HomeMy WebLinkAbout801 MARQUIS CT - Building Permits►�
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oq�ns xwec a+ovm: M Y E R S
�noneu 001 MARQUIS CT
COSTA MESA, CA
uv�. Yuiwo woxEa
UNT:
ANCNIIECTOAENfdlFEN:H C HANSEN �,�, SE3027
umioxva.•swonca:17371 IRVIN� BL uxr: 200
TUSTIN CA 99999
�r�� SUMMIT POOLS (714)493-2557
������u� 24040 CAMINO UEL AVION
,�p�,MONARCH BEACH CA ��, 694317
926"l9 uM:
LJCENSED COMflACTON4 OECLAN�TION: 1 heraby qry'� �Wy pyiyy d pejury tIW I am liexued uMr pwmu W Cheqa 9
(wmmentlrp MI� Seclion )000) d Oivnion 3 d Ne Buzr� yq p��ypi� �s, yd m limnm b in hA brro end efletl.
emuc,No.: uc.cuss:C�SJ uc.rvo.: 6943�7 EXP:
om.: comrean:
OWNEF BUILDEN D CL�flATION: I hmeb/ elfiim unEar penely d perNry �� I em eaemq Imm the Comwore licenee lew la ihe
'Mlowinp reefon (Sepion )0�1.5 Buaineee enA Pro�eaeior�e Gode: Any ciy a coumy whitli roQuime e permG �o conelrucl, dler, impova,
xnoloh, or rapeir eny evuclure, priar io Ya bwerce, eL+o reyuirm Ihe epdireni lor euch peimil lo fib a ay�wd eietemeM tlie� he or ahe
. i��.ea w�� m me nw�.�. a ins comreaa. umNe �w tcnaa« e loomm«�,a wan s.ao� �000) d or.e� a a�ro
Bm�eu end vraoe'w codal w ine� ro a.na e uemN �nerehan ud �ns Wis I« �he dbped memNon. Mr vidmun a 5w'vi
]W1.5 by eiry eyWium la e permil euhjem �M epWcem io e mil peraEy d nd mpe ihen fna �und�sd ldlen �SSOOp.
� I. m owrw W iM propeny or my anpbyeea wth weyes as �hei eob rompammmn, will Eo ihe �k, vM tM nructun e nq imentled
a dleraE br eab ISecivn ]041. Buei�v vd PMeiraw Cods: TIwCoMredas Liwnee lawdaea nd eOWYloan oxiw ol p�opeiy
.m� wu, «mo�«�. ��..�e.� a�,..� � ��n «n� «� w «M. � «�w�r.... w�.a �n�.,�n
imG�+��Wa us nd'wrded a aliaed la ub. tl, lawewr. Re ddtl'uq a inpwanaq u rold wnlvn aw Ymr W aomNMion. tlr
ormmduddar wiG heve iM burtlen d qwinp M a ehe did m� ddd a impewa In tM qvpwa d ub).
❑ �. m o�,« a �ne ww.m..m ��r �,m:,� wn �imma canvma. m cawwa m. wq� (s«yo� ra.. 9�.vm. w
Prdwions Code: The Conireum L�enae law Eyy nol eDDM b en oxm d pWMY xM builC� a"vnpw'm theaan ud rAn
ewure �a M ad� pqetla w§n e mmreaale) ���aed W�%� to tM Caaeer�on lioems lew�.
� I em exemq uMa Sar�ion: B. d P.G.. br Nu �euon:
ome: Owner:
I Aolw�eby ceiM'tlut I em awere d eM uMersleM Na requi�am«ua d Celiamie /bel� erd SNetY Cods Sworo 25505. Y551'f. anE
25531. eM tlW I a e�Y Murs dNdl^0 ^mWM. wiA / wp �M (�vcb me) metl to m^NY xvh �eid mte ooda� and �Ir �p�irem«o br
e Dw� lu'uuwnbna modifwianham iMA �ty7�y��� Datr'rJ. RadMNN amkvfion eWk'mionen exemqhom Obae
pwivmf.
Dete: AvWiunt
W ONKEN'S COYVFN9ATION DKUNATION: I hereby ery'irm uipar psietly d pxjW me d Na IdbMinp Eedualiom:
� I heve enE xil maimen e eerlMirale d wuent io eeryimuee br wkeie' eompemtlbn. n povNad In by 6wim 3]00 W IM lebor
COEe, la IM prlwmence M IM xork la which ihie pe,mil is inuad.
� I heva enE vnA meinten workeee' mmpenaelun inau�¢��, n requireE by Seaim �]00 d Me lebor COM, b tM perlarmerce o11M
wpk la whrh Mia prmX is oeued. My waMen' compenee�ion iruu�arica urt'w e�d pdiry number ars:
c�.:
Pd'ry NumEx:
(ih'v eeclion iroeC mf 6s candWed / NSV�I "a Ia Wro huMred dal4re IYIW/ w bu.l
� 1 emlAy Net in Ne pe�loemen<e d �M wak M whch �h'v perme 6 mued. I ehetl m� emplry erry pe�aan in vry menror �o n to
becaro wEjed to tM Makers' mnpen+mian bxe a GaGimde, an0 ap�ee Ihtl tl I�MWd bacams wibjW lo IM xo�lmn'
�D�+v� P�+�o e d Seian T/UO d tM lebor Cada. I MN Ia�yp9Aop�nd/ wEh Qcr pwisiuu.
Dma: II � 4ppeaq �/ J
iYeTIIp:F�YIMb• IM�WO/4NI�roII�MYItlOIICOVliep1/1 �MCINIIIYb/�CENM�CIryMbCIIM�WpMIItltliM .
uHl nw �p ro om Au�drW Nouaud CWw (S1PQp00A N tlUtlon ro tlH cwl o/ wrrywwtbn d�P� u porMd ror m
Sctlm �106 0l IM r CorY, Iirtw4 ���my'a /sea
CONSTIIUGTON LFNDI RGENCY: I heieEy e1F�m ���r penetly d perjury ihm thss u e ompivaian Wd'vp eprcy b tlr
perlamerce d tM woA Iw whitli t�u pe�mi is'vauad (Seaion �OB]. CN. C). '
LEN�EN'S NMIE:
�ENDEF'S MOFESS: �
I carlM IMt I he.a md Ne Wdiutian ud qma �het the ebwe iMametion c conatl. I Niea �o comW xilh M rYy uk couM' wdiiunwe
uM atme bwe relelinp b buiMmp ronxrud'wn and Meeby eutlwrae repraeemeiivas M �hu dty lo enler upon �M ebove�memoneA qopMy,
�°""'D°"�°°°"'°°'°'DON PEHKOFF
Pnm Nama
Deta:, ; ,.j /9�� :'_
Sp�un ol OwnerllpenUApplicq�y'�_r��eqw /
�
�s�s�.e wrl wnn.a�aem a sm�r. o,��Fi,; c�y-�oa��: Rok-r���e: oade�waa.em.
CIT'Y 6F COS'I'A MESP - BUILDING PERMIT
PERMIT NO: B 080427
PLAN CHECK NO: 04727-96 L
PERM NO: B 080�427
GOC�T; N SUPP: N
CONSTRUCTION TYPE: I PEAMIT TYPE: STR PURPOSE: OTH
JOH DESCRIPTION ; 55 SQ FT SPA ANL GARDEN WALLS SQ FT; 8,000
CLAIM VALUE: 8,000.00 CALC—VALUE: 8,000.00 GROUP OCC; R-3 /
COMMENTS: SPA IS ELEVATED 12"/ INCLUDES GARDEN WALLS 5 GATES
��***�e*�c*�crt�u���*���*�**��***�r�r**��**x�**�+�***��**x*irx*�r*�r*;r�*�r**�+��*�******��*
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 ---------- --�------- ACCESSORY BUILDING --------
PRNT: 20 F1' IN REAR: 20 FT LN FRNT: F1' IN REAR: FT IN
LEFT: 5 FT' TN RGHT: 5 FT IN LEFT; FT IN RGFIT; FT IN
PARKI�IG REQ: PROV; PARCEL: 00000000 ZNE: R1 REF NO:
PLANNING NOTES> IN GROOND SPA
>
iE �E fE 3E iE 1E iE iE aE iE i6 iE 1f iE iE iE 1E fE �)E iE jE 1E iE �E �E iE if if 1E iE fE iE iE iE iE iE �E iE jE 1E iE iE iE iE ik 1f if iE if if iElE jf iE iE 3E �f iE �E 1E k iE iF iE 1E iE �E �E if if iE iE iE fE iE iE iE 3E if
D E V E I, 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 aY : T',I�4MP6�LC. DATE: ��'�3 �9�
BUILDING APPROVED BY : WSS DATE: _��-I3-q6
APPLICATZON ISSUEU BY: //{'(��� DATE: �I!'IS��L
iE�iEiEiEitiEitititiliEkifiEiEitit*iEit* 3F"iF #iE*K-iE+t+titit�kiF'iFiFiFTF3F 3F3FiFiE�-
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 137,25
SMIP/NON-RES
PLAN 89.21 1.68
ISSUE FEE
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAIp DUE
TOTALS----> 138,93 0,00 89.21 228.19 228,1q ,00
REVENUE DIVISION T'OTALS--> COLLECTED: �28,14 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
1.37.25 1.68 89.21
iE iE jE iElE if iE iE iElf k�)f!E 1E iF iE 1f 1E 1E iE 1E 1E iE �E �E fE k!E jF jE iE 1k iF �E 1E iE if 1E 1E k 1E 1f iE 1E iE 1E k 1ElE iElf IE IE fE �E iE �E iE 1E 1E iE fE 1k fE if iE �f iE if 1E 1E �)E �E iE 1E 3F iE 1E iE
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'
SFC 8000 SPA 1.00 8,000,00
END OF FEES
01 00219i?1-0�?191?3 T O T 228.14
DATE: 11/13/9°� TIPIE: 15:53
,.
. CONSTRUCTION AND PLANNING PO� SPA '
APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector
=, i. Temporary Electrical Service or 7dle 52. Pool & Equipment Location; '
I
2, $pil Pipe�Undrgrnd. •r� 53. Stee� fleinforcement �� �
I 7/
3. Electrical Conduit Utility-Undrgrtyl. 54. Forms "
4. EI¢ctrical ConduibUndrgmd. �� 55. Electricai Bonding , 1
5. Steet Reintorcement . 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings /Z.(%4` ��� 58. Electrical Cq�duit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgrnd. - 60. Backwaeh �ines, P-Trap, O Undrgmd.
10. Structural Floor Svstem ;��� 67. APPRQVAL TO DECK y'
,
17. PrOperty Sewer Line & House Connection g2. Backwash & Receptor-Final
72. Sewer Cap 63. Heater & Vent-Final
73. Roof Dreins 64. Plumbing System - Final
14, qough Plumbing 65. Electrical�Final �
75. Rough Electrical�Conduit 66. Solar System�Finai
76. Rough Electric Wi�ing 67. Fencing & Access Approval �`
57. Rough Wiring Sign 68. APPROVED FOR�PLASTERING
78. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �� 3•SY [�
79. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. flough Factory Fireplace APPROVALS Permit #
21. OUtts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping QGas ❑Oil
23. Gas Pipe-Rough & Test 7z, Underground Flush
24. Raof Framing 73. Undergrnd.SiorageTank OGas OOiI
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structurall & Monocoat 75. Dry Chemical
27. Frame and Plashing 76. Ory Siandpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. InSulation 78. FIRE PREV. FINAL
30. DrYwall Nailing HEALTH DEPT. RE�UIREMENT
31. Plaster Brown Coat � 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electsic Noces:
34. Final Heating & Air Conditioning
35. Pinai Gas Pipe�Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Finai
40. Gas Service-Final
47. Solar pomestic�Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irriqation System
45. Sound Attenuation
46. Handicap Regufations
47. FINAL STRUCTUiiE & BUILDING
48. FINAL PLANNING
49. Eiectric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. _ Date
11-11�96 08:3� '$`71J 352 0820 POLLGOV ESEC � DO1 '
��1���n � ����n.�.t� ��� , .
\ovenib"er 11; I9H6 . :
David Zailer
� Suminii POols
Polygou lias apprOVCd t31� plan5 AS Submittecl Otz Lut 74, Tract I521 1, 80l Marquis Cou�:t,
Custa :vfesa (Robert Bc:Sharon.MyerS}. .
Sincercly, . ' .
������� �
!V�aric �-7ertricl:
t�perations E'oordinator
157,�'il Rbc1c13e1d Botdevard,.$uite 1'lfJ • Irvinr.; (:A 92618 -.(?1�) 4S'L-06A0 • Fux (?i}) ��?_Qb?p
y
I
•woxessavem�oua: 801. MARQUIS CT
OIMEN4WW�FqpWN:MYER, BOH
�oox�ss:001 MARQUIS CT
, COSTA MESA, CA 92626
uv�. yuiwa �noxEss:
uxT:
ANCXRECT Ofl ENtl11FFA: 11L. NO.:
iFCIIOR FNO.'S ADOPFS9: YM:
c�m�TarsN„� KIEFER CONSTRUCTION ( 714 ) 380-1OJ9
camucroxs�uiaio P. O. BOX J 0 6 3
�pE�MISSION VIEJO CA ��., 527289
92690 uM:
UCENSED COMRACfOP4 DECLANATON:1 Mreby eRrm urder pera�y d pwjury Nel I em IwveA urder pramu d Cheplr B
(commarc np wn� &ecibn )000) M Diriaun 3 d �he Bueima e�M Pmlaneiona Gode, enE lioenm is in hA taw end ellad.
cmuc.No.: uc.cuss:B uc.No.:5272�9 EXP:
om.: ' a ��a ki'ePe� Ga,,.sT. Zi�l ,
OWNEfl B ILDEP OECUPATION: I hemby elfiim �nder pene�y d perjnY Ihei l em esamq Imm �M Comreaae I.icenea lew lor iM
�dlowirq reeaon (Sactlon )031.5 Bue'uwae enA Proleseiom Code: Any cily or munty whitl� �yuiree e permB lo_oonelmcY, qtloL.impruvn.
IiceneaE W��� �o IM povlelon� d tlw Ganlredore lJceeqe lew �Giieplx 9(oommenanp wll� Sedon )000) d Orvapn � d tir
euemm..�a Ram.ion. coe.l «inm M n.M u uama �ne,ehwn .nd �M m.o r« uie etleped umma�. Nrv vn�aion a seeun
1aJ1.5 Ey eny eppirani lor e perm! eubjeae �M eppicent �o a dwl perielry d nd mas �hen Ms huMretl EdNn �SSOOp.
� I, v omier d ihe prupeny a my ampbyeee wth wepea av IM1ei eole mmpemetim, will Eo IM xoA, eM IM �buc�un u� InteMeE
a olleraE Iw eeb (Seclion )Oaa. Busrea arM VMessianCoda: TM Canirmwe lJunea lew doee ndapply Io en ow�wW propMy
� ww. a mw�. m.�.o�. d,e.ro eoe..�,a�.,on� �.w «nanw «wo�n n<«n.. w.,� «�dw.... woww ma «Kn
impmanwa ere nd imrNed aWaed la vab. tl. howerer. �M bubin0 a inpawnaq o wtl wuh'v� ar Yaer d mmD�ion.IM
ow�wr-0udJa wiA Mw ihe EuiEm M Pp+��O M a aha 6d nU buYd a imY� In Ns W�� d mle).
� I, u ox�r d �M poperty, em azduenely mnirmip wuh foeriwd convxim io wnatrw iM pqw (Bwun NM. &e4w� W
Frdeaeioru Cade: TM Conl'etlon lieeeue lnw dom nd eGdY w en owr�er d pWe�Y r.ho buik6 or Lnpwm tlwaan uM Mo
cono-.a, ror .wi wa.a. „ah . mvmaun�) ��roea oweue�v �u �ne caurma. Liwn.. ler�.
❑ I em eaemq uMr Sactian: B. 8 P.C.. br Nu ieea�n:
� ao nm.M �.�v wi i� a.ue a w unee�s�ane me rec���«w a ce�aomie wew d,a sdw cod. s.ac�. nws. nsro. w
P55�. aM Nel I a ury Mun drikinp ompwu vrill / wil M(eacle one) need to canply w1h uk tlate mM� aM �M �oW'vamaqs la
aP�lnmruwaionamod&raiontraniheM�iuS�ty uupemmuDist�ia.RrNauilw�vMionePG�'miauenmemNimmlhue
a�.
Data: Applicenl:
WONKEN'S COMPENS�TON DECUR�TON: I MroEy alfmn under paroXy d perpvy ar d Ns idbxinp Eetluetum:
❑ 1 Mw enE xil meinlen e wrUktla d mueni to setlireun br xorkan' wmponWion. u povidM la by 6artim 3')00 d tM labor
CoE�. ta t1w pe�IwmeMe d Aw xaA la Mich thia pamm n inueA.
� i n.ve e�e wi� meimein women camueme�ia, m.�..�ce, m nc���d W s«rion a�oo d me �mo. ca., b, me ro��o. a m.
work Im whitli Ihie pertnn u u�ued. My warken����ipn int�u� r�arrier ud pdiq numbar oa: E X P I R E S
c��: t h
aa� N�mne,: c — 0 7/ O l. / 9 7
i Ihie secfian nee! nIX be cwnpbfeC / tM1s permrt n lw one hundroLCWlars (Sf00/ a bse.)
❑ � mnA' um In inn v�orme�we d ihe r,oa �« wncn mo re^^n u esuea� � enen na emWw �r w� M.m m.��« .n .. �o
bxmie eubjw to iM woher�' rompenaation lewe d Celilania. eM epree Nm E I Nauk ba�mie wbjW b IM woM1m�'
pamaion pm++ionm d Ssdion ])00 d �M lebor Code. I x+lh wmMi w^Gh 'iMr� p.m�au.
Da�e: // � �/) � `� � AGd'ram: L(� i�i
Wamlrrp: e/lun ro• un wortxi campeiwtlon covorap� h un , uM �IWI �/�ct n�mplayw ro cNmlml p�rWtlp uM
GW Ilnu �q b aw hintlred flwuuM do/Yn (J1Pqro0A N�Jdltlon b tli� ewt of comp�rwWn Wnrp� � prvvM�tl lor M
Sxtlon 9)!16 0l IM lepoi Catls. /MMu4 � Ilfaml/I /ep.
CONSTfi11CTI0N LENDINO ADENCY: I AmeEy elfiim uMer pereRy d parjury ihel Ilw�e u e mn�rudion Nndiiq epency lar IM
parlormeMa d �M xwk fa wfiief� ihe permi ia uwed (Seaun 3081, Crv. C).
LENDEH'S NAME:
� LENDER'SADDRESS:
1 cenM �hn I hew reW No eCVrratian ud uete Ihet Ne ebo.e'udomietion u conaa. I N� lo camON wil� M tlIY W coumy adinenoee
eM etale kwa reletn0 w Wikiq conelriMion erd hereby eutlwrrze repmmimivu d iha cily �o mter upon �M ebova.meMinietl popmry
-�°`"'°°°�p�°°'°°'JOE KIEFER
�
oma: �/ 7i1� �,n
(51514B.WP) W�de-BuilEvq 8 SeiNY: �rae�Fle: CarieiY-ADPfrant: Nnk-Rewnue:OddmrobNwaeor
CITY OF COSTA MESA BOILDItdG PERMII'
PERMIT NO: H OII0524
CONSTRUCT'ION TYPE:
PLAN CHECK NO: 04845-96 S
PERMIT TYFE: STR
PERM NO: B 08US24
GOVT: N SUPP: A!
PURPOSE: OTH
JOB DESCRIPTION : 323SF OPEN TRELLIS PATIO COVER SQ FT; 323
CLAIM C�ALUE: 5,032.00 CALC—VALUE: 5,032.39 GROUP OCC: R-3 /
COMMENTS: OPEN 'TRELLIS PATIO COVER
iE Ik �E iE af it iE �If iE% lE if iE iF N# iE iE iE X� If 3E fE jE 1E i41E if iE jE �1f iE if iE �E * if 1E *� 1f it iF if iE if if k if it iF iE dF if iE iE iE iE 1E iE iE if iE-%if iE iE �)E 1F iE d(� if iE if 3P iE M±E �lE
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
----------- MATN BUILDING ----------- --------- ACCESSORY BUII�DING ---------
FRNT: FT IN REAR: 7 FT IN FRNT: FT IN REAR: FT IN
LEFT: 5 FT IN RGHT: 32 FT IN LEFT: FT IN RGHT: FT IN
PLANNING NdTES> 323 SQ. FT. OPEN LATTICE ROOF PATIO COVER ATTACHED TO"REAR
> OF EX. SF RESIDENCE. -
3E 3f 1E �E iE if if if iE 3f jE 1ElE iE iE iE 1E 1E 1Elf 1f iE iE 1E 1F')(' iE fE 3F iE iE 3E �IE �1E iE 1E �E iE dE fE 1E if iE'1C' 1E'7l-f(- iE IE If 1f iE iE 1E 1E'k iFlE ih 1E iE if lE # iElE 1E iE # iE iElE iE iE iE �k if fk 1k
D E V E L O P M E N T S E R V I C E S R E Q U I F. E M E N T S
ZONING APPROVED BY � DATE: ��C,a��t,G
BUILDING APPROVED BY : DATE: ?
APPLICATION ISSUED BY: �2�� DATE; `:`� ��o�`U
iE1EiE3EfflfiElEklElE�EiEiEiEfElE3E�e1EiEiE �iFiflf 1E1E3f3EiEiElEiE'IE1E��if'kiE
LEGALIZATION;N F E E 5 U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/RES GRADZNG
PERMIT 112.25 .50
SMIP/NON—RES
PLAN 72,96
ISSUE FEE
BUILDING—UIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 112.75 0,00 72.96 185.71 185.71 ,00
REVENUE DIVISIUN TOTALS--> COLLECTED: 185.71 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
112.25 ,50 72,96
iE �F if jF iE iE iE iE iE iE iE iE �E iE jE k N iE iE iE iE iE 3E iE iE iE iE if iE ff iE �E fE 3E iE iE 1k �E iE if k �E iE if if if if 3E 3E IE IE f! it iE iE if 1E iE iE iE fE iE iE if iE iE 3E iE if if iE iE iE iE iE iE ik 1E �E
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 T P T I O N UNIT COST TOTAL COST
SFR 323 RES—PATIO COVER—POST G TRELLIS 15.58 5,0J2,34
END OF FEES
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01 00219525-p0214527 T O T 185,71
D0.TE: il/20!?5 TI11E: lO:IE
. CUNSTRUCTION AND PLANNING P�C SPA . > �
Date Inspector � Date Inspector
qPPROVALS Permit # APPROVALS Permit # .��
'�7. Temporary Electrical Service or Pole 52. Pool & Equipment Location .-
�
2. $oil Pipe•Undrgrnd. 53. Steel Reinforcement •
3. Electrical Cond�it Utiliry-Undrgrnd. 54. Forms
4. Electrical Conduit�Und�grnd. , 55. Electrical Bonding ' � '
5. 5[eel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPfiOVA� TO COVEF�GUNITE
J.�footings 58. ElectricaiConduit-Undrgrnd.
8. Foundation 59. Gas Pipe, C] Undrgrnd., Test
9. Water Pipe�Undrgrnd. �� fi0. Backwash Lines, P-Trap, � U�drgrnd.
70. Structural Floor System 61. APPROVAL TO DECK `
11. Property Sewer Line & House Connection 62. Backwash & Receptor�Finat
� 2• Se'^'e� Cap 63. Heater & Vent-Final
73. Roof Drains � 64. Plumbing SYsrem - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electricai-Conduit 66. Solar System-final '
76. Rough Electric Wiring � 67. Fencing & Access Approval '
77. Rough Wiring Sign ' 68. APPROVED FOR-PLASTERING �
18. Rough Electrical-T Bar Ceiling . 69. POOL/SPA SYSTEMS FINAL
19. Rou9h Heating & Air Condiiioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. DuCts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas Q Oil
23. Gas Pipe-Rou9h & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74, Overhead HYdro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77, FIXED 3YSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL -
30. Drywall Nailing HEALTH DEPT. REQUIREMEN7 �� -
31. Plasrer Srown Coat 78. FiNAL {(VSPECTfON �� -
32. Electriral Powe� Meter-Final 80. FOOD CERTIFICATE ISSUED � .-` �
33. Final Electric Notes: � �
34. Final Heating & Air Conditioning � ��
35. Final Gas Pipe•Test
36. Hpod or CanopV
37. Fiaal Factory FireAlace
38. Final Piumbing
39. Water Service-Final
40. G8s Service-Final
41. So�ar pomesuo-Final
42. Backflow Preventer
43. B3ckflow Irrigation
44. Landscape Irripation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 3-9f� �
48. FINA� PLANNING - �
49. Eiectric Release to Edison
50. Gas Release to Souther� California Gas Co
51. C�RTIFICATE OF OCCUPANCY
No Date
i
5
:y
�i'
Q1 �- ^_
DMSION OF BUILDING SAFETY
CITY OF COSTA MESA
APPROVED
�, � �� Il('�l�i.c
Th4s seS ot plazrs and saecNkattons MISST be kept on this bb at a1{ Umes
and It Is unlawful to mdce arry changes or aileratian an sams wilhout written
pertnission from Ihe Division of 8uildng and Safery, Ciry of Costa Mesa.
-— The stamping of this ptan antl sDecifiratiorrs SHALL NOT be ne!d to permit
k 1 or to be an apDroval of the violatiqn of any provisi�s of a`ry City ol f,�sia '
Mesa Ord!�ancs andlor State taw. S;L O�� 2
�/ 0
( These Wt�r.s 2nd Dermit shall expire by limihlion ard hecnme null and void fl
the bullding or work rs not commenu�d antl maiNained acOve �er UBC §303
_ ,�,,.,;,�,�,e��,,,���;«,,,,.7 n _ - - —
�v rh�s
NOTE
ADDITIONS, DELETIONS, OR CORRECTIONS SHALL
BE APPROVED BY THE PLANNING DIUISION
�IA RC�v ls
�
CiT���Co�� ���a I
p�ANNING DIV.
SUBJECT 70 BLDG. DEPT• REG.
u�
BY !'1�.0 DATE��J2
�
201tn.ROOF CONNECTION
DETAILS
CONT.
LEDGER
CONT.
LEDGER
OLID B�OCK
�I/2�� DIA. X 5� LAG SCR
AT 32�� O.C.
DETAIL I
CR 9 CL ��TECO��
GRIPS OR JOIST
HANGER
3/g° DIA. X 5�� LAG SCR.
AT (b ° O.C.
DETAIL 2
IO�n60R L�GHT WEIGHT ROOFS
ONLY CONNECTION DETAILS
2�% FAC�A-MIN.REO.
RAFTER
APPROVED METCL
HANGER
DETAIL 3
. DEVEu�Pn�r
s�cEs n�r�a�r�:nrr
BUILDITIG SAFETY DIVISION
OWNER:
ADDRESS�
CONTRACTOR:
ADDRESS�
RAFTERS
CARPORT, PORCH OR PATIO
NOT SIIPPORTING CEILING
SIZF SPACING SPAN
2"x4" 12"O.C. 9'-6"
16" 8'-0"
24" 6'-6"
32" 6'-0"
48" S'-0"
T'x6" 12" 16'-6"
16" 14'-6"
24" 12'-0"
32" 10'-6"
48" .8'-0"
2"x8" 24" 15'-6"
32" 13'-6"
48" 11'-6"
4"x6" 24" 17'-0"
32" 15'-0"
36" 14'-0"
G"x8" 24" 21'-0"
32" 19'-0"
36" 18'-0"
48" 16'-0"
4"xL0" 32" 22'-0"
36" 21'-0"
48" 20'-0"
. 7Y� 17 � _���
PATIO COVER
TYF PLANS
DATE � .
PHONE �
LIC. N0.
PHONE�
RAFTERS APPROVED FOR
LIGHT WEIGHf ROOF COVER OF BUILDING PERMIT
LATH, FIBERGLASS, ALUM. By Date
SIZE SPACING SPAN
2"x4" 16"O.C. 9'-6"
24�� 8�_���
32" 6'-6"
48" 5'-6"
2"x6" 16" 16'-6"
24" 14'-6"
32" 12'-0"
48" 10'-0"
2��x8�� Z4�� ly�_o��
32" 15'-6"
48" 13'-6"
HEADERS
LIGHT WEIGHT ROOF ONLY
SIZE POST SPACING
4x4 6'-0"
4x6 9'-0"
4x8 12'-0"
4x10 15'-0"
CARPORT, PORCH OR PATIO
SIZE POST SPACING
4x4 5'-0"
4x6 8'-0"
4x8 10'-0"
4x10 12'-6"
GENERAI. NOTES:
1: These plans must be
kept on the job at
all tlme during
construction.
2. All framing to be
Douglas Fir N� �
grade minimum,
3. Rafters may not
at[ach to facia ex-
cept for 10]l�sroofs
as shovn on detail�•
20lbsroofs must use
a contlnuous ledger
a[tached as shown
on details II1L-�Ik2. .
4, Light welght toofs
may a[[ach to facia
for 14' span max.,
spans over 14 must
use a continuous
ledger as shown in
detail 113.
� �U����
a
�
r
NOTE� SHOW AND DIMENSION PROPOSED
PATIO COVER AND YARD AREAS
� � I
STREET
r�
PLOT PLAN
�
0
�
r
�
c7
z
0
J
�
m
H
N
X
W
SEE DETAILS ON REVERSE SIDE
ROOF SHEATNING
OVERHANG
f�- � X � RAFTERS
AT� O.C.
�/� /
� �XILLBEAM
T-STRAP EA. SIDE
FOR POST�- BEAM
CONNECTION. o
w
u �
a z
� W
m F F .H
N 4 N
J ' a d
N 7 Q _
O
2 � �
J � _ � O
2
J U N U
DROP PATIO � W� Z x� 2
FLOOR 2" . pQ = f '\ .o Z
O
7 Q =a V
SLOPE TO DRAIN 6 y PLATE 1"��
-T ABOVE SLAB
o�� :o:.- �:o� �.
. o.,. .,:dila
�. . . ..e. . . . . . . . .
.. ... . ....... .... ......_ .
.���
I
�'26 GA. G.1. FLASHING N � i
WOOD FLOOR . __LL _ _ J
CONSTRUCTION . PIERS 12�� SOJ�
SIDE ELEVATION
CONSTRUCTION DETAILS
W
� Z
Q
R �
V
= O
ILL "�
W
>
O
m
Q
--��=_=_- ---_-_-��--=�e= _-..-____ . . �
_' - " _':_-=-=�:1 C:1 :=_c.� \� ' . � =_'�-=�=-" , :
Guru_=. �v : :�eini=rc_nq•Steei . ( 1 �
y�- � 0: -�nSk4 d'�.F S A
�
�Adress:
;'JIIEi: �l�rij ��/il7l� .
�7
PAOJECT: S(�(� ae�ar: No.
r;�
Addre3S: ��J ���(1(3V1� � Pe�mi [ No.
T
Arcbi tec:: �UMM�� �l�i Concr�ccor; SrjfYypi� pW�C
.�ddre�s:
Enqincer:
4�dre�s:
��yo��:��: n1�x S�tte�
PD•�1,y.34 rV �u�d
nIx ueed!-��•'k )
�IV�'O, In<�GS'.-�
Admiacvre:� - �--' -'- __-,
Addrees:
Su6cancrac:or: ���, (�y�+i�>,,,�
(Gu�icel
Hasonry cr
C�ncrete)
.ladre�s:
�eyigned Strenqcn. 751:'�.�j�. ` � -
�
61�r o� ��i� ��
. �UIIDING DIVISInN
o�ci�,��--
C�.Yd3. No, of
Y.Ti= ?!�cca Crl7. .4crtwr45 .
� 1�
l( 2-� 41� � 3 Woa�t��.c�•.���c �S�II Pcvd r� Tc��
--�ies o( ieror:p :o: (Indic7ee ..hic� 91dq, Oeat. C(urnish �adress a( any �ot ��1Cr�)
Los Ang��es
TEST MADE FOR:
�
L_.boratories
Testing
CONSULTING, TESTING, AND INSPECTIONS
JOB IDENTIFICATION:
LOCATION IN STRUC.TURE:
COMPRESSION TEST REPORT
Max Sitter
P.O. Box 3454
Fullerton, CA 92631
801 Marquis Ct., Costa Mesa
Spa
35y0
����IV��
CITV OF COSTA MESA'
gi tll roni� plVl$ION
',iAN i o �ssr
FIELD DATA
Mix Designatio.n: 42-1 Specified PSI Q 28 Days: Z000
Admixture: None Slump: None
Concrete Plant: Vern Anthony Samples Made By: Ray
Cement Type: II Date Samples Delivered: 12-4-96 by CLIENT
Da'te Cast: . 11-27-96
LABORATORY- DATA . Gunite
. .� _ - --
� - � ._ ..
LA$. �NO. MARK ._. DATE �. AGE � AREA � COMPRESSIVE REMARKS
TE3TED DAYS � : � " STRENGTH PSI-
4572 K 1,2-11-96 14 13.85 3860
_. . .. , .�/��,`z01 FSSIr��q .
" -- --� - ' .. !�o ��'c �/
Rospectfully Subm��it�d, �y�
A1 Liseckas. P.E.
`�:;;'� ;;r1.11���•
7950 Garfield Ave., Bell Gardens, CA 90201 • Tel. (310) 927-2616 927-2617
�
��nonessaewun+o: 801 MARQUIS CT
avr+erctwueiva+wm: POLYGON P1tOPERTIES
� mox�ss 15717 ROCKFIELD BL
IRVINE, CA 92718 714-452-0600
�cx. �u�n+c .00�ss:
uHr: CITY OF COSTA MESA — BUILDING PERMIT
, PERM NO: B 078050
PERMIT NO: B. 078058 PLAN CHECK NO: 02260-96 A GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: NEW
UKXRECTOPfNtlNEEq: LL MAJOR & ASSOCIATES uc.r�o.: C-16869
AIiCX.OR FNO.'S ADDIIE55: S S S L N T U S T I N AV uxr:
SANTA ANA CA 92701
CONTIIACTdI'SNWE:
CWINACTOASYNIIIlO
/�DDPE54: 11C.N0.:
UM:
LICFNlEO COMXIICTONS OECLAHATION: I Mraby Nim uMer penely d pxjury tha I em licenmtl ivder prwisom d Chaqm 9
(rommeria�q rmh Seciion )ODp) d Oivuun ] d the Buo�a ud Profeaeiana Cada, ud my lironae e N IWI face eM efled.
cmuc.No.:066144 uc.cuss: H uc.No.: 659262 EXP; 11/96
ome: comrea«:
OW NEP BUILDEN DECLAHRTION: I he�eDy dfirm uiMer penely d perNrY �� � em uemq fmm iM Con�reqaa Licenee Law /a ths
folbw'np reawn (Sepbn )W 1.5 &niwes arM Proleasione Code: Any cdy a cvunry v.filch requirm e permn io mnauuct, eller, improva,
demdeh, w repei erry ei�uccure, pm to ns eeuence, ebo reQuirta IM epplimnt Ia wc� pem�X lo fib e siproE Wtemenl ihat M or eM
e liceneed punuenito�ha pwicione G �he ConlreGors Limme Lew(Cheqm e(mmmerui�p xil� Seuion ]000) d Diubion � dihe
Businaa end Vmleseuns CoEe� or ihel M or Me ia eaempt �hx6hom entl Ihe be�ia lor I�e albpeE aremWion. My voletbn M Seeion
)O�t.S by enY �Nd�l �a e perm� wbpqe the apd�� �o e mnl perelry d m� more ihen /xa hurdred ddlen [5500�.
❑ I, es owner ol lha propeMy m my emply�aee v.ih wupoa m ihei ade mmpenvtian, will do i�e wwk, enE the niucture e rot inleMed
a atlered br eeb (S«tion )ad. Buv�wav eM PmlmaionaGode� Tha CaMrecbn limnee lewdoea mt epply ioen ownmd propeny
.no w+a. o. mww� in�..m.no eo�.�,a� � wo.arc «n�w «wwon nm «na o�„� «�dw«•. wob.d m.�.�
unpwemeNa ere nd imaMetl arWmeE lor veb. tl, lawevm. �M dnNifq «'vnpwanoN b sold xnhin wp yw W ednplNun, Ns
V ow'wrEuiNer hill heve �M buMen d povirq M a eAe d'd mi buik «impora la iM W�e d aele�.
8 I. m orrr d �M G�WdN. em vdmaM wureq�97� Yoen+e0 conVaNm to m�uvuC Ihs pN� (Secm nIM. Bue'vw� W
PMeniom Code: The Camreem Licenn law does nd wWY b en owiwr d pWu�Y xM10 buffi a imG�'m tAnson W Ma
mnveets la sueM1 peqeW wi1M1 a mmrenor(e) IkenaeC WA� to IM Contrmae Lironas Lew�.
❑ I am en ip S uion: B. 8 V.C., M thia
Oela: �. Owwr:
I tlo Iwroby caliry I�el I em ewere d eM uMeniend ��e requirements d Cel ' H end Selery COJe Seclione 25505, 255�3, and
255�4, eM thet I or eny iNure Wildinp oaupeni vnll / wil nd (orcb me) ne� cc y w�h eeid uete codm enA the requiremen� la
apermul«mmwctionamodifiWionhaniMAi e�iy —anepemenlDmrie.Reek mielem%iudionappira�iomweaemqlmmihna
pwiaione.
o�.: �oa�:
WONKEN'9 COYPENSAiION OECLAN�TION: 1 MraEy etfirm uMer perieliy d pajwy ar d iM Mloniip Eadereiiom:
❑ I heva ud �.il meinian e cenSuta W� to wtlimun b xvrke�s' cpnpenWion, m pro+idsd fa by Sadm 3]OO d tM lebor
CoEe. la IM peRotmerce d tlia wpk IIX �Niich �M D� u mued.
i ne�..�d w�md, �d.• mmv��, ���. a+�a��roe M seaan aiao a N. i.n« coee. rar me o��e d in.
.�xia.�ne�w.o�aq�»d.My..o,�.•����.mw�.v�.,me«ae: EXPIRES
c�,,:
PdkyNumbar: — Q 1� � 1� 9 7
Rn;s .enion n..e nor w�on�da�ee r rn. ro�x;, ro, o,ro n��e.ne dwi,rs rsiool w k...7
❑ I mr1Ay �hel in tM qRormenca ol iM wark lor whkh t�ia permn ia iaeuaE. I ehell nd empby enY Pe� in eiry mennar eo as Io
becmie wbjw ta tha xwkere' compenWion lern d CeNanu. vM �ee Ihat il I JwuM berome wbjea io �he waM1ers'
compen io p vie ns W Sed'an �)00 d �M LeEor Code, I shell loM�� myipy o pwiaiaw.
cl ' '
Dme: [ ` Mdirau: wv
W�minp: F�Oun ro swuro woAsn'rompxiutlon eorerp� l� unNwNl, �ntl �N ,b n Imployx b edMrW p�mMu �ns
clHl nn� iq ro om nv�a�w trouaud do/Yn (i�o4000A u+ Ne/aon ro M� cwl ol < ru�tbr� Aarrvpu u poHCM br In
Slctlan 9lPB oI1M 1.�6or Coas. Irrtwsat �4 emm�y'i /.u.
CONSTRUCTION LENqNG AOENCY: I MroEy elfiim uMer penelry d pe'ryry thm iMn u s mrutiutlion bnEinp epency la �he
pBllqmvYa C/ Ih0 xIXk /IX whitll lhe Mm�1 u eaBd ($M9n 309). Cx. C).
LENDEq'4 NAME:
LENUEN'S AODRE55:
I cerliy Ihei I heve reed �his epplkelion enE nete �hn iha ebove inlametion ia cortatl. I epme lo comply wi�h ell my end munry oMinenoee
end clele lexa releting lo Wiking canelrudion eM heraEy eNMriie repneentatrvee d thia ary lo anler upon Ihe ebova-menluneE propeM
�°`��'De"�°°°"'°°'°' BOB YODER
._
Dale: �I� V
(515f�1E.WP) Whao-BUYdip 8 Selety: Greert-Fk: Ce�ary-Appicanl: Pink-Rwenw:Oddmrod-Acmaor
JOB DESCRIPTION : 2129 SF LIVING/ 562 SF GARAGE SQ FT: 2,691
CLAIM VALUE: 120,000.00 CALC—VALUE: 177,426.30 GROUP OCC: R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE
iF 1E if 1E if fE 1F aE �E 1E iE iE iE iE iE ff 1E iE iE fE 1f 1E 1E iE 1f if 1E if 1f 1f 1E iE 1E iE iE 1E iE 1E fE 3f IE IE 1E iE iE IE dE 1E �f 1E iE ik iF ik 1E 1E iE iElElE 1ElE �E fE IE fE 1E iF If IE 1f �E k fE �)E iE iE 1E 1E
Z O N I N G R E Q U I R E M E N T S
s E T s A c x s HOLD FOR SPECIAL REQUIREM��IT,,*
---- ------- MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- ��
FRNT: 19 FT 6 IN REAR: 24 FT IN FRNT; FT IN REAR: FT IN
LEFT; 5 FT ZN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• 2 PROV: 3 PARCEL: 00000000 ZNE: PDR— REF NO• PA9536
PLANNING Nt51'ES> CONSTRUCT 1 SINGLE FAMII,Y RESIDENCE; PARK/TRAFFIC FEES .
>--DEFERRED TO R£LEASE OF UTILITIES. P,F,E
1E if iE iE k if k jE iE fE iE it i!-� ik 1E �f �f �t 9E k iF iF il.if 1F iF 1E iF fE IE��E ik 9E * 1E Ik fE jf iE iE j! jE if it iE 1E �E 3E jf �E �t iF iE 1! 1F iE iE iE 1E �f iE jE �E jE �E 1t 1E �)E 1k jE iE ik iE jf 1E fE jE 9E
D E V E L O P'M H'N .,T' •" S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED HY �k�R, /C � DATE: �p�Q6
BUILDING APPROVED BY :'-: �VC�� . DATE; 2�/�9(�
APPLICATION ISSUED BY
1k iE jE 1E if 1E if �E fE iE ff iE ik iE;f �E �E iE iF 1E iE
LEGALIZATION:N
BLDG PMT
PERMIT 1,277.25
PLAN 207.55
F E E S U M M A lY Y
PLUMBING ELECTRIC MECHANIC
�1 DATE:
��ifiEiEi(-iFiFikiFlflE if i tf iFik
STRUCTURAL SEGMENT:Y
FIRE SMIP/RES GRADING
17.74
SMIP/NON—RES
ISSUE FEE
BUILDING—DIV—> PERMZT SSSUE PLAN—CHECK TOTAL PAID DOE
TOTALS----> 1294.99 0.00 207.55 1502.54 1502.54 .00
REVENUE DIVISION TOTALS--> COLLECTED; 1502,54 OVER/SHORT: .UO
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
1277.25 17.74 207.55
if 1E fE �f !E �)E 1E 1E �F �E �E �! �)E 1E 1E 1E iE if 1E iE fE 1E 1E 1E iE IE 1E 1E iF iF fE fE iE fE 1E ff iF ff 1f 1f !F!f ik if if iE iE 1E if if iF fE 1E fF �f ik if iElF iE fE iE 1ElE 9ElE 161E dE iklf iE fE iE 1E 1E f! dE k
I N D I V I D U A L F E E H R E A K D 0 W N
TYPE QTY D E S C R T P T I O N UNIT COST TOTAL COST
SFR 2129 DWE—TYPE V—WOOD FRAME —GOOD 77.90 165,849.10
SFR 562 RES—GARAGES TYPE C� 20.60 11,577,20
END OF FEES
� CONSTRUCTION AN� PLANNING POOI .� SPA
^ APPROVALS Permit # Date fnspector AppROVALS Permit # flate Inspector
t. Temporary Electrical Service or Pole �� 52. Pool & Equipment Location 4i �"�
2. Soii Pipe�Und�grnd. L 53. Steel Reinfo�cement • `!
3. Electrical Corrciuit UtilitY-Undrgrnd. � L '� 54. Forms �i• %�� "_
!
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 'Z� �
5. Steel Reinforcement 56. Rough Piumbing & Pressure Test
6. Electrical UFER Grnd. j� � 57. APPROVAL TO COVER�GUNITE '
7. Footings �//f 58. Electrical Conduit�Undrgrnd.
��r
6. FoundatioN ' S9. Gas Pipe, O Undrgrnd., Test
9. Water P�pe�Undrgrnd. � 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural floor Sys,em ' � 67. APPROVAL TO DECK �f
11, Property Sewer Line & House Connection � 62. Backwash � Receptor-FinalF -
�
12. Sewer Cap '63. Heater & Vent-Final �``� •�
✓; �. '
13. Roof Drains � 64. Plumbing System � Finat V�r�
14. Rough Plumbing 65. Electrical-Final �
15. flough Electrical-Conduit 66. Solar System�Final -'
F •
76. Rough Electric Wiring , 67. Fencing & Access Approval
i7. Rough Wiring Sign 68, qPPROVED FOR PLASTERING
18, Rough Electrical�T Bar Ceiling 69. POOUSPA SYS7EMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rouqh Pactory Fireplace � APPROVAIS Permit #
21, puc[s, in St�ucture ' 70. Under9round Hydro
22. pucts, Ventilating 71. Product Piping � Gas ❑ Od
23. Gas Pipe-Rough & Test 72. Underground F�ush
2��. Roof Framing� � . 73. Undergrnd.StorageTank �Gas ❑Oil
25. Roof Sheathing ,�(`6�l�'/_ C�%�� 74. Overhead HYdro
P /�"r
26. T�Bar Ceiling {Structuraq & Monocoat y 75. Dry Chemical
27. Freme and Flashing F��Jf` �� 76. Dry Standpipe
28. Lathing&Siding g�' f' �- 77, FIXED�SYSTEMFINAL
29. Insulation r �iy 78. FIRE PREV. FINAL
30. Orywall Nailing _ . ^ � HEAITH DEP7. REQUIREMENT
��/1 .
31. Plaster Brown Coat fff�/ 79. FINAL INSPECTION
32. Electrical Power Meter-final `� ,. 80. FO00 CERT�FICATE ISSUED
� 33. Final Electrlc � � - Notes:
34, Final Heating & Air Conditioning - -
35. Final Gas Pipe-Test .,-.
36. Hood or Canop'y ' � '.
37. F�nal Factory Fireplace �'-�' -�
9g, Final Plumbing _ '
39. Water Service�Finai -
40. Gas Service�Pinal ' -
41. 5olar pomestic-Final tJ ,
42. 9ackflow Preventer 4. �, `
43. 9ackflow irrigation �: •
44. Landscape Irriqation Syste`m
45. 5ound Attenuation
46. Handicap Regulations - -
47. �INALSTRUCTUflE&6UfLDING -/D�G/�,l'� -
r i/
48. FINALPIANNING r-. {
..
49. &lectric Release to Edison • ,!"
50. Gas Release to Southern Caiifornia Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date�
o�o� Hall & �breman, Inc.
�� � e Civil Engineering • Planning • Surveying • Public Works
October 29. 1996
Building and Safety Division
City of Costa Mesa
77 Fair Drive
Costa Mesa, CA 92628-1200
Project Address
Lot Number:
Tract No. 1521 l
74 g0 � Mav-tQk i b G�,
Permit Number: GRA075893
By Civil Engineer:
4665-GRA08
I certify to the satisfactory completion of grading in accorda�ce with the approved plans, �
specifications, local and state codes. All drainage devices required by the grading permit,
grading plan and grading ordinance have been installed. Adequate provisions have been made
for drainage of surface water from each building site.
The minimums are:
2% fall from structures within 5 feet from exterior walls.
1%o Pall for asphalt surfaces and landscaped areas.
0.5%o fall for concrete surfaces to approved disposal areas.
The final monuments as shown on the recorded tract map were set. All final grading elevations
are within ± 1/10 of the desiened ele�ations. .
Supervising Civil
13821 Newport Avenue, Suite 200
Tustin, California 92780-7803
Tel 714/544-3404
fax 714/544-3155
I�eg. No. 37445
Date �� ( 2 % /��J
P.
� No.37S45
{c �P.6/30/60
a
Clty of Costa Mesa
Callfornia 91648�1200 P.O,Bo� 1200
Insulation Certificate
' F�rr..�t NumGe�
801 MAROUIS COURT COSTA MESA, CA
Numoer ana St�eH C�Y
74
— .. .aunry 9�balvl¢an Lot Numnar
Description of Instaltation '
ROOF
Material , � _
Thickness (Inches) .
EXTERIOR WALL
Material . BATT INSULATION
Thickness (inches) 6 3/4" / 3 5/8"
Brand Name _
Thermal Fesistance (R-Value)_
Brand Name SCH[ILLEB
Tharmal Resistance (R•Value) – R– 3
CEILING
Batt or Blanket Type BATT INSUI.ATION Brand Name . SCHULLER
Thickness (Inches) 1��` Thermal Resistance (R-Value) R-30
Loose Fill Type Brnnd Name ___. __.__..___....—.__
Contractor's minimum installed weight/ftz_Ib. Minimum tnlckness �nches
Manufacturer's installed weight par square foot to achieve Thermal Resislance (R-Value)
FAISED FLOOR
Matarial .
Thickness (inches)
SLAB FLOOR
Material �
Thickness (inc
Width (inches)
FOUNDATION WALL
Material
Thickness (inches)
Brand Name
Thermal Resistance (R-Value)
9rand Name
T�ermal Resistance (R-Value)
Brand Name .
Thermal Resistance (R-Value)
Declaration
I hereby certify that the above insulation was installed in the building at the above location in contormance with
[he current Building Energy Elficiency Standards (or new resid2ntial buildings contained in Title 24 ot tne
CaUfornia Adminstrative Code.
Annnrxl CaNraclGr (BwIGU)
SiSnamra an0 TI;I�
WESTERN INSULATION, INC
Suo-Cantrac:or prsmaCon I.�fiailer�
�',Q�� ,%w� Production Mgr.
Ipnamra arA Tlps
co+.e
�IGb113O Y�II b/
481278
�i[en�! NymOa�
SEPTEMBER 12, 1996
�aie
L0'd WC b�:iT 9o—ZI—d3S
Y
ADOPE490FBUIlqlq: a�l M.�Q Vis• L••i• UNT:
°""E"�"'"E"'°'°"": pOLYGON PitOPERTIES FLOOD: X 47
• "ODRE� 15717 ROCKFIELD BL
[�V���P. 92718 714-452-0600
I�PCNRECTONENfiNFEN: LL MAJOR 6 ASSOCIATES
�xcxonuasaoonEa: 1551 N TUSTIN AV
��t�� SANTA ANA
ca+m�crars �uimo
woness:
"`N0 C-�6869
UN :
CA 92701
uc. xo.:
uwr:
110EN5E0 CONfHACTONS DECL�N�TION: I hereby eRim uMx pe�y d pmjury the� I em IcemeE uMm pwbb�n d Cheqm 9
(mmmenaeq wnh Senbn ]OW) d Orvoion 3 d Uie &mirese arM PMeatio Cade, en my li eroe ia in lull latt eM Nixf.
cmucI.wo.: 661% q4 ��c.cuss: H ��c" 65 2 2 EXP: 11/96
oe�e: l0 / / � ! ! �O com.aeo.: l7
OW NEN BUILOEP DECLANATION: I henby tlfirm untler peraly d perNA' � I em ewamq Irom i�e ConlreGan Limme Lew la �M
folbwinp reeson (Sec�ion ]03t.5 Bueimes eM PMenions COEe: Rny c1y a munty wl�ich reyuiree e pertnil to coneVuct, eller, imD��.
Vemoloh, or repe'r wy evuci�ra, pbr b ila aauance, el+a rx�uirea the epplicenl Iw euch pem�il �o file e ap�red eleiement Mm he or ahe
: IicenaeE Wnuent io iM poviaon� d IM Con�redon Licame Lew �Cheqer 8(oommerwi�q wilh Setlion ]000) d D'veion � d the
luaifron erd Rdaaiom COEe� a Ihel M« ahe u uemq thaehom eM the baa'v la ihe elleqed examqvn. My viole�ion d Setlion
)031.5 by arry epq'rwM la e permn abjeaa On epplirsnl to a ari peiulry d na mae �Mn liva �uMretl tld4n I`�ll.
� I. ea owiw� d IM poPo�Y a mY �O�W�s �h wepes av Ihei ede canpeme�bn. xiY Eo �M1s xork. vM �M vou lure i ml imaMed
w allaeed I« eeb (See�ion )Oaa, Buvrea vM Prdeasiaru Code: The Comrenan Lieerue LewAoes not eppyb en ov.+im d peopany
wM10 WMa « inV�wes �Mrean. enE Ma Eo» auM xark M1m�aeH a hene� a Nrwqh he a Mr own emWuY�+. P�'� Oim auch
impvnmems va m� mteMed a dle�eE la eab. tl, howa�a, tM buitli�q v inpaanma u eotl wnAin aw ymr d mmple�ion. Ne
ow�«aaa. �o n.w me wm.� a o��e ne «� m oa awa «�ao+s �« ub wwo*• a.��.
�f] �. e. u.nar a ins ww�Y. em mdi�swlr om�reana .mn fvnxd c«mxia. m m�emw �na a4� (seaun �ou. aninms ene
Prdauione Code: The Con�rmon L'eensa lnw doee nd epply io en owror d propeny Ma Euiks a impoves Ihneon end who
conVecb /a wN DMeW wiN e mrdretloNal Iir.eneeE Wn�ei4lo IM Canl�etlm licertse Lewl.
� I em uamp uMr Seavi: B. 8 P.C.. br Nu eamon:
1 do hereby eeMy i!w I em ewere d eM undarsteM iM re4uiremenn d Celloma Nmbh eed Selety COEe Setlians 25505. 255}�, eM
2551a, eM inet �«anv Mun Wikiro «aoem wil� / wil mt (dicb m.) rieen io comdY win eeid etme oodae uM �he nau"vemems t«
eG��laowuuctianarmoEAkalionhantAeAi3ue6�ity -anxpemeMD'atntl.FmidmtieloonY�utlbnWV�iaweneimmp/mnNma
yo�isione.
oeie: AvciF�+�:
WOFKEH'S COMGENS�TION DECLAP�TION: I hereby effirm �Mer panelry d perjury me d IM Idbwi�q dedermuna:
❑ i neVe.�e m� �m� a rona�e a m�ua,� io.erc;nsu�e ror.�axen• canro��. m aw�eea �« M sea� s�oo a m. i.e«
cod., ror �n. y.namence a inn wak �« w�dcn mie oamiil ro usuea.
❑ I heve vM vnl meinlain xrorkert mmpenaeion insurence, es reQuired by Seaim �)00 0l the laEor COEe, la Ihe perimmenm d Ihe
K wak lor which Ihie parmit is iaewE. MY waken' mmpanaeiion inwruwe rartier eM poliry number ara:
Oefneo CYDR&SS �ldS EXPIRES
aarr N�mne,: ;7—�=41 �� O 1/ O 1/ 9 7
(TM1is sxtiwr neeE rat 6s mmqmeD / �ne perme u Ia we hunerei ddbrs (S�wJ w Ima.)
❑ I cqlty IM1e� in IM peAwmence d IM wak la wM1CM1 ihe permil p oweC. I Mell M mmplq enY Po� in e�ry menrwr eo � lo
Escmie eu4� io iM MaIM�a• ownoe�ion lews a CaNania eM N a I M Dxmie wblen to IM wvkers•
can pw'v d Seeion �]00 d IM Lebar Cade. I�r.nA xdh p�wuoro.
o�a ��'� TQ � ,�� ,�
Weminp: F�Ilun ro��cun waA�ri rompwuatlon coveraps l� unl�wN( me �lull wD/�cf �n �mployx to cNmlrW p�ni/tlu eM
dHl Iln�a ,q ro aw nurtlrW tlwuunAAO/Nn (St00,000A In etltlltlon ro tln cost ol rompxu�tlort S+�p� u poHtlM ror In '
Sxtlon 9]O6 0l I�� Lebor Cotls, lntwt +�e ��m%Y lsu.
CONST1iUCIlON LENDINO AOENCY: 1 lwraEy Wum under perelry d perj.iry iMt iMre a e mnn�ion bnNiq epency M tM
parlamarKe d tM v.ak In wAiW Ihe pem�i ia'swed (Seaun 309>, Cv. C).
LENDEN'S NGNE:
LENDEWS AUDHE55:
1 cenily Ihel I heve roed thie epdtid� � p�e Ihel lhe ebove intamelion is cortep. I epiee Io oomply wilh ell p1Y ��n7 oNinenme
enE stme lews reletn0 to EuiMinO conslrWon ud MreEy aNM1orrza representeiivae W �hia ary io anter upon Ne ebove�menlionetl pmpeM
forinspoclion Ou osoa.
B-�eB-&g G L V y d
Pnn�Name
De�e: I
s� o d o.mmuwa�vnvcu�ucom,ma
(5151d6 WP) Whno-BuiNiq 8 Selery:Orean-Fle: Cerery-RPC��1: Pink-Rarem»:Oddm�o�Aeeea+a
CITY OF COSTA MESA — BUILDING PERMIT
� .. �'PERM NO: M 078211
PERMIT NO: M 078211 PLAN CHECK NO: N �' GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: NEW
.70B DESCRIPTION : 2129 SF LIVING/ 562 SF GARAGE SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: A-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 2/ REF H-78058
ititit*it�itititieiaititit�t**it*ie*itit�*�tif*�rit�rit�r�rit�rititx�*�t+t�t�t�t�tit�rx �t**�tx����r*x�itit�t�tat*�t�rit�ritie�**�iF*ieit
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 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: 14151132 ZNE: REF NO:
PLANNING NdTES> -
� .
� if1E1E1fIkikMMlkikltiE1E1E1f1f1f1kfk1FiElfikkikMlE1liElEiEi4M1fM1ElE1F1E1f 1EkiFkkklEfEfkiFlElffkMlF1f1k1tMiE1E1kik1l1E1EiEiElEiklf iElElEiElfiFlkiE
D E V E L O P M E N T S E R V I C, E S A E Q U I R E M E N T S
ZONING APPROVED HY .
•BUILDING APPROVED HY :
,«
APPLICATION ISSUED BY: w�
***�r+r�rx�*x�**w***�***�**
LEGALIZATION:N F E E S U M M A R Y
s
BLDG PMT PLUMBING ELECTAIC MECHANIC
PERMIT . 4Z�52
PLAN
ISSUE FEE � 22.00
HUILDING—DIV—> PERMIT ISSUE PLAN—,CHECK
TOTALS----> 42.25 22.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
HLDG PMT PLUMHING ELECTRIC MECHANIC
64.25
DATE:
_ DATE:
DATE: C�'�
r��*�r*+t****� +r*
STRUCTURAL SEGMENT:N
FIRE SMIP/AES GRADING
SMIP/NON—RES
TOTAL PAID DUE
64.25 64.25 .00
64.25 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN—CHECK
**�����*****»»»**�*�*�.��,��,�,�*��*��****����������**�*,�,�****�**��**�**,�*,�*����,�**
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 Z P T I O,N UNIT COST TOTAL COST
HEC 1 INST FORC—AIR/GRAV F',URN <= 100 K BTU 13.25 13.25
MEC 1 INST HOOD W/DUCTS FED'BY MEC EXHAUST 9.50 9.50
MEC 3 VENTILATION FAN CONN TO SINGLE DUCT 6.50 19.50
END OF FEES
�'J
�
COIFSTRUCTION AND PLANNING k P�` 'PA
t
APPROVALS Permit # Date inspector qppROVALS Permit �`r Date Inspector
c
r
t. Tetnborary Electrical Service or Pole 52. Pool & Equipment Loca[ion
2. SofT;Pipe-Undrgrnd. 2 53. Steel Reinforcement '
4
��Electricai �+dDit Utility-Und�ymd. 54. Forms
��4:'EI{�rical � it-Undrgrnd. 55. Electricai Bonding
c�SSt�,.� flei �� �pent 56. fiough Plumbing & Pressure Test
��;:,'Electricai �}� Gmd. 57. APPflOVAL TO COVER�GUIVITE ''
�'�� ootin s �" 58. Electrical Conduyt� ndrgrnd.
� t3.-� 9 � i-�
�'8�oundatic�S 59. Gas Pipe, O Unf7Rymd., Test
���,.yWa�fe,r Pip�drgrnd. � 60. Backwash Linesb�rap, p Undrgmd.
10. Str�cturai`Floor Svstem �� 61. APPROVAL TO��O'ECK
11. Prd'perty 9�.'we`�Line & House�onnection 62. Backwash & Rec`�ptor-Final
12. Sevegr Cap rc 63. Heater & Vent•Final
�. Ro�` Drains =^ �
� 64. Plumbing System � Final
i. Rough Plumbica� M 65. Electricai�final
F9. Rovgh El�ttrical-Conduit �' 66. Solar SYstem-Fi�}al�
,
7�6. Rough Ele�tric Wiring ._. 67. Fencing & Accesa'A�pproval
7. Rough Wi�ing Si9n � 66. APPROVED FC�7LASTERING
1$. Rough Electrica6T Bar CeilingS 69. POOUSPA SYSTGMS FINAL
19. Rough HeLa�ting & Ai *Cond'rtioni�ng �..�� � ,z, FI��I��T. �EQUIR�FMENF <E^
20. �ug�'.Fa�or�ir��ce ; S� � , * i,y d,* Ppf�V�',.�.��Pe�it# ��7-' .�n.��
27. Gwct4�in �ru�r�TJx .. .. H y. U "* 70. ` dergt"b� H�Ir�-
c., m ' �K 1,1: � t
22. [�uct'�-'Ve�ila�.n9 �* � �� .� ry r �.., � 71. Produq67f,�pFng l�l�yis �il
73. Gas .'�e-tdougm& Test i a: �;*; � G�k �72, Undergro6iitl Flasf� * F"
24. F�oof�ra ng .. mM �"^ ..` x> c' x n' �
� 3* * q i..�x: ••73-Undergrna.Stor�aTank�Gas ❑Oil�
25. Roof�he�++�n'g N� � � vx �� _ >:v�« 7qC�Overhead Hydr�'� k
26. 7BafiEeil;ng (Stru al) & A�Fb`c3at '� d m* 75sDr � x' ~ ^ ~H •
�� �,> r O C* Y Chergwcal HJ * =S •
27. Fsamc-,�anQ�¢lashin�j* �a� *o+ r mK 76. DryStan � e hm * Fn
_ � �.
�28. Lath�g SSSidin9 �*'� r�E�., � * E . � ..� 77.�j FIXED ��S,7E�.,�91NAlM �._, - p0
„29. Insulatiort� �� S � *� � 72�FIRE PREV. FIN$�L * �� a' n�
•�30. Drywall N3jling �'* ,y # F I � � ���iL7F�EPT� �Q`[�IR�T
�37. Plaster Br�vn�'ioat*!� S ' Tt^ x ( • 79�VFINAL II^�2ECTI�N * iG
- o__ - . ..
Q32. ectrical we� ME�Y,�+[��Sqal ; * f'� I '•BO�FOOD CERTIF.fC,E`1TE IS'�`UED„ �.,F��, � �
i. � `
�,33. �nal�lectric? S� -i � < a� �NuTes: `m r �-' c' � t*^ ' '
I � � -Z • '�- R.Biiz-�'4'" � �
'�34. �nal�leafing AiF'L�on moni'n�s ^ �' �` S �`S/ llxro * .�
.'� H i� � � r� i': �a 2�-/6 �_� [s-�-�, _L�6�GT F ~
, 35. F�al as�PjPa�Yest � a • x��� � �. xo pr-�:.+ a� .>. t*
'i'36. Hoodbr C�noPY ^7a� � � [*'^"_ � . Ct Fs � Clo R !i £i-+t^
� , n;.t n i ctt-: a. � � . m xo x� r-. m.^r
� : : -�-� , .- :
�-;37. Final��actsxY F(rePra�e x � c,�. rc:�Q 1 ,, a c,c : �� �o:
`?s _ . `- , - T
'-•38. Final�lu ing �� ,y' � ' i � � •y • H �: m X
-+NN O [C �c -:SG
n39. WaterService-Fina '� � � ' * � ' � `" `� a, �: �" �� r,
r -��
c�'A0. Gas $ervice-Final �� b' n.TF S � t�: ' On ��� k DF
- ¢
�41. Soiar pomesticFir�a)* S m s � m �r,, a * s; G
42. Backflow Preven2er�7 � r� z i � 7F � O r
�'U `HN k H 'k i�. LT1O K i� -.
43. Backflow Irriga'tion`,� '`' �' •''
� �� i � '
�
4d. Landscape11rr77'etion�ystem �a,�,,,� Y �� r � ��* i� � x�� � F l'"�
p� �s
~ �F �-: G F m x, i-.. . �-: � .
45. Sound At�knua�ion � �, .. .. � m t7* - c a �t • rC <
k�. Hendicap l�egutetionv� � G * � � • � C7� �
c � �c
c r I i.i Q (j 4:
42. f�NF�S7RUG'fUR�'& BUIL�ING k F„ � �•��� �" � p� x �.,
� -�
48. PSNPtL P4ANNING + [-•F-F r r� i i,�,.'�� . ;� �.n�i S * C
�9. ETectrTc Re�eat¢Jto E�Ison ; '� � � � ��. _ � ,�� * ' _
r
50. C3as RElease to°Southd'm Califorrti�a� asCo � �, � �%e ��? "_ -•� V''-
5i�. CERT-1FICATE OF OCCUPANCY � � • � ^ � -'. � -�
No�_._.. Date
._59 ��
Polygon Lifestyles
�n Cosia Mesa
Plan 2 Lower Floor
HVAC Layout
LOT 7 �
PHASE Z-
LiviNU
. . , .
IZYI� FB i2Y� �B
LD�lE� LEVEL FLD�� PLAN
ID63 '�
.
,:
I�R��i�l
�olygon Lifestyles
,n (' �ta Mesa
?{an 2 Upper Floor
HVAC Layout
�o-r �1.�'i
PHASE �
I�"?�-Dtil
i
MA ATN
�'•
Id�.6'r3 y7� l�
�
MA BED �M
� pPEN TD 8EL0�+l�
�
�
BED �M 3
�
� ia e�sEe �ti
LJPPE2 LEVEL FLDD�. PLAN
PR.DVIDE f� a TD DUT SIDE F2ESH AIR.
WITH MANIJAL CDtJT'�DL DAMPEIZ
AND FILTER RACK. �rs I-19 3S-4I -
, � � , ��
._ _ , i
��J�_�= �
-- , ���t.�
C � ' IQi Q{1
�,
� �
SEf�V
'^A �'K�F�
. ,
z
� .. ,
,
,, :�
;:�, : "
:� . �
: .,.. _ T,�---•� -- �.� �.�.��
�_ . �
; �
: .
. !�
I Z� 21SE�.
�ooxess a ew�ou+o: g 0 1 MARQ [) I S C T u"T:
%'Eai�"""•�'OMN pOLYGON PCZOPERTIES FLOOD: X 47
., . . 'pOPE� 15717 ROCKFIELD BL
I�V�rooq�sA 92718 714-452-0600
�� Z$
excxnecron�x�n: LL__MAJOR 6 ASSOCIATES pCNO= C-16869
�xcx.onoc.�s�noxess: 1551 N TUSTIN AV °�`
SANTA ANA
cor�m�cransu•K.
cwm�croxs �uuxc
�ooness:
CA 92701
uc. ao.:
UNT:
110EN5ED CONTP4CTOPS OECL�NITION: 1 haeby Mim uMer perety d pa�ury Nm I em licmeed uMm prm�au W Chaqx 9
(ranmamrp wn� Senbn ]000) d Drvoun J d Ne Buxiwx eM PMnebm Code. vd mY license b in lutl lorta vd eHea.
cmuc.wo.:06 144 uc.cuss: B uc.No 6 2 2 EXP: 11/96
Deie: Il � ���_ Gonlredor.
OWNEF BUILOEN DECLANITION: I MieEy etfrm uMx perely d per'µy et I em eramq Imm iM CaMradaa t'xaue law la Ne
lolbwmp neaon (Saaian )W 1.5 Busnesa end Proleasiona Cade: Rny cey a munry which requiiee e permil to wmViwY, eller, impove.
Omdsh, ar repei wy slruclum, qbr �o na eeuence, elso requires Ihe epplirant for euch pmmX lo fila e egned eietemam thm he or ehe
licensed W��� �o iM povisiana d IM Conireaas Limroe law ICAeqer 9(�marcirp wnh Seqion )000) d D'voion J d tb
vne a eM Prdeuiona CoCe� ar �hm M a eM ia eaemq Iherehm� enC iM Eeeia far ihe ellepeE exempion. My violetun d Seaion
)a�tS Ey a,ry epplirent Ia e pertnA wbjeas iha eppl'rant to e avil pandry M rw moro Ihen ive huMreE ddlen I`�U.
� I.nownrd�MpopertynmYa^W^'Ms�Awepeamtheiclsmmpmwun.WldoNewark.eedUa�wdun�nd'w�nded
«M«eE �« vei.ISection )a�. eusirow eM Prdmaau Coae: The ConVeawa limnae Lew Goes m� erohto en owner a papeny
who WiM a inMw'� Ihe�eon. eM Ma doe� �uM xak NmaMl a Mroell or WauOh Ae ar Mr own emWoN�. 0�+'� tM wch
"vnqwe�nem� ve nd'ouaded n WereE la We. tl. howewr.IM brikiM a inqmxneM o aatl wYhin ane Yeer d oom0�ion. Ns
ownm�builder Mill heve iM WNen ol pvrirq M or sM did nd drik or improw /a tM purpwe d ub). .
�] I. e� ox�w d iM popany. em exMively cantrae�q xdn liceiued con�reclps ro wn9riw11M qopo lSedion 10a1. Buairime eM
Prolmeiom Code: TM Canireaaa Lironae lew does mi epply io an owwr d.peapany xho Witle a,Impwm �Ivean enE v.ho
comrecn lor auM prol�s �h e mnbeaor�e) IkenseC Wnuanl lo Ihe ConVedcra Lioema lew). •_
❑ I am eaemq uMer Seciion: B. 8 P.C.. tn �his reemn: ',
Dme: Ow+er.
i ao n�nr �r mu i��.ere a.�d �.w,a �» �a�,«m w c,vw,:a w.en �e sm+r cod. sa� xws. zsss�. �d
255N. aM tM1et I« ury Muro buikirp ocapu�t will / wil rwi (�b aw) nseE lo campy wih �eiE qels ootlm eM IM mqwemwHa br
ew��InemsVutlionamotlfiutiontrom�MAi�y e^e0ement0istnd.RmiEeniidmrm�uaioneppF'atianeromemqlromNm�
pmisbro.
Dme: Applcenc
WONKEN'S COMPENS�TION DECLAN�TON: 1 Mraby eMrm uMu perWy d perjury me W IM Idbwiry Eederelbm:
❑ I heve W xil maimen e cenAicme d comm�i io eeMinare for xpken' compenWion, u w�ed tar Ey Setlbn 9100 d Ihs LeEa
GoOs. lor IM ppimneice d tM xwk la xtich Ne pxmn w iaued.
�� ne.e eiw w� melmeb xakn.' canw�wun I�wree�o.., mm+�sa W Sealan 91ao d ine Lee« Coee. �a. �ne w�«menee a ine
work Iv whiM ihu perm4 a mued. MY wa�� ar^Duise�ian imuruics m�ner erd pdiry number ve:
Cem«: CVAA1FC1S1�1 ruc EXPIRES�'I
PWcyNumber. �f-�!0!Y!G �1��1�9/
, mm .,na� m.e,�w ee �w,�dar.d r m. w�.;. ro, o�e n��d�d edi,,. niwl o+�.l
� I cenM �hei in �he pe�lortnen<e d ihe wark ror whch t�ia peimn la ieqyed, I ehd� � amvloy eny penon in eny mennx �o m io
become�pvubl�w �lory ihe warkere' canpeneelim lewe d Celilwnie. IiC epre 1� il Mouk becans wbjed lo IM wake�
Dme: `n! /Fdl`%(o �3i00d�M ��.IMelll fnwan µ.� wr owom.
Wunlrp: F�Nun ro wcun woA'wi romp�nutlon eav�np� la vnbwiW, �nd iMll wE/�el m w+iplohr ro eAm'n�l pwMltlls �nd
c/Hl flro� up N on� h,nOrstl Mo�a�ntl Ea/len (SIOq000A M etlCltlon ro M� ro�f ol rompxwflon, Eemspu �� prov/AW br In
s.cam 9ros o� m. Leeoi cow. �nr.�..t.�e.mm.y. r....
CONSTHUCiION LENDINO AOENCY: I Mnby elfirm uMer penely M perNrv �hm �hen ie e cvnatruqpn bMinp eperwy br IM
peAormence d ihs wM la wfiiM Ihu peime ia eeued (Sedion 309), CH. C�.
LENOEP'S NAME:
LENDEN'S ADDRE55:
I cenMtAet I heva nad No Mdicetian eM nma �het Ne ebove vJame�ion u canae. I m�rea �o mmPN xi�A M ceY ud muM' ordinancas
eM slale lewf ealalip lo buiN'vq eanstrudion aM M1ereby eulhor¢e �epesenle�ivea d Ihe ary lo eMm upan IM ebae�mmlianeE pmpeily
�o,iraP� onw�W.e,.
_ :�7���1f6 R o
Pnni Neme /�
DUe:
s�yo���e a o�adnu. poi��ucomraaor
(5151�ae.WP) W�ne-Buildiq d Selery:OreeMFle: Cenery-AOO��t: Pink-Ravenue: Gddenmd-Musmr
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: P 078212 -'�2L,PLAN CHECK N0: N
CONSTRUCTION TYPE: V-N ,% � PERMIT TYPE: PLU
JOH DESCRIPTION
CLAIM VALUE:
: 2129 SF LIVING/ 562 SF GARAGE
CALC-VALUE:
PERM NO• P 078212
GOVT: N SUPP: N
PURPOSE: NEW
SQ FT:
GROUP OCC: R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 2/ REF H-78058
��x **itit*ieie+t�ex��r�r�r�ritititef*x��t�r��e***�t�*it�rx�atx�it*it*ft�r*if*ia�ritx *x�x��r***iex�+titatiaiE**ie*iririeititat+t�r+t*
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 BUZLDING ---------- --------- ACCESSORY BUILDING ---------
FANT: 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: 14151132 ZNE: REF NO:
PLANNZNG NOTES> , fT_ � .
�
1f 1E iE iE 1F IE IF if IE ii 1E IE iE iE IE iE if If iE K iFiF K if if it if� If M i(� 1F it IE IF iF if M ii M iE iE 1E It If 1F1f ii if iE iFiE K iE if If 1f iF if 1f� iF M iE ih if 1f iE If 1f� If 1(� IE iF iE If 1E �F iE if iE
D E- V E L O P M E N T S E R V I C E S-� Et E Q U'I R E M E N T S
/ l .
ZONING APPROVED BY ` ' '• ,-DATE:
HUILDING APPROVED BY : i� I.�-t�'/'/' "�'.;i � DATE:
APPLICATION ISSUED HY: //� � DATE: G'��
1F14�Fi4�4i��tiF**sif�t�F+t****x�*******�f*x�*�******x�*x�***** �7Fir*r *�r+r*�r�t�r�t+r+r��iF�r�
LEGALIZATION;N F E E S U M M A A Y STRUCTURAL SEGMENT:N
i .r- L ' ✓
BLDG PMT PLUMBING ELECTRIC � MfiCHANIC! FIRE SMIP/RES GAADING
PERMIT 198.00 - .
25� ��� ,. ' �, SMIP/NON-RES
PLAN '
ISSUE FEE 22.00 "' � ' ,
BUILDINd-DIV-> PERMIT ISSUE PLAN-CHECH � TOTAL PAID DUE
't'f'�f'A�S§----'� 198.00 22.00 r. 0..00 •- 220.00 220.00 .00
REVENUE DIVISION TOTALS--> COLLECTED; � 2'20;;00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC ��FIRE SMIP/TOT GRADING PLAN-CHECK
220.00 �,. '. ^ ., �
fF iE if 1E 1f iE iE 1E IE 1E iE iE 1E iE if iE M 1f it if 1E fE if fE 1E 1E M ii iE if if �E iE 1E M ik ik iE 1k ik iF iF it•lE iE if iF iF If IE 1E 1E if if 1E ii 1E 1F 1f 1E if iE 1E iE iF 1f ii if iFlf iE if iF iE if fi iE ik 1E
I N D I V I D U A L.� F E E� H R E A K D O W N
TYPE QTY
PLU
PLU
PLU
PLU
PLU
PLU
PLU
PLU
PLU
2
1
2
2
1
5
3
1
1
1
2
D E S C R I P T I O Na -
,i. � 'i,� �.
BATHTUB �' - � '" . f � . '
DISHWASHER , %, •+, • �'+
LAUNDRY TUB OR WP,SHER� , � .-�i - �
SHOWER "
SINK, KITCHEN °f'.% ��
WASH BASIN .
WATER CLOSET (TOZLET)•
WATER HEATER AND/OR VENT
WATER SERVICE
GAS PIPING SYS OF 1 TO 4 OUTLETS
GAS PIPING SYS 5+ OUTL-PER OUTLET
UNIT COST
8.75
8,%5
8.75
8.75
8.75
8.75
8.75
11.00
8.75
5.50
1.00
TOTAL COST
17.50
8.75
17.50
17.50
8.75
43.75
26.25
11.00
8.75
5.50
2.00
�%O(�j$TRUCTION AND PLANNING '� PQ'p' SPA
�. APPROVALS Permit # Date Inspector pppROVALS Permit # Date inspector
• 1. Terriporary Electrical Service or Pole 52. Pool & Equipmenc Location '
2. So11'.Pipe-Undrgrnd. f�,`, �C� 53. Steel Reinforcement
C
,�b_Electrical£on�itUtilitY-Unckgrnd. 54. Forms
�`4�El�trical ��ibUndrgrnd. 55. Electrical Bonding
=��Stee1 Reirr��nent 56. Rough Plumbing & Pressure Test �
JQ6�;Electrical,�`"'r�.E�iGmd. 57. APPROVALTOCOVER�GUNITE
.. �,.,Footings ���.', 58. Electrical Condjii Undrgrnd.
�B�Foundatid'= 59. Gas Pipe, O U�'S�nd., Test
'�R9,pWa�fer Pip�;'badrgrnd. �-'��..�y' 60, Backwaeh Linespfl-Trap, O Undrgmd.
L
tO.Str�cturak'FloorSystem - • 67.APPROVALTa."DfCK
7 i. Proaerty �we�r� Line & HouserFonnection �� C� 62. Backwash & Receptor-final
_ �
12. Se�ver Cap . 63. Heater & VenbFinal -
�.3. Roafi Drains �"
v 64. Plumbing System � Final .
YA. Rough Plumbiflg t*; &�ij.S�i ' 65. Electrical-Final
fb. Rough Electrical-Conduit ' 66. Solar System-F�g
1�fj. Rough El�etric Wiring .., 67. Fencing & Accc93�pproval
17. Rough Wi2ixig Sign � 68. APPftOVED F(�i�LASTERING
T8. Rough Electriwl-T Bar Ceiling�' 69. POOUSPA SYSTEIAS PINAL
79. Rough Hea,tinq & Air Conditwnin ` _. FL��f,;E.�T.�&EQUIFi,EMEP}T
c^ , '1 '1r. . -r � �F �n 00 � O'Cq'�U'lT^ Q'CS
� • q•p1 .� . .T'. x 7• '7".Y' ."7 "y
20. 3�bug� Fd tor Fi�p*ace ;.�:, a' * � f.; Q, �...�APPF�V,�L;-� �i f:�'elmit # ��,'i' p�� � a�;
�-�,; � �.'
21. LicictF�in Siru&urSr:* '.. .. '-� , � G `, t' 70. ��.Inder r��H�iro �
x . :� ., r. a . y
22. [�cty:Ve�lil�i"gN� � :� � � ' r,� � 71. Produar.f'ipi�g ��3as �Oil
23. Gas � e-Rou� & �est r' /.�� �'" � 72. Undergr�'n.d F(y�sh' .� �;,
L _�
24. Roof�ra,�p'jnq.. cT.a Fr :�> G x, m - r.�r ��,-•���i".•��„ -...
��. * > `v; r:;. .73-;Undergrnd.Storcs?�Tank�Gas ❑Oii
2,°.. Roof;She'uhing C� t d � v��' � � b N v 7�� Overhead Hydr� r
x rr ,;. b' .�
<'Y � 6 G t*7a. i-. ._. - > Si��.:
26. �Bar'�eiling (Strva�ral) & I�o�oat - 7�'r Dr Che cal e=
J s�. ��J %� L%K Y � F.^i / � H•� MC�Q �Q�y
27. �rarr�.and:FlashinF}j� fi tr %� �+`•x 76. Dry Stan.�pF�e F'H� � n N �=��3xTtrTJ, a7.. .
- .n ac�rn
,28. Lathi?rqH`LL,'$iding ¢� `= =cF, G; «� •. ..�;� 7�-.r, FIXED$.Y�fECi9c��JA� -. ,� r"�ani• xtC'�..v�c
t
�29. Insulat�ortu �-+> � c . � � I I* 7 �`�'IRE EV. FV}J�L � - � r. F�-+Ci� ;�SS
s -, x � a- r� <- n: ., r�
�30. Dr� all Nailing '"� r, #F � � ��� r� _.�F�LT�jDEP'�.REQUIREMENT�-+., pm..x�n�,�
�37. PIa�6rown;Coat t S [^t* � � �x �79. FINAL IPI R£-CT�N *� _ �� ��n%
=32. �ctrical�owa� N�t�}rR�in�l � * "' �� 'BC�.y'FOOD CERTIF�ATE I�SI{ED_ , ;' p,_,
�:
_33. F3nal:Electric� sx tn d �� I �* N(iles:/_1�:�/y�T•,..,,�^. � � �x
�34. �al$lea�rg � A�C{o +�htionirx} s `.:,' � '
35. f,-�nal Gas � •
iQipe• est x p, ' �6 ,c
- -�e
� � *n
�36. IjDoc�Qr C,dnoPY ,�� �r� ; �� a .,:
� T� .
-37. Final�Fac�ry Firep ace �; ! E�F- rv X�
;.,''38. Final�lur�ing �* �•�`' � `/��/1
�- ' x , �C.de�
39. Water Service�Fina � �- ��-.�
- � r
�'^40. GasService-Final * �*! �'�*'�"' �' `�
mt i ii-�F l- iO'
r4/. Solar pomeSticFir�yllr ' �;� ' * "'
42. Backfiow Prevente�� ���
u r N �-, -' ��J >�'-+
43. Backflow Irri ion x �,-' � p Ky..
a c U YJ
4�A,. landscap�lrri9'`etion5ystem �7C� * �'
...
45. �und At�:�enue,tion � �-y .:`.- ` *
-=-F--F-P• a � "
4E. Handicap Regtrlationt- '-+ C k
� C iS
47.. FiNF� STRUCTUR�, & BUIL'DING * E.
46. F�N.4� PLANNING �_ ` `" * �
49. Ejecvi� Release,to E�ison �;
50. Gae F%lease ta-Soutliem Califorrtia�'ias Co .*
51. CER'RFICATE OF OCCUPANCV' `
No Date
0
�'��
�
� ' I� �
' � k G
� [*1
� J
.� c s v n:
c; Q 'E E E
r �
LT7 IT7 W. 7' l'*'
.+
..� . v . m �
�� 4i 1_.� c, �
�G
-, ..
�' c
t- • o
`,� c-
�
.; a
cx �
z c
t r_, N
� F
...
a
vl .iCJ X� :� i.'�N`J:JL�VC'L100
t' cjG M � !-.
• F rJ y'
� ...� *
G S a�
� t
� � �
-� �c r
x r
S * <L
.fi yc .-� _� �._�`.,
O� K ('i C�li iG7.� - � ..J.
. D trJ Y � �. . . . . . . . . . .
C . 5 0.' IL; G _it�l� := i".:p
ADOflE55UiBUILpNO: Ci/'�� �/]/'�u�G G,
Q:EXSNM1ERqItlMN: LII.J '��( V
� won[ss:
�vvi. wuuNc �ooRess:
IqCNRECT Ofl FNONFEq:
�IILX.ON ENO.'S AWNE54:
UNT:
PERMIT NO: P 078212 PLAN CHECK NO: 02451-96 N ,
*itat�**�rie*iE*ia**��*atx�**at*at**�r�ritititat*it**ie*it**it*ie*ifieia+r+�**�it�*�r*iax�it�*ir**�+rot*��r�**+�+fit*
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
11G N0:
CONLNACTOfI'SN1VC'
cam�cmrta �uimo
�ooxess: ua ra.:
0N7` I PLU 1 GAS SERVICE
PLU 1 SEWER, CONNECTION TO BUILDING EACH
END OF EEES
UNT:
LICENSED COMX�CTOPS OECLAF�iION: I Mnby Mkm uMx penMy d paQury ihN I em IbmeE uMrt pmi�lon� d CMptx B
(oommwieip Mlh 3alion )OW) W OM�ion 3 d IM Bukn�w nM Pmin�bm COA�. �nd mY �� b In lull lpp W HIM.
CffY LIC. NO.: LIQ C1A44: LIC. NO,:
Dme: ComreCm
OWNEfl BUILDEfl OECURqTION: I Mnby elfirtn uMar ponely d porWry ihel 1 un e�mmq ham IM ConVetlm lkams lew lor IM
Idbw'vp ieeson (&ed'an )0.'f1.5 Bwiw�� e�d Prolepbne Coda: Any cYy a aounly Mfiidi rpuim a q�mA lo ometrucY, eMm, impwa,
xnd'nh, or npei eiry aWctun, pnw W ile ewenoe, ebo rpuirw �M epplkaN Iw wch pa�m4 �o R4 a sipned tWsmsM tlW M a�M
ficenesd W�N �o �M pawiom W tlr Comreqon lloenae lew �Chepar 9(wmmand�p wXh 9adion ]000) d DH'sion 3 d IM
.uvnan eM Prdapbm Codal a ihn M n Me 6 uamq Iherahvm uk ths Entiw tu Ne eApW mempen. My vidtlon d Ssqion
�os�s W enr.coG'.N �a e o� �i+d+ �he wd'eam io e ri+a w�r d nd man �nen Ilro nund�ae emd. fs50011�
� I.movmerWlhepWenYamyemdoY�xih'uepmn�haidsaomO��.MYAotMMwk.erdNe�wnununa'unenCeA
a dlered lor eele (Seelion ]Ou. Buaron erd Prduebn COEs: TTe CaNrepwv L'vus lewdom nq epply ia en ormxd popeery
wla buide a inpwee �herean. end who Aoee sucM1 xwk IimceX a Mnell a Nraqh he or Mr own emplo�me, pwkeE Ihel vuch
impwemave ara rat imeMeE a atlae0la eeb. tl. hows.ar. tM buiNiiq w inpwemeM u�oM wnhin meY� d canpletion. Ne
owmr.Wilder wiY Mve tM Wrden tl P�+��O M a 4ie tlW nol WiN a impova In iM puVaa d ubl.
� I. m oM+m d �M P�WeM. em uduaMf ineu�rfiq wdh finned eowaelm b eanNud Yn Val� (Setlian )Ou. Bua'nima end
Pmieae'vn Code: Tha Cadratlm License lew does m eGdY b en oxm d pW�Y wM10 bdtls IX unG�'p Ilwsan end wM10
wnvaeu la aMi pqWs xeh e meumfar�a) IkemeE punuem to iM Cwreaon liomaa law�.
� I em e�emq uMx Sxtbn: B. 8 P.C.. In Nu ieevon:
Dem: O�mer.
I Eo MnW wndy thet I em ewere M eM uMraieed Na roQuiiwnems d Cdloenu Hee4h eM Sdary CoEe Sepbm 25.505. R55]3. enE
255�6. enE ihel I a am� Mue buikirq ampeM xill / wil rpl (ercb aw) � lo camply wYh �eE aete ooAea enE tM npuiramema br
epaemulnmmwnianamod�freiionhantM�i u3�y enepemeruDinrcf.R�demilm�mutrua'vneppir�iamereezamqfmntl�a
pvrisione.
Dele: AGd�:
WOHNEfl'S COYPENSATION DECLAF�TION: I hereEy �rm unGs penelty d pe�ury an d tM blbwiep JeWeeions:
� I heva erd vN meiMen e canAi�aa d aromi to �allinwn br wMers' oomPM�ion. ro paided ta M Seuion ])00 d tM leEa
Code.la tM perlmre�ca d ths wwk ta Mic� Nn permit u oaued.
� 1 heva eed wil meinten xaken' eomp�on imurercs. n�puirad by Ssqim �100 d the lebar Code. b the penamerce d the
work Iw wM1idi thia pe�m� n iuueE. MY waken' canpenW ion insurar�cs reriier enC pdiry numEer ere:
Cemer:
Polry Number:
(TNs sedion meC ria 6e mmPbteC �(MW�T�R is b ons �undreLCWlan ISfOJI w bav.)
� I cenfy Nel in iM pMmnvwa d tM work lor xfiich Ihie pemul b iaaueA. I ehell na mmpby airy penan in e�ry menrw ao m �o
bacame wbled lo �M1e woM1ere' wnV�+e�ion lewe d Celilanu. uM eY�ae thm il I ehouM beoma wblee ta iM xakera'
wmpeneeian D�sbna d Seaian �)00 0l Iha lnbor Coda. I ehdl lanhxil� compN xnh tMee Prwieime.
Dete: Aoq��'�
Wam/np: Ftl/un ro s�curo workxi compmutlon covop� b �nNwNl, mE aNll �W/�cf m xnploysr to ctlMn�l pm�IXu mtl
dvll flrws w ro on� M1unErW flauurM JMbn (5100,P00), In Wltlon b M� cwt o/ rompuu�fbn, Sarrupu �s provlJSJ br /n
Sxtlon 9)OS ol tlrs LeCorCotls, InM+tt, end �rtomsy'� Iwx
CONSTFUCTION LENDING AGENCY: I Mreb/ ��m uMer pendry d perNrv �M1e� �Mn ia a eonslvd'an bMiep epeiwy la IM
penormenm d �ha xork lar whiM �hu paimY h eauoE (Seabn 3091. Cv. C�.
LENOEH'S NRME:
LENDEfl'4 RDDNESS:
I caniy ihet I heve reed �hia epplicetion enE 9ele �hei tha ebwe inlame�on u oortep. I epree lo comyy wilh ell ay aM coumy atlineMee
erd swe levn releliq to Wikiq conviwian eik MreW eul�wize repaeeniaivee d ihe my to emer upon �M eEove�memionad popaity
i« �M1,omb� w��.
Pnni Neme
oma:
si9���a a owiwr�Aqew�aWcenucu,veaor
(St5iJ6.WP) W�ne-BNMiqB£alny:Greer�Fle:Ceneey-RppFani:Fnk-Revenw:Claldmro�Asuaw
8.75
22.00
��'' .. ... .. . . _
8.75
22.00
: ^,pNSTRUCTION AND PLANNING
APPROVALS Permit #
. 1, Temporery Electrical Service or Pole
2. Spil Pipe-Undrgrnd.
3. Electrical Conduit Utility•Undrgrnd.
4. Electrical Conduit�Undrgrnd.
5. Steel Reinforcement
6. EVectricaV UFER Gmtl.
7. Footings
8. Foundation
9. �Nacer Pipe-Undrgrnd.
10. Structural Floor SYstem
11. Property Sewer Line & House Connection
12. Sewer Cap
13. ROof Drains
14. Rough Plumbing
15. Rough E4ectsical�Conduit
76. ROughElectricWiring
V. Rough Wiring Sign
18. Rougfi Electricaf�T Bar Ceilinq
19. Rough Hea[ing & AinConditioning
r r.. r. r++
20;h4?OQgh �jct�yJ ireptace
27.-0uats, in Structure
Ln Y
22�u�ts, Ventilating ,
23�CGasePipFRough & Test
24�"Ro�f Framiii'�-'
25. ROof Sheathing
t
26s-T-65r Cetlina�(.$lructurall & Monocoat
28. la�in�& S,t�in9
29. Insnlati�n riq
30. Dr�yval�"Nai�n�
37. PlBsier �rown r�'oai
32. Ele�trical Pow�'[ Meter-Final
33�,�ina1 E c�tric F.�,7
34�Fi�*I HL�3ting &��r Conditioning
35�in�i Gas Pipe�q�'t
36.'Wood or Cano��
37�ina1 Factorv Fy��ace
� k
38.,,Fin�l Plumbing
39.;,tVa�r Service-�nal
40t-GariServi ce� F i ia11
41,�ySo��' D�rnestic•Final
42.�acktlow Preventer
cJ . �
43. Bac'�cflow Irrig`�{ion
44. Landsca�Ie I�tri$Stion System
n ��
45. So�d Attenuation
46. H2ndicap Regulations
W
47.�F1t�{+L .r,STRUCTURE & 8UI LDING
- v
48,�F IN{�L r�iANNING
� .'
49. Ele�tric`Releas�to Edison
i
50. Gas*Rel@se to�Southem Califomia Gas Cv
Date
PQO SPA
Date Inspector AppROVALS Permit# Date inspector
52. Pooi & Equipmeni Location
53. Steel Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumhing & Pressure Test
57. APPROVALTOCOVER�GUNITE
' 58. Electrical Conduit-Undrgrnd.
� 59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines, P�irap, L7 Undrgrnd.
61. APPROVAL TO DECK
62. Backwash & Receptor-Final
63. Heater & Vent-Finat
64. Piumbing System � Final
65. Electrical•Final
66. Solar SYstem-Finai
67. Fencing & Access ApProval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FIRE �EPT. REQUIREMENT
APPROVALS Permit #
70. Under9wund Hydro
71. Product Piping CI Gas O Oil
72. Underground Flush
73. Undergrnd. Storage Tank � Gas rJ OA
74. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL
NEAITH DEPT. REQUIREMENT
79. FINAL INSPECTION
80. FOOD CERTIFICATE ISSUED
Notes:
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AOOHE55 OF BIIILqNG: 8 O S i"1�p U 1 Jr C T UNT:
°""E"'s"""E"'°�a`": pOLYGON P1�OPERTIES FLOOD: X 47
"0°"�' 15717 ROCKFIELD BL
[�V��pp�A 92718 714-452-0600
urcxnecrox�m+�n: LL MAJOR S ASSOCIATES °CN0'` C-16869
wcxoxwa•s�ooasss: 1551 N TUSTIN AV u�T:
SANTA ANA CA 92701
wrrmAcrars wu¢:
CORXACTON9 YYIdlO
� AUUNE55: L1F NO.:
UNT:
LICENSEO COHTNACTONS DECL�flRTION: I hanby efl'rm urMx penMy W pm�ury Ow I am Ilwmed uMar ywivione ol Cheptar B
(oommendip wi�h Sec1m� 1000) d Drviebn J M Ihe 6uainep enE Profaselo CoEa, uM my limnm ie in hll brca end sHep.
cmuc.r+o.: 0(6�6 Q44/ uc.euss: H uc.N .: 6 9 6 EXP: 11 /96
Dma: �! � U � L ✓ ConleWar.
OWNEP BUILDEF DECupATION: 1 MroEy elfum undor pa�Wy d prjuy �Am 1 em uemq hom tM Comraqm �iwa lew ta ths
Idbw*q ree+on (5artion ]IXi1.5 &ana� aM Prolmbu Coda: A^f'W w muniY xfid� rNuum e pmmG to mna6ucl. eda, imVma.
:.�emdeh. a npei arry e��; D� � b'sweMa, ebo reduiree tM epplMen� la ac� pemN to /Js e eqrwE tlmemsm Net he a�M
_� .GcmeeE W��t to IM pm�uions d Ns CaNretlwe Liceme lew ICheqp B(mmmencnp wGh Sed'on )OW) d Divcian � d ihe
+`-;yz�'�smse erd RdaeeuN Codsl a tMt M n eM u ezemP� �hareM1an enE iM Wen la Na elbpad ezemqian. MY videlion d bwian
i: W 1.5 by eny eppliranl lor e permX wbjst� IM epplicam io e cnl pe�uly d nd mps Ihan fwa hundnE Adlen �SSOOf�. �
� I. a� owner d IM propenY or my ampbyeee wYh wepae m ihai ede campeneaibn. xill Eo �M Mwk, uM iM nriMun e rwl iMenEeE
«oflersd Im eeb (55ecib� 1W�, Bu�iron uM Protestiona CaEe: The Canlredon L'aema tewdox rot epqylo en owrord pope'Iy
wla buida ar inprWs� �heroon, end who Eaee euM wak FimmM a henetl ar throuph h's a Mr own �mployee�, piw+dsd Ihet wch
improvemeNa ere M� ���endeE or dlenA lor aele, tt. howaver, iha buiNinp a inpovrneN is odtl wilhin ms yaar d mmplstbn, �M
y, owrorbuiNx xill New Ihe buNen d pairq M or ehe d'd rwi Wiltl or improve fa IM W�s d eeb�.
u I. ea owinr d IM p�VeM. em axdumW conlredip xtlh IiceneeE mninclon b muvue Ne peqeq ($qion 101�. Buainrs eM
Prdmeian� COEe: TM Contrapon L'canas Lew doee ml apply lo en ownw d prapsny who buJds a impwm �Inimn ud who
caxretts ta wtl. p�q«sa wnh e mmmua(el �kenw! Wnuw w tM Cont�enae Uw�ss le.�. .. .
� I em eaemq �Mw `��: B. 8 P.G.. br �hb reeson: �:
Dme: O�nar. �
I Eo haeby caniN � 1 Pm eware d erd uMsnlerd the repuiremmd d CellomM Hsellh and Sefery COEe Saabna 255p5. 255�3. eM
25531, eM ihai I a eny Mun WiNirp oowpem will / wil rol (dreb aro) nsed b compty wih sak &ata oodm aM iM requiromenn tor
epeimillamuleuelionIX�����MAi e�y e�ameniDiqrip.ReNdamWeonpiuponepplraliomeramemqlmmlhma
Wwisian�.
Dma: ADq�
WOPKEN'9 CONPENSAn� OECLAHATION: I Iwapy effvm under penMy W prjury py pl yy IoAow'up ErLretuu:
� � ry�y ���fven e canAkNe d mnwnt lo aetlumn b workan' cqnpem�tun, m pwidW ta by Satlim 3)f10 d iM lebar
Ci04l. �tt 1�I! VSf�M�'! 0� I�N Mp�l �C( W��CII d1O M�� Ip Itl11G�.
rj I hew uM W meintan xwMen' aompmetion irourercs. m'apu4ed by Sxiion 9'!UO d tM lebv Coda. br IM parlame�w d tM
3� work lor whiM Nia W�n is iuued. MY worke�e' mmpemmion imuranc� mrtlar eM pdiry numbar ere:
ca�ri.r: ('VORFSS TUS EXPIRES
POIkyNumbr: ��-6LOLLLS OS/O1/97
�b aMlw� nsed nIX bs comGbroJ / Ihs plmk ie lw orro huntlred Edlen �SI00� oi Hu J
� I canN � in Ihe W�ormeMa d Ihs work la whch Ihie permN Is In+ad, I�hdl na ei plq y penon in eny mennx eo m to
bewme �ubl� �e ��s warken' cdnpnmtion kxv d Celilom4, N eproe tl M �ho� become wb�w io IM v.orka�i
compen�/y� qa+e Qe ol Sadbn �]00 d IM Lebor Code. I WII I hxilh w i�N �' Ilp qaeieions.
Deia: I O / � � � / � l�pdicem: �
W�ml�p: F�qun b u[un woiltW'rortpwu�tlon eavenp/ l� unNWM, �ip �hll H1DfKf �n Mp/oy// ro eilMMl pNNftlu �nL
<IHl llna �q ro m� �U�tlrW tlwuw�J CMW� (ftOq0p0A M aWltlon b fM eest of rom�xu�tbr� Qunpi u proHtlM br In
9�ctlon �108 0l IM L�Der Cetl�, IMru( �nd �ttom�y� Ha.
CONSTRUC710N LENV�NO 10ENCY: I Iwaby etfirtn uMer pendry W perjury ihet �han o a canp'utlion kMi�q epamry M iM
peAormaMa d i�e v.vrk la whidi I�e pmnY u'swed (�1ion �OBI. Civ. Cl.
LENDEN'9 NANE:
LENOEfl'g AODPE99:
I ceniy �het I heve maE Ihb epWcmion ud uma Ihet IM ebove iritartnation ia comd. I epraa to comply wilh ell ay erd oounry wdinencm
and elete kvn MaInO to buildvq mnsVudion and hxeby wllwr¢e iepraesnivWw ol ihu dtY � anta� upon tM ebow�msMionetl P�MM
fainapaaion purpoees,
nnl Neme � /
De�e: --l�
S�OneWrs d P nVAppicanUGonVeda
�5t51J6.WP) Whna-BuiWip d Sdery; 4reerFle: Canery-�pplrant: Pink-Revenus: adEenm�Mes�aor
CITX OF COST�+, MESA — BUT�131NG PERMIT
PERM NO; E 078210
PERMIT NO; E 078210 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: NEW
JOB DESCRIPTION : 2129 SF LIVING/ 562 SF GARAGE SQ FT;
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 2/ REF B-78058 LOt %�
if 1f iE 1E 1E 1[�1k iF iF iE 161E iE 1F 1@ ik if 1k 1E if 1E iE IE M 1E 1t fE iE if M ik 1E 1F ik ik 1E 1k �f 1f if iE 1f 1f 1i 1F iE 1F 1E1E li1E iE IF It M iF 1f 1E it 1f iE ik if iE iE 1E if if iF 1f 1E IE 1E iE iE If �E 1k it
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
------------ MAZN BUILDING ---------- --------- ACCESSORY HUILDING ---------
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: 14151132 ZNE: REF NO:
PLANNING NOTES>
i
*�r�r�+t+r+r*�r*�r**�r�r�r*��rx�x �e**��*�r�r*x *�r*+r�r�r�e�r�r�r�r��r�r***�rx�+r�r�e�*�r**�r*�r*x�+r*x �r��r*�r�rx�**�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 `x j' DATE:
BUILDING APPROVED BY ; ' .'i. DATE:
APPLICATION ISSUED HY; /�� ---' DATE: C� '�
itik7E1E1ikikiklflfiElElFiElfiF1lifiklEiEiE iklfiFlEfElFlflkiflF 1klk
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
HLDG PMT PLUMBING' ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 110.56
SOY SMIP/NON—AES
PLAN
ISSUE FEE 22.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 110.56 22.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMHING ELECTRIC MECHANIC
132.56
TOTAL PAID DUE
132,56 132.56 ,00
132.56 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN—CHECK
if 1E 1E iE 1f i! IE 1E �lE if 1f 1f IE 1E 1E IE If 1E if 1E if k 1E if IE IE IE fE 1E if 41k 1k Ik iEiE If 1E ik 1E If ik Ik Il' i! 1E 1E if �f if 1E iE 1f if 1f 1E iF 1f i! iE if iE iE 1E 1E ik 1E 1E if k 1f iF iF 1E if 1E if IE iE
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
ELE 1 FIXTURES LIGHTING 1 ST 20 EA. 1.00 1.00
ELE 1 RECEPT/OGTLET 1 ST 20 &A. 1.00 1.00
ELE 3 RES APPLIANCE NOT OVER 1.0 HP 4,25 12.75
ELE 2129 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT ,04 95.81
END OF FEES
;-. . � _' .' . .. .
CO(�TRUCTION AND PIANNING x P9QL PA
APPSOVALS Permit # Date Inspector AppROVALS Permit # Date inspector �
t. Terriporary Electrfcal Service or Pole 52. Pool & Equipment Locatio.n ��
2. Soi� Pipe-Undrgrnd. `D 53. Steel Reinforcement
.9��Electrical L'endLit UtilitY-Undr�grnd. 54. Forms "
_,?4.�Ele�c"trical ��''n�iit-Undrgmd. 55. Electrical Bonding
- 7�`rSterl ReirLt�ajnent 56. Rough Plumbing & Pressure Test
�Y��Electrical,�l,£L�ft Gmd. 57. APPROVA� TO COVER-GUNITE
.�
��:Footings �'F�, 58. Electrical Conduit;U�dr9rnd.
�"F�B�Foundatio's 59. Gas Pipe, O Ur�grnd., Test
�-.�,.�Wa`fer Pip�drgrnd. ' 60. Backwash LIne�Trap, O Undrgrnd.
70. Str�cturaf,�,Floor System r � 67. APPROVAL TC�@ECK •
11. Pr�'�erty 5�wec. Line & House�:onnection 62. Backwash & Re eptor-Final
12. Sewter Cap ' m 63. Heater & Vent-Final -
.,
j,3. Ro� Dwins � � 64. Plumbing System � Final- '
�4. Rough Plumbiry 65. Electrical�Final ,
�
iT. flough E�,e'�ctrica6Conduit ��i�%"' �olar SYstem-F��+.�
�6. Rough Elpgtric Wiring .�.. ��'�.q� �', Fencing & Acce3S�5pproval
T -
17. Rough Waing Sign �, 68. APPROVED Ff�R�'LASTERING
18. Rough Elec[rical-T Bar Ceiling` 69. POOUSPA SYSTEMS FINAL
19. Rough Hea[ing & Air Conditionin� f p PT. EQUI MENT
e� , � ,x m � u� r ca a � c��1,.,�� c� � R�n t*i
20. �ou F' orypFir � ce � Sr �. x S r, c 7c i� PPi�V,BiJ�F Pe,�rmn,it #' � �� -!-j
21. Cdiicti-in Slru�ur4'7� � -.. .. S � � '� �* x 70. �nder�q�j�,61 H�iro ° -
22. 6uct}�Ve�il�ngil;x "i � O �Q r' Fr 71. Produ�taE'SPfng L7�as fa0il
23. Gns Ripe-Rou� & Test T�:, c + c*7 rt'„ '4 O y , 72. Undergr�nSl F�sh * j �
24. fToof=Fra�r"jjn9 �� ±: ~ K+ 1 a; `-, �'• 73.�� Undergrnd. StocngQTanla{7 Gas ❑ Oil ��
2b. RoofSheaihin9 cJ* � v« '^ � ct%* 7�'Overhead Hydr�tr, �
26. �.i8ar�eiling i5iru 1�lral) & N�f3"oGoat ',�; O �, ` C� 7� Dry Cher[ri5al �-,� ..K ~ ;��-7 �7
27. Fearrrpand�:Flashinc,p* ;;�a; Y ro' �+ m* 76. DrySta .' e�� *_ n� ��
r- .,�
�.28. Lathmg �Siding �* �"' �j�� � Y E ��� � 77-,�j FIXED SY�7E�d�INAL r� ,, mt-� `�
r29. Insulationti Hx S • �� * 7 i' FIRE PREV. FL1V�� �' '� '��, W
�30. DrYwall Nailing �* �,.; y E., � � S ALT �ry
�.' F,h�QEP .~REQUIFl.E�.
:31. Plaster BrDwnCGoac7� S ��'." * 7 7^ FINAL I�ECTI&fV�, *_.. F �
-32. Qectricai�otivat Nle����Qal �e"�y'�,`�i_ :` �' �.�jF00D CERTIF�`A�� iS�SN,EQ._, ~�
' ' �IT�Y
/ � . .. ..
_33. fal�al[�lectric: =� rh C _��S'� �N '-•:^• `^ * � � '- ��
� ' :� " '� .� S
- �34. �al�leairP9 � Ati� ��,�yioning = ^ y � � . � •rt' •` ` ` � � .
r ti ✓ �f*i", C� �> * �. .-i�uc o i F4 �k -+`-q:
W ^
35. Finaf�Gas,i3ipe.Test i� p� • *� �:o Cr, +� cv::: !_^
� rs� �
�36. I{�oocQ�pr Canopy -7 x� � t*�� a f n � #� m xo �. r: s:n rs-�m
�� �2x �"� i .r.m
f=37. �nal actary FirePlace 7c i FF y ��� � f� z X� CJN
�t . a'_ c�` x i
f._38. Final�lur�ling �* �„�' ' � � �•� S �., � r �.N
� �r� - ...
' 39. Water rvice�Fina ,� E � y � � • � � -+ �+� � r•7a:
� � t �--�... :K S LT'
�40. Gas Service�Final M M Q��" s � m I � �,`'' N� : a • . r'
7J c i^. F
,`41. Solar pomesticFir�lr '' ;r r I�� Ir '7rt; c^ * x �
K
42. BackflowPreventer-� �� fi { � � '•F '� b `"
� R, x n, C.+� * ti � � m n � r
43. Backflow Irrigezion'w �+' y k S * +� r� ••••
� � � � oo•.io
4�. andscapg-Irr,iqationy��ystem �T� � *� d O.; N rp - �i;, x ,y oon,�-
x �'T .rY � �C, .,. m � a � �a: ... f < w O a: � S
'+' r
4'5. SD'und A�ien�tion' R ... x iTt m 3 �t • f� - *
�;. ••..
4B. Handicap ReguFation!' H � * � � � = "rt' ^ ;
s c r_ I.�. Y t*f O r
47. F�N.4� STRUCTUR� & BUILDWG * F ' I'� y � � r
48. f�NA PLANNING * � "" x �} i � :' �j� .� �� N * �
a9. �1e��1� Releate to E�ison , y I �LL_, �. :� � •.� i: y �ifJ
-��U•pJ
50. G"'as F�lease t�rSoutli2rn Califor�as Co t i " �` " " ^ . „'' � - . , . .
,� L fi S ❑= X :Z JO� CI
51. CER7TFICATE OF OCCUPANCY ' ^ ' ` ` " "
No. Date