HomeMy WebLinkAbout880 BEAR ST - Building PermitsPfl0.1FCT a00NES$: B B O B EAR CREEK uNiT:
OWNEfl'SNAME: VILLAGE CREEK HOMEOWNEAS
nooness: ASSOCIATION
3429 TIMBER LARE
CM VA 92626
nflCH/ENGINEFfl: CHESTER CARVII.I,E ncc.xa.: C18305
nooxess: �92z ARMOUR ST uxir:
S.D. CA 92111
PEPMITTEE: j�HOENIX ENTERPRISES INC. ( 213 ) 690-9559
nooaess: 411 COMERCIAL WAY
LA HABRA CA 90631
LICENSED LONTBAC70B OECIABATION: I hereby aifirm thai I am Iicense0 un0er O�oNsions oi CAapier 9(cnmmencinp wit� Seciion
70001 0l Oivism 3 al t�e Busine55 ana Pmlessions Cotle, antl my licens= i5 in' iorce anE ellep
ciTruc.: fj50�8�� (y/�Tyuc.:376639 �
Uaie: _� �� �--1. ( Siqnaiure: _ . . _ _ _
WONI(fPS'COMPENSpTION�ELIANATION: I�ereOyaliim.ail�aveacen�� teolconsenttosell�insureor nilicatealWorkers'
`mpensation a c c rtiiiea copY Nerwl (Section 7800. La�.
,��Y„o.:t�`�85��� E%P.OATE: %IOlI9S
�OMP�NY: CA COMP & FIRE
Cenilied rnpY i5 �ere�y Iumis�e0. ❑ Cenilietl copY is hletl '' iry � iiAin Uivisian.
Oate: � Ao0licant:
E%EMPTtON FHO�N EPS'fAM ENSATION UECIAf1At10N: (TMssection nre0 mibecanp4te0it�lie permtafor �(5100�arless�.
I c¢NIy Ilul in I�e petlorman[e ol the work lor wNU �bis permil is ¢suetl. I shall noi employ any person in any r w az Io become
5u01eci lo IAe WOMers' Campensation LawS ot Catilomia.
Date: Siqnalure:
NOTICE: �t. al�er makinp �Ns EecWra�ian. you s�oultl Decome 5u01ect to �he Workers' Compensation provisions ol �he Labor
CaEe, 7rou musl lotl�wi�� com0ly vnlh such pmvisians or I�is Oe�mil s�all Ce Oeemetl revoketl.
CONSTflIlCTION LENOINC RGENCY: I �ereDy allirm I�at I�ere is a canSlmciion IenOinp a0ency lor I�e perlormarrce ai IAe wark lor
wniU I�¢ permit is issuea ISeclion 7097, Gv. C�.
LENOEfl:
�OOPESS:
CITY OF COSTA ME5A — BUILDING PERMIT
PERMI'C NO: B 050659 PLAN CHECK Np; 00051-91 A
CONSTRUCTION TYPE: V—N PERMI'P TYPE: STR
PERM NO: B 05 65'
GOVT: N SUPP;
PURPOSE: REP
JOB DESCRIPTION : REPAIR SETTLEMENT DAMAGE SQ FT; 143
CLAIM VALUE: 14,300.00 CALC—VALUE: 14,300.00 GROUP OCC; R-3 /
COMMENTS; BUILDING SETTLEMENT REPAIR/FOUNDATION
***�r*�r*x�x*�����x **��***x*�r�r+�****�**��c•��*�***x**x x��*��x�x �**�r***��***�*�****±c�e**
Z O N I N G R E Q U I R E M E N T S
.ri E T B A C K S
------------ MAIN BUZLDING ---------- --------- ACCESSORY BUILDTNG ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN AEAR: FT IN
LEFT; FT IN RGHT; FT IN LEFT: FT ItJ RGHT; FT IN
Pf:KkING REQ • PROV: PARCEL: 93506124 ZNE: R2 REF NO:
PLANNING Ni5'1'ES> FOUNDATION REPAIR.
>
M IE if 3f if IE If M k if �lE iE 3f 1E fE lE iF iE IE If if IE IE if 1F if� If iE ff �E f6 iE iE 3E IE �1F �lE If IE 1f �E if 1E aE iF 1E �lE iE �1f IF �E if Ik !f 3E 1f� iE iE if �f if )f 3f �lk if IE iE !F?E if 3f 1e if IE % 7E 3F IE �lf
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 ;�ia7 c.-._.n � DATE; O// �`"l,L
BUILDING APFROVED BY ; �--� DATE; �
APPLICATION ISSUED BY: DATE:
if�iPlfiFififiF�FiF�fiFlflE�fiF3FiF�EiE1FIbifTi��R�"�"�{F'i . {E3EIf3Flfkff�lFfF#�'iFif�f
ikikifififiElEiF3FifMiF3FlEiE�FiFiFIfiRIflFIflF*IflflfiF3F �fiE ifiF�lfitififiFiEiE1E1FIFifiEifdfi41E1fif3ElElEif�FlkiFiE3f3fififlE�E�EjEi(�3Eiflf3f�lFk
LEGALIZATION;N F E S U M M A R Y STRUCTURAL�SEGMENT;Y
OWNEB BUILUEfl OECLANATION: I hereby a�firm I�at I am erempl tmm Ihe ConVactors' Staie License Law b� l�e �ollovnnq reason BLDG p%'IT PLUMB ING ECTRIC MECHANIC FIRE SMI P/A$$ GRADIN �
�Seciion 7031.5 Business and Pmfessional Cotle: Any cily ol counry whic� repuires a permit to consimct, alrer, impmve. tlemalisA, or PERM I T 16 2, � � 1. � �
re0air any sirucWre. prior toits issuance. al5o 2quires I�e aDO�icant lor such perrtnt to lile a siAneO statemenl Ihat �e/s�e is licensed �
pur5uam io t�e D�ovisions o� ihe Convacto�s' S�ale licen5e Law (Chapter 9(commencinp wi�h Seciion 7000) ol0ivisian 7 of Ihe 8usiness pLAN 2 6. 3 3 , SM I P/NON—RES
anU Pmlessions CaDo) or Ihat �e/sha is eaempi Iherefmm antl I�e basis lor i�e alleqeE e�emplion. Any Wolation ol Stttion 7031.5 by
any aoeiicam �ar a oermii suoiens me apprcant to a civii penauy oi no� more tnan ii�e nundrea aonars (5500). ISSUE FEE ,
�. as owner a� �ne omoeny or my emp�oyees vnih wapes as ��eir mle compensa�ion, MII GO Ihe woM, ana �he HUILDING—DIV—> PERMIT IS$�.IE PLAN—CH$CK TOTAL PAII� DUE
I7 strucWre is noi imentlea or o�terea lor ule (Section 70a<, Business ana Vmleuional CoOe: ihe Coniraciors' Sute �icense �aw TOTAL 5----> 16 3. 00 0. � � . 2 6'. 3 3 18 9. 3 3 18 9, 3 3 ' , 00
eoes na� ao7�y lo an ovmer ol a propeny wno ouilas or imprwes �nereon, ane wno aoes sucn wark nimsetf/nersell or ihrouph
�is or nei own emplayees, prwiGeG ihat sucA improvements are not imenUea or olleretl lor sale. II, however t�e huilainA or REVENUE D I VIS ION TOTALS--> C�LLECTED •� i 8 9, 3 3 OVER /SHORT: 00
imD�ovemenl is soid wit�in one year of compieiion, f�e owner vnll have t�e hurden ol pmvinA he/she EiU nol0uild or impmve $LDG PMT PLUMB ING ELECTRIC MECHANIC FIRE SMIP /TOT GRAD ING PLAN—CHECR
lo� ine o�roase oi sale).
I, as owner ol ihe pmpeny. am exclusively wntraclin8 wit� li[en5ed contraclo�s lo constm[I t�e pmject (S2cIi0n 704d, Business 16 2. 0 0 i, � � 2 6. 3 3
❑ anEProfessionsCoOe: TheContactors Sia�eLicenSeLawacesnotapptyioanovmerolproDeM�oOmlGsonmpmvesthereon
and who conlratis lof Sut� pr01eCI5 wilA a COnVatlor�5) littn32 pursUanl l0 Ih¢ ConlfaC�oK Sla�e LitenSe Law�. I am aware ��'�'*'�'*'* x'if �f' i("I('1('N"K'* N'i('x'"M'* if'�(' K'K'i('#if'K"K'N'#*'x'#'1E 3('#'x' K'i('if'i('if' N"N"K'% ##if'%3f'1l'i('i('#'1f±E iE af 1E#'1E'If'!6i('�f i6#ifi6 IE 7Fif iF'1EiEif
mat o�ooi oi meir wo�ter's Campenution insurance snowa ne urovioed to me. I N D Z V I D U A L F E E B R E A K D O W N
� I am exempt under Seciion: B. 8 P. C. '
mimis�wso�. �TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
Date: �'�'^e° I SFR
I ao nere0y cenily Ihat I am aware ol ana un0erslantl the requiremenls oi Califomia Heallh antl Salety CAtle 5¢clion5 255Q5, 25533, ana
2553< anOthat I orany lulure 6uil0inp oaupaniwilVwillnoi (circle one) nee0 lo tomply witA said slate catles anJlhetequiremenlsfora
permil fot consiruclion or moAdicaiion Imm t�e Pu Ouality Managemen� Dislrici. Fesiden�ial consimction aODlicalions are eeemp� Imm
I�ese O�oviSions. .
Dale: ApPlicanl:
I n¢re0y retlAV I�a� I �ave reatl ��is applipalion ana slaie Ihai Ihe aGove' o� iaiion is qnect. I agree ta co vn1A all ciiy antl caun�y
oi�inances antl slalel,�wsielalinqlo �uileinpconslmtlion and �ereby a ori reo�esr ,atives ol�his cily� . Ine abave�menlionetl
pmDetly fI r inspeclion purpo,s�fJ .
� Oata: / V���` l_l Sipndlure: _ _ " ' �_ _
li
I Drive�'s �i<ense or Socia� Securiiv M:
�6<1�46 Wlule—Duiltl�ng', Green—COUe EnlorWmenL Canaiy—ADplicanl; Pmk—Rovanua; GolQonrOE—ASsessor
143 STRUCTURAL BY VALUE PER 5100.00 100.00 19,300.00
END OF fiEES
01 OD37c�794-GOQ7Ei91 ec�'�' :1�?,3c
oaTe: nvza�vi �ir�E: c�:oa
v
• CONSTRUCTION AND PLANNIN�� & SPA
APPROVALS Permit � Date Inspector p�ppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole " i 52. Pool & Equipmen[ Location •
.
.�
2. Soil Pipe-Undrgrnd. •�` �-_>. 53. Stee� Reinforcement �.-
3. Electrical'Conduit Utility�Unilrgrnd. " ii� 54. Forms
" 4. Electrical Conduit-Undrgrnd �- r 55. Electrical Bonding '�
5. Steel Reiniorcement 56. Rough Plumbing & Pressure Test �
6. Electrical UFER Grnd. - 57. APPROVAL TO COVER�GUNITE
7. Footings , 58. Electrical Conduit-Undrgrnd. "
8. Foundation ' ;�i � 59. Gas Pipe, O Undrgrnd., Test /,�
� r ,. j:
9. Water Pipe-Undrgrnd. ,�� !��� 60. Backwash Lines, P�Trap, O Undrgrnd. ,/�
10. Structural Floor System � j%, � �% 67. APPROVAL TO DECK � '�%
11. Property Sewer Line & tioyse�Connectio � 62. Backwash & Receptor-Final �
/
72. Sewer Cap � 63. Heater & Vent-Final �
13. Roof Drains � �
� � /� 64. Plumbing System - Finai ,-�
14. RoughPlumbing '� '� ,'� f 65. Electrical�Final ��.�� �
15. Rough Electriwl-Conduit �, 66. Solar System-Final � '�
i6. Rough Electric Wiring " .� 67. Fencing & Access Approval ��.
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �'
',
18. Rough Electriwl-T Bar Ceiling / 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT
i � �
20. Rough Factory Fiieplace ' � APPROVALS; Permit #
21. Dutts, in Structure_ • � 70. Underground Hydro
22. Ducts, Ventilating � . • .71. Product Piping OGas ❑Oil
23. Gas Pipe�Rouqh & Test � � , . , . 72. Underground Flush� . � .
24. RoofFraming . -73. Undergmd.StorageTankOGas ❑Oil
25. Roof Sheathing " : 74. Overhead Hydro i
26. T-Bar Cei�ing (Structural) & 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; , I � '' 79. FINAL INSPECTION
i
32. Electrical Power Meter-Final � � � 80. FOOD CERTIFICATE ISSUED
33. Final Electric ' I I _ �Notes: - . .
34. Final Heating & Air Conditioning I • �
35. Final Gas Pipe�Test I� i' _ -
36. Hood or Canopy � I I �
37. Final Factory Fireplace _ �� I � -,
38. Final Plumbing � � � I I !� � _. - '
39. Water Service-Final i � �'
40. Gas Service-Final �
I
41. Solar pomestic-Final • � � j . �
42. Backflow Preventer, .' I � � �
43. Backflow Irrigation -
44. Landscape Irrigation System . � �-
45. Sound Attenuation �
�
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING / � ° � �• '
48: FINAL PLANNING • . � � � .
49. Electric Release to Edison I f� .
50. Gas Release to Southern California Gas Co � � � �
51. CERTIFICATE OF�OCCUPANCY . . � .
No. Date
,r
�
�
/
�uv aneu� �nnnn
PFOJECTAOOPESS: �TILLAGE CREEIC H.O,A.
OWNEN'SNAME: 39Z9 TIMBER LAKE
aooness: COSTA MESA, CA 92626
553-1876
ANCN/ENGINEEfl:
PDOflESS:
PETERSON ROOFING
PEflMITTEE: jOOG ENTERPRISE
noosEss: COSTA MESA
UNIT:
HEG.NO.:
UNIT:
(714)979-7111
CA 92628
LICENSEO CONTB CTOB OECU1flRTI0N: I � re� allirm Ihal I am licensetl untler pmvisions o� Chapter 9(commencing wilh Seclion
7000� o� �iQ�� Q I�e�usiness antl Pmi�n��� piid my license is in �Ii 17arc�Qitl e� ct.
CITY LIC.: STATE LIC.: C S5:
'i Oale: _ � Signawre:
� Compenpatin slft�tct���UGeC,�Tj�Dpy�hereob(SeeliE%PBOATEb��ifi�etc9n to5e14insureoracerlilicaleotWorkers'
POLICY NO.: IA�1 UN11
COMPFNY: X
❑ Cetlifi¢tl topy is �ereby lumished. ❑ Cetlifie0 Copy is IileO wiih /�h§�ti�y Builtl Oi/viSy n.
'/�� 7 4 ,/
Daie: AppliCanC —l�� ._� � l� ���
E%EMPTION OMWOflH S'COMPENSATIONOECIABATION: RAissec�ionneetlnat�ecompleted tAepermiti5foronehunOreO(S7IXQorle55�.
I cenify inat in Ihe pedormance ol Ihe work for wnicn ihis permii is issuetl, I shall not employ any person in any manner so as to 6ecome
su0lec� Io �he Workers' Compensa�ion LawS of Califomia.
Oate: Signa�ure.
NOTICE: I�. aiter making ihis tleclaralion, you 5�ou10 become sublec� to the Workers' Compen5aiion provisions of ��e Labor
Code, yau musl fotlhwiih comply wilh such provisions or Ihis permit shall be tleemetl revoketl.
CONSTBUCTION LENOING RGENCY: I Aereby allirm I�a� I�ere is a cons�mction lentling agency �or the pedormance o� �he work for
which Inis permit is i=suetl (Sectmn 3097. Civ. C�.
LENOEfl:
p00HESS:
OWNEP 601LUEH OECLAflRTION: I �ereby a��irm Ihat 1 am exempt imm �he Conlmciors' S�a�e License Law �o� the lollowing reason
(Seclion 7031.5 Business antl Pmlessional Code: Any ci�y of couniy which requires a permi� �o conslmci, al�er, impmve, tlemolish, or
repair any simcture. prior Io its issuance, alsa requires Ihe applicani tor such permi� �o file a signed s�alemen� �ha� he/she is licensed
pursuan� m the D�ovisions of Ihe Conlrac�ors' S�ate license Law (C�ap�er 9(commencing with Semion 7000) o� Division 3 oi Ihe Business
and Pmiessions Codel or Ihat he/she is exempt iherelmm anA Ihe basis �or ihe allegetl exemp�ion. Nny violation of Sec�ion 70.9L5 by
any applicanliar a permii subjects Ihe applicant b a civil penalty o� not more than irve �untlreA tlallars (5500�.
I, as owner of Ihe D�ope�y or my employees with wages as ��eir sole compensa�ion, will tlo the wark, and Ihe
❑ s�mnure is no� imentletl or o�fered for sale (Section 704a, Business antl Pmfessional Cotle: IDe ConVacmrs' State License Law
Ooes not ap01y Io an owner oi a Omperiy who OuilAs or improves Ihereon, and w�o tloes suc� work himsetl/hersell or Ihmugh
his or her own employees, pmmtletl Ihal such impmvemen�s arc not in�entletl ar oMeretl for sale. I�, Aowever Ne buil0ing or
impmvemeni is sola within one year at complelion. Ihe owner will have Ihe burden ol Dmving he/she Eitl nol builG or improve
br ine puroose ol sale�.
I, as owner al Ihe Omperty, am exclusivelp conVaciing with licensea conVactors �o consimct the pmlect (Seclion 7044, Business
❑ and Professions CaOe: The Conlractors' State License Law Does no� apply �o an owner o� pmperiy who �uilas or improves Ihereon
and who conlracis for 5uch D�olec(5 wit� a contractar�s) license pur5uani �o �he Contractors' S�a�e License Law�. I am aware
�ha� pmo� oi IAeir Worker's Compensa�ion insurance shaWd be pwvitled �o me.
� I am exemp� untler Seclion: B. 8 P. C.
�Or IhiS r¢dSOn:
�ale: Ownec
I do here�y ceniry ihat I am aware ol and unders�antl �he reQUlrements o� Calilornia Heal�h antl $afery Cotle $edions 25505. 25533, ana
25534 and Ihai I or any IUWre buil0ing occupanl wilUwill noi (circle one� neetl ta comply vnlh said state co�es antl the requiremen�s lor a
permii lor cons�mc�ion or modilication Imm Ihe Air �ualiry Managemeni �istrict ReslOen�ial constmc�ion applicaiions are exemp� irom
Ihese pmvisions.
oate:
ppplicanC
I hereby certifyihal I �ave reaU Ihis applicaiion antl s�a�e�hal�ne ahoveiniormation is correct. I agree lo comply wilh all ci�y and couniy
ortlinances antl Sla�e laws rela�ing �o builaing consirudion an0 here�y au�hor¢e re0�e enta�ives oi �his ciry Io enier upon Ihe above-men�ianetl
P�a�e�N �oi inspetlion pur oses. /
Oate: � � �! / � �
Oriver's License oi cial Securi�y n:
`�
i64va6 White—Building: Green—Catle Enlorcemenf. Canary—Applicanf, Plnk—Revenue; GolEenrotl—Auessor
CITY OF COSTA MESA — BUILDZNG PERMIT
PERMZT NO: B 063992 PLAN CHECR NO: N
CONSTRIICTION TYPE: V—N PERMIT TYPE; STR
JOH DESCRIPTION ; T/OFF SHEATH REROOF W/COMP SHINGLES
CLAIM VALUE: 4,600.00 CALC—VALUE: 9,600,00
P O• B 063942
GOVT • N SUPP ; t3
PURPOSE; ALT
SQ FT: 4,600
GROUP OCC: R-1 /
COMMENTS; SMOKE DETECTORS RE� PERMIT INCLUDES 682 889 6 886 $E
*�r*�****�t*+�**�t**���+r�r�x***** �**��**�r�r�Q�+�*��r�*x**���*+�+fg{��q�������
Z O N I N GS ERTEB AUCIRRSE M E N 1`�5"��
------------ MAIN BUZLDING ---------- --------- ACCESSORY B I� U GR �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 ZNE: REF NO:
PLANNING N6TES>
�
1E iE iE iE iF iE iF iE 1E if iF jf if if.3E if if iF itr ik it iE iE �E if k iEiF fE iE 1E iE iE if i! ff 1F ikif �E fE 1E 1E �1E if !f iE iE 1f 1E if iE if if if iE ibiF iE iE 1f iE iE iF iF iF iE 3t i6.iE i! 1E 1E # 3E k iE if 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 DATE: ��
HUILDING APPROVED BY ; DATE: °
APPLICATION ISSUED BY: �� DATE: ���
1EiEiflEifiEiEiEiFififlflfiElEiF�EifiElF�IEiE�F�F�F�F�F'iFiFiF'7F3F�ifiF �F'�iF?F�FiFii-Tf3F�FiFiF"i€1EiEikifiFiEififlfif ie �lEf4
if if if iE if iE iE iE if iF iE iE iE 1Eif iE aE �F iE iE iEiF�FlE �f iE if if K iE 1f iF iF iFiE if 1E i! �f !E iE iE iE k iE iEif if 3E iEiE iE IE iE 1F iflElElE iE iE ik if jf if if if if 1E ft if iP iE iE 1k iE iE i(� iF
LEGALIZATION:N c 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
PL� SMIP/NON—RES
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID AUE
TOTALS----> 72.50 0.00 0.00 72,50 72,50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 72.50 OVEH/SHORT: ,00
BLLG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECR
%2,00 ,50
iE 1E 1E iE iE iE iE iE iE if iE �f iF if iE iE iE iE if�f 1E iE iE if iE ik if �E if iE iF 1E �E iE iE �F iE if�3E3f�if 3f 3EiE ff iE iE iE 3E fE iF iF iE iE iE if ik if if iE�E1F�E ff iE iE 3E iF iE iElf i! iE %�!E 1f if iE 1E
I N D Z V I D U A L F E E B R E A R D 0 W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR
9600 REROOF BY VALUE RESIDENTZAL NOZONE 1.00 4,6d0.00
� END OF FEES
01 OOi46�40—t��11Y5�41 T� T 72.50
QATE: 09/14i93 TItIE: 10:4Q
CONSTRUC710N AND PLANNING
APPROVALS Permit #
t. Temporary Electrical Service Or.�ole
2. Soil Pipe•Undrgrnd.
3. Electrical Conduit Utiiity-Undrgrnd.
4. Electrical Conduit�Undrgrnd.
5. Steel Reinforcement �
6. Electrical UFER Grnd
7. Footmgs
8. Foundauon .
9. Water Pipe�llndrgrnd. •
70. Structural Floor System '
71. Praperty Sewer Line & House Connection
12. Sower Cap -
13. Roof Dra�ns
14. Rough Plumbing
15. Rough Eiectrical•Conduit
16. Rough ElectNc Wiring
17. Rough Wlnng Sign
18. Rough Electrical-T Bar Ceil�ng
79. Rough Heat�ng & A�r Condii�oning
20. Rough Factory Pirepiace' �
�t. Ducts, in Structure � � .
22. Oucts, Ventilating � , ,
i
23. Gas Pipe�Rougli & Test , .
24. Roof Framing � �
25. Roof Sheathing 1, �O-
2fi. T•Bar Ceiling (StructuraU & Monocoat
77. Frame and Flashing ,
28. Lathing $ Siding ' ' -
29. Insulation
30. Drywall Nailing
31. Plaster Brown Coat . ..
32. Electrital Powei Meter�Final
33. Final Electric , , �
34. Final Heahng & Air Conditioning
35. Final Gas Pipe�Test
36. Hood or Canopy � �
37. Pinat Fattory Fireplzce �
38. Final Plumbing �
39. 4:'ater Service•Final
40. Gas Service�F�nal
41. Solar pomesUPFinai
42. Backflow Pre�enter
43. Backflow Irrigation -
44. Landscape Irriqation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 3 2
48. FINAL PLANNING �
49. Elearic Release to Edison
50. Gas Release to $outhern Cal4fornia Gas Go
51. CERTIPICATE OF OCCUPANCY
Date
Date
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I�spector
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POOI W SPA
APPROVALS Permit �
52. Pool & Equipment Locat�on
53. Steel Reinforcement
54. Forms
55. Electrical Bo❑ding
56. Rough Plumbing & Prtssure Test
57. APPROVALTOCOVER�GU`iiTE
56. Electrical Cortduit�Undrymd. �_
59. Gas Pipe, � Un�rgrnd., Test i
60. Back�vash U�et. P�Trap, CJ Urdry�nd.
61. APPROVAL TO DECK
62. Backwash & Receptur�Final
63. Heacar & Vent-Final
64. Plumbing SYstem - Final
65. Electrical�Final
66. Solar System�Finat
67. Fencing & Acczss Anpruval
68. APPROVED �OR PLASTERING
i 69. PQOVSPASYSTER:SFINAL
��� FIRE DEPT. REQUIREMCNT
��. APPRO�[AL$ ?ermit �
70. Undetground Hydro
71. ProduCt I�ipirtg C] Gas Cl Od
72. Under�round Fdush . �
I 73. Underqmd. Sto�pge T�nk O Gas C� Od
'�� 74. Overhead Hydro
�'i 75. Dry Chemical
��.. 76. Dry StandPiPe
'� 77. FIXED SYST�tA FINA�
78. FIRE PREV. F:VAL
HEALTH DEPT. REQUIREMENT
79. FINAL!IdSPECTION
B0. FOOD CERTifICATE ISSUED
Notes:
0
Date � Inspector
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OWNEft STATE WIDE De
JOB ADDRESS BBO BEa2'
GENERAL CONTRACTOR S9n1
AP No. 0- 4- L OT
INSPECTIONS
SOIL
GAS
W ATER
ROl1GH PLUMBIHG
PROP. $WR. LINE ❑ HOUSE CON. �
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGM HEATING AND AIR CON�ITIONING
TEMPORARV SERVICE OR POLE
UNOERGROUNO � POWER �
ROIIGH WIRING
TRENCHES � FORMS � STEEL REINF.
fL00R SYSTEM • '
BOND BEAM [� STEEL REINFORCE [�]
SHEqTHING
FFr1ME AND F�qSHING
LATHING — IN OUT
PLFSTER.BROWN COnT
HEAT IN�
PLUMBI
ELECTR
BUILOIP
VENT., REFRIG. AND l.C., FINAL
, FINAL AN� Gn5 TEST [L]�
FINAI
FINAI
DATE
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT PA10
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 �^'�Y 1 3'i6�q�,n� %2�" **t 265.68
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely qECE1VED BV DATE RELEIVED D E I D
AooRes"s 880 Rear Creek
OWNER State-Wide Developers, Inc� A.P.NO. �2—pU O/�G PER �
'�'i'�� .5
MAIL 9461 Grindlay ADDRIEss 88a �'at �'�
ADDRESS p
GTV Cypres5, No.`�826-4550 TRACTo - p LOT BLOCK
CONSTRUCTION
LENDER
BRANCH
ADDRESS
aacnirecr re�56-6610
(]RFNc�Fx�„phrbarh/PuldSki No.
ADDRESS 17848 SkyPark Blvd, Irvine
CONTRACTORState�W�C�E? DeV�C��neY�S� lnC.
ADDRESS 9461 Grindlay
c�T� Cypress NO�$�6-4550
l C NO. ZZ47 O LICYNO.
SIZE NO.OF BLDGS,
OFLOT �7_nQ� a��^PG NOWONLOTn
SIZE OF NO. OF
EXTERIOR WALL r �a ec� ROOF
COVERING i'i0� COVERING Sliake
USE OF BUILOING AND WORK TO BE PERFORMED
New construction-Condominiums
1 Residence w/att gar
�WNER
FIRE
20NE
APPROVED
20NE
w/att gar vn�u$
I
DATE
NO.OF USE OF NEW�jj�
/J PL4N5 Z BUILDING
APPROVED VARDSAPPRO'
BVILDING ACCESSORV BUI
DISfANCE BET. BET. MAIN &
MAIN BLOGS. ACCFSS. BLOGS.
VAR.� pATE 'j
G.V.P.46 ��J� APPROVED � � /
APPROVED � % % �L
� c.
�IOLD FOR S cCI REQUiRLMENT$
I �areby acknowlatlpa thet I heve reatl this application antl eUta
thet the abova informetion is correct entl eprea to comply with
etl laws repuleLnp bulldinp co^ftructlon, antl I shell not amploy
any parson in violeilOn of ihe workmen'� cOmpenfatian Iawa Ot
tha State of CelHomia, � 71 5
I hereby certify t�at I em properly Ilcansetl aa a contracwr untlar SQ. FT
Me State of Californla Business entl Profefeions Cotle, Dlviaicn 3, THE AMOUNT S
C�apter 9, entl that suc� licanses are In tull force antl etfoct, or I THE PURP0.SE OF
am exempS irom Me provisions of tha $tate oi Calif rnia Bualnass V�TI N
anA Profassiona Coda, Division 3, Cheptar 9. a
State-lJide Devel e, Inc. �^
Sipnatur
Permlttea $
Authorizatl Apent Vi ce Pres i dent
J-783
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