HomeMy WebLinkAbout875 BEAR ST - Building Permits2 .
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COSTA MESA BUILDING•SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For App/icant to Fill in Completely
ADORESS 875 Bear Creek
OWNER State-Wide Bevelopers, Inc.
MAIL 9461 Grindlav
nnnwcss
TEL
c�TY Cvpress No.
ODW"TRUCTION
BRANCH
ADDRESS
ARCMITECT
ADDRESS 77g4R SkyPark Rlvd irvina
CONTRACTOR State-Wide Developers, Ir
ADDRESS 9461 Grindlav
TEL.
CITV r��r•PSs NO.$7fi—Q
l C No. 224710 LICYNO.
OF LOT 12.093 dC►'25 NOW ON LO S
VSE OF
EX15TING BLDG.
512E OF NO. OF
NEW BLOG. C ROOMS STORIE
EXTERIOR WALL a�5 er ROOF
COVERING ODD COVERING Shaka
USE OF BUIIDING AND WORK TO BE PERFORME�
1 hareby acknowl¢tltla ihat I have reetl this epolicetion antl smte
that the ebova In1o�Tetion Is co��ett and ap�ae to comply wIM
all laws regulatin8 bV�ltlinp consvuction, and I shell nai employ
eny verson (n vlolaUon of the workman's compensatian laws of
the Stat¢ of Celifornie.
I hereby certity Mat I am proparly IicanseG af e contrac[or untlar
the Steie of Californ(a Bus(ness antl Professiona Cotle, Oivisicn 3,
Chapter 9, entl that iuch licenses ere In full force entl affact, or I
am axampt trom the O�ovislons ot tha State of Cali rnla Business
antl Professionz Cotle, �ivislon 3, Chaptar 9.
_ �StatQ-Wide Developqrs Inc.
Permlttae
AuthorizetlAOant Vice Presid��
rau: ;;:r+t"
`;AY �3-7b�M;,CO 676:: LS8.
APPLICATION FOR BUILDING PERMIT
RECEIVEDBV OATERECEIVED �oTGiccii�
A.P. NO. � / ¢W US'
evitoiNc � 75-�
AODRESS
TRACT ad So
L•7
�
VALUE
:ONE - NO.OF USE OF N
� �' P PL4N5 �. BUILDING
VARDSAPPqOVED VARD:
MAIN BUIL�ING ACCESS
FROM GL STREET)
DISTANCE BET
FOR
THE PURP06E OF
VA U,�
Q �
s
BET. MAIN &
�
W
0
VALUATION IS FOR � �
A PERMIT FEE ONLV: ¢
m
E $ v� �
�
K s . J'rb e
iJ� ^ u°
TOTAL FEE
AP No.I40-OS§-OI'-ZOT
INSPECTIONS
SOIL
GAS
WATER
HOUGM PLUMBING
PROP. $WR. LINE Q HOUSE CON. �'
SPRINKLING SYSTEM
MISLELlANE0l15
ROUGH MEATING AND AIR CON�ITIONING
TEMPORARY SERVICE Oft POLE
UN�ERGFOUN� � POWER �
ROUGM WIRING
TPENCHES � FORMS � STEEL RE
FLOOR SYSTEM '
BONO BEAM � STEEL REINFORCE [
SHEATHING
FRAME AN� FLFSHING ��
LATMING - IN �'�OUT �J
PLASTEF, BROWN COAT
STflUCTURAL, FINAL
XEATING. VENT., REFRIG. AND A.C., Fli
PLUMBING, FINAL AN� GAS TEST �jY
ELECTRIC, FINAL
BUILDING, FINFL
I�]x.'Lii:715
1�:7I.IIi:[�a
VALUES 39.040.00
SUBCONTRACTOR
PflOJECT ADOPESS: O% S B EAR CREEK UNIT:
awxeesxamE: VILLAGE CREEK HOMEOWNERS
aooness: ASSOCIATION �
3929 TZMHER LAKE
CM VA 92626
ABCHIENCMEEfl: CHESIER CARVILLE ' xEc.xo.: C18305
aooaess: 7922 ARMOUR ST UNIT:
S.D. CA 92111
PEHMITTEE: PHOENIX ENTERPRISES INC. ( 21 3) 690-9559
FUDHESS: Q 1], COMERC IAL WAY � -�
LA HABRA CA 90631
LICENSED CONTBRCTON OECIAflATION: I hereby affirm tha� I am li se ntler pmvisions ol CAaD�e� 9(commencing wi�h Section
7000� ot Oiv�sion 3 of I�e Business and Pmlessions Co�e. antl my s i in �ull torce and e�
cirxuc.: 5 7 8 n uc.:376639 ss�
... �i
oate: signamre: — . . —
WOBNEflS' COMPENSPTION �ECIAHATION: I hereby at�irmdhat I have a ceni�ica�e of consen� Io sel4insur r a ceni�icate ot Workers'
Compensation Lts�pc� o{ 3.cendied copy �hereof (Section 3800, Lab. G17 � 1� 9 1
poucrxo.: CAVCOMF 6 FIRE E%P.DATE: U
OMPANY:
Ceriifietl copY is �ereby fumishe ❑ Certifietl copy is liled � Buil ing Division.
i�
Oa�e: _ _� � Applicani:
E%EMPTION FNOM WOPNEBS' COMPENSpTION UECLANPTION: (This section nee0 not be completetl if the permit is forone hunOreA (5100) or less).
I certity t�ai in ihe pedormance of I�e work for which this De�mit is issued, I shall not employ any person in any manner so as to become
su�lec� lo �he Workers' Compensation Laws of Califomia. �
�ale: SignaWre: - "
NOTICE: If, alter making IAis Declaralion, you shoWd Cecome su6lec� to Ihe Workers' COrtIpCllSdtlpll pI0V151005 0� IhP Ld60!
Code, you mus� �oMwith compty wi�� suc� pmvisions or Ihis permit s�all be tleemetl revoketl.
CONSTXUCTION IENUING pGENCY: I hereDy allirm t�at �here is a con5imc�ion lending agency lor �he pertormance oi Ihe work tor
which �his permit is issuetl (Sec�ion 3097. Ciu. C�.
LENUEH:
nooness:
OWNEfl BUILOEH oECUBA7lON: I hereby affirm ihatl am exempliwm Ihe Coniractori' State License Law forihe follovnng reason
(Section 7031.5 Business an0 Pmfessional Code: Any ci�y of counly which requires a permit to cons�mct, alier, improve, demolish, o�
repair any s�mc�ure, prior lo its,issuance. also requires the applicant �or Such permii to lile a 5igne0 s�a�ement that he/she is licensetl
pursuam Io Ihe Dmvisions of Ihe ConVacmrs' State License Law (Chap�er 9(commencing with Section 7000) o� �ivision 3 0l I�e Business
and Prole54ion5 Code) or Ihal helshe is exempt Iherefmm and Ihe��asis lor Ihe alleged eeemp�ion Any viola�ion o� Sec�ion 7031.5 hy
any apPlicant far a permit su6le��s ihe applican� to a civil penalry ol not more ihan five hunUretl tlollars (5500�. '
� I. as owner o� ihe pmDerty or my emplayees wiih wages as �heir sale comDenu�ion, will Go �he work, antl Ne
�� stmcmre is not intended or ollerea far sale ISec�ion 7M4, Busme55 and Pm�essional Cotle: The Cantracbrs' State License Law
Ooes notapply la an ownero� a pmperiy who bui105 orimp�oves ��ereon, and who Aoes SucA wo�k'himseli/hersell orihrough
his or her own emD�oyees, pmvidetl Ihat such improvements are not intended or oifereA �or sale. I( however �he builtling or
imD�ovemenl is 5010 within one year o� com0letion. ��e owner will have the burden ol pmving helshe Oid no� UuilU or impmve
.1or ihe purpose of sale). �
I, as owner ol t�e propeny, am exclusively conVaqing with licensee contractors to cans�mct ihe pwject (Section 7044, Business
❑ and Pmiessions Cotle: The Contractors' S�a�e License Law tloes no� apply to an owner ol pmpehY who builtls or impmves �hereon
an0 who tonlratis for Suth pmlec�s wiih a Conifat�or�5) license pursuant �o �he COnlraCiors' Slate LitenSe law�. I am awar¢
�ha� pmof oi I�eir Worker'S CompenSalion insurance s�oultl be pwvidetl �o me.
� I am exempt unaer Seciion: B. 8 P. C.
far ihis reason:
oa�e: owoer
I do �ereby cenify Ihal I am aware ot antl untlerstantl the requiremenls oi Calilomia Health an0 Safeiy Co�e Sections 25505. 25533, and
25534 antl tha� I ar any IUlure builtling accupanl willlwill not (cimle one) neetl to comDly with said Sla�e codes antl the requirements for a
permil for con5lmciion or mo0ibcation Imm Ihe Air Oua6ty Management Oislricl Pesidenlial consimdion applicaiions are exemp� �mm
��ese pmvisions. �
Oa�e: Ap0licanC _
I he26y cetllty Ihat I have reatl �hls applicalion and s�a�e Ihat �he
ortlinances antl slaie laws relaling Io building cons�mctian antl herel
propetly rinspec�ian pi p�se�
Daie: SignaWre:
Oriver's License m Social Secumy N: �%$
is correci. I agree �o co wi�h all
i�a�rvesof�hisciry�o er pop�hea
t6a1�46 Whpe—Bmltling, Green—Cotle Eniorcemenl', Canary—ApPlican�; Pmk—Revenue; Galtlenwtl—Assessor
CITY,UF COSTA MESA — BUILDING PERMIT PERM NO: 8 S
PERMIT NO; B 050640 PLAN CHECK NO: 0007,7.-91 A GOVT: N SUPP:
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURFOSE: REP
JOB DESCRIPTION ; REPAIR SETTL£MENT DAMAGE SQ FT: 193
CLAZM VALUE: 143.00 CALC—VALUE; 14,300.00 GROUP OCC: R-3 /
� �
COMMENTS: HUILDZNG SETTLEMENT REPAIR/FOUNDATION
�)E �K- iF �1F k 3F if �E 1E iP 1F fP iE 3(� �E �� it 3k �1(� IE 3E jf� 3F iE i(� 1E 3f if 3E iF 9F 3f �lF 1E 3f� iF if� if ff-lf af iE if IF 3E 3E 3E iF3E iE If jf IE *if 1f %iE 1E if iF 1E iE 1F iF %� lf if 3F �E fE aE i(� 3E iE 3h if iE #E
Z O N I N G R E Q D I R E M E N T S
sETBAcxs
------------ MAIN BUILDING ----=----- ;--------- ACCESSORY BUILDTNG ---------
FRN1: 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; 93506124 ZNE; R2 REF NO;
PLANNING NnTE5> FOUNDATION REPAIR.
�
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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; O'/-fS`'1 J
BUZLDING APPROVED BY : `'� ��— p��'`� DATE: �
APPLICATION ISSUED BY: DATE:
iFiElEiFiEiFiF�lf�3FlFiE1EN�363fiFiEd6lfiFiF�f � r r • t jE1E1Flf%iF3Effif��f7F'RT'Y�'F'F3FiF
�1fik3f�N�aEifiF3f�1fiF3EN�iF3E�fIFIf1f1f1E1f3F�1h3EiE1F#�!�]f3fiE�lFaE�1ElF�lli (•dkk9E�lF�fiE3k�lfdf�lflFlFihlflf3flE�lEit�(•#FiEiflE�lEiEaElFjEiE�iEif�lf�%�ifif#1EiEiF�IF
LEGALIZATION:N ; F E:E S U M M A R Y STRUCTURAL;SEGMENT;Y
BLDG PMT PiUMBING EL TRIC MECHANIC FIRE SMIFIRES GRADING
PERMIT 162.00 1.00
PLAN 26:33 SMIP/NON-RES
SSSUE 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 7.6.33
iF if 3F if iF if 9F if If iF iF i4 3E if iF iE if iElFif if iF jf iE df �f� �f iF if fF 3F if N� )t iE 3E iE IE �7haE iE * 3E )f �IE iE iE if iF iE iFlE 3f %� dE 3E if 3E #F iE # iE 3f iE iE 3f �(� IF IP 3F IF iF 3(� 3E fFle iE iE if
2 N D I V I D U A L F'E E B R E A K D O W N '
TYPfi QTY D E S C R I P T I O N � UNIT COST TOTAL COST
SFR 143 5TRUCTJRAL BY VALUE PER 5100.00 100,00 14,300.00
END OF fiEE5
V
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DA7E: �1/2�i°1 �?CE: C;.:;, ..
CONSTRUCTION ANO PLANNING� PtlOL & SPA
APPROVALS Permit # � Date Inspector qppROVALS Permit # Date Inspector
.�
1. Temporary Electrical Service or Pole ' r� . 52. Pool & Equipment Location %
` � l�:
2. Soil Pipe-Undrgrnd. . r � �.' 53. Steel Reinforcement ,
3. Electrical Conduit Utiliry-Undrgrnd. �� 54. Forms •
4. Electrical Conduit-Undrgrnd� �, 55. Electrical Bonding _
5.. Ste'el Reinforce'me�Y � � 56. Rough Plumbing & Pressure Test �
6. Electriwl UFER Grnd. • 57. APPROVAL TO COVER�GUNITE
7 \Footings � 58. Electrical Conduit-Undrgrnd. _
. 8. Foundation } ���� ;y 59. Gas Pipe, O Undrgrnd., Test �� �
. �:
�9. Water Pipe-Undrgrnd. �//i' : r� 60. Backwash Lines, RTrap, � Undrgrnd. �/^
"♦ r�
10. Structural Floor Svstem l �� ��-� 61. APPROVAL TO DECK •� i`F
17. Property Sewer Line & House Connection � �'7
62. Backwash & Receptor�Final
t2. Sewer Cap : 63. Heater & Vent-Final �
13. Roof Drains i/' � 64. Plumbing System - Final
ii.!
74. Rough Plumbing ��� /' �� 65. Electrical-Final ��'� �
15. Rough Electrical-Conduit � r 66. Solar System-Final %�'
i,
16. Rough EleCtric Wiring i _ 67. Fencing & Access ApProval �,
i
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL �'
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT j
2D. Rough Factory Fiieplace �' � � �APPROVALS! �-Permit #
�
21. Ducts, in Struauie � •. '. '70. Unde�9round: Hydro
22. Ducts, Ventilating ' ' _ • 77, Product Piping OGas OOiI
23: Gas Pipe�Rough & Test � - . 72, Underground Flush' � .. �
24. Roof Framing �• . ' '•73. Undergrnd:Stora,ge:Tank OGas ❑Oil
25. Roof Sheathing ', ,' ' ' '" � �'7q �Overhead Hydro�' �
26. T-Bsr Ceiling (Structural) & Monocoat'.• � � ' 75. Dry Chemical - �
27'frameandFlashing; � � 76. bryStandpipe ' ' � ��
28. Lathing & Siding . '� - � i • i � 77, FIXED SYSTEM FINAL�
'29. Insulation �� ' - ' ` � I � 78> FIRE PREV. FINAL • • _ �
30. Drywall Nailing ; I f' HEAITH.DEPT•. REQUIREMENT
�
31. Plaster Brown Coat � i � 4- . 79�'FINAL INSPECTION _
�
32. Electrical Power Meter�Final , � I �• 80. FOOD CERTIFICATE ISSUED �-
33. Final ElActric ' , . � I � �� ` Notes: ' ' . ' .
� 34. Final Heating & Air Conditioning. , � � ' ' � . _ �
�
35. Final Gas Pipe-Test' ' � ' `
. i � tf �
36. Hood or'Canopy , �' , �. ' I � � .
� .
37. Final Factory Firepiace _ . � � � � �
I I .
38: Final P�umbing . ; � � � ' � . . _
39.. Water Service-Final� �' I I
40: Gas Service�Final .. � i I , . .
41. Solar pomesticFinal - � � •• �
42. Backflow Preventer, �� ; � j . -
43. Backflow Irrigation '
44. Landscape Irrigation Sysrem - i _ , � � .
45. Sound Attenuation i� ' � •� � ,
46. Handicap Regulations .'
47. FINALSTRUCTURE&BUILDING / � '
48. FINAL PLANNING ,. � • � � � , .
i
49. Electric Release to Edison ' � '
50. Gas Release to Southern California Gas Co � � ;� . . , .
51. CERTIFICATE OF OCCUPANCY . . �
No. Date