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Home My WebLink About3410 PINE BROOK CIR - Building Permits�A � PFOJECT AUDflE55: OWNFP'SNAME: 34SO PINE BROOR CI aooRess: 3429ATIMBERELAKE �A� COSTA MESA, CA 92626 RNCHIENGINEEfl: 5 5 3— 1 8 7 6 RDOflESS: flEG.NO.: UNIT: UNIT: PEflMITTEE: nooness: p3�0Q0'�'6�SEMNpTQEnRPRISE ( � �14 ) 979-7111 LICENSEO CONTflFCT011UFClAHAiIOq.^YIIpkEy aflirm ihat I am licensed unUtfpt0�5idnYoYChapie� 9(commencing wi�� Sec�ion �OW� o� D�>isron 9 ot itrc Busirress aiW PmfessioM COEe. arM my license is in lutl �orce arb eHect. cirru��4 a STATELIC.:6O%H%Z L 5: _ Oaie: _ _ _ Signalure: — . . . WOBKEH ' LOMP NSRTION OECUINATION: I here0y aflirm Ihal l have a cetlificate of c ent ip sel4insure or a cehiticaie oi WOM1ers' Compensalion Insurance, at a cetldie0 covY �hereol ISection 381q. Lab. C1. ra��crNo.:1021355-93 Exa.oare: 04/O1/94 COMPRNY: JTAhTF� F[�I�D ] Cetlilie� ere y f��: e.�2 Cehilietl [opy is liletl wit �he ci� uiltli�g�isi . V�� Daie: �3"Z AOOlicani: r /7 �� E%EMPTIUN FROM HREHS'COMPENSATIbN DECLANRTION: (T�isseClion n¢¢tl nOlEecdnpleletlillhe permitisiorOnehundretl(E100)orle55�. I c¢r�ity Ihai in Ihe perlarmance ol Ihe work lor w�ich Ihis permi� is issueq I shall no� employ any persan in any manner 5o as to become sublecl Io �he VJorker5' Compensation Laws o� Calilornia. Oaie: SignaNre: NDiICE: II, afler making Ihis Oeclara�ion, you shoultl become su�lect to Ihe Warkers' Compensation pmvisions ot ihe LaGar Catle. Vou musl Iorihwilh complY wi�h suc� provrsions or Ihis permi� shall M OeemeO revoNetl. CONSiHUC710N LENOING AGENCY: I hereby atfirm Ihat ihere is a construction lending agency 1or the pedormance ol �he work lor whith Ihis �ermil i5 i55ue0 (Setlion 3097, Civ. G�. lENOEfl: ADDHESS: OWNEfl BUILDEB OECUflATION: I �erppy aifirm �lut I am exempi Imm the Coniracrors' State License Law loi the fonowinA reawn (Secuon 7Q71.5 Business an0 Pmf¢ssiondl CoGe: Any ci�y of counry w�ich r¢Quires a permii lo constmct, atier. impmve. DemoliSR or repai� any 51rucWre. prior lo its is5uance, also r¢Quires t�e applicant for suc� De�mit to �ile a Signed statemenl ihal �e/s�e is licensetl pursuani �o Ine O�ovisions ol tne ContractOrs' Stale License Law (ChaOier B(cammencing wiU Sectian 7000) of Division 3 0l Ihe Bu5ine55 an0 Pm�esvons CoOe) or ��a� he/she is 6xemp� Ihertlmm�antl I�e Gavs lor t�e allegetl exemp�ion. Any Nolaiion oi Sec�ian 70.17.5 Gy any appliwn�for a permit SUGIec6 l�e app�icani ro a civil penally oi not more l�an tive huntlre0 Oollars (5500�. I, as ovmer ol Ine pm0eny Or my employees wil� wages as I�eir sole compensa�ion, vnll Eo IAe work, anG I�e ❑ 5lmciure is not inten0e0 oi oileretl lo� sa�e (Seclion 70E4. Business antl Pm�essional CaUe: The Coniraclors' S�a�e License Law aoes nol apoty lo an owner ol a pmpeny wno Ouiltls or imvmves ihereon, ane who does such work nimsell/hersell or Inrough �is or �er own employees. pm�tlea tlul sucn impmvemems are not intentletl or offereJ for sale. Ii, however tM1e 6uiltling or impmvemenl i5 5oW wit�in one year ol [Ompleiion, �he ovm¢r vnll have Ihe burtlen ol pmvu�g Ae/She Oitl n0i Guild ot imDmve br t�e purpose ol sale�. I, as owner ol Ihe pmperly, am eMclusively conirac�ing wilh licensetl conVactors to cons�mp the pmlecl (Seclion 7044, Business ❑ ana Pmfessions Coae: T�e Conlraciors' Stale License Law Ooes no� apO�Y �o an owner ol DwOerty who builds or impmves Ihereon antl who cantiacts tor such prolecis with a conlractaqs) license pur5uani to ihe Contraclors' State �icense Lawl. I am aware t�al proof ol their Worker'S CamO¢nulion insurance shoulA 6e pwvitletl lo me. � I am ezenipi unJei Section�. 8. 8 P. C. for Ihis reasonl �aie: Owner I Do hereby cenify Ihat I am aware al and untlerslantl Ihe requiremenls of Calibmia Health an0 Safery Cotle Seciions 25505, 25533. antl 25534 antl Ihat I or any IUWre budAinq occuOTnt willlwill not (circle one) need Io comply wi�h saitl siale coAes antl �he requiremen�s �or a permii lor conSlmclion oi mo0ilica�ion hom Ine Aii Ouality Managemen� �istricl. Besidenlial consimc�ion apDlicalions are e�empl hom Ihes¢ pmvisions Dale: AOOlicant: I hereAy cerlilyiha� I pave iead I�is apVli�ation and La�e that �he a�ave intormaiion is wrrecL I agree ro comply with all ciry and counly ortlinancesanOstalelawsrelatinglo�uilaing�onslmctionan0�erebyau��orrze presen�atrves ih� cnyloenteruDonlheabove�menlioneG p�opCriY !or in5pPtliLN urp05e5. �/ Oate: �� .� SignaWre: //// — J � �• onver's License o Social Secutiiy Pink—Revenue: Goltlenrotl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 063950 PERMIT NO: H 063950 PLAN CHECK NO; N GOVT: N SUPP; N CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION : T/OFF SHEATH R£ROOF W/COMP SHINGLES SQ FT; 4,600 CLAIM VALUE: 9,600.00 CALC—VALUE: 9,600,00 GROUP OCC: R-1 / COMMENTS: SMOKE DETECTORS RE� PERMIT INCLUDES 3412 3414 6 1 PI�E�BR�OOR �i( �r�r*�r****�e****x��*�*�r�*�r**�* 4�**�rx��r�r***�r�****��*�**��*** � � �1'� Z O N Z N GS ERTEBQAUCIKRSE M E N T S `" C 6JC�`j� RIEQUIR_E'�_ ------------ MAIN BUILDING ---------- --------- ACCESSORY BDILD NG ---- 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: 93506061 ZNE; REF NO: PLANNING NiSTES> > it�*�r�r�**�t**�t�t�x**�**�****�r�r*�r+t�t�t+t+t*�e*�*�r��r�t�r�r***�*�r�t*�t*�t****�r�r�r�t+t�rx��t*x�t*�t�x �r*x��r 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 BY : DATE; APPLICATION ISSUED BY_ � DATE: �III�IIQ i 1E it i! if iF iE iF it ik i! iE �E iE 1E iF iF iE iE iE if ff if jk 3f iE if iE iE iE iE iE iF if 1f if if 1E if it iE iE iF jF 1! if 1E if if if 1E 1F 1E iF if iE �k if i! LEGALIZATION:N F E E S U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE PERMIT 72,00 PLAN ISSUE FEE STRUCTIIRAL SEGMENT;Y SMIP/R50 GRADING SMIP/NON—RES HUILDING—DIV—> PERMIT ZSSUE PLAN—CHECK TOTAL PAID DOE TOTALS----> 72.50 0.00 0,00 72.50 72,50 .00 REVENUE DIVISION TOTALS--> COLLECTED; 72,50 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 72,00 .50 iE ik if if k iE 1E iE if if 1ElE ik k i! iE 1k iF M 1E iF iE iF ik 1F fE i! if 1E iE i! k 1E ik iE iF iE iE iE if iE 1f iF if !E 1f 1E k if i(� 1F k 1E iE if 1k 1E if 1ElF fE if k 1E iE if k!F i!!F 1f ft 1F if ff if iF iE if 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 4600 REROOF BY VALUE RESIDENTIAL N020NE 1,00 9,600.00 END OF FEES 01 0014bE3R—�014b&39 T 4 T 72.50 DATE: 0?!1</93 TIME: 10:4D �' 1! CONSTRUCTION ANpPLANNING APPROVALS Permit �r 7. Temporary Electncal Serv�ce or Pole 2. So�i Pipe�Undrgrnd. 3. Electricai Conduit Uthty-Undrgmd. 4. Electrical Conduit�U��drgrnd. 5. Steel Reintorcemenc 6. Eiecvical UFER Grnd 7. Footings $. FoundatiOn 9. Water Pipe�Undrgmd. 10. Stroctural Flaor Svstem - 11. Prope�ty Sewe� Linc & Ho�.se ConnecLttn 12. Se�ver Cap ' � 13. Root Drains " � 14. Rough Plumb�.^g 15. Rough 6ectncal-Corttl,:! 16. Rough ElectricV'Jiring 77. Rough �;'"nr.q S�gn 18. Rough E�ectriWl-T Bar Ceil�rq 19. Ro��h He;,t�n3 & Air Co�.d:t�er � a 20. Fiooyh F2[tory Ffreulace 21. Ducts, in Structure � • 22. Ducts, VentilaAng _ Z3. Gas Pipa-Fiouah &�Tc;: , 24. Roof Framing 25. fioof.5heeti,ing 26. T•Bar Ceding (Struet�rali &'e1onoeoat 27. Prame ard Flashirg � 28. Lathing & Sid:ng � 29. Insulat�on . 3Q. Drywall Naihng $t. Piaster Bro�vn Coat � `__ 32. Electriwl Pow�r M11e:er�Fin�1 i i _ 33. Final Ele[tnc � - 34. Flnal Neatmg & An Cordiclo�ing `s5. Final Gas Pipa�Test ' 36. Hootl or Canppy 37. Final Facfory F��epl;:c^ 38. Final Plumbin9 39. L1'ater Service�Finai 40. Gas Service�F�na' 47. So�ar pomesrcFlna�� 42. BacKflow Preventcr 43. Backflow Irrigation 44. L:.ndscap� Irr.qatinn SVstem ' i 45. Sound Attenuaticn 46. Her,d�cap;iegula!io�ic , � �r.- - 47. FINAL STRUCTURE & BUILDING � 48. F;NAL PLANNI�'G,,y. i' 49. Electric ReleBse to Gdiso�j,, �'�^-tt 50. Gas Release to Souuu•r� Qaufornia Gas Q OF S;CCUI _ Da!e PO� . SPA Date Inspec2or APPROVALS Permit-k i Date Inspector ! I � 52. Pool & Equipment Locat�on . � �- 53. Steel ReinforceTent 54. Forms 55. Electrical6ording 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER�GUNITE 58. Elocv�caf Contiwi�Und�grna. 59. Gas P�pe, � Undrgrnd., Tesi 60. Backwash L;nex, P-Trap, L� Undrqrrd. 61. APPROVAL rD CECK ^ 62. Bac!<�:&sh & ReceptorFinai 63. Heatcr & VenFFi�al G4. Plumbing System - F��I 65. E!e^bical�Final 66. Saler SYst�m Fira� 67 Fercing & Access AnP�u�al G8 APPROVED FOR PLASTEHi�VG fi9. POOLlSPASvSTEC:SSFINA: FIRE DEPT. REQUIREh1[;!T A?PROVALS P��rmit r 70. Ur.a.�rg-aU,:: HV�+o 71 . Prudcct P;n!n9 '� Ga, ^ Oil I � �7 U^G ��oro�^�u Fi�s,. .-i_-_i_- �- /3. Undergrnd, Sturage Tank O Gas �: 0' -� 74. Ocar�,eao r•, �:� - -- 0 75. Ory Chemical 76. Dry Star.dp�p^_ 77. FIXED SYSTE\4 �INAL 78. FIR[ PREV FI�AI. �� -- i -- �-- --'j-' - - " � ' � r----;---- �------- �--- -- I � -� * - -- T--�---- i L _i__ V--- -' - - - - HFAITH OEPT. REQUIREN�EN7 79. FINAL I��S°C-.CTIC�J � 80. FOOD CERTIFICATE ISSUED ~ --I - IVotes: � PPOJEC7 AOOflESS: 3 4 1 O P I NE BROOK uxir: owxensName: �iILLAGE CREEK HOMEOWNERS aoonEss: ASSOCIATION 3429 TIMHER LARE CM VA 92626 AHCH/ENGINEEP: CHESTER CARVILLE REG.NO.: CL$�OS nooxess: 7922 ARMOUR ST PEPMITTEE: S, D. CA 9 Z S S 1 aoosess: PxOENIX ENTERPRISES INC. ( 213 ) 690-9559 411 COMERCIAL WAY LA HABRA CA 90631 LICENSEO CONTflALTOB OECIAPATION: I hereUy a��irm ��at I am Iicense0 un r visions o� Chapler 9(commencinp wi�h Seclion 7000� al �rvision J olihe Business antl �mlessions Cotle. antl my license � rce ane enec�. c�rr uc.: ds T/�/�� 376639 ' —/ _ : Da�e: —I��I— Signalure: _ l�V WONKEflS'COMPENSATIONOECLAIIATION: I�er¢byal�irmlhatlhaveat¢N6WIeolConsen(b5e11-insureora nificateolworkers' Comoensation Insurance. oi a cemliea coDY �ne�eoi (Seaian 3800, lao. CI. roucrNo.: W700354 EXP.�PTE: O7I � �91 COMPRNY: CA COMP 6 �IRE � C¢tlilietl taD/Y i7s hereby Iurni5�e0. CetlilieA toOY is �ileG wii �� Bui! Oivision. , �a�e: _,vd �� APPlicani: �� E%EMPiI�NPNOMWONNEPS'COM ENSATIONUECLAHATION: (Thi55ecimnn¢etlno�becompletetlit�heDe�mi�isbron¢h d�$1W�oNe55�. I cetlily Ihnl in Ine performance ol ihe woik lor whic� �his permil is issued. I shall no� employ any person in any manner so as lo become sublec� Io Ihe VJorkers ComDensation Laws oi Calilornia. �ate: SiAnaWre: NOTILE: II, aller making IAis Uetlarali0n, y0U S�oWd beCome SUblec� lo Ihe Workers' COmOensa�ion pmvisians o� IAe Labor COOe. you mu51 Iorihwiih WmDly wiih Sut� pmvisions of �hi5 permil 5hall be AeemeO revoked. CONSTNOCTION LENOING AGENCY: I �e�e�y aliirm tha� Ihere is a wns�mclion lentling agency for Ihe petlormance ol Ihe wo�k for wAic� Ihis Dermii is issuetl (Seclion 3097. Civ. C�. � LENOEfl: FOOflE55: OWNEP BUILOEB OECLAHPTION: I �ereby allirm �hat I am exemp� �mm the Contracmrs' S�a�e License Law for IAe �ollowinp reason (Sec�ion 7031.5 Business an0 Pmlessional CoOe: Any ciry ol couniy which repuires a permit m cons�mc6 alter, impmve, tlemolish, or repai� any siNtlure. prioi to ils issuance. also requires Ihe apvlicant lor such oermit ta file a signetl statement ihat he/sne is licensetl pursuam to ��e pmvisions of ihe Camractors' Slate License Law �ChaD�er 9(commencing wit� Section 7000) ol Divisian 3 0l tne Business and Piolessions CoGe) orl�al he/5he iS e�¢mptlherttrom and th¢ Ca5i5 �orihe allege0 ¢xem0�ion. Any aolalion oi S¢tiion 7031.5 Gy any appliwnt br a Dermil 5ubj¢tls Ihe apDlitanl lo a trvil penairy o� nol mofe Ihan live hundred doliars (55110�. I, as owner ol iAe D�aceny or my employees vnth wages as ineir sole compensafion, will Aa ine wark, an0 ihe ❑ simcmre is not imenUeO or olfere0lor sale �Section 70aa. Business antl Pmiessional Cotle: 7he Caniractors' State License Law • Ooes noi a001y Io an awner oi a O�oDerty wM �uAtls or impmves lh¢re0n, antl wtw does 5uth wOM1 himsell/�¢r5eif or IAmuAh �i5 or �er Own ¢mpl0y¢e5. pmviae0 I�al 5u[h imprwemenl5 are nol int¢nG¢4 ar ottere0 fOf sal¢. It, �owever Ne Uuilaing af impmvement is sole vntnin one year of completion, Ihe owner will have ihe bureen of pmving he/sne tliU noi Ouild or imD�ove br ihe purpose al sale). I, as ownerol Ihe pmDe�y, am eKtlusively coniracting with licen5ed conlractor5 io constmct the pmjecl (Sec�ion 704d, Bu5ine55 ❑ antl Pmieuions Caae: T�e ConVactors' Sla�e License �aw aces nol apON �o an owner of pmperry who builOs or improves I�ereon ana wbo coniracts br suc� D�ojects wit� a comractoqs)license pursuam lo ihe Contracmrs' Siate License Law�.l am aware I�al Dmaf ol I�eir WOrk¢t'S Compen5aiion in5urant¢ 5houltl Ce pmwae0 Ia me. � I am eaempt unEer Seclion: B. 8 P. C. lor I�is rea5on: CITY OF COSTA MESA — HUILDING PERMIT PERM NO: H 05053 PERMIT NO: H 050533 PLAN CAECK NO: 00155-91 A GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE: REP JOH DESCRIPTION ; REPAIR SETTLEMENT DAMAGE SQ FT: 143 CLAIM VALUE: 19,300.00 CALC—VALUE: 14,300,00 GROUP OCC: R-3 / COMMENTS: BUILDING SETTLEMENT REPAIR/FOUNDATION ��**��rx�****��**�r*xx*��*�rx��r� �r*�*�x�*�t�t�rx+�*��r�**�*x��x*�**��*�**�*�**x**��**** Z O N I N GS ERTEBQAUCIKRSE M E N T 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 2NE: R2 REF NO: PLANNING NISTES> FOUNDATION REPAZR. � : iE IE iE i(� )f iE if 1E if ih 1E 1E # iE iE iElE 1f 1k ik iE iE iE iE IF !E iF ik iE iE if iF 3! i(�iE 3f IE, lE k if iE iE �f ik iE �1F iE IE iE If 1flf 3E if 1E IE 3E 1f iElE iE iE iE iE iF iF 3E 3E 1E il�, iE iE IE IE 3f �E if iE 1E D E V E L O P M E N T S E R V I C E S R E Q U Z R E M E N T 5 ZONING APPROVED BY ;�l� L-,_ �- DATE: �+ / I S�) 1 BUILDING APPROVED HY : �/�i L, i�A—�; DATE: ' � APPLICATION ISSUED BY: iF 1F If if if if iE iF lE if iE iE * iF iF if if 1E If 3f iP iF kiEiElFiflfiFiElEif3FiFif�1ElEMifiFifiElEiFiEif3EiElE�IE�EIE3 3E'iF7FiF� LEGALZZATION:N F E E S� BLDG PMT PLUMHING ELECT�IC DATE: IF IE iE�F K iE iF 9E if if 1f if IE iF 1EiF iF if if iE 1FiE IF iE jF �f iE �F 1E �F iF 1F IE �F iF iF 1E iE M M A R Y STRUCTURP.L,SEGMENT;Y MECHANIC FIRE SMIP/RES GRADING PERMIT 162,00 1,00 PLAN 26.33 SMIP/NON—RES ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 163.00 0.00 26.33 189.33 189,33 .00 REVENUE DIVISION TOTALS--> COLLECTED: 189.33 OVER/SFiORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 162.00 1.00 ^ 26.33 iE 3h iE if 1E iFiF IE 1E iF 3F iE IE 3E iE iE if jE iE iE if !F 3F iF iF iE if aF iE if 3E if �IE 3E If iE 3E fF if iFlf �k if if if 3f 1f 3F )f iE iE if iF if if if dF iE if iF iE lE �f if 1E �)f iE if if )f if if 1f iE iFiF iE if if I N D I V I D U A L F E E H R E A IC D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST oate: �"'"ef� S FR I tlo here�y ceNly IAaI I am aware o� ana un�¢r5iane �Ae requiremenis ol Calibmia Heal�h anA Satery Cotle Sec�ions 25505. 25533, ana 25534 antl ihat I or any future buil0ing occupant willlwill no� (circle one) neeA to comply wilh saie state codes antl ihe reQuiremenis for a permil lor conslmction or mo0ilicalion Imm.l�e Fir Oualiry Management DisVicl. Residen�ial cons�mction applicalians are exempl �mm ihese provisions. . Oale: Npplicanl: I here�y cerlily Ihat I have reaU Ihis ap0lication anA Sla�e Ihal Ihe a�ove in m on i correcL I agree �o c la wilh all ciry antl ypuntp ordinancesan4slalelawsrelalinglo�vilaingconstmclionanOherebyaul e preti alivesolthiSciryV OonlheaGOv �tione0 p�o0eiiy lo� mspeciion pwpose � � Da�e: /`�� _ Signamre'._ Driver's License oi Sociai Seariiy Nppllcanl: Pink—Revenue: Goltlenmtl—Assessor 143 STRUCTURAL BY VALUE PER 5100,00 END OF �'EES 100.00 14.300.00 O1 OD07�65d-pC@i?bti5 �r,� d Dr,iE: G1i2;��? TIqE: 17:0; �/ __i.aJ CONSTRUCTION AND PLANNING' P��l & SPA APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole • 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. �-^� �� 53. Steel Reintorcemen[ � r:^ l 3. Electiical�Conduit Utiliry�Undrgrnd. , , 54. Forms � 4. Electrical Conduit-Undrgmd/�'," . 'J 55. Electrical Bonding �'- 5.� Steel Reinforcement t . 56. Rough Plumbing & Pressure Test 6. Electrical UFER•Grnd. � 57. APPROVAL TO COVER�GUNITE 7. Footings � 58. Electrical Conduit-Undrgrnd. ," 8. Fo`undation . 59. Gas Pipe, � Undrgrnd., Test �.' �- 9: Water Pipe-Undrgrnd. � ,�+� 60. Backwash Lines, P-Trap, O Undrgrnd. / n 10. Structural Floor System �.�'•„ ��^ � 61. APPROVAL TO DECK �_ j, 11. Property Sewer 4�ne &:Hou ^Conne�tio� �� 62. Backwash & Receptor-Final 12. Sewer CaP ; � - � 63. Heater & Vent�Final �--� 13. Roof Drains � . � 64. Plumbing System � Final � 14. Rough Plumbing� '� �i 65. Electrical-Final -�'/ 15. Rough Electrical-Conduit ;' 66. Solar System-Finai . •� 16. Rough Electric Wiring ''�. tl •�'� / 67. Fencing & Access ApProval �' 17. Rough Wiring Sipn � 68. APPROVED FOR PLASTERING 78. Rough Electrical•T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL � 19. Rough Heating & A�r Conditioning � FIRE DEPT. REQUIREMENT � i . 20. Rough Factory Fireplace ' � � - _ ' • � APPROVALS' Permit # _ �' 21. Ducts, in Structure � � . j0. Underground Hydro 22. Ducts, Ventilating ' � K°` 7�, Product Piping O Gas OOiI 23. Gas Pipe-Rough & Test , .- ' ,� - 72, Underground Flush�-� - 24. Roof Framing ' � ' ' _ - - 73. -Undergrnd:StorageTarfk �Gas ❑Oil 25. Roof Sheathing � ' . , . 74.'Overhead Hydro _ � � 26.�T-Bar Ceiling �Suuctural) & Monocoat ' - _ - � ' � 75. Dry Chemical ` � 27. Frame and Flashing � ; ' � 76. Dry Standpipe � -� � 28. Lathing & Siding � � r . ,� 77. FIXED SYSTEM FINAL' � 29. Insulation . � . _� �. 76.�.FIRE PREV. FINAL � 30. Drywall Nailing ` • �_ � HEALTH DEPT.�REQUIREMENT 31. Plaster Brown Coat , i.. . � � �, ; 79. FINAL INSPECTION � � `32. Electrical.Power MeterPinal � . � i �� 80. FOOD CERTIFICATE ISSUED .33. Final Electric, ' � � ; � Notes: ' . , 34. Final`Heating & Air Conditioning_ , �, �. � • . _ � 35. Pinal Gas Pipe•Test ' � � • �� - . '.. ' � 36. Hood or Canopy - .. • . - > � 37. Final Factory Fireplace ' � � ' ' , i 38..Fina.IPlumbing .; � � I � r .. �. � 39. Water Service�Final � � � { _ � •� ` ` 40. GasService-Final � . � j j f � ,�' � � 41. Solar pomesticFinal � � � ! t ' ' < < 42. Backflow Preventer � ' 'j' � • � - - �� 43. Backflow Irrigation � � • ' � � 44. Landscape Irrigation System , � � � . �_ - . . -. - � � - 45. Sound Attenuation ' " •� � � � • � 46. Handicap Regulations � ' � � 47. FINAL STRUCTURE & BUILDING � � � � ,_ 48. EINAL PLANNING. ' . � 49. Electric Release to Edison - , I _ 50. Gas Release to Southern California Gas Co . I � �. ' . � � 51. CERTIFICATE OF OCCUPANCY , - .. No. Date Pfl0.1ECT�ODRE33: 3q1O PINE BROOK CI OWNEfl'S NRME: FRANK EASTMAN aooeess: SAME AS AB OVE 7191641-0835 RflCN/ENCINEEfl: ►ODflE33: HEG.XO.: uxir: 0 UNR: aexrnmee:ELECTRICAL SYSTEMS TEST. (714)898-5113 eooxess: 15573 COMMERCE LANE HUNTINGTON HEACA CA 92649 IICENSED LON7MC70B OECIAMTION: I hereDy attirm that I am Iicense0 under provisions oi Chapter 9(commencinA ��h Sectian 7000) ot Oivlsion 3 at Ine Business anE Pra/essiom COEe. anE my license is in tull tarce and eHed. ciTr uc.:AAA 3 2 sutE uc.: 3117 0 9 cuss: C-1 ��/� Ua[e: ��' SiOnature: ��""" `� �� pKEBS' COMPENSRTIOX OECUMTION: I here�y aflirm that I have a certif¢ate of wnsent ro self-insure or a certificate af WaMers' penution �sLua4c� � 8c$rtilied coDY ��e�eol (Section 3800, Lab.U) % IO 1 I 9 1 �cr xo.: STATE FUND �P o�7E: COMPRNY: � CertifieA coDY is Aereby furniSheE. � Cerlified coOY is 1ed wrth I�e ciry Buildinp Oivision. Uate: �/ ' �� `�� PPDlicant: _iY�^��i �/,WfiWA/� J E%EMPTION FI10M WOBKEfl3' COMPENSRTION OECWIATION: (fhis secuon neeE not be comDleteA it Ne permit is for ane huMreE (5100) or less). I cetliry ihat in the pedarmance of tAe wark tor whic� ihis parmit is issue0, I shall not emplay any person in any manner so as ro Oecome sublect to the Workers' Compensation Laws ot Calilornia., Date: Slpnature: NOTICE: If, afler makinp I�is Aeclaratian, you shoulA hecome su�lecl b the Workers' Compensation Drovisions oi the Labor CoOe, you mus� forthwitA comply with such pmvisions or this Oermit shall be OeemeO revake0. CONSTBUCTION 1EN01N0 �GENCY: I here6y aifirm that there is a constmction lentlinq aAency for t�e Dehormance ot tAe work lor which this Dermit is issued �5¢ction 3097, Civ. C�. LENOEN: nooaess: OWNEB BUILDEB OECIAMTION: I �ereby affirm that I am exem0� �rom t�e Contracmrs' State Licenu Law tor the follovnnp reason (Section 7031.5 Business and Professional CoEe: My city at counry whic� requires a permit to consWct, alter, imDrove, Uemolish, or repair any structure, Drior ro its issuance, alsa reQuires the ap0licant far such permit to file a signe0 statement that he/she is licensetl pursuant to the DmNsions at the Contacrors' State License Law (Chapter 9(commencinp with Sectian 7000) ot Division 3 af the Business an0 Pmfessions Cotle) or that he/she is exempt Ihemlmm an0 the basis for t�e alleAeO exemD�ion. My dolation of Section 7031.5 hy +ny applicant tar a permit suhlects the applicant ta a civil penalry oi not mora tAan five hunAreA Oollars (5500). I, as ownar oi Ne Omperty or my employees wit� wages as tAeir sole compensation, will Oo the vroA, anA t�e � sirucwre is nm imenUed ar ottered lor sale (Section 7094, Business antl Pmlessional CaCe: The Coniractars SW[e License Law � tloes not apply ta an ovmer of a D�oOeM w�o Ouilds or imD�a�es tAereon, antl w�o does such xrork himsett/�eruli or IhmupA his ar her own emD�oyees, prodae0 tAat sucA imprwemenGs are not intentletl ar oHereO for sate. Ii, however t�e Duildinq or ' improvement is sold witAin ona year of comDletion, tAe owner vnll have ihe OUNen oi proNnq he/she Aid not Uuiltl ar impmve for Ine purpOse of Sale1. I, as owner of Ihe properry, am eKclusively contactlnA �� licensetl contractors to consirud Ihe pmlect (Section 700O3 Business ❑ aM PrMessions Code: The Coniractors' State Licerte Law Oces not apDN �a an owner oi pmperry who hmlEs or imD�oves Merean an0 who coniracis for SucA Dmjecis ctt� a mntractor(5) license Oursuant to the Contractors' S[ate Licenu Law). I am awaa that 0�� at Iheir Worker'S ComOensttion msurance sMulA be D�oviAetl lo me. � I am eKemO� unaer Section: B. d P. C. for this reasan: Oate: Owner. I Oo heahy cerliy that I am aware o/ and unCerstan0 tAe reyuiremenis of Calilomia Health anU Safery Cotle Sections 25505, 25533, antl 25534 an0 that I or any futum buil4in0 occuDant vnlUwill noi (circle ane) nee0 to comply with said state codes an0 the requirements lor a permR tor consimciwn or mo0ifiwtion irom ihe Nr ualiry Manapem¢nt OisMct. FesiJential constructian applicatians are exempt irom [he50 pmvisi0n5. Date: ApDlicant I here�y certity tAat I �ave reaE this aOP�ication anA state that t�e a6ove information is carrect. I aAree ro wmply wnh all cdy and counry orAinances anG state laws relatln0 �o builAinp wnsirucfion an0 here6y authonze representatives of tAis ciry to enter upon Ihe aDmamentloneE pra0erry forinsDed/ion/�Durpo/se�s. �//�,,�j�� .n {/�/�� // �ate: (� - /�f - % � ApPlicant: Pink—Revenue; Goltlenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: E 048842 PLAN CHECK NO: N CONSTRUCTION TYPE: JOH DESCRIPTZON . CLAIM VALUE: PERMIT TYPE: ELE ELECTRICAL ONLY/NO STRUCTURAL PERMIT CALC—VALUE; PERM NO; E 048842 GOVT: N SUPP: N PURPOSE: OTH SQ FT: GROUP OCC; / COMMENTS: MAIL—IN PEAMIT ***+�***��r**x�xx**�r+��r�*�**x�*�**�*� ��*�x��r� �*�*�***�r;��r*x�**�r�r******��**��*x**�* 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 i. ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN AGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ; PROV; PARCEL: 42219305 ZNE: REF NO: PLANNING NOTES> > 9F if 1E 1! i6 ik IF iE iE iF iE if iE i6 iF if if iE iE iE jF �)E 9E �E iE iE iF iE if 3f if �f dE * aF iE iE 3f 1k iE if iE iE ik iE 3t iF iE if if iF iE * iE 3E 3E iE iE �' jF * iE iE dF jE iE 3E �K iE iE i� 3E �E iE iE iE �F �14 if D E V E L O P M E N T S E Ft V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: J BUILDING APPROVED HY ; DATE: l_/2'/ 9� APPLZCATTON ISSUED BY: �''r � DATE: s�'�� iEikiEiE3EiEiE�EiEiF�tiFiFifdki6itiFiflk3F�E 9tiEiE9Ek9E3EiF3f-3f3F' 3F firiF.F.c�. iF� iE iE iF iE it iE if 1F iE ik iE iE iE iE iE 1f iE iF if 3E it i! it ik ak 3E if it it iE if it iE jE iE iF iE ik iE if iE iE if it iE 3f iF ik 3t iE * if iE it iF it iE 3t dE iE it iE iE iF jR iE iE �f iE 3E iE 9E iF �E jE dE �E �E �E LEGALIZATION:N F E E�! S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/RES GRADING F�ERMZT 11 .00 SOR SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAZD DUE TOTALS----> 11.00 15,00 0.00 26.00 26.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 26.00 OVER/SHOAT: ,00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 26.00 iE iE iF it iF iF iF it iE iF iE iE iE if iE iE �t �E it ik iE jF it iE iE jE iE iE iE iE iE * ib it 3E 3E iE iF ik iE ik iF it it iE if iE i! iE iE iF iE iE iE iE iF it iF iE iE 1E iF iF iE iE M� iF jk?F jF if if iF iE it it iE jF �F I N D I V I D U A L F E E B R E A K D 0 W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 MISC APPARATUS NOT LISTED REQ PERMIT 11.00 11.00 END OF FEES o� 000��enl-�ocfl��oaz -��a :�.04 DATE� SO/02l9fl fIYE. 3�-:31 CONSTRUCTION AND PLANNI.. _ �OL & SPA APpROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector 7. Temporary Electrical Service or Pole ' 52. Pool & Equipment Location 2, Spil Pipe•Undrgrnd. 53. Steel Reinforcement 3. Electrical Coaduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undr9rnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings , 58. Electrical Conduit�Und�grnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structurol Floor Sysrem � 61. APPROVAL TO DECK . 1 t. PrOPerty Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 73. Roof Drains 64. Plumbing SYstem - Final 14. Rough Plumbing � , 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar SYstem-Final ' 16. Rough Electric Wiring 67. Fencing & Access ApProval 77. Rough Wiring Sign � 68. APPROVED FOR PLASTERING 78. Rough Electrical-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas OOiI 23. Gas Pipe-Rough � Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead HYdro � 26. T�9ar Ceiling (Svuctural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. InSulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT � 31. Plaster 8rown Coat 79. FINAL INSPECTION � � 32. Electrical Power Meter-Fin`al 8. FOOD CERTIFICATE ISSUED 33. Final Electric _ �. Note • 34. Final Heating & Air Conditioning 35. Final Gas Pipe�Test „� 36. Hood or Canopy �' _� 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Batkflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulatlons 47. FINALSTRUCTURE&BUILDING �� r 48. FINALPLANNING ,' '" 49. Efearic Re{ease to Edison � � 'i'. 50. Gas Release to Southern California Gas Co . � 51. CERTIFICATEOFOCCUPANCY No. Date ��^ �1'ATE-WIDE Develovers. Inc. �H�� 4-2n-/b JOBADDRESS �liln vinn Areok BUILDINGPERMITNO. ata5a AP No I✓'^E GFa WATER PROP. SWR. LINE U HOUSE CON. �' SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONOITIONING TEMPORARV SERVICE OR POLE UNOERGFOUNO � POWER � ROIIGH WIRING TRENCHES I� FORMS I� STEEL REINF BONO BEAM U STEEL REINFORCE SHEqTHING FRAME AND FLASHING LATHING — IN � OUT PLRSTER,BROWN COAT H'' V0. VENT., REFRIG. AN P .ING, FINAL ANO GAS T EI.ECTRIC, FINAI BUILOING. FINAL TRACT 8858 FIRE ZONE VALUE Si afure Date TYPE GROUI � � SUBCONTRACTOR z . aU HZ ZQ O v~i am J � J N Q W n] J J m a UN Za w� aw WZ J Q m z J � W w � Z H w� 7 Q � 4;1.858 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 r,'nv t 3-7r>��'�,D(i F�� ; :_:: -?65.68 APPLICATION FOR BUILDING PERMIT For Applicant fo Fill in Completely flECEIVE� BV DATE RECEIVED D TE ISS E BUILDING ADDRESS / � p��— OWNER State-Wide Develo ers, Inc. �+.P•NO. T�Z�Z��'LyOZ.��, -PEfl��'��+v�+ BUILDING aooRess 9461 Grindla �+DDRESS ��J�� {�i�te �an'/L CITY Cypress No`.82�-4550 TRACT �a.�o LOT BLOCK CONSTRUC710N W A D A R LENDEIi X BRANCH ' �� ,� � OWNER AODRE55 AflCHITECT TEL 1 Res w/att 9ar VALUE r sA��a� N .356-66 0 $ ADDRESS 17848 Sk Park Blvd Irvine ZONE TVPE GROUPI gl APPFOVED CONTRACTOF State-Wide Develo e�'$ Inc. g�' DATE ADDRESS g461 Grindla TEL. �ONE NO.OF z USE OF NEW , L�) cirv C T'es5 No• 826-4550 /22'�P P'-4NS 4 BUILDING STATE CITV YARDS APPflOVED VARDS APPROV LI0. NO. 2`Z47�O LIC NO. MAIN BUILDING ACCESSOflY BUILOING SIZE NO.OF BLDGS. (FROM C/ STREET) OF LOT � 2.093 acres NOW ON LOT Q FROM FT. FT. USE OF EXI5TING BLDG. ��'FT. F $IZE OF NO.OF NEWBLOG. FOOMS STORIES L.SIDE FT. FT. EXTERIOFi WALL aS er qpOF Z FT. FT. COVERING COVERING REAF USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS, BLDGS. VAR.# �7 DATE C.U.G.iW ��-/ APPROVED/i � 1 Residence w/att gar CPPROVED ,22 7lv HOLD FOR SPEC7Ar nm.r-�v ��..,. I hereby acknowletlga that I have read this application and state ` r^ y that the above intormation is correct and agree to comply wlth all laws reBulating builtling consttuction, and I shall not ¢mploy any person in violation of the workman's compensation laws ot ihe State of Calitornia. I hereby certify that I am pro0erly licensetl as a conVactor untler SQ. FT. — the State of Calitornia Business antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VAIVATION IS FOR Chapter 9, an0 that such licen5es are in full force and eftact, or I THE PVRPpSE OF ESTABL6HING A PERMIT FEE ONLY: am exempt from the provisions of the State of Cd ifo�nia Business VALUATION aatl Profesaions Code, Oivision 3, Chapter 9. / �� pERM1T FEE $ Signatu State-Wide Devel �fe ,Inc. � � --� (� Perm(ttee -�-�' $ PLpN CHECK $ V Aumorizatl AgentV� Ce Pres � dent {,��r TOTAL FEE $ � yO