HomeMy WebLinkAbout3424 MEADOW BROOK - Building PermitsPNOJEtT ROOHESS: 3 Q Z 4 MEADOW HROOK uxir:
OWNEH'SNPME: `,71LLAGE CREEK HOMEOWNERS
nooxess: pSSOCIATION
3429 TIMBER LARE
.' CM VA 92626
RflCH/ENGINEEH: (,HESTER CARVILLE flEG.NO.: CLB3OS
aoosess: 79zZ ARMOUR ST uNiT:
S.D. CA 92111 ,
PEflMITTEE: ]�HOENIX ENTERPRISES INC. ( 213 ) 690-9559
nooaess: qll COMERCIAL WAY
LA HABRA - CA 90631
LICENSEO CONTBACTOB DECIANATION: I hereUy aflum Ihai I am licensetl untl ovision o� Chapier 9(co cing with Seclion
70001 0l Oiv�sion 3 0l Ihe Business and Pmfessions Cotle. and my license i �orce eflec�
ciTruc.:�5p7 g sT e c.:376639 �� / //J
Oate: Signa�ure: _ � ��Lrritrt�_
WOBRENS' COMPENSFTION OEC ATION: I hereby aHirm Ih 1 I nave a cenihc e oi consenl to self;insure or a ce i of Workers'
Compensalion Insy.r,ancg� Qr certifietl copY �herP.aY�Seclion 3800. Lab. C).
POLICV NO.: W/ O U.7 � A EXP. OpTE: O�I S I 9 S
comraxv: CA COMP & FIRE
� Cenilied copy is here6y �umish d. ❑ Cehilie0 copy is �iletl cil iltling Division.
� `` ` i . ��� i"
Date:� _ ApDlicanP.
E%EMPTION FBOM WOPKEXS' COMPEN ATION OECLAflATION: �This seclion need noi Ue campletetl it Ihe DermM1 is lOr ane hunOre� (3100) Or 1e55�.
I ceNfy ihal in ine performance ot ihe work for whicn ihis permil is issued. I shall not employ any person in any manner so as to hecome
sublecl Io the Workers Comp¢n5ation Laws ol Califomia.
�a�e: Signa�ure: -
NOTICE: II, alter making �his Oeclaration, you should become sublect �o ihe Workers' Compensation pmvisions o� the Labor
Code. you mus� fart�wiih comply with such provisions or Ihis permit shall be tleemetl revoketl.
CONSTPOCTION LENUING AGENCY: I hereby alfirm tha� there is a constmction lentling agency for �he pertormance of ihe work lor
whic� �his permil is issued (Section 3W7, Civ. C). ,
LEN�EB: •
aooeEss: -
OWNEB BUILOEfl DECIAflPTION: I hereby aflirm Ihat I am exempt imm IAe Conlraclors' State License Law br the following reason
(Section 703L5 Business an0 Pmiessional Cotle: Any ciry of couniy which requiBs a permit ta constmct, alt¢r, impmve, demolish, or
repair any Slmciure. priar to its issuance, also requires Ihe applicani �or such permit to �ile a signe0 s�a�emen� ��a� �e/she is licensed
pursuam m �he provisions ol Ihe Comraciors' Slale License Law (C�apier 9(commencing wilh Section 7000) o� Oivision 3 o� the Business
and Pmlessions Code) or Ihal �e/she is exempt there�mm antl Ihe basis �or Ihe allegetl exemD�ion. Any viola�ion of Sec�ion 70315 by
any applicant lor a Dermit subiec�s the, applicam m a civil penalty ot nal more ihan five hundre0 tlollars (5500). .
I, as owner ol Ihe pw0eny ar my employees with wages as Iheir sole camDensa�ion, will do �he work, antl t�e
❑ sVucture is no� in�entleU or ot�eretl for sale (Section 70a4, Business and Pm�essional Code'. The Contractors' S�a�e License Law
eoes no1 apply Io an owner of a propeny who builtls or impmves inereon, and who tloes sucn work himself/herself ar thmugh
hi5 or her own employees, pmvitlea Ihal suCh impmvements are not inlen0e0 Or olferetl �or Sale. II, howev¢r lh¢ �uilding Or
impmvemenl is soltl wilhin one year al cample�ion. �he owner wil� have Ihe Gurden oi proving he/she tlitl not builtl or impmve
for Ihe purpose of sale�.
I, as owner ot Ihe pmpetly. am exclusively con�racting wi�h I¢ensed contradors to conslmci �he pmlec� (Section 7044, Business
❑ and Pmfessions CoOe: The Cantraclors' S�ate License Law tloes not apply �o an owner o� pmpeny who builUs or impmves �hereon
an0 who coniracls for such prole<�s witA a coNractorls) license oursuantto Ihe Contractors' State License Law). I am aware
.ihat pmol of Neir Worker's Compensalion insurance shoulA 6e O�ovitle0 to me.
� I am eeempl under Sec�ion: - B. 8 P. C.
�or t�is reason'. .
Dale: ' Owner -
I tlo hereDy ceni�y Ihal I am aware oi and unders�anA Ihe reQuirements ot Cali�arma Healih anA Salery Code Sections 25505. 25533, and
2553a ana ihat Ibr any future builtling occupant will/will nol (circle one) neeA lo comply with saitl state codes ana ine requiremen�s for a
permit lor consimc�ion or motlifiw�ion irom �he Air Qualily Management DisVic�. fleslAeniial cons�mc[ion applications are exempl Imm
Ihese pmvisions. ,
�aic ApplicanL .
I heBby cetlity �hal I have read �his apPliCaiion an0 State
ordinances anA slale laws relating to bwlding consimc�ion :
pmperiV lo� i��
Oate: � � Slgnalure:
�river'sLicenseor5ocialSecwiry�a:
i6at-a6 Wnite—Bwlding',
;1. I agree �o comp h all ciry anU
ot this ciry to en up the above-me
CITY OF COSTA MESA .— BUILllING PERMIT YERM NO: B 050589
PERMIT NO: H 050589 PLAN CHECK NO; 00122-91 A GOVT: N SUFP: N
CONST'RUCTION TYPE; V—N PERMIT TYPE: STR FJRPOSE: REF
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 REPAIA/FOt3NDATION �
*�***x***�*�**��**��r�r�****�****�**�**��+��*x******x��*uu�*�x***x��*��*��,��********
Z O N I N G R E Q U I R E M E iV T S.
S E T B A C K S .'
-------- MAIN BUILDZNG -------- — --------- ACCESSORY BUILDING -- ------
FRNT: FT IN REAR: FT IN FRNT: FT ZN REAR; FT SN
LEFT; FT I,N RGHT: FT I N L E F T; F T I N R G H T; F T I N
PARKING REQ• PROV;' FARCEL: 93506124 ZNE; R2 REF NO:
PLANNING N13TE5> FOUNDATION REPAIR.
� _ .
3F 1E if k iF if if iF If �E iE 1E aF iP if iE iE 1E iE lE iE iE iF iE iE iE iE iF iE iF if if iE 3f iE iF-lE iE 3f if iE iF iE IF �f 3F )E iE 1E fE iE �%� if 3f fE )f !F iF #�E �IflF !F!F if� iF If IE if�iE iE 3E ff iF 3f 3E 3f �1E if
D E V E L O P'M E N T S E R V I C E S R a t,j U I R E M E N T �
ZONING APPROVED,BY r �-�—� � • DATE; G 17.��
HUILDING APPROVED BY ; �� DATE: _�
APPLICATION ISSUED SY; DATE;'
iF iE iF �F 3f 3E IE If 1E i4 iF 3R iE iF iE �f� 3E 3E 3E iElE . 3F iE 14 �f iE 1E aE iF if IE��F��iE if
1FIEiFlflfiEiE�EiEiFiEiFiEiEifiElf3EiFiEiElE�N�1f�iE1EiFIflf+EiEiFlFiEi(�iE iElf3E3EiE3f1f1f3f1fiF1E1F3fi(�1liEiE�flEaEiEiFiFIf1EiElF�7flEif#EiEiF�lklFiEiElEiEiFif
I.EGALIZATION;N F E E S[J M M A R Y � STRUCTUftAL SEGMENT:Y
,
BLDG PMT ,PLUMBING E CTRIC MECHANIC FIRE SMIP/RES GRI{pING
PERMIT � 162.00 - 1.00
' SMiP/NON—RES
PliAN 26.33 '
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE� PLAN—CHECK TOTAL PAID D[JE
TOTALS----> 163.00 0;00 26,33 189.33 ' 189,33 ,00
REVENUE DIVZSIbN TOTALS--> COLLECTED; 189.33 OVER/SHORT; 00
HLDG PMT PLUMBING ELECTR.iC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECR
162,00 1.00 26,33
if iP iE 3k iE 1E �!E iF iE 1E �F if iF 3f 3F 3E iE �E iE 1E �1F iE 1E iE iE �lE jF 3! I! af iE if iE �E if if iFlf iE dF 3F iE if if IF 1F 1EiE if if iE iE �)f iE iE iF iE iE iE �F if if 3E iE 3F if 3F iE 1E if lE iF �f iF �F iE )E �E
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 JNIT COST TOTAL COST
SFR 143 STRUCTURAL HY VALUE PER $100,00 ' 1UO.U0 14,300,00
END OF FEES
_ "' � __ .n,. ..�"__' . _
n
� CONSTRUGTION AND PLANNING
APPROVALS . Permit #
,- i. Temporary Electrical Servicej r Pole
2. Soil_Pipe�Undrgrnd. _� � -
n
'. �3. Electriwl Conduit Utility-Undrgrnd._ ;
4:�Electrical Conduit-Undrgmd:%'=
'. 5. Steel Reinforcement' � '
_ 6.-'Electrical,UFEft Gmd. , � .
' 7. Footings ` ' ' '
8. Foundation � f
9. Water Pipe�Und�grnd. � �
l ,' J iv
10. Structural Floor System.�;��n - �`
11. Property SCwer line &"Houje�Connectio�
12'. Sewer CaP �, r� A' ;:
13. Roof Drains ' �;
�, �
14. Rough Plumbing � ,� �
15. Rough Elettrical-Conduit � ' � r°'
r /y
16. Rough EleCtric Wiring f�r f
17. Rough Wiring Sign i f-
18. Rough Elettrical�T Bar Ce'i�ing
19. Rough Heating & Air Conditioning
20. �Rough Factory Fi7eplace � ' -
( �' F
21 �Ducts, in Structuie �_ . �
22. Ducts, Ventilati�g '�� ,
23. Gas Pipe-Rough & T,est .
24. Roof Framing � • � •
�
25. Roof Sfieathing � . '� �
26. T�Bar Ceilin9 (Structural) & Monocoat .�
27. Frame and Flashing: �' ` ( -
: T �.
28. Lathing & Siding : �.
_ "
�29. Insulation , � �
�30. Drywall Nailing !' �
31. Plaster BroWn Coat: -
� 32. Electrical�Power Meter-Final � .
.33..'Final Electric �" - _f
�34. Final Heating�& Air�Conditioning�, .
35. Final Gas Pipe-Test' �
36. Hood or�Canopy.�, • � ,
37. Final FactorY Fireplace„ . ' '
38.•FinalPlumbing ," ��t �
'.39. Water Service-Final �
40. Gas Servic6-Final . , . .
-41. Solar pomestic-Final � '
42. Backflow Preventer� . ,"
43. Backflow irrigation� �
.44. Landscape Irriqation System - �*
45. Sound Attenuation • •
46. ,Handicap Re9ulations -
47�. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING. '
c49. Elearic Release to Edison
50.,Gas,Release to $outhern Caiifornia Gas (
51. CERTIFICATE OF.00CUPANCY
Date
- Pt�uL & SPA
Date Inspector pppROVALS Permit #
�' -52. Pool & Equipment Location
' � 53. Steel Aeinforcement
n'
1 54. Formz
� 55. Electrical Bonding
' 56. Rough Plumbing & Pressure Test
57. APPROVALTOCOVEF�GUNITE
58. Etectrical Conduit-Undrgrnd.
r
� 59. Gas Pipe, O Undrgrnd., Test
� �,
%� 60. Backwash �ines, P-Trap, O Undrgrnd.
Ij^ 67. APPROVAL TO DECK
/; 62. Backwash & Receptor-Final
�� 63. Heater & Vent-Fina{
^ 64. Plumbing System � Final
•�� 65. Electrical-Final
�� 66.'SolarSYstem-Final .
� ; - 67. Fencing & Access Approval
. 68. fiPPftOVED FOR PLASTERVNG
� 69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
�_ . .
Date Inspector
' i �
( � .
' ' ` APPROVALS' � -Permit # y
� _ '4
♦ . � _ . .�
� R - .70. Undergraund.Hydro �
� _ jll. Product:Piping O Gas ❑ Oil
r . • ; 72. Underground Flush . . � � •
�'�73. Undergrnd: Storage,Tank O Gas ❑ Oil
.. , �74.=0verhead Hydro� - .
_ - 75. DryCfiemical • _ •�
- L� �. � 76..DFy Standpipe ` . , " � '
� i �� ^}� _ 77.- FIXED SYSTEM:FINAL' - .,
�. I �� ' 78.-FIRE PREV. FINAL , .. ��
� � � HEALTH�DEPT. REQUIREMENT
� �. .
- I j ��, '' 79;^FINAL INSPECTION . " '
y`.� � I� 1� ;�80. FOODCERTIFICATEISSUED ��
� i t. . � .
i � , ' Notes: . , �
/ r � � � !i -
� 1 � . . \ I . /� l:G^ . : 9i iY/ ://' � . i _.
0
i
. .� �
� r I
. � �
� v
Y
a
t
OWNER
JOB ADDRESS
DATE 4-28-76
A" �o.`f}ir}=�}�}i'}{}'u{OT TRACT sg F�RE ZONE _ VALUE $ 4rj�450.00
I �CTIONS Si9^afure�Daee TYPE �7 GROUP =$n F—S. ZONE ]
soi� ¢� •l� . L �"$' SUBCONTRACTOR PERMITS I:
PqOP. SWR. LINE U HOlISE CON. �'
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CON�ITIONING
TEMPOARRV SERVICE OP POLE
UNOERGROUND � POWER �
ROUGH wIRING
TRENCHES I� t❑ �bT� AE
FLOOR SvSTEM�
BOND BEAM � STEEL REINFORCE j
SHEATNING
FRAME ANO FLqSHIN �
LFTHING — IN OUT i
PLASTER,BROWN COAT
5' TURAL, FINAI
H. iG, VENT., REFRIG. ANO A.C., F)
•., � ,��noe�
� • •
COSTA MESA BUILDINGSAFETY DEPARTMENT vzr��
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 ;�hY '� 3-70L;tia��i0 �5� "' ''�"� z�S.C�
ForApplicanttoFillinCompletely %�PPLICATIONFORBUILDINGPERMIT
fiECEIVED BV DATE RECEIVED D E I ED
ADDRESS 3424 Meadow Brook
� r
OWNER State-Wide Developers, Inc. A.P.NO. /2 �6se'Ooi PE- ��� �
MAI L BUILDING �//
ADORESS 9461 Grindlay �+DDRESS �92¢ /'/C�i�CL� ���'�
CI7V Cvaress No.`"826-4550 TRACT �Sg LOT BLOCK.
BRANCH
ADDRESS
ARCHITECT
CONTRACTOR State-wiae Ve�
ADORESS 9461 Grindlay
c�rJ Cypress
� c No. 224710'
OFLOT 12.093 acres
USE OF
EXIST{NG BLPG.
SIZE OF NO. OF
NEW BLDG. C ROOMS
EMEIiIOP WALL �P. dy er ROOF
COVERING WOOD COVERI
USE OF BUILDING AND WORK TO eE
X
�
OWNER
No`.'556-6610 1 Re
FIRE
rvine Z�NE
APPROVED
iers. Inc. e�
No.`826-4550
CITY
LIC. NO.
�__
INO.OF BLDGS. O
NOW ON LOT
�]
� I he�eby acknowlatlge that I have reatl this application enG stete
� ffiac the above informa�b� Is correcc eatl agrae to complY +`���h
� all laws raguleting buildln8 construction, antl I shell not employ
any person in vlolation of tha workman's compansatlon laws of
� tha Statt ot California.
I hereby certity thet I em prope�ly licensetl as a contracior untler
� the State of Calffornia Business and Profeulons Code, Divisicn 3,
' Chapter 9, end thet such licenses are In full torce antl effect, or I
i am exempt from the provisions of She State oi CaIHo ia Business
� antl ProtessiOns Cotla, Division 3, Chapter 9.
! S a a e o State-Wi���s nc.
Perminee
A�=ho��=adA,a�= Vice President
ZONE
I22 t�
YARDS A
MAIN BI
V AR. #' g�
C.U.P.�i
APPROVED
iOLD FOR
VALUE
OATE
Z USE OF N
6UILDING
DATE
1715 sQ. Fs. ,]-783
THEAMOUNTSNOWN UNDE
THE PURPO6E OF ESTABLISHIN
v���A �
Q i PERMIT I
PLAN CH
�
�
O
VALUATION IS FOR
A PERMIT FEE ONLV: �
E $ N
�
K s . 'JrO E
a �' LL
FEE $ �