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Home My WebLink About3452 HOLLOW BROOK CIR - Building Permits(714) 754-5273 • Fex (714) 754-4856 • www.Ci.Costa-mesa.ca.us 77 FAIR DRNE, COSTA MESA, GA 92626 PLUMBING PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: 3452 HOLLOW BROOK CI BATHROOM 93506109 Applicam: STIEFEL, ADRIENNE KERBY Address: 3452 HOLLOW BROOK CIRCLE �-.. -. .-�� . � "- _��. Phone:� COSTA MESA, CA" � - - Zip: Owner: WAKEHAM, BARBARA JEAN Atldress %SPONSELLER;'KEITH M ;, � :��" �- _COSTA MESA� CA � � .' Phone: 3452 HOLLOW BROOK CIR 2ip: 714-668-9552. `92626 95227-0097 Contracror:n OWNER-BUILDER .�' Addres§: � � Phone: Zip: " , License: � 000000 SCOPE OF PERMIT . ,�- PLUMBING PERMIT FOR MINOR BATHROOM REMODEL, CHANGE Ol� - . WASH BASIN SET:-:.. AMT ' QTY ISSUE FEE $23.50 BackFlow irrigation " $0.00 Backflow Prevenier i $0.00 Bathtub , $9.80 ClarifierSystem :.;.$0.00 Connect Qc'e,Soda,etc) ';'$0.00 Denlal Units . $0.00 Dishwasher , $0.00 Drain, Floor $0.00 Drain, Rainwater � 50.00 Drain, Root - � $0.00 Drinking Fountain $0.00 Expansion Tank -. $0.00 � Gas Eadhquake Valve�� $0.00 Gas (1-0 outlets) $0.00 Gas (Over 4 oullets) $0.00 Gas Repipe � ' . $0.00 Gas Service � � $0 00 � Interceptors (Grease Oil)� , $0 00 �� Interceptors (Sand Auto )�- ' $0 00-;�� Laundry Tub / Washer 0' Landscape Irrigation 0 s � P-Trap : - � 1� ._ _Pressure Regulator �.0 -�� = � Process Piping (per.l0,ft)� ��0'' Receptors � 0.� , Septic Tank 0 Sewer Cap for Demo . 0 SewerConnecl 0 Sewer Private Line 0 Shower ., 0' Sink,.bar• . , ... . 0 Sink; commercial -. '0� . Sink,�Floor - 0 .: Sink, kitchen - 0 .. - '�- Sink, service/mop 0 � Spa (private) -- ,-.0 Spa�(public) - � 0_ . � , ._. . 0 au.uu� - $0.00 0 $0.00 0 $0.00 0 �� $0.00 �'0 �� . $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $9.80 1 $0.00 0 ��$0.06,. 0 $0.00 � 0 $0.00 .0 $0.00 0 $0 00 . •--- 0 . $0 00 0 . � Status: ISSUED Applied: 10/O6/2005 Issued: 10/O6/2005 ISSUED BY: �� „ � � � � - �'�vi ► �., 1B, 1 SHOWER-AND,1 r SumpPump Swimming Poo� Trap Primer . � Urinal . � �. -. Vacuum Brkr Bkflow(1-4) � . � � Vacuum Brkr Bkflow(5+) Wash Basin � , Wash Basin Set . Wasle and Vent System � Water Cbset (foilet) WaterHeater/vent � � Water Piping (Inst or Rep.) Water Re-pipe . Water Service Water Soflener OTHER VIOLATION . PLAN CHECK -- � �•REINSPECTION` - AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $o.00 � � -- , TOTAL CALCULATED FEES: E52.90 COMMENTS / SPECIAL CONDITIONS QN 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all appli¢able handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 1B0 days, or if work Is suspended or abandoned for a period of 180 days. INSPECTION3: In order for ihe work authorized under Ihis permit to be considered legal, such work must comply with all applicable cotles, and all requlred inspectlone and final approval must be obtained. Fallure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545826 2M646 (N00) WORKERS'COMPENSA710N DECLARAnON: . ' � � I hereby aHirm under penalry of perjury one ot the tollowing tleclaretions � `� ' " ❑ I heve entl will maintain a cenificate of consent to self-Insure for workers' compensation, es pmvided tor tiy section 3700 oi ihe Labor Code, for the peAormence of the work for w�ich this permit is issuetl. ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of Ihe Labor Cotle, for the pedortnance oF the woAc for which Ihis pertnit is issued. My workers' compensation Insuranca cartier and pollcy num6er are: Carrier. Policy Number. �is section need not be completed i/ the permit is valuetl al one hundred dollars (S100J oNess.J '{�]""'I ceriily_�at in �he performance o� the work for whiCh �his pertnit is issued, I shall not employ eny person in any menner so as to become subjec[ to the workers' ,:��com'pensatlon lews of Califomle, antl agree thet if I should become sub�ect to the workers' compansation provislons of Section 3700 of ihe Labor Code, I shell forthwith comply with ihese p visiops. �pP��.�.il�alure '" �(�,i1a�llLl�� ' ��Te:_-1'� iD �i�r'J :WARNING FAILURE TO SECURE WORKERS' COM NSATIdJ COVERAGE IS UNLAWFUL AND SHALL SUBJEGT AN EMPLOYEP TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED THOUSAND DOLLARE (5100,000). IN AD�ITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED WR IN SECTION 3)Ofi OF THE LABOR CODE, INTERESi, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLAPATION: I hereby aHirm Ihat I am licensetl untler provisions of Chepter 9(commencing with Section 7000) of Division 3 oi Ihe Business and Prafessions Code, end my licensa is in full force antl eHect. Lic. N Cless N Gontractor's Siqneture: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby attirm �hat ihere is a consiruction lending agency for Ihe pertormance of ihe work for which this permit is issued. (Sec. 3097, Civil Cotle). Lenders Name: Lender's Address: Signature: Dete: OWNER-BUILDER DECLARATIONS: 1 hereby aHirm Ihet untler penalty of perlury ihat I am E%EMPT FROM THE CON7RAC70RS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business end Professions Cotle: Any city or county which requires a permit to constmct, alter, improve, demolish, or repair eny stmcture, pnor to its issuance, also requires the applicant for such permit to flle e signed statement itiafhe or she is licensed pursuant to the provisions of Ihe Coniracrors License Law (Chapter 9(commencing with Seaion 7000) of Division 3 of the Business antl Professions Cotle) or thet �e or she is e:empt therefrom and the basis for the alleged e:emption. Any violation of Section 7037.5 by any epplicant tor e permit subjects the applicent to a civil pena�ty of not more ihan five huntlratl dollars ($500).): ❑ I, as owner of ihe property, or my employees with wages as Iheir sole compensation, WILL DO 7HE WORK, end the struc[ure is not intentled or oflered for sele (Sec. 7044, Business antl Professions Cotle: The Contractors License Law does not epp1Y to an owner of property who builds or improves Ihereon, antl who does such work himself or herself or ihrough his or her own employees, provitletl that such improvements are not intended or oMeretl for sale. It, however, the builtling or improvement is eME;�thin one year of compietion, ihe owner-builder will have the burtlen of proving ihat he or she did not build or improve for purpose of sale.). ' t' '� y I, as owner of the pmperty, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consimc� �he project (Sec. 7044, Business and Professions Cotle: Tha comrectors License Lew tloas not epply to an owner oi property who builds or Improves Iheraon, antl who contrects for such project with a cantrecmr(s) license pursuent to the�C�tractors License Laws.). ❑ I am e�mpt under OWner ID verifiatl by tlnver's Veritication of Ownership by Business antl Pmiessions Code for ihis reason: ❑ No propeny tex bill or tleatl): DIVISION OF INDUSTRIAL SAFETV PEpM1T CERTIFICATION: � 's ❑ I hereby certiy thet no ezcavation tive ( �fee�`in tlepth into whic� e pereon is required to descend, will be made in wnneciion with work authonzed by this permit, and thet no building structure, sca i - lsework, or demolition or dismantling theraoi, will 6e more than Ihirty-sia (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifomia Atlministrative Cotle). r#.,?y,v;.� Qi § � ` ❑ As owner-huiltler, I will nat employ anyona m tlo war would iequire e permit from tha Division of Indusiriel Sefery, es noted ebove, unless such pereon hes e permit to do such work from the tlivision. �, Signature: Date: Division of Intlustrial Safery Permit Number: CERTFICA7E OF COMPLIANCE AND AUiHORIZATON OF EN7RY: I certify under penalty ot perjury that I have read this epplication end stete thet Ihe Iniormation given is correct I agree to comply with all sta{e laws and city ordinances relating to building constmction, and euthonze representatives oi the Ciry of Costa Mese to enter upon the above-descnbed prRpe1rty for ins-p-ef �dn p rp(a�ses. I egree not to occupy or allow occupancy oi any builtling authorized by this permit until finel inspection. Ii�,V14 {1,VWY�1 f�DY � �' �� OS —�� C:G�ign ure'O, LegaTOwner(s)�: 1De�e� \ And/Or Authorized Applicant Date CODE �, INSPECTIONTYVE � 1616 Fixed System Final Fire Prevention tt66 200 201 202 203 204 Pool Spe Final Final Re-Roof Final BIocWRetaining Well Final Factory Fire Place Final Sign Final Demoli�ion ` BAIE ��JELS CODE� INSVECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elaciricel 212 Finel Fire Prevention 220 Final Ptanning Approval 222 Final Site 250 Finfll'Building/Occupency PAIE 1NN��Li v" :. PflOJECi AOUHESS: 3 Q J 2 HOLLOW �R�j( OWNEF'SNFME: VILLAGE CREEK HOMEOWNERS nooeess: ASSOCIATION 3429 TIMBER LAKE CM VA 92626 UNIT: AHCH/ENGINEEP: CHESTER CARVILLE REG.NO.: CSB3OS aoosess: 7922 ARMOUR ST uxir: S.D. CA 92111 PERMITTEE: PHOENIX ENTERpRISES INC. ( 213 ) 690-9559 aooeess: 411 COMERCIAL WAY LA HABRA CA 90631 LICENSEO CONTNAC70P OECLAPATION: I hereby atlirm ihai I am licensed untler pmvisions of Chapter 9(commencing with Section 7000� ul �ivis'�un 9 ui Ihe Business antl Pmfessians Cotle and my ' ns�ey is in lull force and eiiect. CITY LIC.: �0 8 sT re uc.:376639 yrylAss: B �.�i Daic: �� Signamre: ��R��(`� �v �--' ""� WOHNEPS' COMPENSPTION OECIABATION: I �ereDy aifirm Ihal l �ave a cetlilicate al consent �o sel4insure or a cenificate ol Worker5' Comoensation �O a� �cr�-urea coov �nereoi �seaion se0o. �ae. �.� � O 1/ 91 POLICYNO.: CA COMP & FIRE EXP.ORTE: ' �OMPRNY: cem///i�e/a�co0Y is here�y lum¢�ee. ❑ CertilieA toDY is f ilA f� .ity Builaing Oivisi �ate: F � - �"� PPPlicam: - E%EMPTIONPBOMWOflNEBS'COMPENSATIONOECIAPPTION: (ihi55ecUonneetlnolbecomple�eOilt�epermi�i5loronehunGrM�511p�arle55�. I cerUly ��at in ��e pedormance ol �he work loi which Ihis O¢irttit is issueG. I shall nol emplay any person in any manner so a5 io become Su�le�� o Ihe WOrkerS' COmpen5d1i0n LdxS 0� CdlilOmia. Date: Signamre: NOTICE: II, alt¢r making IhiS Oetlaraiion. you shoulA betame Sublet� �o Ihe Workers' Compensation provisions o� lhe La�o� Cade. you mus� torihwilh comply wit� suc� D�ovisians or Ihis permil S�all De tleemeU revoketl. LONSTHUCTION LEN�INC RGENCY: I �ereby alfirm t�at ihere is a constmction lending agency for t�e petlormance ol ihe work lor wnich I�is peimit is �ssue0 �Sectmn J097. Civ. C). LENDEH: aooAEss: OWNEB BOILDEH DECLAPATIDN: I here�y affirm Iha� I airy exempt imm �he Con(ractors' State License Law �or �he �ollowinp reason �Seciion 70.31,5 Business an0 Pro�essional Cotle'. Any cily Of counly which reQuires a Dermil to constmc�, alter, imD�ove, demolish, or �eoair any simclure. O�ior to its issuance. also requires the applicanl Ior such oermi� to lile a signed statement thai h¢/she is Iicense0 pursuam �o I�e provisions ol the Contractors' State License 4aw (Chapter 9(commencing vnth Sec6on 7000) ot �ivisian 3 of tAe Business ane Proles9on5 COtle) ar �hat he/she is ezempi iherefmm and tAe Oa9s lor I�e alleqeG exemption. My viMatian ol Setlion 7031.5 Ey any aoDlicant far a permit su�jttts t�e a0�litdnt to a civil benally of nol more t�an five hunOreO dollars (5500�. I. d5 awnet ol the pm0eny or my employees wj�h waBes as I�eir sole com0ensdtion. wiil Do Ihe wark, anE the ❑ s�mcWrt ¢ noi intenEeE ar oHereO tor sale (Seclwn 7pen, Busineu an0 Prolessional CaJe: The Contrac�ors' SWte Littnse Law Go¢5 nOt aOPly Io an ovmer o� a pmperty who buAEs or impmve5 iherean, antl who Eoes suc� vroM himseli/hersell or lhrough his or her own emoloyees. pmviae0 inat such improvemenls are nol inlen0etl or oflered tor sale. II, Iwwever ihe Ouiltling or impmvemenl is solU wit�m one year of fAmplelion, ihe owner will �ave Ihe burtlen ot pmvinA he/she ditl nat build or improve lor ihe purpose af salel. I, as owner ol ihe pmpe�y, am exclusivelp comraciing wilh licensed contractors �o cons�mc� �he pmlect (Section 704A, Business ❑ antl Prolessions CoJe: The ConVac�ors' Staie LitenSe Law Does noi apply lo an owner DI pmperiy who builds or improve5 �here0n anA who conVatls �or such prolecis with a coniraqor(s�license pursuanl�o Ihe Contrac�ors' Slate Licens¢ law�.l am aware Ihal pmol ol ��eir Worker'S Compensation insuran(e 5hou10 he pmvidetl �o me. � I am eKemD� un0er Sec�ion: B. 8 P. C. lor IhiS reason: Dale: Ownec I Oo here�y cenily �nat I am aware ol ana untlers�an0 Ine reduirements ol Calilomia,Healih antl Safety Code Sections 25505. 25533, ane 2557a an4l�at I or any INure Uuilding occupant will/will nol (circle one) neea to comply wi�� saitl state cotles antl t�e r¢quiremen�s �or a permit lor constmclion or motlilicalion irom Ihe Air �uali�y Management Oisiric�. fleSiUeniial constmc�ion appiications are eKempl lmm these pmvisions. �ate: NpplicanL � I �¢�¢�y [erlilyi�al I �ave rea� IhiS aDPlitali0n and Slale�hd�i�e arONances anE 51a1e IawS reWting lo CuilCing con5imclion and her O�operiy Io� ins0etl�on puro�es Oaie: ��q� Signamre: � oriver's L¢ense ar Social Securiry x: $ tomply vnN all Ciiy antl enteruponing,]bove�me 164Ln6 while—Buildm9', Green—Coae EnforcemenC Canary—Applicant; Pink—Revenue; Golaenmtl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B 049631 PLAN CHECK NO: 06938-90 A CONSTRUCTION TYPE: V—N PERMIT TYPE: STR JOB DESCRIPTION : REPAIR SETTLEMENT DAMAGE •7' �• �' I �. . �. . . .� SQ FT: 143 CLAIM VALUE: 14,388.00 CALC—VALUE: 14,300.00 GROUP OCC: R-3 / COMMENTS; BUILDING SETTLEMENT REPAIR/FOUNDATION ***w**��****�r**+t***x��rx+r+t*****x �r�*�t�t+r****�**+tr�r�t*+r+�*+��r*�t��**�r*�*�r***+r�r��+r*** 2 O N I N G R E Q U I R E M E N T 5 _ S E T H 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 ZN LEFT; ' FT IN RGHT; FT IN PARKING REQ• PROV: PARCEL: 93506124 ZNE: R2 REF NO: PLANNING N(51'ES> REPAIR EXISTING FOUNDATION, HOLD FOR SPECIAL R$QU!REj11ElYi5` � iF M iF k if i! it k if K iF�k M iF if if iF 1f if IF If iE ik k iF k 1F 1F k M if 1E �141f iF 3E iF if 1E IE 16 if iE 1F 1E iE if IF iE k iE iE if k 1E iF if dF 3E if k�! �k ik 7F 1E k iF iF.�E If iE If iE k k If iF 1F 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 ZONING APPROVED BY C�O /L� � DATE: fl O y 9 p BUILDING APPROVED BY ; L1)i� Ot�ti) DATE; � APPLICATION ISSUED BY: DATE: .� iklt M IF 1! fE M� �If fF iF 1k iE k iF k if M Y� if k k iE if iFiE iF IE Ik �f IE M k�£7FiFiFIf iF if iFiFitMltlfatlfifiFifiklfififiPiFiEifaflfiElEif�ElffFiEiE ifklElf iEiE*�E1E�EIfififiEififiFififlElPikiEiFiFi6lEiEiElfikiEK�fif1F�IFiPiflEiEiF�E�fifif L.EGALIZATION:N F E S U M M A R Y STRUCTURAL,SEGMENT;Y , BLDG FMT PLUMBING E ECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 162,00 SMIP/NON—RES'� PLAN 2 6. 3 3 2, 15 'f� ISSUE FEE ''�%- BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID =''"< DUE TOTALS----> 164.15 0.00 26.33 190.48 190.48 �=;:.' 00 r • REVENUE DIVISION TOTALS--> COLLECTED: 190.48 OVER/SHORT: ,�pp BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—GiiECK 162.00 2.15 26;,,33 if IF jf ik it �Elf �! jf 3F ik �lE if iF k 1F iF it k k�F k k ak IF IE iF IF ik iF iE �E 1E 3F IE iF �E �E M�E if �1F IF if k if if iFlE iF )f IE iF �FiE ik �E 1FiF 1f iE if IE M if 1E if if ik k�F 1f i! 1f 1F 9F iE��f jf T N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST T'OTAL COST SFC 143 FOUNDATION BY VALUE PER-$100 100.00 19,300,00: END OF FEES A oi oae.;a�l-ae��4-sr3 -:-� � ��::,. OnTE: 7.1/16iSU TIiiE: il�`2 CONSTRUCTION AND PLANNING PO(._ a SPA APPROVALS Permit # Date Inspector qppROVAIS Permit # Date Inspector 7. Temporary Electrical Service or Pole.� 52. Poo� & Equipment Location 2. Soil Pipe-Undrq,rnd� '-- ' �� 53. Steel Reinforcement v � - ��3.c-Eje trica��onduiCUtility-Undrgrnd"y 54. Forms -' 4:"Elecfricah6ond�iiYUndrgrnd. � 55. Electrical Bonding . � �- �v -� •F'�Y v� .i� =`5: S{eel; Rein4orcemen� .,. 56. Rough Plumbing & Pressure Test :�6:.ElectricalOFER'Grnd. 57. APPROVALTOCOVER�GUNITE ' n c. '.7. Footings'�^ "�'' �� 58. Electrical Conduit-Undrgrnd. �y:B. F,oundatiA� �w � 59. Gas Pipe, O Undrgrnd., Test r�. Water Pipe-Und�g"'ynd. 60. Backwash Lines, P-7rap, O Undrgrnd. . r � ifl. Structural Floor System � 61. APPROVAL TO DECK 19. Property Sewer�Line & H6use Connection 62. Backwash & Receptor-Final •:. �: 1�. Sewer Cap 1, - � 63. Heater & Vent-Final 73. Roof Drains'--� �= 64. Plumbing SYstem - Final 14. Rough Plum6ing -" 65. Electrical�Final 15. Rough Electrieal-Conduit • 66. Solar System-Final 16. Rough Electri�q'�Wiring 67. Fencing & Access ApProval 77. Rough Wiring.$ign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - - - C^��.�+- r - :i: 20.T.Ro�gh Eactoiy Freplace �:'�' - � C"-� r� �AppqpVECCS= �Perinit # T - �� u F� i ji�• � ��-� z�r,- � . - 3� -� '._.i. ; r �c; • - _ .. y :. ; : -� tn • v: � 21,.;.DucIs, in Str:uctute: • .. .. • �,y- ,. - :, v _.70. UndergcoUnd Hydro a 22; Ducts, Ventilating • ' ��.s _ � = Q% .- j7�, produc�Pkp�ng ��6as CtOil 23^;Gai Pipe�Rough &.7est °: - ,, �. � � V ;: ;,`, ��7z, Undergropnd Flush�.� :� F. �- 24zFoofFraming �_x -.- �� ' - � �+,>73._Undergmd'.Stora9g�T�'nk'OGasrOOil 25. Roof Sheathin ! S ;` ' +' `-_.� " n'- ` - `• � - c ' � 9 : � 4 y �, } �-, ;; - a '74;; Qverhead Hydro-' ,. 26:�T�Bar Ceiling (Sttuctural) &5Mo`ocoaY= � - c*: � - 75;'Dry Chemical - ' ' � 2):`Frame aPd FiasF��a�. ,v�^,� Q. y,y,�1 � 76'�.D'ry �Stan�i�e �.� '� S ` - �28� Lathing;8c Siding �:. �; ^�q�i c:�.c °.E ^� �> 77T FIXED SYSTENj•�INAL' V'=. . ''29. Insulation ', .�; '� a ' �� ' "' 'r "' � 78�?FIRE PREV. FINAL .r � .x . � � - . s ��30. Drywall�Naiting,�; • :�: �i" ' � P HEALTI+DEPT. RE�UIREMENT _ 31. Plaster Brown Coa� , � ,. _ S ,J9:"FINAL INS2ECTf�1N � _ ' ' y32.-Electrical Pmver Met¢r-Final � r � � U �: fi r�80:•.POOD CERTIFIEATE ISSUED �* �.33rFio`al E�ctn'c ' ' ,- i �. � ' �� : ,`s .n.NoFes: 5 "r R � J -�„': V• 1 .- �-. , . �Y •�. � ;34;-Finsl Heatiny & Ai�� 'onditiorung, ; C � : ; ; ^ ,-�i` - .r' ` ,- - �35; Final Ga2 PiPB-Te,sr ,4z _ - ". . ".'� I . . '�� i i $6THOOd orZCanOPY_ + ,7� 'r' . ..5 . '� 3" ,9 �t � r . r'T • 37=�Final Factory Firedlacep ��' _ ^; ! �' . ^ r o?. _ .. �. . .... .. ... . e .. � x !V �:�38�Final Plumbing �', p; , _ � r S - .i �,. '�39.-Water Service��Final � � � � '' �'� �' C" '�� • '> r. I tt + '/ ;40:i'Gas Service�Final ' � ��, S " ,- i `-� � � . ' � - �"41^Solar pomesticFirrelr ' � •• � � � �: " � .`r x I .T� ' ' �`42:'�Backflow Prevente.'r, : -� :� - «' . �:��: � _ " _ � �' z 43. Backflow Iroigatiori ;r a =� p ^ . ` � j,-'�-.' ° � � c 44. Landscape �rrigation System�`-y� l� � • . - -:. �� ;, 'i � - o �'45._Sound Attenuation ��7�- . " * �- - `-'� " - •_. ' '� 'x'` . �-- � - �n J �.+; � - �-,46.-Handicap Regulations � 5 � � '`' �� `.,,„ � : ; " � , R 1 - �- ��47:,FINAL STRUCTURE & BU�LDING� � � � " =C^� r r .,48 v a 3 q y ,, � • r 'C � � :� �r ... � y -49.=Electric Release to.E ison - � ' i = " a, r = •"50.; Gas Release to Southem California Gas C`o ; I �, * ; `_ . ^ rt � � �'. �51. CEEiTIFICATE OF; OCCUPANCY k :�� ii �:i;, +,� ' 4 No. Date OWNER gTATE-WIDE Developers, Inc. JOB ADDRESS 3452 Hollow Brook Circle GENERAL CONTRACTOR $� APNo. ' ' OT TRACT INSPECTIONS i nature SOIL GAS WATER � ROUGH PLUMBING PROP. $WR. LINE � HOl15E CON. E SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING ANO AIR CON�ITIONING TEMPORARV SERVICE OR POLE UNOERGROUND � POWER � ROUGH WIRING TRENCHES ❑ FORMS � STEEL REINF. FLOOR SVSTEM C BONO BEAM STEEL REINFORCE SHEqTMING �� d FRAME ANO FLASHIN d LATHING — IN OUT Q— PLFSTER, BROWN CONT m � STRpCTURAL,FINAL HEATING, VENT., REFRIG. AND A.L, FINAL PLUMBING, FINAL ANO GAS TEST A�/I BUILO FINAI DATE q_; BUILDING P RIP710N of WORK Res.�i ZONE VALUE$ PE V GROUP SUBCONTRACTOR ,L _ zor+e R2-cP �— _ 41Ri� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely PAIL ..r.Y 13-7C-�.��.�0 fi25� *� -?.3E.2? APPLICATION FOR BUtLDING PERMIT AooAE"s53452 Hollow Brook �r -z.� OWNER S -W'd e In A.P.NO. B— MAIL ADIDRE S c3YS2 Z aooAess 9461 Grindla a t"'� cirv C PeSS No 826-4550 TRACT 8k5 Zz Q CpNSTRUCTION �' O y LENDER am J � BFANCH JN OWNEP I m J AD�RESS m ARCHITECT TEL J a Ol;mOW0301C N w 2 ADORESS 17848 Sk P ZONE a w APPROVED W Z CONTRACTOR B�' �O ' m� aooRess 9461 Gri ndl ay VA�UE w W TE�. Z�NE NO.OF USE OF NEW �= CITV NO. .Z"C P�� Z BVILDING G� Z F � O STATE CITV YAqOSAPPROVE y¢ LIC. NO. 2247� � LIC. NO. MAIN BUILDING � O (FROM C/LSTREET) OF LOT 12.093 acres NOW ON LO � RONT FT. USE OF EXISTING BLDG. $ F� SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES l. SIDE FT. U EMERIOF WALL a er ROOF x�/� COVEFING COVEFING FEAR � FT. J USE OF BUILDING ANO WOHK TO BE PERFORMED DISTANCE BET. a MAIN BLDGS. Qa q�r ,/ - d mi i ms CUF �(�-7J/ � APPROVE� H � Z HOLD FOR S: EC O U1 �areby ecknowlatlpa thet I �eve reed this application entl ctate = that tha ebova iniormetion is corract antl epree to comply wlth � nll laws reBulnt4np builtlinH construcNO�, anC 1 shell �ot employ F eny pe�wn in vlolatlon of Ma workmen'a compensallon laws of y t�a State of Califarnle. ? I hereby cartify t�nt 1 am ploparly Ilcenaotl as a con[rOctOr unCar SQ. FT. Nu State oi Califarnia flusinass antl Prolesslons Cotle, Divleicn 3, THE AMOVNT SM< Chaptar 9, entl that such lican�es e�e In �ull foree antl ffaet, or I THE PURPO6E OF E em ozompt from Na provlsions of l�a $tate of Cellfor ie Buainan VALUATION entl Vrofesslons Cotle, Dlvisian 3, CheptarP9. � �,� � s�y�,t� State-Wide Devel er nc. Pormlttae ..,. � Au[horlxatlAOent . V�CB:P.Pesident r� BET. MAIN � BUILDING m W 0 UNDER VAI,UATION 1S FOR ' LISHING A PERMR FEE ONIV: � ¢ m RMIT FEE $ / � � � AN CMECK S �O E o` LL ITAL FEE $ ��