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Home My WebLink About930 HOLLOW BROOK CIR - Building PermitsPH0.IECTRUONESS: 93O HOL�;OW BRObK OWNEN'S NAME: }( noon¢ss: gpJqg UNIT: APCNIENGINEEH: CHESTER CARVILLE flEG.NO.: CSS3OS ADONE55: 79'z� ,n.RMOUR ST uNir: S.D. CA 92111 PENMITiEE: }�HOENIX ENTERPRISES INC. (213)690-9559 nooness: q 11 COMERCIAL WAY LA HABRA CA 90631 LICENSEo CONTNACTOX OECIARATION: I nereby atlirm ihat I am licensed uneer pwvisions ol CAaD�er 9(commencing wilA Sedion 7000� ol Division 3 of I�e Business anU Pmfessions Cotle. an0 my li nse i in lull�orce ana elfect. CITYLIC.: SO%SS ^rnTeuc.:376639 ss: � Oare: `— Signamre: _ . _ _�/ _ WOPNEflS' COMPENSRTION OECLABATION: I �ere�y afhrm ��at I �ave enilicate al consenl m seli-ins or a cenilicate ai Workers' Comoensation,�s�ya8cr� 3�c�nifietl capy ihereol ISeclion 3800. Lab. GI,� � D 1/ 91 POLICV NO.: W� E%P. URTE; � ,yC,OMPANY: CA COMP 6 FIRE M+J CeN)�/0,coDY is �ereby lum ep. ❑ Cenifie0 copy ' i wn e tity Bli�lanp Divi " // / / y� �ate: `�� AOOlican � ! E%EMPTIONiBOMWOPNEflS'COMPENSATIONOECIAPRTION: (T�i55ecpnneeUnotbecompleleGillheDermiii5 ronehundre0(5100�orless�. I cerlity l�ai in I�e petlormanc¢ ol �he work lor which iM1is Oermii is i53uetl, I shall nol emDloy any Oarsun in any manner sa as �o become Sub�etl Io Ihe Workers' COm0en5ali0n LawS ol Calilomia. Oate'. Signature: NOTICE: II. atter making IhiS 4eclaraiion, you ShoUIC OeCOme Suhleti t0 lhe Wark¢r5' Comp¢n5aii0n pmdsi0n5 0l �h¢ laGOr Code. yau musi Ion�wiih compty wiih such pmvisions or Ihis permi� sAall be aeemed revoke0. CONSTfluCTION IENDING AGENCY: 1 nereoy alfirm ihat inere is a consimction lentling aAency for tne peAormance al ihe wnrk lot whicn mis permitis issuetl l5eclion 3097. Civ. CI. LENUEX: noonEss: OWNEB BUIIUEB OECLANFTION: I hereby allirm thai I am exemp� ��om ihe Comractors' S�a�e License Law for the lollowinp reason (Sec�ion 7031.5 Business�antl Pmlessional Cotle: Pny ciiy ol coun�y which requires a Oermii Io wnslmcl, aller, improve, demolis�, or repair any slmtture, prior lo ils issuanc¢, als0 r¢puire5 the apPliCan� �or 5u[h Oefmi� lo lile a 5ignea Slatemeni tha� he/5h¢ is litensetl pursuam b IAe provisions n� �ne Camraciors' Slale Lic¢nse Law (Chap�er 9(commencing with Section 7000) of DiviSion 3 0� IAe Business an0 Prolessions Code) or Ihat helshe is exempt iherelrom antl Ihe basis forihe alleged e�emption. Any violation ol Seclion 7031.5 �y any aDO��antlor a permit su�lects ihe apPlicanl to a civil penalty a� not more than live �untlred dollars (5500�. I, as owner ol �he pm0eny or my emPloyees wilh waBes as Iheir sole compensa�ion, will ao Ihe work, antl ��e ❑ SINCIOfE151101101200CU Of01�EfCtl�Of SdIP�SCclion 70a4, Business and PmlessionalCode: The Contractors' S�a�e License Law does not apply to an owner al a pmperty who Euilds ar imD�oves t�ere0n, an0 w�o Ooes such work �im5eI11Aersel� or IArouAh his or her own employees, pmviAetl inal such impmvemenls are not inteneed or ollereU for sale. If, however the �uiltling or im0�ovemen� is sold wilhin one year o� comple�ion. t�e owner will have �ha bu�0en ol O�oving he/s�e �itl not hui10 ot impmve for Ihe ourpose of sale�. I, as owner ol I�e pro0e�y, am evclusively coniracting wilh licensetl contracloB to consimct Ihe pwlecl (Section 7�4E, Business ❑ antl Pmle55ion5 CoOe: The Conlratfor5' Slale liCense Law app5 n0� apDly �o an owner o� D�ope�yw�o �ui105 or imprOv¢51Aerean antl who conlrac�s �or such prole��s wit� a conVactoqs)license pursuan�io Ihe Contractors' Siate License Law),I am aware Ihal pmol ol Iheir WorMer'S Compen5aiion insurance shoultl 6e pmvide0 �a me. � 1 am eMempt under Seclion: 8. 8 P. C. tor inis reason�, Oaie: bwnec 1 ao �ereby certily I�at I am aware ol an0 untlerstan0lhe repuiremen�s of Calilomia Heallh antl Salety CoUe Sections 25505, 25593, antl 2553G antl Ihal I or any IUIUr¢ building oCtupani will/will n01 �tirde Oqe) neea �o comply vnih saiG S�a�e coae5 antl IAe requifemen�5lor a permit for conslmclion or modilication Imm Ine Nu Ouality Manageqtent �islricl. Resitlenlial conslmclian applications ar¢ exemp� �rom Ihese provisions. �ale'. AOPlicant: I hereby Cetlily �Aai I �ave reatl Ihis appliCaiion antl Slaie thal lhe e i/ rmaii0n i5 tarrect. I agree Io tomply wii� ail Cily a COUnry ortlinances anA sta�elawsrelatinglo buil0ing con5imc�ion antl he . y Wh i represenla�ives ol i ci lo enter upon�he ab mentione0 pmperiy t r inspectian Ourpo�s/es �a�e�� Signalure'. ( oriver's License or Sacial Securiiy x: 16<t-a6 W�ile—Boiltling�, Green—Code Enlorcemenc Canary—qpp�icanl: Pink—Revenue: Goltlenrotl—Assassor CITY OF COSTA MESA — BUILDING PERMIT PERMZT NO: B 049817 PLAN CHECK NO; 05646-90 A CONSTRUCTION TYPE; PERMIT TYPE: STR JOB DESCRIPTION ; REPAIR SETTLEMENT DAMAGE PERM NO; H 049 GOVT: N SUPP: N PURPOSE: REP SQ FT: 15,038 CLAIM VALUE: 15,038.00 CALC—VALUE: 15,038.00 GROUP OCC: R-3 / COMMENTS: X *�t****r�r��e��a�**+r****+�x****�rx�t******+t�r+t**�*�r*�r�r****+r�****�r+t*+r+r+�***��*�t��r�r��r* 2 O N I N GS ERTEH�AUCIKRSE M E N T S _ � EfOLD FOR SP$CIAL REQUIREMENTS ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR; FT IN LEFT: FT TN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REp• PROV: PARCEL: 93506127 ZNE: R2 REF NO; PLANNING NZS'1'ES> FOUNDATION CORRECTIONS i � *****�rx �**�r,r*�t*�r�r�t*+t�t**�r�r**�r******�t+t*+t�+t**,«***�rar**+r*�r**�r�r*x x�**�**+t**�r***�+t***�r* D E V E L O P M E /N �T, E R V I C E S R E(j U I R E M E N T S 7.ONING APPROVED HY ;� ��" DATE; . I� Ci a�O HUILDING APPROVED BY ;(ti% l L. � Prti� DATE: � APPLICATION ZSSUED BY: �.� O i� O DATE: M iF M If iF 3k M k if d! if i41k if iE k if �k±F �f iF IF 1F iE af {f �f iF IE �k if ik�lF7FiF�F�Faf i! iF M k iE M M if if if 3f if if if if IF If if if if ikiF M iF * iE iF iF IE M 3E if �F if if if iF If !E iE IF 1f 4 M if iF 1F if 7E M IF k If 4 af �E fE iF af if 1F IE iE iF iE 1E if iE;lE IF iF iF iE I6+F i6 iF iFiF 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 171,00 1,05 PLAN 27,'79 SMIP/NON—RES ISSUE FEE BUILDING—DIV—> PERh9IT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 172.05 0.00 27,79 199,84 199.84. .00 REVENUE DIVISION TOTALS--> COLLECTED,: 172.05 OL�ER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING'PLAN—CHECK 171.00 1.05 M iE ik �k 1F aF if M iF iE 1E �F 1F IE If M M if M If k If M IF �F fk 1f if iF iE if if If IE iE iE af If if If iE iF M M �f iFik if M iF IE M IE 1f iR iF fE �f 1E iF iE IE IF 1f iE aF iE iF )k aF �F 1E * M 1f If �F K if I N D I V I D U A L F E E H 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 15038 STRUCTURAL BY VALUE PER 51.00 1,00 15,038,00 END OF fEES r,; �]J�74M?E-�0074�2' 'a �� .;'.i` .R'E� 21�15/90 T1!",c: 12:0� CONSTRUCTION AND PLANNING . POO� & SPA APPROVAIS Permit # Date Inspector pppROVAIS Permit # Date Inspector 1. Tempora�y Electrical Service or Pole. 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � -_ 53. Steel Reinforcement �' _ - 3..Electrical�y,onduit Utility-Undr9r�d:. :: 54. Forms 4 _ _ � 4�Electrical Conduit-Uridrgrnd. 55. Electrical Bonding � ,-� 5. Steel Reinforcement= :,! 56. Rough Plumbing & Pressure Test _ , ��6. ElectricalUFER�6rnd. y z' 57. APPROVALTOCOVER�GUNITE ` ,_ - ^ 7. Footings �� 58. Electrical Conduit�Undrgrnd. ; 8. FoundatioP _-_ "' 59. Gas Pipe, O Undrgrnd., Test � Y 9. Water Pipe-Und�gind. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System � 61. APPROVAL TO DECK 11. Property SewBcLine & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap " � 63. Heater & Vent-Final 13. Roof Drains•-� « 64. Plumbing System - Final 14. Rough Plum6ing '- 65. Electrical-Finai 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough E�lectric_Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' ' ' ;7'Y...:' - a � �t 20:�RoughF,acto.ryF.ireplace �z�.� Z *� " � �'� �APPROVlTLS=�Permit# ` " ° ��r. .f ' �;�: lY,�i v I� - +!'. 21.�Duil's, i`SV,uctuge; ; '`.. �' �; .5 - =70. U�de�gcqU�d Hydro .. ' � 22. Ducts, Ventilating * � � � • r77, Produc[ Pjping 06as Q�OiI 23.;Gas Pipe`Rough & Test `: . J Z`;` _` . 72. Underg ognd PIusK� � - 24:rRoaf Framing � �. .� _ . _ � �-�A � S73? Undergmil.Storag`eT ank'OGas ❑Oil - 25. Roof Sheathing ' �. ''� �'� !`_' �;;; ; '74'Overhead�Hydro- � '. 26.�T�BarCeiling(Structural) &_Monocoat_� t �� - ar� �e 75rDryChemical - � - _ V 27S�Frame and Flashing: �„_, b s�+ 76: D�ry StandPipe ,- y f" �` .� ' 28� Lathing & Siding . -, -•i'� '- � . ^� . 77: FIXED SVSTEM:6INAL' - 29. Insulation '� - S' "- ' '�I � ;, 76,�FIRE PREV. FINAL Y d �:30. Drywall,Nai mg V � J I'- �� . HEALTH�DEPT-�. REQUIREMENT '�31. Plaster Brown CoaY , ' ; � ' 79'cFINAL INSP.ECTION - - �' , .,• r R� : ' x c `. 32: �Electrical Power MeterFinal' � �: .�: �� BO.rFOOD CERTIFICATE ISSUED Z 33t`Final Electric ' � � - a �'� •` � �� Notes: _ _ - - ,��,r �`.�34.-Final Heating:& Aii Condition�ng� �'� � ' `y ._ ='�~ . � - 35.=-Final Gas Pipe�Test• � -� - ' � �I �; " _ � � "• "� ' • •"� - r _ � f^: -- .36. Hoot1 or Canopy � _ - � �37._Final Factory Fireplace ' • � t " �� i i - '38.-.Final Plumbing _ ",.� �� ..: �� . �� ; ry -� ,=39:rWaterService-Final.'�� .- .= �- �� r . -. a b � -40.�Gas Service-Final �' ' � i ' � ' '� �` �+,r: r ,r a. . ' 1 t • _ 1 ... . s;41:_Solar pomesticFinal� •• - _ �� = _ R �.� �r 42: Backflow Preventef � "' '� - � I � - - ' S .. ii . • .� � - ,�i• - � . "_ . 43. Backflow Iriigation �r�� " - _ > ' = 44, Landscape loi9ation System.' `� ,; ;, - - - - _ ' � ' , � A �� . `,� ^ ' - - _ .�.. � � . �45: -Sound Attenuation = - �z - , , � c � - • - ., i �� t . - - - c- =46. Handicap Regulati�ns � - . ' �' "" ' ^ ' - _ _ . ' , , , • c ��47..FINAL STRUCTUFiE &.BUILDING � �� • �� ' 46: F+f�Fk ' ( ' ; ' '"' � ` -�, �� r . -49.�ElectricReleaseto�Edion• , � �� - ��; � - ' � 50. Gas Release m Souihern California Gas Cn ' ��I � I: : •�� ' • � ' S1. CERTIFICATE OF� OCCTiPANCY _; ; :, _ , � i_ r , • No. Date _r - -_ _- - - _ -.._-- .,..=Ci C�,�� _....- 'c�J' '- � ""' ' '- •. . o. 0. S63 1��3_'n _ ._:?iTb ':ii, C-L"''�:?i;-� =7i'' :.�X �c,z�� H�//o �v l�2.�c�1�� 3T�: ��i�5�9� FP.OJECT baSCRIPTI0;7... L'=iiA CF.EEK CO;;DOfiIAlil�C7S JGB n�Dn'cSS........... �L'1ic'L041'c3 & bEAR� COST?� h1=SA MIX �JUMBER.........,,, SFECSFICATZONS.....,.. COtITRP.C,OR. ... . � . . .. . . 5UcCON2RACToR......... 1'.SO 5.0 ADPIIX COtI_TBOL 1° [�IP.::I-PUP7P 2;000 P5I � 2"n D:.YS PHOENIX 'nllTvRFRISES E. W. CONCRET� �GGREGATE S. S. D.'4i6IGH_3 RP.110 CUSIC 7: RD CEI9E[:: 47G LBS. FLY ASH 0 LBS. X 1.5�� nOCY, 0 L25. S4 % 1" ROCK 1404 LBS. 13 � 3/8" ROCK ?12 L3S. 43 y 5AC7A 1358 LHS. X SAND 0 LBS. z ��NTA ANA P.D6fI}:TUAES: PLASTOCRSTE 161 23.50 OZS 5 LUI•1P : 5 . 0" ALLGWa6LE .WsSER: 316.54 LBS.( TOTAL: 3970.54 LBS. WT. PCF: 147.06 LBS. 38.00 GALS FBS. VOLUl9fi CUHIC c��T 2.50 C.F. .00 C.F. .00 C.F. 8.°•9 C.F. 2.5�. C.F. 3.40 C.F. .00 C.fi. 00 C.F. 5.07 C.F. �7.�0 �.F. --------------------------------------------------------------------------------- t�i:TER2AL SOURCE SP. GR. SP. 47T. --------^-----`-----------------------'_'-'_-"-----------'---`--'----------`---- Cb?•1E,TIT PORTLP.tID TYPE II / 3.14 195.94 ELY ASH TYPE F / 2.22 138.53 1.5" ROCK CH?�NDLERS SAND/GRAVEL IIdC / 2.62 i'v3.?9 1" ROCK BLUE DIAD]OPID MTLS, Il7C. / IRV . 2.62 163.49 3/8" ROCK BLUE DIA?�lOP7D MTLS. INC. / IRV 2.60 Z62.24 SAND . SLUE DZAMOND [9TLS. INC. / UPL 2.61 152.86 SAi1D BLUE DIAPfOt�D !4TLS. i[ZC. /_AV 2. SS 160.99 a700 SIFA CEEG1iCAL CCr? � � This mix is dmsigned in accordanca with the speci�ications oi P.Sit�7 C-94. All ingredients conform to A$TM C-33, ASTt9 C-150 and/or ASTt�1 C-�9a. ?ozzolanic materials may be added for pumpabi2it� needed. CG �Lf� • ��-- JEr^ E P7E yporcved B�: TEC:itIIC�.L FfATdAGc"'ti I�� 2• 11 . � �� P�JECT ADOBESS: cj 3O HOLLOW BROOK CI OWNEfl'S NAME: `�ILLAGE CREEK H, O, A nooncss: 3929 TIMBER LAKE COSTA MESA ,CA., 92626 AHCMIENGINEEH: 5 5 3— 1 8 7 6 ADONE55: PE"minEE: PETERSON ROOFING noon¢ss: 30g06p, ENTERPRISE LICENSEO CONTNFLTON OfLAPAf10NM�s�b affirm Iha� I am licensetl untler pr�avisios o 7000) ol �rvision 3 of Ihe Business antl Pm�essions Code, antl my license is in �ull force anU ciTr uc.: 0 4 5 STATE LIC.: 6 O% H% 7y� -SS �9 �ate: _�Q � SignaWre: /// WOflNEP COM NSFTION DECLABATION: I hereby athrm Iha� I �ave a ceailica�e o� c senl � Compensalion Insurance, or a ceriilietl copy ��ereof �Sec�ion 3800. LaU. C). roucrNo.: 1021355-93 E%P.DFTE: O4/O1I94 •omraxr: STATE FUND � Cenihed copY is nereby lumis�etl. C� Certified copY is fileU with t city BuilOing Uiyjs J;/ Oale: V Applican�: UNIT: HEG.NO.: uxir: (719)979-7111 f�h�p%r 9 (commencinA with Sec�ion effect — o self-insure ara certilicaie olWorker5' EXEMPTI FflOM lOBRENS'COMPENSATION OECIAHPT10N: �Thissec�on neeE nalbecomple�etl �he permitisforone Aunerea�Sl00�ar1e55�. I ce�ity Ihal in Ihe periormance of ihe work �or w�ich Ihis permi� is is5ue0. I s�all not empluy any person in any manner sa as Io became su�le�� o Ihe Workers' Compensa�ion Laws of Califomia. Oale: Signature: NOTICE: I�. afier making this declaralion, you should �ecome suble�t Io Ihe Workers' Compensation Dmvisions of Ihe Labor Cotle. You musl forihwilh comply wi�h suth pmvisions or Ihis permi� shall Ue tleemetl revoked. CONSTPUCTION LENUING pGENCY: I hereby aliirm �hai Ihere is a COnslmt�ion lending agenCy fDr ��e pertormance o� lhe work for which Ihis permil is IssueO (Secfion 3097. Civ. C) LENOEP: �' AOUBESS: OWNEF BWLDEB UECLABFTION: I hereby aflirm ihat I am exempt imm tAe Coniractors' State License Law for the following reason (SecUon 7031.5 Business and Professional Code: Any city o� couniy which reQuires a De�mit to conslmct, alter, impmve. Oemolish, or repair any slmclure, prior lo its issuance, also requires ��e aOPlican� tor 5uch permit to lile a signed slalemen� Iha� he/s�e is Iicen5e0 pursuan� to tAe O�ovi5ion5 0l Ihe Contractors' Slaie License Law �ChaD�e� 91�ommencing wiN Section 7000) a� �ivision 3 0� �Ae Business antl Pmlessions Cotle) or iha� he/she is exemp� �hereimm antl ��e �asis for �he allegetl e�empiion Any viola�ion o� $ection 7Q31.5 by any applicanl lor a permii SUUleciS Ihe apPlicani to a civil penalry oi no� more Ihan live AunUretl Oollars (A500�. I, as owner ol I�e O�aGeny or my employees vnih wages as ��eir sole campensation, will tlo ihe work. antl t�e ❑ slmcWre is not imendetl or o��erea for sale (Seclion 70aa, Business antl Pw�essional CoOe: T�e Contrazmrs' Stare License Law tloes not appty �o an owner of a pmperty who huilds or impmves �hereon, and who aoes 5uch work himsel�/hersel� or �hmuAh his or her Own employees, pwvldetl t�at such imD�ov¢menis are nol inlen4e0 ar Ott¢retl tor sale. I( however �he building Or impmvement is sola wilhin one year o� completion, Ihe owner will �ave Ihe hu�0en of proving he/she Oid noi builtl or impmve lot Ihe Durpose ol sale�. I, as owner o� Ihe D�operty, am exclusivety conlracling with licensed conVactors m constmc� �he pmle�� (Section 7044, Business ❑ antl Pmiessions COJe: T�e Contracmrs' State License Law aoes no� aDDly �o an owner of pmperry who builds or impwves thereon antl wM10 conlrac�s �ar such pmlecls with a contrac�or(5) license pursuan� Io the ConVacmrs State License Law�. I am aware Ihat prooi ol I�eu Workei s Compensation insurance shoultl be pmviDed �o me. � I am exempi under Section: B. 8 P. C. for Ihis reason: �ate: Owner: I tlo �ereby cenily Inal I am aware of and untlers�ana the requiremenis ol Cali�omia HeaVh an0 Safery Cotle Sections 25505, 25533, antl 2553a antl I�at I or any IWure budding accupani will/will not (cucle one) nee0lo comply wi�� saitl state co0es antl the reQuiremenis �or a permil br constmction or modihca�ian imm t�e Air Ouality Management DiSVici. Resitlential canstmciion applica�ions are exempt Imm �nese pmvisions. �Dale: Npplicant: �I �ere�y ceruly ihal I have rea0 ih15 applicaiion and slale Ihal lhe a�ove inbrma�ion is wrrec�. I agree �o compty wi�h ail ciiy and couniy ordmance5anaslalelaw5rela�inglobuiltlingcons�mctionantl0erebyaulhorire present vesa�lhi 'Iyt n�eruponlheabove�meniionetl pr00¢riy bt in50ecii0n pur00525. / ♦ �/ oate: Signature: � 011v¢I�S iCE�SC 0$OC121 $2C�fliy p: t6GL46 W�i�e—Bulltling�, Green—Cotle Eniorcemenl', Canary—Applicant: Pink—Fevenue: Goltlenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 064530 PERMIT NO: B 064530 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION : T/O RESHT & REROOF W/COMP. SHING SQ FT: 9,600 CLAIM VALUE: 4,600.00 CALC—VALUE: 4,600,00 GROUP OCC: R-1 / *�******� ��**+rD*****�***R*�**�,�r*+Ct+Lt*D****+3t+�t�t***�r�*f6t+t*�**�**H*��*+��****+�****�+�+�* 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 BUILDZNG ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LE£T; FT . IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV; PARCEL: 93506117 ZNE: REF NO: PLANNING NOTES> '.� > • 1f if if iE aE 3f jE 1F fE 1E 1ElE 1f fE 1E 1F 1ElE 1f if fE iE iE 1�lk iE 9E fE fE fE 1E iE iE iE k!E iF 1E 1f if ik iF 1E iF if iE % iE iE iF 1E if !F iE if iF 3F if if iE �F iE 1E K iE if if if iE iE aFlf if iE iE if jF 1F ff 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 .i ZONING APPROVED BY DATE: ' HUILDING APPROVEP BY : DATE: � APPLICATION ISSUED HY: DATE; � � ifififiEitiEifiEiEiEiPifiEit�ifiFklEikiEiFif jfiEiF�)F9Eif{Eififif iEif iEiEiEifififlfififiEiElkiEififitiF�Elti(�ifiF�Ik�titikiFitjfiEiEilifikiEiEiE�EiEkiEiffEiEiEifiE�E1F�E1EifififiEiF3E�Eif�4af9f�EififififiEif YraFitiFiElEiEiF1E LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FI•RE SMZP/RES GRADING PERMIT 72,00 ' ,50 SMIP/NON—RES PLAN ISSDE FEE �" BUZLDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL .. PAID DUE TOTALS----> 72.50 0.00 0.00 72 0 72,50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 72.50 OVER/SHORT: 00 BLDG PMT PLUMHING ELECTRIC MECHANIC IRE ZP/TOT GRADZNG PLAN—CHECK i2,�� ,.rJO >' if it 1E if fE if if it it iE iE if iE iE iE if ff if iE iF iE iE iE iE if if 1E if iE �E jE iE iE iE iE 9f jF if iE iE iF if iF iE iE if if 1E iE iF iE iE iE if 1E 1P'jE if if �F IF iE 1F if iE iE jE il� iE jf iF 9f iE iE if iE iE iF if 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 I P T I O N UNI;T COST TOTAL COST SFR 4600 REROOF BY VALUE RESIDENTIAL NOZONE i' 1.00 9,600.00 END OF FEES SNIO�C� D��i c� � �..�� , RC-�UI�iE.R _�� ..wr i i � � i �2 uni4°2a<—OOSE9'�33 l"�7iT ��?_: i0�.��Jl93 T.FtE: i3:5E l�aJV � �CONSTRUCTION AND PLANNING P(.- - & SPA � :. � � Date Inspector Oate inspector APPROVALS Permit # APPROVALS Permit # 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location , 2. Soil Pipe�Undrgrnd. - ' . 53. Steel Reinforcement 3. Elecvical Conduit Utllity�Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding 5. Steel Reinforeement 56. Rough Plumbin9 & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAI TO COVER-GUNITE 7. Footings 58. Electrical Conduit�Undrgmd. 8. Fouadatioa ' 59. Gas Pipe, � Uodrgmd„ Test 9. Water Pipe-Undrgrnd. � . 60. Backwash Lines, P-Trap, C Undrgrnd. 10. Structural Floor System 61. APPROVAL TO UECK � , 1 t. Property Sewe� Line & House Connection 62. Backwash & Receptor-Final � 12. Sewrer Cap � 63. Heater & Vent•Finai 13. Roof Drains ' 64. Plumbing System � Final ' 14. Rough Plum6in8 65. Electrica6Pina1 75. Rough Electrical�Conduit . 66. Solar.System-Finai � i6. Rough Electric Wir�ng 67. Fencing & Access Anproval i 17. Rough Wiring Siyn 68. APPROVEp FOft P!_ASTEFING 18. Rough Electrica6T Bar Ceiling 69. POOL/SPA SYSTENiS FINAL 19. Rough Heating & Air Cenditioning FIRE DEPT. REQUIREMENT 20. Rough FactorY Fireplace - APPROVALS Permit # 21. Ducts, in Siructure � 70. Underground HYdra 22. Ducts, Ventilatin9 77. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rou�h &�Tes. - 72. Underground �lush ' 24. fioof framing- � , 73. Undergrnd. Storage Tank � Gas ❑ Oil ' 25. Roat Sheathing l{�-q'� � wCI� 74, pverhead Hydro � 26. T-Bar Ceiling (Structuraly & Monocoat 75. pry Chemical 27. Frame and F�dshin9 76. Dry Standpipe ' 28. Lathing & Sid�ng � ' � 77. �FIXED SYSTEtvS FINA� 29. Insulation ' � 78. FIRE PREV. FtNAL ° 30. Drywall Nailing HEALTH �EPT. REQUIREMENT 31. Plasrer Brown Coat � ' 79. FINAL INSPECT:ON 32. Electric2� PoW�r A9eter�Fir.ai ' ' 80. FOOD CERTlFICATE ISSUED 33. Finai Electiic . Notes: . 34. Final Heatin9 & Air Conditioning � • 35. Final Gas Pipe-Test ' . - � 36.�Hood or CanoPY � � - � �37. Fina��FactoryFireplace . � 38. Final Plumbing . � 39. Water Service-F�nal ` ' A0. Gas Service-Finai � 41. Solar pomestic-Pinal , � � 42. Backflow Preventer I� I-Y J'- /W�• �,`�C�d�(��'_ 43. Backflow irrigation 44. landscape Irrigation System 45. Sound Attenuation , 46. Handicap Regulatiors 47. FINAL STRUCTURE & BUILDWG 3 u.�j �� 48. FINAL PLANNING � 49. Etectric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICA7E OP OCCUPANCY No. Date � � AVP�icant to fill in all spaces exceot those witnin neavy bortler Iines ana sign all approvriate tleclarations. CITV OF COSTA MESA CONSTRUCTION PERMIT •'ProjectAddress 930 HOLIOWBROOK Applicant'sMailingAddress 5142 HOLSA #104 Owner'sName �'�'j�(, Phone�d�—�15fi5 Address 93� H��B�K Arch/Eng.� License No. Address Convactor's Name �('� $(�$IJ�'$ Phone �'� R�1� • Address (mailing) 5142 BOI.SA #104 CitY License No. �4�722 ' _ LICENSED CONTRACTOfi DECLARATION I hereby alflrm [hat I am licensetl untler provisions of Charle� 9(commencin9 with sec[ion ]000) of pivision 3 of Business antl Professions Cotle, antl my license is in fuCf�c� antl effecL S63 46 License Class bense No. Date �+—�—Rq Signature � •vORKERS' GOMPENSATION E RHTIO ereby affirm that I have a certi ¢a[e of con e to self-insure or a certificaYe Workers' Compensa[ion Insurance, or a r[ifietl copy thereof (Section 3800, Lab. ) Policy No.7(704675925 company�SH—LEI�RMAND INS. �ertifietl copy is hereby fumishetl. A(�'�Y er[ifietl copy is filetl with the city Builtling pivision. c+nc> Date �3—RQ Applicant FNIt.,''[Z H[h�l�, iunylrFS EXEMPTION FpOM WORKERS' COMPENSATION DECLARATION (Thissec[ion neetl not be completetl if the permit is for one huntlretl (g100) or less). I certi(y that in tM1e pevformance of the work fo� which this perm�t is issuetl, I shall not employ any person in any manner so as io become subject to the Workers' Compensation Laws of California. Date Siqnature IVOTICE: Ii, after making this tleclaration, you shoultl become subject to the Workers' Compensation proviSlons ot Ine Labor Cotle, you mu5t forthwith wmply with such provisions or this permlt shall be tleemetl rewked. CONSTRUCTION LENDING AGENCV � " I hereby affirm lha[ there is a construc[ion lentling agency fo� tM1e performance of th¢ work fo� which this permlt is issuetl (Section 309�' Civ. C.) Lentler's Name _ Lentler's Atltl�ess OWNERBUILDEN �ECLARATION I hereby aftirm that 1 am exempt from the conVactor's License Law tor the following reason (Section �031.5 Business antl Professional Cotle: Any ciry or munty which requires a peimit to const�uct, al[eq improve, tlemolish o� repair any structure, prior to its issuance, also requires the applicant tor such permit to file a siqnetl statement that he/she is licensetl pwsuant to the provisions of the Contractor's License Law (Chapter 9(mmmencing with Section �000) of )ivi5ion 3 of the Business antl Professions Cotle) o� that he/she is exempt herefrom antl tM1e basis for the allegetl exemption. Any violation of Section I031.5 by any applicant fo� a permit subjects the ap0��ant to a civil penalty of not more than five huntlretl tlollars ($500). ❑ I, as owner of the property or my employees with wages as their sole compensation, will tlo the work, antl the structure is not intentletl or offeretl for sale (Seclion ]044, Business antl Professional Cotle: Tne Con[ractor'S License Law tloes not apply [o an owne� of a property who builtls o� improves tbereon, antl wno tloes such work M1imself/nerself or throu9h his or her own employees, provitled [M1at sucM1 imp�ovements are not inientletl or oHeretl fnr sale. If, M1owever. the builtling or imp�ovement is soltl within one year of com- Dletion, Ihe owner will have the burtlen ot proving he/5he tlitl not builtl or im- p�ove for the purpose ot sale). � ❑ I, as owner of tM1e proDerty, am exclusively contractin9 witM1 licensed con- tractors to consVuct the project (Section 7044, Business antl Professions Cotle: The Contractor'S License Law tloes not apply to an owner of praperty who builtls or improves thereon, antl who contracts for such projects with a con- tractor(51 ❑cense pursuant to lhe Contractor's License Law). 1 am aware that proof of their Worker's Compensatlon in5uranCe sM1oultl be provitle0 to me. ❑ I am exempt untler Section B. & P. C. for this reason Date I M1ereby certify t information is c antl state laws SE112dLIVES O( 5� Inspection p po Signalure Drivers' License ar Owner I have reatl this application antl state that tne above 1 agree to comply wi[h all city antl county o�tlinanws to builtlin9 nstruction, antl hereby authorize repre- ' to e er o the above-mentionetl pto0erty fo� � � �/�,3-�. 6-3-89 TYPEOFCONSTRUCTION LINEW IJ A�D ❑ CONVERSION ❑ DEMOLISH ❑ OTNER DESCRIPTION OF WORK/USE OF BLDG. — PE OF PERMIT LJ GRADING ❑ TENANT ❑ ELECTRICAL �❑ OTHER OJECT DESCRIPTION SQ.FT.— ALTERATION I.J REPAIR FOUNDATION LJ STRUCTURAL LUMBING ❑ MECHANICAL CONSTRUCTION TYPE VALUATION $_ ZONE GRADINGCU.VOS. ACR Remarks: Preventer Irri9ation Clarifiers Dishwasher - - � Drinking Fountains Floor Drains Floor Sinks Gas Service OuNets I n tercepmrs Kitchen Sink . Lavarories P—Trap Roof Drains fieinspection Fee � $15 Duct - Under Ground Duct- Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact Blc ICBO # Heating SYstem & Ducting ❑0-700,000 BTU 0100,OOOBT Feinspection Fee I $15 CMF 0865�46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accoun[ing; GoltlenrOtl - Assessor SIIOWCIS Service Sink Sewer Cap Sewer Connection Solar Collecmrs Solar Piping ' Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Aum Wash Laundry Trays Issue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑0-100,OOOBTU ❑700,000 System Repair/Alteration Fire Dampers Registers Issue Fee FEES $ 3 $ 3 A.P. # S Main Buildi E T Front B Rear A C Right K Left S Ping. Ref. # Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit� Dishwasher Dryers ❑Gas ❑Elec' Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generamr �0-5 KW � Zone Bui Parking Req./Provided E�ECTRICAL Transformer ❑ 15-50 KW ❑ w + Kw Meter ❑up to 100 amps Meter ❑over100amps Sub Panel Motors �0.1 HP �1'/:-8 Inc.Solar �9-15 HP �16-15+ Microwave Pole Light Range Standing Sections 5-15 KW Trash Compactor I Reinspection Fee �$15 I I luue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Aaolication luued Bv � � SUMMARV OF FEES BUILDINGPERMIT $ SMIP PLAN CHECK $ � PERMI7 PLUM8ING $ ISSUANCE PLAN CHECK 25% $ ENERG�' P.C. ELECTRICAL $ GRADING PLAN CHECK 50% $ MICROFILM MECHANICAL $ TOTAL FEE PLAN CHECK 25% $ $ FEES $ 3 2 O N I N G R E Q M T $ �': +�Gu3�%JI-pC�J33701 T��'T s.." nn•:::� n..i�or�a Trm^� 1�•c. CONSTRUCTION AND�PLANNING POOL & SPA . APPROVALS Perrriit# Date Inspector AppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. '• 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding .r 5. Steel Reinforcement 56. Rough Plumbing & Pressu,�re Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER=GUNITE 7. Footings � 58. Electrical Conduit-Undrgr:d. 8. Foundation �, :, 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd 60. Backwash Lines, P-Trap, 0 Undrgrnd. 70. Structural Floor SYstem 67. APPROVAL TO DECK 1 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. Rough Plumbing 65. Electrical�Final 15. Rough Electrical-Conduit 66. Solar Sysiem-Final i6. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APP.ROVED FOR PLASTERING • 18. Rough Electrical-T Bat Ceiling 69. PQOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditio�ing �FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead HYdro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. fathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation - 78. Fd�RE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT ,� 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: . • 34. Final Heating & Air COnditioning _; 35. Final Gas Pipe-Test � 36. Hood or Canopy 37. Final Factory Fireplace ' ' 38. Final Plumbing � f.�� `�� 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final • 42. Backflow Preventer 43. Backflow Irrigation , 44.� Landscape Irriqation SYstem � 45. Sound Attenuation 46. Handicap Re9ulations 47. FINAL STRUCTURE & BUILDING � 48. Special Requirements Gompleted 49. Electric Release to Edison 50. Gas Release to Southem California Gas Co 51. CERTIFICATE OF OCCUPANCY No. pate .%. , . -_. ,�, Z . aU HZ ZQ O v~i am J 7 J V1 Q W ¢] J •m J Q U N Z a w ¢ a W W Z �a mZ J � W W O= z F- w� � O H z Q U J a a Q 0 � N Z O F U � � H N 2 � .4..C84 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fi!l in Campletely ��oa°e"ss 930 Hol low Srook OWNEF CITV BRANCH ADDRE55 ARCMITECT coNTancroa $tdt2-Wide DeVel ADDRESS g461 6rindia� arv Cv�nrecc LIC. NO. 22Q%� Q OIF LOT 12.093 acres�' USE OF E%ISTING BLDG. SIZE OF NO.OF USE OF BUILDING AND WOFK TO BE P New construction- 1 Residence w/att No`.826-4550 Inc. TEL. No. 826_ cirv �IC. NO. NO. OF BLDGS. NOW ON LOT PA7� ��Q �tAY 13-76�:;s•00 650' %65.FB APPLICATION FOR BUILDING PERMIT BUILDING ADDRESS VALUE ZONE P�� 2 BUIIDING EW/ /!Z f P VARDSAPPROVED VARDSAPi MAIN BUILDING ACCESSORV „. aiue r r, w - 1RIES LSIDE PT. e FEAR S�FT. � � OISTANCE BET. MAIN BLDGS. VAR. #�' iums c.�.P.�.2G- APPROVE -�IOLD FO �PE�iE I hereby acknowletlBe thet I have reatl this epplicallon antl steta t�at th0 above informetion is correct entl aprea to comply with all laws reBuletin0 builtlinB conztvuction, antl I shall not amploy any peraon in violation of the workman's compenaation laws of tha S[ete of Celifomia. 1 �ereby certlfy 2het I am properly licensed as a contractor vntler the State of Cali(ornia Business and Professions Cotle, Dlvis(cn 3, Chapter 9, antl that suth licanses ere in tu{I forte enC ettect, oi 1 am exempt from the provisions ot the State oi Cal Ornie BuslnBss and Profezslong Cotla, Division 3, Chepter 9. s�e�eUBO ate-Wide Develop�r Inc. � �,�, Parmlrtea �"'--�—� Vice Presiden THEAMOUNT: THE PURPOSE O7 VALUATION �b.'�i✓�O °= � BET. MAIN & !LJ - ' 22-. m � 0 VALUATION IS FOR ; A PEFMR FEE ONLY; • ¢ e s !�d m r � Ks •$'p e _ � � �i � o LL