HomeMy WebLinkAbout809 MARQUIS CT - Building Permits�i
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CUSTA r3�SA,CA 92626
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ApCNffECT OR FHtlNEEfl:
MCN.Ofl ENO.'S ADUPE55:
IlC Ip.:
CONIPACTdI'S NAME:
ca+m�cTomswuuxo
ADOPE55: IJG NO.:
UNT:
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LICENSED COMHRMOPS OELUHATON: I hereby aflim uM�r p�neYy d pe�ury Ilul I em Icenead uMer povhiam d Chepl�r Y
�mmmand�p wi�h Seclbn )000) d Divisun 3 d Ihe Buaineea end Pmlmvona Coda, vd my licenae u in lull brce vM eMed.
cm uc. No.: uc. cuss: uc. r+o.: E Si P:
Da1e: ConUeda:
OWNEN BUILDER OECIAXATION: I hereby dfi�m uMx per�¢`y d pmjury Ihet I am exemq Imm Iha Cont�rfas lioema lew la Ihe
Idbwvq �enwn (�� ��I.S Busibsa ad Prdessbm Code: Arty ciY a couMy xAidi reQu'vea e pmnil to cambucl. Mx. improva.
demd'en, a rpei eiry si�uctwe, pbr b es esueMe. ebo rep�ime the epplism lar mr.h pemtillo fib e agmd sWan�ent Mm M a ahe
A iKemea w+�� �o ine a�• a u�a co�uraeaa ucenae �e.. �cnaqm s I�menano wnn seaion �000) a oi.eian a a �b
Buainev ard Rdmeioru Code� a IM1m In rc ahe is esemq tlyaryp� dy iM lativ Iv ihe elbped uemqion. My violetion d Sedion
]oals Gy em� eap��ni �w a pe.mn euEjeae �na.w�Kan �o a dri� penelry d m� more �n.n fxe nundrae ed�en j5woj).
Qr I.avowrerdlMpropariy«mY�dW��hwepeae�tlwiedecompenmlion.wJldoNexaA.eMtheaNwtunem�imaMeA
or dlareE /a eela (Sx�ion �Ow. Buaresa eM PMessions Cada: ThaComreaon limnse LewEoee rot epply�a en o�merd propery
wlw WiM « impmves tMreon. eM wlro daec auch woM Nmserc or hanetl «throuph he or her own empoyeee, pwked thet wch
impmvemeMa are mt inieMeA or olfered Iw cele. tl, however, iha buiNi�q «'vnpwemeM is sok vrilhin aro yev d oomplMion, iM
owner-builder will heva iha buNen d 0�'inp he or ehe tlk �wl WiIE a imqova lor iM WT�a W eele�.
� I, ea owner d Iha qapMy. em eRduerveH �ireclip xilh IicenaeA contrectae b wnstrua Iha prqad (�� �. Bwiiwee end
Pmteseiom Coda: TM COMraifas Licensa lew doee riei epply to en owner d propeM � b�ilde w impovw therean e�M wlw
conlrecte Iw euM prol� �h e mNredor�e) IcenaeE pureuent �o ihe Coniradaa Limnae Lew).
� I em ex/a�mp uM.x7 Seciion: B. 8 P.C„ M reewn: j f� �
De�e: 'I ' � L �� 7 owner, � / �d.i✓ X/ - �l:-GGCLCi'
7
1 do MnEy cenity thel I em ewara d ard wMaaiard the repufiemeMs ol CalCanie FbeXh eed SeMy CaEa Setliom 25505. 2553J. W
25531. arM Nel I a ury Mwa Wiki�p om�pani will / wil rwi (�b one) nead ro canpy wYh seid eta�s wdea vd �M npw�emeMe br
e oertnA �«mn.in�nian«moeirmionhan�neAr�iana0emen� oatria. aevdeniielmmweudion eoof�ian.m.az«ew �,an ur..
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Deb: AOd�4M:
WOflKEN'S CONVEHSATION DKLAN�TON: I MreEy elfvm �Mm pemMy d psjuy an M Ne foYowi�p Eedartliom:
❑ i neve.�a wi� meimen. cenacm<a mmem �o..n.ne�„ ror wnm: canw�mion, r a� �« M s.eion a�oo a m. �.n«
c�d., ia ms o.���a a ma won� i�..�n m�s vemw u m�ea.
❑ � nwe ena wie mdm.:, wixere� canoeneefon imurena. a. rca���ad W seeim a�ao d me labor coes. ro� me waameno. d ine
wah lor which Ihie pemi� ia iseuad. My workere' mmpary�� {�surerce mmer vM pdiry r�umber me:
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POIkyrNumber:
�m;..ron� ��d,wr e. �o�ed i rna w�a;: ro. o�a na�e�e dou� R+on� w b,,.)
� I cenity �het in ihe perlamence d the wak br whch t�ie permil la uauad, I Mell iwl empby erry peimn n eny men�wr eo m to
bacame eubjed to the woikera' companmtion lewe q CelAanie, eM aprae tlbl X I ahwW bacome aEjed to tM xMe�e'
comperue�ion qovisiona ol5eqion 3]00 oi IM Lebor Ceda. I ehell lathvrith oompfy wM Yme P���.
Daie: AVdpeM:
Wam/�p: PWun ro aecuro wikwi ronpeiuetlen cerersy� �� ��y��, eM MLI s1b/ecr en enpioysr ro MMIW pwrmu me
clHl Anu up ro are �inGrW MousenC tlo/�+n /SiPqGW/, M MYtlon b M� cwf o/ wnps�ustloM1 tlemap� u proHWd b� In
Sxtlon 3)O6 0l Me labor Cod, Infxsat, and ettomry's /eu,
CONSTRUCl10N LENDING AGENCY: I Iw�eby dfiem uMa pe�yiy d peejury thm thsa e e oonSnMbn bMiip epency br tln
yenomia,ce d in. xwk �« wniw �ne pumi is asuea (seann ao9), cw. c�.
LENDEN'S NRME:
LEN�EP'S ADORE55:
I ceniry ihet I heve raad I�ia epplicelim end Sme ihm the eEwe inlammian ia coiree. I epree to wmpN �h all ciry vM caunry adiner�me
enE eteie lewe rele�ng io buiMing constmdan end hereby emhor�e ropeeentelivee d Ihie dry m anter upon ihe ebove-men�ioned qopetly
,°""s°""°"°"'°�°° svsaN CUWIE
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-L.a..z $-l-t.ct.1� oma: `/ -/Z- %7
% Sgre�ure d r/ApeM/Apph�aNCqnl�eda
(5151de WP) W�ile-BuiNiq 8 Sdery: Graerv�Fb; Cenery-AppSunt: Rnk-Hewnue; Oddenro�Naaeear
CITz GF CGsTA MESA - bUILLING �EkMI�
PERM Nv: H u89ut��
PERMIT NV: B 084689 PLAN CHECK NU: G3745-97 S GuVT: N SUPP: N
C6NSTkUCTIOTI TYPE: PEFtMIT TYPE: STR PUkPGSE: �U
Ji�B DESCRZFTION : 2945F OFEN TkELLIS Pia7I0 CGVER SQ FT: 199
CLAIM VALUE: 3,O�O.uO CALC-C%ALUE: 3,53s.2& GkuUP OCC: R-3 i
CUMMENT5: GPEN TRELLZs Pi�TIO CuVEk
iF �3i� ii� if if� iE 1E 3e iE ie iE ie re ii'vE iF �k :f ie ik if� ii %?i iE iE i'r ic iE iF i'r iE iF iE 3e �k ic 1'r iE ii� ie it iF ii� iE it iE'rE ii ic iE iE ie ie iE iE iE iE iE if iE ic iF 'rc iF iE're ie ii� iE ie ii� ii iE R±F?i ir �i
Z t� N I N G R E Q U I R E M E N T S
S E T Fi A C k 5
------------ MAIN BUILLING ---------- -------- ACiESSORY BUILDING ---------
FkNT; FT IN kEAR: 19 FT IN FRNT: rT IN kE[�R: FT ZDI
LEFT; 20 FT IN RGHT: 20 FT IN iEFT; FT IN RGHT: FT Iiv
PAftKING REQ: F'kGti; PARCEL: 14151128 ZNE; PUR— kEF NO;
PLANNING NOTES> LATiICE PATIO COZiEk Tu THE REAk OF AN EAiSrING SINGLE
i FAMILY RESZDENCE.
'/f ]t lf 1i h' �'� �'it')t lt')�"!t "l�"�! T'1*'1C "1 Jt A'1C'.t'�J�t'jt'�t"k 9(' �lt' j("1! �' ]t if ic f!'h ]F'R ]f ]t'IC'R'If l� �!'R 1t i! 9t')t 3t')t"R'/f R�'�c Yf'l�'R�'It h'l�' jt'!t lt 9f lF ]l' x'1 YC if ]t T'r. �.t� ]!'!t
D E V E i u P M E N T S E R V Z C E s' k E Q U I R E Ni E N�2 S
ZUNING IiPPkuC�EL bY lA�P7ir_ D:vTE: cl 12��j'1
BUILLING APPROVEU bY ; DATE• 7
APPLICi:TIuN ISSUEL BY:
iEiE�i's�k"rE�kiEiEieiiif-3ii�itiEiEiFic#iea
LEGALIZATION:N
F E E S U M M A R Y
BLUG PMT FLUMBING ELECTRIC MECHANIC
PEkMIT 87.25
PLAN 56.71
ISSUE FEE
fiUILUING—LIV—> FERi�7iT IS3UE FLF�N—CHECH
TOTALS----� 87.75 O,Ot� So.71
REVENUE LItiISION TGTALS--� COLLECTED:
bLLG FMT PLUMBING ELECTRIC MECH.§NIC
87.25
UATE: Cl'I �ZL
ic ri if� i(� ii ii iE i't ii i6 iE iE ie iFfc ie ie � ir �c n ic> i'r if
STRUCTURAL SEGMENT;Y
FIRE SMIP/RE:, GRALING
SG
SMIP/NUN-RES
TOTAL PAIL LuE
144.4b 144.40 .uG
194,96 GVER/sHORT:. .u"v
FIRE SNIIP/TVT GRHUING PLAN-CHECK
.SG 56.71
. . . . . . .... .. . . . . .... ....... ... . . .........
iciliF)fitic'Rfc'kRzle�Eft !1"R'/Yrl(-�iRic'R�1c 'R'F TRsxhY[xh �cz-RaeRfEftiEiEitiEi�if'ltit�t�t'jlitiflen'il�Ii�iFi�itif'lcitieT�icillE
I N L I V I U U A L F E E B k E A A U u W N
TYPE �TY" L E 5 C R I P T I U N UNIT CGST TUTAL COs?
SFk 244 RES-PiiTIU CuVEk-POST & TRELLIS 16,12 3,533,'t8
ENU OF FEES
0
09-12-1397/II:SB Ac;/5144.fib
RCPTl:81-�21ec"62
F'ERi'7YT:084�$9
.COMSTRUCTION AND PCANNING POOI & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Oate inspector
t. 7emporary Electrical Service or Pole 52. Pool & Equipment Location
2, Soil Pipe�Undrgrnd. 53. Steel Reinforcement -
3. Electrical Conduit Utiiity-Undrgrnd. 54. Porms �
4. Elecirical Conduit-Undrgrnd. � 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrital UFER Grnd. 57. APPROVAL TO COVEfi�GUNITE
7. Pootings 58. Electriral Conduit-Undrgrnd.
$. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undr9rnd. � 60. Backwash Lines, P�Trap, L� Undrgrnd.
10. Structural Fioor System 67. APPROVAL 70 DECK �.
}t. property Sewet l.ine & HouseConnection 62. Backwash & ReceptorFinal
�2• Se`^ie� CaP � 63. Heater & Vent�Final ,
13. Roof Drains 64. Plum6ing System - Final �
74. flough Piumbing 65. Electricai�Final .
15. Rough Electrirai-Conduit ' , 66. Solar System�Final
16. Fough Electric Wiring , 67. Fencing & Access Approval
77. flough Wiring Sign - 68. APPROVED FOR P�ASTERING
18. Rough Electrica6T Bar Cailing � 69. POOVSPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT
20. aough FactorY Fireplac2 APPROVALS Permit #
21, pucts, in Strutture 70. Under9round Nydro
22, t7utts, Ventilating 77. Product Piping CJGas ❑Oi{
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Praming 73. Undergrnd.StorageTank C7Gas OOiI
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structurap & Monocoat 75. Dry Chemical
2�. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEb1 FlNAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTlON
32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric IVotes:
34. Final Heating & Air Conditioning
1
35. Final Gas Pipe-Test �
36. Hood or CanoPy �
37. Final Factory Fireplace
38. Finai Plumhing
39. Wacer Service�Final
* 40. Gas Service-Final -
,�
'. 41. Solar pomestic-Final
"42. Backflow Preventer
�-43. Backflow Irrigation •
44. t,andscape Isripatioo System
45. Sound Attenuation .
46. Handicap Regulations •
47. FINAL STRUCTURE & BUILDING � s/� _ �.
48. FINAL PLANNING � �
49. Electric Release to Edison �
50. Gas Release to Southern California Gas Co
51. CERTIFICATE Of OCCUPANCY
No. Date
�oonrsssew�w+a: $09 MARq UIS CT ���
an+exewu�Eir�wwir+: pOLYGON PE�OPERTIES FLOOD; X 47
• � I�DDAFSS: ZS�IL% ROCKFIELD BL
RVINE, CA 92718 714-452-0600
�vr�. Yuiwo �noxEu:
u�cxrtecrone«�w�x:LL MAJOR 6 ASSOCIATES ��= C-16869
urcKaxaa•s�ooma: 1551 N TUSTIN AV uur:
SANTA ANA CA 92701
c«an�crars xa�
CONfP�CTOR'SYYIdlO
�oox�ss uc.rq:
uMr:
IJCENSED COMNRCTONS OECLAflRT10N: I heeeby elifm unAer peealy d paejury Uut un lioe esd wMa prwirions d Chaplv 9
(mnmmarp vm� Sxlion'l0oo) tl Gvubn � d Ne &nineu eM P m Co . d Icw b in lutl bcs and aMq.
cmuc.No.: 6f�q144 uc.cuss: B uc. o.: 2 EXP: 11 /96
Dme' 1 / �����
' W NEH BUILDEP DECIAF�TION: I hereby eHirtn unEx penelly ot perM�Y �� �� exemq Iram �M Conlreqon lioeius lew la the
owiq eenwn (`�bn 1W 1.5 &niws+eM Prdwiau Cade: AnY eIy m countY �� nVuirp e parmn to mnevuel. ellu. impraro.
.mdvh, or npei eny eVUCu�e, qbr io ila eaerce, e6o requiroe ihe eppli�am Iv euch pemiit lo fib e eq�wE �Wamanl ihet M a�he
n licenaed Wnuent lo IM provieiom d IM Conlrec�we Licenx Lew �Cheqer 9(cammainnp xilh SMion )OW) W ONbian � d tM
Businam enJ Rdeoone Coda� w Ihel ha a ehe is exemq t�xeimm aM ihe Es�ie lor Ihe elbped ezemqion. Nry vulmun d Seaun
]W 1.5 by enY aGW�t la e prmu wbptl� �la epplceni io e oril pe�Wy d iM mora Ihen Ma hundrod doAen �25Wu.
� I. m oxirer d tM qope�Y a�^Y ampbyees weh wepea ea �he'e wb wmpa�uetion. will do iM work. erd iM Niudurs e �wl in�eMd
or dlered M We l5«tion i06l. Buvmae eM Prolmsiona CoCe: Tha CaNredan l'xmss law dme mt epplyto en owmr d poparry
who EuiEa a inP�+e+�hxean. enE xfc doo euM wak h'unaetl ar MnN a tivaphlie a her orm wnWvrM�. pw'� �1W ach
imqwamMa ve nd imaMed a allaed Iv eeb, tl. howe.ar. �M dudirp a inpouxneM ie wtl xilhm ona Y� d oompletun. tlr
V ownerbuiker vnll heve Ihe EuNm d poviip M1e or ehe d'd m� b ld «impevn 1« tAe puryosa d seb�.
e�
LJ I. m onw d iM ww�Y. em mCurivW mnireena xah tioened convxvm m camrue Ne wqb (Swu� mu. &n'vwe� ene
ameemne coa.: m. comreaoo tsan.. �ew me. m ewN m en orm« a wwa+r wro a,ud. a.:�aw. �A:em .�d wro
eonveen lar eui� prqsla wiM a mmroda(e) Icemed punuem �o tM Coeueedore Lioema lawl.
� I em manp wdx Seeion: B. 8 P.C..lar N's reesm:
Dtla: ��
I Eo haW/ wnt/ thu I em ewars d vd uMaabM the �emnesnrm d Cellums FkeM eM Sa1M' CoM Setliaro 25505. 255U. nd
255Jt. mM tlW I a eny Mwa dukn0 �+Pe^� will / wil nal (d�cle me) roed b candY wih uid ma mEu mtl �M iaywmmsp� tor
eD�laruui�unionamodifmunham�lw�i ue�enepememDixiia.ReeNaniialoonpivaionWC�ianvevanqhwntlwa
pwvau.
Dme: App4am:
WONKEN'S COYPOISATION UECL�NATON: I MreEy aifvm wMx pxully d psjuy ona W iM lo4winp dduetim�:
� IMwWwilmeimeneceMEraledmuemtoeM�reunbrwaken'camparonion.mpwkotltaby9WionJ)OOdtMlnEu
Cade, la iha perlormence d tha xak Iw wlvc� thie peimit u iasuetl.
•L] I Mw aM wJ meimen �.aMen' campenW ion imurarca. m nW'ved M Seaim ]900 tl Ne lebor COEe. br �M palortnenw d �M
,.�n�«�.nKnmA�m�..�,ee.Mr��CYPRESS�IN`°"�S �'��m�N EXPIRES
c�.�:
ra� r+�me« — 01 / 01 / 9 7
�rnm m�iorr need �or w comobrea � me v�e o ro. �a wne�ee edwa /siao/ w�sed
� I cM/y Uut in �MipmlamvKe M ihe work lor whch Ihie pe�mp b iaued, I eAal � aml�by en� paieon N siry menrnr w n to
Wmm e Isd tM waMmY cam0e�u�ion kwe W Celtlomia. en Wim d I 6houH mane w4a to �M wlae'
wmpem m p'eiona d Seeian 9)00 01 iM Lebor CoEe. I WII ta wnh m p vmh Ims oNe'vro.
ova: �np' �: �
W�m/np: Fe/lun ro��cun wo�Mn'romp�uatlon covnape b unMMul. e aNll aW(M an �rrploy,r ro cr/Mixl pwultlp uW
GVY flm� �p ro om hlnGntl thouwd Jall�n (S1W,WOA M�61/fbn b fM cwf al rorrpmuWM1 derNpw u povMW br In
S�ctlm �106 0! tln la6or Cob, /nM1ns4 ���mry's /w
CONSTfiUC110N LENDINO �OENCY: I haaby dfi�m under penMy d perjury tIW ihen u e mMrufbn MnEinp epency br tle
pailormaMa d iM wwk Ior xfiiM Ihu pamY u uweE (Seq'vi �09). Cw. Cj.
LENDEP'S N41E:
LFNOEP'S 1DONE94:
1 cMEy �htl I heva raeA Nu eoG�raiim ud ums t1� Ow ebove'utlamelion u mma. I�es IocanDN x'vh a0 dY eM mWY ad'vunca�
eM etma lews mlmYq ro build'q omaudian vd MreDYaNhor¢s repeaeniamu d iAu iay io aNs Wm IM abo4e�mwv' �PWMY
�«�v°°'�w,°"". G L (jUINO
��� N,� y
Dete:
' neWra O�nwr/ AppYfaNLmtreqa
(5151�B.WP1 ���uikip 85elery: GreerFb: Cu�ary-APG�eni: Pink-Re.enw: ddJmnoE-Masnor
CITY OF COSTA MESA - BUILDING PERMI'T
PERMIT NO: M 080147 PLAN CHECK NO; N
CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC
V`PERM NO; M U80147
GOVT: N SUPP; Y
PURPOSE; NEW
JOB DESCRIPTION : SUPPLEMENTAL TO M-78204 SQ FT:
CLAIM VALUE: CALC-VALUE; GROUP OCC: R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 1/ REF B-78062
IE 3E IE iE 3E iE iE iE fF fE iE 1F ff iE if N if 1f ff if IE IE iE i! iE 1E 1E fE 1E iE iE iE iE iF ik 1E 1E 1f IE if ik k iE 1E 1E iE 1E 1E 1f iE iF iE 1f i! 1E IE 1E iF if iE 1k fE iE �E 3E fE �k 1f iF ff 1f 1f IE 1E 1E 3f 1F if iF
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 BOILDING ---------- --------- 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: 14151132 ZNE: REF NO:
PLANNING NbTES>
%
iE IE 1ElE 1E iE 1E fE 1E iE iE iE iE iE 1E iE 1E IE ik if if iE iE 1f 1f 1E if 1f 1E IF iE 1E iE iE iE iE 1f 1F iE iF iF 1f iE iF iE 1E if 1E 1E k M iE 1f 1E 1E iE 1f 1flE if iE iE iE iE iE iE iE 1E iF 3f iE iF iE ik iE iE if 1F k
D E V E L O P M E N T S E R,�V I C E�S R E Q U I R E M E N T S
ZONING APPROVED BY � DATE;
BUILDING APPROVED BY ;
APPLICATION ISSUED BY: c'
�*��******�***x �r�tx **�t*
LEGALIZATION:N F E E 'S U M�M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 16.00
25k
_ DATE:
D AT E : ���0
iEiFiFiE fE fE fE iE iE fE k 1E iE�iFiE 1f
STRUCTURAL SEGMENT;N
FIRE SMIP/RES GRADING
SMIP/NON-RES
PLAN
ISSUE FEE 6.50
BUILDING-DIV-> PERMIT ZSSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----� 16.00 6.50 0.00 22.50 22,50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 22.50 OVER/SAORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/TOT GAADING PLAN-CHECK
22.'50
IE IE �E 1E IE jE fF if IE iE iE 1E 1E 1E iE iF iE 1t iE 1E If fk 1F if 1E iE 1E 1E if iF 1f if if if 1k 1E 1E 1E iE IE �E IE 1! iE fE iE If iE �E iE iE fF iE 1E if 1f 1f 1f 1f 1f 1E iF 1E iE 1E iE IElE fE ff M IE if 1E fE 1f 1f ff k
I N D I V Z 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
MEC i FACTORY FIREPLACE 9.50
MEC 1 VENTILATION FAN CONN TO SINGLE DUCT 6.50
END OF FEES
9.50
6.50
D1 �0218465-00213456 T GT 2T,5p
DATE: lil04/95 TI17E: 10:11
�� CONSTRUCTION AND PLANNING P� �& SPA -� --..
'APPROVALS Permit # Date Inspector qppROVALS Nermit # Date inspector
�L Temporary E�ectriwl Service or Pqle 52. Pool & Equipmem �ocanon - -
2. Soil Pipe�Undrgrnd. ' S3. Steel Reinforcement �
3. Electrical Conduit Utility-Undrgrnd. 54. Forms �
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding �
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test .
6. Electrical UFER Gnd. 57. APPROVAL 70 COVER�GUNITE '
7. Footings, � 58. Electrical Conduit-Undrgrnd.
- B. Foundation � 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe•Undrgrnd. , 6D. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Ploor System � 61. APPROVAL 70 DECK,-
11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final ��
12. Sewer Cap - ' 63. Heater & Vent-Finai �
13. Roof Drains � 64. Piumbing SYstem - Final •
14. Rough Plumbing � 65. Etectrical�Final
15. Rough Electriwl-Condu�t 66. Soiar System-Final '
16. Rough Electr�c Wiring 67. Fencing & Access AnProval �
17. Rouyh Wiring Sign 68. APPROVED FOR� PLASTERING •
18. Rough Electrical�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heati�g & Air Conditioning FIRE DEP7. REQUIREMENT
20. Rough Fattory Fireplace � ' ' APPROVALS Permit #
21.'Ducts, in Structure � � 70. Underground Hydro
22. Ducts, Ventilating � 71 . Product Pipinc� O G2s ❑ Oii
23. Gas Pipe•Rough & Tesc . � 72. Underground Flush _
24. Roof Framing 73. Undergrnd.StorageTank OGas OOiI
25. Roof Sheathing 74. Overhead Hvdro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical _
27. Freme and Fla:hing - 76. Dry Standpipe
28. Lathing&Siding . � 77. FIXEDSYSTEM�FWAL
29. Insulation � . , 78. FIRE PREV. FINAL
30. Drywali Nailing ' HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat _ : 79. FINAL INSPECTION , .
32. Electrical Power Meter,Final � 80. POOD CERTIFICATE ISSUED
33. Final Electric T � Notes: . .
34. Final Heating & Air.Conditioning- .est -- � •
35. Final Gas Pipe-Test' , _ "
36. Hood or Canopy
37. Final Factory Firepiace /-,Q � -
_i
38. Pinal Plumbing .
39. Water Servic8-Final ' -
40. Gas Service-Finat . . �
47. Solar pomest�c-Final '
42. Backflow Pre�enter �
43. Backflow Irrigation ' � _
44. Landscape Irriqation System .
45. Sound Attenuation _
46. Handiwp Reguiations � �
47. FINAI STRUCTURE & BUI�DING
46. FINAL PLANNING •
49. Electric Release to Edison '
50. Gas Release to Southern California Gas Co -
51. CERTIFICATEOFOCCUPANCY
No. Date
t '
�y
�
ADOPESSOFBVILpNG: HOJ MAROUIS CT
axNErcsnnu��vaa�vr+: POLYGON PftOPERTIES
� LDDHE55: 15717 ROCKFIELD BL
IRVINE, CA 92718 714-452-0600
�vv�. �uuxc r�noncss: , . .
�IICNIfECTOPFN(tlNEEN: LL MAJOR 5 ASSOCIATES
encx.oeu+c.•swowEss: 1551 N TUSTIN AV
SANTA ANA
CONff1ACi0N'SNAI�:
carmucToas Muuxo
'�, ,NOflE55:
UNT:
uc.r�o: C-16869
UNT:
CA 92701 �
uc r+o:
uxr:
LICENSED COMNACTOflS DECLIR�TION: I haraby eNvin under peneYy W parjury �hel I em Icanaed uMar provieiona M Ghepter 9
(eommana�q wnh Seetion )000) d Dimion � d �M1e Buaiiroea aed PMaevona Cotle, eM my Ibenx a in /ull taee vM eXed.
cmuc.No.: 066149 uc.cuss: H uc.No.: 659262 EXP: 11/96
ome: contraaor.
�WNER BUILUEH DECLNRRTION: I hareby eifirm unEer penetly M parlury thet I em exemq Irom ihe COMreawa Licanae Lew lor Me
Ibwiq reeson (Sedion ]0�1.5 Bus'eieaa eM Pmfessions Code: ��ry cry a coun�Y �� �Vuims e permil to mmtruct. eller, impove.
.iemolbh, w repv eny awc�ure, prior lo ils eauerce, e6o reQuirm ihe epplrcant lor vuch permil b fib e sgrod ebiertronl ihat he a sM
ia licenaeA W nuenl b tha praviaiona d ihe Conlredom Licenae Lew �Chepler 8(commendnp xdh Sedion ]000) d DHbion 3 0l �he
Businesa end Praleaeoris Codej or Ihy,M or ehe is a�e7rpt iherahom end the besie lor tM dbped uempion. Airy violetun d Smion
)03t.5 by enY aCdi•enl i« e permn wbjetla �M epplicant lo e avil penelry d iwl moro Ihen Me h�iMreJ tldlen �550011�
� I, ea ovmer ol Ihe properly a my empbyeee vnlh wepee as thei eole mmpansaibn, will Eo IM xroM1, eik IM eiruc1ure e rwl inteMeE
a ollered lor eab (Secibn'lOed, Businass eM Professiona Code: The Comrenan Licenae Lew doea no� epplyto en awnm W prapeny
wM Wids a mpmvea Ihaieon, end xiw does auch woilc himceH w Mnetl a iMwph he a her own empbyeas, pmvkeE IMI wch
imP�'�enb era rd inteMeE a Wered lor aeb. X. however. tM buiMirq «'vnprwameM o add wnhin ww Yeer d mmd&on. tM
y awneibuiMer vnll heve Iha buiden of provinB � or ehe did iwl builC or improva for iM W�e d eele).
LJ I. ea amrer W iM qopeily. am ezduavNy mnVeG'vq wilh IbenseE wnvenon to cmarue Ne prujw (`�� )�. �niMee erd
Pmfeaeiona Code: The Coniradon Licanu Iew Eoea iwl epply lo en oxnar d propeny who Witla a impovp IM�eon enE who
conlrecb for euch prqena wnh e mmrecmr(s) licenced pureuent �o Ihe ConVepon Liceme Law�.
❑ �.mugm uoe�5�4T'on�e.owner:•'«u�n,U Yt' L�
Dete: to a
i eo ne.aM �«iM uw i� e.,.a d d,e u�wa�ew�d ine .eawrem.� d cd�o�a H nn sdm coae seaions uws, zssaa, end
2555a, eM ihet I or eny iNun Wildiiq omipent xill / wil ml (arcb ma) neeE lo py wi eek etate codu erd iM rpuiiemenn In
epe'milbrmnsWqionormodifrcelionhanthaAr uaTanyl.renegement0imna.Raudemielmnnrudionepp4mtiwuereeeemptlmmlheae
prwisione.
oem: �cd�m:
WORKEN'S COMVENSATION DECLANITION: I hereW elfirm uMer penelly d pe1jury aw d the Idbwi�p Eetluetione:
� I heve aM wil meinl� e cenili�ats d conrnt lo �aX�inwro M woekere' compammbn, u prmiEed la by Saeian 3)00 d �M lebar
COEe, lor iM peAoime�e W �ha xwk tor wMch Ihie partnii ie ieauaC.
I� i new d,e vn� meime'n.on�n.� mmw�� mwrenm. m na���e M sea�on a�oo a me �ee« cme. ror me ro��. a m.
w«k �« �nkh ihia pennu is i»uee. My waken ��ro�ir$yu�gnca�ard pdiq numwr ve: E X P I R E S
Cemec
Polry Number: — � 1� 0 1� 9 7
�This secfian need nof 6a ccmp/ered / �he perml is Iw one huMred ddlan �Stppl w lese.l
� I cendy thm in �he pariwmenu M the work tor which this parmn le iecued, 1 ehdl nd amploy a�ry panon in eny manner ao m b
ber.ana wbjea �o ihe worMers' mma���ion lexs a califanie. en eBrpe Nm ' 1 Mouk become wbjee io tM wahen•
mmpen �/y0 rwupppn oi SeUion 3100 d Ihe lehar Code, I e!W I b Qnh{omp h i�oai provisonv.
De1e: � 1 ��� � I I
Acalium: Wl.
Waminp: Falluro b�xun woMen'ttmpauetlan rowrap� Is un/awNl, ene �h ub) en miploysr ro WM�uI ps�uMu �rW
c/vll fl� W ro ms huntlrstl fMuuM dollen (5100,000), In edrl/flon ro Ms ro�t of rompsiueHon, demep� u prov/tlsd b� ln
Sxtlon 91P6 0l ih� Labor Cods, /nNnat, and attom�y'� Iww �
CONSTRUCTION LENDINO pGENCY: I hemby eHrm urMer penelry W perlury Ihm thero ie e canetmdan bMinp epency br iM
peAartnence d iM xmk iw whiU� the peiml i� oeued (SeUon 309), Civ. C).
LENDEq'S NMIE:
LENUEH'9 4DDHESS:
I carliy �hm I heve reeE Ihia epd�im vM mue �het IM ebove inlamelbn u wrteu. l aprae to wmply wi�� all tlly eM countY �ineMee
end atete kvn nle�iq �a building wnetrudan entl MreEy aulhoriza reqeaentetivea d Ih'a my �o enter upon tM ebas-memioned propeiry
�o`i°'°°`ti°°o°r°°s°'. BOB YODER
Deta: ` �
(5151d6.WP) Whne-Buikvq 8 Saley; Greer�Fla; Cenery-Appicen�; Pink-Revenue; GddanroFAeronor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 078062 PLAN CHECK NO: 02258-96 A
CONSTRUCTION TYPE; V—N PERMIT TYPE: STR
JOB DESCRIPTION : 1901 SF LIVING/ 476 SF GARAGE
CLAIM VALUE: 120,000.00 CALC—VALUE: 157,893,50
��PERM NO: B 07806'.�.
GOVT: N SUPP: N
PORPOSE: NEW
SQ FT; 2, 3'77
GROUP OCC: R-3 /0-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE
�+�*ic � *��***�****itftit*itit*� *itie+�itiEit*�t�tfeit�rie�itx *��x *****�at*�x �**� **iex�at*�*x ie***ie��r��**
Z 0 N I N G R E Q U I R E M E N T S
s s T e A c x s jyOLD FOR SPECIAL REQUIREMENTS
----------- MAIN BUILDING ---------- --------- ACCESSORY BUILDING ------ --
FRNT: 39 FT 6 IN REAR: 14 FT IN FRNT: FT IN REAR: FT IN
LEFT: 5 FT IN RGHT: 16 FT IN LEFT: FT IN RGHT: FT IN
PAR3(ING REQ• 2 PROV; 2 PARCEL: 00000000 ZNE: PDR— REF NO: PA9536
PLANNING NOTES>,CONSTRUCT 1, 2—STORY, SINGLE—FAMILY RESIDENCE. PARK/T.RAFFIC
> FEES•DEF:ERRED TO RELEASE OF UTILITIES. "
!F 1E 1E iE iE iF jF iE iF iE iF �E iE iE iF if iE 1E 1E if jF iEdE df iE �E 1E.iE jf jE"�f �lt-1F �k 1E 3f If 1E jE 3E iF iE 1E �F iE 1f 1E iE 1F dElf 3E Ik iE �E iE iE ff 1E 1E iElF it 1f iF if iE aE �E iE.if iE iE ff ff �E dE iE iE
D E V E- L O P M-E N:T �$ E R V I C E S R E Q U I R E M E�N �T S /
ZONING APPROVED BY �' G"�� DATE: "�! —/1b
BUILDING APPROVED BY �:•, % VC� DATE: 2'I �g�
,N i � � .. �- ' - /��
APPLICATION ISSUED,HY:; ' ' �/� �'� U/�� DATE: �
fEfEfElEfEfE�ElE�EfEfElEfEfFff��)EiE1ElEiElfiE��FiF3F7FTFi�iF3FiF3FTF�F3FiFTFTF��F�F�FTF3F3F�F�3F iE��FiE3Eff�E1E1E�hiElfiEiE F iEiE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 1,177.25
PLAN 191.30
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL
TOTALS----> 1193.04 0,00 191.30 1389.34
15.79
SMIP/NON—RES
PAZD PUE
1384,34 .00
REVENUE DIVISION TOTALS--> COLLECTED: 1384,34 OVER/SHORT: ,00
BLDG PMT PLOMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
1177.25 15.79 191.30
9E �E iF iE iE iE IE iE iE 1E iE �E 1E IE 3ElElElE if 1E �k if �F iE if if if i6 iE 1E ik 1ElE iE �E 1E fE iE �E �E if if !E iE iE 1E iE k iElE 1E iE jE iF fE fE fE iElE iE 1f �E iE 1E iF iE iE iE 1E iElE iE �k if jE if if fE �1E
I N D I C� I D U A L F E E B R E A K D 0 W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 1901 DWE—TYPE V—WOOD FRAME —GOOD 77.90 148,087.90
SFR 476 RES—GARAGES TYPE V 20.60 9,805.60
END OF FEES
' � `, . "' . � _ ' _ ;
lt.'. . ' . _.. .- "•'��
.�-..i
� CONSTRUCTION AN� PLANNWG A_& SPA
APPROVAIS Permii# Date I�spector qppROVALS Permit# Date i�spector
'i. Temporary Electncal Service or Pole ��" 52. Pool & Equipment �ocativn'.
`:-S
2. Soil Pipe�Undrgrnd. „ 53. Steei Reinforcement �
3. E�ectrical Conduit Utility�Undrgrnd. ` �.-f 54. Forms '-'' ��,.--,
4�. Electrical Conduit-Undrgrnd. 55. Eiectricai Bonding •--�
.5. Steel Reinforcement 56. Rough Piumbing & Pressure Test .
6� Electrical UFER Grnd. �Yk 57. APPROVALTO COVER�GUNITE
7. Footings �f/ 58. Electrical Co�duit�Undrgrnd.
6. Foundatiort `� 59. Gas Pipe, � U�iirgrnd., Tast
9. 4Vater Pipe�Undrgmd. 60. Backwash Linzs, P-Trap, V Undrgrnd.
10. Structura� Fioor System --f� 61. APPROVA�TO DECK ` j
11. Property Sewer �ine & House Connection J_.�p, gackwash & Receptor-Fin�� ;;?
12. Sewer Cap �'b'3. Heater & Vent-Final � -�
.�.�
73. Roof Dra�ns 64. Plumbing Sysiem � Final `�
14. Rough Plumbing ��` 65. ElectricaLFinal �,
15. Rough Elearical-Conduit 66. Sotar System�Final --
16. Rough Electric Wiring 67. Fencing & Access Approval �
17. Rough Wiring Sig� 68. APPROVED FOR PIASTERING �I"
78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEh9S FINAL
19. Rougn Heating & Air Conditioning FIRE DEPT_REQUIREMENT
20. Rouqh Fdctory Fireplace . . - . APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, V¢ntilating 77. Product Piping OGas COiI
23. Gas Pipe-Rough & Test 72. Underground Fiush
24. Roof Framing • 73. Undergrnd. Stora�e Tank '�7 Gas ❑ Oil
25. Roof Sheathing � ` 74, Overhead Hydrq
�_ �y" �-
26. T-Bar Ceiling {Str�cturap & Monocoat 75. Dry Chemical .
27. Frame and Fiashing { 76. Dry Standpipe
. � SL
28. �athing & Siding� /s� . 77. FIXED SYSTEM FENAL
29. I�sulation hl��j'F 78. FIRE PREV. FINAL ,
30. Drywall Nailing �/ �` HEAITH DEPT. REQUIREMENT
37. Plaster B�own Coat ��`�F _ 79. FINAL INSPECTIQN _
32. Electricai�Power Meter-Pinal S0. FOOD CERTIPICATE ISSUED
33. Finai Electric� . - - • Notes:
34. Finai Heating & Air Conditioning -
35. Final Gas P�pe-Test � , � �
36. Hood or Canopy
37. Finai Factory Fireplace
38. Final Plumbing . .
39. bVater Ser�ice�Final �� -
40. Gas Service-Finat � � �
41. Solar �oinesiicFinal I� �
42. Backflow Preventer r' '
�,
43. Backfiow Irrigation � ` �
44. Landsca0e Irriqation System �
45. Sound Attenuation '
46. Handicap Regulations , , "
47. PINAL STRUCTURE & BU�IDING /D_. .G
48. FINALPLANNING • � �
49. Electrie Felease to Etlisori •
r.
50. Gas ReleBse to Southern California Gas Co �
57. CERTIFICATE OF OCCWpANCY
No Date •
�
� ��' 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. (52ll
76 f�0�1 Mt�Y'C�u�� S G'�
Permit Number: GRA075893
By Civil Engineer:
4665-GRA08
I certify to the satis(�lctory completion of grading in accordance 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 Prom each building site.
The minimums are:
2% fall from struc[ures within 5 feet from exterior walls.
1% fall for asphalt surfaces and landscaped areas.
0.5% fall for concrete surfaces to approved disposal areas.
The final momm�ents as shown on the recorded tract map were set. All (`mal grading elevations
are within ± �/10 ofthe desiened,elevations.
Supervising Civil
13821 Newpart Avenue, Su
Tustin, Califomia 92780d8�
Tel 714/544-3404
Fax 714/544-3155
�
Clty of Costa Mesa
C�Ilfa�nla 92820•7200 P.O.Boa 1200
Insulation Certificate -
' Pv.-.lt NumDe� �
809 MARQUIS COURT COSTA MESA, CA
NumCer enE Slrlll Clly
76
aunry 9uDui�lwn L01 Numnor
Description of Installation
ROOF
Material _ � �
Thickness (Inches) .
EXTERIOR WALL
Materiai �TT INSUI.ATION
Thickness (inches) 6 3/4" / 3 5/8"
Brand Name �
Thermal Resistance (R•Vaiue)_
Brand Name SCHULI.ER
Thermal Resistance (R•Value) R— R— 3
CEILING
Batt or Blanket Type BATT INSUI.ATION Brana Name . SCHULLER
7hickness (Inches) 1�� Thermal Resistance (R-Value) R-30
Loose Fill Type 9rand Name __..__.__, .._._..._. _
Contraclor's minimum installed weighUft�_Ib. Minimum thlckness �nches
Manufacturer's installed weight per square loot to achieve Thermal Resistance (R-Value)
RAISED FLOOR
Material .
Thickness (inches)
SLA9 FLOOR
Material
Thickness (inches�.
Width (inches)-_
FOUNDATION WALL
IUaterial
Thickness (inches)
Brand Name
Thermal Resistance (R-Value)
Brand Name .
Thermal Resistance (R-Value)
Brand Name .
Thermal Resistance (R-Value)
Declarat(on
I hereby certify that the above inSWation was installed in the builtling at the above locaiion in contormance with
the wrrent Buiiding Energy Elticiency Standards for new residan�ial buiidings contained in Title 24 ot tha
Callfomia Adminstrative Code.
(jnllP�fll CAMfiCIW �e�,ia.�
Sipnamre ana Tl;b
WESTERN INSULATION, INC
Suo�CanVacur �If4uI1G011 I?91GIIB1)
' __�� /�j,�,�a Production Mgr.
Slpnawu ana Tltla
co> .e
4cnnne Y�II bI
481278
LiclN! NymOar
SEPTIItBER 12, 1996
Dsie
Z9 d Llq b£:II 9o—ZT—d3S
.e�oa�ss aeaiw+c: S 0 9. MARQV I S CT uNT:
°"":�"""'E"'�01''" pOLYGON PROPERTIES FI.00D: X 47
Ap0"�' 15717 ROCKFIELD BL
:�pVI�N���pECA 92718 , 714-452-0600
urcN�recTon��a+Esn: LL MAJOR & ASSOCIATES �N0' C-16869
YICX.OPENG'91UUXE55: SSSL N TU5TIN AV �r+T�
SANTA ANA CA 92701
COMNACTpfSN11�:
cwmAcroxs�uuwo
�noxess: uc. ra.:
uhr:
UCENSED COMNACTOFS OECIAH�TION; I Mreby Mim uMr penely d pe�ury iMt 1 em Ikert»E uMs pm�dwn of CMW w B
(commanm�p v.nh Section )OW) M Oivwion 3 d Ns Bus�aa enE PMneion COEe, uM my lic nea u i lull /arce enE Nlep,
cmuc.r+o.:066R4q uc.cuss: B uc.r+ . 65 6 EXP: 11/96
od.:�o �143 � 4 (P ���a:
WNEP BUILDEfl OECI.�RATION: I hseby dlLm undx.psiWy W per�ury ihm I un uemp tmn �M CantMare lioema Lew la IM
Aox'vp reewn (Sedion ]031.5 Bueiros� eM Prdaeeion� Coda; Any cMy a wuMy whirh �eyuiree e pe�mil �o mnaM1ucl, elte�, imDrwa,
.wndn�. a ropei ury �Wclws. prior u Ya eweMe. NN rspuirp IM epd�� �a �uch pamtil lo Ib e epmA �teisme�u IIW M w�M
u IironseE punueni Io IM poriuma d tM Camreeors Limnea Lew �Cheqer 9(mmmer�erp nilh Saaion )000) of Dv'sion � W IM
Bu�inaa entl Prdeaiau Cods� a IIW M a ahe is eaemq thershom uM Ihs Eeels Iw Ihe �bped ezemqbn. My vbletbn d SwM
,]W t.5 by enY aGG�M la a p�rme umjea� tM epplcM� to e tivil perolry d ipl mora �hen INa hurdred dolbn �i500�).
� I.mowrordlMpopeNYamY�WM��hwepwnihx�deoompenWbn.xillEOlMwsk.eMNs�Uuctun'srot'uNeMM
a ollersE la We (`�a� )�. BudMn W Prdasebna Cods: The Conlreaan Lkenu lew doae M epplyto en ownerd propsM
wlw buida ar inpww Ihareon, ud r,fio dose eucF � M1�xM a Mnar w Ihraph M a her own emplops�, provldsd IhN wc�
impa+mac� v� nal iMendW p Wrad la veM. N. Mwe'.+r.lhe WiMiip a Ynpov�mwq i� �old xilhin wYw N complMian. IM
owrwbuJEx xill heva Ihs WrEm W D�'��C ha or eha did nd W iIE or Impmm la �ha W�� d W�).
�] I. m ovmer d iM pops�ry. em udundy oon�raaYq �Ih lironmd contrectae b conarua IM qojod (Sepion ]OL1, Buri�a eM
Prdwipu Code: TM CoNradm licenss Law ADae rwl epply w on ovmer ol pmpeny who buiNa a impovr thamn end wfio
wwecb br wMi pqetl� wEh e mpretlor(s) IcenssC WnueM lo �M Conlradan liama Lew).
� I em exemq unda SscUon: B. b P.C.. lor Nis roeam:
Dela: D�a:
I tlo �ereby urNy �Mt I em ewere ol uM wMeniand IM �puiremems W CelAomu HeeMh end Sdery CaAa Sepbm 25505.2SV3. eM
255]4. eM NN I a enY �un buJdi�p ompen� v.�T / wil nd (ticb one) need lo canply wih �eid ntls wEm uM IM'eyu'vemenb la
e pennu loraonelnklion a moEif�mtion hom iheRk�liy�arapemem Di¢tnq, Revidenliel mnal�ud'pn epp4miareen uemq tmm ihma
Porisiont.
om.: noa�m: �
WOPKEfl'S COMPENS�TION DECl�R�710N: I Mrsb/ elfiim uMm peneMy W parjury w�e d the lollowiip Eetleretiona:
❑ I heva end wil meinten e cMAkeb W oonamt to �eMineun br Mmken' mmpenWion. a� provided fa by Seuion ]]00 d iM LeEor
Goda. ta �he pertmrerca ot IM xak irc whieA thii Oeemn is ivued.
'�] 1 M1ew end xil mvmen workeie' oompmu�on imu�+rce. a+raquired by Seqim 3100 d Iha lebor Code. M iM parlormenm d �M
wark tor rf�A tluw W�e u emued. MY worken' oomWmeiion imurerce urrier ud WkY number era:
�� �YPR�'GG TNG EXPIRES
Pd'cy Number yr�6-�g�i-�-S . O 1/ O 1/ 9 7
(TIJs section meE mf M mmpleroJ / tM ymmt ie /n Ms huMisC ddlw /51001 a bvaJ
� I �ently Nm in tM pMamence d tM work br whGh Ihie pe�mE ie ia Nad, I ehell 1 em �doy ury pe on in eiry menne� �o n to
becane wWed lo tM v.arken' wmpenWon 4�re W Celibmie, id epree t 1 I houb be na wbjed lo IM xvNr�'
coIm ion qona �d Sedion 3100 W �M letror CoEe. I ehall f hwnh m wn Ipy pro ' me.
Otle: l(j���Li// AVd'ram: �
�
W�mlip: F�llun ro�ecun roilrw�'rompNwtlon co✓���p� l� unl�wNl, �iM �MII sW/Icf �n xnp oyr ro crhNKl pm�ltlu �M
clvll flrw� �y ro on� h�ntlrW tlaua�ntl0a/bnlif00,0�01. M Wdltlon ro tli� ewt ol compxu�fbn, Mm�pu �� proNCM br In
S�ctlon 9M9 al M� LNor CoW, /nfxuL �� �nom�y'� M1u.
CONSTflUC710N �ENDINO AOENCY: I Mroby alHrm uMer pnally d pmjvy tIW then Is a oonqrutlbn yMi�q epenry 1w iM
peAwmeze d iM xak tor xhiM ihe pemi b uaatl (8wion 30B], Crv. C).
LENOER'S NAME:
��oen•s �ooxess:
1 qntlyllw I Mv� rad Nu epplieeiion ud atl� IhN IM �bwa Informelion h emM.l ep1w io comply vAlh ell tlry eM couMy ordir�enw
eM tWe lew� isW vq to EuiMrp con4rWbn eM Mreby eNhprixs iepawnletivp W Ihle tily lo enter upon iM ebo+�-menlbnM popxly
ld inpettion Pnposse.
nnt Neme G� J O /� //
Oa�e: � tl (
&pn uro d O�m�erlA mVApplul�✓Conlmpa
(5151�1e WP) WIu1s-BuOdip d Seh1y: Ors�n-Fls: Canery-�Opicenl: Pink-Rawnua; OWdonrod-Mwpor
_. _.CITY OF COSTA MESA - BUILDING PERMIT
✓ PERM NO: M 078204
PERMIT NO: M 078204 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V-N _. PERMIT TYPE: MEC PURPOSE: NEW
JOB DESCRIPTION : 1901 SF LIVING/ 476 SF GARAGE SQ FT:
CLAIM VALUE: _ CALC-VALUE: GROUP OCC: R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 1/ REF B-78062
**�**�t*x�*iE**�*+ex*it*ie**�r+�*if*+rif**iFiF�ciaitit*iFiE*iair**�r�r+e*+tit**ititiE***it*�rifie*itit**ifx�+t�t�r**�itie
Z O N I N G R E Q U Z R E M E N T S
S E T H 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: 14151132 ZNE; REF NO:
PLANNING NOTES> ,. �
•.. � :.
, 1f fE iE iE 41E M k 1E 1f if iE 1f iE 1E 1f iE iE If iE iF iF if 1F 1f 1E 1E IE 1k 1F iF 1E iF 1E iE k iF M 1k N Ik 1E 7E,IE 1EiE 1f 1E 1f ik1E M 1f if 1E 1E M if k iF ik 1E 1E iF ik M 1k 1k iE 1k 1f if M 1E iE ik 161F ik
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 HY DATE:
B�UPI.DING APPROVED BY : � ' �� DATE:
APPLICATION ISSUED BY: � _ DATE: [�-�� Itp
ik iklk 14 iE iE 1E 1f it 1f IE k ik 1E ik ik ik if iE 1f 1E k 1k iE 1k 1E 1k IE IE 1E iE iF�{FiFif if
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PEAMIT_ 29,25
252 SMIP/NON-RES
PLAN ' '
ISSUE FEE � 22.00
BUILDING-DIV-> PERMZT ISSUE PLP;N=CHECK TOTAL PAID DUE
TOTALS----> 29.25 22,00 �.� 0.00 51.25 51.25 .00
1 �
REVENUE DIVISION TOTALS--> COLL•ECTED: 51.25 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
51,25
K 1E M i(� 1h i(� iF 1E fE IE fE 1E if if If iF iF 1E IF 1E iF 1E iE 1E if 1E iF 1E 1E iE 1f 1f ikiE fF IE iF 1f 1f ik 1(� 1E if IE 1E 1E 1@ IE iF 1E IE IE 1E 1f 7(' 1E iF iE IE if 1Fif iE if 1F ik 1E if iE if if iF 1E IE 1F 1E iE iE k
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
MEC 1 INST FORC-AIR/GRAV•FUAN <= 100 K BTU 13.25 13.25
MEC 1 INST HOOD W/DUCTS EED BY MEC EXHAUST 9.50 9.50
MEC 1 VENTILATION FAN CONN TO SINGLE DUCT 6.50 6.50
,END OF FEES
l
�` .
, �...' .• ' �iV. '. ..
1
CONSTRUCTION AND PIANNING x F _& SPA i
��' APP�iOVALS Permit# Date I�spector qppROVALS Permit# Date Inspector
.1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Sqi� Pipe�Undrgrnd. ,� 53. Steel Reinforcement
�3'�Electriwl'Can9Lit U[ility-Uncfigrnd. 54. Forms �
��El�lt�ical�(��uit•Undrgrnd. 55. Electrical Bonding
Steel ReiRfcffi,�¢lnent , 56. Rough Pl�mbing & Pressure Test •
r, �
_,�%:Electricalhl�E�'R Grnd. � 57. APPROVATTO COVER-GUN�TE
.pJf_..;Footings er�.. , ��- " - 58. Elettri �'t�i drgrnd. �
_?BCFoundati�i-� 59. Gas Pipe, n�l� �., Test
�4Vaier Pip�i drgmd. 60. Backwash Lines(,iA-7rap, O Undrgmd.
10. Str4ctura loor System ��„ 67. APPROVAL TC�}ECK �
77. Prbperty ��wgs;Line & Housevionnection 62. Backwash & Receptor�Fingl
12. Se�er Cap �u � 63. Heater & Vent-Finai `�
r� �n
Rd1f Drains '�'
?,3- 64. Plumbing System � Fina�
C¢. Rough Plumbr-ig !*; ' 65. Electrical-Finai �
1b. Rough Ete�ctricabConduit ? 66. Solar SYstem-F',�+. �
�'i. ftough E�C„tric Wiring , 67. Fencing & Accc�S3�Approval '
77. Rough Wiring Sign � 68. APPROVED F.(���,Fj?�LASTERING
"
8. Rough Electrical-T Bar Ceiling` 69. POOUSPA SYST�NIS FINAL �
19. Rough He tinq &q ir Cond�tionin� }� 9 F�p nF PT.,BEQUIR�ME�7
C� (1r, n 7. ���-�� y: . rO' *S-�im�-. 'ri iF.
20. �u� Fa^p'jory�Fir ace _ -t �G+�� > " PPhtX1V8J,�.`�-��Pe�it #-i � t^^ �
Y� C_ .+
21. !ct in'Strue�.ur�* ' .... �" « S '-' ��� '70. S(nder�iz}tr�u� H�ir° *
� x
22. G�uc[�V�ntil�in90�T� �� .K G d; CJ FK .77. Prod4�m@Sping �das O�I
23. Gas Ripe�f?bu & T25t LT.� * m a� Q 7* 7Z. Under r� F * �""'
x * 9 4.9`i � * �
24. �aof�ra�ng.. 3� �--+F �.• v e^ �. r,., z
q rr�: •73.;Undergrnd.StoiGJ�Tankyi7Ga5 ❑Oil
25. Roof�he�hing cii a at �� v��� Ci � j r 74:' Overhead Hydr�c, t
T' t H� .� " L'• i Y. C r.
26. tGBa�,�eiling (Str��ral) & M1'IDgosoat y�] y �* 7�gpry Cheraical F•^ � SS
27. [car�and-Flashingi�i Dttc� r o' .� �M 76. Dry Stan . e E'� * ^ ""
- -� n �.� r. Y # p N
"'`28. Lach�g F�$idin r�x v: �,a� � x E ••x v� .•.cn � *
E.. 9 x r, �t., C * ��� 77- FIXED ^.�W.'TE�[�INAtr !-a . OG
29. Insulatios� `-��' J 5 • �� 7� FIRE PREV. FIN�L �' a' nC
- n c �-, 1 �
' 30. Drywall P:ailing '� y._, � * r, � iX S �€:4LT �,F�',DEP�, REQUI ENT
_ 31. Plaster 8r3w�cCoa(C= S i^[*' .R � � 7g.�F1NAL I�ECTfaN � ��`* i
i r i f�v H Y'�'t �ii���.
.32. �(ectr(cai�ow� N.�-,��r�i�i � � N , �''` 'SOnFOOD CEiiTIF�ATE 1$�y;EGI.� �r�-;- ,
^33. Et�ah+Electric: S� c*� i ¢ � � �a �N�tes: � � �,t- * �-' O � �� � �
^ � ���i�.iLdZ_rt�^ -
�34. �a14"Hieafyng$iAiT�o�/'+l`ionirx�5 nn., j� �„�� - � L�T s ��y�L+'�� �'
35. �mafGascEi e-'test r. • ����s�`� ~
P � X ry I xo tiv+ x
x ." cd�
'r36. F�oo�r CanoPY �.*� � �`.� " '' �� �` � (�o x �+t^
- �. ¢ n �.^ a 1bs7q�s� � r•, xc :;- ��tr-rr
�- t*r-
^37.�i�alFaciCryFireplaCe�X ;-'-� rv�a,.r_G.Lf i r x�. i.+ x o�7f.
�LT�= CJ �� t JK:*`
_38. Final�lur�ing J" N * � � S•�. • �-. �
, � t C�] s i !-+-az; o [� � �SC
�39. Water Service�Fina�,y g ; * q � r' •. _ ._ �.� W�,-�
�z � H f� F
�'•40. Gas Service-Final �"*� m Q�T'�" � '� n � �, �+ c�c� t
- � llFc^ .^• * �� F • fvE * C
.`41. Solar pomesticFingl,r �-j �; � I p+ -;N Q; *� p
- c �'
42. Backflow Prev ter" �� � ! � '� >F � O �-
� o� c� U r-� r+ *� * n: t*7 O � F�-+
43. Backflow irrig�ioni* r�' �; a * u � M� n ...
* :i!'L L
.�ndscape-lrrfSation'�ystem ��� Q � m d dM • r� �� S�� M c rv
��d5 !*7 x �2 '�* S S v GG s S i-
und Axenyation : �... �: �r mx C O' rC • F'7 �
- .. �.,
4b. Handiwp Regutation� � U » .. ..s . m O C�v � *
S *S
47. FtNF�STRU14TUR -& BUILDING x F, �� i b• x F,
- r
48. f�l A�PLANNING'w `,� �n; ; '- .� � N S * �
49. Eiectrl� Relea�to E �son �' � d •i� ;� -
� � ��� � t� .. N
50. Gaz �lease to South$m Califorr�`�'iasCo �� �" °r' `_' � • on � �' • • •
r� r. . '» :"1 # c� c�:fv::i
51. CEfi�1FICATE OP CICCUPANCY •• � � -� •
No, Date
Polygon Lifestyles
,i Costa Mesa
Plan 1 Lower Floor
HVAC Layout
LOT ��
PHASE Z
�EE� A'�� TD
F 1257 F! DD1Z
�AFb —
��
, . �
Polygon Lifestyles
in Costa Mesa
Plan 1 lt�er Floor
HVAC Layout
LOT 7 �,
, rIASE 2
-1° t�0 i c- YC`-�I E_= LNnN6:
ID • 8' 8 W ITF+ S DDuJN
�
�S � 1 C.. �i �' ' I G�
d
N�O�
FAM►LY QM
14 � (� PCB
LD�` r Zp''Y eAFA
I`1 y 10 �
DINING �M
LIVING �M
14XIoFB
D� eF Qo i5}i�
�t�-
kiTCHEN
��.
GA�AGE
' N!S'.►JFB�ILqNG: BO9 �"�liR U15 �-T �1 UNT:
.wn�a'sr.rateiFa+am: POLYGON P OPERTIES � FLOOD: X 47
' � ApDPESk 15717 ROCKFIELD BL ;
�
RVINE, CA 92718 714-452-0%600
MPL.MANNGAOOPESS: � ' � ]' �
i
AXCNRECTOHEIIf�NFFp: LL MAJOR & ASSOCIATES uc.xo.: C-16869
AFCX.OPFNG.'S,N�NE55: LSSS N TUSTIN AV uxT:
SANTA ANA CA 92701
CONiIiRCTOR'S NAME:
caxmncrox�s wuuxc
�oonEss:
uc xo:
UNT:
LICENSED CONTPACTONS OECLAFIITION: I hereby eRirm under peneXy af peijury ihe� I em Icenaed uMer pranaions oi Chaqer 9
(commanciip wilh Seclion J000) of Divison 3 d Ihe Busir�eae vd Profeeaion Code, an my li nae is tull larce end eHed.
cmuc.No.:/0661/�1y4 uccuss:B uc.No, 65 26 EXP: 11/96
o�a: �d ! � � ! / � — ca�vaao,: i
�WNEH BUILDEfl UECIAHATION: I hereby effiim undar penelly ot per'ryry I em eKemq irom Ihe Conlredan Licenae Law la the
Ilowing reemn (Seaion ]031 5 Busness end Grofessions Catle: Any cily a munly which requires e perme ta mnavun, el�er, improve,
demol'sh, w repe'v any stm<Wre, pior m na esuence, also requiree �he epplifam lor such parmn m fila e signed slelemenl ihet he or she
is licensed purauent ta ihe prwisiom W tM Conlredors License Law �Chepter 9(mmmeiwnp wnh Sednn ]000) d Oir'sion 3 oi Ihe
Bueinaea end Profertons Coda� w �hel M a ehe ia examq theraham end tha beaii Iw the elleged exeinpton. Any volMbn d Sed'an
)031.5 by any epo�ie�ant la e permA subpds �he ep0lkant to a crvil penetly d rwl mom ihen five hunEretl Eollere �8500�). '
� 1, es ovmer W Ihe propeny or my empbyeea wilh wages es Ihair sda mmpensalion, will Eo I�a wo�c. enC ihe sVudure � nM intended
w aHered for sale (Seclion )OCd, Businese arM Prafes rona Code: Tha Contrenors License Lewdoes not epplyto an owner oi properly
wno bmim a� �mwwaa merao�. �d wno aoas s�n �M n�m�,n o; na�en «�n.o�,an na a na, o� emoiw�, o,�daa inm �n
improvemams are iat inteMeL w oHereE for sele. H, however, the tiuiNirg w vnprovemant ia soN wnhin ona yeer M mm0lMbn, ihe
p ownarbuiMer xi0 have the buMen N peoving he or sire CiE nM EuiIC or improve for iha purpoae M aele�.
¢ I. es awnar W ihe propeM. � axdusrvey mnt�edin9 �h licenaed canvectara ta mnavua Me prol� (Senion 1004. Businma eM
Profaeaions COEe:�Tha Gontrenors Licame Lew daea nm eppty to en owner W propeny who buitls a impoves ihereon aW wha
<onirects lor such projeas wflh a mmreaoqe) IkensaC Wnuanl to Iha ConVedora Licensa Law): '
!
� I em exemp under Section: B. 8 P.Q, la thia reeson:� ��, i '
Date: Ovmer:
i do na�any canM ine� i em ewe�e d�e u�wa���,a ma .eyuiremanis d ce�nom�e r�enn ena se�ery coae sea�ore usos, zss3a, �d
25534, enE Nm I a eny Mure WilEing a«upenl will / will nm (circle one) need to wmpty weh aeid ateie wdes enA iha requiremenh br
eparmntamnsvucibnarmadifiWionhantM1eA'v u-6TyT.�egemanlDisinp.ResidentielconslrudionepM�ipreereuemptimmtheee
provisions.
Dale: APC�w��
WOHKEN'S COMPENSATION UECIARATION: I heroby aifi�m andx penelry ot perjury orw d ihe fdlavnng dedere�iona:
� I heve end xiY meintein e cerlifrate d camm�t io aeH�nsure br xnMars compensetion, es provideE for by Sedion 3]00 d the Lebor
code, l« tne pertortnence W Ine waA Iw wnicn Inis parmit is issueJ.
�] I heve end wil meinian xrorkers compansetion inaurence. av requirad by Sadim 3]00 M Ihe labar COEe. br iM paAarmence d the �
' work far which ihis parm� ia iaued. My wakers�y����y�a,ct�� �a �r� ��mm. �: E XP I AE S
c�"°' — O 1/ O 1/ 9 7
Policy Number:
(This eettion neeE not be mmplefeC N lhe peimAis ior one hunCreE tlollars /S1P0) or IessJ �
� I cerlity Ihat in �ha parlamence o/ the work br wM1kh Ihie pe�mi� is ias I shell q e dM �Y Ca o� �� �Y menner m es to
became subjecl b ihe workars' <anpenaetion lavn oi Celilomie, a agrae R slwulC bec e aubjea ta �he woiken'
compa n provis ns M Sedion 3)00 oi iM1e Lebor Cada, I shell 1 wnh m N� thoae provis ns.
Dele: ���� ADDlkent:
WaminO� Fallun ro axaro wo'Irxe'romperuaHon coverepsls un/awN, entl shvl/ a✓b/ec! an employsr fo ctlM�u/ perwtt/u anC '•
c/vll nrros up ro one hunLreO tMueeM CN/an (Sfo0,000), In add/Hon ro Ms cost ol rompeiva0an, 0emepss u proHtlsd br /n
SxHon J]O6 0l Ms LeborCotle, Intenaq an0 attorney's /esa.
CONSTFUCTION LENDING AGENCY: I hareby eifirm uMer penelry ol perryry IM1at there ia e mna�mdion bndi�q egenry fa Ihe .
periormance oi the vmrk for which thb peimn is eaued (Senon 3091. Civ. C).
LENDEfl'S NAME:
LEN�EF'S AODPE55:
I ceniN �� I have read this applcmion end state thei �he ebove iniorme�ion is cortecl. I agrea to compty wnh ell dry end munry wdinencea
enE siate lews releiing m building wnsvuaion ard heraby emhor¢a represemefnea oi thia cny lo enter upon Ihe ebove-manlioneE properry
br insGeclion Wrpous.. ,., , " � .. .- ,,.Y..._ .'" '.... .,,�
i P��� N.
s11��v� � _
�a�a' ���8 9(� �'
Signe�ure of wner/ BenU VConvenor
(5151<6 WP) Whne-Buildifg d Sefery: Greeo-Fle; Cenery-ApplicenC Pink-Revenue; Goldenrod-Assassor
CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO; P 0�8170 PLAN CHECK NO: N
CONSTROCTION TYPE: V—N PERMIT TYPE: PL[J
PERM NO: P 078170
GOVT: N SUPP: N
PURPOSE: NEW
JOB DESCRIPTION : 1901 SF LIVING/ 476 SF GARAGE SQ FT:
CLAIM VALUE: CALC—VALUE: GFOUP OCC: R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 1/ REF B-78062
it itlf it IE1E ff 1k i! iE it i6 iE it iE iE iE ilik 1E 1E iE if ik itiF ikk ikr ik it iF ik iE ik iE itif it iE iP it 1E if If 1E if 11� 1k iF iF iF iE iE 1E iF itriFft i6 iE iFltlt �t it if it itr fk if 1E iE IE fF i! iF it
Z O N I N G R E(j U I R E M E N T S
• S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BDILDING ---------
fRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN AGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 19151132 ZNE: REF NO:
PLANNING N(5't'ES> f'
. ' �`;?' " , '.
if iE 1E 1F1E 1f fI' ik 1f 1F,1E iE iE 1flE M iE 1f iE'IE� 1F 1E 1F iE 1E 1E1f if 1E 1E 1E 1E iE 1E 1EiE 1E1E iFif 1Ei41F iE 1F 1f 1F�iF11' if!! IE 1E 1E ik IF141F'Ih iE 1k ik 1i1E iF iI� if iF iE 1f fEiE IE IE IF 1f ik ik iE
D E,. V E L O P M E N T S E R V I� C E S i�,' A-E .Q, U T A E M E N T S
ZONING APPROVED HY ' {j �' � � DATE:
� I
BUILDING��PPROVED BY : �� 1' . •.i�i� .' � ' ,i DATE; /
APPLICATION ISSUED BY: '� ' Si� ' DATE: Co ���� %�O
�t * it+e+t * it * at * �r ** �r x� * x� �c it �r x� it3FiF7F"f� 7€iFiF'iF'if7F{F* �r * �t *�t x� �r **�iF7F� *
LEGALIZATION:N F E E S U M,M A R Y STRUCTURAL SEGMENT;N
BLDG PMT PLUMBING ELECTRIC�MECHANI•C " FIRE SMIP/RES GRADING
PERMIT 180.50 �= "
25t : - '- -,. � '� ,, , SMIP/NON—RES
ISSQE FEE 22.00 �" �� �� �
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK ��•�TOTAL PAID DUE
TOTALS----> 180,50 22.00 0-:00 ' 202.50 202.50 .00
REVENUE DIVISION TOTALS--> COLI;EGTED� !, f 202.50 OVEA/SHORT: .00
BLDG PMT PLUMHING ELECTAIC MECHANIC � FIRE� SMIP/TOT GRADING PLAN—CHECK
zoz.5o _
.
*,«,�**�*����,�*�**������«����*,«,�,�*�,��*������*�*�������*,����,���,�*�«*��«*���������,�«���
I N D, I V I D U A L,' ,F /E E B R E A K D O W N
,TYPE._. ,�.„„Q.T,Y ...,..„ . D. E. S_ C_ R I P T I O"N , ..
PLU_, __._. . . , 2, HATHTUB " , , ,,
PLU ..., _ . 1 DISHWASHEA • ' ` � '- ' ; P: .� .
PLU � 1 LAUNDRY 'fUB OR WASHEA• �, .-;'�� ,, .
PLU 1 SHOWER � .� '" _ ;; ,
PLU 1 SINK, KITCHEN / 'J
PLU 5 WASH BASIN ' %"
PLU 3 WATER CLOSET (TOILET).�,"^,
PLU .'. 1_ � WATER HEATER AND /OR VENT-•
PLU 1... WATER SERVICE •-
PLU 1 GAS PIPING SYS OF., 1 TO 4 OUTLETS
PLU„_ _._._ 2_..._ . GAS PIPING SYS . 5+ ,:OUTL—PER__OUTLET ,
t .
Lili�ill�K��Y
8.75
8.75
8.75
8.75
S.%5
8.75
8.75
11.00
_, a.�s.
. . 5.50..
-- . _.1 . 00 �. . _.
TOTAL COST
17.50
8.75
8.75
8.75
8.75 .
43,75
26.25
11,00
8,75
5 . 5 0 _.,
.2..00
! CCff•75TRUC710N AND PIANNING t �& SPA
S� �AP�OVALS Permit # Date Inspector APPAOVALS Permit # Date Inspector
• � .
1, YAihporary Elecirical Service or Pole 52. Pool & Equipment Location
• 2. So�,l Pipe-Undrgrnd. � �-� ��y 53. Steel Reinforcement �
po,� �lectricat-f�ores�uit Utihty-Undrgrnd. 54. Forms O�
`�` Eitetrica�b�r�uit�Undrgrnd. 55. Electrical 8onding y
5+� 54eEt fteivf��¢�ment 56. Rough Plamhing & Pressure Test d
: xa� Electrical��R Grnd. � 57. APPROVAL TO COVER�GUNITE .
tr,� FootingsQE., 58. Electrical Conc}uq�Undrgmd.
tC87 FoundatCF3r5 59. Gas Pipe, O U�11�rnd., Test
i,
�"Q W�jer Pi�, ndrgrnd. , 60. Backwash Line�P.Trap, O Undr rnd.
m� � Z7 �i'� ��f 9
t0.51ductur�FioorSystem '.,, . 61. APPROVALT�1'�7ECK� ,
t t, pr��b'perty`�ew�� Line & Hous�onnection � u�� � 62. Backwash & Receptor�Final
12 S�ver Cap � ' 63. Heater & Vent-Final /
,?,3. Rp�f Drains � , 64. Pfumbin� System � Final
` 4. Ftough Plumtw�g r.^, �_�Q.-16 � 65. Electrical�Final ,. �
'�'5. fiough Elyctrica6Conduit Q' 66. Solar SYstem�F',�u�aj '
,}6. Rough ctric Wving ... . 67. Fencing & AccGSs Approval
�7, pough V¢faing Sign � 68. APPROVED F��PLASTERING
�'18. Rough Electricai�T Bar Ceiling 69. POOLlSPA SYS�GEMS FINAL
79. Rou h Heatin & Air Conditioning ' F E T EQUI EME T
�. , ,. v� w x � ci��rP c� � ,`��. arn ma�r�m rr
i�:*� ¢^ � a rr ,� G m x >+ -+��..y._.,';� .,�
20.:�oush F4�Cto� F��lace � e�,. Q,y * S r., ,r r� APP�O�A�.�.�H Pecmit #�_ - p,ip�� �:.�
2�, 1{�UCf°i, 1(�SftSLllin.IK f•• '• -�S 'K S � H* ^� '=
�, �,, r, �.* 70.f,'1�J,ndeF� .d 3drp *
22.Juc�. V�til�in�# � . # * �y 9
� C� * �CJ K G � � � 77. Prodtist i in � as Oil
tr�
23. ��ias�'ipe o� & TBst i� !*�S �,ft�f�T'� �� 72, UndergrEL�t�d F�Is'� * F'
24.rrioo�Fr2r�ing' 3* �FF ^F �> O� H* . �� Undergr d.S[aa�Tanl�OGas O�il ���J�
25. i7oo�.Sh�thi�g N* �y v'e K� C7 T Nt 74 Overhead HYd Q, x
26. �"�`>�Ceiling (Stre ral) &,4Tl,�.a oat K � � � m* 7� pr Ch iral � �~ ��_ � "�
a�. C"`3� �� �K J Y 01c � Y e7i�ra F�cn �k e;... ,^�,r!C,'QrL 'Q'�C
27.;Er;.:� aud Flashir,.g� ��� * C r s* 76. Dry Sta .$tpe`'m'=� * y � w� i^xf*;[T; ..
r5s, "tfi SC Q�O�
^ 28. LatMSng�SidingQ� � '�F '� * �- •." 77y FIXEDE.�Sri�T��Vv:��., �- mN :.�C�:. 'o C~+�'
29. Insulacirns r,x S •• K� 7� IRE=PREV. F� L*> � m n'-'h'� Sn
� �
�30.Drywailtyaiiing �'* * I "' �''' ��ALT�DEP'�'.`TiE�11REM�Ni' ���'
*.. i sH Sr�-, o r Fc�itic��
,� 37. Plaster 8�iwr(Y'.oa�7# S � T'[T' � . 79. FINAL CA1 ECI�� N M� a -�T �N(u
a � �E Eu ., :
�" 32.,¢,lectri ovier ��f�final � *�� ` 8('� FOOD CEfiTIl��i TE I�$�JE¢, r� �.�•
g 33. �in�'�jEl c ri� Sx t*1 i .r, �x � Notes:�_�i'� _ ��� ,nW . � -
�L� � a+
34. �'FinazFie�inc�& AF6���S'tior4i�S �,, * :✓ j ^ �n� :��G ��j���,.� S �_ c%�J _ ��
S,t / a.._�. ----'K�",t+U- /�'�
i 35. ,�ina Gap�f'ip : esi * p� .. �b•� •� i x<' n� r. f.,•,
_,. �_LLsl��`.}�ll_Ef�`,7i��L�tc� _
36. Hoo��or ranoPY Q* �n i�c�: a � n I `�r22'�b'co ��. ac'•
15
=n . . , � ----�- � - -
37. canai.xaCtory Fireplace x ��•[-. a: * kk O
_ �� �t�-1-� t?v�c�e_?'_��"- -a�c -
� 38. Fina�'I�bing � r t*fn' i u-��'zrj - ' r � _cj -c, �5t�5 * � ,F
�� ���_p .c�-A� �Yt---G-�c*�--s� -
� 39. EUatEi $ervice-Fin�'j* � � L cy/ i:r�-+ E-fT;
, x "-}-�_Lb C1S -ZS � � • C�� _ . 1%
� 40. Gas Service-Final �* !T, �6, F� �'�G � F'�! oE * d
. 41. Solar pomestio-Fi��` S �j �� * �- `'�� � in -�o p� :�� p
42. Backftow Prevente9x ��� ry�,l�� : � �, � �� * G '^
� � F `'"
43. Backflow Irri�tion * � -� x i � C1 • • • •�� V •� J •
a =�ti��
t�f4. Landscap� IrR6atior�System�m� G *�'`� C O� , n7 n: v� xCJ * N NN�L)NNL'L10.VGO
� ¢r � � o oa * s t-
,�. ��u�d F�{tenaa[ion� y ..`.. ' � � � �;# � a o� � • F �
a26. Nandicap•Regulatiork '�+ � * � � � � ��' �5., *
�T.
,�,7, �iN� STRU.CTUR� & BUI�ING * F., � i p� * F
48. £INFi� PLANNINGM � F'E- w �� � m '4 ` `-"
i * :J (�3 S + �
',`_49. ��ect.Ti,'c Rele�e to E�lison � * � _ * ,� .n ;� J a�r.-
� �
-c, o.i
50. P,as 8elease tmSouth2m Californi�Gas Co * � ' I� �-+ � • �=�'% � O • • • - • • � • � � �
� � s i, * n; r..:.-�.-t�✓�c.ro.�n,o
�61. CEf�i1FlCATE OF �CCUPANCV M � " "'- ��"��'' ` `
No. Date
��'roNESa OF BI�ILUING:
OWNERSIJ,WEIFqItlNN:
` � woness:
APPL. WJIING i100PE54:
NCNRECT ON iNtlNEER:
ARCN.OX FNG.'S ADURE55:
CONiPACTORS N�IIE
CONIHACTORSNNIING
�DDNE55:
uts
UNT:
PEAMIT NO: P 078170 PLAN CHECK NO: 02411-96 N
ff ik M if fk ft IF if it it k if if it it �F iF iF iF M iF If iE it it if iE iE M iF 1k �E iE 1E it ik iF itiE it iE iE if it i61t it if k it iF iE it fF 1t iE if iE iE if iE ik 1t fE iF fF�t 1t it it �E it if 1E 1E ft ff it iE
TYPE QTY . D E S C R I P T I O N UNIT COST .,TOTAL COST.
uc.xo:
uNr: PLU. .....____. _ 1 GAS SERVICE 8, 75 __ ,_ 8, 7,5.
PLU ..1__. SEWER, CONNECTION TO BUILDING EACH 22.00 22,00
END OF FEES � -
uc.xo:
UNT:
LICENSEU CONTNACTONS DECLAFATION: I Mreby eflim under pereXy d perjury Ihel I em Icensad uMar provoiona d Ghepter 9
(mmmenunp wilh Section J000) M Drvision 3 M ihe Business aM Vmfasaione Catle, erd my limnae ia in lull lace end eHect.
CfTY LIC. NO.: LIQ CLASS: LIC. NO.:
Dele: ConVedoc
OWNER BUILDEF �ECLAR�TION: I hereEy aifirm unEer penepy d perlury thel 1 em axemq from ihe Caniredan license lew lar the
IdlowinB re%�� (�ion ]0�1 5 6usvreas end Roleesiorre Coda: Any c1y a munty whitli mquiree e parmn io mnaWct, aller, improve.
damole�, a mpei eny+vucwre, priw �o na esuence, also rxryirea ihe epplicenl im euch pertnA lo fib e signeE atmement ihet he ar eM
ia licenseE punuanl �o Ihe panaiom d tM Conireaas Lirense lew �CM1apter 9(oommantlrq wilh Seeion )000) d Div'spn 3 d iha
Bwiness eM Pralaniwu Code� a �hel ha w eha is eRemp iherehom eM tM ba+io la ihe dbped ezemqbn. My violalion of Setlian
J031.5 by eny ep01vsn1 for e permil eubpaa tM eppliceni to e o�nl panelly ol iat mae Ihen IFa huMred ddlen �5500��.
� I.esowiwrdlliepropenY«myempbyeeswlhwepas siheiwlammpenae�bn.willEOlMwak.eMiheMiucYurebnainteMed
a ollered br+eb (Sec�ian )6u. Buarev arM Prdassions Code: The Conireaon Licanae law doaa rat eGdYmen owne�d propany
wlw W1Es a inpowa ihereon, eM w1n Eoas auch wwk Nmxll ar henetl a ihrouph he a hm own emplv/eee, piovkeE tl� wch
�,wa*m,�u,,. �a �m�e «onerea i« �. n. no.�c ine w�u�m a ma�am 4.da.vn�� o� r�. a o�d�oa ub
owrrer-0uiMer will heve iM burden d proviip M or ahe d'd m� build a imqow lor �M WP�e d aele�.
� 1. m oxrrr d iM YoOsM. em exdusHeN contraM^9 xith IicenaeE canirecton ro m�mrud the V�lap (Seqion )Wa. &ceimss eM
Pmfeanns Code: TM Conlretlon Licenae Lew tloes ml xppy b en owrcr d propeny x1w builds a impwes Ihareon aM who
mntrecta Iw eud� prqade wiM e mmrmor�s) Icansed W9�t to tM CwNretlon Limme Lewl.
� I em aRamp uMer Saciian: B. d P C., la �hn reamn:
oele: owo�:
I Eo Mreby cMJy Ihel I em ewere d eM unAersteM Ihe reqviramanla d Celilomie Heellh aM Seiely CoEe Sed'am 25505, 25533, eM
?5530, arM ihet I m eny tNure DuilEinp omupeni will / wYl nm (arcb ona) need b mmpty wlh eek etme codm end iha reQuiremama fw
aparmillwwnewctionamodifirslionhanlMRv u-CTlrranepememDistna.RaeidamialconnrudonepptiWionaeraaxampiimmihese
p.a�isio�a.
oe�e: Aavi���:
WOXKEF'S COMPENSATION UECLAP�TION: I Mraby alfirm undar penelly d perjury aie d Ihe lollowinp dedere�ione:
� 1 hew end wiq meintem e cenJkele d mneent lo aell�inwra fa wM1era' compemetion, n prwked lor by Seqbn �)00 d ihe lebor
Cade, la iM perlormeMs ot �M woA /or wNcn Ihia permA is ixueE.
� I new anC wil meiMein woMen' mmpensetbn inurarKe. � raquired by Seqim �1W d �hs lebor CaEe. br iM parbrmeMa ot tM
work ia which ihia pe1mil ie iaued. My waken' mmpeneetnn inaurance mner eM poliq number ere:
Ceniar:
Pdry Number:
(This secfion neetl nW 6e comdete0 / lM1e Po�/ �+ � orre hunEmtl ddbrs (S1001 a bsa J
� I cenA' tlw in ihe parlmnercw d ihe wak la whch thia permn b isa�nE. 1 ehell rol empby enY Da� � e�Y meniror eo av to
n«ome wN«1 �o ine xonere• canwr�sdion m.�,s d celilomie. ene mrc. O,m a �.nouk exonie w�m �e in. xak,n�
wmpenaeiian praieoro d Seuion 9100 d iM lebor Code. I ahell /anhwnh mmp�y wnh Nwa pwuiau.
Dele: AppfranL
Wemlrp: F�llun b��cun wo�kwi rnr�veruetlon eovereps l� unMMvl, entl shll ��.6fset an miployw lo erlMrul penaMu enJ
clvll flro� up h ons hu�Jrod thouuntl0ollen /SiPq000), In eddltlon ro tl�� cost ol romp�rwtbry Gnupu ei provMotl br In
Sxtlon J106 0l fM Lebor Code, /nferut, enC efromeyi /sss.
CONSTflUCTON LENDINO AGENCY: I haeaby elfirm urMer panelry d perjury Ihd ihme ie e oonetrud'nn bMi'p epeMy br Ore
�IBf�O1T011CB O� IhB NOf�I �Of W�1ldl lNs �IBIT� 19 69UB4 (SBdI'Jfl 300�/. �iX. C�.
LENDEN'S NAME:
LENOEP'S RDDflE34:
I cetliN �� I heve reed thia epplceiion enE sime �het the ebwa iniwme�ian ia corteq. I epree lo compy xilh ell cily enE county ordinencee
end atme lewe raletinp lo builEinp canavudion eM hereby eNhor¢a represenlalivea olthia cny lo enler upon the ebove-menlbned propery
�Of1119p0C11011p11fpOBB9.
Pnni Neme
Signelure ol Pxner/AqenUAppXcanVConl2por
(5151de.WP) WM1na-BuiNvq 8 Selery: GreeMFle: Canery-Appicent: Pink-Ravenua; (3oldenruLAssaseor
�
e
�',� _��y' _ _}rn�ii! '.-��
' �' " _
J�:�I�� �i�.. .. �i�.�ltt '7':.�,
..
a C7NSTRUCTION AND PIANNWG P��L & SPA
v �,�APPROVAlS Permit# Date Inspector APPROVALS Permit# Date Inspector
e;
1. Temporary Electrical Service or Poie 52. Pooi & Equipment Location
2. Soil Pipe-Undrgmd. 53. Steoi Reinforcement
3. Electriral Conduit Utility-Undrgrnd. 54. Forms
4. Elettrical Conduit-Undrgrnd. 55. Electricai�Bonding
,5. Steei Reinforcement 56. flough Pfumbing & Pressure Test
6. Electricai UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, !7 Undrgrnd.. Test
' 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, � Undrgmd.
10. 5tsuctural Floor System 61. APPftOVA� TO DECK
11, properxy Sewer Line & House Connection 62. Backwash & Receptor�Final
12. Sewer Cap 63. Heater & Vent•Final
13. Roof Drains 64. Plumbing System � Finai
74. Rough Piumbing 65, Electricai-Final
75. Rough Electrical-Conduit 66. Solar SYstem�Final
i 6. flough Electric Wiring 67. Fencing & Access Approva�
17. flough Wiring Sign 68. APPROVED FOR PLASTERING
18, flough EtectricahT Bar Ceil6ig 69. POOUSpA SYSTEMS FINRI.
t a R�ughFHea�nvy & Air Cor.ditioning FIRE OEPT. REQUIREMENT
2� R�ug acy'�y Fireplace APPROVALS Permi[ #
29; 0*ccs, in Structure �0. Underground Hydra
2� DWcts, Ventilating 71. Product Piping C1 Gas ❑ Oil
23: Gas Piec-Rough & Test 72. Unde�ground Flush
24. R�of Framing� 73. Undergmd.StorageTsnk OGas ❑Oil
25. Raof Sheathing 74. Overhead Hydro
�
p� 7�iar �eili�;Structuraq & Monocoat 75. Dry Chemical
2� F�meand�Fttshing 76. DryStandpipe
28. L�thir��&�ding 77. PIXED SYSTEM FINAL
29. IrRulat�'oo�-+O 78. FIRE PREV. FINA�
30. D� wa`IP NA"i ,� HEALTH DEPT. RECIUIREMENT
�.
37. plaster BrowirCoat 79. FINAL INSPECTION
3�., Et�ctrj�l Po�:r Meter�Finai 80. FOOD CERTIPICATE ISSUED
3BC Fiaal �Iectrid_+t*� Notes: , .
34, F�al i�atinr�qir Condrtioning
r,
3 Fiaai Gas Pipe.trest
36S H�od or CanS�
3� �mal Factory'�epiace
38 �i�al Plumbing
3�: Water Servica�inal
4(i� G* Service-i�'nal
4Z' 5o�ar [�mesticFinai
4Ta B�kfloFtv Pre`enter
43. Ba�P.kflFyv Ir�ugation
44. l��nds�epe't'rr?gation System
45. 5��d Attenuation
46. Ha'iidicap Reguiations
:
4'�� FI�IA�.STRUCTURE & 6UILDING
48.^• FI�lAL�,P�ANNING
qg. �1`afctrlc Releas,e to Edison
50: Gxf RelQasg t�Southern California GasCo
51. CERTtPIC2�'FE OF OCCUPANCY
No Date
P�
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�ooaessaam�aric: g09 MARQUIS CT
°w"E"s""'"E'°'°'°"": pOLYGON PROPERTIES
'i0D"�' 15717 ROCKFIELD BL
u"' CITY OF COSTA MESA — HUTj�C`.DII� PERMIT
FLOOD: X 47 �
PERMIT NO: E 078206 PLAN CHECK NO: N
I�PV�N�Fbp�A 92718. 714-452-0600
1NCNRECTOPfNtlNFFA: LL MAJOR 6 ASSOCIATES "�NO�' C-16869
�xcxoevu:s�ooness: 1551 N TUSTIN AV uxt:
SANTA ANA CA 92701
c«mueraro uua:
cwm�croes �u�mo
�oo�sx uc no.:
uNr:
IJCENSEU COMNACTOF9 DECLAPATION: I hereby eliFm uMx penelly d psrjury Nn I em Ikanwd uMer poviYon� W Cnapx 9
(oommwdrq vrilh Socuon )000) d Divnion J M Ns Bumnsp erd Prdm�iora da, uN my lio nw 41n full bree anE sllsa.
cmuc.No.:�Q 66]�44 ue.cuss: H uc.no: 65 6 EXP: 11 /96
Deta: � / ! �! / 5� Conlraea:
OWNER BUILDEP DECIANATION: I hemby eHim under peneAy d perWry �ha� I am ezemp Irum tM Comreqae Licenes Lew lor ihe
Idlovnp rsewn (�wn'!W 1.5 &nnm+enA Profesaione Cotle: AnY cIY a oounlY �+� roVuire� e pertnit to aon�Vucl. eller. improve.
Eemd'eh, w repei eny etiucturo. prior io in eaueiwa. ebo rtQuires �M epplimnl lor euch peimil lo fils e epiwd �tetemenl lhet M a eM
n limmed W��� �o tM Orovieions d Na Conlredwe Licenx law �Chepter 9(mmmenrinp xith Seaon JOW) d ONbion � d ihe
Bueinea onE GrWevaom Catle� or ihet M or Me ia axamq �h>eimm end �ha basia la ihs ellepetl aaemqbn. R�ry videlb^ W Sed'on
]W 1.5 by eny epplicen� la e permil wbjeee the epplicent to a mil pe�y M rw mws Ihen iva huMred ddlve �5500��.
� I, ai owner d Ihe propeny a my emplayeee w�h weo� m�� ��peveiion. w+ll do �M xwk. vM Na e�euewn c mt imandeA
or ollered la eele (Section ]000, Butineee enE Prolessiona Cotle: The Contrenon Lioame law doee �wt eppN�o en owror ol D�roM
who buida w inpores ihereon. eM who doaa euM xak limaell w MnM «Nrouph h"v a her own empbyeee, poviEW iMt euch
'mpraemeM� ere rot imenEetl a Wued la eab. X. however. tM buikirq or inpovamem u aoM wn�m ms Y� d campbbn. Ne
owner�puilier will Mve iM EUNen al pwiip he or ehe dk m� buJd « impwe Iw �he Wmae d eab).
�] 1. ea owwr d the MODeM. em aaduweN ooMreaM wdh tioenroE cono-ecbn w canmue Ne wq� (Saaion ]Ou. 6uainm� vM
Profndom Code: The Conireqan lirome lew tloea nal eGM'J b en ovmmW O�We�Y who buike a imP�'m �te�aan vM xfio
conirecn la mch prapda wnh e mdrapar�n) fcemed purmuem ia the Cor4npon Licerme lew). /
A
� I em emmq uMer Seclion: B. 8 P.C.. tar No ieemn: �
Dete: ��
I do hereW cauh Nei l em aware d eM underslerM Ne mWiremenb W Cellamia HeeOh eM SeletY Code Sediam 25505. 255�. aM
R553a. vd Net I a am' Mun drildi^0 omipem. wiA / wil nd (acb ana) med to canVN wiA seN mme mdm eM �M �Wwemmb br
a parmil lawnvunion a moE�fmian hom�MArawTryRrenepement Diarie. Reedenlol wM�uUion eppireliomwuamq Irom iheae
a�,;�..
Dme: AppfcaN�
WOFKEP'S COMPENS�TON OECUPATON: I heroby elfirtn wder pe�y d prjury ar d iM IWbwi�p AaWetiom:
� I heve eM xil meinieu e cendols M coneent m vaXimun M xak«a' cpnpeme�ian, n pmidad ta by Swian �MO d �M labor
COEe, la tM pa�lameMe d IM xak I« xivch �hie pertnn ie iaued.
�i na.» �e.a �m�..o�w�.• oo�,w��, ���... �w��e o-i sea� a�oo a me �.ne. coae. ia in. w�«�� d ue
woek la Miidi Il�o Oe^^�'v mued. MY warMen' comFanstlion ins�ronee remer enA PdKY numbm ara:
c�e�: ('VPRRSS TNS EXPIRES .
voi�vN�mne.: w_�tntttS 01/O1/97
(Thia senion need na he romplebE /`the pemil is la one hunCred ddkrs /SIWI w kxs 1 --
� I catAy iM1ei in �ha potlormence al iha woA br whkh ihin permil ia iss E, i ehell M em doy eny pereon in eny menner w ea m
bacwpn^e wpbj^ed lo iM wohme' compenution lexa d Celibmie. a epree � tl I houk�bacome wCpU lo IM �ken'
Dete: �lp�! ! p f [�Q � 3'!00 d �M1a lebor Cade. 1 she1il la weh m xn hma em�mu. .
RDd'eenl: T
Weminp: F�Ilun ro ucvn wari�ri m�n.�wnon cm.repe d unuwtu4 e.rxn uepci.n.mproy.r ro cnmry� v«ramu e�e
c/vll Ilrw� up ro one hundrstl flaua�nJ OolNr� (5100. WOJ, M eEaltlon b Ms cwl ol rompxu�fbn, Mmeps �� proHtleA br In
Sxtlon 9106 0l M� LMor Cotl�, Innnaf, �nJ atromsyY Iwa.
CONSTRUCTION LENOIN4 RGENCY: 1 hmaby �im uMer peialy d pmjury �het �Mn e e con�iudion bMinp penry la the �
peAameMe d IM xoM la whitl� ihe pemi� i� 6euad (Sed'an 309], C'v. C).
LENDEF'S N1ME:
LENDEN'9 �DDFESS:
I ceMy thm I heva reed Nu eppiceiion ud ueb Ihet Ne ebove iMormalion e mrtetl. I ep'ee lo compy wilh all ury uM mumy ardimmea
BM 4181! kw! MNIp b MLd�q ttY1%lWiMM /Ild �1BfBby eNhOfRa lapafBn�alivB! d �AO tlly b aNBf UpM IM GbTT�IMlI�YJI�lE pOpB�ly
�W Infpa�qrl Wlpoeea. T
B�' � ` V
Pml Neme � � ��,, �
Deie: ---���
$qrWurod /I.penUAppYunVConl�etla
(S�S��a6WP) Whns-BuiMip65eIMY:areemFle:Cenery-APO��t:Rnk-Hevenue:GOldenio�Aswuor
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE
JOB DESCRIPTION : 1901 SF LIVING/ 476 SF GAAAGE
PERM NO: E 078206
GOVT: N SUPP: N
PURPOSE: NEW
SQ FT:
CLAIM VALUE: CALC—VALUE; GROUP OCC: R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 1/ REF B-78062 La"C %Io
***it+�it�r*+tit**iEit�**�r*afit�t***x�ia***itititifiaitie+t**�rit+t*ie+r�r+rrieif**ie*it*�*�t�r*ieif**�r*ie***+t+r****ia
2 O N I N G A 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 ZN RGHT: FT . IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14151132 ZNE: REF NO:
PLANNING NOTES>
i �
iF1F1E7EiE1ElEifiFlklFMiElfiEiFlfMiEK1E1EKiElElfiFiElEKifiFitiFiflFKfflFlEiFiflFiEifMMMifififKKiFiElfiFiEifiEiFKiE1F1F1F�EiF1EiEiFKiFiFiEMiflEif
D E V E L O P M E N T S E A V I C E S A E Q U I R E M E N T S
ZONING APPROVED BY �' DATE:
BUILDING APPAOVED BY : '� •'� DATE: �� �
APPLICATION ISSUED BY: �� ��r � DATE: ��% �!> J!O
1E if 1E 1E I! iF 1F 1E M 1f iE iF 1F If K IE IE 1f IE iE iE 1(� iFif 1F iF iE K 1f if� IE 1E��{FiP if
LEGALIZATION:N F,•E E'� S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTAIC MECHANIC FIRE SMIP/RES GRADING
PERMIT__ 100.30
SOt SMIP/NON—RES
PLAN _
ISSUE FEE 22,00
HUZLDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 100.30 22.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
122,30
TOTAL PAID DUE
122,30 122.30 .00
122.30 OVER/SHORT: ,00
FIRE SMIP/TOT GRADING PLAN—CHECK
IE IE iE iE iE IE 1E 1E 4!E 1t 1E 1E IE 1E IE K 1f If 1E 1E iE if iE 1E iE 1E 1E 1E IE M iF 1E iE 1F If iE if iE iE 1f iE If if 1(� 1F if 1E IF 7t 1E iE IE 1F if 1F 1f 1E 1f 1k 1@ IE if 1E IE IE 1f 1E iF Ik 1f 1E iE 1f i(� 1f IE IE IE
I N D I V I D U A L F E E B R E A K D O W N
T.YPE _. QTY, D E S C R I P T_I O N UNIT COST TOTAL COST
ELE 1
ELE' � 1
ELE . 3
ELE 1901
FIXTURES, LIGHTING 1 ST 20 EA. 1,00
RECEPT/OUTLET 1 ST 20 EA. 1.00
RES APPLIANCE NOT OVER 1.0 HP 4.25
NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT .04
END OF FEES
1.00
1.00
12,75
85,55
- 4 S �. . _
.ri.� �..r1� :� ��,Y 1Y:.:i
CO�fiTRUCTION AND PLANNING " F.�y� & SPA
� Date Inspector Date Inspector
APPSOVALS Permii# APPROVAIS Permit# ,
1. Te orery Electrical Service or Pole 52. Pool & Equipment Location
2. Spi�Pipe•Undrgrnd. Z 53. Steel Reinforcement �
�Electrical rit Utility•U�dryrnd. 54. Forms ._ �.
���El�trical�'4R iFUndrgmd. 55. EiectricalBonding
rxStaC• Reir� r�¢�nent 56. Rough Plumbing & Pressure Test
��Electrical,�1�A Gmd. 57. APPROVAL TO COVER-GUN�TE
��S �
�footings Q�, " 58. Electricai Conduit�lndrgrnd.
�c8'.'.Foundatid(t,iS � 59. Gas Pipe, � Un'd?�rnd., Test '
`'r,.�TWaf,r Pip�;L�drgrnd. 60. Backwash Lines;`p-7rap, O Undrgrnd.
10. StructuraFRFloor System ' 61. APPROVAL T�]3ECK'
11. Prpperty �ewe� Line & House�onnection 62. Backwash & Receptor-Fina!
12. Se�r Cap ` r- 63, Heater & Vent-Final
1�. Roa.f Drains � 64. Plumbing Syscem � Fi�al �
1_. RoughPtumblag ;,y ' 65. Electrica6Finat
iTa. Rough Electrica6Conduit �' 66. Solar SVstem�Fin�i,
1.�5. Rough Elsstric Wiring _ �',9„^Oi Y .>), Fencing & AcceSS 9pproval
ca ta i�.
17. ftvu9h Wiaing $iqn � 68. APPROVED FC�f3�LASTERING
1�. Rough Electrical�T Bar Ceiling`` 69. POOUSPA SYST€�N7S FINAL
19. Rough Heating & Air Conditionin9� �,FIg,�,�T. �EQUIF�MEN� _ m
� �� � x� �. .� � e�.: . �^O m � ^=i 7
20. ,r�T,au¢xFartory�irr�,r�ace , _�, * r, �,k PP{j��Vp,�;�,..,F.,Per�nit# - ... •.�n
�
27. Geictt-in 6iru�Sura*;x �•• •• -�$ * � H� -70. bnder�To�r� H�Iro r
22. 12UCI��,.,Ve�StilaT7�ng �:4 j �'� a p [S^„ ;< 71. Produq.r�p�ing C7 s O.OiI
23. �s P+�e-Rouqfa& TFxt �F c^ M O* 72, UndergroShb Fi�ii � ,� °'
24. f�F'oof�raFiln � � ' �'
F.., 9�� 3y ' #� q �.y �..73j�Undergrna. Storeg�Tank� Gas ❑ OiIJ
25. Roof.Shedthing N* Q • y�� > tu� 7q!�OverheadHydror;r, �
v R � 7 � t .. •.� [+' ¢'
26. T�Bar"Ceiling (Stru��ral) & f�F��at � 0 p* 75iDry Cherry'cal r_, x ,.-�r .;*+.
27. F�am,�anci.Flashin{y�z ;�x,': � c� � ms 76. Dry Stan �e F� * t. F'r•
k J ^C
;'"28. Lathrng �iding �� y �aF v �� I ; * 777 FIXED SY�TEPrjFINAt* i..� i^ Rj� N
u29. InSulatio�ro --* .v S .... * � I i 78EFIRE PREV. Fl�jl��1 � �= � '� �
r'30. DrWvall �;ailing "� F„ *;.., � � _ ��1LTN'•DEP�REQUIRE�`(�IFiOF
p31. PVaster Brpwn:Coa{q p 5 .^- �� �� ,K • 7�� FfNAt IIIISR�ECTIO4V• � = 'T
O R
rf-W � e� - G-_r' y^ _ �, --,^,
�'32. ctricat�ow'" M �'i al : ' � '80';F000 CERTIF�ATE ISk`St�,IED,..� �
�F F': ��� EL !��-ii i
� � , ;*;�: , �m- ir- z*r=--e--. .,.
g33. Fg�al�leciric � Ss r�t 4 lB;�,�I •,utes� -� "t*' �^. _ C�_.
� x
�?34. Final�leating�7 Air'i'bndHonin�S �,�„ * ` � �L �S :�� � � J '�7� ^
x r-� n=j k m �% � I � Irc .� wo J i-. eL x - G
.35. f-; al'G`as � •
� f' �BIPe�. est x ps rt H � xc ��� � :.:r� �r
Y � L.
d36. Hgodor C�noPv "7x D �;.,�; ... { n � �* E no = ^tT'
� m � i� , s!-; a. s � R r-n xc � m �.c�• �-m
�37. inat F.acto",ry Firep aee�x �t- v r � � r ; v ���-.
: i
"�38. Final!Alu ing ' � / � � �
� �-_ • � r � � n I • S .. � x �. n:
�''39. WatefY$ervice�Fina : � ; - * Q � '� -a ��� � x ~ r•:tn
�l �• �� . �ea m
t*!40. Gas Service-Final � tT <:'-*'T = *'� ',� � r�vi �r� �: • -^'[-
rr � tl' F. m R i# F• O i ��e;
�,41. Solar pomesticFi a* S '� � '� i i '
�L1» ,r, fi � � c* -7c �cr x� a
42. Backflow Prevente�+� c_ * I ,. tX � F � G �-
s r f:.i A: a+ �c :TI C7 O v. F
43. Backflow Irrig`�ion * �.S" x ,;, � • - �x t� • •�� �
� n r �
44. LandscapE%Irr�,Zt`ation5ysiem �•^4 � *� C Ot. , N N �+ `xn * �� %�1�
-, - -� � d M £ S c.. 7 � � S �
4�. So'und A+�enya`�ion * � 'E. ``� : �y t.7* ' e+ �.�r � • �-o *
..� :
48. Handicap Reguletion� - O T � � = "�G � ':
�-,. z f� [T7 G :J s
4Z. FfN/xLSTRUCTLLR'E�`&BUILi�ING �� I I p�`�, i c� * c-
i 1 H t �l
48. PSNA't PLANNiNG,r: . �-t-+ � ca �• � , :�s 6 - r
..� �, � � a� n m s � a;
49. Etectr7F Relea�to E�Ison � ! ' ��x .�i -e+
i r�. �•�n�
50. G85 RSlease to-Southetn Califorrti�� as Go * ' ' "' d ' %T * ? -' ' '
,< .�� S oo n n .v oc:,r..
S4. CERRFICATE OF OCCUPANCY " . �� .'-' -' . "�.' '
No. Date
�