HomeMy WebLinkAbout914 HOLLOW BROOK CIR - Building PermitsPPOJECT AOOPESS: 9 1 4 HOLLOW BROOK
OWNEH'SNpME: VILLAGE CREEK HOMEOWNERS
aooeess: ASSOCIATION
3429 TIMBER LAKE
CM VA 92626
UNIT:
APCHIENGINEEH: CHESTER CAR Vl T�L E NEG.NO.: C 1 II 3 O J
aooness: 7922 ARMOUR ST uniT:
S,D. CA 92111
PERMITTEE: PHOENIX ENTERPRISES INC. ( 213 ) 690-9559
aooAess: 911 COMERCIAL WAY
LA HAHRA CA 90631
UCENSEO CONTHRCTOfl DECIAFpTION: I hereby attirm �hai I am licensed under pmvisions of Chapter 9(commencing wi�h Sec�ion
7000) of Orvision 3 of the Business nntl Prolessions Cotle ana m ns s in full torce and e!(ec�.
cirvuc.: �07fi � (SjQ!�T(��I�,;376639 /55; H
oale'. � SignaNre'. �v'� (/�
WONNEflS' COMPENSpTION OECLABATION: I hereby afiirm tha� I hav a certificate ol con5ent Io seli-insu or a certilicate o� Workers'
Compensaiion ,�se�� e� t�c�tniee covv mereo� ISec�ion 3Eo0. �a�. �-� � O 1/ 91
POLICY NO.� CA COMP 6 FIRE ESP. DRTE:
' �OMPANY:
Cenifietl /4opY is here�y �umished. ❑ Cehilied copy is � ilh I ciry BuilAing Orv �09
Da�e'. �[ � � �O Applicant
E%EMPTION FPOM WOflREflS' COMPENSpTION OECLPHATION: (Thi55etlion nee0 n0� be COmpleietl i� the permi� i5 fo one hunOred ($100) or 1e55).
I certify I�ai in ��e pedormance o� the work br w�ich �his permit is issuetl, I shall no� emplay any person in any manner so as to become
subleci lo Ihe Workers' Compensalion Laws oi Cali�omia.
�ate: SignaWre:
NOTICE: IL aiter making Nis declara�ion, you shoultl become sublec� to I�e Workers' Compensa�ion pmvisions ol �he Lahor
Cotle. you mus� totlhwiih comply wil� such pmvisions or this permil SAall be 4eeme0 r¢voked.
CONSTflUCTION LENOING RCENCY: I her¢�y aflirm Ihat Ihere is a cons�mclion lentling agency Por Ihe pedormance ol �he woB tor
w�ich ��is permn is i=_suetl (Section 3097. Ci¢ C�.
LENOEfl:
aooness:
OWNER BUILOEfl OECNPATION: I hereby afiirm ihat I am exempt irom Ihe Coniractors' State License Law for lhe following reason
(Seclion 7031.5 Busness antl Pmlessional Code'. Any cily ot counry whic� requires a permi� �o consimc4 alier, impmve, demolish, ar
repair any s�mc�ure, prior to i1s issuance. also reQuires the applicant for such permi� �o �Ae a signea s�aiement Ihal he/she is Iicense0
pursuani to Ihe provisians ot �he ConVaciors' S�aie License Law �Chapter 9 �commencing wi�h Section 7000) of Oivision 3 0l �he Business
antl Pmfessions Code) or Ihal �e/s�e is exempt iheretmm and the basis �or the allegetl exemption. Any viola�ion ol Seciion 7031.5 by
any applicaN lor a Dermil su�lec�s ihe applicanl Io a civil penal�y ol not more Ihan live hunOred tlollars (5500�.
I, as owner of �he pmperly or my employees with wages as Iheir sole compensa�ion, will tlo ihe work, antl Ihe
❑ s�mcWre is not intentletl or o��ereA for sale (Section 7044, Business ana Professional CoOe: The Contractors' Sia�e License Law
does noi apply �o an awner o� a pmperty who hui105 or improves thereon, antl who does SucA wa�k himsell/herseli o� Urough
�is Or her own emplayees, pmvitled I�al such improvemenis are nOt in�entletl or ottered �or 5ale. Ii, �owev¢f Ihe �uilding or
impmvemen� is sole wi�hm one year ol completion. Ihe owner will have Ihe buraen o� pmving he/she did nai huild of impmve
forlhe purpose of sale�. -
I. as owner af the pmDehY. am excNsivety conUac�ing wrth I¢ensetl conVactors �a cons�mc� �he pmle�� ($eclion 7044, Business
❑ antl Professions Catle: The ConVamors' Siale License Law tloes not apply Io an owner o� pmpe�y who builOs or improves �hereon
and who con�mds lor such pmlects wiih a contrac�or(5) license pursuant Io the ContraclorY Stale License Law). I am aware
�hal prooi of Iheir Worker'S Compensalion insurance should be pmvitle0 to me.
� I ain esemyt undei Seclion: 8. 8 P. C.
for this reason:
Date: Ownec
I tlo �ereDy ceniry that I am aware oi antl untlerstantl I�e requirements o� Calilornia Heallh and Sa�ery CoOe Sec�ions 25505, 25533, and
25534 and Iha� I or any �ulure building occu0anl willlwill na� (circle one) neetl Io compty wiih saia state codes antl Ihe requirements �ar a
permil lor consimc�ion or matlAica�ion imm �he Air Ouah�y Management Districl. Residential conslmction applica�ions are exemp� fmm
fnese pmvisions.
Date: ApplicanL
I hereby cer�ity Iha� I have reatl Ihis apPlicaiion and siate t�at th ve'�lormation is wrrecL I agree �o comply with all ci�y an0 coun�y
ortlinancesantl5ta�elaw5rela�mg�obuiltlingcon5�mc�ionanAh aul rzere0�e5en�aiiveso� K.cirytoenleruponlhea6ove-meniioned
pmperiy o nspec�ian pur ose�J�
oate: � v SignaWre'
�river's License or Social Securily x:
1641�46 Wbpe—Builtling; Green—Code EnlorcemenC Wnary—Apphcant: Pink—Revenue'. Goldenrotl—Assassor
CITY OF COSTA MESA — BUILDING PERMIT ,
PERMIT NO: B 049996 PLAN CHECK NO: 06490-90 A , ,
CONSTRUCTION TYPE: V—N PERMI7' TYPE: STR PURPOSE: REP
.70B DESCRIPTION : REFAIR SETTLEMENT DAMAGE SQ FT': 193
CLA.[N VALUE; 1A,388,00 CALC—VALUE: 14,300.00 GROUP OCC: R-3 /
COMMENTS: BUILDING SETTLEMENT REPAIRlFOUNDATION
*x�**x �****��e�r****�r**�r**�c*�r**�rx*x�******x�*****�*�**x�r*x•**�r+�**�r*�*****��r�******�*
Z O N I N GS E�TEBQAUCIKRSE M E N T S
------------ MAIN HUILDING ----------- —=------- ACCESSORY HUILDING --'-------
ERNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT. IN
LEFT: FT IN RGHT; FT IN LEF1': FT IN RGHT; FT. IN
PARKING REQ• PROV: PARCEL: 93506124 ZNE: R2 REF NO:
PLANNING NOTES> REPAIR EXISTING FOUNDATroN. HO�D FOR SPEC[AL REQUi1tEMEN7'3
�
iF iE if M if if if iF if it k�Jf iF if M k 1E if 1f �1F �E iE�1M1�f �lk iFlElE iF ik lF �t iF if if 9E iF if iE If !f!ElFiE iE if iE 1EiE iE if if i4 iEif iF if iE #%f(� iE iE �IE * iE iE 1f if �f �E �1F # if 3k ik �1F 1f 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
ZONING APPROVED BY ;� � � DATE: II IS ��
BUZLDING APPROVED BY : 6_0� i C.1�1°c�� DATE:'�
APPLICATION ISSUED BY• DATE:
if� �F it if iE if M iE 1E iF 1FlF ik IE iE �f 1f 1f if 1f iE �k �f iE �f iF1! if if iE �f if��FiF�F41F
if�FlfiFiFiElEifiE�F9fifiF�FiFifiEiFj(-�flfiEiEiFiF�EifiE �EiE�f 1EiEiE3f1E3F1E1f�EiEiEiEdf3F3f*if3F1EiF1EiFiflf�E3fififif�EiElF�fifiFdFiEjF�lEff�f�f
LEGALIZATION:N F E E S U M M A R Y STRUCTQRAL SEGMENT:Y
BLDG PMT PLUMHING E CTRIC MECHANIC FIRE SMIF/RE§ GRADING
PERMIT 162,00 �
PLAN 26.33 SMIP�NOS—RES
ISSUE FEE -
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TO'1'AL PAID DUE
TOTALS----> 164.15 0.00 26.33 190.48 190,98 ,00
REVENQE DIVISION TOTALS--> COLLECTED: 190.48 OVERISHORT• � 00
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
162.00 2.15 7.6,33
M� 3F iE if iF iF if iF iF �f IF M it if �M if iE iF �f IE If �t if if iE If M!E if 1f i! 3f �f if iE 3E 361E M� k ik K� iE 1f iF iE if 1Eif # iFlF iE k 1F iE if if 1f iE �lE �Ik jF iE if if if 1f 1f iE 1f k If iE lE #!f iE if
I N D I V I D O 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
SFC 143 FOUNDATION BY VALUE PER $100 100.00 14,3`0�0.00
END OF�• FEES
ot oaaa4�as-oao�4aoz a-e �r ise: v;:
OATE: il/ibI40 TIrt: 11.59
CONSTRUCTION AND PLANNING �- PO� SPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
t. TemOorary Electrical Ser4ice or Pole„ 52. Pool & Equipment Location
s.
2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement
r' -� _
, 3�:Electric5l�CondLit Utility-Undrgrnd; �- 54. Forms
4: Electrical �Conduit-Undrgrnd. 55. Electrical Bonding
�����5.:�Steel Reinforceme'nt �, 56. Rough Plumbing & Pressure Test n'
"�.6._ElectricalSJFERcGmd. : 4. 57. APPROVALTOCOVER�GUNITE ;r
��7. Footing3�' �T!� � � 58. Electrical Conduit-Undrgrnd.
�J�B. Foundatipn i�,� � 59. Gas Pipe, O Undrgmd., Test "
�'�9. Water Pipe�Undryind. � 60. Backwash Lines, P-Trap, � Undrgrnd.
_.�
1.0. Structural Floor Svstem � 61. APPROVAL TO DECK
11. Property Sewe�: Line & House Connection 62. Backwash & Receptor-Final
1'2. Sewer Cap ;. '.,� �_ 63. Heater & Vent-Final
13. Roof Drains� c � 64. Plumbing System - Final
14. Rough Plum6ing " ' 65. Electrical-Final
15. Rough �Electrical-Conduit ' 66. Solar System-Final
76. Rough Electric Wiring 67. Fencing & Access ApProval
17. Rough Wiring;$ign 68. APPROVED FOR PLASTERING
18. Rough Electrija;l-T Bar Ceiling 69. POOI/SPA SYSTEMS FINAL
19. Rou�h Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- - - - - - � :a�i• � i
20. Rough Facmry Fireplace � � .� �;�7 � _ � -`i F �qppROVALS.=CPermit# ' � '�,
' _ Ut ti t 1��[• l':�� �. - �-1 ='t �' i� ii-f�.� � t
) ' ` C i 4-•1-• . � .1 1-i "] '7 4. � � V , :•- `_. r � _i�
21 . "Ducts, in Structure� � .. � � ,g - -;: x • - 70. .Underground Hydro
22. Ducis, Ventilating.i� i ��� �# _�� _ �-',e �� j��, produci�P,ipSng �;Gas DOiI
23r Gas'PiPe�R ugh &'7est � ��� . i ��� ~ i��+ a 1 , �r�� i �_n7 -� c :;
. ,. :{� ; _ 72. Underground FIuSh,;, �i t_;
24: Roof Framing �? � � � •r-� •� � ` ,. � . �.� �, 1 �73: Undergrriii.StorageTanK�OGas ❑Oil -
25. Roof Sheathin ��' • • � ' �� `� - ''� � ' ' ""�' ;
9 �-; ` i� „t , .i ' 74:,,i�ve�headHydrv
26r.T-Bar Ceiling (Structural) &_MunocoaP�' ' kc� �i i�-r� �r 75.' Dry Chemical J'7 "+ �-� _ �+^
" Y 1-• r . 1
27? Frame and Flashinj �-� _ r. � } � . - ' ' 76�'`�Dry'Standpipe �'�''� '" '' `
28 � � - ��. � � : ' ,_ -� r � -. - - . _ � . _ -
Lathing$ Siding � c�: �ti;r. u:u; .'e ;- �+� � 77P FIXED S'(9TEM��FINA4
�-i r. •• ••i h �.I _.�� ni-�
�.� ^ r-l:i i 1 H•• • ! In i.� �i' 1' 'i 1 / hl
`29. Insulation -, i�; - " i �� 78, FIRE PREV. FINAL
s 30. Drywall�Naitin9r�F -+ � f i ,1 . �� :MEALTHiDEPT.�REQIIIREMENT
_ 37. Plaster Brown Cos� ; �„��. � � % � � � +'1' �. �� i J9.�' FINAL INSP,ECTION � "� �� '
� 32: Electrical Po`we �Meter-Final �' �� ��, �' ; i � • , r80_ �OOD CERTIFdGATE ISSUED
..33. Firial EI'ectric �:• . , �:,! .� �`� � ,� �'�(�.; � ' Notes: ` �: r r J � ��
� �:i.
,,34: Final Heatin`g &;Air Conditioning -'-' � �,.;-( ;i '; �� . � _ -''
35! Final Gas Pipe-TesT� -� ' � , '1' `���i ' '�• r�` j' �
36 Hood oF�CanopY^ _� � - - �' "{�� ,,�' `.,,, • r .
�.�
_- 37.. Final Fac[ory Firepiacer, � : - '' " } r'�� T ' '' "{ J
" 38_ Final Plumbing ? .. �r� � .. .. I � : , ... -- � �;-
,:�39 �Water Service�-Final � - ' i � i �: ti ;, - _ �'r- -,
�
; 40�Gas Service-�inal " „� . _ ; , ,,; ( �; �` ;� � _ � �
�-�41�. Solar pomestic�Final�- C � � �• , ' � '�� '�. , ' .
.r � ' - •i:o - O
� 42. Backflow Preventet ' ,`' ' , �; ` 'i; " r � � -
43. Backflow Irrigation' •* `-. ^ � ' " � `rl " . .
;K � .1 , i �
� 44. Landscape Irripation System;_;� a� ;, �;- '� �n . �� � ,: � =,-, .� � ' _
545.:�Sound Attenuation .-�':: ' °" - - :.�' •ry' : � - �'" l: � " - -
l^ Ti "�} qT f� C' '
-�46. Handicap R'egulations ' ;-; �� �� �� . �� � ��;� �
47:,FINAL STRUCTURE & BWILDING � :�: �"� - �„ `
48. � ' ' i=� � ' " -
- .o /�•_ l. « - •
;49=Electric Release to,Edi on . � I i ,i e .r , � ' .
� '�
� 50. Gas Release to Southem Caffo ni Gas�Co ` ` ' ' ' - . - .
I 4. P -,I I ��-, �i:i �. F
.,51. CEiiTIFICATE OF, OCCUPANCY � �, ; , ; . ; ; ;� � , , , : �_, „-.
No Dace
uwNtht STATE-WIDE DeveloUers, inc.
JOB ADDRESS q14 Hollow Bi'oo8
� FR C R.�GTgs Sg� DE:
ti��- -� OT TRACT 8858 FIR
INSPECTIONS Si noture Date 7
SOIL
Gn5
WATER O � .
ROUGH PLUMBING �7
PROP. SWR. LINE � HOl15E CON. -]
SPFINKLING SYSTEM
MISCELLANEOUS
ROIIGH HERTING AN� FIR CONOITIONING S b
11N0ERGR0UN0
ROUGH WIRING
TRENCHES [�
FLOOR SYSTEM
90N0 BEAM �
SHEATHING
POWER
FORMS U STEEL REINF.
STEEL REINFORCE I�
FRAME ANO FLASHI_ Ns
LPT°ING — IN [C/
F ER, BROWN CONT
HEATING,
BUIL�ING, FINAI
DATE 4-28-76
�G[H»79ii:Ci7
SUBCONTRACTOR
41.8.
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fil1 in Completely
PAIC 1 O 'l.`:`:rzZC.C�
'-IAY 13-%fi��y�. �0 6 i.. �•
APPLICATION FOR BUILDING PERMIT
fiECEIVEDBV DATEFECEIVED neTcicci�
BUILDING
ADOFE55
iz-.
OwNEP g ers Inc �+�P�NO.
MAIL BVILDING
z .
AooRess 9461 6r'indla nooaess `//�i
a c"'.> arv C PeSS No�826-4550 TRACT 8
Z Q CONSTRUC710N W
O � LENDER
am
J � BRANCH
J y OWNER
m J ADDRESS
J m ARCHITEC TEL.
Q Ot1�IM� N
V N FIRE
Woac ADDRESS1784$ $k Park BIVd Irvine zoNE
aW
W Z P.PFROVED
J O CONTRACTOR B�'
m Z
J � ADDRESS
W w TEL. �ONE NO.
z� ��T� C 1"2S5 ^'�826-4550 QZ �v P�'
w O STATE CITV YAROS APPpO
y� IIC,NO. 2247�Q LIG.NO. MAINBUILDI
7� SI2E NO.OF BLDGS. (FROM C/L STREE
oc�or �2,893 aCres NowoN�or Q or.rr 23 FT
USE OF
EXISTING BLOG.
F� 512E OF NO. OF
Z NEWBLOG. ROOMS STORIES L.SIDE FT
a EMERIOR WALLP ter %�OOF /
V COVERING W�� COVERING Shake REAR � FT
�I USE OF eU1lDING ANO WORK TO BE PERFORMED DISfANCE BET.
a
a nanw s�ocs.
pion-Condominiums cuo�"��-?�
~ 1 ReSidence w att ar �ROVEO
y
Z -�IOLD Fp , S
O
UI heraby ecknowledpe ihat I havo reetl ihis aDD��tation antl state
= Ihet the abOve in(ormation is cOrrBCt and aB�ae to cOmply wiM
� all laws reBulatlnB Guiltlinp consuuc�ion, end I shall not employ
r any porson in violatlon of Me workman's eompensation laws of
y ffie Smta of Colifornie.
? 1 hereby cert{fy thet 1 em proparly licansetl es e contrector unCer SQ. F'
Ma Smro o( Cellfomia Businesf antl Profess(ons Cotle, Dlvisicn 3, TNE AMOVNT:
Chepter 9, and that �ueh lieensas ara In full forca and eftect, or I THE PUfiPO6E O
om oxompt fiom Me provislons of Na Srom o( C Itornla Buaine[s VALUATION 'H
antl Protesslon� Cotle, Divlsion 3, Chapter 9. ���
S.tate-Vlide Develop� , Inc. � OQ�
SiBnetura o �
Parmlttae
Au[harizatlABo�t Vice President
I
DATE
OF USE OF N
NS BUILDING
VED YARO'.
BET. MAIN &
ACC65. BLD
DATE
m
�
O
ER VALUATION IS FOR '
NG A PERMR FEE ONLV: �
¢
�` „� i ) m
� FEE S f/"L �
7
m
HECK $ � E
0
FEE $
� . `J''O LL