HomeMy WebLinkAbout3450 HOLLOW BROOK CIR - Building Permits/
�CTPDOXESS: 34SO HOLLOW BROOK CI
OWNEfl'SNAME: VILLAGE CREEK H.O.A
aooxess: 3429 TIMBER LAKE
COSTA MESA ,CA., 92626
ARCHIENGINEEH: 5 5 3— 1 a 7 6
RDOflESS:
uNir:
CITY OF COSTA MESA — BIIILDING PERMIT
PERMIT NO: H 064533 PLAN CHECK NO; N
I CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
nec.xo.: JOH DESCRIPTION : T/O RESHT 6 REROOF W/COMP. SHING
uxiT:
PFRmmEE'pETER50N ROOFING (714)979-7111
nooeess: 3006 ENTERPRISE
COSTA MESA CA 92628
UCENSEO CONTflPLTOfl DECLAPATION: I �ereby allirm ��ai I am licensed under pmvisions ol C�apler 9(commencinp wi�� Sec�ion
100U) ol Uivision 9 0l ��e Business anC Pmiessions Catle. an0 my license is in full torce antl el ct.
ciTr uc.: 4 5 4 5 STATE LIC.: 6 O'� 8'�� ss. _ -- -
�aie�. �(�. SignaWre�,. � —
WOPRE ' COA ENSATION oECLAflATION: I nereby aflirm ihal I have a certilicate of con ent to self-insure or a cenilicate ol workeK
Comoensalion Insurance. or a certilietl copy inereai (Section 9800, lab. CI.
eoucrNo.: 1021355-93 E%P.OPTE: O4IO1/94
cornrnNv: STATE FUND�y
❑ Cenilietl copy is h eGy fumisne0. ,i q CenifieC copYlis liled with % cily Byiltling Divis�n/
/
Daie: A�O�icani: �d� / — �
E%EMPTI FflOM ONNEBS'fAMPEN$IITIONOECUPRTION: (T�i55ectionneeCnot�ecomplete0' �epermili5larone�uMre0�S100�orte55�.
1 cetlily Ihal in Ihe perlormance o� Ihe work for which Nis permi� is issuetl. I 5ha11 noi employ any Oerson in any manner so as to become
5u01ecl lo t�e Warker5' ComOensalion Laws o� Calilomia.
Date: Signaiure:
NOTILE: If, aller making ihis aeclaration, you snoul� Uecome suDle�� �o the WnBerS' Compensation O�ovisions ol ihe La6ar
Cotle. you must brlhwi�h compty wil� suc� Omvisions or ��is permi� s�all �e deemetl revoke0.
CONSTflUCTION LENOING AGENCY: I �ere0y at�irm Ihai I�ere is a tOnSimtlion 1¢ntling agenty �or Ne De�ormance ol IAe work �or
whiC� IhiS Dermil i5 53uetl (Section 7W7. Civ. C�.
LENOEfl:
AOOPE55:
OWNEF BWLOEB oECuflATION: I hereby allirm Inat I am exemo� «om tne Coniractors' Stale License Law for Ihe following reasan
(Sectian 7031.5 Business antl Pmlessional Cotle: Any cily ol couniy w�ich requlres a permit Io constmcl, aller, impmve, demolish, or
repair any SlmcWre. prior to its issuance, also requires Ihe applicant �ar suc� permit �o file a signed s�a�emen� Ihat hels�e I5 licensetl
pursuanl m �he pmvisions ol Ne Comracmrs' Sia�e License law (Chapter 9(commencing wilh Section 7000) oi Oivision 3 0l �he Business
ana Prolessions CaOe) or �hat �e/she is exempl Iherelmm an0 ��e Uasis lor I�e aliegetl eremp�ion. Fny viola�ion o� Section 7031.5 �y
any a0olican� br a permit su01ec15 t�e apDliwn� Io a civil penalty ol na� more Ihan �ive �unAred Jollars (5500�.
I, as owner af ihe prooeny or my employees witn wages as t�eir sole compensalion, will ao �he work, antl tne
❑ s�mcmre is not imendee oi oilereU for sale 15etli0n 704d. BUsiness ana Protessi0nal COde: The COnlratlors' S�a�e LitenSe Law
aoes not apply lo an owner ol a D�ooe�y who Uuiltls orimo�oves ihereon, and who aoes such wark himsetf/herself or thmugh
his a� hei ovm employees. DmviAed Ihat such imD�ovements are not intenaed or oifered for sale. II. Aowever �ne building ar
improvemenl is sola wiihin one year ol com0leiion, Ihe owner vnll �ave I�e �urtlen ol pmving �¢/5�2 GiC n0i Ouila Or impmve
lor Ih¢ putp05e ol sale�.
I. as owner o� the D�operty, am exclusively con�rac�ing with licensetl comracmrs to consimc� �he pmjec� (Sec�ion 704d, Business
❑ antl Pro�essions Coae: The Canlrac�ars' S�ate License Law Eoes not apply ro an owner ol property who Uuilds or imDmves Nereon
and who ConVatls �or SutA D�ojeQs wil� a tOn�fat�oqs) liCense pursuant m the Conirat�ors' Slaie LicenSe Law�. I am aware
I�al D�ool ol �Aeir Worker'S Compensation insurance 5hou10 be O�ovitled �o me.
� I am exempt untler Sec�iun: B. 8 P. C.
for Inis reason:
CLAIM VALUE:
3,700,00 CALC—VALUE:
PERM NO: B 064533
GOVT; N SUPP: N
PURPOSE: OTH
SQ FT:
3,700.00 GROUP OCC: R-1
3,700
/
COMMENTS: SMOKE DETECTOAS REQ. ZNCLUDES 3452,3459 HOLLOW BROOK CZ
***�t+t*�c*r*x�****wx�*�*****�*******�r***�r*+t*�r�r*�*�r+��***�*�*�+�******+�****��c***�t«+��**
Z O N I N GS ERTEBgAUCIKRSE M E N T 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 RG[IT: FT IN
PARKING REQ: PROV; PARCEL: 93506117 ZNE: REF NO:
PLANNING NOTES'>�� ,
_ �
iE iE iE M 1! if i! iE 1f if iF if i! it i! i! iF 1E jf if iE?E it �lE 1E iE iE iE ff k if iF iF it i! M iF if if k if iE if �f iF if jf if If if it iF fE iF 1F it iE iE iE IF 1F iE if iE iF �f �If iE 1F 1f iE iE iF if if 7f if if a4
D E V E:L O P M E N T S E R V I C E S R E Q U T A E M E N•T S
ZONING APPROVE,p, BY DATE: �i
bUILDING APPROVED BY : DATE; ': p
APPLICATION ISSUED BY: /•/�L_ DATE; /� 13
%%Y.Y %li \ I' %0."%f' %%�.:.;t.l v yr . .Y T . . . P. wi . .. . ..'. . .
#k,�r#������#�!�#i.i.,�,�x�*�.k�ek��e�.��.�+e�e���t����*�c�-�?�:k��►� ��a� **�*
�%'���7C?�At3E#+'€+'��t'� . ?�+���c**�**�+��**�*+�+cx**+��x*+�x*x��*�*�c�c�c*+t��a*******�c***** �**�**r�r
LE�ALI�iATI�?P1:Id F E E S U M M A R Y STRUCTURAL SEGMENT;Y
PLP�3 PMT PLUMHING ELECTEt•IC MECHANIC FIRE SMIP/R55� v'RADING
PERMIT 63.00 S
�-
PLAN "��' �'� SMIP/NON—RES
ISSUE FEE /�
BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 63,50 0,00 +; � 0.00 63.�0 63.50 .00
1'
REVENUE DIVISION TOTALS--> COLI:ECTED: 63,SQ OVEA/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC �MIP/TOT GRADING PLAN—CHECK
63.00 : % .50
iF fE iE �lE �lE aE iE if if 1E iE k if i1� if k iE iE iE iE iE iE jE if if iE iE it iE iE iE �f �1E i[� �1f iE if iE iE if 3f iE 1E if iE �E iE iE iE if iE iF iE iF if if iF ik iE iF k�)F �h if it M 1E 1E if if �It iF if # 1� af� x�1F+f
I N D I V I D U A li F E E B R E A K D O W N
1.��
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
Daie: Owner: I
ao nereby cenity t�a� I am aware of an0 untlersland �he repuiremems o� Calilomia Health and Safery CoOe Seciions 25505, 25533, antl $ FR
25534 and IAai I or any tulure building occuDani willlwill nol (circle one) nee0 �o comply wi�h said sla�e cotles antl I�e requirements �or a
peimil loi constmc�ion or motlificaiion Imm Ine Air Ouabry Managemen� DiSirict. Fesieential conslmction applications are eKemp� imm
�hPS¢ p10vi51on5.
oa�el Aoa��cam:
I hemGy cenily that 1 �ave rea01hi5 applicalion and 51aie Ihai Ihe a�ove inlormation is correcL I agree lo tamply vnlh all ciiy antl wunly
orEinaxes and slaie laws relawg io builaing wnsimnion anE �ereby au1M rze re0� ntatives oi Ihis tlty to enl¢r upon lhe above�menlioneA
propetly lorins edion p rpO5e5. A l �j/�
'j%� / //
� �ate: _ �_ Signalure�� �i�
, Oriver's l c¢nse o Social Secunly +:
3700 REROOF BY VALUE RES.IDENTIAL NOZONE
�ND�'OF FEES
1 . ' .•'.
�J�SMoKE �Ei ��Tc�,�:;� �
RE(�UIR�D ,,�.:....
r.,
".,' �
1.00 3,700.00
O1 002�92?3—Qu1492?9 T D T o3.5��
DATE: 10/ZD<'S3 TItiE: 13:`7
I i64t�A6 Whne—Builtling; Green—Cotle Enlorcemem: Canary—Applicant: Pmk—Revanue: Goltlenrotl—Assessor .. -
I �y�
. a.�. � �` -.
�L'ONSTRUCTION AND P�ANNING POOL & SPA
APPROVALS Permit�`r Date Inspector qppROVALS Permit; Date Inspector
7, Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. , 53. Sleel Feinforceme�t
3. �lectricai Conduit Uuhty-Undrgrnd. . 54. Forms -
4. E�ectrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinfiorcement 56. Rough Plumbing & Presswe Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Elactrical Conduit�Undrgrnd.
8. Foundation � ' S9. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgmd. , , 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor System � 61. APPROVAL TO DECK
i t. Property Sev�er line & Hc�use Connection 62. Backwash & Receptor�Final
12. Sewer Cap . 63. Heater & VenbFinal
73. Roof Drains 64, Plum6ing System - Final
14. Rqugh Plumbing , 65. Elactrical�Final
15. Rough Electrical-Conduit i 66. Soiar System-Pinal
76. Rough Electric Wiring 67. Fencing & Access ApProval
17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POO VSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit 4`r
21. Ducts,in StructurE 70. Unde�ground Hydro
22. Ducts, Ventilating 71. Product Pipin9 O Gas OOiI
23. Gas Pipe�Rough & Tese 72. Underground Flush
24. Roof Framing 73. Undergrnd. Srorage Tank [� Gas C Oi� ,
25. Roof Sheathing %ti��� � 74. Overhead Hydro �
26. T�9ar Ceiling IStructural} & Monocoat�, 75. Dry Chemical r'�^y
27. Frame and Flashin9 76. Dry Standpipe �-�
� ��
28. Lathing& Siding � 77,. FIXEO SYSTE(U FINAL �� 3 1
29. In;ulation 78.� FIRE PREV. FINAL
��
30. Drywall Nailing HEALTH DEPT. REQUIREMENT ^�'
37. Pltster Brown Coat 79. FINAL INSPECTIQN �� ��
, �
32. Electricai Power Meter-Final 80. FOOD CERTIFICATE ISSUED -
, 33. Final Electric Note•
34. Final Heating & Air Conditioning - C.�
R�A`�._
35. Final Gas Pipe�Test
36. Nood or Canopy � � �
37. Final Factory Fireplace
38. Final Plumbing �
39. 4Yater Service-Final
'I 40. Gas Service-Finai �
41. Solar pomestic-Final '
i
42. Backflow Preventer �.
43. Backflow irrigation I
' 44. Landscape Irripation System
45. Sound Attenuation �
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING }' 2�'q�f G�i•/
� 46. FINAL P�ANNING
49. Electric Release to Edison
50. Gas Release to $outhern �ylifornia Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
PNOJECT ADOPESS: 3 Q S O HOLLOW BROOK UNIT:
OWNEH'SNpME: VILLAGE CREEK HOMEOWNERS
aooeess: ASSOCIATION
3429 TIMBER LARE
CM VA 92626
FflCHIENGINEER: CHESTER CARVILLE flEG.NO.: CSS3OS
aoosess: 7922 ARMOUR ST uNiT:
S.D. CA 92111
PEflMITTEE: PHOENIX ENTERPRISES INC, ( 213 ) 690-9559
aoonEss: 411 COMERCIAL WAY
LA HABRA CA 90631
uCENSED CONTFACTOfl OECLABFTION: I here�y afiirm thai I am li e tler pmvisions of Chap�er 9(commencing wi�� Sec�ion
7000� 0� �IYSIOfI 3 0� �hQ BOSI0055 311tl P�0�255i0�5 COtl2. dllQ rti ce e m full lorce anG eii
c�Tvuc 50788 srnTeuc.:376639 ss: B
Date: � Signature�. _ — _ � —._
wONREHS' COMPENSAiION oECLABRTION: I here0y affirm that I have a ienificate of consenl to seli-insure or a cenilicate of Workers'
Compensation�yu{apc� a� �c�UlieO copY �hereoi (Sec�ion 3800, Lab. CI-� � O S I9 S
PULICY NU.: W� V 3 E%P. UFTE: V
omrnNr: CA COMP 6 FIRE
� Cenili¢tl copy is �ereby Wr 'shetl. ❑ Cehilie0 copy is fi th ciry Building Divisi
Daie: b �� � Applicam: �
E%EMP710N FNOM WOAREBS' COMPENSpTION �ECIAflPTION: (This sec�ion n eU no� be com0leietl il lhe permi� is loron hundred ($1W) oNess�.
I ceriily Ihat in �he pedormance oi Ihe work for which Ihis permit is issueQ I shall noi employ any person in any manner so as to become
suble�� �o Ihe Workers' Compensation Laws of Cablomia.
Date: Signaiure�. '
NOTICE: II, after making Ihis Oeclaration, you stlould become sublea� b lhe Workers' Compensa�ion D�ovisions of t�e LaDor
Coee. you must fonhvnih compty wilh such pmvisions or iNs permit shali be aeemeA revoke0-
CONSTBUCTION LENDING AGENCY: I hereby a�firm �hat �here is a consiruttion lentling agency tar Ihe pedormance oi the work for
which thls permi� Is Issued (Secilon 3�W. Crv. C).
LENDEP:
aooaess:
OWNEH BUILOEfl OEQFHRTION: I here�y aflirm �hai I am exempt Iwm t�e Conlraciors' State License Law lor �he followinq reason
(Section 7031.5 eusiness antl Pmfessional CoOe: Any city at counry which requires a permi� m cons�mm, al�er, impmve. demolish, or
repair any s�mc�ure, prior �o ils issuance, also requires �he applicant �or SucA permii lo file a signetl 5�a�emeni thal he/she is licensed
pursuam �o Ihe pmvisions ol �he Comracmrs' State License Law (C�apter 9(commenting with Seclion 7000� of Oivision 3 0� ��e Business
anE Pmlessions GoOe) or �hai he/she is exempt therelrom antl �he basis lor �he alleAed exemptwn. Any viola�ion o� Section 7037.5 by
any applicant lor a permii subjec�s Ihe applicant �a a civil penalry of no� more than �ive hundred dollars ($500�.
I, as owner oi ihe pmoeny ar my employees wiln wages as iheir sole compensation, will do ihe work, and the
❑ struc�me is no� intentled or olferetl lor sale (Seciion 70ad, Business antl Professional Code: The Contractors' State License Law
tloe5 noi apPry lo an owner oi a pmperty who bwltls or impmves Ihereon, and who d0e5 Suth wOrk himsel�/hersel� or Ihmugh
his or her own employees, pmviOeU Ihat such impmvements are noi intentleA o� o�leretl for sale. I�, however �he builtling or
impmvemem is sold wiihin one year o� com0le�ioq tAe owner wi0 have �he hurAen oi proving he/she Oitl no� buila or improve
for tne Durpose of sale�.
I, as owner af �he pmperty. am exdusively conVacting with licensed contractors to constmct the pmlect (Sectian 7044, Business
❑ an0 Pmlession5 Code: The ConVacmrs' Slate license Law tloes not apDly lo an owner ol property who builAS or impmves �hereon
and who contracts for suc� pmlecls wieh a conUactor�s)license pursuantlo Ihe Contrac�ors' $tate License Law),I am aware
t�at pmol ol �heir Worker's Compen5aiion insurance shoula be pmvided to me.
� I am exempi under Seclion: 8. 8 P. C.
br Ihis reason: '
Date: Owner:
f do �ereby ceNiy Ihal I am aware oi and unGerSlanA Ihe requirements ol Cali�omia Healih and Safery Cotle Sections 25505, 25533, antl
2553a ana Inat I or any IUWre building occupant will/will not (circle one� need to comply with saitl state codes and the requiremen�s for a
permi� lor ton5lmclion or modifita�ion �rom �he Air Oualiiy Managemen� �i5irit� B¢sitlential cOnstmc�ion appliCa�ions are exemp� fwm
��ese pmvisi0ns.
�ate. Npplicani'. _
I hereby cetlily I�ai I have reaa this applica�ion ana Slale ��a� �he o n rmaiion is correcL I agree to comp�y wi�� all ci y,�nU couniy
ortlinances antl stalelaws relating�o building consimclion ana her y t qr e represen�atives oi�to enlerupon�h ove-mentioned
pmpetlyfor�sp�an p-se.� � �
I!�i
Dale: � Signaiure:
ori�er s Cicense or soaai security a:
164La6 W�ite—BuilEing; Green—Cotle EntomemenC Canary—Appiican�; Pink—Revenue; Goltlenrotl—Assessor
CITY OF COSTA MESA — HUILDING PERA4IT .
PERMIT NO: B 049841 PLAN CHECK NO; 06436-90 A , ,
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: REP
JOH DESCRIPTION ; REPAIR SETTLEMENT DAMAGE SQ FT; 193
CLAIM VALUE: 14,388.00 CALC—VALUE,: 14,300,00 GROUP OCC: R-3 /
COMMENTS: BUTLDING SETTLEMENT REPAIR/FOUNDATION
**�r*�*�r��*x*�r�r+t��*�*�t�t*****x*�t****��r�********�r**�r+r�r******�t***�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 HUILDING ---------- ---------.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 IN
PARKING REQ� PROV: PARCEL• 93506124 ZNE: R2 REF NO:
PLANNING NO'PES> REPAIR EXISTING FOUNDATION. p(1tn F—ngep ter� �nU���
� 1F1FY�t1E'�F��F��#�" Sr
�FifiE3FiflfiEiF�tiFiFiEiFiFiFik�lfatiEif�liEiEjEkifikiflE3EiliFiFiEiEitiFiEififiklEiEiPiEifiliElfiEk3flfiFM3FiE aEaFif afiEiFkiEif
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 :(� /L._ � DATE: I L' D��IO
BUILDING APPROVED BY : L� l c—rJ.�vJ � DATE: �
APPLZCATZON ISSUED BY; DATE:
3f lFiF jF IE iP k ik iF 1E dF if 14lf i! �F i!!E 3E 1f �IF If if iF fF 1F �� fE 3E iE iFii�'iF'R7F"£'iF{FdF if
iFiflfiFiFif�fifikMiFlFifkffifiEifiFiFifiElflfifiElfffif ±fiFlkififkklflFifiF�ElEif7FdE�klf�EiflfiflEiE1f1F1FiffFfFiFlEifiF3EiPaFiFikifiElElfiFlEififiFiF
LEGALIZATION;N F E E S U M M A R Y STRUCTURAk'SEGMENT;Y
BLDG PMT PLUMB NG ELECTRIC •MECHANIC FIRE SMIP/RES GRADING
PERMIT 162.00 -
SMIP/NON—RES
PLAN 26.33 2.15
ISSUE FEE
HUILDING—DIV—> PERMIT SSSUE PLAN—CHECK TOTAL FAID DUE
TOTALS----> 164,15 0.00 26.33 190.48 190,48 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 190,48 OVEA/SAORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
162.00 . 2.15 26,33
iR IF iF iF if iF iF iF iE iF iF 3E af it 1E if if if k if iE iE IF 1F IE IF �k �E iE 7FiE aF af 3E iE 7E iE af IE iF iE IE �E iF 1f iF iF M 1k if iEif 1f 1E iF 1f 4 if *if iF iE iE K iE1E It 1f if �F iF 1F IF �E M if iF �k iF
I N D I V I D U A L F E E B R E A K D O W N ,
TYPE (jTY D E S C R I P T I O N
SFC 143 FOUNDATION BY VALUE PER $100
END OF FEES
UNIT COST
� 100.00
TOTAL COST
14,300.00
C: 004i49'89-CGOi+4�.1 'A"c_ �" . . .
�ATE: 1S12JI9G TIiiE: 23:4�
CONSTRUCTION ANDPLANNING • PO� SPA
APPROVALS Permit # Date I�spector qppROVALS Permit # Date Inspector
1. Temporary Electrical SerVice or Pole � 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.. - " 53. Steel Reinforcement
,.'3.`��Iectricad��onduit�Utility-Undrgrnd:� 54. Forms
:' 4�ElecfricafiConduibUndrgmd. , 55. Electrica� Bonding
.�t.,-._,. _ . .'
n.
- S..Steel Reinf.'orcertieri� 56. Rough Plumbing & Pressure Test
_'-6r_Efectrical�OFER Gmd. . 7: � 57. APPROVAL TO COVER�GUNITE
_ �
= �9 `Footings ^ " � 58. Electrical Conduit-Undrgrnd. � .
��. Foundat�on ,_ � ' 59. Gas Pipe, O Undrgrnd., Test .,
--%%9. Water Pipe�Undrg"rnd. - , 60. Backwash Lines, P-Trap, � Undrgmd.
;�,,,.
1b. Structural Floor System ,. 61. APPROVAL TO DECK
19. Property Sewer'Line & HoLse Connection ' 62. Backwash & Receptor-Final
1�. Sewer Cap c•, ::, _ 63. Heater & Vent-Final �
13. Roof Drains` �t 64. Plumbing System � Final .
14. Rough Plum6ing � � 65. Electrical-Final
15. Rough Electrieal-Conduit . 66. Solar System-Final
16. Rou9h �iectri�Wiring 67. Fencing & Access ApProval
77. Rough Wiring $ign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOI/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- - - -- - O' C 1-rti - . p;
20�='Rough Factoty Fireplace �� '�.!i -S = <_ �. ' � ? �AppROVA'L'S= �.Permit # � '" �''
S d .e_, , Str IT�r S r+�e n S. '� ` '
2. " 'Y "� ` ' - . S �� �- ' :. L ' �..: ^ V .
21,.,Ducts, in St;�uctu.re, , .. . >. �_ _ •-x : _70. Undergro'Ond Hydro
22. Ducts, Ventilating ��- � ���,? � _ •yy. A:7�, producL?iP�ng OiSas O'Oil
23; Gas Pipg�Rou h &��est � 'j' "; � ''' .. ' ' ' - � '�-- ' '='
9 t�_ ; � ,� �, ,..72. Undergraunii Plush,� � --
24.'"Roo.f Freming p+ �'--,� • x^ - r���� +� i73DUndergrnd�.StorayeTank'�OGas^�Oil
:,, . r�- �-., x . ls.��
25. Roof Sheathing �_ ; � - a� � ;'.' �-� `L`, -' � ' - - '
{ '74=;;Qverhead `HydroJ �
26.-T-Bar Ceiling (Structural) &M1lonocoat : �� •y C C:X :+ 75:"Dry Chemical ' ' - �• '�
- `.- �. Y r' _ �r l
27`FrameaPd Flashing" •� .7' `. � ��` T ,. a =;%- r =' '�; -�
�; v. :: >:'ri7 :i 76� Dry $tan P!Pe �-.:r T .S
�28. La(hing-& Sidinq-.� v; �t',�,'.` i;ut :�;: 77;^ FIXED SYSTEN{ @INAL- �
"29. Insulation �. ,.�� �- " '��'.' ' �r �,� ,���� i 7g�FIRE PREV. FIN9�L �
� � } � � � ' '� �: HEALTH�DEPT.. REQI�IREMENT
= 30. Drywall.Nailing �:;: ,:: a. "
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_:31. Plaster $iown Coa('' S � ,�. �; , . � �,`. ,'.�,�,79t' FINAL INSP,ECTION - � ?�
� � � �' � ,80,r,F00D CERTIFI�P,TE ISSUED
= 32cElectricel Power�A+letec-FinaP �� . v � C ' i�-< -. �
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:�
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s x. . �� '? '1. � 1
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�37�:�Fin'al Factory Fireplace^ ' �
OWNER STATF._WTnF.ikwe]nnera� Inc_ DATE 4-28-76
JOB ADDRESS �1�SOHollow Srook Circle BUILDING PERMIT N0. 41825
GENERA—�ACTOR co�e DESCRIPTIONoiWORK Res. w att. Rax'aRe
SOIL
ROUGH PLUMBING
PROP. $WR. LINE � HOUSE
SPRINKLING SYSTEM
ROUGH NEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UN�ERGROUNO � POWER �
ROUGH WIRING
BOND BEAM U STEEL REINFORCE �
SHEATHING
fRAME AND FLASHING
LPTNING - IN � OUT
PLASTER, 9ROWN COAT
STRUCTURpL, FINAL
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUM6ING, FINAL FND GFS TEST �.03�
ELECTRIC, FINAL ��
BWL�ING, FINAL
EZONE VALUE
YPE V GROUP
SUBCONTRACTOR
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COSTA MESA BUILDING•SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CAL�FORNIA 92626
BUILDIN
ADORES.
OWNER
MAIL
ADDRES'.
CITY
Cpry$TRU
LENDER
eaaNCH
For Applicant to Fil1 in Completely
3450 Hollow Brook §���q�l� �;
State-Wide Develooers. Inc.
ress
55 1 %H4B
ACTOR St
AD�RESS
CITV
STATE
LIC. NO.
S12E
OF LOT
VSE OF
SIZE OF
NEW BLpG.
EXTE%��Ofi WALL
CO V E:� ING
USE OF BUILOI
No '826-4550
rk Blvd Irvine
de Develoaers. Inc.
CITY
LI0. NO.
INO. OF BLOGS.
NOW ON LOT
NO. OF
ROOMS
�M ROOF
COVERING
WORK TO BE PERF
I harebY acknowlatlge that I have read this application and state
ihet <he above information is correct antl aBree to comply wlth
all la.+is regulaNnB buildin8 �onstruction, antl I shell not employ
any person in violation of the workman's compensetion laws of
the Steie ot California.
I hereby cartity that I em proparly licensed as a contractor under
the State of California Business entl Professions Code, �ivisicn 3,
Chapter 9, antl Mat such licensas are in full forca antl effect, or I
am exampt from tha provisions of the Stete of Cal fornla Business
antl Professlons Cotle, Divislon 3, Chapter 9.
SiB�ature tate-Wide Develop i, Inc.
Permittee
Aut�O�izetlAgeni Vice President
�'r�� �S'%��t:�l.�� FZ('c ii:'k�2�.�'�J
APPLICATION FOR BUILDING PERMIT
EIVED BV DATE RECEIVED �eTF �scu
A.P. NO. /dQ—C
BUILDING
ADDRESS -_��
FIRE
20NE TVPE GROUP I ��
APPROVED
BV DATE
Z22 Cp PO�rO�F USE OP NEW
2 BUILDING
VAqOSAPPROVED VARDSAPPROV
MAIN BUILDING ACCESSORV BUILDING
(FROM G STREET)
ROM FT. FT.
�
F F
L. SIDE �— FT. FT.
REAR 33 FT FT.
DISTANCE BET. BET. MAIN &
MAIN BIOGS. ACCESS. BLDGS.
VAR.�W_�J� DATE
C.U.P.�yC'� �� APPROVED �S �
APPROVED v � i %/
L % CO
�IOLD FOR c�ECtAL Ke:�u.i:zivu:�v��
THE AMOUNT SHOWN UNOER VALVATION IS FOR
TNE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV:
v 9�„w � PERMIT FEE $ I •/J�/
V � �A�/
PLAN CMECK $ � �
TOTAL FEE
m
W
0
a
¢
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N
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