HomeMy WebLinkAbout802 MARQUIS CT - Building Permits�oonEssaeu�;�wo: 802 MARQUIS CT uN*:
� avNernwweivaawr+: pOLYGON PROPERTIES
' 1DDAE35: ZS%1% ROCKFIELD BL
IRVINE, CA 92718 714-452-0600
AFPl.1W11NG AODNE44:
�xcxrtecTox��n: LL MAJOA 6 ASSOCIATES
AfICN.OP ENG.'S AOOPE55: ]. S S 1 N T US T I N AV
SANTA ANA
CpfIR/�CTORS WII�:
. cwm�crons�uiwc
1DDHE54
uc.no.: C-16869
UNT:
CA 92701
uc. wo.:
urr:
� LJCENSED COMNRCTONS UECLANITION: I hereby elirm uMm penelly M pmjury Nel I em Ir.emeE uMer pwisiom d CMqm 9
(oommarcing xit� Section ]000) d Oiwion � d Ne Buai�wu enE Pmlm�imv COEe. end mY lioenee b in IUA lace erd eflee.
cmuc.No.: 066144 uc.cuss: g uc.No.: 659262 EXP: 11 /96
Dms: �om�eCw:
OWNEP BUILDEF DECLANITION: I hereEy �im u�Mer penely d par'ryry Ihat I em eaemq /mm IM Conirepae Liceiree Lew Iw �M
lollov�inp reewn (Sepion ]0�1.5 Businesa end Pmiesaions Code: Riry cAy n counry which raquiree e pe�mn io conai�un, ellar, improva,
Vmdo4 w repei eny evucwro, qia b iia beuence. ebo requirm IM eppliram br euch paimmil lo fila e eiB�� etelemenl ihet he or eM
ImnaeC pu�auani io iAe provnian W Na Corurerfas lioenae law ICMpx e(mmmananp xith Swion ]WO) W OMeion ] d ib
«roa ena Fdm.:au wdel «�w n. «.rys a wemq insdmm w ine nes.1« m. eGeo� a.�qun. Nrv vidmnn a seaian
,m1.5 b/ a�ry epptium fa e pxmn wbjeas �M eppfram b e dvi peneliy d na mon Ihmlxa huedred do0va �SSoop.
� I. av owiar d IM1e papanY a mY a^D�W^e^ �h wegea ea thai wle cwnpenae�ion, xill do the xwk. eM Ihe ewcium'a � imendad
w aRered la eeb �SecUon 1010, Busroa vM Prolmaiona CoEe: The ContreGae Liceme LawEoee ml applyto en owiror d O�M
wIw WiEe or inprovae �Mreon. eM xM dms suM woM himroll or Mne� a ihrauph ho a har own ampbyees. provided �hei euch
improvammia are mi imaMeE w Wered la sab. II. however.IM WiNi�q or'vnprovemeni o edd wnhin me Y� d mmpbion.lAe
�o..�rcu�de. wi ne.e �ne d,�da, a ww+m ne a� .n. ed �a w�u «�mwa+�w ins wma. a wel.
I. ea oxner d iM qopeM. d^ axduyvely oonlrediq wilh IiuneeE contrecbn Io canelrutl IM prqeU (5ecvion )0.u. &niroea aM
Prafe�au COEe: TM Coniredwa l'sen�e Ler doee nal xpqY lo en ow�r d piope�y wfio Wiks a impovp ihmean uM who
mMraeis Iv ad� pMw+� wdh a mureqwle) lieaned Wnueru �o �he Caa�moee liwae lew1.
� � I em urdx Sectian: B. 8 P G.. br IM v:
Dele: ��� �er:
I ao Mlaby eeniry ihel I em ewere d eed uMeieieM tM rpuiremew M Cel 1� d Sdey CoCe Sedian 25505. 255�, aM
PSS�a. eM Mm I«eery hnuro bnki^Y om�P�. wiA / wil �(tlreb me) Yh eek efeia mdm ud tM reQuvemsMa br
aW�elmm�irvclionamodifimionhan�MAr�vepmimt0iarid. ' amarw'vneGV�diwnenssemqiromthra
a��.
Deto: ADd��
WOflKEfl'S COMPEN9ATION DECLAN�TON: I Mreby elfiim �mEm periMy d perjivy an d iM tdbxi�q dedumiore:
ow
❑ I heve eM x11 meimen e centlicele d mnwnt �o aeX�inwn M waAen' cwnpeme�ian, n pwded fa by Seeian 3]OD d iha leEor
code, lw tne pe�lormence a IM xwk lor wNcn �nie partnA ia ieaued.
[� � ne.<.�d w meime'n wnws� rn�v�� ��,o.. m rewu.a M seeim a�ao d �ne �mo, cod.. ro, m. v�«meroe a me
wak fa xfiicli Nu W�e e uunE. MY wvkm' mmP�ion'umrtvica rert'w utl D�Y rumber are:
c�«: CYPRESS INS EXPZRES
Polcy Number: Q 1� � 1� 9%
lhia eection neeE ria be camde�ee / tM prmn is lw are h�nCred Edbrs �SfcO/ a b.w.)
h'i 3�p I cenAy Net in �he pmlw e d tM wak lor wfiich ihe paimu u uaueE. I aM0 nd empby em� qmn in ury man�wr o m lo
�: ':. pe�mia subpa io �M xarFen' compe�netion lewe d CeN ' uM epms J I ehwk baconn eiAjw m tM v.arlws'
�� yriFlaie: �� /-! ll,�_ Mdirau:� � o hweh i N wnn nwe wwisim+.
Ii�
,Weminp: FeINn ro��eun woMsri romp�nletlon eoverep� l� un/aw1ul, ntl I• )sef an wmploysr ro erlMro/ psruMu �iW
�+ clvll Hroa'p ro ons �untlreC thouaerE tlNNn (SIOO,OOOA In atltl/Hon ro M wf o compawfbn, Asmeps �� povltled ror /n
_ � Sxtlon 9]fA6 0l M� LeborCOM, Intenai, enC ettomey'a lesi.
�
CONSTIiUCTION LENDINQ AGENCY: I MnW e/firm uMer perelry W pa�jury tlitl IMre u e ammruaion Imdieq egm�ey In Ns
'perlormarra d �he v.ak lu whirA the Oermi e eweE (5mion 3091. Ci+. C).
LENDEP'S NNAE:
lENOEfl'S ADDRE55:
I conih �� ��� reed ihia epplce�ion erd mme �het Ihe ebove in/orme�ion is co�red. I epree Io cwnpN �h ell tlry uM aoumy adinenwe
9M BIB�e lexs ieleliq 10 tuildiq COnNUtlK'� utl hxeby eNhw¢e �!p<lBnle�ivea d Ihu tily IO B��!! UpM IM aLVT-Tamuned pOpeny
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(S15t�8WG) WMe-BUJEn08Se1MY:Greer�Fb:CenW-ADG��t:Rnk-Revanue:Gddmro�Naeav
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: H 078059 PLAN CHECK NO: 02255-96 A
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
JOB DESCRIPTION : 2341 SF LIVING/ 60S SF GARAGE
CLAIM VALUE: 1'10,000.00 CALC—VALUE: 194,826.90
ERM NO: B 078059
GOVT: N SUPP: N
PURPOSE: NEW
SQ FT: 2,946
GROUP OCC: R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE
*x x ft�*x�itit�iEx iFiEkiEie*iex+�at*ft�r�rit�*ie*it�rx *x ie*itit�r*itititx�it��**x x�it�r*u�x *�*x iEitieiex �r�eeitx *iEitiex �riE
Z O N I N G R E Q U 2 R E M E N T S
s s r s A c x s NOLD FOR SpECIAL, REQUIREMENTS
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: 15 FT IN REAR: 18 FT IN FRNT: FT IN REAR: FT IN
LEFT: 5 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: 2 PROV: 3 PARCEL; 00000000 ZNE: PDR— REF NO; PA9536
PLANNING NOTES> CONSTRUCT 1, 2—STORY, SINGLE FAMILY RESIDENCE. PARK/TRAFFIC
: FEES DEFBRRED TO RELEASE OF UTILITIES, P,F,E '
�E fE iF iF iF iE if ik iF 1E fE iE if jF 3F 3f fE 1f if iF iF iE �f iE if if 1k ib 1f�if iE if iF k k jE if ff i! �)f if 1E fF it iE i! if if iE iE iE if iE ik if iE 1k k�E jE aE �t �f iE if �lE if iF iE iE if iF if �E jE iE iE 1E 3E
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 �1 DATE: '�:���o
BUILDING APPROVED BY•� : �+ � DATE: � (' /So
APPLICATION ISSUED HY:, �' DATE:
**�������*�**�����.���������������������������� ���**�*�*��* ` - 96*�
LEGAT,IZATION:N F E E S U M M A R Y STRUCTURAL•'SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 1,362.25 19.48
SMIP/NON—RES
PLAN 221.37
ISSUE FEE
HOILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 1381.73 0.00 221.37 1603,10 1603.10 .00
REVENUE DIVISION TOTALS--> COLLECTED: 1603.10 OVER/SHORT: .00
BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
1362.25 19.48 221.37
iE �E 3k aE fE 1E 3E iElE iE 1E aE 1E 1E iE 1E iE fE IE if �E fE 3f 1E iE iE iE fE iE �f iE iE iE if 1E iE 1E iE iE 1E iE iE if 1E 3E 3f iF iF fE fE 3E iE iE 1E iE IE fE IE 1F iE �f jE iE �E IE iE iE iE 3f 1E i61! iE 1E iF 1k iE fE fE
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 2341 DWE—TYPE V—WOOD FRAME —GOOD 77,9.0 182,363.90
SFR 605 RES—GARAGES TYPE V 20.60 � 12,463,00
END OF FEES
r
CONSTRUCTION AND PLANNING
� APPROVALS Permit #
1. Temporary Eiectrical Service or Pole
2. Soil Pipe�Undrgmd.
3. Electrical Conduit Utility�Undrgmd.
4. Electrical Conduit-Undrgrnd.
5. Steel Reinforcement -
6. Electrical UFER Grnd,
7. Footings
8. Foundati0�'
9. Water Pipe-Undrgrnd.
10. Structural Floor System
11. Property Sewer Line & House Connection
12. Sewer CaP
73. Roof �rains
14. Rough Plumbing
15. Rough Electrica6Conduit -
16. Rough Electric Wiring
17. Rough VJiring Sign
1 B. Rough Electrical-T Bar Ceiling
19. Rough Heating & Air Conditioning
20. Rough Factory Fireplace � �
21. Ducte, in Struciure
22. Oucts, Ventilating
23. Gas Pipe-Rough & Test
24. Roof Framing , -
25. Roof Sheathing .
26. T•Bar Ceiling (Structural) & Monocoat
27, Frame and Flashing -
28. Lathing & Sidin9
29. Insulation •
30. Drywaii Nailing -'
31. Plaster Brown Coat
32. Elecirical Power Meter�Final
33. Fina! E�ectric , •
34. Final Heating & Air Conditioning
35. Final Gas PiPe-Test .
36. Hood or Canopy � "
37. Finat Factory Fireplace �
38. Final Plumbing ,
39. Water Service-final .
40. Gas Service-Final
41. Solar pomesiic-Final :
42. Backflow Preventer
43. Backfiow Irrigation
44. Landscape Irripation System
45. Sound Attenuation , '.
46. Handicap ReguVations „�
47. FINAL STRUCTURE & Bt�IL01NG
i
48. F�NAL PLANNING �`.:
49. Electric Release to Edison: �
50. Gas Release to Southern Qalifornia Gas Q
51. CERTIFICATE OP OCCUPANCY
Date
POOL ,PA
Date Inspector AppROVALS Permit #
� 52. Pool & Equipment Locatior� -
'� 53. Steel Reinforcement
/� .
� /� 54. Forms
r �-��' ---
55. Electrical8onding
56. Rough Plumbing & Pressure Test
� � �� 57. APPROVALTOCOVER-GUNITE
� 58. Electricai Conduit-Undrgrnd.
/�
� 59. Gas Pipe, � Undrgrnd., Test
,�, 60. Backwash Lines, P-Trap, ; ndrgmd.
�St. APPROVAL TO DECK � � �-�
r
' 62.� Backwash & Receptor-Fiaal_. ' . ,
� 63. Heater & Vent-Final
�F �
- 64. Plumbing System - Final �
65. Electrical�Final �
66. Solar SVstem-Final
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
' _ APPROVALS Permit#
Date Inspector
r'
: �
,i,
r
.�
70. Underground Hydro
71. Product Piping GGas ❑Oil
72. Underground Flush
73. Undergrnd. Storage Tank O Gas ❑ Oil
74. Overhead Hydro
75. Dry Chemical -
76. Dry Standpipe
77. F�XED SYSTEM FINAL
78. FIRE PREV. FINA�
. HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION �
80. FOOD CERTIFICATE ISSUED
Notes:
4
���� Hall & Fbreman, 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
�9 goa
Permit Number: GRA075893
By Civil Engineer.
M��'Q��s C�,
4665-GRA08
1 certify to the satisfactory wmpletion of grading in accordance wi[h the approved plans,
specifications, local and state codes. All drainage devices required by the grading permit,
grading plan and grading ordinance have been instalied. Adequate provisions have been made
for drainage of surface water from each building site.
The minimums �re:
2% fall from structures within 5 feet from exterior walls.
I% fall for asphult surfaces and landscaped areas.
0.5% fall for concrete surfaces to approved disposal areas. .
The final monuments as shown on the recorded tract map were seL All final grading elevations
are within ± I/10 of the designed elevations.
Supervising Civil Engineer � � � No. 37445
Date �� ` --/ ��
P.
No. 3744g
Ezp. 6/3p/Cp
rt
13821 Newport Avenue, Suite 200
Tustin, Califomia 92780-7803
Tel 714/544-3404
Fax 714/544-3155
City of Costa Mesa
Calltamla 92020•1200 P.O.Boy 1200
Insulation Certificate
' Pur..lt NumGo�
802 MARQUIS COSTA MESA, CA
Number enC Slreet ��N
ounry 9ubai.iwn
Description of Instaltation
ROOF
Material � __
ThfCk�939 (InCh89)
EXTERIOR WALL
Matarial . BATT INSIILATION
Thickness (inches) 6 3/4" / 3 5/8"
79
Brand Name _____
Thermal Resistance (R-Va1ue)_
Lot
Brand Name SCHIJLLER
Thermal Resfstance (R-Value) R— R- 3
CEILING
Batt or Blanket Type �TT INSUI.ATION Brand Name . SCHIILLER
Thickness (Inches) i�� Thermal Resistance (R-Value) R-30
Loose Fill Type Brand NdmO ___.._____...._.__„__._
Controclor's minimum instailed weighUft2_Ib. Minimum tnlckness- �nches
Manufacturer's installed weight per square foot io achleve Thermal Resistance (R-Value)
RAfSED FLOOR
Matzrial .
Thickness (inches)
Brand Name
Thermal Resistance (R-Value)
SIAe FLOOR
Material Hrznd Name
Thickness (inches).. T�ermal Resistance (R-Value)
Width (inches)-•
FOUNDATION WALL
�Uateriai
Thickness (inches)
Brand Name .
Thermal Resistance (R-Value)
Deciaratlon
I hereby certify that the above insulation was installed in Ihe builtling at the above Iocation in contormance with
the current Building Energy Efficiency Standards for new residantial buildings conlained in Title 24 of the
California Adminstretive Code.
APIIniPI Cqp�fiClC/ (Bui1C�l�
SiSnatura ana T1;1�
WESTERN INSULATION, INC
Suo-GarVac:or pasu�dllon I+ili��eq
_ ��(��� Production M�r
Si�nawn ar.a Titla
Z0'd
4cnnaa w� v�
481278
li[ensa NymOar
SEPTEMBER 12, 1996
Da�e
L1C b�':iT 9o—LT—d35
�ooAessa emtov+c: 8 O Z MARQ UI S CT uNT:
avx�6sxnr�eiraiaxx: POLYGON PEZOPERTIES FLOOD:. X. 47.
. , -_w,v,aess: 15717 ROCKFIELD BL
CAVINE, CA 92718 714-452-0600.__
�cr�. rt�uao i,00xess: � n I
��v �
ANCNRECTOPFN(tlNEfR: LL MAJOR _ S ASSOCIATES ' uc.no.: C-16869
APCN.OPFNO.'BI��NE55: S S S 1 N TUST IN AV uxr:
SANTA ANA CA 92701
CONfflACTqf4 NiWE:
carn�cToxswuuNo
ADONE55:
uc. ra.:
UNT:
IJCENSEO CONfNACTOX3 OECLRPRTION: I Mreby eflirm uMer peneXy of porjury ihe� I am lieensed urMer provielone W Chepter B
(commennnp wilh Section 1000) d Divieion 3 d Ne Buvimu eM Pmba�ion ode, e my ' rm'e in lull tww e�M sHep.
cmuc.No.:/ 66 44 uc.cuss: B uc.No 6� EXP: 11/96
DNe: L / ConveCor:
OWNEF BUILDEfl DECIAFATION: I hanby aHirm under peneXy d parlury Ihet I em eKemq Irom the Contredon Licenea l.aw la the
'dbwvp reawn (�ion ]W1.5 Buanm� erd Vm/eabm COEs: AnY cly a couny which reQ�iree e permil lo aoneVuct. eller. impova.
�moluh, p rapei eiry sVucium, priar io n� evuerce, ebo requirm IM applimnt fw wch permil �o file e eqrrod eW emenl ihet M m�M
liceneed vunuenl lo Ihe w�iona d tM Coniredon Liceme Lew �Chepx e(oqmmendnp xdh SecVion ]000) d 0'vebn 3 d IM
duaineae enE PrWenuna Cade� or ihm M or ehe ie exempt Ihxelmm a�d Ihe bdis'la Ihe ellped exemptun. Rny violetbn of Sedpn
>W t.5 W ury eppliunl �a a permil wbpes �M applicenl �o e rivil paneXy d ml more Ihan Me �unErod dollen 155W�.
❑ I,mox+rerdlliepropenyormyempbyeeawvhwepeees�haieolecwnpensalion,willEoihexnrk,endiMawnureum�intandad
or otlereE br vele (See�ion 101d, Businus enE Pmleaaiona Code: The Convedon Lieema Lawdoea ewl eppN�o en ownm W properry
wln Wilda « inpiwea �Mreon, eM xfn dros auch xak IimaeM w Mnetl or throuph hc or her own empbyeae, providad ihat euch
improvememe are mt imeMeE a Wmed f« neb. tl, howmer, ine buikirp a impwemm� ia add wnhin wn yev d ownqatian, ihe
p awmrvbuiker will heve Ne burden d provi�p he or ehe did � build or imprwe la iM W�Wse d eele�.
LI I. av oxrer d IM poperly. em udusively conlretliq xilh licensed con�reNon b��utl �he qqetl (Setl'qn )011. Bus'u�afe e�M
a�ae:s�. c�: rna com�mo� ��� te. do„ � ww �o � ow�� a a�vanv wno w�u, « ��ww� ma�.o� �d wno
comrecia iw euch pmjects wnh e mnveuor(s) Icensed punuen� �o'tM Canvecwra Licenae lew). "
� I em e�em�q uM'e'r Sec�iw: B. 8 P L.. lor thro iemon: �
Deta: Ownec
I do hareb/ ceMy �hei l em ewere d vM uMenieM tM requiremema d Cellomie Neetth eM Saley COEe Setliona?SSY, 2553�, erd
25534, e�M that I w eny Mure Wildiiq acwpent will / w11 iwl (dreb me) need io canply wih eeid mma mdae utl ihe reQuinmenie la
epermillorcanatrvclionamoEifrs�ionhwntheAv ei�iy enepemaniDistna.PeaidenlielconelNqioneppFcelioneereeaemptimmlhese
wovislone. .
Oele: ADp���
WONKEP'S COMPENS�TION OECIAHATION: I Mreby eif�m uMx peralty d pa�ury ar d ihe IWloxirq dadvmuna:
� I hew eM xil meinten e cMilcele ot mreent to setlinwre la xakera' cpnpenmlion. ea pwHed Iw by Seqion 3)00 d IM1e �abor
Gatle, br �he pe�tormence oi Me xwk lor which Ihis paimil ie isaued.
� �«kr wi�mingmw�n�ib�My."'morkeB������g��.mowar� �°�.r«EXPI�E.'$
w cem«�. - - --
Pa:-r N�mne, — __ _O 1/ O 1/ 9 7
(This section rreeC na be comdeteG I tFe pemrR is lw aro �undreE Eollars (SIWI w Ixa.l .
❑ i�nh mm �� ma oano��e w ma woa ro, �w,�n m�a re�n �s � �ee, i en� ,�u a dw re� m em m�,�a .o m�o ,
becare wbjee to �uhe� woMcer/ar: comroM1+mion k�w d Celilana. d earee d enoul become euqed �o �M xaken'.�.''
� 1!J ,G C YJ /-[ , I�ion s�oo o� me �I �,: �.nel� nm.dn c�- inos mviarom. I
Deia. w
Wem/np: F�llun ro�xun wohen'rompeiwtlon covereys h unM , entl shell �ub/�ct an oysr ro ctlM�ulO��aMu enC �'�,
civll flrisi up ro om hunaroE thownH tloll�n (Sf00,P00). In xMltlon b fhs ron ol rompenseflon, tlerrvpu o provltletl lor In
SxUon 9106 0l Ilre lebor CoOv, Infensf, anE atromsyl Ieei.
CONSTHUC110N LENDIN� AGENCY: I Mreby atFrm unEer penely d perjury ihet ihare ia a mnatiunion bnding eqency 1« iM ,
peAormenee N the woek for whi h ih's pemiY ia issued (Senion 3091. Crv. C).
LENDEF'S NAME:
LENDEH'S>DOFES4: '
I eenity Ihel I lieve raed this epd�� ��ma Iliai Ne ebove inipmatbn ia eoned. I eprae lo eomply wilh ell tlry eed oounty adineneee
eM siate lexs releiin8 �o buiMmq conmrudion eid hmeEy eNhor¢a representetivea d Ihn ary io anter upon tM ebwa�mentionetl Droperry
io, msc�.+io� n�,w�s. . . �R� . � . )�
j. _b ..___..
� - P iNeme / / ( �`.
oae. !J% �
� SpneturedOwibr/ antlApptranVComreaa �
(5t51dfi.WP) While-Buikvq 8 Sefety; GreemFle; Carivy-Applrant; Pink-Revenue; GOICanm�Asuemr
CITY OF a�OSTA MESA - BUILDING PERMIT
PEAMIT.,NO:.P 078138 _.. ��/`� PLAN CHECK NO: N
CONSTRUCTION TYPE:. V-N
JOB DESCRIPTION :.2341
CLAIM VALUE:_,_. -
i � PERMIT TYPE: PLU
SF LIVING/ 605 SF GAAAGE
CALC-VALUE:
PEAM NO: P 078138
GOVT; N SUPP; N
PURPOSE: NEW
SQ FT:
GROUP OCC: R-3 /U-1
COMMENTS: NEW.SINGLE FAMILY RESIDENCE / PLAN 3/ REF B-78059
��e*it*rit*+�+�+r+r+rkrk�eit*iFx �r�r�t*�t�r**x*�r�rr*�r�r�t+r�rr*rx�e**r�er�r�rir*r�r�rr*itrieie*iE�*��t1r*lE+rit�r+eit*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 ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT. IN RGHT: FT IN LEFT: FT SN RGHT: FT IN
PARKING RE • PROV: PARCEL: 14151132 2NE: REF NO:
PLANNING N 'PES>
� .. . f . ..
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D E V E L O P M E N T S E R V I C E S., R E, Q U 1 I R E: M E N T S
ZONING APPROVED BY � "' � �'T DATE;
BUILDING APPROVED BY : �`' ��T�;DATE: p- /
APPLICAT�ION ISSUED BY: � —"' �,`'� �DATE: -�/� `/(o
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LEGALIZATION:N
F
BLDG PMT PLUMBING
PERMIT 198Z5=
PLAN
ISSUE PEE 22.00
BUILDING-DIV-> PERHIT ISSUE
TOTALS----> 198.00 22,00
E E S U M M A R Y
�. . ;1�
ELECTRIC MECHANIC�� FIRE
� � . '
` r �.
PLAN=CHECK -i �TOTAL
�- 0.00 220.00
STRUCTURAL SEGMENT:N
SMIP/RES . .GRADING
SMIP/NON-RES
220A00 D00
AEVENUE DIVISION TOTALS--> COLLECTED: •• -`+ 220.00 OVER/SHORT: .00
BLDG.PMT PLOMHING ELECTRIC HECHAP7IC '� FIRE "SMIP/TOT GRADING PLAN-CHECK
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�� I. N D.I. V I D U. A L� _,F; E E B' R SE A K D O W N
.TYP.E,. ,,QTY_ _,_ _,D E S C R I P T I O'N ;• l UNIT COST TOTAL COST
! ' •
.PLU _ - -2-.. BATHTUB � .-:. � ,. . .-.:; 8.75 18.75
PLU. �_ .1 _ DISHWASHEA •
PLU � � 2 LAUNDRY TUB OR �WASHfiR''"•`� - � ,_ 'a'-. ; �. ' 8.75 17.50
PLQ 2 SHOWER '' a! .,_�' r - A.%$ 17. 50
PLU_, 1 „ SINK, KITCHEN . „.;y. _ . ,1_ :�.. ,. ., , 8.75 8.75
PLCT - _ 3 WASH .BASIN . . . -. .,.._.._. ,. 5� .. 8.75 . . 43.75
WATER CLOSET (TOILET) �, - , 8.75 26.25
PLU , , � � 1 � �. WATER HEATER AND/OR VENT , , � � � ,, , 11.00 �� . 11.00
PLU ",,,,. _ _1_ , __ FiATER_ SERVICE • ,_,.,,d8_, 7,5,. 8 , 75
PLU__,,,,�,,,,,,.,,0„1�,_.... GAS P,IPING.SYS. OF _� 1 T0�,4_,OUTLETS _, ,5�.50„ , 5.50
PLU ___� :�,2,r _, ..,GAS.�P,IPING, . SYS _.5+_,_OUTL. ,P,ER O,U,TLET .� __ _i ._OOy._ _ m �. _ _. 2 , 00
� ; CC�STRUCTION AND PI.ANNING ` PQO SPA
Date Inspector Date inspector
APs.9VALS Permit # ^ APPROVALS Permit #
1. Teraporary EleCtrit8l Service or Pole 52. Pooi & Equipment Location �
t.
2. S� Pipe-Undrgr�d. � G�4_4, 53. Steel Reinforcement �
G3= Electricaf-�.armust Ui111ty�Uneugrnd. 54. Fo�ms �
� �^'� EI�2trica�uit-Undrgrnd., 55. Electrical Bonding ,
SS,G St�l Rei�if�e�fnent 56. Rough Piumbing & Pressure Test � ,
�� � Electr�cak�R Grnd. 57. APPROVAL TO COVER-GUNITE a
,;.,Q, Footin9s,�F., W 58. Electrical Con i�-Undrgrnd.
G87 Foundat 59. Gas Pipe, O U�r�rnd., Test �
C
c".',9.� W�er Pi ndrgrnd. �,`Z? �t� 60. Backwash Lineg�yP:7rap, � Undrgmd.
10. Stra�uciur � Floor System ' • 61. APPROVAL T t9'ECK ,
17. Pr�erty�ew� Lioe & Hous'�onnection ���',�.� - 62. Backwash & Re eptor-Fina� �
12. SeSyerCap ,ro 63. Heater & Vent•Final _
�;,3. R�t Drains V ' 64. Plumhing System � Final .-
64. Rough Plumb:cig ,, e� ss.�� � 65. Electrical-Final •
�5. Pough EV�ctrica6Conduit 66. So�ar System-F��!
�6. Rough E,I�ccric 4Viring 67. Fencing & Acc4s�Approval
617. Rough N.Q+ing S�gn y 68. APPROVED F��P�ASTERING
�18. Rough Electrica6T Bar Ceiling 69. POOUSPA SYSiEMS FINAL
19. Rou h Heatin & Air Conditionin9 F�E��PT�?EQUIF�EME�IT
r� �c GT tr1 O'O' QG^CCP .^. Q'
20. �ou� Fato!� F" � lace ! x� y �` O � ��` APPt�.,V n1� r'' Peynit# � � yy ~.~���~' '�y
� �S' tb� K �� � St*' aC�d � S r, o�M aN �P.�F �� %�- a
�
21. `ucEr ir�CAtr�tur�lx �' •• •• HS * S O r.* 70.'�Jnder�l� F�dro �
..
22. 'sluc�� V�tii�sinc�* � �"� � � ,q � * 77, Produry�j�ipingy as Oil
._.,y�
23. •:a� & Ttst � t*,� �a-�Sr��r * 72, Undergrau�hd �� * F"
24.�oo�Fr. ing' `'�� ��"'F ••`� *^ O� 4, ]b Underrnd.S[�'�Tan�OGas OUiIL�✓�N�� y�
� 3 x !T1 �' > cC �-+ r , 9� 4W 9E �
25. Roo he'nthin9 N k � v v s � O 7 N� 7� Overhead Hyd �`
26. "'�B�i?Ceiling (Strr� rai) & Toat �~ � C mx 7,T Dr Ch ical � *" C C . r.: p;,33� C,:Ca
.'� C., � � S 1� O>+ �7 x £ Y � F� N # �?,'r T�-: d: � a rt'S
27.,F,*arBaary�iFlashi(;g* aq� xo� >+ ww 76. DrySta��ipeFmo * � wx �x=��T �_.
� 'y�
� ZS. lath�ig $Sidin9``�* y GQF O R g ..' ••* 77� FIXED�T�y�'j-�Jv.* '�� �� �'�'
�..i r� :� ¢N 7C'QC:'S 'CC
� 29. fnsu�3�ctrJ �-+* ` S ...• M � 7 �FIRE'f'REV. FI L * � � � �'-"'G4 .SS
n ry..@ �;
30. pL3iiing ��i,,, i �F ' SonNi oNvrA�'i'1DEPy�'.`}tE�'LIIREMt�NT� F�C'�vN
c�� 37 �Biowrr�oac7�k S � t*'[� * I 79J FINAL [6i6PEC'i�ON * J �^¢ �nin;
..i_�y..-S37* - c.
"j�" -32.,,�T,�lectrica�ov�r h��f��al � *'v I 8�j F000 CERTIF�ATE I'��IER, C,C G�,
�' 33. �indr;Electri�^� [r! � �2 E � , N6tes: C _ � ; � "' [*G
� :� C�n[ZV'�D_
' 34. Sina�ieN?in� F�'d��n�i'tiorli�js m *� I a2� �' nT * p� (� %*��G
L--
i 35. �ina Gay¢'ipn.7est � p, .: ,{� �'{ p rj"'
' �� L��I� �'-! ��- /� . ..�. C�` ..'� �. "1,. i 1 . ,'
� 36. Hoo�'or(`,�nopY `]# � � IT"'y " *:'� �- /�� f`o * /� v
w S O' (`J 'Q l� i1 1 b.' IT7 a. # �/'�� �� G S �' �4._� __ a�
� 37 F:'na. acxur�_y Fir pkce x 1 FF n: � � � �,`S�(((� �Q,U{�_�jl� _ �n
' 38. Fina�'1 �bing �* mN i �.+ !a-��6 ( � Gk- /� r�,�-S � � E 5 > ^-E-'
'' 39. 4VatE�Service�Fin�* � ; �t �} � � � � E,m
4Tf# ' ra rL �"!-�' � t*t." �.
� -N- l�Z� ���t�
40. Gas Service-Fina� �*'* m 'Q�*'�T' S�A�,."�' Oo oN •
. /,[�� �_ f_ F • O Y * �
41. Solar pomesu_ ���Fi�a�.�� * B � I � ,. «yo � : x p
42. Backfiow PreventSOM N �?-,-� ��I � � �G * C7 .�
� 7� ct7 O ��a G� :r c. ...
43. Backfiow Irri�ti�* �SS �* �� * � ,� i� �- - � �
�,7. f`IN�L STRI�TUR� & BUIL
iv �
48. ElN,�PLANNING* �
�. �lecfFie Rele�se to �ison �
�50. Cias �elease ttr+5outl�rn Califc
€1. CER3IFICATE OF OCCUPAP
N0. Date _
r�� 1 x N (l+ cA � CJ =
r x E E vl O 0.' #
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ADBqE550iBUILpNG: $O`L �2QU�S G�
019NEN5 NAME IF pqNN:
. A6DHE55:
1
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ARCNREQ OP ENLYNFEP:
urcx on u+c.�s woness:
CONIIUCTqI'SN1YE:
CW(NICTONSYYIdifi
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UNT:
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LICR15E0 CONTNI1CTOfl5 DECLAPATION: I MreGy eflem uMer paraly d pmjury Ntl I am licensed uMm proviebns d Cheqer 9
(mmmerurnp wi�h Section 1000� d prvieon 9 M the Buaineea enE Pmksaione Code, vM my liceme ie in hll brca enE eHetl.
CITY LIC. NO.: lJG CIASS: UC. NO.:
Dete:
Convada:
OW NEN BUILDEfl DECIdNATION: I heroby elfirm uMer penelly d perjury thet I em eumq from tM Comredore Lironea Lew la ihe
Mbwmg rteaon (�� ]031.5 Busnma ard Profesaions Code: Rrry cIy v counry whitli �equiree e parmN to mnsVuct. eller. imprare.
emoleh, a repei any elruclure, pior to na oauenca, ebo repuirea tM epplicenl lor auch parmn �o fb e eiprwC alatemeM ihat he or eM
re licenaed pumuenl to t�e prwiaiom d tha Conlredore Licensa Lew �ChyNer 9(mmmendrp �;in s«aoo �oao� d owe�oo s a�n�
Business enE Prdesebne Coda� m �hel M or she is exemp ihcehom end ihe beais Iw the elbped exemqion. My vuWion W Sedion
'la�t.5 by env OoW�� Iw e perme eubpaa tne epd�� b e dvil penely ol ml mae ihen Me huMretl Edlere �Ssaop.
� I, as ownar d iha propeily a my empbyaee weh wepea ea thei eola mmpansetion. will Eo Ihe woA. eM ihe swcture e nrn iniandeA
a allered fa sale �Sedion ]OdO, Busineee arM Prolessioro Code: The Convenon �Imnae Lew doas rwi eppty ia en ownero/ propeM
wlw buida « inprovea ihmeon, aM Mio does such wek himseM «henell a ihrouph ho «her own amplvyeea, pwMeE �MI vueh
imprwemanm are mt inteMed a dieraE lor sab. X. howaver. tM buitlirp w inpwemem u eaM wnhin ma Y� d cwnPleiun, the
owrrorbuiker will heve ihe buNen d peovinB he or ehe did na build w im0�* Iw IM puryoae W eele�.
� I, es ow�er d iM propeMy, em eaduwey conlredinp wilh IicenxE conVeclon lo wnmrue tha pml� (Seaun nMC, Buainav eM
Prdeu'wna COEe: TM Gonirepore lieenu law Eoea �at apply lo en o�mer d propeny who Witls a impovu iheeeon ad who
wnirecta br wHM prqeaa wnh a wmretlm(a) Icemed punueni io tha Contredare �icenae Lew).
� I am eaempt under Section: B, d P.C., Iw �his memn�.
Deie: Owner:
I Eo hereby ceniy thet I em ewere W eM undermtend the raquiremante ol CdAomie HeeXh end Sefely COGe Secliona 25505.2553J, enE
2553C, enE ihel 1 a eny Mure W'ikiip oaupenl will / will nM (dreb aw) rieed to comply w1h sek pme codm vd iM repuiromenie la
e Ve�mn lamiu�iuctiana matlifice�ionhan iM A'r�ara0ement Dimria. Rmidenliel mnshuaion eoD�u�iom ere e�emq /mm �heae
p�ovisiona.
Dele: AoolceN:
WOPKEF'S COMPENSATION DECIAN�TION: I hareEy elfi�m uMu paneM1y d pe�jury one d Ne Idbxirp dedarmione:
� I heve anE wiM meinlein e cendee�e d caneenl �o eett�inaum la waAert compeneetion, es provided fa by Sedion 3)00 d tha lebor
Code. lor iM perlormence ol �M woh iw wNch thie peimn u ioued.
� I heve eM wil meinten v.orkere' compemetim ina�reMe, m,aquireC by Seaion 3]00 d IM LeEar Cade, lor the parlamenca d tM
woM Iw which thia pertnX ie ivuad. My workere' mmpenaeiion inaurence cemer eM pdiry n�mber are:
Certiar:
Pdicy Number
(TAie aec(ion rreed nof be mmPtif� Af�W�rt k b orro hunOreJ ddlars /TI001 w b.v.)
� I cenAy �hm in the pe�lormence d tha wark Iw whch thie pe'mA ia imuad, I ahell �wl empby arry pereon in eiry menner eo es lo
secoma wqea io me �xen como�smon lev.a d Celilanie. end e9rea ihtl il I ahouM becm�e .�,qw �o in. �nan
oomva+.d�, w�sA�e a seeion s�oo e� �ne �eno, cm.. �.nel� �onn.nn comvH wnn mo.e v�+.+ona.
Oete'. Appl'rant'.
{i�/Tl/Ip: FI��VA (O �KYRWOIkMI�CO/IpNYII/O/1 COY�/Ip0 /IWI�GWi/�� 1/idl�IOl� 11d�/Ci I/I ITp/OyII f0 C/�/II�N� PI/1!II�M i/Id
c/vll flnsi up lo ons huntlrs! fhous�rd tldNri (5100,000J, In �r/dlHon b fh� roaf ol compuu�Hon, tl�m�pe� u provltlM br /n
SxOon J�O6 0l tl's LiCor Cotls, Inbrost, en! ettornsys /su.
CONSTHUCTON LENOING �OENC�: 1 hereby �rm uMer peneM1y d perN'Y �� �� 4 e conm�uaion bMi�p egmicy br Ihe
DBl�OfR1911fB O� IhB MOf�( �Of W�1IC%� ��16 V0IRi119 B9YBd ($BC1q11:i09J. CN. Cii.
LENUEH'S NRME:
IENUEN'S ADDNE55:
1 ceniN �hel I heve read i�ia epplice�ion end mme Ihet Ihe ebove inlormetion is mrtad. I epree lo compy wilh ell dry vM oounry okinenns
end ntere lewe relmlip lo buiWing conwudion erd hereby eu�hw¢a repreeentvives oi thie cnym enlar upon tha ebove�mentbned pmpeM
br inspedqn W�Doeea.
De�e
Signelma W Ovnier/NOanVApplicenULonlreda
(5151d6.WP� Whne-Buikvp 85dery; OrearFFle; Cenary-Appirani; Pink-Revenue; Oddenrod-Nxasw
PERMIT NO: P 078138
PLAN CHECK NO: 02374-96 N
IF iE iF if 1F iF 1F 1F iF 1E if K iE iE li' 1F /F K if iF iE K if iF if iFif 1F IF 1F iE if /F �IF if IF 1FiF if iF K 1F if IF li li ik 1f'if if' 1f iE iE 1E if 1E 1F li' i4 if iE 1i' 1f� iE 1f if IF if 1f K IE 1f iE if iE �E aE �F k
1�Yt+� ��FY tl �. 5�# t. r fi t f� Pd _ tltdi3� �fi�2 _... 'Cc�TaL cosT_.
PLU 1. GAS SERVICE 8,75 8.75
PLU 1 SEWER, CONNECTION�TO BUILDING EACH 22.00 22.00
_ END OF FEES
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�` CONSTRUCTION AND PIANN�NG POO& SPA
.APN�OVALS Permit # Date inspector APp�OVALS Permit # Date Inspector
i, Tempo�ary Electrical Service or Pole 52. Pooi & Eqaipment Location
2. Soil Pipe-Undrgmd. - 53. Steel Reinforcemen[
3. Electrirai Conduit UtilitV•Undrgrnd. 54. Porms
� 4. Electeicai Conduit-Undrgrnd. 55. Electricai Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Eiecvicai UFER Grnd. � 57. APPROVAL TO COVEft�GUNITE
.' 7. Footin9s 5$. Electrical Conduit�Undrgrnd.
� 8. Foundat+on 59. Gas Pipe, O Undrgrnd., Test
9. Water P�pe�Undrgrnd. 60. Backwash �ines, P•Trap, G� Undr9rnd.
'' 10. Structurai Floor System 67. APPROVAL TO DECK
i t. Propertv Sewer line & Nouse Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & VenFFinal
13. Roof drains -� ., • 64. Plumbinc� System � Final
74. Rough Plumbing � � 65. Electrical-Finai
15. Rough Electrical-Conduit 66. So�ar SYstem-Final
16. Rough Electric Wiring � 67. Fencing & Access ApProvai
17. Rou9h Vv'iring Sign � , 68. APPROVED FOR PLASTERING
78. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. RYugh}Neatin & Air Conditioning FIRE DEPT. REQUIREMENT
2� R�ugh�ac�-.�jf Fireplace APPRQVALS Permit #
2� D��ts, in Siructure � 70. Underground Hydro
2�, Ducts, Ventilating , 71. Product Piping OGas L7011
;_.
2: Gri; Pi�M'-Rough & Tes. . 72. Undergraund Fiush
2A`�. R�of �raminq` � � � � 73. U�dergmd. Stosage Tank � Gas G Oil
25. Raof Sheathing 74. Overhead HY�ro
2� T-'�ar G;eili��[rucwral) & Monocoat 75. Dry Chemicai
2b Fmme and F� hing 76. Dry Standpipe
28. L�thin�9�&�'jding 77. FIXED SYSTEM FINAL
��
29. IMulat�n�-+O 76, FIRE PREV. F�NAL
�
30. D�ywalilTl�� HEAITH DEPT. REQUIREMENT
i
31. Plaster BrowR.Coat 79. FINAL INSPECTION . �--
3a. E(�ctri�i Po�r Meter-Finai 80. FOOD CERTIFICA7E ISSUED
38C Fi�al C9IBctri�m Notes:
3�. F*al t�eatin�ir Conditioning
3 F�,�al Gas Piqe.�est
.. _*_
385 H2�od o� Canb�
�,
3 Fi�al Factor " eplace
3� Fi�al Plumbing
3$;; W�,ter 5ervic inal
4(is� Ga3 SeNice-FRial
►.
41� Sc�ar Oomestic-Pinai
4T> Ba�kflo.'+ Preventer
: h: vl
43. B�kflaw �xgation
44. Lilndsc`�Pe�4frriqation System
45. Sa,�nd Attenuation
46. H3ndicap Regutations
4'j� FI�IALS,TRUCTURE & BUILDING
48*� FINAI,fi'IANNING
49. Ei�ctric Relea�e to Edison
501 G3+5 Retease to•Southern California Gas Co
�
57. CE'{iTI�CTv'T� OF OCCUPANCY
No. Date
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E"s"""E"'w°"": pOLYGON PROPERTIES
� .qunes's: 15717 ROCKFIELD BL
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FLOOD: X 47
C�V��p� 92718 714-452-0600
�RCNRELTOPFNdNFEN: LL MAJOR 6 ASSOCIATES �0'N0'` C—�6869
APCH.OPENU.'SGOONESS: SSSI N TUSTIN AV ux:
ca+m�ctars ,��.
SANTA ANA CA 92701
coxm�croxs�,uuno
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UCENSED COMNACTOFS �ECL�PATION: I hereby ellirm unEer penMy d perjury Itat I em Ibenud uMer pravlebna M GM1apur e
�mmmendnp wilh &eclion ]000) ol Drvi�qn 9 d Ne Buei�ron enE Vrolmda CaEe. uM m�� Ibnw' in lull bica end eHea.
cmuc.No.:p 661,a 4 uc.cuss: H uc.N : 6 2 2 EXP: 11/96
ome: ( � 1/ S3 ( 9� ��a
OW NEN BUILDEH DECLRPRTION: I hnepy dfirm uMer penely d perjury �hal I em e�emq Irom iM Coniredm Uoerua lew la �hs
.IbwinB reevon (Seaion ]031.5 Bueinee� end Proleeeione Code: Any cMy a mumy xfiich requiree a perm� lo oonaVucl, eller, improve,
�moloh, or repe'x eny eimcwra, piiw lo �s eeuence, deo reQuiree Ihe epplimnl for auch permil to file e agneE Nelement Ihel he or ehe
� licensed punuenl m IM qoviebne d IM Comreda� Limnee Law �Chepter 9(mmmendnp wi�h Sedion )OW) d Diveion 3 d tlr
� 8wineea W Prdea'vn Cadel a IMt he n Me u ezmmq ihsNmm eM iM bdvu la Ne dbped e�empion. My videlion d Seraion
1W1.5 by eny nppfire'u lor e pe�me wbpla �M epplirsnt to e dW pemiry M�wl mws Ihen IMa hundred tldlan �SSOOU.
� I.eaohnerWiMp'opeMamyampM�esewihwepeam�Misdseompemetion.wJldoNsxwk.enANe�t�u.Yu�soew�inteMeA
or dle�ed lor eeb (Senion ]Du. Buaron eM Pmlpaone Coda: TM Caniredare lioenie lewtloee not Appllto en ownerd pWeM
who WiEe a inpwes Inerean, enE Mp doee euch xwk IimeMl a henel or iM1raqh he a Mr own empbyam, qovided ihm such
improvemem� ve nd imeMad or Wered lor eNe. II, howmer, tha buiNinO a'vnpwemenl h�oM wilhin aro yeu d oompbtian. ihe
owmrbuiMw xill heve Ilw buNen q p�rirp ha a ehe Eii �wl Wik or improvs la iM puipoee M eeb).
�] I. ea oxmr d IM propeny. em udiiyvely oonirediq xilh linmed conirenon �o cmprud �M pqee (�� )�. �imen vd
Prdeaions CoCe: The Caureaan linnx law tloea iw epply w en owner d piope�Y w1n Witle « impovn tMreon vd Wa
mntreela la eudi poptla x+N e eW �q�e) Iceroed Wn�aM to �he CanUadas liueue law).
� I em axemp uMm Seciion: B. 8 P.C., br Nu �eewn: .
Dete: Ownu:
i eo nareM wnM �w i� ewme a e�a �d.rsiene ine �w��.�u a ce�eomie Haenn e�d sdar coae smon. uws. usaa..�e
2553a. eM tM1at I a eiry Mure buikieq opypem xiil / w/1 rw1 (ereb me) med to eanply wYh eek pele eadea ud iM ropuiremeMs lar
arortnnlaconevuciionamoCil�ce�ionhpniMAi ue�i�iiy va6a��0ietria.ReskeMmlconprueionePOk'�broeree�emWfrantheae
pransions.
ome: noWicenr
WONKEN'S COMPENS�TION OECIAF�nON: I hereby elfirm uMer prolly d pejury an G tM Idbw"ng Eederei'wn:
� IhevemEwJme'v�tenaceM'r.may�yemtaeeltarounMwherimmpmxtlion.mpoviEedlorbySatlion�roOdtMlabar
coee. �« in. nn�e a u» w�x i«..u�, m�, o� 4 4•�ee.
f'I in�,.�ew��m�:,.,�ma.'oomo����„�.m�a���.e�s«z�s�aodm,�.e«coae.b.m.rorto.�am.
1� work lar whiM ihia peem� n i»ued, My wake�e' wmpenaeian inauronee fartier ak paliry n�mber ere:
c�er: (`ypAFG.�'+ TNS EXPIRES
Pdicy Number: G„�f _ C. 7 fl 1 7 1 S Q 1� � 1/ C�']
(mis sealon neea.w bs comWe�.e l Ns v�^^t u �a'r one nunmea eMeia lsiool o. bn.)
� I oMH Uul in Ur O�amence d �M wak M which �Na Gemw u mued. I Me� �w emqq' M' Dg� in eM' meniwr eo m lo
bxmr wbjetl to tM xarlmre pp�penytion levn d Cellomie, E epre Ntl E ehdM �ecana wbjw to �M wo�lmn'
�,w„ u„ a/ s�eapn s�ao d me �mo. cea. �.�w� i nn.mn o vN - u,o.. v w�+.
Deta: � �I �� Y/ Applkenl:
Wam/n0� Fellun ro�xuro worken' cOmpenutlon rovereps /s unlewN, entl Nsll suE/�el �n mploysr to eAMlu/ penaltlu errtl
elv/l firoa up b av hurtlietl tM�una dW/an (SfOC{000/� M�oL/fbn b M� rost of rompuu�tbrt e+�p� � povWSC br In �
a
Sxtlon 9]06 ot M� LeDar Cotle, IntwC +�tl �ttomsy'� Iws.
CONSTFUCiION IENDINO RGENCT: I Mnby elfi�m uMer penelry d pe'ryry �tw tAme e e oorwiutlion bMifq eperv.y lor Ne
parformarrn d iM work lor xfiid� �hc Gbmi� v ewed (Sedun �09]. Ci+. C).
LENDEN'S NAME:
LENDEX'S AOUPE54:
I ceniy �hm I hew reaE Ihis epplicetian e� pve ihm Ne ebore iMormetion ia canee. I epree to comyy wi�h ell ary uM munty atlinencee
eM atete la.w mW iq w brikiq miwriaion aM Mreby euUvae roymen�etivm d ihe dtY b enler upon the ebwa.meni'aied papeny
la irepedion purpwea.
•R ✓In e
P i Neme
oe�, � 9
Si9�ure W Owyr/�B ppNcenUCantredu
(St5td6.WP) WtNe-BNkipbSelery:GreemFb:Cmery-Appicent;Rnk-Pevemia;(3ddenro�A+xsv
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: M 078180
PERMIT NO: M 078180 PLAN CHECK NO: N/ GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: NEW
JOB DESCRIPTION : 2341 SF LIVING/ 605 SF GARAGE SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1
COMMENTS: NEW SINGLE PAMILY RESIDENCE / PLAN 3/ REF B-78059
�itie�*�t�c*�r+r+tititx�x��it***�r**+t�t�r**�t��t�t�r*�t*x****�rie�r*+�it**it«at*�*�*it***�r***it**et�itititetat�+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 ---------
FRNT: FT IN AEAR: FT IN FRNT: FT ZN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING RE(j: PROV: PARCEL: 14151132 ZNE: REF NO:
,PLANNING NOTES> . _
!�. • �
.K M iF iE 1E M M 1E IE 1E M ik if iF 1F ik 1E ik iE 1E 1E 1E iE IE iE 1F k 1E if iE 1E 1E 1! M M 1E iE.1E iF iF iE 1E 1f 1f if iE 1E if M iF iE M 1f 1E iE 1E 1E 1E 1E 1F IE IE ik M IE 1f iE 1E 1F 1E IF i! iE iE 1E M if 1E iE
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 P;PPROVED BY ' DATE:
BU�ILDING.'APPROVED BY : ' � '� ' p� DATE:
APPLICATION ISSUED HY: —'�0 DATE: �����
iEif�IFKififMiflF1('iEiFkiEiEiEKifiFifiFiF MiEiElfiFlEifi{'1E1(' iEiE
LEGALIZATION:N F E E 5 U M M A R Y STRUCTURAL SEGMENT:N
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT � 35.75
�i' 252 SMIP/NON—RES
PLAN �
ISSUE FEE , 22.00
BUILDING—DIV—> PERMIT ISSUE PLAN ,CHECK TOTAL PAID DUE
TOTALS----> 35.75 22.00 , 0.00 57.75 57.75 .00
REVENUE DIVISION TOTALS--> COLLECTED: 57.75 OVER/SHORT; .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
5%.�5
IE 1E IF1f 1F 1F if 1E 1E 1E 1F 1E 1(' if IE iE If if if M k k k iE M M 1! i! 1F fE 1E i(� IE IE iE 1f 1E IE fE 1E 1F 1E 1f k 1f if 1E MiF 1E 1F if iE iF iF if IF iE IF 1F ik iE 1E 1f ik if fE 1E 1f iE� 1k M�If 1E 1E 1F 1k 1k 1E
I N D I V Z 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
'� 1
MEC 1 INST FORC—AIR/GRAV FUFiN <= 100 K HTU 13.25 13.25
MEC _ 1 INST HOOD W/DUCTS FED�•BY MEC EXHAUST 9.50 9.50
MEC _2 VENTILATION FAN CONN.TO SINGLE DUCT 6.50 13.00
END OF FEES
., _. - ' !f;, _ .
� C01�55TRUCTION AND PLANNING %� PO,� . SPA
Date Inspector Date Inspector
APPRSOVALS Permit # APPROVALS Permit #
1. 7ernporary Electrical Service or Pole 52. Pool & Equipment Location
'
2. $oi�Pipe•Undrgrnd. T 53. Steel Reinforcement
��lectrical f',,ps�ctpit Utility�Unda3rnd. 54. Forms
� �ALEIe'c�frical �S,��it�Undrgrnd. 55. Electrical Bonding
�_:�te� Reinf�etnent 56. Rough Plumhing & P�essuce Test �
x�6i Electrical,�J� Grnd. 57. APPROVAL TO COVER�GUNITE -
r;Q
y�r�ootings �`., ' 58. Electrical Cond'qii- ndrgrnd.
�y <8`FoundatiQNS 59. Gas Pipe, O Un�7�nd., Test
`'��Wa�r Pip� drgmd. 60. Backwash lines���'rap, � Undrgmd.
10. Structural�Fioor Svstem � 61. APPROVAL TQj•PECK '
1 t, pro'p'erty gawe� Line & House�'onnection 62. Backwash & Receptor•Pinal '
�2. SQ`kS� CaP ^ 63. Heater & Vent•Final
Ro Drains `"
�,�� � 64. Plumbing SYstem - Final
t�. Rough Plumbiag t*� 65. Electrica�-Finai
t5. Rough ElettricaLConduit �' 66. Solar SYstem-Fi� -
L(i. Rough Elgs2ric Wiring .. 67. Fencing & Accees Approvaf
77. Rough Wi�n9 Sign W 66. APPROVED F�I�LASTERWG
� �
i"�. Rough Electriral�T Bar Ceiling 69. POOL/SPA SYSTFaVIS FINAL
19. Rough Heating & Air Condiifoni�^ �._.r. G FI�QE �PPT. $EQUIR�MEfVT
.� x i� 1�'� �" � i.�
., . �,.
2D. ff�ug�Fa.r^'..,ory�in�,6�ice .�� G,�,�.' � K PPF{�V,Q�''.�,�Pe�it# - ; ^��
21. �euet¢^in �ruel"'ure'*'.* � •. .. -+ � � ^} :70. UnderS{ib� H�ro ;
22.I1+.�tt�;VeP'fiia�n9,-�"i,.* � �'��r ./S- � �e 77. Produo.yf�pingU�s Oil
23. Gas P+pe-f�ou9II�& Test . "" +. *�7p, Undergro6htJ Ft,pSfi- � �"'
Y I R f1 ����_ � Y V �. 1
24. Roof$ra �ing .. `q* Ff'"' * = ". * 'a ^ r+c +
�, 3* M Q ,.�yc ..73-Undergrn'�.S1or��Tankr,BGas ❑Oi1
25. RoofShe36'�ing n;� Q '�i* > N# 7qcJpverhead Hydr�� *
Y, �
26. 7�ar�eiling {Stru�C�tall & M��d�at � � � r* 75�Dry Chergical �j x� - J�
27. Framyand•ftashinyz'�: ,��� M �rs >+ m:e 76. DryStan e�^� � _ '-""
'28. LathiAg &;'Siding ,�"�,y y 7x� � �� � ..� ..� 77..Ty F�XED �`,TEAj�INAtx �..� .-� C�; '.
. 29. insulatiorcu '-s " � .. .. � r ��� � 78�FIRE PREV. FI $�. ; > �
c
�"30. Drywall t�jling ''"� H k E, � ` '���1LTF�EP�` fi�EQUIR�j0�E1VT
�31. Plaster Br�n Coatmx S � rr^ * ! , •�79� FINAL IIIISRCECTI� �,,, � r�`
�32. �ctrical��w�M�ej��pai ; i �''' � � •80�FOOD CERTIFjSA�SE I$$UED,.., �R
,;, i � � � � , i .�:
g33. F,�al�lectric > S� t*, �Q K � I �Ndfes�_� �.f�_�- �'r-
`�34. Final �eaf�ang $i?Aii'i�n�tloningS � � la Z�C � a�'•7 �j�� F x ��= : '' - -
� C-� ' "` [�u, . c'� `-F?--r-:� �
,35.F+PaI'Gas�Pipe-�.est 'xp,� • - *,-, `I xe C�� * >+�r'
� ' ry�. ..(�n� x m n .•
=36. H.00d�'�or C�nopy �r �i� � ��; �/ �`(rS/ ''�s S nc �' � ��+c-
- � . -`�'`s��TVO �� - -�- [*1 7C� � T "'��
-37. F�nal�Factary Firep aae T: � i�+H -: ����� .F � �' �r„rs,�'
(.u_ - :J
•�38. Finalfiu ^in � �" � ` ` 1 S •1 • �-+ k =' ��
- �'i� 9 irt*J t �., r I 1.. �� ,� o � * -...�
. r i
`�39. Water' ervice-Fina�* £ j � � � � � > ra`.�
m
.TttO. Gas Service-Pinal [^� m �tt*'c- s * m � Ot� %n% * =��
� C`F'- T �F V (� �� F• vE ! K
�41. Solar pomesticFin�1� S T * � �. ;,. 7n; m M X ;�
�
42. Backflow Preventefa* n; �^ � . C D F -r• ^ r+
O ti F+ f�- x ? R7 O �%
43. Backflow Irri9�tion�;,� J >'� �: x �' i *�J n M•t,
qq, �andscapearri�ation�System ^�^�? '^ *�'`� " �* N N x�'� * i'-- vcc
:r * r.,` 'Qt � £ N GG * S E-
4g. $a,und At{c�u�ion * �-~y�:: ' � �q n* a c� �2 • t-+G +;
46. Hendicap Regulations' ^� G * * � S �;� � #
. � r^ i � c� m O c, *
4�. FFN.4i;STRU4a'fURF*&BUILDING ,�`,r ! . � � E-
i �
48. PdNAL' P�ANNING �` � F^ * N I ;,, �Z : m C * F
rr �'.� 7 �' :K J �J Cu S '�. �
4Q. �ctr�e Relea�to Ec�son ' � � 't y •,-, x ' • �
5E3. GSs R�ease to-$outh2rn Califorrd�y 8as Co * " � ' � r' * `'. ' ! �
:, x � x x. s �o ;� x r •n^_�o
5��. CERTfFICATE OF OCCUPANCY � � �� " ^ ' "`"`
No Date
\��
.. �
.Polygon Lifestyles
in Costa Mesa
Ptan 3 Lower F(oor
HVAC Layout
�or 7 �l
HASE 2
PQ.DUIDE (0 4� T� �UT SIDE
F�ESH Al2 W ITH MANUAL
CDNTRDL DAMPE�, AI�1D
FILTC� ��.IL. LDTS 1-14,38-41
f G/S� � 1C. Z( '� `
� � �r� �
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IN FL. JOIST
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���
Fl�►t,y 1�r�r��
C? 4
J
5a:: ;�. C.. �_
� �� �
Polygon Lifestyles
in Costa Mesa
Plan 3 Upp� Floor
HVAC Layaut
�oT � �l
PHASE �
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LUI �� �-�f;�
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802 MARp UIS CT ux,:
POLYGON PItOPERTIES FLOOD: X 47
15717 ROCKFIELD HL
92718 714-452-0600
WCXRECTOAFNtlNEEP: LL MAJOR & ASSOCIATES
�xcx.onero.•s�noeess: 1551 N TUSTIN AV
SANTA ANA
CONi11ACTqfSNiWE:
oartn�croxs�uuwo
�no�ss
°C'N0'` C-16869
UNT:
CA 92701
uc. xo:
uNr:
IICEN4ED CONTHACTONS OECI.IAAPON; I Mmby M�n uMa paiuiy W pe�ury �het I un lieaneatl uMm prwiaioiu d Cheqx 9
(eommaminp wiih Saclion 1000� M Drvieon 3 W �he BuNnew uM PMa�sions Gods, eM my Iloams Is Iry IuA lorca eM eMed.
cmuc.r+o.:066 !1pqq/ uc.cuss: H uc.N : 6 2 EXP: 11/96
Dme: IOII �! L Vf7 ConVaqor.
OWNER BUIL�Efl UECU1fl�TI0N: I MnEy �� uMm pnNy d perji Ael I un azsmq Imm ihe roGon Licens� Lew la tlw
Idbw'vq reeeon (`�wn ]OJ1.5 Bu+inen vM PMemipu Catla: Mry c1Y a�IY �� �Quim a pormG �o eureVud. e4m. ImDrove.
Eemde�. w npei eiry �Ieueturo, pria ro ia etuuioa, ebo �eyuirw iM eppGeent la weh qmm w fib e epned HpamaN Rw M a�hs
u tican..e w+mum �o ihe naeom d Ne Cama+«. l:rems law Icluqu s(mmmamro wah saac� 1000) a P+bbn a d tlr
Buviiqw e�k Faleaions COA�� or Ihel M o/ the ia uamq ihxehom ub Ihe buif Ia iM dlped s�empion. My violatun d Satlon
]031.5 by eiry app4mnl �w e pxmG tubjWa IM epplicaM �o e cri pOnMy 01 nal mas Ihen fi.a IwM2E Edbn �5500��. •
� I,eao�merdtMpropenyamyempbyp�wyhwepmasNeiaobcwnpeneelion,vrilldo�Mxdk,eMtheewc1uiee�wliMeMed
a ollerad lar aele (Seclion )061. Buunea end Prolaceiana COEe: TM Conireaon Liceroe lew Eom not eppty ioen awrix al prope�y
who W Wa a mpmvea �haraon. erd Mw Eo» such work NmesH a Mne1 a Nrouph ho a her own smpb�aee, qwkaE Il�q wch
imprwemmU ere rot imenEed a d1ae� fa eeb. H, howaver. ihe buitli�q a'vnprwemem ie eoM wil�in ma yeer d mm0leiun, tM
ow�wrbuiNer will I�eve iha buNen d p���g he a ahe tlk iwl builE w imD� �a �he purywa W eele).
�] I ea owner d tM Pw�Y em utlu»ely cont�mM xiN timnaeE canuecton ro cvnmurl Ne V� (Sedm )OM' &niir� ard
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: E 078179
PERMIT NO: E 078179 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: NEW
JOB DESCRIPTION : 2341 SF LIVING/ 605 SF GARAGE SQ FT:
CLAIM VALUE; CALC—VALUE: GROUP OCC: R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 3/ REF H-78059 4?S��
**�atit*�tit***+r«�x��+��+�it�r�e*�ie*ie+tit�r�titiexiEx+t�it*it�rieie�rie�it**it�*****itx�**�r*iEieit�r�r� �t**ieat*it�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 HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FANT: 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 NbTES>
' �. . �
k if k 1E ik 1E 1l' 1E 1f 1E If if 1E iF 1E 1E 1f 1f 1f 1k M ik iE iE 1E 1E fE fi' 1E 1E iE�1k.iF ik %1f ik if 1k ik iF ff rt 1f If IF ik ik ik 1k If If kiE ik 1k 1E iF if 1E 1k 1k 1k ik 1E 1f fE 1k 1F iF 1E iE 1E i! iE ik 1k i! 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 R E M E N T S
/, -
ZONING APPROVED 8Y . ' ' DATE:
a�a,,,�,c�:m�c�vm«+uro�.,te.m.s�a�qymd,�a�ny�wm.«�,c���n;�.,�.�,e.no HUILDING APPROVED BY :
eonveeu ta wM Droptla wM e mNeatlor(s) Ikenxd W�aueni io iM1e Conlraqon Lieema law).
� Ieme�amqmderSatlim: B.BG.C.,IaNbnemn: ' APPLICATION ISSUED BY:
De�e: O.mu: M 1E 1E Ik if 1f ii 1f if 1F 1E 1E 1E iEiF iE iE iE If if M M
I do hereby canily Nm I em ewve d ud uMeniend tha requiromenla d Celfwnu HmAh vd Selery Code Seavu 25505, 255]3, eM L EGAL I Z AT I ON : N
25531 arM ihet I or eny INuro WilEiip aocup¢�i �vill / will nN (arcb ma) nead ia cwndY wwh veid etele oodm vM IM reQuiremenu M
l'
F E E� S U M M A R Y
epe'mnlwmnawaionwmodifreiianhm��M�r�6wTl�erepemeMDipri�Y.HmkenlielconsiNaioneppirstianereuemqlmmlMee BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE
°`°""°"' PERMIT 120.10
Dele: Mq�cerx:
WOpKER'S COMGEM311TON DKL�NATIpN: I Mreby elfi�m uMer pareM1y d perjury me W iM IdbrYirp EeNuetipu:
� Ihmavdxilmeiive�ecanJiWed��toeetlimwebrxarkea'mmpensazbn,e+povldeAlabySeaion3]OOdiMLeba
we.. i« ma c«i�. a ub .on� ia.+:�n u,m v� s�.�e.
❑ I M1ere eM xiI meimen whan' wmVaMelion imrarKe. m esCuired M$edian J100 d �Iw Leba CaEe. la IM OeNormerco W tM
R won i« .nu. w. o«�n A e.�,.e. wr,.ake�• oomo«vm:n in«,�e�e r�rie, ene wxv �„mee, .,.:
OB1neO CYPRESS IlJS EXPIRES
PaKVN�mn�= �r_g}g}}}� O1/O1/97
(Thia esnion neetl rat be campleieC /!M pa�R a Ia one hundmd ddbre �SiDJI w bs.a.)
❑ i cenh inm m �,e veno�me�o. d ine won� io..nrn �nA w�u a �. ae, i. �,a mdw en� ro� m e�r m��e..o e. io
ypeome wbja�} b tM xaM1are' eanpeeuqun lawa d Callomre. C epre t' I YvM xome etd'ptl to IM xabn'
co�m^0�1 � R ia�mj d seaon a�ro d ��» lena. cme. � enel� r m.mn N� n inove .
Dtln: lLJ 1 I V� (� Appfram: ��
WeminO� F�Nun ro�ecun workxi romp�utlon covnp� b✓nlswN( entl �MII sWfset en xnployn to ctlMiul pxu10�� anJ
dHl llros iq b orro hunEretl tlro�+�nd dWYn (S10q0001, In WEltlon ro M� rost ol rompxuaWry denups� u prov1�M br In
Sxtlon J1G6 0/ tla Lebor COM. Intwssi, a�tl �ttomsy� l�u.
CONSTFUCPON LENDINO AOENCY: I hproby eifiim under penelry d parNrY �� ��ra u e conriupion lendirp epercy lor tM
oartam�e a ina �� ia wn�w inm w�+ �. m�a Iseeon aw�. cH. c).
LENDEH'S NAME:
�, LENDEN'S ADDflE54:
I' I ceniN �w I heve reatl uo eodicdion vd mma ihet tM eEove inlamdbn u coirea. l e0me io canNf witn ell dtv erd counN adirwine
erd ewe kwe reWM �o buJdvq cmmuaion end hereW eWhor¢s reWevenieiivee d th"n cuY �o emer uDon �M ebwa-mantioned pmperly
la impenion W�D�s.
R � J I%10
.. �� �„ � �9
_ Oeie:
Sipnelure d UmerMdenVRppYrenuGontreua
(5151<B.WP) WMa-Buikip 8 Splery: GreerFFle; Cerery-Applcent: Rnk-Rerenue:Odden�vd-Asaeaaor
50$
PLAN
ISSUE FEE 22.00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 120.10 22,00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
HLDG PMT PLUMBING ELECTRIC MECHANIC
142.10
DATE;
DATE: C�'�g-g�
�***�rx�����F*�
STRUCTURAL SEGMENT:N
SMIP/RES GRADING
SMIP/NON—RES
TOTAL PAID DUE
142.10 142.10 .00
142.10 OVER/SHORT: ,00
FIRE SMIP/TOT GAADING PLAN—CHECK
iF ik 1f if if k k K iF M k if 1E 1E it if ik iF ik M k if iF if if iE if iF if if 1E 1F 1f 1F 1f 1F 1E 1E ff fE 1E 1E IF i! 1F 1E 1E 1EiE 1k K iF 1E ik 7f 1t 1t 1E 1Eif 1E 7E f(' 1f 1k 1f 1t i! M 1f iE iE 1f iE 1k i! 1k if it
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 1 FIXTURES LIGHTING 1 ST 20 EA. 1.00 1.00
ELE , 1 RECEPT/OLITL6T 1 ST 20 EA. 1,00 1.00
ELE 3 RES APPLIANCE NOT OVER 1.0 HP 4,25 12,75
ELE 2341 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT .04 105,35
END OF FEES
COf1STRUCTtON AND PLANNING %: PO� _ S SPA
�APPROVALS Permit # Date Inspector APpROVALS Permit # Date Inspector
C
1. Temporary Electrical Service or Pole 52. Pool & Equipment Locacion •
2. So�Pipe-Undrgrnd. � 53, Steel Relnfo�cement
_ �
Bn,Electrical @�nc#uit Utiliry•Undryrnd. 54. Forms
?��;'Ele�Irical �d}t�it�Undrgmd. 55. Electrical Bonding
� r
s�.;$terJ Reir f�'��c�ent 56. Rough Piumbing & Pressure Test • �
�;6:x;Electrical,�J� Gmd. 57. APPROVAL TO COVER�GUNITE
,.,�,,;.�ootings .�F., ' 58. Electrical Condqii'�Jndrgrnd.
.. tef:+'t- -
�8.'�oundati � 59. Gas Pipe, O Un��nd., Tezt
`'�,S}NaIEr Pip - drgrnd. , 60. 8ackwash LinesR; Trap, � U�drgmd.
10. Structural�loorSvstem • 61. APPROVALTO' CK
11. Prd,'derty gbwe� Line & House�nnection 62. Backwash & Fiece�ptor-Final
12. Se�rLsr Cap .� 63. Heater & VenbPinal •"
�, Ro� Dreins " �
,� 64. Plumbing System � Final
�, Rough Ptumbia� ' 65. Electricaf�Fina{
i5, Rough Electriwl-Conduit $oiar SYstem-Fiaa�
l�. Rough EIs�Vic Wiring _ ��1�,� ;�!, Fencing & AccesFhpproval
17, flough Wir^ing Si9n i 66. APPROVED FC��LASTERING
1�. Rough Eiectrica6T Bar Ceiling � 69. POOUSPA SYSTE{NS FINAL
19. Rough Heating & Air Conditioning Fl�.E�.PT. f3.EQUIR�MEfVT
.� ��n ^- x. R7 r- r �.. C<1 C; [T:
20. I�Lug�FaMor�ir��ce S� x; * � Q,{ , pp�V��tiPermit#��.-;� .�
21. DeCt�in StrUtSuretTl> . •• .• � : � � r�"'., � �70. badergP'o�h� H�ro 'y .
22. �+c[�Veatila�ng M1 ` • � y; 1 ,-i �; '71. Product ,r�in9 �6ns il
23. Gas Pipe-Rough.& Teat =7 * t=' d: O�' 72. UndergroEnil FI �F � �'" L
.� �r, rn �` : y .e: c.
24, fi'bof�ram�ng" �n • ' ' �'l � �..�� ,.73rUndergma.Stor��Tank�7Gas ❑0�I �
25. Roof�hea`cfiing Nac d •���'�� ? Nx 7q.:pverheadHydr'-� '
C k
26. a�eiting (Stru all & t�r�3�nat �' � �' F � �� � ~ �"' '
� �y� * p ,r�y; 75sDrY Cher�jcal f.;j r, r,t- •.�;
27. Fjam�.and.�lashin9-� j5:a� r. c^ >+ m�� � Fm x y .• ,.-r: �
76. Dry Stantf�}" ipe �,� ��
�28. Lathe'� 8Q$iding �� " ��F G *� • � ..� . i« 77�,c... FIXED ��TE{nr$INAtY ., - mr- J �
��29. Insulatiorr: �K.j S .... J * i t# '� � Q •� "a
� , 78�FIRE PREV. FI .$�.
''�30. Drv�vall (�a�ling �,`� # �' �y E LT,S��x P REQb�R r �
w�-a x F I 5 fti.%'� `: "� �� �.i ���
� � ;*� :x � � 79�VFINAL IttSEECTISN• V
p37. Plaster Br¢wn,fnah.7� =: t* * , �- �'
/�y-� � -. A: �
�32. �ctricai��owgc Me��r-�i�al ���b��l M-f t'•80�'F000 CERTIF�6A'�E IS$U�ED�... ,� S
.�-p� :
I iTi ' �7 � •
'�33. Fr'ial�leciric} sa -� , 'Q:16� � ��/./�� ,� �Na[is: cn^y `:� �r. � � ✓ ,•�m
r ' c' n r ���I r�^•n� •s n� � s r.�-
Q,�34. �ai�eat�g�AiiTCo�ftionin�- n },� r�,� �� �� �. �-�
;35. ,-rnal as�Pipe-$est� � p, . �:., i � � �v xc o�-+ * � ti:n:
..�
'�36. Hood�irr� noPY ;+� , �"`7 '- .r C: � C�c �ti ~ � *
� s c� c ¢x� � • �m •a. :r. � � tn xc �« m ��c.a =i*
�7. Final�Facterv FirePTaqe� . � '�. n; x � � « s +. ' �:, :
n t^ K
"�6. Pi�al u" i�g x N , �, t � s �-. r W -
�• zi �, � `'. -� •,U, r. •n
-�39. Wate�'Service-Fina�� �� . k a � � �+* � � �+ , a n? �
[n .T4 �T
:TriO. Gas Service•Final :*'� .T. Q:"" c t !T � •, �� �� o� �. � • -�`
r :� I*7 '
k _
�li. Solar pomestioFin�ai;� ? ,,, � * � � -;c m x � �
n ,
^42. Backflow Preventer%* k + + � ?F 8 �7 �-
�� r:� �7���- tH �* [- lTQ �' F
43. 6ackflow Yrrigatiornt,', r j�"' S a p; x i� '.Y v C� ..+ .
4C. Landscape�rrid'ation:System _ �;:: � �'' � �� ^J. £ 'F �' x� � '" "�' `�'
s a O^ x 5 F
45', `aa;und AtLen�a�ion x ��'x.• M *` � rt' m* c b' QV• r.•� M
.0 k
49. HendicaP �guletionv �- _^ * ' � + , c � 7o s t
< < i tT1 G CJ «
Q� FNVlj„� STRUCY�.& BUIL'DING *�.., " ; x .r
"'� 1
48. PiNA,L�PLANNING ' !"`' � �� I ' �r � � � � � a �
q9. �'1,'e,ctf% Release�to Ed�ison ' M ' ^ ' � " _
i 'w �* i`� '
58. C�s REleaseto-Southetn Calitorrtia�4asCv ` I ' - O. �^7 t G�•� ..
x K•• 5 JC {l a: N OC �...
57�. CERT-IFICATE OF O+ECUPANCY ^ ' �: .`- " `" ' .
No _ Da2e
'�!!�l�odeuaara: g 0 2 MARQU I S CT uNT:
a�m�Rsr,.�EiFw,a�,+: pOLYGON PROPERTIES FLOOD: X 47
' .nonEss: 15717 ROCKFIELD HL
RVINE, CA 92718 714-952-0600
APPL. YNlINO ADDIiE55:
�11CHRECTOHENtlNEEN: LL MAJOR 6 ASSOCIATES ������ C-16869
xcx.on�,�cs�noe�ss: 1551 N TUSTIN AV �r+*
SANTA ANA CA 92701
CONIPACTqfSN�ME:
camAcroxs wuuxo
�oonEss:
uc. xo.:
UM:
LICFNSEU COHfN�CTOflS UECLAfl1TION: I Mreby e114m uMer peealy d peejury thet I em lieemed uMx povivione ot Cheqm B
(oommemiq xilh Seclion JOOO�otDiviaim 3 WiM Businea and Pmlesaiom da, d my iceru oinlulitu�ce enE Mtetl.
cmuc.wo.:066144 uc.cuss: B uc.No. 6_ 2�2 EXP: 11/96
o�a g��r R � �om�a
OWNEP BUILUEfl DECLANATION: 1 hareby elfiim undar penelly d perN�Y ��� eaemq Imm �M CoMredae licenae lew Iw Me
'dbwip reason (Smian 1W t.5 &niw+a enE Prdessbns Code: Anv eiry « eounry xfiieh �p�iem e pemie to muvun. ellx. impwa.
lemoloM1. ar repeir eny sWCWre, pnor lo iH oeuanee, eleo requirea Ihe epplie�am la aueh paimit to fib e siprieE etelement Ihet M a eM
n ro,�„e a,�� io m, yo���s a ua cwn�na�. limnu lew �Cheqer 9(mmmercinp vMh Setlion J000) W Div6ion 3 d �M
Bueirieav aM Prdeaeiona Code� a ihel M a ehe is uemp tharehom arM IM bntla ta Ihe elbped memqion. Nry violelion d Sapion
)031.5 by ary epplirant Iw e parm� eubpda �he epplicent �o e civil penely o/ ml mae �hen Irve hundred ddlen �350U]�.
� I, as ownar d �he propeM o� �^Y ampbyees vAh wapea ea thai wb rompanse�ion, xill do ihe xoh, eM tln n�uc�ure 6 na imendeE
or ollered for eeb (Secwn ]OOa. Buarm end Pro/essiona Cotla: The Coniredors Licensa law Eoes mt xpWyto en ovmard pmpeny
wlw buida or inpwes Iherem, md r.1io dnes %uch xak himsaM a Mnet a Mr«qh h'v u her oxn empb�eae, pmiEeE �hal wch
�mo�,�ams �a oa ima�aad «ona�e �o, sde. n, now�«, m< nu�d��a o� mv��mem �e eaa wnn�n �. y� a�v��, ub
�owmrbuiNer xill heve tM Wrden d qovirp M w aha d'k rw� buiN w impwe lor �he Wmas d+eb).
I. v owner d IM yopeM. M exduervely mnveam0 �+�h IiceneaE wnueclon to consVud IM prol� (Sedion ]014. Bueiims eM
PMessiom Coda: Tha Coniretlon tcsnm law doea nd epply lo en owner d p'opa�y v.M buiWs a impwm tha�son ad wln
conlrecb la wch prol�a wuh e mMredor(el IicenaeE W�auent lo the CanVepore li enea lawl.
� I em uemq uMx Senian: B. 8 P.C.. M Nie reemn:
Dale: ��
I do hereEy cenih/ thm I em ewere d and uMerstend Iha reQuirememe d Cellomie Meellh end Sdety Coda Seaiwre 25505, 25533. eM
25531, vd Ihet I a e�ry Mure Wildi�p oavpant will / wil rwl (riicb me) neeE to canply wIh eeN pate mJea eM Ilr rtpuimnrvs br
e permA lormnnruciion a modikx�wn homiMAi�epament Oimria. Raeidemial mmtiueun eppirmbneueexemp Imm iheae
a�,a.
Dele� AOW��
WOflKEN'S COMFENSATION DECL4RPTION: I Mreby elfirm uMer penehy M peijury me d Ihe Idbwi�p Eetluetione:
� � n..<ene wi� mdmen a�.n'rticme d cau.m m..n:rmne ror wakei: camv��. m w� r« M seeion slao a �ne l.ec.
cade, i« tna pertormence a �na wA Iw whicn inie pelmA ie imued.
f.] � n.re ene..x meimei� wan�en� cano�� ��.�. m�a��a M seeim s�ao a in. �en« coee. ror ine o«�orm.nce a �n.
T work fa whiM Ihie permit is �ued. My workers mmpanamion inwrence cemar vM pdiry number me:
c�..: CYPRESS INS EXPIRES
Pa�kY N�m�,�: w— �� 01 / 01 / 9 7
�inrs saa;a, neee �a na mmdared r rne v�x � ro. o� nuneree ddw9lsiool w ws./
� I ceMty Ihet in tha pMamence d IM wwk la xfich Ihie pertnN is i�e tl, I eheIhiwl em oy em� eraon in vry meninr eo n lo
becane wbpa lo IM xorkne' comDenaation lewe d Cditwnu. epree rm d I auN 1 caim eubptl to IM xwFnre'
compeneat pmvisb W Seeon 3]OU oi Ihe Lebor Cotla, I ehe111 vrit� o0 6N �h oee v'n .
Dele: � ����� ApWirant
W�mlrp: Fellun b�xun woAeri rompapatlon rovenp� h n , nnd�IWl ub/�ct �n x�p oyx ro crlrNml pareltlsi aml
, clvll fllros up ro ons hunOrstl tMuunAtlollar� (ffOQ000), M eddltlon ro M� cwt ol romperwflon, dem�pu u povMW br In
Sxtlan 9106 0! tlro Lebor Cotle, Intwf. �nC �ttomsyi /su.
CONSTtiUCl10N LENDIN(i ROENCY: 1 heraby elfiim urder penelry d perj�ry Ihet Ihere o e oonMNdion MMiip epem,y br Ne
penoeme�ce d ine woix w. w,im mo p.imY c eauea (seeia, aos), eiv. q.
IEN�EN'S NNAE:
LENOEN'S AODqE44:
� ceniry inm � neva nsd mh wdcmron eid mme inm �ne enwe Imammim b conea. � wree io canWr wnn an ar.�e munn ad"vwwee
vM slete lawe reletnp ta WiMi�q wnstrutlion eM Mraby e�nhor¢e repeesentmrvee W Ihie oryto enter upon iM ebova-menlioneE popaNy
fa irepad'an purqnes.
T.NGET AQUiNO
Pnm Neme
y a2 � o�a: �
�c�m a d eenunovti�nucom.mo,
(5151J6.WP� Whne-Buikvp d Sdery; Oream�Fle: Cenery-AOP���: Pink-Revenue; OokeniaFMeevor
CiTY OF COSTA MESA — BUILDING PERMIT
PERM NO; E 079275
PERMIT NO: E 079275 PLAN CHECK NO: N GOVT: N SUPP: Y
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: NEW
JOB DESCRIPTION ; UPGRADE ELECTRIC SERVICE TO 200 AMP SQ FT:
CLAIM VALUE: CALC—VALUE: ' GROUP OCC: R-3 /U-1
COMMENTS: SUPPLEMENTAL TO E-78179 / PLAN 3/ REF B-78059
�t*it��tet�tat**it***��iex+�ifxiF*****+��*ie+�et�**ir*�*��*�*�x+���r***+�**�**����*it****��*�+�+f�**�
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 --------
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: 19151132 ZNE: REF NO;
PLANNING NOTES>
% l
If iE iE 1ElElElf iE iE �)E iE iE iE iE iF 1E 1F iE IE 3E iE'1F �1E �)E �lE'lE iE'lE iE fE �)E �f'.'1E 1E 1E9E iE iE 1E �l(-fElE'IE iE 1E 1F �hlE'k if �)E if-�E if # 1E 1E 1f !E iE 1E if !E iE aF iF iE 1E �)E �IE iE 3(-!k!E 1f jElE IE iE
D E C� 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
� '%
20NING APPRO�'ED BY '� DATE:
BUILDING APPROVED BY : '� DATE:
��,.-r �i�%/� DATE: O��JD-9�
APPLICATION ISSUED BY: — .✓�
1E9ElEdk1E9f9E1E�E3E9E�EiEiEjE3EjE�1E9fiElE�fffiElPiElE1flEiE,ifif'iE�7f�1Elf9E9EjF�EjEiE9E�E�E�EiE -IEiFlfiFif-%�iF�1fiE3flEiEiE�1E1EiEiEiElFiEiEiEifififjElEjEiEifi6
LEGALIZATION:N F.B..E�� S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 27.25
50� SMIP/NON—RES
PLAN
ISSUE FEE 6.50
BUILDING—DIV—> PERMIT ISSUE FLAN—CHECK TOTAL PAID DUE
TOTALS----> 27,25 6.50 0.00 33.75 33.75 .00
REVENUE DIVISION TOTALS--> COLLECTED: 33.75 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
33.75
1E iE aE 1E aE jE 1E 1F �E 1E 1E 1F iE 1E iE iE iE 1E 1E IE 3E 1E 3E �I(�!E aE 9f iElE iE �f 1f iE 1f iElE iElE fE 3E 3f 1E * 1E 1E �E 1E ik 1ElE �)E 1E �E iE 1E �E �E iF 1E 3E 1E 9E �E �E -)E �E dE 1E iE if 1E iE ik dE iE iE �E 1E 3E
I N D I V I D U A L F E E H 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 SERVICES HELOW G00 V& BELOW 201 AMP 27.25 27.25
ErID OF FEES
CONSTRUCTION AND PLANNING
APMROVALS Permit �h �
t. Temporary Elecxriral Service or'Pole
'2. Soil Pipe�Undrgrnd. ���
3. Electrical Conduit UtilitY�Undig�nd.
4. Electrical Conduit�Undrgrnd. �- y
5. Steel Reinforcement
6. Electrica� UFER Grnd.
7. Footings
8. Foundation
9. Water Pipe�Undrgrnd. ��
10. Structural Floor System = � ;
7 7. Properry Sewer Line & House Connection
12. Sewer CaP � =" ^
73. Roof Dra�ns �- -
r
14. Rough Plumbing ,
15. Rough Electrical-Conduit �
16. Rough Electric Wiring
77. Rough �Viring Sign
78. Rough Electrical-T Bar Ceilin9
19. Rough Heating & Air Conditioning
20. Rough Factory Fireplace
21. Ducts, in Structure
22. Dutts, Ventilating
23. Gas Pipe�Rough & Test
24, Roof Framing
25. Roof Sheathing
26. T�Bar Ceiling (Structurall & Monocoat
27. Frameand Flashing
28. Lathing & Siding
29. Insulation
30. Drywail Nailinn
31. Plaster Brown Coat
32. Electrical Power Meter-Final
33. Finat Electric
34. Final He2ting & Air Conditioninq
35. Final Gas P�PQ-Test
36. Hood or CanopY
37. Final Pactory Fireplace
38. Final Plumbing
39. Water Ser�ice-Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backftow P�evenees
43. Backflow Irrigation
44. Landsca0e Irriqation Syscem
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southem Calitornia Gas Cc
Date
Date
PC � SPA
Inspector qppROVALS Permit #
52. Pool & Equipment Location ,
53. Steel Reinforcement ��`�
54. Forms -
55. Electrical Bonding �
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER�GUNITE
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, � Undrgrnd., Test
60. Backwash Lines, P-Trap, rJ Undrgrnd.
67. APPROVAL TO DECK- � f�
62. Backwash & Receptor�Ftnai�� '
� 63. Heater & Vent�Finai
64. Plumbing System � Final �
65. Electrical�Final - � ",
66. Solar SYstem-Final .
67. Fencing & Access ApProval
68. APPflOVEO FOR PLASTERING
69. POOI/SPASYSTEPnSFINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
70. Underground Hydro
71. Product Piping O Gas t� Oil
72. Underground Flush
73. U�de�grnd. Scorage Tank C� Gas ❑ �iI
74. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe
77. FIXED SYSTEM FINAL
78. FIRE Pi7EV. FINAL
HEALTH DEPT. REQUIREMENT
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