HomeMy WebLinkAbout3422 MEADOW BROOK - Building PermitsApplieant [o /ill in all spaees except those within heavy Oortler lines antl sign all appropriale Ceclara[ions.
PER T NO. TRACT NO. LOT NO. UNIT NO.
CITY OF COSTA M��SqA CONSTRUCT,ION PERMIT �� * q.p, 4k Zone
�Project Address �� :-r^-2 N�A�OT�'bI'OOk - _ _ S' Main Building: Accessory Building: `
ApplicanYS Mailing Addre55 ��� ' - � , � TYPE OF CONSTRUCTION NEW ��/aDD ALTERATION REPAIR E^ Z
❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' � T' Front 0
Owner's Name �a RIIC�LQ2 Phone� �02SS
� ,�, �a8���k � , DESCRIPTION OF WORK/USE OF BLDG. A Rear . N
Address I � Right N
Arch/Eng. -` -� License No. TYPE OF PERMIT GRnDING ❑ FOUNDATION STRUCruRnL K Left � G
Addre55 � � . ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL i $ . R
Confractor's Nam ��ral. Iastal].ation Cph e%53-8$ l ❑�oTHER , Ping. Ref. # Parking Req./Provided E
Address (mailing) 55 �8t �YCl. i7.335`� PROJECT DESCRIPTION 5(�. PT. � OCCUaANCV Planning Notes: �� M
S'j CONSTRVCTION TVPE VAIUATION $ .r
Ciry License No. ' ZONE GRADING GU. VDS. ACRES
LICENSED CONTRACTOR OECLARATION S�
1 hereby atfirm Ihat I am litensetl untle� p�ovi5ion5 ot Charter 9(commencing Remarks: ��
witn section 1000) of �Ivislon 3 of the Business antl Professions Cotle, antl � �
my license is in fwLf pce antl etfecL 151p ' ELECTRICAL FEES
� License Cla C � c se No ��
.Q Date � � � 5iqnature PLUMBING FEES r Automatic Washer Transtormer ❑ 15-50 KW
�WORKEHS'COMPENSATIONOECLARATION ConStructiOnPOleSub. �50+KW
I h¢reDy af�i�m that I have a cer[ifica[E of WnSent to f-insure o� a ce�tl(Icate Bar Sink $hOWER
' Workers' Compensation Insurance, or a certifietl copy thereot (Section Cookin9 Unit Meter ❑up to 100 amps
� ], Lab. )�n
Backflow Preventer Service Sink -
y No. �7�+7� Company ��C Backflow Irrigation Sewer Cap Dishwasher �- Meter ❑over 100 amps
I � Certifietl copy is hereby fumishetl. � � Dryers ❑Gas ,�Electtic Sub PanEl -
�J certi()e/{ cypy,is (iietl wim me ciry B' eathtubs Sewer Connection
. Date 4J+J`N Appiica . Fan :7- Momrs00-iHP01�-8
EXEMPTION FROM WORKERS' COMGENSA ION LARATION Cla�ifiers Solar Collectofs
(Thissection neetl not be completetl if the permit is fo one huntlretl (E300) or Dishwasher - F�A��� InaSolar �9-75 HP 016-15+
less). � Solar Pipin9 '
I certi}y that in the per(ormance ot the work for which this perm�t is i55uetl, I FlXtufeS n
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave
Workers' Compensa[ion Laws of Califomia. �
Date 5iqnature Floor Drains Swimming Pool w/Spa Device Boxes '� Pole Light '
NOTICE: If, after making [his tl¢Cla�dtion, you Shoultl b¢com¢ Subje<t t0 th¢ OUtIC[5 �
Workers' Compensation provisions of the Labor Cotle, you must �orthwith Floot Sinks Urinal Range
comply with such O�ovisions o� this petmit shall be tleemetl revoketl. ' SwitChES
CONSTRUCTION LENDING AGENCV � GaSSelviCe OUtIetS WateICloSCt • Sign
I hereby afflrm that [here i5 a wnstruction lentling a9ency to� the performanC¢
ot me work (or wnicn tnis permit is issuetl (5ection 309� Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections
Lentler's Name - . Generator 065 KW �5-15 KW Trash Compactor
Lenaer•s Adaress Kitchen Sink Watei Service -
OWNER BUILDER DECLARATION � . .
I hefeby affirm lhat I dm exempt trom the COntfactol's LicenSe Ldw (oI the L2v8tOfi25 AutO-W25h
following reason (Section 7031.5 Business antl Protessional Cotle: Any city or
<ounty which requires a permit to construc[, alter, improve, tlemolish or repair P—T�ap - L&undry Treys ' � - �
any sGucture, prior to its issuance, also requires the applicant tor such permit
to tile a siqne0 statemenLthdt he/She is licensetl putsuant to the provi5ion5 of Roof Drains '
�the Contractor's Litense Law (Chapter 9(coTmencing with Section 7000) ot '
. Division. 3 of the Business antl Profes5iOn5 Cotle) 01 that hE/She is az¢mpt - "� flEin5p8ttiOfl FBB $15 ISSUB FB¢ $ 3
tM1erefrom antl the basis for tne allegetl exemption. Any vlolation of Section • . -
`. 5 by any applicant tor a permit subje<ts the applicant to a civil ,
Ity of not more rnan five huntlred dollars (5500�. - � ' 3 DEVELOPMENT SERVICES REQUIREMENTS:
i, a5 owner of the ploperty ol my emplOye¢5 with wage5 a5 Iheil sole RelOSPBt[ion FC8 $15 - ISSIIe F¢B $ -
"compensation, will tlo the work, antl the structure is not intentletl or.offeretl • 2oning APPmved By �ate
tor sale (Section .1044, eusinezs antl Pmfessional Cotle: The Contrac[or's _ MECHANICAL FEES Buildin8 APProved By
License �Law tloes not applY to an owner of a properry who builtls or improves Date
[�e�eon, antl who tloes such w0/k hlmself/hers¢If or through hi5 or h2I own . � AppllCdtl00 IStllBd By �� Ddt���
2mployee5, provitletl that such imp�ovements a�e not int¢ntletl O/ otfetetl (or BOiIC� . HOOd 0� TyPC I ❑
sale. It, howeveq Ihe building or improvement is soltl within one year ot com- CanopY Type II ❑ . SUMMARV OF FEES �
pletion, tne owner will' have the burtlen oi proving he/she ditl not builtl or im- Duct - Under Ground '
prove tor the purpose of saie). , BUILDING PERMIT $ SMIP $�
❑ I, as owner of the prooerty, am exclusivcly contracnng with licensetl con- Duct -Strucmral Refrigeratfon System ' ' PLAN CHECK $ PERMIT �
Vacmrs to construct tne pro�ect (Sectlon 7044, Business antl Professions Cotle: , ¢,,y,�.
The Contractor's License Law tloes not apply to an owner of property who Duct - Ventilatin9 � ❑0-100,000 BTU ❑700,000 BTU PLUMBING $� ' ISSUANCE $-���5�
builtls or -imuroves thereon. antl who contracts for such oroiects with a�on- �
tractor(s) hcense pursuan< <o me conVactors License Law). I am aware tna� Exhaust System ❑ Multiple ❑ System Repair/Alteretion P�N CHECK 25% $ " ENERGV P.C. $
prooi of their WorkeCs Compensation insurance shoultl be provitletl to me. ELECTRICAL $ GRADING � $
❑ 1 am eaempt untler Section _ B. & P. C. tor this reason Firepl/Fact: Blt. iCBO # Fire Damper5 MICROFI LM $;
- . PLAN CHECK 50% $ .
Date ' � owner � Heating System & Ducting Registers MECHANICAL $ TOTAL FEE $�.�
I hereby�certiry that I have reatl tni Iication antl state that the above - ❑0-t00,0006TU �100,OOOBT " PLAN CHECK 25% �
information is correct. I aqree to corfi�PiY kh all Gty antl county ortlinances . � � $
antl stdte laws �el tin•g.� to b iDg cOnst ctiOn, antl he�eby authorize /epre- ' , �
senta[ives oh th' iy',[ e ei up the abov eqtionetl property for ' � ' . " . ' - • ,
inspectlon pur �/ �
Si9nature / ��Date 6 8 - ' � '
Reinspection Fee $15' � laue Fee $ 3 � 91 OQ�3S616-ODQ356ip j'.tf j � al
Drivers' �License or. 55 � . �„
. . lGT6C..(16J10/cu . Y:iwc. �n.<. � . t '•
o865-ati, rev. o/aa wnite - 6wm�ng; �anary - qppucane; pink - Accounvng; c;aioenroa - assessor
� . ( \`l `;�Y, . � ♦ .. � e .. � .. . � . ' . . n � " . .�
'V \
CONSTRUCTION AND PLANNING " POOL' 'A
APPROVALS Permit # Oate Inspector p�ppROVALS Pen�,,. # Date Inspector
i. Temporary Electrical Service or Pol .� 52. Pool & Equipmeni Location
2. Soil Pipe-Undrgrnd. �;' � �j 53. Steel Reinforcement .
3.! Electiical Condi�it Utility-Undrg�nd. �1 54. Forms �
� :.
� 4-� Electrical ConduTt��drgrnd. .� . 55. Electrical Bonding ;.
� �� -
, 5� Steei�ReinforceMe�t. �. 56. Rough Plumbing & Preswre Test -_ -�
�` Elecfrical UFERjGrnd. - 57. APPROVAL TO COVER-GUNITE � - �
� .e
. 7�.'- Footings o�� � ��, 58. Electrical Conduit-Undrgrnd. -
U ..J '-I J
8� Found�ion m�• • ,� 59. Gas Pipe, � Undrgrnd., Test ,`.�
9. Water Ripe-Und�grnd. ' ,� 60. Backwash Lines, P-Trap, O Undrgrnd. .� c
10. Structural Floor�System n 61. APPROVALTO DECK -
11. Property Sewer Line & House CoJ nection . 62. Backwash & Receptor-Final
12. Sewei Cap - iti VJ� 63. Heater & Vent-Final - (;
/' U' O) ♦
13. Roof Drains �-� w" � ' 64. Plumbing System - Final �
i . v .r /
14. Rough Plumbing+ • � 65. Electrical-Final - `'�
15. Rough Electrical-Conduit � 66. Solar System-Final �
16. Rough Electric Wiring 67. Fencing & Access Approval - - .
.f
�'17. Rough Wiring Sign �� 68. APPROVED FOR PLASTERING
r.
7��. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL -
.�
7:9: Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT .
20: Rough Factory Fireplace APPROVALS _ Permit #
:.i
21. Ducts, in Structure 70. Underground Hydro , �
22rDucts,Ventilating � 71. ProductPiping�Gas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush � -
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing � � 74. Overhead Hydro �
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Freme and Flashing , 76. Dry Standpipe
28. Lathing & Siding �77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing . . HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final • 80. �OOD CERTIFICATE ISSUED
33. Final Electric Notes: �
34. Final Heating & Air Conditioning '
35. Final Gas Pipe-Test _
v
36. Hood or Canopy , ,
37. Final Factory Fireplace ,
38. Final Plumbing - (���{ [�Q ' '
39. Water Service-Final �
40. Gas Service-Final
41. Solar pomestic-Final �:�` �
42. Backflow Preventer ��v �
43. Backflow Irrigation �� � rv p
44. .Landscape Irrigation�System . . �"��
45. Sound Attenuation �� � � ' ' ' • . �
46. Handicap Regulations . �
47. FINALSTRUCTURE&BUILDING
48. Special Requiremenf� Completed � -
49. Electric Release to Edison
r �
50. Gas Release to Southern,California Gas Co •-;;• i
51. CERTIFICATE OF OCCUPANCY • %' ' t.1
�� 'J
No. Date rs.. I
PflOJECi AOONESS: 3 Q? Z MEADOW BR��K �NIT:
owaeesName VILLAGE CREEK AOMEOWNERS
nooness: ASSOCIATION
3429 TIMHER LAKE
• CM VA 92626
AflCN/ENGINEEN: CHESTER CARVILLE REG.NO.: CIA3OS
nooeess: �92z ARMOUR ST uxir:
S.D. CA 92111
PEflMITTEE: Py�OENIX ENTERPRISES INC. (213>690-9559
aoosess: 411 COMERCIAL WAY
�LA HABRA C 90631
UCENSEU CONTflACTOP DECIANATION: i �ereby aifirm Iha1 I am licensetl r ns o� Chzp�er 9(commencing wilh Section
7000� of DiNsion 3 of the Business and Pmtessions Code, an0 my licens � m f antl e�tect.
ciTvuc.: 5 �,8 s,iyT�ic.:376639 � /' , :'
Oa�e: e-i� Signamre: _ _ � ��� _
wOBREHS' COMPENSA7ION DECIAPpTION: I nereby alfirm inat I have a cenificate ot consent to selbinsure or a cen le of Workers'
Compensation �r�s�apc� o( }c�nihed copy Ihereof (Section 3800. La6. �I
7LICY Na.: W U >> E%P. DFTE: V 7/ 01 / 91
MCOMPANY: CA COMF 6 FIRE
IJ CeN�ie copy is hereby lumi ed ❑ Certi�ietl capy is tiled v' ciry i ing Division.
Oale'. r ~ � 1l_ APPlicant: _ I
E%EMPTION FBOM WOPNEBS'COMPENSATION OECIAflPTION: Qh seciion neea no�becamplete0if�he Dermi�isio�ane hun (5100�or1e55�.
I cehily I�al in �he pedormance ol Ihe work lor which this permi� is issue4 I shall no� employ any Oerson in any manner sa as �o become
Sublett Io Ihe WOrkers' Compensaii0n Laws of CalifOmia.
Daie: Signa�ure: '
NOTICE: II, aller making �his Oeclara�ion, you s�aultl become 5u�jeci to Ihe Warkers' Compensation provisions o� �he labor
Cotle. you mus� fonhwnh comply wi�h such pmvisions or �his permil SAall he deeme0 revaked. .
CONSTflUCTION LENDING ACENCV: I hereby aitirm Nai there is a cons�mciion lentlmg agency �ar �Ae pedormance of Ihe work for .
whiCh Ihis permil is issuetl (Sedion 3097. Civ. C�.
lENOEfl:
aooxess:
OWNEfl BUILOEB DECLABFTION: I �ereby affirm Ihal I am exempt iwm the Contracmrs' Staie License Law for Ihe followinA �eason
(Section 703L5 Business an0 Pmfessional Code: Any ciry o� coun�y which requires a Dermii �o conslmct, al�er, improve, tlemolish, or
repair any s�mclure, priar lo iis issuance. also re0uire5 Ihe applican� lor such permit to lile a signed s�a�ement Ihat helshe is Iicen5e0
pursuanuo Ihe provisions ol ��e ConVacmrs' State License Law (Chap�er 9(commencing with Seclion 7000) of Division 3 0� the Business
and Pmlessions Cotle) or Ihai he/she is exempl �nerefmm anU Ihe 6asi5 for the allege0 exemption. Fny viola�ion o� Sec�ion 7031.5 by
any apDlicani lor a permii sublects Ihe aDPlicant to a civil penal�y of not more �han five huneretl tlollars (3500�.
I, as owner ol lhe pmperty or my employees wiih wages as their sole compensa�ion, will tlo �he work, antl Ihe
� simcwreis not mlentled oroileredlorsale�Section 70a4, Business an0 PmfessionalCode: The Contractors' State License Law
tloes noi aODly to an owner ol a pmperty who builtls or impmves ihereon, antl who does suc� work himseli/hersel� or ihrough
his or �er own employees. providetl �hat such impmvemen�s are no� intended or offeree br sale. I�, �owever lhe bwltling or
improvemem is sold within one year o� comple�ion, t�e owner will have Ihe hurden of Owving he/she ditl nol builtl or impmve
lor Ihe purpose af sale). �
I, as owner at Ihe pwpe�ry, am e�clusively con(racling with licensetl conVacbrs �o cons�mcl the pmlect (Section 7044, Business
❑ ana Pmfessions Cotle: The Contractors' State License Law does not appy to an owner oi propeny who hwlds or imDmves thereon
antl wM10 contrads for such pmlec�s wiih a conVactoi�s)license pursuan� ta Ne ConVac�ors' Slate License Law�. I am aware
�hal pwoi ol Iheir Worker's Compensa�ion insurance shoultl be pmvided fo me.
� I am ezempi under Seciion: ' 8. 8 P. C.
far this reasan: '
Daie'. Ownec
I tlo hereby cenify �ha1 I am aware ol antl untlerstan0lhe requiremenis o� Calilomia Health an0 Sa�ely Cotle Sec�ions 25505. 25533. an0
2553a antl ihal I or any fu�ure �uiltling occupan� will/will not (circle one) neetl �o comply wi�� saitl sta�e co0e5 antl the requiremen�s �or a
permit for ionslmdion or mo0ifica�ion imm Ihe Air �uality Managemeni �islrici. Resitlential constmction apphcations are exemp� fmm
Ihese provisions. '
�ate: Npplicanf.
I hereby cer�tlyiha� I have reaA Ihis applicailon an0 sta�e �hat �he a
ortlinances and slalelawsrela\inglo builAing conslmclion and here�y
pmperry b� mspeS�' ^'� ip05e5
�ale: _��� Signature: _�
� � ..
onver's License or Social Secun�y x: $$
correcL I agree �o camply with all ciiy
liv� of Ihis city lopyy upon �he abovi
16aLa6 WM1ite—BUIlOing; Green—Cotle EnlorcemenC Canary—AppllcanC Plnk—Fevenue: Goltlenmtl—Assessor
, CITY OF COSTA MESA — BUILDING PERMIT PERM NO; H 050588-
PERMIT NO; B 050588 PLAN CHnCK NO; 00123-91 A GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE; STR � PURPOSE: REP
JOH DESCRIPTyON ; REPAIR SET'CLEMENT DAMAGE SQ FT: 193
CLAIM VALUE: 14,300.00 CALC—VALUE:' 14,300.00 GROUP OCC; R-3 /,
COMMENTS: BUILDING SETTLEMENT REPAIR/FOUNDATION
*****x�**+���r�***��r*�t**�c�rx****�t*x���rx-*�x*u�****�r�r*x*���x��c��e�*��rt���***� ��*�r�����t�*
Z O N I N G R E Q U T R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- —=------- ACCESSORY HUILDING ------=--
FRNT: FT' IN REAR: FT IN FRNT: FT IN REAR: FT SN
LEFT; FT IN RGAT; FT IN LEFT: FT IN RGHT: FT IN
PARKING REO• ' FROV; PARCEL:'93506124 ZNE: R2 REF NO:
PLANNING Nt)TES> FOUNDATION REPAIR.
� _ '
iF iElE iE iE jF iF �1f if fE if iF 3F iF IE iF1f if if 3E iF fE iE if 1E jE iE if �f 1E 3f if 3E �F lE IF iE iElElf iE IE fE 1E 3f ik if 3f 3f iF iE �f If IF aEif iF 16 3f -If )f lE iF if IE !E 1f iElE�IE'lE �lE iF iE 1E �lf If 3E iF
D E V E L O P M E N T S E R V I,C E 5 R E Q U I k E M E N T 5
ZONING APPROVED BY G� �—, .�� DATE; �'/ / S'�i /
BUILDING APPROVED BY ; C�� Li� �-„� � DATE;, �
APPLICATION ISSUED HY; naTF� ! �
�F jF iE iE 3f -IE �1E )f iF if jf 1E 3E aE iEjF �E )F if 3F !f iE
±F�1fiElE�faEiElf3fK�%iEiFiFififiFifiEiElE1FlEiFiEiflEifi6ifib �k
LEGALIZATION;N F E E
BLDG PMT PLUMBING EIy�
FERMIT ' 162.00 /
. iF3FiFiFiFifiEaEiFiFlfiFifiF3F3EiF3F#f��F3F�Fif#
iF iE �f iE if 3E iF jE �E IElf IE iE iE jEiE iE 1E �N� IF 3E iE iE iF ff If �E �F If #�F�iE 3(� 3E i( 3f iE 3f IE 3E 3E ff
S U M'M A R Y STRUCTURAL SEGMENT:Y
IC MECHANIC FIRE SMIP/RES GRADIAIG
1.00 '
PLAN , 26.33 _ ; SNeIP/NON—RES
SSSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CiIECK
TOTALS----> 163.00 0,00 26.33
.
TOTAL PAID DUE
189,33 189,33 .00
REVENUE DIVISION TOTALS--> COLLECTED: � 189,33 OVER/SHORT; ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADIt3G Pi,AN—CHECK
162.00 , 1.00 . 26.33
IF iE if if iE 1E 3f iE if 1( IE iE �)E iE IE iE if 3(� iE jf ik if� i6 iE if if if �%� IE iF iF �lE 3E iF iF fk k if 3k ik M� iE iF iE iE fk iElE if iFlf IE k�)f * iE 3F iE IE ff 3E 3Elf IE ik if if 3f iElf 1E 1E !f i(-iF %� jE iE �
� I N D I V T D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I F T I O N UNIT COST TOTAL COST
SFR 143 STRUCTI]RAL HY VALUE PER �100.00 100,00 14,300,00
� END OF' EES ,
. �
0? 0007o744-GdD78i46 ; e�Y ;59.3's�
�hiE: O1/_3/SL TIe1E: i�.c2 �
CONSTRUCTION AND PLANNWG - �& SPA �
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
�
1. Temporary ElectriGal Servtceor Pole -52. Pool & Equipment Location �
2. Soil Pipe-Undrgrnd. � �`� � � 53. Steei Reinforcement -�
3: Electrical Conduit Utility-Unidrgrnd. l 54. Forms ',�
4. Electrical Conduit-U�drgrn8%s !' 55. Electrical Bonding �'��'
r�
'. 5. Steel Reinforcement: 56. Rough Plumbing & Pressure Test
' 6.. Electrical UFER Grnd. - 57. APPROVAL TO COVER�GUNITE �.
7. Footings ' � 58. Electrical Conduit-Undrgrnd.
8. Foundation. � r�, 59. Gas Pipe, � Undrgmd., Test ,'j'�
9. Water Pipe-Undrgrnd. �„_ ;�� 60. Backwash Lines, P�Trap, � Undrgmd. I jq
10. Structurel Floor System ��!+ .� ��` 61. APPROVALTO DECK .i� ,^'.d�"�
11. Property Sewer Line & Fou' :Connection� C";�, 62. Backwash & Receptor�Final i` �
ii
12. Sewer Cap , _"Q -'! , � 63. Heater & Vent-Final '
;
73. Roof Drains • / /'� 64. Plumbing System - Final ��
a
14. Rough Plumbing � � , `� 65. Electricat-Final �� i�
. ��
15. Rough Electrical�Conduit `� ���-� 66.�Solar System-Final %�
76. Rough E�ectric Wiring �� � j ,� .�; 67. Fencing & Access ApProval ✓���
17. Rough Wiring Sign �� U� 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 Fiieplace � - � �• = APPROVALS` ��<Permit #
- '�. -
21. Ducts, in Structure. . � _ �� i70. Underground Hydro ��
22. Ducts, Ventiiating � „ �' .71, Product Piping O�Gas O�OiI
�
23: Gas Pipe�Rough & Test , .� , . , ,72. Underground FIusK - . �
24. Roof Framing 4 � . ' '•�73.-�.Undergmd' Storage Tank � Gas ❑ Oil ��
�� .
25. Roof Sheathing • 'y � ' - , �74.-�Overhead Hydro ,
26� T-Bar Ceiling (S[ructural) &�Monocoat • v. �� 75�'Dry Chemical ' •�
27. Frame and Flashing ' _ � , , 76. Dry Standpipe .' �� : � '
28. Wthing,& Siding - � �� •� �� 77,' F�XED SYSTEM�.F,INAL'
L_
'29. Insulation , - � � ��. , 76..�FIqE PREV. FINAL � • - .,,
• 30. Drywall Nailing . � .'- ' � HEALTH DEPT. REQUIREMENT
I,
31. Plaster Brown Coat, _ ��. ' � �;_ ,.79. �FINAL INSPECTION _ J '
32.�Electrical Power Meter-Final � .. � '� ;��. �80.-FOOD CERTIFICATE ISSUED� �
33. Final Electric :_ � I I �r' .� �'Notes: ' ' .
.34.- Final Heatinq,& Air Conditioning, � � i �� !y_ ,%� i // '.Jr J ' f " d / /
.35. Final Gas Pipe-Test' _ ' �'�f' � ///J [f /
w� �
36. Hood or Canopy.' . ` . - � - ,, '
,
37. Final Factory FirePlace, � �' � � �` _ . '� �
"; �!
�
38. Final Plumbing ,- • � � • � � � �- � , .
"39. Water Service-Final � x �' � � - ;.� . _
I. . _
40' Gas Service-Final , �: . . � '.
. � _ .
�41. Solar pomesticFinal - ' _ �- , �-t - �
� :
42: Backflow Preventer ' ' � " �
. i . � -
43. Backflow Irrigation - ' ' `- ' •-
,44. Landscape Irrigation System � , .:.;�� - , . �,,, ' '' ' , -
45. Sound Attenuation � ' '' ' _ `
46. Handiwp Regulations _ „- �
47. FINAL STRUCTURE & BUILDING �_ G�I ."
48. FINALPLANNING � ,
49. Electric Release to Edison i �, ; •.
50. Gas.Release to Southem California Gas Co � j �� ". ''.
51. CER7IFICATE OF+OCCUPANCY . � . � ,.y: i . +
No. Date '
OWNER STATE-WIDE Deve
JOB ADDRESS 3 22 Meadow
GENERF�4,[O,�yTRq�Tq(Z, Same
AP No. ��b'�� - ' OT 1
I' �CTIONS
.7G
GAS
W ATER
ROUGH PLUMBING
PROP. SWR. LINE � HOUSE CON.
SPRINKLING SVSTEM
MISCELLFNEOUS
ROUGH HEATING ANO AIR CONDITIONING '
TEMPORARY SERVICE OR POLE
UNOERGROUNO � POWER �
ROUCaH WIRING
TRENCHES � FORMS E RF$J .
FLOOR SYSTEM
BONO BEAM ❑ STEEL REINFORCE
SHEAtHING
FRAME AN� FLASHING
LATHING — IN OUT
PLASTER. BROWN COAT
HEO , VENT.,
P�6 �G, FINA
ELECTRIC, FINAI
BUIL�ING. FINAL
F
Inc.
Date
DATE
BUILDING
SUBCONTRACTOR
�
�
4
COSTAMESABUILDING-SAFETYDEPARTMENT � yy �'���
P.O.BOX7200 COSTAMESA,CALIFORNIA92626 �� �-�-76Cp�ccUO %Si^' "'`J`Z3�.Z3
ForApplicant to Fill in Comp/etely %�PPLICATION FOR BUILDING PERMIT
RECEIVEDBV DATERECEIVED DATEISSUED
ADOFESS 3422 Meadow Brook
� r
OWNEF Q/Z p I�O,OZ PERf�71� /:
A.P. NO. p �}
MAI� 9461 GPindla ADDREss -�Zz n�d�w �j'�oo,�
Z ADDFiESS y
a U CITY C ress � No.`�826-4550 TRACT ��yp LOT BLOCK
Z Q CANSTFUCTI�N W A A
O N LENOER X
d m
J � BRANCH
JN OWNER !{/
Q W qODRE55
mm AFCHITECT TEL. S 1 Res W atL
-' a «�.�r� 556-6610
V Q FIflE
w � ADDRESS Irvine �ONE TV
a W ' APPROVED
W Z CONTRACTOR State-Wide Developers, Inc. BV
J Q
m
w� ADDRESS g46 G indla � ZONe NO.OF
Z� ��T� Nog26-4550 /2ZC/� Pu,rs 2
O STATE CITY YAfiDSAPPROVED
y� LIC. NO. 224��0 �I0. NO. - - MAIN BUILDING
� O (FPOM C/L TqEET)
OF LOT 12,093 acres NOWONLO S 0 ROf�7T FT.
USE OF
EXISTING BLDG.
F SIZE OF NO� OF
Z NEWBLDG. ROOMS STORIES L.SIDE � FT.
�% COVE R�INGALL �00� er COVOERING Shake REAR CO FT.y
J USE OF BUILOING AND WORK TO BE PEFFORMED DISTANCE BEf.
a MAIN BLDGS.
a
oNew construction-Condominiums cuRP�2�-7y
~ 1 Residence w/att gar P.PPROVED
p HOLD FOR S: i
UI hereby acknOwledBe the[ I have reatl this application antl state
= that ihe above intormation is corraci antl a8�ee to comply with
� all laws reguleting builtlinp conatruction, end 1 shall not employ
F any Oerson in violation o7 the workman's compensation laws ot
y tha State of Celifornia. �^$O
Y
z I hereby certity that I am Properly liconsetl as a cantractor untler S�. FT.
the Sieta of California Businass antl Professio�a Cotle, Divisicn 3, THE AMOUNT SH
Chapter 9, antl that such licenses are in full force antl elfect, or I THE PURPOSE OF i
am ezempt from Na O�ovlSians of the Stete ot CalitOrnia BuSiness VA�I�
antl Professions Code, Divisi n 3 Chepter 9; .� I� ( Q(%
State-Wi�e bevelore s, Inc, s� ^
Signature
Permittee $
AuthcrizedAgent Vice P esident
VALUE
OF NEW
DING `
ARDS A�
BET. MAIN &
ACCESS. BLd
DATE
APFROVED I
J-645 0
�N UNOER VALUATION IS FOR �
4BLISHING A PERMR FEE ONLV: Q
.� �
PERMIT FEE $ � �
7
m
PLAN CHECK $ • O �
� LL
iOTAL FEE $ � �Q