HomeMy WebLinkAbout3445 PINE BROOK CIR - Building Permits�
PflQIECTR00NESS: 3445 PINE BROOK uxiT:
owxeesname: VILLAGE CREEK HOMEOWNERS
� nooxess: ASSOCIATION
3429 TIMBER LAKE
CM VA 92626
AflCH1ENGINEEB: CHESTER CARVILLE BEG.NO.: CSB3OS
noosess: 7922 ARMOUR ST uxir:
S.D. CA 92111
PEHMITTEE: PHOGNIX ENTERPRISES INC. (213)690-9559
nooREss: 411 COMERCIAL WAY
LA NAI311A CA 90631
LICENSEU CONTBACTOP OECNflFTION: I hereby affirm Ihat I am I tl under pmvisions oi ChaD�er 9(commencin .wit� Seclion
7000� al Division 3 0l t�e Business antl Pmfessions Cotle. antl i se is in lull force antl elle .
cirruc/.) �50788 sraTeuc.:376639 ss: B
Daie; % ��� � � Signature: . _ (% —
WOPNEflS' COMPENSATION OECLABATION: I here�y firm Ihal I have a cetlificaie al consent lo selbinsure or a certilicat¢ o� Workers'
camPensation ��U e� �c�urea caey inerea� �section seoo. �ae. �-� � O 1/ J 1
POLICYNO.: CA COMP 5 FIRE E%P.OPTE:
�OMPpNY: �
Cendiea cooY is nere0y lumisnea. ❑ Cetli�ied copy is -� ith e it^y Builtling DiviSi�
� G C��
Date: �"�� A07licant
E%EMP110NFBOMWOPI(EBS'COMPENSFTIONDECUeRTION: (T�issectionneeAnotbewmpleletlilthepermti5faonelwnAreagt00�arless�.
I[erlify I�ai in ��e Oei�ormance 01 Ne work far which ��is permil is issueA. I s�all not ¢mploy any per50n in any manner so a5 io become
Sub�ett Io Ihe Warkers' Campen5alian Laws OI CahfOmia.
pa�¢: Signaiure:
NOTICE: II, alter making IAis declaration, you should Uecame suDjecl m the Workers' Compensalion provisions ot t�e Lahor
Cotle. you must Iorl�wii� comply wilA such pmvisions or Ihis Oermil shall be Aeemed revoked.
CONSTNUCTION LENOING AGENCY: I herebV allirm Iha� Ihere is a con5imc�ion lentling agency lor Ihe peAarmance ol Ihe work lor
wnicn Inrs permi� is issued �Section 3W7. Civ. CI.
LENOEfl:
aooRess:
OWNEfl BUILUEN DECLAHRTION: I hereby allirm Ihal I am exemp� �mm Ihe ConVac�ors' S�a�e License Law lor the fallowinA reason
(Seclion 7031.5 Business and Pmlessional Cotle: Fny ciry o� county which requires a permii �o constmc�, alter, impmve, demolish, ar
repair any Slmtiute. prior l0 iis i55uance, also reQuires ihe applicant lor SUCh permi� Io Iile a signetl slalemeni Ihal he/She is IiCen5e0
Dursuan� lo ��e O�ovi5i0ns ol ihe Contracio�s' S�ate License Law (Chapter 9(commencinA wiih Section 7000) ol Division 3 of �he Business
and Pmfessions Code) or Ihal �e/she is exem0� Ihere�rom antl �he basis for Ihe alleged exem0�ion. Any violalion ol Sec�ion 7031.5 by
any aoDlicanl lor a permil sueiecis ine applicani to a civil penalty ot not more ihan five nunered Joilars (5500�.
I, as ownei ol Ihe pmpeny or my employees witn wages as Iheir sole compensation, will Eo Ihe work, and ihe
❑ stmcwre is not inlenOeG o� olfere0lor uie (Section 7044. Business anA Pmlessional Cotle: T�e Comracmrs' State License Law
does noi aOPly to an owner ol a pmperty who huiltls ar imOmves Ihereon, and w�o Ooes suc� vrork himsell/�ersell ar Nrough
�ii or �er own employees, pwvieea I�a� Such imD�Ovemen�5 are noi iniended or oflere0 lOf Sale. II, how¢ver Ihe building or
impmvemenl i5 501A vn�hin One year o� Complefian. �Ae awner vnll have ihe burG¢n o� D�Ovinp �e/5�e tlitl noi bui10 or impmve
lor ihe purvose al salel.
I, as owner ol Ihe propeny. am extlusivelp conVacling vnth licenxea coniractors to conslNct tne pmiect (Seclion 7044, Business
❑ and Pratesii0ns CaGe: T�e Conlraciors' Slaie Litense law tloes no� appty �o an owner oi pmp¢riy w�a builds or imD�Oves lher¢on
ana w0o canVads for suc� proletls with a conlracior�s�lkense pursuan� io ihe ConVactors' Siale LitenSe Law�.l am awafe
��al prool ol �heir Warker'S Compensalion insurance StwWd be Owvided Ia me.
i� I am eremD� under Setiion: B. 8 P. C.
br ��is reason'.
Oate: Mmer
I ao �ere�y cemfy that I am aware ol and unAerstane t�e requiremems ol Calilornia Healih ana Salety Cotle Sections 25505, 25533, and
25534 antl Ihai I oranylulure building occupanlwilVwillno��circle one�neetlto comply vnt� SaiO state co0e5 and t�e repuiremenlslora
permil �ar con5lruciion or moJilwalion Imm Ihe Air Oualiry Managemen� �i5Vic1. ReSiUential conSVuction applications are eKempt �mm
I�ese prOviSions.
�ate'. AOPlicanL
I hereby cetlilylhai I have reatl IhiS aDDliCalion and SIaIe lhal Ihe ab e' f a�ion is COrr¢Cl.la r¢¢�a tOmply wiih a ily and tounry
artlinances and staie laws ielatinq lo builamg conslmction an0 here 1 or represenlatwes ol 5 c y to en�er upon ahove�men�ionetl
pmpeily lor in petiion putpo5e5.
�ale. L O SignaWre: ' —
r
od�ers ucense o� Sociai secmiiy " ,
I646a6 Wmie—Bwlding; Grcen—Coac Enlo¢omenc Canary—AOPlicam: Pink—Rev¢nue: Goltlanrod—Assessor
CITY OF COSTA MESA - BUILDING PERMIT ,
PEAMIT NO: B 049944 PLAN CHECK NO: 06430-90 A . .
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: REP
JOB DESCRIPTION ; REPAIR SETTLEMENT DAMAG6 SQ FT: 143
CLAIM VALUE: 14,388.00 CALC-VALUE: 14,300,00 GROUP UCC: R-3 /
COMMENTS: AUILDING SETTLEMENT REPAIR/FQUNDATION
�r�**at�r�*�r�r***�r****�r�e*��r***�t****�t***�r�r* ��r���r�r*x �*�x ��r* �r�r����***+t�r�*x *�r**�e x•�r**�*�
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 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 AEQ• PROV; PARCEL: 93506124 ZNE: R2 H�� FOR SPECIAL RGQUIREMENTS
PLANNING NZS'I'ES> REPAIR EXISTING FOUNDATION,
>
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D E V E L O P M E /N T S E R V Z C E S R E Q U I R E M E N T S
'LONING APPROVED BY : ( � �1�.. � DATE: � � I..( J �U
BUTI.I]ING AFPROVED BY : C�..l �—D�) DATE:
APPLICATZON ISSUED BY• DATE•
ilMifl�lFklfiFiFifiFMiFiFiFifMlFiflfMk iF{f�k-)E1E�EIFlfifjF if�F
lFiF�fifjflE�E�flfiFifitiFif�lEiE�fMkK�ifk�f �kiF3ElFiEif IEifIFIF9lklfitif�lEiflf3fifif�IFillf�iElElfaF3f�E1EfEiliPiFiFlEifiE�f�EKifMiEif
LEGALIZATION:N F E E U M M A R Y STRUCTUR�AL;SEGMENT:Y
BLDG PMT PLUMBING ELE fRIC MECHANIC FIAE SMIP/RES GRP.DING
PERMIT 16?..00 SMIP/NON-RES
PLAN 26.33 2,15
ISSU£ FEE
BUILDING-DIV-> PERMIT 2SSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 164,15 0.00 26.33 - 190,48 190.48 ,00
REVEN[JE DIVISION TOTALS--> COLLECTED; 190.48 OVER/SHOAT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
162.00 2.15 26.33
if !F iF iF IE Itlt if �E iF!! if 1f iE 1FiF if iP k 41f it �E if iE 1E ik iE iE * fE iEiE iF iF 1E if if i! 1E if 1E if 1f if ik if iE iE if 1E iE 1f if If f(�1E iE IE if iE 1E IE IE if 1f iE 1E�IE 1F iF 1E k IE k iE M 3f 3t
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
SFC 143 FOUNDATION BY VALUE PER-$100
END OF FEES
100.00 14,300,00
C1 0047?457-D0�r49;9 i'�^? '_-0.,�
UnTE: i i127; 9p 7IltE. r 9+'��
CONSTRUCTION AND PLANNING � PC � SPA
APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. � � � 53. Steel Reinforcement
. 3: Electrical'Conduit�Otility-Undrgrnd.s 54. Forms
4.'Electrical Conduit-Undrgrnd. 55. Electrical Bonding
'S: �Steel Reinforcement 56. Rough Plumbing & Pressure Test "
+��;6._ Electrical UFER Gmd. t- 57. APPROVAL TO COVER-GUNITE
`,`7. Footings � �'!• " 58. Electrical Conduit-Undrgrnd.
� �.
�;8. Foundation ' , � 59. Gas Pipe, � Undrgrnd., Test �
'9. Water Pipe-Und?gind. " 60. Backwash Lines, P�Trap, O Undrgrnd.
� >
10. Structural Floor System � . 61. APPROVAL TO DECK •
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
1`2. Sewer Cap _. '_1 63. Heater & Vent-Final
73. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar SYstem-Final
i 6. Rough �Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring,Sign 68, qPPROVED FOR PLASTERING
18. Rough Electrica,l-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
. _ �H i_,H. ,
20s Rough facYoiy Fireplace � -.i�� � - _ - ' � a t APPROVAL"S�''�_ Permit # �-
�r. is'. �� 1 c,-,• u(..- T�c. �k ��, x:.��-,; • _.
21;. Ducts, in Stiuc[u/e, �.� .. ' � � � ;, • - :70. Underground Hydro - �
22. Ducts,�Ventilating' � � F 5�'.+ '+:��, produci_PipingLTl�6as �Oil
� - : ri ^� . ��
�Gas Pipe-Rough & Test � �f' ' - �-" ' � + ` ' "���1� �
23.. i �n•� - r � 72. Underground Flush � . -
24 ^Roof Framing ; � • ��, .r . " � ; ' 73'� Undergm8. Stora9e Tank'� Gas ❑ Oil -
25. Roof Sheathing r� � � ' � �� ��+ i � . � � ' 74 Qve[head�Hydro � �
26.7.T-Bar Ceiling (S[ructural) &-Monocoat� �� � '�' -' o�"�- '. 75-, Dry Chemical '1 ' -
-.1 n�1 n � 1.., � .
27''Frameand Flashinj "�A�,. . ; r ���„ ,3 ; 76. �Dry�Stan�pipe � �,'.� , ' ' ^
e
28. Lathing&Siding�!.c: -_;i. �r. i y. • �� 77." FIXEDSYSTEM•FINA'L' �
+ir�_. i. �i. '
'29. Insulat,ion � �:: ��' ..•. � • �`t I ! � ' ,
� n'c � �5 •� � � {i "�! 78:' FIRE PREV. FINAL ��. ,-
30. Drywall:Nai�ing�*t � � a: -� '� �i � � HEALTH'DEPT.�REQUIREMENT
ir. c
� 31. Plaster Brown Coa{ .S � .,., ,, ; �I `�� � i ,79.' FINAL INS�ECTION ' - - '
x-
32: Electrical Power Metee-Final � .. i -� � ��80s�F00D CERTIF�IGATE ISSUED •S
. 33f Final Electn'c . _' �,: ' _,- ' '� I � � I `. -0 � � Notes� ;;, : _ - , r
� 34:'Final Heating & Air. Conditioning ; _ �� � � �� �� �� : � A ' . -•
35f Final Gas Pipe-Teifi _ � - i �� ��� ,,,..' °' � ` ,�
. ; �
36.�Hood or`CanoPY_�! •� , y .- � ; �. „t �I�. - . .. _ � ,.;�
37-Final Factory Fireplace� � `� " � ; � ` `�
� � ,n
38.:Final Plumbiog ,_+ ,:..,1: � .. . .. _ . - ; �. u -
39. Water Service=Final � ( �: ' � ' IiE�UT}��jEj�
S .. �
.40"Gas Service`F,inal : �.�� ! ,-,; <' . � I , _ .
.. _
% 4L:`Solar pomesticFinal� •• • � " � '
r'• .r I I � t . J r -
�42' Backflow Preventei ' '�" �` ' � � �� � � � . - -
?: � I i _
43. Backflow Irr.igation � • �' ' ' �-' � � ; - ' '
- u �:�
: 44. Landscape Irriaation System,��',�' r' . - r � � _
•�45.. Sound Attenuation •� � ��' ' � ' �"' '' � - '• �
- , � •
� 46., Handicap Regulations ' ,�c` �� � - �� . _ . ,
47. FINAL STRLCTURE & BUILDING �. '
�. � - .
48'.. F - "y � " - ,
�� � ,i "
- 49. Electric Release to•Edison � � , I I �; • - -_ •
-'�50. Gas_ Release to Southem California Gas:Co -, j �, ; . �
� 51. CERTiFICATE OF OCCUPANCY :z � : � �� _ ., : i � . �
No. Date �r
AP No
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GAS
WATER
UNOERGROUND U POWER
ROUGH WIRING
BONO BEAM U STEEL RE
SNEATHING
�FRAME ANO FLASHING
LATHING - IN ✓ (
PLASTER,BROWN CORT
STRUCTIIRAL, FINAL
V JG. VENT., REFRI
P�_...BING, FINAL ANO �
ELECTRIC, FINAL
9WLOING, FINAI
ONING
FINAL
IoPers, tnc. vA�� 4-28-�
Brook BUILDING PERMIT N0.
TRACT
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. eOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING,...� .. . ,..___�.
OWNER State-Wide Developers, Inc.
MAR ,..�. ,. .. �.___
c�Tv �yG
CANSTRUCfION
BflANCH
ADDRESS
v�,��0 �zsr.. �-::�?65.6Q
:�av � �s-���,,s:.
0
APPLICATION FOR BUILDING PERMIT
RECEIVED BV DATE RECEIVED pp �E�Du�
fL 7
BUILDING
ADDRESS
No`826-4550
OWNE
TEL�F�_���n S
nooRess 17848 SkyPark Blvd Irvine
coNraAcroa State-Wide Developers,Inc.
nooaess 9461 Grindlay
CITY Cyoress No�26-45
STATE CITV
L1C. NO. '2`Zl���o LIC. NO.
S I Z E NO, OF BLDC'aS.
OFLOT 7p_093 acres INOWONLOT
USE OF
EXISTING BLDG.
SIZE OF NO. OF
�[e�c61.]
!i
1 heraby acknowletlpa that i have reetl thiz eppllcation end stata
ihat the abo�a information is correct antl apree to comply with
ell laws regulatinp builtling construction, antl I shall not employ
any person in violatiOn of the workmen's compensallon lews ot
the Steie ot Celifornla.
I hereby cer[ity that I em pro0arly licansatl es e coniractor untlar
the Siate of Calitornle Business entl Frolessions Code, Di�lsicn 3,
Chepter 9, aotl that wch licenses ere In tull torce entl effact, or I
em exempt from t�e provisions ot Ne S[eta of Ca tomla Businass
entl Professio�a Cotle, Division 3, Chaptar 9.
e-Wide Develop Inc.
Signature ot
Permittea
AuthorizatlABent V�Ce P�"e$�(�ent
VALUE
FIRE *
ZONE TVPE GfiOUP �
APPROVED
BY DATE
20NE NO.OF USE OF NEW /(J�f. GJ
�[ (�% PLANS Z 9UILDING 4�/ �
YARDSAPPROVED VARDSAPPROVE
MAIN BUILDWG ACCESSORY BUILDINC
OISTANCE BET. BET. MAIN &
MAIN BlOGS. AOCFa.BIOGS.
C VRP.�b/�i`�� qPPROVED �/i S'/
-�IOLD FOR
l, C �
,Jl.1,L SQ. FT. — o
THE AMOUNTSHOWN UNDEF VALUATION IS fOR ^
TME PURPOSE OF E5TA8l.ISHING A PERMR FEE ONLv: Q
VA UAT�IP Nl m
��'' `/J�� PERMIT FEE § ♦ �
`�ITKK� �
pQ� m
$�5��+�� PLpN CHECK $ � S E
`o
LL
TOTAL FEE $ 1