HomeMy WebLinkAbout3441 HOLLOW BROOK CIR - Building PermitsPHOJECT AOONESS: 3 Q Q 1 HOLLOW BROOK
OWNEfl'SN11ME: VILLAGE CREEK HOMEOWNERS
nooness: ASSOCIATION
3429 TIMBER LAKE
CM VA 92626
UNIT:
AflCHIENGINEEB: CHES�tER CARVILLE nec.xo.: C18305
nooness: �yzz p,RMOUR ST uxiT:
S,D. CA 92111
PEflMITTEE: PHOENZ}C ENTERPRISES INC. ( 213 ) 690-9559
aooeess: 411 COMERCIAL WAY
LA HABRA CA 90631
UCENSEO CONiflRCTOP OEClAflq710N: I hereby a��irm �ha� I am hc un0er pmvisions o� ChaO�e� 9lcommencing wi�� Section
]000 0l �rv��sion 3 0l the Busines antl Professions f,ode, antl m e is in full �arce anA ellecl
� 5
c�Truc. 50/7'88/� (s7�p,euc.:376639 c sC H�
oate: �% /`�1 `'/�V Si9nature: `� _ —
WOBRERS' COMPENSATION DEC41qpTI0N: I hereby affirm that I have a certificale of consent m self-insure a cenificate oi Workers'
Compensalion }�c c �ifie0 copy ��ereof (Section 390Q Lab.
POLICYNO.:��v���� EXP.ONTE: 7�O1�9S
roc,omraxv: CA COMP f� FIRE /�
L�' Cetlified copy is here6y fumishetl. ❑ Certified wpy is��f Oe ciry Builtling Oiv' 'e .
�ale:I/� /�� `( O Appiicant � �
E%EMPTION FPOM WONHEBS' COMVENSATION OECIAHATION: Qhis seCtion neeU nol �e completed i� Ihe permii i5 � ane IlunAreO ($100) or 1¢55).
I c¢rtily Ilrai in Ihe Oer�ormante uf �pe work �or whic� Ihis Aermit is issueq I s�all noi employ any p¢rson in y ma��er so as �o becume
subleci lo I�e Workers' Campen5diion laws of Califorma.
Oa�e: $igna�ure:
NOTICE: II. afler making Ihis tleclara�i0n. y0U ShoWtl became suDleCl �o �he Work¢r5' Campen5ati0n prOvisions Of �he LabOr
Code. you mu5i Iori�with cornpty wilA such provisians or Ihis Dermil shall �e deeme0 �evoketl.
CONSTPUCTION LENDING PGENCY: I hereGy alfirm ihal ihere is a conslmciion IenAing agency lor ��e Dehormance o� the work lor
which �his permil is issued ($ecdOn 3097. Civ. C). �
LENOEP:
aoosess:
OWNEX BWLOEB DECLABRTION: I Aereby ailirm ihat I am exempt Imm the Contractors S�ate License Law lor ihe following reason
(Seclion 7031.5 Business and Pro�¢ssional Code: Any ci�y o� counry which requires a permit �o cons�ruc�, alter, impmve, Demolish, or
repair any s�mclure, prior IO iIs is5uance, also requires �he applitant for SUch permi� lo Iile a SigneG Sfalemeni Iha� helshe i5lipensea
pursuam Io Ihe provisions o� Ihe COnirac�ors' S�aie License Law (Chapter 9(comm¢ncing wiih Seciion 7000) ol Divisian 3 0� �he Business
antl Pmlessions CoOe) or �hal he/5he is exempi theretmm ana ihe basis tor ��e alleBeU exemption. Hny violation of Sec�ion 7031.5 by
any applicani lor a permit sublects t�e applican� Io a civil penalry of na� more �han live �undred dollars ($500�.
I, as owner o� I�e Oropehy ar my employees with wages as lheir sole compensation. will do �he work, and �Ae
❑ simcWre is not imen0etl or ot�eretl �or sa@ (Sec�ion 7044, 6usiness and Pmfessional Cade: The Coniractors' S�a�e �icense Law
does no� apply lo an own�r of a property wha builds or improves thereon, ana who Ooes such work himsell/hersel� or �hmugh
�is or her own emploYee�, pmvi0e0 Ihat such impmvemen�s are nol in�ended o� oiieretl for sale. II, however the builtling or
impmvemenl is sold wiNin one year of completion, ihe owner will �ave Ihe 6urden of Omving helshe Uid not builtl or impmve
for �he purpose ol sale�. ' .
I, as owner of the pmpehy, am e�clusively caniracting with licensetl contractors to construct ihe prolect (Section 7044, Business
❑ antl Pmfe55i0n5 Cotle'. The Conlfattors' Sta�e License Law does no� appty ro an Owner 01 pmp¢rly who 6udU5 of imprOveS ihereon
antl who conlracls �or sur,h pmlecis with a conVac�or�s)license pursuantio the ConVacbrs' Slate License Law),I am aware
(hal proo� oi IAeir WorkeYs Compensalion msurance 5hou10 be provitletl �o me.
� I am exemp� under Section: B. 8 P. C.
lor this reason:
�ate: Ownec
I do hereby cenity �hat I am aware a� ana undeistantl Ihe requirements ol Caldomia Heal1� ana Salely Cotle Sections 25505. 25533, and
25534 antl Ihal I or any Iuiure 6uil0ing occupan� will/witl not (circle one) neetl Io comply wi�h saitl S�ate co0e5 antl �he requiremen�s for a
permil lor consimclion or mo4dicaiion imm �he Air Oualily Managemeni DisVicl Pesiden�ial con5�mciion ap0lica�ion5 are exempi �mm
these Orovisions.
Oa�e: Npplicant: _
I here�y cer�itylAai I �avereatl�hjs applitation antl s�a�e Ihai the
ordinances an0 statelawsrelalinglo builtling consimdion antl �eret
propetly fori speclion purposeS
Oale: ��=�� —= L SignaWre'. �
onver's Cicense or Social Securiiy p,�
is correcL lagreeto comply with all
matives o� ��is cn r upon Ihe t
� �� uv�. /.
164t�46 Wlnie—Bmltling; Greon—Code EnlorcemenL Ganary—Applicanf. Plnk—Revenue', Goltlonmtl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H
P6RMIT NO: B 049825 PLAN CHECK NO: 06421-90 A GOVT: N S .
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: REF
JOB DESCRIPTION : REPAIR SETTLEMENT DAMAGE SQ FT: 143
CLASM VALUE: 14,3A8.00 CALC—VALUE: 14,300.00 GROUP OCC: R-3 /
CnMMENTS: BUILDING SETTLEMENT REPAIR/FOUNDATION
�tx��r�r�r�t�t��r*�r�r*�r+t�r****�r�t�t********�r�r�r�t� �r**�r*�r**x **�t+r*rt�r*****��r****�t��r�x *+t+r�r�e*��r***
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 ---------- --------- ACCE5SORY HUZLDING ---------
FRNT; F'P IN REAR: FT IN FANT: FT IN REAR: FT ZN
LEFT: F'f TN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV; PARCEL; 93506124 ZNE: R2 REF NO:
PLANNING NCSTES> REPAIR EXISTING Fo[rNDATION. REQ��REMENTS
� ��aFaO�F�S��
iE jk If IF iF iF ik iE if if �f �f iF kiF if IE ff If k iF if iF if af �F if 3Flf if iF iF if k ff if ik IE if iE k 1P If it 1F �lt 1E �E M iE 3f �E 1E iE iF �IE iE if 1k iE If iE �16 if �)f iF
D E V E L� O P M F. N T S E R V I C E S R E Q U I R E M E N..T S
ZONING APPROVED HY ���t'T � DATE; h�b�`ja
HUILDING APPROVED BY : C� _ DATE: �'�
APPLICATION ISSUED HY• DATE:
iFik3EkiElf�IEiEiFifiEiElFifiklfiFMiElFiEiE � �iF�'if'if�RiFiFiFifiFlEiFiEifif�ElFiE�iFaFk�lf
iFiE�lflEiFlF�EIEiEiE3flFafiFaF�kklfifiEkifiFifiE)FiEif�FifikiElEifif iFIFiEiFifiFk3ElFifkiFiFifk3EiEifiFiFififiFiFifiFiEiF1f�F1FiFiFif4)E1kiEaE�Eif1EiF
LEGALIZATION:N F E S U M M A R Y STRUCTUAAL SEGMENT:Y
BLDG PMT PLUMBING ECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 162.00
SMIP/NON—RES
PLAN 26.33 2,15
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUH 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
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
162.00 2,15 26.33
ik iF iE iF if 1E �k iF i4 ik iEiF M iF if 1f �f af if iF ik if i6 iF iFlF iE iF fk IF iE 1E iE 3k iE �f if 1E if at 7k iP�k 4 if if k if iF if if iE iF fE k 1F 1f iE if iE fk IE if iF iF 1f iE iE iE fF if 1E If M if iF if 1k aE
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 143 FOUNDATION BY VALUE PER_$100 100.00 14,300,00
END OF FEES
Y,
OZ �Or,�c930-4007;9"s2 '�s:�-: '?G.€:s
DRTE= 1)l2ii90 TSi�F� (15:�"Y
CONSTRUC710N AND PLANNING . POO� & SPA
APPROVALS Permit # Date InspeMor pppROVALS Permit # Date Inspector
1. Temporary Electrital Service or Pole. �� 52. Pool & Equipment Location
2. Soil Pipe-Undrgmd. 4' _ 53. Steel Reinforcemen[
.' 3�Efeclrica�:Coniluit ULility=Undrgmd; =- 54. Forms .
�•4:CElectrical�Conduit�-Undrgmd. V 55. Electrical Bonding ,
�' S.�SteEl; Reinforceinent: r 56. fiough Plumbing & Pressure Test !''
-.-6.�'ElectricalUFEfiGrnd. r� = 57. APPROVALTOCOVER�GUNITE
_ .r
' j,. Footings �`� '$ �" 58. Electrical Conduit-Undrgrnd. �
i= S. Foundatiqri, ,;;�y " � 59. Gas Pipe, O Undrgrnd., Test '
r 9. Water Pipe�Undrg7nd. . 60. 8ackwash Lines, P-Trap, O Undrgmd.
,�
1,0. Structural Flooi $ystem . 61. APPROVAL TO DECK
7.L Property Sewer_Line & Honse Connection 62. Backwash & Receptor-Final •
,r^ r
T2. Sewer Cap ,' y, 63. Heater & Vent-Final
13. Roof Drains✓' '� 64. Plumbing SYstem - Final �
14. Rough Plumbiny -" .� 65. Electrical�Final
15. Rough Electrical-Conduit� " • 66. Solar System-Final -
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough N/iring �ign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rou9h Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT
- - - - �•. r.��..,;y.,_ : . _ n.
20=�Rou9h Facto�Y Fireplace '��r. - �. _ _ :=�+ - �AppROVAL'S'=���Permit#
C .1 .�' s i ti - r- :ct, �
27SD�icts,in.Str�,ctuEeR �`.. .�:� �S �: - : A70. �Jnde`rgiroundHydro . �
22. DuCts,VOntilating> • ��� � r �a�? r7�, produc'tPjping�Gas O�OiI
23,-Gas Pipe Rough &'Test . ;�• ` ; �` ._72, Undergroimd Flus�i, �. _ -
,�
�J y •' �' ' � '
24ccFoof Framirnj � �-, - . r � . -73FUndergmd�.StorageTankq�OGas ❑Oil -
25. Roof Sheathin - � � ' '_! ^ ,;'. , - -" .' '�" ��
9 --T ,Q _ .� ,;� , �"74�Qverhead �Hydro- �t,
26.�T-Bar Ceiling (Structureq &�Monocoat�r cn _ ,_ � 75` Dry Chemic-a.l *�- •' T
27,'=Fra,mea�d Ftashing �r' Y ' '+ � �, "-.' 76`-��^� �T �3; a' m
_, u o� : ��1;c,: - t;;, � Y Standpipe � _
' 28�.`�Lathing�$ Siding..i� :. �-,:�;� u;�:. e�' - 77? FIXED SYSTEM-FINAU � �
�
�'29. Insulation `- �x �' '�"" ' `": ''`' � ��'' 78; FIRE PREV. FINAL a, �
` y� . ��, e. .,, - a .�, � '_ y' -
,:30. Drywall'�Nailing ;r.;g ��� ,� -� HEALTHrDEPT-. REQUIREMENT
��31. Plaster Biown Cc+at` � ' : i _ I .79��FINAL INSPECTION ' - ''
'�32.-Electrical PowenNleter-Final, � �' x p• � 'j ; , r•80:rFOOD CERTIFICATE ISSUED� *
�33:iFinal Elgctric, '�' � '= ;� �; � •
� �� �`I .�� '* NOICS. ':F y _ .J
� �,i� i :�. C .r•i.
cr z • , r'.x ':; i .:.,1 v u. i�'. .� •y :1.� . � ��
--,34.-FinalHeatirig'&AicConditiori�ng� �:;p :� y �,
` /-
35:*:Final Gas Pi�pe-TesD� +� `- ! � ��` = `�.T
' •�
:t361'�Hoo� o� CanoPY= - �K .r • ,-,S • C-, � �: .} � i�r � . . .- n; ��.',
�_
-37f_Final Factorv Fiieplace � Si�' " � " � ; r � ' • ��;n
�_, . r � � r- n 1 � �
_ .. . _ � .. . tC I i x Z . , ;.
`.38: Final Plumbing ;�� N � I �. _ r�. :a.:r.
;; 39.,Water Service•Fina�l�: - � i .�. j �• + . . - '- �-�
+ I �s ±
� 40. Gas Service-Final � ;� r r � ;.= :s .� � ' pc . .
t � i'
. r-.- , � : -_ .
s�41.�Solar pomesticFinal^ •• %: r1 � - - � ��
ti � 1 ~ Y :Y YCt 'I �
'42.'�Backflow Pr¢venter - •'' u i ( � - C. -� = S „
�� C- ' °JY�.GIl�i� ��V
.43. Backflow Irrigation� �� ' � -`-�� - � 1. - ��
_ r ; -
= 44. Landscape Itiipation SYstem,t""' �''' ,_ -' , � ',j � ' ' �� �
rn ._ t-1:; ; , � � a: � � . ca .
- >. - , .� .,.. . .. .. ,
;,,,; ,: " - - - -
;'45:'.Sound �AttePuation .-�,.- s ,; ;_ !- r> - - ^�� �rQ * �
r r-- �:
`46: Handicap Regulations - - ; �,, ' '� � _` _ :
�47.,FINAL STRUCTURE & BUfLDING � � - �� y
..48:'CFt ° `� 4. i ` .)C�l. . ' J.{.� :� � f ._r . � _
�-49.=Electric Release to,Edi on , � � � � �- : i.: '� ' ;
r -
"50..Gas,ReleasetoSouihernCaliforniaGasCo ' �' � - ='�'° - ' = "
,., - � � �.. -. . :�,. . _ .
�,51. CERTIFICATEOFOCCUPANCY v i '� ; � �-', ��;� :,;.,, , �� ;
No. Date
�
OWNtH STATE—W? Developers, II1C. �ATE 4-28-76
JOB ADDRESS 2L�� Hn��fRRSTM�C rircle BUILDING PERMIT N0. �.tazz
APNo���j���nKtLNfLOT
INSPECTIONS
SOIL
GAS
WATER
ROUGH PLUMBING
PROP. $WR. LINE ❑ HOUSE CON. L
SPRINKIING SYSTEM h �
MISCELLANEOUS
ROUGH HEATING PNO AIR CON�ITIONING
TEMPORARY SERVICE OR POLE
tINOEFGROUND � POWER �
ROl1GH WIRING
TRENCHES � FORMS � STEQL REINF.
FLOOR SYSTEM
BOND BEAM � STEEL REINFOq�E �]
SHEATHING
FRRME AND FLASHIN
LATHING - IN OUT
PLASTER,BROWN COAT
STRUCTURPL, FINAL
HElTIN0. VENT., FEFRIG. ANO A.C,� FINAL
PLUM8ING. FINAL AN� GAS TEST j�
ELECTRIC. FINAL
TRACT FIRE ZONE VALUE
Sianafure Dote TVPE V GROUI
�- �� �� SUBCONTRACTOR
Z .
aV
2
Z Q
ON
am
J7
J �
Q W
f11 J
• 0�
J Q
U�
2a
W �
aw
wz
J �
m Z
J �
W w
0
ZH
w�
�O
H
z
Q
U
J
1
a
Q
�
H
y
z
O
F
U
�
�
�"'
y
Z
` �4.183.3
COSTA MESA BUILDING-SAFETV DEPARTMENi
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Complete�y
ADIDRESS 3441 Hollow Brook J�kRIFk Circle
OWNER State-Wide Developers, Inc.
MAIL g461 Grindlav
nnnwFSC
CITV
BFANCH
ADDAESS
c�rv �ypress
STATE
LIC. NO. �Q�� O
OIF LOT � 2.093 acres
USE OF
E%I5TING BLDG.
SIZE OF I
ROOF
COVERIN_ G Wn�
USE OF BVILDING AND
No.SZ6-45
No.`'S56-66
Irvine
opers. Inc.
NOL �
CITV
LIC. NO.
NO.OF �B�
NOW ON LOT O
STORIES
Shake
RFORMED
„AY13-7�vA",OD 63�!r� �*�i1D.F7
���
APPLICATION FOR BUILDING PERMIT
RECEIVED BV DATE RECEIVED nnrc iccu�.
BUILDING �99�
ADDRESS
TRACT�X+�
�WNER
FIRE
20NE
APPRpVED
VALUE
DATE
ZONE NO.OF VSE OF NI
/QQ �j> PLANS ,� BVILDING
VAROSAPPROVED VARD$
MAIN BUILOING ACCESSC
(FROM UL STREET)
IiEAR 7�.' F
DI5TANCE BET.
MAIN BLDGS.
vn p� . 9G =
r�i
FOR
D�1TE
�
� ] �
I hereby acknowletlge thet I have reatl this application antl state
that tha above Information is corract end a0ree to comply with
all laws rag�lating builtlinp construction, entl 1 shall not employ
eny parsa� in vlolaUon of tho workmen's compensallon laws of
the Stere af Celitom(a. w
I hereby certity that I am proparly licenutl as a contrector untlar SQ. FT. � O
t�e State ot California Business entl Professions Cotle, D��izicn 3, THE AMpUNT SMOWN UNDER V A�UATION 15 FOR
C�epter 9, antl that such licenses ere in full forca antl elfect, or 1 TME PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: Z
am exampt f�om Me provisions Of the State of Cal'fornia Business ¢
VA�UATION m
antl Profassions Code, Divizion 3, C�apter 9. � PERMIT FEE $ �
s�B�a � State-Wide Develop r Inc. �.�p��qa�p ..--- ir� m
Parmittee S�r PLAN CHECK $ •�/� E
AuthOriza0A8ent Vice President '
TOTAL FEE $
Q D "