The URL can be used to link to this page

Home My WebLink About3421 PINE BROOK CIR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DFIVE, COSTA MESA, CA 92626 Job Address: 3421 PINE BROOK CI Suite No Vicinity: Parcel Nunmber: 93506095 Applicant: SZABO, KEVIN Address: 2737 S CRODDY STE D SANTA ANA, CA PLUMBING PERMIT Phone: (714)241-1414 Zip: 92704 Owner: WAKEHAM, BARBAR,4 JEAN %MARTIN, DOROTHY M Address °/,EHRHORN, F ROBERT COSTA MESA,CA Phone: 3421 PIN� BROOK CIR Zip: 92626-7738 Contractor: COAST ROOTER PLUMBING HEATING & AIR CONDITIONING Address: 2737 S CRODDY Arch / Eng : Address: ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clanfier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Ezpansion Tank Gas Earthquake Valve STE D SANTA ANA, CA WATER MEATER CHANGE OUT. AMT 323.50 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 so.oa $0.00 30.00 $0.00 $0.00 $0.00 $0.00 QTY Phone: (714)241-1414 Zip: 92704 License: 529127 Phone: Zip: License: SCOPE OF PERMIT FEESUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigafion $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 on 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Status: ISSUED Applied: 12/16/2003 Issued: 12/16/2003 ISSUED BY: SumpPump Swimming Pool Trap Pnmer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (foilet) Water Heater/ venl Water Piping (Inst or Rep.) Water Re-pipe Water Service AMT $0.00 30.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under California staNtes and related regulations. (Ord.�No. 92,28, § 1, 12-21-g2) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all epplicable codes, and all requlred inapectlona and final approval must be obtained. Failure to obtain inspections and final approval will resutl in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaae-ae �eroo� WORKERS'COMVENSATON DECLNiAnON: � I hereby eMirtn untler penalry oi perjury one ot ihe following declarations: ❑ I have and will maintaln a cenilicate of wnsent to selt-Insure for workers' compensalion, es provitletl tor by seclion 3700 of the Lebor Cotlo, fOr Ihe peAormance ot Ihe work f hich this permit is issued. ave an0 will maintein workers' co ensat�on insurence, as requiretl Oy sectlon 3700 oi Ne LaGor Code, for the peAortnance ot ihe work lor wNch this pertnit I5 Issued. My workers' compensa' Insuranc wrri4r nd olicy number ere: Cartier. Policy Number: (This secf/on need nof be w /efe0 �! fAe it is velued af one huntlred dollers ($100) or less.) ❑ I certity that in the rmance of t for w�ich this pertnil Is IssueQ I shall not employ eny person in eny manner so as lo become sublect to the workers' compensetion lew Celifom�a, en a e ihat If I should bewme sub�ect to the workers' wmpensation provisioi��lon 3700 o�the Lebor Code, I shall forthwith comply with thes o' io . �� Applicant Siqnature: Deta: �}— �— WARNW�:FAIWRETOSEC RE ORKE ' MPENSATIONCOVERAGEISONLAWFUTANDSHALLSUBJECTPNEMPLOVERTOCRIMINALVENALTIE$ANDCIVILFINESUPTOONEHUNOPED THOUSANDDOLLARE�5100,000),I ADdITIONTOTHEW$TOFCOMPENSATIqJ,DAMAGE5A5PROVIDEDFORINSECTIpJ3]OBOFTHEIABOqCODE,IMEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am torca antl eflect. Lic. q Contrectofs Signature: Chapter 9(commencing with Sectlon 7000) of Division 3 of the Business and Professions Code, and my license is in full Cleu x (�� Date: CONSTRUCTION LENOING AGENCY: 0 I �ereby eflirtn Ihat there is a CA�struction lending agency tor Ihe pertormanca ol ihe work for which this pertnii is issuetl. (Sec. 3097. Civil Code). Lendefs Neme: Lendefs Address: SignaWre: Date: OWNER-BUILDER DECLARA710NS: I hereby ettirtn that untler penalry of perjury that I am E%EMPT FROM 7HE CONTRACTORS LICENSE LAW for ihe tollowing reeson (Sec. 7031.5, Busineu end Professions Cotle: Any ciry or couNy which requ�res e pertnit to construc4 alter, improve, demolish, or repair any structure, pnor to Its issuance, elso requires the epplicant tor such permit to tile e signetl statement ihet he or she is Ilcensad pursuant to the provislons of the Coniractors Llcense Law (Chepter 9(commencing with Sectlon 7000) of Divislon 3 ot the Businass entl Professlons Code) or that he or she is ecempt Iherefrom end the basis tor the alleged exemption. Any violetion o� Sectlon 7031.5 by any applicent tor e permit sublecis the epplicant to a civll penalry ot not more then five hundred dollers ($500).): ❑ I, es ownar of ihe properry, or my employees with weges as ihelr sole compensa0on, WILL DO 7HE WORK, and the struaure Is not intenaed or oHered for sale (Sac. 7044, Business and Professions Code: The Contracrors License Lew does not aDPly to an owner ot properry who builds or improves thereon, antl who does such work himsetl or herselt or t�rough his or her own employees, provided Ihet such improvemenis are not intended or oHeretl for sale. ��, hawever, the huilding or improvement Is sold within one year ot completion, ihe owner-bullder will have �ho burdan of proving that he or she ditl not build or improve for purpose ot sele.). ' ❑ I, es owner oi Ihe proDerty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS ro construct the pw�ect (Sec. 7044, Business and Professions Code: The camrectors Ucense L.ew tloes not epply �o en owner ol proparty who bullds or impmves thereon, antl who coNrects lar such project with a contrector(s) license pursuant to Ihe Contradero License Lews.). ❑ I em exempt untler sec. BuSiness end Prote55ions Code for ihis reason: SiqnaNre: Date: Owner ID vediled by tlrivefs license, ❑ Yes ❑ No Dnvers LJcense No. Venficatlon ot Ownership by (rype ot document, i.e. - properry tac bill or tleetl): Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICA710N: ❑ I �ereby certity ihat no excava�ion five (5) or mora teet in depN Into which a person Is requlred to tlescenq will be mede in connectlon with work authonzed by this permit, end ihat no builtling struciure, swftolding, felsework, or tlemolition ar dismantling thereoi, will he more �han ihirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tlile 8, Celllomla Adminis�rative Cotla). ❑ As owner-builder, I will not employ enyone to tlo work which would require a parmit from t�e Division of IndusUiel Sefety, as noted ebove, unless such person hes a permil to do such work from the division. Signature: Date: Division of Industrial Sefery Pertnit NumDer: CERTIFlCAlE OF COMPLIANCE AND AUTHORVA710N OF ENTRV: I ceniry under penalry of perjury that I have reatl this epplicalion end state that ihe informetlon given Is correct. I egree to comply with all std�e laws end ciry ortlinances releling to Gullding construction, an0 authonze representatives ot the Ciry of Costa Mesa to enter upon the above-descnbed properry for inspectiai pur{�,ses. I egree not to occupy or ellow occupancy of any building authorized by this pertnit until finel inspection. [397�'�IiF9Jidi[97Y�7�q 1fit6 Fixetl System Flnal Fire Pre�ention 12fi6 Pool Spa Finel 200 Final Re-Rool 201 Finel Block/Retaining Well 202 Finel Feciory Fire Place 203 Finel Sign 204 Finel �emolition p1TE �$ ��i It � .: : COUE� INSPECTIONTYPE 206 Final Mechenical 208 Final Plum�ing 210 Finel Eletlritel 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final BuiltlinryOccupency � ,� i610 C� moxasoFauaoua: 3421 PINE BROOK CI a.�xsru�eivaiavn:HOH EHRHORN .00aEss:3421 PINE BROOK CI r •',wR. �uima .00xEss: i �IRECT OA ENf�NFEP: WCH OH ENO.'4 AUD11E53: carm.crarswu¢:NOCK PLUMHING cwm�croirswaimo11610 SEAHOARD CIR �� STANTON 90680 110EN5ED COMP�CTOFS DECL�flATION: I M�sby Nim uMw pwly d (�}��0 �ilh Section 1000) d Oivision 3 W Ne BuriMsa md Prdwmra i ,r,Mu;.No.050�86 iGc.cuss:C-36 uc.eig,G uNr: CI'PY OF COSTA MESA — BUILDING PERMII' FLOOD: AO-38 PERMIT NO: P 080973 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU uc. ra_ JOB DESCRIPTION : C/O DISHWASHER PERM NO; P 080973 GOVT: N SUPP: N SQ FT: PURPOSE: OTH uxr: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / (714)895-1246 COMMENTS: NO OTHER WORK AUTHORIZED HY THIS PERMIT CA ucw: 707775 **+rx�*+r**�*��***��**+�***�********�***+�**�r*�t*�*rt**��t*�****��***�x******x***x�� M, Z O N Z N G R E Q U I R E M E N T S - mm i� i�e � a�.� a cneq« s S E T H A C K S a�v fesm e m 1u01uu end dlep. /AS EXP_: 02/97 Dme: � `t Gamaa«: � /`� �J EN BUILDE OECIAHATION: I hxeEy effirm uMx pauly d pmjury �hm I em e�emq Ivn IM Ca4redon lioema lew la tlw '�owiq reewn (Seeim �O11.5 &nrose vd Rdeaebne Code: Airy ciy a caunlY �� eVuirea e pmnn �o oomhucl. Mm. impwe. md'oh, a npei ury evuduro: prior W ee eauenee, ebo �uires ihe eppfirant la eueh permE to fib e sipned �teiemani tlut M a ehe i kcmyd WnueN �o �M prowiom d �he Comretlon Liceroe lew �Cheqm 9(mrvnmoiq Milh Setlun 1000) d Dwsion 3 d Ihe a�nin.n ene Rofm.un. cue.I o. �w he «.M o vema �nerNmm ene ine b�. �« me e0eped ss«�wo�. Mrv �idmion a s.aon )031.5 b/ ury epplirenl la e pem�d wbjecU �M epplium to a wil penatly d nol man Ihenlxa hwkred EoOu� �f500D. p i.mo�,amewoo�ramv«�dw�...n�o��ine:.de�o�w�,.,�neou»,.�.�ew..��m�a��iemae «merea k. we (sec6an tou.6usiron ene Adm.ion. code: me conveaon licwe lewaaea m� roW ��^ ownera ympeiry wln Euida a inpram the�son, uM wM10 doee euM xwk NmwX w he'eM a Ihrouph ha «her ovm empbee�, povided tlm euc� impvremenb va nd inteMeC a dfaad tu �eb, tl. Mwv.u. �M bWEiiq a inpmanwa u eoN wnitin ons Yev d mmple�ion. Ne owrorbuilder xill have IM Widri N pwiry he u sha d'd nd EuiM or impo-ro la IM q�ryma d vb). � I, m o�mer d Ihe prapaM. � a�dusiveN �Irediq wilh lioeneed canVec�on w canmutl ihe prqad (�� ]01d. Bus'uime enE Proleaiom Godo�. The CaNredae Licanx Lew doee rwt epply io en owner d O�MY �o Euike a impavea Iheraon eM who convecia lor urh pqeda wnh e mMretlmle) IcerueE Wnuenl lo �M Conlretlas Licerue lewl. � I am uemq wd« Seciion: 8. a P.c.. M ihie �eewn: Deie: O�mer. I Colw�eby eenily ihel I em ewue d eM uMeniend tha reQuiremanb o/ CelAomu MeeM vd Setery Code Sediam R5505, 25533, eed 255�1. eM tlw 1 v vry Mure WilCi�q arvpent xill / wil �(�+Rb me) reed io mnply wIh eeid abta mdss ud �M nquinmeMs br epwmnlarmmbudionamod'Sre�ionhamtMAi�ly arupemenlDiarcl.Raeidaiuieloum�utlionxppfutiomanwmqlmntMaa pwieiane. Dele: �GWieenL WOHKEF'SCOYPEN9�T10NDECLAIIATION:IMeW/df uMnpenMydpx'ryryonedNeldbrrinpdedvmoeu: �� I hrve eM xY mdruen e ceNlictle W ooreen to �epinwr� br warke�e' canpemnion. n pwided la by Semm 3100 d �M laEn coes. �« m. v�+�e a u» w�x i« w�n w. w�m o ro�.a. � I Mw eM xil meinten waken• comw �ion imureMe. m nauired M Sedim 9�o d iAe lebor COEe. br ihe Dadamerae d IM .�niaw�w,mmv.�amm�e.Mr..a.�G��{,��aw'r.r��ne,.,.: EXPIRES `'""� 09/O1/97 . Pa4y Nwnbr. (Thu txYim need m16s mmpbfeC ] IM pennl'p Ip ar huMred Cd/era �SfOJ) a bv.f ❑ 1 cenN � in iM pMamamw d iM wwk br xfikh �hn pemin o eauetl. I MeA nd empb/ vy pnson in em/ merviw m s ta ' ^pa,p�p wypy �n/tp woM1SY cyApeiuqion lexs d CeWarve, �� E 1 Myy+l�become aApia to tM xaken' /�ronarmmnn o�m�iMa d SepnR�)yp d�M leEa CoJe. I Ne� 1 py weA tMro pN�ysa�n � J✓aminp: FeYuriro ��eun woK�n'rompwu+tlon emerap� Is vn/lYNrind Ms/l ub/�ct en amy/qw ro erlMrolpxrltlu m0 eM� nn.. w ro ar. nuwnd ww.ne dwnn ffi W aaoA a�.mroon ro m. cwr or rnrrp.ru+uen e.m.w n weHwd ror �n s«uon 9)a or m. 6do, coe., �mr..e .�e.rtomer', �s... CONSTflUCIION LENDINO A6ENCI: I Iweby elfiem uMm pe�uM1y d perjury �Mt thxa u e mnswian bMvp epr�ey tor tM paAoimaMa d iM wrk la xAid� ihu permY u evued (Satlun 308]. CM. C). LENDEN'S NMIE: LENOEN'S ADDPE59: I unity Ilu� I heve reeE Nu epplicetion eM nma tlw the ebo:e iMametion b caretl. I epiee lo canply wrth aA my enE munry ardounw eM etme lewa relatn0la Wikip eonmrudion W MeeEy eWwrrte �epaeentmiven al ihn ury io enter upan iM ebwa�mamunaE piopeM �«inaree�wrooeesRON NOCK (5�5tJB.WP) VJhne-Buikvq 8 Selery: �rooirFle: Cenery-Appicam: Fnk-Rawnue; Ooken�otl-b�emr ----------- MAIN BUILDING --------- --------- ACCESSORY BUILDING --------- fl1ZR'� FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARICING RE(� • PROV: PARCEL: 93506095 ZNE: REF NO: PLANNING NdTES> i IE 1E 1E fF iF iE if 1E 1f fE 1k 1E ik iE iE ik 1f !f iE iE iE iE 1E if iE iE 1E 1E iE �ElE �)E 1E iElF iE If 1E i! 1! iE if iE if iE iE iE if 1E 1F 1f 1k 7E iE 1E 1E 1E iE fE 1E 1F iE iE 1E �E IE fE fE iE 1E iE iE IE IElE 1F iElE iE 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 BY : ___ DATE: BUILDING APPROVED HY : APPLICATION ISSUED BY: it 1E iE iE Ik iE 1f iE iE 1E 1k 1E iE 1E iFlE iE iE If iF 1E N LEGALIZATION:N F E E S U M M A R Y BLDG PMT PLUMHING ELECTRIC MECHANIC PERMIT 8.75 25% DATE: �i G STRUCTURAL SEGMENT;N FIRE SMIP/RES GRADING SMIP/NON—RES SUE FEE 22.00 ILDING—DZV—> PERMIT ISSUE PLAN—CIiECK TOTAL PAID DUE TALS----> 8,75 22.00 0.00 30,75 30,75 ,00 VENUE DIVISION TOTALS--> COLLECTED: 30.75 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 30.75 iF iF iE 1F ik IE IE fE IE IE iE ik iE 1ElE 1E IE IE fE fE IE If 1F iE i(� �E IF iElElE iE 1f 1F iE 1E 1E 1E 3E fE fE Ib If IE 3E 1f 1E iF 1FlElF if 1E Ik fE iE �E iE ff if 1E if fE fElE 3E 1E 1E iE �E �E iE jE fE fE 3E iE iE iE if Z N D I V I D U A L F E E H R E A K D O W N �.E� QTY D E S C R I P T I O N UNIT COST TOTAL CO3T PLU 1 DISHWASHER 8.75 8,75 END OF FEES 01 OU2214'l3—t10221473 TC�T 30.75 OATE: 12/?4/95 TIME: 09:45 �\ CONSTRUCTION ANDPLANNING P� .'SPA APPROVALS Permit � Date inspectar APPROVALS Permit # - Date Inspector t. Temporary Electrical Service or Pole 52. Pool & Equipment Location . 2. $oil Pipe�Undrgrnd. 53. Steel Reinforcement ' 3, Etectrical Conduit Utility�Undrgrnd. � 54. Forms 4. Electrical Conduit-Undrgrnd. � 55. Elect�ical 8onding . 5. Steel Reinforcement • � 56. Rough Plumhing & Pres$ure Test � , 6. Electrical UFER Grnd, 57. APPROVAL TO COVER-GUNITE. 7, Footings 58. E�ectrical Conduit-Undrgrnd. 8. Foundation - 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Scructural Floor SYstem � 61. APPROVAI TO DECK 77. property Sewer Line & House Connection 62. Backwash & Receptor-Final � � 12. Sewer Cap " � 63. Heater & Vent•Final � 73. Roof Drains 64. Plumbing System - Final 74. Rough Plumbing � 65. Electrical�Final � . 75. Rough Electrical-Conduic 66. Solar SYstem�Final 76. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign � y$, APPROVED FOR PlASTERING 18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL }�9. Rough Heating & Air Conditioning FIRE DEPT. fiEQUIREMENT � 20. Rough Factory Fireplace APPROVAIS Permit # 21. Ducts, in Structure . 70. Underground Hydro 22. Ducts, Ventilati�g � 77. Product Piping O Gas ❑ Oil 23. Gas PiPe-Rough & Test 72. Underground F4ush 24. Roof Framing 73. Undergrnd. Storage Tank � Gas OOiI 25. Roof Sheathing � 74. Overhead Hydro 26. T-Bar Ceiling (Structurall & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. F�RE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 37. Plaster 8rown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Fina� B0. f00D CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Condrtioning 35. Final Gas Pipe�Test 36. Hood or Canopy ' 37. Final Factory Fireplace � � � i � � - 38. Final Plumbinq y; �� c; ri, „� 39. Water Service-Final 40. Gas Service-Final � 41. Solar pomesticFinal 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southem Calitornia Gas Co 51. CEflTIFICATE OF OCCUPANCY No. Date � '� I "% PflOJECT A�OBESS: ' OWNEH'SNAME: 3425 PINE PL noosess: 3429ATIMgERELAKfi �A COST'A MESA, CA 92626 AflCHIENGINEEfl: 5 5 3— 1 8 7 6 AODNESS: NEG.NO.: uxit: UNIT: PENMITTEE: nooxess: P3�0q06nSENpTEnRPRISE ( ( �14 ) 979-7111 IICENSEU CONTBACTON DECIATKAT10flMY�@py alfirm ��at I am Iicense0 unUfYprOvi5�dn5'o�p(er 9(commencing wilh Section 70W� of Divsion 3 0l �Ae Business antl Peoin,55ions CaGa. anE my license is in lull forca and ellect. LITY L14: STA7E LIC.: 5 oa�e:_q� '�6,0787�/fy�� rsi WOHNEflS' W ENSRTION DECLFBATION: � p¢�eby allirm Ihai I have a Cetlilitaie ol nsen� IO Sell�insure Dr a te�ilicaie ol Workers' Lompensation Insurance. o� a ceni�ied coDY Ihereol (Section 3800, LaD. C�. �voucrNo.:1021355-93 EXP.�ATE: OiIOSI94 cqmraxv: ST�. T�' F�7�D Ceniiietl cooy �5 ner3y Wmis(�ed. � �¢nilie0 coOY" i�s file0 witll e cit il0ing n Uale:9/�'(Q'� Applitanf: (/J� �,/rt�� / E%EMPTION fBOM OPKERS'COMPENSATION DECLABATION: �T�isseclion nee0 notEe co Ie�eOili�e Derm1i51oranehunare0�S100�orlzss�. 1 cetlity Ihat in the Oei�oimance oi ihe work br w�it� I�is Oermii is issuetl, I s�all noi emDloy any person in any manner w as �o become 5u01ec� io Ihe Workeri Compen5aiion law5 0l Caiilomia. Oa�e: SigwWre: NOTICE: It, afte� making t�is Eeclaratial, ypu s�oulG Gecome suDle�� a ihe WaderS' fAmp¢n5alion provisions ol ihe LabOr Coae. you musl IorlRyn�� compty vni� gut� proh5ion5 Or IN5 permit 5tall Ge deeme0 revokeG. CONSTflOtTION LENOING RCENCY: 1 herehy allirm that there is a canslmction Ienaing a9enry lor the oetlormance ol Ihe work tor wnicn ihis permn is issuea 1Seciion 3097, Civ. CI. LENOEfl: AOOflES$: �I OWNEB BWLOEN OELuflRiION: I nereby atlirm inat I am exemo� �mm Ine Coniractor5' State License Law tar ine follovnng reason (Section 7031.5 Business anG Pwlessional Cpde: Any ci�y o� counly which r¢Quires a p¢rmil lo canSirU[l, alier, impmve. tlertrolis�, or repair any simclure. W�or to ils issuance. algo repuires Ihe applicant lor such oermit to lile a siqneE statemenl ihal he/sne is Iicense0 pursuant to ine Dmvisions af the Conlractors' State License taw ICnapter 9lcommencinp with Section 7000) ol Division 3 oi the Business anU Pmiessians Code) or Ihat he/she is eeempt �herelmm ana Ihe basis lor Ihe alleged ehemption. Any viola�ion o� Section 7031.5 by any applicant for a permit sublec�s Ihe aOVlipant �o a civil penalry ol not more �han five �unOretl tlollars (5500). I. as ownei ol I�e pmpeny or my employees with waAes as iheir sote compensation, will Eo ihe work, anU the ❑ stmcWreis not intenGeU or olleredlar5ale�5ection 704a. Business anG ProfessionalCAAe: The Contractors' Stale License law tlaes no� aOCly Io an owner a� a pmpeny w�o �uiltls or imprOves Ihereon, anG w�o does such woM1 himseli/�ersell ar IAmugA his or her Own employee5. pmvideA Ihal Suth im0�ovemeni5 are noI in�entleE Or al�ere0 tOr Sale. Ii, howev¢r ��e OuilOing Or impmvemeni is sold within one year ol com0lelion, Ihe owner will have Ihe Durden ol pmvinA he/s�e tli0 noi builG or imDmve �ar Ihe purpase of sale�. I, as owner ol Ihe pmpetly. am excluSively contraciing with licensetl conirac�ors �a conslmcl Iha pmject (Seciion 7044, Business ❑ ana Pmfessions Cotle'. The ConVac10r5' Sta�e License Law Ooes not apply lo an owner ol proDerty who builds or improves thereon antl who conlracls lor such pmlecis with a contracioqs) license pursuanl �o t�e Conlraciors' S�a�e License Law�. I am aware- Ihai pmot ot I�eir WorkeYs Compensation insuranre 5�aW4 �e pmvidetl to me. � I am exemp� untler Seciian: B. 8 P. C.' loi Ihis �easan: oaie: ow�c�, I tlo hereby ceni�y Ihal I am aware ol antl unry¢rsland Ihe requiremenls al Calilomia Healih antl Salery Cotle Sec�ions 25505, 25533, and 2553<and l�al I or any lulure �uilding OtCuOdnt willlwill noi (cirtle ane) neetl �o comply wi�h SaiU Slate totles and the reQuiremen�s lor a permit for cons�mclion oi matlilicaiion �mm �he Air Ouahiy Managemenl DiSVic�. Fesitlential consimction aDPlica�ions are e�empt �mm Ihese O�ovisions. Date: Applicant: I �erebVi certi�y Ihai I have read ihis applicatipn ane slaie Ihal Ihe above in�ormation is correci. I agreeto comply wiih all cily an0 counly ordinances antl slale laws reqling to �uiltling con5lmclion antl herebV TutM1onj1e represen�ativesy I Ihis ciiy lo en�er upon Ihe abave�mentioned pfOpel�y �or in/sp¢C�ion pufpOSes � I� /�� ale: / � I Signalure:�� F, � �river's L¢ense r Social Seanly <: `� �, ^ � \1641�afi White—Bulltling; G�een— Applicanl; Plnk—Revenuo; GoltlenrOtl—ASSessor : CITY OF COSTA MESA — HUILDING PERMIT PERMIT NO; H 063952 PLAN CHECK N0; N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PERM NO; B 063952 GOVT; N SUPP; N PURPOSE; ALT JOB DESCRIPTION : T/OFF SHEATH REROOF W/COMP SHINGLES SQ FT: 3,700 CLAIM VALUE: 3,700.00 CALC—VALUE: 3,700.00 GROUP OCC: R-1 / COMMENTS• SMOKE DETECTORS RE� PERMIT INCLUDES 3423 6 3425 PINE PL *�*�*��,�*,��*��.*�**� ��,��*��*�*��*,�'��ECTO� Z O N Z N G R E Q U I R E M E N T S S E T B A C R S (��(��j�� ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDZRt6`iu��-- 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 RE(� • PROV; PARCEL; 93506061 ZNE: REF NO; PLANNING N(STES> ' -' i *+��+��*��r,��,�-��,�,�*,«��*��r,��*x�*��*��,�,��,�**��«+�x�*�**��*�x��*****�**+��**,�** 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 n. ZONING APPROVED BY DATE: � BUILDING APPROVED BY ; DATE: �-, APPLICATION IS5UED BY: � DATE• �� i�i�i�tfi�ifi�itififi�ifi�iEiEifi�fEi�i�i�i��F�F�F�F7FTFiF�F�FiF�F7FiFi�F�F iF�FTFfFiFiF'fFlF�X'iF'iF�F"if�Ff�*fEi�i�i�ifi�i� � i[�it� iE M 1f iE �f 1ElE 1E IE iE iE iE iF if 3E jf iE iE 1E if iF iE iE iE IE �E fE 1F i! if 1E 1E if ik if iE if iflF iF iE if �E 1E1E iE 1E iE i6 iE 1F iF fElF fF it i! iE if if iE if 1f if iF if if if jFlF if if if iEiE iE iE fF 7E LEGALI2ATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADZNG PERMIT 63.00 50 SMIP/NON—RES PLAN ISSUE FEE HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 63,50 0,00 0.00 REVENUE DIVISION TOTALS--> COLLECTED; BLDG PMT PLUMBING ELECTRIC MECHANIC 63.00 TOTAL PAID DUE 63,50 63,50 ,00 63,50 OVER/SHORT; ,00 FIRE SMIP/TOO GRADING PLAN—CHECK 1f if if �f iE iE i! if if 1FiE i! 1E iE �k iE �f iE if 1f iF iE if 1E iF iF if iF iE i! iF iE iE iElf iE if iF if iE iE if i! if k 1f iE ff ff iF if iFlklE k ik iE if if if if ik iEiE iE iEiE if fF 3FlF iF i! �f 1E iE * N� it 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 SFR 3700 REROOF BY V:SLUE RESIDENTIAL N020NE 1,00 3,700.00 END OF FEES 01 D�314o°52-0014b863 T C�T G�.SG DpTE� Q9/14/93 iIitE: 10:49 -� � �. . - CONSTRUCTION AND PLANfVING jAPPROVALS Permit �� Date i. Tempora�Y Eiectr,cal Yiervice 0.� POIe � 2. So:l Pipe-Undrarnd. � 3. Electrical Condu�t Ut�','v�Und�grr,tl. A. Electrical ConduR�Undrg�nd. 5. Stee; Rcinforremen; � E:ettr�,ca� UPEF G�nd �. Footinge ---J -- 8. Poundation I � I 9. VJater P�pe�Undrgmd. - ' 1D. StructurZl Ploor System 11. Property Sewer Line & House Connectian 12. Sewer CaP � . 13. Roof OrTins 74. Ro�gh Plumbing 75. Rough E�ectrical�Condwt � i6. Rough Electricl'Jiring ll. Ro�gh VV r�ng Sign 18. Rough Elect�icabT Bar Cc�i�ng 19. Rough Heaun9 & A�r Cor.d�t�oning � 20. Ro�gn Far.ory Flreplace , - 21. DuCtS, in $truCturC •• 22. Ducts, Ventilatino� � � � - � - - 23. Gas F�ae-Rough &� i c:: � 24. floo` Framirg. ' . , '- 25. Roof Shaathing � � l�_i , 26.�T�Bar Ceding (Si�uct�ra�; `e. ".1�^oeoat _ i - � 27. Frame and F�zshi^.g , � 28. Lyth!ng 3 Sihmg 29. Insulation • i � 37 Dry:•.a'I i��'.cg ' 31. P�aster 8'Oc.� CoaT _` 32.'Electncal Power f�ieter�F�nal 33. F�^ai E:ectr�c � ' 34 F�,nal Hea:�eg & A�r Ccr,l�; o-�rg 35. Final Gas PiP=�Test „ 36. Hood or Car,opy 37. F�ral Facto•y F�rrp'�acz . 38. Fin31 Plu��b�r,g 39. tYater Service�Fina� 40. Gas Sen��ce-F�na� 47. S�!ar pomesno-Fina� 42. Bacuflor� ?reventer 43. Backflow Irngation . i 4G. Landscaps Ir-�qat�o^� S�stcr i Id5. Sound Attenuatio�� I46. Handicap Regulatior,s.• � 47. FINAL STRUCTUR� &� BUIi_DING 48. Ftl NRL PLANNIRG � `� � � r 49. Electric Refease to Ey-r.san- �r--- s I 50. Gas Release to South-.•-r� Califomia Gas �" I�spector N 0 POOI PA i ' - --- - APPROVALS Permit ; Uatr � Inspect.�r __ --i 52. Pool & E4uIPn^.nt LocaY�on � � T ' �. 53. Ste��i Rei�farcemc^t i ! � 5�. Farms--- --------� - - --�t----'_�-_ 55. Electriedl Bond�ng I 56. Rucgh Plur.�.h�rc� E Prest_ir: T;;�- � -- ----- ------------'---� 57. APPROVAI'OCUVERG'�_,�.'TL � - - --- --�-- ---�� . 58. Electncal Cunduit Und�g�ntl. i � �� 59. G35 P�pe. U Urdrq�� d.. Te;[ --� --�_- ^ � � �-+� 60. 8ac!c�t�ash L: r�, P.Trap. �� U�;�r r,..+ i � - ----�-- -- -�---�--�- 61. APPftOVAL��OUFCK 62. Backwash & Rccepto��Finai - i 63. Hreter & Ve�t�F,na'. � 4 ' _' ,__ �_--.-__ .._. G4. ?Iumbing Svstem - F�-��,I I _--___ ___ _ . _. _ __ . 65. ElectricaLFirtal ' 66. Solar SyStem�Final -~ - --- ---- ---+- - - - -- .. 67. Fenr,ing & Aco�ss AnP�oval j - -- - --�--- - - - - --- � 68. AFPROVFD FORPLASTEHING I I . .-----I----' ------. - . -- - --- 69. POOL/SPAS`/STEMSFINAL I I ' ---- --- - --- --I-----' FIRE DEPT. RLQUIREMENT � I i F;?PRGVALS . I'er^�it „_ I - - '-- ' 70. Underground Fiytl�o �� __ ! 71. PruduCt Pipi�9 `1 Cias �,�� D�I - '------ ---�--- �--- -� 77. Underc�roW:. F!�.r'� I ,___ ____" .__ J�_-_-_ _�____ %3. Jndergmtl�51 v_;__ar.k .�_G,.�` _ . � � __ 74. Overheatl HY�irn � � --t-- --�-- - - ' 75. L`�y Chem�c.-�-- �------ I � 7G. Dr�; Star.ep�P: � i 77. FiXEDSYSTe.^iFI�AL - � -�-- - - 76. i=1HE PflEV. FINAL � - - - - - --L-- ---- - H=0.LTH DEPT. R[aU�RF�,IE` - 79. �;'.:AL I��._,..C`IC :--- ---- - �- -- " _ I_- . .�__ _ . 84 F�Ui] CFHTiFI'Al E ISSUi^ ----- -- - -- - - - - - - - 1-- - I�G:;'.: PPOJECT AODflESS: 3 Q 2 S F I NE � RUQx OWNEP'SNAME: VILLAGE CREEK HOMEOWNERS nonness: ASSOCIATION 3A29 TIMBER LAKE CM V/� 92626 UNIT: FflCH/ENGINEEfl: CIII]STER CARVILI,E AEG.NO.: CSB3OS aooness: 7922 ARMOUR ST uxir: S.D. CA 92111 PEflMITTEE: PHOENIX ENTERPRISES INC. ( 213 ) 690-9559 RODPESS: Q S S COMERCIAL WAY LA HABRA CA 90631 LICENSEO CONTHACTOfl OELLAflFTION: I hereby allirm t�al I am I' se0 untler Dmvisions ol CAapter 9(cammencing wilA Seciion ]000� ol �ivision 7 al Ne Busine55 antl Pmtessians Cotle. an0 m c se ' in lulllorce antl eifect. ciTruc.:• 50"/88 srareuc.:376639 ss: B�� oate: �__�� Signamre: _ � _ —�/`! wOBREflS' COMPENSATION OECLABATION: I nere0y aflirm Ihat I nave a cenilicale of consenl �o s I-insure or a tertilicate ol workers' compensation�uj�Dej�c�tared coov inereo� �secron 7eo0, �an.�7 �O1 /91 POLICY NO.: E%P. OpTE: �OMPANY: CA COMP 6 FIRE Certi�ied copy i5 here�y Wrnishetl. ❑ C¢rtilied copy is rt Ae ci�y Builtlin sion. Date: �/ /� AGo�icam: ✓v � '— V E%EMPiIONFBOMWOPI(Efl5'COMPFNSATIONDECLAHRTION: Qhi55etli0nnee0nolUetompleteGill�epermiliSforonehunGreG(S1W)aless�. 1[erlily I�al in Ihe Derlormance ot ttle work lor w�i�A I�is permii is issu¢4, I s�all not employ any Derson in any manner 5o as to Oecome subleci �o �Ae VJorker5' Com0en5aiion laws 0� Calilomia. �ate: Signature: NOTICE: It, a�ier making Ihis declara�i0n. you Sh0ut0 �etOme Subletl IO Ille Workers' Compen5aiion O�avisions of Ihe LabOr Cqtle. you mu51 lotlhwi�h comply wit� such O�a��sions or �hi5 p¢rmii SAall �e OeemeO revOked. CONSTNUC710N LENDING RGENCY: I hereby aflirm IIWt 01ert is a wnslNction lentling apency for the peAormance ol ine woM1 Ior wtuc� t�is permi� is i53ue0 (Seciion 3097. Civ. C�. LENOEfl: aoosess: CITY 6F COSTA MESA — BUILDING PERMIT PERMIT NO: B 049938 PLAN CHECK NO: 06456-90 A CONSTRUC'I'TON TYPE; V—N PERMIT TYPE: STR JOB DESCRIPTION ; REPAIR SETTLEMENT DAMAGE l' • �• 1 �lL�Ni11�� i.Yq'J �i0� PURPOSE: REP SQ FT: 143 CLAIM VALUE: 14,388.00 CALC—VALUE; 14,300,00 GROUP OCC: R-3 / COMMENTS; HUILDING SETTLEMENT REPAIR/FOUNDATION **r�x��c**w�r**r****+t��r*�*+r�e�***f��r�r�r�+c�x�**�rx��r�rx�*��**�x***��x��c*****a�•�r*�*u***��* 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: F1' IN REAR; FT IN FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARRING RE4• PROV: PARCEL• 93506124 ZNE: R2 REF NO: PLANNING NO'I'ES> REPAIR EXISTING FOUNDATION. > HOLD FOR SP$C[AL REQUIREMENTS �1f !E 1f k if if �E iF iE k IE K iF iE M 1k if if iE if if if iF 3f lF �1F if iF iF iE �1E iF iE �F IF # if �E k!f lE iE iE ik �k 3E 1f �lf IF )f !E 1E IF if k if )f if iE iF iE if i! iE if iE if lE If ik if if iE 1E k iE iF if i! D E V E L O P M E/ N�, T 15 E R V I C E S R E Q U I R E M E N T S 20NING APPROVED BY :(�/ /� � DATE: �'� � S�� BUILDING APPROVED BY ; U C� DATE: ' APPLICAT]:ON ISSUED BY• DATE: `' iFiFifMififiE�EMiflfif3f7FiE1f1klEk±f±f 1fifMifiEififiElFi(� if3F MififMMMIEiEMifM3FiEifiFifif7Eififjfjf�E1fi11fdf3fkiF iElf lfifif-1EiFiEiFiEiEfEifiElEiEiEIFiFiEiFfPifjf�flflflE±E1F�IEiEiFiFiFkklEiFiflkiFiEi! LEGALIZATION:N F E S U M M A R Y STRUCTURAL��SEGMENT:Y OwNEBeWLUENUECIAPATION: InerebyauiimmatlamexempUromiheComracmrs'Statelicense�awfortne�Wiowinpreawn BLDG PMT PLUMBING ' ECTRIC M$C$AT]IC FIRfi SMSP/RES GRADING (Setlion 7031.5 Business anA Professional Coae: Any ciiy ol COunly whic� repuires a permil IO con5imcl, aller, impmve, Oem0lah, or P ERM I T 1 6 2, � � • repait any Slruciure. prior Io iis i55uante. aiso require5 ihe apDlitani �or SUch p¢rmii Io lile a Sipnetl S�a�emeni IM1aI he/She is Iiten5e0 SM I P/NON—RES pursuam to �he pmvisions ol the Comracmrs' Staie License Law (Chapter 9lcammencing with Section 7000� of Oivision 3 al l�e Business pLAN 2 6. 3 3 � an0 Pmiessions Cotle) or ihat he/she is e.empt therzimm antl t�e basis for t�e aileped exemptian. Any violation of Section 7031.5 by I SSDE FEE ?. 1 5 anyaooi�wnuo�avermitsuh)ecisineaooiiumtoanviioenauyoino�moretnan�ivenunoreaomiarsl35oo1. BUILDSNG—DIV—> PERMIT ISSUE PLAN—CAECK T�TAL PAID l�:DUE i. as ownei ol ihe pmpeny or my employees with waoes as tneir so�e comoensation, win ao me work, anA Ihe TOTALS----> 1.64 , 15 �.00 26. 33 190, 98 190. 48 i� �� ❑ slmcWre is not intenaed or ollere0lor sale (Sec�ion 70aa, Business and Prolessional CoAe: The Conlractors' Sta�e License Law :��• does noi aDPly to an owner a� a pmperty who Ouilds or improves IAereon, antl who d0e5 Such woA himself/herself Or thmuph nis or her own emo�oyees, proviaea ina� such imDmvemems are not imenaea ar offerea for sale. II, however �he Ouilding or RE VENUE D I V T S I ON T�TALS --> COLL ECTED • 19 0, 4 8 OV$Fi / S$ORT • d;-0 impmvemem is so10 wi��in one year o� rAmpleiion. I�e owner will have Ihe DurAen ol provinq he/s�e Oitl no� builU or imprwe $j,�DG PMT PLUMH IN�'i ELECTR IC MECAANIC FIRE SMI P/TOT GRAD ING PLAN—CH£CK \ mr ine Puroose ai saieL 16 2, O O i, 1 S i 6;�� 3 3 I, as awner ol the pmpeny. am ezGusively coniracting with Iicense0 coniraclors to consimct Ihe pmlecl (Section 704A, Business ,4„ ❑ anOPro�e55ionSfAtl¢: TheConlrati0f5'SlaieLicenseLawUoesnota07W�oanownerolDropertywnoCuilasorimD�ovesinereon �,*,*.x,iFM,i(,****x„K,M,if,i(,if,�EN,N,�f,1�„lE*,IF1�*,x,N„lfx,*,x,M,**iE,)F,K,i(,*,K,i(,lflfififlfK,i(,iE{(,*,x„k,if,i(,K„IF,lfiFi(1Fi(-*****it*****{(� antl who conVacis fot such prolecis with a coniractor(s�license pursuanito ihe fAniractor5' State License Law�.l am awdre �i:'� mai pmoi oi ineir worker's Compensaiion insurance snoNa oe oro�aeo �o me. I N D I V I D U A L F E E H li E A K D O W N .y;�� I am exemp� undei Secliun'. B. d P. C. br this rea5on: Daie: Owner. I do �ereby certify iha� I am aware ol an0 untlerslantl �he reQuirements of Calilomia Healt� and Salety Code Sections 25505, 25533, and 2553G ana Ihal I or any lulure building occupant will/will nol (circle one) need �o comply wi�h said 5�aie codes anOlhe iepuiremenls lor a permil lor constmction or mo4ilicaiion Irom t�e Air Oualiiy Managemen� Di5lrict. Fesitlential cons�mclion ap0licaiions are exemp� irom Ihese D�ovisfons. �zie: ApPlican�'. I here0y terlifylhal I �ave read Ihis apDliCaiion ana Stai¢ Ihai Ihe a0 � in�0 alion is COfretL I agree�o tomDly wiih alltily anE Counry ortlinancesantlstalelawsrelalinglo�uA4ingconsimciionand�ere a or epresen�ativeso�tiryioemeru on�heahave�menlione0 pmpeny�lo inspec�ionOwoa/s�es. �aie'. /� '��v _ Signalure: od�ers uce�se or sociai sew�ity x: 16<t�<6 Whi�e-9uilamg; Green—Code Enfo¢emem: Canary—ApplicanC Pink—Revenue: Goltlenratl—Nssessor TYPE QTY D E S C R I P T I O N UNIT COST TOTAL CO§�T SFC 143 FOUNDATION HY VALUE PER $100 100,00 14,300,00 END OF FEES t t}��g��f� �ICt:C.r.�'T.�. 0'.0007437S—C6[�7�377 'P':3"f ]ti0,,£ OATE: 11/S6l90 TIfiE: ?,:;0 � CONSTRUCTION AND PLANNING • POI. .�SPA APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector 1. Tempora�y Electrical Seryice or Pole _ 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. '- 53. Steel Reinforcement i �: - 3:tiElectrical'Conduit Utility(Undrgmd. � 54. Forms • 4.`E�ectrical Conduit•Undrgrnd. 55. Electrical Bonding �'5'.'St�el Reinforcement 56. Rough Plumbing & Pressure Test '" .j .�.�6: ElectricalNfERGrnd. � 57. APPROVALTOCOVER�GUNITE ��.- ' �7. Footing3'^ '�_'�: 'T 58. Electrical Conduit�Undrgrnd. - _�;�$. Foundatiuri ��` � 59. Gas Pipe, O Undrgrnd., Test � '9. Water Pipe-Undrg'rnd. 60. Backwash Lines,P-Trap, O Undrgrnd. � 10. Strunurai Floor'System . 67. APPROVAL TO DECK 17. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap ' ,' ,_ 63. Heater & Vent-Final 13. Roof Drains � 64. Plumbing System - Final 14. Rough Plumliin8 � 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 78. Rough Electric'ua,l-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT -- l CI-tJ'- + � - 20rRough Factory Fireplace � �r'a • - _ - '= r > . APPROVA�S= - Permit # • '� m i . �'.' C e � .i :r, '� r � S•• 21~�Ducts, in Structu�e. . ' - - � �� - �:70. .Underground Hydro � 22. Ducts, Ventilating��• � �'.-� .� _ •� '� y77. �produci Piping E1�Gas OOiI 23�Gas;Pipe,Rough & 7est ; �� ^ �. r - „ � �, 72. Underg und FIusS .� . ' ._ 24.rRoofFraming ; � ' �•r *^ C �! • �73zUndergmd.Sto'ragzeTank'�Gas OOiI � 25. RoofSheathing'�; - � ` �� - ��; ; '74-„Overhead�Hydro�� 26. T�Bar Ceiling (Structural) &CMonocoat'' � ��' � 75' Dry Chemical J' i ��-� �--' , �: - 27,.' Freme and Flashin � ' - � ^� - �� ' { ..�9 �,�, r . . 76.�DryStandp�pe � 28.� Lathing�& Siding� r ra ._�,�jC ic - +,, `i ••.i _� 77; FIXED SYSTEM`FINAL' � �-29. Insulation �; „�; �• _ ' �� ' `"� � I � ; 78: FIREPREV. FINAL x � 30. Drywall Naiting��± � � ' � � ��) ,. i' �: ��• HEAITHiDEPi..RE�UIREMENT ,., i �,� 31. Plaster Brown Co-a� . �, r � ; � J9�� FINAL ItVSPECT�ION ,' -`� ' 32-Electrical PowenMeter.�Final � <� � ��I �� r�4 •.:80n.F00D CERTIFJCATE ISSUED Y .� 33: Final EI`ectriE '� ' rt. � I „ � � ' Notes: _ ' , ; - , . . . .. . . . ,. � „ j F� . _ :- , � - � 34.. Final Heating & Air Conditioning�, � , � , _ _ . , _ � � � /� 35i Final Gas Pipe�TesP _ W � ;'? � 1� j` a- ' �` S > 1 ! 36� Hood or Canopy' , ' ' > �,�' .� t 4 � . - � :, � I r � 37: Final Factory Fireplace� f�,' � "" � � `S. ' "�t; � 38: -Final Plumbing � � tu i - �• , 4 � � . : 39�Water Service�Final• � � • -0 � �� ` ' - �.� - . ,40�GasService=Final;,^� . . , ( I ' _''" . 41. Solar pomestic-Final � . ( � � ',. 42.-BackflowPreventer', � � ! I f- , � - ' . : .. 43. Backflow Irr�igation %; • � ' ' - . - r� , 44. Landscape Irrigation System f � � C ' � _ - � . � b . ' 45.. Sound Attenuation • ' �� ->� ! ' ='� - . � i r .r-- • - • - 46.'Handicap Regulations ' ._� � - _ � 47:. FINAL STRUCTURE & BUILDING ^ � � ��, _ -' ' : 48..�lAlAk-PkP,P1Al1AI ` c.' 4; " . - i i � - 49. Electric Release to�Ed son � �= - _ I I �� _ - - r., - ; 50: Gas Release to SoUihern California Gas Co � � �. ,:51. CERTIFICATE 0 .00CUPANCY h� r � ! '• . � ;n. � , . No. Date UWNtK �pTE-WxDE Develovers Inc unie 4_Zg_76 JOB ADDRESS 3421 Pine Brook Circle BUILDING PERMIT N0. 41855 A� �O�14f�1�75fiLM11 �i f�{i I. cCTI0N5 SOIL GAS W hTER ROUGH PLUMBING PROP. SWR. LINE � HOUSE CON. SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEATING RNO AIR CONDITI JEMPORARY SERVlCE OR POLE UNDERGliOUN� � POWER � ROUGH WIRING intrv�nts U roNms U si�EL REINF. u �J�o 6� FLOOR SVSTEM BONO BEAM � STEEL FEINFORCE SNEATHING � FRAME ANO FLASNINGi _ � / iv PLASTER, BROWN COAT 'TURqL, FINAL F INAL ZONE VALUE PE V GROUI SUBCONTRACTOR _ .:I, COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely ADDRES534Z� Pine Brook &kl4lEk Circle OWNER State-Wide Developers,Inc. AooRess9461 Grindlay ra_u �,,.: �� ,��' "hY 53-��r,��OO 663 � APPLICATION FOR BUILDING PERMIT RECEIVEDBV DATERECEIVED �eTcicmu A.P. NO. �Lf(J —O 6UILDING ADDRESS 3Q �LI z dc"�� ciTv C 1"05S No��$826-455 TRACT fi�Sl' Z Q CONSTRUCTION W O N LENOER X am J � BRANCH ��/ JN pWNER � (i(J m J ADDRESS m AFCHITECT TEL W att '� N L4i3W6AV86iC — V Q FIRE W � ADORESS 20NE TVPI a w APPROVEO W Z CONTFACTOR SCaLe�W�de DeVE�O ers Inc. Br J Q �� o ooRess 9461 Gri ndl a w W TE ZONE NO.OF Z F CITV C 1`055 No�26-4550 /'�-'z CP P�°'"S z' wO STATE CITV VARDSAPPROVED N� LIC. NO. LIC. NO. MAIN BUILDING �� S12E NO.OF BLDGS. (FROM C/L TFEET) OF LOT � p 093 acres NOW ON LOT Q ROfYT FT. USE OF E%ISfING BLDG. g� F� SIZE OF NO. OF Z NEWBLDG. ROOMS STORIES L.SIDE e FT a EMERIORWALL �a ter ROOF V COVER�NG COVERING REAfi FT.� J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. a MAIN BLDGS. oa ^� _ ' m C URP '�WZ��/� y 1 Residence w/att gar o�ao�Eo � Z IiOLD FOR ECi.9; O UI haraby acknowledga that I hava reetl ihis applicaHon end steta = that tha ebova information is correct antl aB�ae to comply with � ell lews �eBuleting buildinp construction, end I shall not employ � eny parson in violetion of the workman's compensation laws of y Ma Stete ot Colitornla. 1 zI heraby certify that I em proPerly Iicensetl ef e cons�ector �ntler SQ. FT. V Ma Stete of Californie Businese antl Profeu(ons Cotle, Dlvialcn 3, THE AMOUNT SNOWN Chapter 9, entl that suc� licanus era in full loreo entl affoct, or I THE PURPOSE OF ES7AB am exempt from tho provisions of Na Steta ot Ca (ornla Bualnass VALUATION antl Professiona COCa, Divislon �, Cheptar 9. s�o�eU. tate-Wide Develop r InC. !�S � 'E Permlrtea $ � p� AuthorizatlApent Vice President TC OI � _ ST.7 V� e —�-i��'� �i'i—c�( �oT I s�ocK VALUE DATE APPRO BEf. MAIN & � : 22-� m � 0 VALUATION IS FOR A PERMR FEE ONIV: Q m E $ • � ] K S � E `o s , a�'� LL l