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Home My WebLink About3433 HOLLOW BROOK CIR - Building PermitsJ PPOIECTAODPESS: �3q4O HOLLOW BFi��K CI -��NEP'SNAME: �'ILLAGE CREEK H.O.A 3429 TIMHER LAKE ,�. aooeess: COSTA MESA ,CA., 92626 553-1876 PflCN/ENGINEEB: ADDNESS: venminee: PETERSON ROOFING aoonEss: 3005 ENTERPRISE COSTA MESA UNIT: NEG.NO.: IINIT: (714)979-7111 CA 92628 LICENSEU CONTBACTOfl OECLANpTION: I here�y aflirm �hai I am licensed untler provisions ol Chapter 9(commencing with Sec�ion �000� ol OivS1aN3.o I�¢ gusiness anC Profe�sip� a� aqA my license in f for 0 ec VY:7�4J OV��/G CRY LIC.: STATE UC.: S5: � Oate. �/7r/ Signature:�� _ WOHNEpS' GOM ENSATION DECIABPTION: I hereby a�hrm tM1al l �ave a cetlilicale of nsenl �o selbinsure or a cehifica�e oI Warkers' Campensation I�s��Pj Qii ��'jtilie��py ��ereof (Sec�ion 3800. lab. O�9 IO I I S 4 voucr r+o.: $TATE FUND E%P.DATE: COMPPNY: ❑ Cetlifietl copy is here6y fumishetl. Certified copY i� with ��e y Buil �on �a�e: Applicani: � � � E%EMPTI FHOM OPRENS'COMPENSATIONOECLABATION: (Thissec�ionneetlnatbecamDle�e dthepermi�isforonehunared�S1W)orless�. I cerlity Ihal in �he pedormance ol �he work �or whic� Ihis permi� is issuetl, I shall noi employ any person in any manner so as to �ecome sublecl to �he Workers' Compensalion Laws ol Califomia. �a�e: Signature: NOTICE: Ii, ailer making �his tleclaration, you s�auld become sublec� ta Ihe Warkers' Compensa�ion pmvisians ol Ihe LaOor Catle. you musl �orlhwith comDly with suc� pmvisians or Ihis permi� shall be deeme0 revaketl. CONSTPUCTION LENOING NGENCY: I hereby a��irm that �here is a tOnslmc�ion lending agenty �or the p¢dormance Oi Ihe work lOr whic0 this permit is issuetl (Seciion 3097. Civ. C�. LENUEP: aooRess: OWNEP BUILOEfl OELIAflFTION: I �er¢by aflirm �hat I am ex¢mp� �mm Ihe ConVat�ors' Stale License Law for �he follovnng reason (Sectian 7031.5 Business ane Prolessional Code: Any ci�y at counry which repuires a permii lo conslmc6 al�er, impmve demolish, or repair any slmcNre, prior lo ils issuance, also requires the appbcan� �or SucA petmit to �ile a signed Slatemeni Ihat he/she is licensetl pursuanl m the pwuisions a� �he Comraclors' State License Law (Chapter 9(cammencing wi�h Sec�ion 7000) o� Divisian 3 0l Ihe Business antl Prolessions Cotle� or Ihat he/she is exem0� �herelrom an0lhe basis �or the alleged ecemplion. Any violalion of Section 7031.5 by any applicant lar a permi� su�jetls �he appliran� to a civil penally oi not more Ihan five huntlree dollars (3500). I, as owner al �he pmpehy or my employees wi�h wages as Iheir sole compensation, will do Ihe work, and Ihe ❑ slmcWre is not intended or olleretl �or sale (Sec�ion 7044, Business an0 Pmlessional Catle'. The Contrac[ars' State License Law aoes not a0�ly lo an owner of a pmpetly w�o �uilds or impmves thereon, and who tloes suc� work himsetl/her5el� or �hmugh �is or her own employees. pwvitletl Iha� such impmvemenis are no� in�entled or olleretl lor sale. I�, however Ihe huilding or imDmvement is sola within one year of completion. the owner will have ihe burden oi Dmving he/she ditl not huila ar impmve for I�e purpose o� sale�. I. as owner ol ihe propeny. am exclusively con�racting wi�h licensetl conUadors �o consimc� ��e pmlect (Section 7044, Business ❑ and Pmtessions CoOe: ihe Comracmrs' S�are License Law Ooes not appry m an owner of properry who builas or imDmves ihereon and who conlracts for suc� pmjects wi�h a cantrac�or(5) license pursuant �o the Conlrac�oK $tale License Law�. I am aware I�al pmoi o� iheir Worker'S Compensation insurance should be providetl �o me. � I am exemp� un0er Section: B. 8 P. C. 10l fh15 f¢d5011: �a�e: Owner I ao nereby cenity Ihai I am aware aI antl understantl ��e requiremen�s ot Cahfomia Heal�h anA Safe�y Code Seciions 25505, 25533, an0 25534 and Ihat I or any �uNre bull�ing occupanl willlwill nol (clrcle ane) need to eomply wi�h saitl state co0es and lhe repuiremen�s �ar a permil lor constmction or mo0ilication Imm Ihe Nir Oualily Management Districl. Besitlential constmc�ion applications are exempt fmm IheSe Drovisians Oaie'. AOPlicanP. I hereby certity ihal I have Batl �Ais apPhca�ion anA s�ale Iha� ��e above iniorma�ion is correcL I agree �o comply wi�h all ci�y and counry ordinancesantlstaielawsrelatinglobuildingconstmniananOhere�yautho erepreemativesolhisirytoenlerupon��eabove�men�ioneA pmpetly far inspecti n purposes. �ale'. Sgnaiure' Orivefs License oi Sociai Security a: t6<i�c6 W�ite—Bmltling: Green—Code Ento¢ement; Canary—ApplicanL Pmk—Revenue: Goltlenrotl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B 069546 PLAN CHECK NO; N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR JOB DESCRIPTION : T/O RESHT b REROOF W/COMP. SHING � i ��s��b�. �w�� PURPOSE: OTH SQ FT: 3,700 CLAIM VALUE: 3,700.00 CALC—VALUE: 3,700.00 GROUP OCC: R-1 / COMMENTS: SMOKE DETECTORS REQ. INCLUDES 3442,3444 HOLLOW BROOx CI ******�«�**�*�*****+��*��*�****��***�*+��**��«��*��*��**�****�*+�**��**+�+��«�«**�* 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 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 PARKING REQ: PROV: PARCEL: 93506117 ZNE: REF NO: PLANNING NOTES> 7 if if 1f 1f if iE iE if iE iE iE �E iE 1E iE iE iE 1E iE if 1E iE 1f if i! iE #E iE ik if fF 1E 1E it M iF k iE iE �f if if if if if k jE iE if if iE iE if 1E iE 7f fE iE i'. iF ik iF �f j:3F ii 3f dE f6 iE iE if if iE 1E if iF 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':I' S ZONING APPROVED BY DATE; BUILDING APPROVED HY : DATE: " q APPLICATION ISSUED BY: ��/y'L_ DATE: O �O l3 �*��,�,«*+�***»��*��*��iF�� -s�u��3F��***�*�*** ** ****,��****�*��**�**,��*�*�*��,��,«�*��***�+��***��**�,�***��**��** LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECT IC MECHANIC FIAE SMIP/RES GRADING PERMIT 63,00 �; ,50 ��, j SMIP/NON—RES PLAN �,; ISSUE FEE BUILDING—DIV—> PEAMIT ISSUE PliAN,jCHECK TOTAL PAID DUE TOTALS----> 63.50 0.00 �' , 0.00 63.50 63.50 .00 REVENUE DIVISION TOTALS--> COLI,ECTED: 63.50 VER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC M•ECHANZC IRE P/TOT GRADING PLAN—CHECK 63.00 � � .50 1✓ .ki . iE iE iE iE i! 1E iE iE 1f if if if 1f if if iE 1f if if if if iE iE if iklE �E iElE iE if 3f if if i! fE fE f�r�iE iE %1E iE iE iE ff iE jEi: iE i! iE iF if iE ik 1F iP iE iE iE # iR #� iE iF iF iE if if iE * iE i:9F iE aE iE iF I N D I V I D U A L' .�/F E E B R E A K D O W N '. t �Qi TYPE QTY D E S C R I P T I O�N' UNIT COST TOTAL COST SFR 3700 REAOOF BY VALUE RESIDENTIAL NOZONE 1.00 3,700.00 €ND OF FEES r' SMOKE DE�f �� :� �UIR� _ . � �, 01 DOI49226—G0149227 T C1T 53.SD r�aT�: iai?o��a T.ne: ia:�� --� �"UNSTRUCTION AND PLANNING POOL & SPA `APPROVALS Permit # Date I�spector qppROVAIS Permit # Date inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � 53. Steel fteinforcement 3. Electrical Conduit Utility•Undrgrnd. � 54. Forms 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Co�duit-Undrgrnd. 8. Foundation � 59. Gas Pipe, O Untlrgrnd., Test 9. Water Pipe�Undrgmd. 60. Backwash Linus, P-Trap, � Undrgrnd. � 70. Structurai Floor System 67. APPROVAL TO DECK i t. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap ,' � 63. Heater & Vent-Final 73. Roof Drains = � 64. Plumbing System � F�nal 14. Rough Plumbing 65. Electrical�Final 15. Rough Electrical�Conduit 66. So�ar SYstem-Final 16. Rough Eleotric Wiring 67. Fencing & Access ApProvai 17. Raught•Vir�ngSign 68. APPROVEDFORPLASTERING 18. Rough Electricai-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL � 19. Rough Heating & A�r Conditionmg FIRE DEPT. REQUIREMENT i � 20. Rough Pactory Fireplace APPROVALS Permit # � I 21. Oucts,i� Structure 70. Underground Hydro 22. Oucts, Ventilating 71. Product Piping � Gas � Oi� 23. Gzs Pipe�Rough & Test � 72. Underground Ffush 24. Roof Fram�ng 73. Undergrnd.StorageTank OGas ❑Oil 25. floof Sheathing 74, Overhead Hydro �. 26. T•8ar Ceifing lSSr�ctnraf) & Monocoat 75. Dry Chemical (.j r=,� 27. Frame and Flashing 76. Dry Standpipe ��f• �'"" �-`!''t.' 28. Lathing & Siding . 77. FIXED SYSTEM FINAL ,� 29. Insulation • 78. FIRE PREV. FINAL 30. Drywall Nailing NEALTH DEPT. REQUIREMENT ., �-�. - :�'-�. 37. Plester Brown Coat 79. FINAL INSPECT.ION �;^'•�. 32. Electrical 7ower Meter�Fi�al S0. FOOD CERTIFICATE ISSUED ' I 33. Finai Eiectric Notes: � � �arr f_:',,,./� �ao�i A.�` ss�r�. 1 34. Finai Heating & Air Conditioning /�3� � � i0 -zz-�i .�� %- - 35. Final Gas PiPe-Test 36. Hood or Canopy 37. Finat Faao�Y Fireplace 38. Pinal Plumbing 39. Water Service-Final 40. Gas Service-Final 47. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irripation System 45. Sound AtCenuation 46, Handicap Re9ulations 4J. FINALSTRUCTURE&BUILDING 3 Z(_GIY ��L 48. FINAL PLANNING 49. Electric Re�ease to Edison 50. Gas Release to Southern Catifornia Gas Co 51. CERTIFICATE OP OCCUPANCY No. Date PflOJEtT AOOflESS: 3 4 3 3 HQLLOW BROOK uxiT: OWNEfl'SNAME: VILLAGE CREEK HOMEOWNERS nooness: ASSOCIATION 3429 TIMBER LAKE CM VA 92626 APCN/ENGINEEfl: CHESTER CARVILL& flEG.N0.:C1B3OS aooness: 7g22 ARMOUR ST uxir: S.D. CA 92111 PEflMITTEE: FIHOENIX ENTERPRISES INC. ( 213 ) 690-9559 aooness: qll COMERCIAL WAY LA HABRA CA 90631 LICENSED CONTflACTOP UECIANATION: I �ere�y aliirm ihai I am hc ns tl untler pmvisions oi Chapter 9(commencing wiih Section 70W� oi Oivision 3 0l �ne Business ana Pro�essions Co�e. and m e is in full lorce and eflec�. cirvuc 5078 �ATEuc.:37663��*�\—ss� �aie' � Signature: _ ' WOflKEflS' COMPENSRTION DECNflFTION: I �ere�y atlirm �ha� I have a cenilicate ol consen� lo self-insure tertilita�2 a� Worker5' Compensation Ins krance p,r ceniliea copy ��ereol �Seclion 3800. lae. 1 POLICVNO.: WlOO.7�4 EXP.OATE: %�OlI9I comraxr: CA COMP 6 FIRE Q� Cenified copy is hereby Iumishe/0.� � CenifieA copy is f ' th ty Builtling Divisia Dale: /L /�� 1 `-� _ Applitanl: E%EMP710N FHOM WOBtlEB$' COMPENSATION OECIANRTION: �Tks section nee0 noi be comDleied il lhe permii is for one �uMreC (5100) or less�, I ceNly t�a� in t�e Oedormance ot Ihe work for whic� I�is permii is issued. I s�all na� employ any persOn in any manner so as to �ecame su��ttl to Ihe Wo�kert' Com0en5alion Law4 0l Caiilamia. �a1e: SiAnaWre: NOTICE: il. atler making Ihis aeclaration. you sh0ultl became suEl�� a ��e Workers' Compens2tion prwisions ol I�e LaCor Coae. you mus�lon�wiln compty wii� such provisions or this permii 5�all Dp tle¢metl revoketl. C�NSTHUCTION LENOING RGENCY: I Aere�y allirm ��a� I�ere is a conslmclion IenOing aAency for �he peAormance o� Ihe work for w�ich this permil is issuetl (Section 3W7. G��. C). LENOEN: FDDflE55: OWNEfl BWIDEfl DELLRflRTION: I Aereby atlirm Ihat I am eKempt Imm I�e Comractors' Slate Lic¢nse Law lar Ihe lallowinp reason (Set�iOn 7031.5 Bu5ine55 antl PwIeSSionai Cotle: Any tiiy oi toun�y whit� reduires a permii Io con5imtt, all¢r, impmve. 0¢molis�, or rtoai� any slmcWre. orior to its issuance. also repuires ine applicant lor sucA permii to lile a signetl statemenl ihal he/sne 6 licensee pursuanl to t�e pmvisians ol ��e Contraclors' S�ale Litense Law (Ghap�er 91�ommencing wilh 5¢ciion 700@ o� Oivision 3 al the Business anU Pio�essions Code) or ��ai �e/s�e is edemp� I�etelwm and I�e basis lor Ihe alleAe� eMemption. Any viola�ion of Seclion 7031.5 by any appiicanlior a permil subjecis Ihe aDVlicantlo a civil penalty ot not more l�an five �unOreO Uollars ($500�. I, as owner o� IAe Dmpeny ar my empl0yees wi�h wages as Iheir sole compensali0n, will Ao ihe wark, anG Ihe ❑ simcmre is not intentled or alierea lo� sale (Section 7044. Business anC Pwlessional Cotle: TM1e Contramors' State License Law tlo¢s nol apply to an owner o� a O�aPerty who builtls or improues �hereon, an0 wha Does such work himselVhersell or I�wuAh his or �er own ¢mployees. provided �hal such improvements are nol in�en0ed ar olfere0 �or 5ale. II, however ihe buil0ing or impmvemenl is Sola within one yeaf ol complelian. ihe owner will have Ihe UurAen of pmving he/she Ditl not builA or impmve lor Ine ourpose ol salel. I, as owner of �he DmDe�y, am excWsively contracting vnt� licensetl contmclors to constmct tAe pmlect (Section 7094, Business ❑ ana PrOte55i0n5 Code: The COntraclor5' S�ale License Law does not apply �o an Owner ol proDe�y � Ouilas or imprave5lhereon an0 who mnVatls �Or Suth pmlecl5 wil� a conlfador�5� liten5e pUrsuanl lo Ih¢ ConiraCtors' S�aie License Law). I am aware Ihal pmol ol I�eir Worker'S CompePsalion insmante ShOuld be proviAeO IO me. � 1 am exempl wGer Seclion: B. 8 P. C. lor ��is reason: Oa�e: Ownec I Oo �ereby cetlily thal I am aware ol an0 unUersland Ihe requirements o� Cahlomia Heallh antl Sa�e�y Cotle $ec�ions 25505. 25533, antl 25534 an0 ihal I or any future builtling occupant willlwill not (circle one) nee0 lo tompty wit� said slate cotles an� iM1e reQuirements for a permil lor conslniciion or motli�icaiion Imm Ihe Air OualitY Managemen� Oislricl. flesitlenlial con5�mciion apDlicaiians are exemp� Irom Ihese provisions. �ate'. ADPlicanl: I �eteDy [etliiy I�al I �ave read IhiS aDD�italion and Slale �hat �he above in� alion is correct. l agree to compry vntn all cit orEinances an0 s�ate laws reWting la builtling [unSlmCiqn an0 �ere�y au sentalives of IN5 ary to enter upon Ihe abo pmp¢rl�y /br in5petiion Durposes. Uaie�[ "�/_�QO Signamre: odvers ocense o� sociai seadty a: $ 164bn6 W�ne—Bmltling�. Green—Coae EnlorcemenC Canary—Applicanl; Pink—Revenue; GoldenmE—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO; PERMIT NO: H 099822 PLAN CHECK NO: 06427-90 A G VT: P: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR pURPOSE: REP JOB DESCRTPTION : REPAIR SETTLEMENT DAMAGE SQ FT: 143 CLAIM VALUE: 14,388.00 CALC-VALUE: 14,300.00 GROUP OCC; A-3 / COMMENTS: BUILDING SETTLEMENT AEPAIR/FOUNDATION *x***��**x**�*�*+�***��**�r�t***�t*�rx��t*�r*�***w�***�*�r�+r**�r+c*��x�*�r**+�**r�r**�***��***+� Z O N I N G R E Q U Z 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 PARKING RE�• PROV: PARCEL: 93506124 ZNE: R2 REF NO• PLANNING N 1'ES� REPAIR EXIS'PING FOUNDATION, Hp�p FOR SPE,CIAL ItEQ�1REMENTS ak 3f 1f iF If if 1F if M iF�F Ik iE if if iE iF if if iF if iF if if ik IE iF k 1P iF 3f iE if if 7f i! lE 1F if iF iE iP k 1f iF if if if 1E 1f 1f 1f if 1k IE if 1E iF if if if If 1F if iF IF k iF if if iE if ik if If iF3f if M 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 20NING APPROVED HY � 2%� DATE: . L I O a' 'I a BUILDING APPROVED BY ; I�- Acti1 DATE; 1�' d a'�i.0 APPLICATION ISSUED BY• DATE� ' L=• iFjE�Ik�FifiEMifiFdQ�itikiF�FikjfiElfiFiF�IFiF • � M�iFkki6jkjFlFiF3Mi�'iF3FiE kiFkillEiF�)FiFiflflf3f�Flf�flEiFifiFifififMlf�Fff1 �IfiE�! �ikiFiFiflfifklflfikifiPlElflf�lfiEiklfi(�i(�N�iFif�F7EiEiklFifIF14�EiFiFlEif�fiE�ElfifM LEGALIZATZON:N F E S U M M A R Y STRUCTURAI��SEGMENT;Y BLDG PMT PLUMBING ECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 162.00 PLAN 26.33 SMIP�NOS-RES ISSUE FEE BUILDING-DIV-> PEAMIT ISSUE PLAN-CHECK 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 26.33 1E 1! 1F iF ik if If if if if iF iE 3F k iF IF iE k k M iF IE �k iE IF iF 1F Ik iF 1E M If ff iE IE k�F if �F if if �E k�f iF if �F if iF M IE �f if iF IE iE iEiF1f iFiE IE�E it i! if af 1f 1F if if �f �F IE IE 3F 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 Z P T I O N UNIT COST TOTAL COST SFC 143 FOUNDATION HY VALUE PER $100 100,00 19,300,00 END OF FEES a .� U�i GLole��'�-ot�,ry?�7�, zcr" ��T=; i;, �7�4c T't.r_ �8:._ !�i. CJUi� a�.--u.��"'�429 Tu3'.- DATE� lli2l�9U i!I'ir� 0�,37 «_.ct CONSTRUCTION AND PLANNING . POG_ .. SPA APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector t. Temporary Electrical Service or Pole_ .� 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. �>� 53. Steel Reinforcemen[ ;`3.`ElecSricalCondeit;�ility-Undrgrnd�.:', 54. Forms � 4:.'Elect7ical Condoit=Undrgrnd. � 55. Electrical Bonding �'-' 5.:_Sieel.Reinf`prcement:' 56. Rough Plumhing & Pressure Test r .�6:�_EYectricei:OPE�R�Grnd. 57. APPROVALTOCOVER•GUNITE ' Z Footings�d� ,�'z`�•. z 58. Electrical ConduirUndrgrnd. r ., 8�. Foundation� `,` " 59. Gas Pipe, O Undrgmd., Test � 9; Water Pipe-Und�gmd. 60. Backwash Lines, P�Trap, � Undrgmd. 1Q Structural Floor SYstem 61. APPROVAL TO DECK 1.1.. Property Sewer_<Line & HoQse Conneaion � 62. Backwash & Receptor�Final r :' 1�2: Sewer Cap �, � ' 63. Heater & Vent�Final 13. Roof Drains -+ '� 64. Plumbing SYstem • Final 14. Rough Plumb'iNg - 65. Electrical�Final 15. Rough Electricai-Conduit . . 66. Solar SYstem-Final 16. Rough Electric��'liring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - - - -- - - C C:•n(- . - ]: 20.�Ro�gh Factory Fveplace i �:�=: t=.+ ' _ - • Y.�ppROVA'QL,6� =:Permit # - - , �r - i �- s,�= - � - r, �.� :. - 21 }Ducts, in-Strnctuier j' •. r�, �: j �;, .=/0. UndergroWd.Hydro � �r 22. Ducts, VentiAtirrg:-� ' �- � S�S> ��'7�, productiP'ipin9 OG'as ❑'Oil 23.;Gas-Pipe=Rough &'Test � s' l j ^ ` -" ' �'� ° ,� ;,> �. �r �-72. Undergiound Flus�; � y 24.-Roof Fcaming .^:. , .-.- �:T C � �- - s73:�UndergrndtStora�e?ank OGas��Oil 25. Roof Sheathing -; " -.; . �` �' �� _ "{�: :;r S7q:cp„erhead �iydro- � 26.=T-Bar Ceiling (Stryatural) &•Monocoat �F a = '-^ � �+ 75�,Dry Chemical J - �•� C 27.- Frame aAd Fiashing� '�tlx z ?' y, i1: ,:�� 76� Dry Standpipe ��r.j '' �� - -28✓ Lathinq$ Sidinq� .. .. �-�.Z�,-', r�is' .. T �•� Y 77 7 FIXED SYSTEM!FINAL� ,J � •'29. Insulation ' , 'x - _ "' � "' I �; ,� 7g5 FIRE PREV. FiNAL . - T30. Drywall.Nailtng �� . > � W HEALTH.DEPT.v REQUIREMENT - - . '-31. Plaster Brown Coat; ,S , �- �• i�» r79."PINAL INSP_ECTIO��N � ` F32.-ElectricaEPovi�er Meter-Final �� . - :80.-FOOD CERTIFI.CATE IS6UED * �.33 �Finel El�ctric `r# ,t �� ' %'Nofes: ��;,. ; _ _ r s. -11 .j -, '� F � I 1 1:.� • ' y34-FinalHeating&F{ir,Conditiqning; -`. � , S �- �-- h .� r� `35J�Final Ga4 Pipe-Test' _� ' -' * 5' -�. ' I � , . . I �36,SHo4d oi CanoPY� � 3 �� - ms , - � %i�� • . . '' ,_ - - r- , '-37�Final Factory Fireplacel � S�" _ ` r' � � �` ` " ��`�' F. f- v . � � ;� .� L�J ,_38rFinal Plumbing ` �s;�n � •� •• -c •� i � j t, ;39:-WatEr Service�Final� �, i _. Y, , � � x y ,, a,t*- e�, ?40';Gas Service-Einal " ,;. ,S; .,� .S : ..r _ � , rp ,� ' <.41..Solar pomesticFinal :-, � •• + C-� � � r; - :J �� "42"Backflow Preventer_ �- ��' � " ` _ ! • � :� µ,i�+y�',��"� . � _ . i .� c - 43. Backflow Irryatiom z-�`_-. �-- Y • t ' -� ,. � a - - :; a• ;� > :�. - c�' � s � _ . .;,44. Landscape Irrigatio',n System_,�,� = ,^ ` ; r.- - r - r • •- o:,� _ N �_ �'.45=Sound Xlttenuation J�Xi- �r" i' : _ � . _ _ y: _^ �:• � - - n Y T � -�46.-,Handicap Regulations - -='= '' � . . � _ '-`' - . - 1 ! ;Y S . �47:�FINF+L STRt1CTURE & BUI.LDING `< � j,G (1� � - - . . . •. ,.. - 46i` ' - '�' I� • ,; ,. . _ - � � � ,i' � �„ T' .� '" :49.;Electric Release to Edison � � , I �_ , s :i- � : '.'�50.;Gas,Release to Southem Califomia Gat,�o ' ; l ^_ I ; 'y' ' - � "t�: ` - '. :�51. CERTIFICATEOF;OCCUPANCY � � ; , _, ;,;,=, �;.:. , ;_. _� No. Date PXOJECTAO�HESS: ]Q'33 HOLLOW BROOK CI � �xir: OWNEN'SNAME: SOHN HAMLIN � aooeess: 3433 HOLLOW BROOK CIRCLE C.M. 92626 FHCHIENGINEEfl: nooeEss: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; P 066159 PERMIT NO: P 066154 PLAN CHECK NO; N GOVT; N SUPP: N CONSTRUCTION TYPE; V—N PERMIT TYPE; PLU PURPOSE: OTH flEG.NO.: I JOB DESCRIPTION ; WATER HEATER REPLACEMENT uxir: CLAIM VALUE: CALC—C�ALIIE: PERMITTEE: NOCK PLUMBING ( 714 ) $95-1296 aooxess: 11610 SEAHOARD CIR STANTON CA 90680 LICENSED CONTHACTOR OECLAPATION: I hereby aliirm ihal I am Iicen5e0 under pmvisions ol Ghapter 9(commencing wi�h Section �000) ol Oivsion 3 oi ��e Business antl Prof¢ssions Cotl.e.., /antl )my littnse is in tull force and eifect. ciTvyc.; O50 3 8 6 STpTE LIC.: S 1 S J/�1 / cuss: C� ( � tV6FKEP5'�omPEn§AfION oECIABRTION: I nereoy allirm inat I nave a cenilicate al consent to setl�insure or a cehificate at woBers' Compensation Insurance. or a cendie0 cooY �hereol (Section 3800. Lab. CI. eoucvNo.:1167992-93 E%P.DATE: O3/OS/99 comraxr: S TATE ❑ Cenifietl co y is here y�nishee. � Cendie0 cop ileU with ihe cit BuilOing �� ivision. � � � a�e'. � � ADDlican 9��'�� MPTIUNFAOMWONNEBS'COMPENSATIONOELLABATION: (ThiSsectionnee0nolbecompleleOillhepermAisarone u re0(5100�ar1e55�. I cetlity Ihai in Ine performan[e ol Ihe work lor whic� this permii is issuetl, I shall not emDloy any person in any manner so as �o become sublecl m ihe VJorker5' Compensation Laws ol Califomia. Oa�e: Signalure: NOTICE: I�, a��er making Ihis UeClaralion, you 5hould betome Su�letl �0 �he Workers' Compensation pmvisions o� �he Labor Cotle. you mus� bhhwi�A compty wiih such pmvisions or Ihis permil s�all be EeemeU revoketl. CONSTPUCTIDN LENOING pGENCY: I here�y ailirm �hal I�ere is a con5imction lentling agency �or �he pertormance o� the work fo� which Ihis permit is issuetl (Seclion 3097, Cia C�. LEN�EX: ROOHE55: OwNEB BUILDEP �ECIANNTION: I hereby allirm ihat I am eKempt imm ihe Contracmrs' State License Law for ihe following reason (Section 7031.5 Business an0 Pro�essional CoOe: Any cily of coun�y whic� requires a De�mit m constmc�, alter, improve, tlemalish, or reoau any stmc�ure, pnar �o i�s issuance, also requires Ihe applican� for such permi� �o lile a signetl statemen� tha[ helshe is licensetl pursuam m �he pmvisions o� ��e Comrac�ors' State License Law (Chap�er 9 �commencing with Section 7000) ol Division 3 0� the Business ana Pmiessions Cotle) or Iha� hels�e is exempt �herelrom antl �he basis lor ��e allegetl exem0��on. Any violation o� Sec�ion 7031.5 Dy SQ FT: GROUP OCC: R-3 / COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT �**�r**x-*i�*�e�r�r�r*�r*+r****�tu�**+�itit�r**�r**�r�rx+c�+r****�-�t**�+��***��t**�r*******�t�***�r�*i�+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 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 PARKING RE • PROV; PARCEL: 93506117 ZNE: REF NO: PLANNING N TES> > � iE �7F iE iE if if if jE i! iE iE iE iE iklE 1f 1E iE if !E iE ff iE if it 7f if ff iE iE if if iE iE i! iE iE 1E if iE it if iF jt if jE iE iF fE iE if 1E 1E # iE iE iE iF * ff if if %if iE iE 1f itlE �E iF it 1f 9f fE af if ih D E V E L O P M E N T S E R V I C E S R E Q❑ I R E M E N T S ZONING APPROVED HY • DATE: HUILDING APPROVED BY ; DATE: APPLICATZON ISSUED BY: C� � ➢ATE: �L � iE1EiElfiEiFjfiEfkjE1E1f1l1fiEiEfElFlEiEiElE�if�E�f�F��E��k��lx 3.x�F �fiE f�f��E�.=EiE��iE��fiEif3ElEif�F�1E1Ea(-if ;F1E� if if?E iE iElf if iE if iE k 1f iF if iE iE if iE if 1f iE ik iF 1f iE 1E iE iE if !E if 1f if iE iE if !E iE ik �lE � iE iE iF iE if iElf iE?f �k 1E if 1f 1E �f �E �E jE iE jf iE ik if iF �E iF it if 1f iE il i! iElE jE dF iE 1f LEGALIZATION:N F E E S U M M A R Y STRUCTIIRAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC� MECHANIC FIRE SMIP/RES GRADING PERMIT 7,00 • 25R __ SMIP/NON—RES PLAN � - any appbcan� �ar a permit SuUle��S the applican� �o a civil penally oi no� more than �ive AunOretl dollars ($500). j$$[JE F E E 2 �, � � i. as owner ai ine propeny or my em ioyees with wages as ineir soie comDensation, wiii do me work, ano tne �UILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAIL1 DUE ❑ simcwre is not imended or onerea mr sale (S�emion �oaa, Business ana Pmiessional Code: Tne Comracmrs' State License Law TOTAL S----> 7, 0 0 2 0, 0 0 � 0, 0 0 2 7, 0 0 2 7, 0 0 , 0 0 does no� appty to an owner ol a pmpeny who 6uilds or impmves Ihereon, antl who does such work himsel�/hersel� or Ihmugh his or her own emploYees, pmvitletl �ha� such impmvemems are not intentlee or offered �or sale. u, however �he 6uilding or RE�7ENjJE D I V I S ION i'OTALS--> COLL ECTED ; 2 7, 00 OVER /SHC7RT • impmvem¢nl is Soltl wilhin one year oi completi0n, ��e owner wi0 have I�e bUrden o� pmving he/5he tlid no� build Or impmve Q Q mrmePurooseoisaiel. BLDG PMT PLUMHING ELECTRIC MECAANIC FIRE SMIPITOT GRADING PLAN—CHECK I, as owner o� the proDer�y, am exclusively contracling with licensetl conirac�ors �o constmct the Dmlec� (Setlion 7044, Business z�. � � •. ❑ an0 Pro�essions Code: T�e ConVactors' S�ate License Law tloes no� appty Io an owner oi pmPerry who Uui105 or improves thereon �' andw�omnVactsior5uchprolec�swithaconVacior�5)IicenSepursuanl�o�heCONractors'S�ateLicenSeLaw�.lamaware ****{p+h{�-*..K..�{t�lf-{(-�.{(.*.{t{�.�{.�{..X.*.*.�{.{E{�.**.*.�-.�{p*.**+�-.�-*X.{�.{p.K-{pK.9p.�.�.*.**.K..�.7E*..K..x..%..�*i(.X.*.�i(..7h.�.k.X..K.N.�(..7E.lf{F.k.{F.�.*.K. ihai pmo� o� meir Worker's Compensa�ion insurance shoul0 be pmvidetl ro me. I N 1] I V I D[J A L F E E B R E A K D O W N � I am e�emo� unaer 5ec�ian: 8. a P. e. for�hisreason�. TYPE QTY oate: Owner: I L-'LU I do here�y ceniry inat I am aware ol and untlerstantl Ihe requiremenis of Calilomia Healih anU Safery Cotle Sections 255Q5, 25533, an0 25534 antl Iha� I or any IUWre �uilding ocwpan� will/will noi (circle one) neetl Io comply with said itate cotles antl the requirements for a permil for cans�mc�ion ar motltlicalion irom Ihe Frt Oualily Managemenl OisVict. Residential constmciion aDDlica�ions are exempt irom i�ese pmvisions. Oa�e: Applicam: � here�y ceriity I�al I have iea� �his applicalion ana s�ale I�ai I�e a0ove inbrmalion is correcL I agree �o comD�Y wiih all city an0 counry ordinancesantls�alelawsrelalinglo�uildingconsimciionandher ulhorirerepreseniative5olihiscitytoenterupontheabove-mentianed pmpeny lor ins clion pu ases. � � y Signaiure: �� oa�er's ucense or Sociai Security x: 164L46 W�ne—Builtling: Green—Cqtle Enlorcemem; Canary—ApplicanC Pink—Revenue; GOIGenroE—Assessor ➢ E S C R I P T I O N 1 WATER HEATER AND/OR VENT END OF FEES UNIT COST rir►n TOTAL COST �.00 01 00155844-0O155S44 T d T 27.Q0 DA7Es p2/23/44 7IflE: 09:SE CPNSTRUCTION AND PLANNING POOL & SPA ApPROVALS Permit � Date Inspector APPAOVALS Permit # Date ' Inspector 1. 7emporary Electrital Service or Po�e 52. Pool & Equipment Location 2. $oil Pipe�Undrgrnd. 53. SteeG Reinforcement 3. �lectrical Conduit Utitity�Undrgmd. 5A. Ferms � 4. Electrical Conduii-Undrgmd. 55. Electrical Bonding 5. $teel Reinforcement 56. Rough Piumbing & Pressure Test 6. �Iectricai UFE,R Grnd. 57. ApP(iQVR� TO COVER�GUNITE 7. Footings ' 58. Electrical Conduit-Undrgrnd. S. Foundation 59. Gas Pipe, � Undrgsnd., Tesc � 9. Water Pipe-Undrgmd. 60. Backwash lines, RTrap, O Undrgmd. 10. 9tructural floor System 61. APPRQVAL TO DECK � 17. Property Sewer Line & House Connectio� 62. Backwash & Receptor�Final 72. Sewer Cap 63. Hez2er & Vent-Final 13. Ruof Drains 64. Plumbing System � Final 74. Rough Plumbi�g ' 65. Eieciricai-Final 15�. Rough Electrica6Condult 66. Solar SYstem-Final , 18. Ruugh Electnc�Wiring 67. Fencing & Access Approval 17. Rnugh Wiring Siyn 68. APPROVeD FOR PLASTERING 78. Rough Electrical�T Bar Ceilino 69. POOUSPA SYSTEMS FINAL 19 Rough Heating & Air Condtioning FtRE OEPT, REQUIREMENT 2Q. Rough FactorY Fireplace APPROVALS Permit # 27. D�Cts, in Structure 70. Underground Hydro 22. Ducts, Ventllating 71. Product Piping �Gas OOiI 23. G+3s Pipe•Rough & Test 72. Under9round Flush � � 2�uof Framing 73. Undergmd.StorayeTank OGas ❑Oii 25. Roor Sheathing 74. Overhead Flyriro 26. T�Bar Ceiling (Structuraq & 4t4onocoa; 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding . 77. FIXED SYSTEM FINAL 29. Insulation 76. FIRE PREV. FINAL 30. Drywail Naiting HEAL7H OEPT. REQUtREIvtENT 31. Plaster Brown Coat 79. FWAL INSPECTION 32. Electrical Power Meter�Finai 80. FOOD CERTIFICATE ISSUED 33. Final Electric o'esr q �� !'f�CG�sS= - -,- � - - 34, Final Heeting & Air Conditlooinr, _ 35. Final Gas Pipe-Test . -3-Z�-� (L.. �� i�i 't�_fLl�'� 36. Hood or CanopY 37, Final FacYory Fireplace 38. Final Plum6ing Z��'L % 39. Water Service-Final 40. Gas Service-Final 41. So�ar Oomestic-Final 42, 8ackflow Preventer ,`'�r^ 43. Bflckflow Irrigation ' � 44, �andscape Irrigation Systam ' 45. SOund Attenuatio� • 46. Handicap Regulations ' 47. FINAL STRUCTURE & BURDING 48. FINAL PLANNING '.. , . 49. Electric Release to Edison � 50. Gas Release to Southem Catifornia Gas Co - 51. C�RTIFICATE OF OCCUPANCY No._. Da,e , UWNtK JOB ADDRESS GENERAL COh AP No. ' . INSPECTIONS SOIL Gn5 WATER ROUGH PLUMBING PROP. SWR. LINE SPRINKLING SVST MISCEL�ANEOUS M HEATING hN� AIR CON�ITIONING UN�ERGROUNO I I POWER $HERTHING FRqME AND F�ASNIN LFTNING IN � i PLAS7ER, BROWN COAT STRUCTURAI. FINAL HEATING, VENT., REFRIG. FNO R.C., FINRfL, PLUMEIING, FINAL ANO GAS TEST I� '�p ELECTRIC, FiNAI BUIL�ING. FINAL DATE 4-28-76 BUILDING PERMIT N RIPTION of WORK Res. w att ZONE VA�UE$ 5, 50. PE V GROUP I & ��, SUBCONTRACTOR PE Z . W� (Wj za o� am J7 J � Q W 0] J J m Q U Q Z � aW W Z J Q m Z J � W w � _ Z� w� � � � Z Q U J a a Q 0 H H Z O F U � � H h Z _ 4.1832~ COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fi!!!n Completely aooaEss3q�3 Hnllnw Rrnnk;;��( OWNEF State-Vlide Developers,Inc MAIL g461 Grindlay ADDRESS TEL. c�rv Cvoress No. BRANCH ADDRESS ARCNITECT 'aR�iG6AVEHF ADDRESS 17f CONTRACTOR ADORESS (�QF ��T�r.�� STATE LIC. NO. 22L SIZE OF LOT �2� USE OF S12E OF NO. OF NEW BLOG. :i00M5 EXTERIOR WALL as •er ROOF COVERING Wpp(I COVERIN USE OF BUILDING A.ND WORK TO BE P TEL. "0 826- CITV IIC. NO. INO.OF LB�OGS. NOW ON LOT I hereby acknowledBe ihat I hava reatl t�is epplication antl rtete that the above intotmation is correct and agrea to comply with afl iews �e9��et{nq building construc<ion, anC 1 shall not amploy any person in violetion of Me workman'z comOensation laws of Me Stata ot Californla. I hereby cerHfy that I am properly IicenseE as a contractor untler t�e State ot California Businesz antl Professions Code, Divis(cn 3, Chapter 9, end t�at auch licenset are in full force end B7fect, or I am exempt from Me provisions of the State of allfornia Buslnesz antl Profassions Code, Division 3, Chapter 9. at -Wide Develo s, Inc. SiBnature . Permlttae o AuihorizetlABent Vice Preside t �zY , �-�fi�A�°oo 6s��k ,�k:: ��5.ha APPLICATION FOR BUILDING PERMIT RECEIVEDBY OATERECEIVED ne-rcwciu e A.P. NO. JQG-O,$Q- ADDRE S �7`�� TRACT S�K� OWNER S� FIRE 20NE APPROVED LOT I BLOC �E NO.OF USE Of NE �� CP PLAfS z BUILDING � VARDSAPPROVED VARDSAPPROVE (F VAR.�W -7 p� DATE C.U.P.y{�ZC'/��p APPROVED/�,S`� APPROVED ` �� '�iOLD FOR � ECIr RSQU:REhSENT � 771f. �„ �r .1JR� THE AMOVNTS� THE PURPOSE OF VALUAT�� /�L� •�1�g�..�� p — $ Jiula"'+' IS t w 0 � ¢ � � m E `o LL