HomeMy WebLinkAbout3414 PINE BROOK CIR - Building PermitsPflOJECTp00NE55: 34S�i PINE BROOK u"�T: CITY OF COST.4 MESA — BUILDING PERMIT PERM NO: H 050531
awxex•sxaMe: VILLAGE CREEK HOMEOWNERS
aooeess:ASSOCIATION PERMIT NO: B 050531 PLAN CHECK NO; 00157-91 A GOVT; N SUPP: N
3429 TIMBER LAKE
CM VA 92626 CONSTRUCTION TYFE; V—N PERMIT TYFE: STR PURPOSE: REP
AflCH/ENGINEER: CHESTER CARVILLE NEG.NO.: CI��OS
noosess: 79zz ARMOUR ST
PENMITTEE: S, D, CA 9 2 1 S S
nooaess: PHOENIX ENTERPFtISES INC. ( 213 ) 690-9559
411 COMERCIAi. WAY
LA HAHRA CA 90631
IILENSED CONTBACTOB OECIABATION: I hereby allirm Ihal I am Iicen5e0 unCer=ions al ChaO�er 9(commencing wi�h Seclion
7000) a� �ivismn J o� ��¢ Busines5 an0 Pm�essions CaCe, ana my littnse is in �� � ce a Ilecl��
cirvuc.: �Sp�� s�,aic.:376639 ��' �
Oate: _� � � Signamre: _
wOPREBS' COMVENSATIUN OECIAflATION: I nereby aflirm ihat I have a cetlilicate ol consent to self-insure or a certi icate of warkers'
Compensation Insurance. or a cetlilie0 copy tnereol (Section 3b00. Lab. C�.
roucv xo.: W7 0 0 3 5 4 EXP. �ATE: O% I 1/ 1
n.c,omraxv: CA COMP & �IRE
yy Ce0lfied c/oD y Is �eieby lurnishetl Cenified coDY �s �Iletl wNh Bulf iv' on.
Oaie: �.�� �� Applicant
EXEMPTION FAOM WOBREflS' COMPENSATION OECIAHATION: (This section neCC nol h¢ c IeIeO i� t�e permil is Ior ane hunUreU �5700) or less�.
I[eriify Ihat in I�e Oetlormance ol Ihe work tor whic0 �his permil �5 issued, 1 shail not employ any person in any manner sa as to �ecome
sublec� to the Workers' ComOensalion Laws al Califomia.
Oate: Signature:
NOTICE: If, aller making Ihis tleclaraiion, you shoula Eecome subjecl Io Ih¢ Work¢rs' CAmpensalion pmvision5 0l I�e Labor -�
COOe. you musl fotl�wil� tOmply wilh SutA pwvisions or this permil 5hall �e OeemeA revoke�. �
CONSTflULTION LENDING AGENCY: I Aer¢Oy aifirm ��at Nere is a constmction IenGing aqency �or I�e peAarmance ol Ule wark lor
wnicn this permii is issuee �Seaion 3097. Civ. CI. '
LENDEfl:
p00HE$$:
OWNEH 9WLOEH OECtABRTION: I �ere0y aflirm t�at I am eeemD� ��om t�e Com�acmrs' State License Law for t�e lollowing reasan
(Seclion 7031,5 Business an0 Prolessional Cotle'. Fny ciry oi counry which reQuires a permit b con5imct, alter, impmve, tlemolish, ar
repair any stmc�ure, prior lo its issuance, also reQuires Ihe aDplican� far such permi� lo file a 5igne0 s�a�emen� �ha� helshe is licensetl
pursuani lo �he provisions ol Ihe Conlrac�ors' SIaIe License Law (Chapter 9(commencing with Section 7000) o� Oivision 3 0� the Business
anE Pmfessions CAde� or @al he/she is exempi therefmm an0 �he basis lor the alleqeC e�emptian. Any violation ot Section 70.31.5 �y
any applicanl lor a permil sublecls Ihe aDPlicanl to a cidl pen9lty ot not mote ihan live �untlretl dollars (SSOU).
I. as owner ol ine Dmpeny or my employees wilh wages as iheir sole compensation, will tlo the work, an0 �ne
❑ stmcmre is not imen0etl or otiereJ lor sale (Seclion 70aA. Buvness an0 Prolessional Cotle: The Cantraciors' S�ale License Law
does not apPly to an owner ol a pmpeny who 6uilOs oi impmves i�ereon, anA who tlaes suc� urork himsell/�ersell or Nmuph
� his a� �e� own employees. pmNtled tlwt such impmvemems are no� imentle0 or oflered for ule. Ii, however ihe OuilOinp or
im0�ovement is sola wiNin one year ol comple�ion, t�e �er wiil have Ne burG¢n o� pmving ArJs�e did noi �uilA ar impmve
lor ihe pWDose of satel.
I, as ownerol�he pmperiy. am exclusively contracting wi�hlicensetl wntraciors�o conslrucllhe prole�� ($¢�tion 7044, Business
❑ an0 Pmiesiion5 CODe: The COnlratiors' Stafe Litens¢ Law Ooes noi aODly IO an mmer af pmperty wh0 bUiltls ar impmve5 ihereon
anJ w�o Conlratl5 lar 5uc� projetl5 witll a conitat�ar�51 litense pursuanl �a Ihe Can(rat�ors' S�a�e Litense law). I am awdre
�hat pmol o� Iheir Worker'S Campensalion insurance 5�aulA be pmviOeA to me.
� I am exemp� untlet $eCiiOn' B. 8 P. G.
for mis rcason:
Dale: Owner.
I do hereby cer�dy Ihal I am aware ol anU unUersiantl the requiremems of Calilornia Health antl Sa�ery Cotle Sec�ions 25505, 25533, antl
25534 antl Ihai I or any lulure builtlinp occupanl willlwill noi (cirCle one) neetl lo comply wilh said sta�e codes and Ihe requiremen�s �or a
permil lor consVuclion or mo4ilicaiion Iwm �he Air duabty Managemeni Dislritl. ResiQential cons�mction applications are eKempt Imm
Ihese D�a�sions.
Oaie: ApPlicam:
I hereDy cenilylhal I haverea0 Ihis apDlicalion antl sla�e�ha� Ihe aGov � maY is rorrect. I agreelo comply wilh ail ciiy anA coi
orGinances and slaie laws relaling lo builaing conslmciim anU her¢Oy a� x te re� senis'res o� I�a ti' rer upon the above�m .,qnetl
pmp¢rry �ar rspv^�on urposr
�am: ������ Signamre: _ —
od�ers �icense o� sodai secudty
AOP�icant; Pink—Ravenue; Goleenrotl—Assessor
. _ _i�.
JOB DESCRIPTION : REFAIR SETTLEMENT DAMAGE SQ FT; 143
CLAIM VALUE: 14,300.00 CALC—VALUE: 14,300.00 GROUP OCC: R-3 /
COMMENTS; BUILDING SETTLEMENT REPAIR/FOUNDATION
*x x �**�*�x�**�****+r*****x�*�r**��+t******���****�*x****+�**�t*+�*�t*x�+�**********� �*x���*
2 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 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
FARKING REQ • PROV: PARCEL: 93506124 ZNE: R2 kEF NO:
PLANNING 13t5'I'ES> FOUA3DATI023 REPAIR.
i
*�***,��*�*�*******�**�**��****�*�******����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 5
ZONING APPROVED BY ___�� �— �-, DATE: � 1 �•.�'"� 1
BUILDING APPROVED BY : L�; f I_ 1�F1 ti, DATE; �
APPLICATION ISSUED HY; DATE: �
if iE iE iF jE iE iE 3f if iF 1E iF jf if IF iF if if� if if IF iE IF rt if if fE If iF iE iF if��FiE iF
kikifklf�EiEiFaEjE-IEafiF�EifiEkikikiFfF�E�lfikiEiEiEiE ifiE ifiFlEiEiEiFiEifiEifiEfEiEiF9EifiFiElElFiEiFiFifiEiFiE�EiElFif1fK14klE
LEGALIZATION:N F E E S M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECT C MECHANIC FIRE SMIP/RES GRADING
PERMIT 162.00 SMIP/NON—RES
PLAN 26.33
ISSUE FEE
$UILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 163,00 0.00 26.33 189.33 189,33 ,OU
REVENUE DIVISION TOTALS--> COLLECTED: 189.33 OVER/SHORT• 00
BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
162.00 1.00 26,33
�lF iF IF if 1F iE if !f 1E 3ElE IE1f iE 1f if iF 1F if jE i! if IE if IE 1E �F aE if 1E iE IF aE iE 1F 1f If iE iE 1Fif 1E iE iEiF iE 3E fE iE 1f fE iE iElE iE iE 1f 3F IE iE if iF fE 1f iElF iE iE iE !F 1F�f if if IE af iE 1E iF
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 193 STRUCTURAL BY VALUE PER 5100.00 100.00 14,300,00
END OF fiEES
07 QUOi?.i7J-JCOl957;1 -"? ';-'�?�
DA�E: a:'.�I9� TI�7�: :i'�t
CONSTRUCTION AND PLANNWG ��✓L & SPA
APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector
- 1. Temporary Electrical Service or Pole` / 52. Pool & Eq�ipment Location '�4
2. Soil Pipe-Undrgrnd. � �.,`• 53. Steel Reinforcement �-��
3. �Electrical'Conduit Utility-Undrgrnd' �; �`' 54. forms , �
4. Electrical Conduit-Undrgm�-� �. 55. Electrical Bonding �� �
� 5. Steel'Reiriforcement:' � 56. Rough Plumbing & Pressure Test �
6. Electrical'UFER.Gmd. . - 57. APPROVALTOCOVER�GUNITE
' 7. Footings ' 58. Electrical Conduit-Undrgrnd.
�-,8. Foundation ., j 59. Gas Pipe, O Undrgrnd., Test
i '
9. Water Pipe-Undrgrnd. �� 60. Backwash Lines, P-Trap, O Undrgrnd. i f�j '
10: Strutturel Floor $ystem �, � j� �? 61. APPROVAL TO DECK '. �,
11. Property Sewer Line & oU'Se�Connec{ion'� � 62. Backwash & Receptor-Final ' !
�
12: Sewer Cap ' ,'' f� :�� � 63. Heater & Vent-Fina�
/
13. Roof Drains � '. � 64. Plumbing System - Final r^
' � �, r�,
14. iiough Plumbing, �� 65. Electrical�Final � �
15. Rough Electrical-Conduit� ' / �; 66. Solar System-Final '
u: i� :1 � i'
16. Rough E�eMric Wiring ��.�� ���� � 67. Fencing & Access Approval
17. Rough Wiring Sign � �/ 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS f INAL � I,
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT '
20. Rough Factory Fiieplace ��' - • APPROVALS Permit # -
>>
21. Ducts, in Structur'e � . ., . 70. Underground Hydro
22. Dutts, Ventilating .- ' � . � )1. Product Piping O Gas ❑ Oil
23. Gas Pipe,-Rough & Tes[ � . , ,. , 72. Underground�Flush�- . -.
24. Foof Framing � � � - 73. Undergmd: S[orage� ank O Gas O Oil
25. Roof Sheathing ' , . ' . ' - 7q,, Overhead Hydro � • � �
26. T-Bar Ceiling (Structuraq & Monocoat � � � 75. �Dry Chemical --
27. Frameand Flashing: ; � , '� ; �. 76. DryS{andpipe � : �
28. Lathing & Siding � -- i • t�* . 77. - FIXED SYSTEM�FINAL' . ..
-29. Insulation , , �- � � I , 78.,FIRE PREV. FINAL .
30. Drywall Nailing • • I HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat x, ' I ;,79. FINAL INSPECTION _-
�32. Electrical Power Meter-Final i � •� � I 80. FOOD CERTIFICATE ISSUED � .
.
33. Final Electric, ' ' � � �, Notes: ' - �
34. Final Heating & Air Conditioning . .� • � . . . - - .
35. Final Gas Pipe-Test � - � I �' � ' . � i
r
36. Hood or Canopy � . ' � � . � , .� > . -
37. Final Factory Fireplace ' , ' � �. �: ' _ ' ;' ,
38. Final Plumbing . � � � ' I I_ ' � �
39. Water Service-Final � I I -
40.�GasService-Flnal . , � . • I . „ . '
47. Solar pomestic�Final .• � '
� i:
42. Backflow Preventer � I � , ' . � �
43. Backflow Irrigation� • � , �.
44. Landscape Irripation System ' • � - �� . • � . � .
45. Sound Attenuation - " � - ' � r '
46.�HandicapRegulations �
47. FINAL STRUCTURE & BUILDING i �� - ,
48. FINAL PLANNING � j �. � , ,
49. Electric Release to Edison � i �: . -
50. Gas Release to Southern California Gas Co � '' . .
_ , ;.
51. CERTIFICATE OF OCCUPANCY . ;; ., • r
No. Date
�� �=R sTn�-wn
JOB ADDRESS 3414 ]
GENERAL CONTRACTOR
AP No. - - + T
IN"'ECTIONS
G n.,
WATER
ROUGH PLUMBING
PROP. SWR. LINE ❑ NOUSE CON.
SPRINKIING SVSTEM
MISCELLANEOUS
ROIIGH HEATING AND AIR CON�ITIONING
TEMPORARY SERVICE OR POIE
UNOEAGROUND � POWER �
ROUGH WIRING
TRENCHES � FORMS � STEEL RE
FLOOR SYSTEM
BON� BEAM ❑ STEEL PEINFORCE �
SHEATHING
FRqME AN� FLASNING
LATHING - IN UT
PLASTER,BROWN COAT
H� 'NG
P I!
EIECTRI
BUILOIN
ENT., REFRIG. AN� A.C„ FINAL
FINAL ANO GAS TEST n
FINFL
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TRACT AASA FIRE
DAIt
SUBCONTRACTOR
4-28-76
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COSTA MESA BUILDING•SAFETY DEPAI
P.O. BOX 7200 COSTA MESA, CALIFOHNI/
For Applrcant to Fill in Completely
BVILDING___ _ _. _ .
OWNEF state-wiae Ve
AooRE559461 Grindlay
c�rY Cypress
CONSTRVCTION
LENDER
BRANCH
ADDRE55
ARCMI'fECT . . . . ._
CC!2
TE
nooaess�7R4R Sk�Park R7vA Irvin�
coNTRn�TOR State-Wide Developers,
000REss4461 Grindlay
TEI.
cirv Cypress No. g2
LIC.NO. ZZ47�O LICVNO.
512E NO.OF BlC
OFLOT 12,093 aCr25 NowoN�c
USE OF
EXI5TING BLDG.
SI2E OF NO. OF
NEW HlIX'i. PQOMS STOF
EXTERIOR WALL a er POOF
COVERING Wo0 GOVERING Shake
VSE OF BUILOING AND WORK TO BE PEFFORMED
Inc.
7 PFiuoo ��, : �,r�:�2n.�c
"rAY 13-.h��is7
APPLICATION FOR BUILDING PERMIT
RECEIVED BV DATE RECEIVED D 7E ISSUI
L�.. 9 q_
BUILDING ,39/ 4
nooaess
—L
OWNER
TE
ZONE NO.OF VSE OF NEW/
5O 2Z �� PLAN6 Z BUILDING G
� YAROS APPROVED YARDS APf
MAIN BUILOING ACCESSORV
V AR. #
�-IOLD FOR
&
DATE �/�
APPROVED
_.�� �1�lL�
�
1 hereby acknowletlga that 1 heve reatl [his epplication Bnd stata Q�
thet the above intormation is correct antl ap�ae to comply with
ell laws reguleting buildinB construcNon, antl I shell not amploy
any person in violetion of the workman's compensatlon laws of
the State ot California. m
I ha�eby certify that I am p�ope�ly licanzetl as a conVetYOr untle� sn. Fr. J-534 O
Me 5[ate ot California Busineza entl Pro(essiana Coda, Divislcn 3, TNE AMOUNTSHOWN VNDER VALVATION IS FOR a
Chepter 9, antl that such licenses era in full forca antl affect, ar I THE PURPO6E OF ESTABLISHING A PERMIT FEE ONLV: Q
em exempt trom the provisionsof tfieStata ot C ifo�nls Businass VALUATION .+
antl Protessians Cotle, Division 3, Chepter 9. m
State-Wide Develop r, Inc. �jr' �� PERMRFEE s ;
s�e�ei�,a �oD S"p E
Parmlttee 3 PLAN CHECK $ �
auchor�zea ngem Vi ce Presi dent °
LL
TOTAL FEE $ � O