HomeMy WebLinkAbout3404 MEADOW BROOK - Building Permits�
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PflOJECTRU0flE55: 3QO4 MEADOW BROOK
OWNEH'SNAME: VILLAGE CREEK HOMEOWteERS
aooeess: ASSOCIATION
3429 TIMBER I,AKE
CM VA 42626
UNIT:
AflCHIENGINEEH: CHESTER CARVILLE Rec.xo.: C18305.
noosess: 79z2 p,RMOUR ST u"'T
S.D. CA 92111
PEPMITTEE: PHOENZX ENTERPRISES INC, ( 213 ) 690-9559
aooeess: qll COMERCIAL WAY
LA FiABRA CA 90631
UCENSEO CONiflACTOP OECIANATION: I hereby aifirm �hal I am Iicen5e0 o oui ' is o� Chapier 9(c encing with Section
7000� of �ivision 3 ot �he Business antl Prolessions Code, antl my license i � I lor ana ellect.
cirruc.:�50 8 s uc.:376639 /„
�ale'. SignaWre: . G�� .
WOHNENS' COMPENSPTION �ECLABp71�N: I hereby affirm ihat I nave a certihcate ot consent m self-insure or dicate of workers'
Compensa�ion In�apcek p{ �ce�rtdietl copy ihereof (SectiE%PBO�pTEab. �17 1� 9 1
'OUCYNO.: vu.y u
comrnxv: CA COMP & FIRE
� Cehifietl coDY is here0y �umishe Cerlihed capy is hletl e ci ildin ivision.
�
�a�e'. Appbcant:_
E%EMPTION PPOM WOflNEHS COM7ENSB ION DECLAflATION: Qhis section need na� be complered if the permil is lar one hun 00) or less�.
I certify ihat in ihe oedormance ol ihe work 1or which inis permit is issuetl. I shall nat employ any De�son in any mann as to become
Sublec� ta Ihe Workers' Compen5ation Laws Oi Calibmia.
Oate: SignaWre:
NOTICE: It, ailer making this tleclam�ion, you shoultl Oecome su�lect �o Ihe Workers' Campensa�ion pwvisions of the Labor
Cotle, you mus� forthwi�� [ompty wiih suc� provisions or IhiS permil 5ha11 be tleemed revoketl.
CONSTPUCiION LENOING pGENCY: I here6y alfirm Iha� Ihere is a constmc�ion lentling agency �or Ihe petlormance of Ihe work �ar
wAic� Ihis permit is issue0 (Seciion 3097. Civ. C�.
LENOEfl:
aoneess:
OWNEP 6UILOEP OECLAflFTION: I herehy afti�m Ihal I am exemp� irom �he Con[rac�o�s' Sla�e License Law for �he �ollowing reason
(Seclion 7031,5 Business ane Pmle55ional Cotle: Nny [ily o� couniy which feQuires a permi� lo tonstmC�, alter, impmve. Aemoli5h, ar
repair any stmc�ure. prior Io its issuance. also reQuires �he applican� tor such permit Io �ile a signetl slatemen� thal he/she is licensetl
pursuam lo ihe pmvisions oi �he Conlraciors' S�aie L¢ense Law (ChaD�e� 9lcommencing wi�� Sec�ion 7000) ol Division 3 0l the Business
an0 Pmiessions COAe) or Ihai �elshe is e�empl Iherefmm and I�e basis for the allegetl exempiion. Pny violaiion of Section 703L5 �y
any applicant for a permit suoiecis ihe applicant to a civil penalty of not more ihan five hun�re0 Jollars (55001.
I, as owner ol Ihe propetly or my employees wi�h wages as Iheir sole compensation, will tlo �he work, antl Ihe
7 slmcNre is not imentletl or olfere0 br saie (Section 70aa. Business and Pmiessional Cade: The Coniractors' Slate License Law
does not apply �o an owner oi a pmDeriy who builtls or impmves �hereon, antl who tloes such work himselilherseli or Ihrough
his or her own employees, pmvided thal such impmvemenls are not intentle0 or oflered for sale. 11, howeve� Ne �uil0ing or
impmvemenl is sold wilhin one year oi comple�ion, Ihe owner will have t�e burtlen o� pmving helshe ditl no� �ui10 or improve
lor ihe purpose oi sale�.
I,as ownerotihe D�oDerty.am exclusively can�mcting wi�hlicensed contrac�ors�o conslmctthe prole��ISec�ian 70a4, Business
❑ ana Pmfessions Code: The Conlraclors' S�ate License Law Eoes not aOD�Y Io an owne� oi Oropetly who builtls or impmve5 thereon
antl who conlracls br suc� pmlects with a conVactor�sjlicense pursuan� to Ihe Gontractors' S�a�e License Law). I am aware
Ihai pwol ol Iheir Worker's Compensation insurance 5�ou10 be pwvitled �o me.
� I am e�empt un0er Section: B. 8 P. C.
mr tnis reason-
Date: Ownec
I tlo hereby ceni�y Iha� I am aware oi and untlerstand Ne requiremenis af Cafilomia Health and Salery Code Sec�ions 25505, 25533, an0
25534 antl thai I or any lulure Ouiltling occupan� willlwill no� (circle one) need �o compty wiih saia state co4es and the requirements �ar a
permil lor conslmclion or modilicaiion fmm Ihe Air Ouabty Manag¢men� OiSlricL Residenlial con5imction applica�ians are exemp� twm
I�ese provisians.
Daie: Applicanl:
I hereby cetlity that 1 have reatl ihis applicalion antl s�ale Ihai Ihe above i r aiio correci. I agree lo c A� wi�� all ciry antl county
ortlmances antl 5laielaws relalinqio buJtling conslmction antl hereby au repr nlatives oflhisciry 6. rupon�he above- Mlfoped
O�apetly le inspe%^'��o pi�posas/� �
Oate: _— .L�-�!'_ Signaiure: �
orrver's License or Socia� Securiry ro:
�6a1 u6 WMe—Bviltling Gieen—Cotle EnlorcemenL Canary—ApplicanC Plnk—Fevenue'. Goltlenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT FERM NO; H OSU57
PERMIT NO: H 050573 PLAN CHECR NO: 00141-91 A GOVT: N SUPP; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR P(7RPOSE: REP
JOB DESCRIPTION ; REFAIR SETTLEMENT DAMAGE SQ FT; 143
CLAIM VALUE: 14,300.00 CALC—VALUE: 14,300,00 GROUP OCC: R-3 /
COMMENTS: BUILDING SETTLEMENT REPAIR/FOUNDATION
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Z O N I N GS ERTEB�AUCIKRSE M E N T S
------------ MAIN HUILDING ---------- --------- ACCES50RY BUZLDING ---------
FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT I13
LEFT; F'C IN RGHT: F'C IN LEFT; FT IN RGHT; FT IN
PARKTNG REQ• PROV: PARCEL: 93506124 ZNE;•R2 REF NO:
,PLANNING Nt7TES> FOUNDATION REPAIR.
i
?F aE iE iF iE iE iE �lf 1i ik �F �E iE iE if iE if iE if 1F iF iE if if iE IE !E iE iE iF if iE if fE iE ik iElE �f if iE iFlF if iE iE IE iE iF iE 3E 1flE IF if if if 1E iE iE if iE iE if iF 1k jE j(� iE iE iE if iF if 1E iE iE iE !f
D E V E L O F M E N T 5 E R V I C E S R E Q U I R E M E N�_T S
ZONING APPROVED BY :� � DATE; O,$ �)
BUILDING APPROVED HY :_ �.' C� DATE: �
APPLICATION ISSUED HY� — DATE;
iE lE iE If iE iE lE 1E if iE If if if iElE 3f if if if iF 3E iF 7�F�Fjf if if iE if �F iF if i63E�3F7Flf if
3fiF�FiPiF1ElElE3flFiEjF�E3(�IFjFlF*3Eif�f%�*iE1E1f�E3EjFiEiE ikaFiFdFjFjfifikdf3E3flE3E��1FiElEdfi4)EiElfaf*16�1Fifi(-iEif�f3f�fiElfaF3Eif
iEGALIZATION:N F E E S U M M A R Y STRUCTDRAL SEGMENT:Y
BLDG PMT PLUMBING EL TRIC MECHANIC FIRE SMIP/RES GRADZNG
PERMIT 162.00 1.00
SMIP/NON—RES
PLAN. 26.33
ZSSUE FEE
BUILDING—DIV—> PERMIT ISSUE FLAN—CHECK TOTAL PAID DUE
TOTALS----> 163.00 0.00 26,33 189,33 189.33 ,OU
REVENUE DIVISION TOTALS--> COLLECTED: lfi9,33 OVER/SHORT: ,00
BLDG PNfT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING FLAN—CHECK
162.00 1.00 26.33
3E if 3F �If )E if iE iE iF N� iE iE iE iE iE If 3f li�lE iE iE iE iE if 1E IP if 1E iElE iE �E iF iE IF'7E iE iE 14 �E iE iE iF iF 1E 3F iE if M� 1f lFiE iE 1E lE if 1f �k If 1E iE iF iF �f iE it iE jF iE it 3E 3f iF if if iE if if 3f
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 UNI'C COST TOTAL COST
SFR 143 STRUCTURAL BY VALUE PER 5].00.00 100.00 14,300.00
END OF FEES
0? C}10787t7-f,pi;73721 T �q � i�9,33
CA'[E: 01/?'a/9i 7?�:: 1?:33
CONSTRUC710N AND PLANNING � .L & SPA
APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector
1. Temporary Electrical Servick'or Pole / 52. Pool & Equipment Location �
2. Soil Pipe-Und�grnd. � �r 53. Steel Reinforcement
3. Electrical Conduit Utility�Undrgrnd.� � 54. Forms '
4. Electrical ConduibUndrgrn�i� - 55. Electrical Bonding �=�
' 5. Steel Reinforcement �� 56. Rough Plumbing & Pressure Test
6._Electrical UFER Grnd. - 57. APPROVAL TO COVER�GUNITE .
7. Footings � 58. Electricai Conduit-Und�grnd.
� 8. Foundation� �fi 59. Gas Pipe, O Undrgrnd., Test /.
9. Water Pi e�Undr rnd. "�
v 9 �;;, ,y, �j 60. Backwash Lines, P-Trap, O Undrgrnd. •-���
10. Structural Floor Svstem �'�%' � �• �' 61. APPROVAL TO DECK ;�7
1 i. Property Sewer Line & Ho�use Connection 62. Backwash & ReceptorFinal
..a
12. Sewer Cap ;'� ,.: �.•' 63. Heater & Vent-Final -�
13. Roof Drains �`� �,�' 64. Plumbing System � Final ���� r
14. Rough Plumbing `� . ��n 65. Electrical-Final ���i!
15. Rough Electrical-Cond�t ��� /., '''/lr 66. Solar System-Final � ��y /
16. Rough Electric Wiring �`�.��- /- 67. Fencin & Access A proval �
,�. / 9 P
17. Rough Wiring Sign i �� 68. APPROVED FOR PLASTERING
18, Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEM$ FINAI ��
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace . " T _ �y •APPROVALS. �Permit #
21. Dutts, in Structure. . . - ''
�70. Underground Hydro
22. Ducts,Ventilating � � -�• 77, Product'Pipi�ngOGas ❑Oil
23. Gas Pipe-Rough & Test � ` � 72. Underground FIusH -
24. RoofFraming � � . • 73. Undergrnd.StorageTankOGas ❑Oil �
25. Roof Sheathing � ' ' � � � 74,=0verhead Hydro � .
26. T-Bar Ceiling (Structurall & Monocoat� � 75. Dry Chemical
27. Frame and Flashing ' _ . 76. Dry StandpiPe
28. Lathing & Siding . . .. • i i' 77. FIXED SYSTEM FINAL _
29. Insulation ." � � �� � 78. FIRE PREV. FINAL �
30. Drywall�Nailing � � �� � � HEALTH DEPT. REQUIREMENT
31. Plaster Brown CoaY ' � i -, 79. FINAL INSPECTION _
i -
32., Electrical Power Meter-Final� . � �• : 80. FOOD CERTIFICATE ISSUED
�
33. Final Electric ,. � � Notes: ' _ �'
34. Finai Heating & Air.Conditioning - �
i � � '� i ,
35. Final Gas Pipe-TesY� - " i _�� /~ '�G�. / D/��
36. Hood or CanoPY � � �•. . � ._ � �
37. Final FattorY Fireplace ' i �; ,
38. Final Plumbing � � I i ' .
39. Water Service�Final � �• �
40. Gas Service-F�nal . , , I ( �, . .
41. Solar pomestirFinal . I �� -
42.-BackflowPreventer. � � ��. . _ _
43. Backflow Irrigation � • - - �
44. Landscape Irrigadon System - - , , , , �� ,- . � ,
45. Sound Attenuation . � • �
'46. Handiwp Regulations � �, � , , '
47 �FINAL STRUCTURE & BUI�LDING ,U/�! P '
48. FINAL PLANNING ' � - �
49.. Electric Release to Edison � '•
50. Gas Release to Southern California Gas Co f ' '
�T
51. CERTIFICATE OF OCCUPANCY , , , .
NO Date
OWNER STATE-WIDE Developers, Inc. DATE 4-28-76
JOB ADDRESS 4404 Meadow Brook BUILDING PERMIT N0.
� > I46=b54=tST'"t�T
Ih,..-ECTIONS
50�� �'-�� �•
Gn5 � �
WATER
ROUGH PLUMBING
PROP. SWR. LINE HOUSE CON, �
SPRINKLING SYSTEM
MISCELLPNEOUS
ROUGH HEATING AND AIR CONDIrypNING
TEMPORAqY SERVICE OR POLE
UNOERGROUNO � POWER �
ROUGH WIRING
TRENCHES � FORMS � STEEL RE
FLOOF SYSTEM
BON� BEAM � STEEL REINFORCE �
SHEATHING
FRAME AND FLASHING
LPTHING — IN T
PV'iER, BROWN COAT
5 fl1RAL FINAL
NEni ING, VENT., REFFIG. ANO A,�„ FI
PLUMBING, FlNrll AN� GFS TEST (� G
ELECTFIC, FINAL
BUILDING, FINAL
SUBCONTRACTOR
Z,•
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
Ao�oRes"s 3404 Meadow Brook
OWNER State-Wide Developers, Inc.
AooREss9461 Grindla
�,r,��,�-7F�„s°oa 759�- ::*'�220.00 �
APPLICATION FOR BUILDING PERMIT
:EIYEO BY OATE RECEIVEO nere �ce�n
n.P. No. i90 -vs9 -
BUILDING ��( � if �
ADDRESS—n T �
z pp
a� cirv CypT'2S5 No.` 826-4550 TRACTp6SS
ZQ CAN5TRUCTION W �+
O N LENOER
am X
J � BFANCH
J � OWNER i
m J ADDRESS
m ARCHITECT TEL SE atC
J Q CR�OIGIAlG6R.
U Q FIRE
W � ADDRE55 � ZONE 1
a w APPROVED
W Z CONTRACTOR Stf�StE�W�de DEVE�O ers, Inc. a�
J Q
m Z
QW ADDFESS 9 6 Grindla TEL. ZONE P�� 2 IBUILDING �W ��
z� ��T� C ress No 826-4550 QZ �/'
O STATE CITY �'AHOS APPROV
�� LIC. NO. ZZ4%�O LIC. NO. MAIN BUILDI�
� O A (FROM C/L STREE-
OF LOT � 2.093 acres NOW ON LO Y ROM 2i3 FT.
USE OF
EXISTING BIDG.
F SI2E OF NO. OF
z NEWBLDG. Fi00MS STOflIES L.SIDE � FTI
a EXTEFIOR WALL a3 er qOOF Q
V COVEIiING I'iOOU COVERING Shake REAR CJ FT.
J USE OF 6UILOING P.ND W�RK TO BE PER�ORMED D15TANCE BET.
a MAIN BLDCv^.
a
pNew construction-Condominiums CURP.ay���7
~ � Residencesw/att gar APPROVED
h
z HOLD FOR S E
O
U1 hereby acknowledge thai I have reatl ihis application and state
= that the above information is correct antl agree to comply with
� all laws reBulattng buildln8 construction, and 1 shetl not amploy
F any Oerson in violatian of the workman's com0ensatian laws of
y the Stata ot California. oo
ZI hereby cartify ffiet I am properly Iicensetl as a coniractor under � JD� SQ, FT,
the State ot Califarnia Business antl Professions Gotle, Divlsicn 3, THE AMOUNT SI
Chaptar 9, antl that such licenses ara in Sull Sorce antl e45act, or 1 THE PUflPO6E OF
am exempt from the Orovisions ot the Stete of California Businecs VALUq TION
antl Protassions Cotle, Division 3, Chapter 9. �^yOOw
State-Wide Develo r !!� % �"'
Signatur �
Permlttee
Autho�izedABent Vice President
BET. MAIN &
J-534
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0
fION IS FOR �
T FEE ONLV: Q
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