The URL can be used to link to this page

Home My WebLink About3445 MEADOW BROOK - Building Permits.�_ ��ia� �sa-sz�s • Fax (714) 754-4856 • www.ci.costa-mesa.c��MBING PERMIT � 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 3445 MEADOW BROOK �1 � Suile No +.� � j j� F_� ' �X 1i.1,y�� Vicinity: DA'� ��"�.o�i' Parcel Nunmber: 93506072 � . Applicant: SCOTT LITTLEFIELD • Address: �.�.�-- �- ..�-" _. "'.-��;�� a��... /�//./� � �Zip. �' j —, t,�`.< ��O�i-� I ;, � � � � "r" `' �—' � � � 'j� � � f owner. PN�LLIP.S,�EL•IZABETH�� 1 L� � ��/J J� Address °!o0'HERN,-SHARONN NINA r--'�.._� --`- �"''.-_ t � \ \ i �' _. �;�`-cr.,,`: ^� \ ��COSTAMESA,CA) �!�.-� 'Phonei=---_,��.,'�„C �� /� 3445MEADOWBROOK��`'l` Zip: '_�-�� \ � �✓ -% \ � of �.�✓� i" intrector: AF,FORDABL'E WATER HEATERS AND PLUMBING � ,�, Address � 24707SAN�FERNANDO RD !, . �,; � '� �U�i , , �J ; � .f -,i `; � `'�--1 !lI/�l.�i `1 AMT $23.50 j 50.00 i �0.00 $0.00 �� 50.00 �� 50.00 $0.00 $0.00 � $0.00 $0.00 ��\ 50.00 Gas Eartflqi Gas (1=4 oul Gas(Over4 Gas Repipe, Gas Service Interceptors Inlerceptors CA . i �o � SAME 1-259-7131 .. 321 B ' 7368�e�> �� , �� . � �T FEE SUMMARY �.�� _�.�_. _ __ ___.=AMT� /J��^lL'aun'dry?ub'/ Washer%f��%)�r,$0.00' �l,i=- 1 Landscape Irngatiori tt 1C 1L50.0� � -===-P-T�ap--.. � �- .____...�:00:. Pressure Regulator 50.00 0 1 Process Piping (pe il�-�, ,, �' 0 �r-=-- --- Receplors� � 0 , � --'SepticTank-- -= 0 SewerCap'forDe`n 0 Sewer Connect OJ Sewer Privale Line 0 Shower 0, Sink, bar 0 Sink, commercialj' L 0 0-: Status: ISSUED Applied: 07/31/2006 Issued: 07/31/2006 ISSUED BY: q�� Sump Pump 1�1 �Sw'imming Pool � i _== TrapPrimer � � � Urinal ; —�.��Vacuum Brkr Bkfl �� Vacuum Brkr Bk9o� 3-`�'; WashBasin "` —'-' I Wash Basin Sel �� Waste and Ven4Sy Water Closet (Toile � Water Heater;/,ven� N/ater Piping (Inst< Water Re;pipe� ( Sink, Floor,�;;�"«,� � �, '�i� $0.00 �� 0 � Sink; kiichem,o . � �°$0:00�� 0�' ;� Sink3service/mop � °� � � , 50.00 �'0,� ; s;.. S.ar--i��Spa (Privatej��! i`G' ' '$0.00 �n�0 � �=-'r.� ; ��' . SPa�(Public).y� �5 r --o�= 50.00 -0 - � �� l' 0.�� i �I ' � � ,' �. \��J (�•J _ � / ,`�J,. , % ' 4 ' .��{_� \�^��,. ��o ��.'�'.,-.cu`�/%� (' . A �-� �"."�1 i �•i _ 1. � �� A .. 1 � � �� ,� � '� �. �� i�:��'� '.�. ` ) -=.iU��.i—t � L_; L_': . .---�'Y("� / // l �C._/::%/'l('�`Ar'G�" �J-/' �J . � '':'.... 0 � :=�''��\�\� \s _ 5�51 '==_ ; ��1 `�j�t1 "� I ` r'-'AMT i'Q� I ! �-50.0�0 � 0 , L 90.0o Co $o;o,"o ; �o, c $o 00 �o A) � $0.00 I�� 0 9 �^50.00' �0 �j�'S0:00�� 0 50.00 �/0 i�`�$0.00. � 0 \$0.00. 0 ��$12 30 1 .p.)l 30.00 0 � �� 50.00 0 '� � $0:00 0 I�$0.00 J !J � $0.00 �D/� 50.00 // $Q00 0 / 535.80 JOTICE: The work authorized by this permil shall comply with all applicable handicap access requlremenis under California statutes and related I egulations. (Ord. No. 92-28, § 1, 12-21-92) ' ' ' XPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is auspended or abandoned r a period of 180 days. � SPECTIONS: In order tor the work authorized under this permit to be considered legal,��such work must comply with all applicable codes, arW all auired Inspeetlona end final approval must be obtained. Failure to obtain Inspections and final approval will result in the expiration of this permit. R INSPECTIONS CALL: (774) 754-5626 � � � � � � � � � '.ae (s�w) .. � WORKERS'COMPENSATION DECLARATON: � I hereby aHirtn untler penalty of perjury one of t�e following declaratlons: � ❑ I heve and wlll meintain e cenifcate of cansent ta self-Insure tor workers' compensatian, es provided tor 6y section 3700 of the Lebor Cotle, for ihe pertormance af the work for which this partnit Is issued. I have and wlll malntain workers' compensaGon insurance, as required by sectlon 3700 of th Lebor Code, for Ne pertortnance of the work for which t�is permk Is Issued. My workero' compensation Insurence carrier antl pollcy number ere; Carrier. Ti�Q �C �1 �l Policy Number. ��0 7�1 b'7 U � (This seclion need nof be completed il Ne permit is va/uetl et one bunOred dollers ($1 ) or less.) ❑ I cerlify thet in the pertortnence of the work for which Ihis permit is issued, I s�all not employ flny person in eny manner so as to become su6ject to �he workars' compensation lews o1 Celifomie, a agree tryat if I shoultl bewme subject to the wjcompensatlon provisions of Section 3700 of lhe Lebor Cotla, I shell forthwith compy w1lh ihese OroNsians. y q Applicant Signature: CA-'d� O� Date: I" 3 I- Olo �, WARNIN(3: FNLURE TO SECURE W ' OOMPENSATION ODVEMOE IS UNIAWFUL AND SHFLL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TO ONE HUNDRED TFIOUSAND DOLLARE (5100.000�. IN ADOfiION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37060F THE L�BOR CODE, INTEREST, AND ATTOHNEI"S FEES. LICENSED CONTRACTORS DECLAPATION: I I hereby eXirtn that I am IicenseG untler provisions oi Chapter 9(commencing with Sectiyo.7000) of Division 3 of Ihe Business end Professions Code, antl my Iicense is in full �force antl eHect. Llc. N l /' Class k L' 3 6 Contrectofs Signature: �� ✓ De1e: 7 � 3 I- 0�, CONS7RUCTION LENDING AGENCV: � ❑ I hereby affirtn that there is a construcUon lentling egency for t�e performance of t�e work for which this pertnit is issuetl. (Sec. 3097, Civil Cotle). Lendefs Neme: Lender's Atltlress: Signelure: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn that under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Business antl Protesslons Gotle: My ciry or counry which requires e permit to consirucL alter, improve, demolish, or repair any struclure, O�or to its issuance, elso requires Ihe applicent for such pertnit ta flle e signetl stetement that �e or she is licensed pursuam ro ihe provlslons of Ihe Coniractors License Lew (C�epter 9(wmmencing with Section 7000) of DlWsion 3 of the 8usiness end Profeulons Code) or that he or she is exempt theretrwn and the basis fw the allegetl exempUon. My Ndation af Sectlon 7031.5 by eny epplicent for e pertn0 subjects Ihe epDlicant to e dvll penalry of not more ihan five huntlred tlollars ($500).): ❑ I, es owner of the property, or my employees with weges es their sole wmpensation, WILL DO THE WOHK, anC the structure is not intentletl or ottered for sele (Sec. 7044, Buslness antl Professions Code: Tha Contractors License Law tloes not apply to an owner of property who builds or Improves thereon, entl who does such work himself or herseli or ihrough his or her own employees, prwitletl ihat such Improvements ere not Intended or aHeretl for sale. If, however, t�a building or Improvement Is sold within one year of wmpletion, the ov.ner-builder will have the 6urden of provin9 i�at he or she did not build or improve for purpose of sale.). ' ❑ 1, es owner ot �he praperty, am EXCLUSIVELV CONTHACTNG WITH LICENSED CONTRACTORS to construct ihe pro�ect (Sec, 70aa, Buslness antl Professions Code: The contracrors License Law tloas not eppry to en owner of property w�o builds or Improves thereon, antl who conirects for such prolect with a conirector(s) Iicense Dursuant to the Contractors License Laws.). ❑ I em BxemD� under sec. Business antl Professions Code for this reason: Signeture: Date: Owner ID venfiad by drivers license. ❑ Ves ❑ No Dnvefs License No. Vedflcetion of Ownerehip by (type o1 documenL i.e. - pmperry tarz bill or deed): Expires: DIVISION OF INDUS7RIAL SAFETY PERMR CERTIFICATION: - ❑ I �ereby certity lhat no excavation tive (5) or more feet In depih Into which a person is requiretl to descend, will be made in connection with work euthorizeG by Ihis pertniL end ihat no building siructure, scaHolding, talsework, or tlemolition or dismentling thereof, will he more than thirty-sis (36) fee� high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Celitomia Atlministrative Cotle). � As owner-bulltler, I wlll not employ anyane to tlo work which would reduire e permit from the Divisian of Intlusinel Sefery, es noted ebove, unless such person hes e pertnii to do such work from Ihe tlivision. Signature: Date: Dlvision oi Industrial Sefery Permii Number: CERTIFlCATE OF COMPLIANCE AND AUTNORQATION OF ENTAY: I cenity unCer penalty of peryury Ihat I have read ihis epplicetion antl state that the infortnation givan is cnnect. I agree to wmply wit� flll state laws en0 ciry ordinances relating to building consiruction, entl euthorize represenlatives of the Ciry ot Casta Mesa to enter upon ihe above-descnbed property for inspection Ourpases. I agree not to occupy or allow occupency of eny building euthorizetl by this permit until finel Inspection. fAUE �. INSPECTONTYVE 1616 Fiaed System Final Fire Preven�ion 1266 Pool Spa Final 200 Final Re-Root 201 Finel8lock/Retaining Well 202 Final Factory Fire Place . . 203 Final Sign 204 , Finel Demolition . %d��t11�IrtF7 GOOEt ItlSPECIIONTYVE 206 Final Mec�anical 208 210 212 '7- 3i-oti i Date Final Plumbing Finel Elec�ncal Final Fire Preventlon 220 Finel Plenninp Approval � 222 Finel Site 250 Final BuiltlirnyOccupency PflOJECT A��flESS: 3 4� S MEAllOW BROOK uNir: OWNEfl'SNRME: VILLAGE CREER HOMEOWNERS � aouRess: ASSOCIATION 3429 TIMBER LAKE CM VA 92626 , NBCHIENGINEEfl: CHESTER CARVILLE � aec.xo.:C18305 � aooness: 7972 ARMOUR ST UNIT: ' S,D. CA 92111 PEflMITTEE:-PHOENSX ENTERPRISES INC, f213)690-9559' nooxess: 411 COMERCIAL WAY • LA HABRA CA 90631 LICENSEO CONTFACTOB OECUNpTION: I here0y aflirm Ihal I am IiCenSeA un0er pmvisions ot Chap�er 9(wmmenCing wilh SettiOn 70�0) of Oivision 3 oi �he Business antl Professions Catle and my hce in �orce antl ettect. ciTvuc.:0507R/8 STATE ic.:376639 s , Dale'. � Y � � 'SignaNre: _ , . _ — WOflNENS' COM ENSATION UECIAAATION: I here6y aflirm Ihai I have a certihca�¢ ol ton5en� to Self�insure or a te�i�iCate o� Workers' ComPensation L�w�aAc� o� ,cer�die0 coDY �hereo� (Section 3800. Lab. G17 � O S I 9 S POLICY NO.: CAUCOMP 6 F IRE E%P. OFTE: V �OMPRNY: Certihe capy is hereby fumished. ❑ Certifietl copy is We ii e c uiltling Orvision. �ate-. ��' � ^ !� APPlican�: G" �'��" 7 —r E%EMPTION FXOM WOPKEAS' COMPENSNTION OECUflRTION: �Tnis seaion neetl nat Ee comple�ea il �he permit is tor one hundreA (4100) or less�. I certity tha� in Ihe Oeriormance of Ne work lor which Ihis permit is issuetl, I shall not employ any person in any manner so as Io become Subleci to t�e Workers' Compensation Laws oi Cali�omia. � �ate: SignaNre: � ' - NOTICE: II, after making this aeclaration, you shoultl become sueject to the Workers' Compensation provisions of the Labor � Code, you must fotlhwitn comply with such prouisions or this permii sltall 6e tleeme� revoke0. CONSTBUCTION LENOING NGENCY: I here6y aflirm Ihat�here is a canstmction lentling agency �ar the De�ormance of Ihe work for whic� Nis permn is i=sued (Seclion 3097, Civ. C�. , LENUEH: aooAess: OWNEH BUILDEfl OECLANATION: I hereby a�firm t�at I am ¢xempt irom Ihe CanVac�ors' Sia�e License Law for Ihe �ollowing reason (Seclion 703L5 Busmess antl Pm�essional Code: Any ciry of couniy which requires a perm�t b conSVuct, al�er, impmve, tlemolish, or repair any Slmc�ure. prior to iis issuance. also requires Ihe applicant �or such permit to lile a signed s�a�ement Ihai he/she is licensetl pursuam Io Ihe pmvisions of the Contracmrs State License Law (Chap�er 9(commencing with Section 7000) o� Division 3 of �he 9usiness � antl Protessions CAde) or Ihal he/she is e�emp� �herefrom and ihe basis for �he alleged e�emp�ion. Any viola�ion of Section 7031.5 by any applicanl br a permi� Suhleci5 Ihe applican� to a civil penalry oi noi more than �ive hundred tlollars ($500). . I, as owner ol the pmpeny or my employees wrt� waqes as iheir sole compensalion, will Oo �Ae work, antl Ihe � simclure is not imentled oroffere0 for sale (Section 7044. Business an0 Pmiessional Cotle: The Coniracmrs' State License Law does not apply to an owner o� a D�operiy who bui105 or impmves �hereon, antl who Ooes such woB himsetl/�ersel� or thmugh �is or her own employees,'pmvitled Iha� such improvements are no� iniended or oifered lor sale. I�, however �he huilding or impmvemenl is soltl within one year o� complelion, Ihe owner will have I�e burden o� DmvinA he/she ditl noi builtl or improve lor the purpose oi sale). . I, as owner of Ihe Ompetly, am exclusively contracling with licensed contractoR to conslNct �Ae pmlett ISection 704a, Business ❑ an0 Pmfe55ions Cotle: The Conlrac�ors' S�ale LicenSe Law does noi apply Io an owne� of property wbo �uAds or impmves Ihereon antl who conVacis for such pmlects with a contracloqs)license pursuantlo �he Coniractors' Sta�e License Law�. I am aware Ihal pmol o� Iheir Worker'S Compensa�ion insurance slioultl be pmvitle0 �o me. � I am exempt un0er Seclion: B. B P_ C. dor ihis reasore . Oale. Ownec I tlo hereby ceni�y �hal I am aware ol antl untlersland the requiremenis ol California Healih and Safery Cotle Sections 25505, 25533, antl 25534 ana �hal I or any fuNre builaing uccuDanl will/will noi (circle one) neea Io comply with saitl Slaie codes ana the �equiremen�s fo� a permii for con5imciion ar modilicalion imm Ihe Air Ouality Management DistncL Residen�ial cons�mction applications are exemp� imm I1125C pfOvI510I15. �ate'. Applicant: _ I hereby Ceiii�y Iha� I �avereatlihis aDDlitaiion and Siale Ihallhe orAmances and state laws repiing to building con5lmciion ana herel pmperry fo mspenion purposes. / , Daie: ��v�(_ SigndWre. Driver's License or Social Secunry a: �%� is correcL I agree �o comply with all 164i�46 W�ile—Bwltling: Green—Code Eniorcemeni; Wnary—Applicant: Pink—Fevenue: Goitlenrod—Assass� ♦ CITY OF COSTA MESA — HUILDING PERMIT , � PERMIT NO:,B 050636 PLAN,CHECK VO; 00078-91 A G'1': N . CONS'CRUCTION TYPE: V—N PERMIT TYFE: STR ' : PURPOSE:'REI' JOB DESCRIPTION : REPAIR SEiTLEMENT DAMAGE SQ cT: , 143 ,_. - CLAIM VAI,UE: 14,300.00 CALC-VALUE'; 1,4,300.00 GROUP OCC: R-3 / _ COMMENTS: BUILDZNG SETTLEMENT REPAIR/FOliNDATION ��**�c�x��+c�*x*��*�*�x****��**��*xx*��***xx�**v***�a�*�****�x*��******+�*�***�r Z O N I�1 GS ERTEHQAUCIKRSE M E•N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT It3 FRNT; FT IN REAR; : FT' IN LEFT; FT IN RGHT; FT IN LEFT; ;FT IN RGHT: : FT IN PARKIhiG REQ • PROV; PARCEL; 93506124 ZNE: R2 REF NO; � PLANNING Ni7TES>'FOUNDATION REPAIk. 7 . . . . ' ' iE �E IF �E IE M� if� iE 34 lE iE iF �IE 3E IE iF iF it 3f 3E 1E i(� �IE iE 3k iF 3f iF iF 3E if lE �lf IE iE �F i!� iE dE 1(� it IE 7h if iE 3EjF 1E if if iE if IP IE k)E !f it fE 3f IF iF iE iF if #E iE �)E Yr iE ik iF iE �E if if iE iF if D E V E L O P M E N T S,E R V I C E S R.E Q U I R E M E N T S ZONZNG APPROVED � BY �i,p' �----T� DATE: 0/' /S i,� BUILDING APFROVED $Y : � � �— /-��"t� ` DATE: � �/' � APPLICATION ISSUED BY; ' DATE� �" �-- 1EiEiEiEiF3Fif3f7EifiElflEififiElk3hiElEiEiF � '1��fFiflFlElEi(�iElEiElF3E�£��3fif if3fIF3f363f3EifaE3EiF7EjE3PifiPiFiEiF%IF�IEiFaFiPjEltitiE�Ek1PiE�FiF9 iE3E#iEiEiF�7Eifi(�3E1E%3FiEitlf3EiFififie3Fi(�j(�363Fifif�lE�E1FiFlE�EiFiEiFiE{(��jfif ' LEGAI�IZATION;N F E�' S U N`M A R Y STRUCTORAL SEGMENT:Y � BLDG PMT PLUMBZNG �ECTRIC MECHANIC � rIRE SMIP/RES GRApING • PERMIT 162,00, • , 1.00 - • , SMIP/NON—RES PLAN 26.33 �' � IS5U£ FEE ; � HUILDING—DIV—> P.ERMIT I55UE PLAN—CHECK TOTAL PAID DUE TOTALS----> 163.00 0.00 26.33 189,33, ,189,33 .00 REVENUE DIVISION TOTALS--> COLLECTED: 189'.33 OVER/SHORT: .00� DLDG PMT PLUMBING ELECT'RIC N,ECHANIC F.IRE SMIF/TOT GRADING PLAN—CHgCK 162.00 � 1.00 26.33 if*iflf�)f3FjFafiEiElflfiFiEiE3F1EiElEjEififlflEjElFiER3ElflFiFif3Eififif3FiEit��iF3f�iFiElFififiElEiflflE)FiFiFiFiF#��IfjfiEiEiE�Fif3FiFiE1FiE±E3E�FiEiF#if3E � I�N D I V. I D U A L r E E B R E A R D O W N TYPE QTY D E S C R I P T I O N UNZT COST TOTAi, COgy SFR 143 STRUCTURAL BY VALUE' PER 5100.00 100.00 14,300.00 END OF PEES _.fli eu...�_ ,. CONS7RUCTION AND PLANNING � Date Inspector APPROVALS Permrt #� � i. Temporary Electricaf Service�,or Pole. j , 2. Soil Pipe•Undrgrnd. �'�� _� � 3: Electrical Conduit Utility-Undrgrnd. � 4. Elect�ical Conduit-Undrgrnd = :'" �� 5. Steel Refnforcement• � 6. Electrical UFER Grnd. ' 7. Footings ' ' 8. F,oundation. ' � '� '' /�„ �J 9. Water Pipe�Undrgrnd. ;"� ' ' � . �. ijr 10. Struc[ural Ploor SVsterti �� .-�. 11. Property Sewer �ine & House,Connection ,' 72. Sewer Cap .) , 1 13. Roof Drains ' �� 14. RougN Plumbing '� (� � . �✓�+ �/�: 15. Rough Electrical-Conduit �%�, '� V,,7 16. Rough Electric Wiring f� � 17. Rough Wiring Sign ' 78. Rough Electrical-T Bar Ceiling 79. Rough Heating & Air Conditioning 20. Rough Facto�y Fireplace _ '' ;, ' `= 21. Duc{s, in-Structure� • � 22. Ducts, Ventilating • ' • • 23. Gas Pipe�Rough & Test , � • 24. RooS �rreming - � 25. floof Stieathing , � 'v . . " � 26. T�Bar Ceiling (Structurall & Monocoat • 27. Fram¢ and Flashing; - 28.- Lathing & Siding . � > 29. InsulBtion � . - . � � 30. DrywalCNailing - 31. Plaster Brown Coat� , . 32. Electrical Power Meter-Final - 33. Final Electric, � . 34. Final Heatinq.& Air-Conditioning; - 35. Final Gas Pipe-Test` � , 36.� Hood orCanopy ; � 37. Final Factory Fireplace, ' ; , 38. Final Plumbing � � 39.=Water Service=Final s � 40. Gas Service-Final - � , . �.41. Solar pomesticFinal � • 42. Backflow Preventer � . 43. Backflow Irrigation� ' � 44. Landscape Iriigation SYstem � �� ' 45.-Sound Attenuation = ' 46. HandicaP Regulations . 47. FINALSTRUCTURE&BUILDING Q 48:�FINALP�ANNING � t� � 49. Electric Release to -Edison 50. Gas Felease to Southern California Gas Co 51. CER71FtCATEOF:OCCUPANCY • Date i . P. _ & SPA APPROVALS Permit # 52. Pool & Equipment Location 53. Stee� Reinforcement 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER�GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, � Undrgrnd., Test 60. Backwash Lines,P�Trap,� Undrgrnd. 61. APPROVALTODECK 62. Backwash & Receptor�Final 63. Heater & Vent-Final 64. Plumbing System - Final 65. Electrical�Final 66. Solar System-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT - i•' s: • ' - ' • 'APPROVALS' -Permit# . � _ � - 70. Underground Hydro .. '�"'- 77. ProducCPipingOGas OOiI . . . 72. Underground FlusFi. . � - - ' �73.-Undergmd'.StorageTank O Gas ❑ Oil - • �74.-Overhead Hydro_ � - '-' � r ' ` 75: Dry Chemical - • - � . 76 D Dry Standpipe � �_ � ' ' � �',^ ' 77. FIXED SYSTEM FINAL � �� . 78:�FIRE PREV. FINAL - - � � �� '- HEALTH'DEPT. REQUIREMENT '� ( •�, .79. FINAL INSPECTION - � � .(. --80.� FOOD CERTIFICATE ISSUED • .I , ' � � � � Notes: " , . Date Inspector I' ,-r 0 i . " ' i' - - - - . � �. ? _ . i �.� � � . � i I � f . � r I � • � - I l �� - . -, � , . . i � �i u � �- . . -- , � - -- Applicant to f111 in a�l spaees excepl tnose witnin heavY boraer Iines anC si9n all appropriate aeclarations. P MIT NO. TRACT NO.' 'LOT NO: , ' UNl7' NO. ' CiTY oF COSTA MESA �CONSTRUCTION PERMIT °' �%,,�7 � r ProjectAddress 3445 �Meadow Brook ._ �' �c- ' _ AppliCanYSMailingAddles5'3445 MedClOW' BTOO�C ' ': " TYPEOFCONSTRUCTION. � NEW - ADD,� ALTERATION �REPAIR• � 1 '. I' O CONVERSION�_O DEMOl.ISH ❑ OTHER Owner'sName _T'�T. SOTeRSOR- . �phone 557-7-�1 ''DESCRIP.TIONOP�WORK/USEOFBLDG. ' AP # Address 3445 Meadow Brook ' � � - �� s Maineuildi Aich/Eng. ' ' License No., ' TVPE OF PERMIT i GRAowG ❑:FOUrvDATioN 57RUCT.URa� I�, T Frbnt �� Add�ess. � ' ' " ❑ TENANT ❑ ELECTRICAL � PLUMBING O MECHANICAL B Rear � Convactor'sName -Nat �.TAvlp & Q'Ll�Phooe$Z$—�55� '��oTHEa� � ,- ' � . � A - PROJECT DESCRIPTION st7. F7: ' oCCUPANCv C Right Addresslmailingl R407 KatP113 AVe . ,. , , „ K� City,LicenSeNo. �� 3HHZ2. ' ' : �ONSTRUCTIONTYPE ' ;VALUATION$ ' S Left � 20NE GRADING CU. VDS. ' ACRES ' Ping. Ref. # LICENSEO CONTRACTOft DECLARATION � I hereby affirm that 1 am licen5etl untler provislons of C r 9,( mmencing Remarks. � ' ' ' - . Planning Notes: 0 with sect�on 7000) ot Drvislon 3 of [he Busine55 a rofezsio s Cotle, antl • � _ my license is in tull (orce antl ettect. . ' ' . ' ucenieciass� � C3G eNo.� 36616 •� � Date—Fi��1�RFi 'Sign't�— �/ i ' ' ' PLUMBWG � FEES WORKERS' COMPENSATION D L 1�/ Bar Sink � , Showef5 � � 1 hereby affirm that I have a cert' icate Ot or{S¢nt to If- nsu�e o� a c¢rtiticate 1 "- Workers' Compensation ln rince, o a� certi tl, mpy �there � Section ' gaikflow Prevente� $ervice Sink� ;oo, �q. cd62901000M Fair nt ' Policy NQ� Company � Backflow Irrigation � Sewer Ca -� ' _❑ Certifietl copy is hereby furni5hetl. ' P � �Q Certi ie c¢p 5 j�letl with tll ui 'v; on BathLubS $¢Wer COnn¢ctlOn Date ��Z7��b Applicant � . EXEMPTION FROM WORKERS' C P NSAT � O C T ON'" "' ' Clefifieis� = �' ' - - Solar Collectors' - (Thissection neetl not be complet¢ f the permit i(or on �untlr¢tl ($100) or � - iess). � � � ' � Dishwasher � . . ' � Solar Piping� ' I certify that.in the periormance b� the work tor•whic is permR is issued, I ; . ShaID not employ any person in any manner so�as t ecome subjett [o tne Drinking Fountains Solar Tank ; � Worke�s' Compensation Laws o( Cali(omia. • � Date Signature Floor Drains j � Swimming Pool w/Spa 'NOTICE: If, after making this tleciaration,_y0u shOultl become subject to the. ' Workers' Compensa[ion provisions of [M1e Labor Cotle, you must forthwith � Floor Sinks � Urinal • � s�, comply with' such provisions or ShiS• permit � Shall be tleemetl revoked. ; CONSTRUCTION�LEN�ING AGENGV' '- ' ' ' �� GaSServiCe Ou[lets, Water'CloSet ' � 1 hereby affirm tnat there is a mnstruction lentling agency tor the periormance � ' _ of the work for whicti this permi[ is issuetl (Section 3097 Civ. CJ Interceptors . . 1 'Water Heater � � z Q �entler'i Name Lender'sAatlress �- ' � KitchenSink �, ' � ' 'WaterService ` � ' ' -i ` OWNER BUILDEN OECLARATION ' ' � � ' � I hereby affirm that 1 am exempt from the Contractor's Li<ense Law �or the �Lavatories' � j. � Auto-Wash , � r W following reason (Section ]031.5 Businessantl Professional Cotle:�Any city or �� county which requires a permit [o con5truc[, al[eq imp�ove, tlemolish or �epair P-Tf3 ''� •� � �� any sVucture, prbr to its issuance, also requires the applicant for such permit P�' -�: I '-.Laundry Treys{ � . ;� � y :to file a signetl statement that he%she is IiCensetl'pursuant to the provisions of �Rnnf•niainc� �• �. - '. � ^i ' �= pivisiom 3�of Ihe Bu5ine55 antl Profe55ion5 Cotle).or Mat h¢/She is exempt I erefrom antl the bazis for the allegetl exemp[ion. Any violation�of Section j ��31.5 �by, any applicant tor a' pe�miY subjects.the� applicant-[o'a civil `"''�nalty of not more than five hunaretl tlollars (5500). �.. ,,, �cL� I, as owner ot. the property o� my employeeYwith wa9¢s a5 their sole compensation, will tlo the work, antl the structure is'noi intentletl or offeretl for sale (Seciion p044, Business antl Protessional CotleL The ContractOr's -� License �Law tloe5 not apply to an owner of a property wno builtls or improves thereOn, antl'who tloes 5uch work himseH/herself or'[tlrou9h his or he� own employees, proviEetl [hat such improvements a�e not inlentletl or otfered for , sale. It, however, the builtling or improvement is Soltl within one year of com- . pletion, the owner wiil have the burtlen ot provin9 he/she tlitl not builtl or,im- ' �rOve'for the purpose of sale). � j I, as�owne� ot the proPerty, am exclusively contrSCting with licensetl con- � tra<torsto wnstruct the project (Section ]Oa4, Business antl Professions Cotle: � The Con[rac[or's License Law tloes not apply to dm-,owne� of proPe�ty who builtls or improves thereon, antl who conVacts tor such projects with a wn- t�actor(5) license pursuant to [he Con[ractor's License Law). I am aware that ' proof of thei� Worker's Compen5ation insuranGe Shoultl b2 provitletl to me. ❑ I am exempt untler Se[tion , B, & P, C. �or [his reason � Date Owner � _ I herebvi certiH that i nave reaa s aonlicati n antl state that the above Si9nature �rivers' cense � — GMF 086� 46, rev. 10/B4 White tl munty ortlinances `by authorize repre- ionetl property for � 6/25/86 . :Y . ��Reinspec[ion-Fee ' $15 Boiler : Duct - Under Ground . Duct - Structural � Duct- Ventilating " "' � Ezhaust System ❑ Multiple Firepl/Fact.Blt.IC80.# • Heating System & Ducting , 0 0-, oo,000 sru o, oo,aoo �Oate —' I. ' I. Reinspeaion Fee Canary - Applicant; Pink - Accowtlng; Goltlenrotl - Assessor � $75 Y laue Fee' ' � $ 3 .� iANICAL � - Hootl or � Type I ❑, �� Canopy Type 11 ❑ � - Refrig¢ration System � '. �a�oo,000sru ❑iao,000aT System Repair/Alteration Fire Dampers + , ! . FEES /+ �� :r ♦� � Issue Fee I $ 3 � � 04'I'8 7/30/86 ; . , • r .,— • — _ _ � •.. , . 5.00 TL , ' ' * � • sl., • � RFCFII Automatic Washer � Construction Pole Sub. Cooking Unit Dishwasher" Dryers �Gas ❑Electric Fan F.A.U. � Fixtures - , Device Boxes � ' Outlets Switches , . Garbage Disposal • Generator �0-5 KW �5-15 Zone . , . � . . �: -Accessory Building: : I . . � Parking Req./Provided . ' ' � ELECTRICAL ' _'Transformer ❑ 15-50KW . j ❑ SO+KW Meter ❑up to 100 amps ' ' �'Meter'Dover100amps. � Reinspection Fee I $15 /ELOPMENT SERVICES REQI 1 ing Approved By Iding Approved By � Sub Panel Motors �0-1 Ina Solar.�f Microwave Pole Light Range $ign Standing Sec Trash Compa ,Issue Fee HP O1 X -�8 75 HP �16-15+ ions tor ti..: i Z O , N 1 N ' G R : E Q M T S � � Application Issued By `� � � � � Date�[3D/�y..�2 � . . ' SUMMARV OF FEES � � � • . BUILDING PERMI7 , $ SMIP . $ � � PLAN CHECK $ - �� PERMIT � � ' � PLUMBING � $ � OO � 'ISSUANCE . $ . � I ENERGV P.C. $ ' � PLANCHECK 25%• $ . . � � , , ELECTRICAL � � $ ; GRADING � $ ' � ^ PLAN CHECK 50%� $ � MICROfILM $ � ^, ,�} � MECHANICAL S � TOTAL FEE .$ ' S•'OO ' PLAN CHECK .25°� � $ � . � ' �. C��. .r,'t i"i .. . .�r . ' . ' _ ' _' ,.:�. i POOL A � CONSTRUCTION AND PLANNING . APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector � � 1. Temporary Electrical Service,or Pole . 52. Pool & Equioment Location . ' 2. Soil Pipe-Undrgrnd. � . 53. S?=el Reinforcemeni .� 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd." 55. Electrical Bonding �' 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 , '� '� 59. Gas Pipe, O Undrgrnd., Test . 9. Water Pipe-Undrgmd. . �- � 60. Backwash Lines, P-Trap, O Undrgrnd. ' . 10. Structural Floor System ' .' .. 61. APPROVAL TO DECK � 71. Property Sewer Line & House Connection � - 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains . 64. Plumbing System - Final ' 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit - 66. Solar System=Final ' - ' 16. Rough Electric Wiring . ' 67. Fencing & Access Approval � 17.� Rough Wiring Sign 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 Fireplace . APPROVALS Permit # � � 21. Ducts, in Structure . 70. Underground Hydro 22. Ducts, Ventilating � 71. Product Piping �Gas OOiI ' . 23. Gas Pipe-Rough & Test 72. Underground Flush ' 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing - 74. Overhead Hydro _ 2@.' T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' . � 27. Frame and Flashing 76. Dry Standpipe • 2$. Lathing & Siding 77. FIXED SYSTEM FINAL � � 29. Insulation 78. FIRE PREV. FINAL � � I 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT � � I 31. Plaster Brown Coat 79. FINAL INSPECTION � 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric - Notes: �i"�"�� L�'(' �tQ(ZJ .(„Q•, 34. Final Heating & Air Conditioning -q-87 Carcc.E� �s PF/L �0•3 c,Pc C.6o 35. Final Gas Pipe-Test � ' � � � - 36. Hood or Canopy 37. Final Factory Fireplace ' , � , � 38. Final Plumbing , ' 39. Water Service-Final , i_�:. 40. GasService-Final iT: - � 41. Solar pomestic-Final Z'! 4 � . . . _ .. . �-� 42. Backflow Preventer p'i'; � �. � C43. Backflow Irrigation � � � ' � , .-�� _�44. Landscape Irrigation System --, . ' , ' 45. Sound Attenuation �!"- � - v � =6. Handicap Regulations � � =47. FINAL STRUCTURE & BUILQ7NG � � , � 48. Special Requirements Completed � 49. �Electric Release to Edison - � 50. ��as Release to Southem Califomia Gas Co � ' ' ' � - _ '„' 51. CERTIFICATEOF.00CUPANCY . � � � _ � � No: Date " � ' , ' ' � OWNER STATE-WIDE Developers, Inc. DATE 4-28-76 JOB ADDRESS e ow roo BUILDING PERHIIT N0. GENERAL CONTRACTOR DESCRIPTION of WORK • p78'L�B�'��— AP No. ' ' � LOT TRACT gg5g FIRE ZONE VALUE $ � • SUBCONTRACTOR ROUGH PLUMBING PROP. SwR. LINE [� HOUSE CON. SPRINKLING SVSTEM MISCELLANEOUS FOt1GH HEATING AN� AIR CON�ITIONING TEMPORHfiV SERVICE OR POLE ONOERGROUNO � POWER � ROUGH WIRING TRENCHES � FORMS � STEEL REINF. FLOOR SYSTEM BON� BEAM � STEEL REINFORCE � SHEATHING FRAME AN� FLASHING LFTHING - IN OUT PLASTER, BROWN COAT STRUCTURPL, FINAL HEATING, VENT., REFRIG. ANO F.C., FINAL PLUMBING, FINAL AND GA$ TEST �'' ELECTRIC, FINAL OUILDING, FINAL z . a cWj zz a � N am J7 J V1 0] J • Q7 J Q U � Z � aW J Q m Z J � W ly� � _ ZF w� �O � z Q U J a a Q Q F y Z O F V � � � N z , ,�'., 4_L,7_y. COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626' For Applicant to Fill in Completely 9UILDING____ _. . _ , ;a,�v 13-76�`�s:'00 702�` •a*:"•?38.Z3 I APPLICATION FOR BUILDING PERMIT :EIVED BV DATE RECEIVED �pTp issu� OWNER State-Wide Developers, IiIC. A,P,NO. q, o"'os`. MAIL BUILDING �495 ,00REss 9461 Grindlay nooaess �irv �y �',ONSTRUCiION No`826-4550 TRACT d�� gRANCH ADDRESS °eRCE+o;E»�-�e�w Lohrbach/Pulaski No`556-6610 pDDRE55 17848 Sk,yPark Blvd Irvine �oNTRA�TOR State-Wi�le Developers, Inc. ADDRESS 9461 Grindlay GTY Cypress ' No`.:826-4550 LIC.NO. ZZ47�O � LICyNO. pFLOT 12,093 dCt^2S INOWONLOT�' 0' �JSE OF E%ISTING BLDG. S�ZE OF NO. OF WALL Y I dSLEi� I ROOF Sfieke i�,,,,,� COVERING JILDI D WORK TO BE PERFORMED New construction-Condominiums 1 Residence w/att aar I heraby ecknowled0e thai I have raetl this application and stata iha[ ihe above information is correct entl apree to comply with ell laws regulating builtlin8 construction, and I shall �ot employ enY person in violation of the workman's campensation laws of tMe Staie of California. I hereby rertity that I em properly licensetl as a contracmr untlar the Stat¢ of California Business entl Protecsions Cotle, Divisicn 3, CPapte. 9, and xhat such licenus are in full force end attect, or I am exempt from ihe provisions ot the State at Californl Business antl Professions CoEe, Division 3, Chapter 9. �,��..,..�State-Wide Develoaerx� c. Permittee / A�thorizedAgent Vice President� � s OWNER � VALUE Q use 7 poe w/ atf nar $ FIRE 20NE TVPE § GR. OUP �� APPROVED BV DATE Z NO.OF USE OF NEW/fj� kJ/ � G /� PLAN$ 2 BUILDING VAROS APPROVED YAflDS APPR ED MAW BUILDING ACCESSOFY BUILDII (PROM C/L STREET) OISTANCE BET. MAIN BLDGS. V AR. # C.U.P.� APPROVED HOLD FOR � 4HO Sa. FT TNE AMOUNT.S THE PURPOSE OF LUATION 9 At.li, � DATE APpROVED J-645 � '� � 22' — m 0 ON IS FOR j FEE ONLY: Q 0 . � � . J'C"'O e a` [ LL � �