HomeMy WebLinkAbout3403 MEADOW BROOK - Building PermitsPHOJECT pDDflESS: ] Q O 3 MEADOW BR��K
OWNEq'SNPME: VILLAGE CREEK HOMEOWNERS
aoosess: ASSOCIATION
3429 TIMBER LAKE
CM VA 92626
UNIT:
AflCH/ENGINEEN: CHESTER CARVILLE nec.xo.: C18305
nooness: 79zz ARMOUR ST uxiT:
S.D. CA 92111
PEflMITTEE: ��QENIX ENTERFRISES ZNC. ( 7.13 ) 690-9559
aooxess: 411 COMERCIAL WAY
LA HABRA CA 90631
LICENSEU CONTHACTOfl OECNBATION: I hereby aHirm tha� I am lice tl der p visions ol Chapler 9(commencing with Sec�ion
7000� ol �rv��son 3 o�lhe Business and Pmlessions Code. antl my li e' in �i rce and e0ect.
cirruc.:j�0y507 8 (��a'$$J9Teuc.:376639
�a1a _��—{_I Signamre: — �_ . . — � — .�i��/��
WOH8EP5' COMPENSATION OECIAflRTION: I hereby altirm �at I have a ceeificate of consent o self�insure or a cehificate of Workers'
Compensaiion c i�iea copy thereol (Seqion 3800. Lab
oucv xo.: ���b� �� E%P. DATE: 7� O S I 9 �.
,5C,5OMPANY: CA COMP & FIRE
LJ Cetlilietl copy is hereby Wmishetl. ❑ Certified caDY is fil i Buil ing Oivisio �
�aie: ��(._ ApplicanC '
E%EMPTIUN FNOM WOPREPS'CO PENSpT10N OECLAflFTION: (Thissec�ion nee0 be completediflhe permitisforone nU�ed�$100)arless�.
I ceriity Ihal in Ihe Oe��ormance of l�e work lor which this Oermii is issuetl, I shall not employ any person in any manner so as to become
subject to Ihe Warkers' Compensalion Laws of Calitornia.
�aie: Signa�ure: '
, NOTICE: I�. a�ter making �his tleclara�ian, you 5hou10 become sub�ect lo the Workers' Compensation provisions o� Ihe LaUo�
� Cotle. yau must lorthwilh compry wilh such pmvisions or ihis permit shall be AeemeO revoketl.
CONSTNUCTION LENOING AGENCY: I hereby allirm Ihat Ihere is a cons�mction lenaing agency for �he petlormance ol �he work tor
which i�is permit is issuetl (Seciion 3097. Crv. C�.
LENUEfl:
nooxess:
OWNEB BUILOEH OECIAflF�ION: I hereby atfirm Ihai I am exempt �mm Ihe ConVaclors' S�ale License Law for ihe following reason
(Seclion 7031.5 Business ana Pmfessional Code'. Any ciiy ot coun�y which requires a permi� �o cons�mct, aller, impmve, tlemolish, or
reDair any SlmcWre. prior lo iis issuante. also require5 Ihe appliCaN lot SUth p¢rmi� Io lile a SigneA S�a�ement thai he/S�e is li[¢nseA
pursuant �a the pmvisons of �he Cantracmrs' Siate License Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe Business
an0 Pmlessions Cotle� or that he/she is exempt Iheretwm anJ Ihe hasis lor �he alleged exemplion Nny viola�ion oi Seclion 7031.5 6y
any applicant for a permi� SuDle��S Ihe aOP�icant �o a civil penalry ot nol more Ihan hve hundred Oollars (5500�.
I, as owner of ihe pmDeny or my employees with wages as �neir sole compensation, will do ine work, ane ihe
� stmmure is not intenaed or oiferetl �or sale (Section 7044, Business an0 Professional Cotle: The Coniraclors' S�ate License Law
tloes not apply lo an owner o� a pmpeny who huilds or impmves Ihereon, and who tloes such work himsel�/herself or �Mough
� his or Aer own employees, pwvitletl �hat such impmvemems are noi intentletl or ofleretl �or sale. I�, however t�e builtling or
improvement is sold wilhin one year o� comDle�ion, �he awner will have �he burtlen o� pmving he/she tlid no� bui10 or improve
�or Ne Ourpose ot 5ale�.
I, as owner ol Ihe ompeny, am e�cWsively conirac�ing with licensed can�mcto�s �o con5imcl the pmlect (Section 70a4, Business
❑ antl Prolessioni Code: T�e CaniraC�OfS' Slale License Law does not appty to an owner a� pmperty who builtls or im0�ave5 thereon
ana who conirac�s lor such pmlecis wi�h a conlracior(s) license pursuant lo �he Cantractors' Sta�e License Law). I am aware
Ihal prool of Iheir WOBer'S Compensation insurance 5hou10 be provitletl �o me.
� I am exempt under Sectian: B. 8 P. C,
br Ihis reason:
Dale: Ownec
I do hereby cehily Ihat I am aware ol an0 untlersland Ihe requiremen�s of Califomia Heal�h antl Safeiy Code Sec�ions 25505, 25533, antl
25534 antl �ha� I oi anY �uiure builaing occupan� will/wiil not (ci¢le one� nee0 io comply wi�h SaiA sta�e codes and �he requiremenis for a
permii lor con9mc�mn or modiiica�ian Imm Ihe Air Oualily Managemenl DiSlricL Resitlential conS�Nction applicaiions are exempi tmm
Ihese pmvisians.
�ate: Applicani'. _
I �ereby cetlify roat I have reatl �his aDPlicalian antl s�ale�hat Ihe
ordinances antl slatelaws rela�inglo bmltling consimction antl here
proparry /IJrinSpP u0n urpasv
Dale: _/���1 �l Signaiure: _%
�
o���er ��icense ar sociai secu�ny x:
I agree �o co with all ciry antl
tAiscitytn uponihea6ove�me
1641�46 W�ile—Bmltling; Green—Cotle EnlorcemenL Canary—ApplicanF. Pink—Revenue: Goltlenrod—Assessor
CITY OF COSTA MESA — HUILDING PERMIT PERM NO: B OSU57
PERMIT NO: B 050570 PLAN CHECK NO; 00143-91 A GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: REP
JOH DESCRIFTION : REPAIR SETTLBMENT DAMAGE SQ FT: 143
CLAiM VALUE: 14,300,00 CALC—VALUE: 19,300,00 GROUP OCC: R-3 J
COMMENTS: BUILDZNG SETTLEMENT REPAIR/FOUNDATION
M� ]E 3F 7F tE IE N� If� af �lh iE 3E i4 iE iE iE # iE #�1F 3P iFlE �Ih iE 3f iF IF iE iE-1E iF �lE if iE �E 3E ip iE if iF-7f if iF 3F # if if iE f(� R if 14 iFif if 3E K� iE IE if �1f i(� i(� 36 if 1e ik if if # iE iF if NY.� 3f iF 3E
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 REp• PROV• PARCEL: 93506124 ZNE: R2 REF NO;
PLANNING NfST'ES> FOUNDATION REPAIR.
i
i(� iF iE iF �If # 1E !f N� 3E 3F � if if if if iF if i6 �1F # iE 3f� If iE 3E df if dE N�lE IE iE 1E iF if if� *iE M iE �)F ib i41F 1E iE �� 761f }F if iF if 1F 3(� 1P �IF if IE IE 3f jE if If 14 if if IFiE iF 3f N af 3f I4 IF iE 3E
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 APPRO�LED BY ( L—'- '� DATE: _ d I I S—`�) I
BUILDING APPROVED BY : L✓t L���J-� DATE: �
APPLICATION ISSUED HY; DATE:
**��t****��****+t�c*rt**** ****�***� *���3�*�
iE1f�F3fiFiF3f�1(�3Fif�fifiEififlfiF3fiflFiF3Flf3EififiFiEih3f3fiEif iEfF E3EiF3fif1ElE�klfif3fiFifiEiF�FiE1EiE3E741FiE3Eif3f3E3hitiF3fif3E1E*�f3f-k3f
LEGALIZATION:N F E E S M M A R Y STRUCTURAL"SEGMENT:Y
HLDG PMT PLUMBING ELECT 'C MECHANIC FIRE SMIP/RES GRADING
PERMIT 162,00 1.00
SMIP/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
REVENUc. DIVISION TOTALS--> COLLECTED: 189,33 OVER/SHORT; ,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/TOT GRADING PLAN—CHECK
162.00 1.00 25.33
it �lt if iE iF 3€14 if 3E if lE k iF If M iF iF �F iF 3E �If iE IF if iE 3(� }f iE iE % 3E if ff 1E iE 3f if lE if 3k ik if if -lk iF if k if if 1k �)f if !F fE 1E �1F if 3E if if !f i6 3F ��lE if �)f dE iF iE �If 1F iE iF if k 3F iP 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 Z O N UNIT COST TOTAL COST
SFR 143 STRUCTURAL BY VALUE PER 5100.00 100,00 14,300,00
END OF PEES
e: c�,o�sna-���o�s�f� -e�.-�-a �s�.a�
a�T:: O1!23191 ii�;e: 1'r�3G
CONSTRUCTION AND PLANNING , L& SPA
Date Inspector Date Inspector
APPROVALS Permit # r- APPROVALS Permit #
/ /� /.
1. Temporary Electrical Servic � or 7ole ��:f � 52. Pool & Equipment Location #
2. Soil Pipe-Undrgmd. ��f �� ` �� 53. Steel fleinforcement ��{
3. Electrical Conduit Utility=Undrgrnd. . � 54. Forms �
�
4. Electrical Conduit-Undrgmdr"' 55. Electrical Bonding �-
' 5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test �
6..Electrical�UFERGrnd. 57. APPROVALTOCOVER-GUNITE �
• 7. Footings' 58. Electrical Conduit-Undrgrnd.
8. Foundatio`n, � � �� i�! 59. Gas Pipe, O Undrgrnd„ Test �;�
9. Water Pipe-Undrgmd. ;, ji'�' •'�.� 60. Backwash Lines, P-Trap, � Undrgmd. ./�.''�
70. Structural Flodr System'�«�� ,� j.. ! 61. APPROVAL TO DECK ��" :'��
11. Property Sewer Line & Mouse Connection i� 62. Backwash & Receptor-Final '
� �
12. Sewer Cap , `,;i � 63. Heater & Vent-Final /f i'
13. Roof Drains � 1' �; `� 64. Plumbing System - Pinal ���
14. Rough Plumbing !t ` i�� J,^ 65. Electrical-Final � -_
15. Rou h Electrical-Conduit �' `
9 �, , "� 66. Solar SYstem-Final ' = �
16. Rough Electric Wiring ��� ✓ 67. Fencing & Access Approval /��
i
17. Rough Wiring Sign 68. APPflOVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � . � . - APPROVAL'S � Permit # �
� �
21. Ducts, in Structuie � . 70. Undergroun� Hydro
22. Ducts, Ventilating � -� 77. Product Piping O Gas ❑Oil
23. Gas Pipe-Rough & Tes2 . , 72. Underground FlusFi _ '
24. Roof Framing �� � ' 73. Undergmd.StorageTank OGas ❑Oil �
25. Roof Sheathing - ' '� '74: Overhead Hydrq- ` .
26. T�Bar Ceiling (Structural) & Monocoat.� ' - 75. .Dry Chemical � - .
27; Frame and Plashing' �, ,- - 76. Dry Standpipe ' ;' ,
28. Lathing & Siding � - - , i 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 - ... � I I- .80. FOOD CERTIFICATE ISSUED .
i
.33. Final Electric - � ( �; " Notes: � � -
34. Final Heating & Air Conditioning � I n �n .•,.. ^� ,�/ J/ /
35. Final Gas Pipe-Test � - � � �� ' � �� �/.3D/�z
. 36. Hood or Canopy � �' , f ( � � - - � � � �
i
37.�FinalFactoryFireplace ' � ' � ` . `�'�
�
38. Final Plumbing ., � � � � � � � � �
39. Water Service�Final- � � I -� ''
40. Gas Service-Final . i � i � .�
' 41. Solar pomeStioFinal - � ; I '�' ', ,
i.
42. Backflow Preventer, " � � �� � � � -
i � _
43. Backflow Irrigation � � � � - . �
44. Landscape Irrigation System � ' , � , .-
�45. Sound Attenuation � � ' ' - •
46. Handicap Regulations - � � � - '
47. FINAL STRUCTURE & BUI�LDING / �
48. FINAL PLANNING � .
49. Electric Release to Edison � I �� _
' 50. Gas Release to Southem California Gas Co �� � �' ' � '
51. CERTIFICATE OF.00CUPANCY , , . , . . � .
No. Date
OWNER STATE-WIDE Developers, Inc. DATE 4-28-76
JOB ADDRESS ' 3 Me w Broo BUILDING PERMIT N0. 4tA(lR
AP No.
I, ;c
so��
PROP. SWR. LINE LJ HOUSE CON.
SPRINHLING SVSTEM
MEATING ANO AIR CON�ITIONING
UNOERGROUNO � I POWER
BONO BEAM � STEEL REINFORCE
SXEATHING
FFAME RN� FlASNING
LPTHING - IN � OUT
PLASTER. BROWN COI+T
HE. i, VENT
PLUMBING. :IN
BUILOING. FINAL
TRACT 8858 FIRE ZONE VALUE
S� �a+�.e Dore TVPE GROUI
6 � SUBCONTRACTOR
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COSTA MESA BUIIDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BVILDING _ _ .
OWNER State-Wide Developers, Inc.
AooAess 9461 Grindlay
cirv Cypress m No`.� 82
CANSTRUCTION
BRANCH
ADDRE55
eReroancen LOhrbach/Puldski No�556-6E
ADDRESS 17848 SkyPark Blvd Irvine
CONTRACTOR State-Wide Developers, Inc.
ADDRESS 9461 Grindlay
PAiO
�+4Y 13-7Er�s:�0�1 771� �r�}� 2�8.25
APPLICATION FOR BUILDING PERMIT
RECEIVEDBV DATERECEIVED nerciccimn .
A.P. NO. ,Q-O • OSY/7
BUILDING �J
ADDRESS �'J0� /
TRACT O S�
�
OWNER
FIRE
ZONE
AFPROVED
U
LOT
DATE
TEL. ZONE P�� � BUILDIN
CITV Cypress No. 826-4550 2 �P
LIC. NO. ZZ4J�O LICVNO. vMAIPN BUILDINGD ACCE:
DIF LOT 12.093 dCT'85 I NOW ON LO S C
USE OF
�XI5TING BLOG.
$12E OF NO. OF
NEW BLOG. POOMS STORIES
EXTERIOF WALL a$ er ROOF Shake
GOVERING WnOI� COVERING
USE OF BVILDING AND WORK TO BE PERFORMED
New construction-Condominiums
� hereby acknowledge that I have reatl this application entl state
That the ebove information is co��ett end egree to comply with
yll laws ragulating builtlinp canstruciion, antl I shall not employ
gny person in violation ot the workmen's compensatton laws of
the State ot Californie.
I hereby certify thai I am properly licensed as a contractor untler
the State of California B�siness and Professions Cotla, Divisicn 3,
Chaptar 9, antl 2nat such lieenses are in full forca antl effect, or I
am ezampt from the provisions of the Steie of Cal(for Business
antl Protesslans Cotle, DWision 3, Chaptar 9.
Signacure ot i de Devel oper c.
Permittee
putho�izetlAgani Vice President
DISTANCE BET.
MAIN BLDGS.
VAR # �J�
C. V.P. � (� `�
HOLD FOR
THEAMOUNTS.
THE PURPO6E OF
VALUATION
� 7V �
�
J
Oo �
�.�
FT.
BET. MAIN &
ACCE�. BLDGS.
DATE /_ `� � /
APPROVED J
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