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Home My WebLink About3420 PINE BROOK CIR - Building Permits/ � � PNOJECT AODNESS: OWNEfl'SNAME: 3�IZO PINE BROOK CI noonEss: VILLAGE CREEK H2O.A, 3429 TIMBER LAKE COSTA MESA, CA 92626 AXCHIENCINEEN: S S 3— S S% E1 ADOHESS: flEG.NO.: UNIT: UNIT: PEPMITTEE: nooeEss: PETERSON ROOFING ( 714 ) 979-7111 /�(3�0qT06� ENp�TEnRPRISE � ogGqp IILENSEU CONTflACT0119ECUNN110�'YM2oy alfirm I�at I am licensetl untl�piavi5iM5a1�G�epler 9(commencinB w�� Section ]000) ot Orvision 3 0l ��e Business antl Professions Code, antl my license is in �ull lorce antl etfeci. cirr uc19 ,� STATE LIC.: �O % S%�/f _ 55 C�3 Oate�, — ignature: _�f/ . — WOBNEflS' COMP NSPTION OECIABATION: 1 �er¢by a�firm Nai I �ave a tertilitale o� onsen� to 5elbinsure or a t¢hiiita�e ol WOrkers' Compensatian Insurance. or a rertilie0 caDY �hereoi (5ection 9800. Lab. C1. POLILYNO.: lOZS3SS—J3 E%P.OFTE: OQ�OII94 LOMPANY: q'('yT p/7^' ❑ Cenilietl CE09 hT�r� ��niSfiPd.Dp C¢nilied CaD� �iled with e ciry ilding �ivisi n. q r / � Dale: / Fpplicant: /�. E%EMPTIONFBOMV flRENS'COMVENSATIONUECLAPRTION: QhiSsecliannee4not0ecom te�il��eDermilis�oroneAunAfeO�SiW)orle55). I ce�ily t�at in ��e pedormance al Ihe work for which ��is permi� is i55ued. I ihall not employ any person in any manner so as to become sublecl to I�e Workers' Compensation LawS oi Califomia. Daie: Signature: NOTICE: I�, aller making I�is declaration. you 511oW4 6ecome sublet� lu �Ile Workefs' Compensation Orovisions ol tM1e Lahor Code, you musl IatlAwii� compty wi�� such pmvisions or Nis p¢rmit shall �e Oeemed revoketl. CONSTHUCTION LENUING AGENLV: I here�y allirm ihat ihere is a consimction lentling agency for ihe peAarmance oi t�e work for wnicn inis oermi� is issuea �Seciian 3097. Gv. C�. ' LENOEfl: FDONE55: OWNEfl BUILOEN OECLANAiION: I �ereUy afiirm Ihat I am ¢Kempl lmm I�e Conlraciors' $late License �aw Im ��e following reasan 15ection 7031.5 Business and Prolessional Coae: Any cily ol county which requires a Oeimit to consirucL alter, impmve, aemolisn, or repair any slNtWre, prior ta its issuance, also requires Ihe aDPlicanl for such Dermit to fAe a siBnetl statement tAat he/sne is licensetl pursuanitothe pmvisions olihe Conirac�ors' Stale License Law�Chapler9(commencinB wiih Seclion 7000)0l �ivision 3 ol�he Business ana Piofessions Cotle) or Ihal helsne is exemp� I�erelrom and ihe basis 1or t�e allegetl exempiion. Any violation ol Section 7037.5 Dy any appl¢ant br a permit suhlecis I�e apD�icant to a civil penalty ol nol more Ihan �ive huntlred dollars (f51q�. I, as owner ol tAe pmpeny or my employees wii� waAes as iheii sole compensation, will Ao Ihe wark, antl I�e ❑ slmclure is no� inlenaetl ar allere0lor sale (Seclion 704a, Busness an0 Pmlessional Cotle: The Comracmrs' Siale License Law Does noi aoVly to an owner ol a pmpeny wno Uuiltls or impmves ihereon. antl who does such work himself/Aersell or Ihrough �is or �er own employees, O�oviEed Ihat sucn improuemenis are nol intenJeA or olleretl lor sale. II, however ihe 6uildinA or improvement is 5010 wilhin one year ol compleiion, Ihe owner vnll �ave Ihe hurAen ol Oroving he/s�e tlia no� huila or im0�ove lor t�e purpose of sale�. I, as owner ol ��e pmpetlY. am excWsivelp conVacling wilh licensed conlraqars to conslmci Ihe O�olec� (Sec�ion 7044, Business ❑ ana Pmlessions Cotle�. The Contracbrs' State License Law aoes no1 apDly io an owner ol pmpeny who Uuilds or improves thereon and w�0 conlratl5 lor Suc� pmletls wi�h a tOniratlor�s) liten5e Oursuan� Io lhe COnlraciors' Slale �i[ense Law�. I am aware Ihat pmol ol l�en WOrker'S ComOensali0n insurance Shoultl be D�oviOetl IO me. � I am exeinpl undei Seclion'. B, 8 P. C. br t�is reason: Date: Ownec I tlo here�Y �enily ihal I am aware ol anU undersland ihe reQuiremenis oi Calibmia Healih and Salety Code Seclions 255Q5, 25533, and 25534 unA th, t I or miy fu�ure �uilaing accupant willlwill nol (cirde one) neetl Io enmply with 6ai4 61aie codes antl Ihe requiremen�s �o� e permit lor can5lmciion or mo0ilicalion Irom Ihe Air Oualily Managemen� Disirict. ReSideniial conslmclion ap0licaiions are eKemp� fmm these O�a�isions. �ale: ApPlicdnl', I hereby cetlily Ihal I have reatl Ihis applicalion ana slalethai Ihe aboveinformation is carrecl. lagree to camply with all cily antl counly ortlinances antl slalelaws�elalinglo �uiltling conslmciion anA hereby aWharizerepresenla�ives ofinis ci�yio enieruponlhe above�menlioneU plop¢rly btin5p¢CIiOn pufpOSCS I!% � //�� Gy •/, , Daie:_!_�� Sipnntura r.�..�i� i . Drivei's License o Socml Secunly � � �,� � � � i6a��a6 wn�ie-0wimng: Pink—Revonuo; Goltlenro0—Assessor CITY OF COSTA MESA — HUILDING PERMIT PERMIT NO; H 063999 PLAN CHECK NO: N CONSTRUCTION TYPE; V—N PERMIT TYPE; STR JOB DESCRIPTION ; T/OFF SHEATH REROOF W/COMP SHINGLES PERM NO: B 063949 GOVT: N SUPP; N PURPOSE; ALT SQ FT: 3,700 CLAIM VALUE: 3,700.00 CALC—VALUE: 3,700.00 GROUP OCC; A-1 / *�*�****itx*��**�rD�**�*��*�r** %�****�+Tt*****�*�x***��*�r**+2t* Z O N I�N G R E Q U I R E M E N T 5��R SETBACKS REQUIRED ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT; FT IN RGHT; FT IN LEFT; FT ZN RGHT; FT IN PARKING REQ• PROV; PARCEL: 00000000 ZNE: REF NO: PLANNING Nr3TES>- � > � iE3kififiEiFiEiEklEltiEikiE�E.!liElEkiflfifiEiEiFiFiEitlflFlflFlEififlflkififiEifllikiFikiflFiklf-lkifiEfEiE1FlfiEiElEifif�EififlkiElFIF1FlElflFifiEiFiE1E1Fjf 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; ' HUZLDING APPR0IJED BY : DATE; APPLICATION ISSUED BY: DATE• �� iElEifiFifitiElEififififiFiEitiEiEiFiElfifiE iFiE3EifiE�E3EiEifi6 f i f itlF iE iE iE if iE 1E iE �E iE iE iE iE 1E �E iE �E 3E 1E iE iF iE iE k iE if 7f iE iE if k IE iE 1E if if if if iE iE aE iE if it ik iF iE iE 1E 1E iE IE if iE iE fE 1E iE i6lf ik k iF �E 1E iFiE iE iE IE iElE iE 3EiE 3f !f ib 3f if LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/RES GRADING PERMIT 63.00 ,50 SMIP/NON—RES PLAN ISSUE FEE HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 63.50 0.00 0.00 63.50 63.50 .00 REVENUE DIVISION TOTALS--> COLLECTED; 63.50 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHE:CR 63.00 ,50 if iE 1E 7! if iE 1E 1E 1f �E 1E iE k iE if if if if �E if i! 1EiF 1E �E ik IE iE if 1E if 1E iE 1E i! ik iE iE iE iE 1f if if if 1f iE 1f if fE iE iF iE if i! 1t �f iflE if if ik iE iE if iE if 1P iF if 1f iE iF iE iF 1E 1F M 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 3700 REROOF BY VALUE RESIDENTIAL NOZONE END OF FEES � 1,00 3,700.00 O1 60145U&�-001463,51 Tr�T 53,50 DAT[: 09/14/93 TIME: 10:48 � , I CONSTRUCTION AND NLANNING APPROVALS Permit,�r i • � i. Temporary Electrical Service or Pole r2. So��l Pioe-Undrgmd. � 3. Elcctrical Conduit Ut��ity�Undrgrnd. _ I_w. E�cctr�cal Condwt�Undrgrnd. _ 5. °tce� Re�nfo�cement G. F -.u�ca' UFcR G�^�d i7 f-ocungs $ rG:.^dui�On ^ 9. 1'.,,!e� P�pe-Undrgrr.d. ' 10. SLrcct','a' FIOOI 5y5tem. 11 . �rapr;y Scr.er �ine & House Connec:�on '2 Sa:ver CaP . �- 3. Ao�t Dra�ns ' 14. Ra�.:ph Rlumbmg - r'5 Ru..�h ElectriwlLontlurt � 1fi Ro:,gh ElectriclViring 77. Fo�gh lVir�ng S�gn 18. Ro�gh Electrira6T 6ar Ce�ling 19. Rough Heating & Air Condit oning 20. Rou��h FbCtory Fireplace � ' Z1. C �ts, in StrU[tUre �� 22. Oucis� Ventilating , 23. C:: P�pe�Hough & 7esc �4. Roo` Framing � � 25 F��a Sheath�ng � I26. T E2r Geiling �Structurall & Monocoat F - - � 2i. �-�r-nEarc� Flashirtr �~ 23. L:.?hing & Siding 29. �niulat:On � 30. �ryc:ail f.aihng . 37. P zs:er Broa�� Coat -- �-- - 32. Erectr�cal Power Meter�Final • 33. F ^.a' ELctric • 34. Finai Neahng & Air Conoitioninr 35. ��nal Ga5 Pip�;Test . 3u. Hood or Canopy 37. F�nai F2ctory Firep�ace 38. Finai Pi�mbYng � S9. 1Vater Serwce•Final �'0 aG s Sero�ce�Final �47. Solar pomesuc-Final 42. 3�a<+iotc Prevenxer 43. Qadcflo�v Irrigatio� �4. Lardscap2 Irrigatic� Svstem 45. SounC Attenuatiorr•• � �:5. Handleap Re9uiati�t� _ 47. FINALSTRUCTUI 48 F',NALPLANNINC 49. �lectr:c Releate to 50. Gas Aelease to $ou� 51. CERTIFICATE OF LDING i�iitornia Gas Date PO(, _ ,� $PA Inrspector qppROYALS Permn i� 52. Pooi & EGuipment Location 53. 5tecl Re�ntorr.ement 54. forms 55. Eleclncal8ond;ng 56. Rou9h Plumb�ng & Pressure Test 1 57. APPRQ�JF11 TO COVER�GUNiTE - - - � 58. Elettricai Corduit-Untlrgrnd. I $9. G3a P�pz, � UrUryrt��d„ T¢5: � I 60. Bacl:vea5h L:nes, P-Trap. � Undrg•rd. I 61. APPROVAL'0 DECK I 62. Baekc:dsh � �eceptor�Finai 63. Hear_r �i V2nbF�na� _ 64. Plum�ing S��stem � F val u5. El�ctric2l-Fi�w� Date � Inspector O6. $O�c� S�SiET��in6i I _ _ �_ � 67. (encing & Access Anp�oval � � -- - -� 68. APPROVED FpR PLASTERI,LG 69. POOL /SPA SYSTEP.7S F'NAL -- - - � FIRE DEPT. REQUIREMENT ^� -- ' • I I ' , hPPROVAI_$ � Permit ;� I -- - -- -�---� 70. Undrrground HYdre ' ." . 77. Product Pipmp O Gay ❑ Oil ' IZ. U(iC�L'f]1011'lO'�ILSh. � I ' � � ` ).3. Undcr9rnd.5toraye7y�k C Gas � 0�! �� 1� -�(' ��_(p4/� I 74. O�rrheatl HYdro - - � ' � �1_- _ � � 75. Dry Chemical I � - � --- -- --� �--- I � � 76. Dry Sracdcic. I 1--- -� �-�'� 77. FIkED S�STEtF^� FiP!qL -� � I I _ --''�-- -- J-----I � � � 78. FIRE PREV. FI�.A� _l_ � --� -1-� �' f HEALTHDEP7.R�EnUlRE1�E��T � -`----- - �-- -- �' - - - - - - T-------1 7s. �F!'.aL �plg°ECrip-. --�-; --}-- --- ------- - - rt - - -� � i &0. F�OD CERTIFICA�E !SSUE�� - 1 -- --�--- 1-- -� ~ ��- uotes: -- u 0 - - --- --+ -- - I � - '- a a PFOJECTROONESS: 34'1O PINE BROOK owNEssxnme: VILLAGE CREEK HOMSOWNERS aoosess: ASSOCIATION 3429 TIMBER LAKE CM VA 92626 UNIT: pFCHIENGINEEH: CHCSTER CARVILLE REG.NO.: CZ$�OJ aooness: � y z z pRMOQR ST N' PENMITTEE: S. D. CA 9 Z 1 S S aonness: PHOENIX ENTERPRISES INC. ( 213 ) 690-9559 411 COMERCIAL WAY LA HABRA CA 9 31 LICENSEU CONTflPCTON DECUIBATION: I hereby aifirm Ihal I am licensed un r isio Chapter 9(co ing wi�h Sec�ion 7000� ol �ivsion 3 oi �he Bosiness and Pm�essions Code. antl my license i' fu0 rce etfec�. aTr uc. 0 8�i TE '� 376639 �ate: ' — SignaWre: _ _ _ _ — _,— — — WOflREPS' COMPENSATION OEC ABpTION: I hereby aHirm Ih iave a cenilicate oi consem ro selbinsure or a ce dicare of Workers' Compensation Inwrance. or a cenified coDY Ihereof �Section 3 00. Lab. C). �oucrNo.:W700354 E%P.OpTE: O%I 91 comrnxv: CA COMP 6 FIRE � Certified capy is here�y Wrnished. ❑ Certitietl copy is IileA with c uilding ' sion. Oate: � ' Npplicant � E%EMPTION FBOM WOBREPS' fAMPENSATION OECIAXRTION: seciion need nol be compleletl i� t�e permit is fo� one hu etl ($100) or less). I certify that in the peAormance oi Ihe work br which this permii is issued. I shall not emplay any person in any manner so a5 io become subjeci 10 ihe Workers' Compensation Laws ot Califomia. �ate'. Signalure: NOTICE: II. afier making this tleclara�ion, you shaultl 6ecome suble�� to the Workers' Compensation provisions of the Lahor Code. you mus� tart�wil� compty with such pmvisions or Ihis permit shall �e deemed revoke0. CONSTflUCTION 1EN01NG pGENCY: I hereby a�firm that there is a cons�mction lentling agency lor �he petlormance a� Ihe work �or which Ihis permn is i=_suetl (Sec�ion 3097. Civ. C�. LENOEfl: aoosess: OWNEH BUILOEfl �ELLRPATION: I Aereby aflirm ihat I am exempt �rom t�¢ ContmCtofs' Stale license Law tor ihe followinA �eason (Section 7031.5 Business antl Pmie55ional Code: Any ci�y ot counry which requires a permii Io cons�me�, alter, impmve, tlemoli5h, or repair any s�mciure, prior to its issuance, also requires Ihe applican� tor such pe�mi� Io lile a signed s�alement lhai he/she is licensetl pursuam to the pmvisions ot the Coniraclors' S�ate LicenSe Law (Chap�er 9(commencing with Section 7000) ol �ivision 3 0l ihe Business ane Pmiessions Code) or ihal helshe is exempi Iherelmm antl �he Casis �or I�e allegetl exemplion. Any violation of Section 7031.5 by any applican� br a Oermit sublec�s �he appiican� Io a civit penalty o� nof mo�e ��an �ive hundrea dollars (5500�. I, as owner ol ihe pmperiy ar my employees wi�h wage5 as IAeir sole compensation, will �o �Ae woB, antl Ihe 7 simnure is no� intentletl or ofteretl for sale (Section 70a4, Business anA Pmfessional Cotle: T�e Coniractors' State License Law Does no� appty Io an owner of a pmpetly who builUs or impmves t�ereon, an0 who Ooes such work himsel�/he�sell or Ihrough �is or her own employees. O�ovitled tha� such impmvemenls are not intended or ollered lor sale. II, however Ihe builUing or impmvement is sold wi�hin one year ol comple�ion, the owner vnll have ��e LurAen oi pmving �e/she tlitl nol build ar improve br ihe purpose at sale�. I,as ownerollhe property.am exclusively contraciing wilhlicense0 conVacmrs m consimc��e prole��lSection 7044, Business ❑ and Pmfessions Coee: The ConVac�ors' State License Law Aoes no� apply �o an owneroi OroDeM who builtls or impmves I�ereon �. an0 who conirac�s fo� suc� pmjec(5 wilh a conVactor(s�license Dursuant to the Coniractors' S�ale License Law�.l am aware � tha� pmoi ol Iheir Worker'S Compen5aiion insurance shaultl he pmvitleU to me. � I am exempi under Seciion: 8. 8 P. C. tor Ihis reason: �ale: Uwnec i tlo nereby cenity �hai I am aware oi antl untlerslan0lhe requiremenis ol Calilornia Heallh and Salery Catle Sec�ions 25505. 25533, and 2553G antl tha� I or any INure building occupan� will/will no� �circte one) neetl Io comply with saia state mdes ana �he requiremenis �or a permil for consiruction or motlAicalion imm Ihe Air Ouabry Managemen� �isiricl Resiaen�ial conslmclian applicalions are eeempt Imm ��ese pmvisions. �a�e- NpplicanL I hereby ceriily Ihai I have reaOlhis application and siale Ihal lhe above in on is ect. I agree Io wilh all ciiy and co ortlinanwsantlstalelawsrelalinglobuil0ingconslmc�ionantlhere�yauth i¢ rese rve5ofihisci� n uponiheabave� iunetl pr00Pr�y �ai in5p¢CV ^ pur OSP Oate: �� Signa�ure: � oriver'slicense or Social Searity a� 1641 46 White—Bmltling: Green—Code Enlorcemen�: Canary—Applicanl: Pink—Revenue: GOIQenroO—Assessor CZTY OF COSTA MESA — BUILDING PERMIT PERM NO: H 05052 PERMIT NO: B 050529 PLAN CHECK NO: 00159-91 A GOVT; N SUPP: N CON6TRUCTION TYPE: V—N PERMIT TYPE: STR PJRPOSE: REP JOB DESCRIPTION : REPATR SETTLEMENT DAMAGE SQ FT: 193 CLAIM VALUE: 14,300.00 CALC—VALUE: 14,300.00 GROUP OCC: R-3 / COMMENTS: BUILDING SETTLEMENT REPAIR/FOUNDATION a�****��x��r****��r*�r��r�**�� x*�e�*�*��*�r*� �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 ------------ MAIN BUILDING ---------- --------- ACCESSOAY HUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IA1 �ARKING RE(� • PROV; PARCEL: 93506124 ZNE; R2 REF NO: LANNING N(STES> FOUNDATION REPAZR. % if �F if �k if if if ib jElE �E iE 1E 1E if iP if� iE 1E iE 1E iF �f iP iE �E 1F 3F 1E iE iE iE aE iE �E iE iE iE iE iE iE �1FlE if iF iElf 3E 1E IFlf �E �E if #!E if iFif if 3E �1E iE iE if fE iE if 1F iF iE 1E if af if iE IE �E �E D E V E L O P M E N T S� E R V I C E�' R E Q U I R E M E N T�S ZONING APPROVED HY : �.� �� DATE; O 1 � S�) BUILDING APPROVED HY :—r �,J l� l7 lo.�l DATE:,� APPLICATION ISSUED BY; DATE; • iF if k if If �IE 1E 3E iE 1f K fE iP iF iF iE iE ib IE IE IF if iF if �E jE �E 1f If iE iE 3f�iFiF iE iF if�fiEiElE�F�Eif�lF�EiEiFlElFIE�EIElf1E1flflfifiE�f�Edf3E3fifif3E iEiEafiEif if�1E1FiE�fiEif3Fiflfif3flEiFi6�lFiFififlFiE�FiElEaflEjEiFlEiEiEifiEikiFififiEifif LEGALIZATION:N F E E U M M A R Y STRUCTURAli,SEGMENT:Y BLDG PMT PLUMBING ELE RIC MECHANIC FIRE SMIP/RES GRP,DING PERMIT 162.00 1.00 SMIP/NON—RES PLAN 26.33 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL ' PAZD DUE TOTALS----> 163,00 0,00 26,33 189.33 189,33 .00 REVENUE DIVISION TOTALS--> COLLECTED: 189.33 OVER/SHORT: ,00 BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 162.00 1.00 26.33 if k M)f iE iE 1l�E iE iE 1f �E �f �f k 1!!F iF �E 3f if if Ik IF if if iF ik �1E iE iE 3E IE IE iE 1E iE IE iE if �E a( 3E 3F ff �t iE iF k if !f �F if iE�f if IF �f if if if IE �f iE 3E iE IE 1f iF X� 3E If IE iE iE lE IE iE iF I N D I V I D TI 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 5FR 143 STRUCTURAL BY VALUE PER 5100.00 100.00 19,300.00 END OF FEES 01 CO!'7E655-0�07EE57 - P� � �a�re: o±iza.��i -ii�,�: i-.ci V _Ci.... CONSTRUCTION AND PLANNING � �& SPA APPROVALS Permit# - Date Inspector pppROVALS Permit# Date Inspector �" � 7. Temporary Electrical Service or Pole_ �r. 52. Pool & Equipmen[ Loca[ion � �• 2. Solt PIpe�Undrgrnd. "� _ 53. Steel Reinforcement �' 3. 'Electrical Conduit Utility-Undrgrnd. ; � 54. Forms � 4. Electrical Conduit�Undrgrncl.~ %' 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-Undrgrnd. �_ 8. Foundatio0 • i � � 59. Gas Pipe, O Undrgrnd., Test i' 9. Water Pipe�Undrgrnd. j� � 60. Backwash Lines, P�Trap, O Undrgmd. "; A 10. Structural Floor System f.•�' � ";, � 61. APPROVAL TO DECK -�. 11. Property Sewec Line & Hous/Connection l: 62. Backwash & ReceptorFinal " ' 12i Sewer Cap , /'�� . � / 63. Heater & Vent-Final , „ 13. Roof Drains �' ��, ,� � �+ 64. Plumbing SYstem - Final �' i, 14. Rou h Plumbin J �- g 9 /,.y , j, 65. Electrical-Final �A . n 15. Rough EleCtrical-Conduit '. � !' � 66. Solar SYstem-Final � � i6. Rough EleGtric'Wiring�� , /� �/ �;�; 67. Fencing & Access ApProval �� i .. 17. Rough Wiring Sign , �� 68. APPROVED FOR PLASTERING 18. Rough Elettrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ' 19. Rough Heating & Air Conditioning �`" FIRE DEPT. REQUIREMENT 20. Rough Factory Fiieplace . �i • . � �� APPROVALS" '•Permit # ' 21.Ducts,iqStructure� .- � � � 70.Under9round'Hydro � 22. Ducts, Ventilating - "� _ • '�-77, Product Pipirig O Gas ❑ OII 23.'Gas Pipe�Rough & Test ' . - � f 72. Underground�Flush , > � 24.•Foof.Framing • � � - • '73.'Undergrnd;StorageTank OGas OOiI 25. Roof Sheathing � . � � - �. ' 74. �Overhead Fiydro. �� 26. T�Bar Ceiling (Structural) & Monocoat � • � 75. •Dry Chemical ' - 27. Frameand Flashing, �� ; . ' . ; ., 76. Dry Standpipe " . � �. 28.� Lathing & Siding - ; _ -> � � � 77,_ FIXED SYSTEM FINAL 29. Insulation . ,.. � � " - �� I 78.�FIRE PREV. FINAL � � _ • 30. Drywall Nailing • � � �� HEALTH DEPT: REQUIREMENT 31. Plaster Brown Coat ` '� ; 79. FINAL INSPECTION � ` -32. Electriwl Pow`er MeterFinal I 80. FOOD CERTIFICATE ISSUED ,33. Final Electric' " ' � i 'Notes. � , 34.. Final Heating & Air Conditioning�, � � . � �� ,. � - . , � � � 35. Final Gas�Pipe-Teit • � � � � • . . � � ' - 36. Hood or, Canopy > - . _ , � i � . .� , . � • . 37. Final Facto�Y Fireplace ' ,_ � I � � `-' 38. �Final Plumbing � . � ' _ • � � ' � . .� 39. Water Service•Final � � " . � I : �� ' -; 40.`Gas Servics�Final � , i , ; . - �41. Solar pomestic�Final • � : I f 42.' Backflow Preventer" ." -. " j � . � ,. , � 43. Backflow Irrigation � ' . ' - � • � •- 44. Landscape Irripation System, , u � . �i . � � �45. �Sound Attenuation ' � � � ` � " � - � � 'A6. Handicap Re9ulations ' � ' � � - . _ 47. FINAL STRUCTURE & BUILDING �/ � . �- 48. FINALPLANNING, � I � 49.-Elearic Release to Edison � i � �, ;' ' - ' 50. Gas Release to Southern California Gas Co � � I ;. ' � � ;51. CERTIFICATE OF DCCUPANCY' i r� �_ -+ • . No. Date �nntrc STATE-WIDE De JOB ADDRESS 3420 Pin GENERAL CONTRACTOR Saa AP No. - ' r OT I =C710N5 s�._ GAS W ATER ROUGH PLUM9ING PROP. SWR. LINE � HOUSE CON. � SPRINKLING SYSTEM MISCELLANEOUS ROOGH HEATING FND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDEftGftOUN� � POWER � ROUGH WIRING TRENCHES � FORMS � STEEL REINF. FLOOR SVSTEM BON� eEAM �J STEEL REINFOFCE � SHEAtHING FRAME AN� FLASHING LATHING — IN � OUT PLASTER,BROwN COAi ST"�CTURAL, FINNL I NG, VENT., REFRIG. ANO H.C., FINAL PLUM6ING. FINAL AND GAS TEST TRACT RRSR FI UAIt S�G[H�x:7Llri: SUBCONTRACTOR � 4_.1.862 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORN�A 92626 For Applicant to Fill in Completely OWNEfi �tate-wiae ADDRE55 gaf1� G1"�Iifl� 2 . a U c�T� C ress O NZ CONSTRUCYION LENDER am J � BPANCH J N m J ADDRESS -' a aa��rs�`T Loh bacF U Q w � ADDRESS aw W Z CONTRACTOR J Q — m � � AODRESS 9461 Grindl w W Z � �,T� Cypress w � STATE y ([ LIC. NO. � � 512E OF LOT 12_093 acrE YAIU ,� �,�{, ;�Y s 3-76�; � �� .• 26�.6£ APPLICATION FOR BUILDING PERMIT :EIVED BY DATE RECEIVED nnrc is�ii Inc. A.P.NO. � 46^• AD RIE 5 ./QZZ� 826-4550 TFACT �� W X OWNEP �7YK( `556-6610 s 1 Res w att FIRE ine Z�NE T\ APPROVED No`826-4550 CITV LIC. NO. INO. OF BL�DGo NOW ON LOT O F� SIZE OF NO. OF Z NEW BLDG. pOOMS STORIES U EXTERIOR WALL P aster :�OOF COVERING COVERING J USE OF BUILDING AND WORK TO BE PERFORMED a a Q O ' m ~ 1 Residence w/att gar � z O UI heraby acknowletlpa that 1 hava rea0 [hif epplicetion antl stata � that tha abova informatio� is carract antl apree to comply wit� � all lewa reguletlnp builtllnB �onstructlo�, and I ahall not amploy F eny parmn in vlolation of Mo workman's compensetion laws of y [he Stero of CelHornia. zI heraby cer[ify tha[ I am prOpatly IicBnsetl as a contraaor untler the Stero of Callfarnia B�s(neas entl Profeulons COEe, Divisicn 3, Chapter 9, entl thnt aue� licenwa aro In full forca anC effect, or I am exompt irom tho provisiOns ol Ne $[ete ot CalHor a Business entl Prolessions Cotlo, Oivislon 3, ChaOmr 9. SlOnaturao tate-Wide Developer nc. Permlttoe _�o P Authorizotl Agont Vi ce Presi dent 20NE NO.OF ,e z cp P�,� z VAROS APPROVED DISTANCE BET. MAIN 84DG5. VAR.� � � �IOLD K VALUE r s VARDS APP BET. MAIN 8� ACCESS. BLDGS. �� OATE APPROVED i J �� % S �CIAI 2L^QUI2EiS,ENTS PPE�P�SQ. FT. V�7S3 THE AMOUNTSHOWN UNDE�7 V THE PURPp$E OF ESTABLISHING A VAL^VATION /�5��7 PERMIT FEE T �r PLAN CHECK TI W O FOR ' JLV: Q m N 7 � E ' LL