HomeMy WebLinkAbout900 HOLLOW BROOK CIR - Building Permits�I�
PNUJECT pODflE55: 9OO T�TUI,ZOW bROOY, uxiT:
owr+eesxamE: VILLAG� CREER HOMEOWNERS
aooeess: ASSOCIATION
3429 TTMBER LAKE
CM VA 92626
pXCHIENGMEEfl: CHESTER CARVILLE flEG.NO.: CLA3OJ
nooness: 7922 ARMOUR ST uxir:
S.D. CA 92111
PEHMITTEE: PHOENI�' ENTERPRISES INC, ( 213 ) 690-9559
aooeess: 411 COMERCTAL WAY
LA HAHRA CA 90631
❑CENSEO CONiflACTOB OECIABATION: I hereby allirm �hat I am licensed untler pmvisions o� Chapler 9(commencing with Section
7000� ol Oimsion 3 af I�e Business antl Pmfessions CoOe. antl se is in �ulliorce and eflect.
ciTvuc�,o 50788 TpTEuc.:376639/�� cuss/:(�pn����� _
Date:1�/�.��__ Si9namre: I".1/ _����
WOBNEPS' COMPENSAiION OEClARa7lON: I nereby alfirm ihal I have a cenif¢ate oi nsent lo sell�insure or a cenificate of Workers'
compensation �%�b e� sc�tilied copY �hereof (Sec�ion 3800. Lab. �1.� � O 1� 9 S
?OLICY NO.: E%P. UATE:
�OMPFNV: CA COMP 6 FIRE �
9 Cetliliea copy is hereby fumishetl. ❑ Ceriilied copy is Jh q,�U 4it �e ciry � ing Division. ,
�ate: /� '� �D — � � APDlicant�. �_,!!/.��Y'�/
E%EMPTION FflOM WOFNEBS' COMPENSATION OECIAflATION: (This seciion need no� be tom tetl ii �he Oermit is lor one hunOreO ($100) or less).
I ceriily Ihal in Ihe petlormance af �he work lor which this permi� is issued. I shall nat employ any person in any manner so as to become
sublecl �o Ihe Workers' Compensation L�ws oi Califomia.
Oale', Signature:
NOTICE: II. after making t�is declardtion, you should hecome sublect m ihe Workers' Compensation pmvisions of tAe Labor
COOe. yoU mu51 forlhwi�h tomply with 5uth pmvi5ion5 or Ihis permii 5hall be Oeemetl revoketl.
CONSTflUtTION LENOING RGENCY: I here�y aifirm ��a� Ihere is a coretmction lending agenty lor I�e De�ormance ot �he work for
whit� ihis permit is i=sued (Section 309'7, Civ. q.
LENDEN:
I pDOflESS:
OWNEfl BUILOEN UECIAHRTION: I hereby attirm I�al I am exemp� from the ContraC�ors' S�a�e LiCenSe Law br �he �ollowing reason
(Seclion 703L5 Business an0 Pm�essional Cotle'. Any ci�y oi counry which repuires a permit �o conslmct, al�er, improve, tlemolish, or
repair any s�mqure, pnor �o i�s issuance, also requires Ihe apDlicant br suc� permit to lile a signetl 5�a�emeni tha� he/she is licensetl
pursuan� Io ihe pmvisions of �he ConVaciors' State License Law (Chapter 9(commencmg with Sec�ion 7000) o� Oivision 3 0� Ihe Business
antl Pm�essions Cotle) ar Ihai he/she is n,xempt thereimm antl ihe basis �or ihe allege� exemption. Any viola�ion o� Sec�ian 7031.5 Oy
any applican� for a permit sublects the ypplicant Io a ciuil penaliy ot not more �han five �undretl dollars ($500�.
I. as owner o� the pmDerty or my emyloyees wi�� wages as lheir sole compensa�ion, will tlo ��e work, and Ihe
❑ slmclure is nol inienaea or o�fered lor sale (Seclion 70n4, Business and Pwtessional Cotle'. The ConVactoK Sta�e License Law
Ooes nol appty Io an owner o� a p�oDehy who builds or impmve5 �hereoq antl who does such work himseli/herself or thmugh
his or her own employees. pmvided Iha� such imDmvemenls are no� inlendetl or oflere0 for sale. II, however Ihe builtling ar
imD�ovemen� is sold wi�hin one year of complelion. I�e owner wili have Ihe burden oi pmvinq �elshe Ai0 no� bui10 or improve
' for t�e Ourpose o� sale).
I, as awner o� ihe pmperty, am ekclusively conlrac�ing wilh iicensed contraclors lo conslmci the prolect �Seclion 704a, Business
❑ an0 Pwlessions Cotle: The Contractors' Stale License Law tloes not appty Io an owner o� pmDehy wAo bui105 or impmves thereon
and who coniracts br such pml?cis with a caniractor�s)license Oursuan� to the Contratlors' Slate License Law�.i am aware
�hat D�ool o� �heir Warker's Compensa�ion insurance should be pmvitletl lo me.
I� I am exempt unaer Sectinn� B. 8 P. C.
lor Ihis reason'.
oate'. owner
I tlo here�y ceni�y Na� I am aware o� ane� undersland �he requiremems ol Califomia Health and Safe�y Cotle Semions 25505, 25533, ana
25534 antl �hai I or any Iulure building occupant willlwill not (circle one) neea �o comply with said state codes an0 ��e requiremen�s �or a
permii im consimction or matlifica�ion Iram Ihe Air Ouali�y Managemenl Dislrict PesiOeniial constmc�ion aDPlicaiions are exempt �mm
t�ese pmvisions.
Date: _ ApD�icanl:
I here�y tendy Ihat I have reaa f�is appli�aii0n antl Slaie I�ai �h¢ abp� rmation is correct I agree lo wmply wi�� all ciry anA counry
orainanresandslatelawsrelalinglobuil4ingconslruc�ionanUhere /a erepresen�a�iv olthi5cityroenle�uDonlheabove-mentionetl
pmpetly br inspec�ion purpases.
Dale: � � Signamre: � ��
Oriver's License ar Social Securi y p:
1641�46 Whi�e—Bulltling', Green—Cctle EnlorcemenL Canary—AOPllcanl: Pink—Revenue: Goltlenrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: �9�j
PERMIT NO: H 049945 PLAN CAECK NO; 06493-90 A v�3'�—S'IIIT�nT—
CONSTRUCTI023 TYPE: V—N PHRMIT TYPE: STR PURPOSE; kEP
JOB DESCRIPTION ; REPAIR SETTLEMENT DAMAGE St� FT; 143
CLAIM VALUE: 14,388.00 CALC—VALUE; 14,300,00 GRQUI� OCC; R-3 /
COMMENTS: BUSLDING SETTLEMENT REPASR/fiOUNllATION
�r*u*�x�r��r*�***x**�*�*�**x�r�r**x�t�r�rxx�r�r�•�e*��*x�rx�r�r�x*�r�r�r�r*�**�+���x���**�r�t****r���*
Z O N I N GS ERTEBQAUCIK�SE M E N T S
------------ MAIN HUILllING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN
LEfiT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT ZN
PARKING REQ • PROV: PARCEL: 93506124 ZNE: R2 REF NO;
PLANNING Nf3T'ES> REPAIR EXISTING FOUNDATION,
> HOLD.FOR SP$CIAL REQUIREMENTS
If �k 3f iF iF lf IF k iE iF iE lf� 3E iF iF iF 3E lf if k 3tiF 1t �l! iE iF lE 3F 3E iE iE if it k if it it 3P iF iF M� 1E 3F �1F if if �lf M� if if iE �lt iE it fE if if it if K fF lE k 9f # iE lF 1E IF ik !E if• IF 3E ik �]E ff k if
D E V E L O P M E N T S /E: R V S C E S R E Q U I R E M E.N � T 5
7.ONING APPRt�VED HY �� /l� %�� DATE; 1��
� �
BUII,DING APPROVED HY :
APPLICATION ISSUED HY:
iE if if if 1f if IE fE IE �1f i! 1E if IEiE iE IFiF iE IE iE M
DATE:
ifiFkififiE�FIFaFiflEififfflElFik3ElfiEiEiEiElEitiEiEif3FlEjfiFifiF iF3F41tklt3fif�k3FiEiE41EiE�fiFiF1(�aflflflfiElE�F�FiE-IFiF3F�lEif�6-1flfiFklfififkiF3f
LEGALZZATION:N F E S U M M A R Y STRUCTURAL,�SEGMENT;Y
HLDG PMT PLUMBING LECTRIC MECHANIC FIRE ;3MIP/RES� GRADING
PERMIT 162,00
SMIP/NON—RES
PLAN 26.33 2.15 :;;,
ISSUE FEE �._.
BUILDING—DIV—> PERMIT . ZSSUE PLAN—CHECK TOTAL PAID �^'•; DUE
TOTALS----> 164.15 0.00 26,33 190.98 190,48 -;y-".00
..;Y:...
REVENUE DIVISION TOTALS--> COLLECTED; 190,48 OVERlSHORT: •90
HLDG PMT PLUMHING ELECTRIC MECAANIC FIRE SMIP/TOT GRADING PLAN—CF%�CR
162.00 2.15 . 26',;,33
a.,
if-�)E if iF iE iF iF iE iF iE 1f iF3E iE if iF if if iF ik if �F iF IE iF if �F IE fF iE 1E 3E iF iF i!!E iF iE 1E If if )f 1f iF iF 1f iF jf 1F �f iE ik iE if ik if if if �E fF iE iE )E iE k!E k if if k iE iF #P iEiF #F iE #�F
I N D I V I D U A L F E E B R E A K D O W N
�z
TYPE QTY D E 5 C R I P T I O N UNIT COST TOTAL COS:T
:�
SFC 143 FOUNDATION HY VALUE PER $lOQ 100,00 14,300.0`fX
END OF FEES _
O l OOL�7437E—C�074;s80 Y �]'f
D"nTE: li/16/�i1 7IP1E: S1:`.�1
�40.4�
CONS7RUCTION AND PLANNING-" PC a SPA .
� APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electricaf Service or Pole � 52. Pool & Equlpment Location
2. Soil Pipe�Undrgrnd. • ' -.� � 53. Steel Reinforcement
.3, Electrical:Conduit Utility-Undrgrnd.' 54. Forms
4: Electrical Condui[-Undrgmd. 55. Electrical Bonding
5. Steel Reinforcement � , 56. Rough Plumbing & Pressure Test .
.6.; Electrical.UFER Grnd. � 57. APPROVAL TO COVER�GUNITE -
�7. Footin9s"' � - 58. Electrical ConduibUndrgrnd. �
8. Foundation .i � � 59. Gas Pipe, 0 Undrgrnd., Test �
�'9. Water Pipe-Undrgind. 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor System � 61. APPROVAL TO DECK
1�1. Property Sewer Linz & House Connection 62. Backwash & Receptor�Final
12. Sewer Cap � �.7 �� 63. Heater & Vent-Final
13. Roof prains - �- 64. Plumbing SYstem - Final
14. qough Plum6ing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric:Wiring _ 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. RougN Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rouc�h Heating & Air Conditioning FIRE DEPT. REQUIREMENT
r i , . . �
20!�RougN Factory Fireplace ' ^`'�. • �'�,, '� . � - �AppROVALS ' Permit # '
21.`Ducts, in Structure '. - - � 70. Underground Hydro
22.Ducts,Ventilating_ i .. _ � ' 77,�productP.ipingOGas OOiI
23.. Gas Pipe-Rough & Test � ' , " � 72. Underground Flush .
24: Roof Framing _. � � - _ � � .731 Undergmd.StoregeTank'OGas ❑Oil �
25. Roof Sheathing = � � � - - � 7q: p�erhead Hydro-�' � � .
26.•T-Bar Ceiling (Structural) &-Monocoat- ' ' - �� - 75' Dry Chemical ' - ,
27;'Frameand Flashing 3, ,` _ ;, , � 76' DrY�$tandpipe `..�' � ' �
,.
. , ., � - • - � - _ .
28. Lathing & Siding �-. r� - �� � 77;� FIXED SYSTEM �FINAL'
� 29. Insulation � ,. � ,.: • '`' i , 78;' FIRE PREV. FINAL . �.
30. Dryw211 Nailing �' � � �- = ' .`' � HEALTH�DEPT. REQUIREMENT
31. Plaster Brown Coat _ '.. , � I f' ; 79. FINAL INSPECTION � '
32. Electrical Power Meter-Final � ��i ' � ��� _. S0: FOOD CERTIFICATE ISSUED -
33.'.Final Electric ' i _ ` � ' '' ' Notes; :� �
� 34: Final Heating & Air Conditioning ' � � , �' � ,i, , _ � _ , _
�.
35: Final Gas Pipe-Test ' • - ; ' _ � ` ' , �
ir
- 36. Hood or Canopy . � . .-. , . �
.�' �
37. Final Factory Fireplace ` -'� ` '� ' �
r •r .
� 38. Final Plumbing ,=. y rn � •� � _� + �
� 39. Water Service�Final � �' ° - '
1
40: Gas Service-Final , - , . - � � ,� .
� 4L��Solar DomesticFinal.� � - , � �
� �.
42. Backflow Preventer ��' � I � �, .; � � _ . ' ..
43. Backflow Irrigation `' �r� � ' - '
- ,
' 44. Landscape Irrigation System.� � ^• � _ _ . • .i� _
�
'45.�Sound Attenuation �� ' �; ' � ' -. ' � ;
46., Handicap Regulations - �_, � . " , ,- . .
� 47. FINAL STRUCTURE & BUILDING �-L� � ns -
,
48.' � � s ,; ; ^
�
49. Elec[ric Release to. Edi on � _ I I ' -
�
50. Gas Release to Southern California Gas;Co j f� • " �. ,
51. CERTIFICATEOF.00CUPANCY N , , .; -, .- _ .
No. Date
�oIYREH'SNAME: � 900 HOLLOW HROOK CI
- aooness: �ILLAGE CREEK A.O.A
��, 3429 TIMBER LAKE
COSTA MESA ,CA., 92626
ANCHIENGINEEFl: 5 5 3— 1$ 7 6
FOOHESS:
HEG.NO.:
uNrt:
UNIT:
PEHMITTEE: PETERSON ROOFING ( 714 ) 979-7111
nooeess: 3006 ENTERPRISE
COSTA MESA CA 926��8
LILENSEO CONTHPCTOfl OECLABATION: I �ereGy allirm ��at I am Iicen5e0 unUer provisions al a0�e� 9(commencing wilh $ecti0n
]000) oi Drvision 3 al t�e Business antl Pmlessions CoOe. anU my license is in lull lorce antl ellect.
cirru�45 97r�'� S�pTEIIC,:60787 ss: /q''
Da�e: [C� Q Signalure: . . _ _ ! _ —
wOBRE LO ENSATION OELUflATION: I hereGy aflirm Ihal I have a cetli�i6aie o onsent to sell-insure or a cenifica�e al workers'
Compensalion insurance. or a cendiea coDY ihereo� (Section 3800, LaG. C).
aoucvxo.: 1021355-93 EXP.DATE: O9IOLI94
COMPANY: STATE FUND
] CenAiea copY is �ereGy tumished. C}� Cenilied copy is IileO witA i� ily BuilOi Division.
�
Oate: AOVlicant: 'v
E%EMPTW FROMW PNEPS'COMPENSATIONDECLANATION: �T�is5Mlionnee0nothecompleteEi epe�mili5lwwehuntlreE�S100�orless).
I cetlify ihat in I�e pertormance ol Ihe work lor whic� Ihis permil is issued I s�all no� employ any person in any manner so as lo become
subject �o t�e Workers' Compen5aiian Laws ol Calilamia.
Oate: Signaiure:
NOTILE: II, afier making inis Oeclaration. you s�ould become SUGICc� �o the Workers' Compensation D«Sons al I�e LaCor
Coae, you must lon�wil� comply wit� sucn provisions or I�is permit shall Oe CeemeC revokea.
CONSTPUCTION LENOING RGENCY: I nere0y aifirm that �here is a constmction lending agency for ihe pedormance of �he work for
w�ich ��is permil is i=5ue0 (Seclion 3W7. Civ. C�.
lENOEfl:
ADOflESS:
OWNEB BWLOEfl UECLAPATION: I �ere�y aliirm I�ai I am e�empt �mm �he ConVaclors' $laie License Law lar ��e lollowing rea5on
(Sec�ion 7031.5 Business an0 Pm�essional Cotle: Any tiry oi coun�y w�ic� repuires a Oermii la consirucl, all¢r, impmve. Oemolish, or
repair any slrutlure, prior Io its issuance. alsa re0uires lhe appliWnt lar such permil lo lile a signeA Slalemeni tha� he/she i5licen5¢U
pursuam to ihe O�ovisions af t�e Comractors' State License Law (Chapter 9 �commencinq vnth Section 700010� Divisian 3 al tAe Buvneu
and Pmfessions COEe) o� �hat �e/she is exempl ��etelrom ana ine hasis for th¢ alleqeG eremD��on. Any Wolation of Seclion 7037.5 Uy
any aDolitant br a Dermit sublecis ine apolicant to a civil p¢nalty ol noi more tlWn Irve nuntlre0 tlollars (35001.
I, as owner of the pmDeny ar my employees with waAes as iheir sole compensalion, will do Ihe work, antl ihe
❑ stmcWre is nol inleneetl or olleretl lor sale (5¢ction 7044. Business anG Pmfes9onal Cotle: The CAniracloR' Stale License Law
Ooes no� appry ro an owner o� a pmpe�y w�o CuilGs or im0�oves thereon, anG wAo does such work himself/�ersell or ihmug�
his or ne� mvn employees. pmvided ihat such improvemenis are nat intenaea or offereA lor sale. II, nowever ine �uil�ing or
im0�ovemen� is sold vnlhin one year oi cam0leiion, �Ae Own¢r vnll have I�e bur0en ol proving he/sAe Uitl noi Oui10 or im0«e
foi Ine vurpase of saiel.
I, as owner ol Ihe pmpetly. am exclusively conlracling wilh Iicense0 coniraclor5 to con5imcl Ihe pmjec� ($eclion 704E, Business
❑ ana Pmlessions COGe: T�e CanVaciors' Sla�e License Law Ooes no� apPly to an owner o� O�ope�y who bmltls or imDmve5lhereon
antl who contraqs lar such pmject5 wil� a coniractaqs) li[ense pursuant to Ihe Contraclor5' Slaie License Law�. I am aware
Ihat prool o� t�eir Worker'S fAmpenSaiion insurance shoula Ge Dravi0e0 la me.
� 1 am exempt unaer Section: B. b P. C.
lor I�is reason:
Daie: O+vner.
I Co here�y [erlily Ihai I am aware ol anG understantl I�e reQui�ements ol Califarnia Heal�h anG $alety COGe S¢ciions 25505. 25533. an0
25534 and I�at loi anyfuiute Guilaing occupan�wilUwillnoi(circle one) nee0 to camply wilh sai0 slaie co0es antl�he�eQuirementslor a
permi� lor tan5lmclion or moEilicaii0n Iwm ��e Air �ua6iy Managemeni Oi5lritL ReSiAeniial Constmtli0n aDDlitations are exemp� �mm
Ihese provisions.
Oate: AOPlicanl:
I �ereby cer�ily I�al I have rea0 i�i5 aD0licaiion antl state thai ��e a6ove in�orma�ion is correct. I agr¢e �o comply wiih all ciiy antl counry
or0inancesarbslatelawsrelaungtoEuilEingconslmclionand�yd�fCpRSC dIiVC50�ci Ioemerupontneaoove-mentioneA
pmperiy fo�inspecuon purposes.
Dale: 3 Signalure'. �
Oriver s icense or Social Secutily a:
1641-a6 W�ile—Bwltling'. Green—Code Enlorcemen�: Canary—Applicam: Pink—Revenue; GoldanroE—Assessor
CITY OF COSTA MESA — BUILDZNG PERMIT
PERMIT NO: B 064528 PLAN CEIECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
JOB DESCAIPTION : T/O RESHT 6 REROOF W/COMP. SHING
PERM NO: B 064528
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT; 2,700
CLAIM VALUE: 2,700.00 CALC—VALUE: 2,700.00 GROUP OCC; R-1 /
COMMENTS: SMOKE DETECTORS RE(� INCLUDES 902 HOLLOW BROOK CI
irr****ftx+t**�t�r�t�t�t�r�t�r�t�t*�t�t*it*it ititirit*�t*�t*it*x��t*it*�tx�i�**�r�rx�r��i�it*�t****x�tft*�r�ft�t*�r�tr*�t
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; FT IN REAR; FT IN FRNT: FT IN REAR; FT IN
LEFT; FT IN RGFIT; FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 93506117 ZNE: REF NO:
PLANNING NOTES> ��
�
it k iE if it iP M if it if iE it it ifk if iE M iE it iE iE iE if i!!f iE if if M k k iF iE i! if iE if 1f M 1E if iE if if iF iE iE iE if �E 1E if iE iE if iE 1F 1f iE iE iE 1E iF iF iF iF 1F ifif iE iF aE * iF if if if �F
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: `
BUILDING APPROVED BY ; DATE: ��'
APPLZCATION ISSUED BY: DATE; O
1fitlEiEfflfffifiEfEif9EfkflifiEifififiEikif . iE1E1Ei4fFiFifiFiFiF 3fjf
!f iE if it if M if if if ff af �f iE M if if if if 3f M 1E i! iP if M fE 1f iE if 1E 3f if if M iF 1f iE 1E if if if iE iE if iE iE iE fEiE iE if if iF iE if if iE iflF �E if iF iF iF if i: iF if jf if ik iE 1E iR 1E iE 1f 1E iF
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 54.00 .50
SMIP/NON—RES
PLAN
ZSSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 54,50 0.00 0.00 S�Q 50 54.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 54. O�OVER/SHORT: 00
HLDG PMT PLUMBING ELECTRIC MECHANIC SMIP/TOT GRADING PLAN—CHECK
54,00 .50
it i! if ik ft k if iF iE i! f! fF iF if fE if iF i! if M i! j! jf 1E 1E ik ik if iE iE �E %if i! if iE ik fE iF it iE df iE iE iF 1E iE 1E i! �E K M 1f �E �E �f ih f4 if fP 1E If 1E iF jE if f! fE if i:1F ik if iE �k iE ak 1� if
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 Z P T I O N UNIT COST TOTAL COST
SFR 2700 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 2,700.00
END OF FEES
SfVIOKE DE�I�ti� � �� �
,,.. REQUIRED
?1 00149236-00l49237 T O"H" 54.;0
DAiE: 10l2�/9J TTPSE: Sti�O�
����STRUCTION AND PLANNING
F� APPROVALS Permit �r` _
1, Temporary Electncal $ervice or Pole
2. Soil Pipe�Undrgrnd. .
3. E��ctricai Conduit Utility-Undrgrnd.
4. Electrical Conduit•Unttrgrnd.
5. Steei Reinforaemen[ .
6. Efectrical UFER Grntl.
7. Footings
8. Fountlation � �
9. Weter Pipe-Undrgrnd. �
10. St�uctural Floor SYstem .
1 i. Property SewBr Line & House Connection
12. Sewer CaP .
73. Roof Drains
14. Rough Plumbing
75. Rough Electrical•Conduit
16. Rough Electric Wiring
17. Rough Wiring Sign
18. Rcugh Electrical�T Bar Ceiling
19. Rough Heating & Air Conditioning
20. Rough Factory Fireplace
21. Ducts,in Structure .
22. Ducts, Ventilating
23. Gas Pipe-Rough & Test , ,
24. ftoof Framing •
25. Roof Sheathin9 l0�
26. T-Elar Ceiling (Structurai) & Monocoat
27. Frame and Rashing
28. lathing & Siding . �
29. Insulation �
30. Drvwall Nailin9
37. Plaster Brown Coat �
32. Electrical Power h1erer-Final
33. Final Elettric
34. Final Heating & Air Conditioning
35. Final Gas Pipe�Test
36. Houd or CanopY �
37. Final Factory Fireplace
38. Final Pl�mbing
i
39. Water Service�Final ,
40. Gas Service�Final
41. Solar pomestic•Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System •
45. Sound Atienuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING �
48. FINAL PIANNING
49. EIe�Kric Release to Edison
50. Gas Release to Southern California Gas Cc
51. CERTIFICATE OF OCCUPANCY
No. Date
Date
P0� . SPA
Inspector RPPROVALS Permit,�
52. Pool & Equipment �ocation
53. Steel Reinforcement
54. forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER�GUN�TE
58. Electrical Conduit•Undrgrnd.
59. Gas Pipe, � U�drgrnd., Test
60. Backwash �ines, P•Trap, � Und:grnd.
67. APPROVAL TO DECK
62. Backwash & Receptor�Final
63. Heater & Vent•Final
fi4. Plumbing Syscem - Finai
65. Electricai-Final
66. Solar System-Final
67. Fencing & Access Appruvai
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
. � 70. Underground HYdro
71. ProductPipin9�Gas ❑Oil
72. Underground flush
� 73. Undergmd.5mrage Tank O Gas ❑ Oii
�/'G✓I� - 74. Overhead Hydro
75. Dry Chemical
76. Ory Standpipe
77. FIXED SYSTEM FINA�
78., fIRE PREV. FINAL
HEAGTH DEPT. REQUIREMENT
79. FINAL INSPECTION
80. FOOD CERTIFICATE ISSUED
Notes:
u
Date I lnspnctor
a
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uwntK STATE-b�
JOB ADDRESS 90
(' �RAL CONTRAC70R
A. .��� � Ol
INSPECTIONS
SOIL
GAS
WATER
ROUGH PLUMBING
PROP. SwR. LINE � HOU4E.CON.
SPRINKLING SYSTEM
MISCELLPNEOUS
ROUGN HEFTING AND RIR CONOITI
ICMYVXMMI yC
UNDERGROUNO
ROUGH WIFING
TRENCHES �
FLOOR SYSTEM
BOND BEAM ❑
SHEATHING
STEEL
�FRqME AND FLASHING
LO"'�NG — IN �G% (
F ER, BROWN CORT
RL
REFRIG. /ND A.C., F
nun �e5 TEST �
B111L01NG, FINAI
TRACT
m
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FIRE
DATE
oiui r
SUBCONTRAGTOR
4-28-76
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
Far Applicant to Fill in Completely
AooRes"s 900 Hollow Brook
OWNER State-Wide Developers, Inc.
nooaEss 9461 6ri ndl a.y
ciTr Cvnracc No�$26-45!
BRANCH
AODAESS
�RL�I�EC e LOFI
laski ��`� 556-661
o,00Ress iiaatt sKvrarK �iva irvine
�oNTRA�TOR State-Wide Developers, Inc.
AooRess 9461 Grindla�
TEL.
c�T� Cvpress "�826-4550
STAYE CITY
LIC. NO. 22(��� O LIC. NO.
oc ior 12.093 aCr25 �JOWOON LOT� 0
USE OF
EXISTING BLDG.
S12E OF NO.OF
NEW LOG. FOOMS STORIES
EXTEf110R WALL a$ r ROOF
COVERING WOOd COVERING $hakE
USE OF BVIL�ING AND WORK TO BE PERFORMEO
1 Resi
1 horeby acknowletlpa thet I heva raeE this eVPlication antl rtata
t�at tha aDove Information b correct entl aprea to comply with
ell lawc rapelatin9 builAinq conrtmetion, end ��hell not amploy
any perwn In vloleHon o� tha workman's companietion law� oi
Ma S1aro of Cnlitornle.
I haraby certify Mat I am proparly Ilcensed es e contrector untler
tha Ssate ot Cell/ornle Bu�inasa entl Prolanio�s Cotla, Divisicn 3,
C�aptar 9, entl that wch Iicanses eie in full fmce antl etfxt, or I
em exompt from Ma provision� of t�e Stete of Celif nle Buiineas
antl Piolaaslons Cotle, Dlvision 3, ChaD�ar 9.
_ ��tate-4lide Devel�opsA"s nc.
Parmlttm — '�
Autha���etlApant Vice President
PAiu
yaY,?-7F�r�.00 b�z- ���:xzzc^c
APPLICATION FOR BUILDING PERMIT
:EWEDB�' OATEflECEIVED nerc�cc�u
BUILDING G�DO
ADDHESS
FI
ROVED
VALUE
DATE
ZONE INO.OF I USE OF NEW�
RZ cP P�'� Z BUILAING
VARDS APPilOVED VAPDS APPRO\
MAIN BUILDING ACCESSORY 9U1
BET.
VAR. qW �/�
C.U.P.qW(i�
APPROVED
�-IOLD FOR
THEAMOUNTSM
THE PURPQSE OF I
VALUATION �
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$
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FT.
� FT.
BET. MAIN &
ACCF.�. BLOGS.
� DATE / � `!
' APPROVED J
� � / � �%i
�
UNOER VA�UATION IS FOR '
LLSMING A VERMR FEE ONLV: Z
¢
m
FMR FEE $ °'
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AN CHECK § / � E
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TOTAL FEE S