HomeMy WebLinkAbout3437 PINE BROOK CIR - Building Permits0
PflOJECT RDOflE55: 3 q 3% P IN E 9 ROOK
OWNEH'S NFME: VILLAGE CREEK HOMEOWNERS
aooness: ASSOCIATION
3A29 TIMBER LAKE
CM VA 92626
UNIT:
AFCMIENGINEEN: CHESTER CARVILLE eec.r+o.: C18305
nooness: 7927. ARMOUR ST uNiT:
S.D, CA 92111
PEflMITTEE: PHOENIX HNT$RPRISES INC. ( 213 ) 690-9559
aooeess: 411 COMERCIAL WAY
LA HABRA CA 90631
❑LENSEO CONTNACTOP UECIAflFTION: I here�y allirm t�a� I am license u tler pmvisions ol CAaDrer 9(commencing wi�� S¢ction
7000� ot Urvision J al ��e Business ana Pmlessions Catle, antl my li� ' lulliorce antl eifect.
c�Truc/.:050788 sTaTeuc.:376639 B
Daie: ?� /� � p SignaWre: _ _ _ — _ _ —
WOFKEFS'COMPENSATfONOEIXABA710N: I�ereUyaffir Mail�av¢arertiNcateOftOnSentfoSelhin5ureora rtitiCaleafWorkers'
CompensalionN,S�pc�o( �crftilied copY �hereol (Section 3800, LaO. L1.7 �O S I9 S
POLICY NO.: CAVCOMP & F IRE E%P. DATE: �
�OMPpNV:
Cenihetl CoOY is hereby lum/ishetl. ❑ Cenilied copY �s �i' Ih iry Building Uivision
�a�e: // � � L — � `-� APPIica�i: `-�
E%EMPTION FqOM WOPHEflS' COMFENSATION OECIAHATION: �iAis section neetl no� be complele0 il ��e permil is lar o huntlreA �5100� or less).
I ceniry ihat in �ne petlormance ol ine work for wnicn this permit is issuea. i shall no� employ any person in any manner so as to become
subletl lo Ihe Workers ComOensation Laws of Caiilornia.
Da�e- Signamr¢:
NOTICE: II. alter making �his tletlarali0n. you SIIOWd �etOme SUCIe�� �a ��e Workefs' Campensation provisions oi Ihe Labor
Code, you musi lorlhwith com0ly vn�h suc� pmvisions or t�is permi� s�all Ue tleeme0 revokeG.
CONSiBUCTION LENOINc RGENCV: I here0y allirm ihat ihere is a coretmction lending agency lor the oedarmance oi ihe work for
which Ihis Dermi� is issuetl (Section 3097. Civ. C�.
LfNOEfl:
AOOflE55:
OWNEP BUILOEP OECLABPTION: I hereby ailirm Nat I am exemo� ��om ihe Contraclors' Stale License �aw for tAe tollowinA reason
(Sec�ion 7Q7L5 Business antl Prolessional CoOe: Any �ity o� counly which reQuires a permi� fo conSlmci, al�er, improve, Gemalisb. or
repair any stmciure. prior �o iis iuuance. also r¢quires Ihe applicani for such D¢�mii b file a siqnetl 5latement rtiaf hpls�e is licensetl
Oursuant lo Ihe D�avisions al tn¢ CAntractoR' State License Law (CnaD�er 9lcommencing vnin Seclion 7000) of OiviSion 7 al tne BuSineu
an0 Professions Cotle) ar Ihal �e/s�e is exemD� ��erelram antl I�e Uavs for Ihe allegeG ¢xemption. Any viola�ion of $ectqn 7031.5 Gy
any applicant for a permit suCie��s Ine ap0licanl Io a civil penalty ai no� more ihan live hunOretl Oallars (3:rW1.
I. as owner al I�e D�oDeny or my employees with waAes as their sole campensation, will Oo ihe work. anU the
❑ simcmre is not intenaed or ofiered foi sale (Se��ion 70aa. Business and Prolessional Code: T�e ConUaclors' Siate License Law
Ooes not aDDlyto an owner ol a pm0eny who builEs orimO�avM tAereOn, an0 w�o does sutll work himSelf/�erS¢II ot throug�
�is or �er own employees. p�ovitleA that such imprwements are not intentleA or oflereE lor sale. If, Mwever t�e buil0ing or
impmvement is sold wil�in one year ot camplelion. ihe owner vnil �ave Ihe UurCen af provinp hUslle did nat Uui10 or im0��'e
for Ihe purpose ol sale).
I. as owner o� the pmpeny, am exclusively con��ac�ing wit� Iicense0 conlratlors la constmci �he O�ol�� (,Seclion 7p44, Business
❑ and Pmfessions COUe: ihe Contractor5' Slate License Law aces not aD01y la an owner oi pmp¢n9 w�o hmlQt or improves Ihereon
anU w�o ConVat6 �ar 5ut� prole��s wilh a fAnfrat�ar�s) lit¢n5e pursuanl �o �he fAnVaCtors' SIaIE Litense Law�. I am aware
Ihat pr0o1 0� Uieir Worker'S Compen5ation insurance shoultl Ge pmvided 10 me.
� I am eKemo� untlet Section: B. 8 P. L.
�or I�iS reason:
Da�e: O�vnec
I Oo hereby cenify that 1 am aware ai ana unaerstand ihe ieauiremenis ol Califomia HeaIN ana Safety CoOe 5¢ction525505, 25533, ana
2553C antl that I or any fuWre building acupant wilUwill not (circle one) neeG to Comply wit� SaiO siate c0Ge5 ana tAe re0uiremenis far a
permit for consiruction or moEilication imm t�e Air �ua0ry Management Dislrict. flesideniial conslmciion appliWtions are eXemD� �rom
Ihese pmvisions. _
Date: ApPlican�:
I hereUy wriify Ihal I have rea� Ihis applica�ion ana sla�e �ha� t�e a ir maiion is rorrecl. I agree lo comply vni� all ciiy anG counly
ordinancesantl sta�elavrs relaiinglo builAing consiNclion antl here • u represenia�ives � s citytoenterupOn�he a0pve�mentione0
pmpetly l0i inspetlion purpo5e5.
Date:�a_� Signalurp: �
o���e� s �icense a� soc�ai Secwity +:
16<Ld6 Wb�te—Bwl�ing', Green—Cotle Enlorcemem: Canary—Applicanl: Pmk—Revanue; GOldenroE—Assessor
CITY OF COSTA MESA — HUILDING PERMIT ,
PERMIT NO: B 049833 PLAN C.HECK NO: 06452-90 A , ,
CONSTRUCTION 1'YPE: V—N PERMIT TYPE: STR PORPOSE: REP
JOB DESCRIPTION ; REPAIR SETTLEMENT DAMAGE SQ FT: 143
CLAIM VALUE: 14,388.00 CALC—VALUE: 14,300.00 GROUP OCC: R-3 /
COMMENTS: HUILDING SET'CLEMENT REPAIR/FOUNDATION
iE 1E iE If fE 1F if iE If �f if if if iF IPiE iE iF M iE if iE iE iF if iE iE iF if �E 1E it iE iE if jE if iF 1F af If if fE 1f IE 1F iF iE if If iF If IE fE �f iE IF IE 3f 1F 1F if �F IP #F iE iP iF ik iE af iF iF jk it iF iF iE iF
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 S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDZNG ---------
FRNT; FT IN REAR: FT IN FANT; FT IN REAR; FT.., IN
LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
PARKING RE�• PROV; PARCEL: 53506124 ZNE: R2 REF NO:
PLANNING N TES> REPAIR EXISTING FooNDA'rioN. NOLD FOR SPECIALp ���1
� 3F��il�iF�
�r**�*at*�rx�****x+tit*��r�r�*****�it+t�r*�*+t**+t**+���rit�r+�*x��r*******+�x�+r+t�r*+�+tittt*it�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•T S
20NING APPROVED BY :��� f2� �� DAT�; 1 I,0 8�J6
BUILDING APPROVED BY :� � ti� DATE:.�
APPLICATION ISSUED HY: DATE;
k k IF�If M� Ik if iF k k if k iF if ik ik iF k iF ih fh 1F iFif 1E iE iE i/�ik iE iF it�if'7F if it
iFkiFiF�fMMillFklfkIFlF±fMiF%lfififiFlEiFififkiF ifiE iFlflfitlflF�IE�FkiF�1E3F1E7FIfk1FMiFiFikiEiE�flEiEiFiEkiFifiE�flEiflFifif-IEifiFifjEif
LEGALI2ATION;N F E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING LECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 162.00
SMIP/NON—RES
PLAN 26.33 2.15
ISSUE FEE
HUILDING—D.T.V—> PERMIT ZSSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 164.15 0.00 26,33 190.48 190,48 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 190.48. OVER/SHORT; 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRAAING PLAN—CHECK
162.00 2,15 26.33
if if if ik iE M iF 1k IF if 1FiF k iE k M� 1! ak if it if iF if If IF if If iFif 1f ik # iF IP M iF k IF ik �f ik 3f 1E M iF If If if iF k fF if iF IE if iF if 1E3EiE * IF iE iF iEiEjF iF iE 1F iE iE k 1F if i! if iF iF
Z N D I V T 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 FOUNDATION BY VALUE PER $100 100.00 14,300.00
END OF FEES
0
�11 G1�U74�.�.�'f � �!:.j�•. 1 1� k� 1"'.'+i_4l:
DpTE'. !:�?'/�: TI��F: J:,:41�
~ CONSTRUCTION AND PLANNING �� '' SPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Poli; ; 52. Pool & Equipment Location
2. Soil Pipe•Undrqrnd. � 53. Steel Reinforcement
- 3.`.Electrical�Conduit.Utility Undrgrnd: � • 54. Forms
4i Electrical�Conduit•Undrgrnd. � 55. Electrical Bonding
„
''5 $te�l. Re nf'�orcemenry �r' 56. Rough Plumbing & Pressure Test ��
r
+�6.=Etectricat�UFEA Gmd. 57. APPROVAL TO COVER-GUNITE
`;-j�.`F,00tingy'� 4, 58. ElectricalConduit-Undrgrnd. ;�'
�; ,8. F,o'undatisiw _-_ y� , 59. Gas Pipe, O Undrgrnd., Test r'
�^�3. Water Pipe�UndrqLcnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
{4
lb. Structurel Floor System 61. APPROVAL TO DECK
1.�. Property Sewer Lin=& Hduse Conr�tction 62. Backwash & Receptor-Final
12. Sewer Cap �, ' � 63. Heater & Vent-Final
13. Roof Drains'-' '� 64. Plumbing System - final
74. Rough Pluml�ii�9 � -� 65. Electrical-Finai
15. Fiough Electrical-Conduit � 66. Solar SYstem-Final
16. Rough Electric��.Wiring 67. Fencing & Access Approval
17. flough N/iring Si9� 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
' _ _ - ' ' CT l r�¢r J' ... - N
20.�.Ro�gh Fzct�[y F�replace i;;�? Q`� � � _7 �V r*qppR�OVA'��:_ cpermit# �n �"
21.,.Ducis,in�Stryuctufe. �-� �. .• •� - � '7 ~ ..��•- - ; :`�
. I • �T �5 a 'S _70. Undergnoanc� Hydro
22. Ducts, Ventiiating�= � �11 �1 � r . .� y77, producrPiping �6as QOiI
23�Gas�Pip`e"�Ro`gh &''�est � ;: � _ ' „� �:: . ..72. Undergrounil Flus(i -p � ;_' _.,
24sRoof Framing '_r � .-r •�,�r �� � C � � } �73'�Undergm0'.Storag�Tank�OGas ❑Oil
25. Roof Sheathin - ' �' "-� � ' `�� " `
9 � � � � . .74 jOverhead�{iydro�� .
26vT-Bar Ceiling (Struaturall &�Monocoai � s� � ^� > 75�,Dry Che �ical ' ' - � _
27=Fre�nea�d FlashinJ �?,j:•, �, - ��,, . � 76�D'ryStantFplpe ���; '.' ta '
. 28.' Lafhing;& Siding�- -� .dt,^. x 2: � 77? FIXED SYSTEN�•FINAL' � _ y�
�
"29. Insulati�n ^- �:;"" :S'' � ' �y , , ;;� 7$j; FIRE PREV. FINA�L > �> ,;
rr� J � ��� �=�. r- HEALTFl�DEPT+. REQUIREMENT
�^30. Drywall Nailing _
�_'31. Plaster Biown Coaf; S � ��, r - � , , ., � ,', r79'.^ FINAL INSR;�ECTI�ON r '- - �'
L c� i + � - �-
� 32.-Electrical Power;Meter.-Final, � � �� . ;� �, -. r,SO.rFOOD CERTIFICRSE ISSUED
.33';=Final El�ctric ��. .• ' "" � `'; � ' w,�iNoies. `' =f ` f -
.r � d;•� , S��a� ..i • -! ^�+ l
.. ., , , :i ..: . -, . _ _ _ �
. 34; Final Heating & Aic C�onditionin� - - . _ � /
'35.;'Firial Gas Pipe-Tsst'�' �T ' � - � ' � - �' °'s ' �r - -
> ..: •l� .. 3 - •��p A ' rr
, 36.�Hood orv�CanoPYs � - �{ ' �.•�- x ~ � . �^ . , •
' ' _ .r
�37=Final Factory Piiealace '� '�'� � , � �' '' � ' "`�'�
- � ~ U � N • '
.�
.. - i� � - .� � .
-38:,Final Plumbing ��Y. ���n� . � :r I • � - = -
"39=Wacer Service-Final• � � � � - . . � '1�
� s r� � j
��40`IGas Service'Final � .,�i. �;. _ _„ �� ' `.�� - � n �,..�cN7t
' � I1lLOirr�...
�.41 �•Solar pomestirFinah. ' ^ a- ':+ � ' - �
+ •�`- � ';. �r �c. -
�'42:�'Backflow Prevente�,- • � ;t ' � � ' '� , . - � ._
. � o: 7' .
43. Backflow Irugation �`�:�.� � � i > .-. ��. ='; .' �' � .:
44. Landsca e Iiriqation S stem '- �' ' ' "" � ' "
q P Y r,. '' - ♦ -- 2C Ca :r
='.'45.'Sound Attenu0tion - • " E� : - � - - ^
,� r - � �-
:46:`�Handicap Regulations - .5 • " " A � .i, ` `', � '' � ' '
`. - -
� 47.,,FINAI STRUCTURE & BUI'LDING = _ � ' I �' - '�� � � _
p r^
`QVi� �^�S� � '. 1. . '�'
l :] ! "�
�qg;-Electric Release to, ison � } 1, e ,. ':r i � _
" � n - c-
` 50. Gas Reiease to Southem California Gas Co � ' '" ; -�:
i: ` . , : .
',51.yCERTIFICATE OF; OCCUPANCY y i; N i� tr�� ;rc..• :1 i� ...
No. Date
�
I��
PflOJECT p00flES5: 3 4 3 7 P I NE $ROOK C I
, owxexsname: VILLAGE CRE$R H2O,A.
�' nooness: 3429 TIMBER LAKE
COSTA MESA, CA 92626
ANCN/ENGINEEF: 5 5'3 — 1 8 7 6
aooness:
PEG.NO.:
UNIT:
uxir:
"ERminEE: pETERSON ROOFING ( 714 ) 979-7111
aooness: 3j0G067� ENTERpRISE 9
UCENSED CONTflRCTO� bEb`�HA110N���re�ey a4irm �ha� � am �icenseA wUeCr p��rovis9on?o�CFaBer 9(commencing with Section
7000� ol Oivision 9 0l i�e Business ana Pmlessions CoCe. antl my license is in lull Ioae antl eifecl.
LITYLIC.: 54 sTareuc.:60787 �5 � 9 �
Oate: Signamre: _ _ _ _ — —
WOBREBS' OMP Sp710N0ECUINATION: Iherebq affirmthatihaveacenificat fton5ent�oSe14in5ureorat¢tlifiW�eo(Workers'
ICompensation insurance, or a cenilied cooY ��ereot 15eaion 3800. LaD. CI.
roucvr+o.:1021355-93 EXP.ORTE: O4IOLI94
comrnNr: STATE FUND
� Cerli�ied copY is �ereUy IurmSheQ � Ceriilied copy is liled wrt� IAe y Builtli g �ivision.
I ��
Dale: AOD�itant: �
E%EMPTION POMW NEBS'COMPENSATIONOECIAPATION: �TNssectionneeOnolbecompleteU' Iheperm�alaonehuMrea�5100�ar1e55�.
I cerlify I�at in IAe pe�farmance ol I�e work �or w�ic� Ihis permil is issued, I s�all noi employ any person in any manner sa as Io �ecome
5u0ject to the Workers' ComOensation Laws ol Caiilo��ia.
�ate: SiBnalure:
NOTICE: If. aiter making Ihis 4eclaraiion, you ihoul0 become sublecl Io Ihe WOBers' Compensation pmvisions ol Ihe Labor
Cotle. you musi �otlhwilh comDly with suc� pmvisians or this Dermi� shall be tleeme0 revokeG.
CONSTFUCTION LENOING RCENCY: I �er¢�y aliirm Ihai Ihere is a tOnSimt�ion 1¢ntling agenty lor Ihe petlormanCe ol �he wOrk br
wnich Ihis Oermil is issuetl (Seclion 3097. Civ. C�.
LENOEfl:
ADONESS:
OWNEH BUILOEH UECLRRATION: I �erebY a�lirm �hat I am exempi Irom Ihe ConVac�ors' Sia�e License Law for �he f011owing reasan
(Secli�n 7�31.5 Business and Pmlessional Cotlel Any ciry of county which re0uire5 a permit to cons�mcl, al�er, impmve, demolish, or
repair any Slmciure. prior �o i�s issuance, also repuirns Ihe apPlicant �or SucA permi� Io file a signetl s�alemeni Ihal he/she is Gcen5e0
Oursuam m �he piovisions ol Ine Conirac�ors' Slate License law (C�apier 9(commencing wiih Sec�ion 7000) o� Division 3 0l t�e Business
ana Pmlessions Code� or I�a� helshe is exempt therelmm and the basis lor I�e ailegetl exemplion. Any viola�ion a� SeCtion 7031.5 by
any apPlican� lor a permit su�jec�s t�e applicant lo d civil penal�y ol noi more t�an live hundre0 dollars �E500�.
I. as owner ol t�e propeny or my employees wit� waAes as t�eir sole compensation, will do ihe work, anE Ille
❑ stmcwre is no� imen�ea or ofleretl lor sale (Seclion 704a, Business antl Pmiessionat CoOe: The Coniracmrs' State Ucense Law
does noi apDly Io an awner of a O�operty wll0 �uiids or impmves I�erean, antl who does such work �imsel�/hersell or ��muAh
his or her own em0loyees, D�ovitle0 ��al such impmvements are not in�entletl or oflere0 fo� sale. Ii, however IAe huiltlinp or
impmvemenl is SoIA wilhin one year ol complelion, the owner will have ��e burtlen ot proving �e/she ditl not build or impmve
' for the vurpose ol sale�.
I, as owner al I�e oropeny. am e�clu5ively conirac�ing vn�h licensetl coniratlors to consVucl t�e proleci (Section 7044, Busine55
❑ ana Pmleuions CoGe: T�e Lantraclors' Slaie �icense Law does nol appN �a an ovmer of DwpertY wtq �uilQs or imDrweS i�ereon
an0 who conVatls lor suc� prqects with a Conlracioqs�license Oursuan� �o ihe Contrac�ors' S�ate Ucense Law�. I am aware
iha� prool ol ��eir Worker'S Compensa�ion insurance s�oulG �e Omvi0e0 Io me.
� I am eKemp� untler Seciion: B. 8 P. C.
lor ihis reason:
Da�e: Owner.
I ao hereoy cendy inat 1 am aware ol ana unaerstana tne requiremems ot Calilomia Heatro antl Safery COUe Sections 25505. 25533. an0
2553d antl Ihai lo� anyluime GuilGing occupanlvnlVvnllnol�circle one) n¢¢tllo comply vnth saitl state wees andi�erepuir¢ment510ra
Oermil br consVuclion o� rtqeilication Imm Ihe Ai� uality Managemeni Oisincl. flesiaentulconstmclion applications are e�emp�lrom
IAese pmvisions.
Oale: Applicapl:
I �ere�y cenily Ihal I �ave read I�is apPlicaiion and st��¢ I�ai Ihe above inlarmalion is mrrecL I agree lo wmply with all ciry and county
ordinances ano slatelawsrelatinglo builtling conslmclion and �ereby aul�oneyyy represe Iatives ol his ciryto enleruponihe above�menlioned
pfOp¢tly 10� IOSpCC110� p ipOSCt //////
Daie: Signa�u�e: �es��� �
Oriver s License or Social Securiiy p: �� �
16<b<6 Whne—Builtling�, Green—Cotle Enlorcernom�, Canary—AOPllcantl Pink—Revenue; GolEanrod—Assessor
CZTY OF-COSTA MESA — HUILDING PERMIT PERM NO: H 063958
PERMIT NO: B 063958 PLAN CHECK NO; N GOVT; N SUPP; N
CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE; ALT
JOB DESCRIPTION : T/OFF SHEATH REROOF W/COMP SHINGLES SQ FT; 4,600
CLAIM VALUE: 4,600.00 CALC—VALUE: 4,600.00 GROUP OCC: R-1 /
COMMENTS; SMOKE DETECTORS RE� PERMIT INCLUDES 3435 3433 6�if'3 i 7 ��(�
�r�r��e*xx**x�+r�r*����***x�t�rx��r*�r�r ��r��r�t�r*�tx��r�r�t�r�r�r*�**�r�r*k�r�*�r+� �^.+ I�1�� ' — e�nP �
2 O N I N G R E Q U I R E M E N T S7
. . S E T B A-C K S ��,R�
------------ MAgN BUILDING'---------- --------- ACCESSORY BUILDING ---------
FRNT: FS IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ• PROV: PARCEL: 93506061 ZNE: REF NO:
PLANNING NZST'ES>
i
�r,e�r��rx*+t�t�e*,r*��rx �r�*****�r��r*��rx*�r�t*,r�r�r�r�r�t�rx*�r*�t�r�t��*�r�**�r�x*�**�r*+t�r**�r�***�r�rx�x**
D E V E.�L O P M E N T S E A V I C E S R E Q U I R E M E N�T S
ZONING APPROVED'BY DATE: '
BUILDING APPROVED BY ; DATE;
APPLICATZON ISSUED HY: DATE; (���
k1Eif�)fififilifiF�lEikififiElEifkiElElfiFiEi�3F�FiFiFfF3f3f3f�FiFi�3f3FiF'iF'iFiF�F 3F'7FTFifiF3FiFilifiEiEifiFiEiEikiE IEiF
iE iE it if it if it af it i! i! it 1E it it if ff it it it if iE it iE iF iE iE k it iE if it iE it iE it fF �E it iF it it 1k it it it it if it iE 1E if it if ik k iE 3E ib iE if if if if it ff if it itlt it it it it it i! it iEit
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 72.00 50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDZNG—DZV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 72.50 0.00 0.00 72.50 72,50 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 72.50 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHEC3C
72.00 .50
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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 9600 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 4,600,00
END OF FEES
t]1 00145°43-00145�4? T�� T 72.50
DATE: D4/14/93 TItiE: 10:44
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CONSTRUCTION AND PLANfJING
APPROVALS Permit �`r Dace
1. TemRo•ary Electrica: Servi=^ u��Pole �
2. $pil Pipe-Undrgrnd. f .
3. Efectrical Condwt Ut.htv-U^c'-grnd.
4. Elettr�tal COndu.t�U^drgrnd.
5. Steel Rmntorcement �
6. Electricai UFEfl Grrd
7. Footings ^
8. FoundaUon '
9. Water Pipe-Untlrgrnd. ' �
70. Struetural Floor System
it. Property Sewer line 8� Ho�te ConnecLon
72. Se�ver Cap .
73. Roaf Dra�,ns __ _
14. Ro�gh Plumb�ng
15 Rou3h Electriwi�Ca^y��t
i 6. Ro�gh Electr�c Si'iri�g
77. Rough 1,Vlnng 9gn
1$. Rough Electrica!-T B�r Ce���r:
19. Rough Heatln3 &,d�r Cord�t e��ng
20. Rough Pactory F7rapiace - -
21. Ducts, in Strucmre - �
22. Ducts, Ventilatinp
23. Gas'Pipe�Rough & Tes[ �
24. Aoof Framing � -
�� -_ POl .SPA
Inspector qppROVALS Permit �_
52. Pool & Equlpr.ent Lcc..�t o��
53. Stee! Reinfarcement
25. Roo4 Sheathing !� �t(�LtT I G
1-
26. T�Bar CeJing IStructural) & i•Ao^ocoat
27. Frame and Flasn�na _ _ _
28. Lathing � S,d�ng
29. InSulation '_ _�__
30. D�v:�.ai��'�a.l�ng e I '
31. P�aster B�oron Co.,:
32 Elettri�yl Po�arr 1,:�'c Fic�l �
33. �;nal Electnc r �
34. Final Heating & Ad Cond�t�onin3
35. Einai Gas Pipe-Test .
36. HoOd or Canopy r
37. FinaJ Faetory Fveplace
38. Final Plumbing �� _
39. LVater Service�Final
40. Gas Service�Fina�
47. Solar pomesticFrn:��
42. Bacxfiov� Preventer
43. Backflow Irnqatior� __
44. Lantlscape Ir,�qatr vstem �
45. Sound Attenuauc/�� .
46. Handicap RegulaLc�'•• �
47. FINALSTRUCT'�: �JILDI�G 3 2�,
48. FINALPLANNI�(�'v`�'}' �
49. Electric Release t.e+�d�
4!
50. Gas Release to f�!"!�ern Ca6fornia Gas Cn
Date
c g
0
54. Forms
- - ; ---
i
Date I Inspector �
-- � -
55 ElecVical Qordmg �i �
5G. Rocgh Plumb�rg & Pressurc Test � � •�
�
57. APPROVAL?OCOVER-GU^:iTE � �
I
- -- __ _.�.---� _
58. Elcctncal Condu;FU��d�q�nn. I_ 1
-------- � . � _-!
59. Gas Pipe, `_1 U�drgmd., Test
60. Backw�sL Lines, P�Trap, :7 Un�rn•r,d.
61. APPROVAL TO DECK
62. Back�vash !L Receptc� �F�i�a�
63. Heater & Vent�Final �
G4. ?',�mbing Syy�m . �,�,_� -_- _�� � .
65. Electrical�Finai
--�'�-- --,
66. Solar Sv>:�m-Finu� I
- -- -+--- ---�
67. Fencing & Access Aot�.�u.. �. � 'I
68. APPROVED FOR PLJ�SI Er71NG I -�I-
- -----�--?- - +--
69. POOUSPASVSTe'.15FIZA� j �
PIREDEPT,REOUIREI.'.ciJT '�;-
HPPROVAI_5 Pern.�t :;_-_ ..-I�_
-J
70. l'�dergra..ntl H�d,a
77. Prouuct P•nir�9 �G�s -', 0�1
i -
72. Underground Flcsli ___ _
,73. Undergrnd. Stnra�e �f,:�.!� � - Gas . � 0•i
74. Overhedd HVdro
---+
75. Dry Chenucal - -- -- - -- -�
7G. Dry S`.ar.d;'� ^.t
77. Fi;(ED SYSTE'i rt�AL
78. FIRE PREV. FiN.:_ ------ _--�_ _~
��EALTH DEPT. RcQUIRF,"E0.'?
79. F;NALI::S^CC'�C�d ---- � -- � -
9C. FOCD CEN-�.��C;7f- I ;Uf_D - ��--- - �--__-.
- - ---- --�-- - --1- �
d.otes:
- - --- - -- - - i
- 1
V�NCK
JOB AO
GENER
A° No.
1 EC
so��
ESS
GAS
WATER
ROUGH PLUMBING
PROP. SWR�LINE
SPRINKLING SVSI
MISCELlANE0U5
�
■
ROUGH MEATING ANO AIR CONOITIONING
TEMPORAqY SERVICE OF POLE
UNOERGROUN� � POM'ER �
ROUGH WIF�ING
TRENCHES ❑ FORMS ❑ STEEL FEINF.
FLOOR SV5TEM
BONO BEAM ❑ STEEL flEINFORCE �
SHEATHING
FRqME ANP FLASHING
LATHING � IN r', OUT
PLASTER,BROWN COAT
S" 'Tl1RP�. FINAL
h NG, VENT., REFRIG. AND A.C., FINAL
PLUMBING. FINFL ANO GAS TEST n
ELFCTFI[ FINAL
T
RE ZONE
DATE 4_2$ :
BUILDING PERMIT
K Res, w a'
VALUE S 45.45i
SUBCONTRACTOR
41849
_. 4.1.84�
COS7A MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicani to Fill in Completely
OWNER State-Wide Develo ers, Inc.
MAII 9461 Grindlay
Z ADDRE55
a � ��T� C ress No`g26-455(
Zz
Q CONSTRUCnON
ON LENDEF
am
,J � BRANCH '
J v1
m J ADDRE55
J m ARCHITECT , TEL.
yORaltl07W� �
U Q
W CL ADDRESS
aw
J O CONTRALTOfi � In
m� ADDRESS 9461 Grindlay
Z � CITV Cypress No`826-4550
0
y Q L C NO. ZZ4I� O LICVNO.
� � SIZE NO.OF BLDGS.
oF �or 12.093 dCMeS NOW ON LOT 0
USE OF
EXISitNG B��G.
�" SIZE OF NO. OF
Z NEWBLOG. ROOMS STORIES
a E%TERIOP W!+LL a� er qOOF
V COVERING :�:�0 COVERING Shake
J VSE OF 9UILOING AND WORK TO BE PEfiFORMED
a
a
a New construction-Condominiums
0
H
v� 1 Residence w att ar
z
O
VI horeby acknowlatlBa thet I have rantl thta applicotion ontl stete
� that the pbove Information is corract antl agrae to comply with
� nll laws regoletlnB buildMy constructlon, and 1 afiell not ompby
� eny parso� in violation of the workmen'e compenfation laws of
y tha Smm of Celi(omia.
? I heroby Fartify that 1 am p�ope�IY licensetl as a con[rec[or untlar
t�e Stam of Californie Businesz antl Professions Code, Dlvisicn 3,
Chepter 9, and ihat zuch licenses ere in fuil foree entl attact, or I
am exempt trom the provisions ot the Steta of Callto le Business
antl Profeasions Cotla, Division 3, Chapiar 9.
tate-Wide Develope nc.
Slpnature ot
Parmfttee
n��no,,:aenve�t Vice President
,, Pa��. � ��„ �,
' Y 13-76� ��.OQ G56 76_ 6%
APPLICATION FOR BUILDING PERMIT
RECEIVED BV DATE RECEIVED nerc �cciu
H.r.rv�. i40—/J�9—vi 1�a /T.1 VZ:.
AD R'E 5 ..3'73% + NZ��LWLeU'F—[J2��
�se 1 Res w/att Gar �--
FIRE
ZONE TVPE � Gf
APPROVED
ey OATE
ZONE NO.OF USE OF NI
�- PLANS � 2 BUILDING
VARpSAPPqOVED YARDS
MAIN BUILDING ACCESSC
(FROM UL STREETI
DISTANCE BET.
APPROVEO �
e�
-�IOLD FOR
THEAMOUNT
THE FURP06E C
�
�
DATE
FT
�
O
VALVATION IS FOR '
A PERMR FEE ONLV: ¢
w � m
E $ • �'(/ �
:K S / �O E
•� `o
LL
s