HomeMy WebLinkAbout3442 MEADOW BROOK - Building PermitsPflOJECT FU�BESS: 3 Q Q 7 MEADOW BROOK ueir: ��
OWNEfl'S NAME: �JILLAGE CREE�K -HOMEOWNERS
aooaess: ASSOCIATZON
3429 'PIMBER LAKE
CM VA 92626•
AflCHIENGINEEN: CHESTEA CARVILLE aec.xo.: C18305
aooxess: 792Z p,Rp,OUR ST uxiT: '
S,D. CA 92111
PEFMITTEE: pHOENIX EN'I'ERPRISES INC. ( 213 ) 690-9559
aooncss: 411 COMERCIAL WAY
' LA HAHRA � CA 9063].
UCENSEO CONTFNCTOfl OECLFFATION: I hereby affirm that I am b untl pmvisions ol ChaO�e� 9 Icommencing wilh Sec�ion
7000� ol Div��sion 3 otthe Business and Pmfessions Code. anU m� e is i ullforce and eflect. —
ciTvuc.: 50 88. sT c:376639 �B�
�aie: _�t� �.��� Signaiure: _ _ _ _
wOBNEXS' COMPENSATION oECIABATION: I nere6y aftirm Ihat I have a cenilicate of consenl to se0-insure or a ce ' e of workers'
Comp¢n5alion{!� pcG, t�(�ifie0 topy thereol �Section 3800, Lab.
POLICY NO.: ,• �V U��`� E%P. OFTE: 7� O 1� 9 1
�OMPPNY: CA COMP & FZRE �
CenAied copy is hereby turnished/.� ❑ Certifie0 coDY �s file �it the c uiltling Division ,
Oaie: ��(,T I/AOPlitanC `
E%EMPiION FPOM WOHHEPS' COMPENSATION OELURR710N: (7his section nee nat be completeU il l e permit is for one �unarea (5700� ar less�.
I cetlify Nal in the pedormance o� Ihe work lor which Inis permii is issued I s�all noi employ any person in any manner so as �o become
sublet� �o Ihe VJorkers' Compensation Laws of Calitomia
�are: SignaNre: "
NOTICE: II, a�ler making �his declaralion, you should become suble�� �o �he Workers' Compensa�ion provisions o� �he lahor
COAe, you mus� fotlhwiih comply wi�h such pwvisions or Ihis permi� shall �e tleemetl revokea.
CONSTqUCTION LENOING RGENCY: I here6y affirm Ihal Ihere is a consimction lending agency lor ihe perlormance ol the work for
whith �hi5 Oermi� is iE5ue4 (SetliOn 3097, Civ. C)
LENOEH:
ROONESS: ' ' .
OWNEN BUIIOEF DECLl�BATION: I h¢reby a��irm ��a� I am eKempt �mm tne Cantracmrs' Sta�e License Law for Ue Ioilowing reason
(Section 7031.5 Business and Pmfessional CoOe: Any ci�y ol counry which requires a permi� ro consimct, al�er, impmve, tlemolish. or
repair any slmc�ure. prior Io its issuance. also requires ihe aDPlicani lor suc� permi� to file a signe0 s�a�ement ��a� helshe is licensetl
pursuant Io Ihe provismns of Ihe Comractors State License Law (Chapter 9(cammencing wi�h Section 7000) o� Division 3 0� Ihe Business
anA Pmfessions CoOe) or tha� he/she is exempt thereimm ana the basis for ihe allege0 exemDtion. Any violation of Sec�ion 703L5 by
any applicanl lor a permit su6lecisAhe applicant to a civil penalty of not more ihan five hunOred tlollars (5500).
I, as owner ol ihe propeny or my employees with wages as iheir sole comDensation, will do Ihe work, antl Ihe
� simcWre is nai inten�IQtl or of�eretl for sale (Seclion 7044, Business antl Pm�essional Code: The Coniractors S�aie License Law
tloes noi apPly Io an owner oi a Dmpertp wh0 butltls Or improves Iherean, antl wh0 tloes Such work himself/h¢rsel� or Ihmugh
his or ner own emoloyees. provi0etl that such impmvemen�s are not intentled or otteretl for sale. If, however the �uiltling or
� impmvement is soltl within one year of completion, Ihe owner will have ihe bur0en ol O�oving he/she ditl not hui10 or imDrove
' for Ine purpose of sale). �
I. as owner ol Ne Dropeny, am exclusively coniracting with I¢ensed contractoR to constNct ihe project (Section 7044, Business
❑ anA Prote55ion5 COUe'. The ConlraCi0r5' Slale license Law tloes nol apply l0 an owner Oi Drope�y who bui105 ar imprOves �here0n
.and who ConlraClS far Such pmlecl5 wi�h a tOniratbr�s)litense OurSuani Io Ihe COnVaCtors State Litense Law). I am aware
Iha� pm01 oi Iheir Worker's Compensaiion insurante ShoU10 6e providetl �o me.
� I am exempl untler Sedion: 6. 8 P. C. '
brlMs reason: .
�aie: Owner.
I tlo nere�y cenily Iha� I am aware ol ana undersiand t�e requiremenis ol Calilomia Heal�h and Safety Cotle Sections 25505, 25533, antl
25534 antl ihat I or any �mure buAding ocapam wilVwill nm (circle one) need to comply wiN said slale codes an0 ihe requirements �or a
permil lor conslmclion or motlification Imm Ihe Air �uahry Management Dislrict Resitlen�ial conslmction applicalions are exemp� from
lhese omvisons.
oaie:
I tier�iy cer�ity thai I have reaa Inis
ortlinancesa dstalelawsrelalingto
pioDetly lo inspec' p�r ses
Date: _ / ` v �
Driver's License or Social Security�
QOPlicanC _
� antl slale that ihe
Signaiure: _
I agree to c9p� with all ciry antl
�hls Ll�y �g�te�pan Ihe above�mf
1641�46 Wmie—Buildlnq: Green—Code Enforcemen�; Canary—Appli[anL Pink—Re.venve: Goltlenm0—Assessor
CITY OF COSTA MESA — BliILD7NG PERMIT . PERM NO: � 05063._
PERMIT NO: B 050637. ,'. PLAN CHECK N0; 00087.-91 A. GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR _ � ; PURPOSE: REP .
JOB,DESCRIFTION : REPAIR SETTLEMENT DAMAGE ., SQ FT: ,143
CLA3M VALUE:;_' 14,300.00 CALC—VALUE: 19,300,00 GRUUP OCC; R-3 /'
COMMENTS: BiJILDING SETTLEMENT REPAIR/FOUNDATiON � � '
**��t**�**x �*�*******f�****��****�cx*x**�x******��*�u�**+t�c***�****+�*� x�t�*� �***±�*�t+�**
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 ' —
_'_—_ " ___'__' T 7 _'___ " _'
---- ------- MAIN'BUILDING ----- ACCcSSORY BU_LD.NG
FRNT: FT IN REAR• FT IN cRNT; FT IN REAR; 'r'T iN
LEFT; FT IN RGi-IT: FT' IN LEFT; FT IN RGHT: FT IN '
i�ARKZNG REQ• PROV; PARCEL: 93506124 ZNE; R2 REF NO;
PLANNING NOTES> FOUNDATION REPAIR. , -
i.. _ . _ _ '" "
***��****�*����*�,��*�*x*�****�*�u*���x*�*��*��,���*'*+��*�*��*�*��*+��*�*x�*�******x* �
D E V E L O P M E N T 5 E R V I C E S R�E Q U I R E M E N T S
20NING APPROVED BY �,/ �— � DATE: Ol lS�)
BiJILDING APPROVED BY : c-.� l t—l7�Yw DA'PE;
APPI.ICATIOtd ISSUED BY: DATE; � '
iFifjFiFlfiE*iE�E3FiF�fiE.1F3k�)fifi(�iE3Elf3E . Fi"�R-�3EiEiflPikif�lElE�ILiE 3E3F
ifif-lF3fifdf3F�EiEiElF3E�EiEiEitiflf�fiEiEiEiE�kiE1E1E3FiFi(�ik3kifif �IE3EiEiFiflflEiFiFiFiE*3FlE3FiElEliiEififlEiElfiFiElf3EififiEiFiEiEiFaflfiFiElFiEiE1F�E
LEGALIZATION:N F E� S U M M A R Y ' STRUCTURAL;SEGMENT:Y
BLDG PMT PI,UMBING /FLECTRIC MECHANIC FIkE SI�IP/RE:S GRADING
PERMIT 162.00 / 1,00
SMIP/Nc�N—RES ,
PI.AN 26.33 �
ISSUE FEE � �
BUILDING—DIV—> PERMIT, TSSUE PLAN—CF3ECK TOTAL, PAID. DUE
TOTALS----> 163.00 0,00 26,33 189,33 189,33' .00
REVF.NUE DIVISION TOTALS--> COLLF.CTED: 189.33 OVER/SHORT: .OU
HLDG PMT PLUMHZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
• 162.00 , � 1.00 � ' z6,33
�F iF iE iE 1F iE ik �F �f jE iE !f 1E if !F jE iE iE iE �1e IF if !F 1! if !f jE if 3E iF jE # iF 1f 1E �IF 1f iE k iF iE iE k# if iE if !f jE if 3f 3f if 3E if iE i! !f fE if It iE iE #E iE iF if iE 1Eif 3F � iF if i( ik k iE ik
I N D I V'I D U A L F E E B R E A K D O W N
TYFE QTY D E 5 C R Z P T Z O.N UNIT COS'P TOTAL COST
SFR 143 STRUCTURAL BY VALUE PER �100,00 100,00 14,300,pp
E2vD OF EES
0
V
— �_��ii..�00?>'..4!t—flL'.Qi°�27.t -r�v..,.. _ --- --_'--
�
CONSTRUCTION AND PLANNING
APPROVALS Permit #
1. Temporary Electrical Servi'ce or Pole
2. Soil Pipe-U�drgmd. ���
r
3. Electrical Conduit Utility-Und7grnd. _
4.�E�ectrical Conduit-Undrgrn¢ y
5. Steel Reinforcemeni �'' .
6. Electrical UFER Grnd.
. ��7. Footings � ' `
.
8. F,o'undation � � :/�
9. Water Pipe-Undrgrnd. �� je x
10. Structural Floor System �!f � •
1 t. Property $ewer Line &`�House Conneciioa
1'2. Sewer CaP . ' , � , .
�
13. Roof Drains ' � �,')
14. Rough Plumbing � i�
/ ._ �
15. Rou h Electrical�Conduit�
9 /�
76. Rough ElectrirWiring %,, i�
77. Rough Wiring Sign f,
L �
18. Aough Elettrical-T Bar Ceiling 1
19. Rough Heating & Air Coriditioning �
20. Rough Facto_ry Fireplace � �
21. Ducts, in Structure� �
22. Ducts, Ventilating_ • ' '
23. Gas Pipe-Rough & Test .
24. �Roof Framing ' � .
25. Roof Sheathing ' ' � �
26. T-Bar Ceiling (Structural) & Monocoat '
27. Frame and Flashing
28. Lathing & S�ding � . . _
'29. Insulation '', . ��
30. Drywall.Nailing � •
37. Plaster Brown Coat' '
32. Electrical Power Meter�Final� �
33. Final Electric, � ' , . �
34.-Final Heatin9 & Air.Conditioning � -
35. Final Gas Pipe-Test • �
36. Hood or Canopy -
37. Final FactorV Fireplace '
�38. Final Plumbing � . �
39. Water Service�Final�
40. Gas Service-Final - , , _
� 41. Solar pomeStioFinal ' �
42.'Backflow Preventer. ,`
. 43. Backflow Irr�gation� �
.44. Landscape Irrigation SYstem -�
"45: Sound Attenuation �
46. Handicap Regulations ' .�
47'. FINAL STflUCTURE & BUILDING
48: FINAL PLANNING
. �49. Electric Relaase to Edison
.50..Gas Release to Sou4hern California Gas C
51f. CERTIFICATEOF,OCCUPANCY
Date
Date
.�
7
n
F. � & SPA
Inspector qppROVALS Pe 't #
rm�
' 52. Pool & Equipment Location
53. Steel Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVALTOCOVER-GUNITE
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines, P-Trap, O Undrgrnd.
61. APPROVAL TO DECK
62. Backwash & Receptor-Final
63. Heater & Vent-Final
64. Plumbing SYstem - Final
65. Electrical-Final
66. Solar System-Final
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
APPROVAIS' Permit# �'
. i
�;70. Underground Hydro .
� t71. Product Piping O Gas O'Oil
- 72. Underground Flush � ,
' ' 73:.Undergrnd. Storage Tank O Gas ❑ Oil
. 74. Overhead Hydro_ � -
. ' 75: Dry Chemical ' � �
76. Dry Standpipe '_ � �
77: FIXED SYSTEM FINAL`
t� � '
78. FIRE PREV. FINAL � �,
HEALTH•DEPT•: REQUIREII
I' , .79. FINALINSPECTION �' '
�� . 80. FOOD CERTIFICATE ISSUED
I � ,
. 'Nofes: �
' i �f,GU,U/
' . i -
�
�
�
Date Ilnspector
a
OWNER
JOB ADDRESS
GENERAL CONTF
D �. _
h- ECTIONS
501 L
GAS
WATER
ROUGH PLUMBING
PROP. SWR. LINE �
SPFINKLING SVSTEM
STATE-WIDE Developera, Inc.
PA t1W TA(1
MISCELlPNE0U5
ROUGH MEATING AND AIR CON�ITIONI
TEMPORARV SERVICE OR POLE
UNOERGROUND � POWER �
ROUGH WIRING
BONO BEAM n STEEL R
CYFATYII�l:
FPAME AND FLASHING
LATHING - IN (
PLqSTER, BROWN COAT
5� 'URFL, FINAL
ME. .,JG, VENT., REFRI
PIUMBING,FINAL AN��
ELECTFIC, FINAL
BUILDING, FINAL
STEEL
ANO A.C., F
� TEST
Dafe
DATE 4-28-'
BUILDING PER�AIT N
RIPTION of WORK • '
ZONE VALUE$ �q_
PE GFOUP r_�
SUBCONTRACTOR PE
COSTA MESA�BUILDING=SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
OWNER �Latie-wiae
ADDRESS 9461 Grindl
aT� CQ��ress /
BRANCH
ADDRESS
ARGHITECT
CONTRACTOR StatQ-WjQ
aooRess 9461 Grindla
c�rv Cypress
LTC. NO. ZZ47� O
OFLOT �2.093 acres
USE OF
EXISTING BLDG.
$12E OF NO. OF
ROOMS STORIES
'r COV�ERING Shake
WORK TO BE PE:�FORMED
truction-Condominiums
EXTERIOR WALL
COVERING
USE OF eUILDI
TE
nc
I
-4550
6-4550
CITV
LIC. NO.
INO. OF e�LDGS. O
NOW ON LOT
FAIL I
�'��' i3��`�«,�.00� �o�== z,r�23�.23
APPIICATION FOR BUILDING PERMIT
RECEIVED BV DATE FECEIVED DATE�
I2-7I/-�/OZ ..PE MI N.'.
A.P. NO. � b�
BUILDING �QqZ /U%CGQ/dw ,c�n6o �
ADDRESS ��J
TRACT �AFSSO LOT BLOCI
NE NO.Of USE OF NEW�
'^r � /� FLANS z BUILOING
VAFOS APPROVED VAROS API
MAIN BUILDING ACCESSORV
�� FT.
- BET. BET. MAIN &
VAR. # .�r
C.U.P.# {�
pPPR�VED
HOLD FQR
"/ �o
1 hereby acknow�edga that 1 hava reatl this application antl rtata � J
that the above IntormaHon is cortect end agrae to comply wit�
all laws regulatinB builtling consttuetion, antl I shall not amploy
any Oerson in violation of the workman's compensation laws of
tha Scate af Californla, �
I hereby rertify that I am properly Iicensetl as a conttactor untler 0 sn. FT. J-645 C
ihe STate of Californie Businecs antl Protessions Cotle, Divlsicn 3, THE AMOUNTSHOWN VNDER VALUATION IS FOR ��
Chapter 9, antl that such licenses are in full force and effect, or I THE PURPO6E OF ESTABLISHING A PERMIT FEE ONLV: m
am exampt froT th0 proofiiOns o4 tha State Of Caliiomfa Businesa �
VALUATION w �
antl Professions Cotle, Division 3, Chaptar 9. Q � PERMIT FEE $ v-V m
Stat -Wide Deve,lo e, Inc. _7 qD�j�--- � �
Slgneture C�(.�y m
Permirte� $�I�TF�H:b' PLAN CHECK $ f E
O
LL
Authorizatl Ageni V� CQ PI'eS� del�I TOTAL FEE $ /