HomeMy WebLinkAbout3412 PINE BROOK CIR - Building PermitsPflOJECT ADOflESS: 3 4 S Z P I NE BR��1{
OWNEP'SNNME: VZLLAGE CREEK HOMEOWNERS
aooeess: ASSOCIATION
3429 TIMBER LAKE
CM VA 92626
UNIT:
FfltH/ENGINEER: CHESTER CARVILLE AEG.NO.: C],��OS
aooaess: 792z ARMOUR ST
'. PEBMITTEE: S, D. CA 9 Z 1 S S
PHOENIX ENTERPRISES INC, (213)690-9559
aooxess: qll COMERCIAL WAY
LA iIABRA CA 40631
UCENSE� CONTflFCTOfl DECLABATION: I hereby afiirm that I am licensed unA visi ns oi Chapter 9(commencing with Section
7000� ul Drvison 3 0l Ihe Busiuess anJ Piuloss'ions' Cotle, and nry Ilcense is' h o�- antl e(tec�.
cirruc.: p-p q7�p]� sWj�J e c.:376639 S-
�aie�. —� �.y—� � SignaWre: _ _ _ �— _
WOPNEflS' COMPENSpTION OECIAflFTION: I hereby atfirm thai I h✓e a certi�icaie ot COnsen� �o SelbinsUre or a ce dicate of workers'
, Compensalion Insurance. or a cenilietl coOY ��ereol (Sedion 3800. Lab. C�.
roucvNo.:W700354 EXP.OATE: O%I 1�91
COMPANY: CA COMP 6 FIRE (../ L
W Cetlihe0 co y is h eby fumishe0, ❑ Cerli�ie0 coDY is lilea wi�h il Buil g Di -psion. /
( ✓ .L
�a�e: __''1[� NPPlicanL
E%EMPTION ifiOM WOflREflS' COMPENSATION UECLNNPTION: Qhis seciion nee0 nol be completetl if �he permi� is �or one hun reA ($100) or less�.
I ceriity Ihat in I�e pedormance ol lhe work lor which ihis permii is issue0. I shall no� employ any person in any manner sa as �o hecome
sublec� Io Ihe Workers' ComDensaiion Laws o� Calitomia.
�ale'. SignaWre:
NOTILE: II, afier making Ihis tleClarali0n, you Shoultl become Sublett lo lh¢ WOrkers' COmpenSabOn pmvi5ion5 oi Ihe Labot
Coae, you mus� IOrihwi�h Gompty wi�h SUth pmvisions or this permii SAall �e OeemeO fevoketl.
CONSTPUCTION 1EN01NG AGENCY: I here�y aifirm ��a� �here is a con9mclion lending agency for I�e peAormance o� the work �or
which ihis permi� is isuetl (Section 3097. Civ. C).
LENOEH:
aoonEss:
OWNEP BUILUEB OECIAflRTION: I herehy a��irm �ha� I am exemp� tmm Ihe Cont�aclors' S�a�e License Law for lhe �ollowing reasan
(Section 7031.5 Business anU Pm�essianal Cotle: Nny ciry at counry which requires a permi� �o cons�mct, aller, impmve, demolish, or
reDair any 5tmclure. prior �o ils i55uante, also requires �he appliwn� br SUCh p¢rmit to �ile a signed slaiemen� lhat he/S�e is licensed
pursuant Io Ihe pmvisions of I�e Camractors' S�ate License Law (ChaD�er 9(commencing wi�h Section 7000� o� Oivisian 3 0l �he Business
an0 Pmlessions Cade� ar Ihat �e/s�e is exempl Iheretrom antl �he basis lor Ihe allegetl exemption. Any violalian ol Section 7031.5 by
any apDlican� �or a permi� 5u0jeci5lhe aDPlican� �o a civil Oenalry o� noi more than live hundred dollars �5500).
I, as owner o� �he D�operiy or my employees wilh wages as �heir sole compensation, will do Ihe work, antl ��e
❑ s�mcWre is nat intende0 ar olleree lor sale (SecUon 7044, Business ana Pmlessionai Cotle: The Contracmrs' State License Law
tloes not apply to an owner of a propetly wha builds or impmves Ihereon, and who does such work himSelVherSell o� �Amugh
his or her own employees. pmviAeO �ha� such impmvemenis are nol intended or oflerea fof sale. II, however Ihe building or
impmvem¢ni i5 5010 within one year ol tompletian, the owner will �ave �he burtlen of pmving hel5he tlitl noi build Or impmve
�or Ihe purpose ol sale). .
I, as owner af �he pmpetly, am exclusiuely con�rac�ing wi�h licensed contradors �o cans�mct Ihe projec� (Sec�ion 7044, Business
❑ antl Pmlessions Cotle'. The ConVactors' Slaie License Law does not apply to an owner o� pmpehy who UuilUs or improues thereon
and who contracts tor such pmlec�s with a con�ractor(5� license pursuant �o I�e Contractors' S�a�e License Law�. I am aware
I�at proof of their WOBer'S ComDensa�ion insurance shoultl be provitled to me.
� I am eKempt unAer Sec�ion: B. 8 P. C.
lor Ihis reason:
oaie: ow�e�:
I do hereby cemty �ha� I am aware o� ana understana �he requiremen�s of Calilomia,Heal�h an0 Sa�ery CoOe Sec�ions 25505, 25533, antl
25534 and Ihal I or any IUWre buil�ing octupani will/wlll n�t (cucle one) need lo comply wi�� said sta�e cotles and the requlrements for a
permil lar construciion or motlifica�ion Imm Ihe Pir Ouali�y Managemen� �isVicl. Residential conslmction applications are exemp� �mm
�hese provisi0n5
�ale: Applicant'.
I here6y cerlitylhat I have reaa Ihis application an0 s�ate Ihatt�e ah e nfor mn is correcL I agr omply wii� allcity an unry
ordinances antl slalelaw5relaiingto Guilding conslmclion antl �ere u rize presen�atives otihi. y enteruponlhe abo� entioned
p�opetly far n50e an rDasP �
Daie: _���.� Signaiure:
Driver's License or Social Seari�y
t64t�46 Wnpe—Building: Green—Cotle EnlorcemenC Canary—Appllcanl: Pmk—Revenue: Goltlenmd—Assessar
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05053
PERMIT.NO: B 050532 PLAN CHECK NO: 00156-91 A GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: S'TR PURPOSE: REF
JOH DESCRIPTION : REPAIR SETTLEMENT DAMAGE SQ FT; 193
CLAIM VALUE: 14,300.00 CALC—��ALUE: 14,300,00 GROUP OCC: R-3 /
COMMENTS; BUILDING SETTLEMENT REPAIR/FOUNDATION
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Z 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 BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT ZN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
'PARKING AEQ• PROV: PARCEL: 93506129 ZNE; R2 REF NO;
PLANNING NdT'ES> FOUNDATION REPAIR,
�
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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 APPROVED HY C� `�-.� � DATE: O-% ( S � I
HUILDING APPROVED HY : L.J � L— L� /ar�_, DATE: �
APPLICATION ISSUED BY: DATc:
IE iE if il� 3E iP iF if iE iF 3f ik 3F iElf iflf iE if 1E if if 3E if iE 3E iF if �1F 3F'Ih if�if �E
�Eiflk*iF3FiE�1FiEiFiflEiEafiflFlf�EiElE�E�EiEjElFif3f1EiF1EiE�f iFif3E�E EiEiEaFiEif1E�E�E�fiE1F3EiFikiElEiflFifitif*iFiE�ElEiF3Eifif'3EIFiE3EiPik�EiEiE3E3F
LEGALIZATION:N F E E S D M M A R Y STRUCTURAL,SEGMENT:Y
BLDG PMT PLUhfBING ELE TRTC MECHANIC FIRE SMIP/RES GRADING
PERMIT 162,00 1.00
� . SMIP/NON—RES
PLAN 26.33
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 163,00 0.00 26.33 189.33 189.33 .00
REVENUE DTVISION TOTALS--> COLLECTED; 185.33 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC fiIRE SMIP/TOT .GRADING PLAN—CAECK
162.00 1,00 26,33
fF if If �lE 1E iF 1f iFif �E iE �fE iE ih 3f !!!k if� %� 1! 1f iF iF iE If 1F iE ik lE iE 1f� iE �)F iEiF ih �lf if if i! Ik iF iF iElF IE iE if iE if if dE If 1E iE iE iE �1E iF 3F #F 3e if if iF if� ik k ik iE 1f if� iE jF aE iE iE IF IF
I N D I V 2 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
SFR 143 STRUCTURAL BY VALUE PER 5100,00
END OF FEES
UNIT COST TOTAL COST
100,00 14,300,00
ar oao�a�a7-nc�o(pC64 �9J � :�*y.,S�
oaTe: aa.��aipi Tii'E: 17:G5 �
CONSTRUCTION AND PLANNING �� r.,�L & SPA �
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
1. Tempora�y Electrical Servii�;or Pole, /' 52. Pool & Equipment Location � i�
2. Soil Pipe.Undrgrnd. �,,. � 0, 53. Steel Reinforcement -1
3.=Electrical C,onduit Ufility-Undrgmd. c .�� 54. Forms
. 4[ Electrical Gonduit-Undrgrr�r: �,_. 55. Electrical Bonding �--
5. Steel Reinforceri+ent'' � � 56. Rough Plumbing & Pressure Test �
�6. Electrical;UFER Grnd. • 57. APPROVAL TO COVER-GUNITE �
7. Footings' 58. ElectricalConduit-Undrgrnd. �
`�8. Foundation. �; 59. Gas Pipe, O Undrgmd., 7est ,�' �
9. Water Pipe-Undrgind. �� �� 60. Backwash Lines, P�Trap, O Undrgrnd. `���
10�. Structural Flooi SYstem ,� q .�.7J �� 61. APPROVAL TO DECK
11. Property Sewer_Line & HouicY.Connection� �:-. 62. Backwash & Receptor-Final �'
� /" �.
12. Sewer Cap ' . ' i q 63. Heater & Vent-Final
� ' r ;
13. Roof Drains ' ��i 'ti 64. Plumbing System � Final
14. Rough Plumbirig �`) ,� 65. Electrical-Final r�''
�
75. Rough Electrical-Condu�t ,��� /r. � 66. Solar System-Final �_�
16. Rough Electric Wiring �,� � r� 67. Fencing & Access ApProval
v
17. Rough Wiring Sign _ 68. APPROVED FOR PLAS7ERING
18. Rough Electrical-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL
79. Rou9h Heating &/�ir Conditioning ` FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace - - � �. APPROVALS-' �Permit # '�
21. Ducts, in Structure . . - . 70. Underground Hydro �
22. Ducts, Ventilating_ � � 71. Product_Piping QGas ❑Oil
23.� Gas Pipe-Rough & Test � " ,, , � ' 72. Unde�ground Flush" _ ` .
24. Roof.Framing - � �� -• " 73. Undergmd:StorageTank OGas ❑Oil �
25. Roof Sheathing ' ; �� - ' ' , _ � 7q.'Oyerhead �lydro - '
26. �T-Bar Ceiling (Structural) & Monocoat . . � ' 75. Dry Chemical � r -- � -
27. Frame and FlAshing' , ; � �; 76. Dry Standpipe -' ,
' 28. Lathing & Siding •. �-. �. ' . 77. � FIXED SYSTEM FINAL
29. Insulation � � . I I •f � , 78.rFIRE PREV. FINAL - � �
30. Drywall Nailing � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat. � � ' �. ' 79. •FINAL INSPECTION ' �
i
32. Electrical Power Meter-Final � � - I � {• _.80. .FOOD CERTIFICATE ISSUED �
33. Final Electric� - - � - 'Notes: � ,
34. Final Heating�& A�r.Conditioning� - I I �� � , . '
i
35. Final Gas Pipe-Tast` � � . I ,
36. Hood or Canopy , i I •> ,
i
37. Final Factory Fireplace , � I , '
i
38. Final Plumbin9 •. � '- I I I' � - - f'
B9. Water Service-Final • � I � _ •
,AO. Gas Service-F�ina1 ' „ . , ` � �• � � . '
L
41. Solar pomestic-Final � � . - �
42. Backflow Preventer; ;' � � I f, z �- �
43. Backflow Irrigation � ' =� � �
44. Landscape Irr�igation System "' . . � � , _ - � , ,
45. Sound Attenuation � • ' • � �
46. Handicap Re9ulations � �. . , .
47.-FINALSTRUC7URE&BUILDING � �
48. FIN'AL PLANNING � , .
. � �i
49. Electric Release to Edison • � � �
i I r
� 50. Gas Release to Southern California Gas Co ~ ; � '. � . �
51. CERTIFICATEOF.00CUPANCY : . '
No. Date
VWNCK
JOB ADDR
P
ROUGH PLUMBING
PROP. SWR. LINE HOUSE CON.
ROUGH HEATING FNq qIR CONOITIONING
TEMPORARV SEFVICE OR POLE
UNOERGFOUN� � POWER �
ROUGN wIRING
TRENCHES � FORMS � STEEL REINF.
FLOOR SVSTEM
FRqME ANO FLASHING
LRTHING - IN �'�
PLASTER,BROWN CppT
'TURAL,FINA�
h ,NG, VENT., R�FRIG. AN
PLUMBING, FINAL ANO GAS T
ELECTRIC. FINAL
ILOING, FINAI
F
TRACT
u��� 4-28-76
BUILDING PERMIT N
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fiil in Completely
ADORESS 3412 Pine Brook
OWNER
MAIL
ADDRE:
GITV
BRANGH
A
de
NO.
ADDRES517848 SkyPark Blvd Irvine
con,rRACTOR State-Wide Developers.
AooREss 9461 6rindlay
TEL.
CITV Cvpress NO• $2
uc No. 224710 �ic�No.
oF �or 12.093 aCt'25 I NOW ON LC
USE OF
E%ISTING BLDG.
512E OF NO. OF
NEW BLOG. ROOMS STOF
COVEEqIOIryGA` $�ter COV�ERING Shake
USE OF BUILOING �+ND WORK TO BE PERFOfiMED
New cons
1 Reside
I hereby acknowledge thet I hava raetl Mis appliceiio� entl state
that ffie abova informallon iz tortect antl eprae to compty w}M
all laws regulatinB builtlin8 construction, and I shell not employ
any person in violetion of the workmen's compansa[lon laws of
the State ot Calitornia.
1 hereby ce�tlfy that I em prOpe�ly litensatl as a cOntrector untla�
the State of CalitOrnia Business antl Professlons Cotle, Divislcn 3,
Chapter 9, antl that such licensas are In full torca end affact, or I
am exempi from the prov(sions of the Stete of Californie Business
antl Protessians Cotle, Division 3, Chapter 9.
S�a�8tUf0O tate-Wide Develoger�,, Inc.
Permittae �Q� f
A�,ho,��„AOa�� Vice President
P0.Lu
:�AY 13-76c�ic.-Oi� 657:` =A `238.23
APPLICATION FOR BUILDING PERMIT
fiECEIVEDBY DATEFECEIVED pp:E�S�JfF
L.l f�
9/L—Z//- a�L o �. P
A.P,NO. �4Ct—US%'O�
BUIIDING ,p �/
ADDRESS ...�iQIZ �VYt.f JJ7(1!/K
TRACT O 3 Sp LOT
•• �
OWNER
FIRE
20NE
APPROVED
VAIUE
DATE
ZONE NO.OF USE OF N
�' VIANS 'Z BUILDING
VARDSAPPROVED VARD:
MAIN BUILDING ACCESS
VAR.
�-IOLD FOR
BET. MAIN &
ACCESS. BLDGS.
DATE
Af'GROVED/ �S ,
,,,,r� G/-%i -.
1480 5a. FT. J-645 0
THE AMOUNT SHOWN UNDER VALUATION IS FOR '
THE PURPOSE OF ESTABLISMING A PERMIT FEE ONLV: �
VALVATION m
�j aQ PERMIT FEE $ � � �
�/ � O r' 7
m
$ PLAN CHECK $ � �
TOTAL FEE $ ��/���D LL