HomeMy WebLinkAbout3405 MEADOW BROOK - Building PermitsPNOJECT pUGHESS: 3 Q O S N,EADOW BROOK u"'T:
OWNEfl'S NRME: VILLAGE CREEK HOMEOWNERS
aooxess: ASSOCIATION
3429 TIMBER LAKE
CM VA 92626
AHCNIENCINEEH: CHESTER CARVILLE "Ec."o: C18305
aooxess: 7g2z p,RMOUR ST ur+ir:
S.D. CA 92111
PENMITTEF: [lHOENIX ENTERPRISES INC. ( 213 ) 690-9559
aooness: qil COMERCIAL WAY
LA HABRA CA 90631
ULENSEO CONTflALTOB OECIAflATION: I �ereUy allirm t�al I am 6[ens� der ovisions ol Chapl¢r 9(commencing wil� Section
7000� ol Oimsion 3 at��e 9usines5 ana Professions Ca�e. anE my bc �,a � S'.,��orce antl etle�% /�/
ciTruc.:05 788 TaEuc.:376639 �/7
Dale: _ j�—� SignaNre: _ _ _ �.—��
W O fl N E P S' C O M P E N S A I O N O E C I A fl R T I O N: I � e rt b y a l f i r m t 1 1 a t I t Wv e a c e rtif¢ at e of conteni to sel6insure ar a ttnilitffe 01 WOfkefS'
ComOensa�ion Insurance Or a tetluietl Capy Nerrol (Sepbn 38011. La�. CI.
roucvNo.:W700354 E%P.OATE: O%I 1/91
COMPANY: CA COMP 6 FIRE
� Cetli�i¢a coOY �5 hereGy h mis ee. ❑ Cetlilie0 topy i5 lilr �h .y B� ilAing '.'
Oate: 1�� ' ApPlican�: _ "
E1fEMPTION fflOM WOBI(EPS' COM ENSl�TION �ECLAflATION: (TIuS 5ec6m neeG nat �e complete0 il Ihe perm� iSlm one Au eU (5100) ar less�.
I tetlily �hai in I�e pehormance 0� Ih¢ vrork tor wAit� Ihis permi� i5 i55ueE. I stWll no� employ atry person in any ma er so as to become
su�lecl lo Ihe Worker5' Campensation LaxS a� Calilomia.
�a1e' Signamr¢:
�� NOTICE: II, a�ter making I�is OecWratiUn, you ihOUIC GefAme 5u01�� �o l�e Wofners' fAmDensa�ion prOvi5ion5 oi IAe Labor
COC¢. you mu5t lo�hwith rAmply with Suc� pmvaion5 ar lhis perrtni 51u11 be deeme0 revokeE.
LONSTBUCTION LENOING AGENCY: I nereUy allirm ttut inert is a fAnstNctiOn IetMing agenty far Ihe peAormance of Ihe work for
whicn inis permit is issuetl ISetlion 3W7. Civ. C).
LENOEN: •
aooeEss:
OWNEN BWIOEfl OELLRflRTION: I �¢reGy aHirm 1�ai 1 am exemD� ��am t�e ConlracIDrs' Slaie Lkense Law br l�e foAovrinA �eason
ISetlion 70.3t5 Business ana Poolessional CoOe: Any city o� caunry w�kn repuires a permit Io wnstruct, alter, impmva, Oemolish, ar
repair any stmcmre. Odui ia iis issuance, also repu'ves t�e aOM��am lor suc� perrtnt m lile a siAneO statement I�at �e/sne is Iicense0
pursuam �o �he provisions at ihe Camractori Sta�e License Law (C�apter 9(commenung wit� Sectwn 7000� ol Oivision 3 of Ihe Business
anA Prolessions Coae) or that �e/she is ehempt ��erelmm anE t�e Gasis lar Ne allegeG exemption. My Wolatian ol Section 7031.5 by
any aOVli[anl lOr a permil Su�1��5 Ne applican� Ia a Civil penaliy ol nal mare llun live hunafeU OOIlarS (55W).
I, as owner ol �h¢ pmperty o� my employee5 with wages as I�¢ir sole campensa�ion, will aa Iho wo�M, antl Ihe
7 slmclureis nolinten0e4 orollereatorsale�5eciion 70aa. Business antl PmiessiOnalCotle: The Coniraclors' Slaie Cicense Law
Ooes no� ap01y to an owner ol a properly who builGs or impmveSlhere0n, an0 w�o aoes such work �imsolllAerselt or IAmuAh
�is ot �er own ¢m0loyee5, proviaeG I�ai Suth imOrovemtnis are nal inlendea or allereU br 5ale. II, hOwev¢r I�8 huil0ing ot
impwvement is solC wi�hin one yeai ol wmpietion, ��e owner vnll have t�e OurGen of Dmving �e/she EiG not buila or imDrove
lor ihe puroose ot salel.
i, as owne� ol iM pmpeny. am e.clusiveIy contraNnq vnth Ikensed conlractors �o wnsti�ci ��e D�olect (Section 704a, Business
❑ an0 PmfC59an5 C04& I�e Cqnuetmrs Slato L'KenSe Law EOeS nai aODN IO dn awner 01 prop¢tly w�o Uwlds or impmves ��e2on
anG who ConlraCtS lar suc� projecls wit� a canlractOr�s) license pur5uam �o ��e ConVactors' Sia�e Litertte Law�. I am awar¢
I�ai prool ol I�eir Work¢i 5 COmpenSaiqn insutanCe S�oWd 6C prOnEeO l0 me.
� I am e*empl unGer Sectiw: ' B. 8 P. C.
far tMs reasan:
Da�e: O«ner.
I ao �¢reby cerlily Ilu� I am aware al and underslan0 ihe reQui�emen�s ol Calilomia Healih ana Salety CoOe $etlions 25505. 25533, antl
2553J anU Ihat I ar any WtWe �uiltlmp occupant wilVwill not �circle one) nee0 to com0ly vnt� sai0 stale codes ana I�e repuiremenis lor a
permii lOr Con9mclion or motlifitalion imm I�e Air Oualily Manap¢menl Oi5ViC1. FeS�Uenlial tonSlmCtion applitafions aie CxemD� �rom
Ihese provisians,
�ale: Applicani: _
I he�eDy terlilylhall�averead ��is application anC SlalellNi
ordinances anC slate IaxS �eWling to Ouitamg cOn9mQi0n anU A
pioperly l(or in50etlwn p rpas¢s
Date: _j � �� Signature: _
Orrver's license or Socal 5ecuniy .:
is wrrect I aA�ee Io m^ ly wit� all city antl
I1�dIrvE50� ��1R L1�'/ �' .IIIP upon Ihe above�rty
t6Ct�n6 Wnpe—BoiMug; Green—CoOe Ento¢ement: Canary—Appicanl: Pmk—Revenue: GoMenroO—Assessor
CITY vF COSTA MESA — BUZLDING PERMIT PERM NO: H 050577
PERMIT NO: H 050572 FLAN CHECK NO; 00142-91 A GOVT: N SUPP; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: REP
SUB 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
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Z O N I N G R E Q U I R E M E N T S
5 E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT ZN
L E F T: F T I N R G H T: F T I N L E F T: F T I N R G H T; F T I N
PARKZNG REQ• PROV; PARCEL; 93506124 ZNE: R2 REF NO:
PLANNING NtSTES> FOUNDATION REPAIR.
i
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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'
ZONING APPROVED BY :� � F. DATE; c7f / S�1
BUILDING APPROVED HY : �
APPLICATION ISSUED BY•�,���,�,�F����
if iE IF ff IE IF if iF if if iF iE if lF iF �f if iF iE iE �! �E
it it iF iF iE iE if if iF if 3E iE iF iE iE if 1E IE iE IE If 1f iE if �R 1E IE iElE
LEGALIZATION:N F E E
BLDG PMT PLUMBING
PERMIT 162.00
ISSUE FEE 26.33
7i��� DATE; �
DATE•
�E iE iE iE iE 9Eif iE ik iFR�'�"��"�'�£�F 1E aF
iE iFlE iF 1f ik IE It 1f iF 1E iE 1f if ff iE if ik IE IE iE if iP IF i! �F �IE iE if if If if if iF iF 1F i:lE if if
S U M M A R Y STRUCTURAL SEGMENT:Y
IC MECHANIC FIRE SMZP/RES GRADZNG
1.00
SMIP/NON—RES
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECI{ TOTAI, PAID DUE
TOTALS----> 163.00 0.00 26.33 189.33 189.•33 .00
REVENUE DIVISION TOTALS--> COLLECTED: 189.33 OVER/SHORT; ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
162.00 1.00 26.33
iP iF iE ik If IE IF lkif iF 1k iF jf 1E IF 1F iE 1E iE ff if 1F iE fk IE iE 1F-%fF k!E �f 1f IF IE �f 1E * 3E aElf k IE 3f If if if If iE iF !E 1E iE If 3f k!E iE 1f i6 iE it if IE ik 1E if iF 3f if if 1F if fE 1E lE iE ik if
Z N D I V Z 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 193 STRUCTURAL BY VALUE PER 5100.00 100.00 14,300,00
END OF FEES
a� uQ^�;�I.—CCJ,;:�;_ � u-R� �y.��
�ATE� �2.`23J;1 '�.L�: '.�•::'r
V
CONSTRUGTION AND PLANNING � �& SPA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
1. Temporary Eiectrical Service or Pole; � 52. Pool & Equipment Location •
2. Soil Pipe-U�drgrnd. '� �� 53. Steel Reinforcement -
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
K .
4. Electrical Conduit-Undrgrndr 55. Electrical Bonding
5. Steel Reintorcement 56. Rough Plumbing & Pressure Test
. 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7�. Footin9s ' 58. Electrical Co�duit-Undrgmd.' �
8. Foundation a�' 59. Gas Pipe, O Undrgrnd., Test '
9. Water Pipe-Undrgrnd. ��,' n, �/�, 60. Backwash Lines, P�Trap, O Undrgr�d. �y ,
10. Struttural Floor System %� !'' 61. APPROVAL TO DECK - '
11. Property Sewer Line BtiHouse ConneCtio , 62. Backwash & Receptor�Final � .
12. Sewer Cap - 63. Heater & Vertt•Fi�al
13. floot Drains ' �� 64. Plumbing System - Final �
14. Rough Plumbing � � 65. Electrical-Final `
d
15. Rough Electrical-Conduit r. 66. Solar SYstem-Final ,
16. Rough Electric Wiring .`� _� 67. Fencing & Access ApProval
77. Rough Wirinq Sign ' 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. RE�UIREMENT �
20. Rough FacLory Fireplace APPROVALS, Permit #
21. Ducts, in Siructur.e • �70. Underground.Hydro
22. Ducts, Ve�tilating _ � :71. Product'PipingOGas OOiI
23. Gas Pipe-Rough & Test . 72. Undeiground Flush- _
24. Roof Framing � � �73. Undergrnd. Storage Tank O Gas � Oil
25. Roof Sheathing - , � . �7q, Overhead Hydro � .
26. T•Bar Ceilin9 (Structural) & 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 � � I HEALTH DEPT: REQUIREMENT
31. Plaster Brown Coat � � I (, 79, FINAL INSPECTION
32. Electrical Power Meter�Final �V I I �• S0. FOOD CERT CATE ISSUED _
33. Final Electric ; , I (" - � Notes: , � - �
34. Final HeatiPg & Air. Conditioniog � I � , n . - �
i l/' i! i
35. Final Gas Pipe�Test. , i. ���� ,�� �
36. Hood or Canopy _ � f: : _ . '
37. Final Facto�Y Fireplace ' I � '
38. Final Plumbing " . . � � � � ,
I
39. Water Service-Final � '
I r
40. Gas Service�Final ' � ' � �� � . .
41. Solar pomestio-Final � • j i '
42. Backflow Preventer , � � � � ; .
43. Backflow Irrigation� � � � �
44. Landscape Irriqation System , .
45. Sound Attenuation • �
. ; ,
46: Handicap Regulations ' � ., .
47. fINAL STRUCTURE & BUILDING QV- (,� '
48. FINALPLANNING � �
49. �Electric Release to Edison � '
� '
50. Gas Release to Southern California Gas Co ! � � . �
51. CERTIFICATE OF OCCUPANCY , , �
No. Date
OWNER
JOB ADDRESS
�F•�ERq.�_Cp��
a ,. ��b 6
INSPECTIONS
SOIL
cns
�
STATE-WIDE
ROUGH PLUMBING �
PROP. SWR. LINE � MOUSE CON.
SPRiNKLING SVSTEM
MISCELLANEOUS
ROUGH HEFTING FNO AIR CONDITI
TEMPORARV SERVICE O0. POLE
ON�ERGROUND � POWER �
ROUGN WIRING
TPENCHES � FOR � VT!
FLOOfi SVSTEM
BONO BEr1M � STEEL REINF(
SMEATHING
FRAME AND FLASHING
LATHING — IN rL/OUT r�
PLF'
STR
HEATIN
PLUMB�
N
AL, FINA�
VENT., REFRIG. ANO A.C.
. FINAL AND GRS TEST z
Inc.
DATE
BUILDING
UBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CAIIFOANIA 92626
For Applicant ro fill in Comp/etely
Aooa°es"s 3405 Meadow Brook
OWNER State-Wide Developers, Inc.
';AY 13-76�A.�OO 770�� *':=-zZ�.Cd
APPLICATION FOR BUILDING PERMiT
RECEIVEDBY DATERECEIVED nnrcice�u
MAIL g461 Grindlay AODRIE55 �os
AODRESS
arv CypP055 No�826-4550 TIiACT 8�8
CONSTRUC710N `/�
ADDRE55
TE
ADDFESS 17848 SkyPark Blvd Irvine
CONTRACTOR State-Wide Developers, Inc,
ADDRESS 9461 Grindlay
uTv Cypress No`B26-455
LC NO. 224��0 LICyNO.
oF�or 72,093 aCT'e5 NOWONLOS O
USE OF
EXISTING BLDG.
SIZE OF NO.OF
NEW BLDG. FOOMS STORIES
EXTER�OR WALL a5 er ROOF Shake
COVEflING OOC� COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
New construction-Condominiums
I hereby ecknowleCga tfiet 1 Rave reatl this applicaiion antl nete
that the above information is correct antl aprae to complY with
ell laws �e0uletinB builtling conztr�ction, antl 1 shall not employ
ony parwn in violation af the workman's compensation laws of
the State of Califomie.
1 hareby carNfy Nat I em Oroperly Iicenwtl az a contracror untlar
t�e S[aro ot Californfa Businass entl Prafessions CoOe, Dlvisicn 3,
Cheptor 9, entl that cuc� licenwa era i� �ull force antl eftect, or I
em exempt from tha provislons of t�e S[eta of Celifornia Bus(nass
nntl Protosslona Cotla, Diviaton 3, Chaptar 9.
S,o __._.. State-Wide Develop_er� nc.
Permlttaa /
AuthoAzedApant Vice President
VALUE
FIRE
20NE� NO.OF USE OF NEW/�
{ Q C� p�q�7$ Z BUILDING
YARDS APPROVED VARDS APP
MAIN BUILDING ACCESSORV
REAR � FY
DtSTANCE BET.
MAIN BLOGS.
VAR. qW
C.U.P.qWZE �
HOLD FOR
� F
FT.
FT.
• BEf. MAIN &
ACCF�, BLOGS.
� DATE / � �
APPROVED
i � i % � %�
_Joo� �U.hl. V�JJY
THEAMOVNTSHOWN UNDER
THE PURPp$E OF ESTABLISHING
VALUA710N �
��/'�n^ I PERMR FE
TOTAL FEE
�
�
0
FOR �
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