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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 Z . ww a c� z z¢ � N am J � J N Q W QI J -m J Q U Q Z� aW w Z J Q m Z J � W W O= Z� w� N � 70 H Z a U J a a Q 0 F N Z O F U � � �"' N z --- �,,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 �� � W � 0 UNDER VAIUATION IS FOR ' LISHING A PERMIT FEE ONIY: ¢ N RMR FEE $ ] m AN GMECK $ G � E I7 .. /1 /� a° FEE