HomeMy WebLinkAbout3433 PINE BROOK CIR - Building PermitsPFOJECT AOUXESS: 3 Q� 3 P I NE BR��K
OWNEX'SNAME: VILI,AGE CREEK HOMEOWNERS
nnoeess: A:;:iOCIATION
3429 TIMBER LAKE
CM VA 92626
UNIT:
AflCHIENGINEEN: CHESTER CARVILLE XEG.NO.: CiR3OS
nooness: 797.2 ARMOUR ST uxiT:
S,D. CA 92111
PEflMITTEE: PHOENIX ENTERPRISES INC. ( 21 3) 690-9559
aoosess: 911 COMERCIAL WAY
LA HABRA CA 90631
LICENSEO CONTflFtTOP OECIABATION: I her¢Dy allirm ��at I am bcenSeG er D�ovisions of Chapter 9(commencinA w��h Sec�ion
7000� ol Div:sion 3 0l �ne Business an0 Prolesslons Cotle, anE my li e i i full fo¢c anG efiec�.
ciTruc.: 07 8 s�a�uc.:376639 c B •
Oa�e: ��l�� Signaiure: _ _ _ . _ — _
WOHNEHS' COMPENSRiION OELLPflAT10N: I hereDy a�lirm Ihat I haue a Certilicaie ol ConSent �o SelbinSUre or a icale ol Workers'
Compensaron r��� o� �<�IilieO copy Ihereol �Seclion 3800, Lab. L1-� � O S I 9 1
POLICYNO.� CA COMP 6 FIRE E%P.OpTE: U
f,OMPANY:
�� Cerldi opY �5 �ereby fumishetl, ❑ Cerlilietl copy is lile � i �he iry uilding Oivision.
.
Dale: � ��O AOPlicanP.
E%EMPTIONFflUMWOBKEHS'COMPENSATION�ECIAflATION: Qhissedi0nneetln ecomplete4iRhepermiti5forone�untlr¢tl($1W)orle55�.
I certily Inal in I�e performance of I�e work lor whic� Ihis permil is issueq I sAall no� em0loy any person in any manner 5o as lo become
5ub�eci lo I�e Workers' Com0en5alion Laws af Calilomia.
Date: Signalure:
NOTICE: If, alter makinB �his tleclaration, you s�auld become sublect to the Warkers' Compensation prouisions of ihe La�or
CoOe. you mu5i btlhwiih comply wilh such pmvisions or ihis permii Shall be OeemeO revoketl.
CONSiflULTION LENOING AGENCY: I �er¢�y allirm t�at Ihere i5 a cons�mction lentling agency lor ihe peAormance al t�e woB lor
w�ich Ihis Oermit is issued (Seclion 3097. Civ. C).
LENUEN:
aooeess:
OWNEP BUILDEB oECLANR710N: I nereby aifirm ihat I am exempt irom the Contracmrs' Staie license law lor the followinA �eason
(Section 7031.5 Business an0 Prolessional Code: Any city ol counry which reQuires a permit �o cons�mci, aller, improve, tlemalish, or
repair any stmcture. priar ta its issuance. also r¢quire5lhe aODliwnt lor SUCA permit to lile a signetl 5�a�emeni IAat �eJihe i5licen5e0
pursuam m t�e pmvisions ol ihe Contracmrs' Sta�e Littnse Law (CAapter 9(mmmencing wit� Seclion 7000) of Oivision 3 of Ih¢ Bu5ine5s
anG Pm�essions Cotle) or Ihal he/she is e�emp� Iherelrom and t�e ba5i5 lor I�e alleged exemp�ion. Any violaiion ol Sec�ion 7031.5 �y
any ap0licani for a Dermit SUGIeCiS IM1e applitanl Io a CiNI De�ally ot nol mare lhan �ive hundred aollars (5500�.
I, as owner ol tne propeny or my emyloyees witn wages as �heir sole wmpensdtion, wiA Ao the wod. an0 ihe
❑ slmclure ¢ noi imen0ea or otiere0 for sale (Section 70a4, Business an0 Pwfessional Code: The Coniractors' State License Law
tlaes not aD�ly to an owner ol a pm0eny who builas or impmves iAereon, antl who Ooes such work �imsell/hersell or thmuAh
�is or Oer own em0�oyees, provitleE Ihat suc� improvemenis are nol intenOeU ar oHereO for Sale. If, however tlle huilding or
im0�ovement is mIU vnihin one year ol complelion, ihe owner will have the hurAen oi DmNng he/she Ei0 not Guiltl or imprme
lor Ihe purpOse ol salel.
I. as awne� ol Ihe oropeny. am exclusively coniracting with licensed contractors to constmct Ihe vmiect (Section 760a, Business
❑ and Pmte55ian5 CaEe: T�e fqnlrati0r5' Slaie Lkens¢ Law Gaes noi aDDly Io dn axner o� prOpetly w�o Duilds of impmve5lhereon
antl w�0 Contracis �oi such prOj¢Cis wii� a contractor�s� license OurSuani to the Contractors' $ta�e Lic¢n5e Law�. I am awdre
Ihal pwoi ol ineil WarkeYs Compen5ation insurance snoula be pmviaea to me.
� 1 am exempt untler Seclian: 8. 8 P. C.
�or �IliS reaSOn:
Oale: Owner
I ao nereby cenily ihat I am aware al anA un0erstanA tne repuirements oi Calilomia Heal�h and Safery CoOe Sections 25505, 25533, antl
25534 and �hat I oi any IuWr¢ builtling occupani will/wiil not (ci¢le one� neea io campty wilh saf0 state cotles ana Ihe requirements �or a
permii lor conslmtlion ot motlilication Irom ��e Air Oualiiy Managemenl Oistrict. flesideniial constNciion applica�ions are exemp� Imm
I�¢SC pmvisions.
Oa�e: ppDlicam:
I here0y certily Ihat I �ave read Ihis aOPlication anU slale Iha� ��e above mformz�ion is carrecL I agree to comply wit� all ci�y and counry
ortlloancesantl5latelawsmlulingtobuilAingcon5lNClianantlhereby riio esen�a�iveso�thlscl�en�eruponihaabove�m i6ne4
prOperly lor in5petli0n purpose�5.
�ale: ���C..L— Signaiure:
orners ucense o� sociai secudiy x:
16nL46 W�ne—BuilOinp; Green—COEa Enlorcement: Canary—Applicam; Pmk—Revenue: Goltlenro�—Assessor
CITY OE COSTA MESA — BUILDING PERMIT .
PERMIT NO: B 099943 PLAN CHECK NO; 06458-90 A , ,
CONSTRUCTION TYPE; V—N PERMIT TYPE: STA PURPOSE: REP
SOH DESCRIPTION ; REPAIR SETTLEMENT DAMAGE SQ FT; 193
CLAIM VALUE: 14,388.00 CALC—VALUE: 19,300.00 GROUP OCC: R-3 /
COMMENTS: BUILDING SETTLEMENT REPAIR/FOUNDATION
i! ik it if iE it it �F iE if M it 1F 3f k if iE 3E iE iE 1k i! 3F if ik iE �E jf jf k iF iE if If iF iE iF IE 1E �E M�f 1f 1E �f iFjf if if IE K iE iE If if iE lE iF iF iE iE ik�k jE fE IE iF �lf iF M� 3k if af k k iF If M�f
2 O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUZLDING ---------
FRNT: FT IN REAR: FT IN FRiJT: FT IN REAR: FT. IN
LEF1': FT IN RGHT: FT IN LEFT; FT IN RGHT; FT' IN
PARKING REQ• PROV: PARCEL; 93506124 ZNE; A2 REF NO:
FLANNING Nf5TE5> REPAIR EXISTSNG FOI7NDATION, �
> HOLD FOR SPECIAL REQUIREMENTS
?F if k if iF M if M 1k iF if if iE iE #f if if 3F iE 1E ff iE iF M 1f 1F 1f IF if M if M iE )p iE iF 1f M 1f lE If N if if iE ff iE M iE if iR 1f �IF 14 if iE if if ib 1E 1E iE iF IF iF jf iFiF �E iE.if IF if k�if dElE 1f if
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 APPROC�ED BY ; �-/ �-- � DATE: I l l.1 9 D
BUILDING APFROVED BY ; L.J L L� Pc�� DATE: l'-
APPLICATION ISSUED HY: �� DATF.� �
ltlFif1t1E1kjF)Fif3flfifiE9FifiElEiE3F�lfiFiEiEiEiElfiEifiE�fjFit iE3EiE1F1E1F�IfiklhlfifiFif#iEiFlElf�lflElflEiElFIf3F�IEiflEaEiE�EiF�Eaf3F�F�EiFaf1E1E�l�1f3f
LEGALIZATZON:N F E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBIN ELECTRIC MECHANIC FIRE SMIP/RES� GRADING
PERMIT 162,00
ISSUE FEE Z6.33
BUIi,DING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 164,15 0.00 26.33
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
162.00
SMIP/NON—RES
2.15
.. TOTAL PAID DUE
;,� 190.48 190.48 ,00
�190,48 OVER/SHORT: ,00
FIRE SMIP�TOS GRADING PLAN—Z6E33
iF k k �E if If If 3(� if iE iF �F 7F lE iE if if IE 9f iF 1E if �E iE �E iE 3f 1E iE if iE iE iF i4 iE iF iE 1ElE 1E if if iE-0Fif jE If if 3Fif 1F iE 3E 1! #f if �lE �E if iE IE iE iE iF iF 3E IE if 7f iE if if )f if �f jE iE if �f
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 Z O N � UNIT COST TOTAL COST
SFC 143 FOUNDATION BY VALUE PER $100 ` 100.00 14,300.00
END OP FEES
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ry:
Q7 11�.�i Y�dY'lif�r�l�yt5 �?5.:. . =�..�
�ATE: )r;3,/^L iZ���: ��0-44
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole. _ 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. -, � 53. Steel Reinforcement
"3: E(ectrical'Cond`uit Utiliry�Undrgrnd: . 54. Forms
4. Electrical�Conduit�lJndrgmd. 55. Electrical Bonding
�- �5. Steel Reinforcerrieni . 56. Rough Plumbing & Pressure Test
,�6._Electrical�UFEiiGmd. 'T. 57. APPROVALTOCOVER�GUNITE
"�7. Footings °� �;�� � i' 58. Electrical Conduit-Undrgrnd. -
l., •::
�:8. Foundation ;�� F ' 59. Gas Pipe, O Undrgrnd., Test �
'9. Water Pipe-UndrgF,nd. • � 60. Backwash Lines, P-Trap, O Undrgrnd.
t0. Struttural Floor System � 61. APPROVA� TO DECK
1�1. Property Sewer Line & Hause Connection 62. Backwash & Receptor�Final �
12. Sewer Cap „ ,� � 63. Heater & Vent-Finai
73. Roof Drains • � 64. Plumbing System - Final
14. Rough Plumbing � 65. Electrical-Finai
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric'Wiring 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electric'aI�T Bar Ceiling 69. POOL/SPA SYSTEMS fINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
. - ' 7 � l.'ri�r . .
20)'Rough FactoYy Fireplace A �. - _ - �� f 'APPROVAIS � �F Permit # ' _ ^'
21. Ducts, in Stnuctu�e. � < � � _ � � �70. Underground Hydro •
22. Ducts, Ventilating < < ' ' � • _ = ;71, productP.iQ�ng [} Gas � Oil
23.,�Gas�Pipe'Rou�gh &'Test � .� �~ �-„ ( �72. Undergro4ntl Flush,•-, �. -
24.��RoofFraming ? �����-• • � : � : `73tUndergrn�l.Storage�l"�nk'OGas ❑Oil
25. Ro'of Sheathing � ' - � ��� :�-i ' ;,��i �_ \.74,:,Qverhead�Hydro, ��� �
26.'�T-Bar Ceiling (Stru¢tural) &:Monocoat � ; - r� ! �'+ 75,.Dry CherF;cal ' � ' � _
- -, . .
271:,Frame and Flashinj .. � - �� , 76�. Dry Standpipe �:i�
28. Lathing & Siding-� i �-i ' ��,.. %.'�: •�� r-i •� � � 77: FIXED SYSTEM�EINAL' ,
29. Insulation �. , j; � � �� �� '. �� �� I _� . �� 78:,FIRE PREV. FINAL � _
• 30. Drywall Nailing �n � - � , '�• _'�' ' �� �i � + HEALTM'DEPT. REQUIREMENT
'- 37. Plaster Biown Coat� �. ; � . ,. . ' ' - � + � ,J9:%FINAL INSPECTION � � ''
� 32. Electrical PowenMeteT-Finali � + � � . y � % `� � �780?iF00D CERTIFIC�A�TE 13SUED "
. 33. �Final Electric � �. � ` _ '� � j;�`; '� Notes: � I � ; : � ,
�=34. Final Heating.& Air Conditioning �� � � ' � � . - = 1
' 35-. Firial Gas Pipe-Teif -„� _. , �I . I �� '� ' 1 �
�. , . .
: 36. Hood or CanoPY� � � * �1 < <-� � I� , � I• �' -.,
� �i r: i t 'i:
37.-Firial Factory FiFeplace,. '�"� ' ' � � , ',;i
� 38. Final Plumbing .;, ��r� � • � � i{Qj,D.F R $rE
�39. Water Service<Finaf� '- � � � ' ' ' `��
> ��. I i �; . .
; 40.� Gas Service�Final �. ,. - .. - . �:; � � [. . � - �
i,. .
��41�. Solar pomesticFinal-, �" " � � �- ' `
' � � < ...
42. Backflow Preventer. ` � � �' � "' � � �� . - . . �- �-�
43. Backflow Irrigation ' � ' ��' ; - -,
. �, i
� 44. Landscape Irrigation System � ,-� � . �. � _ .. • � � -� . '
_ �
' �45..Sound Attenuation � '� � ' � � , �
. � . . r •
-i . � _ �y . ,Ti. .... -
46. Handicap Regulations • ; ��', . ._.• , _ • . • �
47. FINAL STRUCTURE & 6UPLDING ';� ''' :
�
48. /� � .
� '•`�/�- � t_
�: � -
49.•ElectricReleaseto�Edison c:,' � I. : r '' ' f -
� 50. Gas,Release to Southem Califor,nia Gas Co �. %J) i , '. _ ,- • ,,�� � . - �
�51. CERTIFICATE OF�OCCUPANCY '„ � .. ,. ,�� ni� .. , , •.
No. Date
:�
UWNtK
JOB ADDRESS
I
5,
G45
WATER
ROUGH PLUMBING
PROP. SWR. LINE �
SPRINKLING SYSTEM
MISCELLnNE0U5
ROUGN HEATING RND AIR CONDITI(
UNOERGROUNO`Q " POWER �
ROUGH WIRING
TRENCHES � FORMS � STEEL REINF
FLOOR SYSTEM
FRAME AND FLPSHING
LATNING — IN R i
FI
1 uG. VENT., REFRIG. RND A.C.. FINAL
PWMBING. FINRL AND GAS TEST rI
DATE q
BUILDING P
FIRE ZONE
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUIID�NG
Aooaess3433 Pine Brook�Rl� r�rcle
OWrvEP State-Wide Developers, Inc.
AooRess9461 Grindlav
aTv Cvnress No�826-4554
BRANCH
ARCHITEI
091'GOBIltlE
ADDRESS
c�T� cvAre
STATE
LIC. NO. 'Z'L471
SI2E
OF LOT �'Z�QC
USE OF
EXISfING BLDG.
SI2E OF
NEW BLOG.
EXTERIOR WALL �
COVERING
VSE OF BVILDING
T
nTio.`' g26-4550
CITV
LIC. NO.
NO. OF BLOGS. O
NOW ON LOT
NO. OF
ROOMS STOF
ter COV�ERING �%7��'P
D WOFK TO BE PERFORMED
'�t�'( 13-7(�����fl 659'" *:.'=Zz� `�C
APPLICATION FOR BUILDING PERMIT
4id1-z�i- o �, �
A.P.NO. % o'OS�1—
BUILDING n
ADDRESS �_!�
TRACT �CNSp
� I PER^�r.��
� O�'�'V[/ �.WK
LOT BLOCK
� ��/ �/ ^- -
OWNER (�(/ Q� �OV
1 Res w att ar �A`u
FIRE
ZONE TVPE GF
APFROVED
Bv DATE
ZONE
�C2 �P
VARDS Af
MAIN BL
DISTA.NCE BET
APPROVED
PV
HOLD F
OF I USE OF NEW
NS Z BUILDING
BET. MAIN &
I hareby acknowlatlBa t�et I have reaa this application antl rtete
that Na ebove InformaHon Is corract antl aBrae to comply wiih
all lews re0uletinp builtlinp co�rtruetion, enG I shall not employ
ony punon in violntlon of tho workman's companfation taws oi
the Stato of Culitornie.
I heroby cartify thut I em properly Iicensotl ea a conttactor untler � 38� S�. FT. J�S34
Ma Sto[o of CalNornle Busineo antl Profeulons Cotle, Divisicn 3, THE AMOVNTSNOWN UNDER VA
Chnp[ar 9, Bnd thet suc� licanses oro In full force antl effact, or I THE PVRPpSE OF ESTABLISMING A PI
om exem0t from tha provislonsof Na Steta of C ifornla Buslness VA�UATION
entl Protezilons Code, Olvisio� 3, CRnpter 9. � pEqM1T FEE 5
so�o�.of -'Lde Develop r , Inc. ��-
Parmlttee PWN CHECK $
AuchorizaAAgont Vice President
TOTAL FEE S
=22 -
�
O
I IS FOR a
= ONLV: Q
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