HomeMy WebLinkAbout3455 PINE BROOK CIR - Building PermitsPHOJECT AUOflESS: 3 A S S P I NE HROOK
owNensNnme: VILLAGE CREEK HOMEOWNERS
nooness: ASSOCIATION
3429 TIMHER LAKE
CM VA 92626
UNIT:
AflCHIENGINEEfl: CHESTER CARVILLE xec.xo.: C18305
noosess: 7922 ARMOUR ST UNIT:
S.D. CA 92111
PEXMITTEE: PHOENIX ENTERPRISES INC. ( 213 ) 690-9559
aooness: 411 COMERCIAL WAY
LA HABRA CA 90631
LILENSEO CONTflALTOP �ECfANATION: I �erehy allirm I�ai I am lic seE un0er D�ovisions ol C�apter 91�ommencing with Section
7000) of Division 3 of Ihe Business an0 P�ofessions COUe. antl my I' se ' in tull forte anU elleci.
ciTvuc: 50 B,;�Eii�,,376639 S/S; B •
IOa�e: '� Signature: — . _L'�� _
WOBNEFS' COMPENSATION UECLAPATION: I �ereby allirm ihat I �ave a cenilicate ot consent lo s�insure or a cenilicate of Workers'
I� Campensa�ion �.�,�:b � 5c�tifiea coOY �hereol �Section 3800. Lab, �.� � O 1/ 9 1
voucr eo.: CA COMP 6 FIRE E%P.ORTE:
�,�OMPANY:
Cehili¢tl `opy i5 �¢r¢by Iumi5l�eD. ❑ C¢rtiliea mpy is I tl 6� I tiry BuilOing Dii � n.
Date: � 6 - � qpPlicani: C �
E%EMPTION FPOM W�flNEPS' COMPENSFTION OEQABATION: (ihis seclian nee0 noi 6e tompleleG il Ihe permi� i5 �o ne Auntlree (3100) or less�.
I cetlity Ihal in IAe pedormance o� t�e work for wAic� Ihis permit is i55ue0, I shall not employ any person in any manner 5o as Io �ecome
subject Io ��e Workers' Campen5aiion Laws o� Calilomia.
Oaie: Signamre:
NOTICE: 11. aller making IhiS Uetlara�ion, y0u 5Aou10 6etome SUGIetl to Ihe Wolkers' Compensation v�ovisions of ine Laeor
COde. you mUSi IotlhwilA ComDly wil� SUC� pmvisi0n5 or �his permil SOall Ue 4eeme0 revOkeJ.
CONSTPUCTION LENUING AGENCY: I hereby afiirm iAat there is a constmction lenaing aAency lor the petlormance ol ihe work for
w�ich �his permil is issuea �Seciion 3097, Civ. C�.
�exoen:
noonEss:
OWNEfl BUILOEfl OECLAflATION: I �¢r¢Gy allirm Ihal I am exempi �mm Ihe COnVaci0r5' Sta�e License Law for I�e I011owing reason
�Seaion 703t.5 Business ana Professional Coaa Any ciry of counly which requires a permit to constmct, alter, impmve, tlemolish, or
repair any s�mclure, prior lo ils issuance, also requires Ihe apPlicant for suc� permi� �o lile a signetl s�a�emen� �hal he/she is licensed
pursuam to ihe pmvisions ol the Convacrors' State License Law (Chapter 9(commencing with Section 7000) of Oivision 3 of the Busmess
and Pm�essions Cotle) ar Ihal helshe is exempl Ilmrelrom ana Ihe basis lor Ihe allegea e�empiion. pny viola�ion of Sec�ion 703L5 6y
any applicanl i�r a Dermit sublects �he aOPlicanl to a civil penal�y ol not more Ihan hve hundretl tlollars ($500).
I, as owner ol Ihe pmperty or my emplayees with waAes as ineir sole compen5alion, will tlo Ihe work, and ihe
❑ stmcwre is nol inlenEetl or ollered for sale (Section 70aa. Business anU Pwtessional Code: The Coniractars' Slale license Law
does nol aDO�Y �� an owner of a propeny who builtls or impmves Ihereon, and who tloes suc� work himselll�erseif or ihmugh
his or her own employees, provieea ihat sucn improuemen�s ate not inten�ed or offeree lar sale. If, however the builtling or
improvemen�is SoIU wilhin one year 01 compleiion.lhe owner will have the 6urAen o� provinB �e/she tlid noi Uui10 orimprove
�
��J
lor ihe purpose ol sale�.
I, as owner of ��e pwpetly. am exclusively contrac�ing wit� licensed contractors lo conslmct Ihe pmle�t (Section 70a4, Business
antl Pmfessions CoOe: The Coniraclors' State License Law tlaes not aDDty to an owner of Owperty who 6wltls or impmves thereon
antl who conlracisfor suc� pmlects wilA a canVaclor�5�licen5e pursuan�to ihe Cqntraclo�s' State License Law),I am aware
tnat pmof ol tneir Worker's Camoensation insurance shoule be O�onde0 ro me.
I am exemDi under Section: B. 8 P. C.
for ihis reason:
Date: Ownec
I Go �ereby cenily I�at I am aware ol and understanG I�e requiremenls ol Cali�omia HeaI�A ana Salety Coae Sections 255Q5, 25533, and
2553d aiMihal lor anyluture OuilOing occupanlvnl4willnol�circl¢ one�neetlio compty wit� SaiE state coAes an0i�erepuiremen�s�ora
Oermit far consimclion ar mo0dicalion Irom�he AirOualily Managtment DiSiricl. fle5i0¢nlialcOns�mction applications are exemp� tmm
I�ese pmvisions.
�ate: p00��cam:
I hereny cenity inat i nave ieatl tnis ap0�icaiion ane siate inat in ave in�ormation is car¢re5ci. I aAree lo comply wilh all cily anC counry
oieinances an� Slai¢IawSrelalingi0 builtling Con5lmCiiOn and h b aul�oriZerep�e5enld � o�lhi5 CilytO enier uponlhe abOve�men�ion¢�
property la inSpeCiion purDaSes � j
� V
Date: `
t6ai�a6 W�ne—Bmltlmg'. Green—Codo EnlorcomenL Canary—ApO�man1; Pink—Pevenue: GolEenroO—Awessor
.
CITY OF COS'CA MESA — BUILDING PERMIT . .,
PERMIT NO: B 049932 PLAN CHECK NO; 06478-90 A , ,, ,
CONSTRUCTION TYFE: 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�e �r**+�*r**�r�rx******�*x *�r****+���*+�**�r*****���r***�x�***********�r�r**�e�+��t****+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 HUILDING ---------- --------- ACCESSORY HUILDING --------
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 RE • PROV; PARCEL: 93506124 ZNE: R2 REF NO:
PLANNING N TES� AEPAIR EXISTING FOUNCATION. }jQ],fl FOR SP�,CIAL�REQIIIREMENTS
�Eif IE if iFiF if ik k If k k iE if iE IE iE iF 1F jf iE iE it if if if K M If if iF iFif iF k k k iF if iF if if if 1f 1f iE �E ikiE 1E �f 1k iElFiE iE 1F if iF 1f if ff �f fF IE iF i! il.M�,1E If 1t iE if iF �k if 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
20NING APPROVED BY � �� DATE; �(:I IS�1�
BUILDING APPROVED HY
APPLICATION ISSUED B
iE k af iF iF if �F if if if 3f if iE 3f k ik if ik k�E
fE if it �F it� i! iFif k 1l� �lf iE IF if 1E 1E 1F %If IE
LEGALIZATION:N
HLDG PMT
PERMI'P 162,00
P E
'`-� DATE: �
DATE•'
if if ik iP M IP If iF )f IE�lFiF�t �F
ifif3EifiElEif k�EifjElFiEiEiEifiEif�lfiElEjkiM1ifN��l(�FifiEit�iFifififMkiF1E3(•iE�k
S U M� A R Y STAUCTURAL;SEGMENT:Y
PLUMBING ELECTRZC
FIRE SMIP/RES' GRADING
/ SMIP/NON—RES
PLAN 26.33 2,15 �
ISSUE FEE ;a•
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID �'DUE
TOTALS----> 164.15 0.00 26,33 190.48 190,48 c„ 00
s
REVENUE DIVISION TOTALS--> COLLECTED: 190.98 OVER/SHORT; .0.0
BLDG PMT PI�UMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
162.00 2.15 26;'93
n:
iE iE iE 3f IF �F if iE if if �lf Ik k if 3f if k iF k iF k 1F if Ik�k k 1t if it k If If if lf if iF k iF iF 1F if iF IE iF if 1E if if ik iE 1E iE if iF3E 1E k M if if M iE IF iE ik iF ik �F�t �f k jE if iE if !f if�if �f
I N D I V I D U A L F E E 8 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'$100 100.00 14,300,-0'0
END OF FEES :
t]1 Ofl�J74372—CL�i�374 'T�Ce� .s0.53
Dk�E: 11l2b/9U TItSE: 11:4S
t
CONSTRUCTION ANO PIANNING . PO. .� SPA
APPROVALS Permit # � Date Inspector qppROVALS Permit # Date Inspector
1. Temporary Electriwl Service or Pqle _ � 52. Pool & Equipment Location
��
2. Soil Pipe-Undrgrnd. _ ' 53. Steel Reinforcement
. 3.:Electrical;Conduit Utility�Undrgrnd. 54. Forms
4.` Electrical�ConduiPUndrgrnd. 55. Electrical Bonding
'5 _�St�tl Reiriforcement 56. Rough Plumbing & Pressure Test ��
���.6.=Electrieal:UFERGmd. �- 57. APPROVALTOCOVER�GUNITE �r
T;�7. Footings "' ,A' �r 58. Electrical Conduit�Undrgrnd. •
° g. Foundation �� ; ` • 59. Gas Pipe, � Undrgrnd., Test ��
�9. Water Pipe-Undrg�nd. 60. Backwash Lines, P•Trap, O Undrgrnd.
,70� Structural Flooi System „ 61. APPROVAL TO DECK
1:1. Property Sewer. Lirie & House Connection 62. Backwash & Receptor�Final
1'2. Sewer Cap .' . �, 63. Heater & Vent-Final
73. Roof Drains � � 64. Plumhing SYstem � Final
14. Rough PIum6ing � 65. Electrical-Final
15. Rough�Electriczl-Conduit 66. SolarSyztem-Final
16. Rough Electri� Wiring 67. Fencing & Access ApProval
17. Rough Wiring�$ign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- -- - �n �.r�- . .
20' Rough Factory Fireplace - ` '. � - -� ^ 'pppROVAi:S' � -� Permit #�� `
�:'. � z � - i p, � � .
21�. Ducts, in Str,ucture ., „ �"; ,� �' e�±70. Undei9round Hydro - �
22. DuMs,�Ventilating � � �� r S "' ��� �; 77. produci P.iping O Gas ❑ Oil
23;.Gas,Pipe-Rouqh 8'i:'fest � r , � ' - ` , -' ` 7y, Underground FIuSh�[� . •
24i Roof Framing �: i .�� •�_� . _ �' - �:73?; Undergmd.StoiageTank'�Gas ❑Oil -
.�:.
25. Roof Sheathin � ' � < <`3 � ' r' � �` ' ` - � r '-�` ;
9r ,- � ` y � ,L. . -. 74: :Ovechead�HYdro� .
26rT-Bar Ceiling (Structural) &�Monocoat=. � _ - � 75�. Dry Chemical l = '
�
27! Frameand Fiashin§ ` _ r ", 76. Dr Stand��i e�, � S - -�
-.:. -� .1,. � Y P P v
28, Lathing=& Siding�:i ra 7.y :, b:�.,, r�� •• 77: FIXED SYSTEM�:FINAL ,
�,�
"29, Insulation ��� ,; ; - - �� �� �;' . `� i � f, ; 7g? FIRE PREV. FINAL � - 1. �
.> .
30, DrywallNaiting����•� �� ' r � I � � .HEALTH DEPT.•REQUIREMENT
.
" ' - - �-
31, Plaster�Brown Coai .S :,.; � � 79f FINAL INSPECTION " "
32-, Electricvl PowerMeter�Final � � � �� ' � - � :80r FOOD CERTIF�ICATE ISSUED C
4 '�
.�
33.�Final Etectcic ' ` ..�. ``. � ; ='if � I'I �. Nptes: � , ; ,
} -- : '.. �' ' :
� 34r Fioal Heatiny &�ir Cnnditioning� - �' . � , - d _ r w . - `
/I
35(•Final Gas Pipe�Test �' ` ' � _ I !'`I' ' � ' ' �� ��
�.
/l � c,,w. �� 1j ./ ��i . .. .. ..
,.36. Hood orCanoPY_ • • - � ' z - �-
- r
37; Firral Factory Fire�lacer �-T _ ' , � �. !• ` - � '-;�
��
- 38.�Fina1 Plumbing : � in � � I� � . - .
- 39:= Water Service�Final , �" � � ' ' ^
� � ..
T40. Gas Service-Final . - �- � .
� -, = I �� - _"
.<
. 41, Solar pomestic�FinalC ' ' �- v� � 4+ • �'
t �
42: Backflow Preventei ' :l� ." - . :i � '- �. . - '�
43. Backflow Irrigation ' �� � ' � � - - ' .
_�+ � •
44. Landscape irripation System ��;= - ;-� r r - t + � , • , � � �
'�.45.. Sound,Attenuation �- N � ' .-r �� ,t, : ` - �' � , ' '
'46. Handicap Regulations ' - �� � '. '�' . � ��� � �.
r
- _ ,
47..FINAL STRUCTURE & BUILDING -w � . ' � �
� �
48. � �f � „ ' -
_ 49,-Electric Release to�Ed son �� + y I � �. ; - ' _
' 50. Gas Rel,ease to Southem Califomia Gas Cn � `� � ' '
51. CERTIFICATE OF OCCUPANCY ; , : ,=� ��c� �y .• +
No. Date
UWNtH
JOB ADDRESS
G E N E R/1�„CC�y
AP No.�+b b�
I ECTIONS
s�._
cns
WATER
ROIIGH PLUMBING
PROP. SWR. LINE
SPRINKLING SVST
MISCELlANE0U5
ROUGH HEATING AND AIR CONOITIONING
UNDERGROUNO U POWER U
ROUGN WIRING
TRENCHES � FOftMS � STEEL REINF.
FLOOR SVSTEM
BON� BEAM � STEEL REINFORCE �
SMEATHING
FRAME AN� FLASNI
LGTHIN�
5� 'TURAL, FINAL
h JG, VENT., REFRIG. ANO A.C., FINAL
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SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626
For App(icant to Fill in Completely
ADDRESS 3455 Pine Brool:
OWNER State-Wide Developers, Inc.
AODRESS 9461 Grindlay
TEL.
c�T� Cvoress No. 826-4!
BRANCH
ARCMITECT
9R ENCi1NEEi
ADDRESS
CONTRACTOR State-Wide Developers, Inc.
ADDRESS 9461 Grindlay
TEL.
CITV Cypress N�' 82f7^4F
L C NO. ZZ47� O LIG NO.
SIZE NO.OF BLOCaS.
OF LOT 12.093 NOW ON LOT O
VSE OF
EXISTING BLOG.
SIZE �F NO, OF
ROOMS STOflIES
WA�L a� er ROOF
W00 COVERING Shake
11LDING ANO WOFK TO BE PERFORMED
New construction-Condominiums
1 Residence w/att gar
raaY ?3-76�r�,-:GO �za �� ::�•.rZ6�.6P
APPLICATION FOR BUILDING PERMIT
:EWED BV DATE RECEIVED n�TF ISSW
A.P. NO. 7/J(�-!)� �/i
BUILDING •�i/�
AODRESS J"�
7RACT �5��
X �
OWNEfl ��(n
use 1 Res w/att c
FIRE
ZONE TVP
APPROVED
BV
20NE NO.OF
_ 'L �� PLAN$ 2
YARDSAPPROVED
MAIN BUILOING
(FROM C/L STREET)
DISTANCE BET
MA7N BLOG>.
VAR. �k
C.U.P.�
FOR
LOT
VALUE
NEW
�
DS Ai
BET. MAIN
I hereby ecknowlatlpa i�at 1 hava reatl this eppltca[ton and state
thet tha ebove Information is corract enC aBrea xo comply with
afl laws wguletinp builtlMy consvuctbn, antl 1 ihall not employ
any parson in vlolatian Of tha workmen'a Gompanseti0� laws ot
the Stem of CelHornia. l l c
1 haraby certify t�at I am properly Iicansetl es a connactor untlar I� 1 J SQ, F7. �����
the State of Californle Business entl Profeniona Cotle, DWlsicn 3, THE AMOUNT SHOWN UNDER
Chapter 9, antl thot euch licenws nre In full torco antl effocq or I THE FURVOSE OF ESTABLISHING
am axampt (rom tha provisions of the Staro ol California Business VALUA710N
entl Profossions Cotle, Divlalon 3, Chepter 9. � PEflM1T FE
S,a,,,,� Sta e-Wide Devel r, Inc. S' �,
Parmlttee 5� O PWN CHE(
AuNorizetlABent Vice President
TOTAL FEF
e
ON IS
FEE O
�G
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