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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 "