HomeMy WebLinkAbout810 MARQUIS CT - Building Permits�uoncssa ea�w1o: 8 1 0 MARp U I S CT uxr:
!ow*+Ea9ru�EiFaner+.pOLYGON PfiOPERTIES FLOOD: X 47
�no�tss:15717 ROCKFIELD HL
:RVINE, CA 92718 714-452-060U
�YPL.M/Jl1N(11DDXESS
�xcxnecron�++�v+�x:LL MAJOR 6 ASSOCIATES ��+o: C-16869
IJICX.ONFlM.'SAWPE34: ISSL N TUSTIN AV urar:
SANTA ANA CA 92701
CONiIIACTORSY�yc.
cwm�croas�uuxo
�ooa[ss: uc.ra.:
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ULENSED COHfP�CTONS DECLAXRTION: I Meeby dlim uMer pen d pmju Net em Ic naed uMx pmivions d Chaqer 9
(cpnmendip hsss«���yyp��� 1000) d Divuion 3 W ttw &rnmes ud Prdes� ne Co 6 eM r Y�n e o in IuA lacs uM alled.
cmuc.No.p�lqq uc.cuss:g uc. o.: 9^62 EXP: 11/96
De�e: Carvmtl .
OWNER BUI�OEF OEClAfl4T10N: I hereby atfum uMm pme�y d perjny �het I am ezemq han �M Comisdas Liceme lnw la the
I Idbw'uq rsewn (�ion ]031.5 &nirosa eM Profnsona Coda: AnY cry o munly whith,ayuim a peimtl b omeWd. ellm. imqove.
' demdsh. or roper erc/ nwcture. pna b 4 iae�xa. eho repwna IM epplimu lar arJi peimil to fJe a vpiwE ebleneM Met he a eM
is Iicer�eM W�sueni �o tM Vwitions d IM Comredws licenae law IChepm 9(ownmendn0 �tilh Setlion 1000) ot Oii6ion 3 d ihe
Busiross arM Adaeuu WCa) «ihm M« eha b exemp iMeM1an aM iM bam i« ihe dbped memqion. Ny vide�ion d Swion
]o�t S W enr ePWicent lar e wrmn whipee �he evWiram to e tlW va�Y d m� mae tlun Ma nuMreE dollere ISSaoll.
� I.eaaw�wrdlMpeopenyamYa^GbYa^s'^'�hwapeemtheisdemmpevmion.WldoNawoM.enEtMa4uetu�ee�w1'uNeMaE
«diered M aela (Seetion )os1. Budrcaeed Pedesdoiu CoCe: Tha C«ureaasLioense law doae �w eGGNm en oxnxa pioprry
who WiEe a inP� Iherem. eM Mp doea eud� xak FimeeO a henN a tivuqh he a hm own emPb/ae, pa'�deA Ihel eucA
'mpmvememe ue rot WenEeE a Wered la eele. tl, howewr, tla buitlinp a inpwameN ie soltl xi�hin ms yw d mmpMun, Ms
�o�,�w�n« wi n� ine w�d� a n�m n. «.ne ad m nda «�aw. id ms wmo.. w.aro>.
I. m ox�w d tM D�WaN, em u�Y omiretl^0 w4h 4wmed mV�Mas b mmtrutl IM pqed (Setlun 90U. &n"vws mM
ww��o�. coae: rna comreaa. u�b �. eoe. m wdr m� ow� a wwenr w�o d,a�. o, �+.. m..o� .�a wno
�an.ew �a dd, waee� ,.w . mm�mac.l i�ee oursuem w in. cw.ma. wd,.. �.e.n.
� I em memp uMer Seclion: B. 8 P.4.la tlio reawn:
Data: ��
I Co hereby unM �� � d^ ewere d enE uMmiend tM rtpuiremew d Cellanu HaeXA vd Salety Code Sed'ane 25505, 25531. eM
25531. aM ihet I a e�ry Mun bWk'vq oarLpeN xitl / wa m� (�6 pr) naed b oomply wIh uid a�me oodn ud tM rpu'vemam br
apemiitlorconevunianamodificelbnhantAe�i i�iy enepemeniDiqnd.PmiEemolconniud'aneppice�ionsane�emqlromiheva
„��..
Dets: MW�
WOPKEN'S COYPENSATqI DECLAN�TION: I Mrsby Nfinn inMr pmistly d papry ane d Ne Idbwi�q dsdve�iom:
� 1 have and xitl meinlen a caMiWe d ooneent lo eetlinw�e br v.a1kere' campemetion. m pwiEeE fa by 6atlion 3]00 d �M lebor
cm.. �« ine o��• d m..on� ia w�n we w�e 4 4.wa.
`[] �n.wenewi�meimei,w«kn�•como�o�inw,d,o..mr+a�.eMseama�aoam.�.mrcoe..wm.roaamenc.ain.
n wak I« xfiitli tliu D�n e u�ued. MY rakn�' mnV�dian mweuw unix uM W�Y �wmber va:
c.�.: CYPRESS INS EXPIRES`
vativ ��m�= 01 / U 1/ 9 7
(fiia sacinon rrM rrot M ewn0�� I fhe pemit e lur ons M1UMred CoOen /SIOJJ n J
� I mn/y UW in Ne amience d ihe work lor wfich Ihis pmN b I pby�'�]/'.�� pavan n ury mermer n u lo
becomee� I� �M warken' compamation lews d Calibmb. ep d �e�hou'/ becams eubjetl to iM wwkeri
comw�=0M1� �ana W Seaion 9)00 d �M lebor CoEs. I dWl�� �^n9Awmoea.
Deu: npqram: • i
Wunbp: F�u�n ro ucu wonr.n• m�pru.non cov.np. a un �ntl Mtl/ u8/�ct �n w�ryloyx ro cNnYrrlO�bw md
elHl fln�s ,.q ro om h�nCrM tlwuun0 0d4n /t�04M0A „��� ro tlr� cwf o/ rnnpw�utbM1 Junpu n pvHtlM br In
S�ctlon J�O6 0/ M� LeOo� Cotle, InfwuL �� ��mry'� lsu.
CONSTflUC110N LENOINO IIGENC�: I M�eby dfirtn uMer peneRy d peipuy thm ihare u e oonn�ueun IeMiip eyeiwy br tM
pmlormerca d tM xoA la whitli ih"v pxmi is bawd (�1ion a061. Crv. C).
LENDER'S NAME:
LENOER'S ADOFE33:
I coniN �� I hew neC Na epplicelbn md ama thet Ne eEme iNmnetbn e mnea. I epree to canply wilh M dry enE camry adna�we
anE eteb kx+'deinp to WiMip conmudian end heraby aWwraa �epaeemetivo d �hu ciry to amar upon tM ebwe�msmonW poperty
����m'��"u'� N �EL QUINO /
Pnm Neme / /
Dma: ( � �
sqrei�re a e�vnppkaNFa��rec«
(515148.W P) Whno-BuiW'vp 8 Selery` GraemFle: Ceiary-ROV�l Rnk-Raveiun: Ootlaniod-Avseaaor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: M 080146 PLAN CHECK NO:
CONSTRUCTION TYPE: V—N PERMIT TYPE; MEC
JOH DESCRIPTION : SUPPLEMENTAL TO M-78167
CLAIM VALUE:
CALC—VALUE:
PERM NO: M 080146
GOVT: N SUPP: Y
PORPOSE; NEW
SQ FT:
GROUP OCC: R-3 /U-1
COMMENTS; NEW SINGLE FAMILY RESIDENCE / PLAN 3/ AEF B-78063
itit*�*�rit*�e�e�r�e+�*�r�r��**��e*it�t*���it*�**itit*�r*+r*�r**it*�r+�+r*itit***�r*��r�it�rif�r*�r�r***�r+�*���+�*�
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
----------- MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ: PROV: PARCEL: 19151132 ZNE: REF NO:
PLANNING NOTES>
% ' i. �
1E iF iE 1E if it iF 1E if 1f iF iE 1E iElE fE iF iE 1E 1E 1ElE iE 1E 1ElElElElElE ik 7f if 1E 1E 1k 1k iElF 1F 1E 1E �F 1E if �E 1klE k df iE iE 1E 1E 1f iF iE iF iE 1f 1E 1E 1E 1E fE iE fE 1E if 1f ik �E fE iE fE if 1f ff iF
D E V E L O P M E N T S E R�V Z C E S R E Q U I R E M E N T S
ZONING APPROVED BY ,
BUILDING APPROVED BY :
�
�
APPLICATION ISSUED BY: �•" ��
***��*x*x+�*+�**�r****��*
LEGALIZATION:N F E E� S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 16.00
258
PLAN
ISSUE FEE 6.50
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 16.00 6.50 0.00
FZRE
TOTAL
22.50
DATE:
DATE;
DATE; �� '��
�E 1E �h 1E 1FlE iE 1k��F;F1k iE
STRUCTURAL SEGMENT:N
SMIP/RES GRADING
SMIP/NON—RES
PAID DUE
22.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 22.50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
22.50
1E iE iE ik ik 1E 1F 1F k 1F IF ff !P 1E 1t if 1E 1E 1E 1E iF 1E iE k iE iF 1E iE iE 1E if 1k if 1f k iE 1E 1! if 1k 1E 1k 1E 1E 1f iE 1F ik 1k �E iElF k 1F iE iE 1E if if 1E k if iE ii iE if k 1E iE If k if iE 1E iE 1! IE IF if
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
MEC 1 FI�CTORY FIREPLACE 9.50 9.50
MEC 1 VENTILATION FAN CONN TO SINGLE DUCT 6.50 6.50
END OF FEES
�i ��21346`—�D21346<< T C�T 22,5D
�ATE: 11/04/95 TItIE: 10:i0
CONSTRUCTION AND PLANNING POOL & SPA �
APVROVAIS Permrt # Date Inspector qppROVAIS Permit # Oate Inspector
i. Temporary Electrical Service or Poie 52. Pool & Equipment Location �
�. $oil Pipe-Undrgrnd. 53. Steel Reinforcement � �
• 3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit�Undrgrnd. 55. Electrical Bondiny
5. Steel Re�nforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnci. 57. APPROVAL TO COVER�GUN�TE
'7. Footings 58. Electrical Conduit-Undrgmd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe•Undrgmd. ' 60. Backwash Lines, P�Trap, O Undrgmd.
10. Structural Floor System ' 61. APPROVAI TO DECIZ �'
1 t. Property Sewer Line & House Connection 62. Backwash & Receptor•Final
}2. Sewe' CaP - 63. Heater & Vent-Final
13. Roof Drains - ' 64. Plumbing SYstem � Final .
74. Rough Plumbing 65. ElectricabFinal �
15. Rough Electrical-Condui2 � 66. Solar System-Final
16. Rough Electric Wiring � 67. Fencing & Access AnProvai
17. Rough4ViringSign 68. APPROVEDFORPLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heatinq & Air Conditioning FIRE DEPT, REQUIREMENT �
20. Rough FactorY Fireplace - APPROVALS Permit # �
21. Dutts, in Structure � 70. Underground Hydro
22. Ducts, Ventilatin4 �' 71. Product Piping �Gas �OiI
23. Gas Pipe-'Rough & TeSt 72. Undergro�nd Flush
24. Roof Framing � 73: Undergrnd.Stora'geTank OGas OOiI
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling �Structwa�l � Monocoat 75. Dry Chemical
27. Frameand Flaehin9 - 76. Dry Standpipe
28. Lathing & Siding � 77. FIXED SYSTEM FINAL
29. Insulation -- 78. FIRE PflEV. FINAL
30. Dryv,�all Nailing HEALTH DEPT. REQUIREMENT
31. Piaster Brown Coat 79. FINAL INSPECTION _
32. Electrical Power Meter•Final 80. FOOD CERTIFICATE ISSUED
33. Finai Electric Notes:
34. Final Heating & Air Conditioning `_,¢, �'� -
35. Pinal Gas Pipe-Test �- , � � �
36. Hood or Canopy
37. Final Factory Firep�ace - ,(�,�
38. Finai Plumbin9 •
39. Water Service-Final � �
40. Gas Service-Pinal . �
47. Solar pomestic-Flnal � � �
42. Backflow Preventer �
43. Batkflow Irrigation ,
44. Landscape Irripation System � - �
45. Sound Attenuation� � ' . ,
46. Handicap Regulations _
47. FINAL STRUCTUR& & BUILDING
48. FiNAL PLANiS1t3G
49. Electric Release to Edison �
50. Gas Release to Southem California Gas Co .
51. CERTIFICATE Of OCCUPANCY
No Date
�
�ooxEss a amtnra: B j Q MAkt� U I S C'f �NT;,�
ohmensruYeicio�anr�:NGUYEN KFiOA -- --•_._.__ __ __ .._. .- �._-.
�UDFE55:8 S O MAftQUIS CT .
COSTA MESA,CA 92626
APPL NAll1NG AOONESX
111CNRECT OH ENtlNEER:
,NCN.OH FNG.'S MONE55:
CONiNACTOP'S NAYE:
carnncroasxuuxo
�DDXE55:
uc. ra:
uc.ra:
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110EN5ED COMPRCTOHS OECLANATION: I hereby elfrm uMar penely d perjury Nal I em licensed uMm pariaiona of Gheplx 9
(mmma�nrg v.ith Sectian )OW) d Oiviaion � d tM Busireu eM Pminama Cotle. eM mY �� a in tull lace eM eMed.
cmuc.No.: uc.cuss: uc.No.: EXP:
De�e: CaNreQor.
OWNEN BUILDEfl �ECLAHATION: 1 hereby elfirm under peneYy d perlury Ihel I em ssemp leom tM Camredon Lieenee Lew Iw Ne
lolbwip reemn (�ion )0�1.5 Bueineae aM PMeasions Code: Any eiy a eounty xfiieh reQuieea e pe�mn to ewbuet, eller, impare.
demoleh. or repeir eny eVucluro, pbr io na ewu�m, elso reQuiree Ihe eppl'ran� fa euch pamn �o fib e dpmd eWemenl �het ha a eM
is lieensed W��� �o IM proviaione d �M Conlradws Limnae lew �Cheqx e(eomma�d�q wnh Sedion 1000) W Oie'vion 3 d the
Bwinmf uM Prdeaeima Cda� «Ihe� he a eha e azemq Ihershpn eM IM beae Ior Ne elbpeE exemqion. My volYion ol Setlion
)0�1.5 by enY aPW�I lor e permn eubpu� Ihe eppliceM to e wil peneAy d nal mae �hen (rva huMred Adlen �5500�.
}([]] �. av owi»r d �ne vrowm «mr �pw� wn w�m m �ne:.d. wnvme�ip+. wiYm uie wak. ene u».trucn�m e m inienaee
a Mered la eab (Seciion ]Ou. B�mrem uM Prdesaiona Code: The Comredon Liceree Lew doea M eVChtoan ovmerd popem/
..no waes « inw� mereon. m,a .no eoes sud� wax nm..n a nane� «mrwan w«n« own emWweea. o�� �nm wcn
improvemmU ara ml inleMed a WereE iw eab. tt, however, iha buiNiip w'vnprwemaM e eoN wilhin aw year d wmpbtian, tM
owrrer-0uiNar will heva tha WNen of qovi�g he or ehe dd ml Wik a impove I« �he purpoae d We).
� I. a9 ovmer W tha D�GaM. � extlusrvery mniieemg wilh limnsed convactwa to ca�qrud iM D�qact (Setlion )01I. Buainma vd
Prolaesiom Coda: The Con�reclon licenae law doee ro� epp�y lo en oxnar d qopeily who buiNa w impavee Ihareon aM vAw
convacro fa wM prqepe wnh e mmretloqs) licenxd W��� �a ihe ConVedas Lbame lew).
� I am axamq uMer Section: B. 8 PL, br Iho reewn:
oms: Z_ Z a� �' 7 ow��:
I tlo Mreby ceMy thet I em ewere d ud wdarsteM tM requimmmb d ellani HeeEh enE Selery COCe Seubrre 25505.?5533, end
?5St6. eM qm I a e�ry Mure WiWi�q om�pent xiil / wil m� (acb one rieed io cwnply xvh vid mma cadea eM iM royuvamerua 1«
eV���Inmrsl�uclionamoEifimionhaniMAi u3e�y anpemeniD'utriq.HesiEmimlmiut�uCionWpirelioroenuemNimmNeae
Dele: Applcent
WORKEP'S COMPENSATION DECL�PRTION: I hereby elfiem uMer perielly d peejury are d the blbxieq detlermoeu:
❑ � neve ane wie meio�an e cennkme a consam m sen:oeure ror waxen �wnre�.vb�,.. wwieea r« M swion a�oo d me Lenor
COEe, br Ihe pallorme�e ol �he xork Iw wM1ich �hia pamiil ie ieaued.
❑ i neve e�a �i� mdm�..o,xe�.• oomro�moo msure�,m. m ma�v�a W s«aion a�oo d ma �, ced.. b, me wn«� d m.
work fw xfiich Mie permX ia iaued. My wwkeri canpenwion imurarca rerrier eM pdicy number ere:
c� .
aa:.v nomn«:
(Thr: s«+ian roed,m m mnderee i(ne ro�x u m. wro nuneme ddbn Isioo/ o. res.l
� I mnLy thet in Ihe pMormence d �M wak for v.fiich Ihb peimn u inud. I ehdl rw� ampby eiy pe�em in enY men�r w m to
e«o�b �d� �o �n, wo,�.• ���� mw. d c��e. .�a ea� mm � i.nWa n.�o� wei� m ma �.�
��noaose�ion wwaia,. � saa�on a�oo ain� �no.eoae.i.nmiiann.mn oomoN wen mme o�oN:on�.
Dele: Applicenl:
Wem/ng: Fell�ro b�xuro wo�kn�' compeluatlon covereps la un/awNl, entl sMll �ub/sef en employx b cr/m/rol penall/es enA
c/H/ flrns up b ons huntlretl tMuuntl tlo/Nn (S/0QOP0), ln e�Jltlon ro Ms roal ol compwuef/oR a�p� �� ProNtleE Mr In
SxHon J)O6 0l Ms Labor COJe, InMut, entl etromey'i Isu.
CONSTflUCT10N LENDINO 40ENCY: I Mreby dfiim uMer penelry d perjwy Ihet Ihare is e conMNqion bMi�q epercy tor iM
�»n�a�ce d m..wn� �« wn� mo v�� n�ss�ea csmion aasi. cN. cl.
LENOEN'S NAME:
LENDEN'S AUUNESS:
� cennr md � ne.�e re.d mi. mdcmian.na uma �nm me move imom�ma� m m.ea. � eoiee io canvN wnn d� rnrene ownrv aavrer��
end eteie lewa relaling b WikinO consVudion aM hereby eWwraa mqmeMalivae ollhis ary �o anter upon Ihe abma-memioned qopeM
�«'"�0�"�°"""`P°°°'KHOA NGUYEN ,
o�a: z_z9,9�
�5151iB.WP) Whne-Buildiq 8 Sefery: Green-Fle: Carary-Appk�eni; Pink-Rewnue: GdEenro�Mxswr
C.I.TY. UF COST�i_MESA�BUILDING_f!ERMI'T__ _
--- ---_'�_•-----.--: ,--- -- - PERM NO: B 081875 .
PERMIT NO: H 081875 PLAN CHECK NO: 00889-97 S GOVT: N SUPP: N
CONSTRUCTION TYPE: __ PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : 176SF OPEN LATTICE PATIO COVER Sc] FT: 176
CLAIM VALUE; 2,500.00 CALC-VALUE: 2,837.12 GROUP OCC: R-3 /
COMMENTS: PATIO COVER
iE�+t��*�*itit�+�x *�e*if *if *�rx��+���*+�+�+tx�at�x x *�r**�+titx�*iex it�+�*it**+�*�e+����+t*ft*ifiE*ititiE*�if *��riE�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: 7 FT 6 IN FRNT: FT IN REAR: FT IN
LEFT: 32.FT , IN.RGHT: 30 FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ; PROV: PARCEL: 14151128 ZNE: PDRL REF NO:
PLANNING NOTES> CONSTRUCT A 176 SQUARE FOOT OPEN LATTICE PATIO STRUCTURE. MI
> NIMIM 7'6" FROM PbST TO REAR PROPERTY LINE. '
k iE iFlFlk 1E if 1E 1f 1E 1E IF iF if 1k 1f k iF 1flE 1E 1E iE 1E iE if ik i! if if iE 1E iE iF 1E 1f 1f 1E iE 1f 1E 1f 1E 1f iF iElE 1E 1E 1E 1f 1! 1! 1! 1E 1!!E IF if iE 1E 1f iF if 1f 1E IE if 1E.iE IE 1FiE iE M ik ik 1t iF
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: Z Z� `L�
BUILDING APPROVED BY ; DATE: _�_
APPLICATION ISSUED BY; DATE:�- �L�
1f1E1f1E1E1E1EiEiEiEiEiE1E1flF1ElEffiflfffif 1E1EfFiE1EiE1ElElElE 1fiF
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 74.75 .50
SMIP/NON-RES
PLAN 48.59
ISSUE FEE
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 75.25 0.00 48,59 123.84 123.84 .00
E
DIVISION TOTALS--> COLLECTED: 123,84 OVER/SHORT: .00
DG PMT PLUMBING ELECTRIC MECRANIC FIRE SMIP/TOT GRADZNG PLAN-CHECK
74.75 .50 48,59
1E 1E 1E1E iE 1E k i! iE i6 fE 1E fF iE IE 1f 1E IE 1E if 1f 1E if 1E 1E 1E 1E 1E 1E 1E 1E 1f 1F iE 1(� �f 7E 1ElE iE 1E 181E 1f 1E 1f iE 1E 1E 1E fFlE 1F 1E iE 1E 1E 1E 1f 1k 1E IE IE iE 1E 1F 1F 1E 1f if ff
I N D I V I D U A L F E E B R E A K D O W N
QTY D E S C R I P T I O N UNIT COST TOTAL COST
176 RES-PATIO COVER-POST & TRELLIS 16.12 2,837.12
END OF EEES
82-28-1997/12:34 Pq/f123.A4
PERMITeT081875
POOI & SPA
CONSTRUCTION ANDPLANNING '
APPROVAIS Permit # Date Inspector APPROVALS Permit # Date Inspecior
t. Temporory Electrical Service or Pole � �' 52. Pool & E4uipment Location �
2. Soil Pipe�Undrgrnd. � � 53. Steel Reinforcement �
n
' 3. Electrical Conduit Utilfty�Undrgmd. 54. Forms . �
� 4.'Electrical Conduit�Undrgrnd. 55. Electrical Bondinq
`�.�teei Reinforcement 56. Rough Piumbing & Pressure Test '-'
��. Electricai UFER Grnd. - � 57. APPROVAL TO COVER-GUNITE _ i �
-- - ` �
_- �7. -Footings � 58. Electrical Conduit-Uncirgmd.
8: 'Foundation 59. Gas Pipe, t7 Undrgr�d., Test .
9.-4Vater Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd.
tO.Btructural Floor SYstem 67. APPROVAL TO DECK
71.' Property Sewer line & House Connection 62. Backwash & Receptar-Final �
12. Sewer Cap � � 63. Heater & Vent�Finai
73. Roof Drains � 64. Plumbing System - Finai
14. flough Plumbing . 65. Electrical-Final
15. Rough Electrical-Cooduit ' � 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access AnProval . �
17. ftough Wiring Sign � 68. APPROVED FOR PLASTERING .
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �
19. Rough Heating & Air Conditioning ,,, F(RE pEPT�,_REQU�REMENT r
^ r e v 7: _ x.- �_-
20 Rough Facto,ry F.'�u_eplace '. = =�' . ' _, ' -: APPFOV}4l'S�.r, P.ermit,-�"
21:-Ducts, iri StrLcture*� •• •� - � - -' �- � � 7p ^Unde�ground �ydro '
^ � .y _
� !. q' Y' "v T' � �-' .
22._Qucts, V'entilatin8, r _ ',' �;: c.:;: �. 71. �Produat�'ipiny C,Gas ;�70i1
23. Gas-Pipe-Rough & Test �� x�T1 � �a. C b.� 7p, Underg�ound Fiush- '' .- -�
r
24. �Root Framing � � - - � - S �.,,Y ` 73. Undergmd.StoS�eTank �Gas ❑'Oil
25. Roof Sheathing = , �� t =' T o, < Z4; Ove{head Hyd�, '
26.=T-Bar Ceiling (Structuraq &�Mnnbcoat'' - _ ' `.� �vDry_Chefnical_-' �t .-2,.�
27.:Frameand Flashing. �•a�• ���>� - r ��s� i6.yDry Sta+ic9{�ipe-�%
..28. �athing,&SidingTr`: ."'A.�_ -_ '�� . . ..�r 7-7,. FIXE4.S�ST�EM1%+:PINA`L. n �:
29. tnsutation �� +-._ . .. .. . -. r �._ � 1 ,� 7$. FIRE PREV. F1iEFAL x = � -
� 30. Drywall.Nailing ` _ _ � �` _ � � � �= bEALTH DE�T'REQUI'REMENT
31. Piaster Brown�Coat,� _ -'* :' � � � � 79, F�NAL'iNSPEC�ION x ?:
" 32?Electrical� Power M¢ie�-Fina1� � „ �,'. ''� � ��` r� 94. FOOD CERTI£ICATE'l.SSUEp �,
33,r--finel Electric . -, - � `r. Ptotes: -] �-?� t� ^. `� ^ �
�.. ,� C 6J ITt
34.� Fina`I Heating�& Air Corcditionii+g= _ '' ' , �'� � S - - '" -• �
r � .v:^ , :z- . x .�"
35:-Finai Gas PipA�Test � - "" � �.- Lk . ' �;-" � E..,:�
36. Nood or-CanoPY '" _ :T'_ -' - ;" � : } = �.- . ^ :r
c' �zr ' < �v 'T: ' .r ^n
� - .. �'� . . --� . � <. .: .
� 37..FinaLFactoryFirepdace;.- �_� :.r• �r� � ;, �r "�•
3$.=F�naf Pluhibing ; - _ ''� j '� � . �� • ^ - .�.-. _
�a � _
39'.N.'aterService•Finaln� , --.��� � , .y ` _ �'�'.' t"
40. GasService�Einal r T c:r�• ``-.� - `° :>-. a•. �r T
_ - . t �-. 1 �, K ,,,
•r x
41:'Solar pomesncFinal' ;Y` � , y - r,. , _:� - - -
42. Backflow Preventer � c -- � C .-
' �c,^ r�r Tr,r�d: m .T�'-_
T t C, � F �
43. Backfiow Irrgation; �;"`" r K- � ' ;' -' -.
T44. Landscape IYtigation System�'"' ' - � � '1 '-"'! � �� �'� - � = � �'i% � I
_ � h. K V ^_' � CY � �' r. l.:C, F S' F•
� - ' ra:. " T l, x?: k^ r-+� . H J U .�: x
45.-Sound Attenuatiori .�i .. ., p r{; :- •p C. �,�-: ._
46. �Handicap Requlations � = C. , J � // _ �- .� r
_ """��/ < �• //,U`i`=., ' -
_47.=FIrtAL STRUCTU�E & BU1iDING �y./�� %���,0 �" - -' _ � , .
/
48 _FINAL PLANNINQ� '-- �� -� s� � T' �' -t: F . �
ti� 'Y: t . � � .
:49. Eiectric Release to �dison ' _ � �� `- c ' - ��
. . -. C+7 r.' � ... ,
SO.Sses Release to Southem CaGfornia Gat Cn " tX F� r- • _ ` �.
� ' X
57. CERTIFICATE OF=OCCUPANCY ' � � -� == �" - r -
No Date
LIFESTYLES HOMEOWNERS ASSOCIATION
ARCHITECTURAL COMMITTEE APPROVAL APPLICATION
Please complete this request form and attach three (3) copies of proposed IoUhome improvement plans and
mail or deli��er to:
LIFESTYLES HOMEOWNERS ASSOCIATION, INC.
C10 Tritz Professional Management Services, Inc.
7400 Cenrer Avenue, iI205
Huntington Beach. CA 92647
(714)891-I105
Lot#: �
F:�OA n�r�vy-��
1Jame
�10 NtpR i„� : r ,—
Mailing Address
-7 ) t� ; 7 SL.. . a�1 z..��
Home Phone Number
qo��� q��. ��>>
Work Phone Number
Architect, Engineer or
Owner's Representative (if applicable)
Name
Mailing Address
Phone Number
Note: SUBMIT COMPLETE PLANS AND SPECIFICATIONS IN TRIPLICATE.
� ., : 'a
Proposed: Start Date: � -�� Completion Date: ���- -- �• 7
<'P rno,��k a.h S ��e wn l� o,,.. � oo.,�'o An.P/�i
NEIGHBOR AWARENESS: 1) Ne�ghboring homeowners affected by the improvemenrs (those on either
side, in back of, or opposite to you) must be advised of proposed work. 2) Should any homeowner
disapprove, he may so indicate by the form or may send a written communication to the Architectural
Control Committee, if he desires. 3) An impacted homeowner does not have veto Qgwer over the pronosed
nroiec[. rather his concems are a factor to be concidered bv Ihe Committee. 4) If home is unoccupied,
space must be signed by the property owner - Polygon, Bank, etc. 5) Tf-IE PRINTED NAME AND
SIGNATURE MUST BE ON TFIIS FORM IN THE INDICATED SPACE BELOW.
I I I I
(RIGHT SIDE) NEIGHBOR'S NAMFJADDRESS YES NO SIGbIA"I'(IRE
�o
(REAR
.
✓i i i ..�'
'S NAMFJADDRESS YES NO
YES NO
���
PLEASE 11CLUDE THE FOLLO�VI�'G 1\FOR�IAT[O\ �VITH �'OUR REQUEST:
(ATTACH ADDITIONAL DRA�VI\'GS TO THIS FORMI
I. Please describe all impro��ements in section above and on plans.
�. Location of residence on lot and the dimensions from lot lines.
3. Complete dimensions of improvements proposed. Include position of plan[ers. plants. sprinklers,
drains and dra�nage, and am• other items diat �cill be placed on, around or under the ground.
4. �ieasurement5 of improvemen[s in relation to residence and lot lines.
�. Descrip[ion oi ma[erials and color schemes.
a. The lise is co include types of materials (cement. stone, brick, etc.l as well u the surface
finish and color. Plants and trees need to be indicated as to their descriptive name (rype)
as well as [heir location and distance to other references on the property.
6. Drawings to show affected elevations.
a. These are to include footings for walls, pa[io foo[ings and structure (side and frontal view
showing complete design details.
Note: Architectural Guidelines and Standards are available sepazately and should be reviewed in order to
expedite your application.
I understand and aeree:
No work on this request shall commence until written approval of the Architectural Committee has
been received. The homeowner i rrconnsible f_ or�ing nermiu from Citv CounCy or any
govemmental agencies that may require a pertnit for the work proposed herein prior to
commencemeat of work.
�
�. i: l,l.'.; LIiL,, �:-�;�: t.��.`. /
SIG ATURE OF OVVNER (S)
DO NOT �VRITE BELO�Y THIS LINE - FOR ARCHITECTURAL COMMITTEE ONLY
i� �PP��`'a�f���dd
( ) Conditio ofAppr al:
( ) Disapproval for [he following reasons:
() Retumed to Owner/Applicant for the following items:
Date: /f 9 7
Committee
RECEIVED: Date: O � 7 By;
TRANSM[TTED TO OW�`ER: Date: Via:
�
/�
S�JFESSOFBUILdNU: SLO MARQOIS CT UNT:
mmerrsnu�eir�ym: POLYGON PROPERTIES
`=,a,�ooaess: 15717 ROCKFIELD BL
RVINE, CA 92718 714-452-0600
APP�.IWIl1NG ADDRE55:
41CNRECTOXFNtlNFEfl: LL MAJOR 6 ASSOCIATES uc.no.: C-16869
urcx.oxu+c.•s�oox�ss: 1551 N TUSTIN AV uxr:
SANTA ANA CA 92701
NNfPKTIXfSNUIE
caNrx�croxs�uuxc
�ooxess: ua ea.:
uNr:
110ENSEO COMNACTOFS OECIAIi�TON: I Mreby eflim uMer panaly d peijury �he� I un licensed uMx prwiaona d Chaqw 9
(eommerviiq xi�h Senion 1000) d Dniaun � d Na Bummse ud PMeseiona CoEe. enE mY lieense o in IuA faee aeM eHed.
cmuc.No.:066144 uc.cuss: g uc.No.: 659262 EXP: 11/96
oae: conued«:
OWNEP BUILUEP DECLARATION: I hereby elfim uMm pene�y d perN�Y �� I em uemp fiam IM COMreGon licema law la IM
'Nbwig teaaon (5etlqn ]IXi1.5 Busiwfa ard Prdeasione Cada: AnY ciY a countY �� �V�ures e pe�mil b caqWci, ellx. impwe.
�idsh. w repes vry avuciure, qior to na eweMe, edo reQuirea tM eppli�ani la euch permn to file e agired atmement ihet M a aM
censed Wrsuant to iM praisiona d �ha Comreaas Lironsa lew �Cheqx 9(cpnmmoip xnh Seaion ]0p0) W D'v'vian 3 d the
,�sifwss aM Prdessoro COEe� or ihei he or Ma ia eaemq Ihseimm eM IM bawa la IM ellepeE atempion. My videlion d Setlion
�oa1 s ty eny app�icen� �« c pe.mn wbjeas �na eod�� �o e rnd penely d m� m«a �nen iHa huMrea aakn �ssoo�l.
� I, ea oxm�er o/iM propeM or my empbyeea wth wepea m �hev ede mmpensetion, wll Eo ihe wwk, enC ihe siructura e ml in�endad
w oflereE lor eele (Seclion'lOaa, Buaineas arM VMesaions COCa: The Camrmma Licerxe Lew daea rwt eppyto en oxm�er d properry
who Wilds a inpovae �hereon, enE v.1w doee euch xorli Nmxll a Mnetl or IMough h6 a her oxn amployees, pmvNeE ihm auch
improvemenls era ia intended a dlereC lor aele. N, hawever, tM buitliiq or impovemeM ia aoM v.nhin one yw d camplmun, lhe
�ow�.-bwua, win ne�e me a„da, m w�mc ne or en<,e�a oa nana or �mo�e �« me wmos< a seiel.
I, es owner d �he propeM� � exduarvey conlrennp wil� IicenxE comrecton to conmrud tha D�I� (`�� ��� Businme eM
Profeaeiona Code: The Contrac�we licanse lew Eae� rwt epply lo en oxmer d D��Y'�o buiNs w impoves Ihereon eM who
conVeMS fw euch projecls wilh e wM�edor(e) Icenmd p�nu�enl lo Ihe Conl�eclas Liceroe lew�.
� I am q Mar lim: 8. 8 P.C., la ihie mem
o�, ex� l �a� y �,,,,
I Eo hereby cenity thel I em awera ol end uMerslenE ihe requiramenls W C IAomie arM aly Code Seclqns 25505.255�3. enE
25SAC, enA Ihai I w eny Mure buiMi�p oaupem vnll / will nrn (orcb are) need b wnh d eiete cadae vd the requiremmte lor
epermnlwmnsi'uclianormotlifiratnnhom�MAYBu IeTiyi.%neBemeMDi4rid.ResiAeMielmnslrudpnepp6ratiomemezemqfmmNeae
a�a.
Dale: Applcent
WOHKEN'S CONPEHSRTION DECLAN�TIOM: I Mreby ��m uMer panelly W pujury a�e d iM IWbwi�p Eedaraliom:
� I have eM xi1 meintan e cenRicme W conron� ia eeXinaure M xorkers' compenamion, av poviAed la by Sxlim �)00 d ihe Lebor
COCB, tIX IM pMwmanCB d Nf Mqk 1IX whch Ih18 pBimn Is IvVaJ.
�] i nava ene �� �m.� ��en• oomo�� ��,,.Me.., �eaw�ea M seeian wao a me �en« coee. r« me oa�o�ma��a d�n.
w��a�n��na'��re�.�a.Myw�CY'�PRESS I 5���"um��� EXPIRES
c�.: 4 n
Pdiry Number: — Q 1� � 1� J 7
_� �Ns sectian neeE not 6e compe�ed I tM pnmid is hr one huMred ddkrs (Srool w bn.l
�❑ i cenh mm �n ub o����Ms a me ..o�x io..�mrn m�. ro�a re na�ea, i enen �a emdw �r o� m dn m.��, .o .s �o
becmre wbjm m iM xorFeri canv��bn lewe a celifoma. eM eBree Ilat il I MouW becoma wbjetl lo IM wwken'
�w��Ip�� �q d s«r� a�oo d m. �m, coae. i.iwi tanni ��mo � in� poas�.
oe�e: �o�� C 4 nvd�m:
Weming: Fellun ro.wun wodnT •'rompmutlon rovmap� b vn/swNr, .neaM1 ll n mmploysr ro cdMrv/ pm�ltlo uM
clvll flms up b om hundroJ tMua�rd tlo/Yn (S1W,0001, ln aeL/tlan b Ms co ol c siustbn, Jnmepu �a povlesA br In
SscHon J106 0l Me Le6orCoW, Infenaf, antl ettornsy4lssi.
CONSTNUCTON LENDINO RGENCV: 1 Mreby �em undar peneXy W perjury tlai Ihere e e wnsirud'wn bMinB epewy lar the
peAwmaMe oi iM wvh /or which tha perm� is anued (Seaion �09'!. Civ. C).
LENDEN'S NAME:
LENDEH'S AOOpE55:
I canity thel I heva reed �his eOPlketion end etme �hel ih<eEove iniormetion is cortea. I egree to compN'M�h dl riry enE wuny oNinenree
{ anE s�ale levrs reielinp 10 buildtr�g constmdqn eM hereby eulhor¢e repreeenlelivea al thia dry m enmr upon lhe ebove�menlianed propery
�1orio9pB°�°°P�`PO9B HOB YODER
(5151-a6.WP) Wh�e-Buikip 8 Selery; Greao—Fle; Cenery-�p0irant; Pink-Revanue; GdEenmE-Asmssor
CITY OF COSTA MESA — BUILDING PERMIT
�_PERM NO: B 078U63
PERMIT NO; B 078063 PLAN CHECK NO: U2257-96 A l GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: NEW
JOB DESCRIPTION : 2341 SF LIVING/ 605 SF GARAGE SQ FT: 2,946
CLAIM VALUE: 120,000.00 CALC—VALUE: 194,826.90 GROUP OCC: R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE
�ru*atit*it*it*ie*+t*x*�rx�xat***x�etxat*at*it�t*xx�**ititit***ic*ii*xiE*if+�+�**ittE**�***ieit***itiEiEuitu*+�*it
Z O N I N G R E Q U I R E M E N T S
s E T a a c x s HOLD FOR SPECIAL REQUIREMENTS
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: 20 FT IN REAR: 17 FT IN FRNT: FT IN REAR: FT IN
LEFT: 5 FT IN RGHT: 10 FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ• 2 PROV; 3 PARCEL: 00000000 ZNE: PDR— REF NO: PA9536
PLANNING NZSTES> CONSTRUCT 1, 2—STORY, SINGLE—FAMILY RESIDENCE. PARK/TRAFFIC
>'FEES DEFERRED TO RELEASE OF UTILITIES. P,F,E. �
1f il� 1f iE iE �)E �E iE �F iE3F �E iE �F 1F iF �FlE �E 9f 3F iE 1EiE 1E iE 1E 1E iE 1f 1f iE 1E iE dt iE i6 if iE iE iE if iE dE �E 1E �E dE iE iEiF ik �F �F jE �FjE 3E ff -lf �1E �E 3E iF �E ff fE 3E 1f.iE �k iF 3f �E �k if �f 16 if
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 APPROVEDr BY �" '� C�P � DATE: " 7— 9
BUILDING APPROVED BX ': 1. V G!i-, DATE: 2'(— 9�
/ ../y .
APPLICATION ISSUED�BY;' �% DATE: �
iPiElF3Elf1E1fik1E3ElflEiEiF1FiE1F1FlfiEiEiE iE3fiEfEfE1F1E�E3E iEik
LEGALIZATION:N �F E E S U M M A R Y STRUCTURP.L SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 1,362.25 19.4$
SMIP/NON—RES
PLAN 221.37
ISSUE FEE
BUILDING—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 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
13f,2,25 19.48 221.37
#���i�€�i��#�?�€�?�� #�€ i� N�cD� I* V� IGD�U�A�L��i?#���.` �i�����c���+���sK*�*�ir�r�xx****+r*�r*�#***x
�
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 77,90 182,363.90
SFR 505 RES—GARAGES TYPE V 20.60 12,463.00
END OF FEES
�., . _, _ Z_ r " ' ,
6ta'I : : . _ , i . . ' .1 : .. , ' '
r
�ONSTRUCTION AND PLANNING
r APPRQVALS Permit #
7 lfemporary Eiectrical Service or Pole
'2. Soil Pipe-Undrgrnd.
3. Electrical Conduit Utility-Undt9rnd.
4. Electrica� Co�duit�Undrgrnd.
5. Steel Reinforcement
6. Electrlcal UFER Gmd.
J. Footings _
g, Foundation
9. Water Pipe�Undrgrnd.
70. Structural Ploor Sysiem
t t, Property Sewer Line & House Connection
12. Sewer Cap
t3. Roof Drains
14. Rough Plumbing
15. flough Electrical�Conduit .
16. Rough Electric Wiring
17. Rough Wiring Sign
t8. Rough Etectrica6T Bar Ceiling
tg. Rough Heating & Air Conditfoning
20. Rough Faaory Fireplace � � �
21. Ducts,in Slructure
22. Ducts, Ventilating
23. Gas Pipe-Rough & Test �
24. Roof Freming -
25. Roof Sheaihing _
26. T-Ba� Ceiiing (Structurall & Mottocoat
27. Frame and Flashing
28. La2hing & Siding _ �
29. insulation
3Q. Drywall Nailing
37. Plaster Brown Coaf
32. Eiectrical Pawer Meter�Final
33. Final Eleciric
34. Finai Heating & Air Conditioning
35. Finai Gas Pipe-Test .
36. Hood or Canopy "
37. Finai Factory Firepiace � �
38. Final Plumbin9 .
39. �^later Service-Fina{
��
40. Gas Seroice-Finai . � �
�, f -
41. Solar pomesiicFinal r •
�
42. Backflow Preventer
43. Backflow Irrigation . '
44. Landscape Irripation System
45. Sound Attenua[ion
4&. Handicap Regulations �
47. FiNAL STRUCTURE & BUILDING
%
48. PINAL PLANNING �
A9. Electric Release to Edison:
50. Gas Release to Southern CaTifornia Gas G
G
51. CEflTIPICATEOFOCCUPANCY
Date
POO �PA
Date Inspector qPPROVA4S Permit#
� �'" 52. Pool & Equipment Location ,
L- 53. Steel Reinforcement t -
�OI �_Y 54. Forms . .
�! K
55. Electricat 8ond+ng �
56. flough Plumbing & Pressure Test
57. APPROVAL TO COVER-GUNITE
i
��� 58. Elecirical Conduit-Undrgrnd.
� �� 59. Gas Pipe, u Undrgcnd.. Test
_ir�i
60. Backwash lines, P-Trap, O Undrgmd.
=. 61. APP.ROVAL TO DECK ��.�
62. Backwash & RecepSor�Finar �, . ;
`- 63. Heater & Vent-Finai ' -"j
�^' 64. Plumbing System - Final � ~
i
�; 65. Electrica6Pinal �
: '
66. Solar SYstem�Flnal
67. Fencing & Aceess Approvai
68. APPROVED FOR PLASTERING
69. POOLISPASYSTENiSFiSVAL
FIRE DEPT. REQUIREMENT
� APPROVRLS' Pe[mit #
0
Date j {nspector
70. Underground Hydro
77. Product�iping'�JGas ❑Oil
72. Underground Fiush �
73. Undergrnd. Storage Tank C Gas ❑ Oil
74. Overfiead Hydro
75. Dry Chemiral
76. Dry Standpipe
77. FIXED SYSTEft9 FINAL �
78. FIRE PREV. FINAL
_ HEALTH DEPT. REQUIREMENT
79. FINAL iNSPECTION
S0. PO00 CERTiFiCATE ISSUED
Notes:
�
�
1
���' Hall & Fbreman, Inc.
a 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. 15211
77 gl D i+�u.vQC.�.i -� G'��
Permit Number. GRA075893
By Civil Engineer.
4665-GRA08
I certiFy to the satisPactory completion of grading in accord�nce with the approved plans,
specifications, local and state codes. All drainage devices required by the grading permit,
grading plan and grading ordinance have been installed. Adequate provisions have been made
for drainage of surface water from each building site.
The minimums are:
2% fall from structures within 5 feet from exterior walls.
l% fall for asphalt 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 set. All final grading elevations
are wi[hin � I/10 oP the desi�;ne5�.elevations.
Supervising Civi]
13821 Newpart Avenue, Suite 200
Tustin, Califomia 92780-7803
Tel 714/544-3404
Fax 714/544-3155
No. 37445
l�G� �
�FESS'Oti,'> \
�`� fj
�fi P' YOG °�i,�i.
�Yu . !_1
Np.37445
�.6/30/0b u
�
Clty of Costa Mesa
Callforoia 92849-1200 P.O,Boa 1200
Insulation Certificate
� Ferr..�l Numoa�
810 MARQUIS COURT COSTA MESA, CA
Number eqa Sl��l Clly
%%
ounry Subalvlmon Lol Numnar
Descriptlon of Instaltation
ROOF
Material ., � �
Thickness (inches)
EXTERIOR WALL
Material . BATT INSUI.ATION
Thickness (inches) 6 3/4"_ / 3 5/8" _
Brend Name �
Thermal Resistance (R-Value)_ �
Brand Name SCHIJLLER
Thermal Resistance (R-Value) , R— R— 3
CEILiNG
Batt or Blanket Type BATT INSUI.ATION Brand Name . SCHULLER
Thickness (Incnes) 1�� Thermal Resistance (fi-Value) R-30
Loose Fill Type Brand Name __.,__........__.__.__
Contraclor's minimum installed weighUft�_Ib. Minimum thlckness- �nches
MenufaCturer'S insialleq weight per aquare foot to achleve Thermal Fesistance (R-Value)
AAISED F�OOR
Matzrial .
Thickness (inches)
SLAB FLOOR
Material
Thickness (inches)..
Width (inches)-•
FOUNDATION WALL
Material
Thickness (inches)
9rand Name
Thermal Resistance (R-Value)
Brand Name .
T�ermal Resistance (R-Value)
Brand Name .
Thermal Resistance (R-Value)
Declaratlon
I hereby certify that the above insulation was installed in lhe building at the above localion in contormance with
th= current Building Energy E(ficiency Standards for new resid2nlial buildings contained in Title 24 ot tha
Calltomia Adminstrativa Coqe.
Axnnrnl ContraaCr (BvdO�p
Signamro inG TI:11
WESTERN INSULATION, INC
Sap�CorVaCtor (Ir3vidl;on (Oflpllpr)
_ .�.(L+ ,�.�.✓/J Production ligr.
Slpnatun ara Titl�
�:ov.e
l¢nnsv enNer
481278
SEPTEMBER 12, 1996
L0'd Wkf b�:TS 9e—Z[—d35
.
saem�ou+o: 810 MARQUIS CT uxr:
owr�eRsruYeir�u�mvn: POLYGON PROPERTIES FLOOD: X 47
,�,IiDUHE55: iS%1% ROCKFIELD BL
IRVINE, CA 92718 714-452-0600
APP�. I/All1NG iWOPE54:
�xcxnecran�aN�x: LL MAJOR 6 ASSOCIATES uc.ra.: C-16869
IJiCN.OP FNG.'SIUDNES: i S S S N TUS T S N AV urir:
SANTA ANA CA 92701
CONiHRCTOR'S N/JAE:
ca+macroxswuuxc
wowess: uc. ra.:
UNT:
IJCENSED COMHRCTOHS DECIAPATION: I heraEy aRvm uMm penely d peejury thm I em I'r:eneeE uMer pmipme d Chaqx s
(mmmeriafg xnh Sac�ion'l000) d Divisun 3 d �he Buzrien ard PMesaiona e, eM m ia i fo�ca eM aHeq.
cmuc.no.: 661�q4 uc.cuss: H uc.No.: 659 2� � XP; 11/96
Daie:� l Convaaa: "
OWNEP BUILUEP DECIANATION: I hereby eifrm �ntler pariatly d parN�Y �hm I em exemq Irom Ihe Coniredaa Licenee lew la ihe
Idbxii9 rearon (Seeian ]W 15 Busiesa eM Prdeabru Code: �m cIv n coun�v whiM reVuirea e oa�mn Io mmviwl. eller. immwe.
Tden, m,epei eny avuemn. o� io a: vs�erce, el,o �a��,� �n. evW�n t« suen vaemu m sb e ei9�d .wemem inet ne «.ne
'�cB�sBd W�+�� lo IM plOvisiM3 d IM Canlretlon Lirense Lew �Chepter 9(Cqnmelviip xilh Setlun ]OD�) d Div'nian 3 d Iltl
)0�1�asa eM GrMessona CoGe� «�hm he w eha is examp Iherehom end Iha besia tw Ure ellepaE axemqion. My violelion d Sedion
5 by any applirsnt lor e permn subjeds IM eppl'cen� �o a civil penelly W iwl mote Ihen Irve �uMreE ddlen �5500��.
� I, as owner W Ihe propany or my empbyeee W h wages as Iheir eole mmpensetion,will do ihe work, enE Ilre MruMure e nd intentled
imvrovemanb ere iw imaMed «drorea mr ae�e. o, nowevar, me omnmg « Impovemem la eoa wlinm wa yeer a mmqetan, ine
y owrer-buiMer will heve tM burdm d provin0 � or sM1e Ek iwl Wik a improva Iw iM WN�e d sele�.
4� i. m o�, d ine warom. � a.w„�dr �vmne wnn u��e �m.n� m�,� ma waae lseaa, �oa.. e�.��. �d
a����. code: rne comaaors �,� ie. eoes „a ewN �� �, ��, d wwam wno w�a. «�mwwe. �ne,w� e�d .ro
conuads iw euM prol�a with e mntredor(c) �KeneeE W rsuenl to ihe Conlredas liceme lew).
� I em uemp under Sedion: B. d P.C., br ihia reeson:
Daie: Ownar:
i ao n�reW �anM �nm i em awm< a e�e ��rsiene in< rea���<oie a ceiaomi� r�nn d,d se�my cme sea�m. zssos. usaa, ene
usaa. ane uw i«.�y nn�re w�wma oowoem ..;n i wii �w Id26 o�a) ��e io canNr wm m�d mme codm �e me �ea��remema �«
e{aminiaconst�uctionwmaEifmionhwniMAi�iy -ariayemenlDimiid.Peskentielconstrunioneppfa�bmenuemdlmmNese
wovisron%.
Dele: Appliranl:
W ONKEP'S COMPENSATION DECLAflRTION: I hareby eifiim under penehy d perjury one d iM1e IallowinB dedereliona:
❑ I heve anC xil meintein e cenilcete d mnxnt lo aeM-insure br vroken' compensetion, av pwitled Iw by Sedion 9)00 d Ihe Lebor
Goda, iw �M1e pMwmeMe o/ Ne wA lor wlich �hia permn ia iaueJ.
�] in��e�i�m�.on�.•�w�o�nw,�.�rea��reebrsm�a�aoaineim«coea.m�marort«�aina -
,.�ia..nm,inbo�na��e.Mr.,o�n����°�����odKv��mn.,�.a: EXPIRES
c�a,:
Golicy Number: — � 1� Q 1� 9 7
,/lris secfion rieed nW pe cromplered d �he {rermR ia br one hunEred Eollers (g�0p/ or bss.)
❑ i cenM uw m ma oano,meo�a w me won ro, .n�n m�a oa�n „ � �ad, i snml,�a a dm r re�+ m�r m��a m., m
n�ma s�qea io me .on�ers �w��� iews a c���. �a ��� Uat H shou Eacana wMea io iM workers
campen pmnso W Seaon 3100 d Ihe lebor Cada. I ehell nhwnh m by x' iMa pmvisiare.
o�e i o�i� � p Co a��,,
weminT Fallun ro�wun wohw�'rnmp�nunon coverps b unbwNl, ena tlull ndpcl �n wnployw ro ctlMiul vM�rou an0 +
clvll Ilroi up ro on� huntlM fMus�nO tloller� (SI00,0001, In �dtllf/on ro Ms rost ol romp�iwf/on, tlarru(p ii prov/tleL br In
Swtlon JRl6 0l fhe L�Cor CoM, Intueap entl attomsyS Ina.
CONSTFUCTION LENDING AGENCY: I hareby eifirm unCer panelry W perjury ihel ihare ie e mnslrudion bMinp eperwy Iw tlre
partortnenm W �M xork in wh'idi ihe pe'm1 ia esued (Seaion 309]. Civ. CI.
�ENDEfl'S NMIE:
LEN�EN'S ADOHE55:
I cenM �� I heve reeE �hia epqce�bn eM ge�a �hel IM above inlormmion o ca�en. I epiea �o canpy wnh ell r�ly enE couny adinercea
enC siete la� roleiinp io buil i p mnstruaion eM hereby einlwrae npremmefrvea d ihia i ty ia enier upon the ebwo-meniioned poperry
�o.��s���,��,s��R/ Jo c C.� ,�;� D 1
Pnm N /
/
o�e: r �
,� ■ i
\ �5t51d WP) Whne-Buikin8 8 Selety; Greao-Fle; Canery-Applirani; Pink-Revenue; Doldanrod-Rsaeswr
CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO: M 078167 PLAN CHECK NO:
CONSTRUCTION TYPE: V—N PEAMIT TYPE: MEC
JOB DESCRIPTION : 2341 SF LIVING/ 605 SF GARAGE
CLAIM VALUE; CALC—VALUE:
I.I
P,ERM NO: M 078167
� GOVT: N SUPP: N
PURPOSE: NEW
SQ FT;
GROUP OCC: R-3 /U-1
COMMENTS; NEW SINGLE FAMILY RESIDENCE / PLAN 3/ REF B-78063
iE iE iE ik iE iE ik ie i! iE if if iE iE it ftlE �E1t 1k 1k if ft 1f 1t iF iE if iflF iE i! �F 1t iE fF it it 1t1E iE iE iF 1F It iF it if iE ik 1F iF iF it if 1F 1E �t ik it it i! 1k 1! iF iE iE iF 1! k iP k 1E iF iE iE k fP it
Z O N I N G R E Q U Z R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FANT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 14151132 ZNE: REF NO:
PLANNING NbTES>
. r. � > 4, . ..,
1f 1E iE iE 1E iE iE 1f if 1@1f 1E iE 1f ik M iF 1E 1E 1f 1f iE iE It 1f ik 1k if 1k IE if IF I(� if 1f 1F 1k,1f 1F 1F ik 1E M if 1E 1F iE if 1k if 1k k ik M IE iE 1f� 1E iE ik 1f 1! 1! i! if 1E 1f If� Ik 1k fE 1E 1E 1E1f' 1E if iE if
� ' ' 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 ',� %
yHUI-LDING' APPROVED BY ; ' � i +'
fAPPLICATION ISSUED BYc � �
DATE:
DATE:
DATE: �
LEGALZZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
HLDG PMT PLUMBING ELECTR�IC MECHANIC PIRE SMIP/RES GAADING
PERMIT 35.75
�,. 252 SMIP/NON—AES
PLAN '
ISSUE FEE ' 22.00
BUILDZNG—DIV—> PERMIT ISSUE PI;AN—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
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
57.75
K M M iF iFiEiE iE It IE if �f iFiE iF K if iF if iF if If 1E iF iF iFiFif if it IF1E iE iE iE if iE iE iE iE iE iF iE M ik K if if K�E iE If M MiE iE iFM iF iE iE iF iE iE if iF if iE �E if iF ik ik ik iE 1E iF If ib
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
MEC 1 INST FORC—AIR/GRAV FURN.<= 100 K BTU 13.25 13.25
MEC 1.`INST HOOD W/DUCTS FED BY MEC E7CHAUST 9.50 9,50
MEC 2. VENTILATION FAN CONN 1'O SINGLE DUCT 6.50 13.00
END.OF FEES
' � i i J,-�-_��..1.,_ _•-Id_�j- ' _ _'
' . L'r.?�. �:.� .., i= ... _ . �
�
� (;Q79STRUCTION AND PLANNING P�� 'PA
APP€iOVALS Permit # Date Inspector . AppROVALS Permit #
c
7� T�mporary Electricgl Service or Pole 52. Pool & Equipment Location .
2. S€41 Pipe-Undrgrnd. �� 53. Steel Reinforcement
`,, `
pa„ ElectricalT�!Wuit Utihty-Und:grnd. , 54. Forms
�� El�ctrica �r�uii-Undrgrnd. 55. Electrical 8onding
S� 5s.�4 Re�;f,.r�,. e�ment . 56. Rough Piumbing & Pressure Test
: 6? ElectricalA�R Gmd. 57. APPROVAL TO COVER�GUNITE
��„` Footings,�f.,., . 58. Electrical Con iip�Undrgrnd.
tC87 Fo� un�datt�rYs � 59. Gas Pipe, O UAF3r�rnd., Test
�� 1N�(er Pi�, ndrgrnd. . 60. Backwash LineppE�TraP, O Undrgmd.
70.5tructura'�FloorSystem 61. APPROVALT HECK .
n .. r. 'm
17, Prcperty�ew�� Line & Housr�-Connection 62. Backwash & f±eceptor-Final
12. 5e�yer Cap 63. Heater & Vent-Final _.y _
�3. F��f Drains V � 64. Plumbing SYstem • Flnat.
ri4. Rough Plumb:ng ,Cr; � � 65. Electrical-Final
_ �_
T5, fiough Elpctrical-Conduit 'J'
66. Solar System-F'�jv!
}.6. Rough '�ctric Wiring _, 67. Fencing & Acct9vApprovai
�7, fiough Y�A+ing Sign � 68. APPROVED F��PLASTERING
Y8. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSi.EMS FINAL
19. Rough Heatinnq & Air Condition�ng ^ tY_Z� rr� I�, FJ���PT�[2EQUIF�EME�1T'�.:
rr+ :� J �'1 x I R"-i -. a. . i - O'
20. �ou� ato& F��lace '�� 'Q� x C � .`* �y,`'�
� SC*' Q:��Oyl� �. *�APP0.""K��l-�- P�,mit # i-�-r^-�
27.�ucl�.irfStr�&ture7� i .... ryS r �* �} *
�. m m s�� � e $s C �� � � ��•�nde � 1�dro *
22. vucA1, V`t�til�inc�'�` �5��_' " * 4 � �' 9 p'�y, IRIOiI
„„ �. � ' V i �� I' * 71. Prod iP�n is
23. as pe o�GJh & Tsst i R;S * n7 rn�t C* � 7z. Undergr�v�d P�,4i� * �"'
24. �oot�Fr�ing" 3� �`�"' "� �'' C' a,..� *} 7�j Undergrr�jd. St�a� TanV� � Gas ❑ Oil
15. Roo hQthing N x � �o v� � G? n: * 7�j? pverhead HYd *
-o-tr . r
26. �-B�TCeiling (StrS. ral) &� ki.oat * � d r'* 7� Dr Ch ical � '� r HH
cb i71�' � S « O >+ rJ s ¢ Y ft�+� F D ,. s S
27,.Kfamear�dFlashi�* paq *cT � m.� 76. DrySta �ipeFtn * FF
b :.' a t `_' [L
28. �att�'ng�Sidinq�Ky ca� O ra I * �+y FiXED�T�y��iNA�� n 00
29. Insulati� tix � S J �' � I 7y FIRE PREV. FI L �� Q''•a
Fn- ^7+ 3-
3p. prywall �iiting �'� �„i = F � � S ��ALi�j DEP��kE�ll�}J
37. plaster B�wr,f ['•o3t17�i S i['lT' �� j �K 79y FINAL CLtl6PECNON�_¢-�
r-i-�-Pli' �C�F+ ' * '-'
32. "�ectrica�o�'�r I����.Jal � * �' � � 8� FOOD CERTIF�i.�TE I�$�JEp., �f
33..5in�jEleciriq S� �r, rt � _ , 2�-'-•-
I N^oies�" _� a ��`'� !)i.��� i.t'•'
'� 34. '�sna«cJie�inc� PC� fi�nCitiorii�F'gs T��� c
�
�i 35. �jna Gas� ,pipe.�Te i* p�, .• �: r,
�-�
36. Nood'or�anoPY -M � � R"7 ` '� ^
� a, a n � 'x: : < .z,3 -
tl. r-i " -?r[f
� 37. �nal. attory Fireplace ,� r c.p. r,; l�
�_.�v#_� - .
38. Fina^ It�i�bing �* N � " �`
* i v x
'' 39. WatAr'Service�Fin � � "'
� i I � r.
h7 40. Gas Service-Final �'� m Cc":�' S � t'%
Y. �;
41. Solar pomesticFi��` S � �� ,� �`
42. Backflow PreventevM �v *
NH * H
43. Backflow Irri,q'+�tion fi ySs ��
i#Yi. Landscat�� Irk7hatior#System�t*1!J � x t^
. � k
T
'�5. S�und F;{ier�nep[ion* y�F; �
6. ndicap•RegulatioMi O *
�7, ,F-iN�1 STRU�TUR� & BUIC'�ING � F.,
48. pN,QL PLANNING�� � c'�-' '� •L
n� k
�. �lecti;e Rele�e to �ison � *
u
50. B3s Helease tmSout�em Califbr��m,'sGas Co +
'S1. CEfi�IFICATE OF 6CCUPANCY '
No. Date
0
m
-G�Y�"tRT'�-G'�.'P
^'O Gt�+L * >' �
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Date �Inspector
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Polygon Lifestyles
in Costa Mesa
Plan 3 Lower Floor
HVAC Layout
�oT 7 7
�asE 2
PP_OVIDE (o ¢ T� �UT SfDE
F�ESH A1� W17H MANUAL
C�AIT2DL DAMPE�, AND
FILTt� RACVC. L075 1-14,38-41,44-
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Polygon Lifestyles
in Costa Mesa
PI�., 3 Upper Floor
HVAC Layout
LOT � �
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'�onesso�eu��wa: _ 810__MAR UIS CT _,. ___CITY OP.COSTA MESA.- BUILDING PERMIT .
- �. .
ax�rrsNtiieiv�v+w�x: POLYGON P OPERTIES � FLOODTc X 97 __ ._ _. PERM NO: P 078168
�-' �oox�ss: 15717 ROCKFIELD HL � � � �
� � PERMIT NO: P 078168 PLAN CHECK NO: N GOVT: N SUPP: N
, IRVINE, CA 92718 714-452-0600 � (-+ '
APPI.AWWlGADDXE55: �DY �� CONSTRUCTION TYPE: V-N _ PERMIT TYPE: PLU _ ,. . _ _..__ - , PURPOSE: _ NEW
1
umxnecrox�xm+�nn: LL .MAJOR 6 ASSOCIATES ucxo.: C-16869 JOB DESCRIPTION : 2341 SF LIVING/ 605 SF GARAGE _ SQ FT:
�xcx.on�a.•s�ooacss: 1551 N TUSTIN AV urir:
SANTA ANA CA 92701 CLAIM VALUE;, . CALC-VALUE: GROUP OCC: R-3 /U-1
coNm�aarsw�we COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 3/ REF B-78063
CaNIF�CT0A3 YYUNO ik1E 1E1E If 1k 1f if iF 1Eif IE iE 7f iF iF 1F if 1E if 1k 1F 1f iF 1f ik1E 1f 1E 1E if if iE if 16if /f!E 1f iE 1E 1E 1E 1F iE iF 1E 1t 1F 1F 1F iE 1F 1f iE1k IE IEiE 1F IE iE 1E Ik iE 1E 1E 1f 1E IE 1E ii M iE 1f 1f 1E if� 1f�
moxess uc.xo.: Z O N I N G R E Q U I R E M E N T S
uxr: S E T B A C K S
LICENSED CONTflRCTOp3 OECLAqArION: I hereby eRirm uMer penaly d pe�ury thel I em IkemeE uMer provieions M Cheqm 9
(mm na�q wiih Seclion )000) d Oivieion 3 0l �he Businesa anE Professione Code, arM my lioamm � i I�II lorce end eXea.
cmuc.No.:066 44 uacuss: B uc.N :_65 6 EXP: 11/96 ---.-------- MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR• FT IN FRNT: FT IN REAR: FT IN
o�e: �DI�� GI iC7 co���aa.: � LEF.T: FT IN RGHT: FT . IN LEFT: FT IN RGHT: FT IN
OWNEH BUILDEfl OECLAflATION: I hareby �rm under peneMy M pe�lury thel I em uamp /rom Ihe Conlredae Licenae Lew lor �ha
lolbwinp meson ($ecllon ]031.5 Buai�ross azM Pm�essioro Coda: Any c1y n mun�y xAid� requirm e permil ta mnetmc�, elleq imyove, PARK I NG RE PROV : PARC EL : 1415113 2 Z NE : REF iV� 7
demoleh, ar rapeb eny swclure, prior to ib heuerce, elao reQuirea the epdicenl fa suc� pertnX lo file e nqneE etelamenl ihel he a ehe pLANN I NG %��TE S>
ia liceneed W�*ueni �o tM proWaion� W Ihe Conireqws Lireme Lnw �Ghapter 9(commendrp wilh Sedon )000) W DH6bn � ot iM
Buaineas enE PrdeseUnb Cotle� or Ihd he or ahe is eKemp thereham end tha basie Iw ihe dbped uemqian. Any videtbn d Saqion %' � :� � '
1aat.5 W env aGolicenl lar e Gsrmn euN�e ihe eGdKaN to e civil Va�Y o/ not more ihen ive hundreE dollen 15500D. IkiE if iElf iE if iF 1k iF if iE if 1E 1k 1f ik if iE If 1k 1k 1k 1E IE if iflf 1f 1k 1E 1(� IE iE iE 1E 1E it iE 1k 1f 1k 1F 1E 1F 1f iEi1E 1E 1f.1F if iE 161EiE 1k�16iE M 1F iE 1F 1F 1F 1E if iE iE �E iE �E 1F iE 1E 141k 1F if
� I,mowrordiMpmpenyarmyampbyeeswt�wagesaalM1e'rsdemmpenaetion,willdoNexnrk,endihaeoucwreenrnimeMed D E; V E L O P M E N T S E R V I C E S� R' E-.Q.0 P R�� E M E N T S
orMeredbrseb(Seclian�Oaa,BuvneaeMProleasansCode:ThaConireclanlimnseLewtloes�atepplytoenownmdpopMy ' � . ,�
wM10 buMe «mpmvea iMroon, eM x1w Eoes euch wwk IimsaM v Mne� or Nraqh ho or her oxn empbyeea, povided tMl wch ' � •i ' f
imqwemmiaereiatimeMedadleraElanda.M,however,theWbiipw'unqwemamueoNwuhinaneymrdoompblion,iM ZONING APPROVED BY • � �' � � �� �; DATE:
�owiwr-0uitlm xill heve IM buNan d poviip M a sM d'k iwl WiIE w imprava lor tM WT^ee d eab). •
J i.�o..,�«dinaa��y.�e:e���dv���a:rewani��d�nrea�io��i��.rinewqm�s«ro��ou.e���.a.�e $UILDING.APPROVED BY : �'� '_�!:�' ' 1 �X' �/DPiTE:
Proleasbm Code:,The CaNradas Lcenae Lew does na epply w en awror d papMy v.1w Wika a imqwea IM�son vM who '- __ p�
�v.�i. a..w�.�m. wmn e mmrea�a� i��a w��m �o ma com�a«. i�.e �.,6 �, /'�} � � �` 1. i/S� ;;.: ;, D�AT E: z l O-
❑ IemeaempuMerSMian: B.BP.C..forlh'sreaaon: � " . 1AfiPF1pF�1il1CFiAF•ITF���****O*�*B*+i. � ,. !il/u 1E1k1E1EiEiF1ElE1ilEi�iFiF�7FiEik
o"° � °wneC LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
I Eo Mnby eenM � I em ewere d W uMersbM IM mpuiremaMs ot CalLomie HeeXh eM Sdaty Cada Seaiom ?5505. 25533. eed � .
25591. enE Ihet I a erry Mure EuiMiry papeni will / wil rw� (arcb me) need io comply wih eeid etale ood» eM IM �epuiremanb lor `-
apermnlormnnvuciionormoEifiralionhan�InRr u�Te Ity.rerepemantDimnd.HasiEmlieloonmiutlianepplcmianenssemplmmNeae . BLDG PMT PLUMBING ELECTRIC M$CHANIC `��• FIRE SMIP/RES GRADING
wa,s�«�.. PERMIT 198.00 ^' '- �
o�a A�� _ 25t s, ";; ,�, „ �� SMIP/NON-RES
PLAN ,
WONKEfl'SCOMGENS�TIONOECURATION:IMnbyeifiimurdxpenelrydperjurywwWlMldlowiiqdodermion�: ISSUE FEE 22,�0 ` � � '�� �i�
� IhevaenEvnpmeinminecenJicmedroneentmneM-inwrelwwmkerecompemalbn,mprwkedlorbySeabn�]OOdlhelebor HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK -� TOTAL PAID DUE
c�e,�«�n.,�no��onns,���e..m�n�nre,��no����a. TOTALS----> . 198.00 22.00 " � 0...00 , 220.00 220.00 .00
�] I hevs vd xitl meintem waken' oompenealnn inaurence. a+rpuired by Senbn 9)(Ip M Ihe labor Code. M iM pe�lormenm W Ihe �� �: ''- h '.
woAlwwhichlhiepermnivivud.Mywnkere��y�ei���o��y�dpwiry��mne�e�e�. EXPIRES REVENUE DIVISION TOTALS--> COLLECTED�: ��. 220�:00 OVER/SHORT: .00
Poi;�`N�m�,,: - O1/O1/97 BLDG PMT PLUMBING ELECTRIC MECHANIC f� ,FIRE ,SMIP/TOT 6RADING PLAN-CHECK
(This sMion neeC nM be cwnple(e! / fhe peim;t is lor one hundred dWlers /51001 w lue.l . . z 2 0. � � -� . �'
❑ I mnM ihet in ihe pe�lwmerme d ihe w«k for whc� ihia peemA b ca J, I ehell iwl am0 e�Y �enon in eiry menner eo u �a � '�
becoma wbjea io �ha xnrkere' comwnaetion lewe d Celitomie. Wrea thd X I ould Icome eublea lo Ihe xorkere iElEiE1FiF1f1k1FiFiFIflEifiEiFMiklEMifM161E1kM1fifklPiflf1E1F1FiF.1F1FlE1E1E1fiElEiF1EiElfikiflf�MlElflf�lElEMiflEiFiFlE1E1EiEif1ElFi(�iEikikiEiflEfElf�Mi4
�omoe ro��ab� � s��a, a�ao w ma �. caae, i en�i �o .nn � y.n , o.s P� i.a�. I N D I V I D U A li� F E E` ' B R E� A K D O W N
o�a �rl�l Q�, .���� - _ .. . .
WamInO�Fellunro��cunwoikwieomps�wtlonronnW4un/awNl,ene�lull�ub�eetenmp/oy�rfoMMnlO�MrouanG TYPE .. QTY D E$ C R I P T I O: N �� , t UNIT C�$T TOTAL CQ$T
c/H/ flms up ro on� huntlred fhouunJ Callar� (f10L{0001, In atltl/tlon ro tl�� cost ol rompmufbn, tlamepi u provMM br In . ' • i
sKuo�aroso�m��mo�cow,mr�ta�e+mmsy�/»�. PLU 2 BATHTUB ' 1 �'' �' 8.75 17.50
CONSTNUCTON LENDINO RdENCY: I MreW effi�m uMer penely d perjury Ihel Ihwe u e mnslrud'an bnd'mp ayarKy lur Ihe PLU _ 1 D I SHWASHER �� "�, � � $, 7$ $,% S
�n��ain,�ni«..+�Knine���n<s�<eis<ab�xw.c�.c�. PLU 2 LAUNDRY TUB OR WASHER ';�� ; 8.75 17. SO
LENDEF'SNRME: PLU 2 SHOWER -� 8.75 17. 50
LENDEH'S�UDFE55: PLU 1 SINK, KITCHEN � ��,��• `-•
8.75 8.75
i�anMmmin...n,am�.�pKm�,�en�.m�m..ne,.emi��,�,��,a.i��„m�py.,nndiwyd,e�mv«d��. PLU 5 WASH HASIN �,.� � .• � 8,75 43.75
arM et�e lewe reletiq lo Wildvq ronsuuabn aM Mreby aNhorixe repesentmrvae d ihia cily m enter upon �M eEvre�meniioneE pmpaM PLU 3 WAT ER C LOS ET ( TO I L ET•) '�'XT' 8. 7 5 - 2 6. 2 5
�o""s°�"'° °"`°°'°' PLU 1 WATER HEATER AND /OR% VENTs. � 11 . 00 11 . 00
I'I d PLU 1 WATER SERVICE 8,75 8.75
P'Neme PLU 1� GAS PIPING SYS OF 1 TO 4 OUTLETS 5.50 5.50
o�e: �� PLQ 2 GAS PIPING SYS St OUTL-PER OUTLET 1.00 2.00
s�eo��,a a o�dn pvouranvconvaaa
(5151de WP) WhdsBuiWinp 8 Salety: Greer�-Fle�, Cenery-Applicenl; Pink-Rerenue; �oldenrod-Reeeaeor
�,
,^,�ISTRUCTION AND PLANN�NG f'�?OL & SPA
' AP�ROVALS Permit # Date I�specto� qppROVAI.S Permit # Date lnsP��tor
, �
;. Teinporary Electrical 5ervice or Pole 52, Pooi & Equipment Location ' .�
2. S�I Pipe�Undrgrnd. � - `fQ_�y� _� 53. Steel Reinforcement �
�� 4
Od� Electricat�-o�uit UtilitY-Un9rgrrxi. 54. Forms ' O
.-, •
� ,���' Ef€etrica��uit-Undrgmd. 55. Electrical Bonding � "
S5: Steel Reigf�c£ment 56, tiough Plumbing & Pressure Test O .
�;�„�; Electricd,b��RGrnd. 57. APPROVALTOCOVER-GUNITE "
�Z Footings�r ` � 58. Etecxrical Conouic�Undrgrnd.
�� Foundati�r� 59. Gas Pipe, O Uff�t�rnd., Test �
• i �r-.
h� Wa�er Pi��.s,yWndrgrnd. �:Zt1.�L( 60. Backwash Linqs;A-Trap, � Undrgrr.d. +
70. 5t4uct4r floor SYstem ,t , $1. APPROVAL i�rHECK ,
1 t. Pi¢pertySew.er Line & Hous�:Conriection 62. Backwasfi & Receptor-Ffnal
�-zz-Y_ L - -
72. Seiwer Cap �v 63. Heater & Vent-Final
�,:3. R�of Drains" 64. Plumbing System � Final'
04. Rough P�umb�ng �.�, �� I 65. Electricai�Finai
l.-
�5. Rough EPectricai-Conduit =" 66, Solar SYstem-�'y�
�}6. Rough F�ciric Wiring �- 67. Fencing & Acce�SApproval
�7. RoughUS"tringSign ! 68. APPROVEDF�iRPLASTEflING
16. Rough Electricai-T Bar Ceiling 69. POOLlSPA SYS �[MS FINAL
79.�Rough H.eatinq & Air Conditionin� ' F�p PT EQUI¢EMENT
e Cz C1 x � C^ tr 7 i vi W � G^ CJ' "i�ID�?�+ � F T C� C Q' P O` G'
n�
20. �o�� to�y F�ilace , �' � ,^1N O r•; � � "�': :';'77•: ,•, .
Sti' X'V" * S r. c.x . AP Ovy��i;��. Pyrmit#_- -�^����;�.���
• a-^sc ce •
21.�Juc�, ir�tr�:tuA�3� •.•• SH * S H �* y 70.�.Jnde�r��d ':.Sydro y �
22. uc',�'F`q Venti�'in '� � W
� • , `� x. � CJ �O �a; f� ^� 71. Prodim'1'Jipin�C.T;7;as 'k70i1
--��-f--�- . . - . .
23. GaS�?ipe�a�Tyh & T�est � tT+S �+.A%� L�'� 72. Undergr�i�Jd ,r'""�c� * �"
ra _ .-n �7 �`t r-� k >
24.lSooSFr ing' tT;# � FE- ••F .� 7 ' p, - * t� '. . c,... , --.. o..-, . ....
� 3* a; * t� r; �• 7yt Undergrnd. SccJ�-'I:e Tank O Gas ❑ OiI
•�
25. floo'4^Sh�tfiing ius �C � � ti O?�* 7ti�i, Overhead Hyd��.., �
�' r K �D [T]# S rr . •✓ � .a. � w
26.�•Ba"?CeilingtStr�t�ural) &Y�ic„�,coat *p � p* 7g. DryChgJr;�ai^T:n � r QH 2i--�;,q6 �rC
� � F-c=n=-v '�-e•-�-sz=,-.- ...
27.�ErameandFlashi�x �xx �b' �' p* 76. DrySta �ipeF�o »: T..S 3xxmrr �
��, x O fU F t+: � �T, t� CC
' 28. Lath ng� Siding�* � Gxx C � £ ..� ..� ..� 7?y FIXEQ6S�STF.P(G�CtN� � � �ni7 =c�2C��- 'c'b'
29. I�ulatio'ki ^�# S •• � I � 7£.°�IR�"�REV. F�J�L *' � m E"'"'06 5S
y I ,y # � !1Sfv'.-� .,:CJ
30. D�Ywaft AaiVing }* �; i � F k So v of~i'.�E��AL�i'�r, DES�T�IEQUIREM`�`Nl�, `
[T' FCC�. VR:
�� 37. PY,i;ter �ow6`Coa � S i t+'[r � 79. FINAI'-�.Q2�,PECYT'r-'ON � J FS :�CV
32.�lectric�Po:izr ld��s%F�i�al i * n' 8tw FOOD CERTI 'ATE 46E-�1EQ� �� O:.•
33.�inahElectri� S* cn i u; �� � tes: -'*'� �_ x C .
,-. , s n � ��-� '�� � �fi/f[ tJ_m - -
� 34.�in's�He�in�FiT'r���tionirt�j * ; t� S �S �K St�,� �- �
m t: :/ ll �"r2��� 1 . � /-C _ 4c 4_��'2.�_ _ � u �
35. �nat Gas,fipa'TT�t ��� �• 6+ � � '�so Ci� - - n
` s'tL• 21L� ��tcr�-?"e�-�:s�u.�L • o �
� �,�
�.
�� � �« ._, � cr-"_ -a x n � � `� no s *
36. o or.���pV ti: C: • S,t" c a : Z-Z. L��� 7iGl�C�-t,•fc`�Y� a[T:
�37, ina4�Patxbry Firepiace � � E-�E- �� * � q * G
i . , . �: � ��l ��_ifL�i DO
38. �in�Pi�g,bin ��tnN � .. . � * ' -, - - s �, # -- -.�� --
� bi_ ?3 �� t- _. _" C�--�7'� 4�_�Z 7' . l h r
�� 39. Water Service-Fin, j� � , v� . I f"='T%
-. . �J- ��L6 l6_-Z�3 � �G.�t roE-.
40.GasSe�vice-Finat *M 'd��T S � i � ��'' *
C7* Cf. [+7 O.� � F• Of x`Z
, 41. 5olar Oomestic-F'� 'pj � �-,� � �o C � � �
i
42. 8ackfiow Preventeir�' n% * I I� a: >F �` - �-+
�. �c # n; O�+:., Q r2t� � * m m O * E-,
43. 9ackflow Irrig�2io } �, �.c/ `' _ * -- �* ^ ='� • • • • • • •� � ' �
,`,^;�,_.___,�r.� jc . 4i�iL-IiL�l-i0'vtll�
r^�:^ x � x^t fti N s xCJ * N !llNNti�VN;v
�4. k.andscap� ir�gatio System��� . E i v� OcC x S F V
�' '�_" .
`A5. �ound I�F[es��s,ation* y..�. ' ,Y� m l*S ta* e' cs' `� • Fp *
HO ••H �
��l6. ,Nandica Re ^ Iatio7Ks `'' � � * Q: 5 �� S x
�.. P' N 5 r, S 1 I. C+1 O CJ x
.47.'�"IN�� STRU�CTUF�E & BUIL"DING �; �-. i tP �. F-
'7 �%
48. �iNl$L PLANNINGt � i �" -'' N I � � m * [-�
.-.
i.� r z �� n: 5 x� a;
�9. �lecti'ic Relea,se to F�1dison i * � * � •n r -+" �.u�+
E�'f X ~C3:iLG]w�G•.�•.�`.>>UVI
'90. �'ias flelease co' Sout4Sern Califp�i�Gas Cn * i � � n: r-� -v • o rt � p . . . . . . . . . . .
- � * pG i * N v'v :+.LLi�i1lJVN0
� �
31. CEFi�IPICATE 0F bCCUPANCY `° "" "
No Date
AOOPESS OF BUILqNO: � t �
ONNERS IUME If q10'NN:
. '�ooncss:
�av�. �uwxc �oonesx
ARCXRECT 011 FNtlNfFA:
uux. ox u+o.�s woxess:
�
uc. No.:
CONfNACTON'SN/J�:
CUNiRACTOP'4 MYtRlO
�oo�ss: ue ra.:
IINT:
PERMIT NO: P 078168 PLAN CHECK NO: 02409-96 N
it�ieie*it*�r�r�ria*itftrieieie�rat�f�rir*itit*x*ir*ir*�rx�ftititieie�rieitieieitft�t*it�r��r**x�*�**ie�r�ritfE*iefEitieie*it*�ex �+�+e
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ur�r: PLU 1 GAS SERVICE
PLU i SEWER, CONNECTION
uxr:
LICENSED COMRACTOP9 DECLAFATION: I Mroby ell'em undx panetly d par�ury Net I em licanssd under proNebm ol Ghaqx B
(commendnp vrit� Seclion ]000) W Oivhbn 9 d ihe Buu�ww enE PMmYm� Catla. W mY licams h In full laa end eHW.
GRY 11C. NO.: LIQ CLA88: 11C. NO.:
Dtls: GmNroaa:
OWNEP BUILDEX OECU�NATION: I henby tlfirm unEar pnelly M pn�ury ihet I am uemq Irom �M CaMraaas Ueeros Lew la iM
idbxiq reawn (�bn 1W1.5 Busiws� eM Pmleaon� Cods: �iry ciy a munry xfiiM nQuim e permN �o omehucl. eltx.'unpraro.
demd'oh. or repai eny etrudun, prbr io ila uauarce, ebo rpuine iM epplimnt la euch qrmil to fib e eqmE atelemenl ihel he m aM
ia licenwE W��� �o ihe pwieions d IM Conlredon Licarua Lew jCheqm B(comma�rp hilh Satlon )OW) d Dveim � d IM
Busineea eM Rdw� ions Cede� m tlie� he w eha b exsmq �hershom aM ihe bem la ihe dbped memqian. My violetion d Seaion
)031.5 by eny appliunl Iw e permil wbjws tM epplicen� to e rivil perielly d� mora ihen Me hunEred dollan �5500��.
� I, m owrer W �ha propeny a my emWv/eee v.ih wepea u Ihw Wa mmpanee�ion, will do Ihe xoM1, end �he aWCNn e rwl in�eMad
or dlereE W eeb (��ion )oa. Buvnm eM Pmleadons Gotle: The COMreuon Licanae lew Eme'at epplyto en ownerd propaM
wM Wide w'vnprovee iMrean. eM xM don euch wark MmuM a hanetl m �hrwph hw a har own empiryeea, provided �het euch
impro+ememe are rot iniaMeE a oflerad la eeb. H, however. ths buiNieq w impwamant ie edd wi�hin are yev d mmd�on, the
awnar-0uiitler vnll heva iM buNan d povi'q M or eha did m� buiN or imqwe tor iM WN�e d eeb�.
❑ I. ea oxner d tM poperiy. em exd�ely oonireamB �I� IimneeE conVecton to conmuu tM projatl (Swion )01d. Busi�va eiM
Praleaions COEa: The ConVepma Licanae law doae ml eppy lo en owner d propeny w1w WiMa or imqov» thareon eM wlw
conlrecd lor sud� prapea wnh e conlredor(c) Icemad puAuem �o �he Caniredore Liceme Lew).
� I em uempt unEer Saclion: B. 8 P.C.. br Ihis reeaon:
Dete: Ownar:
I do hereby cerlity Ihat I em ewere al vd wMarslenE ihe reQuiremenU d CelXanie Hml�h enE Sefely Coda Senbna 255�5, 25533, enE
255Da, eM thet I or eny fulum buikin0 �P^^� vnll / will nw (circb ona) need m cam0ly wnh seid a�eie aodee aM the requirementa 1«
e parmit laconewction or modifi�ation hanlheAia'Ty�'e0emani Diatrip. ReeiEenliel mnetrudion epplcelbns ere azampt irom IMee
provisiona.
Dete: Applkenl:
WONKEN'S COMPENSATION DECLGNATION: I Mreby ��m under penel�y d pe�jury me d the lollowinp dedermona:
❑ I heve end wil meimein e ceMAcete d mneeni ta eall�inaun lor woiken' compenealion, ae prwided lor by Seqion 3100 of tha Lebor
Goda, la �ha pedortnenca o11M wM1 lar which ihia pemiii ia ivued.
psm
� I heve anC wil meimam xorke%mmpenu�bn inaurence. aa ropuireE by Sepim �)00 W Ilw Lebor Cotle.la ihe perbrmaze d iM
wrnk lor which Ihie parmA ie iaued. My wakere' mmperoetbn ineuranca ferrier ard pdity number ere�.
Cerriac
Policy Number:
�Tl�is aecfion naed rrot be comObfed � llro pemrt ie br one hvndred dollers (Stpp/ w bse J
� I canity thm in iM perloimence o/ �M1e wwk la which ihis peim� ia iasued, I ehell mi amplvy eny pa�am in eny mennx m ea to
become subi� �o �� ���a <anpanwion levn W Celilwnie, ena eprea Ihel il I ehouN bacoma eubjed to iM wahers
compemetbn proNsuna d Setlion 3100 d �he lebor CoEe, I eMll IMhwilh comp!/ wiN IMae qoviaion.
Date: Applcenl:
Wem/np: Fellun ro sxuro workxi ron�verwtlon cwxeps Is un/ex1ul, antl �NII sub/xt an employx fo crlMiulO�nlu ena
clvll flnea up ro ona huntlrotl thouuM Eollan (SfOqWO), In er/tl/tlon b M� mst o� compauetbn, Cemep� ea poNGetl Ior /n
Sxtlon 3]OS ol Ms Labor COW, Inrona( enC ettarneyi Ises.
CONSTFUCTION LENDIN6 AGENCY: I ha�eby elfirm uMer peneXy d parpiry ihei ihere e e oonstivaun brdi�q epeMy la tM
�n�aKe w m<.oM io..n�d� mo ro�+ �o ba�e (seaa� aw�. cH. cl.
LEN�ER'S NMIE:
LENDEH'S 4DDNE55:
I cMiH IMt I heve reed Nis epplicaiion ud aaie Ihe� Pw ebove iniwmelion b mr�ea. I eprae io compy wnh ell ary enE counry adiw�cas
arM s�me lews mlatiq la buiNvq wnarudion erd Mreby einhorrza reqaeemetivea d ihia ary io emx upon �he ebon-meniioned qapeM
iw impedion Wrposas.
Pnn� Nnme
Dma:
Sgrelule d OMIBHRpenVRpple�anVCanlRtlw
�5t51d6.WP) Whne-Buildiq85dary;GreamFb;Carwy-Appican�:Pink-Revenue:Goldenmd-Acaesra
TO BUILDING EACH
END OF FEES
8.75
22.00
JS ' . G' _. _ . _
:'!'-_ � ' . � , . . . ' , , -
8.75
22.00
, � ' CON5TRUCTION AND PIANNiNG POOL & SPA
APPROVALS Permit # Daxe Inspector � APPROVALS Permh # Date Inspeccor
�. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2, $oil Pipe•Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54, Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumding & Pressure Test
6. E�ectrical UFER Grnd, 57. APPROVAL TO COVER-GUNITE
7. Footings 56. Electiical Conduit�Undrgrnd.
S. Fovndation 59. Gas P'rpe, O Undrgrnd., Test
9. Water Pipe-Undr9rnd. 60. Backwash Lines. P�Trap, � Undrgrnd.
10. Strucwral Flpor SYstem 61. APPROVAL TO DECK
it. Property Sewer Line & House Connection 62. Backwash & RecepiorFinal
�2. Sz"ie� CaP 63. Heater & Vent•Final
13. Roof Drains 64. Plumbing System - Final
74. Rough Plumbi�g 65. Electrical-Final
15. fiough Electrical-Conduit 66. Solar SVstem-Final
16. Rough Electric Wirinq 67. Fencing & Access Approval �
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18, Rough Electrical-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Condltioning � FIRE DEPT. REQUIREMENT
x c..
2� R�u9h,.�"�aciq� Fireplaca � � � APPROVALS Permit #
2b D�xctS,�in Structure � 70. Underground HYdro
x
2?� D+�cts, Ventilating � ' 77. Product Piping O Gas ❑ Oil
23 Gx PiHa•Rough & Test 72. Underground Flush
2$.� RC�of Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roaf Sheathing 74, Overhead Hydro
2� T��ar Eilih��iructural) & Monocoat 75. Dry Chemical
�
2hs Freme and I�hiny 76. Dry Standpipe
ZS. L�thin�g�& �ding 77. FIXED SYSTEM FINAL
r�
29. Insulaaon r,0 78. FIRE PREV. FINAL
30. Dt�waTi Na11�� HEALTH DEPT. REQUIREPotENT
x „
31. Pla��ter BrowrF-Coat 79. FINAL INSPECTION
3�„ Ei�ctric`a. I Po��� MeterFinal 80. FOOD CEFTIFICATE ISSUED
> x = _
3.�G Fipai 4-ipctriq-.n Notes: .
341 Fi#al t�ating�ir Conditioning
3�r, Fipa1 Gas Pipe.a st
3C'r. Hdod or Canc��
3� Fi�al Factor qoepiace
38� FiMal Plumbing
33,a W��er Service- inal
4Q� Gss Service-Piaal
>
41:: Sofar pomestic-Fina�
4� Bakkflow Preventer
43. Bsckjlpw 1i'�gation
44. L�hdsE9pe�kY�ation System
45. So�nd Attenuation
46. Nandicap Regulations
47-� FI�IAIt,STRUCTUAE & BUILDING
48tiFI�lAIiPLANNiNG
49. EI�`itric=Releaje [o Edison
50d Ga5 Re@ase to �Southem Califomia Gas Co
57. COATPFICfl'FE OP OCCUPANCY
No. Date
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°""E"s""'E'°'Q'°`''": pOLYGON PFtOPERTIES FLOOD: X 47
� •� "ODRE� 15717 ROCKFIELD BL
CRVINE CA 92718 714-452-0600
1PPL. WIl1NG iDUflESS:
urcxnEcron�m+�nn: LL MAJOR 6 ASSOCIATES
�xcx.onu+a�s.00xess: 1551 N TUSTIN AV
SANTA ANA
CplfNACTqfSNAI�:
carm�cmxs�uuxo
�noaEss:
10N0e C-16869
uxr:
CA 92701
uc. ra,
urR:
110EN5ED COMN�CTORS OECU1flATON: I Mreby elfrm uMa peroly d perpiry N I em IcemeE uMs pwiviom d Cheqw 9
(commerc rq wilh Seclpn ]000) ot Division 9 al �M Bus�em erM PMaapn GOCe. en Y lio nm b In luo �aca vd enew.
cmuc.r+o.:066J144 uc.cuss: B uc.r+o 65 EXP: 11 /96
o�a. �n � IT Qi L �l �i_ com,�a:
OWNEP BUILDEH UECL�FATION: I hereby alfirm undx penely ot perlN�' i l em e�emq Irom Contredae limnae lnw /a �ha
Idbwin0 �a%+on (Sepion )W1.5 Busvwas eM Prdewom COCe: AnY cYy a oountY �� �Guiiee e permil lo careWci. alier. imprwa.
CemdsM1. w repei eny e�iunuro. pior io Ea ewerKe, abo reQuirea ihe epplimnl la wch pem�il �o fb e cqrod eteiemenl iMt M a eM
ia licensed W��� �o Ihe povixian d IM Con��eda5liceroe Lew (Cheplm 9(oommerviip v.ilh Sedian ]OW) d Oi+cion � d IM
Buaine� eM Grdesaona Codel «�hm he a ehe o ezemq Ihaehom end IM bsai+ fw ihe ellaped exemqion. My violeliai d Seabn
)0'JI.S Ey anY aDdicanl lar e permn wEjxln ilre epWiceni to e rnil peraly d rot mae �hen INe huMreC Edlen �550p11. �
� I, es owner d I�e D�openy w my emDb`/� �h we0es es Ihe'a eole ewnpematian, xill do �he woA. eM Ihe elriwWre e�rot inleMed
or oMared la eele (��ion ]Odd. Buwmes enC ProlessionsCade: Tha Conlrepon Liceree law daes rw� epplyto en ormer olO�M
wM WtlJe w'vnprovoa i�erean, eM x1a Eoee euM work Nmsetl ur MneO m thraph he a �er ovm emplvyaea, pwidad �hm ach
imprv+emama ve mt inleMed a dlaeE la veb. X.Iwwever. the Witliip or inqwemeM u wtl xi�hin ar Y� d complaiion. Ne
owror-buitlm xill M�a iM bWm d prainp M or aha did ml EUJE a imyove lor �he qvposs d ub).
�] �. e� own« a in. nw«n. � a.a�*ro ���mnu wen hdroae caw.cin. m muvw Ne ad� (seaun ]a.. &oine,..�a
Prolesvom GoEe: Ths Cwvrmm Liwn+s lew dom � epply m en owfw d pryeny Ma buiMe a vnpm.�m �la�san aM xfio
wnvxb M wtli poptla wvM1 e mumfa(e) IicemeE punuem to iM CoMroCan Li�eme lnwl.
� I em eaemq uMer Seciion: B. 8 P.C.. M Nu ieemn: i
Dete: � � I
I Eo IweGy cpuly IIW I em ewue d eM ivde�eleM Ne �epuiremenb d Cellanie MeeAh eM Sdery Cods Seq'an 2550i. ?Sit]. enC
ZS'v'N. eM O�a� I a ury Mues buiM'up roapem xiA / wil m� (riieb one) naeA to � wYh xid qete mAm eM �he rpui�mmaW iv
eD�laromsmciiona�roEd'�ionkan�MAi w�ii�ty viepementOiariG.RosideMblwweupionePV�oeuenmemplmmJwae
po+uiotn.
Dme: Applcem:
WONKEfl'S COMVEN9ATION OECLAPATION: I heraby tlfirm uMer panahy d pe�jury me W tM lolbxi�q Estlerelon�:
� I heve enE wil mein�en a cen'dicme d coneenl �o aeHinwn tor wwken' compenwion, n prwided la by Saeion �100 d ihe lebor
COEe.lor �Iw p�lormenca oi Ne wak Iw wkch thie pe�mn ie ueued.
11 i ne.�..m �;� �m� wo�k.�.� �o�+d�, ��,re�. m rw�u.a w sae� a�oo d m. i.n« coe.. ro� m. ronw�,� a in.
5� wak �n .midi mm w�me u o.u.a. Mr vorFere' mmoensmia, In.uedie. rari« ena oakr �umw..,.:
Cemer: !`VARFQQ TAIC EXPIRES
Palcy Number: T_ G �/l 1++ c O 1/ O 1/ 9 7
lm;s senion n..e rwr e. cwndsred e m. vmmx n ro. one nuneree eakrs Isrool a �eae.)
� I cenAy thet in Ihe perlormence d �M woM la wliich Ihia permA ia iee� tl, I Mdl empby eny pemn in any mennx w ea to
become wb�ep lo tM xorkera' compeneeiion lexv d Calitomu, eprea I 1 I e+uk be �me abjetl b IM v.orksre'
UNe:�peruelbn ppovi� /�d Sedion �)00 d�hs LeborCade.IelWllo rrilh wm ' t Se po ions.
/l D �-/ � ACNreN:
W�m/n0: F�Nun ro weun woh�n'romv�nutlon covxap� Is unMrNl, �ntl �hr/l u0/�cf �n wmplqw ro cNm'nl p�n�ltlu �M
c/Hl llns tp ro on� n,nErW IhouuMW/Yn lffOd,GOdA M etl0ltlon ro tln cwt ol rompNwtbiS 0enup�� �� poHtlM ror In
S�ctlon 91P6 0/ 1�� L�Oor COM, Infw�s(, �nd ettomsy i/ws.
CONSTFUCTION LENOINO ADENCY: I MrtEy etF'm w�der perelry d per'�uy Ihel Ihse e e owut�uaion bnNrp qprcy lar tha
p.nom,enoe a me .on� �« .nid� ine ro�*� a�w•d (s.ann 3os�. cn. cl.
�ENDEP'S NMIE:
LENDER'S �ODPE%:
I ceNfy IM1et I hew �aed Nu eppl' �ion vd ame �lai Ne ebv+a iNonretion b correa. I qyse to canply xiih M r1yeM cauMY adim��a
eM etme lewa mletiq m buJdip m�uvudion eM Mreby aWwr¢e �apesentmrvaa d �he dy w amm upon tM ebove�men�iorieE prapery
lor i�upeuqn Wrpoue.
� P ii Neme � L � �
�- Dme: �/��
Sproture d mer/ ppf�anUCanNwfn
(SIS1de WP) WAno-Buildiip 8 SeiMy; Oreeo-Fla; Cenery-RpP�C Pink-Revenua; OOIEenraC-/ueeawr
t
_ CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: E 078205
PERMIT NO: E 078205 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 8-78063 �.�+"�' !7
�r*it*�xitx *�rit�+t**�*at�t�eit*�***if**+t�it*it*ie�ritit�e*it�r***�r****�r*icx�itit*itit*itatititet�t�ie**itit�e*it*�
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAZN BUILDING ---------- --------- ACCESSORY 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>
i '
i! 1k i! 1k iE 1E 1E 1E ik 1k 1k 1k ik ik if i! ik 1E if 1E 1E iF 1E 1F iF iE If ik 1F 1F iE 1f ik 1k 1E 1k iE 41f iE IE 1E iF IE 1k if 41f k iE 1f if k iE iF 1E if if ik ik 1f k iE iE 1F 1F fE 1f Ik 1f il' iE 1E 1F 1E k ik iF 1k
D E V E L O P M E N T S E A V I C E S R E Q U I R E M E N T S
•!'I
ZONING APPROVED HY • � DATE:
. /
HUILDING APPROVED BY : � ` DATE:
APPLICATION ISSUED BY: ` DATE: —�
1k1tiklFiE#iE1f1E1F1fkkiF1f1E1E1k7F1kil11� ifiFlfkiklFlEik1E1F fklk
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 120 10
�02 SMIP/NON—AES
PLAN
ISSUE FEE 22.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 120.10 22,00 0.00 142.10 142.10 .00
REVENUE DIVISION TOTALS--> COLLECTED; 142.10 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
142.10
IE 1(� 1(� 1(' 1E it If iF K iF ik 1f if if ik if iF 1f if if iF 1F if iF 1F if if if M if if IE 1F iE 1f 1h iF M 1k 1f M if 1f M 1t if ik iE M iE iFff IF ii 1f iE iE iE 1F 1E k IF 1E iE if if iE if k 1k 1f iF iE I(� 1F 1E if iF 1E
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
ELE
ELE
ELE
1 FIXTURES LIGHTING 1 ST 20 EA. 1.00
1 RECEPT/OEITLET 1 ST 20 EA. 1.00
3 RES APPLIANCE NOT OVER 1.0 HP 4.25
2341 NEW RES BLDG FOR 1 OA 2 UNITS/ SQ FT .04
END OF FEES
1,00
1 , Q �
12.75
105.35
�OqSTRUCTION AND PLANNING �` P4QL & SPA
�APP'�OVALS Permit# Date Inspector qppROVALS Permit# Date inspector
G
1, 7erriporary Electrical Service or Pole 52. Pool & Equipment Location �
2. S�Pipe�Undrgrnd. � 53. Steel Reinforcement
'3L.Electrical'Ctrn�9Lit UtilitY-UncMgend. 54. Forms
,�..�",E��trical���uit-Undrgrnd. 55. Electrical Bonding
`�x5t�l Reir�,�c.�atnent 56. Rough Plumbing & Pressure Test
','�,,,Electrical,bfjFEPR Grnd. 57. APPflOVAL TO COVER-GUNITE �
`_'r'7�.,Footings fF 58. Eloctrical CondCi{yUndrgrnd.
_� Bt;Foundatio�is 59. Gas Pipe, L7 Un���nd., Test
�dWad�r Pip�a ' drgrnd. � 6p. Backwash LineS;.R7rap, � Undrgmd.
10. 5tr�ctura� loor System �� . 61. APPROVAL T CK .
11, pro'�iertY Sewer Line & House�''onnection 62. Backwash & Re eptor-Final �
�2. Se`cx� CaP ` 63. Heater & Vent-Final
n
1.3. FioAf Drains ,`�' 64, Plumbing System - final
[L, Rough Plumbi�g !<s � 65. Electrical-Final �� '
PS. Fough El4ctrical•Conduit �: 6�6. Solar System-F� .
}$. Rough El�tric Wiring -. C? q�`� rE.Cr�� _' . Fencing & Accc�'s3�tPProval
'A fv
77, i7ough Wiring Sign �; 68. APPROVED F(7,�i�LASTERING
18, Rough Electrical•T Bar Ceiling� 69. POOL/SPA SYST�h4S FINAL
19. Rough He�ting,.& �r�Condition�g� � y � �.X o, F�� +[�cpT.�REQU1Rk MEP(.Z m�. ,m
.. ,�y �c}�
20. �6u�FyLjor;�«Fir *ace 5� x Y S H p�.� ' PPrt�V�1,Ks��Pe�it# * %*�„m ny'.
T
21. L9tict in'6'tru�urAT�* � �.... �f �' S � "'x c ':
� "70. �]nder�j"rqQjQ§l HFi1ro �,�
�-+ � S k� � S: M CJ r+ C1 �:
22. 6uct�.',�,V n,til<Qyingf�,� "f a: p �c ,�7 F�� 71. Produm!Ptping ti 6as C�OiI
23. Gas Pipe-Rnu�ti & T*it � �'% ��T �' C ���" 7Z, Undergr�r�l F�srh' ,', �
24. Noof�rapling�� �� � �'� ���, x � cX '..�x •73�Undergmd.Stortn?�Tank�Gas ❑Oil
25. Roof�heSthing ��� e '`� x� C % N� 7¢� Overhead Hydr� "
� *
26. '�8ar`�,r�eiljng (5trw��ral1 & hrE@oc at x p � p�c 7�Dry Cher.sisal F•� s �+t+:p7r*;
27. �arriaand:Flashin�� : cc� * ^ �' �'' 76. Dry Stan�e �"W * F�
.. r� rn t +� x < � � O N .7., T.
�-28. 4athing �iding �* �� r�''�" � * � ••�` 7 � �� �
Q�, �sr. � X � �:y FIXED �-1'�TF1,�1;�INA� � � m% �r�
29. Insulatiorv� `-�xY � � : �'•, � .� ��7 cc ',7. ':'
� � 7� FIRE PREV. FVN�L ,� F, ;�
30. Drywall f�:ziling "t H X F z S c�MALTF�{(�PTr. RE�UI
N .•
J31. Plaster BrLwn�P.oa�t S i Cr t � 79^ FINA� I�ECT�� *� r, � ��
;.32. �ectrical�ow� N�i �r�F�i�al � .�6���� � /�,�� 8a'jf00D CERTIF�'yA'�'E I$Sk�ED-� �
• ' . � ._
�
�33. F,$�alt�lectric �.S* cri . c!Bl . � i' NOCM 4:"7 �m *'= O C. rt
u. . � � ^OS
�. T r' c i: X �* G '1 •S h'S >
1.34. F�i"PaISy-iea�fng�Ai��p�[F4ionfrg-` � ,.� � k-,; r.��o o i FQ * -�'-ec
�
35. F,�nai Gasc6ipe•7escr: p, • .x �-+ � .=o G--� � cu:v tr
T. . .t. F F �J
=36. F�Oot�rCdnoPY Ss :l ��! � *^ � i�� � C'�o � cn:.n r�
a. s x m :c c m c�'
-r37. �na� �acmry Fireplace � E--F . 's � � � R n'�%
a n• r i
"�,38.Final�lur�ing wi,.r.`t� � :`, k I �.�# •., �.G * ~N
`39. Water�Service•fina}n� E � v �� � 1 a� F� f���
'.T740. Gas Service-Final m� �" '¢^'�� = '� m ' " Ga "'n' * � �
� � x C': F F - � �R F• : i s t1'
t
,._,41. Solar pomestio-Firi�l,� e,� � �, I � .K tn -�o a� * :: .:J
� 42. Backflow PrevyyntefoM . �' *' `k � F *''' �
t w t C'3 7�--' i--i # r+ ��% R7 (*1 O �K h�
43. 0ackflow Irrige}ion W ,> M G * � � � V C� •�•-
rts t o
4 L,andscape Irrfb'ation,�ystem �✓� � a�+ C �� N n; - SCJ a � i�+
�' �v� N ,K a d�2! E£ a O+^ � S
4'�. �und AHentjdtion * ��... �� Y: L [Tt IT1* C l �Q�• C-+ . *
l �i-� ..H i:
4B. Handicap'Regutations '" � *' . * ^ S �`� �' �
.� � x S � I m G �7
47. FtNq'I; STRU�"TUR�& BUIL'DING �� t- ��, �* � � * ;�
48. �TNAL PLANN�NG * F"'c' �` U � � Rl `7, " �
r. _., r N s F t
r,� • h_ r "
4�. Electric Release to Ed�son ;� `� ��: .�� � --+c
n c
50. Gas Release t�Southgrn Cali(or��as Co � � � �' �' ' � � �''T LL �- ' �
x z S ^. J *
ST.GER�IFICA7EOFOCCUPANCY ' " "" '
No. Da[e
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DMSION OF BUILDING SAFETY
CITY OF COSTA N1ESA
APPdtOV�ID
�r �-� �,,,, 2 �?�i � 51
�� a P� �d speciflcations MUST be kept oa,�,i��q{;�t�
/ mid A Is miawlW b make arry d�anpes m a8eration an ��Vw cl�h V�i� ��
�% Der�n� tram Q�e DMsWn a
�� � stamping o18d3 pfan end
eDP�� af Ne vt
MC58 �IICO NINQ! 513:8 R
7Aese p!.ns md pemu7 s�ail e
fie bufldhigbr qork Ls natcrom
(� wifhin 1 CD.d:•— -r,.t::,,�.;,;;e
Kra� `Fo�lo, ur��.K.
raftons SHhll NOT Oe held b pemfR
oi arry pmvisions W arr,�..,._^�r af C�4
��unitah�on ar�id 6elt�n��r�J and wid
f and main;ained �::.� p�UBE §�� �� W�,,I L� ��
S� ��� �- .
,
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f���� GiYD� .
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11 % 11 iRIN�ED ON NO. 100011 CI[�nrnun . �
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a N�uJ �,A-( o� R P�iJ �
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aooirioras, o��.�TlO`:5, o, co,nFrrior�s saau
BE /IPP�;:'JFD Bl' Iiir f'i,',"'i:ING D(VISION
�1`.�1����uj ' � -
CITY OF COSTA MESA
PLAf�!NING DIV.
SUBJECT TO BLDG. DEPT, REG.
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APPRO V ED BY : DRA W N BY
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�� - p�, `Ih15 oi plans an specifications MUST be ke t on this lob at all tires
' ��1 M�Qr1 _ H�Q�G��¢ �(p . "��._t- -�' - and it Is uMavAN to make any changes or alteratia � on same without written
; �� ��-���-��� �- -� --- - permisston from Ne Division ct Building and Safcl• , Ciy ot Casta Mesa.
��r � G �--�- i " The stamping ot this plan antl specitications SHF-� L NOT be held to permit
_�jU�yp��(� _ . ar to be an approval of tha violation of any provi� ons of any Ciry o1 r,osta
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