HomeMy WebLinkAbout3425 PINE BROOK CIR - Building PermitsPflOJECTA00flES5: 3425 PINE BROOK
OWNEH'$NAME: VILLAGE CREEK HOMEOWNERS
aooeess: ASSOCIATION
3429 TIMBER LAKE
CM VA 92626
UNIT:
APCM/ENGINEEN: CHESTER CARVILLE flEC.NO.: CLB3US
nooness: 7922 ARMOUR ST uNiT:
S.D. C:A 92111
PEPMITTEE: PHOENIX ENT$RPRISES INC. ( 213 ) 690-9559
aoosess: 411 COMERCIAL WAY
I,A HABRA CA 90631
LICENSEo CONTNACTOB OELLARATION: 1 �ereEy alqrm tha� I am en ea un0er pmvisions o� C�aD�e� 9lcommencing vnih Section
7W0) ol Omsian 3 oi ��e Business anJ Piolessions COtle. and li is in lull fo¢e antl ct. 1
ciTruc. 50" 8 r�uc.:376639 ss: B
oa�e: �� Signa�u�e: _ — _�
WORKEBS'COMPENSA710NDECll�RATION: IhereOyaHirmt�atlhaveacertificateolconsenttosNl-ros oracertilicatealWarkers'
Compensauon�uta��oj �c�tilietl copy ihereol (3eqion 3800. La�. �7 �O S/ 9 S
POLILYNO.: CA COMP 6 FIRE E%P.DATE:
�O�CeN)YeO,COpY is I�ereOY �Ur�n�" � Appl i1an�CapY i wii � Gry BuilUing Divi '.
� � � <i O
Oate: � / �
E%EMPTIONFBOMWONNEflS'COMPENSATIONOELUflATION: (Thiss¢ction eeAnolbecom0letttlillheDe�milis�ronehunErea�E100�orless�.
I certify Ihal in Ihe petlormante a� Ihe work �or whit� �his p¢rmil is i55ue I shall not employ any person in any manner so as to become
Subjetl �o t�e Workers' Compensalion Laws ol Cah�omia.
Date: Siqnature:
NOtItE: If, aller making I�is declaration. you s�oultl Oecome suGle�� �o Ne Warkers' Campensation provisions of I�e Labar
Cotle. y0u musl �otl�wiih ComDW wi�� Sut� provisi0n5 or �hi5 Dermil S�all be E¢emea revoketl.
CONSTBUCTION LENOING RGENLV: I hereUy allirm �hal lhere is a con5�mction lentling agency �or Ihe perlormance ol �he wark lor
which t�is Oermii is issued (Seciion 3097. Civ. C�.
LENOEfl:
A�DPESS:
OWNEfl BUILUEB OECLAflFTION: I hereby a�lirm Iha� I am eMemp� �mm Ihe Conlraclors' S�a�e License Law for Ihe lollowinp reason
(Seciion 7031.5 Business ane Pmlessional Cotle: Any �ily of coun�y which repuires a Oe�mit to constmq, alter, imOmve, aemolish, or
repair any 5lmciure. prior lo its issuance, also repuireSl�e applicant for so<h permif ro/il¢ a sgneA stafemenf Ihat he/she is lic¢nsed
Duauam �o Ihe pmvisions ol �ne Comractors' S�a�e License Law (Chapler 9lcommencinp wi�� Section 7000) ol Division 3 0l I�e Business
�� and Prof¢ssions Code� Or ihai �e/S�e is exem0� �her¢hom an0 i�e UasiS br I�e alleAed exem0�ion. Any violafion o� SeClion 7031.5 by
any applican� for a De�mit 5u�leci5 Itle applicanl �o a civil Denally o� no� mort Ihan �ive hundred aollars (5500�.
I, as owner o� Ihe pmDehY or my employees wilh wa�es as Iheir sole compensation, will Uo �he waB, and lhe
❑ slmdureis no�intended oroffered lorsa@(SeCtion 7044, 9usmes5 an0 ProfessionalCotle: The Conlractors' State license Law
tlaes not apDty Io an owner ol a pmpefiy who builtls or improves I�ereon. antl who Ooes such work himself/hersell or through
�is or her own employees. pmvitleA Ihat such impmvemenis are not intenAed or ollereA lor Sale. II, however ihe builAing or
impwvement is so10 wit�in one year of complelion, ihe owner will have t�e burden of Droving Ae/she tlid not Ouild or impwve
lar thC purpose o� sale).
I. as owner of �he propeny, am exdusively con��acting wiih licensea conlraclors �o con5tmci ��e pmleci (Seclion 7044, Business
❑ antl Pm�e55ion5 CoOe'. The Con�mC�ofs' Sta1e License Law Uoes noi apply to an owner of Ompeny w�a builAs or impmves ��ereon
an0 who Contracis lor such prvlens with a coniratloqs�license pursuant m I�e Comractars' S�aie License Law�. I am aware
Ihat o�ool ol iheir Worker's Compensation insurance snoulE be D�oviAee lo me.
� I am exempl under Seclion: 6. 8 P. C.
�or I�is reason'.
Daie: Ownec
I Oo hereby cenity Inat I am aware of and un0e�slantl the requiremenls ai Calilomia Health antl Safety CaAe Sections 25505, 25533, an0
25534 and thal I or any fumre Uuiiding occupam will/wi � noi (cirtle on¢� need to comply wiih sai0 stale cotles an0 the reQuiremenis lor a
permit lor conslmclion or motlifi[alion imm I�e An Opali�y Managemenl OiSinc�. fle5i0en�ial con5lmc�ion applications ar2 exempi �rom
Ihese pmvisions.
Date: NOVlican�;
1 here�y wrlity I�a� I �ave ieaC ��is aOVlication an0 sta�e ��ai Ihe a0�' � ation is earrep. I agree to camOty vn�� all ci�y antl caunry
orOmancesanaslatelavrsrelalinglo0uil4ingconslmctionanOM1ere y5ut ¢er re5enlativesof�haoytREtlt�ruponl�ea0ove�meniion¢4
pmpeny l`or inspec�ion purpos/es� `/�/
�ale: / � / � ^ 1 "" SignaWre,: �
oriveYs License or Soclal Secunly x:
i6a1-a6 WM1ue—Builtling�. Grean—CoEe EnlorcemenL Canary—AOO���anl; Pink—Revenue; GOltlenraE—Assessor
CITY OF COSTA MESA - HUILDING PERMIT .
PERMIT NO: B 049941 PLAN CHECK NO: 06454-90 A , ,
CONSTAUCTION TYPE; V-N PERMIT TYPE: STR PURPOSE: REP
JOB DESCRIPTION : REPAIR SETTLEMEN'f DAMAGE SQ FT; 143
CLAIM VALTJE: 14,388.00 CALC-VALUE: 14,300.00 GROUP OCC: R-3 /
COMMENTS: BiJILDING SETTLEMENT REPATR/FOUNDATION
if if if iE?E M 161E if #f X� M� iE N iE iE �f if if if k!F k �F iF iE ff if if K IE M if if �IE iF M iE iE iF if iE iFif if if iFiE 1E iE 3E M lE iE 3Elt if jE #EiE #E iE iE if iF-)f if if if i63f !k iE #E 1E 1k if if it
Z O N I N GS ERTEB�AUCIKftSE M E N T S
------------ hiAIN 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 REp • PROV: PARCEL: 93506124 ZNE; R2 REF NO;
PLANNING NO'CES> REPAIR EXISTING FOUNDATION. ••
> REMGNTS
��r��*�x*�r�+��******�*�r**�r******��r,e*�r**�r��*�*�*�r�r��*�**+���t�Qi�A���+���'���*�«*�r+r*
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'I''S
20NING APPROVED BY :��� �� DATE; �,l � O
BUILDING APPROVED BY : V 1 t—� C�c�7 DATE: �
APPLICATION ISSUED AY: DATB-
k �f iF iE �F if i! if �f iF �E M iR if iE if 1f if if if M iE iFiE iF jE if 3f if �F iE iF���Fif 3F
lFiFiEitiF3ElfiflEiFlf�fif1F1E1FiEKlfififiElEiFifitkM�f7F iF1flfiFiE lE1EiF1ElEifiEiElElfiFiElfiF#iEiElEikiEiEiE1E1EiFifiEiFiEiElFiflEiEifklFlfiEk3E�F
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL•SEGMENT:Y
BI,UG FMT PLUMBING E CTRIC�, MECHANIC FIRE SMIP/RES` GRADING
PERMT.T 162.00 ., SMIP/NON=RES
PLAN 26.33 � 2,15
ISSUE FEE
HUILDING-AIV-> FERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TUTALS----> 164.IS 0.00 26,33 190,48 190.48 ,00
REVENUE DIVISION TOTALS--> COLLECTED: �� 190.48 OVER/SHORT: 00
BLDG PM'I' PLUMAING EI,EC'CRIC MECHANIC > FTRE SMIP/TOT GRADING PLAN-CHECK
162.00 �; 7.,15 26.33
M �f if iF iE M iE if iFif iE M' k k ff If if �f if 3f iE 1f �f 1F�IE It �f iF if if 1! it if !E iE if 1E !F iE �k iF iE ih lE i� 1E 1E iP i(� 1f if if !E If N� iF iE ikiFiE iE if lf if if IE �F 1F iF if iE M k i! iE iE if if if
I N D I V I D U A L F E E" H 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
SFC 143 FOUNDI�TION BY VALUE PER $100u'� 100.00 19,300,00
END OF FEES
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9ATL'' Sii?1!'ap 71idE: CS:;C
CONSTRUCTION AND PLANNING �r POO� e SPA
APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector
1. TemDorarY Electriwl Service or Pole � 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. v � 53. Steel Reinforcement •
-'3:.Electrica1`ConduitUtifity�Undrgrnd:';, 54. Forms
4:'Electrica� Conduit-Undrgrnd. 55. Electrical Bonding
' �
_�5:-Ste;el Reinforcement , 56. Rough Plumbing & Pressure Test �r
���6.:.EIEctrical�UFER.Gmd. ' l. 57. APPROVAL TO COVER-GUNITE
;�.]`.�..
Footings �'�` !`..�' � 58. Electrical Conduit-Undrgmd. .
` 8. Foundation .. � , 59. Gas Pipe, O Undrgrnd., Test �
ti-.
�9. Water Pipe�Undrgind. ' 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor System ., 61. APPROVAL TO DECK
1 t. Property Sewer:Line & Hotise Connection 62. Backwash & ReceptorFinal
1�2. Sewer Cap ,: � = 63. Heater & Vent�Final
13. Root DrBins ' 64. Plumbing SYstem � Final
14. Rough Plumbing . 65. Electrica6Final
15. Rough Electrical-Conduit 66. Solar SYstem-Final
16. Rough E�ectric:Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA $YSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
' ' ' r. - i � �
20.� Rough Factory Fireplace � j• �- - ' c � �APPROVALS � -�Permit #
• �r .� ^ ir, _ , i- ::� i ,
21. Ducts,in-Structure. � �.. .. ' � � 1-' �� �� ;70. Unde�ground Hydro � �
22. Ducts, Ventilating � ' �>�� � � � ` " �77, product.'Piping OGas OOiI
� �- � t i � ,-F� � � . � i �- � , � . . ,
23.;'Gas Fipe•Rough Si 7est , .. , - - , , ; ,7z, Undergrouncl Flush, . -
24:� Roof Framing ' • �-•� • • - ' ' � � ` 73: Undergrnd. Storag'eT._ank'O Gas ❑ Oil
25. Roof ShCathin9 �j; � , � . ` � �,i �.��i R 74,:,pverhead�Hydro-� �� �
26. T�Bar Ceiling (St[Uetural) & Monocoat �" ! -' C� nt ! � 75, Dry Chemical '�% ' �-' '-' .
-: � �,-, �
27. Freme and Flashing ' �, 76. D�y Standpipe •' , , � .
28. Lathing�& Siding �� v� � i�..�. •�;u; i.. • r r 77,' FIXED SYSTEM•FINAL' _
�-��re . 1 t I 1�
. i !j , .. •• , i�l � 1=1 1 4 l -• ' � + t
`29. Insulation . _ , , 78._ FIRE PREV. FINA�L . �
i� 30. DrywaN Nailing �:i � i, � ,� I,�,'� � i �HEALTH'DEPT. R�EQUIREMENT
� � �i - � �
- 31. Plaster 8iown Cbat� ,,� i �_ .� ��; �' ��. ,J9'.'�FINAL INSP,ECTION , - �� '
�32. Electrical PowerrMeter��Finab � � t�i �_�'. ���r. .�SO.rF00D CERTIFICA�TE ISSUED
� ' �-�
.33. Final ElEctric - � . � -� ��`� A `� Noies: � ' . ,- �
ir r
�.34: Final HeSting & Aio Conditioning _* � � ,•i � � �. > ' � � ., `
35:Final Gas Pipe-TesY _ -'' � � \' � ' _ � _ ' 7 �
.. } ' �� � , . .
36. Hood or CanoPV_ � � r _ �.� , - � � � I, �z . !.
-.in
37. Final Factory Fireplace , � ` ' '� �' � � � r �Qf,D ]� �u' •`�
� 38. Final Plumbing ,� _ � � � ' � i� . � . c•
' 39. Water Service�FinaP ' ( ' � 4 ' -
, 'i I: .
,.40. Gas $ervice-Final r . . � ., ( y ' ' � ` '
� 41.7'�Solar pomeSticFinal'- �" � t. _ � I - *
iz � ��. _ ,
� 42.�BackflowPreventer. �� -• ,' ' � �� ; , � : . � -
43. Backflow Irrigation �•" „�, ' '� ' ' - -.
,.
„44. Landscape Iriipation System �� - . "' . � � . � v� �- ' • � ' �
' 45.. Sound Attenuation = '• ' ` - - � • ' - `
_. • -
'46'.-Handicap Regulatiqns ,' � � '`� � , , , L . �. � � .
47�;FINAL 5TRUCTURE & BU�LDING �, � _� f' � _ _
�
i �•
48. < ' _ �i '' ` -
_ 49. Electric Release to �Ed on .� i �. : { ' - �
' 50.,-Gas. Release to Sou{hern California Gas Co : . ' � � � j. , " - • _ � • . �
,51. CEBTIFICATE 0 ,,OCCUPANCY , { ,. , ;�;: � . . . �. . .
No. Date
vmv[rt
JOB AC
GENER
/ o
r
GAS
WATER
ROIIGH PLUMBING
PROP. SWR. LINE � HOUSE CON.
SPRINKLING SYSTEM
MIG(FI 1 CYL/IIIS
UNOERGROUND
ROUGH WIRINC
BOND BEAM1
SHEATHING
AND AIR CONDITIONING
NICE OR POIE
� POWER n
STEEL NEINFORCE
FRAME AN� FLASHING
LATNIN�
PI 'TER. BROWN COAT
5 �URPL, KINAL
HEnfING. VENT�, REFRI
PL11M61NG. FINAL AND
ELECTRIC, FINPL
Bl11LDING, FINAL
TRACT
INC.
wnln
FI
UAIt 4-28-76
BUILDING PERMJT NO
<�s. w a
SUBCONTRACTOR
_ :4.1853
COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626
For Applicant to Fil/ in Completely
BUILDING
ADDRESS
OWNER State
ADDRESS94G�
Z .
d c`i'.� cirv Cypre
ZQ CONSTRUCTION
O N LENDER
am
J � BRANCH
J �
m J ADDRESS
J m ARCHITEGT
a �vexv��
U� p
W 2 ADDRESS � 704H
aW
W Z CONTRACTORSt
J Q
J � ADDRESS 94G�
W W
� = o�T� C re
Z �
w � STATE
(n CL LIC. NO.
_� SIZE
OFLOT �Z.O9
eloPers, Inc.
nTio`.' 826-4550
laski No.` 556-6610
Blvd Irvine
No.`'826-4550
CITV
LIC. NO.
NO. OF BLDGS.
NOW ON LOT O
PAIL �c *':i=7 n nn
"%+Y 13-�fi— O� 6fi i ?� ' �
cr�•.
APPLICATION FOR BUILDING PEflM1T
flECEIVED BY DATE REGEIVED pq E ISSU i
r •
¢/j. —�L//�Q O PERM�{ty
A.P.NO. </(7—OS�nF—G �T„I
ADDflIE S���J�'���� �L .
TRACTS�Ts� LOT BLOCK
�
OWNEFi
g�.
FIRE
ZONE
APPROVE�
'ONE NO.O
Qz-�P P�,�
VARDS APPflOV
MAIN BUILDIN
FROM C/L STREE7
� SI2E OF NO.OF
Z NEW BLDG. ROOMS STORIES L.SIDE FT
a EXTERIOR WALL a er ROOF
V COVEiiINO COVERING e REAR FT.I
J VSE OF BUILDING AND WORK TO BE PERFOFMED DISTANCE BET.
a MAIN BLDGS.
a
pon-Condomi ni ums C URP.� '
NAPPROVED
Z HOLD FOR SP
O
UI hareby acknowletlpe [hat I have reetl this epplleeNon antl state
� Net the aba�e information iz correct and agree to comply wit�
� all Iaws .eeu1e��^e builtlin8 consttuetion, antl I shall not employ
F any Oerwn in violatlon of the workman's compensetion laws of
y the Stata ot Celifornia. pO
? I �eroby caY��ty thet I am propa�ly IiGansetl es a cOnbacto� untla� �`�o� SQ. FT.
the Stata of Californta Businass entl Professione Cotla, Dlvisicn 3, THE AMOUNT SI
C�apter 9, a�tl that such Iicenua ara In full toreo antl ettect, or I THE PURPOSE OF
am exompt from tha provlzions o( the S[ata of Cali ornto Buainesa VALUATION
entl Profasslonz Cotle, Olvision 3, Chapter 9. �
Pe°TitteB tat�-Wide Deve1� Inc. g,3� �"
A��ho���adAea„� Vice President
VALUE
USE OF NEw
BUILDING a
VARDS AI
BET.I
ACCE
DATE
FT
VALUATI
A PERMR
�
�
W
O
J IS FOR
E ONLV: Z
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