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Home My WebLink About3440 MEADOW BROOK - Building Permits� / I� PP0.IECTROONESS: 3Q4O MEADOW �R�01{ I%IOWNEH'SNRME: VILLAGE CREEK H.O.A. � nooeess: 3929 TINBER LAKE ,. COSTA MESA, CA 92626 � 553-1876 APCNIENGINEEN: AUGHESS: NEG.NO.: UNIT: UNIT: PEflMITTEE: PETERSON ROOPING ( 714 ) 979-7111 nooxEss: 3006 ENTERPRISE COSTA MESA CA 92628 ❑LENSED CONTXRCTOfl OECIAflATION: I hereby a�firm Ihal I am Iicen5e0 untler provisions ol Chapter 9 �commencing wi�h Section 7000� of �ivision 3 oi ihe Business antl Prolessians Catle. anU my license is in full lorce antl effect. ciTr uc.: 0 4 5 4 4 5 STRTE LIC.: G O�% S�% Z /�y/�� c�u�ss: C-., IIDa�e' �— � � e% � SignaWre'. ��"�/ — .S WOHRENS'COMPENSATIONOECIAMTION: Ihere�yaflirmlhailha acenificateofconsemtosel6insureoracertiticaleafwoAers' �� Compensaiion I�sy( �ci o[ a)�dierl c3opy mereo� �Sec�ion 3000, � h.�)4 / O S/ 9 4 POLICY NO.: 1 V � 7 E%P. UqTE: ' comrnxr: STATE FUND,+,{ ❑ Cenifietl capy is hereby lumis�etl. L^1 Ce�ified copy �s filed with t�e city Building Oivisi �ate: � — � ' � � ApplicanL �1��1� p'IS•L E%EMPfION FHOM WOflREflS' COMPENSIITION �ECIAPRTION: Qhis secRQn neetl noi be camDleteO i� tAe permil is �Or one hunAreA (31p1) a 1¢55�- I cerlily Ihat fn ihe pedormance of ine work lor which inis permil is issued. I shall not employ any Denon in any manner so as to become subject la ��e Warkers' Compensalion Laws o� Cali�ornia. Oate: Signawre: NOTICE: IL a�ter makinA �his declaralion, you shoultl become subleci ta Ihe Workers' ComDensation provisions oi Ihe Labor Code, you mus� forihwi�h comO�Y w��h such provisions or �his permit shall be OeemeO revoketl. CONSTNUCTION LENOING RGENCV: I here�y aflirm t�ai Ihere is a cons¢uction lentling agency �or Ihe Oerformance oi Ihe woB �or w�ich �his permii is issuetl (Seclion 3097. Civ. C). LENDEN: RUOPESS: OWNEfl BUILDEfl DECLAflRTION: I hereby affirm Ihat I am exempi imm �he Contrac�ors' S�ate License Law �or �he following reason (Section 7031.5 Business antl Proiessional Code: Any ci�y oi counry which requires a permit �o coretmcl, al�er, improve, demolish, or repair any simclure. D�ior Io i�s issuance, also requires �he applicant br such permit to �ile a signetl staiement Iha� he/s�e is licensetl pursuanl to Ihe pmvisions o� ��e Comracmrs' Sta�e License Law (Chapler 9(commencing wi�h Seclion 7000) o� Division 3 0l ��e Business ana Pmiessions CoOe) or Ihai he/she is e�emp� �here�mm antl the basis for �he allegetl exemplion. Any viola�ion o� Section 7031.5 by any applican� for a Dermi� suhle��s �he applicam to a civil penalry oi no� more �han �ive huntlred 4ollar5 (E500�. I, as owner af the pmpeny or my employees wit� wages as iheir sole compensation, will tlo ihe work, an0 Ihe ❑ simcWre is not imentletl or o��ered �or sale (Seclion 7044, BusneSs and Pmfessional Cotle: The Cantractors' Siate License Law Ooes nol apply to an owner o� a pmpeny who �uilds or improves �hereon, and who Aoes such woA himself/hersel� or i�mugh his or her own employees, provitled Iha� such impmvemen�s are not imentletl or offered for sale. IL however �he building or impmvemeni is sold withm one year o� complelion, �he ownei will have Ihe burden o� pmving he/she did no� 6uiltl or imOrove for ine purpose of sale�. I. as owner of Ihe D�opetly, am exclusively conVadinp wi�h licensed conirac�ors Ia constmct �he pmject (Section 7044, Business �❑ and Pmiessions CoOe: T�e Coniractors' State License Law Goes nat apply to an owner oi pmperty who builUs ar Improv¢s l�ereon antl wha wnVac�s �or sucA pmlects wiih a conVacior(5) �icen5e pur5uan� to Ihe Coniractors' Sia�e License Law�. I am aware Ihal pmo� o� �heir Warker'S Compensaiion insurance shoula �e pmvide0 lo me. � I am exemp� under Semion'. B. 8 P. C. lor inis reason'. oale: Ownec I Oo hereby ceNty Ihat I am aware oi anU untlers�and the requiremems o� Calitomia Heallh and Sa�ery Code Sections 25505, 25533, and 25534 and Ihal I or any iNure building occupant will/will not (circle one) neeA to comply wiih said slate cotles antl Ihe requirement5lor a Oermi� �or cons�mclion or motlifiw�ion �mm Ihe Air Oualily Managemen� Oisiric�. flesieential conslmc�ion applica�ions are exemp� imm IheSe prOvi5ion5. �ate: Applicant: I hereby certAythat I have rea0ihis aD0lication ana slale ihat ihe aboveinformalion is correct. I agree b comply with allcity antl county ortlinances antl s�aletax5rela�ing�o Duiltling con9mciion antl hereby aNhorize reD�esen�aiives ofihis cilyio enierupon��e above-mentioneA pmpeny lor inspecption� purposes. �=��/�� Daie: O y / J�� Siqnamre: '—""^�✓ j�nC�s�/.(.�YXSCJ oriver's Cicense or Soclal Secunry N: ' 1641-a6 While—Builtling�, Green—Cotle EnlorcemenL Canary—Aoolicant: Pink—Revenue: Goltlenwd—Fssessor CITY OF COSTA MESA - BUSLDING PERMIT PERM NO; B 06390` PERMIT NO: B 063406 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE; ALT JOB DESCRIPTION : T/OFF SHEATH REROOF W/COMP SHINGLES SQ rT; 4,600 CLAIM VALUE: 9,600.00 CALC-VALUE: 4,600.00 GROUP OCC; R-1 / ��******�r***�***D**�**�*****3��****+Mr*******t�iD*******�*�*i��l'�irt��1��a/�l Z O N I N GS ERTEH�AUCIxRSE M E N T S REC�UIRED ------------ 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 RGAT: FT IN PARKZNG_REQ___ PROV: PARCEL: 93506019 ZNE: REF NO; p- - ---- - iF 3E 1f lf if !f 1f iE 1f iF if iF 1k if iE iF #E 14 if� if IE �lf 1E if iF �)f 1f iE 1E # 1F iE �E �)E iE �p iE'1Fif !F #if� iE 3F �lElf D E V E,L O P M E N T S E R V I C E S ZONING APPROVED BY . �� i41F if if 9E *�k iE iE # ik 1E iF 3F if !E 3F jF �f iE'iE iE• iE iE iF iF 1F iE �E 3E R E Q U I R E M E N.T S DATE: HUILDING APPROVED BY ; DATE: APPi,ICATION ISSUED BY: DATE: ((��J /'"�L ififiEiRjf�(-j4ifi(�tr3E3EiE3f'�tiE�tiEiEiFiFiE#�FiF3F3F'x�"ifiF'iFi�3riFiF3Eif3F3F,tiF7F 3EaF�r'��FiFiFiFifiF,'i�iF3fifiEifiEiFiEiEiEiE � �i�iF'C�,� � r r�rifit jE iF if if iE i! iF iE iF iE iF iE 1E iE iE iE 1E 1F iE if 1f 1ElElE 1E 1f iE iE iE 1F iE iF iE iF if �lf iF iElf 1E iE iE iE iE 1flE 3f iF if if iF!! 1ElElE iE if !(� iElE �I(� iElE #�lE iE iElE 1E iE iE �lE I(�!k if itlE if if LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GR�ING PERMIT 72,00 .50 SMIP/NdN-RPS PLAN ISSUE FEE BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 72.50 0.00 0.00 72.50 72.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 72,50 OVER/SHORT: .00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CgECI{ 72.00 .50 iE �E 1E iE iE iE iE iE if iE iE iElE iF iE iF iE iE iE �ElE iE iE IE 1E 3E iE 1E 3E iE 1E if iElE iF iE i(-iE if if iE iF 3t if iE iE jE if iE iE N� iE 1E iF iE if if iE iE iE iE iE iE iF ik iF iE iF it af !E iE iP if ik iE itlE ik Y N D Z V I D U A L F E E B k E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 4600 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 4,600,00 END OF FEES 01 Q0144SE7-OQ144S�8 T�7 T 7:,j� aRTE: UEJD9l93 TIME: 14:11 a t CONafRUCT10N AND-PLANNING APPROVALS Permit # l. Temporary Electrical Service or Pole � - 2. Soil Pipe-Undrgmd. " 3. Electrical Conduit UtilitY-Undrgrnd. 4. ElectriCal Conduit-Undrgrnd. • . � 5. Steef Rein4orcement . 6. Electrital UFER Grnd. 7. Footings � . 8. FoundBtion 9. Water Pipe-Undrgrnd. 10. Structural Floor System 11. Property Sewer Line & House Connection 72. Sewer Cap � , t3. ftoof prains . 14. Rough Piumbing ' � 15. Rough Electrical•Conduit � 16. Rough Electric Wiring - 17. Rough Wiring Sign 18. Rough Electrical-T Bar Ceiling 19. Rough Hea[ing & Air Conditioning 20. Rough Factory Fireplace ' � 21: Ducts, �n Structure � 22. Ducts, Ventilating 23. Gai Pipe-Rough & 7est � .� 24. Roof Framing � • � 25. Robf 5heathing �. . . d 26. T�Bar Cei�ing (Structural) & Monocoat 27. Frame and f�ashing . 28. Lathing & Siding � � 29. Insulation ' ' � � �� .. 30. Drywall Nailing 31. Plaster Brown Coat, � , .� 32. Electriwl Power Meter-Final 33. Final Eleciric ' ' ; ' 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy � 37. Final Factory Fireplace � 38. Final Plumbing � 39. Water Service�Final �, 40. Gas Service-Final � qt, Solar pomesticFinal � ' 42. Backflow Preventer 43. Backflow Irrigation - ,44. Land:capelr,ripationSystem � . 45. Sound Attenuation. r'� � 46.. HandicaP Regulations �,� a7. Frrva4 STRUCTURE & BUILDWG � � 48. FINA4 PLANNIIVG , i" 49-. Efectric Release to Edison 50. Gas Release to Southern California Gas G '�i_CERTIFICATE OP OCCUPANCY Date Date I Inspector POOL A APPROVALS Permit # Date Inspecmr 52.�Poo1 &'Equipme�t location 53. Steel Reinforcement 54. Forms 55. Etectrical Bonding . � . 56. Rough Plumbing & Pressure.Test 57. APPROVAL TO COVER�GUNITE � � 58. Electrical Conduit-UnrJrgrnd. 59. Gas Pipe, � Undrgrnd„ Test _ 60. Backwasfi Lines, P-Tcap, � Und�grnd. 61. APPROVAL TO OECK . ' 62. Backwash & Receptor-Final 63. Heater & Vent�Final 64. Ptumbing System � Final 65. Electrical�Final - . 66. Solar System-Final 67. Fencing & Access Approvai 68. APPROVED FOR PIASTERtNG 69. �POOUSPA SYSTEM$ FINAL FIRE DEPT. REQUIREMENT - APPROVALS , Permit # , 70. Undecground Hydw � 71. Product Piping �Gas QOiI 72. Underground Fiush , . 73. Undergrnci. Stora9e Ta:nk O Gas ❑ Oil 74.,Overhead Hydro � 75. Dry Chemical � 76. Dry Standpipe 77.� FIXED SYSTEM FINAL �� 78. FIRE PREV. FINAL HEALTH DEPT.REQUIREMENT 79-. FINAL �NSPECTION . � . I I 80. FOOD CERTIFICATE ISSUED �_-�- i � Noces: PflOJECT AOUXESS: 3� Q O MEADOW B ROOK uxir: owNeRSName: VILLAGE CREEK HOMEOWNER:; nooRess: ASSOCIATION 3429 TSMBER LAKE CM VA 92526 -PHCHIENGINEEN:CHESTER CARVILLE NEG.NO.:CLB3OS aooxess � 79 2 2 ARMOliR ST uxiT: S.D, CA 92111 PENMITTEE: PHOENIX ENT�ERPRZSES INC. ( 213 ) 690-9559 noonEss: 911 COMERCIAL WAY LA HABRA CA 90631 LICENSED CONTNACTOR UECLABP710N: I nereby affirm that I am lir untle ovisions of Chapter 9(commencing with Section 7000� ol Div�sion 3 ol Ihe Business and Pmfessions Catle. antl m en is in torce and elfect. cirruc.: 50 8 sr c.:376639 / ' � � C.�� a�e -.��'� SignaNre. _ _ _ — — _ — WOFNEflS' COMPENSATION OECIABA ION: I hereby a�lirm tha� 1 have a cert6cate of consent to 5el(-insure or a certiticai oi Workers' compensationJusur�r8 �� rtiliee copy ihereof(Seaion 3800, Lab.UCl7 IO 1 I 9 S � 'POLICY NO.: CA COMF & FIRE EXP. DATE: . � `�OMPANY: , i9 Cetlihe wpy is hereby Wmishetl. ❑ Certilietl coOY is fil h ih iry Building DiviSion. �aie' �� APPlicani:_ E%EMPTIONFBOMWOBNEBS'COMPENSRTIONUECL4BATION: (ihisseclianneetlnathecompleteai�t�epermitistaronehuntlre0�51W�arless). I cenity Inal in ihe peAormance ol ine work for which ihis permil is issued. I shall nol employ any De�san in any manner so as to become SUbletl IO the Workers' Compensalion LawS o� Cali�omia. Daie' ' SignaWre. �' - NOTICE:If. a��er making tM1is Oeclaralion, you should Uecome sublec� b �he Workers' Compensalion O�a�isions ol ��e Labor Code. you must fotlhwi�h com0ly wi�h such pmvlsians or �his permi� shall be Oeeme� revoketl. CONSTflUCTION LENOING RGENCV: I hereby affirm ihai Ihere is a CDnSImCtion 1¢nding agenCy fOr th¢ p¢rlOrmanCe ol ihe wOrk br whith Ihis permit is issu¢tl (Sec�ion 3097. Ciu, C). ' lENOEP: A�ONESS: OWNEP BUILOEfl DECLANR7ION: I nereby affirm ihal I am exempt Irom ihe Conlractors' State License Law tor ine following reason (Seciion 7031.5 Business antl Pmlessional Cotle: Any cily ol coun�y which requires a Dermii Ia consimc�, alter, impmve, �emolish. or repair any slmcNre. prior ro its issuance, also reQuires lhe applicanl �or such permit �o �ile a signed statement ihat he/she is licensea pursuanl Io I�e provisions of �he Conlraciors' Sia�e License Law (Chap�er 9(commencing wi�h Section 7000) ol �ivision 3 0� Ihe Busmess antl Pwlessians Cotle) orlhat helsheis exemptiheretmm antl ��e'basis lor�he allegetl exemD�ion. Any violation of Section 7�31.5 Dy any applicant �or a permit su�jec�s ��e applicant �o a civil Denally o� no� more than five �unU�etl tlollars (5500�. � I, as owner ol ihe property or my employees wiih wages as Iheir sole comDenSaiion, will do �he work, antl Ihe ❑ slmcNre is no� mlen0etl or offeretl for sale (Sec�ion 70a4, Business antl Pm�essional Code: The ConUac�ors' S�ate License Law does no� apDly �o an owner ol a property who builAs or improves �hereon, antl who tloes such work himsel�/herself or �hmugh his or her awn emplayee5. pmvide0 ��ai such impmvemenls are not mlende0 or ofieretl br sale. II, however �he huiltling or impmvement is soltl wit�in one year of compleiion. Ihe owner will �ave ��e 6ur0en ol pmving he/she tliU not build or improve lor Ihe purpose o� sale�. � ^ I. as owner of �he pmpeny, am erclusively conlracling wrth licensetl conlraciors to conSVuct Ihe prolec� (Section 70dd, Business ❑ an0 Professions Cotle�. The Contractors' Slale License Law Coes no� apPry to an owner ol pmperty who builds or improves thereon antl who conVacis tor such O�oie��s with a contraclor�s)license pursuanlio Ihe ContracloR' Slaie License Law�. I am aware Ihal pmaf ol l�eir Worker'S Compensalion insurance shoultl be pmvided �o me. � I am exempt un0er Seciion: B, 8 P. C. � � ' lor �his reason: ' Date: � Ownec I tlo hereby cenify Iha� I am aware oi and untlersiantl ��e reQuiremeNs o� Calitornia Heal�� antl Sa�ery Code Sections 25505, 25533, and 2553d an0lhat I or any INure �uilding occupanl wilVwill nol (circle one� need Io comply wi�h said state codes antl ihe requiremen�s �or a permil IOr constmc�ion or modilicalion imm �he Air �ualiiy Managemenl UisVicL Besiaential consimc�ion applicaiions are exempt �mm these pmvisions , � Dale: ApplicanL _ I here�y cetldy Ihal I have reatl �his applicalion and slate t�at Ihe artlinances antl slalelawsrela�inglo building conslmciion and �ere' pmpetly ar insp 'an p r.poses// V (y� Da�e: I_ Signature: +' V oriver�s License or Socia� Sewriiy a: , is correcL I aqreeio comply wi�� all city ana 164ta6 Wline-Builaing; Green-Cotle EnlorcemenC Canary-ApplicanL Pink-Revenue; Goldenmtl-Assessor CITY OF COSTA MESA — BUILDING PERNIT PERM NO: H �5 6 PERMIT NO; B 050663 �, PLAN CHECK.NO; 00226-51 A GO 1'; S 1: N CONSTRU.CTION TYPE: V—N ',PERMIT 'PYFE: STR , � ,- PURPOSEi REP JOB DESCRIPTION .: REPAIR SE'fTLEMENT DAMP.GE , SQ.FT: 243 � CLAIM VALUS:. ].4,300.00 CALC—VABUE: 14,300.00 GROUP OCC.; R-3 / " COMMENTS: BUILDING SETTLEMENT REPAIR/FOUNDATION jF iE iF iE 3(� 7(� aE 3c� jF 3f IE 3F aF iE iE 3E 3F iE iF 3E 3F �%�f 1F iF IF if� 3E �%� iE 3E IE iF jE 9F 3F iE iE 3f 3f �%jF 3F 3E iE,3(� if �1(-�7F iP iE iE �E if �!(� iE af iE 3f If IF 3r 3F if if� 3F %� 3F �)f iE iE iE 3f i(�# k 1E iE if � . Z O N I N G R E t,� U I R E M E N T S ' S E T B A C R S , ---r--------- MAIN HUILDING ---------- --------- ACCESSORY BJILDING --------- FRNT: FT IN REAR: F'T IN FRNT; FT zN REAR; rT IN LEFT: FT IN RGHT: FT IN LEFT: cT IN RGHT: FT IN ' � PARKING REQ• PROV• PARCEL: 93506124 ZNE; RZ REF NO: PLANNING NZSTE�> FOUNDATSON REPAIR. � iE �f 3F if )E �E 1E 3F �1E i4 i't iF iE iF ib �1f� iE iF iF lE if if 3F i6 iE iF �F 1F � If iE 9E iE 3E ih �E if 3f 3F K�%�lE iE i( iE iE 3f !F iE iF * iF dElE iE if iF if af 1E N� df 1P iF �% Y- 3E#E 3E.3f 3f K� X#(� �lE±f ib if �f D E V E L O F 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 /�, ir%� �t--�� DATE: d � I 6�i I, t f BUILDING APPROVED HY : l L , DATE: '� � 6`� 1 AFPLICATION ZSSUED BY: DATE:' �� aF3EiEK��EiEY.�af�1E3Fjf�%�IFjfiEi4iEiFi6lEN�jE � y . -aFiflE�fif�1(�iEif�lfiElF�i'£iF'�r�iF�16-1E 3f �F iF )f 3F aE IE iE 1E if if �If �lf X� iE 1f iE iE i4 iE 1f if 3F iF 1f iE 1f IF i(� if iF iE%3F aF iF 3E f 3F iF �7E iE iE 1P 3F #F iE IFlE 3f iE if If -IF iE )F iE 3F IE �IE if iF if� if iE iE iF 1f if 1FiE #E if� IE 1E �)e If i4 iF LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELF_TRIC MECHANIC FIkE SMIP/RHS GRADING FERN.I3 162,00 1.00 � SMIP/NON—RES � PLAN 26.33 ISSUE FEE � HUZLDING—DIV—> � PERM,IT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 163,00 '0,00. 26.33 189.37 189.33 � ,00 REVENUE DIVISION TOTALS—=> COLLECTED: 189.33 OVER/SHORT: .00 BLDG'FMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRP.DING P�AN—CHECK 162,00 1.00 26,33 7P i4 3E �k �F 34 N� if if !E lE if if if if iF iF iC� if if jE if ii 3E 3F lF iF 7F dF 3E 3E if� �1'r iE iE !f i(� N� if iE if jF?E k 3F if if iF iE if if IE iE iF iF IF iE #)E 3h %!E i(� � iE jE iE 9E N iF it 3E iF 367p H ff 3F iE I N D I V L D II A L F E E H�R E A K D O W N TYPF: QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 143. STRUCTURAL BY VALUE PER y100.00 �00.00 14,300.00 ENA OF fiEES n V � ai nac�Fe9��-ran�sva� -r��- .u��.aa CAT'cs 01123lG1 TIil�a 1PJ:`2 CONSTRUCTION AND PLANNING � F` "` & SPA Date InspeMor Date Inspector APPROVALS Permit # � APPROVALS Permit # �� 1. Temporary Elec[rical Service.or Pole "(/ . 52. Pool & Equipment Location � 2. Soil Pipe-Undrgmd. �!� 53. Steel Reinforcement �--�; 3. Electrical Conduit Utility-Undrgrnd. � '� 54. Forms � 4.' Elec{rical Conduit-Undrgmd�?,� %" - 55. Electrical Bonding �� 5. Steel Reinforcernent �� 56. Rough Plumbing & Pressure Test 6. Electrical'UFER�Gmd. - � 57. APPROVALTOCOVER-GUNITE � -7. Footings � 58. Electrical Conduit-Undrgrnd. . 8. Foundation . ,/,% �� 59. Gas Pipe, O Undrgrnd., Test � jil ' �' �,� � _./ -� 9. Water Pipe-Und�grnd. � ;� �a 60. 8ackwash Lines, P-Trap, � Undrgrnd. �� 10. Structural Floor System �--� �' � 61. APPROVAL TO DECK '�� 11. Property Sewer Line 8j Hou�Connection �� 62. Backwash & Receptor-Final "- 12. Sewer Cap .� � � � 63. Heater & Vent-Final ��, 13. Roof Drains ' � �� 64. Plumbing SYstem � Final f) 14. Rough Plumbing �� i !� / 65. Electrical-Final �� 15. Rough Electrical-Condu{t .�jy �� 66. Solar System-Final �' 16. Rough Electrit Wiring '!; i-R, 67. Fencing & Access ApProval �-`�� 17. Rough Wiring Sign � �,.' - �� 68. APPROVED FOR PLASTERING f 18. Rough Electrical-T Bar Ceiling �� 69. POOL/SPA SYSTEMS FINA� �� 19. Rough Heating & Air Condi[ioning- � FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace � • - APPROVALS Permit #� � 21. Ducts,in�Struc[ure • � � 70. Underground Hydro 22. Ducts, Ventilating � ' • . 71. Product Piping � 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. Frame and Flashing . .� 76. Dry Standpipe �, � 28. Lathing & Siding �' , � • i � 77. FIXED SYSTEM•FINAL' 29. Insulation ' , . � (� 78: FIRE PREV. FINAL - i 30. Drywall Nailing •\ � � i` • HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat� , ;� � �� , 79 'FINAL INSPECTION � 32. Electrical Power MeterFinal� � .. �,� ,� 80. FOOD CERTIFICATE ISSUED � 33. �Final Electric . � � . � I. Note:: , , , ;34- Final Heating & f+�� Conditioning: �. �� ' � � . j 1 � / 35. Final Gas Pipe-7est: ' � I �' X /� !� �, � /� y L� 36 � Hood or CanopY • � . i i . � � � � t_ . 37:-Final Factory Fireplace - . - � ` , ' � 38. Final Plumbing � � , . 39. Water Service�F��al � - � E� 40. Gas Service-Fin81 - � , ` I. . . 1 41. Solar pomestic-Final �. • � : i - 42. Backflow Preventer �- j j �� " . 43. Backflow Irrigatiom �� ' •- � 44. Landscape Irripation System � _ - � -. , 45. Sound Attenuation � � ' . 46. Handicap Regulations . � _ � 47. FINAL STRUCTUFE & BUILDING � u f,4 - 48. FINALPLANNING ' ' " 49. E�ectric Release to Edison ' i i 50. Gas Release to Southem California Gas Cn , " � � �. ,-, 51. CERTIFICATE OF,OCCUPANCY . , �, . No. Date � OWNER STATE-WIDE Developers, Inc. DATE 4-28-76 JOB ADDRESS e ow roo BUILDING PERMI7 N0. 41784 SOIL ROUGN PWMBING MISCELLANEOUS ROUGH HEATING ANO AIR CON�ITIONING UNOERGROUNO POUGH WIRING BONO BEAM Lf STEEL PEINFORCE SHEATHING FRAME AND FLFSHING/ / LATHING - IN �(% i PLASTER. BFOWN COAT N. SUBCONTRACTOR _. ..., . Pnip 9:}:c r 4 i COSTAMESABUILDINGSAFETYDEPARTMENT '�Al'?:5-�6�u.;.00 747�` �U�•�� P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely R£CEIVEDBV DATERECEIVED D TEISSUED BUILDING ADDFESS � A � � OWNER A.P.NO. y/p�QII-G�%Z PER 1 N 'de evelo ers Inc. MAIL BUlLO1N6 �ga .d� �,�� z . p �p AooREss9461 Grindla ADDRESS aU CITV C ress No`.826-4550 TRACT (Jg-p lOT BLOCK z Z Q CONS7RUCilON . W A�D P O N LENDER dm X J � BRANCH J N . OWNER Q � m J ADDRESS VALUE ' m AFCHITECT TEL E W dtt di J a �BFd IOIEER N. N W 2 ADDRESS17848 Sk Park Blvd Irvine 20NE TVPE GROUP I& F-1 a w ♦ APPROVED J O CONTRACTOR StatEE-W�dE Develo ers 1RC. BY DATE �� ADDRESS 9461 G1"l lldl d w W TEL. ZONE NO.OF USE OF NEW /i1� Z� CITV eS No. gp6-4550 �Z �%� P�� 2 BUILDING w O STATE CIT�' `�ARDS APPROV ED VARDS APPROV D y� IIC. NO. 2247�0 LIC. NO. MAIN BUILDING ACCESSORV BUILDING �� SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT 12 093 acres NOW ON LOT � RONT �3' FT. FT. USE OF EXISTING BLDG. � IO T. FT H SIZE OF NO. OF - w�' z NEW BIDG. FOOMS STORIES L. SIDE iY// FT. FT. a EXTERIOR WALL ��teM ROOF Shake / �! COVERING COVERING REAR (p FT.� FT. J USE OF BUILDING ANO WOFK TO BE PERFORMED DISTANCE BET. BET. MAIN & n' MAIN BLOGS. ACC65. BLDGS. a a 's t/ p. o New construct�on-Condominiums CURP 91EG.��7T'p APPROVED !- —) � 1 Residence w/att gar 4PFROVED� �_ y. ✓ Z HOLD FOR SPECIAJ, REQUIFtEbi^ TS O U1 hereby acknowletlge that I have reatl this application end stete � t�et the abova information is correct antl agree to comply wlth � all laws regulaNnB builtlin8 consvuction, antl I shall not employ r any person in vlolaiion of the workman's compensation laws Of . y the Stata ot Celifornia. C p ro ? I heraby certify that I am properly licansetl as a contractor untler �� J SQ, FT. J��o� O the State Of California Business antl Protessions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VqI.UATtON tS F�R a Cnapxe. 9, and [het such licenses ere in tull force antl effect, or I THE PURPp$E OF ESTABLISHING A PEflMIT FEE ONLY: Q am ezempt from the provisions of the Stete of Calif nia Businass VALUAT ON and Protessions Cotle, �is on Cha er� - I� �� • H State-�i de �7eve°�o er nc. 7� O PERMIT FEE E ] Slpnature o m Perm{ttee $ PLqN CNECK $ � E AuthorizadAgant Vj(,` P es'd n o LL TOTAL FEE $ • O