HomeMy WebLinkAbout3430 HOLLOW BROOK CIR - Building PermitsZ .
W W
aU
Z
Z �
ON
am
J �
J N
Q W
(t1 J
. [fl
J Q
U Q
Z�
W
aW
WZ
J Q
m Z
J �
w w
O
ZH
w�
� �
f"
Z
Q
U
J
a
a
Q
0
y
Z
O
F
U
�
�
H
N
Z
4J:8
COS7A MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For App/icant to Fill in Completely
BUIIDING_ ___ __ __ _ , _ ,
OWNE(i
MAIL
CITV C�I�
CANSTRUCiION
BRANCH
ADDpESS
ARCHITECT
CONTRACTOR
aooaess g46
��T�rCvo
STATE
uc. No. 22q
SIZE
OF LOT �'z
USE OF
EXISTING BLOG.
SI2E OF
NEW BLDG.
EMERIOR WALL
COVERING
USE OF BUILDI
TEL
NO.
TE
TEL.
"0 826-
CITV
LIC. NO.
NO. OF BLDGS.
NOW ON LOT
NO. OF
FOOMS STORIE:
ter COVERING Shake
'D WORK TO BE PERFORMED
I hereby acknowlatlpe that I have read this apPlication and state
that the abova intormetion is correct antl aptee to comply with
all laws regulatlnB building construction, and I shall not employ
any parso� in violation of t�e wOrkmen's compenseiiOn laws of
the Stete of Californie.
I hereby certify that I em properly licensed es a contractor under
tha State of California Business antl Professions Cotle, Olvlsicn 3,
Chaptar 9, antl that such licenus are in full fo�ce and etfeet, or I
em ezempt from the provisions ot the State ot C Iifornia Business
antl Professions Code, Divislon 3, Chapter 9.
s�a�a��„� t-Wi de Dev 1� r, Inc.
Permittee
AuthorizedAgent Vice Presiden
��IVY ��"%CiPv,cLQO �3, �� :��=z2c r,�
APPIICATION FOR BUILDING PERMIT
BUILDING ��
ADORESS
VALUE
FIRE
ZONE
APPROVEO
ZONE NO.OF USE OF NEW
�ZZ ['O PLAN$ Z BUILDING G
VARDSAPPROVED VARDSAI
VAFi. #..O � _
THE AMOUNT SI
THE PUFP�E OF
VALUATION �
3�cv
8
BUILDING
BET. MAIN &
_ m
�
0
R VALUATION IS FOR �
G�+ PERMIT FEE ONLV: Q
m
�EE $ �
�
m
_CK S i E
`o
EE �
U LL
uwntk STATE WIDE Developers, Inc. DATE �
INSPE
SOIL
ROUGH PLUMBING
PROP. $WR. LINE I-I HOUSE CON.
ROUGN HEATING RNO RIR CONOITIONING
UNOERGROUND [_J POWER
ROUGH WIRING
SHEATNING
FRqME AND FLASHING
LATMING - IN � OUT [ I
PLASTER, 6ROWN COAT
STRUCTURAL, FINAL
HEATING, VENT., REFRIG. AND A.0
PLUMBING, FINAL ANO GAS TEST �
ELECTRIC, FINFL
BWLOING. FINAL
FINAL
DING PERMIT N0.
FIRE ZONE
SUBCONTRACTOR
PPOJECTp00HES5: 3A3O HOLLOW gR001{ UNIT:
OWNEB'SNAME: VILLAGE CREEK HOMEOWNERS
aooeEss: AS'SOCIATION
3929 TIMAER LAKE
CM VA 92626
APCHIENGINEEN: CHESTER CARVILLE flEG.NO.: CSB3OS
nooness: 7922 ARMOUR ST uxiT:
S.D, CA 92111
eenmiTree: PHOENIX ENTERPRISES INC. (213)690-9559
ADOflE55: 41 S COMERCIAL WAY
LA HAHRA CA 90631
LICENSEU CON7FPCTOB oELLAHRTION: I nereby aHirm ihat I am li se nder pmvisions ol CAapter 9(commencin with Sec�ian
7000) ot �ivision 3 oi I�e Business ana Pmiessions CoOe. and m c s in fullforce an0 fed.
ciTvuc.: f0/7 8 grc�uc.:376639 ss: H
oate: ` �'J Signa�ure: � _
WOBRE S' COMPENSATION OECIABATION: I hereby affirm I�a� I have a cetlificate of consen� to seli�ins e ar a cerlilica�e o� Workers'
Compensa�ion yWqap/:p c� }.cP/�ihed copy Ihereai (Seclion 3800, Lab. .7 1� 9 1
POLICY NO.: W� V�� J� 9 E%P. OFTE:
OMPANY: CA COMP & FIRE
� Certitietl copy is �ere�n fumis�ed� Cenilie0 copy is Ih the i Building Oivisio
n
�ate: / r_ Applicani: �'�J
E%EMPTION FFOM WOHREflS' OMPENSNTION OECLAHNTION: Qhis sec�ion neea no� be compleletl il Ihe permit is for one hun etl ($100) or less�.
I certify ihal m I�e pedormance of ihe wark far which Ihis pe�mil is issuetl, I s�all not employ any persan in any manner so as to became
suble�� m �ne WorkerY Compensation Laws ot Califomia.
Date: Signamre:
NOTICE: II. alier making ��is Declara�ion. you 5houid become suEject Io lhe Workers' Compensatian provisions o� Ihe Labar
Coee. you mUsi Iorihwilh tomply wii� suCh pmvision5 or lhis permii Shall be d¢emetl r¢voketl.
CONSTPUCTION LENOING FGENCY: I hereby aflirm Ihat Ihere is a constmc�ion lending agency lor �he pehormance o� Ihe work lor
which �his permii is i55ue0 (Sectmn 3097, Cia C).
LENUEX:
ROOflESS:
OWNEX BOILOEfl OECLABATION: I �ere�y a��irm I�ai I am exemp� �mm Ihe CDntraCiors' Siate License Law tor Ihe �ollowing reason
(Seclion 7031.5 Business antl Profe55ionai Coae: Any ci�y oi couniy whic� reQuires a permit Io cons�mct, alier, impmve, aemolis�, or
repair any s�mcWre, prior lo i�s issuance, also requires lhe applican� lor such permi� �o file a signetl s�a�emeni tha� he/she is licensetl
pursuant Io the pmvisions ol lhe Contrac�ors' State License Law (Chap�er 9(cammencing wilh Sec�ion 7000� of Oivision 3 0l �he Business
antl Pmf¢ssions Code) or Ihai he/she is exempl �herelmm antl �he basis lor ihe allegee exemp�ion. Any viola�ion o� Section 7031.5 by
any ap0licant for a permit su61ec�5 the applican� ta a civil penalty oi no� more �han tive M1unUred tlollars ($500).
I. as ovmer af ine pmPeny or my emDloyees wit� wages as t0eir sole compensation, will tlo the work, and ihe
❑ simcwre is not imen0etl or oitereE lor sale (Seqion 7044, Business and Pmfessional CoOe: 7he Coniracmrs' S�a�e License Caw
Ooes not apPry to an owner ol a pmpeny w�o builds or impmves t�ereon, and who Ooes such work �imself/herseli or thmugh
hi5 oi het own employees. providetl Iha� such impmvemenis are no� in�endetl or oflereU fo! 5ale. Ii, however ��e lluiltling or
. improvemen� is so10 wi�hin one year oi comple�iaq �he awner will have ihe burtlen 01 pmving he/she Oitl no� builA or impmve
far ihe purpose al sale).
I. as awner ol �he property, am eKclusively con�racting wi�h licensetl conVactors �o cons�mcl �he pro�ect (Sec�ion 7044, Business
❑ antl Professions Code: The ConVac�ors' S�ate License Law Ooes no� apOry m an owner o� D�oDenY who bwltls or impmves �herean
and who Lontracis lor such pmlecls wi�� a contractaqs) license Dursuant �o �he Conlraciors' Sta�e License Law). I am aware
Ihat O�ool oi ��eir Worker's Compensation insurance shoultl 6e D�o�iOetl to me.
� I am exempl untler Section: e. 8 P. C.
lor ihis reason:
�a�e'. Owner.
I tlo here�y cenify I�at I am aware ol antl untlerslantl Ihe reqmremems ol Califomia Heal�h anU Salery Code Sections 25505. 25533, and
2553a antl thal I or any lulure builtling occuDant will/will not (circle one) neetl to comply wilh SaiU s�ate cotles and ihe requiremen�s tor a
Dermit for cons�mc�ion or moaihca�ion imm I�e Air Oualiry Management Oisirict. Fesiden�ial consimclion applica�ions are exempl �mm
ihese provisions.
�ale: NpplicanC
I hereby cerlify �ha� I �ave reatl ihls applicalion and sla�e ihat Ne 1 vej � m Ilon ls correcL I agree b comply wilh all clly antl county
ortlinances ana sta�e hiws relaiin to budamg conslmction antl her au �(ori e.presenlatives o� �his ' en�er upon Ihe ahove�men�ianetl
pmpetl�y i�` ins�pecti'n s. / _ �
. � � / �/l� ��
oate �J�L SignaWre'.
oriver s �icense or Socia� Securi�y o:
1641-a6 White—Builtling, Green—Coee Eniorcemenq Canary—ApPlican�; Pink—Revenue; Goltlenrad—Assessor
CITY OF COSTA MESA — BUILDING PERMIT ,
PERMIT NO: H 049843 PLAN CHECK NO: 0692$-90 A , ,
CUNSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: REP
SOH DESCRIPTION ; REPAIR SETTLEMENT DAMAGE SQ FT: 143
CLAIM VALUE: 14,388.00 CALC—VALUE: 19,300.00 GROUP OCC: R-3 /
COMMENTS: HfJTLAING SETTLEMENT REPAIR/FOUNDATION `
af *� 3f iE iE if �lE IE if 1f if IE if jf if dk M�k ik iE aE IE �F ik 3f� 1E if if �E 3E iF it if if if if iE if iE iE if aF if Ik �E iE lE iElE iEif Ik if iE 3E if if if iE if i! If if 3E if If ik iE iE iF �E iE iE iF iF 1Ei6 if
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUTLDING ---------
FRNT: FT SN REAR: FT IN FRNT: FT IN REAR: ET IN
LEFT: F1' IN RGHT: FT IN LEFT: FT IN RGfiT; FT. IN
PARKING REQ• PROV; PARCEL; 93506124 ZNE: R2 REF NO;
PLANNING NiST'ES; REPAIR EXISTING FooNDATioN. HOLD FOR SPECIAL REQUIREMEN'I�S
�k if M ik df iF df �f iF if if iF iE it 1f iF k if iF if iE iE iF�Ik iF if if ak kiE �F if If 1k iE if if �F iE iE aE iF k k IE 1E 1E�E iE fE iF if IflE iE iF k!E iEif if if if If if ff ff k iF iP if af iE iF iE ik % If �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',T S
20NTNG APPROVED HY :� � � DATE: ��� �� O
BUILDIiJG APPROVED BY : �-.� t � O f�� DATE;
APPLICATION ISSUED HY: DATE�
ifikifiEaf�3fiFiflfil�iEiFiEiEifiF1k1P1E1EiE1E �"�iF£iE�FMiFiElbifif�lE3E ifif
ifitiFikdFifiFftiEiElfiflElflFiFiEiFIfjE�1Elf1E�EfF1EiE�kiF1E1k1F itk�FifiElElEfFlFfflflf3E1k�E1E1Ejf1flEikiFlfiEjf3E�fiEiflFikiEiFifitifiE�fiFiFlfitiElFiEiF
LEGALIZATION:N F E S U M M A R Y STRUCTORAL1SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RE& GRADING
PERMIT 162.Q0
SMIP/NON—RES '
PLAN 26.33 2,15
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL FAID DUE
TOTALS----> 164,15 0.00 26,33 190.48 190.48 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 190,48 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE •SMIP/TOT GRADING PLAN—CHECK
1fi2,00 2.15 26,33
iF iF �k IE iF 3FlF 1f �f ik jF k!f ff !E iE M if M iF if #F iF iE )f ik iF if iF #P 3F iF )f k if k iF 3f if if IF IE i! if it iF ik k lE iE 1f 1E iE iF iF fE IE lE 1k IE iE iE if iE iE �E k iF if if 1E ak iF iE iE 1f k 3F if
I N D I V I D U A L F E E B R E A K D O W N
TYPE
SFC
QTY D E S C R I P T I O N
193 FOUNDATION BY VALUE PER $100
END OF FEES
. UNIT COST TOTAL COST
100.00 14,300.00
a� aoo,s�sz-aoo7sQs� rs�-� i.�a.;�
G��Tt: Y1J27190 TSYF: G3:43
CONSTRUCTION AND PLANNING PO� SPA
APPROVALS Permit # Date Inspector qpPROVALS Permit # Date Inspector
1. Temporary Electrical SerdiCe or Pole 1 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement
� �i ��.
', 3:�Electrical'Gonduit Utility=Undrgrnd`. �; 54. Forms �
"= 4fElecfrical Conduit�l�ndrgrnd. 55. Electrical Bonding
' r
r�, � ,i.
'� �5��Steel, ReinforcertieriY 56. Rough Plumbing & Pressure Test �
_�6_Electrical�UFEArGmd. t� 57. APPROVALTOCOVER�GUNITE �
- ,-.. -
='_2 `Footingi � '1:�� "- 58. Electrical Conduit-Undrgrnd. -
-� 8. F,oundation �- y� 59. Gas Pipe, O Undrgrnd., Test '"
;�9. Water Pipe-Unilrg�.nd. � 60. Backwash Lines, P�Trap, � Undrgmd.
c�; • c.
19. Structural Floor System ' ;,- 67. APPROVAL TO DECK .
1•1. Property Sewer�-Line & Hvuse Connection 62. Backwash & Receptor-Final
12. Sewer Cap „- l, 63. Heater & Vent-Final
13. Roof Drains-+ - 64. Plumbing System � Final
�.i.� i:'.
14. Rough Plum6i�8 65. Electrical�Final
15. Rough �lectriral-Conduit 66. Solar System-Final
16. Rough �lectric Wiring 67. Fencing & Access ApP�oval
17. Rough Wiring,Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOLiSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
_ " -- _ �rHS - J. � j•
20: Ro�qh f.actory F�replace ^� ;r � ^ - _ C *� r =qppROVAIS; � -Pec� it # _ _
21.`."Ducts, in:Struauae. � -.. . ��.:;= �� r ; > �_70. Unde�ground Hydro . �
22. Ducts, Ventilating + ' �'�'� - " �. �71. Produc�Piping O�Gas Q�OiI
23�Gas_Pipe�Rough & Test " ,t �� - -� } _72. Underg ound Flu`sh,r Y ' �
24,rRoof Framing : ' i �- ^ y "' - ii_ ��' ' �73? Undergmtl'.Stora9fl,Tank;�OGas OOiI
25. Roof Sheathin ' ` � �`' �''.', �, � -- `
9._ r . ' 74- Qver.head HYdro-.. `
26.T-Bar Ceiling IStructural) &SMo�coats i r� y: = 75;_ Dry Chemical ' '- - �T
27: FrameaPd F�ashing ''�y�� �= r � �' �.,:` 76.�D'ry Stan�fp pe ',s ' S
� ,�.vi,:
�-28.� Lathing;& Siding��>.:. �v*,�v �.�=: �:s'_' ••i Y, Ty 77-: FIXED SYSTEM�FINAL* � •�
�'29. Insulation "-' ,=� � "' �� ` � -' � �', 78E=fIRE PREV. FINAL �� %�
� 30. Drywall•.Nai[tng :- �� � � LL HEALTH�DEPT. REQUIREMENT
. 31. Plaster Brown Coaf �, ' . ,�, - .� ' 'r R :� ,,.79'� FINAL INSPECTION { `- ' ?'
�l :� �" - - � � ' ' ,.'gp.,: FOOD CER7IFICATE ISSUED
-32-Eiectrical Po�ver�Meter,Final ` ' � v' '� •; _�, _
u
"33; Final Elecicic "�" - � `Y �'�. "' ' '�Notes: - ?. - � -'
- 1 - - �ri -� * _
Y. . ' l
;•34.-Final Heating&„Ai�-Conditioning,- - �. 4 ' , .z; - . - ;
' n' - f
35'�Fiiial GS's Pipe-Test' � "- � � i � ; � ' '� = ` ! �� ,' ('� �
z °• 3 r
i.36YHoodor'CanoPY.-',. ' �' - n�<- - � ;;-_ �`� . .. ��• -c .
t �.
-37�Final Factory Fireplace ' �'.' ''T' 1 h. ' x o�-
� ' . i �i
=38.: Final Plum6ing �'� un� . .. -� .t � I � . a� � .. _. - .�.
`�39 �Water Service=Final. � � � �- r � i I, e - _ �r ` i; . U��.r$
�. i � -
_ 40; Gas Service-Einal ` .r; s,. * ,r, � I - �. ,::c ,
' ." . . � � _. _ ^
�,41;.Solar pomesticFinaP: �� � C:• I � � '� • •=- -� ^
i :r �c-, r^ ,
-'42:-8ackflow Preventei -` ' �� ' � � f� �;� •
�
43. Backflow Irrigation : ` ' s � � • ' = �
co = r
� �r Y,
� 44. Landscape 1%ripati0n System,�;;�j � p . - � ;.� �� _- , - , ' , �
'45' Sound Attenuation . .- . ; ' � ' � ' - i ' �. r
- r� :r . - r, d
`46�.'_Handica;P Regulations ..y ' "� � ,. .. ' . �; ;�`': .-. _ ..:�
��47:,FINAL STRUCTU�RE & BUI�LDING . " Zd"'� I �" � ' ' �
.48�..E1 ,�' �. :_ " . _ _
1 S-�l M� . .
�. ( . . . -
�49-Electric Release to,Edi on � " � � {� x -_ -
�'1 e I Ir r
�'50__Gas Release to Sou`them California Gas�cCn :� ', � I ', `, ��,; �`, : `�
';51. CERTIFICATE OF OCCUPANCY :, , , ., ,;, i;i�. ;_;.; y _,
No Date