HomeMy WebLinkAbout875 DEEP CREEK - Building PermitsI
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PflOJECT AODflESS: $% S D EEP CREEK u"�T:
OWNEH'SNAME: VILLAGE CREEK HOMEOWNERS � �
- nooRess: ASSOCIATION .
3429 TSMBER LARE
CM C�R 92626
NPCNIENGINEEH: CHESTER CARVILLE � "Ec."a.: C18305
noosess: 7g2z ARMOUR ST uxir.
S.D. CA 92111
PEflmiTTEE: PHOENIX• ENTERPRTSES INC. ( 213 ) 690-9559
aooness: q 11 COMERCIAL WAY
I,A HABRA CA 9063�.
LICENSEO CONTBpCTOB OECNNA710N: I hereby aifirm Ihat I am Iicense0 un provi ions of Chapler 9(commencing wilh Sec�ion
7000� of Divislon 3 0l I�e Business and Pmfessions Code. an0 mY Imense I5' ull f � and effecL �C`" A
ciTruc.: 50788 Tpr uc.:376639 � l
�a�e: � .T�� Signa�ure: _ _ _ -7L� �
W,f�,RKEPS' COMPENSpTION UECLABpTION: I hereby aflirm that I have a CetliliCate ot Consen� �o SelbinsUre Or a tenihCate Orkers'
�oensa�ion �nsurance. or a cendie0 copy ihereoi ISec�ion 3800, Lab. q.
ICYNO.:w7��359 E%P.DRTE: O �OS�9S
JMPFNY: CA CUMA 6 FIRE
� Cenified copy is hereby Nmishetl. ❑ Certified copy is file . e B/u�ilding Oivision
Oate: ��`l� ApplicanC - V
EXEMPTION FFOM WOHREBS' COMPE�DECLAAATION: (This SeC�ion need no� be Compl¢IeA il IAe permii' , r one huntlrea ($100) or less�.
I cerUfy �hal m I�e petlormance o� t�e work tar whic� I�is permi� is i55ue4 I 5hali no� employ any person in any manner sa as �o become
sublec� lo Ihe Workers' Compensalion Laws of Califomia.
�ate: Signamre: '
NOTICE: I�. after making Ihis 4eclaraiion. you shoultl become sublecl �o the Workers' ComOensa�ion pwvisions o� Ihe labor
CoDe. you must fotlhwiih comply wi�h such pmvisians or ��is permit shall be tleemed revokea.
CONS7PUC710N LENDING ACENCY: I hereDy affum that there is a cons[mction lending agency for Ihe peAormance ol the work br
whiCh IhiS permii i5 i55ued �Setlion 3W7. Civ. C�.
LENOEfl:
aooness:
OWNEN BWLOEN OECLABATION: I hereby alfirm Iha� I am exempt fmm Ihe Conirac�ors' Sta�e License Law for Ihe following reason
(Seclion 7031.5 Busine55 antl Pmlessional Code: Nny ciry af coun�y which reQuires a permi� ro constmc�, al�er, impmve, Oemolish, or
repair any S�mclure, priar to its issuante, also reqmres �he applicant �or such permii �o �ile a signed sta�emen� Ihat helshe is Iicen5e0
pursuant lo Ihe pmvisions o� Ihe Comracmrs' State License Law �Chapler 9(commencing with S¢ction 7000) o� Divi5i0n 3 0� t�e BuSineSS
ana Pmfessions Cotle) or ihat he/she is exempt iherefmm and ihe basis for ihe allegetl exemption Fny violation ol Section 7037.5 by
any aDPlicant for a permit suDlecis the applicant m a civil penalry of not more ihan five hunOred Aollars (5500�. ,
I, as owner"ol the pro0eny or my employees with wages as Iheir sole compensation, will do ine work, antl ihe
simqure is nol inlen0etl or oflered tar Sale (S¢cfion 7044, Busine55 an0 Pfo�e55ional Code: The Contrat�ors' State License �aw
does nol apply Io an owner oi a pmpehy who builds or impmves thereon, and who does such work himself/hersel� or Ihwug�
.— his or her own employees. O�ovidetl �hat such impmvemeni5 are noi in�ende0 af otlere0 for sale. If, howev¢r Ihe buiitling or
improvemem is soltl wi�hln one year o� comple�ion, �he owner will have �he bu�Aen of pmving he/s�e ditl not builtl or impmve
lor Ihe purpose of sale�. '
I, as owner of ��e pmpe�y, am exclusively con�facting wiih.licensetl con�ractors to cons�mc[ the pmleci (Section 7044, Business
❑ and Pr0lessmn5 CoAe: The ContraCtorS' S�ate LiCense Law Ooes not ap01y b an owner ot properiy who builtls or impmves ��ereon
antl who conlrac�s lor such pmlec�s wii� a coniracmqs)license Dursuant to ihe Coniractors' State License Law), I am aware
thai pmoi ollheir Worker's Campensation insurance shoultl be pmvidea to me.
� I am eMempi untler Sec�ion; B. 8 P. G� i '
�ar Ihis reason: . . .
Da�e'. � Ownec
I Oo hereby certify Ihat I am aware of antl untlerstand Ihe requiremen�s of California Heal�h antl Salely Cotle Sec�ions 25505, 25533, and
2559a and Iha� I or any �uture builtling occu0anl wiil/will noi (circle one) ne¢tl �o comply with 5aia Slaie codes and �he requiremenis for a
permit for cansimdion or moUihca�ion irom Ihe Air Ouali�y Management �iSlrici. Resitlen�ial cans�mdion applica[ions are exemp� imm
Ihese pmvisions.
�aie: ApDlicani:
I hemby certliy Ihel I have reatl ihls appbca0on antl sta�e Iha� Ihe above mi on is eel. I agree �o comply wl�h all ci�y and county
or0inance5antl51a�elaw3relalingiobuiltlingcanslmqionantltlerebyauth preso rveSOlthiScityi upon��eabave-meniione �
pmpeny t r inspectian purpases /
�/1 /'
Da�e'. ������� Slgnature: � ���'�
Oriver's �icense or socia� Securiry a:
16at�a6 W�ne—euiltling; Green—Cotle EnlorremenC Canary—ApPlicanl; Pink—Revenue; Goltlenrotl—Assessor
0
CITY OF COSTA MESA — BUILDIY�IG PERMIT PERM NO: H 050602
PERMIT NO; H 050602 PLAN;CAECK NO; 00109-91 A GOVT: N SUPP: N
CONSTRUCTION TYPE; V—N PERMIT TYPE: S'TR Pi7RFOSE: REP
JOB DESCRIPTION ; REPAIR SETTLEMENT DAMAGE SQ FT-; ,. 193
CLAIM VALUE; ,14,300.00 CALG—VALUE; 14,300,00 'GROUP OCC: R-3 /
COMMENTS: BUILDING SETTLEMENT REPAIR/F'OUNDAT.ION ' �
***�t*x��*****��*�x*x�*�r*�*�c�****�t****�***�***�rk��i******��*�r***�x�x***u����***��*
Z O t3 I N G R E Q U I R E M E N�`l S �
, : S E T B A C K S
-----=------ MAIN HUILDING --------- --------- 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 REQ • PROV: PARCEL: 93506124 ZNE: R2 REF NO:"'�
PLANNING Nt7'I'ES> FOUNDATION REPAIR. ' ..:- �
. � . . � _ . _ _ . : - .
iE if aF 3F 3E iF 3F 3E iE iF 3E �E i(� jF 3f iE �E K- iE iF iE iE jf� !f iF if if #-If if 3E ik )k iF �f 3E fE if iE iF 3E �Flf iE iE iE )E!E 3E iP �JeiE iE iF iF if # if iF iE jE !f �f �E 3F �1f 3E if IE i� ih 3r iE �f �F-IF if !f iF
� D E V E I� O P M E N T S E R V I C E S R E Q U I R E M E N' ��' S
20NING APPROVED BY �/l� � DATE; Gl/S'�1 •
BUILDING APFROVED 7Y : �- I L�7�� DATE;• s '
AFPT,ICATION ISSUED BY; DATE'• : , % �
#FiEifjFi6ifif�)fafdEiP343E�IfifjEiElF3FiF�FjE r � '��1f1EiE3fj(-�)F36#iEiE 3f3t
jF9flE3FiE�#E3E3EiE3EiFaflEiFikiFlEiEiE�(�3FiF#ifiE�fdf3E�iE�E3 FiFiE3���E+++ iEiFikifif#fiE9E3fiF#�EiElE�EiEiEiEifiF3FiFiE#PIF*iF1E3EifiFiEifififiF3fjf3Ejk
LEGALI2ATION;N F E E� U M M A R Y STRUCTURAL'SEGMENT:Y
BLDG PMT PLUMBING ELE RIC MECiiANiC FIRE SM.iP/RES GRADING
PERMIT 162,00 1.00
SMIP/NON=RES
PLAN 26.33 �
ISSUE FEE
BUILDING—DIV--> PERMIT ISSUE PLAN--CHECK TOTAL PAID . DGE
TOTALS----> 163.00 0.00 26,33 189,33 ,189.J3 .00
REVENUE DIVISION TOTALS--> COLLECT,ED; 189,33 OVER/SHORT: .00
BLDG PMT PLUMBIiVG ELECTRIC MECHANIC FIRE S'MZF/TOT GRADING-�PLAN--CHECK
162.00 1.00 • �-- 26.3J
1f 3f iE 3E i41E ih X� ik iF iE iE 36 iF 3E af iF iFif 3F iF iF 3f !f 1f iE 3E ik if %K� 1F * 3f if lE fF iE 1F 7E iE if lE �E iE ik iE IE if i(�iE 3E iF if 3f iE iE 1E 1E �(� 3f if iF fF 3f )f -lE af iF iE iF iE aF iE 3(� if iE if jF
I�N D I V I D U A L F E E B'R E A K D O W N
TYFE . QTY � D E S C R i P T I O N . UNIT COST TOTAL COST
SFR ' 143 STRUCTURAL BY VALDE PER 5100,00 100.00 14,300,00
, _ END OF FEES ,
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�JRTE: �i/23i'S1 TItlE: 1i�49
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CONSTRUCTION AND PLANNIN ' $ SPA
APPROVALS Permit #-' � Date Inspector qppROVALS Permit # Date Inspector
_�+
1. Temporary Electrical Service or Pole ' � 52. Pool & Equipment Location I
2. Soil Pipe-Undrgrnd. '�.�„ , 53. Steel Reinforcement "�
. ,3,'Electrical Conduit Ut�lity�Undrgrnd.� 54. Forms �
4: EtectricalConduit-Undrgmci`,. . - 55. Etectrical8onding ��-
5. Steel Reinforcement , 56. Rough Plumbing & Pressure Test �
6. "Electrical UFER Grnd. � � 57. APPROVAL TO COVER�GUNITE .
7. Footings ' 58. Electrical Conduit-Undrgrnd.
B. Founda[ion �' 59. Gas Pipe, O Undrgrnd., Test
ii
9. Water Pipe-Undrgrnd. n .i, - � - 60. Backwash Lines, P�Trap, O Undrgmd. ����i
10. Structural Floor System, ���� ��.� �. � 67. APPROVAL TO DECK �!�
71. Property Sewer.Line &'H� se Connection f� 62. Backwash & ReceptorPinal ��,/ �
12: Sewer Cap , ' � , �r 63. � Heater & Vent-Final �
13. Roof Dreins ' �� '� 64. Plumbing System - Final ��
ni
14. Rough Plumbing �-�� f- � � � 65. Electrical-Final �� i
15. Rough Electrical•Conduit��' -a 66. Solar System-Final ($�
16. Rou h Electric Wiring � -
9 � vf 67. Fencing & Access Approval �
17. Rough Wiring Sign �� 68. �APPROVED FOR PLASTERING I
18. Fough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS�FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � �
20. Rough Facto,ry Fireplace - � _ - - � �'APPROVALS,� �.�Permit #
� .
21. Ducts,in Structure � � �- �70. Underground Hydro
22. Dutts, Ventilating �� � ' � ' :-77. Product Piping �Gas OOiI
23. Gas Pipe-Rough &�T¢st . , ` . ; , � 72, Underground Flusti� �
24. Roof F�aming - ' - - _,� X`�73. Undergmd'.StorageTank�OGas OOiI
25. Roof Sheathing . '� , . ; . �'7q,'=0verhead Hydro� � .
26. T-Bar Ceiling (Structural) & Monocoat .• � = 75. Dry Chemical ' •
27.�Frame and Flashing � _. 76. Dry Standpipe �� '
28. Lathing & Siding �� - � y�- 77, FIXED SYSTEM.FINAL' .
29. Insulation -� ' - . � ". - ' � J i , i � 78: FIRE PREV. PINAL - �
30. Drywall Nailing � �• HEALTH DEPT. REQUIREMEN7 �
I I ,
'-31. Plaster Brown Coat. . . "� � f �: 79. FINAL INSPECTION � ' �
' 32. Electrical,Power Meter�Final' � : I � �� �f �80.'FOOD CERTIFICATE ISSUED �
�33. Final Electric, � ' . " � �i ` ' �Notes: '� �. �
34. Final Heating`& Air,Conditioningz . � � � , • • � . .
� (.
� 35. �Final Gas Pipe-Test � � � . _ r a �
t �. A !n ��.//
36. Hood or�Canopy , . %. - � �
i �
37. Final Factory Firepiace '. ' � � '' �' I
� o.;
38..Final Plumbing - . � � , �• -
39. WaterService-Final• - ' ' � ` - ' �
� 1 �. . -
40. Gas Service�Final i {. . � _.
.r
�41. Solar pomesticFinal . � � � �- ' , - - , ;
42. Backflow Preventer, , �� � � j � �� '� , `- ' . �
43. Backflow Irrigation - ' ' � '
�. :
44. Landscape Irrigation System , . , - - � r � , . ^
45. Sound Attenuation • " �' - � � L
46. Handicap Regulations � - � _
47.�FINALSTRUCTURE&BUILDI q(, "F�b> 6�./.
48. FINAL PLANNING _ � �� � �� �
49. Electric Release to Edison ' -
� I �. �
50. Gas Release to Southarn Caiifomia Gas Co ; � 4. . _ _
51. CERTIFICATE OF.00CUPANCY � . . � _
No. Date
OWNER STATE-WZDE DeveloUera, Inc. DATE 4-28-7t
JOB ADDRESS $75 Deep Creek BUILDING PERMIT N0.
Ao No.I46=654=tlt'�`LOT
I :CTIONS
so��
GAS
WATER
ROUGH PLUMBING
PROP. SWR. LINE � HOUSE CON.
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING AN� qiq CONOITIONING
TEMPORARV SERVICE OR POLE
❑NOERGROUNO � POWER ❑
ROUGH WIq,WG
FLOOF SYSTEM
BONO BEAM � STE
SHEATHING
FRAME AND FLASHING
LATHING - IN (
PLASTER. BROWN COAT
FEINFORCE
HE. „ VENT., REFRIG. PND A.
PLUMBING, FINAL AND GAS TEST
TRACT 8858 FIRE
SUBCONTRACTOR
,: - 4 � -1 �s
COSTA MESA-BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CAUFORNIA 92626
� For Applicant to Fill in Completely �
ADIDRESS 875 Dee� Creek -
OWNEfi State-Wide Developers, Inc.
aooaess.9461 Grindlay
cirv Cvpress No'826-4550
BRANCH
ADDFESS
ARCHITECT
aooRess �7gqg SkvPa
CONTRACTOR State-Wi
ADDRESS 9461�Grindl
��T� Cypress
L C NO. , 224%� �
OFLOT ' �G,093 acre
VSE OF
TE
No`826-4550
CIT�'
LIC. NO.
INO.OF BL�
NOW ON LOT O
512E OF NO. OF
NEW BLDG. ROOMS STORI
EXTERIOR WALL j� tel� ROOF
COVEFING �/� COVERING Shake
VSE OF BUI�DING AND WORK TO BE PEiiFORMED
New construction-Condominiums
1 Residemce w/att gar
I heraby acknowletlge that I have reetl this application and state
that the above information is correct antl apree to comply with
all laws regulatinB builtlinB �onstruction, antl I shall not employ
any pe�son in vi0lation of Me workman's compensation laws of
Me Stata ot Celifornia.
I hereby� certity that I am properly Iicensed as e contractor undor
the State of California Businesa antl Proteuions Cotle, Divisicn 3,
Chapter 9, antl that such licenses are In f�ll force antl ftect, or I
am ezampt from Ma provislons of tha State af Calito ia Businacs
antl Professions Cotla, DivisiOn 3, Chaptar 9. '
e-Wide DEvelope s nc.
Sienatuta of
Permittee _
A��no���adAea�t V�ce President
r�u`c �. ,ti,::°:
renY 13�76�.;�,00 7cs: 23R._.5
APPLICATION FOR BUILDING PERMIT
FECEIVEDBV DATERECEIVED nerc�eciu
92 - z/i - oi/
A.P. NO. /QU -lJS�- !1
BUILDING � 7s /y,��
ADORESS f�C
TRACT O �Sp �
W A P
OWNER �6 �(�
USE� {?PC W�att aar
FIRE
20NE TVPE
APPROVED
BV
ZONE NO.OF U°
/G2 CP P�+^� Z eu
YARDS APPROV ED
MAIN BUILDING ' F
(FROM C/L STREET)
HOLD FOR
OZ: I PE
/ -
v� K
DATE
VAROS
BET. MAIN &
JATF � ZZ� / G
REQJT_REVfLN'TS
1480 sQ.Fr. J-645
TNE AMOUNTSHOWN UNDER V
TME PURPOSE Of E5TABLISHING A
VALUATION
� (�/�'��[)Q � PERMIT FEE
$��k��ITro PLAN CHECK
TOTAL FEE
IS FOR
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