HomeMy WebLinkAbout882 BEAR ST - Building PermitsPfl0.1ECTA00flE55: g8'� iiEAR CREER
OWNEX'S NRME: SP.NG TONG
noonEss: �82 ggAR CREEK
SS7-9�10
PflCNIENGINEEfl:
ADOflE55:
flEC.NO.:
UNIT:
UNIT:
PEflMITTEE: (;�AHAlVi BROTHEkS f 714 ) 546-1653
AOUNESS: ;;9SG CENTGP.Y .
COSTA MESA CA 9262F
UCENSEU CONTflRLTOB OECIABATION: I hereEy allirm Itat I am li[en5e0 unCer pmvisbns oi CnaO�er B kammencinp with Soction
7000� ol Oivision 3 oi ihe Business an0 Pmlessions Cod¢. antl nse is in tull larce antl effea.
c�,r uc.: ip,0 S 9 6 3 sTare uc.:�8 6 Q uss: (; -2 n` /
Da'�e: �+' l Z � � � Si9nature: _ \ �� /
WOpNEHS' COMPENSATION DECUIBRTION: I �¢r¢Oy a�iirm Ihai I �ave a Cehi�icaie ol tOnsen o S¢II-insure or a Cerii�iCale al W0�'
Compensalion Insurance. o� a cenilieA coOY �heBol (Section 3800. �a�. q.
.,roucrNo.:WC2i61030226018 E%P.DRTE: OgIOZIyI
comeaxx: L,It3ERTY
❑ Cehihetl opy is here0y lumis�etl. Certilied t 5 filed vn �he ciry BuilEing Oivi ' /
Oate; Z— ' Applican �— - � /
E%EMPTION FBOM WOPNEH$' COMVEN511TION OECtAMTION: (Riz seclian neeU �roi be camplete0 il �he pemot is �m one hunGreO (5100� or less).
I cerlity I�at in I�e petlormanc¢ oi Ihe work tar wNch Ihis permit is is5ue0. I shall no� employ any persan in any manner so as �o become
su6jecl to �he Wotker5' Compensation Laws ol Califomia.
Date: ' � Signature:
NOTICE: It, al�er mykiig 1��5�Qtclataiion. you shoula become subl�t �o �he Wodter5' Compensaiion Drovisions ol I�e Labor
CoDe. yau must IorthwiHi compry wID sucA pmvisions ar tNs perrtril slull Ee deemeU revakeU.
CONSTPUCTION �LENOING FGENCY: I �ereGy attirm tlut Inere a a cnnstmction IeMing agency tar ihe OeAarmance af Ihe work for
which IhiS permi�'2 i5we0 �SeCIiOn 3W7, Civ. C).
LENOEN:
A�OXESS:
OWNEB BWLUEB OELLAPATION: I here0y atlirm t�at I am exempt imm t�e Contradors' State Licerrse Law lor i�e follovnng reason
(Section 703t.5 Busine55 aM Pwlesvorui Code: My aly ol wuniy wNc� r¢Quires a perrttit to COnsiruct, aller, impmve, tlemolish, or
repair any stmcwre. Ddor ia its issuance, alm reQuires t�e apDlicam lor such permit to file a signe0 statement t�ai he/5M1e is lirensetl
', Dursuam to ine provisions ol ihe Coniracmri State License Law (Ctwpter 91�mmencinp vntA Stttbn 70W) al OiNsion 3 al Ihe 8usiness
anE Pm�esslons Code) or rtw� Mlshe is e.empt Ihe�etmm anE i�e Dazis lor t�e allege0 exemption. Nny vioWtion ai Section 7031.5 6y
any applicant lor a permit suUlec�s �ne aoolitani to a civil Oenally ot nol mare Ihan live hunOrea eollaR (35001.
I, as owner of iAe pmDerty ar my employees with waqes az iheir sole wmpenu�ion, will Eo ihe woA, anA tAe
❑ slrucwre is not intenaea or olleree lor sale (Secimn 70aa, Business anG Pmfessional Coae: 7he Cantraclors' State License Law
aoes nol aoD�V �a dn owner ol a pmpeny wla ouilAs ar imo�oves lhere0n, aM wlq aoes suGl waM himselOhersell or inroupn
nis ar ner own employees, o�ovitlee mat sucn imprwemems are not inlenUeO or oiferea for sale. If. �owever Ihe builUinp or
impmvemenl is SOW wi�Nn one y¢ar ol Compl¢fnn. Ihe owner vrill tWve ihe OurGen ol prOvinq hPJ511e 6tl nat Duild or im0�ove
lor Itl¢ pu�pose 01 sale�.
I. as owner oi t�e pmpeny. am aGusively wntracfinp vnt� IicenuA conUactors to consimct ihe pmjetl (Section 70aa. Business
❑ antl Protessions Cotle: i�e Conlrxmrs' S�ate Lkense Law Gces irot a00N �o an owner ol DmDert wtro bwltls or improves t�ereon
CITY Or COSTA ME5A - BUILDING PERMIT PERM NO: M 05155
PERMIT NO: M 051653 PI�AN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: MEC PORPOSE: 01'H
.703 DESCRIPTIQN ; rAi1 CHANGc-OUT, S NEW A/C UNZT SQ r'I':
CL�AIM VALUE; CALC-VAI�UE: GROUP UCC: /
COMMENTS; NO STRUCTURAL WORR PERMITTED
lE i!� lf 7F�K� Jf K� K iF k i'r 1E �K �IE lf 1f �)F 1E �Jk K� � If �F �N �lE �k�lf ie i(�iE !f ik i'r 1F R�E ii 1i )f 9f i(� �lf �k �f 1F�% �IE df �If �%� Y. i(� k k�K iE �If ii �%%dF �N �K �)f Y. �i: iE iF �7i� � if 7f �lE# iEiE i( .Ih.Y.
Z O N T N G R E Q U I R E M E N T 5
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSURY BUTLDING ---------
FRNT: FT IN R-AR; �T IN �RNT; FT IN REAR: cT IN
LEFT: FT, IN RGHT; FT IN I,EFT; FT IN RGHT; FT IN
PAR}CING RE()�: PROV: PARCEL: 42'735101 ZNE; R£F NQ;
PLANNING NUTES>
� '
k iEi'r k ii i4 i'r 14jf f'� X� ih iF iE #� if iF iE if 3(� ti� ie iF +:� %� ii Y�lE iF ��1F iF iE lE if te 3'r ii iE )f �E if if if� iF iE i6 �E�x iF IF lE� ii ii� if� i%361f i4 i(- s ie Y� 3f iE �li-%� 1F %• 1F �Y ih #'� 3f ir if R it
D a V E L O P M E N T S E R" V I C E S R E� U I R E M E N T S
'LONING APPROVED HY DATE:
BiJZ'LDING APPROVED HY : DATE: /,,
APPLTCATION ISSUED HY: � DATE: �I(� �
iEiflEiFfF9EfF#'�K�k14Y�lEiFiffF!(�i'rif�fF#f� . . . }.Y?FifN%�1F1Eif-% . . iii���1��X�
if �(� iE iF if ii� i't �ti 3i� ii� if if ii�!h iE i6 N� k+{. i!� if if it it if 3f iE It 1h iF �If� iF N� i(• �1F dE i6 N� it� 3f if i'r i6 if 3F R ii� # N• ii� Y ii� iF 1F i(� %i if 3k-V.� N� ii� iE M� R ji ib �E �F i4 iE iE 1�'� v� 3i iF R ii i!�
LEGALIZAT.TON:N r E E S U M M A R Y STRUCTURAL SEGMEtJT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRAD'ING
PERMIT 18�SY SMIP/NON-RES'
PLAN
I5SI1£ FEE 15.00
BUILDING-D.iV-> PERMIT ISSUE PLAN-CHECK � TOTAL PAID DUE
TOTAI,S----> 18.00 15.OQ 0.00 33.00 33.00 ,q0
REVENUE DIVISION TOTALS--> COI,LECTED: 33.U0 OVBR/SHORP; ,00
HillG PNT PLUM3ING ELECTRIC MECHANIC FIRE SMIP/TO? GRAD'!NG PLAN-CHECR
33.OU
anOwnacontracisiorsucnorqtttswit�acomraao�Isllicensepursuamto�I�eComractors'SWteLicenseLawl.lamaware i+.��1flfRii�ififlERieiF�lf?i�ie�fiFlR#�3Ef}iFiFi'ri6iiN�ieiEii�i(�ii�1EiF�N�+fi(�if�l'rKi'tR�i�1F1Ei6i�ififlFii�iEifif3(•#'•iEiFiFif�f�H'.)i.ii.+'.iEi(�3F#IEiFfFiFaEiii'r3Fi�f�lk
I�at pmol ol I�eir Worke�'S Compenution insurance 5�oN0 Oe D�ovitlea �o me. I N D I V I D U A L F e. £ H}Z $ A K D O W N
� i am exempt unaer Section: B. d P. G.
mnnisreason: TYpE QTY D'a S C R T P T I O N UNIT COST TOTAL COST
oate: ONfef MEC 1 ZNST FORC-AIR/GRAV ^URN <= 100 K BTU 9.00 • 9,00
I no Aere�y cenity that I am aware o1 and unAersUnE the repuiremems ol Cabforriia Healm aM Safety Code Sections 25505, 25533, antl � EC 1 fZ -^, -'R I GERAT I ON S YS Tr.M <= 1 n � 1C B 1 U/H 9, n � 9, Q Q
2553a ana inat i or any �uwre nuiiainq occupant waUwin not Idrue one� neea to comvN ��� sain staie coees ane me requirements lor a ' END OF : EES
permil for consimc�ion or motldiwtion Imm I�e Air Waliiy Manapement UslrkL RevGentul cons�mction applica�ions aie eKempl �mm
Ihese pmvisions.
W�e: Applicam:
I h¢re�y cetlily ��ai I have reaa I�is aDDlitaU and stale In ve inlormation a correct. I agrte m comDN �+�� all city an0 cou y
ortlinarc¢5 a Isiate WmreWtinq�o GuiWm aM �ere0yau ' er¢presentatives o 1¢ t0 enter uponilre aGov¢�men�io eA
o�o0ehy lari spetl/io�n putpo5es.
Oate: � : � 4 ` � c^ - � ^
�iiver's Liwnse or Social5ecuniy r:
16at-a6 W�ile—Bmltling: Green—Cotle Entorcemem: Canaey—ApolicanL Pmk—Revenue: GolOenroE—Assessor
01 aJG547fs-CG0S4753 ,r',��'r
6F:TE: �;/it/'�i TYk�= :;:+:
CONSTRUCTION AND PLANNING PCi.,� & SPA
APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector
1. Temporary ElectriWl Service or Pole - , 52. Pool & Equipment Location - •
2. Soil Pipe�Undrgrnd. ' 53. Steel Reinforcement
3. Elec[rical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical ConduibUndrgmd. � � 55. ElectriCal Bonding
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-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 67. APPROVAL TO DECK
17. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final
12. Sewer Cap � ' 63. Heater & Vent-Final '
13. Roof Drains ' 64. Plumbing System � Final �
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical�Conduii 66. Solar SYstem-Final
16. Rough Electric Wiring 67. Fencing & Access Approval �
17. Rough Wiring Sign . 68. APPROVED FOR PLASTERING
18. Rough Electriwl�T Bar Ceiling 69. POOI/SPA SYSTEMS FIMAL
19. Rou�h Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory FirePlace APPROVALS Permit #
21. DuMs, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas ❑Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil -
25. Roof Sheathing � 74. Overhead Hydro
26. T•Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing . 76. Dry Standpipe ;
26. Lathing & Siding 77. FIXED SYSTEM F�NAL
�
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Ptaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Ait Conditioning �8 L� .
35. Final Gas Pipe•Test
36. Hood or Canopy -
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service�Final
41. Solar pomesticFinal
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irripation SYstem -
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING
48. FINAL PLANNING ' �
49. Elearic Release to Edison �
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
�ooxessaem�w+a: ggZ gEAR CREEK
°'""�'s"""e"'wow": SANG T01d
.
AOOXE55:88Z BEAR CREEK
�vv�. wuuxo,�oo�ss:
1NCXRKT OR FNfdlFEN:
�xcx. ox �o: s �oowess:
uHr: B-2
FLOOD: AO-38
uc.xo:
uxr:
cartn�ctarsxu¢: NOCK PLUMBING ( 714 ) 895-1246
camACToirs�uiwo 11610 SEABOARD CIR
woxess STANTON CA uexo: 511971
90680 u�r:
LICENSED COtlfflRCTON4 DECLAFITION: I hareEy ellim urder penely d prjury ihN I em liceneed undm povi�ime d Cheqar e
(mmmeneM wilh Seclion 1000) M D'rvuion 9 d Ne &mneu eM Pmlase'vu Code. end mY Gwnw u In Iu0laca end eltetl. ..
c.No.:05 g uccuss:C-36 uc.No: 5119(71 EXP: 02/97
n,: � G ���a: J� o �� �Gv�'1�13 i et�
O EN BIIIIDEP OECIAFATION: I heieby elfiim wMx pmYy W perjwy ihel I am eaemq hom IM Catlreaan liume lew ta tM
Idbxip rae�on ISeeion ]W 1.5 Bwiws� ard Prdwbna Code: �nY W a muMY xfiid� nVuim e Ca�mn to aoneEuct, allm. imMoue.
demd"e�. a rper ury svuclwa. pnor m m eauence. e!w rsQu'um Re eppliraru Ip arli penw to fib e eqneA detemeeu Nei he a�M
u fmnaee wmiw �o ine wwmm+d N. caureeas Lioeme I.ew Icheq« s(miun.bro wan swon �om) d oiveb� a a �n.
Businaas ad Rdmixn COEe� a Ihet M a ehs a wemq �herahpn uk iM Es» la Ne dbpeU nammpian. My violelnn al SerJion
]031.5 Eq ury eppkunt la e permn vEpaa tM eppli sm to e tlN peroEy d nd mps tMn Me Mudred do0u� �5500p.
� I.avoxmrdlMpopenYa�'�VM��hwepe�mlhei�olemmpnse�ion.vnlldoihewA.eMtlxevununeMimaMM
«afleradror eele (Saraon 10u. Bue'vroard Prdne'vuCods: The CanreemLiane LewEom no� epoM �o en owner a property
who Wide a inwn+m ihenon. ud w/n Eom euN xvrk h'vnwll a henN a ihraq� hc a Mr ovm empb�w. Va'�d �hm euch
impwaneW ms not i�ueMad a d1xaE lor ub. tl.Irowwer.IM Euikirp a inpmwnem ie wltl wnhin pnY� d mmplMion. tha
owiwAddr MiA heva iM Mvdm d parinp M a eM did m� ddd p'unpo.a la Na pvpma d ub).
❑ I. ro oxw d iM PWMY. em utlunNY conirep^Y xil� licanead conVMm m cmnruf Na pM� (Seuion ]OM. Buelrese ud
Pmlmcna Code: Ths Caprmm Liom» Law dws nd aoM' m en owror al pW+�Y Ma Eu� a imD�'r ihraon ud r,ho
convacte br wdi qqMa x�lh a mmreuor�e) IiumaE Wnuw �o iM Canndas Liwn+e Lew).
❑ I am wmq uMx Saetian: B. 8 P.C.. be Ua rseson:
Dete: Umx:
I Eo hereby cMiry �htl I em ewera d vd unJenunE iM'epuiemmb d CelAomM Naallh eM Selery Cods Sepbm P5505.2553J, end
255J0. erd Nn I a enY �� a+�0 �Y^� �+II / wil m� (arcb aa) nasd to oomply wlh uk pe�e ootlm eM iM reQuirommit� br
epefmAlawmtruciianamod'dratbnhamiM�i e�iy -anepsman10irtntl.RmNamWomu�uqioneppiretvuenexemqlvnNssa
wwf.im..
Dua: Appl'rsm:
WOqKER'S COYPENSATION OECLAP�TION: I MraEy dflrm undx psuRy d pw�uy one d IM Idbwiiq Eetluetbro:
� I hevs entl xil meinten e cMiliule d conwnl lo �eH�inwre br Morken' canpenmtbn, n prwiEaE lu by 8aabn �]00 d �ha lebor
cod.. i« m. an�. a m..on� to..+:u� iw. w�*n A io�e.
�I hevs anE �1 meinten wdken' mmpenW ion inaura�, n ipuirod by Sealm ])00 d ths lebor COEe, br Ihs pa�lormenm d iM
work tn whiM Nu peemil o wued. My wvken' oompvetion liuuruxs feMx antl polry numbsr xa:
c.mx: GOLDEN EAGLE EXPIRES
PdiryNumber: NW(' ��� i a� nn 09/O1 /96
�rm, ..aran ,..e mr w canMx.e r m. v�+� q ro. on. w�mee ddi.,. �Siaol w r«..l
� I mnh � in Ne pwtomurce al iM wM W whkh Ihl� pam�il u u�uW, I�IWI m� amploy any paicn In any manner ro m �o
Eecoma wM� lo )Mw�are ' canpeneetion kw� d Celifanu. eM/ qvut �I I qwuk tamns abjaa io iM nvrken'
�mpeneetbn pryvijgne�Jl Seclion 310U ol �M Lebor CoEa, l ehell Ipplmm'�y6 py xilh J�IEei�bne. /)
s p: F�llun to ucun woikw�'rompwwtlon rover�p� l� unl�wlul, �n0 MYI ub/�ct m�mp/oyx ro cr/m'nl pm�/tlu �nG
l/nu up ro on� hundrM thouun0 Eollm (Jfaq0o0), M edd/tlon ro M� ewl o� rompwu�fron, 4m�pu o proNtlM br In
tlon 3]OB ol M� L�borCOM, Inbntl, m0 ettamry'� I�u.
CONSTpUCT10N LENDINO AOENCY: I Mnby etfrm uMx paneXy d perN�Y �� �hero b e wnuruqbn bMl�q epenty la Ihs
perlameMe W iM v.oM Iw whkh Ihu qimi is ewod (Sed'an 30B1. Civ. C).
LENDER'S NAME:
LENOER'9 ADDRE4S:
I ceniy Ihet I �ew raeE �hia epplcmim ub etate Ihm Ihe ebova inlamubn ia coriep. I epme lo wmply wilh dl vry eM counry adineMee
arM etete lawa mW'vp to WiNvp conamMion eM Mreby euilwixe rapeaenlelrvee d thu tlly lo amar upon �M ebove�mentioned popMy
initqpetlion purpoeea.
RON NOCK
�� /�� �
l�f— Daie: � �
Siowum W Oniror/ nVA
(5151�16 WP)
Cenery-Appireni: Pink-ibwnue:0okenioE-/uuaror
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT N0: P 077582 PLAN CI-IECK NO: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU
JOB DESCRIPTION : C/O DISH WASHER
CLAIM VALUE: CALC-VALUE:
PERM NO: P 077582
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT:
GROUP OCC: R-3 /
COMMENTS: NO OTHER WORK AUTHORIZED HY THIS PERMIT
******x��*****�**�****�****�rxx�x���r�xx**x�*�rx�t�*x�*x�r�*�rx***���*****�*�****x�******u
Z O N I N G R E Q U I R'E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
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: 93506003 ZNE: REF NO:
PLANNING NOTES> ,
i
iE fE iE IE 1f 1E �E iE iE iE 3E IE 1E iE 3E 1ElE fE iE 1E iE fE iE aE 1E IE �E iE 1E IE iE iE iE iE 1f iE 1F 1E 1f if 1F fE iF 1f if if if'1f 1f 1ElE 1E iE ik fk if iE �E fE IE 3E iE 1E 1F if 9f if if iF IE IflE IE iE 3E iE If 3E 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 R E M E N T S
ZONING APPROVED BY � DATE:
HUILDING APPROVED HY : : DATE: 7'��'
APPLICATION ISSUED HY: �"- DATE: ��Fl��'�F#��F
*�t-3t***iE***************7�F'3F'3FiFTFiF7F'iF3F 3F?FiFTF�F3FiF�F3FiF�F7i�iFiFTF3FTFTF�FSFiFx�it�i[�*ft**it3tx� it*
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
iPERMIT �z5� SMIP/NON-RES
PLAN
IISSUE FEE 20.00
HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 7.00 20.00 0.00 27.00 27.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 27.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
27.00
3f iF fE 1EiE 1f 1E fE 1E iE iF iElElE �E 1E IE �E fE 1E iE 1E iE fE IE 1F 1E �E IE k IE IE iF 1E 1F iE 1E iE 1F iE 1k iE 1f iE 1E iE IE iE iE iE 1E iE 1E iE 1E if iE if 1E 1E iE �E iE IE iE iE fE fE 1E if if iE 1F *�t dE fk * iE
� I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I 0 N UNIT COST TOTAL COST
IPLO i DISHWASHER
END OF FEES
7.00
7,00
��. ��.��'. � jc_tv_liJ� i.�� ! P 9 _
UF1t': .? �„ . iIF;f: 1j:?t ^ '
��I�Q
CONSTRUCTION AND PLAN�IING� . . POG� d SPA -}
APPROVALS Permit#� : Date Inspector pppROVALS Permit# � f Oate Inspector
1. TeTDorary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. • 53. Steel Reinforcement • '
3. Electrical Conduit Uti�ityUndrgrnd. 54. Forms �. �
4. Electrical Conduit-Undrgrnd. � 55. Electncal Bonding �
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ,,. �
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE - ��
7. Fotltings 58. Electrical Conduit�Undrgrnd. ��
8. Foundation 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe�Undrgrnd. _ . . 60. Backwash Lines, P-Trap,I� Undrgrnd.
10. StrUctural ftoor SYstem ' 61. APPROVAL TO tiECK ,.,,
1 t, Property Sewer Line & House Connection 62. Backwash & Receptor-Final;
12. Sewer Cap -63. Heater & Vent-Final
13. Roof Drains , 64. Plumbing System � Final
14. Rough P�umbing 65. Electrical�Final � '
15. Rough Electrical-Conduit ' 66. Solar SYstem-Final
16. Rou9h Electric Wiring � ' 67. Fencing & Access ApProval �
77. RoUgh Wirin9 Sign � 66. APPROVED FOR PLASTERING
78. Rough Elecirica6T 8ar Ceiling � 69. POOL/SPA SVSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rougfi Factory Fireptace APPROVALS Permit #
27. DuGts, in Structure - 70. Underground Hydro
22. Dutts, Ventilating 77. Product Piping OGas ❑Oii
23. Gas P�Pe�Rough & Test 72. U�derground Fluth
24. Roof Framin9 73. U�dergrnd. Storage Tank O Gas ❑ Oil
25. Fioof Sheathing 74. Overhead Hydro,� �
26. T•Bar.Cetling (Str�cturap & Monocoat � • 75. Drv Chemical
27. Freme and F�ashing � 76. Dry Standpipe .�
28. Lathing & Siding � 77. FIXED SYSTEM FINAL
29. Insulation � 78. FIRE PREV. FINAL
30. Drywall Nailing . • HEALTH DEPT'. RE�UIREMENT
31. Plaster Brown CoaY �9. FINAL INSPEC710N ,
32. EletViwl Power Meter�Final 80. FOOD CERTIFICATE ISSUED
� � - � . � Notes:
ioning
35f?-�c� 6/�SIY� FN
m -
UILDING � - _
i•.
. �.
alifornia Gas Cv � '
?ANCY
S/ I
PflOJECT AOOflESS: 8 8 Z H EAR CR EEK uNiT:
OWNEfl'SNAME: VILI.AGE CREEK HOMEOWNERS
aooness: ASSOCIATION
3429 TINBER LAKE
CM VA 92626
ppCHIENCINEEfl: CHESTER CARVILLE pEc.No.: C18305
nooaess: 79zZ ARMOUR ST uNiT:
S.D. CA 92111
PEXMITTEE: PHOEN.IX ENTERPRISES INC, ( 213 ) 690-9559
aooeess: 411 COMERCIAL WAY
LA AABRA CA 90631
UCENSEU CONTMCTOB OECUflBiION: 1 �eteby allirm ihd� I am IiCen5e0 Oe� provitions ol CtwD�er 9 �commencing wi�h Sec�ion
7000� ol Dh^� e Businett aM Professions CoEe. aM my licen<�� 1orc� lec�
cirruc.:0 0 a T c.:376639
��
Daie: � -� Signamrt:_ — —
WOflREflS'COMPENSRTIONOECUIBATION: I�¢r¢Eyaliirmll�allhaveacerlili[alea�COn5EnI1o5¢I6in5Ureorat ai eolWorkers'
^.omoenution �rn�b o� �cr�n�irea couy �ne�eo� I�cuon 3eao. �ae. �7 � 1/ 9.1
nicv xo.: CA COMP 6 FIRE E%P. DRTE:
�OMPANY:
Cendiee �opy is nere�y tumisn=A. ❑ CendieE copy is fileE vd• '.x y� eing '"sion.
�ale: —__�/r_��� AVVIiCani:
E%EMPTION FPOM WOHNEBS' LOMPENSRTION OELU81710N: (ihis sectim necd iroi De mmryeteG ii t�e ce�mit is lar ane � r 1W� or less�.
I ceniiy Inai in ihe pedormance of I�e work for whic� tks permit is i55ue0. I shdll twt employ any Derson in any m so as to become
suDiecl to ihe Workers' Compensalion LaxS ol CaOfornia.
�ale: SignaWre:
NOTICE: II. afier making iNs Ceciaration, yrou stwulE tecome sublect lo lhe Workers' Compensation prwisions of tAe Labor
Cotle. you must lorthwi�� Comply wil� SUC� O�ovi5i0n5 or ��is permit S�all Ee deemetl revoke0.
LONSTNUCTION LENOING FGENCY: I �ereGy atlirm ��a� Nere is a consimction lending agency lor tAe Oerformance ol ihe work far
which Ihis permi� is issueU (Setlion 3W7. Civ. C�.
LENOEN:
noosEss:
OWNEP 9UI10EN UELUPRTION: I �ereGy allirm i�at I am exempi tmm the Conirac�ors' State License Law tor ihe lollowinp reason
(Section 703L5 6usiness an0 Pmlessional CaUe: Any city ol couniy whic� repuires a permit to wnsiruc6 alter, improve, dertwlis�, ar
re0air any s�ruclure. prior lo its iuuance. aISO Rpuites t0e aOVlicant lor such Oermil lo lile a siqned statement ihal hpJs�e is licens¢tl
pursuam to i�e D�ovisions ol Ne CamracmK S�ate License Law�C�ap�er 9(commencinp vrit0 Sectmn 7000) ot DNision 3 oi ihe Busineu
anU Pmles9ons CAEe) or ihdl �elshe is erempl iMrUmm an0 ihe Oa95 lor Itle alleAeU exemption. Nny vialalian of Settion 7031.5 Gy
any aODlicant lor a Dermil su0lecis ihe aDV�icant la a tivil penalty of not moa tllan five �unCreE Oollars (E500�.
I, as ovmer ot ine D�ooeny or my emWoyees wit� wages as t�eir sMe mmpensation, mll Eo t�e wark, antl tha
7 simcWre 4 not ulteiMee or altueE for sale (Sectmn 70a4. Buvness aM Hofessianal CoUe: Tne Coniracmrs' S�ate License Law
Uoes not apply to an owner oi a D�aUe�Y � �NIAs or im0��as t�ereon, anU who Ooes suc� work himseli/�erseli or t�roup�
�is o� Aer own employees, pmvbeC Iha� wcll im0«'emenis ire Wt intendeE ar ollere0 lar 5ale. It. �owever tAe builtling ar
im0�ovement is sol0 wittun one year ol wmpl¢tion, I�e owner vnll Iwve 1�8 GurGen of Dmving hels�e Oi0 not Ouila or improve
lar Ine pu�Dose ol 5ate1.
I, az owner ol tne Wapeny, am eKUusiveIy WnVactinq wit� tiRn5e0 tantractors to COn5tmtl the D�olecl (Seclion 7044, Bu9nes5
❑ an0 Pmte55ian5 COGl: Tt�E Conlratl0t5' $Iaie L'KenSe Law Oces ml apph/ t0 an me¢r nf properrywtq GmltlS ot imprmre5lheROn
ana who comracts lor suc� prqects witA a coniractoqs) ikense Dursuant b ihe Comracmrs' Slate license Law). I am aware
Ihat proot of Ineir Worker's Comp¢wtion insurince stqNG Oe 0«+�� �a me.
� I am eKemO� under $ec�ion: 6. d P. C.
for Ihis reason:
Da�e: O+mer:
I eo hereby cenify ilu� I am aware o1 an0 u�Mersiana ine repuirementt al GWamu Heal�n ana Safery COUe Sections 2550.5, 25537. an0
2557A anU I�a� I ar any lulure GuilEing occupanl wiNvriA twi (drele ane) neeE Io comON �^�h 5ai0 sla�e mGeS anG t�e rtquir¢ment5 Por a
permit lor conSlmciion or moCilicalian Imm I�e Ai� ahty ManaOement Distnct. FesiEemul conswction appliwtions are exempt imm
I�ese provisions..
�aie: ADPlican�:
I here�y t¢tli�y Ihal I �ave read lhi5 a00�italion anG Slale I�al l�e aG '. n rma�ion is CorreCi. I apree Io Compty wiih all tiiy an0 COun
or0inances and sla�e Wws relalinq to GuilNng consimtlion aM �ereGy .� e reo .matives ol this tly' � er upon ihe aeove-m � eE
pmper�y lo� inSpeclian urpos� / �
� ni
Oate: — ���y Signamre: _ —
odver s ucense or Sociai sewm� x:
164L46 W�ne—BUAainq: Green—COEe Enforcemenl: Canary—AO�licant: Pink—Revenue: Goltlenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 050660 PLAN CHECK NO: 00050-91' A
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
PERM NO: H 0506`
GOVT; N SUPP; N
PURPOSE: REP
J09�.DESCRIPTION : REPAIR SETTLEMaNT DAMAGE S(j FT: 143
CLAIM VALUE: 14,300.00 CALC—VALUE: 14,300.00 GROUP OCC: R-3 /
COMMENTS: BUILDING SETTLEMENT REPAIR/FOUNDATION
�r*�+�*�*�r**�r*�x�x�ex�****�r�x��r*�e�*�r�**�*x**�x*�tx�r�*�rx xx�ft�t*� x�r*�***�*�***x�xx fr+��***
i Z O N I N G R E Q U I R E M E N T S
S E i B A C K 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 IN
p� KING REp• PROV: PARCEL; 93506124 'LNE: R2 REF NO:
'i�LANNING NUTES> FOUNDATION REPAZR.
i
iE if iE if IF 3E �f if iE if !E �E iE iE iE 1E 1E iE iE �f if 3EiE iF iE iF IF iF dE dF iF 3f iE iF iF iF iE iE iE if if k 1F iE iE �)f ik 1t if 1E 3k if IE-If if If k!f if 36 IE aElE 1E iE 1E iF fE ltif # iE IE If 1E iF if 3f �F
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 �i•r� �—�IZ� DATE: C7/ lS�/
BUILDING APPROVED BY ; w�� p��' DATE:
APPLZCATION ISSUED HY: DATE:
�fihifiFlFjEiFlFifiEiE3fIF1E3EiEifiFif#*iF r iE1f3f��7FiEifiEiFiF 3Fik
iflFlfdfiFiF�1EiE�FkiE3Fif�lEiflFlfaFiEltiklflf%M3E3FiFifiEaEif-lFifiEifiE .ikififitiE�FifikifiEiEiF±FdflklflPifiElFjfifiFlkifiFiFlfaFiEiFiEaE3E1FiFiE�F*ifif
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING E CTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 162.00 1.00
SMIP/NON—RES
PLAN 26.33
ISSUE FEE
BUILDING—DIV—> PERM.IT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 163.00 0.00 26.33 189.33 189.33 ,DO
REVENUE DIVISION TOTALS--> COLLECTED; 189.33 OVER/SHORT; .00
BLDG FMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
162.00 1.00 26,33
M i! IF iF iF iE i(� �tFiF if iP iF If if it if If �f aE if iE iF IE iF iE If iE iE iElE 1t iE ik fk iE �ElE �k iE it iF 3k # if iE if IF iE 1F k it IE If iE # iE k k if if k k rt iE 1f if !F iF if iE iE 1E if 1E 1EjE iE if if
I N D I V I D U A L F E�E H 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 PER 5100,00 100.00 14,300.00
END OF fiEES
O1 UUQ7879i—DCO"r3793 '7�a f :°5.33
CF.TE: Ol/23/9I TIi1E� Q?:05
V
CONSTRUCTION AND PLANNINV �
APPROVALS Permit #
7. TemDorary Electrical ServicYor Pole .
2. Soil Pipe-Und�grnd. -
3: Electrical Conduit Utility�Undr9rnd. -
4. Electrical Conduit�UndrgrAcl� .
5. Steel Reinforcement
6. Electrical UFER Grnd. �
7. Footings : �
8. Fou�dation .
9. Water Pipe�Undrgrnd. IF �
10. Structural Floor Sys[em �' ,
i�
11. Property Sewer Line &�HouSe Connectiorc
� i
12. Sewer Cap , �� �
13. Roof Drains �l �
u
14. Rough Plumb�ng ,� j �O
15. Rough Electrical-Conduit j� � �
16. Rough E�ectric Wiring � , '
17. Rough Wiring $ign G
18. Rough Elettrical�T Bar Ceiling ,
19. Rough Heatin9 & Air Conditionin9 '
20. Rough FactoeY Fireplace .
21. Ducts,in Structuie ;
22. Ducts, Ventileting - �
23.� Gas Pipe-Rough & Test ,
24t Roof Framing
25. Roof Sheathing
26. T•Bar Ceiling (Structural) & Monocoat
27. Frame and Flashing
28. Lathing & Sid��g �
29. Insulation ' -
30. Drywall Nailing �
31. Plaster Brown Coat
32. Electrical Power Meter�Final.
33. Final Electric � �
34. Final Heating & Air Conditioning, -
35. Final Gas Pipe�Tesr �
36. Hood or'�CanoPY . . .
37. Final Factory Fireplace •
38. Final Plumbin9 - �
39. Water Service�Final
40. Gas Service-Final � , .
41. Solar pomesticFinal
42. Batkflow Pre�enter
43. Backflow Irrigation -
44. Landscape Irripation SYstem � �
45. Sound Attenuation
46. Handicap Regulations
47. FtNALSTRUCTURE&BUILDING
46. FINALPLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICA7EOF,OCCUPANCY
'o. .__ Date ..
Date
�
Inspector
n
n
G
�
�&SPA
APPROVALS Permit #
52. Pool & Equipment Location
53. Steel Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER�GUNITE
58. Electrical Conduit�Undrgrnd.
59. Gas Pipe, O U�drgrnd., Test
60. Backwash Lines, P-Trap, O Undrgrnd.
61. APPROVAL TO DECK
62. Backwash & Receptor•Final
63. Heater & Vent•Final
64. Plumbing System - Final
65. Etectrical�Final
66. Solar SYstem-Final
67. Fencing & Access Approval
66. APPROVED FOR PLASTERING
69. POOL/SPA SYSTEMS FINAL
FIRE DEPT. REQUIREMENT
r
APPROVALS ' Permit #
70. Underground Hydro •
,71. Product Piping OGas ❑Oil
72. Underground Flush . � �
•73. Undergrnd.Storage Tank O Gas ❑ Oil
� 74. � Over,head Hydro
75. Dry Chemical - �
76. Dry Standpipe .
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL . •
HEALTH DEPT. RE�UIREMENT
79. FINAL INSPECTION
80. FOOD CERTIfICATE ISSUED '
Notes: ' '
m
Date � Inspector
il
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_.. 4. I $�6
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely
BU�LDING 88z gear Creek
ADDRESS
OWNER State-Wide Developers, Inc.
ADORESS 9461 Grindlay
cirr Cvoress No�26-455
BRANCN
ADDRESS I/tf48 Sk�ark �Iva., irvine
CONTRACTO�tate-Wide Developers, Inc.
AODRESS 9461 Grindlay
cirv Cypress No`.'826-4550
STATE 2247�0 CITV
LIC. NO. LIC. NO.
512E NO.OF BLOGS.
OF LOT �2.093 aCre$ NOWONLOT Q
USE OF
EX{STWG BLDG.
512E OF NO. OF
NEW BLDG. ROOMS STORIES
EXTERIOR WAL FAS er ROOF
COVERING OO�� COVERING Shake
USE OF BUILDING AND WORK TO BE PERFOFMED
niums
1 Residence w/att gar
I heraGy ecknowlatlpe Met I heve reatl Mia apolication antl nata
t�at Ma eGava Info�metion is cprract e�tl aqrea to comply with
ell lews rapulatlnB D�iltlinp conctructlon, antl 1 shell not amplay
eny peraon in viOlatlon of tha workman'z eompe�setion lews of
Me Stero of Californla.
1 heraby certify that I am proDerly Itcan,etl as a eontrector untler
tha Stata of California Businesz antl Profeuions Cotle, Dlvisicn 3,
Chapter 9, and that suc� I(censes era In f�ll forca entl affact, or 1
am exempt from the provisions of the Smta oi Callfornla Businau
antl Professions COEe, D��isfon 3, Chepte� 9.
tata,-Wide Develop_r Inc.
Sipnatura o
Parmlttee
AuthOrizetl ABent Vi ce Pres i dent
pai�
`d4Y 13-76�MS.�O 730'� �k}238.23
APPLICATION FOR BUILDING PERMIT
RECEIVEDBV DATERECEIVED nnTG�ccin
BUILDING 8&2 �QXQ(
ADORESS
TRACT �0�0
X
VALVE
APPRpVED
22 C/� PLANS Z BUILDING EW
YAqDSAPPROVED VARDSAI
MAIN BUILDING ACCESSOR'
ROM C/{„$TFEET)
L SIDE ^ ��
REAR �
DISTANCE BET.
MAIN BLDGS.
V AR. qW
C.U.P. q{S�'
APPROVED
HOLD FOR
BET. MAIN
ACCESS. BI
DATE
/ � —i,�
22 7�
1480 Sn. FT. J-645 0
THE AMOUNT SHOWN UNDER VALUPTION IS FOR '
THE PURP06E OF E5TABlISHING A VERMR FEE ONLY: �
VALUATION m
� PERMIT FEE $ / / j
S�'O ^ PLAN CHECK E 1� E
I1 /'� I_� u
OWNER STATE WIDE Developers, Inc. DA7E 4-28-76
JOB nooRESS 2 Bear Creek BUILDING PERMIT N0. 41876
GENER.AI„CQp17RACT9R a� DESCRIPTION of WORK es, w a , gara�e
TRACT ����s FIRE
ROUGH PLUMBING
PROP. $WR. LINE
MISCELLANEOl15
ROUGN HEATING ANO AIR CON�ITIONING
UNOERGROUNO � POWER
ROUGM WIRING
TRENCHES , yRl� ,
SHEATHING
FRAME AN� FLASHING
LATHING - IN � �
PLASTER.BROWN COAT
PLl1MBING, FINPL ANO GAS TEST
ELECTRIC, FINAL
BUILOING, FINAL
SUBCONTRACTOR