HomeMy WebLinkAbout3453 PINE BROOK CIR - Building PermitsPeOJECT RDDPESS: 3 4 S 3 P I NE BROOK
OWNEP'SNAME: VILT.AGE CREEK HOMEOWNERS
aooeess: ASSOCIATION
3429 TIMBER LAKE
CM VA 92626
UNIT:
qpLN1ENGINEEH: CHESTER CARVILLE nec.r+o.: C1A305
nooness: 7922 ARMOUR ST uNiT:
S.D. CA 92111
PEHMITTEE: PHOENIX ENTERPRISES INC. ( 213 ) 690-9559
nooeess: 411 COMERCIAL WAY
LA HABRA CA 90631
LICENSEO CONTNRLTOfl OECIANATION: I �¢reGy aihrm ��at 1 a cens nOer Orodsions ol CAapter 9(commencinq with Section
7000� ol �rvisian 3 0l Ine Business antl Pro�ession5 Coae. and���iii I ens i in fult lorce antl e��eci
ciTvuc:050788 s T uc.:37663��/'�/ ss:� /2��
Dale', — Signature: y�/ /i7�,{[l� l
WONREflS' COMPENSATION OECLABATION: I hereby a iri7 m �hat I have a cenificate of consent to self-insure a ce�ificate oI Workers'
compensation �uta��� �c�ureo coov tnereo� (senion 7&00. �ab. �.� � O 1/ 91
POLICYNO.: CA COMP & FIRE EXP.ORTE:
�OMPANY:
CetliLed copY �5 hereby tumis�etl. ❑ Certilied [opY i� vri he ci�y Buil� i5ion
�a�e: / � / -` � �O Applicani'
E%EMPTIONFROMWOBKEPS'C�MPENSRTIONOECtAPlITION: (iNsSttVonnee0irolbecomple�eUii�hepermitis�ao huntlrea(5100�arles5�.
I ceNfy �hat in I�e pedormanw af Ihe work Ior whic� this perrttil is ¢sued. I shall noi employ any person in any manner so as �o become
su��ect Ia Ihe 4VorkerY Compensation Laws ot Calilomia.
Daie: Signaiure:
NOTICE: II, afier making this tleclaralion, you 5hou10 b¢come suGlect to the WorkerY Compensaiion provisions ol I�e Labor
Code. you must fo��wiih comply wii� suc� Owvisions or t�is permii shall �e tleemetl revoketl.
CONSTflUCTION LENUING RGENCY: i �ere0y aifirm thal there is a cons�mtlion lentling agency for the pehormance o� �he work for
whic� Ihis Dermn is i=suea (Seclion 3097. Civ. C).
LENOEfl:
nooxess:
OWNEP BUILOEP OECIAflRTION: I �ere0y allirm Ihatl am ¢xemptlmmihe CqnVactors' State License Law lor the following reason
(Section 703t.5 Business anA Pmfessional Coae: Any ci�y oi wunry w�ich repuires a permit to wnsimc�. alier, impmve, demolish, or
r¢pair any slNclure, prior l0 i15 issuance. aIW r¢QuireS I�e applitanl �Or SUth permil l0 �ile a SigneG Slalemeni Ihal he/SAe is liten5etl
pursuani �o ihe D�ovisions ol ihe Camracmrs' S�ate License Law (Chapter 9(commencing wil� SecGan 7000) oi Oivisian 3 0l �he Business
ana Prolessions Cotle� or t�ai Aelshe is exempi �herelmm ana t�e Uasis br Ihe ailegea exemption. Any violation ol Section 7031.5 by
any applicant lor a Oermit suDietls ihe appiicant to a civil penaliy al not more Itun live hundred Uollars (5500).
I, as owner of ��e pwcehy or my employees vnih wages as their wle compensation, will Oo t�e wark, an0 Ihe
❑ stmcture is no� inten0etl or ollere0lor sale (Section 70a4. Business and Pmfessional CoEe: The Comracmrs' Siate License Law
Aoes not apply �o an mvner ol a o�oDenY w� builas or impmves tAereon, anA wtro Aoes such xrork nimseli/herseli or tAmugh
nis or her own employees. D�oviAetl iha� such impmvemenis are nol intentletl or alleretl lor sale. If, however the huilding or
impmvement is wIC vntAin one year ol com0leiion, t�e owner will nave ��e burden of provinp Ae/she Oid not Dui10 or impmve
lor ine Durpose ol salel.
I, as owner o� ��e D�oDerly, am eMclusively conVacling wiih licensetl coniractors �o conslmci �Ae project (Seclion 7044, Business
❑ antlPwlessionsCoae' TheCanvactors State�icenseLawdcesnalapPNtoanownerofO��Dertywhohml0sorimD�ovesihereon
anU who tOnlratls �Or Such pmletls wi�� a CaniraClOqs) license DursUani �o ��e CantraCiors' Sla�e LicenSe Law). I am aware
Ihat pmol ot Ineir Worker's Compensation insurar¢a 5�oula be pmvidetl lo me.
� 1 am eeemp� under Seciion: 8. 8 P. C.
lor I�is reason:
Date: Ownec
I eo here�y cenify thai I am aware ol an0 understana tne repuiremenis oi Caldomia Health ane Safery CoJe Sections 25505, 25533, antl
25534 and Ihal I or any IUWre builtling octupani willlwill noi (tirtl¢ On¢) neea Io comDly wi�� Said S�aie totles antl Ihe reOUiremen�5 �or a
permit for consimclion or modilication tmm t�e Nir Ouality Managemenl Disirict. flesideniial cons�mciion apDlicaiions are exempl Irom
�hese pmvi5ian5.
�ate'. FOV�icanC
I her¢�y Ceriily Ihal I �ave reatl ��i5 applitaiion and Sia�e Ihat ��e a0 e i r a� n is correcL I agree Io complY vnih all city and co niy
ortlinancesantlslatelawsrelalingtobuldingcon5lmctionantlhere N rrz re e5entaiivesot�hisc Ierupon�heabove� mnetl
PIOpCfI� � r inspection purposes. �
\
Oate: /
�6ai 46 Whne—BuAtlmg: Green—Cotle Eniorcemem: Canary—Hpp�icanl: Pink—Fevenue'. Goltlenmtl—Assessor
CITY OF' COSTA MESA — BUTLDING PEAMIT
PERMI'P NO: B 049939
CONSTRUCTION TYPE; V—N
PLAN CHECK NO: 06476-90 A
PERMIT TYPE: STR
.�.. \• 1...�.
•� � �.. .
PURPOSE: REP
JOB DESCRIP'fSON ; REFAIR SETTLEMENT DAMAGE S� FT; 143
CLAIM VALUE: 14,388.00 CALC—VALUE: 14,300.00 GROUP OCC; A-3 /
COMMF.NTS; BUILDING SETTLEMENT REPAIR/FOUNDATION
**�e*�r****�r�***********�*�r*+rr**x****r�r�r***�r*��r*�e***�rx �*���t*x+r****�� �t�*�e x**r*���t�t
Z O N I N GS ERTEB�AUCIKASE M E N T S _
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FANT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKTNG RE • PROV: PARCEL; 93506124 ZNE; R2 REF NO:
PLANNING N'CES> REPAIR EXISTING FOUNDATION. HOLD FOR SPECIAL REQUiREMEN7'S
?
�f 3f iF iF iFlf if iF if iE if �)f �lf 1F iF if iF iEiF �E iE iE �E M �f fE iF iE iF 3E iE 3FiE 1f iE iF IE �If ik if if fF iE iE if IP iE if If #� iE �f �E iE 1E k af �E iF iE ik �E 1E if Ik iE �f 3F IF aE iF 3f if iF iF iF iE?F i!
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; "(�( IJ /o
BUILDING APPROVED BY : �nJf L DATE:
APPLICATION ISSUED B DATE;,�
N� If if if 3f if iE i! it ib if iF iE if iE if if If 1F i4 �F 1E if iF iE iF if 3(� iE IF�iF� **
*iEilifN�IFifififMdFiFiEiflFiFifiElEiFifiF�fiflflFiFiEiflEiFiFMiEififif kifitiE3fihlEafifif3EiEififififlElFlFifiElEiE3kiklEjFiFif�iEif�3fifikiflEikY�FjEiF
LEGAI�22ATION:N F E E S U M M A R Y STRUCTCJRAL SEGMENT:Y
HLDG PMT PLUMBING E'CTRIC MECHANIC FIRE SMIP/RES� GRADING
PERMIT 162,00
SMIP/NON—RES
PLAN 26,33 2,15
ZSSUE FEE
BUILDZNG—DIV—> PERMIT ISSUE PLAN—CHECK 1'OTAL PAID DUE
TOTALS----> 164,15 0,00 26.33 190.48 190,48 ,00
REVENUE DIVISION TOTALS--> COLLECTED: '-? 190,98 OVER/SHORT; .00
BLDG FMT PLUMBING ELECTRIC MECHANIC �FIRE SMIP/TOT GRADING PLAN—CHECK
162.00 ;,� 2,15 26.33
±f� 1f 3k iF If !f �E IF iEdk IE if N� iE �F %if iE i(� fh �lE �f i(� k!F �lF IF if� iE If 1F �lf if IF 1F �lf iE 3F ik I!� IE df If� ik iE if �1Flk �lf 1F �F If if 1Fl1� 3E # ikif iF iF iE 9F iE if 1E 3E df If 3f iE if k iE �If iE M if if
I N D I V I D U A L F E E^ B R F.. A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL. COST
SFC 193 FOUNDATION BY VALUE PER $100.� 100,00 14,300.00
END OF FEES,
O
T
� :� :
_, o� can��yaQ-o�o:r.��; ���:a i�u.;t
��'� �lP.7Ea 12/27/9D ;I��� G5::1
CONSTRUCTION AND PIANNING PO(.. .a SPA
APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole _ 52. Pool & Equipmen[ Location
2. Soil Pipe-Undrgrnd. - = 53. Steel Reinforcement
��_ �:r
���_ 3:.Electrical'�Conduit Otility�Undrgrnd: � 54. Forms
�� 4.'Elecvical Conduit�Undrgrnd. _ 55. Electrical Bonding
'5.- Sieel Reinforcertjent' ,. 56. Rough Plumbing & Pressure Test �"
.ii6.'E�lectrical•UFEPoGrnd. 57. APPROVALTOCOVER�GUNITE
'' !�. Fc�otings" ��' �� ' . 58. Electrical Cqnduit-Undrgrnd. -
��8. Foundation �,� i � 59. Gas Pipe, O Undrgrnd., Test
'�9. Water Pipe-UndrgFnd. � 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structurol Floor System ' ,. 61. APPROVAL TO DECK
11. Property Sewer'Linc & HOUse Connection 62. Backwash & Receptor-Final
i.
12. Sewer Cap �' _ 63. Heater & Vent-Final
13. Roof Drains - 64. Plumbing System � Final
74. Rough Plumbing ' 65. Electrical-Final
15. Rough Electrical�Conduit i . 66. Solar SYstem-Final '
16. Rough Electric!Wiring 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- - L. . ,c_ , ,•
20.,;Rough Facto,ry Fireplace - �� ` "� � _ J ='r .r �APPROVALS: -Perinit # '
' '.'f :� T - i r � CiU -
� - •• � ' l . r �, r. 1 : l l � ` .
21.' Ducts, in Structure. .. -� �� J0. Undergnound Hydro �
22. Ducts, Ventilatiri� • � '.? � _ •> - -?71. ProductTPiping O'Gas QOiI
� � �`
23:�Gas_Pipe-Rough &�fest � ;: ; ,r - �. �t J2. Underground Flusf� , • ���
24t'Roof Framing :�'� c l�, �•'J - _ ' ' 73'Undergmd�.StorageT�nk_'OGas ❑Oil
x
25. Roof Sheathing , � � . ' '� :-�'� - , 7q=,Qverbead �Hydro�"�� .
26?�T-Bar Ceiling (Sv.ueturall &�Monocoat i. � �' ^ � • � 75-Dry Chemical � ! ' �-• '
�.i - v r-t . � , � i �
27'. Frame and Flashing � _ ; r '� ' � $' ' •� _
, �_; 76�. Dry S[aniipipe
28 � la{hing & Siding � i � 7 ��� �i..c � ? !�• � � 7T � FIXED SYSTEM FINAL �_� _
'29. Insulation : „j j '' � � �� '.,Y � "� - ;� i� a: �,; 78s FIRE PREV. FINA�L •�• -
� 30. DrywalPNailing ,n r � � � ��� .f ��� �. i �fi ? _ HEALTFVDEPT. R�EQUIREMENT
- 31. Plaster Biowq Cbat; ; . _ �� �, � � ; �7g',�'FINAL INSPECTfON , " � �
32�. Electrical Power�Meter-Final � � � • ; .� ^� ' '' . • =i80a-F,OOD CERTIFICJiTE ISSUED �
_ . . , . �� -
33.'�Final Electiic ,,. ,'� � `� lI I�• � 'NOieS: "� � �. � - - r �
. �. _ � � . : - �-.
�.34: Final Heating & Aic Conditioning- , _ I �S i f � - . . _ : � � I
35.. Pirial Gas Pipe�Tesr` ~ � ' ' '.7 �,� ` � f� �
i ,. x
,� 36� Hood orCanoPY_ • - ' . ., i � .-. � .G� �,� �, ' . r`' :.. � � - `�
. r ^, r.
� 37: Final Factory Fireplace_ ; " ' ' ' - � i �' i` ' - ' ,:�
c
.38.--Final Plumbing ,` . - � I • `•. '� -'i.
i
39;-Water Service=FinaP . = ' I I �, !`. . •- . , ._
�;�40.'Gas Service-Final ,r - ti , � � � � � . '�
i
- 41: Solar pome4ticFinal - ` - � ' �'� �
C, '. I � a. �ci - �
42��Backflow Preventei. � i ,` } " I � - '� `
43. Backflow Irrigation • • ' ' J ' - . �,
i � < «
�44. Landscape Irrigation SYstem � �� �' � - - � - s �� ,.
'45..Sound Attenuation � � � ' �� � - � �' I
� ,T. �. . .- � . .
-46.,HandicapRegulations " ��� - ; �� � � �ti ' �� _.a �
47:..FINAL STRUCTURE & BUILDING , , '�
.
48.� � ; .�-...�`i�! ' ..
�
: 49. Electric Release to E ison . . I �:. -
;.50. Gas. Release to Southem Califor,nia GaiCo : '. �� � t; . ' �=.;; �
;.51. CERTIFICATEOfiOCCUPANCY �� � i i .� ri �:t�_ .. � i -� _
No. Date
PflOJECT AODNESS: 3 4 J.'� ��. i�E HROOK UNIT:
OWNEfl'SNAME: VILLAGC. CRfiEK IiOMEOWNERS
nooeess: F.SSOCIATION
3429 TINDER L�ARE
�'M VA 9267.6
ABCNIENGMEEB: CI'IESTER CARVILLE AFG.NO.:C�.��OS
aooness: '] 4 2 2 F RMOUR ST N`
S.D.. CA 92t11
PEHMIT7EE: pIiVI:N.LX ENTERPRISES IN!:. (,'.13)690-9559
aooness: q 11 COMERCT:�L WAY
Ln HABRA CA 90631
LICENSED CONTflPtTOfl OECLABATION: I hereby aliirm Ihal I am licensed un0er provisions ol Chapter 9(commencing wilh Section
7000� a� Oivision 3 0� ine Business antl Professions CaEe. an0 my 6c nsr is in lull force and e�lect.
ciTruc.:� (Jreuc..'i7fi639 / ss: A C:/"L/
Date: �L__ Signawre. _ � �. —
WOHKENS' COMPENSATION OECLANATION: I here6y affirm �ha� I �ave a cenificate ol consem b sell�insure ar a cehilicate ol Workers'
Compensation Insurance. or a rerlifieE copY thereof (Seclion 3800. La�. C�.
POLICYNO.:WI003S9 E%P.ORTE: O%�OSi9i
COMPpNY: CA COMI' G tRE
Q� CenilieA copY �s hereby lumished. � Cetlilied copy rs ii�� e ciry Buildinp Ui;�ie�ly.
C,�.. '<fG
Da�e: � -q--�C� NpDlitanC _
E%EMPTIO�WOflI(EBS'COMPfNSNTI0N0ELUBATION: (IDiSs¢tlianneeanalUeCOmplete0il0ep¢rmi�isloronellwbrtd�S100�or1¢u).
I ceriity �hai in Ihe Dedoimance o� I�e v+ork for whic� this permi� i5 isSueA, I shall noi employ any person in any manner so as to become
5u0�ecllo I�e VJorkers' Compensalion Laws of Calilomia.
Oa�e � SignaWre:
NOTILE: II, atter making ihis aeclaration, you snoulU OeCome suoject to Ihe Workers' Compen5dtion O�ovi9ons of the labOr
CoUe. you musl lort�with comply wilh suc� provision5 or I�is permi� 5�ali Ue aeemed revokeA.
CONSTflUCTION LENDING AGENCY: 1 �Ere�y alfirm thal Iher¢ i5 a mn5imciion 1¢ndinp a0ency IOr Ihe p¢dormance af Ihe work for
w�ich Ihis Oermil is issuee (Sec�ion 3097, Civ. C�.
IFNDEN:
nooxess:
OwNEH BWLDEB oEClAflR7lON: I here�y affirm tlWt I am eeempl Imm Ine Coniractor5' State License Law lar ihe following reasOn
(Section 7031.5 Business and Prolesslonal Cotle: Any tity of county w�ic� reQuirts a Dermit to consimct, alter, impmve, Eemolistl, ar
�eoair any stmclure. prioi to its issuance, also repuires ihe aDDlicant for such permit to file a si0ne� stalement Ihal helshe is licensed
pursuant Io 1he pmvislons ol lhe Caniracmrs' Sta1e License Law �C�apter 9 �commencing vnt� Seclion 7000) of Division 3 al IAe Buvness
an0 Pmlessions Cotle� or IM1a� he/s�e is exempt ihereirom and Ihe basis lar the allegea enempiion. Any violation o� $ttti0n 703L5 Gy
any apD�itani for a permii subletls �he a071iCdnt Io a ciWl p¢nal�y ol noi mare �han live hundr¢d tlallars (5500�.
I, as owner of Ine pmperty m my emplayees witn wages as ineir sole compensation, will do itle woA, antl the
❑ simcmre is not intenaea or olterea lor sale (Seaion 70a4, Buvness and Pmleuianal Cotle: Tne Contracmrs' State License Law
aoes �roi aODN �a an owner o� a O�operty wln builds or improves ��ereon, anG w�o Aces suc� work him5ell/her5ell or tNouqh
�is or �er Own employees, proviUetl ��al SUCh impmvemenl5 are not inientl¢0 Or OIIereU la! Sale. It, �Owever IhE Guilaing Or
' impmvemeN is sola vAhin one year o� compietion, �he owner will have Ihe Ourtlen o� pmvinA �e/she Oi0 no� bui10 or improve
for ihe purpose of sale).
I, as owner o� ihe Omperly. am exclusively conlrac�ing wiih Iicensetl conlraclor5 io cons�md the pmletl �Section 7044, Business
❑ an0 Pmlessions Cad¢: T�¢ ConVaCiorS' State License Law tices n0i apply Io an ovmer oi Drap¢riy w�o builES Or improves IAemOn
antl wha tonirads �ar 5uc� O�oIe��S wit� a COnlratior�s) litense pursuan� t0 Itle fAntfatlOfS' Sia�e License Law). I am aware
Ihat pmol ol Iheir Worker'S Compensation insurance ShoNU be prOvitlea to me.
� I am exempi unee� Sec�ian: B. 8 P. C.
lor Ihis reason:
Date: • Ov+ner.
I d0 h¢reby t¢nily Ihai I am aware o� anU unaer5�an0 �he requir¢memS ol Cab�omia Heallh and $a�ely COde SeCtiOnS 25505, 25533, an0
2553a antl I�at I ot any luture builtling accupani wilVwill not (circle ane) need to compN ��� SaiA state codes an01�e requiremenis for a
permi� �ar conslNclion or moailica�ian irom �he Fir �vahly Management Oisiricl. Residenlial cOnSimtlion apDliCaiions are eKemO� ��om
Inese O�ovisions.
�ate: Ap0licanP.
I �ereby tertdy I�at I have rea01hi5 ap0litaiion antl Siate Itut I�e' e.i rmatian is mrreti. I aAr¢e lo comply wil all city antl COUnry
ortlinancesantlslatelawsrelaiinglo�uiltlingconsimc�ionantl�er y u or erepresenla�iues 'scitytoen�erup eahave�menlionetl
pm0etly lor inSDec�ion Dumases
Oate l_l—�t� �� SiynaWre: _ `—� — — _
�river's Lirense or Social Security
164La6 Wh�te-6uiltlmg; Green—CaOe EnlorcemenC Canary—Applicanl: Pink—Ravenue; GolEanrotl—Assessor
CITY OF COS'i'A MSSA - BUIiDING FERMTT PERM NO; B 05006"
PERMTT NO: 13 0 i0063 PLAN CIIr:CN, NO; U6468-90 A GOVT: N Si7PP; N
CONSTRUCTTON TYPIi: V�N PF.:RMIT TYPE; S'PR PURPOSE: REP
JOB DL•'SCRSPI'ION ;}2liPACl2 SE'iTLF..MHNT UAMAGE SQ rT: 143
CLAIM 6�AI�03�: 19,388.00 CALC-VALUE; 19,300.U0 GROUP UCC: R-3 /
CUMMENTS: DOTI�DING SL•:'1'7'LEMENT' REFAIR/FOUNDATION
±E ih iF if # af ?f 3f �f 3f if lE i!�?E 1E �(� K� X� X� Y. Y.� Y� % iE jf ±F �k iE if ik?f 3f iF?E iE i( ?F?f 1f if it+F 3E iE iF �k ih ih+t iE iE jr+F+E+f :�f if if +E?E �f if if :�f if it?E!F iF?E �?F K� fE if� df �!F *?f if
Z t) N:I N G R E Q U I R F �1 E N T S
S E T B A C K S
----•------•- MAIN BUIi�O.�;JC; ---�------- �---------- ACCESSOAY AUILDING -•---..--�--
FRN2; P'f CN REAR: FT IN FRN'f; F"P 1N RiiAil� FT IN
LE:FT: }�T fN RGflT: F'T ]:N LEb"P: FT IN F2GH't: F'[' 7:N
PARKING REQ• PROV: YARCEL; 975061?.4 7,NE: R2 REF NO;
PLANNING Nb'PL•:i> REF'AIR EXIST'IP7G FOUNDATZON.
?
�i �f Y.�Y� # IE?4 �� ?E Y� # jF #?f ff 7f ?f %� 3F 3E+c?4 if +f iE?f IE iE+f +f +F iE �)E 3f� ?f !F lf �)flE±(� �f -%?f� %�l4?4?f 1E+E'< 1!� �)f iF±f iE }f ?f �lf?f iF?f �f+f iF �li iF N� iF �N� �7f N� Y� j(• iF it %• af 3f ?E
D E V E.L O P M i:/ N T S E R V I C E S R E[� U T A E M E N�- S
ZONZNG APP]2UV�iD BY : l� �%�j— DA'PE: �I�•'�l'!O
BUILDTNG APPROVIiD iiY ; (.J! L DATE: '
APPLICATION I:.;:ii11?Ll 13Y• llATE:
'� i
#!�if)Eif�lFif%iflFifii�?FX'k.kX.X.i(..?EiF .7�. . . . . . . . . ?ffEifiE+F!fiEiFihiF , �?EiE
�lEif�)f3f#Eif+flfDFif)b%��K�Y.�1fN�iFiE?EifM�if#fE . . if+Ei4?f . #iEiElEiFiFlf?flfff?fk)E1:if�4#E+h�lf?:�!f?Eif1f?E3fiE�EiE1fiE?EiE�7E3EK�dfiElEi!�3fifit
LL•:GALIZATZON:N F E'. 5 tJ M M A R Y STRUCTURAL SEGMEN'3':Y
13i�L1G PMT PL'JMHING :.LECTHIC MECHANIC FIAE SMIP/RES GRADING
PL•:RMI'f 167. , 00
PLAN 2G,33 SMIP�Nbs-RES
ISSUE FEF,
BUILDiNG i)CV-> PERMZT I SUE PLAN-CIiECK TOTAL PAID AIIE
TOTAI�S--�•> 169,15 0.00 26.33 190,48 190.98 .00
REVENUE DIVIS:iON +U'CALS---> COI.I.EC7'ED: 190,48 OC�ER/SHOR'P; ,00
BLDG PM'P PiUM13iNG Iii,ECTRTC MECHANIC PIRE SHZF/TOT GRADING FI.AN-CHECY.
16?.UO ?.15 26.33
Y� if )E 3f- 3f i('4 if Y.� Y.� � X�:(� '!?;.+E x a'�?( � iE?f ?E x±i� i4 :rt if jE fE?f iF?E if �%%%:�E if if ?f at +f 9F if?(�?F 3E ib lf Y�?E �E if+f if if 1f?E?f?f �f iF iF �f *!f iF?f ar. iF?f- �M+E iF �lE ±6 �f 3!
f N D I V Z D U A L F�. E B R E A K D O W N
'f'YP�: QTY D E S C R I P T I U N UN7:T COST TOTAL COST
SrC 143 E'OUNq:\'fiON BY VALUn PER� $1A0 10U.00 14, 300:00
�� � � ��� � ENA UF FE�:S
� • yl�v� .�cv �a��
.,��c�"'��:-�7 � �y3�/ �//��y�Q � �;; OV 29 19�
,�` I.IJ'Q f!� / ..w �-.. ..: =^SiA 19ESA
CONSTRUCTION AND PLANNING POOc & SPA
APPROVALS Permit# Date Inspector %eqpPROVALS Permit# Date Inspector
1. Temporary Electrical Service or� Pols ' S2. Pooi & Equipment Location �
2. Soil Pipe�Undrgrnd. � � 53. Steei Reinforcement � �
3. Electrical Conduit Utility-Undrgmd, - 54. Forms .�
4. Electrical Conduit�Undrgrnd. ' 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test "
6. Electrical�UFER Gmd. - - 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation , 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe�Undrgrnd. . � � 60. Backwash Lines, P�Trap, O Undrgrnd. �
10. Structural Floor System ;� 61. APPROVAL TO DECK
11. Property Sewer Line & House ConnBction � 62. Backwash & Receptor-Final
12. Sewer Cap � , 63. Heater & Vent-Final �
13. Roof Drains • • 64. Plumbing System - Final �
14. Rough Plumbin9 65. Electrical-Final
75. Rough Electriwl-Conduit 66. Solar SYstem-Final
i 6. Rough Electric Wiring 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
t8. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
i : .
20. Rough Factory Fireplace • APPROVALS�! Permit # '
21. Ducts, in Structure . . � 70. Underground Hydro ' �i
22. Ducts, Ventilating � •' � _ • 71. Product Piping O Gas ❑ Oil �
23. Gas Pipe-Rough & Test .� 72. Underground Flush ' '
24. Roof Framing � - � . - ' 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro - • �� :.
26. T�Bar Ceiling (Structural) & Monocoa[ • 75.,Dry Chemical • ' �•
27. Frame and Flashing � , ;; 76. Dry Standpipe � f'
28. Lathing & Siding • . �� �� �. 77.• FIXED SYSTEM FINAL � %
n•
29. Insulation � � ."' �, j �� 7$,•.FIRE PREV. FINAL �. !'
'30. Drywall Nailing � � ' �r � � • MEALTH DEPT.�REQUIREMENT � `
31. Plaster Brown Coat � � I � � �j� ; .79.� FINAL INSFECTION . "
32. Electrical Power Meter-Final � t i�'�' SO.;�FOOD CERTIFICATE ISSUED ��
, i �' , .�'
33. Final Electric � ��� ..� `� � �; ; 'Notes: � , � y
34. Final Heating & Air Conditioning � � � � � � � �
i � �
35. Final Gas Pipe-Test � -' ' � � ' E' ° t�
., I„ , 9
36. Hood or CanoPY � ' . , � � � � �. ' � � ..
rl
37. Final Pactory Firepl�ace , . ' � '� i; � f
38. Final Plumbing , � . � � ��' �� • � � /;
i ,
39. Water Service�Final � � � � ' ' , y�?- " _
40. Gas Service�Pinal ; , � , � � . � � � � � � . �
i. •
41. Solar pomesticFinal � � �• ' . , , ' , `� '"
i• � �:- ��3
42. Backflow Preventer , � �� � � . � � `•6 '
� '. . ;i'. � ca �
43. Backfiow Irrigation t � ` ' • ' . ���:� '`�'` � i
; -
44. Landscape tr}igatior� Syscem , • . . + - � � ',F-.,'
45. Sound Attenuation � ' � • ' - * - •K
:i . �
46. �Handicap Regulations � , . � ' � � �� i � � . � � -_- , - �'
47. FINAL STRUCTURE & BULLDING � � "
48. FINAL PLANNING ' � . �!� .i _: !� •
49. Electric Release to Edison ''I I � ��
50. Gas Release to Southern California Gas Co 7j � �. _ .
51. CERTIFICATE OF OCCUPANCY , � i � � • - � �
No. Date
UWNtK STATE-WZDE Deve opers, Inc. DATE 4-28-76
JOB ADDRESS 3453 Fine Srook BUILDING PERMIT N0. 41873
GFNERAL CONTRACTOR Sa7ne DESCRIPTION of WORK Res. w att, garege
.
s omr�.e
GAS
WATER �
ROUGH PLUMBING
PROP. $WR. LINE Q HOUSE CON.
SPRINKLING SVSTEM
MISCEILANE0U5
AOUGH HEATING AND Alft CONOITIONING
TEMPORAftV SERVICE OR POLE
UNOERGROUNO � POWER �
ROUGH WIRING
TRENCHES � FORMS � STEEL RE
FLOOR SYSTEM '
HI
LATHING - IN r�OUT ���
P 'ER,BROWN COAT
.TURAL, FINRI
HEATING, VENT., REFRIG. AND A.C., F
PI.UMBING. FINAL AND GAS TEST IX. �
VALUE
SUBCONTRACTOR
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� 4.1873
COSTA MESA BUILDING-SAFETY DEPAF
P.O. BOX 1200 COSTA MESA, CALIFORNIP
For Applicant to Fill in Completely
A���AEsS 3453 Pine Brook
OWNEfl
MAIL
CITV
BRANCM
ADDRESS
ARCHITECT
CONTRACTOR State-Wide Develo
ADDRESS 9461 Grir.dlay
No`.'826-4550
: �` 556-6670
� II1C.
c�Tv Cypress No 826-45
�ic No. 22471(l LICYNO.
oF�or 12,093 aCr'es INOWONLO� O
USE OF
EXISTING BLDG.
SIZE OF NO. OF
NEWBLDG. ROOMS STORIES
EXTERIOR WALL aS er ROOF
COVEFING l.Jn�(� COVERING $}�gkc
USE OF BUILDING AND WORK TO BE PERFORMED
New construction-Condominiums
I heraby acknowletl8e t�at I hava reetl ihis application antl state
that the above intormaiion is correct antl aBree to comply with
all laws regu�atinp builtling construction, antl I shall not employ
any Oerwn In vlolation ot the workman's compensation laws of
the Sxate of Califovnla.
I hereby certity t�ot I am praperly licensetl es e contrector �ntler
Me Steie of Calitornia Bustness antl Profaszlons Code, Divisicn 3,
Chapter 9, entl that such licanse9 are In full forca entl effect, or I
am axampt from the provfsions of the State of Cefffomia Businass
antl Prolessions Cotle, Division 3, Chapter 9.
s,o�a,�,ao Sta e-Wide Deve p s, Inc,
Pe�mlttee
r�-��
Authori:etlAgent 'C2 PP�S1dE(it
��QY �"�ICP=_IL'OO 727'� �� �23U.Zi
1 �,.
APPLICATION FOR BUILDWG PERMIT
RECEIVEDBY DA7ERECEIVED nnrciccii�
R
ADIDR�ESS �qS�
1 Res w att/gar V�LUq ��
ZONE NO.OF USE OF NF
�L L�P P�'p'� 2 BUILDING
YARDSAPPROVED YARDS
#
� 480 SQ. FT.
TMEAMOUNTSF
TNE PURGOSE OF
VALUATION
$39,0�0 °
�
FT. �
6Ef. MAIN & •
ACCESS. BLDGS.
DATE
APPROVED /
�erF s�7z-��
J-645
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