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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