HomeMy WebLinkAbout877 BEAR ST - Building PermitsPflOJECT AO�HESS: ' 8%% $ Ejii� CRfiEK UNIT:
OWNEH'$ NFME: VILLAGE CREEK HOMEOWNERS
nooaEss: ASSOCIATZON
3429 TIMHER I,AKE
CM VA 92626
AflCHIENGINEEP: CHESTER CARVILLE nec.xo.: C18305
aooness: 7922 ARMOUR ST uNiT:
S,D, CA 92111
oenmitTEe: PHOENIX ENTERPRISES INC. ( 213 ) 690-9559
AODXESS: 41I COMERCIAL WAY
LA HABRA CA 90631
LICENSEO CONTBACTOfl DELLAflATION: I hereby a��irm Iha� I am li etl er pmvisions o� ChaD�er 9(commencing wi�h Sec�ion
7qq� ol Division 3 0l t�e Business ana Pmlessions fAOe. antl my se i� i lull lorce and efle
cirruc.:05 7���reuc.:376639 � :B
� /
Dale: ` Signalure: — _ . — — — — . '
WOfiHE S'LOMPENS IONUECIAPATION: IhereDyaffirm. tlhaveacerlrticateolconsennoSelFinsureora niliwreatWorkers'
��,u�:,amoensation�x�b ��c�niiieo copY t�ereol �Seciion 3800, LaO. Ll.� � O / 91
;.tiucv.xo.: CA COMP S r'IRE EXP.OATE: ��
�' �': �f OMPANY:
Iy Cetlibe copy is �ereDy Wrms otl. ❑ CertilieC copY i5 lil IAe ci BuilOing Division.
� ' /—/
Date: � �� Npplicant: ✓—
E%EMPlION FPOM WOBKEBS' COMPENSRTION OECLANRTION: ( �is settion nee0 nol be wmple�¢4 if t�e permil i5 �orone unOred (3100) Of less�.
I rertily �nat in ihe perlormante of Ihe work lor which this permit is issued. I shall not employ any person in any manner so as to become
sublect �o Ihe Workers' ComOensalion Laws ol Cali�ornia.
�aie: SignaNre: -
NO710E: II, after making Ihis tleclaration, you shoultl �ecome subjed to ihe WorkeR' ComDensation pmvisions ot ihe Labor
CoJe, you must lonhwith complY with suc� provisions or tNs permit shali be OeemeU revaketl.
CONSTHUCTION LENOING FGENLV: I �ereUy affirm that there is a conslmction lending agenry tor ihe pedarmance oi the work for
whi[n ihis permi� is issue0 ISeclion 3097, Cia GI. • �
LENOEB:
RODRESS: ' ' ' '
OWNEB BUILOEB OECUBR710N: I here6y aifirm t�at I am eKempt imm t�e Comractors' State License Law for t�e tollowing reason
(Sec�ion 7031.5 Business antl Pmlessianal COtle:. My ciry ol couniy which repuir¢5 a permil �o cons�mct, alter, improve, tlemolish, ar
repair any Slmt�ure. D�ior Io i�5 issuante. also reqUir¢5 �he applican� lor Suth p¢rmil lo lil¢ a 5ipne0 5�a�¢meni Iha� hpJShe i5liten5e0
pursuant Io Ine D�ovisions o� �he Contranors' S1ate License Law (ChaO�er 9(wmmencinp vnth Sec�ion 7000) o� Oivision 3 0� the Businis5
ane Pmfessions Coae) or inal ne/she is exempt therefrom antl Ihe basi5 lor Ine allepea exemplian. Any violation ol Section 7031.5 by
any applican�JOr a permil su61e��5 Ihe apDlicani �o a civil penally ot noi mOr¢ Ihan Irve hunOreO dolla�s (ESIp�. .
I. as owner oi iAe pmpeny or my employeu vnth wages as their sole wmpenution, vnil do Ihe woA, an0 Ihe
� simclure is no� inlen0e0 or oRereO tor sale (Section 7044, Buvness an0 Proleuional Code: The Coniracmrs' State License Law
��1 Uoes nol apply to an owner ot a pmpeny who ouilds or improves inereon, an0 who Ooes such work himsell/hersell or InmuBh
�is Or her own Cmploy¢es, provitlee Iha� sut� impmvemenis are no� in�enAetl Or ollereA Ior Sale. II, however ihe huiltling or
impmvemeni is Soltl vnl�in One year ol compl¢�ion. Ihe owner will have Ihe �urden ai O�odng he/She tlitl noi builtl or im0�ove
lor t�e pmD�e ol sale�.
I, as owner ol ihe proper�y, am exclusively conlracling with Iicen5e0 conVac�ors �o consvucl the prolet� (Seclion 7044, Business
❑ anA Piolessions CoAe: The Contractors' S�ate License Law Ooes nol aDD�Y lo an owner o� pwperty who builds or improve5 ihereon
and who comracis lor such projects wit� a contracmps) license Oursuant m Ne Conlraclors' Stale License law). I am aware
Ihal pmol ol IM1eir Worker'S Comp¢nsation insurance sAould 6e provided lo m0.
� I am eKemD� untler Section: B. 8 P. C.
lor lhis reason: -
CITY OF COSTA MESA — HUILDING PERMIT PERM NO: H 0
PERMIT NO: B 050639 PLAN CHECK.NO: 00073-91 A GO T: .
CONSTRUCTION TYPE; V—N PERMIT TYPE: STR FURPOSE; REP
JOB DESCRIPTION ; REPAIR SETTLEMENT DAMAGE , SQ FT; 143
CLAIM VALUE: 14,300.00 CALC—VALUE; 14,300.00 GROUP OCC: R-3 /
COMMENTS: BUILDTNG SETTLEMENT REPAIR/FOiJNDATZON
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2 t� N I N GS ERTEB�AUCIKRSE M E N T S •
------------ MAIN BUILDING ---------- --------- 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 TN
PARKING REQ• PROV; PARCEL: 93506124 ZNE; R2 REF NO:
PLANNING NCST'ES> 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
ZONING APPROVED BY ; c� L � DATE: OI/.5—�l/
BUILDING APPROVED BY ; �--���--i7�!% DATE; �
APPLICATION ISSUED BY• DATE•
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LEGALIZATION:N F E E S U M M A R Y ' STRUCTURAL•SEGMENT:Y
r.
BLDG FMT PLUMBING E•CTRIC MECHANIC ' FIRE SMIP/RES GRADING
PERMIT 162.00 1.00
SMZP/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 TUTALS--> COLLECTED�;.,. 189.33 OVER/SHORT; 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIPJTOT GRADING PLAN—CHECK
167..00 1,00 26.33
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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
Daie: Owner: I SFR
I ao hereoy cenily Inal l am awate ol antl uneerstane ihe reQuirtments ol Calilomia Healih antl Safety COGe Sections 255l15, 25533, anU
25534 anA Ihal l Or any Iuiwe building oCapani wilUwill n0� (circle one) neee t0 COmply wilA SaiO Sta[e Co0e5 antl �he reQUiremen�5 �or a
permii for conslmclion or mo0ilicalion irom Ihe Nir Oualily ManaAemenl OiSiric�. FeSiG¢nlial consimclion applica�ions are exemp� irom
1�¢Se prpvi5i0ns.
�aie: QDOlicanl: _
I �ereGy cetlily I�a� I �ave read ihis appliwtian and Slale t�ai I�e
Ordina�e5 ane SUlelawsr¢Ialingio UuilOing tOnS�mtiion and heret
pmPer�Y '/� i�ec�ion pu�os=5. 9 �
�
ozie� _� �v Si nalure:
Driver's Lmense ar Social Securily a:
�o mmply
�6�La6 Wtnle—Bwltling; Green—Code Enlorcemenl: Canarv—ApPlicanC Pink—Revenue: Goltlenrotl—Asseswr
143 STRUCTURAL HY VALUE PER S100,00
END OF FEES
100.00 19,300.00
ai 0007asaz-coo�s�<4 -r��- ,��.;.a
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CONSTRUCTION AND PLANNIN'iT JL & SPA �
Date Inspector Date Inspector
APPROVALS Permit # • APPROVALS Permit #
.� . -�
1. Temporary Eiectrical Service�oe Pole � J - 52. Pool & Equipmen[ Location
2. Soil Pipe-Undrgrnd. �. ��� � 53. Steel Reinforcement ''�
3. Electrical'Conduit Utllity-Untlrgrnd. ", 54. Forms �,�
4. Electrical Conduit-Undrgmd� ._ 55. Electrical Bonding i�
. 5. Steel Reinforcement 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. ."'� �' �, �� � 60. Backwash Lines, P�Trap, O Undrgrnd. ���!�
10. Structural Floor�System/ "'� .'� � 61. APPROVAL TO DECK %�
11. Property Sewer Line & Hoyse Connection � 62. Backwash & Receptor�Final �
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12. Sewer Cap '� ' � 63. Hearer & Vent-Final -�
13. Roof Drains �� i� �' � j, 64. Plumbing SYstem � Final �
14. Rough Plumbing � � . j^� 65. Electrical-Final ��
f �
75. Rough Electrical-Conduit � �' 66. Solar System-final '�
�
16. Rough Electric Wiring �" � �� 67. Fencing & Access ApProval �_�7
17. Rough Wiring Sign t� � 68. APPROVED FOR PLASTERING /�
18. Rough Electrical-T Bar Cei�lin9 L 69. POOUSPA SYSTEMS FINAL
19. Rouc�h Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Firepiace ' _ • APPROVALS -Permit #
21. Ducts, in Structure. � ' . :70. Underground Hydro •
22. Ducts, Ventilating ' ." ' 71. Product Pip�ng O Gas ❑ Oil
23. Gas Pipe-Rough & Test , i� - . 72. Underground Flush � "
24. Roof Framing : � ' � ' - - 73:�Undergrnd.StorageTank �Gas ❑Oil •
25. Roof Sheathing ',. � _ - :. y '74: Over,head�Nydro� � .
26. T�Bar Ceiling (Structural) &�Monocoat � ' • 75. Dry Chemical �
r
27. Frame and Flashing . ,� 76. Dry Standpipe ' � � ��.
28. Lathing & Siding - ' ' . � � t 77, FIXED SY�STEM FINAL
29. Insulation �- ,- .� I '� . 76. FIRE PREV. FINAL
�
30. Drywall Nailing � 1 I E• HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coaf - . _ � � 79. FINAL INSPECTION ,-
32. Electrical Power MeterFinal � � �,� SO..FOOD CERTIFICATE ISSUED �
, 33: Final Electric � ' � - ( � ��Notes: - .
.
34. �Final Heating & Air Conditioning, ! • � . �- - ,
i' �
35. Final Gas Pipe-TesY. � � ' � � ` �
�_ .
36. Hood or Canopy�. - . � I l
37. Final Factory Fireplace • � ' � " � ' '
� 1 -
i •
38. Final Plumbing , � � � `, • . • . •-
39.�Water Service-FinaP � � � :
40. Gas Service-Final _ _ . � _ . .
41. Solar pomestic-Final •-• � � .
42.'Backflow Preventer ' i I ( � '" ,
43. Backflow Irrigation ' ' - �
44. Landscape Irripation System . 4 � .. _ �
45. Sound Attenuation ^ _ �
46. Handicap Regulations � � . �
47. FINALSTRUCTURE&BUILDING � � - �-
48..FINALPLANNING � �i I , �.
49. Electric Release to �Edison � ' ! •
� i I �
50. Gas Release to Southern California Gas Co �� � .
i � ��
51. CERTIFICATEOF,OCCUPANCY . . . �
No. Date
UWNtK
SOIL
W ATER
ROUGN HEATING AN� AIR C0�
TEMPORARV SERVICE OR POl
UNDERGROUNO � POWER
ROUGM WIRING
FRqME ANO FL
LATHING - IN
PLASTER, 9R0'
HEPTING, VENT., REF
PLUMBING, FINAL AN
ELECTRIC, FINAL
B111L�ING, FINAL
unit 4-28-76
BUILDING
SUBCONTRACTOR
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COSTA MESA BUILDING•SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
ADDRESS8%� Beaj' Creek n
OWNER State-Wide Developers, Inc.
no"oRess9461 Grindlay
��T� Cypress No`.826-4550
CONSTRUCTION
BRANCH
ADDRESS
ARCHITECT
CONTRACTORjLate—W74
nooREss9461 Grindla
CITV Cvpress
LIC.NO. ZZ4J�O
OFLOT 12.093 acres
VSE OF
SIZE OF
TE
No. tfLb-455
CITV
LIC. NO.
NO. OF BLDGS. O
NOW ON LOT
NO. OF
NG AND WORK TO BE PERFORMED
I hereby acknowletlBe that I heve reetl this appllcallon entl stete
that the ebova informetion is corract antl aB�ae to comply with
ell laws ragulating builtlinp construction, and I ahell not employ
eny perwn In vialaiion ot Ma workman's compensation laws of
the Srote of Califom(a. .
I hereby certlfy that I am properly licensed as e conttactor untle�
Me Stata of Californ(a Business antl Professlons Cotle, Dlvisicn 3,
Chapter 9, a�tl that such Iicenus ara in tull force antl effect, or I
am exempt from the pro�lsions of the Stata of Ce fornia Business
antl Profecsions Cotle, Divicion 3, Chapter 9.
State-Wide Develo Ar Inc,
SlBnature
Parmittee
AuthorizetlApant Vice President
Pa�u �. t��.."
"taY 13-76��5,00 677•- ' Z65.6
APPLICATION FOR BUILDING PERMIT
RECEIVEDBV DATEFECEIVED nnrcwciu
QZ
A.P. NO. !�(� �
BUILD�NG �j
AOORESS d I7
TRACT rC��S:
OVED
NO.OF USE OF NEW /
['/J' PL4I�15 Z BUILDING
OSAPPROVED VAROSAPP
ROM G�
DISTANCE BET
MAIN BLDGS.
V AR. #�* .� �
HOLD FOR
BEf. MAW &
ED
THE AMOUNT SMOWN UNDER VALUATION IS FOR
THE PURP06E OF ESTABLISHING A PERMff FEE ONLV:
VALVATION
�� � PERMIT FEE $
�
PL4N CHECK $ � �D
TOTAL FEE
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0
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