HomeMy WebLinkAbout3411 MEADOW BROOK - Building PermitsPFOJECT p0�HE55: 3 Q 1 S MEADOW HROOK
OWNEX'SNAME: VILLAGE CREER H.O.A.
� aooeess: 3Qz9 TIMBER LAKE
� COSTA MESA, CA 92626
I.� 553-1876
' FflCH/ENGINEEB:
I ROUflESS:
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flEG.NO.:
uNiT:
lIN1T:
PEflMIREE: PETERSON ROOFING ( 714 ) 979-7111
nooxess: 3006 ENTERPRISE
COSTA MESA CA 92628
UCENSEO CONTPACTOfl �ECIAPATION: I �ereby allirm ��ai I am Iicen5e0 under D�ovisions ai CAapler 9 �commencing with Section
7000� of Division 3 of t�e Business antl Prolessions COEe, an0 my license is in full lorce and eflect.
c�Tvuc�.:iO4'l5445 STATELIC.:E1O%B%2 cuss:� ,
�aie: �/�..� .y3- Signature: �
WONNEflS' COMPENSATION OECLANATION: I �ereby a��irm �hai l h a cerii�icate a� consen� �o sell-in5ure or a certitica�e of WorkeK
Compensalion sy� c^y.�f Gertili py Ihereol (Seclion 3800. Lab
POUCY NO.: � V� y J� J—� � E%P. ORiE: 4� O S I J 9
comrnxx: STATE FUND,.s.{
❑ C¢rtilietl copY is hereby �umi5�e0. 'LY CenifieA copy is filea with tAe c mg rvisio .
Jaie'. � ApplitanC ��
E%EMPTION DMWOBREPS'fAMPEN5RTI0NOEClAPNT10N: (Thissec nneetlno�becomplele0il�hepermi�isloranehunOr[d�5100)orless�.
I cerlify Ihal in Ihe petlormance o� Ihe work br which IhiS pe�mil is issueq I ihall no� employ any person in any manner so as �o became
SuDlect lo ihe Workers' ComDensation LawS ol Calilomia.
Dale: Signature:
NOTICE: II. aiter makinp ihis Eeclaration, you shoultl 6ecome suDlect to the Workers' Compensation pmvisions of ihe Labor
Cotle, you musl fonhwnn comply witn such pmvisions or inis oermit shall be OeemeO revokee.
CONSTPUCTION LENOING AGENCY: I herehy al�irm �Aat there is a cons�mction lending aBency for the pedarmance a� [he work for
which Ihis permii is issuetl (Section 3097. Civ. C�.
LENDEH:
FODPESS:
OWNEfl BUILDEB OECLl�BATION: I hereby afiirm Ihat I am ezempl irom ihe Contractors' State License Law for ihe following reason
(Section 7031.5 Business and Pmiessional Cotle: Any cily ol counry which �equires a permit �o cons�mc�, al�er, impmve, tlemolish, o�
repair any sirudure. prior la its issuance, also requires ihe apDlicant far such permit to file a signed statement that helshe is licensetl
pursuam m ��e pmvisions ol �he Comraclors' Sta�e License Law (Chapier 9(commencing wi�h Sec�ion 7000) o� Division 3 0� the Business
antl Prolessions Cotle) or ihat helshe is exempt Inerefmm antl �he basis forihe allege0 exemption. Any violation of Section 7Q31.5 by
any applicant tor a permit su6iecis Ihe applicanito a civil penalty ol not more ihan five hundred tlollaR ($500�.
I, as owner o� �he pmpetly or my employees wi�h wages as �heir sole compensa�ion, will do �he work, antl the
❑ s�mcture is not intentled or oifereA for sale (Secuon 70a4, Business and Pmfessionai Cotle: The Contracmrs' State License Law
tloes no� aDPly lo an owner ol a pmDe�y who builtls or improves �herean, and who Ooes such work himsel�/hersel� o� �hrough
�is or her own employees, pmvide0 Ihal such impmvemen�s are noi in�ended or oflered for sale. I�, however �he 6uilding or
impmvemen� is soltl wilAin one year ol completion, Ihe owner will have ��e 6urtlen oi proving he/she ditl no� build or impmve
for �he Durpose of sale�.
I, as owner ol �he propehy, am exclusively comraciing wiih licenred coniracmrs m constmct �he pwle�� (Section 7044, Business
❑ antl Pmtessions Catle: The Comranors' S�a�e License Law does not ap01y �a an owner o� pmpeRy who builas or impmves thereon
antl who comracts for such prole��s wilh a contracmr(s) license pursuam to the ConVactors' Sta�e License Law),I am aware
tha� pmot ai their Worker'S Compensaiion insurance shoul0 6e pmvi0e4 to me.
� I am exempt under Senion'. B. 8 P. C.
�ar Ihis reason'.
�ate: Ownec
I Oo hereby certify �hat I am aware ol and untlers�anA Ihe reQuirements ol Calilomia Healih antl Sa�ery Code Sections 2550.5, 25533. antl
25534 ana Iha� I or any IuWre �uilding occu0ani willlwill nol (circle one) need to compty wilh 5ai0 sta�e cotles antl the requiremenis for a
permil br consimction or modilicaiion imm Ihe Au �ualily Management Districi. Fesiden�ial consimc�ion aOPlica�ions are exempt �mm
�hQSC p�Ovi5i0f15.
�ale: A071icant:
I here�y cerufy Iha� I have �eatl ��is apD�icalion an0 Slaie Iha� �he a�ove in�ormalion i5 wrrecL I agree lo comply vn�h all [i�y antl counry
o�tlinancesana5lalelax5relatingloEuilGingcon5�mclionanAhereOyauthor¢ereD�esentalrves i� �oen�eruponlheabove-mentionetl
pmperly �loi vinspeclion purposes. \ � � ,.n
Oate: V � SignaWre: ' �/ � �/�-�
Oriver'S License r Socia� Security x:
1641-a6 White—BuACmg: Green—CoCe EnbrcemenL Canary—Aoolicanl; Pink—Revenue: GolEenroO—/sxessor
CITY OF COSTA MESA — BUILDING FERMI? PERM NO; B 06341U
PERMIT NO: B 063410 PLAN CHECK NO: N GOVT; N SUY :
CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION : T/OFF SHEATH REROOF W/COMP SHINGLES SQ FT: 2,500
CLAIM VALUE: 2,500,00 CALC—VALUE: 2,500,00 GROIIP OCC: R-1 /
COMMENTS: SMOKE DETECTORS RE� PERMIT INCLUDES 3413 MEADOW BROOR
**���*�***x�x*x���r�r**�x�r***�** ��*x��*�t*�r****�r�r*�t*�***�* �r *�r*****+���*x�*�##*��r
Z O N I N GS EATEBQAUCIKRSE M E�i�KE DE7ECiOR
------------ MAIN BUILDING ---------- --------- P.CCESSO��tl[��/.I�,����} --
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: 4�'1' IN
LEFT: FT IN RGHT: FT IN LEFT: FT ZN RGHT: FT IN
PARKING REQ • PROV: PARCEL: 93506061 ZNE: REF NO:
PLANNING N�3TES>
� ^/
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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 DATE:
HUILDING APPROVED HY : DATE: '
APPLICATION ISSUED HY: DATE:
iEiE�lf3tiEiEiEiEiElEiEiEiEiEiEiEiEiEaElEifit3FiFiFTf3fiffF7FlFif{rif��FlFiFiF3F'iFiFir��riF�iFiF3FiF#iF'#iF£'iFiEiEiEiFiEiEitiEiEiF � a� �r�r �ir� � it�f
�E iE iF 3E if 1E 1E iE iE iF iP iE iE iF�ElE fE 3E�IE iE if iF iE if 1E it if !E �Ik iF iP iElf if iE iklf !k if !E 1E #b 1E iF IF iF iE 1f iE iF 1E iF iElElh �� iE !F if iE iElE 1Elf !F 1E if fk �F )F idlF iE if fE if �E iF iE .
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 54.00 50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 54.50 0.00 0.00 54.50 54,50 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 54,50 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECH
54.00 .50
� 3E�EififiE�lE�lE3EjEiE3E�1ElE�lE#iEiEiElElEkifiti(�iEiEifiEiEiEiEilifiEiEiEfE1EiE�EiE3llFif�1E�1F�lE�Ek#kififfE3fiEiFiElkiEiflfiE*1E1EifikfEiFitikifififl!lEiEi!
I N D I V I D U A L F E E B R E A K D 0 W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 2500 REROOF BY VALIIE RESIDENTZAL NOZONE
END OF FEES
1.00 2,500.00
Oi OQ144S�q-00144590 T�J T 54.5�
DATE: U8/Q9/93 TII1E: 14:11
�
GvNSi RUCTION AND�PLANNING . POOI . .�A
APPROVALS Permit # Date Inspector pppROVALS Permit # Date inspector
7, Temporary Electricai Service or Pole -� 52. Pool & Equipment Location
Q, Soil Pipe�Undrgmd. 53. Steel Reinforcement
3. ElecVical Conduit Utility-Undrgrnd. _� . 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Eiectrical UFER Gmd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit•Undrgrnd.
8. Foundation � � 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undr9rnd. � ,' 60. Backwash Lines, P�Trap, � Undrgmd. .
10. Structural Floor System 61. APPROVAL'f0 DECK
71. Property Sewer Line & House nnectio� 62. Backwash & Receptor-Final �
12. 5ewer Cap .� 63. Heater & Vent-Final
13. Foof Drains � 64. Plumbing System - Final
14. Rnugh Plumbing � 65. Electricai-Final
15. Rough E{ectrical-Conduit 66. Soiar System-Final
16. Rough 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
2�. Rough Factory Fireplace � , APPROVALS � Perinit #
21, pucts, in Sxructure � •• 70. Underground Hydro �
22, DuMs, Ventilating � � , _, �, . 71. Product Pipin� O Gas ❑ Oil
23. Gas Pipe-Rough & Test ,. � . �72, Underground Flush
24. Roof Framing � � ' 73. Undergmd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing ' �,8'- �j(�(/ 74. Overhead Hydro
26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashi�g 76. Dry Standpipe �
28. Lathing & Siding . � 77. FIXED SYSTEM FINAL' .
29. Insulation � '. � i 78. FIRE PREV. FINAL
30. Drywall Nailinq � i HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � 79. FINAL INSPECTION
32. E�ecvical Power MeterFinal ' 80. fOOD CERTIFICATE ISSUED
33. Final Electric ' � � I � � Notes:
34. Final Heating & Air Conditioning � I ;
35. Final Gas PiPe-Test , � �
36. Huod or Canopy ' �
� I �
37. Finai Pactorv F��epiace � � �
�
38. Final Plumb�ng i � � ,
39. Water Service•Final ' �
i �
40. Gas $ervice•Final �
� �
47. 5ular pomesticFinai � �
�
42. 6ackflow Preventer i•
43. 9ackflow frrigation �
44. Landscape Irrigation $Ystem .
45. 5ound Attenuation • �.
46. Handicap Regulations ' �
47. FINAL STRUCTURE & BUILDING � � � ��b{
48. FINAL PLANNiNG �
49. Electric Release to Edison � ,
50. Gas Releare to Southem Califomia Gas Co � � �
51. CERTIFICATE OF OCCUPANCY
No. Oate
PpOJECT FUOflESS: 3 Q 1 S MEADOW BROOK
OWNEP'S NPME: ��ILLAGE CREEK HOMEOWNERS
noosess: ASSOCIATION
' 3429 TIMBER LARE
I CM VA 97.626
UNIT:
AHLN/ENGINEEH: CHESTER CARVILLE pEc.No.: C18305
nooxess: 7gz2 pRMOUR ST u"�T
S,D. CA 92111
PEflMITTEE: PHOENIX ENTERPRISES ZNC. ( 213 ) 690-9559
noosess: Q11 COMERCIAL WAY
LA HABRA CA 90631
UCENSFO LONTflAtTOB OECIABATION: I �er¢Oy atiirm �IWI 1 am IiteRseO unGe� ^�'vi9 0l C�ap�er 9(commencinp wit� 5¢qlon
]OW� ol Division J ol I�e Business antl Pmtessons Co�e. an0 my license is � rt� 0 eBec�.
cirvuc.:0�07 B ��euc.:376639 /
Dale: _� _ — SignaWre: _ _ � _ _ _ _ _ _
WONREBS'COMPENSR7IONOE TION: InereDyaflirmihatllWveaceNhWteofconsenitosell-insureoracenilicaealWorkers'
Compensalion c c rUfiea coDY �hereol ISection 3800, La�. 1
+aucvNo.:��b��& ezv.onrE: 7/01/91
omeaxv: CA COMP 6 FIRE
� CenibeU opy is �ereGy IuqmiI5�e0. ❑ Certi�i¢C coDY is lile� vmh uildi ivisi n.
�a�e:�~� � Y ` AOV���ant
E%EMPiION FflOM WOBNEBS' LOMPENSAiION OECUflFTION: (This seclian neeU iroi he com � IM if t�e permi1510r one huM2A i � ar less�.
1 certify ihat in Ine De�formance o� t�e work lor w�ich Ihis permit is issuetl. I shall not employ any per50n in any manner so �o be[ome
suble�� �o ��e WOrkers' Compensation Laws oI Calilomia.
Oate: Siqnawre:
NOTICE: II, aller maNing INs declaration, y0u s�oWa �ecome subjeCt to t�e WOMers' Compen5a�ion provi5ions o� IAe La6ar
Cooe. you must lonliwitn tamoly witn sucn vmvisions or ihis permit shall oe Aeemed revoketl.
CONSTFULTION 1EN01NC RGENLV: I nereUy allirm t�at tllere is a consiruction IenEing agency lor Ihe perlarmance ot tAe work lor
w�ich Inis Oermilisissue0 �Se[tion 3097. tiv. C).
LENOFfl:
aoosess:
OWNEN BUILOEB OECIANATION: I AertOy athrm i�at I am erempt tmm ��e Coniractors' Siaie License Law lai I�e iWlowinp reason
1Seclion 7Q11.5 Busin¢SS aM PmIe55i0rul CWe: My Gty ol CWn�y w�iUi r¢puirM a pemtil to wnsiNct, alter, im0�ove. Oemol¢0, ar
repair any simciwe, pnor lo ils issuan[t, also repuires lhe applicani �or suc� permil l0 lile a 5iqne0 slalemenl �hal he/s�e is licens¢d
pursuanl �o ��e O�ovisions ot i�e Cantractors' Siate Lirenu Law (Chapter 9(commencinq wii� Section 7000) ol Division 3 0l t�e Business
ana PmlMsons Ca0e1 ar inal l�e/sne is eeemo� tnerefrom ana ine Daz¢ lar ihe alleqe0 e�em0�ian. My vioWtian ol Section 70.37.5 Gy
any aOD�icant loi a Derml w�lecis tAe appliqni ta a civil penalty ol not more ItWn IiuC tluMreO ANlars (5500�.
I. as owner ol I�e Orop¢ny ar my em loyees wit� wdges as iheir Sole rAmDeilWiiDn, will Oa Iha wark, and ihe
7 simcWre is noi imen0etl o� otlere0 tor sale 1�tion 70aa, Buvness anA Pml¢ssional Cotle: The Contraclars' State Liceree Law
Ooes nol apply to an owner of a O�op¢rty wllo Duilds or improves lhereon. anC v+�a Oaes such woM Aimsell/�ersell of IhrouAh
his or ner own employees. pmviUeO Itwt suc� imprmemems are not intenEM or oflereU lor sale. II, hovrever tAe builOinB or
imomvemenl is solE willun ane yeat ol comv�e�bn. Ihe owner will have ihe buraen of Ommnp hpJsne tlie nol build or impmve
lor �nc Ourpose ol sal¢�.
I. as owner o� IOe D�opetly, am exUusively contrac�inA wi1� licensetl conVac�ors lo constmcl �he pmlecl (Section 7044, 9uslness
❑ antl PmteSsions CoOe: The ConVaciors' State lkense Law Ooes nol apDN �o an Owner ol pmperlp who Uwltls or im0�oue5 tAoreon
antl who convacis fo� suc� O�oletts wilA a mntracloqs�license Oursuan�to Ihe ConVactors' Siate License Law�.l am aware
I�al Omot ol I�eir Warker's Compen5dtian insurance s0oula be provitle0 la me.
� I am exempl undci Section: B. 8 P. C.
for this �eason:
Date: �e�
I ao �ereby ca�ity t�a� I am aware ol anE wUersuna ine reQuiremems ol Cali�ornia Healt� antl Safety totle Sectians t5505, 2553J, an0
2553C anU Nal I or any tuWre GuilOmg acupant willAvill nol (drele one) neeE ta LrompN wii� SaiE slate cotles an0lhe �epuiremenls b� a
Dermil �or tansimction or rtaadiwiian Imm Ihe Air ua0ty Management OisvicL BevCentul constmction aODliwtions are e.empl imm
Ihese pmvisions.
Dale: Applicam: _
10¢re�y Cerlily��al I �av¢read��i5 a0o��ca�ion anU 5lateih;
orAmances antl sta�e laws relaiing m �mMing mntrunim anE
prooeny Irv ins0en�nn pu poses�
�ale: �� _(` ( Signamre _
o�i.er's ucense o� sociai Securny r
I agree to cr vniA all ci�y anA
tluscMr . er ��eaGove�me
t64646 White-BwlQing; Green-CoOe En�orcemenL Canary-AOP���am: Plnk-Revenue: GolEenroC-Rssessar
CITY OF COSTA MESA — BUILDZNG PERMIT PERM NO: B 050594
PERMIT NO; B 050594 PLAN CHECIC N0: 00117-91 A GOVT: N SUPP; N
CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE: REP
JOH DESCRIPTION : REPAIR SETTLEMENT DAMAGE SQ FT: 193
CLAIM VALUE: 14,300.00 CALC—VALUE: 14,300,00 GROUP OCC: R-3 /
COMMENTS: HUILDING SETTLEMENT REPAIR/FOUNDATION
�r**x�+t+t�r�����*x*���e***�r�r**�r****+t**��t*+t+�x*****�*ir�r�r**�r�*x*�r�r�x�*�t*�r***��***�****�r
Z O N I N GS ERTEH�AUCIKRSE M E N T S
------------ MAIN BUZLDING ---------- --------- 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:
,P-LANNING NiSTES> FOUNDATION REPAIR.
�
3E �E 3f 3F iE iF iF )f if 1E if fE iF iE 3F 3E if iF if iF 1f iE iE iE iE iE aE 1E iE k iF iE 1F iE iE iE if if 3E iE iE )f 3f iF )f �)E iE it If IM1 # iF IE iF /f 3f !f iF )f iE lf if fE iE IE �E k 3f i(;iF iF if IF if if iF 1f !F �f
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 HY (�7 �7 �, DATE: l� / I ��� �
BUILDING APPROVED BY ; `� /
APPLICATION ISSUED BY• �—
iE iF iF 1F iE if iF iF iF if iE if if M if 1E 1i IF )f iE if if�
IE iF ik iF iE iE 3f 3f 1E if k if iE 1E k if 1E 1F iF 1Flf if iF M k IF k IE it k i(-iE
LEGALIZATION:N F E E
BLDG PMT PLUMBING
�--' DATE: �
DATE;
FiF 3E IE if i(� if iE if af iF iE�'FiFiF IE %
1E IE iF M if )f 1F if k if !E iElf fE k 1Elf iF iE iF iF iE iF iF iE 3f IF iF 3E if if iE iE # if i�� if iF iE iE
U M M A R Y STRUCTURAL SEGMENT;Y
MECHANIC FIRE SMIP/RES GRADING
PERMIT 162.00 ' 1,00
SMIP/NON—RES
PLAN 26.33
ZSSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 163.00 0.00 26.33 189.33 189,33 .00
REVENUE DIVISION TOTALS--> COLLECTED: 189,33 OVER/SHORT: ,00
HL�DG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
162.00 1,00 26.33
iE iF k if IF �E K iE if �E iE 1E 3E 3E iE if �F �Elf 3f 3E Y!f if k iE fE fE ik ff if IE if if fk iP if if if k!E if 1E �! 1F IF if if �t IE if 1F If ff IE k if !E 1f iE iE if if iE if� 3f ik iF iE 3f if iE if iF iE if if iE k
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 $100,00 100.00 14,300.00
END OF fiEES
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G�ATE: Oi`:3;,^� °i T`—c� ;�a -
iY�ir: ;,�7;i� _.
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CONSTRUC710N AND PLANNING ' ` $ SPA
APPROVALS Permit # Date Inspettor pppROVALS Permit # Date Inspector
1. Temporaiy Electriwl Serviee or Pole �. w 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. -�'� 53. Steel 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 Grnd. • 57. APPROVAL TO COVER�GUNITE
� 7. Footings 58. Electrical Condui[�Undrgrnd. �
8. Foundation - 59. Gas Pipe, � Undrgrnd., Test •F'
� i
9. Water Pipe-Undrgrnd. .'� 60. Backwash Lines, P-Trap, O Undrgrnd. `� v
10. Structural Floor System ' ,��� 61. APPROVAL TO DECK �
11. Property Sewer Line & Ho�e�Connection` % a 62. Backwash & Receptor-Final .' ,
12. Sewer Cap ' ! 63. Heater & Vent-Final
i '
13. Roof Dralns ' 64. Plumbing System - Final ��
14. RoughPlumping � /'1 65. Electrical�Final
15. Rough Electriwl-Condu;t ,/ r 66. Solar System-Final d /� �
. ,
76. Rough Elect�ic Wiring ��� `� 67. Fencing & Access ApProval ,.�
17. Rough Wiring Sign �� �}%� 68. APPROVED FOR PLASTERING
76. flough Elect�ical-T Bar Ceiling 69. POOLlSPA SYSTEMS FINAL
19. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT
� '
20. Rough Factary Fireplace � ' ' • 'APPROVACS �-Permit #
21. Ducts, in Structure �� • .• �70. Underground Hydro •
22. Ducts, Ventilating � ,-71. Product Piping O Gas O'Oil
23. Gas Pipe•Rough & Test - 72. Underground Flusfi � �
24.. Roof Framing ., ' �•73. Undergrnd. Storage Tank O Gas ❑ Oil -
25. Roof Sheathing � � '' 74,' Overhead Hydro_ � .
26. T-Bar Ceiling (Structurap & Monocoat " 75. Dry Chemical '
27. Frame and Flashing; 76. Dry StandPipe �
28. Lathing & Siding • . �• i �• • 77.= FIXED SYSTEM FINAL
29. Insulation . �- ' . � � 78: FIRE PREV. FINAL
30. Drywall Nailin9 • - I �; HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat �• I .79.' FINAL INSPECTION
32. Electrical Power Meter�Final . � � ^80.•FOOD CERTIFICATE ISSUED .
33. Final Electric � �; - Notes: ', .
34. Final Heating'& Air.CoRditioni�g �- � �
l` n � . � / .
35. Final Gas Pipe-Test' ' I '� ��,� / v e�.
36. Hood or�CanopY �-. . . • �� �
37. Pinal Factory Fireplace � I � , -�
P
38. Final Plumbing .. . � ' -
. j �
39. Water Service�Final r; t '
40. Gas Service-Final : � I . .
41. Solar pomestic-Final � � ` ' -
42. Backflow Preventer : ,� j j � �
43. Backflow Irrigation � � • - �
44. Landscape Irrigation System ' . � - �
45. Sound Attenuation - � _ � • '
'46. Handiwp Regulations � , . ,
47. FINAL STRUCTURE & BUILDING Q�'�. w
48. FINAL PLANNING � +. �
49. Electric Release to Edison
i t. .
50. Gas Release to Southern California Gas Co � � � �
51. CERTIFICATE OF,OCCUPANCY . � . .
No. Date
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uwrvtht STATE-WIDE Developera, Inc. DATE 4-28-76
JOa nooRESS 3 Me Broo BUILDING PE IT N0. 41806
GF��ERAL CONTR CTO �e DESCRIPTION o{ woRK es. w a , garage
A � - � OT TRACT gg5g FIRE ZONE VALUE $ � •
GAS
W ATER
PROP. SWR. LINE
SPRINKLING SVSI
MISCELLANE0115
ROUGH HEATING ANO AIR CON�ITIONING
TEMPORARV SERVICE OR POLE
UNOERGROUNO � POWER �
ROUGH wIRING
TRENCHES n{f . S�Q. CE
FLOOR SYS EM
FFAME AND FLASHING
PI
S
ENT., FEFRIG. NND /.C., FIN
iINAL ANO GAS TEST n
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
YAI��
i!AY 13-7bcn-�00 769� **�210. 1
P.0.8�X1200 C�STAMESA.CALIFORNIA92626
ForApplicant to Fillin Completely APPLICATION FOR BUILDING PERMIT
RECEIVEDBV DATERECEIVED DA EIS UED
Ao�oRes"s3411 Meadow Brook
�
� b- � �- O/ P E R M la f� n
pWNER State-Wide Developers. I�IC. A.P.NO. - /_ /bZ
AooRess 9461 Grindlay ao�oa�Ess 3�i%� eca��.�i00%
CITV Cypress No`.826-4550 TRACT 685� l0T BIOCK
CONSTRUCTION W
LENDEF
X
BRANCH
OWNER
AODRE55
AFCHITECT TEL. g 1 Res w/att gar VALU$
„o�„��� Lohrbach/Pulaski N 556-6610
no�Ress�7848 $kyPdrk B1Vd Irvine ZONE TVPE GROUPI� F��
APPROVED
CONTRACTOFiS�CatE-W�CIe DeVe�OPePS� Inc. sv DATE
„ooAess 9461 Grindlay
TEL. ZONE NO.OF USE OF NEV{/LJo N
arv CypP855 No. 826-4550 ,Qp c' � P�+� z BUILDING q„
STATE 2'G47�� CIT`� �'ARDSAPPHOVED VARDSAPPRO ED
LIG NO. UC. NO. MAIN BVILDING ACCESSOFV BUILDING
SI2E NO.OF BLDGS. (FqOM Gl STfiEET)
OF LOT 12.093 acres NOW ON LOT Q FRONT FT. FT.
USE OF
EXISTING BI,DG. T FT
SIZE OF NO. OF
NEW BLDG. ROOMS STORIES L. SIDE 3a FT. FT.
EXTERIOR WALL a er ROOF Shake
COVERING COVEFING REAR FT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED OI5TANCE BET. • BET. MAIN &
MAIN BLDGS. ACCESS.BLOCS.
New construction-Condominiums vna.# ,/ DATE —� �
C.UP.9W �J`�— APPqOVED
1 Residence w/att gar APPROVED� � _2�_�
HOLD FOR S. EC?AL REQUIRE�dE S
I heraby acknowletlge that I have read t�is e001icetion antl ztete
that the abo�e intormation is corract end aprea to comply wiffi �"�
all lews regulatinp bu�ItlinB co^itruction, antl I shell not employ
any person in vlolation of the workmen'c comPen5at7on laws of
ffie State ot Celifornla. �
I heraby certify that I am properly licensetl es e conttector untler SQ. FT. - O
the Stete of CalNorn{a eusiness end Protessions Cotle, Dlvislcn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, antl thBt Such licensez ere in full forte entl affact, or I THE PURPOSE OF ESTABIISHINf3 A PERMIT FEE ONLY: Q
am axempt from Me provisions of Ne Sxe[e ot CaII(om a Business VALUATION
antl Professians Cotle, Diviflon 3, Chaptar 9. A � �,O N
e-Wide Developers c. 3,�xp�O""� PERMITFEE S • ]
Sipnature o /� m
Permittae � Pl,4N CHECK $ � {,/ E
NuthorixatlABant Vice President c� °
�/ LL
TOTAL FEE $ ✓�/�