HomeMy WebLinkAbout3411 PINE BROOK CIR - Building Permitsi
PPQIELT AOOHFSS: j 4 1 S P I NE H ROOK
awNEnsname: VILLACE CREEK HOMEOWNERS
aooness: ASSOCIATTUN
3429 TIMBER LAKE
CM VA 92626
UNIT:
AflCMIENGINEEfl: CHESTER CARVILLE flEG.NO.: CIS3OS
aoosess: 7922 ARMOUR ST uNiT:
S,D. CA 92111
PEPMITTEE: PHOENIX ENTE:RPRISES INC, ( 213 ) 690-9559
nooxess: 411 COMERCIAL WAY
LA RABRA CA 90631
IICEN5E0 CONTBRCTOP OECLAMTION: I he�eUy aifirm Ihal I am li[¢nSeA un0er D�ovisions ol C�apter 9(commen[inp with Section
7400� ol Oivsion 3 al �Ae Business ana Pmlessions COGe, anG c se is in lull lorce anG efieci.
citruc 50788 s,n,euc.:37663 cuss:
Dale: � ` O Signalure: .
WOFKEflS' COMPENSRTION OECtABATION: I here�y allirm Iha� I ave a cenilicaie of consem selbinsure or a cenilicale ol workers'
ComPensatmn �i »��.� oj �c�nreo copv inereo� (sectian 7eo0, tan. �-� � O 1/ 91
eoucr No.: CA COMP 6 F IRE EXP.DPTE:
; �OMPANY:
� CenJjeytopY i5 er-0y lumis�ed. ❑ Cenilie0 copY is 4' N cily Buildin 'sls' n.
i �� �
Oaie: � �� AOVIiCani:
EMEMPTIONFPOMWaHHEflS'COMPENSRTIONOECLAflATION: Qhi55¢clio n¢¢tlnalbetomDleleOiltAep¢r isioronehunaredg100)orless).
I cetli�y tha� in I�e pedormance of Ihe work �or w�ich Ihis Oe�mit is issued. I shall noi emDloy airy Pers n in any mannef so as lo become
su�lecl lo Ihe Workers' Compensation Laws ol Calibmia.
Da�e: SignaWrt:
NOiItE: II. al�er making t�is Ueclaration. you S�oNd hecame subiect to t�e Warkers' Compenution pmvisions of ihe LaUar
CoOe. you mus� IOtlliwit0 Comply vnl� SUCh provision5 Or �his p¢rmil 5�all Le deemed revoke0.
CONSTHULiION LENOING AGENLY: I here�y affirm Ihat inere is a constNction lenaing a0ency for Ihe pedarmance ol tAe work for
which Inis permit is issued �Sec�ion 3097, Civ. C�.
LENDEfl:
AOOHESS:
OWNEfl BUILOEB OECLAflRTION: I �ereby allirm I�at I am exempt Imm Ihe ConVaclors' State Lic¢nse Law �ar ��e �allowinq reason
(Section 7037.5 Business antl Pmfessional CoEe: Any city of counly w�ich repuires a permil to constNct, alter, impmve, aemolis�, or
reDair any StrucWre. prior lo i�5 issuance. also require5 ihe applicant far SUCh permil Io lile a SiA�¢0 Slatement (hal he/S�e is IicenSeA
pursuam m �he pmvisions ol ihe Comractors' Slale LipenSe Law (Chapier 9(cOmmentinp wilh Set�ion 7000) 0� Oivisi0n 3 01 Ihe BUSine55
anA Pro�essions Catle) or Ihai �elshe is exempl �herelrom antl ��e basis lor Ihe alleged exemption. Any viola�ion o� Section 7031.5 by
any app6cant tor a permit subiecis ihe applicant lo a civil penally ol not more ihan live hunOreO tlollars (5500).
I, as owner of ine property or my employees with waAes as Iheir sole comDensa�ion, will ao ihe work, anA the
� stmcwre is not inren0etl or ottereJ lar sale (Section 70aa. Business antl Pmfessional COAe: The Caniractors' Siate License Law
' �oes not apply �o an owner of a pmDeny w�o Ouilds or impmves �Aereon, an0 who Goes such vrork �imsell/hersell or ihrough
his or Aer awn emDloy¢e5. provitle0 I�ai SutA imD�Ovem¢n�5 are nol in�entle0 or o��er¢d �or 5ale. Ii, �owevet �he OUiltling or
impwvemen� is sold wiihin one year ol comple�ion, ��e owner will have I�e burtlen ol provinp he/she ditl noi �ui10 or impwve
lor the purpose o� sale�.
I, as ownerol Ihe property, am eKclusively contrac�ing wi�h licensed conirac�orsto consimcl Ihe project($ection 7044, 8usine55
❑ antl Pmlessions Cotle: The Contraclors' Sla�e License Law tloes not apply Io an owner ol pmOenY who builOs or impmves Ihereon
\ anE n�o coNratlS Ior Suc� O�ole��s wil� a COnlrac�or(5) liCense pUrSUani Io Ih¢ Conlrac�oR' Sia�e License Law�.l am aware
ihat pmof ol tneir Worker's Compensaiion insurance shoul0 Ue Omvidetl to me.
� I am ¢xempt unUer Section: 9. 8 P. C.
lonhis reason:
Oaie'. Owner.
I do here�y cenity �hat I am aware al antl understand Ihe reQuiremenis of Cahfamia Heallh anA Safely Cotle Seclians 25505, 25533, and
25534 and iha� I or any lulu�e builtling occupanl willlwill nol (circle one) neetl to comply wi�� saitl slate coEes an0 ��e requiremenis lor a
permii fortons�mclion or modilicalion �rom ihe Air Oualiiy Management Disiricl. Fesidenlial consiruclion applicalions are eKempi imm
I�ese Omvisions.
Da�e: Applicanl:
I M1ere�y cenitythal I havereatl��is ap0licalion antl slale Iltai I�e d�inl malion is correcl. I agree to compty wi�h all cily anU county
ortlinances antl siatelawsrelalingto butltling consimction antl �er I�ori Phepre5enialive5 4 is cily�o en�erupon he above�mentioned
properry . r,inspecuon`ur ose�. /��
/ v
Daie: � O Signamre'.
od�ersticenseo�sociaiSecunry»:
i6at�d6 Whne—Bwltling�. Green—Coae Enlorcament: Canary—Appl¢anC Pink—Revenual Goldenrotl—Assossor
CITY OF COSTA MESA — BUiLDING PERMIT ,
PERMIT NO; B 049933 PLAN CHECK NO: 06455-90 A . ,
CONSTRUCTTON TYPE: V—N PERMIT TYPE: STR PURP.OSE: REP
JOB DESCRIPTION ; REPAIR SETTLEMENT DAMAGE SQ FT; 193
CLAIM VALUE: 14,388.00 CALC—VALUE: 14,300.00 GROUP OCC: R-3 /
COMMENTS: BUILDING SETTLEMENT REPATR/FOUNDATION
*�r��rr*�t**+t*�t*ar**+r*****+�***�r�rx***�**x*�+t�r**�t�r**�r�r�*�**��*�r*�r*�*��r**�*�e�r�rx*x�r***�e
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 6 '
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAA: FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
PARKING REO• PROV; PARCEL: 93506124 ZNE: R2 REF NO:
PLANNING Nf3TE5> REPAIR EXISTING FOUNDATION. NT$
> HOLD FOR SP$CIAL REQU�EM� ,
�**�*�**�,�**���**��***�**�,�*��,�����**��***,��e�,�*�*��*�**���*�,��*�**���*��*�*�*�,�*
D E V E L O P M E N T S E R V I C E S A E Q U I R E M E N 1' S
7.ONING APPROVED BY :� /� ��� DA'PE: � I C"S-9 �
BUILDING APPROVED BY : lC_. DATE: �
/
APPLICATION ISSUED BY: DATE;
jf if iEiF iF iE 1f 3f M �E aE iF iF if af dE iF i! If IF df aF iE IF If iE if ik If if� �E if��iF�f if
IFiFIFiEiE3EafiEiFikiffElEifIf3E�fiE�1E�3FiEiE�E3F�EffIFIFjf#�E3EiF�E�fMIFiF�lE3E jfIFfF3fififlfiflF3E3f141fiE1FM1EiEifKiFif3Fif�E�ElfiEiElFif3EiFdFif
LEGALIZATION:N F E E M M A R Y STRUCTURAT, SEGMENT;Y
BLDG PMT PLUMHING EL TRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 162.00 '
SMIP/NON—RES
PLAN 26.33 2,15
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECY. TOTAL PAID DUE
TOTALS----> 164,15 0.00 26.33 190,48 190,48 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 190.48 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TO'P GRADING PLAN—CHECK
162.00 2,15 7.6.33
if �F IF 1E 3f dE �7f� iEif if 1f jf iE IF if�1E 3F if 1E if it iF�F N� iE If iE if 3(�!F!F iF �E iF if 1F if M if iF if It 1P lf� if ik If iE k it 1f if iE IE if !F!f If if if !k 1F if �If IE K• k 1f 1! k If fF if iE iF 3F if iF if
Z N D I V I D U A L F E E B R E A K D O W N
1'YPE QTY D E S C R I P T i O N UNIT COST TOTAL COST
SFC 143 FOUNDATSON HY VALUE PER $L00 100.00 14,300.00_
END OF FEES
cr ano�,� :!-cco�,4:� -':�c� :•.�.Yc
UATE: :f.�lf,/YU '?��E� .^:nl
` CONSTRUCTION AND PLANNING " • � � P�� ��''PA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
. 1. Temporary Electrical SerJfce or Pole _ 52. Pool & Equipment Location
�. �
2. Soil Pipe�Undrgrnd. � � . 53. Steel Reinforcement
o : >.-
� 3i Electrical��Cond'uit Utility,Undrgrnd�''. 54. Forms
-� 4.`Electrical�Conduit�Undrgrnd. 55. Electrical Bonding
�t
� 5.'Ste�el Reinforcerrien{� � 56. Rough Plumbing & Pressure Test "'
0
�rf�_6._Electrical�UFEfitGmd. t�� r, 57. APPROVALTOCOVER�GUNITE ��
,3:7`i. r -
Footings'�F �"�' �._ 58. ElectricalConduit-Undrgrnd.
-.8. Foundation i, i �- 59. Gas Pipe, 0 Undrgrnd., Test ���
9. Water Pipe�Undrg"cnd. � 60. Backwash Lines, P-7rap, O Undrgrnd.
10. Structural Floor System � 67. APPROVAL TO DECK
1•1. Property Sewer.Line & House Connection 62. Backwash & Receptor-Final
i.
1�. Sewer Cap _ . 63. Heater & Vent-Final
13. Roof Drains , 64. Plumbing System - Final
14. Rough Plurti6�ing � 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar SYstem-Final
16. Rough ElectricWiring 67. Fencing & Access ApProval
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- - - - - - r� �-�; , - 3 .. . ^:
20r'Rough Factory Fireplace �• ^ � C '+ � 'APPROVAL'S l �'Peimit # `
�. - � � � '� > � r•
21: Du;cis, in Structure, � . _'r - - -: ' ' "" � �� � �
_ �.70. llndergraand Hy[!ro
22_ Ducts, Ventilating � � �-%"S ��y �; �_'� �� �71. ProducC,P.iping Q'�i'as OOiI
23�.;�Ga`s �Pipe�Rou9h & Test � ;;, - _ - . �.7y. Underground Flush,� . -� .
24�.��Roof Framing _< < " ^:� ��� =• � � �%' A �73I Undergmd'.Storag�TBnk OGas ❑Oil
25. Ro'of Sheathing -� ` " •L �- _� •=� = , ' .`
.•.r...
_ i � . �. � ' 74?.Overhead �Hydro: �
26.=�T-Bar Ceiling (Strueturaq &�.Morrocoat_+, _ '� �yx :` 75� Dry Chemical y � .
27Y Frame and Elashing ;, � - '. , r , 76�. b�ry Stanc{pipe �_.� , * �
� 28. Lathing.& Siding � < < � ���� :t � ... .� ,= 77.-' FIXED SYSTEM�FINAL` � �
" 29. Insulation ` - � ` �' ' � ' ' �
. :.r• 4 �� ; , � , ;, 78:� FIRE PREV. FINAL - .,
� 30. Drywall•Nailing �'� � '' • ' � � HEALTH DEPT. REQUIREMENT
�c r
_31. Plaster Brown Coat`.' , ; ,� :. . � � 'f ,. 79f FINAL INSRECTIQN „ ' '
r . . -
32cElectrical Power Meter.-FinaP �� � �, ��'Y -� 80? FOOD CERTIFICATE ISSUED -
r33. Final Electric ' ` „ , '_ - ' � i 1 E'� �Np�es: ';: ; - � r
�� � �'
�:34: Final Heatinq&AiiConditioning; =�� _� ��' ( 'I ' �. - ��� - � � �� y
�. r �
35: Final Ga`s Pipe-Test; _'^ _ ,•� �I � " _ ,� �
i�
_ :` _ .,' 'I I . : r � -, . , .. .
:y36. Hood orCanoPY_ .. •:��: :i�.v * . ; � y . _ :r �. -.,�
37>Final Factor Fire lace� � � : ` `;�
Y P ` I P�:r• . i
,38:.Final Plumbing � Pi • ! I `� � � s
.i:
39�rWaCer Service�Final � ; •� � � � ! � , _ � '
.
; 40.,�Gas Service�_F.inal -
_ , _' r � � J �:j �� , � SJ
l
� 41G��Solar pomesticFinal-� � -� ! ` ' +•: _ ` ~
, . _ _-
�42:'BackflowPreventer,,' � ..' ;., �, � i �4 �r, .�C�y '' -
43. Backflow Irrigation '• - � �� ` ` - - � ' � - -
. 3
,. � � �� r- - . '
��44. Landscape Irrigation System r�;,. :; r�' : . - � �: -� � � .
''45;-Sound Attenuation � - ` "� ' ' ' -. - • - '
r.; _ _ ,
-'46.� Handicap Requlations � `• �C � � � � _ ���• - . ...
�47.sFINAL STRUCTURE & BUILDING • �" '
i � •� '
aa:.; � � _:� � r . � _
Y- lI
_ 49: Electrie Release to �Edison ;. � I � � "
, �-,
� I• ' - ''
'� 50; Gas-Release to Southern California Gas:Co � . � �-- •- ' . � .
,51. CERTIFICATEOF:OCCUPANCY � ; i N .. :n_. r.- � �
No. Date
\
/
�
PflOJECT ADOPE55:
OWNEfl'SNAME: 34SS pINE BR�OF{ CI
noosEss: 3� 4 2 9 AT I MB ER ELAK EO . A.
COSTA MESA, CA 92626
AflCHIENGINEEfl: 5 5 3— 1 8 7 6
PDOflE55:
flEC.NO.:
UNIT:
UNIT:
PEflMITTEE:
nooaEss: pETERSON ROOFING ( 714 ) 979-7111
(��30qT06y MENpTGEpRPRISE n q�qp
LILENSEU CONTBACTOX bELll(flATIOq'YAE2Qy a�hrm �ha� I am licensed unde�r'pbvisio 5"ot'Cfiapter 9(commencing wii� Section
7000� of Division 3 of Ihe Business and Pmtessions Code. antl my license is in tull �orce and eifeci.
CITY LIC.: n qG $TRTE LIC.: C S5:
p��! 9��60787
Dale'. _( �L� $igna�ure: � " -
WONNENS�PE ATION DECLABpTION: I �ereby af�um Iha� I have a certificate o� onsem m sell-inmre or a cehificate o� Workers'
Compensation Insurance, or a cetlifie0 copy thereot (Section 380Q Lab. q.
POLICYNO.: 1O2S3SS-93 E%P.ORTE: O4�OSI94
COMPANY: ST�AhT�. E�t�I�D
❑ Cetli�ied capy is ere fumis e � Cerlifie0 wpy is tiled wiih �he cit uiltlin visiqp.�
UJ% %
'� Daie: ApplicanC _/!�/ •/
EMEMPTION NOM WORREHS' COMPENSATION OECLi1PAT10N: Qhis seqion need no� be completeA i e perma is �or one hunOreO (8100) or less�,
I cetlity Ihat in �he petlormance oi Ihe wark lor w�ich this permi� is issuetl, I shall no� employ any person in any manner so as to bemme
suble�� �o Ihe Workers' Compensation Laws of Cali�ornia.
�a�e: Signamre'.
NOTICE: II. a�ler making Uis declaration, you shoultl become subject to the Workers' ComDensalion pmvisions o� Ihe Labor
Cotle. you mu5i Iotlhwiih camply with such provisions or �his permil shall be tleeme0 revoked.
CONSTBOCTION LENDING AGENCY: I hereby af�irm �ha� Ihere is a constmction lentling agency tor the pedormance o� Ihe work br
w�ic� I�is permil is issuea (Section 3097. Civ. C�.
LEN�EP:
AUOflESS:
OWNEfl BUILOEF OECtAflPTION: I here�y aflirm thatl am exenptfrom lbe COniraCtors' State License Law forihe following reason
(Section 7031.5 Business antl Pm�essionai Code: Fny ci�y ot county w�ich repuires a permii to constmcl, al�er, impmve, aemolish, or
repair any slmclure, prior Io iis issuance, also requires Ihe applicant �or such permii lo Iile a signea Sla�emenl I�at he/s�e is Iicen5e0
Dursuani 10 I�e pmvisions al ��e Conirac�ors' S�ale Gcense Law (Chapier 9(commencing with Seclion 7000� of Oivision 3 ot �he Business
antl Pmlessions Code) ar Ihai he/s�e is exempf thereimm and Ihe basis tor t�e allegeA exemption. Any violaiion ai Section 70.31.5 by
any apPlicani for a permii su01e�i5 Ne applicanl �o a civil penalry ot no� more �han live �untlretl Gollars (E500�.
I, as owner ol the omoenv or my employees with wages as �heir sole com0ensation, will do IAe work. anU ��e
❑ slmcWre is nol imen0e0 ar ollered br sale (Section 7614. Business antl Pmfessional CoOe: t�e Caniracmrs' Slale License Law
does not apply to an owner ol a Omperty who builtls or improves ihereon, antl who does such work himsell/�ersell Or IhmugA
�is or her own employees. D�oviaed thal Suth Impmvement5 are na� int¢na¢tl or oflereA lor Sale. Ii, however �he builtlmg or
impmvemenl is soltl wilhin one year of completion, the owner will have the burtlen of pmving he/she ditl nol build or impmve
for Ihe DurOose ol sale�.
I. as owner of �he pm0ehy, am exclusively canVaciing with licensetl contramors �o constmc� �he pmlect (Section 7044. Business
❑ antl Proiessions Cotle: The ConVattors' Sla�e License Law 00¢5 na� apply Io an owner o� O�op¢tly who GudAs ar improve5lhefeon
and who conirac�s br such pmle��s wiih a contractm�s)license pursuant�o �he ConVac�ors' Sta�e License Law�. I am aware
�hal prooi of �heir WOBer's Compensalion insurance should be pmvitletl ta me.
� I am exempt under Secnon: B. 8 P. C.
�or Ihis reason:
Dale'. Owner
I tlo here�y cenify Ihai I am aware of an0 unUerstantl �he requiremems ot Cali�amia Heal�� antl Sa�ery Catle Seclions 25505, 25533, antl
25534 anA that I or any IUWre butltling occupanl willlwill nat (nrcle ane) need to comply wi�� saitl s�aie co0e5 an0 i�e requiremenis lor a
permi� for cons�mclion or moDiOcation Irom Ihe Air �ualily Management Dislric�. Fesieen�ial consimc�ian applications are exemD� ��om
ihese pmvisians.
�ale: NpplicanP.
I �ere�Y cetlily I�at I have read Nis application antl state �ha� �he above mforma�ion is carrecL I agree to comply wi�h all ciiy antl couniy
ordinances and slate laws relaiing la �udemg consimction antl hereby author¢e rey resentatives oi 1hi5 ciry �o enter upon Ihe above�mentioned
property for inspeciion pur ose5. —'=/J�� / ��/
/ /
Dale: Sgna�ure' �� '�. �
Driver's License oi Social Securiiy
•I6ab46 WHue—Builtling: Green—Cotle Enlorcemem: Canary—Applicanf, Pink—Revenue; Gddenrotl—Assessor
�
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 063957
PERMIT NO: B 063957 PLAN CHECK NO; N GOVT; N SUPP; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
J�S PESCRIPTION : T/C�FF SHEATH REROOF W/COMP SHINGLES SQ FT: 2,700
CLAIM VALUE: 2,700.00 CALC—VALUE; 2,700,00 GROUP OCC: R-1 /
COMMENTS: SMOKE DETECTORS RE� PERMIT INCLUDES 3911 PINE BROOK ���y�l�'�'�
*�r*�t�t�r*�e�rx�r�r�r�r�tx�r�t�r�r�r��r�r*�r*ft �r+r***�r�r�r�xx�r**�r�r*�r�r**�r�t�r*�r�r e y�ex%1F fi 1E/F
Z O N I N G R E Q U I R E M E N��%�
S E T H A C K S ���'��
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
PARRING REQ• PROV; PARCEL: 93506093 ZNE; REF NO;
PLANNING NtSTES> , .
' , ,
iE jF iE iElE if �k �f 3f iE iE iE if ik if iE iE if iF iF iF iE iE �E iE iE iE 1E iElE �! iE iF iEiE 1E iFlf it iE iE iE k 1E 1E k iE iE iE iE iE iE 1E iEjF1f iE iE iF IF iE iE dF1ElE iP �E iE1ElF 1E iE 1E 1E iE 1E iE it 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
20NING APPROVED�BY DATE; :
HUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY• �-> DATE: �.I cL
ifififkilifififiliFiEiFiEiE.IF1EiEiEifiEiE�E�f�F�iF�FiF3FiFif3E3Fii'iF�f�Fii� iF3F�F{F�3FiF7f'iFiFiFififlEiE3EdE�)EiliE F'F�'i�F1f
if 1f 1FiE iE iE 3f iE iF iF �E iE iE iF iF if af iE iE iF iE it iE �E �E IE �E iE iE iE �E iE iP i! if iE iEiE 1! iflE iE �E iE if iF iF iE iE iE iE if iE iE iE iE iE iE iE iE if iF iE IE �E if 1E iE iE if 1E 3k 3E iE iE �E 1E iE iE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PI,UMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 54,00 50
SMIP/NON—RES
PLAN
ISSUE FEE �
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 54,50 0,00 0.00 59,50 54,50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 54,50 OVER/SHORT; ,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADSNG PLAN—CHECR
54.00 .50
if iF iE iF iE iE IE iE iE iE iE iE 1E 1E iE iE it iE ik 1f if iE iE aF iE iE 1E iF iE iF 1f if if iE iE �E iF 1f il1F iE if 1E 1E 3E 1E 1ElE iE 1E �FlE iF if �E1f iF1ElE iE iE 1E iE iE iE iE if iE 1E iF iE 1ElF 1E iE if 1E iE iE
I 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 I O N UNIT COST TOTAL COST
SFR 2700 REROOF BY VALUE RESIDENTIAL N020NE 1.00 2,700.00
END O£ FEES
01 00146?517—p014o3S1 T�7 T 54.�0
DATE: 091i4i93 TIME� 1G:45
CONSTRUCTIOM ANDPLANNING
APPROVALS Permit #.
1, Temporary Electncal Service or Pole
2. Sod Pio��Undrgrnd.
3. ElgcbiCyl Conduit Uti�ity•Undrgrr.d.
4. Electrical Conduit�Undrgrnd.
5. Steel Reinforcemenc
G. El�cd�cal UFCR Grnd.
7.� Fqoc�ngs
8. Foundation '
9. Water P�pe-Undrgmd,
10. St�ucturai Fioor System
11. Property Sewer Line & House Connection
12 Se�ver Cap . .
� 13. N�pf D.ains -
1
' 14. Rouah f'I�n�iing � �
!-' „an Eiectncal-Condutt
, S. Po:.7h ElecVic4'Jiring
�
17, Ruugh �V�r�.ng S!gn
18 Rough Electrica6T 8ar Ceihng
19. Rou�h Heacing & Air Conditioning
70. 4o�yn Factory Fireplace � -
21. Ducts, in Structure � �•
22. Ducu, Ventilating '
23. Gas ?ipe�Rough & 7est � � �
24. Roof Framing' Y- '
25. Roai.Sheathing T �
i26. 7�Bar Ceiling (SlruCtural) & h9onp�pat
� 27. Frame and Flashing .
r--- ,
28. Lath:ng &'Sitling ' � �
29. Insu�ation • •�
30. Drywall tdaihng
31. Piaste� Bro�vq Coat � �
' 32 Eierir.cal Powe� i,tetar�F�nal �
�
� 33. Fi�iai Elertric� � "
34. Finai Hea[�ny & A�r Contl�tionin� �•
35. Pinal Gas Pipe�Test
36. Hood or Canopy
37. F�nal Factory Firepiace
38. Final Plumbing
39. tVater Service�Final
40. Gas Service-Final •
47. Solar Oomestit•Final J
42. Oackflow Preventer :
43. Backflow Irrigation �;" '
-'-'t
44. Landscapz Irrigation�;-55T '
45. Sound Attenuati0ri?� ��
46. Handicap Regulationsi �
: „'
47. FINAL STRUCTU.R 8:`�aILDING �
• � .
48. FINALPLANNINGzi �
'y-:
49. Electric Release t` �isvc.�
50. Gas Release to Squ�ern Calitornia Gas Co
51. CERTIPICATE 0�9CCUPANCY
No. Dare
Da[e
a
��
PUUI & SPA i
Inspector APPROVALS Permit � Date Inspector
52.-Pool & Equipment Locatlon �
53. Steel Reinforcement
54. Farms
55. E�ectrical Bond�ng
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER�GUN�TE �
58. Electrical Conduit�Undrgrnd. �
59. Gas Pipe, C7 Undrgrnd., Test �
� 60. Backwash Lines, P-Trap, O Undrgmd.
61. APPFlOVAL TO DECK '��
62. Backwash tk Receptor�F�nal �
63. Heatcr & Vent-Final �
I �
64. Plumbing System � Fina� j
65. Electrical-Final � �
66. So�ar System•F�nal � I I
67. Fencing & Access Apprpval � �
68. APPROVED FOR PLASTERING
69. POOUSPASYSTEMSFINAL
FIRE.DEPT.REQUIflEMEiVI' I ,
/-�PPROVALS' Permrt � I
70. �ndergrouhd NyJ�o
71. Product.Pipinp C7Gas OOiI
72. Underground Flush � -
�� 73. Undergrnd.iStoraye�Tank rJ' Gas ^u Oii �
�¢(AJ� 74. Overhead Hydro j
75. Dry Chemi�al . �
76. Dry S!andpipe j
� ' 77. FIXED SYS7rM F,IjVAL ~
� � 78. FIRE PREV. FINAt �
� HEALTH DEPT. REQUIREA-�ENT
� 79. FINAL INSPECTION _ I _ _�
I
oJ. F�OODCERTIFICATEISSUEO i
-r-� -----
� Notes: . . j
, i
I
n
vrvrv�rc STATE`_WIDE De'
JOB ADDRESS � 7,.7, pjII
GENERAL CONTRACTOR
AP No. ' - + LOT j
'ECTIONS
GAS
WATER
ROUGN PLUMBING
PROP. SWR. LiNE � HOUSE CON�
SPFINKLING SYSTEM
MISCELLANEOUS
ROUGH HE/TING ANO AIR CON�IT��NING
TEMPORARY SERVICE OR POLE
UNOERGROUNO � POWER �
ROUGH WIRING
TRENCHES � FOFMS � STEEL REINf.
FLOOR SYSTEM
60N0 BERM � STEEL REINFORCE n
SHEATHING
FRAME AN� FLASHING
LPTHING - IN � OUT '
PLASTER.BROWN COAT
TRACT Af35R FIRE
UAIt L
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. 60X 1200 COS7A MESA. CALIFORNIA 92626
�;�Y,3-,F�u.°oo 6hs�> ���z�c.��
APPLICATION FOR BUILDING PERMIT
For Applicant to fill in Completely
RECEIVED BV DATE RECEIVED D TE I 5 ED
BUILDING
ADDRESS 3411 Pine Brook •
g/Z-Z/�-O 02 PEF I
OWNER State-Wide Developers, I�IC. A�P�N�• G�G —O� �1
AooAess 9461 Grindlay no� RIEss �4�/ �'ine ��7od!� �i.2i�G
CITV C ress No`.g26-4550 TRACT g� LOT BLOGK
CONSTRUCTION W A' P
LENDER X
BRANCH � OWNER � �✓� ��1/
AODRESS VALUE
ARCHITECT TEL. � RES �': att ar $
06lm0lltlR8�1 N
ADDRE55 �7040 � Park 61vd Irvine ZONE TVPE GROVP I�
APPROVED
CONTRAC70R S In BY DATE
ADDRE55 9461 Grindlay
20NE NO.OF USE OF NEW (A,!
ci rv CypT'255 rTio�a6-4550 2�' Pu+� 2 BUILDING
STATE CITV 1'ARDSAPPROVED VARDSAPPR ED •
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BVILDING
SI2E � NO.OFBLDGS. (FROMGLSTREET)
OF LOT � 2.093 acres NOW ON LOT Q qONT 8 FT. FT.
USE OF
EXISTING BLDG. FT
512E OF NO. OF
NEWBLDG. ROOMS STORIES L.SIDE I FT. FT.
EXTERIOR WALI a� er qOOF
COVERING WOO COVERING Shake REAR FT. FT.
USE OF BUILDING AND WORK TO BE PERFOFMED DISTANCE BET. BET. MAIN&
MAIN BLDGS. ACCF$$. BLDGS.
VAR.�W DATE
New construction-Condominiums c.u.P.� �-7 � APPROVEO � —
1 Residence w att ar �ROVED ,2 �
HOLD FOR S. ECiAL REQUIRLN-. TS
I hereby acknowledga thet I heve reetl thia applicetion antl sta[e �\
thet tha above information is correct antl agree to comply with
ell laws reguletinp builtlinB consirucxion, and I shell not employ
eny person in violation of the workmen's compenaation laws of
the State of Californie.
1 hereby certity thet I am properly licensetl as a conSractor untlar 1254 sn. FT. J-655
the State of Cal(fornia Business entl Professions Cotla, Divlsicn 3, THE AMOUNT SHOWN UNDEFi VA�UATION IS FOfi
Chepter 9, entl thet suth licenses are In full torce and eftact, or I TME PURPOSE OF ESTABLISHING A PERMIT FEE ONLV:
em exempt from tha provisions of the Stata of Cal ornia Buainass VALUATION '
entl ProtessiOns Cotle, Division 3, Chapter 9. � � PEFMR FEE $
State-Wide Develop€r , Inc. p ^ `
Sipnewra� 'Q E� �
Parmlttee � $ PIAN CHECK $ � /�
AuthorizatlABent Vice President TOTALFEE $ �(/ ��VO