HomeMy WebLinkAbout3446 MEADOW BROOK - Building Permitsi �
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PBOJECT p00BE55: j�I Q EJ MEADOW HR��I{
OWNEfl'S NAME: VILLAGE CREER HOMEOWNERS
aooness: ASSUCIATION
3429 TIMBER LAKE
CM VA 92626
UNIT:
AflCMIENGMEEfl: CHESTER CARVILLE -� aec.xo.:C1830S
aooness: 7922 ARMOUR ST uNiT:
S.D. CA 92111
. PEflMITTEE: PHOENIX ENTERPRISES � INC. ( 213 ) 690-9559
anoRess: 411 COMERCIAL WAY
LA'HABRA CA 90631
IICENSEU CONTflPCTOfl OECIAflFTION: I �ereby affirm tha� I am lic tl r provisions o� Chap�er 9(commencing with Sec�ian
7000� o� Drv��sian 3 o��he Business antl Pro�essions Cotle, antl my ' i i Iuiliorce and eil
ciTruc�050� 8 r euc.:376639 , B _
�
Oale: SignaWre: _ _ — L/�� — _ _
WOBKEBS' COMPENSATION UECLAPATION: I M1ereby aflim tha� I �ave a certi�icale oi conseni Io selt-insme o certilicale of Workers'
comPensation �agc6 0� �c�miea copy inereoi ISection 3eoo. �ao. �.� � O S/ 9 1
POLICY NO.: CA COMP & FIRE E%P. DFTE: ,s '
�OMPANY: . �
Certi�ietl copY is here6y Wmislted ❑ Cetlifie0 copy is fi'. ' I the BuilOing Divisio /�1
Oate�.-1—.Lld—� ADDlicanl . `-'
E%EMPTIONFPOMWOflNEHS'COMPENSRTIDNDELLAflATION: QhiSsettionneeAnotbecOmpleletlilihepermi�isfor .ehUn4rtN�5100�or1e55�.
I certi�y that in �he pedormance ot Ihe work lor whic� Ihis permi� is issue4 I s�all noi emDloy any person in any manner so as �0 6ecome
sublecl to Ihe Workers' Compensation Laws of Calilomia.
Daie: Signa�ure:
NOTICE: If, afler making Ihis tleclaraiion, you shoulA become subled �o �he Workers' Compensation pmvisians oi Ihe La6or
, Code. you must iarthwiin compty wi�h suc� pmvisions or Ihis permi� shall be de¢med revoketl.
��. CONSTflUtTION LENOING RGENCY: I hereby alfirm Ihai �nere is a conslNc�ion lending agency for ihe periormance o� the work for
whith Ihis pCrmii is i<Su¢d (Sec�ion 3W7. Crv. C�.
LENOEX:
nooaess:
OWNEB BWIOENDECLl�BATION: I hereby aifirm Ihal I am exempt fmm fhe ConVacrors' State License Law �or �he �ollowing reason
(Seclion 7031.5 Business antl Pmtessional Cotle: Any city of counry w�ich requires a permi� to cons�mct, al�er, impmve, demolish, or
repair any slrutlure, prior �o ils issuance, also requires �he applican� �or such permi� Io �ile a sign¢tl statement Ihat he/s�e is licensed
pursuam Io the pmvisions ot ihe Cantramors' Sta�e License Law (Chapter 9(commencing with Section 7000) oi Oivision 3 of Ihe Business
ana Pmlessions Cotle) or t�a� �e(she is exemp� I�erehom antl Ihe basis tor �he allegeA ezemplion. Any viola�ion of Section 703L5 by
any applicant �or a permn su�jeds the appl¢am to a civil penalty ot no� more �han live hundre0 tlollars (5500).
I. as owner ol ihe proDe�Y o� my employees with wages as iheir sole compensation, will Oo ihe work, antl the
� stmcture is not imenUed or offere0 for sale (Section 7044, eusiness antl Pmiessional Cotle: The Conimcrors' State License Law
tloes nol aDPly lo an owner oi a pmperiy who huilds or impmves �hereon, anU who tloes such work himselOherseli or thmugh
his or her own employees, pmvitletl �ha� 5uch impmvemenis are noi intentle0 or olteretl �or sale. Ii, however �he building or
impmvemen� is soltl wrthin one year oi complelion. Ihe owner will have �he GurGen o� pmving he/she tlitl nol build or imD�ove
for the purpose ol sale). . -
I. as owner af Ine pmperty. am excWsively contrac�ing wiih licensed cont�acto�s �o consimc� �he praject (Sec�ion 7044, BuSinEss
�❑ ana Prolessions Cade'. The ConVacmrs' Siate License Law tloes nol apDly to an owner of Oroperry who OuilUs ot improves �hereon
and who coniracis for suc� prole��s with a conVactar�s) license pursuant lo Ihe Con��actors' $Ia�e License Law�. I am aware
tha� pmof oi Iheir Worker'S Compensation insurance s�ould �e Omvide0 �o me.
� I am eKempt maer Section. 8. 8 P. C.
lar Ihis reason'. . .
oaie�. Owner:
i
I tlo hereby cetlity Ihat I am aware ol antl un4ers�anA Ihe requiremenis ol Cali�omia Healih and Safety Cotle Seciions 25505, 25533, antl
25534 ana Iha� I or any fuWre builtling occupani will/will no� (cucle one) need io comply with said s1a�e cotles antl �Ae requiremenis �or a
permit �or consimction or matlilicaiion �rom Ine Au Oualily Managemem Dislrict. qesiden�ial consimction apDlications are exempl �mm
mese pmvisions.
�ale: ApplicanL _
I here�y certily Iha� I �ave read Ihis apphcalion antl Slale I�at
ortlinance antl sldie laws relaling �o bwltling consimclion ana h
propeiry i ms0���io� p� rt�pos/e/s�� ��
Oate: _ ��'/�1 ��I 1_ Signalure.
' i� 1
Driver's License ar Social Secunly M:
is correcL I agree lo comply with all city antl
ntalives a7 �hi52lfyko enter uoon I�e above�me
16Gt a6 While—Bmltlmg; Green—CoOe EnlorcemenL anary—Applicam: ink—Revenue: GOldenroa�Assessor_--- -
� ' CITY OF COSTA MESA — BUILDING PERNIT. PEk NO; B �
PERMIT NO: B 050634 PLAN•CAECK NOe� 00080-91 A GOVT: S PcTI
CONSTRIJCTION TYPE: V—N PERMIT TYPE; 5TR � PURPOSE: REP
JOH DF'SCRZPTION :: REPAIR SF.TTLEMENT DAMAGE , SQ FT: 143
, . , ,
CLAIM VALUE: ' 14,300.00� CALC—VALUE; 14;300;00 GROUP OCC: R-3 /
COMMENTS: HUILDING SETTLEMENT REPAIR/FOuNDATION
*******x�*�*��-�***�t�-�***��t*�r��**�c*�t***�r**x�*+t**�+t�*�**�r*�x�*� x**�*�**�x�+�*+��****�r�e
2 O N I N' G R E Q U I R E N, E N T S
S E P B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUiLDING ----------
FRNT: FT ZN REAR: FT � IN FRNT; FT IN REAR:� FT iN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGiiT: '' FT IN
'YARKING REU• PROV:' PARCEL: 93506124 ZNE; R2 REF NO: '..
PLANNING Nt3TE5> FOUNDATION REPAIR.
> . ' , _
�lE 3E iE 3F 3F aE #� %1E 3E iE 1f iF iF if if iE iE !f if 3F iE if� 3E 3k K� if 3f 3f iF iE if iE jE 3f IF if 3E 3F 3E ie if 7F fF iE iE if 3E 3E �E 3F if 3(-%3F�lF if iF jF iF iE !f iE 3E �F �f !F �E �4 �f- 3f 1E iF 1F �E IE iF 3F iE
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 APPRO�rED BY �-�'/ �-�iT. • DATE; �7 /,�°I i
BUILDING APPROVED HY ; L--� / � l�,qz� � DATE: .�
APPLICATION ISSUED BY: DATE:
1faf�f�kiEiEif7EiE3Fik3Fie7fiFiElFiE)E3EIE3F . i41ElEiEiFiEiEiEiFiE�FiF'R'r�t��j�if�3i�
N-iE%�1F3E7(�rtM��EiEiF3fif�ifif3EfF�%�ifKiFiEN-iEiF3E 3f�1Fib�JE iF)f#iFiEifiElElE1E�lElFif�3Eif3f�1F1EiFdYififiElE�(�IEiF,if;3f3F1E3E7'r1(�3hjfiFifif��K
LEGALIZATION;N F E E" —5 U M'iM A R Y S'PRUCTURA[, SEGMENT:Y
,i
HLDG PMT PLUM$ING 'ECTRIC MECHANIC FIRE SMIP/RES GAR.bING
PnRMST 162.00 1.00 '
� SMIP/NON—RES
Pi.AN 7.6 . 3 3 .
ISSUE FEE
HUILDING—DIV—> PERMIT SSSUE PLAN-CHECK TOTAL PAZD bTJg
TOTALS----> 163.00 ..0.00 26,33 189.33 189.33 ,00
REVENIJE DIVISION TOTALS--> COLLECTED: 189.33 OVER/SHORT; .Op
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMTP/TOT GRADING FLAN—CHECK
162.00 1,00 26,33
a(� !E lf �F 3F 3F �f 3F iE iE 3F 3E iE 3F 1E i(� �E IF �F jf IE if 3E i(- jE 3f 3F if �F If aF 3E 1f if if iP If 1f a(��% 1E iE if ff iF IE iE 3F �F �K-iF 3ElE IF if iE iE fE IE iF 1F 1F )f iE 3E 3E if IE iF iE iF )E # i61E 34 #if iE
I N D I V I D U A L F E E B R E A K D O W N
TYFE QTY ll E S C R I P T I O N UNIT COST TOTAL COST
SFR 143 ST'RUCTURAL BY VALUE PER 5100,00 100.00 14,300.00
END OF FaES
�� _
0
_ /
CONSTRUCTION ANDPLANNING�. -
APPROVALS Permit #
/ �
1. Temporary Electrical Service,or�Pole.
2. Soil Pipe-Undrgrnd. �°.�
3.' Electrical Conduit Utili[y-Undrgrnd. �
4. Electrical Conduit-Undrgrnd.,, .
5. "Steel Reinforcement� � ,
6: Electrical UFER Grnd. '
7,. Footings ' ' �
8. Foundation
r
9. Water Pipe�Undrgrnd. %�,^ ,'!'
10. Struttural Floor Svstem!��` - /
11. Property Sewer�Line & HousE'Connection
�
i2. Sewer Cap . .
13. Roof Drains � ���n�
/
14. Rough Pluinbing - � �,
15. Rough Electrical-Conduit '-v �
✓
16. Rough EleCtric.Wiring .�
17. Rough Wiring Sign ,� J
18. Rough EleCtrical�T Bar Ceiling �
19. Rough Heating & Air Conditioning �
20. Rough Factory Fireplace ' -
21: Ducts, in. Struaure � . � ,
22. Ducts. Ventilating ' _
23. Gas Pipe=Rough & Test
24. Roof Framing ; - � -
25. Roof Slieathing � �I .
26. T�BarCeiling�Structurall &-Monocoat�,
27.' Frame and Flashing: '
28. Lathing & Siding • - . �. '
29. Insulation .� . �
� 30. Drywall Nailing
31. Plaster Brown Coat� ,
32. Electrical Power Meter�Final •
33. Final Electric ; . � „ �
.34. Final Heat�ng`& Air,Conditioning ^
35. Final Gas Pipe�Test' . ^
� 36. Hood or�Canopy � � ' • .
37. Final Factory Fireplace -'
'38. FinalPlumbing -. �
39. Water Service-Final �
40."Gas Service-Final L, ..
'41. Solar pomesticFinal • �
42. Backflow Preventer, �' ,
43. Backflow Irrigation� �- � �
44. Landscape Irrigation System • � .
' 45. Sound Attenuation - '
46. Handicap Regulations ._ '
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING �
� 49. Electric Release to Edison •
50. Gas.Release to Southem California Gas C
51. CERTIFICATE Of:OCCUPANCY
Date
a
P. _&SPA
Date Inspector � Date
APPROVALS Permit #
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-Finaf
- 64. Plumbing System - Final
65. Electrical-Final �
66. Solar System-Final
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
° 69. POOL/SPA SYSTEMS FINAL
FIRE DEPT. REQUIREMENT
' ' - APPROVALS' ' Permit #
70. Underground Hydro '
L �' .,.71 . Product Piping � Gas ❑ Qil
� � � 72. Underground Flush' . - r �
' - J3. Undergrnd: Storage;Tank O Gas ❑ Oil
� . . '74. Overhead �Hydro' � �
`- - _ - 75. �Dry Chemical - • �
- . 76. Dry Standpipe � - ,
' � � '�' 77. FIXED SYSTEM FINAC, ._
� �. 78.. FIRE PREV. FINAL
I i '
� HEALTH�DEPT� REQUIREMENT
� I 1 , -
� •� �, ,- J9.�FINALINSPECTION
! � 80.• FOOD CERTIFICATE ISSUED
I
•� _� �� Notes: , .� .
9
Inspector
f�
�_�
L
�� �
>�:�
! � �✓.
�
OWNER gTATE=-WIDE Develo
JOB ADDRESS 3 Meadow Broo1
GENERA 0 R STQ,�, Saate
t �. }�� OT TRACT
Ih_. ECTIONS Si atu
SOIL
GAS
W ATEF
ROUGH PLUMBING
PROP. SWR. LINp Q HOUSE CON. CiV
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING AN� AIR CONOITIONING
TEMPORARY SERVICE OR POLE
UNOERGROUNO POWER �
ftOUGH WIRING
TRENCHES � F00.M5 � STEEL REINF.
FLOOR SVSTEM '
BONO BEAM STEEL REINFORCE
SHEATHING
FRAME ANO FLA�
LATMING — IN �
PI "TER, BFOW
fU0.AL, FI
HEnfING, VENT.
PLUMBING, FINP
ELECTRIC, FINA
BUILOING, FINFI
NG
A
DATE
SUBCONTRACTOR
�� ���.4.L78:�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely
ADIDRESS 3446 Meadow Brook
+!i,Y 13-7cv.,'J00 705* ':;r':210.87
cre=:
APPLICATION FOR BUILDING PERMIT
oWNER State-Wide Developers, I11C. A.P.No. 4� U�6 �-��o! �� r_���.���t
A�DRESS 9461 Grindlay� �' � Aoo Es 3¢`fL �Ie�dco��Bn��
CITV Cypre55 No.`�826-4550 TRACT g�s8 LOT BLOCK
BRP.NCH
R
vd Irvi
qpORESS 9461 Grinalay �
TEL.
CtTY Cypress No� 626-4
LIC.NO. 224��� IICVNO.
s�ZE 12.093 aCreS NO.OF BLDGS.
OF LOT NOW ON LOT
USE OF
EXISTING BLDG.
S12E OF NO. OF
NE�'�'BLDG. � ROOMS STORIES
EJCTERIOR WALL �1a�ter RooF �gfiake
COVERING 00 COVERING
USE OF BUILDING AND WOFK TO BE PERFORMED
New constructaon-Condomimiums
1 Residence w/att gar
I' hereby acknowladge thet I have raatl this applicetion and r[ate
that the abova information is corract entl apree to comply with
all laws re8ulating builtlinB consttucNon, antl I shall �ot empiay
any person in violation of the workman's compensation laws of
the State of Calitornia.
I hereby cartity tha£I am properly licensatl as e coniractor untler
the State ot California Businesz antl Professions Code, Divisicn 3,
ChBPter 9, end t�at sucb licensas are In full forca and etfect, or I
am exemp< trom the provisions ot the State of Calffo ie Business
end Profassions Coda, Div�sion 3 Chap r 9.
_ State-Wide beveiopeds nc.
Permittee � GV��
A��ho���edAea�, Vice President
FIRE
20NE
APPROVED
VALUE
DA
NE NO.OF USE OF NEW�
� � p PLAfLLS Z BUILDING
VARDSAPPFOVED VAROSAPI
MAIN BUILDING ACCESSORY
V AR. qW
FOR
THEAMOVNT:
THE PURP06E O
VALUATION �
�� �
�
BET. MAIN &
ACCE�. BLD
DATE
APPflOVED .
NG
m
e
0
IN UNDER VALUATION IS FOR �
ABLISHING A PERMIT FEE ONIV: m
¢
�/� m
PERMIT FEE $ v�/ �'+
7
{�� m
PLAN CNECK $ / p/Q E
6
LL
TOTAL FEE $ ♦ d