HomeMy WebLinkAbout3443 MEADOW BROOK - Building PermitsPflOJECT ROOflESS: 3 Q� 3 MEADOW BROOK , uNiT: ,
OWNEB'SNAME: VILLAGE CREEK HOi4EOWNERS
aooeess: ASSOCIATION
3429 TFMBER LAKE
CM.VA 926'6
� AflCHIENGINEEX: CHESTER CARVZLLE r flEG:NO.: CiB3OS �
aooaess: 7922 ARMOUR ST I1NIT:
S,D.• CA 92111
PEflMITfEE: PHOENIX ENTERFRISES INC. (?.13)690-9559
PDDflE55: 411 COMERCIAL WAY � �
• - LA HABRA CA 90631
❑CENSEO CONTflRCTUfl OECNflFTION: I hereby affirm Ihal I am li etl naer pmvisions ol ChaD�er 9(commencing wi�� Section
7000) o� Oivision 3 o�I�e Business antl Pmlessions Code antl c e in �ull�orce and I.
cirvuc.05078 TEuc.:376639 - — - —5 B
Dale: � Signalure' — —
wORNEBS' COMPENS TION oECLABA7lON: I nereoy aftirm that I have a cenificate ol consent to self-in e or a certificate of Workers'
compensgtion �uf�b aj gcp�ntlietl copy thereol (Section 3800. Lab. �I.� � U I I�] I
POLICV NO.: E%P. DFTE: ,
OMPANY: CA COMP 6 F3RE •
� Ce�ifjed cop is hereby Wr9�shetl. ❑ Cehilie0 copy is li� he Builtling Oivision.
� �-- �/(y
Daie: �' � ` � Npplicanl:
E%EMPTION FROM WOBHEXS' COMPENSIITION OECUflATION: (This seclion nee0 nat be completeA il Ihe permil is lar a tlreU �5100) or less).
I cenify ihat in ihe pedormance ol the work for which ihis permit is issued. I shall not employ any person in any ner so as to become
Su�le�� �o lhe WOB¢rs' Compensalion.Laws o� Calilomia. �
�ate'. � Signaiure: '
NOTICE: Ii. af�er making ihis tledaralion, you shoultl �ecame sublec� �o Ihe Workers' Compensa�ion p�ovisions of the Labor
Cotle, you must �oMwith comply wi�h such provisions or Ihis permi� shall be Ueemetl revoke0.
CONSTPUCTION LENDING AGENCY: I hereby aliirm t�at ��ere is a consimt�ion lentling agency �or Ihe pedormance of �he work for
which ihis oermit is issued ISec�ion 3097, Civ. C1-
LENUEX: �
aooeess:
OWNEN BUILOEB OECLAFATION: I hereby afiirm ��at I am exempt tmm Ihe Contraclors' Sta�e License Law tor Ihe following reason
(Section 7031.5 Business antl Pralessianal Coee'. Any cily ol c0unry which requires a Dermi� �o cons�mc�, alter, impmve, tlemolish, or
repair anY 5lmciure. prior Io i�s issuance, also requires Ihe applicant br such permit �o �ile a�signed sla�emen� �ha� he/she is licensetl
pursuanitathe pmvisions ofthe ConVac�ors'$Iaie Liceri5e Law(Chapter9(commencing wilh Seciion 7000)ol�ivision 3 o�the Business
anA Profesvons Cotle� or tha� �eishe is exempt Nerelmm antl ihe basis (or t�e allegetl exemption. Any violation oi Semion 7031.5 by
any applicant lor a permil su61ec�5 the aDPlicant lo a civil penally ol'no� more t�an five huntlre0 dollars ($500). �
I, a5 Owner of Ihe pmperty or my ¢mployees wi�h wages a5 ��eir Sole Compensa�lOn, will 00 Ihe work, antl Ihe
� slmmure is nol intentletl or oiferetl for sale (Section 7044, Busine5s antl Pmiessional Code: The Coniractors' State License Law
tloes not apply�o an owner ol a pwpeny who builOs orimproves ihereon, antl who tloes such work himselflherself or throuAh
his or her own emDloyees. Dmvided ihat such impmvemenls are not intentle4 or oneretl for sale. II, however the building or
improvemenl is soltl wilhin one year o� completioq �he owner will have �he 6urden ol proving he/she tlitl nol builtl ar impmve
�or Ihe Ourpose of sale). '
I, as owner of Ihe pmpetly. am exclusively con�racling wiih licensed contractors �o conslmcl the pmject (Sec�ion 7044, Business
❑ and Pmlessions Code: The Contrac�ars' State License Law tloes noi apDly �o an owner oi pwperty who builtls ar impmves �hereon
antl who contrac�s for such pmjec�s with a tontractoqs)license pu�5uani to the Conirac�o�s' S�ale License Law),I am aware
I�at pmal ol their Worker's Compensation insurance should be D�ovided �o me.
� I am exemp� untler Seclion: 8. 8 P. C.
for �his reason�. ' - -
oate: � owner
I tlo �ereby certify Ihat I am aware al antl understand Ihe requiremenls o� Cablomia Healih antl Sa�ery Code Sec�ions 25505, 25533, antl
2553C antl �hat I or any INure buiiding occupant wlll/wiil not (circle one) need �o compty wlth saitl sta�e codes an0 ihe requiremenis for a.
permit lor constmction or motlilicalion imm IAe Nir Oualily Managemen� DiSlricL Residential cons�mc�ion applicaiions are exemp� �mm
1�¢Se provisians. �
�ate'. qpplicanl'. _
I h¢re�y cetll�yl�di I haV¢ l¢ad Ih15 appllCdllOn ana Sial¢�h3tlh¢
ordinancesan� sia�elaws rela�inglo building con5lmc�ion and herel
pmperty f r Inspo II � Ourpos�
�aie:_ �`�(_ SignaWre:—
Drivefs License or Social Sea�iiy a:
correcl. I agreeto comply with all
itives a� ihis city tp�¢fV� upan lhe �
164va6 W�i�e—Bmltling: Green—Cotle Enlorcemenl'. Wnary—Ap0liwnL Pmk—Revenue: Goltlenrotl—Fssessor
CITY OF COSTA MESA — 3UZLDSNG PERMIT. PERM NO; H p50637
PERN.IT NO: B 050637 PLAN CHECK'NO: 0007,7-91 A GOVT; S�:
CUNSTRUCTION TYPE: V—N � PERMIT TYPE: STR FURF05E: REP
JOB DESCRIPTION : REPAIR SETTLEMENT DAMAGE ' SQ FT; 14,3
CLATM VALUE: 19,300,00 C'ALC—VALUE; 14,300.00 GROUF OCC: R-3 /
COMMENTS: HUILDING SETTLEMENT REPAIR/F'OUNDATION
3F 3E 34-1E iE 1E �1E iE 1E if N� IF 3f 3E if 3F If �1F if 3E IE iE )E 3f 3E # 3f iE 1E aE iF if fE if if if �IE 3E 3E iF �E iE iE IE jE iF 1E iE iE 1E 3E 3f iFlE �F IF'iE iF #E iE i6 iF .Y- iE �F jE iE tE N� 3E i4-lf if I(- iF 3E iF iF 3f
�Z O N I N G R E Q U I:R E M E N T S
•S E T H A C K 5
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR; FT IN FRNT; FT ZN REAR; FT IN
LEFT; FT IN RGHT: FT IN LEFT; cT IN RGHT: FT IN
�ARKING REO• PROV: PARCEL: 93506124 2NE: R2 REF NO;
PLANNING N6TES> FOUNDATION REPAIR. �
� i
if af iE IF if iF if If lE iF if !f iE if 3f 1F iE * 3f 3F ip 3f �E 3F iE it 1E iE �F iF 9F iE if �F if IE if !E ik 1E iE IE it 3E iE 3f dE !F �F if # iF 3E if if if 1f iE if dE 3E iE iE 1E iE iF !E 1E.iF iE?F iE iE R iE iE iE iF i4
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 (�.�/ �� �—�-- DATE; �! I S�I
HUZLDING APPROVED HY : t'-' �'— '� �`�`� � DATE: ��
APPLICATION ISSUED HY: DATE:r. •—`�
�)k 3F 3f iE iE �16 �f-if iE �1F iE if iE �lE 1E iE iE 3E if ie iE aF �'iF7F 3E IE k 3f iF±4 3(-�E �41F7�'�£ if if
�lE3EiF3EN�ikiFlEif#Fif�FiE.1EiFiEih*3f�IflFIEiEif1FK-��1f�EiEjEjEiE�FlP�f3 E�1EiE1'r3FiE�(�9E-1FaElEiF3FifiEif�3f3fjF3EiEiEi!#6jEiEiF3E-IF#3FiE�F�fiF7fi63'tiFlf�Ei�
LEGALIZATION;N F E E 5 U M N, A'R Y STRUCTURAL`sSEGMENT:Y
HLDG PMT PLUMBING EL.CT'RIC MECHANIC FIkE SMZP/RES GRADINC
PERMIT 162,00. 1,00
SMIP/NON—RES '
PLAN. 26.33 "
TSSUE FEE '
BUILDING—DIV—> PERMIT , ISSUE FLAN—CHECK TOTAL PAZD DUE
TOTALS----> 163.00 0.00 2.6,33 189;33 189,33 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 189.33 UVER/SHORT: ,00
BLDG PMT PLUNBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—C$ECR
162.00 - 1.00 26.33
iE iE iF if !E iE iF ik iE iF 1F #E 3E 3F if IElf iF iF jE if iF iE iE IFlF IF if 1E iE iE ih K� fE iE iF iF �!E �1F iFlE iF 1E iF iE iF #!f i41E iF k 3f if !E �f iE iE ik 3E iE iF iF af 3E #F iF iE iE iE iF iF iE y* if fE i!
� Z N D I V I 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 2 O N UNIT COST TOTAL COSi
SFR 143 STRUCTURAL•AY VALUE PER 5100.00 ,10U,00 14,300,OQ
F.ND OF BEES
UA7QDdinq��_�]t)t77 �
` o1i�3rq� i14'; n'��p'
V
"7.v� _
CONSTRUC710N AND PLANNING �
APPROVALS Permit # ,_ a
� 1. Temporary Electrical Service or Pole
;,
2. $oil Pipe-Undrgrnd. ja�
3�. �Electrical Conduit Utility-Undrgrnd. .
4:�Electrical Conduit-Undryrnd:"" � �'
5. Steel Reintorcement
� 6. Electrical UFER Grnd. �
7. Footings
8. Foundation � � ��l^
9. Water Pipe-Undrgind. i� �iii � f!
10. Structural Floor System��; " f.
11. Property Sewer Line & House�Connection
12. Sewer Cap �,1 '
13. Roof Drains- � :� ����
14. Rough Plumbing � f; /'
15. Rough Elect��ca�-Conduit ' ;
� 16. Rough ElecCric Wiring �
�
17. Rough Wiring Sign
18. Aough Elect�ical-T Bar Ceiling
19. Rough Heating & Air Conditioning �
20. Rough F.actory Fireplace � � -
21. Ducts, in Structure ,
22. Ducts, Vent�lating- �
23. �Gas Pipe-Rough & Test �
24�. Roof Framing � �
25. Roof Sheathing , - .
26. T�Bar Ceiling (Structural) &-Monocoat
27. Frame and Flashing
28. Lathing-& 5�ding - : r , + �
29. Insulation . -
� 30. Drywall Nailing , �
31. Plaster Brown Coat, ,-
32. Electrica�l Power Meter�Final � .
33. Final Electric � ' ; '
�_34: Final Heating'& Air Conditioning, �
35. Final Gas PiPe-Tesi- . �
36. Hood or Canopy' .
37'. Finai FactorY Fireplace -
38..Final Plumbing . �
39: Water Servite-Final
40: Gas Service•F�nal , ,
- 41. Solar pomesticFinal •
'� 42. Backfiow Preventer`. ' ''� "
I. 43. Backflow Irrigation
' 44. Landscape Irriqation System '
45. Sound Attenuation
46. Handicap Regulations
47: FINAL STFUCTURE & BU�LDING
48. FINAL PLANNING �
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATEOF,OCCUPANCY
No. Date
u
�
0
�
F � & SPA
Inspector AppROVALS Permit# Date Inspector
52. Pool & Equipment Location 1
53. Steel Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVALTOCOVER�GUNITE
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, � Undrgrnd., Test
60. Backwash Lines, P-Trap, O Undrgrnd.
61. APPROVALTODECK
, 62. Backwash & Receptor-Final
63. Heater & Vent-Final
64. Ptumbing SYstem - Final
65. Electrical�Fina�
66. Solar System-Final
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
��' APPROVAL'S -Permit# '
_ . . � �70. Underground Hydro �
-71. Product Piping O Gas ❑ Oil
- � 72 U d d FI h '
1 . , . n ergroun us . _
"� - - ' • 73. Undergrnd. Storage Tank O Gas ❑ Oil ��
� . � ' `74: Overhead �Hydro �' _
' _ � ' ' 75:,DryChemical -- ° .
� ` � 76. �Dry Standpipe ' , �' -
• � 77. FIXED SYSTEM FINAL'
i I (• , 78� F�RE PREV. FfNAL
� � ! � HEALTH DEPT. REQUIREMENT
�
' � ! �' _ 79. �FINAL INSPECTION ;
. � I 80.� FOOD CERl'IFICATE ISSUED .
; j ' � - Notes: . '
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OWNER
JOB ADDRESS
GENERA CO
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I, -CTIONS
SOIL
GAS
WATER
ROUGH PIUMBING
PROP. SWR. LINE
SPRINHLING SYST
MISCELLANEOIIS
ROUGH MEATING ANO AIR CON�ITIONING
UNOERGROUND
ROUGH wIRING
TRENCHES �
FLOOR SVSTEM
BONO BEAM
SHEATHING
POWER
FORMS LJ STEEL REINF.
STEEL REINFORCE I—I
FRAME AND FLASHING
LATHING — IN OUT
PLASTER, OROWN COAT
5'
H.
IG, VENT., REFRIG. AND A.C, F
IING, FINAL AN� GHS TEST ��
BUILOING. FINAL
DATE 4-2R-
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
AooREs"s3443 Meadow Brook
OWNER State-Wide Developers, Inc.
Ao REss9461 Grindlav
�,T„ Cypress No`�826-4550
CONSTRUCTION
LENDER
BRANCH
ADDRESS
ARCHITECT . . , . ... . _ _ �.. TEL. rr� ���..
o.00REss17848 SkyPark Blvd Irvine
CONTRACTOR State-Wide Developers, Inc.
AooREss9461 Grindlay
o�T� Cypress No`826-4550
� c No. 224710 LICVNO.
OF LOT 12.093 dCl`25 I NOW ON LO � O
USE OF
EXI5TING BLDG.
SI2E OF NO. OF
NEW BLDG. ROOMS STOflIES
COVERINGALLP�a�Ce1� COVERING Shake
VSE OF eUILDI A D WORK TO BE PERFORMED
New contruction-Condominiums
1 Residence w/att gar
I hareby acknowletlpe that I hava reatl this epplicetion antl state
that the abova intormaxion is correct antl aprae to comply with
all laws regulat7ng builtlinB construction, entl I s�ell not employ
any person in violation of the workman's compensation laws ot
ffie SWte af Celifornle,
I hereby certify that I am properly licensetl as a conbactor under
tha State of Californie Business antl Professions Cotle, Divisicn 3,
cnepie. s, and mat such licanses ere in full force end aftact, or I
am exempt trom the provisions of the State ot Calltor ia Business
antl Professions Cotle, Division 3, Chapter 9. /
_. c-S.tate-Wide Develoaersil X c.
Permittee _� �'--1� �
AuthorizatlABent Vice President
PA:G
MCl' 13-76�7.—,s�00 763� *'=r220.00
APPLICATION FOR BUILDING PERMIT
:EIVEDBV DATERECEIVED npTFISSIII
BUILDING A�/
i1DDPE5S —�TY'3
APPROVED
�ok
NE NO.OF USE OF NEW
/r'L C�/7 P�ANS 2 BUILDING G
VARDS APPROVED VARDS AI
MAIN BUI�DING ACCESSOR'
DI5TANCE BET
MAIN BLDGS.
VAR. #
C.U.P. �W Z`
APPROVED ,
FOR
BET. MAIN &
ACCE�. B�DGS.
�ATE
APPROVED //i��
DATF � Z` ��
tEQUI2 aS
^�
1381 sQ.Fr. J-534
THE AMOUNT SHOWN UNDER V
THE PURPOSE OF ESiA6LiSHING A
VALUATION p�'
a�/'��n ` PERMIT FEE
FEE
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0
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m
7
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