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HomeMy WebLinkAbout871 VILLAGE CREEK - Building Permitsy � � � � PN0.IECTROOHESS: 8'�S VILLAGE CREEK owxensxnme: ti�ILLAGE CAEEI{ H2O.A. . RUONESS: 34Z9 TIMHER LAKE COSTA MESA, CA 92626 APCM/ENGINEEfl: 5 5 3— 1 8 7 6 noosess: REG.NO.: UNIT: uxiT: "E"minEE: PETERSON ROOFING ( 714 ) 979-7111 aooeess: 3'�00'}`�6 ENTERPRISE (.,9p LICENSEO LONTflRLTOP �E�UAA1ioxMF�SA aliirm �na� I am licensee uneerCor�ovisio�n� iCfizpYer 9(cammencing vn�h Seciion 7000) ol Orvision 3 of �he Business antl Pmlessions Code, antl my license is in full lorce antl eflec�. CITY LIC.: STqTE UC.: CU55: 45995 607872 � C— �n Oate: � SipnaWre: � �/-r WOBHEPS COMPEN ATIONDELUIIA710N: IhereDyallirmt�atl�aveacen ateotconsemroseu-insurearacenincateo�woncers' Campensatian Insurance, or a cenified copy I�ereof �Section 3800, LaE. C�. voucrNo.: 1021355-93 EXP.ORTE: O4IOS�94 COMPANY: STATE F.UND �'� ❑ Cenifie� copy is hereey fumishee. [� Cenifietl copy is IileA witn tne city B� iig8rvieie Oa�e: �— � � �� Applican�'. � E%EMPTION FBOM WOHRERS' COMPENSRTION OECIABAT10N: (Thi55ecli eed no� Ue ComDle�etl i� �he D¢�mii is br one �unOreO ($1W) or Ie55�. I cetlily Iha� in �he pedormance ol Ihe work lor whicA �his permi� is issued, I shall not emDloy any person in any manner so as to become sublecl m �he Workers' Compensation Laws o� Calilomia. Date: Signature: NOTICE: II, aner making Ihis Oeclaralion, you 5�ou10 Uecome 5u01e�� �o t�e Warkers' Compensation pmvi5ion5 ot Ihe LaEor Catle. you musiforihwith comply wiih such O�oNsions or Uis oermii S�all Ge GeemeE revoked. CONSTBUCTION LENDING AGENCY: I nereDy aliirm I�ai I�ere is a consimclion IenOinq agency tor ihe peAormance ol t�e work �or whicn I�is oermii is issued (Seclion 3097, Gv. C�. LENOEN: ROOflESS: OWNEB BUIL�Efl DECLAflATION: I �ereby alli�m �ha� I am exempt Iwm �he Comrac�ors' SIaIe License Law �or I�e �oltowing reasan (Seclion 7031.5 Business an0 Professional CoOe: Any city ol touniy whic� repuirts a Dermii Io constmcl, al�er, impmve. tlemolish, or reoaii any siruclure. prior to its issuance. also repuires ihe aoolicant for such permit to lile a signed statemenl tlul he/she a IicenseA pursuanl to tne pmvisions of the Cantractor5' State License Law �C�apler 9 �commencing with 5¢ction 7qp) of Division 3 al the Business anC Pml¢ssions CoOe� ar �hai he/s�e is ¢�emp� �her¢Iwm anE t�¢ basis for ��e alleBeE exemption. My violali0n 0� $Ection 7031.5 by any applicant far a Dermit subjects I�e appliWni to a civil penalry ol not more tlun five hunAreJ dolWrs (5500). ❑ I, as owner al t�e D�opetly or my emVloyees wil� waqes as t�eir sole campenution, will do t�e work, a`M t�e strucwre a not intenaea or oflerea for sale ISec�ion 70aa, Business antl Pmfessional Cotle: The Contractors' State License Law eoes not apply to an axner ol a O�aDeny who builOs or imD�aves Ihereon, an0 wno Ooes sucn wurk himselllhersell ar iNoug� �is or Aer own employees. D�aviOeU i�at such improvemenls are not inlen0etl or oftered lor sale. II, �owever t�e Euilaing or impmvement is sold wi�hin one year oi completian, t�e owner will �ave the bur0en of Dmving he/she did not Euild or impmve lor t�e purpose of sale�. I, as owner ol tAe pwpetly, am evclusively caniractinB wi�� licensed comracmrs m consimct the O�ojec� (Section 7044, Business ❑ an0 Prolessions CoOe: The Conlracbrs' Slate License Law does not apply lo an nwner o� pmperty who UmIOs or imD�m'es �Aereon anA who conirac�s for such prolecls wiih a conVactor(s�license pursuanl to �he Contractors' State L¢en5e Law�.l am awdre ihat pmof ol iheir Warker's Compensalion insurance s�oultl Ue pmvitleG lo me. � I am exempt unJer Seciion: B. 8 P. C. br this reason: �, Dale: Uvnec I tlo nereUy ce�ily iha� I am aware o� antl untlerslantl Ih¢ requiremenis ol Calilomia Heal�h an0 $afery Cotle Sec�ions 2550.5, 25533, antl 2553a and Iha� I ar any �Nure builUing occupanl will/will nol (circle one) neetl Io campty wiih said stale codes an4 ihe reQuirements lor a permi� for consimction or mo0ificalian Imm Ihe Air Oualily Management Disiricl. Residemial canstmciion applica�ions are exemp� imm ��ese pmvisions. Dale: ApPlitanl: � I nereUy cerlifylhai I have reaUi�is appbwtion ana sta�e��at�he abave in�ormation i5 wrrec�. I agree to comply vn�h allci�y antl'counry o�EinancesantlslatelawSrelatingtobuiWingconstmcibnan0�erebyaut�onzerepres � ' CirytoenterupontAeaLove�mentione0 pm0eny Io�inspec0on purpo5es?. Oaie: � r � � �J S�gnamre:� � Oriver's License or Social Securiiy x: �� � 16A1-a6 While—BuilDinq: Green—COOa Enlo¢emenl: Canary—Aoolicenl; Pink—Revenue: GOldenrOtl—Ass¢Annr CITY OF COSTA MESA — BUILDING PERMZT PERM NO: B 063402 PERMIT NO: B 063402 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTZON TYPE: V—N PERMZT TYPE: STR PURPOSE: ALT JOB DESCRIPTION :?/OFF SHEATH REROOF W/COMP SHINGLES SQ FT: 4,600 CLAIM VALUE: 4,600.00 CALC—VALUE: 4,600.00 GROUP/�CC: R-1 / COMMENTS: SMOKE DETECTORS RE� PERMZT INCLUDES 873, 875 6 87 VILLAGE CREEH *����*�*��***�*#��*�#���*��� �*���**�*��*���*��*�����*���� � C��#D"�`E�C�1'�F� Z O N Z N G R E U I R E M E N T S E T B A C K S ________ �iEQUIRED ___ ---- MAIN BUILDiNG ---------- --------- iSCCESSO.Y B LLUlI�, FRNT: FT IN REAR; FT ZN FRNT: FT IN REAR: FT IN LEFT: FT ZN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV; PARCEL: 93506036 ZNE: REF NO: PLANNING NOTES> � ,j iF 3E ih iE iF iE 3f if ft ih if 1(� �)k if iE iE # ir� # iE iE it iE iE iE ir ic� iF it ia it ih iE iE �E ic� iE i6 it iE it it it ih it # it fE iF �1E i(�!E if it iP ib i4 if if it i6 if if if iE iE # it it i6 ib fF iE it� ic� iF k iE it D E V E L O P M E N T 5 E R V I C E S R E Q U T_ R E M E N T S ZONING APPROVED BY DATE: � BUILDING APPROVED BY : DATE: �� APPLICATION ZS�SUED BY; � G' �*�********��t**�t*�t****iFiFiF�F�FTr����r��F�iFx3F�F�i�� '��#�,F����r,�#**��D****�t , �. n, �±� if if iE?f iF iE iE iE if !E iF iE?E iE �E iE 1E It iE i! # 1E 9E iE iE if If iE If if �f iE �E iE iF iE i!!E if iE 1E if �E �lE #�E 3f # if �1F iE # 1E iE # iE iE iE ##�lE iE iE 1E iE # i! 3f ik iF iF fF #!E �f iE k k it LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 72.00 ,50 SMIP/NON—RES PLAN ISSUE FEE BUZLDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAZD DUE TOTALS----> 72,50 0.00 0.00 72.50 72.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 72,50 OVER/SHORT: 00 BLD7zPM�T� PLUMBING ELECTRIC MECHANIC FIRE SMIP/TO�T GRADING PLAN—CHECK iE iE 1F7F iE iE iE if if if iE �M-if if # IE 1f if 1E if iF iE 1E iE IE iE 3E iElF IE iE iE iE if iF iF iF i6 ik #### if 11� 1E # iF ih 143t fF iE # iE iE IElf if -1f # if iFlF i(� #!E 1F if #E if # iE ## iE iE iF �IF 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 SFR 4600 REROOF BY VALQE RESIDENTZAL NOZONE 1.00 4,600.00 END OF FEES 01 Q0144579—Q01445E0 T�7 T 72.50 DNTE: OElQ9193 T1ME- 14:09 �'. CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date inspettor AppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Und�grnd. 54. Forms 4. Electrical Conduit-Undrgrnd. � 55. Electrital Bonding 5. Steel Reinforcement 56. Rough Piumbing & Pressure Test 6. Electrica�UFEFGrnd. 57. APPROVALTOCOVER-GUNITE 7. Footings 58. Electrical Conduit•Undrgrnd. 8. Foundation 59. Gas Pipe, � Undrgrnd., Test ' 9. Water Pipe�Undrgmd. . 60. Backwash �ines, P�Trap, 0 Undrgmd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connecdon ' 62. Backwash & Receptor•Final 12. Sewer Cap , , 63. Heater & Vent•Final 13. Roof DrainS 64. Plumbin9 System � Final 14. Rough Plumbing �� 65. Electrical�Final 15. Rough Electrical-Conduit 66. Solar System-Final 76. Rou9h Electric Wiring 67. Fencing & Access ApProval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Pireplace - APPROVALS Permit # 21. Ducts, in Structure . 70. Underground Hydro 22. Ducts, Ventilating � 71. Product Pipin� O Gas OOiI 23. Gas Pipe�Rough & Test . 72. Underground Flush 24. ftoof Frarqing �/ 73. Undergrnd. Storage Tank O Gas ❑ OII 25. Roof Sheathing �Z'f��� �j�'i 74• Overhead Hydro Y � =ft 26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Sidinq • 77.' FIXED SYSTEM FINAL 29. Insulation � �� � � 78. FIRE PREV. FINAL 30. Drywall Nailing ' � ' � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ' j 79. FINAL INSPECTION '32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric . ' . � i, Notes: . 34. Final Heating & Air Conditioning � ' i 35. Final Gas Pipe-Test . ' 36. Hood or Canopy � 37. Final Factory fireplace � � 38. Final Plumbing • 39. Water Service-Final � � 40. Gas Service�Final � 41. Solar pomestic-Final 42. Backflow Preventer ' , 43. Backflow Irrigation � � --� 44. Landscape Irripation.�y�stem 45. Sound Attenuation j �� : 46. Handicap Regulatior�s� � ,�� . 47.FINALSTRUCTUR. �B�DING �L�K �w(� 48. FINAL PLANNING � - c,� � ! � • i 49. Electric Release to E' is¢n! !: � 50. Gas Release to Soutfiern Califomia Gas Co . 51�. CERT�FICATE OF OC�UPANCY No. Date PflOJECTADOHESS: 871 VILLAGE CREEK OWNEF'SNRME: VILLAGE CREEK HOMEOWNERS aooeess: ASSOCIATION 3429 TIMBER LAKE CM VA 92626 UNIT: PRCHIENGINEEfl: CHESTER CARVZLLE REG.NO.: CS OS nooxess: 79z2 ARMOUR ST ���T' S.D. CA 92111 PEHMITTEE: FHOENIX ENTERPRISES INC. ( 213 ) 690-9559 nooxEss: q11 COMERCIAL WAY LA HAHRA C 631 LICENSED CONTHACTOfl OECLAMTION: I hereby allrtm that I am IicenSeA un vi.' of Chapter 9 i mencing wilh Sec�ion 7000� ol OiNsion 3 of the Business antl Pmiessions Cotle. ana my license i I lorc nd eifect. cirruc.: 5 7 8 r uc.:376639 Daie'. � � Sigwwre: _ — . — NOPNEPS' COMPENS ION DECLI�BpTION: I hereby affirm ihat I have a cenificaie ot consent to sel4insure or a c ate oi Workers' �ompensation Insurance, or a cenified copy ihereof (Section 3800. Lab. C�. roucreo.: W700354 E%F.OPTE: �% 01 �91 comraxv: CA COMP S FIRE � Cetlifie0 coOY is hereby lumished. ❑ Certifiea copy is filed � ci� uiltli Divisio �ale:�L� (/� _ ���.�__ APOlicani: �� � E%EMPT N FN flOM WORREBS' WMPENSATION OECLAflATION: QhiS SettiOn neetl no� �e Campleietl ii �h¢ permi� i5 �or One hu eU �5100) or 1¢55�. I cerpfy thai in Ihe peAarmance oi 1he work Ior which �his permi� is issued, I shall no� employ any person in any manner so as �o become 5u�leci lo Ihe Workers' Compensation Laws of Cahbmia. Dale: Signa�ure'. � NOTICE: IL alier makmg �his declaralion. you s�aultl become sublec� to the Workers' Compensalion pmvisions o� �he Laba� Code. you musl torthwrth camply wi�h such pmvisions or Ihis permii shall De OeemeO revoketl. CONSTPUCTION LENOING pGENLY: I hereDy a��irm that there is a cons�mclion IenAinA agency �or Ihe pedormance o� the wark tor whit� IhiS permii is i55uetl (SeC�iOn 3�97. Civ. C). LENOEP: PDOPESS: OWNEH BUILDEN DECLAPFTION: I hereby affirm I�al I am exemp� �mm �he Conirac�ors' Sta�e License Law for [he followinp reason �Seqion 7031.5 Business ane Pm�essional Code: Any ciry of counry which requires a Dermit Io conStmcC al�er, impmve, demolish, or repair any s�mclure. prior Io ils issuance. also requires lhe appiican� �or such permii to lile a signed 51alemeni �Aal he/she is licensetl pursuan� to the pmvisions o� I�e Coniraciors' S�a�e License Law (Chapter 9(commencing with Sec�ion 7000) o� Divisian 3 ai Ihe Business antl Pmiessions Coee) or tnat he/she Is exempi Iherelmm antl �he hasis tor �he allegetl exemp�ion. Any violatlon ol Secfion 703L5 by any apDlicant br a permi� 5u0jects the aDPlicant ta a civil penalry oi not more �han �ive hundreA dollars (&500). I, as owner of Ihe pmpetly or my employees wiih wages as I�eir sol¢ compensation, will tlo lhe work, and the ❑ s�mcture is nm in�enaed or ofierea for sale (Sec�ion 70a4, Busmess antl Pmfessional Code: TAe Con�racmrs' S�ate License Law � does nol appty to an owner o� a pmperty who butltls or impmves Ihereon, antl who tloes such wo�k himSelVhersel� or thmugh his or �er own employees. pmvid¢tl Iha� such impmvement5 are noi inlended or o��ere0 lor sale. I�, however �he Duilding or impmvemenl is so10 vnihin one year o� com0lelion. Ihe owner vn0 have Ihe �ur0en of pmving he/she OiU not 6ui10 or improve lor Ihe Ourpose af sale). I. as owner of the pwpeny. am eKclusively tonVacling with licensetl tontrac�ors ta cons�mc� �Ae D�ole�� (Section 7044, Business ❑ antl Pw�essions CoOe: ihe Conlrac�ors' Sia�e License Law aoes not appty �o an owner o� pmpehy who builtls or imOmves ��ereon an0 who conVac�s lor suc� pwletls with a coniractoqs) license Du�suan� �o ihe Contraciors' Sta�e License Law). I am aware Ihai pmol o� �heir Worker'S Compensation insumnce shoula be pronded lo me. � I am ezempl untler Section: � 8. 8 P. C. �or Ihis reason: Oate: Ownec I tlo hereby cenify Ihat I am aware ol ana understantl I�e requiremen�s oi Calilornia HeaVh and Safery Cotle Sections 25505, 25533, and 255Ja antl Nat I ar any �ulwe building occuDant v�ill/will no� (circle one) neea Io comDlY with saftl state co�es anA ihe requiremen�s br a permii br conslmc�ion or motldication Imm the Nir �uality ManagemeN �isVict FesiOeniial consimction a00�icaiions are exempi imm III¢5¢ pfOVi5i0�5. Dale: Npplicanl: Ihere�y cetlityi�all have reatlihis apPlication an0 Slate iha���e above or�inances antl SlalelawSrelaiing�o huilding cons�mclion and hereby auth pmperty i^ inspec�ion urpose= I Date: � . � � Signature'. � v— Driver's License or Sociaf`Securiiy a: �agree lo �his ci�y to all ciry ana �64t�a6 W�ite—Builtling; Green—Code EniorcemenL Canary—Applicant: Pink—Revenue: ('iD�tlenrotl—Auessor CITY OF COSTA MESA — BUILDING FERMIT PERM NO: H U5US4 PERMIT NO; B 050544 PLAN CHECK NO: 00148-91 A GOVT: N SUPP; N CONSTRUCTION TYPE: V—N PERMZT TYPE: STR FURPOSE; REP JOB DESCRIPTION ; REFAIR SETTLEMENT DAMAGE SQ FT: 143 CLAIM VALUE: 14,300.00 CALC—VALUE: 14,300.00 GROUP OCC: R-3 / COMMENTS; BiJILDING SETTLEMENT REPAIR/FOUNDATiON *�***x�*x**�**x*�*xxx*u�*****�******x�********�t*�***�*****�*u�***�t***�*x��r*�r**�x�*x� 2'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; F'T IN FRNT; FT TN REAR; FT IN LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN �PARKING REQ• FROV: PARCEL: 93506124 ZNE; R2 REF NO: FLANNING N6'I'ES> FOUNDATION REPAIR, i iF iE f! 1E fE iE iE ii�'If iF if ib 7f� lE')f 7E �)f 1E Jf �F 1Eik 1f 1E if iF if -%iE �1k iF iE iE 1E iE if iE 1E #E 3E ik 1! 1E iF 3k'lElE iF 7F IE 1E ih iE %if 1f K-!h!E iE )h iF 1E iFlP 1F iE'7F if � iE if iE iE lE 3C 1E iE 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 HY ;� �—r�T DATE: O�!!S�/ BUILDING APFROVED HY ; L.i ) L i��� DATE: ��F�� APPLICATION .ISSUED BY: - DATE. �fiF3f�1(�iElElf•iEif�lhiflfiEiElEiEiE�lElFikiEiE . afil�IflEiFif1F'1F#3f i(�if iFiE�lt�IfiE�FlE�IEiF�1FlflEiEiElEiEIE�EiElEiEiEiE�EiE1ElFiFiEifiF3F F�1E3F�1F fifif�lFiflE�lEiEiEiElEiEiEibif�lfiE'kifiF#if�iF�lE361fjEifiF�IFiElEiEif�ifiEi(�iE#IEiFiE LEGALIZATION:N F E E S U-M M A R Y STRUCTURAL SEGMENT;Y HLDG PMT FT.UMBING ELE_TRIC MECHANIC FIRB SMIP/RES CRADING PERMIT 162,00 1,00 SMIP/NON—RES PLAN 26,33 ISSUE FEE BUILDING—DIV—> FERMIT ZSSUE PLAN—CHECK TOTAL PA3D DUE TOTALS----> 163.00 0.00 26.33 189.33 189.33 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 189.33 OVER/SHORT; 00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 162.00 1,00 26.33 ik 1E iE iF iP iF aF if iF �E IF if iE �If i(- If iE If if -lf iE IF lE iF iF iF �1F3E iE It iE dE �E 3E K iE �if 1E if if #f 1F If !E if iE af 3E �E If iF )E af iE IF 3f iEaE If IE 3E �E iE fF iF iF iE ib if iE iE IE lE if iE iE iE?E iE 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 SFR 143 STRUCTURAL BY VALUE PER $100,00 END OF fiEES t 100.U0 14,300.00 O1 �ft0;3�;73—�_L�7$iC� 2" � � :r9.33 U.aTE: 0�/23.'CS iIfiE: �?:13 / �/ CONSTRUCTION AND PLANNING POOL & SPA � APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location I 2. Soil Pipe-Undrgrnd. , ':-� 53. Steel Reinforcement --� t 3..'Electrical Conduit Utility-Und�grnd. �t 54. Forms ' 4: Electrical Conduit-Undrgmd.i: = 55. Electrical Bonding �_� 5. Steel� Reinforcement 56. Rough Plumbing & Pressure Test .fi. ElectricalU�rERGrnd. 57. APPROVALTOCOVER-GUNITE 7. Footings � � 58. Electrical Conduit-Undrgrnd. 8. Foundation � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-U�drgrnd. f' ��/•7 60. Backwash Lines, P-Trap, O Undrgrnd. !.j 10. Structural Floor System�.��" •`� �� 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection �� 62. Backwash & Receptor-Final '^ r•. 12. Sewer Cap � � �; , � '� 63. Heater & VenbFinal . � 13. Roof Drains �'• l ' � �, �� � 64. Plumbing System - Final F-� 14. Rough Plumbing � n f� � 65. Electrical-Final '� t5. Rough Electrical�Cond�it �'N iv � 66. Solar System-Final � � J � N 16. Rough Electric Wiring ��;� �� �,r'"=' 67. Fencing & Access ApProval •- 17. Rough Wirinq Sign - 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling / 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace ' r ' � _ ^ APPROVALS. �Permit # 21. Ducts, in Structure . � _ -� � 70. Underground Hydro 22. Ducts, Ventilating - '� .. . � , 77. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & 7est �� � �. � 72. Underground Flush - 24. Roof Framing '' - ` 73. Undergmd.StorageTank OGas ❑Oit 25. Roof Sheathing ,- �� � - . , � jq. -Overhead HYdro - 26. T�Bar Ceiling (Structural) & Monocoat . � � 75. Dry Chemical 27. Frame and Flashingi . , �, . 76. Dry Standpipe � � 28. Lathing & Siding. �� . - � • � � • 77.- FIXED SYSTEM FINAL 29. Insulation '�. ` � i � 78.� FIRE PREV. FINAL �30. Drywall.Nailing � � � � ( � � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat � � � �_ 79. �FINAL INSPECTION i . 32..Electrical Power MeterFinal � 1. 1 S0. FOOD CERTIFICATE ISSUED � i 33. Final Electric : � ` � � � . Notes: . 34. Final Heating�& Air Conditio�ing�� � � • I . j. � - � 35. FinalGas�Pipe-Test` ' ; �� � 36. Hood or Canopy _ � . � � I• _> . 37. Pinal Facmry Fireplace • " '' � I; ' I 38. Final Plumbing . . � � • � i 39. Water Service-Final � � �' 40. GasService-F.i�al . , . . ( ', , � �41.�Solar pomesticFinal - i �- �. . 42. Backflow Preven2er • � - { � ,�_ ' � - . . 43. Backflow Irrigation • ' ' ' i . • 44. Landscape Irripation System � - : � . 45. Sound Attenuation • � ' _ , 46. Handicap Regulations � . � . _ � 47. FINALSTRUCTURE&BUILDING � ! � -= 48. FINAL PLANNING. � , • � 49. Electric Release to Edison � � i � 50. Gas Release to Southern Calitornia Gas Co � j _� - 51. CERTIFICATE OF OCCUPANCY . , . � , � � No. Date VWNtK STATS-WIDE Develo'pera,Inc. JOBADDRESS 871 Villsge Creek GENERAL CONTRACTOR 5ame AP No. ' ' T TR INSPECTIONS Sh SOIL GAS WRTER / ROl1GH PLUmBING � PROP. SWR. LINE Q HOUSE CON. � SPRINKLING SYSTEM ' MISCELLANEOUS ftOUGH HEATING AN� AIR CONOITIONING TEMPORARY SERV4CE Oft POIE UN�ERGROUNO � POWER � ROUGH WIRING TRENCNES � FORMS � STEEL REINF. FLOOR SYSTEM BONO BEAM � STEEL REINFOpCE SHEAiHING FflFME AND FLASHING LATHING - IN OUT PLASTER,BROWN COAT STRUCTURAL, FINAL HEqTING, VENT., REFRIG. ANO F.C�. FI A PLUMBING, FINAL ANO GAS TEST 4 ELECT0.IC, FINhL BWI�ING, FINAL DATE 4-28-76 :llll��71:[el� �:PII�.[ia SUBCONTRACTOR . . Fi � /l/� PSIU �,+,�y� . 'qAY i3-76r.r����O 6?_3" t�0_�'� COSTA MESA BUILDING-SAFETY OEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant Lo Fil( in Completely RECEIVED BV DATE RECEIVE� D TE 1 S�J E BUILOING 1 1 8_ ADDRESSHJI V��la9e Creek � I —Z/J—V/�OL -PEP IT OWNER State-Wide Developers,lilC. �+P.NO. /�'Q��j/I'O t� I`�7 MAI L BUILDING p 9461 GrindlaY ADDRESS p%J V� u G1rtf GfIf1RF55 - . _ cirv �yf CANSTRUCTION No� 826-4550 TRACT �� LOT BPANCH ADDRESS oR%iaM,e`i� Lohrbach/Pulaski No.` 556-661 AooRess17848 SkyPark Blvd Irvine coNTAACTORState-Wide Developers, Inc. ADDRE55 9461 6ri ndl ay C�TY Cypress No`."826-4550 uc No. 224710 �icYNo. oF �or 12.093 aCPeS NO.OF BIOGS. O NOW ON LOT USE OF EXISTING BLDG. SIZE OF NO. OF NEWBLDG. ROOMS STO:��ES EXTERIOR WALL�b��ter ROOF Shake COVERING COVERING VSE OF BUILDING AND WORK TO BE PERFORMED New construction-Condominiums 1 Residence w/att gar I hareby acknowletlpe the[ I heva reatl this apPllcation entl ste[e Mat tha ebove in�ormation is Gorrect end aprea to comply wlth oll laws re8ule[ing builtlinB construction, antl I shall not employ enY OersO� in violetiOn ot ihe workma� s tompensaHon laws of the Stete ot Celifornia. I hereby cer[ify thet I am propBr�y Iicensed es e eontracior untler the Stata of Cali(ornie Businesa antl Profassions Cotle, Dlv(slcn 3, Chapter 9, antl that such licenses are in full forca and afiact, or I am exompt from the O�ovisions of the Stete ot Cal ornie Business ontl Professiona Cotlo, Division 3, Chepter 9. Signatureo te Wide Develo�s Inc. Permittee AuthorizetlAeant Vice President .\ OWNER cN/S./l: G:%iLY1 ,��� 1 Res w/att qar ZONE IPw� ,L I BUILDING F R2 [Y VARDSAFPROVED VARDS (FROM GLS'I RONT R"SIDE .A-'!1 �. sioe 3 � REAR T� �ISTANCE BET. MAIN BLOGS. VAfi. qW C.U.P. �p� APPROVED /� FT. FT. BET. MAIN & ACCESS. BLDGS. DATE � �� APPROVED �z - RLQUIRE�I9LNTS 2' THE AMOUNTSHOWN UNDER VA THE PURPOSE OF ESTABLISNING A P VALVATION � 3�p3� $qOD� �ERMIT FEE ! $ y� seT PL,AN CHECK 9 TOTAL e � 0 Z � N � E LL