HomeMy WebLinkAbout3432 HOLLOW BROOK CIR - Building PermitsPflQIECT P�DflE55: 3 Q 37, HOLLOW HROOK
OWNEfl'S NAME: VILLAGE CREEK HOMEOWNERS
aooaess: ASSOCIATION
3429 TIMHER LAKE
CM VA 92626
UNIT:
AflCHIENGINEEN: CHF.STER CARVILLE xEc.xo.: C18305
noosess: '7 9� 2 ARMOUR S T uNiT:
S.D, CA 92111
PEHMITTEE: PHOENIX ENTERPRSSES INC. ( 213 ) 690-9559
nooness: qll COMERCIAL WAY
I�A HABRA CA 90631
ULENSEO CONTHFCTOB OECLAflRTION: 1 here0y aliirm tha� I am licen un0er provisions ol Chap�er 9(commencing wit� Section
7000) ol Orvision 3 0l �he Business ana Pmlessions Coae, and my i e s in �ull lorce antl I�ec�.
cmuc.: 50788n /sjjj@@@lTEuc.:�'76639 �S+S: H—/�9�
�ate'. � Siqnature: v L
WOFKEHS' COMPENSFTION UECL�IBATION: I hereby af um Iha� I have a cetlifica�e ot consen� �a sell ure or a cer�ificale of Workers'
Compensaiion Insurance or a certifie0 copy Ihereof (Section 3800, La�. C.
aoucvNa.:W700354 E%P.DFTE: %�OSI9S
comvnNr: WWWCA COMP S FIRE
� Ceriifi tl DY is hereby fumishetl. ❑ C¢N�ietl copy is f h ciry Builtling Di '
/
�a�e: � � nooi��a�c �
EXEMPTION FNOM WORNEPS' COMPENSFTION OECLABp710N: (T�is seclion nee0 not be campletetl i� t�e Oermii is orone hundretl �$10�) ar less).
I ceNty �hat in Rre pedormance ot Ne work for which Nis permi� is issuetl. I shall no� employ any person in any manner so as to become
subject lo Ihe Workers' Compensalion Laws oi Calitornia.
� Da�e: SignaWre:
NOTICE: If. afler making �his tleclaraiion. you shaultl become 5u01e�� �o ��e WOBers' ComDensation provisions ol ��e Lahor
Code, you musl forthwit� comply wilh suc� pmvisions or Ihis permit shall be deeme0 revoked.
CONSTBIlCT10N LENOING RGENCY: I �ereby allirm tha� there is a cons�mction lentling agency lor the pedormance ol �he work �or
which Nis permit is issuetl (Semion 3W7, Crv. C�.
LENOEfl:
AODNESS:
OWNEfl BUILDEN'OECLAflATION: I hereby ailirm t�at I am exempi Imm the Cantracmrs' S�aie License Law �or Ihe Ioilowing reason
�Sec�ion 7031.5 Business antl Protessional Cotle', Nny ci�y ol counry which requires a permit Io constmct, atler, improve, tlemolis�, or
repair any S�mcWre, prior to i�s issuance. also reQuires Ihe applicant �or such permil to file a signetl sta�ement thal helshe is licensetl
pursuani to �Ae provisions a� the Contraclo5' S�ale License Law (Chapler 9(commencing wiih Sectlon 7000) o� OlNsion 3 o� the Business
antl Pmfessians Code) or thai helshe is enempi iherelwm antl Ihe basis lor ��e alleged eKemplion Any viola�ion oi Sec�ion 703L5 by
any aDPlican� Por a permil subjec�s [he apDlicant to a civil penalry of nol more �han �ive hundre0 Oollars ($500).
I. as owner of Ihe pmpeny or my employees with wages as iheir sole compensa�ion, vnll tlo t�e work, and Ihe
❑ 9maure is nol imen0ed or o�fered br sale (Sec�ion 70aa. Business and Pmfessional CoOe: T�e GonVactors' Slaie License Law
tlaes noi apply �o an owner ot a pmDe�y who builtls or impmves thereon, antl who tloes such work himseli/�ersel� or thmugh
his or her own emplayees, pmvitled Ihal such impwvemen�5 are not intentled or ollered far 5ale. I�, however t�e builtling or
impmvement is sola within one year al completion, ihe owner will have ihe �urden af pmving he/she di0 not builtl or impmve
tor Ihe purpose o� sale).
I, as owner o� the pm0erty, am e�clusively comrac�ing with Iicense0 coniracmrs m constmc� �he pmle�� (Section 7044, Business
❑ and Pmiessions Cotle: The ConVactors' Slaie License Law tloes not aDP�Y �o an owner o� pmDe�Y who bmlds or impmves �hereon
antl who coNracts lor such pm�ec�s with a contractoqs) license Dursuant to Ihe ConVacmrs' Sta�e License Law). I am aware
��at pwol ol l�eir Worker'S Compensation insurance should Ge pmvi0e0 fo me.
,� I am evempl unaer Sectian: � B. 8 P. C.
I �or Ihis reasan:
Oa�e'. Ownec
I do herebY cenity Ihal I am aware of antl waersland ihe requiremems of Califomia Health antl Sa�ery Code Seciions 25505. 25533, and
25534 an4l�at I or any future builtling occupani will/will not (circle one� neetl �o comDly wi�� said sia�e co0es antl Ihe requirements for a
permil br con9mction or motlification Imm I�e Air Ouali�y Management Disirict Fesitlential constmciion applica�ions are exemp� imm
IheSe provision5.
Da�e: ADPlicani: _
I hereby cerltly Ihai I have reatl ��is apphcalion and slale �hal 0
or0inance5 and siaielawsrelating�o bwlding consimciion and he
pmperty for inspeciian pur0ases.
�ate: ����� SignaWre: �
oriveiS �icense o� Social Securi�y a:
i6AL46 Whpe—Bulltling', Green—Cotle EnlorcemenL Canary—Applicant; Pink—Pevenuo: Gobenmtl—Assessor
antl
CSTY OF COSTA MESA - HUILDING PBRMZT PERM NO: B 09999
PERMIT NO; B U49997 PLAN CHECY. NO: 06782-90 A GQVT; N SUPP: N
CONSTRUCTION TYPE: L'-N PERMIT TYPE: STR PURPOSE: REP
JOB DESCRIPTION ; REPAIR SETTLEMENT DAMAGE SQ FT: 193
CLAIM VALUE; 14,388.00 CALC-VALUE: 14,300.00 GROUP OCC: R-3 /
COMMENTS: BUILDING SETTLEMENT' REPAIR/FOUNDATION
1F iE iE iF �1F �1F 3f% I(� # N� M� 3E df iE 3F if �lE k�)F if 3F if if iE 1E If �lf i(• # iF iF 1F if 1F IE iF iE iF �IE iF iE if iE iE if iE 3f iE 1f iE 1E i41E if iE l4 3f if if if if 3f iF iE 3E 7E )p if iE if if � iF iE if #!t if
Z O N I N GS ERTEBQAUCIKASE M E N T S
------------ MASN HUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT; FT iN REAR; FT IN FRNT; FT IN REAR; FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN kGfiT: FT" IN
PARKING REO• PROV: PARCEL; 93506124 zNE: HO�FORSPECIAL�QU���
PLANNING NCS'PES> REPAIR EXISTING FOUNDATION,
?
iF Ik M 3E if jF if iF 3EiE �f dF if ff iF af if iE if iE 3E iF iE 3F iF if if iE 3E 1F iE * �k if iE iE �f ik IE IF iE IE if If IF iE if if iF 1E if if !F iF IE 3E jf j(� if !f IE iE iE-If iE IE IE 3( 4 af i(� if if iE iE if iE iE iE
D E V E L O P M E N T S�7 E� R V I C E S R E Q U I R E M E N T'S
20NING APPROVED BY �/I� �-�l. DATE: /I �GlG%U
BUILDING APPROVED HY ; L DATE: � :�- '—
APPI,ICATION ISSUED BY• DATE; I�
M�afifiEiF�lfjkjhlhifififjEiEiflElkiFitiEif�F � 'iF�F�FiEififiEklfififiE�F � iE3f
iE�lfifif3f�lE3FdF1f�1fN��)f3F3Ri6#*1EaEiE�lfifiFifiFIFiM1�lEifiE�lF �7fiE iFiE1E-IEiFjfiE�IE�lEIE1FiEiFiFiflFif�lfiEK��1F3FIF�7F�7P3F1E1fififiFiE3EiEiE�f�lf
LEGALIZATION;N , c E S M M A R Sl STRUCTURAL;SEGMENT:Y
HLDG PMT PLUMBING ELECT C MECHANIC FIRE SMIP/AES GRADING
PERMIT 162.00
SMTP/NON-RES
PLAN 26.33 2,15
ISS[IE FEE
HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 164,15 0.00 26.33 190..98 190.48 .00
REVENUE DIVISION TOTALS--> COLLECTED; 190,48� OVER/SHORT• 00
HLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/TOT GRAD7NG PLAN-CHECK
162.00 � 2,15 26.33
if if af if �F aF K� If �E iE IE if iE jE iFiF IF if-iE X� jf iE iF 1E i(- ik dE lE 1E 1E iE iE iE iF aF iF 1E iE 3(-3f af if if iE if 1E iE j4 3f iE 7E iE iE IE iE iF 3f lE �f 1E iF iE af if 3E �%if 7l� lE if� 1f if 3F iF af fE * iF iF
I N D I V I D U A L F E E H R E A K D O W N
7'YPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFC 143 F'OUNDATION BY VALUE PER $100 1QO,Q0 19,300,U0
END OF FEES
�
!7i CO[74951-00074953 �-U h'' I�J.;6
CnTE: 11/27/90 ilitc: �78:4�
CONSTRUCTION ANO PLANNING � POOL & SPA
APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
. 1. Temporary Electrical Service or Pole. . 52. Pool & Equipment Location .
2. Soil Pipe-Undrgrnd. � _ 53. Steel Reinforcement
3.'�Elecfrical Cond,uit Utility-Undrgrnd. � 54. Forms
� 4. `Electrical Co�duibUriclrgrnd. . 55. Electrical Bonding
' S. Steel.Reinforcement � 56. Rough Plumbing & Pressure Test ''
6..Electrica�;UFER Gmd. ' 57. APPROVAL TO COVER-GUNITE
�� 7. Footings - �''� - _ 58. Electrical Conduit-Undrgmd.
- 8. Foundation. ^ j . 59. Gas Pipe, O Undrgrnd., Test ��
: 9. Water Pipe�Undrgmd. � 60. Backwash Lines, P-Trap, O Undrgrnd.
� .:
10. Structural Floor System . 61. APPROVAL TO DECK
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 SYstem-Final
16. Rough Eiectric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical'-T Bat Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
I'� I�(-i �. .
20:*Rough Factor.y Fi�eplace � T - • � . � .APPROVALSi � -Permit #
� , - � .
21. Ducts,in_Structur.e� � '� - ..> J70. Underground�Hydro
22. Ducts, Ventilating • �� `- - ,;71. Product Piping OGzs �.Oil
23.;Gas Pipe-Rough & Test ' ., ; „� � } ' 72, Underground Flush� �� �
24.�Roof Framing . ' � _ ' ��73.•Undergrnd:StorageaTank OGas ❑Oil
25. Roof Slieathing . � - . ', '�74.� Overhead Hydro�- � � _
26.:T-Bar Ceiting (Structu�ai) & Monocoat - - . � _ � • � 75. -Dry Chemical ' _
27.:�Freme and Flashing� i ,r . ;. . 76. Dry Standpipe • � � � �
`.28� Lathing & Siding. . o' . -. . %t' • i ••i ��,. 77. FIXED SYSTEM-FINAL` �
�29. Insulation �-, ' � � ' � � .�i ^ � �, . 7g.;'FIRE PREV. FINAL � �
�30. Drywall.Nailing � _� I� ��V � HEALTH�DEPTrREQUIREMENT
:31.PlasterBrown.Coat_ � � , � ' � �� f: ;; 79: FINALIN.SPECTION J`' � -
,�32. Electrical Power Meter�-Final � .. ,� i �. � - �.� ti ..80. �FOOD CERTIFICATE ISSUED �
,33. Final Eleciric ' ' � . " - - ' � ,��' � �Notes: ` ', ,
34. Final Heating'& Air=Conditioning� � � � i �'�� � C� .' � n _ _
.r...
35. FinalGasPipe-Test' _'^ �' �' ` --' � ` -
. _,_, . .i � C.�
36. Hood or-CanoPY _ � . .. • , i I � y , � �
v
- " _ ".- w I i �
37. -Final Factory FireplaGe � ` � ' � ,-�� ; ' -�'
��
�38.;Final Plumbing � . t•� , . t . .! �I I . (t : . �
39: Water Service-Final ' - ( � ��� ' � ' • � ^
� �- "
;40: Gas Service�Final ; . . . . � I �. . _
��41. Solar OomesticFinal .-• ' •. ` � i j , ;� �- _ HOLD . �u>i. iw� s
42. Backflow Preventer" � � �' C. � j��� R � .
43. Backflow Irrigation � ' ' ' �. '
.44, Landscape Irrigation SYstem; . � � � � ,� _ _ � . ,;; � . _ . � , �
�45. Sound Attenuation • -� � �" � � -.
�_, � .
:46. Handicap Regulations ,-;:� � � . _ � - .
47. FINAL STRUCTURE & BUILDING : u � _.�• =�� � •
48: � � t � " . ; -
.49. -Electric Release to E ison y-' � ��. I � i ,_ � � ' �
�.
� � �.�. `� . . , �
50.,Gas Release to Southern California. Gas•Cv .'j � �• �, _ i� -- ,:,`. � .
'51. CERSIFICATE OF,OCCUPANCY � � � �., ; � �., . . _ + �
No. Date
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFOANIA 92626
For Applicant to Fill in Campletely
11LDING _ "_ " " _ ' ' ' . _
OWNER State-Wide Devel
CITV Lyl
CONSfFVCTtON
BRANCH
AD�flESS
ADDRE55 � ]f
CONYRACTOR
ADDFESS 941
cirv Cy�
STATE
UC. NO. 'Z'L�
SIZE �f
OF LOT � G,
USE OF
EXISTING BLOG.
S12E OF NO. OF
ROOMS 5T01
WALL aS er ROOF
G OOd COVERING Shake
JILDING AND WORK TO BE PERFORMED
���
'�A� i 3-76c���`OQ 63n" *** 210."7
APPLICATION FOR BUILDING PERMIT
, Inc. A.P. NO. , � fl'O,�
BUILDING ���y
AODRESS V"M'32
No.`826-4550 TRACT �st�
No$26-0.550
CITY
LIC. NO.
INO.OF BL�DGS
NOW ON LOT O
OWNER
APPR�VE❑
PE
LOT
DATE
NE NO.OF USE OF N
2ZGP P�� 2 BUILDING
YAROSAPPFOVED VARD;
MAIN BUILDING ACCESS
REAR 2
OISTANGE BET.
MAIN BLDGS.
VAR. 9W .� /�
C. V.P. �(�C. �
APPROVED
HOLD FOR
1 heraby aeknOw�edpe thet I hnva reaA this npplicetton and stnt0
that the ebove Information is correct antl aprea to comply with
all lawa re0uletinp builtlinp eonstructlon, antl I ahell not employ
ony Oarson in vloleNon of the workman'f compenfatlon lewf of
tha Smm of Calilornie.
I herabV cartify Met I am properly licensetl af e eonbecm� untler 254 SQ. F�
tha Staro of Celifornia Busineu enE Profeulona Cotla, Dlvlsicn 3, THE AMOUNT :
Chepta. 9, ontl [het ��eh Itcencas ere In full force anG affxt, or I THE 7URPO6E O
em exempt from tna vrovlsions of tha Staro of C Iifornle Businau V AlUAT10N
entl Profesilanf COtle, Olvltlon 3, Chepter 9.
te-4lide Develo , Inc. �3 00^
Sipnemra ol � /J
Parminae $
A��ho��=atlAae�� Vice President
BET.I
ACCE
DATE
2,
-655 0
UNOER VALUATION IS FOR ^
LISMING A PERMR FEE ONLV: Q
m
RMIT FEE S j
m
4N CNECK $ � �S/O�/q E
A V /� LL
FEE
UWNCK
JOB ADDRESS
GENERAL C01
AP No.
INSPECTIONS
SOIL
DATE 4_Zg_�
BUILDING PERMII
RIPTION of WORK Ees: rI e
ZONE VALUEE 33,&
PE V GROUP '
SUBCONTRACTOR
ROUGH PLUMBING Ii� XO�S��^pI,- ����-_,-r- � �IG'.Z.Z'%�.I �%'Yi0 f
PROP. SWR. LINE ❑ HOI15E CON. /yC, ��L.�%p.% r��,�� �� i [,�2J �7 /_ �/S'G I�
MISCELLANEOUS
ROUGH HEATING ANO PIR CONDITIONING
UNDERGROUND U POWER
ROUGH WIFING
BONO BEFM
SHEATHING
F0.AME AND FLASHIN�
LATHIN�
PLASTER, BROWN COAT
STRUCTURRL FINRL
HEATING
PLUM81f
ELECTRI
BUILOIN
VENT., REFRIG. AND A
, FINAL ANO GAS TESI
FINAL
FINAI
REINF.