HomeMy WebLinkAbout3443 HOLLOW BROOK CIR - Building PermitsPflO1ECT AUONESS: jQ Q 3 HOLLOW BRDOK IINIT:
OWNEfl'S NAME: VILLAGE CREEK HOMEOWNERS
aooness: ASSOCIATION
3429 TIMBER LAKE
CM VA 92626
AflCHIENGINEEfl: ('HESTER CARVILI�E flEG.NU.: CSH3OS
aooaess: 7y,�,z ARMOUR ST uNir:
S.D. CA 92111
PENMITTEE: pHOENIX ENTERPRISES INC . ( 213 ) 690-9559
aooeess: Q11 COMERCIAL WAY
LA HABRA CA 90631
IICEN5E0 LONTPpCTOP OECIAflATION: I hereby at�irm Ihat I am lic etl unaer pmvisions ol Chapter 9(commencing wiN $ecti0n
]000� ol OiNsion 3 of the Pusines5 and Pml¢ssions Cotle. anA m�in full force antl elfecl.
ciTruc.:050788 sTareuc.:376639 s: B
Dale: _�l�q _ �{_� Slgna�ure: _ � _ _ — -
WOflREBS' COMPENSATION DECUIPATION: I here�y a16 tha� I have a certitica�e o� consen� �o seli�insure or a ertifica�e ol Workers'
Compensation aj�c �j c r�ifietl copy Ihereof (Sec�ian 3800. Lab.
POUCY NO.: �� V� J�� EXP. DRTF. 7� O S I 9 I
COMPpNY: CA COMP 6 FIRE
� CeN�ied wpy is here�y fumished. ❑ CeNfied copy is fil w th y BuilOing Oivision.
Oaie: �/�/`_ "/ ApplicanC �
E%EMPTION FHOM WOBREFS' COMPENSATION OECLAflATION: �Thi55eciian nee0 not be comple�etl it the permi� is lor one ntlred �5100) or less�.
I cetli�y Nai in �he peAormance o� Ihe woB Ipr which ihis permit is issued. I shall not employ any person in any manner so as to become
sub�ec� lo �he Workers' Compensa�ion Laws oi Cabtomia.
�ale: Signa�ure:
NOTICE: It. aiter making Ihis tleclaralion, you s�oultl 6ecome suble�� �o the Workers' Compensalion provisions oi the Labor
Code. you mus� fo�hwilh compty with such pmvisians o� ��is permit shall be OeemeU revoked.
LONSTPUCTION LENOING FGENCY: I herppy affirm that there is a cons�mction lending agency br ihe pedormance of the work �Or
wMc� t�is permit is issued �Sectian 3097. Civ. C�.
LENOEfl:
aooxess:
OWNEP BUILUEB OECIAflPTION: I hereby aifirm �hal I am exemD� ��om �he Camractors' S�a�e License Law �or �he following reasan
�Section 7031.5 Business antl Pm�essional Cotle: Any ci�y ol county which reQuires a permi� �o conslmc�, al�er, improve, tlemolish, or
repair any simcWre, prior �a its issuance, also requires �he applican� lor such permii to file a signed 5�ai¢ment [hat he/she is licensetl
pursuant Io �he pmvisions o� the Comraclors' S�a�e License Law (Chap�er 9(commencing wrth Section 7000) of Oivision 3 0� the Business
antl Pmiessions Cotle) or Ihal �e/she is exempl �herefrom antl �he basis br Ihe alleged exemp�ion. Fny violaiion oi Sec�ion 7031.5 Gy
any aOUlican� �or a permi� sublecls Ihe appljcanl �o a civil penalty ol no� more ��an �ive hun�tetl tlollaR �5500�.
I, as awner ai ihe propeny or my emDloyees with wages as �heir sole compensation, will do ihe work, an0 the
❑ slmcWie is not mtenAed ar offeretl IOr sale (Section 7044. Business antl Protessional COAe: TAe Coniracmrs' State License Law
aoes not apply to an owner ol a pmperty who builds or impmves �hereon, antl who does such wo�k �imsetl/herseA or Ihmugh
his or her own employees. pmviAeQ �hat such impmvements are nol in�en0etl or o�lere� lor sale. Ii, however I�e buildinB ar
improvemeni is so10 wiihin ane year o� completion. �he owner will have �he burtlen o� pmving he/she Oid no� �uiltl ar imOmve
for the purpase of sale�.
I, as owner o� the pmperiy, am excl4sively contrac�ing wi�h licensetl con[rac�o�s Io conslmc� �he pmlec� (Sec�ion 7044, Business
❑ and Professions Cotle: The Contractor5' Slate License Law Aoes not appty to an owner o1 propeny who Duilds or improves tAereon
antl who wntrac�s lor suctl D�olects with a contradoqs)license Dursuant m ihe Coniractors' State License Law). I am aware
t�a� pmoi of I�eir Worker'S Compeqsaiion insurance should Ue pmvitletl �o me.
� I am exempt un0er S¢c�ion: B. 8 P. C.
lar this reason�
CITY OF COSTA MESA — BUILDING PEAMIT PERM .
PERMIT NO: B 049821 PLAN CHECK NO: 06425-90 A . .
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: REP
JOH DESCRIPTION : REPAIR SETTLEMENT' DAMAGE SQ FT: 143
CLAIM VAI�UE: 14,388.OU CALC—VALUE: 14,300.00 GROUP OCC: R-3 /
COMMENTS: HUILDING SET'TLEMENT REPAIR/FOUNDATION ,
�r�x�t***+r**�r*�r*�r**�*�er*��+r***�t*�r*�r�t�r�r�**�r**�r�r x �r�e+t*x*�r***�r*****�t�*�*��r� ��r+�****�r*�
Z O N I N GS ERTEB�AUCIKRSE M E N T S �
------------ MASN BUILDING ---------- --------= ACCESSORY BUTLDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: F.T IN
PARKING REQ• PROV: PARCEL; 93506124 ZNE: R2 AEF NO:
PLANNING Ni5'I'ES> REPAIR EXISTING FOUNDATION,
i p
�r�r***�*�*�tx���r**x **x �*+r�t��t�t*�+�*�r****�*�*�****��*+r*****�-*�ii01.H����it��#'���****��*
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 HY :�� � % �� ' DATE: �I�L O' � / D
BUILDING APPROVED BY : �—�J I L1�/�+�co�) DATE: �
APPLICATION ISSUED BY: DATE: r
�f 11� ik fEiE�f iF iF if ff if %if If iE i4±f �7(� iE IE IE 1F iF if iF 3k iF K�f if� lf 3f?F��Fi( 3f �F
iEiElFafiFafiF�lf�kK�ififlEiE�EiEiEiFfEiE1ElfkiFiFiklf ifiEif fkiElFiEiEiEkif�lEi!#iEiEiEfk±EiFiFikIF�E�flfiffF�fiElFik�lFklflFiF3fatlfjF3FifiFif
LEGALIZATION:N F E E S U M M A R Y STRUCTURP.L SEGMENT:Y
BLDG PMT PLUMHING E CTRIC MECHANTC FIRE SMTP/RES GRADING
PERMIT 162,00
SMIP/NON—RES
PLAN 26,33 2,15
ISSUE FEE
BUILDlNG—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 164.15 0.00 26.33 190.48 190.48 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 190,98 OVER/SAORT: 00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
162.00 � 2.15 26.33
iE jt fF k�k i! ik iE it �f if �lF k iF 3f if iF iE if 3f M 1k i! IE iE 3! iE if iF iF �F IF If �k IE If ik iF 3F iF �k k if it M 1E if iE )E iE iE iF if if 1F lkik 1E if 1E 1E iE ik 9F 1f �E iF af if IP If If iF )E iF if iE ff iF
2 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
oaie�. Ownec I SFC
I tlo nere�y cendy �hat I am aware oi antl untlerstand ihe requiremenls ol Califomia Health and Salery Code Seciians 25505, 25533, antl
2553G and �ha� I or any fulure bullaing oceuGanl willlwill noi (eircle one) need to comply wl�h saitl s�a�e eoUes antl ihe requiremen�s lor a
permil for consimqion or mo4ilicaiion irom Ihe Fir �uabry Management �islrici. ResiOen�ial cons�mciion applications are exemp� imm
Ihese pmvisions. '
�ale: NpplicanP
I here�y certAy Ihal I have ieatl this applicalion antl sta�e ��at Ihe - arma�ion is correct. I agree lo comDty wilh ail ci y an0 counry
or0inancesantls�atelavisrelalinglobuil4ingqonstmclionanA�er y 1 r ereD�esentativeso�ihi�oen�erupon�he ve�memioned
pmperly Iry^nspec�ion pwposes �
i ��
Daie: �� �,r� L� Signa�ure: '�
oriver's License ar Soclal Securl�y q: �'
16aba6 Whne—Building', Green—Gotle Enbrcemenf. Canarv—ApplicanP. Pink—Revenue'. Goldenmd—Assessor
143 FOUNDATION HY VALUE PER $S00
END OF FEES
100,00 19,300,00
C: �]0�745?Y—D0�74S2e � .� � 19�1.4&
or,7E: �+r2;;ro Tir!e. oa:at
CONSTRUCTION AND PLANNING x PO� . SPA ,
APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector
1. Temporary Electrical Serviceor Po���, " 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement '
,.3:;Electrical'Cond'uit:Utility-Undrgrnd�:' 54. Forms
s�_ �4: Elect}ical�ConduibUridrgrnd. � y � 55. Electrical Bonding
�45:��Sfeel.Reinfprce'meni � �"
i_ ,,. 56. Rough Plumbing & Pressure Test
�=i6,.=Electrical�OFE�H�Grnd. C: 57. APPROVALTOCOVER-GUNITE
�='7�.�Footings'� �"•� - 58. Electrical Conduit-Undrgmd. '•�
,-
�.;,8. Foundatiqn� ;;;=: '� , ' 59. Gas Pipe, O Undrgrnd., Test "
9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. •
7:�• .."_'
1;D. Structural Flooi Svstem - �� � 61. APPROVAL TO DECK
1�7?. Property SewetiLinB & Hovse Connaction 62. Backwash & Receptor�Final
.,: ^
1`2. Sewer Cap � ' .� 63. Heater & Vent-Final
13. Roof Drains-� ^-� 64. Plumbing System - Final
14. Fough Plumbing " 65. Electrical-Final �
15. Rough Electrical-Conduii 66. Solar System-Final
16. Rough Electric•Wiring 67. Fencing & Access ApProval
77. Rough N/iring �ign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
' ' _ ' ' M �,�_. - . �_
20atRough Factory F.Jreplace � s:n< �� = - r 'APPRDVAlS'=�-Permit # s - "�
�r a � , _>:�• '-c.S . cn - K . -•i- a. -
21'_Du'cts, in.Str.ucture; ; `� .. '_� ' ? - . j • �` �� - •"` �� .-:. ";
� ���c .70. UndergcoUnd Hydro
22:_Ducts, Venti`ating � . i�S _ K 3 •S�• ': ;�77. produci Pjptng d6�as ❑Oil
23lGas Pi e.Rou h &'Test ' a� ' ' _�� '"' ' "- '' -
. P 8 ,,; ;- ,:. ;� ,7 r ;, +� � 72. Undergrognd FIusF -L _ _
24:cRo`of Framing ; -- � n �_• �.� �� �� 73^? Undergmd. Storags Tank=O Gasr O Oil �
25. Roof Sheathin � ` �� ''' "' '" � ' ` " L �' -��'
�_ 9 .- ;� � , - ��> , 74, �Overhead'Hydro= _
26'S-Ber Ceiling (Stcuctural) &<Monocoatu: �J' �_ ���� R 75��Dry Chem^i�al � - - �
27�SFramea�dF�ashinJ' �.�� 7 `� 4,�' 76.�D�ryStandpf�ie _;j "'s ' -
ir �Cs � �`�
;._26 Lathing:& Siding..,. v �-�;_ cKu7 ��; 77:^ FIXED SYSTEIV]:FINAL- 'w
�'29. Insulation �' �r � '-' � '� " �'��' a �'' 1 78;= FIRE PREV, FINAL - � �.:, �
:�30. Drywall Nailing �,:1 J �� i; :i.'' + - :HEALTH�DEPT�. REQUIREMENT
=:31. Plaster Brown Coa4" ,S ; ,r�r .S � , � � , ; ' .,79:' FINAL INSP,ECTfON , - ' ��
-`32:,�Electrical Power� � ` ' `�� �"'y� J��
�fVletgr,-Final; � ,. j � • �:;SO�.rFOOD CERTIFI�ATE ISSUED :�
r: _ -: .-: , , - .
,33-.�Firtal Electrjc 't' � �•' � ` °' �r - �.
- n� �w :r V:._ t 4� NOIes: - � 7
in - ' -'-+ � ... v ` 'y... .. ' �
,�34; Fin21 He'atiri�&`,AiGCbnditioning; �n_ .,�: ;' �;�; ;a ;'r�
. �
`35-. Final Ga"s Pi t-Tesr-� y« `=� �t �� ' � ' - /
� p r^ ..�-, ' II � r `
r36.' HootJ o�:CanoPY,�: ✓�' ��� . � � t - > �" • . �: �� -, r � -
a',` .��
�-37CFinal Factory FiFeplace_ � 4�" "' ' �= I . •� ^ ' ^ � ^ ='�.1�
_ .. .. :J ' 1Z . . � l , ' ' Y 'y 4_..
_�38.�Final Plumbing .- ;ii _ � , -, s ,� :�+ > :,7
r�-.� ..r�: � t *^ ' F"
;'39;:Water Service•Fina4 � • �- � i : : _.� ' �c ^ -
r r � t E' �- � -, �� a
� 40'� Gas Service Final ' °' , � i� '� "' � " -
n Slr•r � �:�. j C� . P7 ..
t'.41 �Solar pomesticFinal� : � � •• �� � �+: "'� "
i , i ' ' _ r � -r
�'42'SBackflow Preventer = Sj ' ( �, � ;� � _': � ,_ � -•
:,� .. _ . -
43. Backflow Irrigation M:5`: . x-* �- - - =-
.3 U '
= 44. LandscaDe Igipation S sterr,L� �4 , _ _ f ` :u _ :r ,s �_ -
Y � � ,� -
t? ^ f" a iL' 1 � V
�45.',Sound Attenuation -�. - T� = = -' �� �- ` Y
_ ' - .n. :T. _ '
�-46."Handicap R�gulations �' �� �- '-'� " � _ . - " " �
� •- � _S
� 47-FINAL STRUCTURE & BUILDINGy . � - I r�. �� ;
_ ,
. rr G + . ;i a. : . -
48;'- �- - �r'�7'T . te . . �i i, _ �
- 49.-Electric Release to, dison , ;=� � '`I ', �i; . .
- � - - .
,� i. + _ - ': � � � _
' 50, GasiRelease to Southem Califomia Gas Co ; � ' �� ; : _ ,� . `, ,-�`. , -.
- 51. CERTIFICATE OF, OCCUPANCY "' ' ; ; �_; �;i � 5 ;, � � _
No. Date
UWNtK STAmF.-WIDE Develov
JOB ADDRESS 3l+1�� Hollaw B
GENERAL CONTRACTOR $�
AP No. � ' � LOT T
INSPECTIONS r '
501 L �
GAS
W ATEF
ROUGH PIOMBING �
PROP. SWR. LINE � HOUSE CON.
SPRINNLING SVSTEM
MISCELLANEOUS
ROUGH MEATING AN AIR CONOITIONING �
TEMPORARV SERVICE OR POLE
UNOERGftOUN� � POWER �
ROUGH WIPING
TRENCHES � FORMS � STEEL REINF.
FLOOR SVSTEM
BONO BEAM STEEL REINFORCE
SHEATNING `
FRAME ANO FLASHING
LATHING - IN OUT /
PLFSTER,BROWN COAT
STRIICTURqL, FINNL
HEATING, VENT., REFRIG. AND A.C., F YAL
PLUMBING, FINAL AND GAS TEST �
ELECTRIC, FINAL
BUILOING.FIN4L
DAIt 4-28-76
BUILDING PERMIT N0.
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
sui�oiNc3443 No110W Br00k £AC'C� Cir�lo
GfIORFSS
OWNER SLi
ADORE55 94)
cirv Cy!
CONSTflUCTION
BRANCH
ADDRE55
ndl
Lohrbach/Pulaski
ADDRESS i its4u �ic.vrarK u i�
CONTRACTOR State-WdAe De�
ADDRESS 9461 Grindlay
c�TY CYpress
LIC. NO. 2�4�� Q
OFLOT 12.093 acres
USE OF
EXISTING BIDG.
SIZE OF NO. OF
NEW BLDG. ROOMS
EXTERIOR WALI a�ter ROOF
COVEFING (10 COVER
VSE OF BUI��ING AND WOflK TO BI
PA1�
„AYt3-7E�;,� 00 635� **AL2�!'
APPLICATION FOR BUILDING PERMIT
RECEIVEDBV DATERECEIVED nnTcicci�i
BUILDING
ADORESS
No.`826-4550 TR�
OWNER
��556-6610
FIPE
ine 20NE
APPROVED
s. Inc. Br
No�26-4550
C1TY
LIC. NO.
INO. OF BL�OGS.
NOW ON LOT O
I haroby ecknowletlBe that I hava reetl this applicetion entl ctaro
that th0 abov¢ IMoimetlOn is corrett Botl egrea to cOmply wlth
oll lows ragulatin8 builtlinB conatruc�ion, ontl I shell not amploy
any parson In violatlon of tha workman'� eompenzetion lews ot
tho Stete Of Califomie.
I heroby cartiiy that 1 em Properly licansetl es a contrector untlar
tha Steta of Californie Business end Professio�s Code, Divisicn 3,
Cheptar 9, antl that suc� I(eensos era In (ull forca and eftact, or I
am axampt from the provislons of [he Smta of Cal fornia Buainass
and Profassions Cotle, Divislon 3 Cnep er 9,
tate-Wide Deve�op , Inc.
SIO�etura of .
Pormlttea '�
AuthorizatlApant Vice President
�!�
43
20NE NO.OF
Q2 C!° P�.nras 2
YAROS APPROV ED
MAIN BVILDING
(FROM GL QTqEET)
VAfl. Q� �r
C. V.P. qj'+L.a�'
APPROVED
�IOLD FOR
YAROS
FT.
BET. MAIN &
ACCE�. BLOGS.
OATE )//� J
APGROVED /
'� 1
RE�7 i � �-iCiv i �
/� D�/
�
SQ. FT, O
7ME AMOUNT SHOWN UNDER VALUATION IS FOR i
7HE PURPO6E OF ESTABLISNING A PERMIT FEE ONLY: Q
VALUATION �p
�1/� u� PERMIT FEE $ I S �
,T.� .z. �
m
$ PL4N CHECK $ � E
. � `o
LL
TOTAL FEE $