HomeMy WebLinkAbout3451 PINE BROOK CIR - Building Permitsr,�
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PFOJECT AUOPE55:
OWNEF'SNpME: 34SS PINE BROOK
aoosess: VILLAGE CREEK H.O,A,
� 3429 TIMBER LAKE
COSTA MESA, CA 92626
FPCNIENGINEEH: S S.3 — L A % G
PODHESS:
PEG.NO.:
UNIT:
UNIT:
PEHMITTEE:
nooeess: PETERSON ROOFING ( 7].4 ) 979-7111
/3�0�0�67y ENrT�+EnRPRISE /�y p p
LICENSEU CONTflqCT011 HftYAFlRiIONM'YliLrttly Crp e"oti���pf¢ ( g
affirm Ihat I am licensed untl r visi r 9 commencin wiih Sec�ion
7000� of �imsion 3 oi ihe Rusness antl Pmlessions Coae, ana my license is in ull lorce and efieci.
ciTvuc.: � sTaTeuc.:607872/� cia . 9
Date: SignaWre: —`
WOflNENS COMPE ATION OECLABATION: I hereby a�firm Ihai I have a certilicaie o� consenl 0 5el6insure or a certifica�e OI Workers'
Compensa�ion Insurance. or a cenifie0 copy t�ereol (Section 3800. Lab. C�.
voucvxo.:1021355-93 EXP.DATE: O4IOI�9�I
COMPANY: q nT prT}�'
❑ Cetlihetl Cdp�STEr� fuFniffiEd.� CenifieU copy is liletl with the iry Builtlmg Oivision
� /�_�4,//
Uate: " ApPlicanl: T,
E%EMPTION HOMWO kEHS'CUMPENSATIONDECLAPATION: (ThisseclianneeAno�becomplet iltAepermitis�oranehunOre0�S100�orless�.
I cetli�y iha� in �he peAarmance o� Ihe work for which ��is permil is i5sue0. I s�all no� employ any person in any manner so as lo become
Subleci �o the Warkers' Compensation Laws of Califomia.
�ate'. Signature:
NOTICE: Ii, aller making ihis aedaralion. you should 6ecome sublect �o �he Wo�kers' Compensation pmvisions of the La6or
Cotle. you mus� fonhwiih comply wi�� such pmvisions or Ihis permi� shall be 4eemeU revoked.
CONSTPUC7ION LENOING AGENCY: I hereby aflirm ihatthere is a consiNction Ieneing agency lor�he penormante of the wark for
wnich Ihis permit is i=_sued (Seciion 3097. Civ. C�.
IENDEfl:
AOOPESS:
OWNFfl BUILOEB OECLANATION: I hereby atlirm iha� I am exempl �mm ��e Con�raciors' State License Law for Ue lollowing reason
(Seciion 7�31.5 Business and Pmfessional Cotle'. Any ciry of couniy whic� requires a permi� Io consimct, alter, impmve, aemolish, or
revair any stmcture. Drior to its issuance, also repuires ihe apvlicant for such permit to lile a signe0 statement ihal ne/she is licensed
pursuam to Ihe provisions of Ine Comractors' State License Law (C�apler 9(cammencing wiN Section 7000) of Division 3 of IAe Business
antl Pmfessions Code) or �hal he/she is exempt Ihere�mm antl �he basis lor �he allegetl exemption Any violalion oi Set�ion 7031.5 by
any apPlicanl lor a permit sublects Ihe applicant �o a civil penatly of no� more ��an tive hundred dollars ($500�.
1, as owner ol ihe pmperiy or my employees wi�� wages as Iheir sole compen5ation, will Oo Ihe work, ane �he
❑ s�mcWre is no� intentled or oftere0 for sale (Seclion 7004, Business anA Professional Cotle: The Conirac�orY S�ate License Law
does noi apply �o an owner o� a pmperty who Ouilds or impmves �herean, an0 who does such wark himselNherselt or [hrough
his or her awn employees. pmvitletl ��ai such improvements are nol in�ende0 or ollered for sale. It, however �he building or
im0�ovemeni is sola within one year o� complelion. the owner will have �he burAen of proving he/she tlid not huild or impmve
for Ihe purpose al sale).
I, as owner ol ihe pmpeny, am exclusively conVacting with licensea canVactors Io cans[mcl the Dmlect (Sec�ion 7044, Business
❑ and Pmfessions Cotle'. The Conirac�ors' State License Law Ooes nol apply �o an owner ot pmp¢tly who builtls or improves lhereon
an0 who conVacis lor such Omlecls with a caniractoqs�license pursuan�to �he ConVaciors' S�a�e License Law�. lam aware
Ihai D�oot ol �heir Worker's Compen5aiion insurance 5houltl �e pmvi0ea �o me.
� I am exemp� undcr Section: B. A P. C.
for I�is reason:
Daie: Ownec
I tlo �ereby cenify tha� I am aware oi antl undeatantl Ihe requiremeNs oi Calilomia Heal�h antl Sa�ery Code Sec�ions 25505, 25533, and
25534 antl IAai I or any IUWre builtling occupani will/will noi (circle one) neetl �o comply wiih saia sta�e cotles and ihe requiremen�s lor a
permit lor consimdion or moddicaiion Uom Ihe Air Ouabry Management �isVicl. flesitleniial consimclion applica�ions are exempl Imm
I�ese provisians.
Date: Applicant:
I hereby ceruty thal I �ave reaa tAis applicaiion and slale �hat ��e above in�armation is
orOmances an0 s�ate laws relating to builtlmg cons�mction antl herehy aulhorize repres t
prOpCtly �of inSDeLIiOn purpO5C5.
Oate: SignaWre:
Onv¢r'S LiC2n5e Or oclal SeCurily #: ,� ^ � ^� � � �
1fi4L46 Wnite—Builtling;
to comply with allciiy and counly
lo enteruoon��e above�men�ioned
Pmk—Revenue: GOltlenmE—Assessor
CITY \COSTA MESA — HUILDING PERMIT
PERMIT NO: B 063947
PLAN CHECK NO:
r.
PERM NO; B 063947
GOVT; N SUPP; N
CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE: ALT
JOB DESCRIPTION ; T/OFF SHEATH REROOF W/COMP SHINGLES SQ FT: 3,700
CLAIM VALUE: 3,700.00 CALC—VALUE: 3,"/00.00 GROUP OCC: R-1 /
��+Mt***+Tt����*�***D*�***�*�***�Fk�r��*�**��****D���*��*�r****�*�rPINE BROOH�F�
Z O N I N GS ERTEBQAUCIxRSE M E N T S�� `�" •�
�Ec�uiR�
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT: FT ZN REAR; FT IN
LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ• PROV: PARCEL: 93506105 ZNE: REF NO:
PLANNING Nt3TES> '
>
iE iE iE iE 1f 1E if iE iE i!!E 1E iE iEiE iE iE 1E 1E 1E iE iE 1E �k fE 1t iE iE iE iE iE iE if 1f 1f 1E iE iE 1E iE iE 1E if 1f iE 1f iE if IE iE 1E 1E 1ElElf if iF iE if if if iE �lE if iFiF iF iE iE iElE iE 1E !E iE IE iE #!E
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
20NING APPROVED BY DATE: '
BUILDING APPROVED BY ; DATE; "
APPLICATION ZSSUED BY: DATE• ��
ififiEiFaEifififiEiFifififlfiEiEiEififiti(�if�F3FiF3F�F3F3F3F3FiF�F3FiF �F 'iF3F'i��F3F3f3F��fiF�F3F7fiFiFiF3FiEififiEikiEiEiliEiE � ikit
iE 3E iE if �E iF iFlE iE if jf 1E iE iE �E iE iE iE iE iE if 1E 1E if iE k fE iE iE iEiE iE �E i! �E iE iE iE iE iElE iF if iE ik iE iE iE iF iE if 3F iE if 1E �klE iF fE 1E �E 3F 1F �E iE iE iE if iElE iE 7Flf iF iElF iE fF it
LEGALI2ATION:N F E E .S.0 M M A R Y STRUCTURAL SEGMENT;Y
,+
HLDG PMT PLUMBING ELECTRI•C MECHANIC FIRE SMIP/RES GRADING
PERMIT 63.00 �l 50
PLAN SMIP/NON—RES
Cr � ..
ISSUE FEE - -v ,�
BUILDING—DIV—> PERMIT ISSUE PLAN;CHECK TOTAL PAID DUE
TOTALS----> 63.50 0,00 0,00 63,50 63.50 ,00
REVENUE DIVZSION TOTALS--> COLliECTED: 63.50 OVER/SHORT: 00
BLD63P00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TO�T GRADZNG PLAN—CHECK
n
iElE iE iE if !E!f IElF iF iE 1E 1ElE iE iE 1E if 3FlE iE if 1E iE iE 7E iE if iElF 1E iE iP if 1FiE iElE iF-%� iE iE 1E iE iE iElE iE 1E iF if 1f iE if 1f iE iE it iF iElf �E 1E 1f 1E i(-if iE 1f it iE iE if iE iElE iE if �E
I N D I V I D U AfL F E E H 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 3700 REROOF BY VALUE RES.SDENTIAL NOZONE 1.00 3,700.00
END OF FEES
t]I �0145855-0014bfi`7 �'itT 53.50
UATF: 0?!14!9� TIME: iD:d7
� �
ICONSTRUCTION AND PLANNING
APPROVALS Permit�`r _ ,
� 1. Temporary Electrical Service o* Pole ��,
2. Soil Pipe�Undrgrnd. � '
3 EI.cIriG.� Conduit UTIi!y-Undf9�nd.
4: NeCtrical Condurt�Undrgrnti.
5. St��e� Reinfo�cement
�� �!ectnca'. UFER Grnd.
�
�7 Footings
(B. � auntlation
9. Wate- Pipe-Undrgrnd.
� tO.�SuucturaiFloorSystem :
7 7. Property SP:^der Line & House Connection
12. Sn�:�er Cap
- . __.. __--•---_.
' t3. �ootDralns
4. Rau9n Plumbing �
� �5. Rough Eiectrlcal-Condult
10. Rough ElectricWiring
, 17. Rough �1�inng Sign
lII. Rough Electrical�T Bar Ceiling
19. Rough Heating & Air Condivoning
20. ftooqh Fattory'Fireplace �
21. Ducts, in Structure � •
22. Oucts, Ventilating
[3. Gas �PIpe�Rough & Test �
24. 7oof =raming' ' '
25. Roof Sheathing
2�ar Ce�!ing (Strucwrail & P.Sonocoat
27. Fame a�d Flashing.
28. Lath:n9 & S�tling
29. Insuls:�.On
3Q. Dryx-all Naii,ng ,
3t. P�aster dro�vn Coat �
�32. Eiectncal Power Meter�Flna!
33. F�nz' 9lectnc �
.34. .r'inal HecY.ng Ri A(r Co�drtioning
35. ,F�na: Gas Pipe-Test ,
36. Nood or Canopy
37. f�inal Factory Fireplace
38. Finai P�umbing
39. LVater Service-Finai
40. Gas Scrvice�Fnal
41. Sotar pomestic�Fina3
v2. Backfio�c Preventer
43. Backilow Irrigation
4". Landscape Irrigatiorj,�ystcm
w5. Sound Nttenuation�._i .v
=<i
46. Handicap Regulatiof��a.� ;� ',
47. FWALSTRUCTUr;;:• 2UI�DING
48 FINALPLANNINC:�--
49. Electric Relsase to �o:�;
'� �.�:
50. Gas Release to Sou;e�.� Sal1
Gas
Date
POO�tLSPA
Inspector AppROVALS Permit #
52. Pool & Equ�pment Locat�on
53. Steel Reinforcement
54. Forms
55. Electrical Bond�ng
56. Raugh Plumbing & Pressure Test
57. APPROVAL TO COV�ER�GUNITE
58. Etectricai Conduit�Undrgmtl.
59. Gaa P�pe, � Undrgrnd., Test
i
I 60. Backwash Lines. P�Trap, � Undrgmd
61. APPROVAL TQ DECK
62. Baekwash & Receptor-Final
63. Heater & Vent-Flnal
64. Plumbing System � Fnai
65, E�ectrical-Final
66. Solar System�Final
67. Fencing & Access Approvai
68. APPROVED FOR PLASTERINu
69. POOL/SPA SYSTEA,15 �INAL
FIRE DEPT. REQUIREMENT
" , �� QPPRDVA(_S � Permrt ,�k �
T
� � 70. Underground Nycro
_ �
77. Product Pipinp C7 Ga: i� Oil
_` 72. Underground�Fiush .
. 7,3. Undergmd. Sroraco 7ank C' Gas ._. 0:1 �
�t4r� �4. Overhead HYdro ^-
75. �ry Chemi4a�� �
� 76. Dry StandpiFe
' ' 77. FIXED SYSTEAA FID1A�
-I-i-
� I 76. FIRE PREV. FINAL
�-
NFALTH GEPT. REQUIRENIENT
� + 79. FINAL INSPECTIOf!
� I 80. FOOD CERTIFiCA'TE ISSUED
� i r ,
t
0
Date � inspector
PPOJECT AUOflESS: 34 J 1 PINE BFi��K
OWNEfl'SNFME: VILLAGE CREEK HOMEOWNERS
nooness: ASSOCIATION
3429 TIMBER LAKE
CM VA 92626
UNIT:
RflCMIENGINEEfl: CHESTER CARVILLE XEG.NO.:CLE3OS
POOHESS: %92�L ARMOUR ST UNIT:
S.D. CA 92111
PENMITTEE: PFIOLN.[X ENTERPRISES INC. ( 21 3) 690-9559
nooaess: 9 t 1 COMEACIAL WAY
I,n HAHHA CA 90631
LICENSED CONTPACTOfl OECIANpTION: I �ere0y aflinn Ilinl I am licensed untler pmvisions ai Chapler 9(r.nmmencin0 wiih Section
7000� ol Uivision 3 of Ine Business an0 Pmlessians COAe, antl my ns s in lu�l force antl effect.
ciTvuc.:050788 /�s�,nTeuc.:37663�i�"'`--/. H�, /
Daie�. � `� Signawre:. v "' — —
WOBI(EHS'COMPENSATIONDECIABATION: IhereCyal rminatlhaveacertificareolconsemmselt-insureoracenilkaieolworkers'
compenution ��b� �c&ninea coov mereoi ISection se00. �ae. �-� � O 1/ 91
POLILY NO.: C.A COMP 6 F IRE E%P. �RTE:
SOMPANY:
� Cerii e topy i5 here0y Wmished. ❑ Cerlilie0 tapY is lil ��e y Builaing Oivision.
Oaie: � APPlican�'.
E%EMPTION FflOM WONKEBS' COMPENSATION UECLANpT10N: (TAi55et�i0n n¢ not Ue completetl i�ihe permil i5 �o� one ndreE (5100) or less�.
I cenily Inat in Ine oedormance of ihe work lor wnich ihis permit is issueo, I shall not employ any person in any manner so as to become
5u01e�� �o ine Workers' Compensalion Laws oi Califomia,
Dai¢: SignaWre:
NOTICE: I1, al�er making Ihis tleClarali0n, you Should hetOme Su�leCl Io ��e WOrk¢rs' Compensa�ion provisions o� I�e LaOor
Coae. you musl tonhwitn comply with sucn pmvisions or this permil shali be deemeA revoke0.
CONSTBUCTION LENOING AGENCY: I hereby ailirm ��at Ihere is a tonSlmciion IenOing agenty lor IM1e pedofmante ol �he work fo�
which Uis DQrmii is issue0 (Seqion 3W7. Crv. C�.
LENOEP:
aooness:
OWNEN BUIlOEN OECLAMTION: 1 hereby atlirm Ihal I am ¢xemD� ��am Ihe Contrac�ors' Siate LicenS¢ Law for Ihe �ollowin8 �easan
(Sttlion 70.71.5 Buvness and Pm�essional Catle: My cily al counry whic� requires a permil ro conslmc�, alter, imDrove, Oemol¢h, or
reoair any slNcture. prior to iis issuante, also requires Ihe applicant for such permit to tile a signed statemenl Inat he/she is license�
Dursuanl to t�e pmvisians oi ihe Coniraclors' State License Law (Chapter 9(wmmencing with Section 7000) ol Division 3 ol t�e Business
anU Pmlessions Coae) or Ihal he/s�e is eMempi Iherelrom and IAe hasis lor t�e allege0 exemption. Pny violalion ol Seciion 7031.5 by
any apDlican� lor a permit subjec�s ��e apD�icanl Io a civil penalty ol no� more t�an five huntlre0 Oollars (5500).
I, as owner of �he O�oPeny ar my employees with waBes as ��eir sole compensaiion, will Ao Ihe work, antl the
❑ simaure is not imentletl or ollered for sale 15ection 70aa. Business antl Pwiessional CoOe: T�e Comrac�ors' State License Law
tlaes no� appty Io an owner o� a propetly who builtls or impmves �hereon, antl who tloes such work himsel�lhe�sell or Ihwugh
�i5 or her awn employees. prov�tleE lha� suc� im0�ovem¢ni5 are noi iniendetl or o��ereJ �or sale. II, how¢v¢r �he �uilding or
' impmvemenl is sala wii�in one year ol completion, Ihe owner will �ave the buraen af pmving he/s�e Oitl nol Luild o� impwve
lor �ne ouroose af sa�e�.
I, as owner of Ue pmperty. am erclusively comraciing with licensetl conVactors �o cons�mtt Ihe D�olecl (Sec�ion 7044. Busineu
❑ an0 Pmlessions CaOe: T�e Contractors Slate Licenu Law tices rwt aDPN �o an ovmer of pmpeM w� 6uAtls or improves tAereon
antl who [onVaclsfor such pwle��s with a conVactOqs�license pursuan�io IAe Contraclors Slaie LiCense Law�.l am awar¢
iM1E� D��� oi tA¢ir Woiker's Campensation insurance S�oWG be pmWtleC to me.
,� I am erempi untle� Section: 8. 8 P. C.
I lor I�is reason:
Oate: O�vner.
I Eo �¢reby c¢nify Ihal I am aware of and unders�antl �he requiremenis o� CalAomu Healih antl Sa�¢Iy Co0¢ Setli0n5 2550.5, 25533, antl
25534 antl Inai I or any lulure builtlmg occupani will/will noi (circle one) neeU Io compty wi�h said sla�e codes antl Ihe requiremen�s for a
permil lot conslNclion or moddicalion imm Ihe Au Oualiiy Managemen� Districl. Fesiden�ial consimction aDPlicaiions are exem0� ��om
I�ese provi5ions.
Date: ApPlicanP.
I hereby tetlily IAai I have reatl �his applicaiion anU Slaie Ihai Ihe vej lor ialion is mrrect. I agreIe to compty with all ciI n0 counry
artlinances and 5ta�elaw5relaiing�o Auilding constmclion antl �er a Iforiz pr¢Seniativesolt 'aeryio enieruponthe v¢�menlione0
o�aDenV � � msuection purposes ��
Date:�� ��_ Signamre:
od�ers ucense oi Sociai secumy e
t6Gb<6 WM1ile—Builtling; Green—Cotle EnioecemenL Canary—AOG�icanl; Pmk—Revenue: GolCunroO—Asseswr
CITY OF COS'fA MESA — BU.T.LDING PERMZT , �
PERMIT NO: B 049942 PLAN CHECK NO: 06999-90 A �6VT�—SIIFP-�
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: REP
JOB DESCRIPTION ; REPAIR SETTLEMENT DAMAGE SQ FT: 143
CLAIM VALUE: 14,388.00 CALC—VALUE; 14,300,00 GROUP OCC: R-3 /
COMMENTS: BUILDING SETTLEMENT REPAIR/FOUNDATION
***r�r�c*�r***�rx*�r****+t*�e***r****x***x��*��**�*�r*� ���******�t�t**+��r��r**�x�*�***�r*�x**�r
Z O N I N G A E Q U.L R E M E N T S
S E T H 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 RE - PROV: PARCEL: 93506124 ZNE; R2 REF NO:
PLANNING N�'!'ES� REPAIR EXISTING FourtDA'rioN. HOLD FOR SPECIAL REQUIREMENTS
iE 1E iF 1t �F if if M M%if iF if ik 1E if k 1f �7E iE k iE iE if if �k iE 1t if M iF M �f iF if iE 1E �E if IFif iF i6 IE iF if iE If jf if if IE 3E jf af Ik lE if if �k iFlk �f !F IF 3F �IF iE,iE jk IF if IE �F 1E if iE if 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
ZONING APPROVED BY ;�?�T � DATE: •6�� S_� U
—%
BUILDING APFROVED BY : �) l�-- � 1"c� l DATE; ,�
APPLICATION ISSUED BY: DATE: �
1Eif 1k if IF Ik IE �f If 3f 1f �f if if if if if k iflE if i61f if 1FlF IE �If M if k�{FiFlf iF
iFlFkitifkltiFiFifiklE�fififiFififif3Ffkklf ikiE if3FififiE3f�EdfiEififlEiE1E�E�F36iF3FifififlE3f�1fdE1FiE1k3EiEiE3FiEiElfiEiFlfklf
LEGALIZATION:N F E E S U M M A R Y STRUCTURAI.'SEGMENT:Y
BLDG PMT PLUMBING E CTRIC MECHANIC FIRE SMIF/RES� GRADING
PERMIT 162.00
SMIP /NON—RES','�.
PLAN 26.33 2.15 �`::
ISSUE FF.E
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAIA �z=DUE
TOTALS----> 164.15 0.00 26,33 190,48 190.48 .-';.,00
REVENUE DIVISION TOTALS--> COLLECTED: 190,48 OVER/SHORT: ,00
BLDG FMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GAADING PLAN—CHECK
162.00 2.15 ?6..:.33
1F �f iF jk lf 1F f! �f if iE �lE aE if iE IE Ii iE k k� 3F iE It if iFlf lE iEjF iE iF if �F if 1f ik 3f if k iF if 1F if 1f k �F iE if ik lf iF 3E if if� iE 3f if 3f 3f if �F if iF af if IE !f �F IE k rf 4 iE 1E jE k 3f if if jF
I N D I V I D U A L F E E B A E A K D O W N
TYPH QTY D E S C R I P T I O N UNIT COST TOTAL COS,T
SFC 143 FOUNDATION BY VALUENDEOF$FEES 100.U0 14,300.00.
�% Qi�.7�4�i�'�-1:�'1�?PE ��� :'/tie4i.
DATE: il/loiiC TIr��: 11:53
CONSTRUCTION AND PLANNING > POO�•tL SPA
AppROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector
1. Temporary Electriwl Service or Po,le - 52. Pool & Equipment Location
Z, $pil Pipe-Undrgrnd. _ 53. Steel Reinforcement
� 3t;Electrical'Coriduit Utility=�lndrgr�d. �� 54. Porms
'_,4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
�'S. St�el Reinforce'ment , 56. Rough Plumbing & Pressure Test �'�
,�
i��GJElectrital-.UFEft Grnd. I.� 57. APPROVAL TO COVER�GUNITE
''�7` Fgotings ^ }?!±' - 58. Electrical Conduit-Undrgrnd.
'_$. Founda[ion ;r, , �4 59. Gas Pipe, � Undrgmd., Test �
-9. Wa[er Pipe-Undigfnd. 60. Backwash Lines, RTrap, O Undrgmd. .
,
T0. SVuctural Floor 8Vstem - 61. APPROVAL TO DECK
1•1. PrOPerty Sewec:Line & House Connection � 62. Backwash & Receptor�Final '
i - '
1'2. Sewer Cap ;, '. .� 63. Heater & Vent-Final
13. Roof Drains ' 64. Plumbing SYstem � Final
14. Rough Plumbtng 65. Electrical-Final
15. fiough Electrical�Conduit 66. Solar SYstem-Final �
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring,Sign 68. APPROVED FOR PLASTERING
18. ROugh Electricz,I�T 8ar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
_ ) "' I'I+�' - .
20�'Rvugh F.acto"ry Fireplace +• • �'� = • _ �- + > • APPROVAL'S � -�Perfiit # �
i .�� ,i .r .r.�� .� e• • �.� �.
21,. Ducis, in Stkucture� � '. ;� � �- � f . ; 70. Underground Hydro � ��
22._ DJcts, Venfilating i � ��� � `� . 71, Product�P]Ping O,C.�as C10i1
�� f • � �-- �.: i i i i_� : .t i � i' i .-�i�._. , ,
23.,,Gas,Pipe:RoJqh & Test „ :, - : . 72. Underground Fliuh� •. . �
24:�RaofPraming :�� �:-��� . ���.' _ _ ;? �73.'�Undergrrid.StorageTank'�Gas ❑Oil •
25. Rc�of Sheathing,' � ,� " � "' �-; _ '- ; , 7q: ,Q�er,head HYdro�� �� ..
26..T-9ar Ceilin9 (Structurall &lvlonocoat=. � _ �^ � H � � 75" Dry Chemical �_; � �"'' '� ��
27: Frameand Flashinj `�� ' - , , , ; ; 76'��Dry�Standpipe �.�. " ��� -
; iT..
28. Lathing-&Siding���� �y�._�, a;ii; :>. ••i ��••� � 77; FIXEDSYSTEM•`FINAL
'-+ m� fe . ��.•.. � r� e••� i �� ' 78.� FIRE PREV. FINAL �
"29. Insulation , i,. , . , , ,� .
30. DrYwalfNailing �: � . -! � I ' .f' ? �� HEALTHiDEPT. REQUIREMENT
i .�
31. Plaster�8iown Coat ,_ i . ,,. � � ! �� '; �.79.`FINAL INSPECTION : ' � '�
32. Electrical Power.Meter-Final � ,� � ��'! t60.�iF00D CERTIF�,IGATE ISSUED ��
33_�Fibal EYectric , - � I � �� � ' � Notes: - ' _ - �< <
� �r
,�34: Fi�al Heating &,Aii Condltioning - - � `� , �. r � . . � , . - �
35!. Final Gas Pipe-Test ,. -- � ` �'
� 1- ,7 /
�-36��Hood or,'CanoPY . . � �.� i • '� • --��
n .
37.- Final Factory Fireplace: • _ " I "�
� ��i
38: Final Plumbing , � , . �� " (� � � �
" 39. Water Service�Final ' � � � � ' �
� i I� � •
, 40' Gas Service:F,inat �r �» ,, , . � , � {. , _ _ �
'- 47� Solar pomeSticfinal` - -� I rF -r ' '
�T I
42. Backflow Preventer � � `' ' �� � � - '
_ � I �- �. . _
43. Backflow krigation �=:`-':= ' -� : -� . �
, 44. Landscape Irripation System � ,� , � . � � •� - .� �y .. .
� 45; Sound Attenuation � • . ' ' � -
- r . .
= 46., Handicap R'egulatipns ,' , � : � � " � _ , � �.
47..FINAL STRUC7UfiE & BUILDING , � I � _
aa. 4„rJ,cj' ` , r _
-. 49, Electric Release to E ison , I ` I w ^
; 50. Gas Release to Southern Californip Gas Co � � I �� . - -_ - .
,51. CERTIFICATE OF. OCCUPANCY [� . : � :. ,- ,.i : .. • .
No. Date
urvnerc STATE-WIDE Develo era Inc.
JOB ADDRE55 3451 Pine�.Bro k�
GENERAL CONTRACTOR 5emB � DE!
AP No. ' ' r OT TRACT FIR
I 9CTIONS Si are.e Date 1
50�� M ' �Z
G r15
WATER 7t__ p �� _�
ROUGM PLUMBING Q� �'•% `
PROP. SWR. LINE Q HOUSE CON, l�i Z,'f .%`
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AN� AIR CON�ITIONING O�S
TEMPORARV SERVICE OR POLE
UNDERGROUNO � POWER �
ROUGN WIRING y)� •J�'L
BON� BEAM [] STEEL
SHEATHING
FqAME ANO FLAS/-H�IN�G
LATHING — IN �y� OUl
PlASTER, BROWN COAT
5' 'TUPAL,FINAL
h JG, VENT., REFRIG.
PLUMBING, FINAL ANO GA.
ELECTRIC, FINAL
6111LDING. FINAL
uAit 4_Zg
BUILDING PERMII
RIP710N oF WORK Res.�
ZONE VALUE 3 q5_�(
PE y GROUP ,
SUBCONTRACTOR
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_. :4.1872
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFOANIA 92626
�;�y,3-�E���°00 �zE� ��h220CG
APPLICATION FOR BUILpING PERMIT
ForApplitant to Fil/ in Complefely RECEIVED BY OATE RECEIVED D TE S UED
AOIDRESS 34 1 Pine ' '
IZ-2//-6(�OZ P�rig
OWNER State-Wide Develo ers, II1C. A�P�NO. / D� n
ADDRESS 9461 Grindlay ADI RIE S-3y.>� /i/'^�
CITV Cypress No.`$26-4550 TFACT�p��l LOT BLOCK
CANSTRUCTION A
LENDEF
BRANCH
OWNER
ADDRESS VALUE
ARCHITECT TEL S 1 Res W�Ht�C aP $
6R ENpNE£ii
ADDflE55 17848 SkyPark Blvd, Irvine ZONE TVPE GROUPI &�
APPROVEO
CONTRACTOR State-Wide Developers, Inc� BV DATE
ADDRESS 9461 Grindlay
TEI. ZONE NO.OF USE OF NEW y/
CITY Cypress No. 826-4550 �l7 ii� P�� Z BUILDING
STATE CITV VARDS APPqOVED VAROS APPROV D '
LIC.NO. 'z24J�O LIG.NO. MAINBVILDING ACCESSORVBUILDING
SIZE NO.OF BLDGS. (FROM C/L STREET)
OFLOT �Z.0�3 ac NOWONLOT O RONT � FT. FT.
USE OF
EXISTING 6LDG. FT FT
512E OF NO. OF
NEW BLOG. ROOMS STORIES L. SIDE IO pT. FT.
EXTERIOR WALL er ROOF Q /�
COVERING COVERING REAR .J J FT. FT.
USE OF BUILDING AND WORK TO BE PEflFORMED DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESs. BLDGS.
New construction-Condominiums CURP � _ _7 , °; Roveo -'S �
1 Residence w/att gar APPROVED ,�� �
�30LD P cnc...
I heraby aeknowlatlBa thet I hava reatl this applieation antl smte ' L��Ul �:y�'rs
tha[ the above intormetion is corract entl apree io comply with
all lews regulating buildin8 consttuction, entl I shell not employ
any person in violatlon of the wo�kman's compenxtion laws of
the State ot Calitornle. �
I hereby certify thet I am properly Iicansetl ez e contrector untler 3a so. Fr. J-534 0
Me Stete of Californie Businezs end Profeulons Cotle, Dlvisicn 3, THE AMOVNTSHOWN VNDER VALUATION IS FOR �
Chepter 9, antl that such licenses are in full force entl eftact, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: Q
om exempt from the provisians of the Stete of Cellt rnia Businass VALUATION
entl Professions Cotle, D��i{�o 3, Chapt 9. � �J m
PERMIT FEE $ ��+'"�
State-�Ji�'e Deve�op r Inc, ,3� � ;
SIO�atura o �y�r) m
Permittae $ PLAN CHECK $ � M/ E
ice resi en �
Authorizatl ABent . LL
TOTA� FEE $ �