HomeMy WebLinkAbout3416 PINE BROOK CIR - Building Permits/'I
PFOJECT RDOflFSS: 3 4 S 6 P I NE BR��K UNIT:
OWNEP'S NAME: VILLAGE CREEK HOMEOWNERS
aooness: ASSOCIATZON
3429 TIMBER LARE
CM VA 92626
APCM/ENGINEEN: CHESTER CARVILLE REG.NO.: CL OS
AD�NE55: '792Z ARMOUR ST ��'
S.D. CA 92111
PENMITTEE: PHOENIX ENTERPRISES INC. ( 213 ) 690-9559
aooness: qll COMERCIAL WAY
LA HAHRA CA 90631
UCENSEO LONTHFCTOB DECNNFTION: I �ere0y ailirm t�atl am Iicense0 untler m' ions �a0�e� 9(cammenting wilh Sec�ion
7000) �I DrviSion 9 0l Ihe BuSineA ana Pmlessions Cotle, anC my litense is in e ar Ilecl.
cirruc.: S 7 s E�c.:376639 �
Date: �� — Signalure: �— . _ _ _ _
WOHNEPS' COMPENSATION OEC HR ION: I Aere�yaltirm i�al l �a� a cend¢a�e ol consent to sel4insure or a cenifica of WOAcers'
Compensation Insurance, or a cenilietl coDY ��ereol �Section 3800. LaG. C).
�oucrxo.: W700354 E%P.UATE: O%IO /91
comeaxv: CA COMP S FIRE
� Cendietl cooY �s nereby furni/s�ne/A ❑ Cenifie0 copy is IileE vnin 1�. , ''Itlim rvis�g�.
�/� L �
Date: _��_4.j— MDlicanl:
E%EMPTION FNOM WOflNEflS'COMPENSATION OECIAflATION: �ThiSsecibn neetl n01be[omplete0i�ihe0e�milislorone huntlreG 5100�orless�.
1 ceNty that in I�e pedormance ol Ihe work tor which I�is Dermi� is isSueG, I shall nai employ any Dersan in any manner so as to hecome
suElec� Io I�e Workers' Compensation Laws al Calilomia.
Oate: Siqnamre:
NOTICE: II, atler making I�is aetlaralion, you ShoWE Ge[Ome Suhleti �o ihe Work¢rs' Compensation pmvisions of Ihe Labor
Code. you must fonhwil� comply with suc� provisions or tllis De�mit shall be Deemetl revokeU.
CONSTBUCTION LENUING pGENCY: I �ereby allirm t�at I�ere is a consimmion IenAinp aAency lor tAe peAormance ol ihe work for
whicn �nis oeimil is issuetl (Section 3W7. Civ. C�.
lENOEF:
AODNE55:
OWNEfl BUILDEfl OECWBATION: I hereby allirm Iha� I am exempt Irom the Comracmrs' S�a�e License Law �or the tollowing reason
�Seaion 7031.5 Business antl Pmlessional Code: Any ci�y ol counry which repuires a Dermit to constmct, alter, impmve. demolish, or
reoair any slmclure, prior lo i1s issuance. aIW repuires Ihe aoDlicanl for such permil lo lite a signeU statement ihat he/she is licensee
pursuam �o t�e p�ovisions ot ibe Comracmrs' Siate License Law �Chapter 9(cammencinB with Section 7000) oi Oivision 3 oi ihe Business
antl Pmfessions Co�e) or Ihal �e/she is e�emp� Ih¢relrom anA ine basis lor ihe allegetl exemptian. Any violation of Section 703L5 by
any applicant �or a Oermii sublec�s Ihe applican� to a civil Denalry ol nol more Ihan hve hunJreU tlollars (5500�.
I. as owner o� Ihe pro0e�y or my emplayees wilh waAes as ��eir sole compensaiion, will tlo ��e work, antl �he
� s�mcture is not imenOeA or ottere0lar sale �Sec�ion 70a4, Business anA Pmfessional Code: The Coniractors' State License Law
does nol apply to an owner o� a pmperiy who bui105 or improve5 ihereon, anU wAa tloes such work himsel�/hersell ar IhmugA
�is or �er own em0�oyees. O�oviOetl ihat suc� improvemenis are not inlen0e0 or olferetl for sale. If, �owever Ihe builaing or
improvemeni is sola wilhin one year ol completion, Ihe owner will �ave ihe burden ol. proving he/she tlitl not build a� imDmve
lor thc Durpose ol sale�.
I. as owner of the pmpetly, am exclusively conlrading wi�h IicenseA coniraclors �o cans�mc� �he pmlecl (Seclion 7044, Business
❑ and Pmlessions CoOe'. The Conlracbrs' State License Law Ooes no� apply to an owner ol proDeny who builOs or improves thereon
antl w�o conlracis lor such pmle��s wil� a contrador�s�license Oursuani �o I�e ConVaciors' Slaie License Law�. I am aware
Ihai ptool 0� �heir Work¢i s Campen5aii0n insurance S�oNU be pmvidetl Io me.
� I am e�empt un0er Section�. B, 8 P. C.
lor inis reason:
Oate: Owner.
i do �ere�y cendy tnat I am aware ol ana untlerstana iAe reQuirements ol Califomia Healt� antl Safe�y Cotle Sections 25505, 25533. ana
25534 ano Inat I or any future Guiltling accupanl willlwill nol Icircle one) neetl to compN ��h 5aia stale coaes and ihe repuiremenis tor a
permil lor conslmclion or modilica�ion Imm Ihe Pir Ouali�y Management �isirici. Fesidential consimction applications are eKempi �mm
Ihese provisions.
Date:
1 �ereGy cetlAy I�al l have reae ��is a0
ortlinances and statelavrsrelalingio Uui
prapert�insp�ur��
oate.
Onver's License ai Saial Secunly +:
Applicani:
SignaWre:
1 agree 1 mpty wit� all city ana
�his d��er upon ihe a�ove�iy
164t-e6 WM1ne—Bviltling: Green— Appl¢an�: P�nk—Revenue: Goltlenrotl—Aweswr
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; H 05053
PERMIT NO: B 050530 PLAN CHECK NO: 00158-91 A GOVT; N SUPP: N
CONSTRUCTION TYFE: V—N PERMIT TYPE: STR FURPOSE; REP
JOB DESCRIPTION ; REPAIR SETTLEMENT AAMAGE SQ FT: 143
CLAIM VALUE: 14,300.00 CALC—VALUE: 14,300.00 GROUP OCC; R-3 /
COMMENTS: HUILDING SETTLEMENT REPAIR/FOUNDATZON
*�****��*���r�r*�r��*��r+�+�***�r�****�*�**�r**�r***��***+�*******�**+�******�x*********x�
Z O N I N GS ERTEB�AUCIKRSE M E N T 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
PARKING REQ • PROV; PARCEL: 93506124 ZNE; R2 REF NO:
'PLANNING N(5TE5> FOUNDATION REPAIR.
i ,
lf 3F �E iE if if 1E if iE iE iE iF iE iF 1E iF iE iE if IF 3f iF if 3f 3E If if iE iF i(� iE �E iE if if iE if if It iE iF �F i(� lf iE iE iF iE IF if 3E iE 1E iE �E 1E 1E iF iE 3F 3E iE if �lE if If 3E 3f lF if iE iE 1F iF if iE iE k iE
D E V E L O F 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 �i/J �—T . DATE: O I l,S� I
BUILDING APPROVED BY : l_ ' DATE: �
APPLICATION ISSUEI� BY: DATE: �
iEiEifif3fikiklFiEiFiEik�F�f3EiEiFifiFiEif r iEifiEiEiEiFafiEiEiE�'�3Flfif
iF1EiEiElEiEjEiEiFaElFiF�ElfiEklF�EiEiflEltiElEiE1E�E1f1FitlEiE iEiFiEfE lfifififiFiElEiflfiFifiEifitiElflEfkffiElEiEiEiEifiliEifklEiflEkiFlfiFfFllrtif
LEGALIZATION;N F E E 0 M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMHING ELEC IC MECHANIC FIRE SMIF/RES GkAllING
PERMIT 162,00 1.00
S�IP/NON—RES
ISSOE F'EE 26.33
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 163.00 0,00 26.33 189.33 189.33 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 189.33 OVER/SHORT: 00
BLDG PMT FLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADII3G PLAN—CHECK
162.00 1,00 26.33
k�E iFlF jF �F 3f iE 3F if iP �E IF �k iE 3E If ak jf iE 1f -0F k 1k if 1F IE iE iE IE lE fk �f IE 3E If iE �E 1E �E 3f if iF if iE iF If M iF iF iE iflE iF 3f iE iF �E iElE iE 3F iE if iE �f 3F 3E iE iE if IF iE if if iF IF if lf
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 F T I O N UNIT COST TOTAL COST
SFR 143 STRUCTURAL BY VALUE PER 5100,00 100,00 19,300,00
END OF FEES
[�2 7C i�D'uL'S—��J1:6�7 -d':''? � .
DAie: �7:/2_;.,� T���-• ;1� _
CONSTRUCTION AND PLANNING �_ JL & SPA
APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector
i. TemDorary Electrical Servic'e or Pole_ . 52. Pool & Equipment Location ��
2. Soil Pipe-Undrgrnd. � _ �, � 53. Steel Reinforcement � 1
' 3.�Electrical Conduit-Utility-Undr9rnd. ' 54. Forms �
' 4. Electrical Conduit-Undrgrnd`.'� � - 55. Electrical Bonding �'.�
5. Steel Rei�forcement� � 56. Fough Plumbing & Pressure Test .
. 6. .Electrical UFER Grnd. . 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
� 8. Foundation � .' � 59. Gas Pipe, O Undrgrnd., Test , j�� �
9. Wa[er Pi e�Undr rud. ����
p .9, i � 60. Backwash Lines, P-Trap, O Undrgrnd. ��
10. Structural Plooi System ,�,,, . �'�n 61. APPROVAL TO DECK `' _�
it. Property Sewer Line & FloyseConneaion /i� 62. Backwash & Receptor�Final ,,
12. SewerCap , � �%�-1 _J� 63. Heater&Vent-Final
13. RoofDrains' , r'7 �� 64. PlumbingSYstem-Final ��'
14. Rough Plumbing ' ��� 65. Electrical�Final Y %
15. Rough Electricat-Conduit !� � �` � 66. Solar System-Final r �
i6. RoughElectricWiring � •� 4 ��
�� 67. Fencing & Access AnProval
17. Rough Wiring Sign � i - 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL
19. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Fectory Fifeplace . "�� • APPROVALS=� �Permit #
� : �i
21.�Ducts, in Strycture' '' � .. 70. Underground.Hydro ,
22. Ducts, Ve�tilating - • � 71. Product Piping OGas ❑Oil
23: ,Gas Pipe�Rough & Test � ; ' � , 72, Underground Flu'sh= . .
24!'Roof Framing + � •• . . � '73. Undergmd:StorageTank �Gas ❑Oii �
25. Roof Sheathing , � ' ' c � , �7q. Overhead Hydro _
26.-T�Bar Ceiling (Structural) & Monocoat � .• 75.- Dry Chemical
27. Frame and Flashing: � _ . 76.1Dry Stand'pipe �
28: Lathing & Siding � . � .> � i- • 77, FIXED SYSTEM•FINAL'
29. Insulation , '; �- " ' � � ',, � 7$,; FIRE PREV. FINAL � �
�30. Drywall�Nailing � � � f HEALTH DEPT: REQUIREMENT
i
'-31. Plaster Brown,Coat � .. ' � � 79. FINAL INSP_ECTION '-
' 32. Electrical Power Meter-Final �. � ��80. FOOD CERTIFICATE ISSUED
�
33.'Final Electric - � l � � _�Notes: ' � ,
34. �Final' He2ting & Air,Conditioniqg , I , . _, ,
35. Final Ga5 P�Pe-Teit" - ` � � _I � , - • '
36. Hood or, Canopy _ , . . I � � - � � . ,
37. Final Factory Fireplace, � �� ' ` .
38. Final,Plumbing � _„ � � ' � �� . � . .
39. WatOr Service-Final ( .
40. Gas Service�Final . . ; � I � ,-y ,�. .
[
41. Solar pomestiaFinal • � � I I � � �-
42.�Backflow P�eventer' - � ' � f -
43. Backflow Irrigation- . � ` ' • � - '
44. Landsca0e Irrigation System � � . , � , �
�45.�.Sound Attenuation _ � - ' �
46. Handicap Regulatio�s ' ' ' � . . .
47. FINP,L STRUCTURE & BUILD�NG �
48. FINAL PLANNING i „ �
_49. �Elearic Release to Edison � � �- �
` 50. Gas Release to Southern Calitornia Gas Co , � j � � _ � �
51. CERTIFICATE OF,OCCUPANCY , , '
No Date
UwNtH STATE...-WIDE
JOB ADDRESS 3 1 P
I'
s
GAS
WAT
MISCELLANEOUS
ROUGN HEaTING FNO AIR CONOITIONING
UNDENGROUND LJ POWEH U
AOUGH WIRING
TRENCHES FORMS STEEL REINF.
FRqME AND FL
LATHING — IN
STRUCTURAI, FINFL
1 VG. VENT., REFRW. AND A.C., F
P. .91NG. FINAL RN� GAS TEST I—I
Inc. DATE 4_Zg
FIRE ZONE VALUE
TYPE GROUI
SUBCONTRACTOR
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4:).86
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA ffi626
For Applicant to Fill in Complefely
BUILDING
A�oaFss3416 Pine Brook
OWNER
MAI l
CITV (��/�
CANS7'RUCTION
BRANCH
ADDRESS
ARCHITEI
CONTRACTORSLaLQ—W�Ue uevei
AooREs5g461 Grindlav
c�rv f.vpress
L C NO. ZZ4%�O
OIF LOT 12.093 acres
USE Of
EXISI'ING BLDG.
SIZE OF NO. OF
NEW BLOG. ROOMS
EXTERIOR WALL a5 er ROOF
COVERING Llfl(1!I COVERING
USE OF BUILDING AND WOflK TO BE PE
„�av �?-�6�.;=00 7iz�> :*�.r:}Z10.E7
APPLtCATION FOR BUILDING PERMIT
PECEIVED BV DATE RECEIVED neTr isc�u
BUILDING 34/6 •
AD�fiESS
Tr,o`.$26-4550 TRACT �.SO
W A
X
OWNER �.
1 Res w/att
NOLriS
5F�F�n
FIRE
TEL.
N�. sz6-a55
CITV
LIC. NO.
NO.OF BLIX'>S.
NOW ON �OT O
RMED
I hereby acknowladBa that I have reetl this application antl stata
that the ebove information ls correct antl eprae to tomply with
all laws regulatinp builtling conit�uc[Ion, enC I shell not amploy
9ny person In vlolallon of the workmen's com0ensa[(on laws ot
the Stete of Celifornla.
I hareby certify that I am prOPerly licanutl as a contractor untler
ihe State ot Celifornle Business antl Profea{ons Cotle, Dlvislcn 3,
Chapter 9, and that such licansas ara In full forca ntl effact, or 1
am axempt�irom the provlsio�s of the Smte of Cal ornia Business
a�tl Professions Cotlo, Division 3, Chepter 9.
ate-Wide D�op , Inc.
§Ipneture o
Perminea
AumorizeaApanc ViCE PT'051(�211t
veo
oi
1„ VAIUE
DATE
NE NO.OF USE OF �
'Z �` PLANS Z BUILDING
YAflOSAPPFOVED VARD
MAIN BUILDING ACCES9
DISTANCE BET. BET. MAIN &
MAIN HIOGS. ACCESS. BIOC$.
VAR.# DATE
C.U.P. �— � APPROVED �� �
APPROVE� ��i �
G
�iOLD FOR PECIAT RE'IUIR � : 1'1'�
1
— m
1254 so. FT. J-655 '�
0
THE AMOUNT SHOWN UNDER VALUATION IS FOR �
THE PURPpSE OF E5TABLISHING A PERM17 FEE ONIV: Q
VALUATeION pERM1T FEE $/J � j
J�q3�rpOq��0.r9 � m
8�+�'s'+""i PLAN CHECK $ � � E
w . �I /� u
TOTAL FEE $