HomeMy WebLinkAbout3454 HOLLOW BROOK CIR - Building PermitsPflOJECTA�UflESS: 3454 HOLLOW BROOK
OWNEfl'S NAME: VILLAGE CREEK HOMEOWNERS
aooness: ASSOCIATION
3429 TIMHER LAKE
CM VA 92626
UNIT:
RflCH/ENGINEEP: CHESTER CARVILLE flEG.NO.: CSg3OS
aooRess: 7922 ARMOUR ST ueiT:
S.D. CA 92111
PEXMITTEE: PHOENIX ENTERPRISES INC, (213)690-9559
aoosess: A l l COMERCIAL WAY
LA HABRA CA 90631
UCENSEO CONTPACTOH OECIABAiION: I hereby a�firm that I am hce aer pmvisions o� Chap�er 9 �commencing wiN Section
]000) of Oivaion 3 oi ihe Business antl Pmfessions Code. antl my h s i n �ull�orce antl e�i
aTruc: 50 8_ Tgr,�uc.:376639 c ss: B
wee: — � ` U sig�am�e: — _ _ C/�
WOflK S' COMPENSFTION OECIAXATION: I hereby aflirm �hat I have a certi�icate of consent lo sel4insure a cehi�icate o� WoBers'
Compensaiion }�s�y¢:p� o� �c9�nhed copV ��ereot (Sec�ion 3800, Lah. tJ.l � 1� 9 1
POLICY NO.: CAVCOMP S F IRE EXP. UATE: V
�OMPANY:
CeNfietl /c�py is here�y �umished. ❑ CenifieU copy is tile , l e' BuilOing � i
Date: /` � � `� ApplicanC � �
EXEMPTION FflUM WORREflS' COMPENSpTION UECNNNTION: (This seclion neetl nol be comple�etl il Ihe permi� is or one hundretl ($100) or less).
I cenity tha� in Ihe pedormance of ihe work for which Ihis permit is i55ue0. I shall no� employ any person in any manner so as �o become
subleq Io Ihe Warkers' Compensa�ion Laws ol Califomia.
Da�e: Signalure:
NOTICE: I�. alier making IhiS tleClaralion, you S�ould 6etom¢ Su�letl �o Ihe Worker5' Compensation provision5 0� Ihe Labor
Code, you musl Iarlhwiih comply wi�� such provisions or this permi� shall be aeemed revoked.
CONSTXOCTION LENOING RGENCY: I here6y aflirm Ihat �here i5 a COnSimCtion lending agenCy fOr the perf0�mance of the work �or
which Ihis permilis issued (Section 3097. Civ. C�.
lENOEB:
nooxEss:
CITY OF C057'A MESA — BUILDING PERMIT ,
PERMIT NO: B 099835 PLAN CHECK NO: 06935-90 A > , ,
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PORPOSE: REP
JOB DESCRIPTION ; REPAIR SETTLEMENT DAMAGE SQ FT; 143
CLAIM VALUE: 14,388.00 CALC—VALUE: 14,300.00 GROUP OCC: R-3 /
COMMENTS: BpILDING SETTLEMENT REPAIR/FOUNDATION
�*�t�t*�t*�r� *�r�tx��r*�r*+�*+r�r*�t�tx�** �t*****�*�t�r*�r��r�t�*****���+e �r�****�*�******�x�*�r*****�r�t*�e
Z O N I N G A E Q U I R E M E N T S
S E T B 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 IN LEFT; FT IN RGHT: FT'? IN
PARKING REQ• PROV; PARCEL; 93506129 ZNE: R2 REF NO:
PLANNING Nt5TE5� REPAIR EXISTING FouNDATioN. HOLD FOR SPEC[AL REQUIltEMENTS
if ak if if iF iE iF 1E if IE 3E if if iE iE If if if iE if iF iF ik iE �f if �F IE k if if �lE if if iE �E IE If 1E �E IE itiF if if �E �IE iE �f �f iE 1f iE 3E iE il�F if If IF af aF IFiE 1F ib iF if iE if �F 3E iF �E jE iF 3f K�t
ll E V E L O P M E N T S E R V I C E S R E(j U I R E M E•N T S
ZONING APPROVED BY :� �L� � UATE; �,�� ,'b. � �% D
BUILDING APPROVED BY : t�_> t L Ci!-�d�l DATE:,��
APPLZCATION ISSUEA BY• DATE:.
�flfiEifiE*iEiFiFiFiEiEifiFifiEifiFifiElEi(� � lFlfiEiEiFiFif3ElEiE1F1E�F'iF'iF'��{flfif
ififik3flFiF�lFif7EiFN-IfiF�f3f1fN�IfIFiEiElFiEif1E IE�1f3EiE�N�fFif llfiEiFlEiFififitlklkfE3E3fiEiEiElfifiklfifiF3EiE1FIFK�ififlFlflE�FiE3fif�F�E1EaFifiFifif
LEGALIZATTON;N F E S U M M A R Y STRUCTURAL SEGMENT:Y
OWNEF901LUEflUEtIABRT10N: Iherebya�tirm�hatlamexemptlmm�heConVactor5'Sta�eLicenSeLawlorihe�allowingreason BLDG PMT PLUMBING , ELECTRIC MECHANIC FIRE Shi1P/RES GR�IN�'i
�Section 703t.5 Business antl Pmfessional Code: Any ciry of couniy which reQuires a Oe�mil to consimet, alter, impmve, Oemolish, or PERM I T ' 16 2, 0 � .
repair any s�mciure, prior lo i�s issuance, als0 reQuires the applicanl lor such permi� to file a signetl s�a�emen� �ha� he/she is licensetl � S�„I I P �NON—RES
pursuant �o ihe pmvisions ol ihe Coniracmrs' Siate License Law (Chapter 9(commencinA wilh Section 7000) of oivision 3 oi Ihe Business pLAN 2O ,.� 3 z, 1 5
antl Pm�essions Cotle) or Ihal he/she is exempt theretmm and Ihe hasis �or �he allegetl exemption. Any viola�ion o� Sec�ian 7031.5 by ISSUE FF.E
any app�icant �or a permit subiecis me apvlicant m a civi� penaVy o� not more �han �ive hunOreO aollars �5500). BUILDING—D 1 V—> PEFiM IT I$$U$ PLAN—CHECK TOTAL PAID DU$
i. as owner oi ihe pmpeny or my emPioyees wnn wages as iheir soie compensation, will do the work, and me TOTALS----> 164 . 1S �.00 26. 33 190. 48 190.9$ , 0�
� stmcmre is not inten4e0 or oflere0lor sale (Section 7044. Business an0 Pm(essional Cotle: The Conimclors' State License Law .,
'{ does no� apply lo an owner of a prop¢tly who builtls or impmve5 ihereon, and who Joes such xrork him5ell/h¢rsell or ��mugh
his or �er own employees, pmvided Ihal such impmvemen�5 are nol in�entletl or oflered br sale. I�, Aowever ihe huiltling or RE VENUE D I V I S I ON TOTALS --> � COLL ECTED • 19 0, 4 8 OVER /SHORT • 00
impmvemem is som within one year o� comp�etion, me owner wi�� have the bumen ol proving ne/she eid no� bui�0 or improve BLDG PMT PLUMH ING ELECTFi IC� MECHANIC F IRE SMIP /TOT • GRADING PLAN—CHECK
for �he purpose ol sale). 1 6 � , Q � r
I I, as owner ol Ihe Ompehy, am ezcWsively contracting wiih licensetl contrac[ors lo cons�mc� �he pmlec� (Sec�ion 7044, Business � 2 1 5 ' 2 f1 3 3
❑ antl Pm�essions Code: The ConVactors' S�ate License Law tloes no� apply [o an owner ol pmperty who builAs or impmves ��ereon
antl who contracls �or such pmlects wi�h a conVac�or(5)license pursuant �o ihe Conirac�ors' Sta�e License law). I am aware
Iha� proof ol Iheir WOBer's Compensation insurance shaultl be pmvitlea to me.
� I am exempt mCer Secbon: B. 8 P. C.
�or �his reason:
�ale'. Owner
I tlo hereby cetlity Ihal I am aware ol anU unUer51an01he requiremenis of Calilorma Heatlh and Salety Cotle Sec�ions 255�5, 25533, antl
25534 antl ��at I ar any fu�ure bulldmg accupanl willlwill nat (circle one) need to comply with saiU Slaie cotles antl ihe reqWrements for a
Oermii lor conslmciion or modification Imm �he Nii Ouabry Managemeni Disiric�. Residen�ial consimction applications are exempi fmm
Ihese pmvisions.
i
Date: Applicanl:
I hereby cer�i�y��at I have reatl �his apPlicaiion and sta�e Ihai ihe a ve ni r a�ion is cortect. I agree omply wil� all ci�y ana counly
ordinances and s�ate laws rela�ing to builamg conslmclion and here a ar epresemaiives ol 1' e �er upon Ne above�memioned
pmper�Y 7 r'nspeciion pur o/se�s.
�ate: �/ — —" SignaWre:
ori�ers �icense or Soc�ai security x:
t6a1-46 W�ue—Builtling; Green—Code Eniorcement Canary—Ap01¢anL P'mk—Revewe'. Goltlenwd—Assessor
IE iF iE if 1F iE iE iF iE IFlF iE iF �F iF iE IF if iF it IF 1E iE iE If k 1E !F IF iE iE IE k iE ik k M iF ik iE iE iE �F IE itlF if if If if iF if iF iF 1F iE 1E�f i63f iF iE iF iE fF 3f if if IE )f if iF �F iF if iE i! iEif
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
SF'C 143 FOiJNDATION HY VALUE PER $100 100.00 19,300.00
END OF FEES
Oi �]Q'�.?�9n_—� ���: .9:0 :'t'sT r
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CONSTRUCTION AND PLAN�NING - PC SPA
APPROVAIS Permit # Date Inspector p�ppROVALS Permit # Date Inspector
1. Temporary Electrical ServiCe or Polp� � 52. Pool & Equipment Location
� �
2. Soil Pipe-Undrgrnd. _ 53. Steel Reinforcement
��er,. - �1- -
'. 3�,Electrical;Con�it UtilitY�Undrgrnd_ ;- 54. Forms
=• �4!'Electrical Conduit-Uhdrgrnd. J 55. Electrical Bonding
��,5:' Sieel Reinforc�mer� ,. 56. Rough Plumbing & Pressure Test �
:�.6r Electrical,UFEfl�Grnd. : a: 57. APPROVAL TO COVER�GUNITE -
�=-7cFooting`s'�� �� �� . � 58. Electrical Conduit-Undrgmd. '
c_$. Foundatio'n ,y � j `� ' 59. Gas Pipe, O Undrgrnd., Test �
�%9. Water Pipe�UniJi�nd. 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Flooi System ' 61. APPROVAL TO DECK
t�{. Property Sewer>Li �& Hause Connection ' 62. Backwash & Receptor-Final
r,
1�2. Sewer Cap �'" � � 63. Heater & Vent-Final
13. Roof Drains-• �2 64. Plumbing SYstem - Final
74. Rough Plum6ing "- 65. Electrical-Final
15. Rough Electrica'I-Conduit 66. Solar System-Final
16. Rough Electri( Wiring 67. Fencing & Access ApProval
17. RoughV�iringSi9� 68. APPROVEDFORPLASTERING
18. Rough Electri1l-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
' _ _ _ O• h-<<�. - �r. �
20?'Rough Eactory Ficeplace �:n: �2 ^ = ' - � Y t'APPROVFcL+S;=GPerfinit # ' } _
y ':A '<,'r l��_ •� L r x: T �C�l-H x
'_ ' ' _ I t- .^ w . " "' s S �. - � F? h .
21 :'Ducts, in St,uctwe; � , .. 'r � t �M �.;:: ;. � - 70. �Undergropn� Hydro
22. Ducts, Ventilating� i i:�S � �+.x x=7�. Product �ping ��as �Oil
n v ti ' �♦ f
23.-.Gas Pip�=Rou h &`7est . _ _ "�' � -'� � ' '.° �.
9 :�r, � y C�. _- .72• Undergronnd FluqFi,,� .
. � - .. ... .. _
24: Roof Framing y -.- �� ' -�y.4 Y::73" Undergrnd. Storagg.Tank:�O Gas O Oil -
25. Roof Syeathin �' .'- `'' "' t`� _ •�'.".. �� ��;J'' �'
9 �x ,:; r. 74',0verhead�Hydro-- ,
26. T-Bar Ceiling (Strlicturall &�Monocoat.=. :� - t,'�^ r 75' Dry Chemical �� � _ _
27:-Frameand Flashio� ;° r `'' 76 'Dr �Stand�' I'e -'`' '� 1"
c �tti�:. Y L: Y P:P �¢�
_28�: Lathingr&$iding��._ -Ki�� �i��� �+;F •� ••� r� • 77- FIXEDS-YSTE~M•^INAL•' � �
`29. Insulation � , s:� �- �' " � `; �� ��'' .I _ � y 78� PIRE PREV. FINAL -
: l y.T _. � .� `.!. ` .
: 30. DrywalbNaiting,..x ' � �> MEALTH�DEPT.�REQUIREMENT
-, 31. Plaster,Brown Coat _ � ��,�. � -, ; �, j ; � 79�-FINAL INSPECTION , ' '
- 32- Electrical Powerlyleter-Final � " " ��. ,,; �'� � � > , �-SQ:;FOOD CERTIFICATE ISSUED �.
,
_33:�FinalEfectric `�x � • 7`, fiT � �'�r=�Noies _� ' _ G �
,i. r•i•
�' �" .- el � ~ i -- u:.1 .. -. .i n. +. >
� 34- Fi��l Heating & f�if GFonditioni�g :p , � .. ;; ir _ - �� i " �
..
35� Final Ga"s Pipe-Test �- - ' 1 i ' ' �;�' '7�= '" �
' � ,5 ~ a_ � / /
,.36., � ; . � ��;- - i ►� � - -�i 9
�'Ho¢d.oi'Canopy�.;; ; , - �,;'
� .... . -�� . rt] � � � � a. Ot'1
- 37� Final I�actory Fireplacer ? �;F: �. ,% � - , , �
_ 38_ Final Plum6inq � : `�,_,i , .. .. .� i � ' �, ��, • � ���-, � :+ a
' 39:� Water Service��Final� � � -1 = � , i , 1 r ` �'�
- xs• � rh.•.
�: < � , r..�, .
�„40. Gas Service=�Final , .�.,_ :. .r _ I �- r ,��, , �y
.�41�Solar pomesticFinal-> ' �• _ � ' f; > `w� � - . _
y _ ,. ., - :`
-42. Backflow PreventeP -- !�: a. � ., � ' � * V; ' . � _ .
43. Backflow Iraigation ��'�s C' '' H�j,j)•FOR �r���y ����
: -,
. . .' ' _ _ . _ :J
-� 44. Landscape Irrigation System, � r � . � - - � l� � ;� .:� - x � in a
� ,. - . - . _ .. ,� ... _ - _ .
�' 45�. Sound Attenuation ��`- . `�' � �. �- - � '- ' ; - :=' '�'4 �+- �Y
-, �- �,. r,-'• - r- :+
� 46: Handicap Regulations - �` �� ��' ; � � �". �� � ;
r� 1 'i
"47,.�FINALSTRUCTU�RE&BOILDING �' � � : S.� �_ '
�
48:.F+i^ '�.� �- � 7 �z' - - ._
h ii�. ..a >. l.� �� t �
-; 49;Eleqtric Release to dison i _ •!=� � �� � �� �
- � i
•. 50. Gas. Release to Southem California Gas`Co ' ' ` � '=''"•t : .":
_ .•i i <,�1' _
,�51. CERTIFICATE OF OCCUPANCY ; � ; ;l , . ;,, i:�.� �j�, ; �
No. Date
UwNtk STATE-WIDE Devlopera, nc. DA7E 4-28-76
JOB ADDRESS 3 Ho low Brook Circle BUILDING PERMIT N0. 41823
GENFRAL CONTRACTOR 58m0 DFSCRIPTION �f WORK e8. W& ReP84Le
P No. � - �"EOT TRACT FIRE ZONE VALUE
JSPECTIONS Siqnm�.e Dmi+ TYPE GROUI
DIL � ���7
q$ i7��T �I .l V O�. V n 1 R M l. 1 V R
PROP. SWR. LINE U HOUSE CON. �
SPfi1NKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CONDITIONING
TEMPORARV SEftVICE OR POLE
UNOERGROUNO � POWER �
ROUGH WIRING
TRENCHES � FORMS � STEEL REINF
FLOOR SYSTEM
BOND BEAM �] STEEL REINFORCE �
SNEATHING
FRHME AN� FLASHINfY
LRTHING — IN OUT
PLASTER, BROWN COAT
STRUCTURPL, FINAL
NEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST �j-J( ':
ELECTRIC. FINAL
! , d ��!
COSTA MESA BUILDING-SF
P.O. BOX 1200 COSTA MES�
For Applicant to Fill
BUIIDING
ADDRESS 34�
OWNER S ate-�Jide Deve
ADDRESS 94 � G
Z .
a U c�T� Cypress
Z Q CANSfRUCTION
ON LENDEF
am
J � BRANCM
J N
m J ADDPE55
m ARCHITECT
J � 8R�W6NOEL�
U
w� ADDPESS 17848 Sk Pa1'k @
aW
J O CONTRACTOR _
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J ¢ .4DOPESS
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, O STATE __ ___
� Patb /[
�;,Y 13-7F��.��OO b24n "���VJ• �_
:PARTMENT
RNIA 92626
te1y APPLICATION FOR BUILDING PERMIT
RECEIVEO BV DATE RECEIVED qTE ISSUED
� �
!%JZ^2 %�— / 0 2 PERMIT NO.
IiIC. A.P•NO. —
ADDRESS C3q✓'�� /V���� «
No.`826-4550 TPAC��� LOT BLOCK
W
X
OWNE � �
TEl 1 Res w/att gar VALUa
Na.��F_SF�n
FIqE
�"�/j(�e 20NE TVPE GFOUP
APPROVED
p gV DATE
ZONE NO.OF USE OF NEW
JO`�26-4550 2L C �' P�'� � ���aNG
V VARDSAPPROVEO VARDSAPVROVE
tn�a i m�. n�w. Fi I/ FT
F SIZE OF NO. OF
Z MEWBLDG. ROOMS STOflIES L.SiDE � FT FT.
a EXTERIOFl WALL � a ter ROOF 44
V COVERING COVERING REAR � FT. FT.
J USE OF BUIL�ING AND WORK TO BE PERFORMED DISTANCE BEi. BEf. MAIN &
a MAIN BLDGS. ACCFSS. BLDGS.
a
Q VAR.aW .�F DATE
O 1 _ C.V.P.qs4� �' `� APPROVED '�
y APPfiOVEO � � �/
V V
p HOLD FOR ;, ECI REQUL2c,1' -\T$
. U I heroby acknmvlatlBe t�at I �ava reatl this epplicetion end stete
= thet the abova iMormaHon is corract entl apree to comply wlth
� all lewc repulatln0 builtllnp conttruction, antl I shell noi employ
� ony person tn violation of the workman's com0enaallon lews of
y Me Smm of Celifornie. �
? 1 heroby certify that 1 em D�oporly Ifcensetl es e tomrector unCar SQ, FT, _ O
the State of Celifornie Businesf antl Ptofaulons Cotla, Divisicn 3. THE AMOUNT SHOWN UNOER VALUATION IS FOR
Cheptar 9, antl thet sueh licanses era In fuli force entl etfxt, or I THE PURPp6E OF ESTABLISHING A PERMIT FEE ONLV: Q
em ezempt from Me provlsionf of Na Stata of Cali ornie Businaas VAL ATION
R'� PERMIT FEE $ m
entl Profassl C tle, iyi lon C�e ter 9.
3"fa$e-P��e eve`�op s Inc. -���1 �
Sipnotura o / m
Parmlttea ��_ $ f PL,AN CMECK S • E
Vice President '
Autholizetl ABent � LL
TOTAL FEE S