anG ihe basis �or Ihe allegetl eKempiion. Pny violation ol Seciion 7031.5 by
any applicant lor e Oermit sublects the applican� Io a civil penal�y p� not more ihan �ive hundretl tlollars ($500�. ,
I, a5 owner ol Ihe properly or my empl0yee5 wilh Wages a5 �heir Sole tompensali0n, will tl0 lhe work, an0 �he
'❑ stmcwre is not inten0e0 or oiferetl.for sale (Section 704a, B�siness and Professional Code: The Coniracbrs' State License Law
Goes not apply to an owner ol a pmpeny wM buitAs or impmves Iherean, antl w�a tlaes such xrork �imself/herself ar ihmuAh
� �is or her own ¢mplayees. D�ovitled t�a� suc� impwvemenl5,are nol in�en0e� or olleretl for sale. Ii, howev¢r l�e builaing.nr
imprOvemen� is sold wilhin one year ol complelion, Ihe owqer will have the burden o� prOving Aelshe tli� no� Cuiltl or impmve
br �he purpose ol sale). .
I, as awnei o� ihe pmpetly. am ercluSNely comracting with licensed contracmrs ta conslmcl Ihe pmlec� (Section 704d, Business
❑ anU Prot¢55i0n5 CoGe: T�e Cantra[tors' S�a�2 LiCenSe Law q0e5 no� appN �4 an owner 0� D�aperiy wtW GuilEs Or impruves �Aereon
antl who conirads br SucA prolec�s wilA a conVaclor�s)li�ense pursuant�o ��e Coniractars' Slaie LiCense Law),I am aware
I�dt pmol ol Iheir Worker'S CamOensalion insurance stroul� qe pmWCetl �o me.
� I am eKemp� un0er SeClion: B. 8 P. f,,;
lor �his reason:
�a�e: , Ownec
I tlo �ere�y cenily tha� i am aware of anU unaerstana ��e reQuiremems ol Calilomia Healt� antl Safery Cotle Sections 25505, 25533, antl
25534 and lhal I or any futUre builtling occupanl willlwill no� ([ir[I¢ one� neetl Io comply wiih saitl S�aie totles antl ��e r¢quiremen�s for a
permi� lor consirvaian or motlilication �mm t�e Air uali�y Managemen� Oislritl. FeSiDeniial conSlmtiion apD�iCaiions are exem0< <<am
tnese pmvisions.
Oale: 11pplicanC _
I �er¢py ter�i�y I�al I have rea0 IN5 apDlita�ion antl Slai¢ ItWI lhe
ordinances and 5laielav5r¢latingto builamg conslmciion ana �e�el
pmOe��Y �oi inspeclio purpo e .
Dale: _� �"
t6ni�a6 Whi�e—Butl�ing; Green—Cotle Enlorcemem: Cenary�Aoplicanl: Pmk—Revenue: Goltlanrod—Assessor
CITY OF COSTA MESA — HUILDING FERMIT PERM NO:
PERMIT NO: B 050641 PLAN CiiECK NO: 00071-91 A GOVT: S ,
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: REP
JOH DESCRIPTION ; REPAIR SETTLEMENT DAMAGE S�i FT: 193
CLAIM VALUE: 14,300,00 CALC—VALUE:• 14,300.00 GROUF OCC: R-3 L
COMMENTS: BiIILDING SETTLEMENT REPAIR/FOUNDATION,
�x�*�+r**�r�x�*+���r�x**�r*�*��r**��***��x�x*�********��*+�***x��r*�rx�**�***�*�r***xx���*�r
2 O N I N G R E Q U I R E M E N T 5
S E T B A C K S '
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDZNG ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARRING REQ • PROV; PARCEL: 93506129 ZNE: R2 REF NO:
PLANNING N(51'ES> FOUNUATION REPAIR.
i
�*+t*���+�*�t���*�*x**�c x�t�t�r� �r*****�t*�x+�*�r�*�r�rx��-�***�+c***x*�**�*�rx�*****u*��t*��r��x �e�r*
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: p/I �Sf9/
BUILDING APPROVED BY ; w/c>.O/t'+�J _ DATE: �
APPLICATION ISSUED BY: DATE:
jE �t if iE 1F iF iF if if 1E iF if iE iElE if iF iE 3(� iE iF if i(-iF 1F ik ik if iF 1I� iE IF�iFif if iF
IFk3EiFiFiFiFi(�1EiEiF1E#'r1FiEiEiE1ElP�EiEfE1F3ElE1EiEiE if3Eif if1E1E1fiEiE�EiEififlFiElE3EiE1fiFlfiEkiFififiElflEifiFif3EififiElEiEiFIFaFiFiElEi�
LEGALIZATION;N F E E S U M M A R Y ' STRUCTURAL.SEGMENT:Y
- BLDG PMT PLUMBING EL CTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT - 162.00 1.00
PLAN 26.33 SMIP/NON—RES
ISSUE � FF..E '
BUILDING—DIV—> PERMIT I55UE PLAN—CHECK TOTAL PAID ,DUE
TOTALS----> 163,00 0:00 26.33 189.33 1A9.33 ,00
REVENUE DIVISION TOTALS--> COLLECTEDc 189.33 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
162.00 1.00 26.33
ik ii� if iE k�E iE 1(�!E iE iE% iE �EiElf if !f iF 1E k iE �f iE iE if iE 3f 1E 1F iF iF if if ff iE iF if iE if iF ii iE iE iE 1E if kff iF iE iE !E if if iE iElE if iE iE iE Ik iE iF iE !f 3f iE iF IF if iE )f iP �E if jE ik
Z 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 FER,S100,00 100.00 14,300.00
END OF fiEES
61 Q�C7g8*E—CfiC78d5;, � a�7 �u-
DRtE: Q1/23lPi ,'I��E: Di:�- v :
CONSTRUCTION AND PLANNING . . POOL & 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-Undrgrnd. i 54. Forms
4. Electrical Conduit�UndrgrncJ. '` 55. Electrical Bonding
, 5. Steel Reinforcement� ' 56. Rou9h Plumbing & Pressure Test �
..6. Electrical UFER Gmd. � 57. APPROVAI TO COVER�GUNITE
7. Footings � � 56. Electrical Conduit-Undrgrnd.
� 8. Foundation ; �� �l 59. Gas Pipe, � Undrgrnd., Test . ��
9. Water Pipe-Undrgrnd. '��� ';:i� 60. Backwash lines, P�Trap, � Undrgmd. '"
10. Struct�rol Floor System l,".. "" y ^'. 61. APPROVAL TO DECK �� _
17. Property Sewe,�Line & Houso-Connection 62. Backwash & ReceptorFinal '
12. Sewer Cap : ' . � 63. Heater & Vent-Final '
. �
13. Roof Drains ' �i 64. Plumbing System - Final '
14. Rough Plumbing 4 j �"i_, 65. Electrical-Final . •,'
15. Rough Electrical-CAnduit �•'� .� d � 66. Solar SYstem-Final ''
�
76. Rough Electric Wiring '.% �. 67. Fencing & Access Approval
17. Rough Wiring,Sign , 68. APPfiOVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rou9h 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. Storage Tank'O Gas ❑ Oil �
25. Roof Sheathing '. ' � ',. 74, Overhead Hydro. .
26. T-Bar Ceiling (Structurel) & Monocoa[ , �� - 75.Dry Chemical � • - � �
�
27. Frame and Flashing . � �_ 76y Dry Standpipe - . . �' � ""
28. �athing & Siding -� ��t �= 77, FIXED SYSTEM FINAL . '
29. Insulation . .- � I �� ` 78: FIRE PREV. FINAL � .
�
30. Drywall Nailing ' l' I HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat . � 79. FINAL INSP,ECTION ;
32. Electrical Power Meter-Final ` . � ��� ` 80.� FOOD CERTIFICATE ISSUED '
33. Final Electric ` � � '. - � �I; , Notes: �
,34:-Final Heating & Air Conditioning ,� i j , . ' . �
t
35. Final Gas Pipe-TesY ' ..i '� �; � '
36. Hood or Canopy � . � � I � - �/
37. Final Factory Fireplace � � � � '• • -
3B. Fina1 Plumbing - . � � ` : . .
� (_
39. Water Service�Final � � -
. 40. Gas Service-Final . . _ . I , . .
41. Solar pomesticFinal � i
42. Backflow Preventer � , , j � I; • _
43. Backflow Irrigation� ' . ' � �
44. Landscape Irrigatidn Sysrem ' � � ,� . , '
45. Sound Attenuation ' � - � � ' '
�46. Handicap Regulations �, � � , _
47. FINAL STRUCTURE & BUILDING � � �
48. FINAL PLANNING � � � � . •
49. Electric Release to Edison I � I� , �
. 50. Gas Release to Southern California Gas Cn � ; �
51. CERTIFICATE OF OCCUPANCY � , . �
No. Date
OWNtK gTpTE_4jIDE
JOB ADDRESS 73 Bear
GENERAL CONTRACTOR Same
AP No. - - � OT
INSPECTIONS
sou C
cas
WPTER
ROUGH PLUMBING
PROP. SWR. LINE HOUSE CON.
SPRINKLING SYSTEM
MISCEILANE0U5
ROUGH HEATING qN0 AIR CON�ITIONING
iEMPORARY S�RVICE OR POLE
UNDERGROUNO � POWER �
ROUGN WIRING
TRENCMES � FORMS � STEEL REINF.
FLOOR SVSTEM
BONO BEAM � STEEL REINFORCE �J
SHEATNING
FRAME ANO FLpSHING/ �
LATHING — IN �'� OUT r'
PLASTER,BROWN COAT
STRUCTURRL, CINRL
HERTING. VENT„ REFRIG. AND P.C., FINAL
PLUMBING, FINAL AN� GAS TEST r 4"�fj-
ELECT0.IC. FINaI.
uA�t q
BUIIDING
SUBCONTRACTOR
RMIT
.. .a
COSTA MESA BUILDING•SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING
OWNER State-Wide Devel
MAIL_._� _ . ..
c�Tr �ypress
BRANCH
ADDRESS
ARCHITECT
ADDRESS � ]H4H SKVPSZC
CONTRACTOR State-Wid
ADDRESS g461 Grindta
c�rv Cypressg
LIC NO. 224J�0
OFLOT �2.093 acres
USE OF
EXISTING BLDG.
vato y. ;ri:•::^ '�
t;AY 13-76�M�:00 675� c7_0.„0
APPLICATION FOR BUILDING PERMIT
r i -.
� I�jC. A.P.NO. �' O�
BUILDING p
ADDRESS O 7�
N0�826-4550 TRACT Q<
CITV
LiC. NO.
NO. OF BLDGS O
NOW ON LOT
SIZE OF NO.OF
NEW BLDG. ROOMS 5T01
EXTERIOR WALL a5 er ROOF
COVERING OOd COVERING S�ake
USE OF BUILDING AND WORK TO BE PERFORMED
New construction-Condominiums
1 Residencesw/att qar
I haraby acknowledBe that I have reetl Mis epplicotion antl cteta
thet the above Intormation is cOrrect entl epreo to comply wIM
ell lewe repulatlnp bulltlinp conshuctlon, antl I shell not amploy
eny Deraon in vlolation of tMe workmen'i compenwtlon lew� of
the Steta ot Celifornie.
I haraby cerHfy thot I am prOPerly Ilcansetl ea a conttecror untlor
tha Stata o1 California Businasa antl Profaulonf Cotle, Divlalcn 3,
Chepter 9, end thet such Iicansac ara In full for a and effect, or I
am azamOt from tho provifio�s of Me Smta of elHornia Buainen
antl Professions Cotle, DNhlon 3, Chapmr .
s�o�a��ao at -Wide Devel s, Inc .
Permlttae
Aut�orizatlApent Vice Preside
OWNERd�,
US�
FIRE
ZONE
APPROVED
BV
20NE
cP
VARDS/
MAIN E
DISTANCE BET.
MAIN BLOCS.
VAR. Y1E_��
C. V.P. 9S[.C�
APPROVED
HOLD FOR
�K
VALUE
DATE
OF USE OF N
f5 2 BUILDING
VALUATION
3���
BET. MAIN &
�
�
�
J-534 �
VN UNDER VALUATION IS FOR �
'ABLISHING A PERMIT FEE ONLV: ¢
♦�/'1 m
PERMR FEE $ ��C/ �
�
m
PLAN CHECK $ / O E
O
�H _ _ LL
G