HomeMy WebLinkAbout3430 PINE BROOK CIR - Building PermitsPPOJECT RDOPESS: 3 Q 3 O P INE B ROOK
OWNEN'SNAME: VILLAGE CAEEK HOMEOWNERS
nooxess: ASSOCIATION
3429 TIMBER iAKE
CM VA 92626
UNIT:
PflCHIENGINEEB: CHESTER CARVILLE xec.xo.: C18305
aooxess: 79pz pRMOUR ST uxir:
S,D. CA 92111
PEPMITTEL PHOENIX ENT$RPRISES INC, ( 213 ) 690-9559
AOOBESS: Q S I COMERCIAL WAY
LA HABRA CA 90631
LICENSE� CONTPACTOP OECLABATIQN: I hereby atfirm that I am licens m pmvisions o� Chapter 9(commencing wi�h Sec�ion
7000) oi �rv�,sion 3 of Ue Business an0 Pro�essions Catle, and my hc i Iliorce anA effec
cirruc.: 507)p' 8 G,�T/�r �ic.:376639 P /,/��
Date: _y� TI {��_ Signature�. _ _ _ _ _L"� �
WOBREflS' COMPENSF ON OECLA AtION: I hereby affir ihat I have a cenificate of consenl lo seif-insure or a cL�ificate of Workers'
Compensation Insurance q,r a certAietl capy �hereof (Sec�ian 3800. LaD. C)
�POIICYNO.:W%Od.1,rJ�i E%P.UATE: %IOSI91
comvnxv: CA COMP & FIRE
� Cenilied co/py �is herehy �um hetl. ❑ Certrtiea copy is f e' BuilOing Oivision.
�ate'. _� C ^ ADPliwnt: �/
E%EMPTION FHOM WOPREHS' COMPE pTION OECLAflpTIpN: Qhis section need no� Oe completetl il Ihe permit is forane h tlre0 ($1IXq or less�.
I ceNty I�al in Ihe periormance of Ihe wark tor w�ich ihis permit is issued, I s�all no� employ any person in any manner so as lo become
su�lec� lo Ihe Nlorkers' Compensation Laws oi Calitomia.
Dale: Signature:
NOTILE: II, allei making �his Ueclaralion. you shoultl become 5ublec� �o the Workers' Compensa�ion pmvisions ol �he Labor
Ca�e. yau musl Iarlhwiih comply wi�h 5uch provisions ar Ihis permit s�all be deemeU revoketl.
CONSTPULTION IENOING AGENCY: I hereby aifirm ihat there is a constmclion lenaing agency br Ihe pedormance ol the work far
w�ich Ihis permit is issueA �Seclion 3097. Ci¢ C�.
LENDEN:
aooeess:
OWNEfl BWLOEP OELLAPFTION: I hereby aflirm ihat I am exempt imm t�e Coniractors' State License Law br ihe following reason
(Section 7031.5 Business antl Pmlessional Cotle'. Any �ity of coun�y which requires a permi� �o cons�mct, alter, impmve, tlemolish, ar
�Cpdi� 311y 611ULIOf¢, pfiO��Oli6 ISSI1d110E. 3f60 lCqNf¢5 �hE 3ppIIt20� 1�f SOCh p0frtlf� 10 (17C 8 SIgOOU 5�2IC111011t �h2( h¢/ShC i5 (ICB�SBU
pursuani Io Ihe provisions al lhe Contrac�ors' Slaie License Law (Chap�er 9(commencing wi�h Section 7000) ol 0ivision 3 0� the Business
antl Prolessions Code) or Iha� he/she is exempt thereirOm antl the basis far Ihe alle0etl eKemD�ion. Any violation o� Section 703L5 by
any applicani lor a permit sublec�s the applicant �o a civil penalry o� not more tM1an �ive hunAred tlollars ($500).
I, as owner of t�e pmpetly or my employ¢¢5 with wages as �heir sole comDensa�ion, will tlo �he wofk, antl Ihe
❑ slmciure is noi inlentled or olferetl far sale (Sec�ion 7044, 9usmess and Pmfessional Code: The ConVac�ors' State License Law
tloes noi appty �o an awner oi a pmpeny who huiltls or improves thereon, an0 who tloes such work himsetl/herself or [hmugh
his or her own employees, pmvideA ��at suc� impmvemen�s are no� intendetl or offerea �or sale. I( however �he huilding or
impmvemeni is SoIU wilhin one year ol comple�ion. �he owner will have �he 6urden o� provinB he/she Oid not builtl or impmve
for ihe ourpose a� sale�.
� I, as awner ol �he properly. am exclusively contracting wi�h licensed conlractors �o cons�mcl tAe pmlecl (Sec�ion 7044, Business
❑ and Pmle55ion5 CoOe: The Conlraclors' State Lic¢nse Law tloes na� apDly lo an owner oi Ompetly who builOs or improves thereon
antl w�o COnlraCls �Or SUt� pmletts wi�h a caq(ratlor(s) license pur5uani Io Ihe CantmClOfs' State LitenSe Law�. I am aware
Ihat pmaf ol Iheir Worker'S ComDensation insp�ance should be pmviaed to me.
� I am exempl untler Section: 8. 8 �. C.
mr mis reason:
Daie: Ownec
I ao Aereby cenily ihat I am aware ol and untlerstantl ihe requirements al Catilomia Healih an0 Safety Cotle Sectians 25505, 25533, ana
25534 antl Ihat I or any lulure building ocapant will/will no� �ci¢le one� neea �o comply with saitl state cotles an0 Ihe requiremenis �or a
permil loi conslmction or motlilicalion �mm Ihe Pir Ouahty Management OisVic�. fle5i0enlial constructian apDlicalions are exempt tmm
these pmvisions.
�ate: Applicanl
I here6y ceriily Ihal I �ave reatl Ihis appl¢a�ion antl s�a�¢thatihe a'.
ordinances antl stalelaw5relalingio builtling conslmclion ana �ere�y
prOpe�iy br inspet �-pn p r 5¢s
V
�ato: _� � . — SignaNre: �
� �
with all city and
�6at 46 Wline—Builoing: Grecn—Cotle EnforcemH���, Canary—AOPlicanP, Pink—Revenue; Goldenrotl—Assessor
CITY OF COSTA MESA — HUILDING PERMIT FERM NO: H 050610
PERMIT NO: B 050610 PLAN CHECIC NO: 00101-91 A GOVT; N SUPP: N
CONSTRUCTION TYPE; V—N FERMIT TYPE: STft PURPOSE: REP
JOH DESCRIPTION : REPAIR SETTLEMENT DAMAGE SQ FT: 143
CLAIM VALuE: 14,300.00 CALC—VAL"JE: 14,300.00 GROUP OCC; R—J /
COMMENTS: BUILDING SETTLEMENY REPAIR/FOUNDATiON
iE if �E �IF if jE fE�f �E ib lE 3f if iE 1E 1E �lE iE 3(� iE �F 3E 1f 3E 3E #F if !E!F )f �t %3E iE # i(� if iE df 3f iE If lEiE iE iE IE !f if iE 3E 3c 3F 3E iE If �F 3f iF * fF 1FlE �f 3F If iE IE 3f iF K-i(� 1E # 3E iE iE �F if
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 5
------------ MAIN BUILDING ---------- --------- ACCESSORY bUILDING ---------
FRNT; FT IN REAR; FT IN F'RNT: FT ZN REAR: FT' IN
LEFT; FT IN RGAT: FT ZN LEFT: FT IN RGHT; FT IN
PARKING REQ� PROV: PARCEL: 93506124 2NE: R2 REF NO;
PLANNING Ni3'fE5> FOUNDATI013 r�EPAIR.
i
�x �x-**���+���*���**x*�x****r*�**���**x-r�t*x�*��**u�***+��**�*�c*********��******�*�***
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; O l I S`"� i
BUILDING APPROVED BY : �"" �— DATE: ,
/
APPLICATION ISSUED • DATE: •'�
�f'1(�ifiF�JflflfiE�lFifiE�IfiFifiE�fiF �ifi63fir r E- iflfiflF3EiEif3kiFi(' iFdt
�f�lE�EiffElflkil�lE3Eifaf-1EifItiFlEiFif-)Ei(� r � e rif�IFfEifiFiEfFIFif7EiFiFif1FlFifiF�lFiE3F�fIF3flFifkfFihlF36rN�iE#ik�IF3E�Eif3F3E�k
LEGALIZATION:N F E E S U M M A R Y STRUCTURAii;:SEGt�fENT;Y
BLDG PMT PLUMBING E CTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 162.00 1.00
SMIP/NON—RES
PI,AN 26.33 '
ISSUE FEE
$UILDING—DiV—> FERMIT ISSUE PLAN—CHECK TOTAL PATD GliE
TOTALS----> 163.00 0.00 26.33 189.33 189.33 .00
REVENUE DIVISION TOTALS--> COLLECTED: 189.33 OVER/SHORT: ,00
HLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADTNG PLAN—CHECK
162.00 1,00 26,33
ik 1F )f iE if IE �E iE 1f iE If dk iE iF iF iE 3F 3f IE�E iF iE aE iE iF �E iE �E 3E-1E iElF fP iE �f 3f 3E lE fE if iE 1� Ik IF if )E iE if if if iE iF iF if iEif iE iE 1F if iE iF K� iE Y- iE if 1F if 16 iE iF i( �Fif 3!� iE iF df
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 TOTP.L COST
SFR 143 STRUCTURAL SY VALUE PER �100,00
END OF EES
100.00 19,300,00
01 Lb�Jf8u5;-OCO?u35n "se� ; tgg.?3
D�TE: US/2?/91 TIME: ny:2&
CONS7RUCTION AND PLANNING P�-� & SPA .
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location '
2. Soil Pipe-Undrgrnd. � :-„� ��_- 53. Steel Reinforcement ��
3. Electrical Conduit UtilitY�Undrgmd. 54. Forms �°"��
4. Electrical Conduit�UndrgmB:�.:. ._ 55. Electrical Bonding ^=-.
5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation ��� /�� 59. Gas Pipe, 0 Undrgrnd., Test
i
9. Water Pipe-Undr9rnd. �, /„ '�' 60. Backwash Lines, P-Trap, O Undrgrnd. ^��,
i0. Structural Floor System�%'� ' �' 61. APPROVAL TO DECK , ��"
11. Property Sewer Line &�HouseConnection , 62. Backwash & Receptor-Final ,� �'
12. Sewer Cap , 63. Heater & Vent-Final
/
13. Roof Drains ��� � 64. Plumbing System - Final !�
�
14. Rough Plumbing d � 65. Electrical-Final
15. Rough Electrical-Conduit '�� �r 66. Solar System-Final 'i' M
16. Rough Electric Wiring F ',� 67. Fencing & Access Approval �
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �
18. Rough Electrical�T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � � APPROVALS Permit #
21. Dutts, in Structure 70. Underground Hydro
22. Ducts, Ventilating � 71. Product Piping O Gas ❑ Oil
23. Gas Pipe�Rough & Test �. ., 72, Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof 5heathing � ' . '- 7q, p�erhead Hydro� �
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical "
27. Frame and Flashing' _ . � 76. Dry Standpipe .�
28. Lathing & Siding � ' �• 77. FIXED SYSTEM FINAL
29. Insulation ' �- i I `. 78. FIRE PREV. FINAL �
30. Drywall Nailing , � I I HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat . I � �; 79. FINAL INSPECTION .
32. Electrical Power Meter-Final � • } . � , SQ. F00� CERTIFICATE ISSUED
33. 'Final Electric � � ' I � I , Notes: , , �
34. Final Heating & Air Conditioning � ' �
I i
35. Final Gas Pipe-Test ' �� �' �
36. Hood 0� Canopy . � �
i�
37. Final Factory Fireplace � � ;
38. Final Plumbing : . �-
39. Water Service-Final � �� '
i .
40. Gas Service-Final - j f
41. Solar pomesticFinal - I � i ' "
42. Backflow Preventer . � � � �
43. Backflow Irrigation , ' �
44. Landscape Irriqation System
45. Sound Attenuation , -
46. Handicap Regulations .
47. FINAL STRUCTURE & BUI�DING ?� � I i
48. fINALPLANNING : r 1
�
49. Electric Release to Edison , � �
i �
50. Gas Release to Southern California Gas Co ; �
51. CERTIFICATE OF OCCUPANCY � � � �
No. Date
�
�
�
PflOJECT AOOHESS:
OWNEfl'SNRME: 3430 PINE HROOH CI
aonness: VILLAGE CREEK H2O.A.
3929 TIMBER LAKE
COST'A MESA, CA 92626
PflCHIENGINEEfl: 5 5 j— 1 8% E1
aooeess:
NEG.NO.:
uNir:
uxiT:
PEflMITTEE:
aooeess: PETERSON ROOF'ING ( 714 ) 979-71 ].1
r(3�0qT06n ENpGTE�RPRISE r o7 qq
LICENSED CONTHACT011 BEGi11BNTI0NM'Ynereay allirm ihat I am licensetl untlCr�viSioM1Sro�M1spter 9(commencing with Section
]000) oi �ivision 3 0l ihe Business and Professions Co�e, antl my license is in full lor e anA efiect.
CITY LI���S STATE LIC.:(� O 7 8,7 ,2 ClA :'_�
�a�e -Signa�ure: — _
WOBRE C PENSATIONOECLAPATION: Ihere�yaflirmlhallhaveacertdica�eo�coSenllo5e14inSureoracerli�iCa�e01WOrk¢rs'
CamOensation Insurance. or a cer�ilied copy Ihereol (Sec�ion 3800. Lab. C�.
roucvNo.: 1021355-93 E%P.UATE: OiIO1�94
COMPPNY: q'�`�� ��1�7
❑ Cenitiea Cdpy RTEr� fuFniSM1AdD� Cenifietl cop; is filetl wi�e ciry 8' Oing Divisi
Dale: AOOlicanl. / T
EXEMPTIO FRUM OXNEHS'COMPENSpTION DECLAflpTION: (ThisSec�ia��Athe permili5�orone hun4B4�$100�orless�.
I cetlity Iha� in I�e pedormance o� ihe work tor which this permi� is issued. I shall no� employ any De�son in any manner sa as �o become
sublett lo IAe Workers' Gampensation Laws o� Cali�omia.
�aie: Signalure'
NOTICE: I�, afler making IhiS tleClaralion, you s�ould betome SUblett �o �he Workers' Compensation pmvisions of the Labor
Gode, Vou musl torthwith comply wi�h such pmvisions or ��is permit shall �e aeemed revoketl.
CONSTBUCTION LENDING AGENCY: I hereby allirm I�at there is a cons�mc�ion lentling agency for Ihe petlormance o� Ihe work fo�
which Ihis permii is i<suetl (Sec�ion 3W7. Civ. C�.
LENDEN:
AUOPESS:
OWNEP BWLOEH OECLANATION: I hereby aflirm ihal I am exempi imm Ihe ConVactors' State License Law for �he �allawing reason
�Section 7031.5 Business antl Professional Cotle: Any ciry ot county w�ich requires a permit �o cons�mc�, aller, impmve, demolish, or
repair any 51mcWre. prior ro ils issuance. also requires ihe applicant lar such permit to lile a signe0 sla�emen� Ihat he/she is licensed
pursuant lo t0e D�ovisions ol �he Comraaors' Slale License Law (C�apter 9(commencing wilh Section 7000) of Oivisian 3 ol IAe Business
antl Pmiessions Cotle) or Ihal helshe is ezempl therelmm and ihe basis �or Ihe alleged exemptian. Any viola�ion o� Section 7031.5 by
any applicant lor a permii sublec�s t�e applicanl lo a civil penalry of noi more ihan �ive �undred dollars (5500�.
I, as owner af the pmpeny or my employees with wages as their sole compensa�ion, will do ��e work, antl �he
❑ slmctureis notinten0ed orofferediorsale�Seclion 7044, Business and PmfessionalCode: The Coniractors' State License Law
tloes nol appty to an owner of a pmpeny wno builds or improves thereon. ana who Ooes such work himsetl/hersell or through
his or ner own employees. providetl ihat suc� impmvemenls are not intended or oHereO for sale. II, however Ihe UuilAing or
impmvemeni is soltl wilM1in one year o� completion, the owner will have Ihe huraen of O�oving he/she ditl not build or imDmve
br ��e purpose ol sale).
I, as owner o� the pmper�y, am exclusively contrac�ing wi�h licensetl contrac�ors to cons�mcl �he pmle�� (Section 7044, Business
❑ ana Pmlessions Code: The ConVac�ors' S�ate License Law does not apply to an awner o� pmDe�y who bui105 or impwves l�ereon
antl who conlracts for such pmlecis wit� a con�rac�or(s) license pursuani to ihe Con[rac�ors' Slale License Law�. I am aware
Ihai pmoi of Iheir Worker'S Compensation insurance s�oultl be pmviae0 Io me.
� I am ezemp� un0er Seclion: B. 8 P. C.
�or Ihis reason:
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 063951
PERMIT NO: B 063951 PLAN CHECK NO: N GOVT: N SUPP: t*1
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
JOH DESCRIPTION : T/OFF SHEATH REROOF W/COMP SHINGLES SQ FT: 4,600
CLAIM VALUE: 9,600.00 CALC—VALUE: 4,600,00 GROUP OCC: R-1 /
COMMENTS: SMOKE DETECTORS RE� PERMIT INCLUDES 3432 3434 6 3436 PINE HAOOK
�r*�r*�r��r��r*�r*��t****�r�*�ex�x�r��* ��r�**x��*��r*+t*x*�+r�*�**��t*********x ��-xy��+�
Z O N I N G R E Q U I R E M E N T S v9��� UC I Cl/ I OR
ssrBacxs
------------ MAIN BUILDING ---------- --------- ACCESSORY HUIL��Q UIR ED
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT ZN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REO• PROV; PARCEL: 93506061 ZNE; REF NO:
PLANNING NiSI'ES> L '
> h
it iE iE iE it it 1Eitr ik if �If if if if it iP iE if it if iF iE iE iE iE iE fE if iE 1E if it it k 1E iE iF iE it ik if i! iE iF iE IE it it iF iE iE iE iE k it iE it if it 1E iE iF iE it iE iE it iE it� iE rt if 1E iE it it it i6 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
ZONZNG APPROVED'BY DATE: %
BUZLDING APPROVED BY ; DATE;
APPLICATION ISSUED
iF iE iE 3F ik iF if iE !E if iE iE k!f iF9E 1E iE iE
iP iE fF iF jF if iEif 3f iE if iE if iE iE if 3E iE �E
LEGALIZATION:N
BLDG PMT
PERMIT 72,00
iE 3E iE fE 1f IE �E iE iE it i! iE �t iE if if �FlE iE iE iE iE iE 1E iE
F E E S U M M A R Y
PLUMBING ELECTRIC MHCHANIC
STRUCTURAL SEGMENT;Y
FIRE SMIP/R50 GRADING
SMZP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOT'AL PAID DUE
TOTALS----> 72.50 0.00 0.00 72.50 72.50 ,00
REVENUE DZVISION TOTALS--> COLLECTED: 72,50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
%2,�0 ,5�
aE iF!! iE 3E iE 1E iE 3E iE it iE iE if iF iF iE iF iE 3E iE if iF iE if if !E!E!E-If iF iE fE if !E!E!E!f 1f if iE if iF iE ff fE i! iFlF 1F 1f it !E iElPiE iF !t fElE iElF iF if iE if if if iEiE iE iE iE )E iF M iE iE �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 I O N [7NIT COST TOTAL COST
Date: Ownec
I tlo hereby certify �hal I am aware al and un0erstanU ihe requiremenis al Califomia Heallh antl Sa�ely CoOe Seciions 25505, 25533, antl SFR
2553d antl �Aat I or any �Wure bmltling ocapani will/will noi (circle one� nee4 io compty wilh sai0 s�ate codes antl �he repuiremenis �ar a
permi� lor conslmction ar modilicalion Imm ihe Air Oualiry ManaAemenl �istnc�. Residen�ial consimc�ion appbcations are exempl �mm
ihese pmvisions.
Da�e: Applicanl:
I �ereby cerlAy Ihal I have reatl Ihis applica�ion and s�a�e �hal �he above in�ormation is correcl. I agree to compty wiih all city and coun�y
ordinancesandstalelawsrelaunglobuildmgconslruclionantlherebyaNhorilerpreseniati� so�Ihiscil toen rupontheabove�men�mned
p10pPIIy 101 i05p2L�1011 pOfp05¢5.
i ���
oate. signamre: Q T
Oriver's License oi Social Securiiy
Applicant: Pink—Revenue'. GolOenmtl—Assessor
4600 REROOF HY VALUE RESIDENTIAL NOZONE
END OF FEES
1.00 4,600.00
Jt 00146S4F—O�t�b347 T�� T �2.`4
?.�^,iE� 0`l1i4/9s TIME: 10�44
CONSTRUCTION AND PLANNWG
IAPPROVALS Permit#
i. Temporery Electncal Service or Pote '
�2. Soil Pipe-Undrgrnd.
Electncai Co�duit UUIIty-Undrgrnd.
� 4. Electncal Condwt�Undrgrnd.
5. jteei Reinforcement
�
� �� E'.ectnw' UFEA Gmd.
7 Foonngs
I 8. (oundatron �
I 9. 4Vater P�pe-Undrgmd.
� 70. Str�cturai Fluor SYstem ,
i �
i i. Qroperty Se�ver �ine & House Connection
i 12. Se�:�er Cap . .
��
� 13. Roof Drains ' •
i '��4. Rough Pi�mb�ng
�� �5 Rouyh Etectcica4-Conduic
�o. Ro�yh EleMricVJirinq
� 17. Rough iylnng Sign
18. Rouyh Electrica6T Bar Ce�ling
19. Rouyh ;-leating & Air Conditi0ning
20. no��yF. Fac:ory Fireplace ', �
21. Ouc'.s; in�Structure �
22. Ducts; Ventilating ,
23. Gas pipe•Rough & Test �
24. Foof Praming � � �
25. Roof $he�thing G
i
?6. T�Bar Ceiling �Structurail & Monocoat
27. Frame arid Flashing
28. �athm9 & Siding � �
�_
� 29. insulation �
;50. Qry�:�all Naihng
31 . P�aster Brown Coat_ _ �
32. Eiectricai Povrer Meter�Final
33. �'inal Electric i �
� ,�s
34. Final Heating & Air Conditioning
35. F�nai Gas Pipe�Test
36. Hood or Canopy � '
37. Fioal Factory Fireplace
38. F�nai Plumbing �___
39. LVater Service�Final
G0. Gas Ser¢ice-Pmal �
41. Solar pomes.icPina!
42. 8ackftow Preventer
n3. Backflow Irrigation
�
44. Landscape Irriqa[ion System �
45. Sound Attenuation ;� .
46. Handicap Regulations '.
47. FiNAL STRUCTURE�& B411t01NG s
,--�.-
48.FINALPLANNWG�� "�
=•� :
49. Electric Release to E�uon, �
,
50. Gas Release to Southe`Rc��', ti3�iTornia Gas Cv
51. CEftTiFICATE OF � CCUPAN� CY
No. �' Date
Date
i
3-R
POd..vSPA
Inspector APPROVALS Permit,$
� - 52. Pool & Equ�pment tocat;on
53. Steel Rei�forcement
54. Forms
55. Electrical Bnnd�ng
56. Rough Plurnbing & Pressure Test
57. APPROVAL7000VEF-GUNIT�
5&. Electrical Conduit�Undrgrnd.
59. Gas P�pe, � UnUrgrnd., Test
� 60. Bad;wash �ines, P-Trap, I� Undrgrrtl.
61. APPROVAL TO DECK
62. Backv+ash & RecepmrFinal
63. Heater & Vent�Final _
64. Plumbing SYstom - Pinaf
65. Eloctricai-Final
66. Sofar Syszem�Finaf
67. Fencing & Access Approvai
68. APPROVED FOR PLASTERING
69. POOLISPASYSTE�ASfINAL
FIRE DEP7. REQUIREMEM"
. � /�,PPROVALS �, ' Perm'it ��_
70. Uncler9ro�ntl Wydro
� 77. Product Pipinp � Gas O O��
� 72. Underground �Flush �
73. Undergmd.SloragoTank�Gas '� 0�'
' �� 74. Overhead Hydro
75. Dry Chemicai ' �
. 76. Dry Standp�p= --T
� i' 77. FIXED SYSTEM F,i�AL
i � 78. FIRE PREV. FINAL
i I HEALTH DEPT. REQUfRE^,SElT
�I--
� 79. FINAL INSPECTION __ �
1--�- -
SQ. FOOD CERTIFICATc ISS�IED
Notes:
Date �Inspector
""^"` STATE-WSDE DevelQBers,Snc. "" " 4-"18 76
JOB ADDRESS z4�n ut..o sirnnk BUILDING PERMIT N0. 47 f3h5
I :CTIONS
5�,_
GAS
W RTER
FOUGM PLUMBING
PROP. SWR. LINE � HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONOITIONING
TEMPORARV SERVICE OR POLE
UNDERGROUNO � POWER �
ROUGH WIRING
TRENCHES n FORMS n STEEL REINF.
FRAME AND FLASHING
LATHING - IN � (
PLASTER, BROWN COAT
ST- 'TURAL, FINAL
H IG, VENT., REFRI
PLUMBING, FINAI AN�
ELECTRIC, FINFL
BUILOING, FINAL
T
SUBCONTRACTOR
� 4.1865 PAI�
_ .�av �3-���.��;00 ��6�:� �-:::+p65.GQ
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CAL�FORNIA 92626
ForApplicani to Fi// in Completely APPLICATION FOR BUILDING PERMIT
RECEIVED BV DATE RECEIVED TE IS I
Ao�vRE"ss 3430 Pine Braok ^��'
� �'Z/(-6/�OZ, PERM
OWNER State-Wide Develo eiS IIIC. A'P'NQ• �
MAII ADI`o°��E s343O !Y �L �
Z ADDAESS � ' ���
Wa U TEL. TRACT��
Z CITV NO. �
ZQ CpN$TRUCfION W
O N LENDEF
d m X
J � BRANCM
J N OWNER
m J ADDAESS
J m ARCMITECT TEL s 1 Res W B
a ,��,
U �
FIRE
w � ADDRESS ZONE
aw
APPROVED
W 2 CONTRACTOR � BV
J �
m
�� AooRess 9461 Gri ndl a
VALUE
W W 20/N��E NO.OF USE OF NEW - W/
z� CITV NOL � /G� �%� P�'� 2 BUILDING
� STATE CITY VARDS APPROVED VARDS APPRO D
y� IIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUIIDiNG
� O (FROM GL STREE
SIZE NO.OF BLDCS. �7
OF LOT 12.093 acres NOW ON �OT � RONT �/ FT,
USE OF
EXISr�NG BLOG. �
� SIZE �F NO. OF
Z NEWBLOG. ROOMS STORIES L.SIDE FT.
EXTERIOR WALL FOOF
�% COVERING COVEqING FEAR �2 FT.
J USE OF BUILDING AND WORK TO BE FERFORMED OISTANCE BET.
a MAIN BLOGS.
a
Q VAR. # q�
O � C.U.P.�}`'G�� �
~ APPROVED
y
p fiOLD FOR SP;
VI heroby ecknowletlBa tnet I have reetl this eppliceNon antl state
� that <ho ebOve informe[fon is cOrract antl aproe to tomply wlth
� ell laws regulatlnB builtlin8 �onnrucNon, and I ahall no[ employ
r any Oarson in violetion of Me workman's compenution lews ot
y tha S�ata of Celilornia.
? 1 hereby cartity [het 1 em proparly Iicenietl aa a contrector �nGer SQ. FT
[ha 5[a[e o( Cellfornia Busineu anE Profexilons Cotle, Dlviaitn 3, THE AMOVNT 5
Chap[er 9, entl thei such licensas are In full torca antl offecc, or I THE PURPO6E OF
nm eXemp[ from [he provisions of Me S[ate of Cel❑ rnle Businesa
VALUATION
antl Professlone Cotle, Divislon 3, Cha ter 9. ��� �
So�e e State-W9de Deve�ope s c.
Parmittoa �
AuthorizedApent Vice President
FT �
U
FT.
FT. +.
BET. MAIN &
ACCE55. BLDGS.
� DATE // S�� i /
APPROVED ��
�
0
VALUATION IS FOfi ^
A PERMR FEE ONLV: Q
I` m
e s , �
�
m
;K 5 � � E
`o
LL
S /