HomeMy WebLinkAbout3414 MEADOW BROOK - Building PermitsPFOJECT p00flESS: 3 Q 1 4 MEADOW BROOK � uxir:
OWNEfl'S NAME: �,7ILLAGE CREEK HOMEOWNERS
aooaess: ASSOCIATION
3429 TIMHER LAKE
CM VA 92626 ,
aflCMIENGINEEP: CHESTER CARVILLE flEG.NO.: CLH3OS
aooxess: 7gzz ARMOUR ST uNiT:
5,D, CA 92111
PEflmiTTEE: pHOENIX ENTERPRISE� INC. ( 213 ) 690-9559
� nooxcss: Q11 COMERCIAL WAY
LA AABRA CA 90631
i LICENSEO CONTNpCTOP OECIABATION: I hereby aifirm Ihai I am licensetl pr Si0n5 01 Chap�ef 9 ��Cgy/Q�enCing wil� S¢tli0n
I 7000) ol Oivsion 3 0l �he Ousiness and Pmfessions Co�e, an0 my license i ull ce and eifec�/ `
cirvuc.:0✓07 S raeuc.:376639 � �
Daie: $ignalure: _ _ . —
WOBREHS' COMPENSpTION oECLl�HBTION: I hereby aftirm that I�Iiave a cenificate of consent to self-insure or a cenificate of workers'
�' Compensalion *In��y{a c c rtihe� copy Ihereoi (Section 3800, Lab
'OIICY NO.: rv / � � � � � E%P. OFTE: � 7 � 1 � 1
comeaxv: CA COMP & FIAE
� Cehilied OY is hereby �um�tl ❑ Certi�ietl copy is lile� wiih Bu'I Oiv' ion. ,
I
Da�e: � Fpplicant:
E%EMPTIONFXOMWOHRENS'LOMPENSATIONOECLPBATION: (ihi5sectionneeOnolDecomple�e0ii�hepermi�i5�oronehunAreU 100�ar1e55�.
I cetli�y Ihai in Ihe petlarmance oi Ihe work lar which Ihis permit is issued, I shall no� employ any person in any manner sa as ta �ecome
subleq Io Ihe Workers' Compensa�ion Laws Ot Califomia.
�aie: � Signamre:
NOTICE: If, after making Ihis declaratmn, you shoultl became subject m ihe Workers' Compensation pmvisions of Ihe La�or
Coae. you mus� forthwi�� wmply with suc� pmvisions or Ihis permii 5hail 6e Aeemed revokeA.
CONSTPUCTION LENUING AGENCY: I nere6y aHirm thal l�ere is a cons�mction lending agency br �he pedormance ot Ihe work �or
whic� ihis permi�,is L=suetl (Se[tian 3097, Gv. C�.
LENDEF:
aooeess:� .
OWNEH BWLDEB DECLl�BpTION: I hereby aflirm Ihal I am eKempt Iwm Ihe Comracmrs' S�ate license Law �or �he lollowing reason
(Seclion 7031.5 Business antl Pmtessional Code: Nny city ol county which requires a permit �o cons�NCL alleL improve, tlemolish, or
repair.any s�mciure. prior lo iis issuance, also requires Ihe applicanl lor such permit to �ile a signetl statement ��at hrJshe is licensed '
pur5uani to Ihe pmvlsions of Ihe Contracmrs' S�a�e license Law (Chap�er 9(commencing wi�h Sec�ion 7000) oi Division 3 ot ��e Business
and Pmlessions Code) or Ihal he/she is erempl lhere�mm ana Ihe basis for the alleged exemp�ion. Any viola0on o� Sec�ion 7031.5 by
any applican� lor a permit su61ec�5 Ihe applicanl lo a civil penalry ol no� more ��an five �undretl Oollars (5500).
I, as owner of Ihe pmpetly or my employees wilh wages as Iheir sole compensation, will tlo ��e work, antl �Ae
7 s�mdure is noi in�endetl or aflerea �or sale (Seclion 7044, Business antl Professional Cotle: T�e ConVac�ors' S�ate License Law
tloes not aD�ly Io an owner o� a pmpetly who bui105 or improves ��ereon, and who tloes such work himself/hersel� or �hmugh ,
� nis or her own employees. provitlee Ihat such imD�ovemenis are no� intentlee or oflered tor sale. If, however ihe builtling or
impmvemen� is 5010 wilhin one year oi comple�ion. Ihe owner will have Ihe bur0en of proving �elshe tlitl not builtl or impmve
' for �he purpose ol sale�.
I, as owner at �he pmpeny. am excWsivety contrac�ing wilh licensetl conVactors Io cons[ruc� ��e pmject (Section 704E, Business �
❑ antl Pmlessions Cade: The Comramors' S�ate LicenSe Law Ooes no� apply �o an owner of Droperty who builas or impmves Ihereon
and who conlracls lor such pmlecis wi�h a contrac�or�s) license pursuani Io Ihe Contrac[o�s' S�a�e License Law�. I am aware
Iha� prooi ol �heir Worker'S Campensa�inn insurance shaultl be pmvitletl �o me.
� I am e�empl un0er Seclion: B. 8 P. C.
�ar Ihis reason:
oate: Ownec '
I do �ereDy certify �hai I am aware ol antl untlersiand the requiremems of Calilornia Healih ana Safety Cotle Sections 25505, 25533, ane
25534 antl Ihal I or any IUWre builtling occupant willlwill no� (cirde one) neetl �o comply with said sla�e coAes antl Ihe requiremen�s for a,
permit lor constmction or moadica�ian Imm Ihe Pir Ouabty Management DiSVicL flesiUen�ial consimction apPlications are e�emp� fmm
these pmvi5ions. �
�a�e: ApplicanP. � �
I �ereby cer�ity(hat Ihavereatl�his appli�abon antl sta�e tha� I�e a6ove ' aiion orrecL I agree�o ly wi�h allci�y an0 n�y
- artlinances antl siatelaws rela�ingto building con5imclion antl hereby a� i repres aiives of�Ais ciry ru Ihe above- n�ionetl
propeny fo mspe/c��ion rpase°
Dale: � LG.�� Signalure',
oriver's License or,5ocial Securiry Nr
164i 4fi White—Building: Green—CoEe EniorcemenL Canary—AOPImanP, Pink—Revenue: Goltlenmtl—Assessor
CITY OF COSTA MESA — HOILDING PERMIT PERM NO: B 05057
PERMIT NO; 8 050577 PL,AN CHECK NO: 00137-91 A GOVT;.N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR ' PURPOSE: REP
J(�B DESCRIPTION : REPASR SETTLEMENT DAMAGE ' SQ cT: 193
CLAIM VALUE:' 14',300.00 CALC—VALUE; 14,300.00 GROUP�OCC: R—J /
COMMENTS; BUILDING�SETTLEMENT REPAIR/FOUNDATION ` '
***�**************�*�x�*�*�*x�*x��tx���**x�**+�****�****�*********�*�***�r�*�*******+�*
Z O N I N G R E Q U I R E M E N T S •
S E T B A C K S
------------ MAIN HUILDING ----------
FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT ZN
— ACCESSORY BUILDING — —
FRNT: V FT IN,REAR; FT IN
LEFT: FT IN RGHT: FT IN
�fYARKING REQ• PROV: PARCEL: 93506124 ZNE: R2• REF NO';
PLANNING Nt5'I'ES> FOUNDATION REFATR.
�
3F �E iE 1F 3ElE if )E if �f IE IF iE if # 3f iE 1E iF 1E iF iEiE )f iF iFiE iE 9f IE 1E iF 3F If if if 1E iE 3f ik )f if fF 3E if'% if * 3F 3F 1E iF iF 1E 3f iF iE aE iE if # If iE it 1f �F If 1F iF 3f 3F iF 1f iE li �E 3E �IE �1F
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
ZONZNG APPROVED HY �i,rr [.--� � DATE: �/- /S—� I
BUILDING APPROVED BY : �..) _ DATE:
AFPLICATION ISSUED BY: DATE;
�*******�******x**�r*x* *****�t*�**�'�Fs��**
IFiEifiERlfiEif1E3F3E1EifiEiFiElEiEiEiFlFifiElElElFi6ifiElEiE-IFlf jfiE ifaF�1F)fififiFaFiFiEMiFifiE�E3F3EiEiE�FiFIP3EjF�f1F1F1E.iP3fiEN�if#1EiEiFiEaEifib3f
LEGALI7,ATION:N F E E S U M M A R Y STRIJCTUFtAL SEGMENT:Y
BLDG PMT PLUMBING EL CTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 162,00 1,00
. - SMIP/NON—RES
ISSUE FEE. �6.33 ,
BUZLDING—DZV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS=---> 163.00 0,00 26.33 , 189,33 189.33 ,00
REVENUE DIVISION TOTALS-->'. COLLECTED; 189,33 OVEk/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECH
162.00 1.00 26.33
if iE 3� 3F 3f 3F 1f !6 aE iEif i(� 7E fF af iE if 3f iE IE iE iE IE 3E iE 1E 3f iE 3F iE iFiE !E if iE 3E iE iE fE.iF iE if iE if iF 3(� If 3f If if if !F 3F j(� if iF IF if fF 3E iE iE IE )f iF iE �IE iE iF If aF iE iE iF iF 3f �f if if
� I N D I V�I D U.A L F E E B R E A K D'O W N '
TYPE
SFR
QTY ; D E S C R I P T I O N
193 STRUCTURAL HY VALUE PER $100,00
, END OF fiEES
UNIT COST TOTAL COST
100.0U 19,300,00
� O1 �QQ787.i2—G�Q?3734 i:.� d
D�iTE: O1/23/?1 iT�c": l,i:.3?
N
V
?34."a3
CONSTRUCTION AND PLANNING . � �& SPA . � .
. APPROVALS Permit # - Date Inspector p�ppROVALS Permit # Date ' Inspector
1: Temporary Electrical Service or Pole. .� 52. Pool & Equipment Location j
2. Soil Pipe-Undrgrnd. � . y �. 53. Steel Reinforcement � �
3: Electrical Coniluit Utility-Undrgrnd. !� 54. Forms �
4. �Electrical Conduit-Undrgrnd,.�.-- �� 55. Electrical Bonding f
'-z-
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test �
6. Electrical UFER Grnd. � 57. APPROVAL TO COVER�GUNITE ,
' 7. Footings� . 58. Electrical Conduit-Undrgmd. 'Y
�. 8. FoundatioH � j � 59. Gas Pipe, � Undrgrnd., Test Fr�
�/
9. Water Pipe-Undrgmd. �� ,/ r 60. Backwash Lines, P-Trap, O Undrgrnd. �//�9
10. StructuralFloorSystem'�?C/j . ��i%� 67. APPROVALTODECK �����
i.., a
11. Property Sewer Line & jovs`e Connection f� 62. Backwash & Receptor-Final �
1, �
12. Sewer Cap ' � `,.; � ��i �% - 63. Heater & Vent-Final �'
13. Roof Drains � � 64. Plumbing System � Final �?
14. Rough Plumbing ��� � � � � 65. Electrical-Fina� . / ,/�
15. Rough Electrical-Cond �it'� /" �� /" 66. Solar System-Final
r.- /� , r� �� � _
16. Rough Electric�Wiring � � h. - 67. Fencing & Access Approval �1��
17. Rough Wiring Sign '� ifj� . 68. APPROVED FOR PLASTERING �
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �.
%
19. Rou9h Heating & Air Conditioning ' � FIRE DEPT. REQUIREMENT '
20. Rough Factory Fiieplace -• - " � - � �APPROVALS • '�_ Permit # �
21. Ducts,in Structure. � �� - . _70. Undergr.ound Hydro .
22. Ducts, Ventilating � � _ ,K � • 71, Product Piping O Gas ❑�Oil
23:-Gas Pipe-Rough & Test ." . - - - 72, Underground Flush�, . , '
24. Roof Framing = � 73r UndergmB'. Storage Tank fl Gas 0 Oil �
�.
25. Roof Sheathing ' '� ' . '74."Overhead Hydro- �" ,
26. T-Bar Ceilin9 (Structuraq &•Monocoat - - 75. Dry Chemical ' � � .
27i �Frame and Flashing '- � , � 76. Dry Stantlpipe - ,. ',' � �
28: � Lathing & Siding � . . , . • � � 77. FIXED SYSTEM�FINAL _
29. Insulation '" , `-� � ' I � !" : 78. FIRE PREV. FINAL �_ - �y
-30. Drywall Nailing � � ( �' HEALTH DEPT. REQUIREMENT
i "
�
31. Plaster Brown Coat' � i � 79: "FINAL INSPECTION '
�
32. Electrical Power Meter�Pinal . 1 � ��< 80. FOOD CERiIFICATE ISSUED .
33. Final Electric - � . , - " � ( ,j, �� '�Notes: - - ' - ;, .
34._ Final Heating & Aic Conditioning •^ �� I •! ^, , �� ' ��,, �,� �/ . ,�J � /
35:�FinalGaiPipe-Tesf� _ i '� ' = ��� Ay :jU/.i�j.r
36. Hood or Canopy, . � _ , _ � y � �•• �
37. Final Faaory Firepiace � � ` ` " '' ';
� � .
38. Final Plumbing . • � � � � . . • .-
I
39: Water Service=Fina1 • � -
� I•
40.� Gas Service-Final � , - i � '� _ , . � . '
I
�41. Solar pomesticFinal • � � � � -
_ i
42.'Backflow Preventer ' � . j j f � '
43. Backflow Irrigation •'�' ' � '
44. Landscape Irrigation System„ ,� � - _: . � .. � _
45:"Sound Attenuation • � �
S
'46. Handicap Regulations � "� �.. �.
47. FINAL STRUCTURE & BUILDING � ({� , •
48.�FINALPLANNING ' � � .
�.�49. Electric Release to•Edison � � . � � .
:�
50..Gas Release to Souihem California Gas Co j ( • '.
51. CERTIFICATE OF OCCUPANCY , , , . . , . .
No. Date
OWNER STATE-WIDE
JOB ADDRESS 3 1 Mee
GENERA C R T Same
t �. - - '�
IN�rECT10N5
SOIL .t�fs � zq
GAS
WATER
ROUGH PLUMBING
PROP. $WR. LINE Q HOl15E CON.
SPRINKLING SVSTEM
MISCELLFNEOUS
qOUGH HEHTING AND AIR CONDITIONING
TEMPORARV SERVICE OR POLE
UNDERGROUND � POWER �
FOUGH WIRING
TRENCHES � FORMS � STEEL REINF.
FLOOR SVSTEM
BONO BEAM � STEEL REINFORCE �
SHEATHING .
FRAME AN� FL
LATHING - IN
PLP' -R, BRO'
$Ti RAL I
A.C.. F
Inc. DATE 4-28-76
BUILDING PERMIT N0.
SUBLONTRACTOR
4 f 7�12
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Campletely
BUILD�NG_... .. . .. . �
OWNER State-Wide Developers, Ihc.
MAIL _ _ . _ _ " "'
c�T� cypress
CONSTRUCiION
BPANCH
ADDRESS
No`.826-4550
ADDRESS17848 SkyPark Blvd Irvine
coNrRACTOR State-Wide Developers, Inc.
ADDRE55 9461 Grindlay
��T� Cvpress No`$26-455
uc No. 224710 uc No.
SIZE � �f NO.OFBLD('aS. !1
OF LOT � G,093 acres NOW ON LOT ll
USE OF
EXI5TING BLDG.
S12E OF NO. OF
NEW BLDG. FOOMS STORIES
EXTEAIOR WALL $� er RpOF Shake
COVEPING COVERING
USE Of BUILDING AND WORK TO BE PERFORMED
New Construction-Condominiums
1Residence w/att gar
I hereby acknowledpe thet I have reatl this application and s[ata
that the above intormation is corract antl agrae to comply with
all lews �eBulating buildin8 construction, antl I shall not amploy
anY Gerson in violation of the workman's compensation laws af
Me State ot California.
I hereby certify ffiat I am properly Iicansetl as a contractor untler
the State ot Califo�nia Businezs entl Pro}essions Cotle, Dlvisicn 3,
Chapter 9, antl thet such licensas are in full torce antl effect, or I
am exempt from tne Orovisions of the Staie of Celif rnia Business
antl Professions Code, Division 3, Chepter 9.
State-41ide Develppeyfs Inc.
Permittee � � v Ur ,(I li
AuthorizedAgant Vice President
�,.�,�
^:;,Y i 3-75, ���, 00 755'- -': � 220.00
APPLICATION FOR BUILDING PERMIT
RECEIVEDB� DATERECEIVED nnuisciu
BUILOING // �/
ADDRESS 37l`�'
V
�:
�7
Z G� IP�� Z I BUILDING a
YARDSAPPIiOVED VAflDSAi
VAR. #
HOLD FOR
130� SQ. FT.
THE AMOUNT SI
THE PURP�E OF
VALVATION
3�° �
$
BET. MAIN &
. �
J-534 ;
� UNDER VALUATION IS FOfl '
\BLISHING A PERMIT FEE ONLV: �
¢
m
�ERMIT FEE $ I �
(�/7 m
'LAN CHECK $ IOJ E
0
, N �',,. �.