HomeMy WebLinkAbout923 HOLLOW BROOK CIR - Building Permits_�
I/
PHOJECT AOOHESS: 9 2 3 HOLLOW B ROOK C I
OWNFA'S NRME: �
' �aooaess. �ILLAGE CREEK H.O.A
3429 TIMBER LAKE
�� COSTA MESA ,CA., 92626
AFCNIENGMEEN: 5 S 3— 1 8 7 6
AOUHESS:
flEG.NO.:
UNIT:
UNIT:
PEflMinEE: pETERSON ROOFING ( 714 ) 979-7111
aooxess: 3006 ENTERPRISE
COSTA MESA CA 92628
LICENSEO CONTPACTOB OECIAHATION: I hereUy alfirm ��at I am licensetl under pmvisions al Chapter 9(commencing wi�h Seciion
]000� ul DiNsion 3 oi the Business ana Professions CoOe, and my license i n tull brce antl eHec�.
cirruc.: 45 45 STATELIC.:60'78-7,_n c ss: �
Date: Signalure �l
WOBRE ' COId ENSATION OECIABPTION: I �ereby aifirm thai I �ave a cehi�icate ol co n� to seli-insure or a certifica�e o� Workers'
Campensaiion Insurance, or a cetlifie0 copy ihereof (Section 3800. Lab. C�.
roucvxo.: 1021355-93 EXP.ORTE: O4IOLI94
comenNr: STATE FUND
❑ Ceriilietl copy is �ereby fumishetl. � Cetli�ietl copY is IileO with the ty Buil� lig 0' isio . .
�ate: APDlicanC g���_
E%EMPTIO FNOM OHNENS' COMPENSATION DELNPFTION: (This seclian neetl noi be tampl¢�A Ihe permi� is �or one hundretl ($1 W) ar less�.
. I certify ihat in �he pedormance o� ihe work for w�ich Ihis permi� is issuea. I shall not employ any person in any manner so as to become
'�i sublect lo Ihe Workers' Campensalion Laws o� Califomia.
� Oate� Signature:
NOTICE: IL al�er making �his tleclaration, you should become sublect �o Ihe WOBers' Campensa�ion pmvisions o� Ihe Labar
CoOe. you mu5t fotlhwrth comply with such provisions ar Ihis permit shall be tleemed revoked.
LONSTBUCTION LENOING AGENCY: I hereby ailirm Ihal Ihere is a con5imc�ion lending agency tor the De�ormance ol �he woB lor
which Ihis uermii is issue0 (Sec�ian 3097. Civ. C�.
LENUEN:
AOOflESS:
OWNEP BUILDEB OECLABFTION: I here�y a��irm I�al I am evempl Irom the Coniractors' Slaie License Law �or ��e tollowing reason
(Section 7031.5 Bu5ine55 ana ProfessionalCode'. Fny ciry of county which reQuires a permitlo cons�mcl, alter.improve, tlemolish, ar
repair any stmc�ure. prior lo iB issuante. also reQuires �he applicant for such permit �o �ile a signea s�a�emenl Iha� helshe is Iicen5e0
pursuam m Ihe pmvisions o� �Ae Con�raciors' State License Law (Chapler 9(commencing with Seclion 7000) of �ivision 3 0� Ihe Business
antl Prolessions Catle) ar Ihat he/she is exempt Ihereimm antl Ihe basis for Ihe allegee exemp�ion. Any violalion of Section 7o31.5 by
any ap0licanl �ar a Dermil sublects the applicant �o a civil penalty ol no� more Ihan live hunCreC tlollars (5500�.
I, as owner ol ��e pmpetly or my employees wilh wages as Iheir sole compensa�ian, will do the work, antl Ihe
❑ slmcWre Is nal intended or o��eretl tar sale (Sec�ion 7044, Business an0 Professional Catle: The Contractors' Siate License Law
Ooes no� apply Io an owner of a pmpetly who hui105 or improves Ihereo0. an0 who does such woB himsel�/herself or �hrough
his or her own employ¢es. pmvided thai such impmvemen�s are nol inlen0e4 Or Ofl¢rea br Sale. I�, hOwever Ihe builAing or
im0�ovemen� is soltl within one year af completion, t�e owner will �ave Ihe burden of proving he/she did no� builtl ar impmve
for Ihe purpose o� sale�.
I. as owner oi Ihe propeny, am exclusively conirac�ing wiih licensetl conirac�ors �o conslmct the prolec� (Sec�ion 7044, Business
�I ❑ antl Pmiessions Co�e: ihe Contraciors' S�a�e License Law tloes not apply Io an owner o� D�ope�y who 6ui105 or impmves thereon
'. and w�a conVa[Is lor such pmjec�s wi�A a contracioqs) license pursuanl �o �he Contraclors' Staie License Law). I am aware
'� ��a� pmol ol Iheir WOBer's Compensation insurance 5�ou10 be provitletl �o me.
� I am exempt undei Section: B. 8 P. C.
for lhis rea5on�.
Oa�e: Ownec
I Da hereby cenily ihai I am aware ol ana untlerslantl ihe requirements ol Califomia Health an0 Sa�ery Code Seclions 25505, 25533, and
2553a antl �hai I or any lulure �uilding occupan� wllllwill not (cucle one) neetl lo comply wlth said s�a�e codes antl �he requiremen�s �or a
permit �or cons�mciion or motlificalion imm �he Air Oualily Management DisVic�. Residential cons�mc�ion applications are exemp� imm
Ihese provisions.
Oale'. Ap0lican�:
I here�Y certi�y Ihai I have read this appbcatmn antl slale lhal Ihe abovein�o alion is wrre . la ree b camply with all ci�y and caun�y
oreinance5andstalelawsrelalingiobuiltlingcon9mclmnantlherebyauthon repres tive oll 'ytoenlerupontheabove�menlioned
pmperly for in50ec�ion mpases.
f]die:(y�� SgnaWre'
i
Oriver'S Lrtens oi Social Securily a:
�60t-46 White—Builtling; Green—Cotle Eniorcement; Canary—ApPlicanl: Pink—Revenue: Gol�enrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 064531
PERMIT NO: B 064531 PLAN CAECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE; V—N PERMIT TYPE: STA PURPOSE: OTH
JOB DESCRIPTION : T/O RESHT 6 REROOF W/COMP. SIiING SQ FT: 2,700
CLAIM VALUE: 2,700.00 CALC—VALUE: 2,700,00 GROUP OCC: R-1 /
COMMENTS: SMOKE DETECTORS REQ. INCLUDES 921 HOLLOW BROOK CI
�c-***x�i�*�-�r+�****�r*****+�******�r****u-***�r+r�-*�c*�c*****�*+r+�**+c**+�*******�r**�c+�**x�+�*****
Z O N Z N GS ERTEB�AUCIKRSE M E N T 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 RGIiT: FT IN
PARKING REQ; PROV; PARCEL: 93506117 ZNE: REF NO•
PLANNING NOTES•> �L�
,� �
-iP"iE i! if 1E 1E jE iE iE iE jf iElE 1E iElE fF jf 1f iE aE ff �E if iE if iF iE it if fE i! 1E 1E ff 1f fE 1tlE IF 1E iE 1E 1E if if iE iElE IE fE k if if iE fE �f �f 1E if 1k 1F 1F 1f iPlE �F �E iF if i! fE iE �E iF ff fE 9E iE
D E V E.�L 0 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
n
ZONING APPROVEI� BY DATE:
BUILDING APPRO.VED BY : DATE:
APPLICATION ISSUED BY: DATE: �
iflEjfiFltdlifififiFifiE�fifiliEfE�lkkkiE lE�F1EfflEiEifififiE iF
iEiEiflflEitiflfiEiEifiEiEiEjEiEiEiEifif�jfikiEiEiEiFiEiEiEfEiE�lEif�lEifiEiEiEifififjEiEiEiE9Ei(�iEififiEi4iE:flfMiE*iFiEiEiF�)fjFiEiiiFiEiE* �Mif*ifitjfiEiE
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
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 54,50 0,00 0.00
REVENUE DIVISZON TOTALS--> COLLECTEU:
BLDG PMT PLUMBING ELECTRIC MECHANZC
59.00
SMIP/NON—RES
TOTAL PAID DUE
�,50 54.50 ,00
54.50 OVER/SHORT: 00
IRE $MIP/TOT GRADING PLAN—CHECK
.50
1E i6 if if 1f 1k �f iF 1E ik k k iE %iE if if if iE i6 if iE if if if iE fE if iE 1E iF iE iE iE if if 1E iE if if iE fE if if i! 1E 1E fE ff 1f fE 1f 1E if 1f if 1E K iE if iF if 1f iE iE if iE iF jE iE iF if 1E 9E ff iF fk 1f 1E
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
SFR 2700 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 2,700,00
END OF FEES
SN�OKE tiE�. ED� �H
'._ �EC�UIR _..�
�1 �414°230-007.49231 Te� i 54.��J
OaTt: l0/?G,�93 T?Mc'� 2.:5g
�CQ.%�:TRUCTION AND PLANNING P0� _ & SPA
APPROVALS Permit#� Date Inspector qppROVALS Permit; Date inspector
�
t, Tempoiary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe•Undrgrnd. ' S3. Steel fieinforcement
3. Electrical Conduit UtihtY�Undrgrnd. 54. Forms
4. Eiectrical Conduit•Undrgmd. 55. Etectrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electr(cal UFER Grnd. . 57. APPROVAI TO COVER�GUNITE
1. Fuotings � 56. Eloctrical Conduit-Undrgrnd.
8. Foundation , � 59. Gas Pipe, O Undrgrnd., Test
9. Water PiPe�Undrgrnd. 60. Backwash Lines, P�Trap, C1 Undrgrnd.
10. Structural Floor System ' 61. APPROVAL TO DECK
1 i. PropertY Sewer Line & House Connection 62. Backwash & ReceptorFinal
72. Sewer Cap � , 63. Heater & Vent•Final
13. Roof Dfains 64. Plumbing System � Finai
74. Rough Plum6ing 65. Electrical�Final
15. Rough Electrical-Conduit 66. Solar SYstem-Final �
16. Rough Electric Wiring 67. Fencing & Access Approvai
77. Rough Wiring Sign 68. APPftOVED FOft PLASTERING
18. Rough E�ectricat-T Bar Ceiling 69. POOUSpA SYSTEMS F INAL
19. Rough Heaiing & Av Condit�oning F�RE DEPT. REQUIREMENT
I
20. Rough Factory Fireplace � APPROVALS Permit # �
i
27. Dutts, in Structure 70. Underground,Hydro i
22. Oucts, VeMilati�g 71. Product Pihin9 g�as �Oii
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Praming 73. Undergrnd.StorageTank OGas ❑Oil �
25. Roof Sheathing `g -2%-!{� �'pp�(� 74. Overhead Hydro '� I
26. T-8ar Ceiling (Structural) & Monocoat � 75. Dry Chemical .�K�
27. Frame znd Flashing 76. Dry Standpipe ��'�
28. Lathing & Siding - �• 77. FIXED SYSTENi FINAL �.r
29. Insulation 78. FIRE PREV. FINAI � ��-,
30. Drywa�l Naihng HEAITH DEPT. REQUIREMENT ;
37. Plaster Brown Coat . . � 79. FINAL INSPECTiON '
32. ElacVical Power Meter-Finai 80. FOOD CERTIFICRTE ISSUED
33. Final Electric Notes: � '
34. Final HeaUng & Air Condiiioning '
35. Final Gas Pipe-Test �
36. Hood or Canopy - �
37. Fira� Factory Fireplace
38. Final Plumbin9 � •
39. Water Service•Final ,
40. Gas Service-Final � .
41. Solar pomesticFinal
42. Backflow Preventer
43. Backflow Irrigation
44. La�dscaPe irripation System .
45. Sound Attenuation
A6. Handicap Regulations �
47. FINAL STRUC'TURE & 6UILDING 3�z(�[� ��,�
48. FINALPLANNING
49. Electric Release to Edison �
50. Gas Release to Southern California Gas Co '
5t. CEFiTtFICATE OF OCCUPANCY
No. Date
PHOJECi AOOHESS: 9 Z 3 HOLLOW �R��K UNIT:
OWNEfl'SNqME: VILLAGE CREEK IiOMEOWNERS
aoonEss: ASSOCZATSON
3429 TIMBER LAKE
CM VA 92626
AflCHIENGINEEB: CHESTER CARVILLE NEG.NO.: C�.A3OS
aooxEss: 7922 ARMOUR ST uxir:
S,D, CA 92111
PEflMITTEE: PHOENIX ENTERPRISES INC. (213)690-9559
aooness: 411 COMERCIAL WAY
LA HABRA CA 90631
UCENSEo CONTBRCTOP OECLARATIaN: I hereoy affirm ihat I am licensee untler pmvisions of Chapter 9(commencing witA Section
7000) at Orv��smn 3 o� ��e Business antl Pioiessions Code antl my ' se is in full force and eifect.
c�Truc 50788/� TaTEuc.:376639 ss: B(���� //
Oate:���/ Signalure: �� L'� ���-//J
WOBNEHS' COMPENSATION OECIAflFTION: I here�y athrm t�al I �ave a cenifica�e o� consem �o selblfisure or a cehi�icate o� Workers'
ICompensa�ion u�ay� c�/ �ifietl copY ihereo� (Sec�ion 3804 �ab.fj�
POLICVNO.:�,V���4 ENP.DATE: `�7�O1�g1
r`�jOMPANY: �-� COMP 6 F IRE
� CetlAi tl opy is �hereby �umished. ❑ Cehi�ietl copy i� i� �ity Builtling -'' n�
Oaie: �`/�� AOOlicanl: _���� � !.
ENEMPTION FflOM WUPREHS' COMPENSHTION �ECLl�NRTION: (ihis 5¢ttion need nol be com01ete0 if Ihe p¢rmii i5 for one hunOretl ($10�) or less).
I cetldy Ihal in �he periormance oi �he work for which Ihis permii i5 issued. I shall nol employ any person in any manner so as �0 6ecome
sublecl Io ihe Warkers' Compensation Laws oi Calilomia.
�ate: Signamre:
NOTICE: If, alter making �his tleclaralion, you s�oultl become sublect Io the Workers' Compensa�ion provisions of �Ae labor
Cotle. you musi Iarthwiih comply wil� such provisions or t�is permi� shall be OeemeO revoketl.
CONSTNUCTION LENOING pGENtY: I �ereby affirm Iha� �here is a con5�mciion lending agency lor Ihe peAormance oi �he work for
which Ihis permi� is issuetl (Semion 3097. Civ. C).
LENOEH:
ROONE55:
OWNEN BWLUEB OECLAflATION: I hereby a��um ��at I am exempt �mm Ihe ConiraclorY State License Law lor the �ollowinp reason
�Section 70.31.5 Business antl Protessional Code'. Any city o� coun�y whic� re0uires a permit to con5imc�. al�er. impmve, demolish, ar
�eDair any simcture, prior lo iis issuance, also reQuires ��e apD�icani for such permil to lile a signea sta�emen� �hai he/ihe is �icenSeA
pursuant m �he pmvi5ions of Ihe Comratlors' Stat¢ LitenSe Law (Chapter 9(CommenCing with Settion 7000) of �ivision 3 01 �he BUsiness
anA Pmfessians Cotle) or �hal helshe is exempt Iherelrom and Ihe basis for Ihe alleged e�emptioa Any violation o� Section 7031.5 by
any ap0lican� tOr a permil sublec�s �he aDPlicant to a civil penalry of no� more �han �ive hundre0 Oollars ($500�.
I, as owner of �he pmperiy or my employees wi�h wages as Iheir sol¢ compensa�ion, will Oo �he work, antl Ihe
❑ StrucNre is noi intenaetl ar offere0 Por sale (Sec�ion 7044, Business an0 Pro�essional Code: T�e ConVactors' Slate License Law
Ooes not appry m an owner o� a pmperty who builOs or impmves thereon, antl w�o tloes such work himsel�/herseli or �hmugh
his or her own emDloyees, pwvided ihat such impmvemenis are not intentletl or offered for sale. It, however ihe huilAing or
im0�ovemem is so�a wiihin one year o� com0le�ion. the owner will have �he burtlen o� pmving he/she AiA no� builJ or impmve
� for Ihe purpose o� sale).
I, as owner of �he propeny. am exclusively con�rac�ing wil� licensetl con�ractors lo canslmc� Ihe Omlect (Sec�ion 7044, Business
❑ antl Pmlessions Co�e: The Conlraciors' Sla�e Litense Law Uoes nol apD�Y �o an owner o� pmDeM wh0 bm145 or imO�OveS �hereon
antl who coniracis lor such pmletls wilh a contrador�s) license pursuant �o �he Contrac�ors' $�a�e Li[ens¢ Law). I am aware
Iha1 pmo� o� their Worker's Compensalion insurance shoWA 6e D�ovided ta me.
� I am evemp� under $eclion'. B. 8 P. C.
lor Ihis reason:
oate: Owner
I Oo hereby certify ihat I am aware of and untlersland ihe requirements oi Caiifomia Health anA Safety COUe Sections 25505, 25533, antl
2553A an4t�ai lor anyluture Euilding occupaniwill/will na��circle one�nee4io comply with said sta�e cotle5 and�he requiremenlstor a
permit lor conslmc�ion or modilica�ion �mm �he Air Oualiry Managemen� OiSVic�. Fesitlenlial conslmction applica�ions are exemp� �mm
ihese pmmsans.
Oa�e: ApplicanL
I hereby cenity ihal I have reatl Ihis applicalion ana slale Ihat ihe e i orma�ian is carrect I agree Io comply wi�h all cjty and counly
ortlinances and staie laws relatmg lo builtling cons�mclion antl her y u�h ze represenlativ his city to en�er upon �.Nove-mentioned
properiy�fa mspectio purpos 5
Wte:/� (��— � Sigwmre.
oriver's License or Social Securiiy a:
` 164La6 Wnite-6uil0ing: Green—Code Eniorcement; Canary—Apphcam: Pink—Revenue: Caoldenrod—Assessor
CITY OF COSTA MESA — HUILDING PERMIT ,
PF.RMIT NO; B 049935 PLAN CHECK NO: 06933-90 A v , ,
CONSTRUCTION TYFE: V—N FERMIT TYPE: STR PUAPOSE; REP
JOB DESCR.IPTION : REPAIA SETTLEMENT UAMAGE SQ FT: 143
CLAIM VALUE: 19,388.00 CALC—VALUE: 14,300,00 GROUP OCC: R-3 /
COMMENTS: HUILDING SETTLEMENT REPAIR/FOUNDATION
�� **x�t�r***�•****r****�r��rr*�r*�t**�******�t�r�t�+tx*�****x�r�t�r�r�r****�**�r**�r�t�r�r�r*�r�r*M *�r*�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 HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT' IN REAR: FT IN FRNT: FT IN REAR; FT �IN
LEFT: F7' IN RGHT: FT IN LEFT: FT IN RGHT; FT' IN
PARKING REQ• PROV: PARCF.L: 93506124 ZNE: R2 REF NO;
PLANNING NbTES> REPA:IR EXISTING FOUNDATION. �}�r� ��R SP�CIAL REQUIREMENTS
*aEit*it*�ltxitififtexificiett*itir��itit��it****iEatit�tit![�atiE�rlfiairifatitiE+titit*iE�iFitR` #Ya�r��****�r*x�r�r�r�r**�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 S
ZONING APPROVED BY ��� DATE; I'l_1.59�
BUILDING APPROVED•HY :
APPLICATION ISSUED HY:
if iEiF iF iF if if if 1F iF if 1f if iE if IE M IFiE if 1F if
DAT E : .
DATE:
1h1EiElEifiFlFiFlf�lfiF�lfif7fiEil�lfiEi(�1fiEiFlEifififiEiFifiElfi EIEik�IE� �M�IEiF1Eik�IFifiEifif%�ibiEiEifiEiFlf*�EifiEifiEiEififiFiFiE�lEiEiEifiklF�lEifiFiFiE
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING EL TRIC MECHANIC FIRE SMIP/RES GRADING
PEHMIT 162,00 .
SMIP/NON—RES
PLAN 26.33 2.15
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 164.15 0.00 26.33 190.98 190.96 . ,00
REVENUE DIVISION TOTALS--> COLLECTED: 190,48 OVEA/SHOAT: .00
BLDG PMT PLUMHING ELECTRIC MECHANSC FIRE SMZP/TOT GRADING PiAN—CHECK
162.00 • 2.15 26.33
k iP * 1F 1E if if 3E�k if if M if If if 3! M iEiF if k iEdFif iElE ih 1F If IE lFlf 1f iF IE if iF If iF if If ff Ik ik iF iF iE ik if if ff iE k if 1f 3f iE i! 1f if IElFlf k�lf lFlE if if if if 1f iE iE * if iF iF 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 I P T I O N ONIT COST TOTAL COST
SFC 193 FOUNDATION HY VALUE PER $�100 100,00 14,300;:00
END OF FEES
i�
Oi d�0744�v—CCD7rh10 Z'�'� � 17�:�,3
➢ATE: 3f/1614� TIfSE: 22:0,�
�
\
CONSTRUCTION AND PLANNING .r. POC : SPA
APPROVALS Permic # Date Inspector AppqOVALS Permit # Date Inspector
t. Temporary Electriwl Servi,te or Pole _ 52. Pool & Equipment Location
2. Soil_Pipe�Undrgrnd,. � 53. Steel Reinforcement
,� 3:�;ElectricaJ Cond'ui[,Utility-Undrgrnd,.y; 54. Forms
�.� 4:-Electrical Conduit�Undrgrnd. 55. Electrical Bonding
.� r
=-5" 9teel Reinforceriien}: � 56. Rough Plumbing & Pressure Test ,
� 6._Electrical'UFER16md. 57. APPROVAL TO COVER�GUNITE
�-7`Footings.^ �!�; '- 58. ElectricalConduirUndrgmd. -
- 8. Fqundatior`r �i, -� �� . 59. Gas Pipe, O Undrgmd., Test x
--9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgmd.
19. Structural Floor System � � 67. APPROVAL TO DECK
7�1, Property SeweP�Line & House Connection 62. Backwash & Receptor�Final
�
72. Sewer Cap .. ' � -
._ 63. Heater & Vent-Final
13. Roof Drains= 64. Plumbing System - Final
14. Rough Plumbi�n9 � 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric�!Wiring . 67. Fencing & Access Approval
77. Rough Wiring $ign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- . ' - c' -ay:. . .
20.��Rough F.actocy Fireplace � = `! ' .- �T � ' �APPROVFYLS � � Permit # ,
1.. l! �'. ). 1 A � 111
21?Ducts, imStructu�e. � ..°. ' = � _i � � . `70. Underground Hydro � �
22. Ducts, Ventilating,� ' �'�, :� �� ���i, product P,iping ��as OOiI
23`�_ t.� .: � � - _ �.i.� 'i • :-� i � - � ..
Gas Pipe=Rau'gh &�fiest � �,; : _ -..72. Under9round FIus6�•_ _. .
24�.� Roof Framing �._. . . • � ' _ � � '•731•Undergrnd. Storage.T.ank �O Gas ❑ Oil
.
25. Ro'of Sheathing -i, ,. ' ` �� �' ' ;z;�� � `'74,-,pverhead �Hydro- � �� .
26.1T-Bar Ceiling (Str.vetural) &SMonocoaY' � _ 1' -' �n,.� � 75: Dry Chemical -- ' - �
27Y Frame and Flashing', j - _ �1' _ '; �.; 76: D}y Standpipe '. , - � .�
�-�28. Lathing:& Siding � � r.� ' - x � _ •• � �� .i 7T.- FIXED SYSTEM�FINAL` _ �-
'29. Insulation ~: (i � �'� .� ' �� ` ' t � , � ; 7g: FIRE PREV. FINAL . '
��30. Drywall�Nailing i�l � �� � i3 � _�-'` � ' ' HEALTH'DEPT-, REQUIREMENT
� �_.
-37. Plaster Biown CoatF �- � ; „ :� �� � � � -_79`.'�F�NAL INSP,ECTION , - '
' 32. Electrical Power Meter-FinaG �� � t,.!, � �i80:��.F00D-CERTIFICA�TE ISSUED
�' i
_ " - _ ; = : "• � __ .. in / . y
. 33.; Final Electric . � :� _. ' � ,�� � � `' Notes: ' _, - ; _
.r
�34r Final Heating & Aic Conditioning. '- � � � � �/ . , ; . . ._ -
1� I �� iI R T
35:Piria7 Gas Pipe-Test� �.5� •�• , i,:, ��{' .! ��' i A �� `'-
`/ �
: 36. Hood or CanoPY=�. � � ,• _ n. - �r' �� i •' �, � _ .� .9/
, �
37, Final Factory Fireplace, i , '. �_ ` ` ; � �� � , r, `t ; r `�
i�
l. 5' . f
� 38�.,Final Plumbing .S.= �0 � �- .i r n
�� .
�39. WaCer Service=Final` • �• � -7 �'� ' '��
� ; - ..
�;.40.' Gas Service-`Final �' , ,.��, , . � � i ; _ _
`-'41c=Solar pomesticFinal' �� • - ' '
:] Y ' '+
42.lBackflow Preventer.` ' ' ` � � �e X. �s = •.- r
43. Backflow Irrigatior� = �• ` - ' �' ' ' - �
�- A . /
' 44. Landscape Irrigation System_ �•'� c ��. tr _. - cu - � • y . �
�45.�Sound Attenuation 1� • •'" �'� - - " - c i ` +
�. ., - Y � � - -
='46. Handicap Regulations ' ' � . ;�. - �: ;� �. r
47: FuvaL S7RUCTURE & BUfLDING ��� ' � Y
r yt � , •
48. ; I -1 _ ; j� � i. -
-49.rElectric Release to�Edi on � �, w i � • _ ' _
i I.. . �� � r �
� 50: Gas-Release to Southem California GasCo . ' � � �i � _ - - .,,..`� . .' -
,"51. CERTIFICATE OF�.00CUPANCY :-. : e + >� ,- ;,i � ... F- .
No Date '
vnrv�rt
`� ECTIONS
n s, _
_� GAS
� WATER
�i ROUGH PLUM0ING
� PROP. SWR. LINE � HOUSE CON.
� SPRINKLING SYSTEM �'
�MISCELLANEOUS
HEATING ANO AIR CONDITIONING
TEMPORARY SERVICE OR POL
ON�ERGROUN� � POWER
ROUGH WIRING
FLOOF SVSTEM
BON� OEAM � STEEL PEINFORCE
SHEATHING
FRAME ANO FLASHING
LFTHING — IN i OUT
PLASTER, 6R04/N COAT
F IG, VENT., REFRIG. AND A.C., FINAL
PL�mBING, FINAL ANO GAS TEST �
ELECTRIC, FINA
BUIL�ING, FINAI
va, i � 4-ZtS- /6
BUI�DING PERMIT N0.
K Res.W att. g.
vn�uE E 35,7�.�
SUBCONTRACTOR
Z .
a cW_7
2
ZQ
ON
am
J7
J V1
Q W
0] J
• ¢]
J Q
U N
Za
2
aw
W Z
J Q
m Z
J �
W W
0
z�
W �
� �
H
Z
Q
U
J
a
a
Q
�
H
y
Z
O
F
U
�
�
H
N
Z
` 4..1838
COSTA MI
P.O. BOX
For Applicant to Fill in Camplete/y
AODRESS9�HO��OW Brook
OWNER State-Wide Developers, Inc.
Ao"oREs59461 Grindlay
��T� Cypress No`826-4550
BRANCH
ADDRESS
ARCHITECT
ADDRESS i78qg SKyNarK ti�Vi� irvtne
�oNTRo�TORState-Wide Developers, Inc.
ADDRESS q4fi1 Grindl:�y
CITV Cvpress No�26-4550
STATE 224710 CITV
IIC. NO. LIC. NO.
OF LOT 12.093 aCNES NOW ON LO S O
USE OF
EXISTING BLDG.
SIZE OF NO. OF
NEW BLOG. C FOOMS STORIES
EXTERIOR WALL �1 a�5 er qOOF
COVERING YOOQ COVERING $hakE
USE OF BUILDING AND WORK TO BE PERFORMED
I haraby acknowledBe that I have reetl t�iz apP��cetion entl stata
t�et ihe above intormation is correct antl apree to comply with
all lews regulaNnB building consiruction, antl I shall not amploy
any person in vblatiOn Of [he wOrkman'a compensation laws at
tha State ot Calitomia.
I hereby certify xhat I am proparly licansetl es e contractor untlar
tha Stata of Calitornia Businass antl Pro(esalons Cotla, Divizicn 3,
Chapter 9, antl that such licensez ere in full force en aftact, or I
am exampt from tha provisions of the Stata of Celif nia Businasa
antl Professions COtle, Division 3, ChaOter 9. ,
ate-Wide Devel pe nc.
stpnamre o
Parmlttee
AuthorizetlABeni Vice President
%AY 1 _',-7P�Q�"00 s1�� - �**�= 220 �G
APPLICATION FOR BUILDING PERMIT
FECEIVEDBV DATERECEIVED nnTvicmr.
¢ /2- [
A.P. NO. �QO
BUILDING 9z3
ADORESS
TRACT s
OWNER
FIRE
ZONE
APPflOVED
ZONE NO.OF USE OF NEW �
/L2 ep 7LAN5 2 BVILDING Q
VARDSAPPROVED YARDSAPP
REAR S�T. C FT.
DISfANCE BET. BET. MA�N &
MAIN BLOGS. ACCE55. BLD('rS.
VAR.#�_�//� DATE
C.U.P. 7 APPROVED '
APPROVED v � %� �
L
�IOLD FOR .ECIAI REQUI^E:�?E�TTS
. �
THEAMOUNT:
THE PURPC6E O
VALUATION �
3�; a� —
/
S
R VA
GAP
_ m
W
0
IS FOR '
ONLV: b
¢
� m
N
�
�O e
�. `o
�O "