HomeMy WebLinkAbout3401 MEADOW BROOK - Building Permits�
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PflOJECT ADONESS: 3 9 O S MEADOW $FiO�x
owNen�sruxE: VILLAGE CREEK H.O.A.
noontss: 3429 TIMBER LAKE
� CO5TA MESA, CA 92G26
AHCNIENGINEEH: 5 5'3' 1 8 7 6
�OOPESS:
NEG.NO.:
UNIT:
UNIT:
PEqMinEE: PETERSON ROOFING ( 714 ) 979-7111
aooxEss: 30G0T6n ENTERPRISE (�7qo
IICEN$EO CONTflALTON OECIdPAiioNMFrSA auirm tna� I am hmnse7 unaerCorAo�w9s ol Ciw01e� 9(commencin9'M�� ���ion
7000� ol Division 3 0l I�e Business and Pmiessions Cotle, and my license is in lull Inrce anE ellec�.
cirvu� 544„ srnreuc:60787� cuss:
oaie: L�� �L R 2_— Signature: _ Qs Q
WOHNEN'COAPENS�TIONOECLRflRTION: I�er¢Eya�lirmi� I�avea[¢rli�iWleo�ConSCn�I05e14in5ureataterlificaleolWOAerS'
ComDansa�ion Insurance, oi a cerulied cooY �nereol (Section 3800, Lae. q.
roucreo.: 1021355-93 EXP.ORTE: O4IOLI99
cornrnxr: STATE FUNL�,
❑ Cenifie0 m0Y �s �ereCy Iumishe0. �{ Cenitietl copy ¢ tdeE vrit� llie �uty BWEinO ��on. _
,aie: ��i� n,P�����: ��_��'—�s
E%EMVf10N FflOM WONIIEXS' COMPENSRTION UECLAIiATION: (Ra secuon neeG roi Ee canpete0 il Ne pamil's lor me MiMreG (5100) or kss�.
I certity llu� in I�e perlormance ol Ihe wwk lor wNc� rttis permt rs ttSueU. I SIWI no� empby any Derson in any manner so as lo Oecome
SU�jeci lo IAe WOrkerS fAmpen5ati0n LaxS o� Cafitom0.
Oale: $ignaWre:
x07iC[: ii. aner mawinp tnis aedaration. you shaAa 6ecome suejar to tAe workers' Compe(rsation orwivons ai tne La�or
Cqtle, you must lonhwith tomoly witn sutn provisions ot �Ns permit Stiall Ce EeemeE revaked.
LONSTPUC710N LENOING RGENCY: 1 �ereby affirm t�at thert is a wrrsiruction IenOinp aAenq for the De�ormance of the work lor
wnicn Inis permil is issue0 (�Ction 3097, Crv. CI.
LENOEP:
RODflESS:
OWNEB BUILDEB �ECLANR710N: I nereUy affirm ihat I am e.empt Imm tlie Caniraclors' Siate License Law for t�e I011owinA �eamn
(Sec�ion 70.7L5 Business and Pmlessional Coae: Any city ol county w�ic� rzQuires a Dermit lo rons�mct, atter, imDmve, tlemolisR or
reDair any stmcture, D��or to its issuance. also tequires It1e apD�kEni lor sutA permit lolile a 5ipneE statement ihal hds�e is licensetl
pursuam to IAe pmvaions ol the Lantractors' Snte License Law (CAaD�er 9(wmmenpnp vnt� Sectron 7000) of Oiv¢ion 3 of the Business
ana Pmiessions Cotle� or t�ai �e/s0e is exempt t�ereimm anU t�e Oasis lor i�e allepe0 e�empiion. Any vioWtion ol Stttion 7031.5 by
any a001icanl for a permit SUGiecis ��e appticant Io a civil penalty o� mi rtrort ltun liv¢ INnGrEE dallars (5500).
I. as awner ot tne O�WertY a mY employees vnth wapes as tAeir sale compensation, rriA tla Ihe work, anA tAe
❑ Simcmre k nol inlenGeG Or ollereE lor sa@ (Saiion 70aa. Businew anA Pmleuiowl CoOe: TAe Comractors' Stale Licensa law
aoes not aDDN to an wmer ot a Omoerty wM GuiWs a imprwu t�ereon, anE wAo tlas sutli work M�ell/herseli or ihmu0h
his a� �er own employees. proviGeU I�at suc� imprOvemen6 am nol intenGeO ar ollereC lor Sale. 11, however t�e Ouiltling ar
imprOvement is 5dA vntNn One year ol mmpletqn. t�e ownG wi0 lun t�e Durdm of prWinp �UN2 Gid not hui10 m impmve
lor I�e purpose of Shce�.
� I, as owner ol i�e pmDeny, am eMUuSiveN contractinq wii� Iicenu0 canlratmrs �o conslmc� �he proietl (Sec�ion 70aa, Business
❑ anG Proiessians CaEe: ihe CanUactws' Sure Liceme Law Gces no� aDDN �o an w.mr al D�operrywho buuds or improves tAerron
antl who coniracis lor sucn prqects win a cmiractorls) Ikense pursuanl to Ine Comracmri SWIe License Law�. I am aware
I�at pmol of I�eir Worker's tompeirsatqn insuranu stwul0 Oe prOviEeG to me.
� 1 am exempl uMer Setiian: 8. d P. C.
�or ��is rcason:
Daie: Owner.
I ao �¢reGy cenily Ihal I am awart a� antl underslantl lhe reQuiremen6 0� Calibmia Heal�h anG $d�¢ly COUe Setlian5 25505, 2553,7, anU
2553d antl Ihal l Or any IuiUre Cuilaing oaupanl wilVwiil n0i (tirtle One) n¢ea l0 tOm01y wilA Saitl S�a�e COGes ane Ihe requiremenls lor a
permiilorconitmclion or modi�icalion Imm Ihe An Oualiiy ManaOemenl Oislricl. flCSiG¢n�ulconstmcibn applica�ions a�e exemD��mm
�hese orovisions.
Daie: Appkcam:
1 hereDy tttlily tlWl I have teaa tltis a00��EGon an� state that t�e aGove intarmatian 5 rArrtct. 1 agrtt to comply vnrtl all ciry an0 counly
orainances anU s�ale IaxS relating Io builGing con5tnrtti0n and hGrepy aulhOr¢e Rpt¢5lnWIivCS o� IM5 dry �o enter upOn ��e aEme�meniion¢E
pmoeny lo� inspection Durposa.
Daie: � $19fuWre: .A ��
Driv¢i 5 LiCense ar Saial SeNriiy M: � � � �...� ,� ,� �
I646a6 Whne—Bmleinp; Grem—CoOe EnlorcemenC Canan—Aoolicanl: Pmk—Rpvenue: Goltlenroa—Assessnr
'CITY OF COSTA MES�A — BUILDING PERMIT PE�M NO: H 063393
PERM2T NO: B 063393 PLAN CHiCR NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMZT TYPE; STR PORPOSE: ALT
JOB DESCRIPTION : T/OFF SHEATH REROOF W/COMP SHINGLES SQ FT: 3,700
CLAIM VALUE: 3,700.00 CALC—VALUE: 3,700.00 GROUP OCC: R-1 /
*�***N*�*�x**�**+rD##***�R*�r���t�r�**R*�***�*�#D*��*#�** �3 +�� i�xL�t/.�xf�LiF7�xSl���e�
Z O N I N GS ERtEBQAUCIKRSE M E���EQUIRED
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT iN
LEFT: FT IN RGHT: FT IU LEFT; FT IN RGHi: FT IN
PARRING RE�: PROV; PARCEL"c'13951545 ZNE; REF NO:
PLANNING N TE5>
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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
i'
ZONZNG APPROVED HY DATE:
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: ' DAiE; ��
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#�1E%ifiElE�fiE�EihiFfEiEif#iEifiEilif#i!#lEkiElEiEitiE#iEiEifikiFiFiEi!lf�ifiElF�iPfkiEiEi(�lEiffEiFiE####iFi(�iE##iEii#######it#fEfFikifiE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PL[JMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADiNG
PERMIT 63.00 50
SMIP/NUN—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ZSSUE PLAN—CHECH TOTAL PAID DUE
TOTALS----> 63.50 0.00 0.00 63.50 63.50 ,00
REVENUE DIVZST_ON TOTALS--> COLLECTED; 63.50 OVER/SHORT: .00
BLDG PMT PLUMBING ELEC?RIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
63.00 .50
IF iE fE ik if iF if iE iF if k k fE 1E if 1E if iF if if k 1E ## if-i!%iE iE 1E if iE 1E # iE �1f ik iF if i[� ik iE ik iE 16 k k!F ff k� iF il� iE 1E iE iE!! 1f iF 7! iF k# if iF iE i!� i! k it k# if tF fFlf� i!!f if
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
SFR 3,7Q0 REROOF BY VALUE REEI*1DEOFIFEESNOZONE 1,00 3,700.00
�f E
lG ii►�mG Pe Rspecl'°ns
�_ �a �
� �'�y:� � � �
ua..
5
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01 �014445�-0�244469 T rJ T 63.50
�pTE: ng/04/93 7IME: 15:57
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CONSTRUCTION AND PIANNING POOL . A
AF.''ROVALS Permit # Date Inspector pppROVALS Permit # Date Inspettor
1�
;
1, Temporary Electrical Service or Pole 52. Pool & Equipment Locauon
�
2. Soi1 Pipe�Undrgrnd. 53. Steel Reinforcement
3. ElecCrical Conduit Ut�lity-Unorgrnd, 54. Forms
4. Elect��cal Conduit�Undrgrnd. 55. Elec[rital Bonding
5. Steal Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Foori�gs 58. Electrical Conduit�Undrgrnd.
8. Fo.�ndation ' 59. Gas Pipe, � Undrgrnd., Test
9. Wate� Pipe�Undrgrnd. ' 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Str�ttural Floor System � � 67. APPROVAL TO DECK
7 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 Plumbing 65. Electrical�Final
15. Rough Electriwl•Condurt 66. Solar System•Fina�
76. Rough Electric Wiring 67. Fencing & Access AnP�oval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Cei�ing 69. POOI/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUlREMENT
20. Rough Factory Fireplace APPROVALS .Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Duas, Ventiiating 77. Product Piping �GOs ❑Oil
23. Gas Pipe•Rough & Tgn . 72. Underground Flush . �
24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing � �' 2� 3 �W� 74. Overhead Hydro �
26. T�Bar Ceiling (Structu�al) & Monocoat 75. Dry Chemical t
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation � � 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � 79. FINAL INSPECTION '
32. Electrical Power Meter�Final f� � S0. FOOD CEfiTIFICATE ISSUED
33. Final Electric , Noter.-
34. Final Heating & Air Conditioning x`1' E!D !
35. Final Gas Pipe•Tes[ I �/� Ct(pns �
36. Hood or Canopy V�` ��-t�� ��{� �`1 �
37. Final Factory Fireplace �"
38. Final Plumbing � '
I !i
39. Wate� Service•Final i _"
40. Gas 5ervice-Final � �
41. Solar pomesttcFis�a1 �
42. Backflow Preventec � �
43. Backflow Irrigatiod:'- : j'�
44. Landscape Irripatipn Sys{em
45. Sound Attenuatid�_. . ,
46. Handicap Regulation4 : r ��
47. FINALSTRUCT�UR€&;BUILDING -
48, FINALPLANNIAG '-� � �
49. ElecCric Release to Edison -'
50. Gas Release to Southern California Gas Co
51. CEflTIFICATE OF OCCUPANCY
Ho, Da[e
0
l
October 10, 1994
CITY OF COSTA MESA
CALIFORNIA 9262&1200 PO. BO% 1200
DEVELOPMENT SERVICES DEPAfiTMENT
Dear Costa Mesa Property Owner:
Zn reviewing past permits, we find that work has been done on your
property located at 3401 Meadow Brook, Permit No. B63393, for a
roofing permit. The permit is valid for 180 days from issuance or
your last inspection, per Section 303 (d) of the 1991 Uniform
Building Code. Should we not hear from you within 10 days, your
permit will expire as stated herein and additional fees will be
required to finalize the permit. Failure to final a Building
Permit could possibly impact the future sale of your property.
To activate the above permit, please follow these steps:
1. Telephone (714) 754-5626 or 754-5627.
2. Request an inspection; state address, permit number, and type
of inspection.
3. Be sure to have working smoke detector's as required per
Section 1210(a) of the 1991 Uniform Building Code.
4. Have an adult present at the property at the time of
inspection to provide us access.
Should you have any questions regarding this process, please
contact me at (714) 754-5273.
Thank you for your cooperation.
Sincerely,
a���s�,, �
o anda Huapaya �
P rmit Processing Specialist
i� FAIR �RiVE
Builtling Division p14) 754�5273 • CoOe Enlorcement (71a) 75<-5623 • Planning Divis�on p14) 754�5245
FAX (]14) 5564508 • TDD (714) 754-52<0
PflOJECT p00flE5$: 3 Q O 1 MEADOW BR��1{
OWNEfl'SNAME: VILLAGE CREEK fi4MEOWNERS
nooeess: ASSOCIATION
3429 TIMBER LAKE
CM VA 92626
UNIi:
RBCNIENGINEEN: CHESTER CARVILLE xec.xo.: C18305
aooness: 7922 ARMOUR ST UNIT:
S.D. CA 92111
eenmirree: PHOENIX ENTERPRISES INC, ( 21 3) 690-9559
aooeess: 411 COMERCIAL WAY
LA HABRA CA 90631
LICENSED CONTBACTOH OELLAflAT10N: I �ere0y allirm I�ai I am I¢er-, nUor provisions ol C�aDter ommencing wilA Section
7000� ol Div�sion 3 of tne Business an0 Pmfessions COAe. anC my lir 5 i� ,II lorce ana efiecl
cirriic OS 7�fj8 tqeuc.:376639 ' BB_� l���f�—
Da�e:.����{�� SignaWre'._ (/y �/I
WOAREBS' CDMPENSATION OECIAPpiION: I hereby a��irm Vut I have a certilicaiE o� consenl l0 Sell-insure ar a tetli iYte of workers'
+�moensaiion n�ufa�ceoo� �ce�ulie0 cooY �nereof �Semion 3800. LaO. fJ � 0 / 91
ucvr+o.: CA COMP S FIRE EXP.OATE: U
�OMPANY:
Cenilied caOY is n=reby fGu/� /yhe//.❑ Cenified coDY is 6' he .y Buil ing Oivisio�
Date: �rT ��! pVVlicant
E%EMP710N FRUM WOPKEflS' COMPENSATION OECIAiIA➢ON: Qhis sectian neea not 6e [omple�eA if IDe permt i51or one �undreJ (5100) ar less)
I ceNty Ihat in Ihe performance o� the vrork tor w�ich I�is Oermii is issuetl. I shall not employ any person in any manner so as to become
sublecl Io Ihe Workeri Compensation Laws ol CaldOmia.
�ate: Signalure:
NOTILE:II, afler making Ihis aeclaration, you s�ould become 5ubjeci (0 I�e Warkers' Compensa�ion provisions ol �Ae Labor
Coae. you mu51 fon�vnl� tomply wiih sut� Dmvi5ion5 or ihis permit Shail 6e deemed f¢voke0.
CONSTflOCTION LENDING FGENCY: I her¢by aflirm Ihat Ihere is a tonSVuctiOn IenEing aAe��Y lor Ihe De�Ormant¢ Oi �he work lOr
whic� I�is permii is i=sue0 (Sec�ion 3097. Civ. q.
LEN�EH:
FODflE55:
OWNEP BUILDEfl �ECLABATION: I �ere�y allirm that t am exempt Imm t�e Coniractor5' State License Law br the following reason
(Section 7031.5 Business antl Prolesslonal Cotle: Nny city ol counly whicn repuires a Dermit to Consimct, aller, impmve. tlemolish, or
repair any Slmtiure. Orior lo ils i55uance. also repuves Ihe aOPlicam lor Suc� p¢rmii Io �ile a SipneO Slalemenl (hai he/She iS liCensed
pursuan� to tne pmvisions ol lhe Coniractors' Siaie License �aw �Chap�er 9(commencing with Senion 7000� oi Division 3 0l lhe Business
an0 Prolessions Cotle) or ihal he/s�e is exemD� �h¢retrom anG t�e basis lar I�e allege0 evemplion. Any Wola�ion ol Section 7031.5 hy
any appli[ant IOr a p¢rmi� 5ubieci5 Ne applicant lo a civil Dena�ty ol no� more lhan live huntlred dolla6 (8500).
I, as owner ol Ine Drooeny or my employees wilh wages as ineir sole compensation, will tlo ihe work, antl ihe
7 simnure is not intenUetl or onered lor sale 15ection 70aa. Business antl Protessional COAe: T�e Camraclors' State License Law
Uoes not apply to an awner ol a proDeny who �uilas w impmves ihereon, an0 w�o Eoes suc� work himsell/hersell or tAmup�
� his oi �er awn emDloyees. O�oviUeO I�at such improvements are not inlende0 or alleretl lor sale. If, however ihe huiltling or
I improvemeni is 5old wiihin one year ol wmpieli0n. Ihe owner wiil hav¢ Ihe Uurden Of pmving he/She did noi �uild or improve
lor Ihe purpose ol sale).
I, as owner of ihe D�opehy. am eKclusively coniracting wilh Iicense0 coniractors to consimct Ihe project (Section 7044, Business
❑ antl Protessions Cotle: Tne Convac�ors' S�a�e License Law Qoes not apDly lo an owner ol 0�openy w�o �uilds or impmves Ihercon
antl w�o conUatis lor suC� prole��s wilh a tOnfratlor�5) license pur5uanl Io I�e Conirac�Ors' Staie License Law�. I am aware
Ihal prool ol IAeit Warker's Compensalion insurance s�oNU Oe Drovi4eA to me.
� I am exem0� un0er Seciion; 8, 8 P. C.
lor Ihis reason:
Date: Ownec
I tlo hereby cenily I�a� I am aware ol anA untlerstantl Ihe reQuiremenis ol Calilomia Hea11� antl Safery Cotle Sections 25505, 25533. ana
2553a an0 Ihat I or any luture Euiltling occuDanl wilVwill nol (circte one) neeC to compty wil� saitl state coAes anA Ihe reQuiremenis lor a
permil lar conslmclion or modilica�ion Imm I�e Air Ouahry Management Disinct. Fe5i0eniial constmtlian appiications are eMempi hom
I�ese pmvisions.
Date: AOO�itanL
I hereby ceNly IAat I havereatl�his apPlication antl 9ate�hal the aDo� nfo� ��a�ion correcl. I agreeto ply wiih allci
orainancesan4s�alelarvsielating�obuiltlingconslmclionanUhereO . or..•¢r :mai�isciry' eruponiheabt
O�apetly forinspection purpose=
Oate'. —(���1.� Signature: _ ���
o���ers�license or Saciai Secun�y .:
164t�06 WNie—Bmltling; Green—Code Entorcemen�; Canary—Appliwnt; Pink—Revenue: GolEenroO—Assessor
CITY OF COSTA MESA — BUILDING PERMIT , �
PERMIT NO: B 050569 PLAN CHECK NO; 00144-91 A , ,
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR FURPOSE: REP
SOH 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
iF iE 3t if if iF iF N� 3F if If K if 1E 3E iE if j(- 3f 3F df if 1E it �IE 1E IF 3f �1E 1F iF �E iE iF iE 1E if it if iE 3F Ik jE iE iE ik iF 3E fE )F N� 1E !( iE iE % 3f iE ik !E it iE iE iE iE iE if iF iF ik iE IE 3F iE iE k ie if iF
Z O N I�3 �S ERTEB�AUCIRRSE M E N T S
------------ MAIN HUZLDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT I13 FRNT: FT ZN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
FARKING REQ• PROV: PARCEL: 93506124 ZNE: R2 REF NO:
PLANNING NOT'ES> FOUNDATION REPAIR,
�
iF if if jf if iE if iF iE if if iE 3E iE IF iF if * 3f if jFif aF iE 3f iE iE 3E iE �F iF ikjf fE iE jE �F iE iE �f * 3E iE 3f aE iE 3E iE If iF iE if 3f iE if jf iE iF IE 3E �lE af jE IF 3E 3e �E iE 3f iF 3F if )k if �Elf iE iE 3F
D E V E L O P M E N T S E A V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY (� �— �� DATE: 011�$~�l I
BUILDING APPROVED BY ;
# jf �f �1E 3F jE if 1F if it lf 1F iE 1E 3F iE iF If iE ih IF iE iE IFiE jE iE iE iE iE iE iE �1EYF
LEGALIZATION:N F E E
HLDG PMT PLUMBING ELE,
PERMIT 162,00 �
ISS[NJF. FEE z6.33
�L—J DATE; �
DATE:
r �fifiFiEififlFlElE3E�+�F�iFiEiE
iE if IE if iE �E iE iE it iF iElE 3E IE If 3P If 1E # if 1E jE �ElE fE if IF 3E iE if iE if # ie 3E if 3E if if iE
' U M M A R Y STRUCTURAL SEGN,ENT:Y
IC MECHANIC FIRE SMIP/RES GRADING
1.00
SMIP/NON—RES
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 16i.00 0.00 26.33 189.33 189.33 .00
REVENUE DZVISION TOTALS--> COLLECTED; 189.33 OVER/SHORT: 00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
162.00 1.00 26.33
)f i43f if if if iE if if 1f IF 3k �f if if iE if N� if iE IE fE if 3E 1E IF fE iE �lE IElE 1F iE iE ik !E if Ih iE �IE 3f Ik If 1k IE �lE If iE 1ElE iF 1E if i!� !E 1f 1kiE if )k i41E iE iE �lf iFlf If iE If� 3E �E if 1F if k fF iE if
Z N D I V I D U A L F E E B R E A K D O W N
TYPE
SFR
QTY
193
����s.-s.�;ai��i.f.i
STRUCTURAL BY VALUE PER 5100.00
END OF fiEES
UNIT COST TOTAL COST
100.00 14,300.00
�2 Q407�7ih—uG�7C;i& Z !1 = :J4.3:.
CATE: O1i23/41 TIlic= f;',3: /
V
��
CONSTRUCTION AND PLANNIN� � .� & SPA
Date Inspector Date Inspector
APPROVAIS Permit# APPROVALS Permit#
�., - � i �
1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location �/
2. Soil Pipe�Undrgmd. �'-,� ` 53. Steel Reinforcement '
. 3. Electrical Conduit Utiliry-U,ndrgrnd: , � 54. Forms •
4. Electrical Conduit-Undrgrnd!' �� 55. Electrical Bonding F�'
i
5. Steel Reinforcemenf 56. Rough Plumbing & Pressure Test
_� 6. Electrical�UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footinqs �' 58. Electrical Conduit-Undrgrnd.
8. Foundation > p 59. Gas Pipe, O Undrgrnd., Test '/
. i �� i
9. Water Pipe�Undrgrnd. �j �r,'i,� 60. Backwash Lines, P-Trap, O Undrgmd. ./�"',
10. Structural Floor Svstem �`> � ��� 67. APPROVAL TO DECK �' �,r �
11. Property Sewer Line & House Conne�tion / 62. Backwash & Receptor-Final .
�
12. Sewer Cap ' 63. Heater & Vent-Final �: �
73. Roof Drains " v? �'� 64. Plumbing SYstem - Final '
;
14. Rough Plumbing !'� � �
� - � � „' 65. Electrical-Final , � fj.
15. Rough Electrical-Conduii� . � � � 66. Solar SYstem-Final ��
/
�16. Rough Electric Wiring "� l'� 67. Fencing & Access ApProval '
17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING
78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL i
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rou9h Factory Fireplace � - � � � � APPROVALS = Permit #
. -
21. Ducts, in Structure - 70. Underground Hydro
22. Ducts, Venti�ating � �' '' _71. ProducYPiping �Gas ❑Oil
23. Gas Pipe=Rough & Test � - � 72, Underground Flusli- '
24..Roof Framing � �73. Undergrnd.StorageTank OGas OOiI
25. Roof Sheathing ' � '74, Overhead Hydro _ .
26. T-Bar Ceiling (Structuraq & Monocoat 75. Dry Chemical • - �
27. Frame and Flashing 76. Dry Standpipe � �
28. Lathing & Siding • • • i 77. FIXED SYSTEM�F�INAL
29. Insulation ' �' 7$; FIRE PREV. FINAL �
30. Drywall Nailing • • �� I �'- ' HEALTH DEPT. REQUIREMENT
�
31. Plaster Brown Coat , � 79. FINAL INSPECTION �
�. .
� 32. Elearical Power Meter-Final � � j• •.80. FOOD CERTIFICATE ISSUED �
�
,�33. Final Electric ' I � � � Notes: . , . - _
:34. Final Heating & Air Conditioning ' I I '' � . ' , '
I "I I' �' � J ; ,� ,, /
35.' Final Gai Pipe�Test � i � �/
.
36. Hood or Canopy � - . - � � �
i
37. Final Factory Fireplace . � I � . .�,
38. Final Plumbing . � i
39. Water Service-Final� I � � _ '
' 40. Gas Service-Final � , . ' I ( � ' '
41. Solar pomestic-Final � I I � �• '
42. Backflow Preventer . I � 4 ��
43. Backflow Irrigation _ �
44. Landscape Ir�igation System , , �
45. Sound Attenuation � � � �
�
� 46. Handicap Regulations , .
47. FINAL STfiUCTURE & BUILDING pV. �! � .
48: FINAL P�ANNING �� � , � .,
49. Electric Release to Edison ! `•
I
50. Gas. Release to Southern California Gas Co . � I ' .,
51. CERTIFICATE OF,OCCUPANCY , . . , .
No. Date
OwNER STATE-y1ZDE Developers, Inc, DATE
ADDRESS
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ROUGH PLUMBIN(T
PROP. SWR. LINE n HOUSE CON.
ROIIGH HEATING AND FIR
ONDERGROUND � POWER
ROUGH WIRING .
SMEATHING
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PLASTER, BROWN COAT
STPii�TURAL, FINAL
H IG, VENT., REFRIG. ANO A.
PL....�BING, FINA� AND GAS TEST
ELECTRIC. FINAL
FIRE ZONE
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CAL�FORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECE�VED BV DATE RECEIVED D TE I�SUE
BV�LDING �/I(
ADDRESS 'o� V
OWNEF State-Wide Developers, Inc. A.P.NO. J�¢o �o� d PER r,
MAIL 9461 Grindlay AD'DREss 3%� " �tidaw--�/'o�'/�
ADDFE55 ��p
CITY Cypress No`.826-4550 TRACT p c,�p LOT BLOGK
CONSTRUCTION W AD A P
LENDER
X
BRANCH
OWNER
AODRE55 VALUE Q
ARCHITECT TEL 5 1 Res w/att Qai $
�B EOIGIOIFIit N
nooaess 17848 $kyPdPk B1Vd Irvine ZONE TVPE caour F-
CONTRACYOR State-Wide Developers,li�C. BVPROVED DATE
ADDRESS 9461 Grindlay
20NE NO.OF USE OF NEW (,�
cirv Cypt'255 No` 826-4550 �22-C P�Ns Z. BUILDING �'d
22
STATE 224710 CITY VARDS APPROVED VARDS APPRO D
LIG. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
SI2E NO.OF BLIX'�.5. (FflOM C/L STREET)
OFLOT �Z.093 acres NOWONLOT O FRONT FT. FT.
USE OF
EXISTING BLDG. FT. FT
SI2E OF NO. OF
NEWBLOG. ROOMS STOFIES L.SIDE SFT. FT.
EXTERIOR WALL P� a ter ROOF
COVERING COVEPING Shake qEAR Z� FT. FT.
VSE OF BUILDING AND WOLiK TO BE PERFORMEO OI5TANCE BET. ' BET. MAIN &
MAIN BIOGS. ACCESS. BIDG$.
New construction-Condominiums c�o�Z�-7f� °�aoveo /
1 Residence w/att gar .�AOVEO �/2Z_7�
v
I-TOLD FOR e�ECFAL RGQUZREVIEN'I
I hereby acknowlatlBB Ihel I hava reatl [his application antl state r�
that the abo�e intormation is corract a�tl agree to comply w(th
all laws reBulaUng builtling construction, entl I shell not employ
any person i� violatio� af the workmen's compensation lews ot
the State of California.
I hereby certify that I em properly licensed as e conttactor untler SQ. FT.
the State of Calftornia Business antl Professions Code, Di�isicn 3, THE AMOVNT SHOWN UNDER VALUATION IS FOR
Chapter 9, antl that sucfi ficenses nra in full force nd effect, or I THE PURP�E OF ESTABLISHING A PERMIT FEE ONLY:
am exempt trom the provisions ot the State of C' ornia Business VALUATION /� �
antl Professions Cotle, Division 3, Chaoter 9. � PERMIT FEE $ YL
Signatur ate-Wide �e e��p � InC. ��p,��.���
Permittee � $y�wr PLAN CHECK $ �
AuthorizetlABant � Vice Presiden � '�j�
TOTAL FEE $ V