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Home My WebLink About3434 MEADOW BROOK - Building PermitsCIN OF COSTA MESA BI/ILDIN6 DIVISION � DEVELOPMENT SERVICES DEPARTMENT PERMIT ___ �-�" J,� PERMIT NUMBER P98-00722 t� (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 3434 MEADOW BROOK Suite No Vicinity: Parcel Nunmber: 93506020 Applicant: Address: Owner: PLUMBING PERMIT NOCK,RON , - �„ y . � . �i � . �. � " - - , �� Phone: . i� ' ' . Zip: �� '� if� �\ � " " i /i'/ � PHILL�IPS, ELIZABETH J - " _ %�� WANDER ROGER L ' ..��,. ,. : in ....., i:J� 3434 %n�� Phone. Zip: 92626 Status: ISSUED Applied: 09/24/1998 Issued: 09/24/1998 <l �(~\ /\ \� \\� > � . ` '� '�� \�A\ ' \i , '�� ` � A /� � ��. \Vj \��, i /� � �A'`�A. '\ 1?:� � %� � � ��.. � \ �- / �� / � � "� `. ' /% % �` � �� i , <� �. ��:,�, ;'�: l�\ Contractor , NOCK PCUMBING ;., �"; �, .,,�, �� `� � �' , A� 'Address' 11612KNOTTST i�y�� ' ; - -.�i .- � :i� � . �.. � . �- �'- . 1 � . ,, j �i . /i _ � i�P,hone �, 714-895 1246 i� � � r � ,,, GARDEN GROVE ; CA r � '�;,-t Zip �� 92841 .�s . � � ` .. ..� r�.- <h� r r �� , �� ArohlEng �' Address:, ' ` ' J// a , , •J' a � ; /`��_� „n�. _ -�Cicense:'� 707775- � . , . r� -5 � � ,. • � ,,,,. - � .L� .�%'��; � y,��. /�� _ � �,. i : '-/ . `� �� • ✓� �' ' -" -' - - - - - - � 1 ., ' . ';> � � . Phone ,�, � ,- . . ��..\ -. � . �� . � ... Zip � .�1 : . . ,._ . �C � � -- - License: � � _, - - �� .� , � � .T-, ., p� _ ,-', r,.`�''`�iSCOPI :'�Q/ODISHWASHER.��' =-- �- - _„ i ,.,- .. --��, �. ` -- ,,, . __ __.._.....__ , ''��`. � �� i.��AMT QTY AMT QTY ISSUE FEE � '� $22;00 Laundry Tub / Washer„i, $0.00 0 Sump Backflow irrigation, : $0.00. 0' Landscape Irrigation ";; ,$0.00 0 Swimi BackflowPreventer $000��, 0; P-Trap r,; '� �., �$0.00, 0 Trap-F Bathtub �,, ��, �� $0 00� ��0 Pressure Regulator .>; $0 00�: 0 Urinal Clarifier System � �. � �$0 00 ��0� . . :�Y Process-Piping (per 10 ft)_' $0 00 S� �� 0 � _ .� Vacu� Connectpce,Soda;etc) $0.00, `0 ��,., �Receptors�"%n �-��,;.,$000_�_0'. 4:Vacm Dental Units � - � �$0:00 �, 0 � � `.`,�_,Septic�Tank �' , $0.00 � 0 ;% Nlash Dishwasher ��- �� $8J5 '/; 1 � ;-`Sewe� Cap for Damo ", �� r$0.00�• �. .0 Wash Drain,Floor � ,-,$O.00f%�0 r . ��Sewe�Conneot., _�'�� ,�$0.00.�.0 ��Wasti Drain, Rainwater '.-$0.00 �, 0'� .. Sewer Private Line $0.00 0 �` Water Drain, Roof $0.00�� . � 0 � � Shower - $0.00 � �0 - �� Weter Drinking Fountain $0.00- : " 0 � � � Slnk, barl, � _ - - '. $0.00� 0 � WateF Ezpansion Tank $0.00�'�� ' 0: � � � Sink, commercial , '� $0.00 �0. . � -Water '. ��,� • . _. � � ' ` � ;. , � %;. �' J,� �.�; Y,.. ._� ,i�. ��j�' 1 4 `�� AMT� ,% r ,,,`,..� - ; $0.00 iol - - ,'��$0.00 ; � �,� $0.00 � �' ;-�$0.00 BkBow(1-4)' . � $0.00 Bkflow(5+)� $0.00 ��' $0.00 >et '�%'� $0.00 .nt System $0.00 (Toilet) $0.00 7 vent . $0.00 (Inst or Rep.) $0.00 . , ., e $0.00 Gas Earthquake Valve $0.00 0 - " . Sink, Floor , � � �� $0.00 0 - �% �Water Service $0.00 Gas (7-4 outlets) $0.00 0 ,. Sink, kitchen , 50.00 0 Water Softener $0.00 Gas (Over 4 outlets) $0.00 0 Sink,"service/mop, � , .$0.00' 0 OTHER §0.00 Gas Repipe $0.00 0 Spa (private) � � $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa (public) $0.00 0 PLAN CHECK $0.00 Interceptors (Grease, Oil) $0.00 0 _ REINSPECTION $0.00 Inlerceptors (Sand Auto ) $0.00 0 TOTAL CALCULATED FEES: $30.75 COMMENTS I SPECIAL CONDITIONS QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all epplicable codes, and all required inapeetlona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CAIL: (714) 754-5626 WORKERS' COMPENSATION DECLARATION: " - , I hereby afNrtn untler pa�alry ot perjury one of Ihe tollowing declaretions: � � � ., ' ❑ I have end will meintein a ceniticete of cansent to SeM-Insure for warkers' compensetion, as provitlea tor by sactian 3700 of the Lebor Cotle, far the perfortnence of ihe which Ihis pertnit is issued. I �ave erM wlll ma��tain workero' compensation insurance, as required by section 3700 of tha fabor Cotle, br ihe peAortn9nce oi the work for which Nis pertnit is issuetl. My workers' co/�nq�•en/sEtion Ins�u/ranc^e cartier end policy number ere: �/ (�,�.�'7 Carrier.� 1 -�/�( �" J� � PolicyNumber:/" �`�' / /��Ui./�j� (ihls seclion need not be comp�eted i� the pertnit is velue0 et one hurMred dollers ($100) w less.) �— ❑ I certify thet in tt+e peAormance of the work for which this permit is issued, I shall not employ any person in eny menner so es to become subject to ihe workers' compensetlon laws o1 Celitomia, antl egree thet tl I should becoma subJect to the workers' compensation proWsions ot Section 3700 ot Ihe Lebor Cotle, I shell fonhwith comply with thes� pmvisions. ApO��t Slgneture: �� . Dete: �� — �� WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TO ONE HUNDRED THOUSANO DIXJ.ARE (E1 W.�). IN ADDRION TO iHE CQST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIqJ 3]O60F THE LABOR CODE, INTERE5T, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirtn ihat I am licensea under provisli farce and effect. Lic. p r?�� Contractor's SigneNre: �� . EcoRlmencing with Section 7000) ot Divisian 3 of ihe Business entl Professfi ns Cotle, and my license is in lull > Cless q � S-`� '_ Date: �� CONSTRUCTION LENDING AGENCY: ❑ I hereby eKrm Na� �here is a consiruction lending agan�y for Ihe Dedortnance of Ne work tor whic� this pertnit is issued. (Sec. 3097, Civil Code). Lenders Nama: Lentler's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eNirm ihat unCer penalry of perjury ihat I am E%EMPT FROM 7HE CONTRAC70RS LICENSE LAW for ihe fallowing reasan (Sec. 7031.5, Business and Prafessions Cotle: Any ciry or counry whic� requires a permit to construct, alter, improve, demolish, or repair any structura, pnor to ils issuence, elso raquires the epplicant fo� such partnit fo iNe e sfgned slatemeM Nat he or she is Iicensetl pursuem to the pmvisions ot the Contractors License Law (Chapter 9(commenc4ng with Section 7000) of Dlvision 3 of ihe Business and Protessions Code) or Ihet he or she is exempt therefrom and ihe basis tor t�e alleged exemptlon. Any violation of Section 7031.5 by any epplicant for e permit sub�ects ihe flpplicant to a civil penalty ot not mora than fve huntlretl tlollars ($500).): ❑ I, as owner of ihe properry, or my employees with wa9es es their sole compensatlon, WILL DO THE WORK, antl the siructure is not Intentled or oHered for sale (Sac. 7044, Business flnd Professions Code: The Contractors License Lew does not apply to an ownar oi property who huiltls or improves thereon, end who does such work himself or herself or through his or her own employees, praWtletl that such improvements ere not intentlatl or ottered for sale. If, however, ihe building or ImD�ovement Is soltl within one year of completion, the owner-builder will have the burden oi provinq that he or she ditl not bulltl or improve for purpose of sala.). ❑ I, as owner of Iha property, am EXCWSIVELV CONTRAC7ING WIT}I LICENSED CONTRACTORS to construd the project (Sec. 7044, Business end Professions Code: TTie conirectors License Law does not eppty to en owner of properry wha 6uilds or improves thereon, end w�o conirects for such project with e camrectar(s) license pursuant Io the Contractors License Laws.). ❑ I am exempt unde� sec. Business and Professlons Code for this reason: Signeture: Date: Owner ID venfled by dri�er's license. ❑ Ves ❑ No Drivers License No. Expires: Verification ot Ownership by (rype of document, i.e. - property ta<bill or deatl): DIVISION OF INDUSTP�AL SAFETY PERMR CERTIFICATION: ❑ I hereby certity ihat no ezcavation fiva (5) or more �eet in depth into w�ich a person Is required to descend, wlll be made in connedlon with work authorizetl Dy this pertnlL and Ihat no building structure, scaHoltling, falsework, or tlemolition or dismamling thereof, will be more than thirry-six (36) feet high. (Chep. 32, Grp 2, Ar12, Sec. 347, Title B, CalifOmla AdmiNstretive Code). . ❑ As owner-builtler, I will not employ anyone to do work which would require a pertnit irom the Division of Intlustrial Safery, as noted ebove, unless such person hes a pertnit to tlo such work from the division. Signeture: Date: Divlslon ot Intlustrial Safery Permit Number. CERTIFlCATE OF COMPLIlWCE AND AlJ1T10RQATON OF EMAV: I certity under penelty of perjury ihat I heve read this application end state ihet �he infortnation given is wnecl. I agree to comply with all state laws and city ordinances relating to buildinq Consiruction, and authorize representetives of the Ciry of Costa Mesa to enter upon Ihe abova-descnbed properry for inspection purposas. I agree no� to occupy or allow occupancy of any building authorized by ihis parmi� until finfll inspedion. Sign�e Of Legal Owner(s) De ,_ �I �'\ �- 28- �-l5,r � AnNOrAulhorizetlAppllcanl ° Dale �gy(y ixsvetnoxme QA� It�lL4 i616 Fixed System Final Fire Prevention 1286 200 201 202 203 Pool Spe Flnel Final R�Roof Final BIocWRe�ining Wall Final Fectory Flre Place Final Sign 204 Final Demolitio� � �� INSVFCTIONTYPE 206 Finel Mechenical 208 Finel Plumbing 210 Final ElecMcal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Sita �250 Final BuilCinq/Occupancy �� 12-L 1�_ � �ooxess: ;4 4 S 4 M �' V S'PA.- 435. ;11 wrL. MuuHo dOONEss: �W BROOK �I 1?AOOH , CA 92626 uxr FLOOD: AO-38 AIICXRECT01iQK�NEFA: . 11C.N0.: ,_ YMN. Ofl B14'S ADqiESS: UNT: ��T�",,,ENOCK PLUMHING ( 714 ) 895-1246 cwm�cTons�uuxc11610 SEABOARD CIR ��u,STANTON _ CA ��, 707775 90680 �, LICENSEO COHfflACTOFS OECURATION: I Mreby � m urMx panalry oi perjury tMt I am IicereeE uMx praieims d Cheqr 9 (mmmandnp wilh Seclian 1000) d Dimion 3 d tM &airen ud PMeaaions Code. enE m lirensa is in lull faco ud eMetl. cirruc.No:050386 uc.cuss:C-36 uc.No.:7077�/5 EXP: 02/97 oda: ! ��Z� l rLC, o��,�: /lloc—" �Lu.�►1,('��.J� OWNEN BUILDEN OECIAHRTION: I he�aby alfirm under penelry d perNrY �M1e� I em eRemp tmm IM CaMrodon liomee Lew lar ihe Idbw'vip �eawn (Sedion �03�.5 Bueireea end Pmlessione COEe: AnY cM a�nry whi3� rpuiree e pwmY �o mutrun. eller.'vnqova. damoleh, w rapei eny avuclure, pbr b Ya ba�eera, Wo reQuiree �M epplicant fa wwh pe�mil lo fib e aipmd sbtsmaM tIW ha a�M . �ice�aee w�� m ine aovisian. a u,e comim«. uu�,.e �.. �cn.w> 9 c�*m.�m •mn s.ao� �wol d u+:an a a in. usinms enE Roleabns Code� or Ihei he or she b exemp iherelmm eM tM bevs lor the eAegeE examqion. Nry voW ion d Seaion . W 1.5 by enY eVvlimnt br e permil aubpda ihe eppl'rent ta e rnil perWry d ml mae ihen (rve huMred ddbn �f500p. ❑ I.esawierofiMpopMYamY�Obi��hwepmmlheiedecampenee�bn.wiAAothewoM.eMNeelruclurebndinteMeA ar oflereE br ule (��'�. Bua�e�k PMeasbm Code: The Can�reqpe Liienae lewdoee rw� xpplytoen ownm d poqry wM budda a mprovw Ihareon, eM wta Eaes euN xwk IimeNl a MnN a thraqh hu a Mr own employeee, provided Ihal wrli �mww��m �.e �m �me�d.e «aroree i« e�. n. now�«. me w�u�oa � mwa«oax n.da wnnm a�. r.a, a�o�oa m. ow�r-0uiltler Mill heve Ihe buNen af qoving he or ehe did na WiN a imprvaa M �he puryaee d ede�. ❑ 1, ea owrer d �M pcPaM. em utl�nivM' oonlrecln0 vriTh licmeed conhanas �o cansvun Ms qqea (Seeion ]OId. Bus'viaee ard rroteamo�a code: ma com,moro uom,se �aw aoes na wpv w en ow�« d ww�v wno wua. « impo.e. in.rean ene wno convena i« wch projecb wilh e mmreeor(e) licanaed pureuem to the CwNrecMre liceme lew). � I em exempt uMer Seclbn: B. 8 P C.. br �hia ieeaon: Dma: Ownar 1 Eo hereby cMiy IIW 1 em awere d eM uMenlend �M isquiremeM� d Celiomie Fbetlh eM Seley Catla Setliom 25.505.2551�, mH 255�C, erd Net I ar ury fulure WiMi�q aowpeM will / wil na (rircb ona) need io canply wYh aeid tlale mdu anC the �ayuirameMe br .o.�ilf«aouwaion«moaifiretionmrn�n.�' ueiSC�erea��oinna.Reeia.mielmnaruaunevG��..n•=•mw�m... provieiona. , Dma: AppliceN: WOflKEfl'S COMiEN4�TI0N DECLANATION: I MreCy e/firm uMer panelly d paijury ar d Na Idbwirp Mtivmnm: � I hew eM wil meinten e urNicaie d mmant lo sallinwn lor woheii companm�on, m prwided fa by Seuion 3)00 dtM lelwr Code, ta tM peRormerce o( Ihe xvrk Iw which Nie pamul ia iaued. � I haue eM MI meiman r.vrken' aompevmun imramx. o isqui�ed b/ SeGian 3]0o d Ne Lebor Code. br tM pedamenm d iM .m��«�.n��nm�o�nab.�.a.uv.��°wv��naa.: E7tPIRES c.�;e.: Pdiry Number. 4 9/ 0 1 I 9 7 o section need nw 6s complered ] r�e pemid ia M we huiMree ddlen (S�oul a lep.) I cenM thm in tM pe�lorme�e W IM wak /a which ihia peamk o iaw�eE. I MN M emplo� eiry pereon in am/ memwr eo m to � barome aubjxt to the v.oMare' cwnpenwion lexs M Cel me IhN il 1 shwM bacwne eWjatl �o tM xoAen' �o�� o��re a qn 3]00 0l lha Lehar Code. � � oomp �' pm�on+. o.�a: / o/� 3� L nvw��c � ci�� Wem/np: f�llw ro��cun wohen'rnnperuetlon covereps Is un I, entl,Mll �iD/scf en xnploya ro cNMml p�nYtlu md .- c/vll llns� up b ons hundred Naua�ntl dolbn (SfOq000A M eJtl/tlon b tln cwf ol comperu�tbn, semep� u praNtleL br In SecMon J106 oI1M Le6orCOW, InMuf, entl attomsya Isu. CONSTHUCTION LENDINO AOENCY: I hareby elfiim urWer panelry M perjury thm ihera b a canet�utlian bnd'up pmry lur tlro o.n�� d ms �o�x ro..nKn ma w�� re ms�a cseeA� aw�. cw. c�. LENDER'S NpME: lENOEP'3 �UDHE55: ' I unily the� 1 heve mad iho epplcatbn mM qete thei the eEove inlamelion is corted. I epma ia cwnply xilh dl dly eM mumy adinanma eM atele kws mle�rp to buJdvp conmueun eM Mreby au�MriLe repesemmivea W this dty lo enlm upon Ihe elw�e-meMionetl piapeely �ainspeua�wrpousRON I�] ( Pdnt N a y �� o�. io z � sb�m�rodo..,�«uae�vnovi��vcomrea« �'�151JB.WP) While-Buildip85dery:Grem-FIe;Cenery-ADpFcenl;Hnk-Revenue;(3oldenmd-Aesaeaor 1 ,. ,... CIT'Y OF CO5TA MESA — BUILDING PERMIT „J PERM NO,; P _. Ot307.05 PERMIT NO: P 080105 PLAN CHECK NO: N GOVT:,iJ SUPP: N CONSTRUCTION TYPE: V-N PERMIT_TYPE: PLU POAPOSE: OTH JOH DESCRIPTION : C/O WATER HEATER SQ F'T: CLAIM VALUE.: CALC-VALOE: GRGUP OCC: R-3 / COMMENTS: NO OTHER WORK AOTHORIZED BY THIS PERMIT **x***+�+�**�****�**+�**�*****+�x*x*�**�*�*�*+�*******�******��*****��***�********** Z 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; F'T IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: F'I' IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 93506020 ZNE: REF NO: PLANNING NO'PES> � �J if 1E if if If if IElE iE 1f-if !E if iF 1E iE iElE iE 1E if 1f if iE iE if 18 iF 1k ik iE If� * if� i! IE 1E!! iE IE 1E 1E fE i! iE 1E 1E if 1E 1E fE if �IE 1E 1E 1ElE k if� 1E iE 3E iE �E iE �f IE 1E iE if 1E iE iE iE iE iE jf 1F 1f 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: BUZLDING APPROVED BY : APPLICATION ISSUED BY: DATE: DATE: ia%2'�� 1(� iE if 3k 1E iE iE if iE3��{ f* LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N (�✓ BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 11.00 25t " "' SMIP/NON—RES PLAN "' 'V ISSUE FEE 22.00 `" BUILDING—DIV—> PERMIT ISSUE PLAN—CIiECK TOTAL PAID DUE TOTALS----> 11.00 22.00 �,� 0,00 , 33.00 33.00 ,00 REVENOE DIVISION TOTALS--> COLLECTED; 33.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 33.00 _ � IE 1E 1E iE fE iE fE iE iE fE fE 1F iE if 1E iElE iF iE 1F �E 1E iE 1E iE 1E 1E 1E iE fE If �E 1E fE iE fE fE 1E 1E iE�1ElE iE if iE fE 1E 1E 1E 1E fF iE 1E iE 1E 1f fE iE fE iE 1F 1E iE fE 1F 1f 1E if if iF iE iE iF 1E 1E if iF 1E 3E I N D I V I D U A L - F-�E E B R E A K D O W N � L QTY D E S C R I P T I O N - UNIT COST TOTAL COST PLU 1 WATER HEATER AND/OR VENT, 11.00 11,00 END� OF' FEES .� 01 00217738-0021773E TU T DkTE: 10/23/95 TIME: 11:47 33.00 CONSTRUCTION AND PLANNING . APPROVALS Permit # 1. Temporary Electriral Service or Pole - 2. Soil Pipe-Undrgrnd. " ' 3. Electrical Conduit Utiliry�Untlrgrnd. -4�. Electrical Conduit_Undrgmd. 5. Steel Re�nforcemeni � 6. Electricel UFER Grnd. � 7. Footing5 - � � . b! FoundaCion _ 9. Water Pipe-Undrgmd.� . -- � 10. Structural Floor SYstem � t t. Property Sewer Line & House Connection 12. Sewer Cap . 73. Roof Drains 74. Rough Plumbing � 15. Rough Electrical-Conduit � 16. Rough Electric Wiring 77. Rough Wiring Sign " 18. Rough ��ectrica�-T Bar Ceiling 19. Rough Heating & Air Cond�tioning 20. � Rough Factory Fireplace -� - � 21. Ducts, in Structurea - - 22. Ducfs, Ventifating -� 23. Gas Pipe-Rough & Test - 24. �Roof Pcaming� - 25. Roof Sheathing : 26. T-Bar Celing (Structurall & Monocoat ' _ 27.:Frame and Flashing 28. Lathing & Siding- - _ ' 29. �nsulation � � . 30. Drywail Naiting _ 37. Plaster Brown Coat, - 32. Electrical Power Meter-Finai 33. Finai Hectric . ,_ 34. Ffnal Heating�& Air Conditioning _ � 35. Final Gas Pipe-Teit � � 36. Hood or Canopy . 37. �Finai FdctorY Fireplace . _ � �3 Final Plumbing : ' ' 39. Water 5��ce-Final' ' 40. Gas Service-Pinal . � . - 41. Solar pomesticFi�al � 42. 8ackftow Preventer 43. Backflow Irrigation � 44. LandscaPe Irrigation SYstem- � 45. Sound Attenuation , 46. Handic3P Regulations � 47�. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING _ 49. Eiectrie Release to Edison 50. Gas Release to Southern California Gas G 51. CERTIFICATE OF OCCUPANCY Date Date P00 L 'A Inspector APPROVAIS Permit # Date Inspector � � 52. Pool & Equipment Locavon , , � 53. Steel Reinforcement � � 54. Forms 55. Electrital Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL7000VEfl�GUNITE 58. Elecxricai Conduit.Undrgmd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash �ines, P-Trap, � Und�gmd. 61. APPROVAL�TO DECK� � �62. Backwash & Receptor�Pinal ( 63. Heater & Vent-Final � 64. Plumbing System ��Final � � I 65. ElectricabFinal � 66. Solar System�Pinal � 67. Fencing & A�ecess Approval 6&. APPflOVEO FOR�PLASTERiING 1 69. PQOl1SPA SYSTERAS FINA� � FIRE DEP7. REQUIREMEiJT � APPROVALS Permit # 70. Underground Hydro 77. Product Piping O Gas ❑ Oil 72. Underground Fl�sh 73. Undecgrnd. Storage Ta�k � Gas ❑ Oii 74. Overhead Hydro 75. Dry Chemical � 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FWA� �� HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION _ . 80. FOOD CERTIFICATE ISSUED � � A/n . AcC r n � 0 _� OJECT POUNESS: 34 j 9 MEADOW F1RQ�K �C� � �NIT: OWNEfl'SNAME: ROGER WANDER FLOOD: AO-38 aoon[ss: 3434 MEADOW FiROOK C.M. 92626 668-9233 AflCMIENGINEEF: qoopess: XEG.NO.: uxiT: PEflMITTEE: FIACIFIC COAST APPL INSTAL ( 310 ) 329-8476 aooxess: 139 WEST VICTORIA ST GARDENA CA 90248 LICENSED CONTNACTOfl DECIANATION: I hereUy affirm @at I am licensed untler pmvisions of ChaO�er 9(commencing wRh Section 1000) o� Div��sion 3 0l �he Business an0 Pmlessions Coee, ana my license is in tull force and eHect. ciTruc.:g�p3�:362642 � XP; 09/95 aie _/� Signamre:. �,�y NEHS' LOMPE RTION OECLAHFTION: I hefeby aitirm Ihai I have a certilitale oi COnsent �o Sell�insure or a CertitiCate of Workers' ompensation Insurance, or a certified copy ihereol (Seclion 3800, Lab. C�. roucrNo.:NWC26825303 EXP.OATE: OE/OL/9S comvaNr: GOLDEN EAGLE ❑ Ceriilietl capy is �ere�y furmsh¢d. � Certifie0 copy is file0 wi� e�� D'vi' n �at /� 7� Applican�� v� MP710 FBOMWOqREBS'COMPENSI�TION�ECLABATION: Qhi55ectionneeenatbecampletedil�heperm�islaronehuMred�E100�ar1e55). . I cerlify Iha� in Ihe Dedormance ol lhe work for which Ihis permit is issuetl, I shall no� employ any Oerson in any manner so as �o become sublecl b the Workers' Compensa�ion Laws o� Califomia. �ate. Signature: NO7ICE: Ii, af�er making ihis dedarotion, you shoulA become suDlect to ihe Workers' Compensalion provisions of the Labor CAde. you mus� foMwii� comDly with suc� p�ovisions or ��is permil shali he OeemeO fevoketl. CONSTflUCTION LENOING AGENCY: I here�y aHirm thal there is a consimction lentling agency for the pedormance oi Ihe work for whith �his permn is i55uetl (SeCtion 3097, Civ. C�. LEN�Efl: AOUHESS: OWNEN BWLOEB OECIABRTION: I hereby aflirm iha� I am exempt Imm Ihe Conlraciors' S�a�e License Law ior �he Ioilowing reason (Section 7031.5 Business ana Pmfessional Coae: Any ciiy oi county which requires a permi� to cons�mct, al�er, impmve, demolish, or repair any simcture. prior to its issuance. also requires �he applicant for such permit to file a signe0 statement ihat he/she is licensetl pursuant lo I�e pmvisions o� Ihe Comramors' Siate License Law (Chapter 9(commencing wi�� Section 7000) of Division 3 oi ihe Business and Professians Code) or Ihat he/she is exemp� Iheretrom and �he basis for Me alleged exemp�ion Any viola�ion of $ection 703L5 by any applicant for a Dermil suble��s Ihe applican� lo a civil penalty ot not more Ihan live hunOreO Oollars (8500�. I. as owner oi Ihe pmpeny or my empIOYees witn wages as their sole comDensation, will Ao t�e work, an0 ihe ❑ strucWre is no� imen0etl or oi�ereA �or sale (Section 7004. Business antl Pmte55lonal Cotle'. The Contractors' State License Law Ooes noI apply to an owner o� a pmpetly who builds ar impmves �hereon, antl w�o tloes such work himsel�/hersell or �hmugh his or hei own employees, P�ovitletl �ha� such impmvemen�s are nol in�enUeO o� otfe�¢tl lor sale. If, however I�e DuilAinA or impmvement is sold wi�hin one year of completion, Ihe owner will have the burden ol Oiovinp �e/she tlitl not 6uiltl o� imD�ove for Ihe purpose af sale�. I in wi h li � n a r n imc� ihe ro ec� Seclian 7044 Busines5 . as owner ol lhe pmperly, am eaclusively cnnRact g 1 �e se coniraclo 5 lo co 5 P I 1 ❑ antl Protessinns Coaa The Gomracmrs' S�ate LiCense Law tl0e5 not appty to an owner of pmperiy wh06Uild5 or impmves ��ere0n antl who cOnlraC�S br 5uth pmle��5 with a conlracioq5) liCense DurSuantio �he ConVat�ors' Siale LicenSe Law�. I am aware Inai pmol ol �heir Worker's Compensa�ion insurance should Oe providetl ro me. � I am e�empt untler Seclian: B. 8 P. C. br ihis reason- Dale: Owner I Do hereby cendy Iha� I am aware oi ana untlersiantl the requiremenis ot Califomia Heal�h ana Satery Code Sections 25505, 25533, antl 2553C an� Ihai I or any INure 6uiltling occupan� willlwill noi (circle one� need �o camply wilh 5ai0 s�a�e co0e5 and �he requiremenis tor a permii br canslmc�ion or motli�icalion iwm �he Air Oualiiy Managemenl DisVict. flesidemial consimc�ion apDlica�ions are exemp� imm Ihese provisions. Oal¢: Npplicdni: I herehy cenify Ihai I nave rea0 ihis applicalion and slale Ihat the above inbrmation is correcL I agree Io comply with all ciry antl counry or0inance5and5�atelawsrelalinglobuddingcon51mc1ionandherebyaNhoriterepre nla�ivesoilhisciryt en�erupon�hea�ove�men�ionetl pmpetly br inspe tion pur ose5. �at � 9 � Signalure'. � � nverS �iwnse oi $aclal 5¢cunlv N: tfi4bafi Whne—Bulltling; Green—Code EnlorcemenC Canary—AppGcanC Pink—Fevenue', Goldenrotl—Assessor CITY OF CUSTA MESA — B[IILDING PERMIT PERMIT NO: P Q70801 PLAN CIIECit NO: N CONSTRUCTION TYPE: PERMIT TYPE: PLU JOB DESCRIPTION : C/O DISHWASHER CLAIM VALUE: CALC—VAL[]E; PERM NO: P 070801 GOVT: N SUPP: N PURPOSE: OTH SQ FT; GROUP OCC: / COMMENTS; X +r*,�**x�r�r*+t�r�rr�r�+rx*r*+t*rx�*x**�-�r***�r+�***�r*ir****�r********�***�r*********�****+�x*«** Z t� N I N G R E Q U I R E M E N T S s E T s A c x s ------------ MAIN SUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR; FT IN FRNT: FT IN REAR; FT IN LEFT; FT IA] RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING RE • PROV; PARCEL: 93506020 ZNE; REF NO; PLANNING N TE5> � if iE it if iF it 1f ik �f 1E i! 44 if !t if k if iE if iE iF iF if iF 1f M 4 if 1t k 1t 1f �f iE 7f if 1f #' iR iE iF if iF ff fr fE it 1t 4 fk if �t it it iF 1F iF iF iE iElE if iF if iE if iE if if {f if if if k iE iE if iE D E V E L O P M E N T S E A V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: HUILDING APPROVED BY ; DATE; APPLICATION ISSUED BY• ��' DATE: � C�_. ifjfififjfiFiEififrtitififMiF1litjfaf9EiiiE � iFfEitiFiEifiFiEaciF {F.�F iEM�EiElfitifiFjfiEifjEiEifiEififMififiFiEiFiEififiEilltjfaFjfit�iEifxififiFififiEififiEiF�fiFifitiFiliFifltjEitifiEjtjEifiElfjEifKaFjFiFiF�E fEiFiFaFff# LEGALIZATION:N F E E S,U.M M A�;A Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC�,�MECHANIC FIRE SMIP/RES GRApZNG PERMIT 7,OQ �•• 25R , '� SNIP/NON—RES PLAN -^ � ' ISSUE FEE 20,00 • " BUILDING—DIC'—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 7,00 20.00 0,�00 , 27.00 27.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED"; �'27,00 OVER/SHORT; Op HLDG PMT PLUMHING ELECTRIC MECHANIC �'FIRE SMIP/TOT GRADING PLAN—CNECK 27.00 -': � ,, . .� n , % �J / iflf if iE fFiflf iE iF if if iF 1f if iF if4 ifif if k 1E M if if4 k iflfi! if if 1E if it af yf if ik af iF if�M�i! 1E1f iE if fFif if MiE ff �Eif if if iF if jf 1f if stif if 1! if 1E iF f4 k iFjf iFjf{i 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 ��. UNIT COST TOTAL COST PLU 1 DISHWASHER ' �' 7. Q� END OF �FEES 1 �'1 ,t . Y 1' i � ' 7 1 .. �'1 ij�l(=f2�„'',–��J.7�?�Lfi.7. irl_t�' , `c BA7c: f!l!fr+/4.`: _i.IStE: _tt_.��. --'— r^ `- .---- '- �,00 y nn. — ' CONSTRUCT�ON AND PLANNING APPROVALS Permit # t. Temporary Electricai Service o�Pole_ 2. SOiI Pipe-Undrgrnd.. , �3: Ela.ctrical Conduit�Ut+lity-Undrgrnd. � ' 4. Electricai Conduit=Urdrgrnd. �- ' , 5: Sc�,el fieinforcemenc`' _ , �'6. -Electrical UFER'Gmd. � � -� `�. Footings ° ' . .i i 8. Fvundation ' ',. � 9. WA[er Plpe-Undr9rnd. . 10. Structurel FloorSysiem �- t t. Property Sewer �Line & House Connectio ,� .. 12. Sewer Cap � .i,' . 73: ROof Drains � '! ' 14. ROUgfi Piumbing. ' :. 15: ROugh Electricel-Conduit � % 16. Rough Electric Wiring " 17_ Aough W'iring Sign 78. Rough ElectricaGT Bar Ceiling 19. Rough Heating & Air Conditioning 20. Aough Factory Fiiep(ace ' ��"� . �. , 21. Ducts, in.Structure; � • • •� -� 22. Ducts, Ventilating': � � 23. Gas Pipe�.Rough &�Test � �� 24. Roof.Framing• = "�.. . 25. ROof;Sheathing � -, 26. T-Bar Ceiling (Svucruraq & Monocoat 27. Frome and Flashing . ' �� ,. 28. Lt�thing & Siding • , - • . c• - _i._„ �9. Insulation � - .• 30. DrYwali Nailing 31. Pldster Br.own�Coa<. •, - • - �32. ElectricaNPower MeterFinal � . ' ' . ' 33. Final.Elec.ric . _ _ 34. FinaUHeating & Air Condrtioning .: . 35. Final'Gas Pipe;Test : � '' ,; �36. Hood or CanopY _ � - 37. Finaf'Factory Firepidce' . . �. � 38. FinatPlumbing � � 39. Water Service�Finat : , - 40. Gas Se:vice-Pinal . ; -, rn• 41. Solar Oomestic-FinaY � ' 42. Backflow Preventer - 43. Backfbw trrigztioo � 44. Landscave Irrigacion Sys2em �* ., ; 45. Sc�u�d Attenuation �' '� ;, � 46. Handiwp.Regulations -, :; 47. FINAL STRUCTURE & BUIIDING 46. FINALP�ANNING � � �- -. 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas � 51. CERTIFICATE OF OCCUPANCY No. Dace POOLB > Date Inspector APPROVALS Permit?k Date Inspector � 52. Pool & Equipment Location . � 53. Steel Reinforcament " 54. Forms 55. Electrical Boncin� .I 56. Rougn Plumbing & Pressure Test 57. APPROVALTOCOVER�GUNITE � 58. Electrical Conduit�Undrgrnd. � c 59. Gas PiPe, O Undrgmd., Test , i' 60. Backwash Lines, P-Trap, n Undrgrnd. � 67. APPROVAL TO DECK "� �- 62. Backwash & Recepmr-Fi�tal � `�" 63. Heater & Vent�Final � ' 64. Plumbing System - Final 65. EVectrical-Fina1 66. Solar System-Final 67. Fencing & Access Approvai 68. APPROVED FOR PLqSTERING 69. POOUSPASYSTEPJISFINAI FIRE DEPT. REQUIREMENT � - � APPROVALS;--;�ermit# ` ' - .. " ` '70. UndergroundNy�iro � . � .� '� ' - .77. Prodoct'Fi�ing C�Gd6 ��ii • � 72. Urderground Fiush�� ' ` .. . 73. �Undergrnd,�Srorage:7ank C7Gas ❑Oil � ` 74. Overhead Hvdro �-�� ' ' . 75. Dry Chemical ; �" � ' • ' • � 76. Dry Standpipe u. . � � � " ": 77."FIXED SYSl'Eb�,'��.iN'AL. . ',� - � ' � � 78. 'FIRE PREV. FIMAL - ' _ HEALTH DEPT. REQUIREMENT ' � ,79. FINAL 1NSPEC7tOSV �� - '-- - �� ' � 8�. FOOD CERTIFICATE ISSUED � � ' ' • �Note's: � S 2�f;'%/��i%b osor�.we. ,� : ; a .} , ,=.. , , � �v_ Y�� I ,1:�(- � : , , �• �� (.x ° ., � PqOJECT ROOHESS: �-E-�sj- MEADOW BR��F( IINIT: � owaessxnme: pILLAGE CREEK HOMEOWtdERS . aooxess: ASSOCIATION 3429 TIMBER LAKE • � CM VA 92626 RHCHIENGINEEB:CHESTER CAR��ILLE- 'REG.NO.:CLBjOS aoosEss: �g,�,2 ARMOUR ST u"�T: S,D. CA 92111 PEXMITTEE: PHOENIX ENTERFRISES INC. ( 213 ) 690-9559 aouness. 411 COMERCIAL WAY LA HABRA CA 90631 � ' LICENSEO CONTBRCTOB UECNFATION: I �ereDy allirm tha� I am lit un rovi5i0n5 of Chap�er 9(tommenCing wiih SeC�iOn 7000� of Oiv.sion 3 oi the Business and Pmtessions Cotle, and my �' is i f lorce and e/ll�ecL ciTrucq. 0.`,,� �,07;88��rnTeuc.:376639 — �//'/'�/ /,/ Dale'. �� Signa�ure'. _ �'�� G r.V �'OFNEPS' COMPENSRTION OECIAflRTION: I here�y a��i m Ihal I'have a certilicate o� consem m selbinsure or eni�icate of Workers' ompensation�'�'j c �j c tlilied copy Ihereof (Sec�ion 3600, Lab. � LICY NO.: ^�� J�� E%P. DFTE: � 7 O S I� I . ,vc,omenxv: CA COMP 6 FIRE LJ^ Cetld d copy is hereby 1 r is� ❑ Certilied coDY is fil Building Divisian. � Daie' '_ �L�� aP0licanC �t� E%EMPiIONFPOMWOqREflS'COMPENSATIONDEClAflP710N: (Thi55etiionne¢ano�betomple(e�ii�hep¢rmiti5laronehUndr¢4�5700�Orless�. I cenAy that in Ihe pedormance a� the work lor which this permit iSlssued. I shall noi employ any person in any manner so as �o become subjett b Ihe WOrkers COmDenSalion Laws oi Cali�omia. �ate: �SignaWre: NOTICE: If, atier making ��is tleclara�ian, you shoWd become suble�� o the Workers' ComOensation pwvisions o� ihe Labar Cotle. you musllorihwiin comply with such prOvisions or ��is permit s�all be tleemetl revoketl. CONSTBUCTION LENDING AGENCY: I hereby al�irm �hai I�ere is a tonSlmCiion lentling agenCy lor Ihe pedormanCe ot ��e wofk �Dr • which Ihis permii is issuetl (Sec�ion 3097, Civ. C). LENOEN: nooeess: OWNEB BUILOEH UEClAXA710N: 1 here6y affirm ihat I am exempt imm t�e Conlractors' State License Law for ihe following reasan (Seclwn 7031.5 Business antl Professional Code: Any ciry oi counry whith requires a permil Io cOns�mci, alter, impmve, tlemolish, ar repair any simcmre, pnor to its issuance. also requires ��e applicam for suc� Oe�mit to file a signeQstatement thal he/she is IicenseA purSuanllathe provisions oflhe Conlraclors' Stale License Law�Chapter 9�commencing wilh Sec�ion 7000) oi�ivision 3 o�ihe Business and Pmfessions Cotle) or that he/she is exempi Iheretmm an0 ihe basi5lar Ihe alleged ezemption. Any violalion o� Sectian 7031.5 by any aDPlicanifor a vermi� subiea�s the applican�to a civil penaliy of not more than live hunOred tlollars (5500). I, as owner o� �he pmpetly or my emDloyees wi�h wages as �heir sole compensa�ion, will tlo ��e work, and �Ae � simcture is not intentled orofferetl tor sale (Section 70a4. Business an0 Professional Cotle' The Con�mctors' State License Law tloes noi aDPly lo an owner of a pmperty who builtls or impmves ihereoq and who does such work himselOhersetl or Ihmugh i, his or her own employees, pmvideA �hai such impmvemen�s are no� imended ar offered tor sale. IL however �he 6uiltling or impmvemenl is 5010 wi�hin one year oi completion, Ihe owner will have the burden o� provmg he/she ditl no� build or impmve for the purpose ol sale�. ' I. as owner ol lhe propetly, am eeclusively coNrac�ing with licensetl conlrac�oR �o consimct the pmleci (Seclion 7044, 0usiness ❑ an0 PmfeSsions Cotle: The ConVac�ors' Sia�e License Law �oes no� apply Io an ownef o� pmperty who bw105 or imOroues �hereon ana who mntracis lor such pmleds wiih a conlractor(5) license pursuan� �a �he Contractors' S�ate License Law�. I am aware Ihat pmol of their Worker'S Compensaiion insurance should be provi0ed �o me. . '., � I am exempt under Sec�ion: B. 8 P. C. I �or �his reaso¢ . � Oa�e' Ownec I tlo �ereby ce0ify Ihai I am aware o� antl untlerslanA Ihe reQuiremenis of Caldomia Heal�h and $afely Code Seclions 25505, 25533, an0 25534 antl Ihat I or any fuWre builaing occupan� will/will noi (circle one� neetl ta compty wilh saitl s�ate co0e5 and ihe reQuirements �ar a pe�mrt lor conslmc�ion ar motlilicalion imm t�e Air Oualily Managemen� OiStricL Resideniial cons�mc�ion applications are eaemp� �rom Ihese D�ovisions. ' �ale: ADplicanl: I hereby cenily Iha� I have reatl this applicalion antl state Ihal �h e v inlo�malion is correcL I agree to comply with all ciry antl counry ortlinances and Slaielawsrelalingto buil0ing consimclion antl h au orizerepresen�afiv�s ciry�o enleruponthe above�mentionea pmpetly i in5 eLiion u�pOs/�'� Daie: �� ),__(— Signalure: _ _ ✓ � Orivor'S License or Social Sec �Ity x: — 16a� 46 Whne—Bmlding', Green—Cotle EnforcemenL Canary—AOPlicanl: Pink—Revemi=-^ / 1 �� , �`1 � CITY OF COSTA MESA — BUTLDING FERMIT PEkM NO; B 05059�' PERMIT NO: B 050592 PLAN CHECK NO: 00119-91 A GOVT; N SUPP:,N' CONSTRUCTION TYPE: V—N PERMIT TYFE: STR . PURPOSE: REP JOH DESCRIPTION ; REFAIR SETTLEMENT-DAMAGE SQ FT: 143 CLAIM VALUE: 14,300.00• CALC—VALUE: 14,300,00 .GROUP OCC; R-3 / COMMENTS: HUILDING SETTLEMENT REPAIR/FOUNDATION � �r�*�rx**********�t�*�x�*****�t��***��**�r�*�***�t*�*�*�**t�****�r****�t****��***�t*�*�* Z O N I N G R E Q U I R E M E N T 5 S E T B A C K 5 ---------�-- 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 REO• PROV: BARCEL: 93506129 ZNE; R2 REF NO: PLANNING NtSTES> cOUNDATION REPAIR. � ' " '" iFiFiFiEIEiFiFiFiEifiEiflflElfifiElf%iEifiF3E3E1EiElEiE1EiE3fifiFiF3E�EiEiF�FifiEififibiflE3fif�lEif#IfiflflfifiElEdf3f3F�E3E�fjE�EiFN�lF�if�lElFiF1liFif3f3F1E - 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�`I' S 20NING APPROVED BY :� L�, �, DATE: d`i l S`� l ' I BUILDING AFPROVED BY : L�./1 L/`Z�� DATE�: �' APPLICATION ISSUED BY• DATE•. �� if)Eif�E3FiEifiF�EiE1EiE3F1EiEiElf3FiElEiEiE ��iElfaEiE7flEiEiEif ib3E �%�iEiF3f3t3kiE*3FaFlEiEjEiElEif3(�IEiEiFififik3FiEiFlEiEifiEiFiF3Eaf�flFi F1FiFlEiE3EiE3EiEiElEiFiEiEiEfEjEiEiflEiFiflE#aFMiE�F3FiE;F�EiFiEifiE3EifiE3FK�iE LEGALIZATION:N ' F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLDG'PMT PLUMBING EL CTRIC MECHANIC rIRE SMIP�/RES GAADING PERMIT 162,00 1.00 ' SMZP/NON—RES PLAN 26,33 ISSUE FEE ' ' BUILDING—DZV—> PERMIT ZSSUE PLAN—CHECK TOTAL PAZD DUE TOTALS----->_ 163.00 0.00 26.33 189,33 189.33 .00 RE\TENUE DIVISION TOTALS--> COLLECTED: 189.33 OVER/SHORT; ,00 BLDG PMT PLUMBING ELEC'fR2C MECHANIC FIRE SMIP/TOT GRADTNG �F'LAN—CHECK 162.00 1,00 26,33 iE 3E iE k!E 3E if iE lE 1f iF IF iE iE iF k 1E iE if if k if 3ElF iE �E 3F if iF iFlf !F iF 1f #E 1E IE if �E )F 1f iF iF !f iElf if 3F 3! IE 1F iE iE ik 1E iE IE iE iE 3F �lE 1F #F 1F iE iE iE af iE iE iElE # iE iF IE 3E?E �1E 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 tJ UNIT COST TOTAL COS'I' SFR 143 STRUCTURAL BY VALUE PER g100.00 100.00 14,300,_0.0-� END OF FEES -- — �i oaz�m9.�a-u�s��n _ �zF=_".. — _ - � CONSTRUCTION AND PLANNII..._ 6& SPA Date Inspector Date Inspector APPROVALS Permit # - APPROVAIS Permit # � / i•' 1. Temporary Electrical Service�or Pole _ 1 -52. Pool & Equipment Location _% _ i� 2. Soil Pipe•Undrgrnd. � " �� 53. Steel Reinforcement 3: Elect�ical Conduit Utility-l�ikgrnd�,; 54. Forms � � 4..`Electrical Conduit-Undrgrnd. ,- 55. Electrical Bonding 5. �Steel Reinforcement� - . 56. Rough Plumbing & Pressure Test ��6. Elect��ca�UFEFi�Grnd. 57. APPROVALTOCOVER�GUNITE � 7. Footings � � - 58. Electrical Conduit�Undrgrnd. 8. Foundatio�' �' �� 59. Gas Pipe, � Undrgrnd., Test ' ,�� ./'�� . 9. Wate� Pipe-Undrgrnd. :��' � �� 60. Backwash Lines, P-Trap, O' Undrgrnd. r 10. Structural Floor System�� , j�' � 61. APPROVAL TO DECK 11. Prop¢rty Sewer�Line & House`Connection 62. Backwash & Receptor�Final 12. Sewer Cap �,. ' � 63. Heater & Vent-Final L 13. Roof Drains � /�� ,i � 64. Plumbing System � Final 14. Rough Plumbing r� �(1 i� . 65. Electrical-Final 15. Rough Electrical�Conduit 1� � , j 66. Solar SYstem-Final 16. Rough Electric Wiring V '�� 67. Fencing & Access ApProval � 17. Rough Wiring Sign / � 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling / � 69. POOL/SPA SYSTEMS FINAL -T�` 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - � - " ' _ 20. � Rough Factory Fireplace - �• ^ f � � = • - �APPROVALS ' _Permit # � , 21: Ducts, in Structure. ,. . . ��t a70. Underground Hydro • v 22. Ducts, Ventilating ' � '" j7�. Product.Piping OGas ❑Oil 23.�Gas PiPe-Rough &�Test " _ , � _ ' �72, Underground Pluah . �- 24. Roof Praming � • � -- _ � `�73.� Undergrnd'. Storage Tank �O Gas ❑ Oil - 25. Roof Sheathing , , _ ' ' � ", % •`: '74 =�Overhead�Hydro " � 26. T�Bar Ceiling (Structural) & Monocoat _ •' �' _ 75: Dry Chemical - ` -- � � 27. Frame and Ffashing, S _ � 76. Dry Standpipe �' � �`. � 28. Lathing & Siding • .. �Z c . • >' � � ,, � 77� FIXED SYSTEM�FINAL _ 29. Insulation ' � � � .� � � � �. . 78> FIRE PREV. FINAL � � . - 30. Drywall.Nailing •- � � i �� - - HEALTH;DEPT•. REQUIREMENT 31. Plaster Brown Coat; � ' � � i; .� .79.�FINAL INSPECTION ' � ' - � 32. Elecuical Power Meter�Final . �:�; i � �_.�80.• FOOD CERTIFICATE ISSUED . 33. ��Final Electric �•' ' ' � � ��Notes: - : ; . , 34. Final Heating & Air Conditioning . � ( 35. Final Gas Pipe-Tesf' ' i -36. Hood or Canopy`� ' . , , - � 37. Final Faaory Fireplace '' • t � 38. Fioal Plumhing -, . �� i 39. Water Service�Final' � � _ � 40. Gas 5ervice-Final ., �` 41: Solar pomestirFinal ' � . . . 42. Backfiow Preventer �' " „' � � 43. Backflow Irrigatiorc � 44. Landscape IFriqation System. , . 45. Sound Attenuation " ' - 46. Handicap Regulations " . � 47. FINAL STRUCTURE & BUILDING o�r,9.� �, 48: FINAL PLANNING 49. �Electric Release to Edison , 50. Gas.Release to Southern California Gas Co . � .l.urqlVl.T - I . Date ' ' �`� ;. a �. ' � . i i _ I 1 � i +: � I� { t, }, � .• . : i /� OWNER STATE-GIIDE�Developers, Inc. DATE JOB ADDRESS 3434 Meadow Brook su�LDING PE A�41T N0. �GEN�ER �C R T ame DESCRIPTION of WORK es. W�$LL. E � 'o.I4 - ' OT TRACT 8858 FIRE ZONE VALUE $ � GAS SUBCONTRACTOR W AT ER BOUGH PWMBING PROP. $WR. LINE � HCUSE CON. SPaINKLING SVSTEM ROUGH NEAiING PNO AIR CON�ITIONING TEMPORARV SEFVICE OR POLE UN�ERGROUND � POWER � ROUGH WIRING TRENCHES � FORMS L� STEE� REINF. FLOOR SYSTEM BOND BEAM �J STEEL REINFORCE n_ SHEATHING FRAME AND FLASHING �ATHIN� PLASTER, BROWN COAT 5 'URqL, FINAL REFRIG. AND A. ANO GAS TEST 2 . av �z Z Q � N am J7 J V1 Q W (O J •m J Q U � Z a W � aw WZ J p m Z J ¢ W W O= z� w� � � F z Q U J a a Q � H N Z O F U � � r N Z 4 I "lB5 COSTA MESA BUILDING-SAFETY DEPAI P.O. BOX 7200 COSTA MESA, CALIFORNIF for Applicant to Fi/l in Completely BUILDING-_.__ .. . _ .. OWNER MAIL ciTv �y CONSTRUCT�ON LENDER BRANCH ADDRESS ADDRESS iiu4u �ic.vrarK niva CONTRACTOR StatP-b17AP IiPVP AD�RESS 9461 Grindlav c�Tv Cypress STATE uc. No. 224710 OFLOT �2.093 acres USE OF EXISTING BLDG. SIZE OF NO. OF NEW BLDG. ROOMS EXTERIOR W�$�Qr' ROOF COVERING j.��._� COVERING USE OF BUILDI`NG D WORK TO BE PE nTio`'826-4550 TEL. No`.826-4550 CITV LIC. NO. INO. OF BLDGS. NOW ON LOT O 4- 4AY i3-76�r;s��0 748=r '�"''-'?20 �0 � APPLICATION FOR BUILDING PERMIT RECEIVED BV DATE RECEIVED DATE IS EI I �— A.P. NO. a ��j �/ _LY 02 ERMkf � I �} ADDFESS �3-73 7' �CL%G�Ow Qn00� TRACT ��p LOT BLOCK � OWNER FIRE ZpNE APPROVED VAIVE DATE NE NO.OF USE OF NI Z� 7 PlAPLS Z BUILDING YARDSAPPFOVED VARDS DIS7ANCE BET MAIN BLDGS. VAR. ak .s � HOLD FOR I hereby acknowletlge that I hava �ead this application and state ffiet xhe above information is corract antl agrea to comply wiM all laws rag�lating builtling construction, and 1 shell not amploy ' any pe�son in violation of Sha wo�kman's compenseUon lews of Me State ot Californie. I hereby certify that I am properly Ilconsetl as a contrector under SQ. FT tha State of�California Business antl Protessions Cotle, Divisicn 3, THE AMOUNT S Chapter 9, antl that such Iicenses ere In tull torce entl effeet, or 1 THE PURPC6E OF am exempt from t�e provtsions of the State of Calif rnla Business VALUATION and arofewtons Code, DWision 3, Chapier 9. � Stat -Wid Develop r inc. 3$,�7'pp -- SlBnature � Permittea $ A�thorizedApant Vice President DATE // S ` APPROVED � _ . � 34 `9 0 iEFl VALUATION IS FOR � r ING A PERMIT FEE ONLV: � I �� u-v � FEE $ /� ♦ � HECK $ �'1�� E 0 LL F�E $ a/ . o