HomeMy WebLinkAbout902 HOLLOW BROOK CIR - Building PermitsPN0.IECTNODRESS: 9O2 HOLLOW BROOK
OWNEfl'SNAME: VILLAGE CREEK HOMEOWNERS
aooeess: ASSOCIATION
3429 TIMBER LAKE
CM VA 92626
UNIT:
PPCH/ENGINEEN: CHESTER CARVILLE HEG.NO.: CL$3OS
aooxess: 7922 ARMOUR ST uNiT:
S.D. CA 92111
PEHMITTEE: pHOENIX ENTERPRISES INC. (213)690-9559
aooxess: 411 COMERCIAL WAY
LA HABRA CA 90631
LILENSED CONTBACTOfl OECIABATION: I nereby aifirm ihai 1 am li ea unAer provisions o� Ctupier 9(commencing wiN Seciion
7000) of Omsion 3 ot Ihe Business ana Pmle55ions Cotle, an� cr e is in lull IorcE anE ¢Ilect.
cirruc. S 78 �'jsTnreuc.:37663 c ss:/H
Dale: ���(yL— Signaiure: — �j� (,/� ���Y
WOXNEflS' COMPENSPTION DECLPPpTION: I hereby a um ��at I have a cetlilicaie ol consent �o sel4insure or a cetli�icale o� Warkers'
Compensation LtSUC�{N� q�ce/lifietl copy I�ereoi (Seclion 3800, Lab. G17 � O 1� 9 1
POLICYNO.: CAVCOMP & FIRE E%P.�RTE: U
',f�OMPPNV:
J CenifieU coOY is eereey mishetl. ❑ Cenifiea copY �s f� n Ih ity Buiming Divisian
Oa�e:��� AVPIiCant
E%EMPTIONFflOMWOBRfBS'COMPENSATIONOfCLAflATION: Qhi55¢t�i0nne¢tlnolbecamDleleUil�hepermili5�oroeAunAreU�5100�or1¢Ss�.
I cetlity ihat in I�e perbrman[e of I�e work �or w�ic� �his Oarmit is issued. I s�all no� employ any person in any manner so as �o become
sublecl �o Ihe Workers' Compensation Laws ol Calilomia.
Oale: $ignaiure:
NOTICE: II, alier making INs Oeclaration. you shoNa 6ecome subl�� �o t�e Workers' Compensation Omvisions oi lhe la�or
Cotle, you mus� lonhwith comply vnt� suc� provisions or iNs permil s0all be Oeem¢O rewkea.
CONSTNUCTION LENOING RGFNCY: I �ere�y a��irm that Ihere is a consimc�ion lenaing aAen[y br I�¢ pedormance of Ihe work for
I w�icA Ihis permil is issue0 (Seciion 3097. Civ. C�.
LENOEfl:
pooxess:
OWNEB BUILOEP OELLAPRTION: I nere�y alliim ihat I am exempt Imm �ne Contracmrs' S�a�e License Law br ine following reason
(Section 7031.5 Business an0 Pmfessional CoDe: Any ciry ot counry w�ich requires a Dermit lo cOnslmci, alleL impmve, demolis�, or
repair any simtlure. D�ior to Its issuance, also requires ihe applicant for such permit to tile a siAned statement thal he/she is licensea
pursuant Io Ihe provisions ol the Conirac�ars' S�ale License Law (C�apier 9(commencing wi�� Section 7000) of Oivision 3 0� Ihe Business
anU Pmiessians Co�e) or I�al helshe is exempl lhere�mm an0lhe basis lor Ihe allege0 exemp�ion. Nny viola�ion ol Sec�ion 703L5 by
any applicanl lor a permit sublecls Ihe applicanl lo a civil penalty o� not more Ihan five hundretl tlollars ($500�.
I. as ownei ol Ihe pmpeny or my employees with wages as iheir sole com0ensation, will Oo Ihe wark, antl the
❑ slNCWreis notinlenaetl oralferetllorsale�SecOon 7044. Business antl ProleuionalCotle: T�e ConiraclorS State License Law
Ooes not apDly lo an owner oi a pmDerty who builOs or impmves Ihereon, antl wh0 does suc� work himSeltlAersell or ihmugh
his or her own employees. pmviaea �nat such impmvemenis are not intentletl or ollere0 lor Sale. II, however Ihe huilding or
improuement is sold wilhin one year ot camplelion, t�e owner wili �ave Ihe burtlen o� D�ovinA helshe tlitl not Gui10 or impmve
lor Ine purpose ol sale�.
I, as owner ol Ihe pmpehy, am exclusively conirac�ing wi�� licenred conVacmrs lo consimc� IAe pmle�� (Sec�ion 7044. Business
❑ antl PmIe55ion5 CoEe: T�e COnlrac�ors' Slaie LiCense Law tloes noi apply IO an ownei ol prop¢tly wha Duiltls or impmves �heBon
anG w�o comracts br sucn Dmjects wit� a contracmqs�license pursuam to ihe Coniractors' State Lmense Law�. I am aware
itu� pmoi ol I�eir Worker's fAmpensation insurance s�oultl be prOviGed Io me.
� 1 am exempi unGcr Scciion: B. 8 P. C.
br Inis reasan:
Oale: Ownec
I ao her¢�y cerlily Ihat I am aware of an0 untlerslanC the repuiremenis ol Calilomia Heallh an0 Salety Cotle Seciions 2550.5, 25533, and
25530 an01ha1 I oi any lulme �Uilaing ouupanl wilUvnll noi (tirGe One) neeG Io tompty wilh SaiG Slaie to0e5 an0 ��e reQuiremeni5lor a
pe�mil �ar consimtlion or motlAicaiion �mm t�e Air Ouabry Managemeni Dislrict. Residen�ial conslmciion apD�icaiions are exempi �mm
I�CSE O�OVI51U115
�ale: Ap0licanl:
I here�y cetlify ihal I �ave reatl this application and slale that��e ab nlor �ion is correc�. I apree�o comply wilh al�cily and coun�y
ortlinancus and sialelaws mlalingto bwl0ing canslmction antl here a orize resenta�rves is cilylo en�erupon above�men�ionetl
O�aperry i r-dspec ian purposes.
Oate: � �� SignaWre:
odvers �mense or Socmi Sea�ity w:
t6abd6 Whne—Bwltling; Green—Cotle Enlo¢emenL Ganary—qpPlicanf. Pink—Revonoa; GolOenrotl—Assassor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: H OA9855 PLAN CHECK NO: 06444-90 A
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
JOB DESCRIPTION : REPAIR SETTLEMENT DAMAGE
I�o• .• �
�et�rrra.�.yu�sa.�
PURPOSE: REP
SQ FT: 143
CLAIM VALUE: 14,388.00 CALC—VALUE; 19,300,00 GROUP OCC; R-3 /
COMMENTS: BUILDING SETTLEMENT REPAIR/FOUNDATTON
��r�**x�***+e**�**�r*�r**�r�*�r*�t*�er*�r****x•�r********�****x�*****x�r�r*�t***��*****�**�t��t*�r
2 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: PT IN REAR: FT IN FRNT: FT IN REAR;' FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT - IN
PARKING REp • PROV: PAACEL: 935061?4 ZNE; R2 REF NO;
PLANNING NiST'ES> REPAIR EXISTING FOUNDATION. HOLD FOR SPECIAL REQUIREMENTS
i
******�******�t�t,r�t*fr�*�t�t***x��t*****�**��r*�*�x�*�*x��******�t�t*�t��r�r*�*�t****��*�*�**+r�r
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 5
ZONING APPROVED HY DATE; L1 a�iC�
BUILDING APPROVED HY : I L Dp�e�J ��v DATE: �Q
APPLICATION ISSUED BY: DATE• ��
K1EiF1E1E*fFiEiEifMiEik�lflflfiFlFiflFaEfE iE1E�k1E1f1E1EiFIFIF . k!F
1F*iEififlElFlElFiElFlEIEIEiElffhlflflEiflflfiflflE ilF`J�i �1 1FiE1llfifiElEiFIFkiFiflF�f�lfiFlFiflklfiFlE1ElFiFiEiFIF1E1tiE14ifM1Fif�fifi4if1E3fiE
LEGALIZATION:N F E S U M M A R Y STRUCTURAL�SEGMENT:Y
BLDG PMT PLUMBING E ECTRIC MECHANIC FIRE SMIP/RES: GRADING
PERMIT 162.00 •
SMIP/NON—RES
PLAN 26,33 2,15
ISSUE FEE
HUILDING—DIV—> PEAMIT TSSUE PLAN—CHECK TOTAL PAID =� DUE
TOTALS----> 164.15 0,00 26.33 190.48 190.48 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 190.48 OVER/SHORT: '�5.00
BLDG PMT PLUMHING EL£CTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN�CHECK
162.00 2,15 �26,33
7E 3f IE f! IE �)h �E 7Eif if if M M if 3E k�! if ±f if iE 1E iF iE IF IE if ff iF iF 1F if if if if if if if �t aF �1E iE iE iE iF IE IE if if if M if M lE iF 1F k iF if 3k k If 7f iF iF iE iF 1f fF 3F k 1E k�FiE'�E it �If 4
I N D I V I D U A L F E E B R E A K D O W N 'N
TYPE QTY D E S C R Z P T I O N UNIT COST TOTAL eOST
SFC 143 FOUNDATION HY VALUE PER $100 100.00 14,300,:100
END OF FEES
�J1 ��074390—QOOl�s9i '�'�a'T I40.;E
CAiE: 12/lb/40 7It7L: I1:"
CONSTRUC7�ON AND PLANNING - POC ,SPA
APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector
1. Temporary Electrical ServiGe or Pole.�- 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. - �� 53. Steel Reinforcement '
, 3���Iecirical:Co�uit.Utility�Ondrgrnd:y_ 54. Forms
�4i'Electrical Conduit=Ufidrgrnd. 55. Electrical Bonding
- 3'Ste'�e�l. ReSqforcemeriY s. 56. Rough Plumbing & Pressure Test m
.�6::EIeclricalUFEB�Grnd. �� ' 57. APPROVALTOCOVER�GUNITE .'
r
•= .� <Footings'u� ' '- 58. Electrical Conduit-Undrgrnd.
� 8. F,oundation „� � 59. Gas Pipe, O Undrgmd., Test
:�9. Water Pipe�Und�g'rnd. � 60. Backwash Lines, P�Trap, O Undrgrnd.
1ti. Structural Floor�SYstem � � 61. APPROVALTO DECK
7•1�. Property Se� r.:Line & Hovse Connection 62. Backwash & Receptor-Final
12. Sewer Cap � � .; 63. Heater & Vent-Final
73. Roof Drains�- L 64. Plumbing System - Finat
14. Rough 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
78. RoughElectric�al-TBarCeiling 69. POOLlSPASYSTEMSFINA�
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
� - _ - " � U C H Y:-. . . .0
20 'Rough Facto�Y Freplace � ��. � � •� _' �� � ;AppROVAI'S' _ � Perinit # '''
r ;iJ S . S.r LC�r ' .-� r: <:ti.- F^ ' '
21: Ducts, in Sti�ucture: ' .r. �+; ; -�� ,� - ,`. � ; L70. Undeigr.ou�d Hydro . .�
22._Ducts, VenCilatin9�` � =� '�' ' �)i. Produc�`Piping �'6as QOiI
23`.;GasPipB��RoU9h&�jest ' `_:�- ' ^ ^ -" . -1 :--.- .-`
- � • ir. ` i J2. Undergro�nii Flusji�,., __ .
24:.�Roof Frami�ng �'-r •�.� �✓ ' '` + ">73xUndergrnc��.Storage.Tank'OGas OOiI
25. Roof Sheathin `'' ` �'� ``t "� - "' �- ` '!�' •
9 � .t .� � x r: �t: . '74,=.Qverhead HYdro-�, *
26rT�8ar Ceiling (StCuctural) &SMo�ocoatM y - * • 75: Dry Chemical > -� .. �
27'.'-,Frame a�d Fiashin§ ��,,�� ;r - y 76. D'ry Stancrpi�e ':;p ,� `'`' S
-� ,:,, _ ,. _
. 28. Lathing;& Siding �� �s -.a;•i .A'X +: 77t FIXED S'ISTE�M�FINAL^
''29. Insulation '� '; � ;T �� :: �' ; � _ _ � � 76rFIRE PREV. FINAL '
�30. Drywall'.Naiting,.i� �� �� � - � � HEALTFFDEPT.REQUIREMENT
�•..
.,31. Plaster Brown Coat; � � i,. , _ a , 79� FINAL INSP,ECTI�N '•' �' `� •
432: Electrical Power Meter-Final � �� k,.: ��-80rF00D CERTIFICA�TE ISSUED _
,.33�Final E�@ctrit sx � � ;y`] .', ` � � ' �' `'Noles: 's ' - -
1 �'r/ 7': n.:�
� �- � . � ;r I- 4 �� ` .�. � �
�,�34:�Finef I{eating & Aic Conditiomn.g; � � - � � -
35;•Final Ga3 Pi"pe-Test = " � , � � '"
�
36'Hood oi-'CanoPY Z � .i• x _ � , . � r; - . .{ -
�, �
- �`
37':-Final Factory Fireplace_ •=�• •- ` " f �-j f.� ' ' �'�:
f C` T +
- . ;i• , . .. rl. • .t . f � t �i
��38.�Final Plumbing ,-, iu � t �' r �: u;
.�39.'Water Service'FinaF �. ^ _ 's � ; i C'' . �.�' •. u:
' 40.' Gas Service��inal � ` T - "
i . - "y: 1 � �r � s.1 �� O C.�.
--:47r,gplar pomesiicFinal � - � •• _ . � • �: = - • �
s �: 7•r ��
'�4218ackflow Preventei - " ' � ; � �,-T�. , _
:� - -
43. Backflow Irrigation `> : n.. ' �-� - + G .
. r r �
n44. Landscape Iriiqation Syscem ��.�_ '^ ; , - - _ ;t � �; z; _ - - J 's' � ,..
�45.:.Sound Atte�uation "y ;T' .+��. �' - - � � , . - -' - �x�t . -
t� r i� '�, 'r: •. 7 �y� • �-.
?46.'HandicapRegulations - ; s °' ;,� i; ". ����: '
C
��47;;FINAL STRUCTUfiE & BUt-LDING r .� ' � �
..48.� � i n 'r ♦ '-
� ,:, ison i ' I � . . �i: � .
-49-�Electric Release to.,
' . �
` 50SGas fielease to Southem California Gas Co , - ' ' ' ' �- - . "2. , �
�l- -
„51. CF�EiTIFICATEOF,OCCUPQNCY ;, , , ,-, ,-,_ ��;, � i:, �
No. Date
Applicant to fill in all spaees except those within heavy CorEer Iines an0 sign all apprapriate tleclarations.
G7Y OF COSTAiM�TF/S1 A� C� N,�S7T] RUC ION PpER� MIT °`�""'T ""' TAorr n�n I 11T Nf1 � �.��� ..
Projecc Address �_(,L�f ocv brooG._.
Applicant's Mailin9 Ad ress Q
Owner's Name /j /� Phone r `�
Address `���1 U� ��� _
Arth/Eng. License No.
Address
Contractor's Nam Phone �y� ��
Address (m 'I' 1 .��^ ��� /L/
City License No. ��.(Jry'��
LICENSED CONTRACTOR DECLHNATION
I hereby afti�m that I am licenzetl untl¢r proviSiOns of Charte� 9(commencing
with SeClion 7000) of Oivision 3 of the Busine55 antl PrOte55ions Cotle, and
my Ilcense is in tull or na effect. �///�[//�� y/] �/1
UC¢n5¢ CId55 IC SC 10.__t�L� lY-Y�
Date � Si9nature
WORK RS'COM ENSATION DECLARATION
ereby aHirm [nat I �ave a certitiwte of consen[ to selLinsure or a certifitate
Workers' Compensation Inzurance, or a certifietl copy thereof (Sectlon
_s00, Lab. S,y���� �` nn Q`f _/_� �, N J
Policy No J�� 15�7 Company.sd/�ihf' r(iNL�-
ertitietl copy is hereby furnishetl.
Ccrt/�etl� �m filetl with the city BuUtl/ng�D vi� / /
Dale�=(,S_.�� APplicant ���� /� �"L�
E%EMPTION FROM WORKERS' COM SATION DECLARATION
(This sectlon neetl no[ be mmpletea ii the permit is for one huntlretl ($300) or
less).
I certity that in tne pertormance o/ the work for whlch lhis perm�t is issuetl I
Shall not em0�oy any person in any manne� So ai to beCOm¢ Subjett to [�e
Workers' ComOensation Laws ot California.
Date S9nature
NOTICE: It, atte� making Miz tlecla�ation, you ShOultl b<COme subject to the
Workers' Compensation provizions ot t�e Labor Cotle, you must forthwith
' compry with suGh provisions o� thi5 perTi[ SM1all De tleemetl �evokCtl.
�I CONSTRVCTION LENDING AGENCV
I hereby alfirm that there is a construcllon Ien0in9 a9ency for the performance
of Ihe wo�k for which tnis permit is i55uetl (Sectlon 3097 Civ. C.)
Lentler's Name
Lenaer's Atltlress
OWNER BUIIDER DECLARATION
I hereby ai/irm lhat I am exempt irom the Con(ractor's Llcense Law tor the
following reason (Section 7031.5 BuSiness antl Protessional Cotle: Any city or
counly whlcb requires a permit to Cons[ruCt, alteq improve, tlemolish or repalr
any structure, prior to its issuance, also requires the applicant for such permit
lo file a signetl Statement tha[ he/she IS licensetl OurSuant to the provisions of
•^e Contractor's License Law (ChaO�er 9(commencin9 wl[h Section 7000) of
iSiOn 3 of [he Bu5ine55 antl Prote55ion5 Cotle) Or that he/she is ezemo�
I �c/rom antl the basis tor tne allegetl exemption. Any violation of SecHon
.J3.5 by any applicant fo� a p¢/mit subjects tlte aOP���ant to a clvil
�enalty ol not more than five huntlretl tlollars (E500).
I, as Owne� o/ the p�operty or my emploYees with wages a5 thei� sole
compen5ation, will Go the work, antl the 5[ructure I5 no[ intentletl o� otfer¢tl
lor sale (Se<tion 7044, Business antl Professional Cotle: The Coniractor'S
License Law tloes noI apply l0 an owner Of a prOperly wbo builtls o� improv¢5
thereon, antl who tloe5 Such work bim5¢If/n¢rselt o� through his o� her Own
employees, provitletl that such imorovements are not intentletl or otterea for
sdle. 11, bowever, [he builtling or improvement Is soltl witbin one year of mm-
pletlon, the owner will have tne buraen oi provin9 he/she tlltl not builtl or im-
prove fOr the purpose of sale).
❑ 1, as owne� ot the p�operty, am exGluslvely cont�acting with IicenSetl con-
tra<torsto constructthe project (Seciion 7044, Business antl Professions Cotle:
The Conlractor's License Law does not apply t0 an owne� of property wh0
builtls or improves thereon. antl wno contrac[s for such oroiects wrth a con-
tractor�sl Lcense purouan[ ro[ne ConVactor•s Llcense Law). I am aware that
prooi o( thelr Worker's CompensaUon InSuranCO shoultl be provitletl to me,
❑ 1 am eKempt untler Section B. & P. C. to� thi5 reason
Date Owner —
I h!r¢by certity that I have rea0 th15
Information Is co��ect. I agree to <Om0
antl state laws relatinq to builtling con
Sentativ¢s oi Ihis city to ent<r upo
Inspection pur es. i
Signature
Drivars' LI<ense or 55 $
pplicatlon antl state that tne above
with all clty ana mvnty ortlinances
'uction, antl he�eby authorize �e0r¢-
lh¢ dbOve-rtltntionetl property toI
� Dateyl.�.�
�
_.
38 � lo � _
TVPE OFCONSTRUCTION NEW ADD ALTERATION � REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG.
TYPEOFPERMIT LJGRADING L��FOUNDATION LJSTRUCTURAL
❑ TENANT ❑ ELECTRICAL 1.�lPLUMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION 5(l. FT. OCCUPANCV
CONSTRUCTION TYPE VALUATION $
20NE GRADINGCU.YDS. ACRES
Remarks:
Sink
Preventer
Irrigation
Drinking Fountains
Floor Drains
Flaor Sinks
GasService Outlets
Interceptors
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Reinspection Fee � $15
Duct� Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/FacL Blt. ICBO dk
Heating System & Ducting
❑ P7 00,000 BTU O 100,000 BT
Reinspection Fee � $15
OBfiS-46, rev. 5/BB White - Builtling; Canary � ApPlicanq Pink - Accountin9: Goltlenrotl - Assessor
PLUMBING
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wesh
Issue Fee
Hood or Typel ❑
Canopy Typell ❑
Refrigeration System
❑a�oo,000aru ❑ioo,000
System Repair/Alteration
Fire Dampers
Registers
Issue Fee
FEES
A.P. 5W
S Main Buildi
E
T Front
B Rear
A
C Right
K - Left
s
Ping. Ref. #
Planning Notes:
Accessory Building:
Parking Req./Provided
ELECTRICAL
Automatic Washer Transformer � 15-50 KW
Construction Pole Sub. � 50 + KW
Cooking Unit Meter ❑up to 100 amps
Dishwasher .. Meter ❑over100amps
Oryers ❑Gas �L]Electric SubPanel
Fan . Motors �0-1 HP � 1 X� 8
F.A.U. Inc. Solar 09�15 HP 076-15+
Fixtures Microwave
Device Boxes � Pole li9ht
Outlets Range
Switches Sign
Garbage Oisposal Standing Sections
Generator DO-5 KW �5-15 KW Trash Compactor
Zone
Fee I$15 I I �ssue Fee
$ 3 DEVELOPMENTSERVICESREQUIREMENTS:
Zoning Approved By
FEES Buildine APProved 6y �
Applifation Issued 6y 1/�
$ 3
FEES
$ 3
N
I
N
G
R
E
�
M
T
S.
SUMMARV OF FEES
BUILDING PERMIT $ SMIP $
PLAN CHECK $ .p �� �ERMIT �,
PLUMBING $ _�_�'^SSUANCE $ —:�'r
PIAN CHECK 25% $ � ENERG� P.C. $
E�ECTRICAL $ GRADING $
PLAN CHECK 50% $ MICROFILM $ --�/�/t-
MECHANICAL $ TOTALFEE $ _�Iv�
PLAN CHECK 25% $
o� e�nai��i-aoo3iaii ��a�- s.��
DA�E: 04/2�/89 TI�iE: 15::ff
i;r_\. , . .. .., ..
CONSTRUCTION AND PLANNING POf ` SPA
APPROVALS Permit# Date Inspector p�ppROVALS Peimit# Date Inspector
i. Temporary Electrical Service or Pole 52. Pool & Equipment Loca[ion
2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement
.�^: Electrical Conduit Utility-Undrgrnd. � 54. Forms ,
4.. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
,5. Steel Reinforcement ' 56. Rough Plumbing & Pressure Test �
6. Electrical UFER Gmd. 57. APPROVAL TO COVER-GUNITE ,
7. Footings ` 58. Electrical Conduit-Undrgrnd.
8. Foundation � 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap ' 63. Heater & Vent-Final
13. Roof Drains - 64. Plumbing System - Final
14. Rnuqh Plumbing 65. Electrical-Final
75. Rough Elecvical-Conduit 66. Solar System-Final
i 6. Rough Electric Wiring 67. Fencing & Access Approval
�17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
'1A'. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
•1$. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
� 28. Lathin9 & Siding � 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat , 79. FINAL INSPECTION
32. Elr.ctriral Power Meter-Final �� 80. FOOD CERTIFICATE ISSUED
33. Final Electric ( Notes: -
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test _ . - ' � �
36. Hoot1 or Canopy ,
37. Final Factory Fireplace
38. Final Plumbing .27 L�v
39. Water Service-Final [i:
rn
40. Gas Service-Final l7
rw.
41. Solar pomestio-Finalj
42. Bar.kflow Preventer� "
i.�
43. Backflow Irrigation� _ f ��
t _{
44. Landscape Irrigation�Ystem ,
45. Sound Attenuatior� '
46. Handicap Regulatipps
47. FINAL STRUCTU�FiE & BUILDING
4R. Sner.ial Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co ��% ,
51. CERTIFICATE OF OCCUPANCY �
No. Date �
i- •
UwNtK STATE-WZDE Develovers, Inc, DATE 4-28-76
JOB ADDRESS 902 Hollow Brook BUILDING PERM�T N0. 41840
GENERAl. CqyTRAC7QR Seme DESCRIPTION of WORK Res. w at��8P8$�—
P" vo.I40—d54—OI'�`LOT TRACT gg5g FIRE ZONE VALUE 5
I ECTIONS S�y�ot�.� Du�e TYPE v GROUP 7.-� -
soi� — _ p�
„_� SUBCONTRACTOR _
ROUGH PLUMBING
PROP. SWR. LINE I-I HOUSE CON.
ROUGH HEATING FND AIR CONDITIONING
UN�ERGROUNO U POWER
ROUGH WIRING
BONO BEAM � STEEL REINFORCE
SHEATHING
FRAME AND F�ASHING
PLASTER, BROWN CONT V �L
'TUftAL. FINPL �
h NG. VENT., REFRIG. AN� A.C., FINAL
PWMBING. FINFL ANO GAS TEST
BUILOING. FINAL
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--- �,,1.840
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
Fo� Applicant to Fill in Completely
pWNER State-Wide Devel
��T� Cypress
CpNSTRUCTION
BR%+NCH
ADORESS
aooaEss ���q Ck�Park
CONTRACTOR State-Wide
nooRess 9461 Grindlay
L C. NO. ZZ471 O
OFLOT �2�093 acres
USE OF
EXINING BLDG.
SIZE OF NO. OF
NEW BLDG. ROOMS
EMERIOR WALL a� er ROOF
CpVERING WOO COVERI
USE OF BUIIDING AND WOiiK TO BE
Inc.
No`'826-4550
lopers,Inc.
N�L$26-455�
arv
LIC, NO,
NO. OF BLDGS.
NOW ON LOT O
5T0 R I ES
; Shake
:RFORMED
I hBreby acknowletlBe thet I hava read this application antl state
that tha ebove info�mation is corract entl aprea io comply wit�
ell laws .agulaiinp builtlinp conztr�ction, and I shell not employ
any person In violation of the workman's compenaaHon laws of
the Stata o� Californie.
I hB�eby cartlty thet I am prOparly IicanseG as a contractor �nder
tha State of Callfornia 8usiness antl Professions Cotle, Dlvislon 3,
ChaPtar 9, and thot such licenses are in f�ll force anA effect, o� I
am exampt from the provisions ot the Stete of Calif rnia Business
and P�ofessions Cotle, O���s�on 3, Cnaatar 9p.� /�
�-itate-Wide Develo s Inc.
Perrt�lttee « 1G!_Y
AuthorizetlApent Vice President
!iaY 13-76�A;�00 643�:= **'`210.37
APPLICATION FOR BUILDING PERMIT
:E�VED BV DATE RECEIVED nnrG isc�u
BUILDING 9D1
ADDPESS
OWN
DATE
�Z LP PU+NS Z. BUILDING EW
YARDS APPROVEO VARDS AI
MAIN BUILOING ACCESSOq'
DISTANCE BET.
MAIN BLDGS.
VAR. �W
C.U.P.9W�
APPRpVED
VALUATION
,e.� �
7 �'
$ �
BET.I
ACCE;
DATE
��
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W
�
0
UNDER VAIUATION IS FOR '
LISHING A PERMIT FEE ONIY: ¢
N
RMR FEE $ ]
m
AN GMECK $ G � E
I7 .. /1 /� a°
FEE