HomeMy WebLinkAbout916 HOLLOW BROOK CIR - Building PermitsPfl0.1ECTA0DNESS: 9IG HOLLOW �RODI(
OWNEH'SNAME: VILLAGE CREEK HOMEOWNERS
aooeEss: ASSOCIATION
3429 TIMHER LAKE
CM VA 926'l6
UNIT:
APCH/ENGINEEF: CHESTER CARVILLE NEG.NO.: CLB.�OS
aoon¢ss: 7922 ARMOUR ST uxiT:
S.D. CA 92111
PEflMITTEE: pHOENIX ENTERPAISES INC. ( 213 ) 690-9559
aooAcss: 411 COMERCIAI, WAY
LA HAHRA CA 90631
LICENSEO CONTNACTOB OELLRRFiION: I hereEy atlirm Ihat 1 am Iicen5e0 un0er O�ovisions o� C�apter 9(commendng vn�h Section
7000) ai �iNson 3 0l IAe Busmess an0 Pmleislons CWe, an0 m':en is in full force antl 1.
aTruc.:. 50788 sTnreuc.:37663 �u/ss: B �
Da�e'. y���� Signalure:� C./� _
WOPNEHS' COMPENSRTION OECLAflATION: 1 �¢r¢by alfirAt Ihal I h a ceni�icate ol consen� �o sel4ins e or a cetlificale oi Workers'
Compensation i ilie7 cooY �hereot (Secuon 3800, Lab.
roucrxo.: ������� EXP.ORTE: �7�OSI9�
omrnNr: CA COMP 5 FIRE
� Lenifietl y is � re0y Wrnis�ed. ❑ CenilieE caDy is I ciry Building Oivi '
�
Daie: �-�'G AVGlicanL
ENEMPTION FROM WONNEBS' COMPENSPTION UECIANRTION: (Thi55¢dion eee no� be complete0 if Ihe D¢rmii is lar one hunUretl (5140) or IeSS�.
I cetlify Ihat in Ihe De�larmance oi ihe work for whic� �his permit is i5sue0. I shall nol employ any person in any manner so as to become
su01ec1 lo Ihe Workers ComDensation Laws al Califomia.
Date: Signa�ure:
NOTICE: II. alier making I�is Declaralion, you shoula become 5u0ject ta the Workers' Compen5aiion provisions of Ihe LaOor
Cotle, you musl lotlhwith compty wiih suc� pmvisions or ��is permit shall 6e Oeemetl revoketl.
CONSTPUCTION LENOING AGENCY: I hereDy allirm Iha� Ihere is a cons�mction lending agency for Ihe pedarmance o� the work lor
which Ihis permil is i55ueA (Seclion 3W7, Civ. C�.
LENUEfl:
aooxess:
OWNEB BWLOEB oECLA8ATI0N: 1 here�y allirm ihat I am exempi imm t�e Caniracrors' State License Law for ihe lallawing reason
ISection 7031.5 Business an0 Pmlessional CoOe: Any city ol coun�y whicn requires a permit ta conslmct, alter, imvmve. Oemolish, or
reoair any slmcture. prim lo its issuance. alsa requires Ihe applicant lor such permit to lile a signed statement thal helshe is licensed
pursuam ro t�e pmvisions of ihe Coniracmrs S�ate License law (C�aO�er 9(commencing wit� Section 7000� oi Oivision 3 of ihe Business
antl Pmfessions Catle) or t�al �e/she is eMempl lherefrom And ��e basis for Ihe alleged exemp�ian Hny viola�ion of Sec�ion 7031.5 by
any aDPlicantlor a vermit subjects tne apDlicanl to a civil p¢nally ol nol more than M1ve hundred Oollars ($500).
I. as owner ol t�e propeny or my employees with waAes as iheir wle compensation, witl tlo t�e work, and the
❑ svucture is not imen0etl ar otlerea lor sale (Seclion 7paa, Busineu anA Professianal CoOe: The Coniractors' State License Law
does not app1Y �o an awner of a pro0eny wno UuilAs or impmves tAereon, antl who tlaes such work Ilimull/herself or t�muqh
nis or her own employees, provitlee ttul such imOmvements are not intentle0 or ofleretl tor sale. Ii, Aowever tne builtling or
im0�ovemen� is soltl vnlAm one y¢ai ol Complelion. �he owner vnll �ave �he burtlen of pmving he/she Aid nol builtl or improve
tor ihe Durpose of sale�.
L as ownerolthe D�oOerty.am exclusively conlrac�ing wiihlicense0 coniracmrs m canslmcitAe prole��ISection 70aa, Business
❑ and Prolessions Cotle: The Conlractors' Siale Litense Law Ooes nol a001y to dn ownef o� pruOeM who OUiIGs or improve5ltlereon
an0 who contracis for such pmjects wit� a comractor�s�license pursuam m the Cantrac�ors' State License Law),I am aware
I�ai prool ol I�eir WOrker'S Compen5ation insuranr,e SMuIG Oe D�o'^detl to me.
� � am exempt un0er Seciion: 8. 8 P. C.
lor inis reason:
Daie�. - Owner:
I Qo nereoy cenify inal I am aware al ane untlerslana Ine reQuirements oi Califomia Health antl Safety Cotle Sections 25505, 25533, and
2553d an4ihallor any�ulure building otaOanlwilVwill noI (cirtle one� n¢etlia tampry vnih Saitl State t00e5 an0ihet¢puiremen�5ior a
p¢rmil lo� consimclion oi moCi�icalion Imm I�e Aii ualily Manag¢meni DiSirict. flesitlential cOnsimctian applicaiions are eaemp� irOm
IIICS¢ pfON5i0�5.
Oal¢'. ADPlitani: __
I M1ereby Gerlity��ai I have reatl ��is apP�ica�ion and slaie Ihy�p
ortlinances antl Slaie laws �elaling lo Ouiltling conslmclion and hei
prOp¢riy lai inspetti0n pu�poses.
Oa1e' — SignaWre.
on�er �icense o� Sociai Securny n:
is correct. I agreeta comply wi�h all ci�y and counly
ntaiives ol Il��o enier upon Ihe above-mentioned
t6aba6 W�ue—Butltlmg�, Green—Cotle EnlorcemenC Canary—App6canl; Pmk—Revenue', Goltlenrod—Assessor
CITY OF COS'PA MESA — HUILDING PERMIT , , '�84�9
PERMIT NO: B 049846 PLAN CHECK NO: 06437-90 A —��CTT�—SIIFlT�
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: REP
JOH DESCRIPTION : REPAIR SETTLEMENT DAMAGE SQ FT: 143
CLAIM VALUE: 14,388,00 CALC—VALUE; 14,300.00 GROUP OCC: R-3 /
COMMENTS: BIIILDING SETTLEMENT REPAIR/FOUNDATION
+t+t*�r�r**�*+t�r�e�r�r*�rf�*w�r��*+r�r*�t�r�r��t�t*�t�r�t�t�t��r�r+r�t�*�t�r*+t*��rx��r�**�r*+r**���*�r+r� ***�r*�r*�
Z O N I N G R E(j 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 RGHT: FT IN LEFT: FT IN RGHT: FT. IN
PARRING REQ• PROV• PARCEL: 93506124 ZNE; R2 REF NO:
PLANNING NOTES> REPAIR EXISTING FOUNDATION. MTp ��R�CIAL REQUIREMENTS
� �FYF4" k�'�k
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D E V E L O P M E N T [5 E R V I C E S A E Q U I R E M E N'T S
?.ONING APPROVED HY : �/!^ � DATE: I{ O
BUILDING APPROVED BY : w� L� vc�_) DATE: �� LC� d"j O
APPLICATZON ISSUED HY� DATE: 1���
iFik3FififiFifififififiFifiFiEiEkif�fiEiEiE TF£1F'7F�iFiF'if'iFiFif3klhiflfiEiEiEiFif iFdF
illfifk3flfififlflfiflFififiF�lfif�flliflkifffififif�F�ElfifiFiEifiEkif�fiE IFiliklfiFif�fIflFltlfifiF1fi11FlfiFifif�fIF1E1fIflfif�EkiEkklklflEillfiF�F
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PEkMIT 162.00
SMIP/NON—RES
PLAN 26,33 2,15
ISSUE FEE
BUZLDING—DIV—> PERHIT ISSUE PLAN—CHECFC TOTAL PAID DUE
TOTALS----> 164,15 0.00 26.33 190.48 190.48 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 190,48 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
162,00 2.15 "•c26,33
k iF if 1F ik 1k if lE if 1k iF 4 iF �f If k If if k 3E 1F iF �f if M 1f iF k iE 1F if 41f 1F k k k ik 1E M if 1! iF ak k IE iF k If k iF It 1F If 1f IF if 1f IFif �f iF k 1F �F 1F if if ik ib IE af 1f 1F iFiE k M M
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 I P T I O N UNIT COST TOTAL COST
.i
SFC 143 FOUNDATION BY VALUE PER $100 100,00 14,300.00
END OF FEES
O1 QD074"c93-090?4395 "d'u�7' iup,4�
CniE: 11/ibi90 TIflE: I1:`6
CONSTRUCTION AND PLANNING P�� SPA
APPROVALS Permit # Dite Inspector qppROVALS Permit # Date Inspector
7. Temporary Electrical Serv'ice or Polz _ � 52. Pool & Equipment Location
2. Soil PiOe-Undrgrnd._ . �� � 53. Steel Reinforcement
,�. -
3, �lectrica] C�on�it Utility�Undrgrnd: s- ' 54. Forms
'•4:.'Electiical Conduit�Undrgmd. I 55. Electrical Bonding
.
`�5:`Ste21' Rein't'orcerrient� ,, I 56. Rough Plumbing & Pressure Test ��
:c6.jHectrical�UFE'R�Grnd. �, � 57. APPROVALTOCOVER-GUNITE �
=,�.cFooting's"'� 1;�; � I 58. Electrical Conduit-Undrgmd. .
�.,.8. Foundation '.-` V� i 59. Gas Pipe, O Undrgrnd., Test
�;-9. Water Pipe�Un�rqv,.nd. � 60. Backwash Lines, P-Trap, O Undrgmd.
10. Structural Floo� System , I 61. APPROVAL TO DECK
11. Property SewerrLinA & House Connection I 62. Backwash & ReceptorFinal
12. Sewer Cap y':,, 4, I 63. Heater & Vent�Final
13. Roof Drainsy 'r I 64. Plumbing SYstem - final
_. �
14. Rough Plum6in9 � I 65. Electrical�Final
75. Rough ElectricEl�Conduit I 66. Solar System-Final
16. Rough E,lectrit?Wiring � 67. Fencing & Access Approval
17. Rough Wiring $i9n � 68. APPROVED FOR PLASTERING
18. Rough Electric�I�T Bar Ceiling I 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT
- ' -_ - - - - - - t* � ' : ,
20.cRoGgh F.actaY Sreplace ,� � � = A � `\ : � w � :qppROVA�L•S�'E Permit# 'p '� _
E1• � .. 5. e 1 -� .. ^1 � :- � - i V'� _ � i^ } �
21: �Ducts, imStr.uctu�e, .... _ . I S .-70. �lnderground Hydro f
22. DU�ts, Venti*ating r � i�.-�, -_�� � S i�:�. r77, producf'Pjping EFGas QOiI
23rGas Pipe=Rough & Test � „�y �.i ,�`_-. '`'-'° -72, Underg ound Plush, ;, . ' _
24,TRo6f Framing '��� ' -- ��4 �r �I O i, .?� � >73iUndergrnd.StorageTank�OGas~OOiI ,
- �, _
25. Ro'ofSheathing '' cr �� "I - ,,� 74�Over,head�Hydro^' `� >
26rT-Bir Ceiling �$tructurell &.Monocoat'r, _' �; _ o!v - 75;_Dry Chemical � � � _ _
27: �Frame and F.lashin� ^ ` � ; Y I :�; ` ' 76. Dr Stand' i e '' �' ' "
.a :C. z L�+ . Y P.B � : -
'- 28. Lathiny.& Siding� z. �, :�C � S_I •• •• 77:, FIXED SYSTEM.FINAL' � �
-'29. Insulation °' '' - " 'r'� 1 -
,,.,' ; � . 76rFIRE PREV. FIIVAL
�30. Drywall.Naiting � � �� � HEALTFI�DEPT.REQUIREMENT
. <
.�31. Plaster Brown Goa�" .,_ ..,.i. � ' �i ,-� � � * _7S' FINAL IASP.ECTION - �'
� �._ -- . , .� � .: �+ - n �-
32.,-Electrical Po�Ner Meter�Final ' ,;: I .... .,SO.r,F00D CERTIFICATE ISSUED :
,.33 �Final Elactric �' `' ' F ` � No'tes: =?- ' _ _ -'
� 'i: �] I �I i A 11 [YI^
L � �' .
�34. Final Heating & Aic C'onditioning; � � � �� `„ � - . q '-'
I ' '
'35�.��Firial Ga"s Pipe�Te`sr �'�� ��� .* ~ �, � � ,� � • -.�� •'�.? . :�:-.
s '`i ••� 'C�o C - �_
' .r c,. •-. ti: l,; � • i� � . ..� .r �. :��
,�36. �Hood orjCanopY._ . � � „S ' i �+ b - � -,.��
_ _ :_ ` '
-37 -Pin51 Factory Fireplace_ .^i" . :^ � � ; _ - • = .
- �
.J38.-.Fin21 Plumbin9 ?�, �{I ! .•.. •- , �.,1� i �: . '- Y :i. -
t'
.`�39. Water Service-FinaF � �� • I � + ' � ��� ,
Y s S] I } - ' �x
"40.'Gas Service=Final r ` , , ' ` �r I I � _' J= �
:41�..Solar pomestic�Finali ' � •• ' _`�I � . '' • - •= ' r
'+' , x e r
"42' Backflow Preventer -" �}: ' I � I 'Y � �'• ' ' -
, t. I3: � �- '1' �.
43. Backflow Irrigation �'� S : ,. �� ' ' - ' ' . C �
.;,44. Landswpe Irriaation System j`�' .x � �•' - - � �` ,• _ _� ��
%.45.=Sound Attenu2tion ^:,�c� • ��' '. I T '- < - :. ._. c:i �:'ti - .
.
�46. ,Handicap Regulations - _ �' ` ' � ' i '��� ; � '� ;
' � -. - _ - - .` .
� 47.�FINAL STRUCTURE & BUILDING ,�' , , , .- •
,
48'� � •tr . _ '.; { _.
_ ,�Si;C( (: ? .1
49.=Electric Retease to Edi on � i ,-' -� .k . �. - . _ _
�''50..Gas. Rele�se to Southern California Gas Co � : � ' I '' li - � ' ' • ', '
�51. CEFTIFICATEOF,OCCUPQNCY , , M` x.; .i i; ,_
No Date s
I
OWNER STATE-WIDE Developers, Inc. DATE
_ __
a .o"t�0=654=01"�t0i
INSPECTIONS
SOIL
GAS
W AT ER
ROUGM PLUMBING
PROP. SWR. LINE Q HOUSE CON.
SPRINKLING SVSTEM
MISCELLANEOUS '_��
ROUGH HEATING ANO AIR CONDITI
TEMPO(iARY SERVICE OR POLE
UN�ERGROUN� � POWEF �
ROUGH WIRING
TRENCHES � FORMS � STE
FLOOR SYSTEM
BON� BEAM � STEEL REINFC
SHEATHING
FRAME AND FLASHING/
LpruING — IN OUT �
P :R, BROWN COAT
Si�wCTURAL, FINRL
HE/TING, VENT., REFRIG. ANO A.
PLUMBING, FINAL AND GAS TEST
ELECTRIC, FINAL
BUILDING, FINAL
FINAL
a
VALUE
SUBCONTRACTOR
: 4:184.4
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
For Applicant to Fill in Comp/etely
ApIDRESS 916 Hollow Brook
'1AY i 3-76�A��OQ 649'� *** 210 `; I
APPLICATION FOR BUILDING PERMIT
FECEIVEDBY DATERECEIVED nnr�ioo�u
pWNER State-Wide Develo ers, Inc. A_P_N�. -� b^
MAIL ADIDRIE S / ��
Z qpDRESS 9461 Grindiay
a v CITV CypP05S nT,o.`826-4550 TRACT �6
Zz
Q (`qNSTRUCTION
O N ��NDER
am
J � Bflp.NCH '
J N
mJ ADOFESS
J m AFiCHITECT TEL.
a BFRERd17EEFi N . � �
U N .
WQ qpDFESS {jaz•k R�V[� Trvine
a W r
w Z CONTFACTOR State-Wide Developers, Inc.
J �
m� qODRE55 9461 Grindlay
OWNER
FIRE
ZONE
APPROVED
VALUE
R
W W TEL. �ONE NO.OF q USE OF NEW I✓%�
Z� ciTr CypP255 No. 826-4550 2�C P�+� L. BUILDING
O $7ATE CITV VARDS APPROVED VARDS APPROV
y 2 LIC. NO. ZZ4J�O LIC. NO. MAIN BUILDING ACCESSOFV BUIIDING
� O (FqOM C/L STREET)
OF LOT 12.093 acres I NOW ON LO S O FRONT 23 FT. FT.
F 512E OF NO. OF
Z N W BLOG. ROOMS STORIES L. SIDE � FT�
U EJ(TERIOR WALL aS er ROOF
COVERING COVERING REAR �T.
J USE OF BVILDING P.ND WOFK TO BE PERFORMED DISTANCE BET.
d MAIN BLOGS.
a
a �AR. #
p - nd mi ni ums c.u.P. �.�—
y 1 Residence w att ar �PROVED
p -�IOLD FOR _�_]
UI hereby acknowletlge that I heve reetl this applicatio� and state
� that the above intormation is correct antl agrae to comply wlt�
� all lews regulating building construction, antl I shell not employ
F any person in violation of tha warkman's compensation laws of
y the State ot California.
ZI hereby certify that I am pro0erly Iicensetl as a coniractor �ntlar � 254 SQ. FT.
the State of Calitornia Business antl Profassions COAe, Oivisicn 3, THE AMOUNT 51
ChbP<er 9, antl that such licenses ere in full forca antl eftect, or I TME PURPOSE OF
am exempi from the provisions of the State of Cali rnia eusiness VALUATION
and Professions Code, �ivision 3, Chapter 9. `� U_ �
s,9�a��fe tate-Wide Develop Inc. �3 ���q}/Q�►-
Permittee $ Vbp�w
Au<horizetlABent Vice Presi�ent
T • FT.
� FT.
BET. MAIN &
ACCESS. BLDGS.
OATE
APPROVED �
'�' ---_ �/ 77
_ �
0
VALUATION IS FOR '
A PERMR FEE ONLV: ¢
N
E $ � ]
K$ � .s E
so�Oc�.�O �
LL