HomeMy WebLinkAbout3440 HOLLOW BROOK CIR - Building PermitsPflOJECTAOUNESS: 3440 HOLLOW BROOK uNir:
owxensxame: VILLAG� CREEK HOMEOWNERS
aouxess: ASSOCIATION
3429 TTMBER LAI{E
cM vn 92626
FNCH/ENGINEEH: CHESTER CARVILLE nec.xo.: C18305
FOONESS: '] J z z ARMOUR ST uxiT:
S,D. CA 92111
PEFMITTEE: PHOENIX ENTERPRISES INC. ( 213 ) 690-9559
nooness: qll COMERCIAL WAY
LA HAHRA CA 90631
LICENSEO CONTflRCTOfl OECIANATION: I here0y a�firm that I am lic se0 n0er provisions o� Chapter 9 �commencing with Section
�000� ol OiWsion 3 oli�e Business an0 P�ofessions Gotle. an0 m e-e n lulliorce antl elfecl.
c�Truc.: ,50 88 �Areuc.:376639 S B
Date: � U Signature: . — — —
WOBREPS' COMPENSpTION OECIAHPT10N: 1 hereby affirm Ihai I have a certilica�e ot consent �o sel4insure or ,erti�icate o� Workers'
Compensation Insurance or a cerlilied copY ihereoi (Seclion 3800, lab. �
ro��cvNo.:W70tl354 EXP.�ATE: %�OSI�IS
COMPFNY: CA COMP 6 FIRE
� Cenified popy is hereDy furnished. ❑ Ceni�ied coOY is tile �it e t Building Oivision.
i /G �/._-�
Oate: /� ` F — �O ApplicanC v
E%EMPTIONFHOMWOflNEflS'COMPENSATIONOfCIABATION: (T�issetiionn¢¢tlna�Gecomplele0ilihep¢rmi�is�oronehu teA�1100�atless�.
I cerlily �hal in Ine �edormance o� �ne work br which �his permit is issued. I snall nol employ any person in any manner so as �o become
sublecl ta I�e Workers' Campensation Laws ol Califomia.
Daie: Signalure:
NOTICE: If, afier making ihis tleclardiion, you should become sublect �o Ihe Workers' Compensa�ion provisions o� �he La�or
Cotle, you musl �orthwi�h comply wi�� such pmvisions or this permii shall be deemetl revoketl.
CONSTHUCTION LENUING AGENCY: I hereUy alLrm �ha� Ihere is a constmclion lending aAency tor �he pedormance of the wark tor
whicA Ihis permit is issuetl (Sec�ion 3W7, Ciu. C).
LENOEfl:
aooness:
OWNEfl BUILOEN OECIAflATION: I �eryby allirm �hatl am exempifmm the Conlrac�ors' Stale License Law Iorl�efoilowing reasan
(Seciion 7Q31.5 Business antl Pmtessional Cotle: Any cily o1 county which repuires a permit to consimct, alter, imo�ove, aemolish, or
repair any simc�ure. prior Io ils issuance, also requires the applicani for such permit Io fiie a signetl sta�emen� Ihal �e/she is licensetl
pursuanl lo Ihe pmvisans af �he Contrac�ors' Slaie License Law (Chap�er 9(commencing with Semian 7000) ol �ivision 3 0� Ihe Business
an0 Pro�essions Code) or Ihai he/she i5 ¢xemp� theretmm and �he basis br Ihe allege0 exemption. Any violation of $ection 7031.5 6y
any applicanl for a permit subjects �he dDPlicant to a civil Denally o� not more �han five huntlBa tlollaB �$500�.
❑ I. as owner o� Ihe praperiy o� my employees wi�h wages as Iheir sole compensa�ion, will do ��e work, antl �he
stmclure is no� intentled or aflered far sale (Sec�ion 7044. Business and Pmlessional Code: The ConUac�ors' S�a[e License Law
tloes nol apply Io an owner o� a p�operty who �uilds or impmves thereon, an0 wAo Ooes such work himsell/herself or �Amugh
�is or �er awn emDloyees, pwvitled Ihat such impmvements are no� inlende0 or oiferetl �or sale. I�, haw¢ver t�e builtling or
impwvement is sald wilhin one year ol comple�ion, t�e owner will have Ihe burden ot pwving he/she Aid nol �ui10 or impmve
for �he purpose o� sale).
I. as owner of t�e propeny. am eyclusively comracting with IicenseA contractors to consimcl the prolect (Seciion 704a, Business
❑ antl Pm�essions CoOe: The Comfactors' S�a�e Licenre Law tloes noi apDly �o an owner o� pmpeM w�o huilAs or impmves Ihereon
and who cantrac�sfor such pml2cis wi�h a contracior�s�license pur5uan��o the Contractors' Stale License Law�.l am aware
Ihal pwof a� their Worker'S Compen5aiion insurance shoultl be pmvideA �o me.
� I am exempt untler Section: B. 8 P. G.
,�or this reason:
oaie: ow�e�:
� I tlo hereby certily tha� I am aware oi antl una¢r5tan0 �he requiremenis of California Healih anA Safety CoOe $ection5 25505. 25533, antl
25534 antl Ihat I or any future bwltling oCcuDani vnll/will not (circle one) nee0 to cam0ly wi�� saia sta�e codes an0 ihe requiremen�s �or a
permii lor conslmction ar mo0ificalion irom Ihe Nu Oua6ry Managemen� OiSiricl. Resitlential constmc�ion aDPlica�ions are exempt fmm
I�ese provisions.
Dale: Applicanl:
I �ereby ceruly thai I have read �his applicalion and 9ale that the above in� i orreq. I agree ��ly wilh all city antl cou
ortlinances an� Stalelawsrelaiingto building canslmciion anA hereby aui rze 5 �atives o�this ciry uponihe abave-m ' ne0
pmperly for i spectioqqqnppp urpa///sppp///���
Oate: �� SignaWre'.
�
�river's Llcense or Social Securiry p.
t6aba6 Whne—Builtling: Green—Coae Enlorcemenl; Canary—Applicant: Pink—Revenue: GOltlenro0—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 0
PERMIT NO; H 049820 PLAN CHECK NO: 06429-90 A GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: REP
JOB DESCRIPTION : REPAIR SETTLEMENT DAMAGE SQ FT: 143
CLAIM VALUE: 19,388,00 CALC—VALIJE: 14,300.00 GROUP OCC: R-3 /
COMMENTS; BUILDING SETTLEMENT REPAIR/FOUNDATION '
�t*+t+t�t****�r*�*+t*�r��r�t�r***+t�r�t* �r********���r�t�t****��ri��r�r**+t�r+r�r*��*****+t�t*�r�t*�r��**+�*�r*
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, SN
PARRING REp • PROV• PARCEL; 93506129 2NE: R2 REF NO;
PLANNING Nf31'ES> REPAIR E)CISTING FOUNDATION. ���FOR SPECIAL REQUIREMENT3
i
iFifjFifiliE3FlfifiEifiFlklfiFlFlFiFiFiEiE�fikIFlk1lfFiFiFiFkifiFlFlFiEifiFiEdFIFiEikifiEklElEiEiEiFifIEiF1EiE iE1FiFaFlFifiF161filiFlEiF1E�E±FifiFiF
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 :�/1� � � DATE; L L' D��O
BUILDING APPROVED HY : U l L O ti� _ DATE: �
APPLTCATION ISSUED BY: DATE•
1E �lf if 1t il� if M iEif if iF iE ik lF iF iF iF if iF iF 1! iE 'F�F'�'iF 3f�3F K�F iF �F f(�iE iF iFi�iFiFiE if
jEifiFif�fifiFiFiFlEififiFiFiFikiflEiFif%iEifiF FkiEilifiF�tkiF ±E1fiflfifiFkififiEKMif3EifikiE�lflfifiFififiEifdEiEikikifjflEiflk�EiF�f�lfifitifif
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL�SEGMENT:Y
BLDG PMT PLUMHING EL CTRIC' MECHANIC FIRE SMIP/RES GRADING
PEAMIT 162.00 �
-- SMIP/NON—RES
PLAN 26,33 2.15
ISSUE FEE -
BUILDING—DIC�—> PERMIT ISSUE PLAN—CHECR TOTAL PAID DUE
TOTALS----> 164,15 0.00 "26,33 190.48 190.98 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 190,48 OVER/SHORT: ,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
162.00 2.15 26.33
�F k M�t iF M if ik iliE iF iP �1E if iE M it iF iE 1F if 1f iE 1E if �t iE af IElF if jE iF if �F 1f iE iF if iF if 1F IE iE iF iE aFiF if iE if iF IE iEif iE if if iE K-if iE �F IE iF iE �f �E iE IE if if fE If iE 1F if iFik
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
SFC 193 FOUNDATION BY VALUE PER $100 100,00 14,300.00
END OF FEES
i . .
i
�`' Q1 �i�l���S�i'fl�7t`iiL�i'Jj "�6.�' "GJ.4u
' Upi: �11'2;/44 ?S7E: !�s,�'s4 -
CONSTRUCTION AND PLANNING �. POOL & SPA
APPROVA4S Permit# Date Inspector AppROVALS Permit# Date Inspector
t. Temporary Electrical Service or Pole_,_ 52. Pool & Equipment Location
2. Soil Pipe-Undrg�nd.. �-- 53. Steel Reinforcement �
,:3„�E)eciiicaF-�rtduit•Utility-Undrgrnd�.'3- 54. Forms
=' 4:�Electiical�Conduit�Undrgrnd. y 55. Electrical Bonding
n
r. �:- r.
= 5.`.Stee�" Reinfdreemen f .i. 56. Rough Plumbing & Pressure Test :�
Y6.CEkctricafOFER'�6rnd. �1. 57. APPROVALTOCOVER�GUNITE
- :,.-r .. � .. '
' 7,�. Footings��'`' ;X�y ` 58. Electrical Conduit-Undrgrnd. �;
u� &. Fp`undation� �" - �✓ - 59. Gas Pipe, O Undrgrnd., Test
�
=,�9� Water Pipe-UndFgind. 60. Backwash Lines, P-Trap, O Undrgrnd.
7.• i:�;
.� :.
iQ. Structural Floor System � 61. APPROVAL TO DECK
Tt'. Property Sewer_Lini& House Connection 62. Backwash & ReceptorFinal
1�2. Sewer Cap y. � 63. Heater & Vent-Final
13. Roof Drains� �� 64. Plumbing SYstem - Final
14. Rough Plum6ing '� 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
19. Rough EleGtrica�l�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DELPT. REQUIREMENT
� � G� ��I'4U:{� Y 1� [L
20.^Ro�gh Facto�y F.ireplace , u't"- .�" _ 1 c'�r .r f.ppRYJVACSJ `c:Permit # ' �"' `'
�: s_ � �..,� ts; �2 - s c
', :.. .- i- �. � - . =- .� �� - - • � : �.:� -:ea. ,.. . t=�
21:=Ducts, im&tructur,e . , .. - �<- �- .-, - ;. ;y. �'70. Underg}ound;HYdro
22. DucYs, Ventitating • • ��� � � �y p �77, producYPiping O�C�as O-OiI
23`Gas Pipe_Rough & Test ;;;y r' ir ; - � „ ;, :72. Underground Flusti;,9 � ��' _
24.-Roof Freming c j -. ^H *� _ - ��' �+ s73:FUndergrn8: Smrage:T�;nk:O Gas� � Oil
>.�,
25. Roof SheaThing ` ,S�^ �:f ' `=' r, ijp , '7q:-0yerhead�Hydro-, �� �
26.iT�Bar Ceiling {St[ucturall &�M�nocoat 0. � �' 1y>� ' 75CDry Chem^,'cal ? �- ;- _
U. . .. ' Q� c' . : tU . } �+ (_ � �. . .... C S. . �- :,� ..
27. Frame and Flashi�g y,. ,.. 76. dr '
,.i iu �i ?- �tJc - Y Sfan(1}��lPe �-t;,. x C
.`_28.`Lathing'-&Siding-�=�, -dt: sx =;�, .- 77!�'FIXEDSY3iEMjF•INAL �
" _ .,-.rr, - .ii :� x � . �', �
�'29. Insulation °- '�' �� �� �_
. ;:Y. ' - . 78; FIRE PREV. FINAL - z: _l
�"r30. DrywaIl:NBilin9 `--•! � n: � � • ," :u- HEALTH_DEPTt R-EQUIR�EMENT
'i �
` �31. Plaster Brown Coat'' � ' � � ''��� 79:"FINAL INSP.ECTIQN �` '�' T y
( t S I]r(- S '� i .�., r
-32.tElectricaC Power�Matyr,�Final� �� a it � -i ''� r�SO.cF00D CERTIFICATE ISSUED� 1
'33::Fina_I Electric �' • • ' � ' ``� � }� `i' '�Notes = ^�`- �` 1- �
�. _ �. y. � �r % r . .� � - n x .� ,r, ir �,
�t- S- .._ �y . " 1 �H � .4 . �-� l�� !
� 34; �Final Heating,& FSir.`Condition/ng; �;i� r � � � ���.,:{' � - , ��� _: ;� � '_
t. /
35.�Firial Ga3 Pipe-Test�� x '�" ' ^ �� � � y. ���"'. ' � �� /
>- ... "l •�ti .r :-� ' ' r � �
y36: Hood o� C3nopy�:� _ : Y' v ' � i �� ; � . s_ �:- . , x �y �r _ -
M�
37�Fina1 FactOry Fiqeplace^ ' �(' �v � t`' : , �. '. ' ' - �• r
Y i'- o a I f� 7. o�
,c.._38.-Final Plumbing ,�; �'i� . I ' �` � � `""
.`39. �Water Service�Final+ � � i -- � ^� .. ��'^ � .
_�. � i �A: � tr ?, ��
;�40.°°Gas Service-Final '' �,. <<,-,�� �-' y- {� � I ;: ;�� ��q , ' "
f47 :Solar pomesticFinalS `. •• _� P'� �> " •
.n � 1 .r �=;i 'T.
'"'42�Backflow Preventer� F � : � .r : � �•. •. �- ^.,i�-' F _ .? _-
n� � i I < �z _
43. 8ackflow Irr.igatiorr� � s,::: i;y `� ' - � '< - -
- U- s
�"44. L.andsca e Ic,ri, ati �� S stem ��'� � � - � -.� '" - ' s %' '�
,n P Q oP Y pr.;. x t�n �v C _ s st: � - ,J :_J
:'�45,_Sound AtteAuation� -c7:�. :�� �: � %r -- - "::, _ - _ i�;t :` •-
r:� �r.:.
�46: Handicap Regulations � ' �� T � v l - 's • ? . �5 ? -
�47:�FINAL STRt/CTURE & BUI;LDING � �� "�; :' . �
r,r ` -
48:' E � �, � ' �C,�' � � ��fr : :� ':: - : _ ._
� `� ,
_49.=E1e'stric Release to:Edison L: �, �. ` ; � � � �:: `r ��+ TM .
'� 50.�Gas,Rele"ase to Sou4hem falitomia Gas � � ��I � , .�'��, _ .: ` , �;�.� �, ;, �; '.
'51. CEf3.TIFICATEOF�OCCUPANCY � '� . ; ,: ;� t6�?: ..._ + i-. ._
No. Date
�
/�
PflOJECT AOONESS: 3.4 3 3 HOLLOW BROOK C I
OV,'�F'SNAME: VILLAGE CREEK H2O.A
aooxess: 3429 TIMBER LAKE
E COSTA MESA ,CA., 92626
FflCNIENGINEEH: S S 3� 1 H% 6 flEG.NO.:
AUOPESS:
uxir:
UNIT:
veeminee pETERSON ROOFZNG ( 719 )979-7111
aooness: 3006 ENTERPRISE
COSTA MESA CA.926��8
LICENSEO CONTNRCTOP UECIAHATION: I �ereUy ai�irm �Aai I am lic¢nsetl un0er D�ohsions of p�er 9(commencing vnU Sectian
�q10� oi �ivision J o� I�e Business ana Pmtessions LoOe, an0 my license is in full force and flec�.
CITY LIC.: q 5 STRTE LIC.: 6 O-� 8-� 2 ClA CJ . 9
Dale: _�5�� Si9nalure: � — __ /( -
WOPNEB COMP SATION OECLABATION: I �ere0y athrm I�ai l have a te�iliwle 0 onsent to seu�insure or a renificale al workers'
ComDensa�ion Insurance. or a cer�ilietl cooY �hereol (Seaion 3800. Lah. C1.
roucvNo.: 1021355-93 EXP.OATE: OQ�OII99
comenxr: STATE FUND
❑ Cenihed caoY is Aereby furnishetl. C� Certilied coOY is file0 wit� t ily OinA �isi .
Oaie: V � AODlitant: � c�
ENEMPTION NOMWO REflS'LOMPENSATIONOELIAPATIUN: Q�i55eclianneeUnolbecamplei i��hepermiii5laronehu�retl�$100�ar1e55�.
I ceriity ��at m IM1e petlormance ol t�e work �or whic� I�is permit is i55ue0, I s�all no� employ any person in any manner so as to become
5u01e�� �o IAe Wor4ers Compensalion Laws o� Calilomia.
�ate'. Signamre:
NOTICE: II, ailer making Ihis tleclaralion, you s�aula become suble�� �o Ihe Workers' Compensation pmvisions of the Labor
Cotl¢. you mu5i f0�hwilh tOmply wil� Suth provision5 0� I�is p¢rmii S�all be tleeme0 revoked.
CONSTBUCTION LENOING FGENCY: I �ereGy ailirm Ihai Ihere is a conslmc�ion lenaing agency lar ��e pedormance o� Ihe wark lor
which I�is permil is issue0 (Seciion J097. Civ. C),
lENOEfl:
AO�XESS:
OWNEX BUILOEN OECIAHPTION: I �ereby afiirm Ihal I am exempt Imm the Comraclors' State License Law tar Ihe following reason
�Seciion 7031.5 Business anA Prolessional Cotle: Nny ciry ol counly w�ich requires a Dermi� to consimct, al�er, impmve, demolish, or
reoair any simciwe. D�ioi lo ils issuance. also requires ine applicant lor such permi� to file a signeA statement inat he/she is licensetl
pursuam w the O�ovisians ol ��e Comracmrs' Slate License Law (C�aD�e� 9(�ommencing wilh Section 7000) oi Oivision 3 ol t�e Business
ana Fm�essions Code) or Ihat he/she is exempl lherelmm antl Ihe basis for ihe allegetl exempiion Any violation ol Sec�ion 7031.5 by
any applicant Im a Dermil sublecis Ihe apPlicanl Io a civil penalry o� not mo�e than live hunOreO Oollars ($500).
❑ I, as owner of Ihe DmDe�Y or my employees wit� wages as Neir sole compensalion, will tlo lhe work, and ihe
stmcture is nol intentlea or afleretl lor sale (Seclion 7044, Business an0 Prolessional Catle: The Coniraclors' State License Law
tlaes noi apDly Io an owner of a propetly who builds or improves Ihereon, and who tloes such work himselflhersell or ��mugh
his ar hei own em0�oyees. pmviUetl ��al such impmvements are nol in�entleU or offeretl lor sale. 1�, Aowever the building or
impmvemenl is so10 mthin one year of completion. IAe awner vnll have Ihe Uuttlen oi pmving he/she diJ not bui10 or impmve
for Ihe Durpose ol sale).
I, as owner ol IAe pmDeny, am exclusively conlrac�inp wi�� IitenseA conVat�ors lo conslmci l�e Orole�� (Section 70d4. Business
❑ and Prolessions Coae: T�e Coniractors' State Li[ense Law tices noi apDN to an owner ai OmpeM who Euilds or impmves Ihereon
anA who conitatls lor such prolecis wii� a Coniracior�s� license pursuant�a lhe CanVacior5' Slaie License Law�. I am aware
ihai O�aol ol Iheir Worker'S Compensation insuranre 51wu10 be pranOeA Io me.
� I am erem0� under Seclion: B. 8 P. C.
for ��is reason:
CITY OF COSTA MESA — BUZLDZNG PERMIT PERM NO: B 06452
PERMIT NO: B 064526 PLAN CiiECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION ; T/O AESHT S REROOF W/COMP, SHING• SQ FT: 4,600
CLAIM VALUE: 4,600.00 CALC—VALUE; 9,600,00 GROUP OCC: R-1 /
��***�**��r**�*�*D****��A��rR+EriFir******D****+qr**�r***�***+3r***�**�**B*���******��**�c�
Z O N Z N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSOAY 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,>
i ,
it if if if ff k if M it ik ff ff it i! k if k 1f if 1F iE k if it if if fF 1E if iE iE 1t if 1E iE iE if if !f 1E if iE iE if ik iE iE 1f M af IE iE fF if �f iE if M iE i! iE iE 1flE 1E fF 1f fE if iF iF if if * af 1f 1E if jF
D E V E'�L O P M E N T 5 E R V I C E S R E Q U I R E M E N.T S
ZONZNG APPROVED BY DATE;
&UILDING APPRO,VED BY ; DATE: �'
APPLICATZON ISSiIED BY: �� DATE: �>
iElE iF iE iE k if iE iE jE 1E iE if ff %if if 1Elf 1E if iEiF'iF7f'3F iF7Fif 3F 3F?fiF3E3F'iF'iFif�f�"3F'iFiFiE7F7FiF�FTFiF 1f iE iF # iE IE �F if if if iE iF
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LEGALIZATION:N F E E ;S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/RES GRADING
PERMIT 72.00 � ., 50
SMIP/NON—RES
PLAN ,: �;`"
ISSUE FEE
BUILDZNG—DIV—> PERMIT ISSUE P.LAN;CHECK TOTAL PAZD DUE
TOTALS----> 72,50 0,00 �,�; 0.00 72.50 72,50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 72.50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECiiANIC FIRE SMIP/TOT GRADING PLAN—CHECK
%z.00 • ,So
jE 1E jF iE fE f! if fF 1f fE if if !E iF if if 7f iE k k iF �E M k if if if 1f if it iE it if if AF aE aE aE iE iE if ff �E jE if if if M iE iE iE k iE jf 1E 1E iF iE iE i41F IF iG iE K if K if iE 3F if if iF if iE if iE 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 Z O; N UNIT COST TOTAL COST
oa�e: Ownec
I 0o Aereby t¢nily Iha� I am awat¢ a� anA untlerslantl Ihe reQuiremenis ol Cdlilornia Healih an0 $al¢�y Cotle Se[IiOns 255Q5, 25533. antl I S FR
2553< and��ailor any W�ure Guilding acupaniwilVvnll not (circle one�nee0io comply vnt� saia slaie codes an0��ereduirements fora
permi� Ior consimclion o� m04iliUiion irom I�e Aii Oualpy Managemeni Dislritl. fleAden�ial con9mc�ion apDlitdiions are exemp� �mm
Ihese pmvisions.
Oale: AD�Iicanl:
I �ereby cerlily I�al I �ave reaA Ihis ap0litalion anC Sla�e Ilial l�e above i formalion is wrrecL I agree b comply vnih ail ciry anA counry
ordinancesanosiatelawsrelaiing�o�uilaingconsVuaionantlhere�yaut aere esen Irveso� i5ciryloenleruDonlheabave�meniionetl
O�oOe�W �orinspeclion purpases.
Oa�e�. Signamre:
�riverS License o Social Securiiy �:
t64��a6 W�ne-0uilamg: Green—Cotle EnbrcemenC Canary—Applicam; Pink—Revenue: Goltlenro�—Assessor
9600 REROOF BY VALUE RE5,2DENTIAL NOZONE
END OF FEES
� ��:
SMOKE u� s �, _ : ,
�,�:,,... REQUIR'ED __
�
1.00 4,600.00
ua G0145240-00149241 T�] T 72.5�
GATCn Ill�<iJJ.^^� TIPVE: S4:OI
CONSTRUGTION AND PLANNING POOI & SPA
�APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Elec[r�cal Service or Pole 52. Pool & Equipment Location
2. Sod Pipe-Undrgrnd. 53. Steel fieinforcement
3� E ectrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit•Undrgmd. 55. Electrical Bonding
5. Sieel Reinfoicement 56. Rough Plumhing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER GUNITE
J. Footings . 58. Electrical Conduit�Undrgrnd.
8. Founda[ion ' S9. Gas Pipe, � Undrgrnd., Test
9. Water Pipe�Undrgrnd. • 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural F�oor System � 61. APPROVAL TO DECK
11. Property Sswer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap . . 63. Heater & VenFFinal '
13. Roof Drains • 64. Plumbing SYstem - Final
14. Rough Plum6ing • 65. Electrical-Final .
15. Ro�9h Electrical•Conduit 66. Solar System�Final
76. Rough Electric Wiring 67. Fencing & Access APprovai �
77. Rough lNiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Hea��ng & Air Conditioning FIRE DEPT. REQUIREMENT
20. Reugh Factory Fireplace , APPROVALS Permit #
21. DuMs, in Siructure , - 7p, Underground Hydro
22. D�cts, Ventilating 71. Product Piping O Gas OOiI
23. Gas Pipe•Rough & Test ' 72. Undergroun� Flush �
24. floof Framing � 73. Undergrnd. Srorage Tank � Gas ❑ Oil
25. Roof Sheathing !O Z�-%3 �0�� �4. Overhead Hydro
26. T•Bar Ce�4in9 (Struciurall & Moaocoat - 75.- Dry Chemicaf
27. Krame and Flashing 76. Dry Standpipe ��
28. lathing & Siding , 77. FIXED SYSTEM FINAI �.--�
29. Insuiation � ' 78. FIRE PREV. FINAL ��
L�
�
30. Drywall Nailing HEALTH pEPT. REQUtREMENT ` � -i,
. �� ,.
37. Plaster Brown Coat� . . r. 79. FINAL INSpECT10N .
'32. Electriwi Power Meter-Fina! ' 80. FOOD CERTIFICATE ISSUED � "
33. Firal Electric Noces: �ayr S.� � �(/�� ��(/s�N^� _'�
34. Final Heating & Air Conditioning - �'
/o_2Z-9'3�` I
35. Final Gas•PiPe-Test .
36. Hood or Canopy
37. Fi�ai Factory Fireplace � .
38. Final Plumbing �
39. Water Service�Final �
AQ. Gas Servipe�Final .
41. Solar pomes2ic-Finai
42. 0ackflow Preventer �
43. Backfiow Irrigation
44. Landscape Irriqation System
45. Sound Attenuation �
4fi. Har.dicap Regulations -
47. FINAL STRUCTURf & BUILDING 3..L(--��.� �(� .�
48. fINALPLANNING
49. Electric Release to Edison �
50. Gas Release to Southern California Ga: Cn
51. CERTIFICATE OF OCCUPANCY
No. Date
UWNtH
JOBADDRESS 3440 Hollow Brook Circle
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WnTER
ROUGH PWM91W
PROP. SWR. LINI
SPRINKLING SVS
MISCELLFNEOUS
HEPTING ANO AIR CONOITIONING
UNDEaGR0UN0 U POwER U
ROUGH WIRING
TRENCNES � FORMS � STEEL REINF.
FLOOR SVSTEM
SHEFTHING
FRAME FNO FLFSHING.
i t:i
PLASTER,BROWN COPT
BWLDING. FINAI
DATE i
BUILDING
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPAHTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
Fo� Applicant to Fill in Completely
AD'DRES$ 3yyQ HQ
OWNER State-l�
MAIL
ADORESS QQFI (;r
c,T,. Cypress
CONSfRUGTION
LENOER
BRANCH
A�DRESS
ARCNITECT . . .
coNTancroa StatE-Wld2 De�
nooREss g461 Grindla�
G�T� �,yoresr s
STATE
LIC. NO. '�'z47� O
s�ze �p,093 acres
OF LOT
VSE OF
E%ISTING B�DG.
SIZE OF NO. OF
NEWeLIX3. AOOMS
EXTERIOR K'PLl . .. . FlOOF
No`826-4550
TE
GTV
LIC. NO.
NO. OF BLDGS. O
NOW ON LOT
ILDING ANO WORK TO BE PERFOFMED
I hereby acknowletlBa thet I have reatl this application and state
thet the abova InformaUon is correct antl eprae to comply wiN
ell lews .aGuletinp buildln0 conatruction, and I s�ell nof amploy
any persor� �� ��oletion of tha workman's compensation lawc of
Ma Stata Of Calitornia.
1 hereby cortify t�at I am properly Ilcenaed as a contrector untle�
ihn State Of Californ(a Businezs entl Profaulona Cotla, Olvlsicn 3,
C�epter 9, end thet Euch licansas ere In full forca end efiect, or I
em exampi �rom the provis(ons of the Stete ot Ca ornla Bualne�s
antl ProfesS�ons Cotle, Dlvlsion 3, Chapter 9.
SlBnemre at -Wide D�eve�lop � Inc.
Parmlttae
AuthorizedABant V�ce President
��A`f 13-7cc�<��� 629'� �*:�Z2�-"�
APPLICATION FOR BUILDING PERMIT
RECEIVE�BY OATEREGEIVED ...T�������
A.P. NO. ��/O—C�
BUIIDING �/�
ADDRESS cJ7'-I"�)�
FI
NE P�� '� gVILDING EW
z-�P
VARDS APPflOVED YApDS AI
MAIN BUILDING ACCESSOR'
S. SIDE 2'� FT.LJS
L. SIOE K'� FT.
REAR �✓ FT.(�
DISTANCE BET.
MAIN BLDGS.
VAR. aW �
QV.P.qW � ' �
APPROVEO ✓
HOLD FOR P�EC7
THEAMOUNT
THE PURPOSE C
VALUATION
3� `O
s
BEf. MAIN &
ACCESS. BLOGS.
DATE � �_
APPROVED
s/ %�_9i
UNDER VA�UATION IS FOii
LISMING A PEPMIT FEE ONLV:
TOTAL FEE $ �17 �+�%
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