HomeMy WebLinkAbout3432 PINE BROOK CIR - Building Permitsi'
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PF0.IECTROOHESS: jQ3� PINE BR��K
owaeesxnme: VILLAGE CREEK HOMEOWNERS
aooeess: ASSOCIATION
3429 TIMBER iAKE
CM VA 92626
UNIT:
ABCHIENGINEEfl: CHESTER CARVILLE AEG.NO.: CLE�3OS
nooRess: 7g z z pRMOiIR ST uNiT:
S.D. CA 92111
PEflMITTEE: PHOENIX ENTERPRISES INC. ( 213 ) 690=9559
nooness: q 11 COMERCIAL WAY
LA HABRA CA 90631
LICENSEO CONTflALTON OECIAHATION: I �ere�y aliirm I�ai I am license� inEer O��sions ol C�apier 9(commencinp with Seclion
70001 0� �ivision 3 0l t�e Business ana Pmlessions Cnde, and my lice i II lo¢e an0 ellect.
c�Tvuc�S 7�88 �s�nreuc.:376639 ii
�ate: _ 7 si9namm: _ L✓
WOPNENS' COMPENSp710N OECIABFTION: I �ere�y allirm ihat I have a cerlilicate of consent �o self nsure or a certilica�e af Workers'
Com ensalion}��jaf �c �c rUhetl copy t�ereol Secuon ]800. La�. �
IiICY NO.: n` V�� J� ( E%P. DATE: 7� O I I 9 S
�yCOMPqNY: CA COMP 6 FIRE
LJ^ Cenilied cooY is here/b/y�� ��lumisnea. ❑ Cehihetl copy is Iil iit c Builaing diviYon.
Oate:�(� AODlieanC �
EXEMVrION FHOM WOflREflS' LOMPENSATION OEIXAflRTION: �This section nee0 noi C¢ [omplete0 il Ihe permit is �oi one uMrea (4100) or less�.
I certify tha� m Ihe peAormance ol Ihe work lor whictl Ihis permil is issueq I s�all noi emDloy any person in any manner so a5 io become
Subleci �o I�e WorkerY Compensation Laws of Calilornia.
�ate SignaWre:
NOTICE: II, alier making ��is tleciaralion. you ShoulC �ecome suhle�� �o ��e WOrk¢rs' Compensation pmvisions al �ne Labor
. Coae. yau musl lonhwith comply wilh sut� D�ovisions or tNs permit slWll Oe Ceemed revake0.
' LONSTPULTION LENDING AGENCY: I �ereEy allirm t�a� ihere is a wnstmc�ion lentling aAe��Y �or t�e pedormance ai lhe work for
w�ich tnis Oermil is issuetl �Seciion 3097. Civ. C�.
LENOEN:
noonEss:
OWNEN BUILOEP UECLl�BpTION: I hereby aflirm ihat I am exempt imm t�e Comracmrs' State License law lor tAe lollowing reason
(Seclion 7031.5 9usines5 antl PmleSsional Cotle: Any city o� counry which repuires a permil Io con5imct, al�ef, impmve, demolish, or
repair any 51mt�ure, D�ior lo i15 issuante. also requires I�e applitan� for SUC� permil l0 Iile a 5ignetl S�a�emeni Ihai hel5he i5 litensetl
pursuant lo t�e pmvisi0ns o� Ne Contramors' S�ale LicenSe Law (Chapter 9 �commencing wilh Section 7000) oi Division 3 0� Ihe Busineu
ana Pmfessions CoOe) ar ihai �e/she is exemp� iherefmm antl the basis for tAe allegeJ exemption. Any violation oi Section 7031.5 by
any applicanilor a Oe�mi� su61e��5 Ihe applicanl lo a civil penal�y o� not mOre Ihan live huntlr¢0 OWlars (5500�.
I. as awner ol ihe Dmpeny or my employees vnt� wages as t�eir sole compensa�ion, will Co tAe vrork, and ihe
7 stmcWre is not intenOeA or offere0 for sale (Secuon 70a4. Business anC Pmfessional COAe: The Cantractors' Sut¢ License Law
tloes nol apply to an owner oi a D�openy who buiids or impmves Ihereon, anG who does�such work himselV�erself or t�mug�
his or her own emplayees. pmviAea Ihal such improvemen�s are not intentletl or o��ereJ �or sale. I( �owever the builtling or
impmvemenl is sold wiihin ane year ol complelioq t�e owner will have Ihe burtlen ol pmving he/she Uid not builtl or impmve
lor Ihe purynse oi sale).
I, as owner ol I�e D�openy, am excWsively conVacting with licenseG contractors ta cons�Ntl the pmlecl (Seclion 7044. Business
❑ antl Pmlessions COUe' The Contraclors' Slaie License Law does nol appry lo an ovmer ol D�operty who Gmlas or improves Ihereon
anE who tonVatls lor Suth pmjetis wilh a Coniratlor�s)litense pur5uanil0 IAe Conifattors' State License Law�.l am aware
�hal pmol ol Iheir Worker'S Compensa�ion in5unnte Should be provitletl �0 m¢.
� I am exampl unEer SeCtion: B. 8 P. C.
br Ihis reason:
Daie: Owner
i ao hereby cerlily Ihat I am awa�e ol an0 un0erslan� I�e requirements of Catilomia Heal�� and Salely Cotle Sec�ions 25505, 25533, anA
25534 anU Ihai I or any Iuiure building occupan� willlwill not (circle one� neetl �o comply wi�h saia Slate codes antl Ihe reQuiremenls lor a
Oermii for cons�mclion or motlilicaiion imm I�e Air Ouabty Managemenl Dislricl. ReSitlen�ial cons�mc�ion applicaiions are eMemp� imm
�hese provisions.
Uate: AOD�icant:
I hereby certiiy inallnave reaetnis aoolication ana statetnat the ov nforr tion is correct. I apreeto compty witn allcity antl counry
a�tlmanc¢5 and slalelavrsrelaiingto �uil0ing cWSlmcli0n a� �ere a.�orRe Oresen�atrvesol�j�tyto enterupOnl�e a�Ove-mention¢0
pmpetly hi`nsp�r.lio purposes �
/ �yp �//�
Date'. � (T�_-4_� SignaWre�. _ . . _V ✓
orivei's License or Sodai security a:
i64t�a6 White—Bviltling: Green—Cotle Enbrcemem: Canary—AOP��canl: Pink—Revenue: Goltlenrotl—Assessor
CITY OF COSTA NESA — BUILDZNG PERMIT PERM NO: B�—�_�
PERMIT NO: B 050611 PLAN CHECK NO: 00100-91 A GOVT: N SUPP: N _--)
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURFOSE: REP
JOB DESCRIPTION : REPAIR SETTLEMENT DAMAGE SQ FT; 193
CLASM VALUE: 14,300,00 CALC—VAI.UE: 14,300,00 GROUP OCC: R-3 /
COMMENTS: HUILDING SETTLEMENT REPAIR/FOUNDATION
***�*�+�**�***x *�r***�******�t******�t�*i�**x**�*��***���x�*�****�*+�*�c+��*� x��*+�x� **�**
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 HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT SN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ• FROV; PARCEL: 93506124 ZNE: R2 REF NO:
PLANNING Nf3TE5> FOUNDATION REPAIR.
i
1F IE )E iF 1E IE 1E %3f iE if # 1P iE iE iE 3E 3E iE%)F k iE 1E �F iP �IE iE iE iF iF if jf if iE IE �lk 9f iF iE iF jf iE #F If fF )k iF iF if iE # It 1E iP IE !F # IE iF 3F �F jF iE if IE if if !f iE If 1E � aF iF 3E if IE �f
D E V E L O P M E N T 5 E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED HY ;� � —�—� DATE: � llJ�1 (
BUILDING APPROVED BY : `., i ��;� �� DATE;
f
APPLICATION ISSOEU HY; DATE;
**�t**�********��**�*** ****�**�t*� ��
itiEjEiFkif�iE�)F3E**i61f3f3FifiElflEiElfiF3EiFjF�flf�FfflElEiE3EdF � �EIE�IEiE 1EIE3EjE1FiEafifN�3EiF7EiFlflFiFiFlflE3EIF��iflE�IFIPIfiFlEiFiF�-3f3E�kikiFif
LEGALIZATION:N F E E S M M A R Y STRUCTURAL•,SEGMENT;Y
BLDG FMT PLUMBING ELECT IC MECHANIC FIRE SMIP/RES� GRADZNG
PERMIT 162.00 1,00
SMIP/NON—RES
PLAN 26.33
ISSUF. FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAI� DUE
TOTALS----> 163.00 0,00 26.33 189.33 189.33 .00
REVENUE DIVISION TOTALS--> COLLECTED: 189,33 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING FLAN—CHECK
162.00 1.00 26.33
!k ih if if if ik �lE ih )k it }F i(- K� if IE if ±E 1k iE iE 1f'lf If iE 1E !E * iF 3(� 1flE iE if �)f If iF if % if lEiE-IE if 1ElFlF 1E 1f iE If IF iE iF iE 3f iF1E iE iE iFlE?F iE iE iE 1f� if iE If if 1ElE !h 3f if jF if Ik i�
I N D Z 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 HY VAI.UE PER 5100.00 100,00 14,300,00
END OF PEES
Ci �]00l3b7t'OUO!9P7E e i�7 :4..io
�JATE: J;/1u.�91 ?;IiE: kt�::9 �
GONSTRUCTION ANDPLANNINV�
APPROVALS Permit #
1. Temporary Electrical Service'or Pole
2. Soil Pipe�Undrgrnd. -
3. Electrical Conduit UtilitY�Undrgrnd.
4. Elect�ical Conduit�Undrgrnd �
5. Steel Reinforcement
6. Electrical UFER Grnd.
7. Footings
. 8. Foundation ,
9. Water Pipe-Undrgrnd. !
70. Structural Floor System - �
11. Property Sewer Line & House Connection
12. Sewer Cap
13. Roof Drains '
74. Rough Plumbing . .
15. Rough Electrical-Conduit
16. Rough Elearic Wiring
17. Rough Wiring Sign
19. Rough Electrical�T Bar Ceiling
19. Rough Heating & Air CAnditioning
20. Rough Factory Fireplace �
21. Ducts, in Structure.
22. Ducts, Ventilating
23. Gas Pipe-Rough & Test
24. Roof Framing
25. Roof Sheathing .
26. T-Bar Ceiling (Structura�) & Monocoat
27. Frame and Flashing
28. lathing & Siding
29. Insulation
30. Drywall Nailing
31. Plaster Brown Coat
32. Electrical Power Meter-Final .
33. Final Electric �
34. Final Heating & Air Conditioning
35. Final Gas Pipe�Test . �
36. Hood or Canopy ,
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final ,
41. Solar pomesticFinal
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation '
46. Handicap Regulations .
47. FINALSTRUCTURE&BUILDING
48. FINALPLANNING
49. Electric Release to Edison
'50..Gas Release to Southem Califomia Gas G
51. CERTIFICATE OF,OCCUPANCY
No. Date
Date
��
L & SPA
Inspector
0
a
APPROVALS Permit #
52. Pool & Equipment Location
53. Steel Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVEF�GUNITE
58. Electrical Conduit�Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines, P�Trap, O Undrgrnd.
61. APPROVAL TO DECK
62. Backwash & Receptor-Fina�
63. Heater & Vent�Final
64. Plumbing System - Final
65. Electrical-Final
66. Solar SYstem-Final
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
� APPROVALS' Permit #
70. Underground Hydro
71. Product Piping �Gas OOiI
, 72. Underground Flush
73. Undergrnd.Storage Tank O Gas ❑ Oil
74. Overhead Hydro
75. Dry Chemical �
76. Dry Standpipe .
� • 77. FIXED SYSTEM FINAL
� 78. FIRE PREV. FINAL .
� HEALTH DEPT�. REQUIREMENT
79. FINAL INSPECTION ,
� 80. FOOD CERTIFICATE ISSUED �
Notes: . ,
0
Date �Inspector
V1\1\LR
JOB ADDRESS
GENERAL COP
AP No. _
'ECTIONS
Gn5
WATER
ROUGH PLUMBING
PROP. SWR, LINE
SPRINKLING SV51
IDE :
Pine
CONDITIONING
UNOERGROUNO LJ POWER
ROUGM WIRING
STEEL REINF.
BONO BEAb
SHEATHING
FRAME AN� FLASHING
LFTHING — IN (
PLASTER,BROWN COAT
Y IG, VENT., REFRIG. AN� A.
P� .dING FIN41 ANf] GAS TEST
vAic 4_�p
TRACT RH5R FIRE ZON
SUBCONTRACTOR
" A:186
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. 60X 1200 COSYA MESA, CALIFORNIA 92626
For Applicant to Fill in Comp/etely
BUILDING _ _ _ _ _ _ _
OWNEfl State-Wide Developers, Inc.
MAIL
CITY
BfiANCH
ADORESS
7E
CONTFACTOR State-Wide Developers, Inc.
ADDRESS 9461 Grindlay
cirv Cypress No�26-4550
L C NO. 224%�O LICVNO.
OFLOT 12,093 dCt'BS INOWONLO� O
USE OF
EXISfING 6LDG.
S12E OF NO. OF
BE
1 Residence w/att
PAID i:h�`< 7 Z I
dAY 13-76�,�-0� 717" G3L.2�
APPLICATION FOR BUILDING PERMIT
RECEIVEDBV DATERECEIVED nnTc�ssw
BUILDING
ADDRESS
E
ED
ZONE NO.OF
I2Z cP P�� 2
VARDSAPPROVED
REAR 3y
DI5TANCE BET.
MAIN BLDGS.
VAR. alE 'L
C.U.P. �(�
APPflOVED
HOLD FOR
1 hereby acknowledpe Uai 1 have reetl this application antl stata
that tha abova in(ormation is eorrect entl aBrea to comply wit�
oll lews repulatlnB building tonstructlon, entl I shell not employ
any parson in violallon ot the workman's compenution lawa of
ffie State of California. ' � ^8�
I hereby cartiiy i0et I am proDarly licansatl as a convactor untler Y SQ. FT
the State of Celifornie Businezs antl Professions Cotle, Dlvisicn 3, TME AMOVNT S
Chapter 9, entl that such licenus ere in full force entl eifect, or 1 THE PURPOSE OF
em exempt from the provfsions of tha Stata of alifornte Business VALUATION
entl Protesslons Cotle, Oivision 3 Chaptar 9.
State-Wide bevelo , Inc. 3 ,Q,� �
SIB^eCure o
Perminea $
AuthorixatlAgent Uice Presi9en
NEW
VARDS
BET. MAIN
ACCESS. el
DATE
J-645
m
r
0
J IS FOR ^
E ONL�': Q
m
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. $�O E
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