HomeMy WebLinkAbout3421 MEADOW BROOK - Building Permits/
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eeaecr aoonEss: 34 21 MEADOW BROOK
OWNEfl'$NAME: VILLAGE CREER H.O,A.
� aooness: 3429 TIMBER LAKE
COSTA MESA, CA 92626
553-1876
AflCHIENGINEEfl:
FOOflESS:
flEC.NO.:
uxrt:
UNIT:
' PEpmiTTEE: pETERSON ROOFING ( 714 ) 979-7111
aooness: 3006 ENTERPRZSE
COSTA MESA CA 92628
UCENSEO CONTBACTOfl OECIABATION: I hereby affirm t�at I am licensed wder pmvisions of Chapter 9(commencing wi�h Seclion
7000� ol �ivison 3 ot Ihe Busness antl Protessian5 Code, antl my license is in lull force ana e��ec�.
ciTru�c'�.:'045445 STRTELIL.:(O�JH%2 cuss:C—"
�ate�..S���/���� Signature�
WONREPS' COMPENSRTION DECLANRTIDN: I hereby aHirm Ihal I �a a certi�icaie ot consen� Io sell�in5ure or a certitica[e o� Workers'
CamDensaiion Insyra c. qr nifie0 opY �hereol (Seciion 3800. Lab. �.
POUCYN0.:1�/��j��—y� ezv.oaTe: 4/01/94
comrnxv: STATE FUND
� � Cenilie4 coDY is here�y IumisAed. � Cenified copy �is file0f with ihe city Builtlin oivi ion.
�ate: / Applicant ¢�3f�� �Lf��
1
E%EMPf10 FNOMWOBI(EBS'LOMPENSRTIONOECLAPRTION: �TAissectiQnneeOnotbecomp@tetlilNepermitisioronehunOreA�5100�orless�.
I cenity that in Ine pedormance ol ihe waB far wnicn Nis Dermit is issuetl, I shall not employ any person in any manner so as to become
sublect �o Ihe Workers Campensation Laws of Cali�omia.
oale: Signature'
NOTILE: I�, atler making I�is Declaraiion, y0u Shou10 �etome SU�Ie�� to ��e Work¢rs' Compensation pmvi5ion5 a( Ihe LaUor
CoOe. you mus� fonhwiih comply wilh such Dmvisions or Ihis permi� shall be deemed revoked.
CONSTPUCTION LENOING AGENCY: I hereby af�um �hat �here is a con5lmCtiOn lentling agenty for �he p¢tlormante 0� �he wark �or
which this permil is issued (Section 3097. Civ. C�.
LENOEfl:
AODNE55:
� �I
OWNEN BUILOEB �ECLAFATION: I herehy atlirm ihat I am eaempt irom �he Contractors' State License Law far the following reason
(Section 7031.5 Business antl Pmiessional Cotle: Nny city ol wunry which requires a permit �o conS�mcL al�er, impmve, tlemolish, or
repair any StmcWre. prior to iis issuance. also requires Ihe applicani lor such permi� �o Iiie a signetl s�atemenl that he/she is licensed
pursuant lo �he D�ovisions of the Comracmrs' Sia�e �icense Law (Chap�er 9(commencing wiih Seclion 7000) of Division 3 of the Busineu
and Pmlessians Coae) oi �ha� he/she is exempl �here�mm and �he 6asis for �he allege0 exemption. Any violaiion oi Section 7031.5 �y
any applicant lor a permit subjects ��e applican� Io a civil penally oi not more Ihan live hun4reA tlollars ($500�.
I, as owner of the pmpeny ar my employees vnin waAes as iheir sole comDensation, will tlo ihe woh, anA ihe
❑ stmcture is noi imentletl or ofleretl for sale (Seclion 7044, Business ana Protessional Code: The Contraclors' State License Law
Ooes no� aD01y to an owner ot a O�oOeny who �uilJs or impmves Ihereon, antl w�o tloes such work himself/herself or Ihrough
his or �er own employees. provitleU that such impmvemenis are nol intentletl or ofleretl for sale. If, however ihe �uiltling or
impmvemenl is sold within one year ol completion, the owner will have ihe burden ol proving he/sAe ditl not build or improve
�or ��e purpose al sale�.
I, as owner ol lhe propeay, am exdusively wn�racting wi�h Iicense0 contracbrs �o cans�mc� �he prole�i (,Sec�ion 7044, Business
❑ and Pmfessions CoOe: The Conlractors' State License Law does not apDly to an owner of pmperty who 6mI0s or improves t�ereon
and who comrac�s �or suc� pmlems wilA a coniractm�s) license pursuant �o Ihe Con[racmrs' State License Law�.l am aware
I�a� pmo� ol �heir Worker's Compen5aiion insurance shnW� be pmviCed to me.
� I am eKemp� untler Seclion: B. 8 P. C.
for Ihis reason'.
Oaie: Ownec
I tlo hereby ceei�y Ihai I am aware o� anJ undersiantl ihe repuiremems ot Calilomia Heai�h antl $atery CoOe Seclions 25505, 25533, and
25534 ana t�a� I or any �uWre bmitling occupant will/will not (circle one) neetl �o camply vn�h saiU sla�e cotles antl the requiremen�s ior a
permil �ar conslmciian or moetlicaiion from the Air Ouality Managemen� �iSVicL Besitlen�ial con5imction applica�ions are exempi �mm
IhCSE pf0Vi5i0�5.
�a�e: Applicanl
I �ereby certilyl�allhave reaa I�is aODlicalion antl stale Ihat Ihe above information is correct. I agreeto comply with all city an0 counry
ortlinances an0 s�aielawsrelating�o building conSlmciion antl hereby authorize represenla�ive5olthi5cilylo enter upon��e above-menlionetl
pmDeny lonnsp �ion urpases
�a�e'.���.� SignaWre: �/�/✓��'�
oriver s License m Soclal Secunly a:
I6At�n6 Wbiie—Builtlinq: Green—Cotle Enlorcemenf. Canary—ApplicanC Pink—Revenue: Goltlenrotl—Assessor
C:TY OF COSTA MESA — HUILDING PERMIT PERM NO: B 06390�
PERMIT NO: H 063909 PL:4N CHECK NO; N GOC�T; N SUPP; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION ; T/OFF SHEATH REROOF W/COMP SHINGLES SQ FT; 3,700
CLAIM VALUE: 3,700.00 CALC—VALUE; 3,700.00 GROUP OCC: R-1 /
COMMENTS: SMOKE DETECTORS RE� PERMIT INCLUDES 3423 6. 25 M OW BROOK
*�*�*���,�.�,�,���*�,��,�.�*���.�,��,� ��***,���*���,����,��.��*�**� � _ ..,�E�.-,�r �� *�
Z O N I N GS ERTEB�AUCIKRSE M E N T � C CT��
-------- R�QI.�IR D ----
------------ MAIN BUILDING ---------- ' — ACCESSORY B[1ILDIN�-----
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 REO• PROV; PARCEL: 93506059 ZNE: REF NO:
PLANNING N(5T'ES> �,
>
1E �F df iE if� if if �lf �IF �f -0E �)f 3E 1E i! if iE 1E if iE 1E iE 1E iE 1E iElf iE i(� iE 1E iE iE �lE iElk fE fE fE fF iE ff iE iE !F iE # dE iE iE 1E �1E iF iE �1F 1E iE 1E #E!F ik 1Eif �lE if iE i(� iF iF iF �1F iE if 1F 3E iElElE iE
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 9Y DATE:
BUILDING APPROVED BY : DATE: .e•
APPLICATZON ISSUED BY• � DATE• � �I
afifififiFiEifiEifiiifififitiEifiE3EiElfiEif3F3F'itiF�FiF3FiF�f7F7fif�F7F3f�F'iF�F'iF3FiFiFiF'TF �3F'i'rlFif�i-7t�3Fitif3Eik3EiEiFiEikifif *�k
if iE iE if if iF iElf 1ElE iE iElElE 1E iElE if iE iE 3F 1ElElE if !E 1ilE iE fElElf 1f ik fF 1t 1FlE iFlF iE 1ElE iElF iFlF if iE iFlElFlk iE 1E iE iE iElE iE iE fE if it 3ElE iE ik iE #!F!E �F �E 1f 1Flf jf �E
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIAE SMIP/RES GR:SDING
PERMIT 63,00 50
SMIP/NON—RE5
PLAN
ZSSUE FEE '
BUILDING—DIV—> PERMZT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 63.50 0.00 0,00 63.50 63.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 63.50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLP.N—CHECK
63,00 .50
�E iE 3f it iE iE rt iE iE iE IE 3E if iE ff iF lf iF ff iE iE 1E �f iF iE iE �f iE if if iE iE iF if 3F iP if iE fE ik if iE iE iE iFiE iE iE 3E if iE if iF if iE jE 1E iE iE �k if iE if iF iE if iF iF iE iF iE jE �f 3E 3P 1� k!E �1E
I N D I C' 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 S O N UNIT COST TOTAL COST
SFR 3700 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 3,700,00
END OF FEES
O1 00144593-00144594 T 4 T 63.50
GATE: G8/p9!S3 TItIE: 14:12
1
4��y POOL A
CONSTRUCTION ANDPLANNING` : - �
Date Inspector Date Inspector�
APPROVALS Permit,# � . _ � . -- APPROVALS Permit#
�1. TempOrary"Efectrical Service or Po1e � �"52. Poo1 & Equipment Location _
2. Soif Pipe�Undrgrnd. , � 53. �Steel Reinforcement , ' ' � -
3. Electrical Conduit UtilitY-Undrgmd. 54. -Forms - � -
4. Electrical Cond�it-Undrgrnd. � . 55. Electricai Bonding,
5. Sieel Reinforcement � 56. Rough Plumbing & Pressure Test
6. Electrical UFER Gmd' � 57. APPROVAI TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgmd.
8. Foundation . 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrgmd. � 60. Backwash Lines, P�Trap, L� Undrgmd. �
10. Structural Floor Syrem � - 61. APPROVAL TO DEGK
i i. Property Sewer Line & Houte Co�nection 62. Backwash & Receptor�Final ,
12..Sewer Cap , „ '." 63. Heater & Vent-Final
73. Roof Orains . .,i �� 64.-Plum6ing System - Final ,
14. Rough P�umbing ' . ' 65. Electrical�Final
15. Rough ElsctricabConduit - 66. Solar System-Final _
76. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPfiOVEO FOR PLASTERING
18. RougM Electrical�T Bar Ceiling 69. POOLlSPA SYSTEMS FINA�
19. Rough Heating & AIr Conditioning � ' FIRE DEPT. REQUIREMENT
20. RougN Factory Fireplace ' � '' ' , i � �APPROVALS ; " Permit # , _
27., Ducts,�n Structure� �• �• '70. Underground Hydro �
22. Oucts, Ventilating � � � � '' 77, product,Piping OGas ❑�Oil
23. Gas PiPe-Rough & Tesc � �, , �, 72. Underground Flush � �
24.'Roof Framing � ' ' ' 73,' Undergrnd. StorSge Taok O Gai ❑ Oil
25. Roof Stieathing "� � � 74, pverhead Hydro
26. T�Bar Ceiling (Structural) & Monocoat ' 75: �Dry Chemical �
27. Frame and Flashing. , .. �. 76. Dry Standpipe
28. Lathing & Siding • � �•� 77, ' pIXED SYSTEM FINAL '
29. Insulation �� �� •�� � � I. 78,.�FIRE PREV. FINAL
30. Drywa�� Nailing � � � � � HEALTH DEPT. REQUIREMENT
i
37. Plaster Browo Coat. , � , � I 79. FINAL INSPECTION .
32: Electr�cal Power Meter-Flnaf ` � � ' 80. FOOD CERT1FiCATE ISSUED
33. -Pinal Eiectric _ � , � � ' ; ( �'No4es: � , � -
34. Final Heating & Air Conditioning � � � � �
1
35. Finai Gas Pipe-Test • � � i' , �
36. Hood or Canopy . • ' � 1 .
�
37. Final Factory Fireplace ' � I � '
38. Final Plumbing ; i
,
39. Water Service=Final ' ' � � � ' '
.
40. Gas Service-Final I � , .
41. Solar pomestic-Fi } I I i ' '
42. Backflow Preventer�;> i � . ' .
43. 8ackflow Irrigatiop„J �-;- , �
44t Landscape Irripati" �;SYstein . . � - � � .
45. Sound Attenuatioo-•� �_ � . � -
46..HandicaP Regulatiqnst - - � � .
r" i i �
47. FINALSTRUCTU�€�&�1k•lILDING 3 Z3�G) ��-
i
48. FINAL PLANNING. ,+ �•1 � ; �
' 49. Electric Release to Edison ` � ,
i � �
50. Gas Release to South�rn Califomia Gas Co - � ' � � �
51. CER7IFICATE OF OCCUPANCY .
No. Date
�
PNOJECT AOONESS: 3 i � 1 MEAllOW BROOK UNIT: �
OWNEF'SNPME: VILLAGE CREEK HOM.EOIdNER5
anosess: ASSOCIATION ' �
3429 TIMBER LAAE
CM VA 92626
qPCHIENGINEEB: CHESTER CARVILLE flEG.N0.:C1B3OS '
nooncss: 792Z ARMOUR ST uxiT:
S,D, CA 92111 '
PEpMiTTEE: pHOENIX. ENTERPRISES INC. ( 713 ) 690-9559
aooaess: qll COMERCIAL WAY
' LA HABRA CA 90631
LICENSEO CONTflPCTOfl OECLAflpTION: I hereby al�irm �ha� I am licensed under ovisio o� C�apler 9(commencing with Sec�ion
7000) ol Orvsion 3 ot Ihe Business and Professions Code, antl my license is in orce tl eifec�
ciTruc.:, SO' 8`sT' e ic.:376639 c .
i oate: � � signature: - _ _
I WOBREBS' COMPENSATION DECLl�BpTION: I here0y allirm Ihat I ve a cenihwte oi ronsent to self-insure or a certiLcate oI Workers'
. ComDensation c c nilietl copy ihereof �Semion 3800. La6 �
PO�ICY NO.: ��� ���� EXP. OATE: 7� O S��i S
comraxv: Ci: COMP 6 FIRE '
�5 i
^LJ Cendie cop is hereby lu� � he ❑' Cenified copY is Iiiea with ,J • uildi Di sion.
�ale'. �� .��--�4 AOP�ican��. � , '
E%EMPiION FROM WORREBS'fAMPE SPTION OECLAflAiION: (ihisseclian neea noibe completedi�the permi�is�oronehuntlr OO�orless�.
I cetldy �hdl in �he performance of �he work for whic� Ihis permit is issued. I shall no� employ any person in any manner so as Io become
sublect to Ihe Workers' Compensatmn Laws ol Califorma.
Date: ' Signa�ure:
NOTICE: I�, afler making lhis Aeclara�ion, you 5hou10 become, sub�ec� to the Workers' Compensa�ion pmvisions o� Ihe Lahor
Catle, yau mus� farthwilh comply wi�h such Omvisions or this permit shall be tleemed revoketl.
CONSTBUCTION LENOING RGENCY: I hereby atlirm that there is a consimclion IenAing agency for ihe peAormance ol �he work for
which I�is permii is i=_sued (Sec�ian 3W7. Civ. C�.
LENOEfl:
noosess:
OWNEfl BUIIOEfl OECLAflATION: I hereby aliirm Ihai I am ezempt imm t�e Coniractors' S�ate License Law for Ihe tollowing reason
(Section 7031.5 Business an0 Pmfe55lonal Cotle: Any tlly ot coun�y which requires a permit to cons�mct, altet, improve,-tlemolish, or
repair any SlmcWre. priar �o its issuance, also requires the applicaN fo� such permii Io lile a 5igne0 s�a�emen� that helshe is licensed
pursuant to 1he provisions of the Conlraclors' State License Law (Chapter 9(commencing with Sectian 7000) of Division 3 oi Ihe Business
antl Prolessions Cotle) or Iha� helshe is exemp� IheBirom antl the hasis for Ihe allegeU exemD�ion. Any violation of Sedion 7031,5 6y
any applican� �ar a permit sublec�s �he applican� �a a civil penal�y of no� more �han live hunOred dollars ($500�.
I, as owner at the pmperiy or my emplayees with wages as Iheir sole compensa�ion, will do ��e work, and Ihe
❑ s�mclure is not imended or oflere0 �or sale (Semion 7614, Business and Pmfessional Coee: ihe Contracmrs' Slaie License Law
tloes not apply to an owner o� a pwpehy wtw �uiltls ar impmves Ihereon, and who tloes such work himsel�/hersel� or �hrough
his or her own employees. provieee Ihat sucn impmvemenis are nol inienOeA or onere0 for sale- I( however the �uiltling or
imD�ovemen� is 5010 wi�hin one year ol comple�ion, Ihe owner will have Ih¢ burtl¢n of pmving he/she Oitl noi builtl or improve
lor t�e Durpose ol sale�. _
I. as awner of �he pmpeny. am'e�cNsively contrac�ing with licensed con�ractors m cons�mc� �he O�olect (Section 7044, Business
❑ anA Prolessons Co�e: The Contrac�ors' Staie License Law does not aDPly to an owner at proDetly who Uui105 or impwves �hereon
antl who conlrads for such pmjec�s with a contrac�m(5) license pursuantlo Ihe ConVac�ars' Sta[e License Law�. I am aware
tha� pmot oi Iheir Worker's Compensa�ion insurance s�oultl be pmvitletl �o me. .
� I am exempl un0er Sec�ion: B. 8 P. C. ,
lor Ihis reason:
Dale: • Ownec
I eo here�y cenily Iha1 I am aware of antl understane Ihe requiremenis of Calilomia Healih an0 Salety Coee Sections 255�5, 25533. antl
25534 and Ihat 1 or any �uWre builtling occupanl wiil/will no� (circle one) neetl b comply wilh saitl state ca0es antl Ihe �equiremen�5 for a�
permii lor 6onsimtlion oi modi�ication Imm ihe Air Ouabry Managemenl DisVic�. q¢sitlen�ial consimc�ian apDlications are eeempi �wm
Ihese provisions.
Oate: AppliCant
I hereby cerlity I�al I have read this application antl Sla�e ihal Ihe above' or � Iion i5�rrecL I agree to co �i with all city and cou
or0inance5 and stale laws relaling Io builAing can5imction antl hereby au eprese atrves ot Ihis ciry �o er pon �he a0ove�m ne0 .
pmpetly lor Inspec' n pu ose^ �
Dalr. _� � � SgnaWre'.
oriver's License or Social Seariiy n: �
16aLe6 While—Builtling; Green—Cotle EnlorcemenL Canary—Applicanl: Pink—Revenue: GOldenro0—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 050590
PER,�iIT NO; B 050590 PLAN CHECK NO; 00121-91 A GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N •. PERMIT TYPE: STR , PURPOSE: REP
JOB DESCRIPTION :�REPAIR SETTLEMENT DAMAGE " SQ FT; 143
CLAIM VALUE: 14,300.00 CALC—VALUE: 14,300.00 GROUF OCC: R-3 /
COMMENTS: HUILDING SETTLEMENT REPAIR/FOUNDATION -
**�t****�t******�r�**�r�r**�r�rr�r***+�*x*+��t***�r***��r*�r,t�*�r�*i�x�*�tx**��***x u*�r��*�**�t *x*
Z O N I N GS ERTEBQA CIKRSE M E N T S
------------ MAIN BUILDING ---------- —=------- 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:
�LANNING NiSTES> FOUNDATION REFAIR.
) ' . ".
3E 1F iE iE IE iE if if if if 1E if X-if iF 3F fF if iF 1f 1E iE IF iE iE IP fF 3f iF iE IE �E if iE iE �f fE if IF 3f lf if if if 1F �f if iElE 3F;F )f if 3F 3f # 3f 3F ik iF iElF IE iE 3E iE iE iE �E fEiFlE 3E iE !4, i4 iE 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 N E N T S
ZONING APPROVED BY �ih C-- � DATE; O% l S�l 1
BUILDING APPROVED BY : (.�/� L/ DATE:'�
APPLICATION ISSUED BY; DATEc � .
�**�**�*x���*****�***�� **�***+r*'**���*�
�fiF3FiF3E1F�EiE�fifikfE�EiF�EiF�E1F1EiElEiFiEiPiElEifiF3fiE �iE1fiE�EffiFjFjF1E*iElEk�fiEffifiEif*iEiElEiE�fiEiF#EIF�EiEiFlEiEiFififiEitic3Fif
LEGALIZATION;N - F E E S U M M A R Y STRUCTURAL SEGMcNT;Y
BLDG PMT PLUMBING EL CTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT '162.00 1.00
PI:AN 26,33 � ; ' , SMIP/NON—RES .
ISSUE FEE �
BUZLDZNG—DZV—> PERMIT ISSUE' FLAN—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
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
162.00 ; : 1,00 • 26.33
1E �1f iE iF 3f )E iP iF jf ik if �E �E iF lf-if aF ff 1E IE iF iF iP ik iE if iE if !F iE iE fE ik iElf ik 3P iE !E if iE 3E iE iElE iE if if !E 3E If k i! lElE iF iF iE IElE iE iE �E iE iE IE 14 iE #F if if iE jE 3f µ*!E iF 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 � UNTT COST TOTAL COST
SFR 193, STRiJCTURAL BY VALUE PER 5100.00 100.00 14,300,00
� END OF fiEES
0
0
i}i G���o?,�i�—Dff�73i52 Ta=aTs I�9.3�
0'�iE: ��t^3/91 tItt�. 17:43
CONSTRUCTION AND PLANNING P�..�L & SPA
Date Inspector Date Inspector
APPROVALS Perm�r,# /, APPROVALS Permit # .
�
1. Temporary Electrical Service or Pole, '(' �`52. Pool & Equipment Location� r�w
. i i' o .
2. Soil Pipe-Undrgrnd. � �/� - � . 53. Steel Reinforcement ��
3. �Electrical Cond'uit Utility-Undrgmd�' ; �� 54. Forms ��
�• 4. E�ectrical Conduit-UndrgrryJ:%% �'� � 55. Electrical Bonding �'
, 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test �"
6.,Electrical'OFER�Gmd.. � ' 57. APPROVALTOCOVER�GUNITE ,
7. Footings ' � 58. Electrical Conduit-Undrgrnd.
r 8. Foundation. �, 59. Gas Pipe, � Undrgmd., Test ,� '
9. Water Pipe-Undrgrnd. �� � �% 60. Backwash Lines, P-Trap, O Undrgmd. /��
/ / . . J r r'
� 10. Structurai Floor System ?�^ . �� � � 61. APPROVAL TO DECK _ %'�
11. Property SewerLine:& Flouse�Gonnect,ion ^ 62. Backwash & Receptor-Final � �
12. Sewer Cap �. ' ��/� ,. .� 63. Heater & Vent-Final �
13. Roof Drains• - �� J� y 64. Plumbing System - Final
�
74. Rough Plumbing �j �� ,l� . 65. Electrical-Final �����
15. Rough Electrical-Conduj� •� ��� 66. Solar System-Final �'
16. Rough Electric Wiring ,,+./ :�� � 67. Fencing & Access ApProval ���
17. Rough Wiring Sign �' '�G� 68. APPROVED FOR PLASTERING %
18. fiough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL /
19. Rou9h Heating & Ai� Conditioning • ' FIRE DEPT. REQUIREMENT � �
_�� �
20. Rough FactoYy Fireplace , - '` - � ' _ � �AppROVALS' ��Permit # �
.i �� -
21. Ducts, in Structure � , l '! - _ � � . �
. - _70. Underground Hydro
22. Ducts, Ventilating � �? �' `"77. Product�Piping O�Gas O'Oil
23.-Gas Pipe-Rough &'Test � 72. Underground Flusli = . �
24: Roof Framing • " ' �73.' Undergrnd'. Storagz_Tank :O Gas ❑ Oil �
25. Roof Sheathing r : - . . �74:!Overhead�Hydro. �
26: T�Bar Ceitin9 (Structurall & Monocoat _ y _ - �°, ` •� 75.S.D_ry Chemical - - � . �
27. Frame and Flashing' '. y. � � 76. D'ry Standpipe � ' ,' -
28. Lathing & Siding ._ . -.�-: '* , � �• : 77, FIXED SYSTEM� FINAL'
29. Insulation - � � , � "' � ' ( � ;� �; 78; fIRE PREV. FINAL , t
. 30. Drywall Nailing � _ � � ( • ! ; a� � HEALTH�DEPT'. REQUIREMENT
,
,31. Platter Brown Coat � ' I � C, .. _79.'FINAL INS?ECTION t ''
� 32. Electrical Power MeterFinal� . • i � ��:'80.� FOOD CERTIFICATE ISSUED .
33. �Final Electric � . '� - I (, .� � Notes: � ' . �
.'34. Final Heating,& Air Conditioning � _ � , �; .. � ,.
.� { ;; :� ,.
35.-Final Gas Pipe�Test�` ' 'I �� �; .; "` �a 9�
. 36. Hood or•'Canopy � � � � � ' � • . `
n �
37. Final Faaory Fireplace,,. �° . � �F ' '' r �
i. �. p .
38. Final Plumbing � � f I• - �
39. Water Service-Final- ' ' � �
� • .�. �� > 1
'40. Gas Service�Final . - - � � 1 �
` I � - '
'�41. Solar pomesticFinal � ^ � � � �' '� ., - � .
42. Backflow Preventer� � � j �� . .c, > ,
43. Backflow Irrigation � �'� ' � ' ' -
.44. Landscape Irripation System ' , _ � � L . ' . ,, . ,"
>45. Sound Attenuation � - ,_ ` - � � � '
.46. Handicap Fegulations � " ,
47. �FINAL STRUGTURE & BUILDING 1, .' r� :
48. FINAL PLANNING • . �
. 49. Electric Release to Edison - �
� � ' �
; � .� .
50. _Gas Release to Soufhern California Gas Co . ( � ,. . ,
51. CERTIFICATE OP.00CUPANCY ; , , . , , , ,
No. Date
OWNER STATE-WIDE
JOB ADDRESS 3 21 Me
AP No.
GP�
WATER�
ROUGH P�UMBING
PROP. SWR. LINE �
SPFINKIING SVSTEM
CON.
MISCELLANEOUS
ROUGH HEATING AND AIR CONOITIONING
TEMPORFRY SERVICE OR POLE
UN�ERGROUNO � POWER �
ROUGN WIRING
TRENCHES � Q �.:E�.}E
FLOOR SYSTEM
BON� BEAM � STEEL REINFORCE �
SHEATHING
FRqME AN� FLASHING
LATHING - IN OUT �
PLASTER, BROWN COAT
STRUCTURAL FINAL
M� '4G, VENT., REFRIG. AND A
P ING, FINAL ANO GAS TEST
ELECTRIC, FINAL
BtIIL�ING, FINAL
>ers, Inc. DATE 4-28-76
�ak BUILDING PERMIT N0.
DESCRIPTION of WORK CS, W 8 , g8t
�T FIRE ZONE VALUE $ . -
ature Date TVPE GROUP - ZON
Lp SUBCONTRACTOR PERMIT
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For Applicant io Fill in
BUILOI
OWNER State-Wide Developers, Inc.
ADORESS946� Grindlay
GTY Cypress � NQ�. 82
CON5TRUCTION
BRANCH
ADDRESS
ARCHITECT . . _ ._ _ . . TE
ADDRESS 17848�SkyPark Blvd Irvine
coNTAo�To,�State-Wide Developers, Inc.
ADDRESS 9461 Grindlay
TE`.826-4550
c�Tv Cypress No.
ITC.NO. ZZ47�0 LICVNO.
size 1z,093 dCYeS INO.OFBLDGS. 0
OF LOT NOW ON LOT
USE OF
E%ISTING BLDG.
SIZE OF NO. OF
NEW BLDG. ROOMS STORIES
EXTERIOR WALL a$ er ROOF Shake
COVERING �.��nrl COVEFING
USE OF BUILDING AND WORK 70 BE GERFORMED
New construction-Condominiums
1 hereby acknowledga that I hava reatl this applicatlon antl stete
that the above information is correct an0 agree to comply with
all laws reBulaNng buildinp co�struction, end I shall not employ
any person in violation of ths workman's compensatian laws af
the State of California.
7 hereby cartify that 1 am proparly licensed as a conttactor under
the Stare ot Califor�ia Business end Profassions Cotle, Divisicn 3,
Chapter 9, antl that such licensas ara in full farce and effect, or I
am exempt from the prov(sions of the State ot alifornia Business
antl Protessions Cotle, Divii on 3 Chap er 9
_ �taterwi�e Oeve�o,� , Inc.
Permlttee V.—��–�7 -�L� 1
�
AutnorizeaAgenc Vice President
FAiL' � �� ,k4�% i I I
`��pY t 3-7fi��.—,s,-�OC 767 20.CC
APPLICATION FOR BUILDING PERMIT
RECEIVED BV DATE FECENED �eTF iecu
BUILDING
ADDRESS
FIRE
ZONE
APPPOVEO
DATE
%Z �' j9 PIAN$ Z BUILDING
VAR�SAPPPOVEO VARO
MAIN BVILDING ACCESE
OISTANCE BET.
MAIN BLDGS.
VAR.# 7 �
HOLD FOR
BET.I
ACG@
DATE
�
1381 sa.FT. J-534 0
THE AMOUNTSHOWN UNDER VALUATION IS FOR � j
THE PURPp$E OF ESTABLISHING A PERMIT FEE ONLv: Q
VALUATION ` ap
�I�O/'�� PERMIT FEE $ / ✓f � m
.r w �/,/� �q�w �
$ PLAN CHECK $ !/J � `�O E
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