HomeMy WebLinkAbout3442 HOLLOW BROOK CIR - Building PermitsPflOJECT AOOflE55: 3 Q A Z HOLLOW BR���
OWNEfl'SNAME: VILLAGE CREEK HOM£OWNERS
aoonEss: ASSOCIATION
3429 TIMBER LAKE
CM VA 92626
UNIT:
AflCM/ENGINEEF: CHESTER CARVII�LE HEG.NO.: CIB3OS
aooaess: 7922 ARMOUR ST uxiT:
S.D. CA 92111
PENMITTEE: PHOENIX ENTERPRISES INC. (213)690-9559
aooness: 911 COMERCIAL WAY
LA HABRA CA 90631
UCENSEO CONTFACTOP OECLAflpTION: I hereby alOrm ihat I am licensetl unUer pmvisions o� Chap�er 9(commencing wi�h $ection
7000) of Division 3 oi I�e 8usiness an� Pmfe55ion5 Coae, antl iny nse is in full lorce anE eHect.
ciTruc:050 SS sTnTeuc.:376639 ss: H
� L✓
Dale'. ,_LO Signalure: .
WONREBS' COMPENSFTION OECIAflATION: I here0y at�i m ��a� I have a cenilicale o� consent m se binsure or a ceeificate o� Workers'
comoensation ��b e3 �c�rti�ied copy �hereo� ISectmn 3800. �ah. �7 � O i/ 9 S
POLICYNO.: CA COMP 6 FIRE EXP.UATE:
SOMPRNY:
� Certilied apY is he,reby turnishe/d. ❑ Cehilie0 copy is hle 1� th nci�y Builtling Div' ' n.
Date: /� /r � ` " ApDlicani: / / /� /
E%EMPTION FROM WOBHEHS'COMPENSATION OECLl�PATION: Q�isseclion neetl na�be wmpleteaifthe permilisforone hundre0�S100�or1e55).
I cetlify Ihal in Ihe petlormance o� ��e work for w�ich Ihis permit is issue0, I shall not employ any person in any manner so as �o become
sublet� lo I�e VJorkerY Compensaiion Laws ot Califamia.
�ate: Signature:
NOTICE: Ii. a�ter making �his Oeclaration. you 5hou10 become su�lect Io Ihe Workers' Compensa�ion pmvisions of Ihe Labor
COAe. you musi foMwith comply wiih such provisions or �his permit shall be Oeemed revaketl.
CONSTflUCTION LENOINC RGENCY: I hereby a�lirm Ihai Ihere is a cans�mciion lending agency br the pedarmance oi Ihe work �or
which Ihls De�mit is issued (Sec�ion 3097. Civ. C�.
LENDEP:
NOOHESS:
OWNEH BUILOEF OELLABATION: 1 hereby allirm I�at I am exempl imm Ihe Contractors' $tate LicenSe Law tor �he following reason
(Section 7031.5 Business antl Pmlessional Cotle'. Any ciry oi counry which requires a permi� to cons[mc�, al�er, impmve, tlemolish, ot
repmr anY s�mc�ure, pnor lo i�s issuance, also reQuims ihe applicanl �or such Oermi� �o �ile a signed statemeni �hal he/she is licensetl
pursuant lo Ihe pmvisions of Ihe Comrac�ors' Stale LicenSe Law (Chapter 9(commencing with Section 7000) ol Division 3 0l ihe Business
ana Pmlessions Code� or thai he/she is exempt therelrom ana Ihe basis tar the allege0 ezem0�ion. My viala�ion o� Section 7031.5 by
any aDPlicani br a permii suble��s �he apPlicani Io a civil penal�y oi no� more ihan five huntlred dollars (5500�.
I, as owner o� �he property or my employees wiM wages as their sole compensation, will do �he work, antl the
❑ s�mc�ure is no� inten0ed or ofieretl for sale (Sec�ion 7044, Business antl Pm�essional CoOe: The Comrac�ors' Stale License Law
tloes no� apply to an owner ol a D�oPerty who builtls or impmves thereon, and who Ooes suc� work himself/hersel� or Ihmugh
his or her own emv�oyees. o�ovide0 ihat such impmvemenis are not inteneetl or offere0 lor sale. II, nowever ihe building or
impmvemeni is soltl vnthin one year of completian. �he owner vnll have the burtlen of pmving he/5Ae Oitl no� buila or impmve
lor �he purpose o� sale).
I, as owner oi ihe pmpehy. am exclusively contmcling with licensetl contractors lo constmc� ��e project (Section 7044, Business
�❑ anA Pmfessions CoOe: The Conlrac�ors' S�ale License Law Aoes not appty lo an owner of pmperty w�o builtls or impmves �hereon
an0 who contrads lor such pmjecis wit� a caniraclm�s�license pursuanito Ihe Conlrac�orY State License Law�.l am awa�e
��a� pmof of I�eir Worker'S Compensation insurance should �e providetl Io me.
� I am exempl untler Sedion'. B. 8 P. G.
for ihis reason:
Daie: Ownec
I tla hereby certi�y Iha� I am aware oi antl untlers�an0 �he requiremems o� Calilomia Heal�� anA Safe�y Cotle Sec�ions 25505, 25533, antl
2553A antl Ihat I or any iWure builtling occupant willlwill not (ci�cle one) neetl to compty wi�h said state cades and �he requiremenis tor a
permii lor cons�mc�ion or mo0ilication imm Ihe Air Ouahty Managemenl �i5tricL Residential constmc�ion applications are exempt �mm
ih¢S¢ O�Ovi5ion5.
�a�e: Applicani:
I here�y certAy Ihat I have reatl this applicaiion antl sla�e �ha� ihe o e i rmation is correcL I agree ro compty with all ci�y an0 coun�y
ordinancesandslatelawsrelaiinqiobuiltlingcons�mctionanahe y �� ierepresen�ativeso�ihiscirytoenterupon�heabove�men[ioned
m etl i r ins ecimn ur ^se �
� � Y P P �
Oaie/ � SignaWre' � ,
onver's Llcense or Social Seanly a:
1641 46 While—Bmltlinq; Green—GoOe EnlorcemenL Canary—Appl¢an�; P�nk—Revenue: Goltlenrotl—Nssessor
CITY OF COSTA MESA — BUILDING PERMIT , q
PF.RMIT NO; B 099931 PLAN CHECK NO; 06432-40 A , ,
CONSTRUCTTON TYPE: V—N PEAMIT TYPE: STR FIIRPOSE: REP
JOB DESCRIPTZON : REPAIR SETTLEMENT DAMAGE SQ FT; 143
CLAIM VALUE: 14,388,00 CALC—VALUE: 19,300.00 GROUP OCC; R-3 /
COMMENTS; BUILDING SETTLEMENT REPAIA/FOUNDATION
�r�t*�**�*�r*�r*�r���r��r*�r�cx�**x��r�����r�r�r**+�**��r*x���ar��r�r*��t**+�+r**�r��t�rx*�r�•**�**���r**�**
Z O N I N G R E Q U T R E M E N T S
S E T H A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT. IN
LEFT: FT IN RGiiT; FT IN LEFT: FT IN RGAT: FT IN
PARRING REQ• PROV: PARCEL: 93506124 ZNE: R2 REF NO:
PLANNING NZSTES> REPAIR EXISTING FOUNDATION. HOLD FO.$ SPF,CIALREQUfREMENT�
i
***�***��*��***�,�*����*��u�*��e*��*�*�*�*�*�*x��*****x����*,���*����*�*�*�,���****��
D E V E L O P M E /N 'T /S E R V 2 C E S R E Q U I R E M E N�T S
ZONING APPROVED BY C�l9 �^ � DATE: � I'(..S—�% U
HUILDING APPROVED BY ;� C.�J ( CJ p A��� DATE:�`�
APPLICATI013 ISSUED BY: DA'fE:
M lE iE iF iF 1E k it if iF If jF jf if if iF iE �f jf iE iF 3E 1F �If If if ik iE if k if 3E�1FiFiF iE
iEib�fiFiE3fiEifklElEiEkiFiFiEjEiElfiflF3E ik3kiFKiF iEjf�EiflFlfdEiEifififjfififikikdEifiFiElfiliElE�EiEiFiEit3f.lfififikiPdFiflEiFit
LEGALIZA'tTON:N F E E U M M A R Y STRUCTURAL SEGMENT;Y
HLDG PMT PLUMHING ELEC RIC MECHANIC FIRE SMTP/RES GRADING
PERMIT 162.00
ISSUE FEE Z6.33
BUILDING—DIV—> PERMIT
TOTALS----> 164.15
�
ISSUE PLAN—CHECK
0.00 26.33
SMIP/NON—RES
2.15
TOTAL PAID DUE
190.48 190,48 ,00
REVENUE D'IVISION TOTALS--> COLLECTED: 190,48 OVER/SHORT: ,00-:
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TO'P GRADING PLAN—CHEEK
162,00 2,15 26,33
IF 1E if IE if iF it 3� iE �t k iE if if k IE #E 1F 1f !F IE3F IE iE iF IF if iE iE iE k iE iE IE iF IF 1f iE iFlf iE if �iE 1E if lf iE iE 1k 3E if iF if IE 1f iE iF if iE M IE if If iE k if ik 3E if ±E 4 fE iF iE * jE if iF-ik
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 COS,T
S,
SFC 143 FOUNDATION HY VALUE PER $1'00 100.00 19,300.0,0
END OF FEES :r;
L
O1 t'0074o59-fl�0i43o1 Y�.��' :4C.»�
DATE� 11116t40 TIi�F: 1Q:S5
CONSTRUCTION ANDPLANNING . P�� 'SPA
- APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector
1. Temporary Electric8l Service or Pole r 52. Pool & Equipment Location �
2. Soil Pipe-Undrgmd. � =_ 53. Steel Reinforcement
: �3:�Electrical:Conduit.Utility=Undrgrnd:�> 54. Forms -
4:'Electrical Conduit=Undrgrnd. 55. Electrical Bonding
1'�. �Steel ReinfarcemenY 56. Rough Plumbing & Pressure Test �`�
.�fi._.E�QctricalUFER�Gmd. : 57. APPROVALTOCOVER�GUNITE
��.,7.�Footingi "� ' �^� ' 58. Electrical Conduit-Undrgrnd. �•
•:8. Foundation ;� -, � 59. Gas Pipe, O Undrgrnd., Test y�
; 9. Water Pipe-Undrgind. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
1!1. Property Sewer Lin'c, & House Connection 62. Backwash & Receptor-Final
1`2. Sewer Cap '� _ 63. Heater & Vent�Final
13. Roof Drains- 't 64. Plumbing SYstem - Final �
14. Rough Plumbirig � 65. Electrical�Final
15. Rough Electrical-Conduit 66. Solar SYstem-Final
16. Rough Electric�Wiring 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T 6ar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- - i> r;-�.^�- • - [�:
20.T Rough Factory zireplace � '`I � 4 : � ' ` 'APPROVA,L'$%= - PerMit # �' '�
;_ 7
! � �� z. ��.. . �� .. _
21_DuCts, in Stiucture, i.. .- . - � ��70. Underground Hydro
22. Ducts, Ventilating'� ��� �� _ , � �77, Product Piping �Gas OOiI
23;,Gas Pipe'=Rough & 7est :_ , - '_ 7Z, Underground Flusfi ��, . .
24.oRoof Framing ' � � �:,� - _ • � �73'. Undergrnd. S[orage.Tank*'O Gas ❑ Oil
25. Roof Sheathing - � r - � �„� ; "74 �Overhead Hydro- -� �.
26. T-Bar Ceiling (Structuraq &tMonocoat t - ' ,a= � 75?�Dry Chemical - � '= .
�
27^Frameand Flashi.ng - � ` _ L�', _ 76. �DryStandpipe ' � � ' �
28.� Lathing & Siding- _�-i -�'�.. 3' � 7T.' FIXED SYSTEM-FINAL' �
,�
' 29. Insulation � . ''' ' ;� �� �� , �; � � ,�� �; y 78.� FIRE PREV. FINAL _ '
� 30. Drywall•.Nailing � �'- �� �%� � �� ^ �- HEALTN-DEPT. REQUIREMENT
t 6 I.� ,���� -
. 31. Plaster Brown Coat� , � ; .,- , � �-� � (,,:; � 79.^FINAL INSPECTION - T
;: ,
32.-Electrical Power�Meter-Final- � _' - I �;!�• �+.80:: FOOD CERTIFICATE ISSUED "
-,33._�Final Electric - _ �, . ._- ' I � � ' Noter. - "_ _� - ; „
34: Final Heating & Air Conditioning, � _ ^ I�� II '�� �, � � � - � � �
/ i r
35J,FinaIGaSPipe-TeST _�� '. ; j i�. \ ��b* .i:rA � ' `
�36lHood or'CanoPY �. � . n �= . f 'CI �!. F �.:' �
37.�1Fina1 Factory FirePlace_ ':Y� - ' � I .� �. � -y - ' _ .
�. N
� � . ,. _
- 38.,Final Pfumbing ,_ •-�'� � � ' + . ; -
.`39.-WaFer Service=Final� ' '� I � '.�a '' - ' ' `
r - •
� 40_�Gas Service,F-inal . . , , _ , . I � - _.� . �
>-47.'Solar pomesticFinal`. ' " ' = J it ; �' '
. ,: -�:� - -i
42. Backflow Preventer, ' . '.- = � I (, . .� �j�. .. ' , '
,: � ' '
43. Backflow Irrigation ����5 - � j�` ' � - - '-'
- i
44. Landscape Irrigation SYstem ;,- - ;, � �,�� - - � - .� �� - _
�45.: Sound Attenuation - �'� � �- � � � � � _ "
- -r. r :r - �r •
,- - � � ' .. '
_ 46.,,Handicap Regulations ' � ; �' � , _, , �
� 47�.--FINAL STRUCTURE & BUILDING - � � � ' _ •
. i` .
4 � ` - ,5;. _ � ' ' "
, �
�49- Electric flelease m�Edison - � ' .I � � -
r-
� �
' 50.. Gas Release to Southem California Gasf.o ; � �� � -- - - ._���� �_ � � -•
� t. ,
51. CERTIFICATE OF, OCCUPQNCY i, �,. ,, ;:i�. .
N0. Date
UWNtK STATE-WIDE Developers, Inc. DATE
JOB ADDRE55
AP No:
W ATER
TRACT 8858 FIRE
PROP. SWR. LINE U HOUSE CON. U
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING r1N0 AIR CONOITIONING
UNOERGROUNO Lf POWER U
ROUGH WIRING
TRENCHES � FORMS � STEEL
FLOOR SVSTEM
BONO 9EAM ❑ STEEL REINFORC
SMEATH�NG
FRAME AN� FLASHING/ /
I L
PLASTER,BROWN COAT
FINAI
SUBCONTRACTOR
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_ . 4.182
COSTA MESA BUILDING•SAFETY DEPAHTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING____ .. __ _ . .. .
OWNER
MAI l
CITV
BRANCH
ADDRESS
ADDflESS �%H4H SIC,YPa
CONTRACTOR S}�te�Wl
ADDRESS J46� C]ilild�
pTV Cy.nress
STATE ��^��O
LIC. NO. y
SIZE
OF LOT 17 (�Q'j ,�fl'P
VSE OF
EXI5TING BIDG.
SIZE OF
WALL
TEL.
NO.
TEL.
ilaski No.SE
Blvd Irvine
CITY
LIC. NO.
NO. OF BLDGS.
NOW ON LOT
COVOERING Shake
K TO BE PERFORMEO
nlums
PAIL y}:}O
:AY 13 7GL,—;.00 628�` 238.23
APPLICATION FOR BUILDING PERMIT
RECEIVED BY DATE RECEIVED nerc icsi�
TRACT�g7� LOT
W A A P
x
O W N E R a 7Z�/.J6 !1(//� (.J/)�'
VALUE
�sE 1 Res w/att gar s1
FIRE
20NE TVPE � G�701
APPROV£D
BV DATE
ZOfj�E NO.OF USE OF NEW
/�Z CP PLANS 2 BUILDING
VARDS APPROVED YARDS AI
MAIN BUILDING ACCESSOR'
(FROM C/L STREET)
DiSTANCE BET. BET. 1
MAIN BLDGS. ACCE
C URP. sk � � /Y'P� APPR[
I herabV acknowlotlpe �hat I hava raad this application enC Rate J �
that Me above Informetion b rorrec[ entl apree to camply whh ��
ell laws reButatinB builtlinp constt�ction, end 1 aha�l not empioy
eny permn in violation of tha workman's compensallon laws of
Ma Smte of Celibmia. m
I harebV cartify thot I am properly licensetl es a contractor untlar SQ. FT. _ O
Me S[ate of Celifornla Busi�ezs enA Professions Cotla, Dlvisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR �
Cheptar 9, antl t�at such licanses are in f�ll 7orca antl effect, or I THE PURPOSE OF ESTABLSNING A PERMIT FEE ONLV:
am axempt from t�e provisions ot tha State ot Catifor la Busineu �
antl Proiessions CoCe, Divislon 3, Chapter 9. V ALUATION � � m
PERMIT FEE 5 �
te-Wide Develop s nc. ,� p '
siGnnturo o � f /� m
Parmlttee —� § PLAN CHECK $ I SV E
Vice President °
LL
Author(zad Apant TOTAL FEE 5 •