HomeMy WebLinkAbout801 GALLERY CT - Building PermitsADDH650FBUILqNO: �n]. GALLERY CT
OHNERSNANEIFq10'fM:DON 6 PAT SCOTT
wo�ss801 GALLERY CT
COSTA MESA
4 9'io26
wr�. �u�a+c wonEss:
(714)979-0717
UNT:
nxcxnecran�xr+N�x:RON LACHER uuxo.: 20949
urcxon��saoox�ss: 1332 N. MILLER ST, uxr 201
ANAHEIM CA 92806
c�m�,cta+.5wu�,BLUE HAVEN POOLS ( 714 ) 549-4712
LONIPACTOPSYYIIIIG 433 COLUMBINE ST
,�oq�SANTA ANA CA �„o.; 453445
92707 u�:
LICENSED COMFACTOHS OECL�HRTION: I hareby eflvm under peneYy W peejury thei l em IicenmC uMm powbm of Ghepter 9
(romme�ip xiih Section ]000) d Oir'sbn 3 d �he Busimss aM Proleavwu Code, vd my 4oeiue ia in tuA brro eM efled.
cmuc.No.: uc.cuss:C-53 uc.N 45344 EXP:
o�,. �Z: 2a �`3 S� ����o,: ��_�� VL �Z VL�
OWNER BUILDEN �ECLAflRT10N: 1 hereby eifirm uMm pe�Wy d perjury �hm I em uemp hom IM CaMretlae lioeree Law la IM
�dro.� reeaon (�� )�1.5 Buainesa eM Pm/euiom Cade: AnY �M a oountY �� �iuires e permG b cantruG. elix. imywe.
demafah, or mpei eny awcwre, pior �o ne 6waMe, eho reyuirea iM applicent br auch permG �o fila a egmd slmemaM ihet he a aM
b leenaed W��� �o tM pmiaian d iM Contreclon Licenae Lew [Chepbr 9(mmmmdip xiih Seqion ]Oro) d Oieeion � d tle
:usir�ass aM Ndaaims COEe� a �hei M n sha ia ezemq thsehwn vM tM beso trc the dlegeE naemqion. My violetion d Seeun
IM1.5 by enY aCdK+^� Iw e permil subpde ihe eppliraM lo e avil penely ol rwl mae tlien Me huMmd ddWa �5500�.
� I, es owner d iha propany a my mmployees wY� weges as ihei ede mmpanealbn, xill do ihe v.a�k, end the swclure o nW inleMed
«orca,eai«.e�<Is vmn�oaa.eue��ess�da,w�sa�scoee:rnecoovmo�sum,.eieweoesnmevoNm�o�mawooaro
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cantrena for wW pqsm wnh a mMreqar(a) Icenmd W�� to iM CaNreGon Liomsa lew).
❑ 1 em exemq uMer Seclbn: B. 8 P.C., la Nia reewn:
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WOHKEfi'S COMPEN5ITON DECLAN�TION: I Mreby elfirm uMer penel�y W perjury wie d the lolbwi�p Eederetiwu:
❑ inevee�em��menecenn'�.aWnsem�oeerc;nwreror.on�e�comro��.maov:fee�aMseama�oowm.tmv
coea. ia m. w��m�s d�� ra w�n mo o�a m�,.�a.
X❑ � neve e�a wie meimew wancem� c«nv�� ��,renpme. a, rcawred M s.uian smo d ma �.m, cem. ror me oartoimeMe ot �ne
work �« wnich mie oarmn re iasuee. My wor S THT E��FuU`�reniar e�d po�i�y �umber va: E X P I A E S
c�� ivu
Pdic/ Number. � � 1� � 1� 9 7
� r aecfion med � Ee romp/efeC i �he prme ia /a wre hundred dWlara /SIOJI a bn.)
� I ce�l'Ry the� in IM pe�amence d tln wak lor whch Ihie peimN is iaueC. 1 ehell ml empby e�ry pamn in enY mennx eo av lo
bacome w4� to the wohen' canVavmion lewa W CeNanie, end Wree Ihet ' I ehwN bemme wpjeq �o tM wwlmn'
camPa��ian powiom W Seqion �)00 d IM1e labor Coda. I N' h mmV�' �nh iMae p�wisbre.
o�a: 1%�_ nod�m: -
W�mlip: F�Ilun ro socun woArsn' compauetlon covsnps l� unNwNl, entl �h / Nb/ect en anplayr ro crlMvl puulllu �iM
cM� nn.. w ro oris n�ndise trou,w adkn frloqaoaA �n eee�non ro m. ewr or ronpsn.etan ��P. u pov�e.a ro. �n
SxHon J106 0l Me Le6or COM, Intaw4 eiM ettameya lsu.
CONSTFUCTION LENDINO AOENCY: I hareby �rtn uMer peraXy d perM�Y �� ��� is e conetiudim bMiip epancy br tha
perimnerka d thB xoM fIX wM1ldi thc pertnY u eeuetl (Seam 308I. CH. C�. �
LENOEN'S NAME:
� LEN�EN'S �UONE55: .1=^'
1 ceniy ihet I heva reaE Nia epplicetion vk 9me ihd the ebove inlamelbn c mrtea. I epree io comply wilh ell tlly end mumy ardiwKee
eM etete kxa ielmM �a Wikiq conatruaian and nereb/ eutlwrae n-pa/semetiwe d �Ns ctY Io enim uv� �he ebow-memioned propany
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�5�51d6 WP) While-BuiW'rp 8°,efery: GrwrFle: Ce�ary-Appiranl; Rnk-Ra+enue; (3alde amaor
CITY OF COSTA MESA - BUII,DIIJG PERMIT
PERMIT NO: B 080942
PLAN CHECK NO: 05256-96 S
PERM NO: B 08U942
GOVT: N SUPP: N
CGNSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION ; GUNITE SWIMMING POOL AND SPA SQ FT: 22,000
CLAIM VALUE: 22,000.00 CALC-VALUE: 22,000.00 GROUP OCC; R-3 /U-1
COMMENTS: NEW GUNITE SWIMMING POOL AND SPA COMBINATION
***�*****�***+�+�**x�c*�***x****����*********�**�*u�******x*�*******�*****x��**�**
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 BUILDING --------- ----- --- ACCESSORY BUILDING ---------
RNT: FT IN REAR• FT IN FRNT: 5 FT IN REAR; S FT IN
EFT: FT IN RGHT; FT IN LEFT: 7 FT IN RGHT: 5 FT IN
PARKING REQ: PROV: PARCEL: 14151128 ZNE: PDRL REF NO:
PLANNING NOTES> IN-GROUND POOL S SPA IN BACKYARD OF SF RESIDENCE.
i
iE 1E �E iE iE iE �E 1E 1E IE 1E 1E iE iE iE iE 1E If if if if if iE 1E 1E 1f iE iE If 1F iE 1E if iE 1E IE iE IE 1E �E fE if �f iklk 1f iE iE if IE iE IE fE IE IE iE 1E iE i6 if fE fE iE 1E �E if 1f ik iE �E iE iE iE iE iE IE �E iE iE
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
ZONZNG APPROVED HY DATE: �-e�
BUILDING APPROVED HY : C DATE: I�- I. �o
APPLICATION ISSUED BY: e DATE: 1 2 2p �
ififihiFjhifiElEiflEtfiEifjFiEiEikiEiFifif�iE �IE iE Ik �E iEiE�EiE1E�EiFiElfjE E!E . *10*
LEGALIZATION:N F' U M A Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 312.25
PLAN 202.96 SMIP4N62-RES
ISSUE FEE
BUILDING-DIV-> PERMIT IS5UE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 316.87 0.00 202.96 519.83 519.83 .00
REVENUE DIVISION TOTALS--> COLLECTED: 519.83 OVER/SHORT: .UO
BLGG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
312,25 4.62 202.96
'1E fE iE 1E 1E iF f(-�1[-iE if !E 1E 1E IE iE iE 1E 1E iE if iE K-1E 1E 1E 1F iE iE �IE iE iE iF iF 1E iE iE iElF fF iF �(-iF ff iE ff it 1E 9E �E 3E'lE 1F �1F 1F'lE iE 1F iE iF iflE 1Elf 1F if # if 1F IE iE iE �1E �IE 1E'7E'lE IE 1F �F
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
22000 POOL 6 SPA
1.00 22,000,00
END OF FEES
01 OD221's38-t1a2213�Q T CF7 g14,�3
�ATE: 22f20/SS TIME: 1?:t�6
-.
CONSTRUCTION AND PLANNWG � - POO� ` `A
APPROVALS Permit # �= Date Inspector AppROVALS Permrt # ' Date inspector
/�
t. Temporary Electricai Service or P�le 52. Pool & Equipmem Location '� - _.
� 2. Soii Pipe•Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms "-
4. Elecirical ConduibUndrgmd. . 55. Electrical Bonding , . �- "
i
5. Steel Reinforcemeni � � 56. Rough Plumbing & Pressure �est .�
6. Electrical UPER Gmd. �� , ' . . 57, APPROVAL TO COVER-GUN?TE� ;
7. Footings - 58. Electricai Conduit�Undrgrnd. �
8. Foundation , . � ' 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrgmd. ' • 60. Backwash Lines, P-Trap, � Undrgrnd.
70. Structurat Floor System � 61. APPRQVAL TO DECK .
7 i. Proper[y Sewer Line & House Co�nection � - �62. Backwash & Receptor-Final'� ;
12. Sewer Cap , _ _ . � _ _ ._' � 63, .Heater & Vent•Pinal .
3 3. Roof Drains �, � - 64. Plumbin9 SYstem - Final �-
14. Rough Plumbing . ' 65. Electrica6Finai
75. RoughElectrical-Conduit ,'�' " � , 66. SolarSVstem�Final '
76. Rough Electric Wiring , 67. Fencing & Access Approvai �
17. Rough Wiring Sign • - 68. APPROVED FOR PLASTERING '
78. Rough Eiectrical-T 8ar Ceiling � 69. POOUSPA SYSTEMS FINAL ,-�3 9Y ��
�1%
79. Rough Heating & Air Conditioning FIRE DEPT. REQUlREMENT
20. Rough Factory Fireplace APPROVALS Permit ,-�
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping GGas ❑Oil
23. Gas Pipe•Rough & 7est 72, Underground Ftush
24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling {Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Sidinq ' 77. FIXED SYSTEM FINAL
29. Insulation � 78. FIRE PREV. FINAL
30. Drym�all Nailing --� HEALTH DEPT. REQUIREMENT
37. Ptaster Brown Coat � `� 79. FINAL INSPECTION
32. Elecirical Power MeterFinal , 80. FOOD CERTIFICAT6 tSSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Firepiace '
38. Final Plumbing � . �
39. Water Service-Final _�
40. Gas Service-Final .
41. Solar pomestic•Final �
42. Backflow Preventer
43. Backflow Irrigation �
44. Landscape IrriQation System
45. Sound Attenuation -
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
A9. Electrie Release to Edison '
50. Gas Release to Southern California Gas Co � . �
51. CERTIFICATE OF OCCUPANCY
No. Date
P� Zs� " rininy Laboratories of c.,.uF�ictn ea�i:`otnin, �nc. :
W
2"' �'� 3310 Airport Way (310) 42E3355 '
(9 O Long Beach, CA 90806 (714) 828-6432
�,2 � Z Mail: P.O. Box 47, 90801 FAX (310) 426-6424
TESTING
Compression Test on Gunite
CUSTOMER: CARR WILLIAM EXAM NO: 97-1-175500
1592 REDWOOD WAY
UPLAND, CA 41786
JOB NAME: CARR WM (VARIOUS PROJECTS)
SEE PROJECT DESCRIPTION BELOW
ADDRESS: UNDER "SAMPLED FROM"
ARCHITECT:
ENGINEER:
RON LACHER
DATE:
JOB NO:
PERMIT NO:
OSH PD:
OSA AP #:
FILE #:
PAGE #:
CONTRACTOR:
BLUE HAVEN POOLS
SUBCONTRACTOR:
DOUGLAS GUNITE
03/03/97
11Q01013
1
--------------------------------------------------------------------------------
SAMPLE FROM: Random, Scott, 801 Gallery Ct, Costa Mesa.
MZX: * SPEC. STR. (PSI): 2�Q0 SLUMP: * CAST: �2/11/97
--------------------------------------------------------------------------------
DATE TESTED 02/25/97 �`��������
CITY AF COgpA ME�A
SPECIMEN NO 1 �� ��� ����^ ��+����nN
AGE (AAYS)
TOTAL LOAD (LBS)
LSS PER SQ IN
14
81500
F�IL
MA� 1 z 1997
SPECIMEN SHAPE: Cylinder SIZE: 6 x 12 AREA/SQ IN: 28.27
-----�-----------------------------------------------------------�---------------
COMPLIANCE: 14-day test complies with specified strength.
Lab #21771Test Method: ASTM C39/*Information not furnished
SPECIMENS BY: W. Carr DELIVERED BY: TLSC RECEIVED ON: 02/17/97
-----�--------------------------------------------------------------------------'
DISTRIBUTIONS: CLIENT-FURNISHED SAMFIES
CARR WILLIAM� 2 This fest has been performed c^d reporr rre.^,ored
based upon ihe specific somple(s) provld=d to cs
by above dfeni. VYe asscTe no fESDOnS:IJi�'.�Y for
voriotions in quolity (composit:on, oppeoronc=,
performance, etc.) or any other feature of sim�hr
subjact motter produced Imonufoctured, febr��med,
atc.) by persons or u� r conditions o�er which
we have no control,
��.�"; ' �i.3-3�7 �
ohn M. Verroc i, Sr.
q�� REPORTS REM41N TNE PROPERTY OF TW �NING UflORATOR1E50F SOUTHERN CAIIFORNIA, INC. AUTHOAIZATION FOft PUBLIGATION OF OUft REPORTS.CONGW SIONS,OF
EX7A/QS FROM OF REGARDING THEM IS RESERVE� PENOING OUR WRITTEN A�PROVAL AS A MUTUAL PROTECTION TO GLIENTS, THE FUBLIC AND OURSELVES.
�ooxEssaeu�pxa: g01 GALLERY CT
OWNERBWWEIFqpYIN:J�ON 6 PAT SCO'CT
�oo�sxg01 GALLERY CT
COSTA MESA
a 92626
�rv�. �uu�a �o�x�ss:
(714)979-0717
VNT:
uicxrtccron�oa�n:RON LAC[{ER ��= 20949
�N.owu+o:e.00�ss: 1332 N. MILLER ST, uxr: 201
ANAHEIM CA 92806
coxm�crarsx� BLUE HAVEN POOLS ( 714 ) 549-4712
cwm•croirs�uiwa 433 COLUMBINE ST
.00nE�+SANTA ANA CA ucra: 453445
92707 uxr:
IJCENSED COMF�CfON9 OECLAXATION: I hasby Nim uMs pwW y d pa�W tlW I em fiwned uMs pwie'vis d Cheqr Y
(oomme�q r,'nh Saction 1000) d Onuion � d Ns &dnen W PmluYma Gods. ud mY 4aeiw is in IWI Mtt xd sllaq.
cmuc.No.: uc.cuss:C-53 uc.No: 534 5 EXP: _
o�,: 2=� `� lo ��,� �r_ t� �t-v�
OWNEN BUILDER OEClAH�710N: I hxeby dfvm u�dr prWy d per'�vy Nm I ammq han iM CaVMm liarue lew la the
Idbxip �mmn ISetlon ]OJIS Bu�ie�� end Rtlmbm COM: An/ cIy a muNY Wed� �Mwe� e G�i io mnvucl. eE«.'vnVove.
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b IimiuW W��� to Ihe Powiw d Ihs Comemas Licenas Lew �GMqs B(commona^G wuh Sadion ]IXp) W Div6ian 3 d ihe
Bu.mea mH Rdaeiom COEeI a thr M a dr u aaanp NsNmn md Ne beas lu Na eMWe memqion �m'vidtl'vn d Saaion
]W t.5 tr/ eny eppliw�t �a s permu wEjoN tM eppliuM lo e aW penMy d nal mon Ihen fxs Aurd�ed do0an �SSOOp.
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a dlaad ror eeb (5ecum 1ou.8mmea eM PrdmeimsCOEe: TM Con'mm licenas lew Ews naewN�oen owiard p�apeeiy
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Ral�mwu Code: TM Catlndan liw�w ler Eos nd i6dY b an owr d PW�Y Mn duVe a inpm'n tlwc� ud v.ho
mnvem I« wN idbe wuA s mmmqM�) Gcansad P�uw to the Com�mas Limme lerA.
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a V� IammWctian a moE6reiionhantM M�enq�mem Oiqrin. R�tltlr�el mMM'vi Wpimioroenewnq Irom iMee
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❑ Ihe..Wwme'vuan.c«W'mam+waioutlLmmbwiken'm�pavtlion.nnu�idedlaM9aeiona'lood�MlaEv
Gab, la tM prlmnenca d Or wa41a rlirl� Nu pemi u muM.
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� c.�: S�E FUND EXPIRES
racM,mn« — O1 /O1 /97
m� ..n� �..d na e. cmwa�w r w n«mr: n an. mem.n eoee�.lsiml> w�
❑ I canh Nm in Yw oMmmerca a tM wk ror Mic� ihe w� n iwuW. I Ne0 na �n�pbf am' vw� b em' manrw o u b
bscoms Npjea to tM walss' ou�p�nWim Mw d CeWrtie, eN pm� tlw ! I 4Wa Wcma wbjs� io tM MOM1w�'
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clvll nnu'q ro am nindrN NouuM dull�n (i1P4000A N��n ro tlr� cw� ol'mmpwwtloR Grtnp� u proNdM ror In
s.caon ]ms or m. l�eo. coe�, �mr..c .m •rtonuY• r....
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CONSTti11CIlON LEHqNO �GENCY: I haaby Mum uidr peiuM d per'�uy iha iMn u e m'nt�utlbn bMvp epeMry br Ne
peAarmeMe W Ihe xak la whiM Ihe permi e ewed (SeGon ]081. Civ. CI.
LENOEN'S N�11E: .
LENDEfl'9 �DDFE59:
I<erliN �� I hwe neE Nu epplicNion ud tltle iAm Ns ebv.s iMammion c cortw. I epiae �o canply wnh eA ery eM counN adirencee
vdsmlalaweMe�MbduNiq��� endlwabf�� s ati�wdlhua9toWsuD�tMabv.a�marYiwieEpopMy
for inepeaion purpoeee. / � / A/ \ f \ .. _ _ / r
D�, 12 �d— i 1�
(5151J6 WP) WMs-BuiNnp 8 Sdery: Q�aemFb; Cuwy-Appkani; Fnk-Aevenue:0okeneotl-Aaseaaor
CITY OF CUSTA MESA — HUILDING PERMII'
PERMIT NO: M 080944 PLAN CHECK NO:
CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC
JOB DESCRIPTION : GUNITE SWIMMING POOL AND SPA
�i
PERM NU: M 080944
GOVT: N SUPP; N
PURPOSE: OTH
SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 /U-1
COMMENTS: NEW GUNITE SWIMMING POOL AND SPA COMHINATION / RE:80942
�*x��txit+e*�iE***�*����t*�*�rxx****+r��***��t�x**���*+�at�r**x��*�r**x�*�x+t�t�itar**�r*�itit**��**
Z O N I N G R E Q 0 I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PAAKING RE�• PROV: PARCEL: 14151128 ZNE: REF NO:
PLANNING N TES> !
�
1E 1E dE iF IE 3E iF �E iE iE IE fE 1E 1E IE iE IE 1E iE iF iF j(-fF �f 7f iFlFlF iF i4 iE iE iE iF.1E 1E iE if if 1Elf ik �E 1k if iF 1E iE dE 1k if !k 1E iE iE 1E iE �k �IE iE �E 1E fE'IE 1ElE * iF if 1k jE iE iE iE iE fE �E �E iE
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 .
IHUILDING APPROVED BY :
APPLICATION ISSUED BY: E9—a�_��
if i! 1F iE ik i(� iF fE 1E If IE �f IE iE if iE 1E 4 iE iE fk ik��i�
LEGALIZATION:N F E E S U M A R
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 16.25
25t
PLAN
ISSUE FEE 22 00
���i.i�l
DATE:
DATE:
DATE: �IF�6
IkIf1E1E�E�FiF7f �� iEik
STRUCTURI�L SEGMENT:N
SMIP/RES GEiADING
SMIP/NON—RES
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 16.25 22.00 0.00 38.25 38.25 .00
REVENUE DIVZSION TOTALS--> COLLECTED: 38.25 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTKIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
� .38.25
if 1E ik Ik If 1f iF 1F iE iE 1E 1E iE 7E iE 7E 1E 1E k iE i! IE iE iE fE 1! iE iE iE iE iE ik iE If 1E iF iE iE 1f IE 1E iE IE 1F 1! 1F IE k 1E if 1E 1f 1E 1E 1E if 1E k 1F 1E 1E 1E 7k 1f ik 1E iE IE ik IF IE iE !E Ib if iE fE iE IE
I N D I V I D U A L: F E E B R E A K D O W N
ITYPE
rrx�
QTY D E S C R I P T I O'N UNIT COST TOTAL COST
1 INST FORC—AIR/GRAV �FURN > 100 K BTU 16.25 16.25
END OF FEES
�
�1 00221341—DC221341 T C�T 38.25
DATE- 1?/20/9S TItiE: i?:01
.' CONSTRUCTION AND PLANNING POOL PA
APPROVALS Permit #- Date �nspector AppROVALS Permit n Date InspeUor
1. TemDo�ary Electrical Service or`-Pgle 52. Pool & Equipment Location �
2, Soil Pipe•Undrgrntl. ._' 53. Steel Reinforcement �
3. Eleetrical Conduit UtiiityUndrgrnd.� 54. Forms '
4. Electrical Conduit-Undrgrnd. -' S5. Electrical Bonding •
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test �
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
'I, Footings 58. Electrical Conduit�Undrgrnd,
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe•Undrgrnd. 60. Backwash Lines, P•Trap, O Undrgmd.
10. Struccucal Floor Svscem 61. APPROVAL TO DECK
17. ProPerty Sewer Line & Ho�se Con�€ctio� 62. Backwash & Receptor-Final �
1
12. Sewer Cap • 63. Heater & Vent•Final • _/��
13. Roof Dreins _ 64. Plumbing Sysrem � Final ' •
14. Rough Plumbing � 65. Electrical-Final � /
.
15. Rough Electrical�Conduit 66. Solar SYstem�Finai
76. Rough Electric Wiring 67. Fencing & Access ApProva
77. Rough Wiring Sign � 68. APPROVED FOR PLA ERING
18. Rough Electrical�7 Bar Ceiling � 69. POOUSPA SYSTE iS PINAL
19. Rough Heating & Air Conditioning FIRE DEPT. EQUIREMENT
20. RoUgh Factory Fireplace ' APPROVALS ermit #
21. DuGts, in Structure 70. Undergr nd Hydro
22. Dutts, Ventilacing 71. Prod� t Piping OGas ❑OII
23. Gas PiPe•Rough & Test 72. U derground Ftush
24. Roof Framing 7. Undergrnd. Storage Tank O Gas rJ Oil
25. Roof Sheathing 4. Overhead Hyclio
26. T�Bar Ceiling (Structurall & Monocoat 75. Ory Chemiral
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEAL7H DEPT. RE�UIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED
33. Final Eleciric ' ' � Notes: �� � � _
34. Fin61 Heating & Air Conditioning
35. Final Gat Pipe-Test �
36. HoOd or Canopy .
37. Final Factory Fireplace
38. Final Plumbing .
39. Water Service�Fina! �
40. Gas Service-Final �
41. Sola� DomesticFinal �
42. Backflow Preventer �
43. Backflow Irrigation
44. Landscape Irrigation Sys[em
45. Sound Attenuation �
46. Handicap Regulations '
47. FINAL STRUCTURE & BUILDING � .
48. FINALPLANNING
49. Elecvic Release to Edison ��
50. Gas Release to Southern California Gas Co ,
51. CERTIFICATE OF OCCUPANCY
NO Da[e
�
�ooaEssaFeunarxi 807. GALLERY CT
OYMERSIUMEIFRNMM:DON 6 PAT SCOTT
moxEss:801 GALLERY CT
COSTA MESA
A 92626
�vri. iwuxc �ooxEss:
(714)979-0717
UNT:
a5-nl
urc.wrtcaoeoru+�+:RON LACHER uc.no.: 20949
�ncx.on�++c.�s�uo�ss: 1332 N. MILLER ST. uxr: "l01
ANAHEIM CA 92806
wNm�crarsxu�:BLUE HAVEN POOLS ( 714 ) 549-4712
CWIF1Ci0R5M4t1NG 433 COLUMBINE ST
�,00pEu:SANTA ANA CA uc.xo.: 453445
92707 u�:
LICENSED COMHACTONS DECLARATION: I hereby eH'vm uridar penetly ol perjury Nm I em licensatl uMer poviebne d Cheplm 9
(mmmeririn0 ��h Seclbn 1000) d Divia'vn 3 M Ihe Businma end VMeaeiom CoEe, eM my license is in lull loeu enE e/ied.
cmuc.xo.: uc.cuss:C-53 uc.r�o: 45344 EXP•
o,�,: IZ��—S �. _ ��� JC
OWNEH BUILUEH DECLAPRTON: I heretr/ elfi�m uMx penaly d perjury tAm I em emp hom IM Con�redaa Licmae Law Iv Me
Idbw'vq reawn (5eeion )031.5 &reiwea erd PMeasbns Gode: My cy a munty xR�ich repuirea a pemin to mmbua. eller. impro.e.
demd'eh, a repei eny st�ucWre, p'v b ils iaueMa, elao reQuirea iM epplwam tm euch pnmN lo fib e agiwE etetemenl ihal M a she
a IicenaeE W�%�a�� �o �he poviaiona d tM Conlreqas Licenae Lew jCheqer 9(cammemiip xith Satlion ]aao) d Orvbion 3 d �ha
Buainea eM Vrdmsiaw Code� or thel M ar eha n exemq ihnehom enE Ihe besia tw IM elbpad uamqion. My violmion W Seaion
]0�1.5 by a�ry epplirent for e permil eubpaa IM eppliceM lo e avil penelry d not mae �hen live hu�kred dollen �SSW��.
� I, es ovmar W ��e propany or my amO�M'� �h weges av Ihe'x eob compensetion, will do iha woik, vM ihe nructun o �wl inlenEeE
or oMered M eeb (`�ion ]al. Bueimea eM Prdesaom Cade: The Con�rmore Licenee lew Eoas �wizppyto en o�merd propaM
who Wdds a inprovn �hereon, eM who doae auch vroA Mmeell a hene� a ihraph ho a har own emplvyeee, provked ihet euch
�mnw�<ms �a �w �m<�wee «on.�e �«.w. n. now�., ma naamo «mwo+amam o aad.nnm � r� a�o�oo, u»
o.�e��n� �;n n� m, w,eso a o��re na o, � eu �a d,na « �mw� r« ma wmosa d��.
� I. d owrer d �M p�opeiry. em utlmvely conireeiq wnh IioriaeE convecwea ro mnmue Ne pojetl (��>�. �+si�wse vd
Pmfesaiwu Cade: TM Ca4emae lieense Lew doea nd epply lo en ovmer d pmpMy who Witle a impwp tlieieon ard xfio
conuena lar evi� V�9aa MiN e muredMe) licereed Wnuam ia ihe Goniredore licaue Lew).
❑ i� e.�q ��e� s«i�,: a. a a.c.. �« mo �:
Oe�e: Oxner
I do hareby cerlity ihe� I em ewere d vM uMeMend iha reQuiremenU ol Cel�omie Heellh end Salety Code Seabna 25505, 25533. eM
255�a, end �he� I a eny fNure hildinp oowpen� will / will nm (rircb aw) need to compty wIh xid etete codea vM tM reQuimmema far
epertnNlaconevuctimormaEifiWionhwn�heAk-6u le�y enepememDiatnd.ReeideMWcanpiuGbneppYfationeereexemptiromlheae
provisione. '
De�e: Avd�+
W OHKER'S COMPEN31rI0N DECLAPATION: I Mraby elfirm uMx psuliy d perjury an d tM IdloMiip Eetlualaa:
❑ in....m.ameiman.canirra.amrueo�iosen.�rem,..ak.:cano«rom�m.ea��«Mseema�ooametma.
Coda.lor the pe�mnvx.a d ihe wnk la wNch N'v �amd'u inued.
X❑ i n....�d me meime:�.m�.n• wmo�o� ���. e nv��.e M sw� s�oo a in. ima coee. r« m. rona.me�m d m.
work la xfiidi Nia parmil re iaued. My.��� ���� �a od� ��mna. �a: E X P I R ES
c�a:
Policy Number: — � 1� � 1� 9 7
m;e ae�a� n�e Iwr aa �nWeme r ��w re,m� � ro, orb nuneree aa�ere Isiao! o. r.s.,.�
� I cenAy thel in IM1e pe�lamenu d Ihe wak la whkh Ihie paimN is ivaued, I ahell � emdM �Y Ga� � NY menner eo � to
become wbjeU to ihe wakere' rompenealion levn d Celtlomie, end epree thel q I ehou� bemme euDjeq io iM xaken'
compap 1'�� ������ d tM labor Cotla. I slW�hv.'rh wnh J� uroviaioro.
Dme: �Z MW�:
' W�ml�p: F�llun h ucun woAwi rompxwtlon eovenp�ls unbwNl, �ntl �NII a�l �! en wrplqw ro eAMrvl p�n�ltlu nM
�i.n m... �y ro are h�.�e..e rro�,a�d eabn (s�a4aooA m aemuon ro m. cwr o� non s.m.w• u prorMW ror �n
9xtlon 91f16 0l fhs LeborCotls, Intral, urd ettomsy'a hu.
CONSTHUC110N LENDINO AGENCY: I hereby etF�m uMer penelry d parjury tlai tMn is e oonslrud'wn bMi�p epm y lar tM
p,no�e� w ine w� ro, .n� ina w�� o os�ad (saao� aos�. c:.. c). � .
LENDEP'S NAME: � � �
LEN�EP'S �DOHES4: . �
. :n �
IcenM�hetlhevareadihisevWcmionenemmeine�tMebovaintamdbniecccpppnnneeedddIlWreaiommoNwilnellceYendaoumvardinenma
enC etete bvrs reletiq io buikvq eoJyrutlion end Aereby au�Me�e reprasenie�vm d iho d1Y lo ente; upon tM ebwe�meMiawtl qopeely
lorimpeaimpurposes. T q7 i/ � I�i1i' � �'.� -
�t
L n;
• , :>,
(5151-48.WP) Whda-Build'up 8 Sefery:OreemFle; Cenery-AppYrant; Pink-Revenue; GOltlenraFMaesw
CIT'Y OF COSTA MESA — BUILllING PERMTT
PERMIT NO: P 080945 PLAN CHECK NO;
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU
JOB DESCRIPTION : GUNITE SWIMMING POOL AND SPA
T
PERM NO: P 080945
GOC�T: N SUPP; Dl
SQ FT:
PUAPOSE: uTfi
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1
COMMENTS: NEW GUNITE SWIMMING POOL AND SPA COMBINATION / RE:80942
����*�t���***�***x***x�+��*+�****x*�t******�t��*x�**�*���*��*�**�*�tx�*+�**�***+t��*�c�*
Z O N I N GS ERTEH�AUCIKRSE M E N T S
---------- MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
I�EFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14151128 ZNE: REF NO:
G NOTES>
i
1E �E 1f 9E If iF 1I� ik 1h iE if iE iFlf !f !F 1E if 3E �E if iE iE iE iE 3E �E 1E IE iE iE 1E �E �E if iE �E iE jF i61k k iE if if IE jE 1E 3F IE 1E iElE �Flf if iE if iE 1E 3E iE iE iE 1E i(� iF 3ElE iE 1E iF
D E V E L O P M E N T S E R V I C E S R E Q O I R E M E N T S
ZONING APPROVED BY
UILDING APPROVED BY :
PPLICATION ISSUED BY:
*it****x�****at*at*�tx�feet*�
EGALIZATION:N
F E�'�S
BLDG PMT PLUMBZNG ELEGTRIC
ERMIT 81.25 � f
25� ���
LAN -
U M M A R
MECHANIC
DATE:
_ DATE:
.✓ DATE; �- io �
A�F'it+�*at****at*
STROCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
SMIP/NON—RES
ZSSUE FEE 22.00
BUZLDING-DIV-> PERMZT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 81.25 22.00 0,00 103,25 103.25 .00
REVENUE DIVZSION TOTALS--> COLLECTED: 103.25 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
103.25
iE 1E 1E 1E iE iF 1E iElE �E 1E jElE if !f 3f If fE if 9f dF �f if jE 1f 9FlE 3f if 3f 1E ik iE ik * iE 3F if if if 1E if iE ik 1Elf !f dE iE 9E 1f 1f 1E 3E IE 9E fE 1E 3E iE iE iE 3E jF 1E 1f IE if 3F * ik 1E 3E �E 1E it iE 1E 1E
I N D I V I D U A L_ yF' 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
U 1 SPA (PRIVATE)
U 1 SWIMMING POOL
END OF FEES
'17.00
54.25
27,00
54.25
01 0�221342—D022I342 TC�T 103.25
DATE: i2f20!9S TIt1E: 12:Oi
-+-�-v-
, CONSTRUCTION ANQ PLANNING P001 PA � -
APPROVALS Permit � Date inspector APPROVALS Permit # Date Inspector
t. Temporary Electrical Service or Pote 52. Pool & Equipment Location -
- 2. Soil Pipe�Undrgrnd. 53. Steel Reiniorcement ,
3. Electrical Conduit UtilitY-Undrgrnci. 54. Forms
4. Electrical Conduit-Undrgrnd. . 55. Electricat Bonding , ' �
5. Steel Reinforcement 56 Rough P{umbi�g & Pressure Teet .,�O'cj? ��^(
6. Electrica4 UFER Gmd. 57., APPftOVALTO COVER�GUNtTE ��
;�
7. Footings ' ' �. 58. Electrical Conduit�Und�gmd, �'
8. Foundation . � � - '� . �: Gas Pipe,ix Undrgmd., Test r0-Ct�� ; ��(��
9. Water Pipe-Undrgmd. 60.. Backwash �ines, P-Trap, $� Undrgrnd. ,I�.Cr� - S�
70. Structural F�oor System � - . 61. APPROVAL TO DECK
t t. Property Sewer Line & House Cormection 62. Back�vash & Receptor-Final
_l�_
12. Sewer Cap � ! � � 63. Heater & VenrFinai : � _ �
!.�_� %
13. Roof Drains • 64, Plumbing System • Final .�.�� � ltr r� h
14. Rough Plumbing .- 65. Electrica6Final � �
�
15. Rough Electrica4-Cqnduit ' _ 86. SoVa� SYttem�FinaV � •�, '
16. Rough Electric Wiring 67. Fencing-& Access Approval - �' '
17. Rough Wiring Sign • 66. APPROVED FOR PLASTER WG '
1$. RoughElectrical-TBarCeiling � .69. POOUSPASYSTEMSFINAL � ��
19. Rough Heating & Air�Conditioning PIftE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. D�cts, Ventilating � 71. Product Piping OGas OOiI
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof framing 73. Undergrnd.StorageTank �Gas DOiI
25. Roof Sheathing 74. Overhead Hyd�o
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding � � 77. FIXED SYSTEM FINAL
29. Insulation . � 76. FIRE PREV. FINAL
30. Drywall Nailing ' � HEAITH DEPT. REQUIREMENT
31. Plaster Brown Coat � 79. FINAL INSPECTION
32. Electricai Power MeterFinal 80. FOOD CERTIFICATE ISSUED
33. Final Electric � %��L°e��'c�`.7 �U� �� ('� K `,� �
tt• V _...__ w,�
34. Final Heating & Air Conditioning � 3��� �� -
4F-��G
35. Final Gas Pipe-Test -
.
36. Hood or Ca�opy
37. Final Factory Fireplace
38. Final Plumbing '
39. Water Service-Finai
40. Gas Service-Final '
47. Solar pomestic•Final �
42. Backflow Preventer
43. Backflow Irrigation �
44. Landscape irrigation System �
45. Sound Attenuation �
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Eiectric Release to Edison �-
50. Gas Release to Southem California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
eonnessoFem�ar+c: ROI. GALLERY CT
OYMEASNRMEIFIMOWN:I)ON & PAT SCOTT
,�ooxcssR01 GALLERY CT
COSTA MESA
� 9'1526
�vv�. u,uuno noon�.ss:
(714)979-0717
UNT:
� MCNRECTORCi1tlNFERRON LACHER uc.ra.: 20949
ANLX.OHFNC.'SADDXE55: 1332 N. MILLER ST, uNr: 201
ANAHEIM CA 92806
coxmncrarseuweHL433HCOLUMB�INESST ��14)549-4712
carmncTorcsxuuncSANTA ANA CA 4 5 3 4 4 5
/i0DflE55: . 9 2% O% 11G NO.:
UNT �
UCENSED CONTflACTOPS DECLAHATIDN: I hareby eRirm unEar penetly d pa�ury ihel I em IicenmE under proviaiona d Chepter 9
(mmme�ng wilh Saclion )WO) oi Divisbn 3 of the Busi�reas enE Prdessiona Cade, eM my license ia in hll tarce end a%ect.
cmuc.po.: uc.cuss:C-53 uc.No.: 34 5 �iP:
Deta: I Z� �`� �/� COMredor. Y l. �' VVi✓<
OWNEX BUIL�EN DECLAFATION: I hereby e(firtn unEer penelry d paryry ihet I em eicemq Imm tha Comredon licensa lew la iM
/allowing reaeon (Sedion ]031 S Buaness eM Pmleesiona Cade: A�ry ciy or counry which requires e pa�mil to omsVucl, eMer, improve,
damal'sh, or repei any aVuciure, prbr b As wauenva, eko requires iM epplifanl fa such pafmA to fila e sq�wd atmemeM the� M or aha
g licmeed W��� lo ihe prmivionn d ihe Convenars Li�nse law [Chepler 9(commendiq vrilh Sed'pn ]000) d �iraian 3 d Ihe
Buriness arM PrNavaons Code� or Ihel he w aM is axemq Ihxehom eM 1M baeie for �he dbged azemqion. My vbletion d Sedion
]031.5 by eny epplicent tor e permn nubpcls Ihe appliceni �o e cvil penely oi nd more Ihen fNe huMreE Edlen j$500�).
� I, ea awrer d tM proparly or my empbyem w'Yh wagee as ihei eda mmpemetion, will do iha wwk, enE ihe sVucNre o �wl intended
or oilareA fa sab (Seciian JOCG. Busim� end PMessionsCOJe: The COMredon Liceme Lawdoae rwt epph/ta en owr�er oi prope�ly
w�o Wilda ar improves Ihereon, end who Eoes auch v.ok IimeaH «hereell ar Mrauph h's a her own employeea, provideE Ihel ach
improvemama era iat inlaMed a aHereE for eda. H, hawever, �he buiMing a'vnqwement is aotl xilhin one yeer d cample�ion, the
o.�rawuar w�n ne� ma nuraeo d a�,��c ne or cne e�e �a a,�m or �maove i« ma wm� ��.1.
� I, m owner d the propaM. �%+dusively mnlreaing wiN IicemeE wnVacron ro wnstrud ihe pmjeq (Sequn )OC4,-Buainma vM
Proleasione Code: The Cantredore Licenm lew Eoas nd µpty b en ownar d pmperry wha buitle a impovae �hereon end who
COtI�lBCb fM H11JI pfO�Btl9 W1111 H m11V0C10!(8) �CB119Bd plIRY911� �O I�IB CiO11V0tlOf9 �JCBf19B �.6W�. �
� I em axemq uMar Section: B. 8 P.C., fa �hb raeson:
Dete: Owner:
� I do hereby cenily thet I em eware d vM u�kerstaM iM requiremema d CelAomie HeeXh end Salery Code Sedions 25505, 25533, and
255t6, end Mel I a eny Mure building oaupem wiil / wAI rwl (drele aw) nead to wmply wnh wd etete codee arM tM reyuiremenls M
e pertnil tamrewdion a modfiraiionhaniMAi�Cty .�enegement DistriG. Reakenlial mnst�udian eppf�iare em ssempt Imm thesa
prmisione.
De�e� ADW����
WOqKER'S COMPEHSATION DECLRPRTION: 1 Mreby elfirm uMer penelly d pe�jury me d Na /olbwiep dedvetuna:
� I heva end vriA meinlen a cenifrma d consam to aeM-inaure M workers rompemelbn, m 0�%'�� �^� W Setlian 310U al tha labor
Coda, for Ihe pe�iwmence of Ne wak fa which this pemin ia isaued.
� i n..re e�,e wiu meimem �n�� como��, mwre„�, e. r�aw,w W s.aian a�ao a me t.mor code, m,me ren«�nce d me
w��a..ma,m�sv�n�a���,Oa.Myw«x��Sf�'1'Ew'�F'fl�I D reiero��w��mna��a: EXPIRES
c�: .
Policy Numbar: — � 1 � Q 1� 9!
.his seaion need lrot be comdekJ / fM peimII is br are hunJreC ddlers ($100/ oi bsaJ
� I ceNAy ihel in ihe peiformence d iM wwk br whch �hie pemiil is isaued, I ahell m� emplq erry pereon in eiry menner eo av to
becwne wbjed to tM wwkera' compeneetian lewe oi Celilomie. eM eprae Met R I e � uk bxmie wbjeq �o tM xvrke�s'
companae�ion v��7�s��s op� Sadion a]00 M Iha Lebar Cade, I Mell I�h y wilh R e proviaiae.
Date: I �'C.l� 7 � AVd'ceM:
Wam/ng: Fel/un N axuro workera'romps�wtlon eovereps Is unlewNl, antlWll �u6/. et en smploysr ro erlMnnl psna/tlu eM
clW/ flia� up ro ms hurWretl thouaM oolNrc (Sf00,000A In aeLlHon b tl1� cost ol romvmufbM1 0emspu v proNtleJ br In
Sxtlon J106 0l tl�e Lebor COM, Inbnaf, antl elromey'a Ises.
CONSTHUCTION LENDINa AGENCY: I MreEy eifirm uMer penely d perN'Y �� ��� ia e conatrudion bMinp egency br iM
paAarmenca W Ihe vroM Iw which ihe permi ia msuetl (Sadion 309]. Cir. C). -
LEN�EH'S NMIE:
LENOEH'S ADDflE55: �
i oen�ry inm i n�.eed m�s eooi�m�o� �a se�a mm ma em.�e �m«n�m�o� �s carea. i e�reem �omvN wan mi �v �e ooumy ore�oe�,ce.
endstmelexsrele�vg�abuikingmnslrueimendherebyeNhorae/JapreaenlmivesMihisdlyloentaruponiheabove-mantionedproparry
forinspeclion Purposes. .�y� : ✓ ��'n .i� I . �
(St51de WP) VJhne-Buildiip b Salely; Greeo-Fle: Cenery-Appirant: Pink-Revanue; Oaldanmd-Aseeamr
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: E 080943 PLAN CHECK NO;
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE
JOB DESCRIPTION : G[7NITE SWIMMING POOL AND SPA
N
PERM NG: E <)80943
GOVT: N SUPP: N
SQ FT:
PURPOSE: UTH
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1
COMMENTS: NEW GUNITE SWIMMING POOL AND SPA COMBINATION / RE:80942
**��****jt*�t*****x�*****�*+�***�*�xx�***+�***x�t*�at�*iE*���t*it***�it�at*****�it�*iF����*�
Z O N I N GS ERTEB�AUCIKRSE M E N T S
----------- MA1N BUILDING --------- -- ------ ACCESSORY BUILDING ---------
FRNT: F'f IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: fiT LN RGAT• FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 19151128 ZNE: REF NO:
PLANNING NOTES>
%
iE iE if-iE 1E iE 1E 1E iElF iE if iFlE iE 3E iE �1(-iE 1E �lE iE 1E 1F 1E iE iE if !E!E 1f 1F iE 1f ik if 3E 1E iE IE �f' IE iE -0E iE iE iE iF iE iElf ik k!f 1f if �IE� iE IE fF 1E iE iE iE 1E if 1k 3E #�lE iE 1E 3F i(� �t iF iE-If iE
D E C� E L O P M E N T S E-R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY .
BUILDING APPROVED BY :
APPLICATION ISSUED BY
�r*****************�*�
LEGALIZATION:N
I:���Z�,4�����J4� � ����
PERMIT
F E E'� S U M MLA R(,
ELECTRIC MECHANIC
4,4.25
� 5��
PLAN
ISSUE FEE 22.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 44,25 22.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLUG PMT PLUMBING ELECTRIC MECHANIC
66,25
_ DATE;
_ DATE;
��FifiEikiED3EjF1E3fif'� �iEiEiEiF
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
SMIP/NON—RES
TOTAL PAID DUE
66.25 66,25 ,00
66.25 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN-CHECK
iE iE # if� if �If 1E iF iFlE 1f dk iE 1f iF # if dE �1f �IF �1E iElf 1E * ik iE� iE if dF 1E iE 16 iE 1ElE iF 1E if ff ik iE iF iF iE 1E 1f 1E 1E� 1E �ElElE iE iE 1E �f 1E 1f 3f iE vE iF iF iE 1E iE �IF �I-jE-IElE iE iE �E iE iF #
I N D I V I D U A L F E E B R E A K D O W N
YPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
LE 1 SWIMMING POOL — IN GROUND — NEW EA. 44.25 44.25
END OF FEES
qi Ud221'as7—Qd22Z337 7'Ci7 55.�;
DATE% 12f2t1!'9S TIME: ii:.?"4
CQNSTRUCTIpN AND pLANNING ��Q� 'PA I
APPftOVAL5 Permit#�� Bate tnspector �pppROVALS Permit# - ��te inspector�l
3. 7emperery Elect�ieai 5erviee or"Pyle - 52. Poni & Equipment L�catioo'.... � _ ' '' '
2. Soil Pipe-Undrgmd. . � 53. Sieel Reinforcement � ' ' �
3. Electrical Conduit Utiiity-Undrgrnd. 5#. Forms � � � .'
4. Electricai Conduit-Undrymd. � �� � 55. Electricai Bonding ' � Z . �_�
i fp���� i
5. Steei fieintarcement , - . . 56. Rough Plumbi�g & Prassure Tesi � _ - , �
� 6. Etec2ricat UFER Gmd. � � 57. RPPROVALTQ CQVER�GUN(TE - ' �
i
7. Footings . `58. ElectricalConduit�Undrgrnd. Z:L��'1_-� �
8. Foundation - . 59. Gas Pipe, � Untirgrnd., Test �. `
9. l'�ater Pipe-Undrgrnrl. . 60- Backwash Lines, P�Trap, O tlndre�rnd.
10. Structurai FloorSystem ,' - - 61. APPROVA�TO-DECK '..�� �
71. Properry Sewer �ine & Nouse Connection
� _ � 62. Back�.vash & Receptor-Final� ��
12. Sewer Cap ` i � . 83. Heater & Vent-Finai
i
73. Roof Urains • ��.- ,64. Plumbing System - Finai . �
t4. Rough Piumbing ' 66. Electrical-Fir,ai ' �•
- I
' t5. Rnugh Electricai�Conduit ��� � �' . So4ar SYstem-Fina! � -
76. Rough Electric Wiring . 7. Qq 67. Fencing & Aceess A�proval ._ ' � �
17. Rough Wirin9 Sign �' �� -68. APPROVED FOR P�ASTERING� • (
i$. Rough Eiectrical,-T Sar Ceiiin3 �� � 69. POOUSPA SYSTEMS FINAL �
S9. Rough Heati�g & Air Conditioning .- . FtRE DEP7. R�EQUIREMENT , � i
20. Rough Factary Flrepiece - APPROVAIS Permit #
2L Ducts, in Structure T0. Underground Nydro
�
22. Ducts, Ventilacing 71. Product Piping � Gas ❑ 011 �
23. Gas Pipe-Rough & Tesi - � T2. Underground Flush �
24. ftoof Framing 73. Undergrnd. Storage Tonk � Gas � OiV
25. Roof Sheathing 74. Overhead Hydr.o -
26. T-Bar Ceiling (Structural} &�7or;ocoa2 � 75. Dry Chemicai
2J. Frame and Fiashing � '' 76. Dry Standpipe
28. Lathirg & Siding 77. FIXED SYSTEM FINAL
29. Insula;ion ' - "� 7$, FlRE PREV. FINAL �������J �
30. Drywail NaNiny . HEAL7H DEPT. REQUiREMENT {
i
31. Plas,er Brown Coat � � T9. FINAL Ih'SPECTION
32. Etectricai Power Mezer-Finai '` D POOD CERfIFICA7'E lSSUED �______���
33. Finai Electric � � 11�Y� K _� Notes� � �
t�� � d
34. Fnal Nsating ffi Air Garditicn��g � �
- � - - �
35. Finai Cias Pipe-Test .'
36. Hood or Canopy .
37. Final Factory FEreplace � �
38. Finai.Flumbing � � �� '
39, WaYer ServlCe-Finai ' •
40. Gas Service-Final � ' � . �
4i. Sniar 6omestioFinai
42. Back4low Preven.er . �
43. Backflow Irrigation
A4. Landscape Irrigation System . � �
45. Sound Attenuetion
46. Handicap Regufations ' ; � ��
47. FINAL STftUCTURE & BUf LDiNG . ' '
48. �INAt. P�ANNING ' �-�
�
49. E{ectrie Reiease to Edisnn _. ��
50. Gas Reieese to Southem Caiifornia Gas Co � �' �
57. CERTIFICATEOFOCCUPANCY �
No. Date
�oonEssweaiwa: g01 GALLERY CT
a�RsxwEi��v+o�m+:DON 6 pAT SCOTT
�o� 801 GALLERY CT
COSTA MESA
A 92626
�. �u�a,c �ooxEsx
(714)979-0717
°� CITY OF COSTA MESA - BUILDTNG PERMIT
PERMIT NO: P U81963 PLAN CHECK NO: N
CONSTRUCTION TYPE: V-N PERMIT TYpE: PLU
��Top�+�RON LACHER �� 20949
acx.oxeria�s�oox[ss: 1332 N. MILLER ST. uxr: 201
ANAHEIM CA 92806
coNm�cTarsruxE:BLUE HAVEN POOLS (714)549-4712
c«rm�crars�uura 433 COLUMBINE ST
�oox�ss:SANTA ANA CA uera.: 453445
42707 ur�r.
ucv�seo corrtn�crons oEcunaT�oN: � nm.M .n:m �nder o�r a papuy mm �.m �cM,.d wder aovmvo a cn.qer a
(ewnm�r�cn0 wnA Snian �a00) d Oiw4n � d iM &mma ud Vmlmeom Cade. ud mY licanr a in IWl lau eM efletl.
�rn.No.:031542 uc.cuss:C-53 uc.No�34� •XP: 12/97
ome: '1—� 1 o�.d�: �
�`WN N BUILDEN OECL�PRTION: I heby� yfum uMar pmaly d perjuy �lal I em eianq 1 m tM COMretlm liwnes law ia tM
' o �eeaon (Serlian )m15 Busneae aM Rdeuons Code: /�m eiY o mumY xhidi'+0uve� a oeemn to mnwn. eCer.'vnprwe.
d'sh, u repei my eouctwe. pna b ea ewncs, ebo �apu'vee Ihe eppl'waY la wch pemin to fJe e epneE elelanml Met he a ehe
limnaed punuenl m the povisiom d Ihe Coruredon l"xeme law ICheqm 9(�mendnp wnh 9aaion 10Uo) d Di.•eion a d iM
Bua'vrou eM Prdaniom Godaj m thn ly ar Ma u uamq iMrelmm eM iM bsvo fw tlr dbpeE e�emqion. My vu4ton d Seeion
]W 1.5 by eny epWifant la e permn wbjpp� tln epplicaM to e avil pe�Wiy d m� mwa tlan IMe h�nd�ed dd4n �5500�).
� I, m owner M Ihe propeny ar my empWyeea wnh we0� m �Mi wle mmpaneeiion. will do I�e woA, end ihe evunuro e ria intendeE
w ollareE Im eeb (Secibn ]OOa. Buy�yp �a Prolevaiana COEe: TM Conlredon lironse lew dom rot epply loen ownerd propafly
wM Wdds n inprovee �herean, eiM xM Aroe such woA IimeeM or henetl a Nrouph hu a Mr own empbyeee, providad ihn euch
Impovem«ua ue nd iNeMad n dised Im �eb. tl, MWewr, iM buitliiq a'vnpewsneN ia �oM wilhin ons yw d mmpMun, Ne
uwfprbuiks xitl here tM Wvdm tl piovirp M w eM dd na buJE a imqo.e ta iM pvpea d seb�.
❑ �. m o�.�., a me ww�v..m..�*,rwN oanran�a wn 5mv.d mw.na, m canmw me wwa cseeo� �aa. euav.n.�e
Prafmivv Lcde: The GWiaaaa Lsan» lew dom �d eMV m en omier d pcuMY Hn ddL w NM'a'mlMrson and who
cmvav la wdi proptla wYh e mn�etlor(e) GcameE qvaueN to ihe Caqremus limrue Lew).
� I em e�emp undm SeUion: B. d P.C.. br Nb nmm�:
Dme: Owner.
I Oo hereM cenM Jw I em ewere d erd wMenWM tM mawremeMe M Celiomie IbaAh W Sehqy CoM Sediwu u5o5. ui13. anE
2551'. vd thet I a eM Mwa dtiW"uq omqent will / wil �M (eeeb ona) road to mndY M� uid qe�e mEu end �M �W�emams b
aprmulacanvucfionamodifmionhpnlMA'r u�y empema�iDiaria.Reddauvlmrmiutlioneppirs�iwwerae�emqlmmNeee
padsbre.
Dms: Applcem:
WONNEN'S COMVEN4ITION DECLAR�T�ON: I Mraby elfi�m uiMer penel�y d perjW me d ihe blloxi�q dedereiom:
� IheweMxllmeinienaceMcmadooneentiovaMimunbrwv�ken'mmpmwtion.uproviEaElorbySWia+J)OOd�Mlebar
Code. In IM pMamvrw d tha w�vy la wlich this pemM is bauM.
f] in....m.a�ve�wn�+�mmv����+�.a+�•mAwtrseama�aodmstmarcoa..�u.w�«�w�caau»
woh la r.fiidi Nu V�M o isvd. MY wa4en' wmpruetion'vw�ence urt'w end Vd Y munEr ue:
c�. STATE FUND EXPIRES
vorrr r�c« O 1/ O 1/ 9 8
(rnrs sea' rra be romdmee � �M ro�� a ror a» nune�se eaw. Is�ool �. bn.)
� I N ��e peAamence d�he wak la whch Ihu pemin is iaueA. 1 Matl nol emplvy vry v�� ��Y manr�ar eo m �o
'ea lo iM xvkare' ponpenwion lawe d Celifomu. erd epree Nm N I MwM E ome wbpd m tM woMn'
mP� m Y�bna d Seevn 3]00 d Ihe Lebor Code. I ehell lathypty mm0 �hws V ebro.
-E�
D : ' AOdicem: (..-
emlrp� �Uun ro��c�n worksn'rompwwtlan rov�reps Is unbwTu( end Msll ubhct en • loysr ro cr/Mvl pmeMp en0
vll n•�q ro on� h,.ntlrM tMuxnd epll�n /ff00,OWA N�tltlltbn b fM cwf o/ romow�fbM1 tlamly u povlME Iw In
STFlUCTION LENOINO AOENCY: I hereby ��m uMer peneMy d perjury Ihm then u a oonatiutlion bMi�q epancy br Ne
�lamence d iM v.dk M wl� [he Portni u eweE (Seqion 309'!. CN. C).
LENDEN'S NAYE
LpOEN'S MDNESS:
I cwh �het I heve neE No WC�'�� Md qms Ihtl Ms e�vb��o�.�wyy �i�Nwme�ion'v canen. I e0� lo oomVN rrilh aA mY ud mwY ad'vanroa
UW tIB�! 10w! 1lWM W Wik�9 �ffi4tlI0n eed AMlblYr� _! IlMS��� O� 1�10 P11' b 1MM U%II �M WT'O-IIbMiM�OA pW�Y
lor imG�ion NrD��. f�./l . 1i \� �� /
�sisi<e.wv�
Daze: � _ 1
Rnk-Pannw: pqdenm�Maeaor
JOB DESCRIPTION : GAS LINE TO BARBECURE
CLAIM VALUE:
CALC-VALUE:
PERM NO; P 081963
GOVT: N SUPP: N
PURPOSE : OTfi
SQ FT:
GROUP OCC; R-3 /U-1
COMMENTS: X
*�+rx�**�*****x**�*x�r**+r+rx���r���**�r******x�**+rx**�+���*r*+r**+��*x�x�rx�x�*�r�**x�r�r**x�e**��
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BOILDING ---------
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: 19151128 ZNE: REF NO:
PLANNING NOTES>
� i.
1E 1E 1E 1E 1E iE 1E iE if i8 iE 1k fF if 1E iE IF 1E 1k iE 1h iE iE 1E iE 1E IE'lE iE 1E 1E k 1E ik if� if'N� ik iElf iE 1E 1E ik 1k IE 1FiE 1E 1E 1f 1E IE if 1ElE 1F'lE if 1E 1k 1F 1E if 1E 1f� iF 1E 1E 1k ik 1f 1E iE 1E iE'IE if iF
D E V E L O P M E N T S E R V I C E S f; R E'Q U I R E M E N T S
ZONING APPROVED HY ' r DATE:
BUILDING APPROVED BY : � 1 DATE;
� �7
APPLICATION ISSUED BY: �� `��1:� DATE:
ifiEiFlFiEif1F1E1E1EiEiE7FiF1FiFiflfiElPiflElElE1E1R ��F��F��f������F �F ���if�1F��� f�1����fiEiFiFifi41Eif1hlEiF iF 1(�
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL EG ENT:N
BLDG PMT PLUMBING ELECTRIC� MECHANIC FIRE SMIP/RES GRADING
PERMIT 5.50
258 �
PLAN r� SMIP/NON-RES
ISSUE FEE 22.00 � �
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 5.50 22.00 • 0,00 27.50 27.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED": �27,50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
27,50 '
x�*+�*��xx**x**+�+�*x+�*�**���r�*x*�*�r*******���r.��+��+����*x�+r*�*�**�*�+r+r*��r*�+�+�+�*****�*
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
PLU L GAS PIPING SYS OFj; 1 TO 4 OUTLETS 5.50 5.50
END OF� FEES
i
83-07-1997/03:26 PN/f27.58
RCPTN:81-8883167
PERMIT:981963
CONSTRUCTION AND PLANIQING� � F & SPA �
� Date Inspector � Date Inspector
APPROVALS Permit # , . AFPROVALS Permit #, '
1, Temporahy Electrical Service or Pole 52. Pool & Equipment Location � •
i
2. Soil Fipe•Undrgmd. , _ _, 53. Steel Reinforcement , _ '
'-3: �Electrical CorAfuii UtilityUndrgrnd. 54. Forms •
`,4. �ElectricaLCor�duit`Un`drgrnd. 55. Electrical Bonding ��
•�5; ,Steel Reinforcement. 56. Rough Plumbing & Pressure Test
: Fj: ;ElectricaLU.FER Grn'd. 57. APPROVAL 70 COVER•GUNITE
-, 7. Footings -� 58. Electrical ConduiL-Undrgrnd. _
_� 8, Foundation� =, �, - 59. Gas Pipe, � Uirdrgrnd., Test
� 9. Water Pipe-Undrgrnd. ` 60. Backwash Lines, P�Trap, Q Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK '
�}, Qroperty Sewer Line.& House Connection gZ, gackwash & Receptor-Finai �
�2. Sev`'e` Cap � � 63. Heater & Vent�Final �
13. Foof Drains '� " 64. Plumbing SYstem - Final
14. Rough Plumbin9� "' 65. Electrical-Final '
75. Rough E4ectricat��Condui[ T ' 66. Solar SYs[em-Finai �
76. Rough Electric Wirir�q _ 67. Fencing & AccBSs Approval
17. Rough Wiring Sign ' 68. APPROVED FOR PLASTERING
18. Rough Electrical•T Bar Ceilin"g . 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning F.IRE DEPT_REQUIREMENT _
20. Rough FactofY Fireplace ` ; _ ��'- APPROVALS' '_ Permit # _
21, pucts,inStructure.' �� •• '^'- ' - -� •- ' 70."Underground FLVdro �
� _ . , � �. , . .
22.Ducts.Venti4atin9 . . - � c 71.ProducrPipingdGas �Oil
23. Gas-Pipe-Rough & Test _ ?� - r - �_ = 72. Underground Flush �
24. Foof Fra ing' : '� _
,�� ._ F. 73�. Undergmd. Stmage Tank O Gas ❑ Oil
25. Roof��Sheathing � �- - ' 7�4, Overhead Hyd�� _ '
26. �T-Bar Ceiling IStruc�Lraq & Monocoat - , �' 75�. Dry Chemical
27. �Prame and Flashing � = - - � c' 76. Dry Standpipe , ^ �
' 28, Lathing & Siding ;, �x� x 7,7, FIXED�SYSTEM FINAL -
29. Insulation -�- � � • _ � � ° 7$,_ FIRE. PREV. FINAL ' � -
� 30. Prywall Nailing � ,_ '' _ ¢ �� " - HEAITH DEPT. REbUIREMENT
� 31. Plaster Brown Coat � - � • � � 79. FINALTNSPECTION "
a;.
' 32..Electrical Power Me�e'r�Final � �` 80, FOOD CERTIF-ICATE ISSUED �
.. 33. Finai�EVectric -. K _ � tdotes: � �?j `�����_
� 34. Final�Heating & Air"ConditioniAg� ` � '� `� _ � ; _
+ 35. �Final Gas�Pipe:Test g -•�- • « -• - `� -
� ��: ___ ��- -���
_ 36. Hood or CanoPY , � • " - •� �' R
- ` , . _ _ r-. (}.�.�-�..- .
� _ .
` 37. klnal�Factory FirePlace ^ - . � ' -
' 38. �inal Plumbing '- ��h,� .,� -" _' . '_
!U
'" 39. Water Service-Final � - � ° x . ' �- .
- 40. Gas Service-Final � ' _ � � ��� � - � � ,
�, 47. 5olar pomesticFina,l � _ " , - ! � =: - .
42. 9ackflow Preventer+ - � ° `- - " '
m - -
Y � � �.
43. Backflow Irrigation. ' ,� -
A4. Landscape Iriigation System =' � � - • ' - � _ _ _
r v^: � _
45. Sound Atteccuation; -� ..'.. ' -� _ _ - -
A6. Handicap Regulations -� .: " � _ � - •- ,`
,r
47, FIPtAL STRL�CTURE & BUtLDING � _ , '"' - -
48..fINAI PLANNING - . - • , � . '
,
49. E�ectric Release to Edison .. -- ' ;
�:50.'Gas Release to $outhem California Gas Co ' - ' �
�--' � :
5/. CERT�FICATEOfOCCUPANCY ' � - � ' '
No Oa[e
wonEssaem�urcc: 801 GALLERY CT ��
m�xexs,yaeir�aavr+: POLYGON SOUTH COAST ASSOC FLOOD: X 47
.00acss: 15751 ROCKFIELD BL
UNIT 120
RVINE, CA 92718 714-452-0600
�vr�. �,uuxo woness:
urcxirecTon��n: LL MAJOR & ASSOCIATES
xcnoxerio�s�ooxess: 1551 N TUSTIN AV
SANTA ANA
CONINACTORSN�YE:
CONIHICTORS YYI➢IC
IDONE55:
ucr+o.: C-16869
uxr: 6 4 0
CA 92701
llt. NO.:
uKr:
LICENSE� COMRACTONS DECLAHATION: I hemby eltirm uMm penetly d pe�jury ihel I em liceneed uMer poviaione of Cheqm 9
(commandnp wll� Sxtbn ]000) d Division 3 d tM Bueinea uM Proimebre CoEa. vq mY �� a in lull �aa rd allatl.
cmuc.No.:066144 uc.cuss: g uc.No.: 659262 EXP: 11 /96
Ueb: CaNretla:
� OWNEN BUILDEN DECLAflATION: I hareby ffifirm uMer peneYy d perlury tlat 1 em eicempt Imm �he Commfan licerus lew la Me
� IOI1mm0 �a%+� (�� )�1.5 Bue'vwae aM Prdeviona Code: AnY cry w ooumY �� reGuirea e pemiil lo ooretrucl. ellm. impow.
demd'sh, a repei arry aMic�ure, p'v w iro ewe�we. e90 repuiree ilw epplimnt iw wch permil lo fib a eprod Metamani tlW M a ehe
w IioenaeE Wmum �o �M Momiona M Ne Con�redore licenae Lew �CheNer 9loommaian0 wGh Sedion 1000) d Div'vion 3 d the
Burimw eM Rdmiwu Cotlel a thm he a ahe b eaemq therehan eM tM bem Iw ihe dbged memqion. My violelion W Sed'nn
1W t.s by eiry eppliceni lar e permn aubjeqa �he_epplceM b e dvd penelry of'wl mae Ihen INe hundreE AOYen �f500j�.
� I, es ownar M IM propenY or my empbyeae vmh wep» av Ihe'x eole compensatbn, wiil do ihe wxk, enA IM eVUCure w nd inleMed
a Meratl Im aela (`�Ibn t0a6. Busiriess eM ProfeasbnsCade: ThaConiradon Liunse Lewdoee ml eppty�oan ovmarot propeily
who buids a inD�� �haeaon, enE xM doee eueh work HmseX or heneL or ihraph hu or her own empbyaee, pwideE ihel euch
imqwemenla are nW ImeMed or Wmad Iw eele. X, Irowever. IM W iNieq ar inprwxnem u sold xilhin ona year d oompblion, the
a' owiwrb�iNer xill heve IM burden d poviiq M w Me dk m� buiN a impwe ta �he puryrne d vab).
¢ 1. ea owmr d IM V�oPe�N. em utlusiveN mnireaM �h ticenaeE conVenme b consUud ihe DrMed (5edion )014. Buai�rea vd
PMessione Code: Tha Conlreclas License lew tlaes rwl xpply lo en owner d papMy who buiNe w impws thnaon vM who
convecb M wch prqec�n wiih e mnlredor(s) Icaneed pursuem m the Canveaore Lioeme lew).
� I am e�cemW) u Sec/lio�n: B. 8 P.C., br Nie r'�. on:
Daie: ( ��'7 � O«nar:
1 tlo heraby ceXity ihet I em ewere d arM uMereivM �he requimnew d Celio ' aetl d Sefery CaEs SeUiom 25505, 25539, eM
255�4, aM Me� I a eny iNure builEinp orapent wll / wdl nM (a�cb me) neeC to com ih eeid meta mdq erd tM rpWromaMe br
pfOVlSlOf19.
ome: Mdicenc
wonKen�s coxvwsnnon oecunnnoN: i ne�.a mr� �� �ny a�Wy o�,s a me rouo.;� aeuw�.:
x eU
� I heve eM xil mantein e eMilceb d mnsem io eeHiereure fa workert eanpeneelion, ea provideE Iw by Setlim 3)00 d tM laba
coEe. lor Ine pe�lormeMe ol ine xoA lor wlJcn inis permit ie ieeueJ.
r1 I Mw uM xfl meimen woMen' comperue�ion inau�vroe. es �uiroE by SeUion 9)00 d iM Lebor CoCe. br ihe parlmvnn d tM
lY w��«����'���ro�.MYw��C1PPRESS IN �°�"�m���: EXPIRES
c�:
ra� N�mn��. – O 1/ 01 / 9 7
(ini: ae+ron need nw ae compered I �ne perme u ra one nunaree da�ers /5'l001 w rom.l
� I canLy ihel in Iha perlormenca d �he xroM br whbh ihu permii ie ieauad, I ahdl ml empby vry pamn in ury menner eo m to
bGEO111B WbIKI �O ��IB MpMB9 Cp110011HB�q11 �9W8 t� CiB�I�OR11B. filld R! I�Im � Wb bR'IXM 91qBC� 10 1�1! Nq� 19�
compenulbn /�siom1 dqSeaun 3'/00 d �he lebar Cade, I ehdl forth a mpy o a pwi�bro.
Dele: �� /� Applicent:
Weminp: FeNun ro�xun workni rompenseHon covenps /a unlewNl, endsl ll •) f smploys� to cr/Mnl pmaMu mC
clv/l flM� W b ons huntlretl llnuuM 0ollen (JIOO,aaOA �� �Itlon ro Ms sf tbM1 Gmeqi u provMM br In
Sxtlon �)06 0l fhs Lebor Cotle, Intau4 entl ettomsy'a Iw.
CONSTIIUCTION LENOINO �OENCY: I MreW elfirtn uMer pe�xlry d per'�vy IhN Ihee u e coneUudion b�diq ep«x.y lur Ne
pa,�«merce d �n. work �« wnir� me v�� n bw,ea (smun aos], cn. cl.
LENOEfl'S N�ME:
LQlDEN'S RODNE55:
i oenM �nm i neve reaa am mdem�, ene n�. m� me mn.e ���«�� �. ��m. i w�. m�dv wnn di mr �e �wnb o�a��ces
aM slme lewe nlmn8 �a �ikvq consvumon e�C hereW auihaae rapreaentetives d Ihb dly ro enter upon ihe abv.e-mmiunM propeny
�«��`°°'�°��0°'°' HOB YODER
De�e: 1 1 �1
(5151dB.WP) Whna-BuilEvq 8 Sefary:OreeMFla: Cvury-AOGG' t: Nnk-Rmnue: GddeniaE-Aeeaua
CITY OF COSTA MESA – BUILDING PERMIT
PERM NO: B 078555
PEAMIT NO: H 078555 PLAN CHECK N0: 02742-96 A GOVT: N SUPP: N
CONSTRUCTION TYPE: V–N PERMIT TYPE: STR PURPOSE: NEW
JOH DESCRIPTION : 2129 SF LIC'ING/ 562 SF GARAGE SQ FT: 2,691
CLAIM VALUE: 177,426.00 CALC–VALUE: 177,426.30 GROUP OCC: R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 2
IFf(�fE1FiE1F1F1E1EiEiEiE�ElE1E1EiEfEjEiE1EiE�Eik1E�EfE1EiEfElEiEiFiEfE�EiEif1E1f1F kiFiElfikfEiEfE�EfEfEiEiElfiEiFiEfEiF1F1EiEiEif1E1E�EfEiffEiFiFiElE�E1FiE�E
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
-- — ------- MAIN HUILDING --------- --------- ACCESSORY BUILDING ---------
FRNT: 10 FT IN REAR: ?_5 FT IN FRNT: FT IN REAR: FT IN
LEFT: 5 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN
PARKING RE4• 2 PROV; 2 PARCEL: 14151132 ZNE; PDRL REF NO: PA-95-36
PLANNING NdTES> SINGLE—FAMILY AOME W/ATTACHED 2—CAR GARAGE
�. :
iE iE 1E iE jE 1k iE iE 1E 7f 1F if 1f 1E�1f 1E 1F iF i!!F iE 1F.iE iE iElE.k 1E �E 1Elk.ik 1! 1E iE 1ElE 1F 1f 1E 1F 1E iE 1f iE 1E �f jE 3E 1f iE 1E �E fE iF iE 1E 1E 1E 1F 1E iF 1F �lE� 1E fE 1F iF 9E �E if iE i! fE 3E �E iE 1E iE
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 ' ,IC.MIZ DATE: --
HUILDING APPROVED HY _:" V(.
APPLICATION ISSUED BY:�`'-
if 1Flf iF if !E iE iflE if fE ik iE i! 1k iE ff 1E 1h 1E�iE 1F�i�F
LEGALIZATION:N
F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 1,277.25
DATE:
iE if iE iE iF iF iE if iE iE iE iF iE iE 1E iF iElFif � iFiE iF ik iE
STRUCTUR'AL SEGMENT:Y
FIRE SMIP/RES GRADING
17.74
SMIP/NON–RES
PLAN 207.55
ISSUE FEE
HUILDING–DIC�–> PERMIT ISSUE PLAN–CAECK TOTAL PAID DUE
TOTALS----> 1294.99 0,00 207.55 1502.54 1502,54 .00
REVENOE DIVISION TOTALS--> COLLECTED: 1502.54 OC�ER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN–CHECK
1277.25 17.74 207.55
iE fE fE iE fE 1( fE i! 9ElElk if iE dElElE 1f 3E iE iE ik fE ik �f �f !f 1f iFlE if� ik if 1E iE aE �E �E fE 9E jE fE �ElE iE iE 1E iE aF �ElE 1E iE 1E ik if iE 1f iF 3E iE iE 3Elk iE fE �E �E fE iE k 1E iE iE iE iE 1f if iF iE
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
SFR 2129 DWE–TYPE V–WOOD FRAME –GOQD 77,90 165,849,10
SFR 562 RES–GARAGES TYPE V 20,60 11,577,20
END OF FEES
��
CONSTRUCTION AND Pi�ANNING � POOL & SPA
�
APwROVAIS Permit# ' Bate �Inspector � APpROVALS Permit# Date Inspector
t. 7emporary Electriral Service or Pote f 52. Pool & Equipment Locatio� I
2.' Soil Pipe-Undrgrntl. i: 53. Steel Reinforcement -'� �
3. Electrical Conduit Utility-Undrgmd. �/� !�� �L `- 54. Forms ^�_. �
4. Electrical Conduit�Undrgmd. � -Y 55. Electrical Bonding '?_� V� '�1 .�
5. Steel Reinlorcemenc 56. Rough Piumbing & Pressure Test -`;.
6. Electrical UFER Gmd. ��`l� f,� L 57. APPROVAL TO COVER•GUNITE ��
�
'` ...�
7. Footings b��t�/o �L 58. Electrical Conduit-Undrgrnd. �
0
B. Foundation �/L 59. Gas Pipe, O Undrgrnd., Test � '
�'�r? ��
9. Water Pipe�Undrgrnd. �� 60. Backwash Lines, P-Trap, � Undrgmd.
10. Structural Fioor System � f 61. APPROVAL TO DECK /"
17. Property�Sewer Line & Hou:e Connection ' '��62. Backwash & Receptor�Pinei'' ��';
12. Sewer Cap •� i 63. Heater & Vent-Final "'
i �� �.
13. Roof qrains � /' 64., Plumbing System - Final �'��
. ) --
14. Rough Plumbing 65. Electrical-final �
15. Rough Elec.rical�Conduit 66. Solar System-Final �` -
16. Rough Electric Wiring 67. Fencing & Access Approvul ' � �,� �
17. Rough Wiring Si9n 68. APPROVED POR P�ASTERING
18. Rough Electrica6T Bar Ceiling 69. POOUSPA SYSTEA9S FINAL ' �
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace • - APPROVALS Permit � !
21. Ducts, in.Structure , � , 70. Underground Hydro
22. DuRs, Ventilating 71. Product Piping OGas OOiI
23. Gas Pipe�Rough & Test . 72. Undergrcund Flush
24. Roof Framing � 73. Undergrnd.StorageTank OGas �Oil
25. Roof Sheathing ��6�6 �C 74. Overhead Hydro-
26. 7�Bar Ceiling (Structurali & Mor.ocoat - 75. Dry Chemical
27. Frame and �laehing /��� � � 76. Dry Standpipe
28. Lathing & Siding - - /..�31 ��j 77. FIXED SY.STEM FINAL
�ri
29. Insulation � � , 78. FIRE PREV. FINAL
to a3 v � :
30. Drywall Nailing �a� � - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat' . _ -,� �� �L 79. FINAL INSPECTION
32. Electrical Power MeterPinal .- 80. FOOD CERTIFICATE ISSUED
33. Fina� Electric Notes: .
� 34. Final Heating & Air Conditioning �
35. Finai Gas Pipe-Test � ' .
36. Hood or' CanopY • ,
37. Final Factorv Fireplace
38. Final Plumbing �� .
39. Watet 9ervice-Pina1 �
40. Gas Service-Finai . -
� 41. Solar pomestioFinal �
42. Backflow Preventer' � (
43. Backflow Irrigation
44. Landscape Irripation System ' � . �
45. Sound Attenuation � - �
46. HandicaP Regulations � �� �
f-// D
47,. FINAI.STRUCTURE&E3UILDWG �j�-'��q/ L'� -
bF. �Y G
46. FINA� PLANNING
49. Electric Reiease ro Edison
50. Gas Release to Southern Caiifornia Gas Co
51. CERTIFICATEOFOCCUPANCY
No. Date
� o�❑�� Hall & �oreman, Inc.
e Civil Engineering • Planning • Surveying • Pu61ic Works
December 10, 1996
Building and Safety Division
City of Costa Mesa
77 Fair Drive
Costa Mesa, CA 92628-1200
Project Address:
Lot Number:
Permit Number.
By Civil Engineer:
Tract No. 1521 ]
67
GRA075893
$O I G�..11 ev-�/ G��
4665-GRA I 0
I certify to the satisfactory 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 from each building site.
The minimums are:
2% fall from structures 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 monuments as shown on the recorded vact map were set. All final grading elevations are
within � 1/10 of the desiQned ele�ations.
Supervising Civil Engi
13621 Newport Avenue, Suite 200
Tustin, Calitornia 92780-7803
Tel 714/5443404
Fax 714/544-3155
Reg. No. 37445
Date j GD
P.
No.37445
Exp.6B0/pp �
.'aooaessaeu�owa: 801 GALLERY CT urar:
�oxraxetu�eivaaxr+: POLYGON SOUTH COAST ASSOC FLOOD: X 47
�oo�ss 15751 ROCKFIELD BL
- "' UNIT 120
ICiVINE, CA 92718 7/14-452-0600
wv�. wuuwo wonEss: � D T (�j/�
urcx�eraxEwawffn: LL MAJOR 6 ASSOCIATES ucno: C-16869
uicx.on�a�s.00x�ss: 1551 N TUSTIN AV ur�r: 640
SANTA ANA CA 92701
cor'm�crara rwa:
cam�croxs�uuxo
AUORESA
11C. M:
UNT:
UCEN9ED CONfN�CTORS DECLRHATION: I hareby eNkm uMm pane4y ol perjury Ihel I em IironseE uMer pwieime d Cheqar 9
(wmm.�d�w �+�n s.ciw� �000l d oM.b� a a me s�.��....�e a�d...�o�o cod., e�e my i�ae re �� wn �orcs ae w.a.
cmuc.No.:066144 uc.cuss: B uc.No.: 659262 EXP: 11 /96
Dete: Comreaa:
OWNEN BUILOER OEttARRT10N: I Iwreby dfim� uMer parely d peejuy Ihet I em ezamp han �M ContMm Lieenae lew la IM
�dbhiia rm�a, (s<aian Iwl.s an:».. ene Rawims Code: Mv ctr n mmn wua, nau"va. e w�mn io om.w,. Mer.'vnwova.
Eemdwh, a rapv any awctun. prior lo tls ewe�xn, deo raQuiron ihe epWirem la vuch pemid lo fib a eqneE Hmeme�n tliel M a �he
u lioerroed Wn�� to �he yowione W tM ConlrWws Licenu Lew �Chaqm B(camme�x'vp xilh Setlbn )OW) d Div'sian � d iM
Businew vM Rdoiom Code� or Ihel iw or eha u exemq iherelmn eM the Mse lor ihe allped exaTqion. My vuW on d 6enon
]oa1.5 M em rod�� I« a o«ma wd�. �ne wWicem io e dvll v�e�b w ra1 Ai«e ihen Me nuMree adw. I`�II�
� I, m ownar d Ihe qapany or my ampbyeee wth wepes av �hei ede mmpenmtian, vrill Eo the xork, enE IM strwYun e rwl inleMed
a Maad br eale (Seciion ]OM. Bumron vd Pmieaeona Code: Tlie CoNredas Lkerua lardoee noi epplyto en owmrd propqry
wM buiEa a inpmvm Ihemon, ud v.ho Ame euM wwk IJmsell a hane� a Nraqh hb a her own empbysn. pwNed ihel ac�
'unpovamWa ere nol inlended a dlweE la eele, tl.lwwewr. ihe buYCmp ar inprwemeM o witl xitNn ona Yav af complelnn. IM
�owrorbuildar wJl hava tM buiden d pwirq M a dre did rwi briN « impwa fw tM puryoee d ub�.
I. m o�mer a iM wweM..m a�duv.aM mxree:p wilh ricm�ee cannenon w canm�e tln w9� (sw'vn 10u. &ninns and
Rdmdmv Code: Tha Cwureem Liunes lew dou ml aoM' b en owror W P�w�Y Mw duids w'vnpw'x tlwaan ond Ww
oonvv.0 la aN pqeae x'vn e mra'm«(e) IicmxA qusuem m iM Caureaaa liorw leM.
� 1 em vemq ivdar Sermpn: B. 8 P.C.. ta iho �
Dele: � Z1 (T_ Owrcr.
i eo n.�nv �«iM uw i.m e�we d.�e �.w«.w,e ub �aw�,«m a c�a � s�ar coee swoo. uws. usz�..oa
25531, vM Me� I a ury Muro WiMirq oavrym will / wil rwi (orcb me) py ved mms codr end tM mryimmrib b
•psm�lacaulnclionamodifiWionhan�MAi ue�y aupemm�DiAntl.RmiEenlielmmt�udioneppfuliomaneumqlromNw
>�..
Dete: �ppfrau:
WOPNEH'9 COYVENSATON DKL�fl�TON: I heraEy df ivdr pruby d pemry oro d Ne IaOoxiiq Mdere�iom:
❑ � n.n.nd w m.uvsn. canfret. a oonew m..n:�mn. k,.ak«.• can+w�.mcn. n nwid.d �« W swim 9roo a m.lebv
Code. ta tM pMmiwKa d Ns wM Iv whirl� Ne pemm u mued.
�i IMaudwlme'vvanwaMie'mmpmWbiiemvuo.urW�oedbYSwion9l00diMLelarCods.b�Mpxbrmviwd�he
`�`"�����'D'�'�����W�'C P�RESS���°���u• EXPIRES
c.m.�:
va�N�mn.� — O1 /O1 /97
(TAia escfion rraed rrot Ee canONMJ / iM Po^^k u/w wre huM�ed ddbn (JIOVI w Isu./
� I�anN � in iM pMamerica W IM wak br whcA thn permu o imid. I 4WI rwi enipb� xry pwson in ury menror c n lo
bcama wbpe m iM MorM��' canqnmlion lewe d CeGlorttle. eM �es het i ouk Eecams �ubpd to iM v.arbn'
�v� o�o� Gw see�, a�oo a m. �e« com. i aeo imn m y,� � m� o��
oe.: �/ 'L��7 � �nd�m:
W�mMp: F�Ilun ro�scun woM1'wi rnmpe+utlon rovereps li un4wNl, �rM LWI u4 ef i niploy�r ro eAmlrW pNultlaW
�nu n�., w ro e�. n�e�.e �rouune eai... fnu0.awA m.miwn ro m..e, � uen �., we.rew ar �n
S�ctlon 3N6 oI N� LMor Cods. /ntw4 en� �flomey'a hu.
CONSTRIIC110N LENqNO �OENCY: I MreW dfirm uMar peiuXy W peejury �hN ihas b e mMrutlbn bnd"up epeney Im tlro
plf�OfTNLB O�1�1G MOIit�Of Mil(�'IIh�O Ds�� p 68110d(.SlQ0113P1/,CiN.Ci�.
LENUEH'S NAME:
LENDEX'S AUDPES9:
I ceniN �� I heve read Ihia epqceiian eM Mda thm Na ebova inlwme�ian ia mrtea. I eprae to comply Mnh ell dry mM ooumy adinerima
vk etele kws relmnp io WikinB �N��aian eM Mreby e��hor¢e repesanle�ivea d �his dlyto emer upon Ihe eEaa�memonW poperly
'°""'°°"'°"P"'D°'°'' BOB YODER
ome: �� .�
�5151-IB.WP) Whna�Buildiq 8 SeinY:���le: Cenery-AppFraM: Pink-Revenue:GOMenroA-Aeeeewr
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: P 078556 PLAN CAECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU
PERM NO: P 078556
GOVT; N SUPP: N
PURPOSE: NEW
JOB DESCRIPTION : 2129 SF LIVING/ 562 SF GARAGE SQ FT:
CLAIM VALUE; CALC—VALUE; GROUP OCC; R-3 /U-1
COMMENTS: NEW SINGLE FAMILY AESIDENCE / PLAN 2/ REF B-78555
it�r*itx�itit�tititft*�r*�r�t�it******�**�r�r*�rieieic-*�rat*�r*x�*it*x-*�tit*ie�-*it****�r�-�-�tit****it�t***�t*it�t�-*���
Z O N I N G R E Q U I R E M E N T S
S E.T B A C K S ,
------------ MAIN 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 NdTES>
� ) . , i.. � r "
4 fE fE 1E 4 fE 1E 1h 41E iE 1E ft 1E 1f 1t 1k iElk 1k if iE 1E iElE iElE k iE 1E if if 1k 1k iF ik 1E 1f 3E if !F fE iE 1E 1E iE iE �E iE iF iE ff �f iE 1f iE �E 1f 1F 1E iE IE 1ElE fE ik ik i! if 1k 1E 1! iE 1E 1E �E iE 1E iE
D E V E L O P M E N T S E R V i I C E S:" `-R 'E Q U�,.I R E M E N T S
l. i.. �
ZONING APPROVED BY : " DATE:
BUILDING,APPROVED BY ; , ' , DATE:
!: . ^l ,..� � � .
APPLICATION ISSUED BY: ��' —' �!l��y �.� DATE: —�Z 9�
ifiEiE1E1EM�EfE'14.1FiEif-i6if-iflfiffEiFiFifiEl�i�1�f���E������E;E�3F��E��iF3f��if��EiF3F�� iF �1EjEklEiElEiEihiEif� iE�F 1E�E3k
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
�, '
BLDG PMT PLUMHING ELECTRICv MECHANIG FIRE SMIP/RES GRADING
PERMIT 198.00 ,t. .- �
258 � � ,: .. SMIP/NON—RES
PLAN �'' , .
ISSUE FEE 22,00 � .
BUILDING—DIV—> PERMIT ISSUE PLAN=CHECIC •.. TOTAL PAID DUE
TOTALS----> 198.00 22.00 - 0.00 220.00 220.00 ,00
REVENUE DIVZSION TOTALS--> COLLECTED: `; ' 220.00 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC ,.FIRE" SMIP/TOT GRADING PLAN—CHECK
220.00 i : - �
iElE k if 1E 1! iE if k 1E �E iE ii 1f if 1F k if if if 1F 1E 1f iF 1f iElf !F 1E iE iF iklk �F fk iE iE fE fE 1E fElE 1f !f ik 1f iE 1E iElE 1E iE iE 1! k 1E fE 1E if !E 1f !! If 1Elf 1k 1k If i! ik fE 1F!! fE iE 1f iF iE iE
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^ y , UNIT COST TOTAL COST
� /,
PLU 2 BATHTUB ���• �� .', 8,75 17.50
PLU 1 DISHWASHER �;; ,'� , 8, 75 8. 75
PLU 2 LAUNDRY TUB OR WASIiER� 8,75 17,50
PLU 2 SHOWER - • 8,75 17,50
PLU 1 SINK, KITCHEN •�' j" 8,75 8.75
PLU 5 WASH BASIN � , k,`� � 8,75 43.75
PLU 3 WATER CLOSET (TOILET) 8,75 26.25
PLU 1 WATER HEATER AND/OR'�VENT 11.00 11.00
PLU 1 WATER SERVICE
PLU 1 GAS PIPING SYS OF7: 1 TO 4 OUTLETS 5.50 5.50
PLU 2 GAS PIPING SYS 5+' OUTL—PER OOTLET 1.00 2,00
:�
� CONSTRUCTION AND PLANNING P0. d SPA
APPROVALS Permit # Date �'Inspector APPROVALS Permit # Date Inspector
L Temporery Electrical Service or Pole 52. Pool & Equipment Location �
2. Soil Pipe-Undrgrnd. ��.�.� � 53. Steel Reinforcement �' :� ;
3. Electricai Conduit Utility-Undrgrnd. `� 54. Forms ---
4. ElecVical-Conduit�Undrgrnd. 55. Electrical Bonding •�• �,�'
_�
5. Sreel Reinforcement 56. Rough Piumbing & Pressure Test . �
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE '�
" 7. Footings 58. Electrical Conduif-Undrgmd. �
B. Foundation 59. Gas Pipe, C� Undrgrnd., 7esi �
9. Water Pipe-Undrgmd. �' .�5�6 �:• 60. Backwash Lines, P-Trap, O Undrgrnd.
70. Structural Floor System �� ft. APPROVAL TO DECK r
11. Property Sewer Line & House Connect�on ��,�_Gl� , 62. Backwash & Receptor�Fi�al.
L
12. Sewer Cap - "83. Heater & Vent-Final .� "7 � ,
73. Roof Drains ' � 64. Plumbing System - Final �'�
i
14. Aough Plumbing I-� _[f� G�` 65. Etecirical-Finaf �
��.
15. iiough Eiectrical-Conduit � 66. Solar System-Final , ��
16. Rough Electric Wiring 67. Fencing & Access ApProval .
17. Rough Wiring Sign 68. APPROVED FOR� PLASTERInG
18. Rough Electrical-T Bar Ceiling 69. P00�/SPA SYSTEMS FINA�
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � APPROVALS - Permit #
21. Ducts, in Structure �. - 70. .Undergrourid Hydro
22. Ducts,Ven2ilating .. . 77. Product�PipingOGas ❑Oil
23. Gas Pipe-Rough & Test -,�� �q � 72. Underground Fluih
(_
24. Roof Framing • - • 73. Undergrnd. Storage Tank 0 Gas ❑ Oil
25. Roof Sheaihiog " � �� .. 74. Overhead Hydro
26. T�Bar Ceilin9 (Structural) &�Monocoat . 75. Dry Chemicai - '
27. _Frame and Flashing 76. Dry Standpipe - � -
.
28. Lath�ng & Siding �• �� � 77, FIXED SVSTEM FINAL
29. Insulation - �. � 78. FIRE PREV. FINAL . � -
30. Dryv,-all Nailing � HEALTH DEPT. REQUIREMENT'
31. Plasrer Brown Coat 79. FINAL�INSPECT.ION � -
32. Electricel Power MeterFinal � � 80. FOOD CERTIFICATE ISSUED �
33.finalElectric � Notes:/?��`��T�,��/�Q �.�
TS 6- �' i �_n v ���r ..
34. Finat Heating�& Air'Conditioning � �
�-�� �-C-n�-k�d
35. Final Gas Pipe•Test �_� � - c+ z-3 �.[ S-��'�'�
� - - a -
36. Hood or Canopy � . �
_ �!-7Ur7'� LvR2�v�_s��2✓_Lc.� - -
37. Final Factory Fireplace - � �b _g�_q6_�-��J�- _ . �
�� - - -
38. Final Plumbing �� . . - I�-�- �� � I�-I_�LCj�`�?SS ��T.S'T� _
39. Water Service-Pinal 30•. �
&' -� _ !'Z -4-�����l-c.�z- - -
40. Gas Service-Final 2�„�� '
� 41. Solar pomestic�Final �
42. Backflow Preventer �± -
�� T� _
43. Backflow Irrigation " ' ��L�L �
1 •' �
44. Landscape Irripation System . .. �
45. Sound Attenuation '
46. Handicap Regulations � .
47. FINAt STRUCTURE & BUILDING �
48. FINALPLANNING' , ,
49. Eleciric Release to Edison
50. Gas Release to Southern Catitornia Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
i OWNENSINYEIFUpqNN: �D I U�`K-�'
/i0DXE5S
APY�. WUIIIlO AODXESS:
dHCX1iFCT ON ENfII11EF11:
dRCX.OR ENfi'S AOOHES4:
cartn�cTars xu�:
CWIAACTORSYYlII1G
i100BE55:
uc. No.:
IIC NO.:
uMr:
PERMIT NO: P 078556 PLAN CHECK NO: 02838-96 N ,
1k 1tlE 1Elf 1E 1f fElElElE �F iE iE ff �E �f fF fE 1E 1E 1E 1f #E!E 1E 1E fE iE it iE iE if 1E 1F iE iE 1F 1ElE �E fE 1E fE ik iF iElE �Elf !E 1f iF 1ElE iE 1E iE �E if iE iE 1F fE iE iE 1E iE iE iF �E 1E 1ElE if'k 1F k iE
UNT:
UNT:
LICFNSED CONfNRCTONS DECLAFATION: I hereby eR'vm uMm panetly d peejury ihd I em IcensaE uMar provisbm d Cheplm 9
(mmmenorq wilh Seclbn ]000) N Oiviaion 3 M �M1a Buai�ea eM PNe�viare Coda, erd my liceiwe b in lull lace anE Wetl.
CRY 11C. NO.: LIQ CLR55: LIC. NO.:
Dme: Comreaor.
OWNEN 8111LDEN DECUflATION: 1 hereby eifirm uMer penetly W perjury Ihal I em uemq fmm the CanVedas Licenee Lew la Ihe
'dbwiq renwn (Sedion )031 5 Buanws e�M Proleeeiona COEe: R�ry ciY a�my whith �apuirea e peitnA to mreW�M, eller, impwe,
lemdsh, w rapai eny sVuclure, prior io im'ewence. ebo reQuirea ihe eppliranl fa euch peim! lo fib e eqred atelemenl Nel !n a ehe
e licenaed puewem to iM pwiaima d Na Con�reaors Licama Law �Cliepler 9(oommendnp wilh Setlion 1000) d Orveion 3 d Ib
Buainea eM Prdwiom Codel or thet he a ehe b exemq therehwn vd IM bvia la Ihe dbped xemqion. My vioW un d Sed'on
)031.5 by vry epdiram /or e permil wbjetl+the epplicem to e tivil penelly d rat mwa then fHe huMreE Edlen �5500�).
� I, es ovmer A �he qopany a my employeee wi�h wepea es their eola mmpemeiion, xill do tha wak, end iM Nruclum e nd intanEeE
w oNeredlor sale (Se�Mion �paa, Buvma enE Proi»siora Cotle: The Coniredon littnee lawtloea rwl xpWylo en ownerd qopaery
who bulAs a'vnpmvea Ihereon, mW who doee cuch work NmseX or henall a thrwph ha a hx own ampbyaec, prnked thal wch
ImpfWBTBN9 Le Ild in�B11�Bd C! OMBIBj Im eB�B. n, �1OWlVBf.I�1B bllibill'd M�IIplVIBTOM Y 80d Nllhin pM yW C� D]t11pHGf1, tlM
ownnbutlder will heve IM Euidmi al poviiq he w 4re dN mi build a impeova /n �M puryme d eeb).
� I. av ownm d iha qopany. em exdi2irely mnireuvp xilh IicemeE conVeclon b wnsUutl iha pmjetl (SeUion l0aa. &ainma eM
Prdeaeime Cade: The Conlradon License lew tloes rwt epply io en ownar d qoperry who buitle a impovea thraon eiM who
mnuecie 1« euch pmiecie vnih e mnVedor�e) Icenaed Dunueni lo Ihe Conveaon Licenae lew�.
� I em axemq under Seclion: B. 8 P.C., lor Nie reeson:
ova: ow�«:
i do ne.eM �niN mm i� a.are a ene ��ee��d ina �a�.«�eoi. d cda�r H.ann �a s�mv coe. see�a,. zssos, zuv. ene
zss1+, ena ihm �«eny hnura Wl�alno «cuv��'��� � wa� �a (dreb aw) naee �o comvN win aeid mme codm eiM �he �ac���.�,ams t«
e peimX IwmneVuction or modifralionhwnihe A'x�OueC y I.renapement Dimntl. Fatidenlid oonmrud'on eppYraliore en exempt /rom Ihsae
provisbne.
Dele: Md�
W OPKEfl'S COYPFNSATION DKL1fl<TON: I MrMy elfimi uMer penelty d peijury one d the idbwi�p Eetlualiom:
� I heve eM wil meimen e cerlilicela d canwni ta eaM�ieuure br woAieii mmperumion, m prarideE lor by SerJbn 3)OD d tM labor
CiO�B. �IX �IIB [IBI�Of111B11EB �/ 111G NOf�I �Of Whlt�11�119 pBlTll I81TBIlBd.
❑ I Mve uM wil meintem when' mnC+���ion imurenca. av rWuired M Seaion �)W d Ihe Lebor COEe. br iM Pe�amence d IM
wak la which tM1ie pmm� ie weueE. MY ���' �Pe�� ineurv�ce e�aenx aed pdiry number va:
Ceirim:
Pd'ry Number:
(This aectian need raf be camdeteC Aue piml is br are hwCreE dollers /51001 w lese.)
� I cenity Nel in Iha peAarmeMe d the work /w whch �hia peimA u esued. I ehell ml employ erry parton in ury mannar eo n �o
pxome subl� w the uvrken' mnpenae�ion lews oi Celilomie. eM eprea thm ! I ahouk Exoma wbjetl lo tM wwken'
campensetim pimvune d Seeun 3]OU d the lebor Coda. I dWl lonhxith mmpry xilh tlm prwuiav.
Deta: AFdicanc
Wamlrp: H/lun M axun wortsri comWrwtlon roverrys Is un/ewNl, �ntl �MII auDHct m emplqx ro cNMnIOMaNN mJ
c/HI flroa up ro me hunOreC fhoweiN tlolHn (StoqaoaA �� eWlMen ro fhe ewt oI rompxu+�ron, tlam�pu �a povltlW /er In
3ectlon 9�06 0/ Me le6or COM, lnrorost ane ettomey'a less.
CONSTflUCTION LENDINO RQENCY: I hereby elfiim uMer penelry d perjury thet tAare e e conprudian Wi6ip peM.y lor Ihe
parton�arwe d ina.,oni r« wnKn ina rem,� a a�ea (sma, aw�. cH. cl.
LENDER'S NAME:
LENOEF'S ADUflE53:
I cMity �hm I heve raetl Nia eppliceiion eM 9me ihm iha ebova inlameiion ia cortaq. I epiee to ewnply xnh ell dry eM cauMy ad'mvrae
ud atate kwe rolmn8 �o WiMvp cancvumm end haraby eu�lar¢e iepeeaniatives W t�o ary b eMer upon iM ebovo-meMioned qoperly
tM irepe'.liin purpaxa.
Sgretura d OwnetlAganVApplcenVContrma
15151dfi.WP) WM1ue-9uiW'vq 8 Selery: GreerFle: Cenery-4ppicent: Pink-Rewnue:Oddemo�nsro�or
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU 1 GAS SERVICE 8.75 8.75
PLU 1 SEWER, CONNECTION TO BUILDING EACH 22.00 22.00
END OF FEES
- " �.� _ . .- � • ' .� ..
�.. " '
r} CONSTRUCTION AND P�ANNING PO. .a SPA
AFPROVALS Permit # Daie Inspector . APPROVALS Permit # Date Inspector
1. 'femporary Electriral Service or Pole 52. Pool & Equipment Location
2.•Soil Pipe-Undrgrnd. 53. Steal Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
� 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding
5. Steet Reinforcement 56. Rough Plumbing & Pressure Test �
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Cqnduit-Undrgrnd.
8. Foundation - 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
� 10. Svucxura� Floor System 61. APPROVAL TO DEGK
17. Property Sewer Line & House Connection 62. Backwash & Receptor�Final
12. Sewer Cap 63. Heater & Vent•Final
13. Roof Drains 64. Piumbing System � Final
74. Rough Plumbing 65. Electrical�Final
' 15. Rough Electriwl�Condu�t 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access AnProval
77. Rough Wiring Sign 68. APPqOVED FOR PLASTERING
18. Rough Electrical•T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
79. Rougli Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20: Rough�FactoryFireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
` 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Tesc - 72, Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank �Gas �70i1
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Structurall & Monocoat 75. Dry Chemical
27. Prame and �Flashing 76. Ory Siandpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation � 78. FIRE PREV. FINA�
30. Drywall Nailinq NEALTH DEPT. REQUIREMENT
31. Piaster 9rown.Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Elecuic . Notes: . .' _ .
34. Pinal Meating & Air Conditioning
35. Final Gas Pipe•Test
36. Hood or CanopY
37. Final Factory Fireplace
38. Final F'lumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final
42. 6ack4law Preventer
43. Backflow Irrigation
44. Landsca0e Irriqation System
45. Sound Attenuation
46. Handicap Regulations
4Z FINAL STRUCTURE & BUILDING
48. FINAL P�ANNING
49. Electric Re�ease ro Ediwn
50. Gas Release to Southern California Gas Cn
51. CERTIFICATE OF OCCUPANCY
No Date
V ��pE550F BUILdNO: ZS V 1 l�H
^ axxexswweirwawx: POLYGON
. ,�oopEss: UN I T 1 12 0
. •
IRVINE,'CA 92718
�vr�. wuuxo nooxess:
UNT:
ASSOC FLOOD: X 47
f:J�
�14-452-0600
4MXRECTOflfNfiNFER: LL MAJOR 6 ASSOCIATES uc.ra.: C-16869
AXCX.ONFNG.'SAODIIE55: ZSSZ N TUSTIN AV uxT: 640
SANTA ANA CA 92701
COMXACTIXI'S N11�:
CONfP1CTOXSYYIIIlG
�ooxess:
uc. xo.:
uxr:
IICEH5E0 CONfflACTOHS DECLAFATION: I hereby eRvm undar Pone1y d pe�ury thet I em IironeeE uiMer pwiiane W Chaqer 9
(mmmerwi�q wiih Sec�ion )OW) ot Divmeion � d ihe Buainep e�d PM��a �e. erd mY liaemm ie in hll lace end eMep.
cmuc.No.:066144 uc.cuss: B uc.No.: 659262 EXP: 11/96
Deta: commaa:
OWNER BUILDEX DECLAH�TION: I hmeby dfi�m under penelly d pa'ryry i�p l em exemq fmm �M Comretlm licema lew lar Ne
Idbwip reeaon (�=bn ]031.5 &»'vreea uM Prdmebne Code: RM c1Y a countY �� �Wu'uee a pemiil to cannNwY. Mm, impro.a.
°�;�andeh, a repai anY ah�clure. piw w'ae bwerice. dso �eyu'um tM ep��q �p �h pemi� b bb a wpr�ed nmenrm Ihm M a sM
�':: IKenaeE puieuent lo IM pwivma d Me Conlretlwe lidnae lew �Cheplm 9(oommendip wilh Setlon ]OW) d Oiiebn 3 uf Ils
�- a'Jyy�wea yy prdyyiqu Codel w Ihel M a eha u examq Ihxehom yM 1M buis la Ihe allped Qempion. My vide�on d Sadion
)031.5 Ey any eppliranl iw e pmmn wbptla �M epplicem to e tivil pa�yiy d nol mon Ihen fxe huMnE Edbn j5.500�).
� I.avowiwrdthapropaMYamyampbyeeawYhwapeaoihaiedemmpenutun.vrillAotheMwk.enCiMeWctunwrMimrdaE
a oflaed M aeb (SecUon )0l1. Bu.tirem vM PMeasionsCOAe: The COMredae Licenne lewdoes ml xVWY�o anownerd p�apMy
who Wida a inDmree tMreon. aM x1a Eoee euM xwk IimeeM a hener a Nrn+W hc or her own amNor�s. p�� thm wcA
'vnpovemenU ere m� inieMeE a Wwed la eab. H. Iwwmer. thq y��{irq a inpwanem u soM xilhin ons Y� d compbt'vn. tlr
x owmrbuilder will heva IM burdan d qo+i�q M a ehe d'd nal E�iW a impove la IM WNo+e d eab�.
❑ �. m ew,« d �na wowm. em e.a�vNv comma:ro .�m �icen.ma cmv.na. m m,.o-ue u» o�dea ts«.on ro... a�.:,...w
Profea�one Gode: Tha CaMropae licerue lew tlom m� eGVN m en oxw W P�W�Y who Wi11e a'viwwr �hrson enE w1a
wnvecie lor euN prqeda wnh e caNrador�elliceiueA Wnuenl lo e Conirepare Lisua lew).
� I em ezemq uMer Sedion: B. 8 P.C.. M N' o
ov,: l J� �! c, L �
I do Mreby cMily UW I em eware W eM uMeieieM tlro repuirem W Calla e M d Selny COEe Sxl'am 25505. 255�3. aM
]55�a, vM tlut I a eiry Mun Wik'up aaupent will / wll �(rircb qy) � � h uid tlma cod� rd �M my�unmwib tar
Dme: AVW�
W ORKEP'3 COYPDISATION DECURATION: I Iwsby dfim� uMx p�ryy d psjuy ana d Ne Idbwi�p deduetiau:
� IhevaenExdmeimeneea�iiktladmruantloveXina�ebeworkm'epnpnWim,npaidedlabySWim3lOpdtMLeEa
coa.. i« �n� wn«�s d m. �x �« wi:on inm w�a m�a�e.
�] � neve w wie meimew wonw+� mmv�o� ��wre�... Aco�.a M s.aion a�ao a ine �.no. coe.. a. me w� a m.
.�mi«.,�nwnmmv.�nnm,�a.uyw«�n•�����g�°.mrou.v��mnaa.: EXPIRES
c�«:
Pdiry Number. � 1� Q 1� 9 7
, mr,,.aan neee �mr ee �w,�chred r rne o�e e ro. an nu�lee ediers R�aol a �w.�
� I un'N � in the parlamvice d IM wak M whch t�u peimN o ecueE. I ehell iwl amWq e�ry prson in vry menrw eo o to
pecoma wbjetl to �M xwkere' compenealion kvn d Cdilar�e. � p� ii I ahaM ba,vne eubjw to IM v.wYae'
mmpenamion p_wiaIiona 1W Setlion 9l0o d tM lebm CoEe, I el�l 1 h pItlh m �'v��h t ea � ovieione.
Dme: ��4 � Y ADWkenl: V �� �
--•----
Wemlrp: Fellun ro a�cun woM'era'romyawtlon roverap� h un�a�� � f�n �mployer ro crlrtYiW pxrltlu �M
clvll flir� up ro one hwGrM tlnuwd CNNn (S10QOW), M xMltlon b f o rompxuetbn tlamepu n povWM br In
Swtlon 9106 0l Ms I.�bor Cod, /ntxuq mtl attomsy'� Iw.
CONSTfiUCT10N LENDINO AOENCY: I MroEy eHrm under penNy M qr'ryry ��q ihen p e mnalrudion Wdi�q epancy M IM
pGf�IX111BfIG O���1G WOI�I�OfW�IId1��1C pG1111I IH b9UBf��$BC1O11�). �iM.�i�.
LENOEN'S NANE:
LENUEH'S ADDPESS:
I cerliy �I�m I heve reeE �his epplkelion and mele Ihet iha ebove inlamdion ia wrtad. I epree to comply wilh ell Uy eM counly ordinerimn
eM etele lews relming ia buiMmg consuudion vd �ereby author¢e rep���¢i� d Ihe fily b enler upon �M abwe�mamionad pmpa�ty
/orinapeaionWrpoxs.HOB YODER
Dme: � �
(S15/JB.WP) Whne-BuilEing 85efery; Orean-Fle: Cenery�pplicenl: %nk-Rawnue; (3dEenra4rleeenor
CITY OF COSTA MESA -- BUILDING PERMTT
PERMIT NO: M 078557 PLAN CHECK NO: N
PERM NO: M 07Ei557
GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PEAMIT TYPE: MEC PURPOSE: NEW
J08 DESCRIPTION : 2129 SF LIVING/ 562 SF GARAGE SQ FT;
CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 2/ REF B-78555
�E 1E 1E 1E jE fE iE �E iE fE 1f iE iE jE iE iE iF 1E iE 1ElE iE 1ElE �E fE 1E 1E 1E 1f 1E �F iElf 1E if iFlf ik ik iE if 1F iE 1E iE 1E it 1f ff 1f iF 1E iE 1ElE 1E iE iElE iE 1E 1E iE �)k iE �E 1E iE 1E iF iE !F iE fF 1E fE 1E 1E
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 19151132 ZNE: REF NO:
PLANNIAIG NOTES>
• ?
fF 1k 1FlF if iE if 1E if if 1Elf iElE 1E 1E 1E if fflE iE ft 1E 1f 1E 1ElE iE 1F 1E 1f iE 1E 1E 1E 1f �E 1E if it 41f 1E 1E 1E if 1E fF iE iE 1E iE iE 1E iF 7f 1E 1E iE k k 1E iE if iE 1E 1E 1E 1E iE 1F ik it fE iE iE iE 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 `, DATE;
HUILDING APPROVED BY : DATE:
APPLICATION ISSUED HY: DATE;
1E1FiE1Eif1E1E1ElE�E�E�E�E3E�E1EiE1fif1Elfif iE1FlE1F1ElEiFiEiEif�lF�i 1ElE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N
BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/RES GRADING
PERMIT 42,25
253 SMIP/NON—RES
PLAN �
ISSUE FEE 22,00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 42.25 22.00 0,00 64.25 64.25 .00
REVENUE DIVISION TOTALS--> COLLECTED: 64.25 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
64.25
fE�EfEiE�ElflffEfEiEdE1f1F1EiFlElFiFifiFlEiE1EiF1Ejt1ElEiEfEfEl6fEiEiEfElE1EiElE1EiE1EiElEfElEfEiEfFiEiElElEiflEiEiEiE1E1EiEiE1E1EiE1E1f1E�EiflEiEiElEiEiEifiE
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 FURN <= 100 K BTU 13.25 13,25
MEC 1 INST HOOD W/DUCTS FED BY MEC EXHAUST 9.50 9,50
MEC 3 VENTILATION FAN CONN TO SINGLE DUCT 6.50 19,50
END OF FEES
♦ •
t .'
�� CONSTRUCTION ANO PIANNING ._ POO iPA
APPr?OVAIS Permit# � '�Da'te 'Inspector qppROVAIS Permit# Date Inspector
7� Temporary Elecvical Service or Pole 52. Pool & Equiqment location
2. SoiLFipe-Undrgmd. - 53. Steel Reinforcement �-� �
3�. Electrica� Conduit UtilitY-Undrgmd. '��� 54. Forms ,,� i ",?
�4. Electricat Condurt�Undrgrnd. � ''r 55. Electrical Bonding �f "ti
S.�Stee1 Re�nforcement 56. Rough Plumbing & Pressure Test _.
- 6. Elecvlce� UPEfl Gmd. . � 57. APPROVALTO COVER�GU�S4TE -� �' .�'
�%
7. Pooting5, - 58. Electrical ConduibUndrgmd. ��
8. Poundat�on� 59. Gas Pipe, � Undrgrnd., Test ��
� 9. Water Pipe-Undrgmd. . ,�=" 60. Backwash Lines,�P-Trap, � Updrgrnd. �
70. StPucturei Floor Sysiem � ? 61. APPROVA4 TO,DECK Y 7
._, ,
7 t. Property Sewer Line & House Connection ,=� 6. Backwash & Recepta��Final,' /
12. Sewer Cap ��, Heater & VenbFinal � ��'
. }� �
13. Roof Drains � � 64. Plumbing System • Final -,�
74. Rough Plumbing � 65. Electcical�Final ,
15. Rough Electrical-Conduit � 66. Soiar SYstem-Pinal � __�
i6. Rough EleMrie Wiring 67. Fencing & Accgss ApProval �
77. Rough Wiring Sig� 68. APPROVE� FOR� PLASTERING ' J
18. Rough Electriral-T 6ar Ceiling 69. POOUSPA SYSTEMS FINAL
l9. Rough Heacing & Air Cond+tioni�g Q� � FiRE DEPT. REQUIREMENT
20. Rough Factory Firepiace - APPROVALS Permit #
21. Ducts, i� Structure' �' 70. Underground Hydro
22. Duas, Ventilat(ng . ' r�: ,{¢�� 77. Product Pipin� O Gas � Oil
23. Gas Pipe-Rough & Test � re, . . 72. Underground Fiush
24. Roof Framing � - •� 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing ' � 74. Overhead Hydro � .
26. T-Bar Ceiling (Structurai) & Monocoat . 75. Dry Chemical � �
27. Frame and Fiashing - 76. Dry Standpipe - �
28. Lathir.g & Siding _ 77. FIXED SYSTEM FINAL
29. Insulation � ' ' 78, FIRE PREV. FINAL � �
30. Drywail Naifing . , � HEALTN DEPT. REQUIR,EMENT
31. Plaster 6rown Coa't . 79. FINAL INSFECTION � .
32. Elzctric�l�Pov:'er It4eter�Finai . �$0: FOOf] CERTIF�GATE tSSUED --
33. Finai Eleciric ' � Notes: �o _ � ` -
`L_6 _ '2.a,J_r�--=,,._
34. Final lieating & Air Conditioning �_4 _C� � ' � � '
l
35.��Finai Gas Pipe�Test ` - ,
,
36. Hnod or Ganopy . � - , , . � , ; -�
37. Pinal Paciory Firepiace � .
38. Final PWm6ing � . . � �-----
39. WaterService-Final-. . - . ' '. ."
� 40. Gas Service-Final � . , - �
41. Solar pomestic�Pinal - �� � . �
42. Backfloov Preventer - , , -� .
43. Backflow Irrigat(on� ' ` , -
��44. LandscaPe Irrigazion System � , - � , , .
45. Sound Attenuation �
46. Handicap Regulations � � ,. � - -� �
47. FINAL STRUCTURE & BUtLD�NG �
48. FINAL PLANNING �
49. Efectrie Refease to Edison
50. Gas Release to Southern California Gas Co
51. CERTIPICATEOFOCCUPRNCY ,
No. Date
�
•euanFssa emiura g 0 1 GALL ERY C T °NT�
°""E"°"""E'°'°'°w": POLYGON SOUTH COAST ASSOC FLOOD: H 47
� ADDNESS 15751 ROCKFIELD HL
UNIT 120
RVINE. CA 92718 714-452-0600
u�cxrtccron�ra+ffn: LL MAJOR s ASSOCIATES
��"�'g"�� 1551 N TUSTIN AV
SANTA ANA
caam�crars wu�:
CQIfN�Ci0R5 YNf➢1G
ADDRE55:
� � C-16869
uNT: 6 4 0
CA 92701
11G ND.:
urr:
IJCFNSED COMXACfOP4 DECLAN�TION: I hereEy Nim uMs penely d prryvy the� I em Ikareetl udx prarinms d Cheqx 9
(mmm�v�cnp xiih Saclian )0007 d Dn'vion J d iM Bueineea ud Pedwa'vu Code. aed mY liceree e in Iu0 brte eM a%ep.
cmuc.r+o.:066144 uc.euss: B uc.no.: 659262 EXP: 11 /96
Dffie: ���^r
OWNEN BUILOEF OECIANRTION: I henby � uMer periely al per'Wy Ihel I em ezemq han the Cammm licwa lew ta ttn
INbwq reaeon (Setlion )OJ1.5 Buaiwaa eM Prdeedone Code: RM dY a muM' which �e9u'vu a P�C lo awWct. War.'vnVow.
'emd'eh. or ropei ury nruGum, pur io m'veuezs, e6o rWuiroe iM epplimm tor wch pertitil to fib a eqrod nmemaru �An M a�M
4yneeA W� �o Ihe pwiviwu al Ne Conlredas Lioeroe lew �Cheplm 9(mmmentinp xilh Sedion )000) d Oiveqn 3 d the
♦uaima vd Fdefenna Goda� or Ihel M a ehe ia atemq Ihxehom eM IM befie fa iM dbpad axemqion. My videlun d SaQion
l0]t.s by eiry epWiuni for e pmmil vubpa� iM epplicenl �o e avil peretly ol rw� mon Ihen Ma hunErod Adbn �f50011.
� I, ee owrror ol iha propany or my ampbyeae wilh wapea ae ihei ede mmpeneetion, xill do tM xak, enE ths etructure's �wl iMerdaA
a dleredM eeb (SecNon )W�, Bueimu aM Pm/aveiona COAe: The Comredwe Lieeeue lewtloea � epplyto en ow�w d piope�ly
who buiCe a inD�� �hereon, end who doee euch wwk IimeaM or henoM a �hrouph hu a M own emplvyeee. pvrided �hm wch
'mpwemeMs are rot inieMeL a dlaed lor eele. p. Iwwevar, tM buiNiiq a mpwamem e aold Mithin aw ymr d compbtion, the
ownm�WiMx will heve Ihe Eurden d pro+iiq M a eha did nd WiN a impwe iw IM1e Wmae d eda�.
�] 1. m owmr d iM popairy. em udmveN �^Iraqiq ��ilh lonaed wnirectors ro cnnfirutl �ha projac (Sepun )WI. &uiros+enE
Ra.eam. eoae: me comreaa. uceom �.. ao.. �a ewM �o en wm« a wwsNv �.ro wua. s impo.. ma.a, .ne wno
wnvene lar eurh prqedn Mith e caurma�e) IicenxE punueni io ihe Canteaeon Lieeme lav�.
� I em exemq u wn: B. 8 P.C., lar Nn reawn:
ov.: ���,�_ o.,a,: - — —
I Ao M1araby cenity iMl I am ewere d uM uMenie�M I�e requiramen d CelAomie HseM ud Selery Cade Setlom 25505, 2553J, vd
25531, eM Nv 1 a eny INun buildinp oaupent will / wil not (tlrcb me) neeE to comply wIh eeid ma�a mdu ud �M rpuiromanb br
Daa: Md�
WOPKEH'S COYGEN4ITION DECUPITON: I hersby dfim uMr pwWy d psrpvy ar d Ne b0ow'vp Mdertliom:
� IhevseMWme'vnane<anLhalodmwntiowEimuiabrxakas'mroautlian.opwideEtarbySamonT/WdtMlebor
COM.Ia �M pNmnerce d IM wak lu Mich Nis pxme u ivuW.
�I Mva eM xil mmeuan uvYan' mnVa�ion "vrouranee. n�W��b M Swn� J100 tl Ne Lebar Cods. b tM pMamvm d �Ir
wwk la �.fiidi ilue Dmm� o uwueE. MY wa�en' mmGemtlion imicance mrr'w eM D�Y rwnber ero:
c�« ('VPRF'Gc TNS EXPIRES
Pd�/ ��^�: 6L— 61011 1 G 01 / 01 / 9 7
, lhis fMipn nesd rnM be ewnpbfe! / tM pnml b b wre hurMmE ddlan �SI001 a Iw J
❑ 1 canh � in Ne peAmrerca d iM wwk br r.fich ihie pemtit p neueE. I ehell nal empby erry pe�em in e�ry men�ror eo n lo
Ee�mie wbjW to tM xMm1 m�qenWion lewe d Cdilomie, vd epms Nm J I ahoW Eecanro aubjoq t tM xaM1re'
compenw�/�^� d Swion 9100 d tM labar COM. I WY IaNwG� wmOM wGh thma vri in .
Dae:��/ /��� AVWeuu: �
i
Wnri1M: F�qun ro Heun woilew�i rona«u.non n+snw �. uwrut .na.w� ueN� m s.ro�m*� ro enmre�prumr w
dM flnu �p b dr Mntlnd fbuuM Jo/Yn (S1pqOppf, M tldllbn ro tln Catf ol roirysluslbM1 WmepW 4 prON(IIO M In
9�etlm J106 0l tln laDor Cob, lrrtwut +M �ttormy'� I�u.
CONSTNUCTON LENDINO ACENCY: I Mreby elfvm unCs pmMy d per'�ey thm ihra e e can9�utlion Wd'uq epaMry br Ne
pMwmenoe d ihe work br whiN Ihi permi ia ewed (Swion �091. CM. C�.
LENDEH'SNAME: ,
LENDEN'S ADDFESS:
I cenily tAm I heve reed I�o epd�� � dda �hm Ne ebove iMarmetbn ie mrtau. I eprae to cwnph/ wnh dl ory erW munry adinancae
aM eble lehe reWiq lo WiM'vq wnprWion end Mreby eNFnae npesenle�ivas ol lha riry to mtu upon Ihe eEwe-menlianed popsrly
,a�ro����,, ....�� J�� F�o
�— i�
Dete:'����
pretureWOwnar/ enVRVWranuC ireUa ��I'"'""'-�_
(St51dB.WP) Whne-Buikrp b Seloly; OreeirFla; Cenery-App4fenl: Rnk-Navenue; Galdenm�Mauv
CITY 6F COSTA MESA — HUILDING PEAMIT
PERMIT NO: M 080244 PLAN CHECK NO:
CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC
JOB DESCRIPTZON : 2129 SF LIVING/ 562 SF GARAGE
CLAIM VALUE:
CALC—VALUE:
�
PERM NO: M 080244
GOVT: N SUPP: Y
PURPOSE; NEW
SQ FT:
GAOUP OCC: R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 2/ REF B-78555
i! ik ik k 1E iE k 1E 1E iE iE fE fE iE fE 7f 1f if iF ik ik if fF 1E if 1E 1f ik 1k 1! 1k 1f 1E 1flf 1FlE iE iF 1F 1f iE 1f 1E 1k 1k i! 1k 1E * 1k 1k 1f i! k 1E ik ik 41f fF fE 1E fElE 1E iElE iF 1E 3E iElE ik 1E if iFlf if
Z 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 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> --
� �1
ff 1E iF 1k 1k 16 iE iE if iE iE iE 1F 1E 1F ik if 1F 1! iE 1f if iE iF 1E fF iF 1F 1k fF i! iF 1F M ik fF 1f 1F if 1f 1f 1E 1E iE 1F 1f 1ElE ik fE 1k 1E 1E 1E k!f fE 1E 1E 1F 1E 1E iF 1E 1ElElE 1E iE ik iF 1F 1k fF 1E iE iF 1Elf
' D E V E L O P M E N T S E R�V I C�`�' S R E Q U I R E M E N T S
. n
ZONING�APPROVED BY � ���� DATE:
BUILDING APPROVED BY c ':��%� DATE:
APPLICATION ISSUED BY: ,�" �i'� DATE: ��—�0�
�, it it it it iE if iE iE it� iE if k k iE i[� iE aE * iE iE it it3F7FTF'iFTFiiiFiF7FiFiFiFiFiF7FiF3FiFiF3F'iF�FiF7F�F 'iFTF3FiF'iFiF�FiF�E if k�-it if x-it iE iE�FiF'iFiFiF iE it
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 16.00
25t SMIP/NON—RES
PLAN
ISSUE FEE 6,50
HUILDING—DZV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 16.00 6.50 0.00 22.50 22.50 .00
REVENUE DIVISION TOTALS--> COLliECTED: 22.50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECR
22.50
!f iF k!E If 1E k fE 1E 1! 1E 1f ik 1k 1F k i61F 1f ik if 1E �E 1ElE fE fE fE fE IE 1E fE iE 1E iE iE fE 1E iE 1E k k 1k iE k i! Ik iE k!E iE iE 1! 1f k 1E fE IE 1f fE f(� fE iE 1E fE 1E iE fE 1f fE fE fE !E fE iE if 1E Ik ff
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 FACTORY FIREPLACE
MEC 1 VENTILATION FAN CONN TO SINGLE DUCT
END OF FEES
t �,
9,50
6.50
ns np�ip�q�—Qp�19397 TO T
DATE: 11/13/95 TIhE: 14:44
9.50
6,50
22_50
� CONS7RUCTION AND PLANNING FOO SPA �
APVROVALS Permit # Date Inspector APPROVALS Permit # Date tnspector
t. Temporery Electrical Service or Pole 52. Pool & Equipment LocatiorL;
�.
2. $oi� Pipe�Undrgrnd. !. 53. Steel Reintorcement ���
3. Electrical Conduit Utiiity•Undrgmd. ' 54. Forms '.r•, �• �.
4. Electrical Conduit�Undrgrnd. � 55. Electrical Bonding
- F{
5. Steel Rei�forcement � 56. Rough P4umbing & Pressure Test
6. Elecirical UFER Grnd. 57. APPROVAL TO COVER•GUNITE f
7. Pootings - 58. Electricat Conduit�Undrgmd. .' �,
�.
8. Foundation� 59. Gas Pipe, f7 Undrgrnd., Test j-
9. Water Pipe�Undrgrnd. ' 60. Backwash Lines, P�Trap, L1 Un�rgmd.
10. Structural.Floor System 61. APPROVAL TO OECK �
7.1. Properry Sewer �ine & House Connection /� 62. Backwash & Receptor�Final
12. Sewer Cap ' j 63. Heater & VenbFinal �
73. Roof l�rains . 64. Piumbing System - Flnal �.' �
�
14. Rough Plumbing , i' a 65. EleclricabFinal .��
15. Rough Electrical•Conduit % 66. So�ar System�Final � '
16. Rough Electric Wiring ' 67. Fencing & Access ApProval '":
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �"
f
18. Rough Electrical�T Bar Ceiling 69. POOLJSPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Faciory Fireplace ' ^ G APPROVALS � Permit #
L
21. Outts, in Structure 70. Underground Hydro
22. Ducts, Ventilating !L'G � 71. Product Piping �G:�s �Oil
cJ
23. Gas PiPe•Rough & Test 72. Underground Flush
24. RooP (•raming • 73. Undergrnd. Storage Tank O Gas ❑ 0�1
25. Roof $heathing _ 74. Overhead Hydro
26. T�Bar Ceiling (Structural) & Monowat 75. Dry Chemicai
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding � - 77. FIXED SYSTEM FINAL
29. Insulation '. 78. FIRE PREV. FINAL � �
30. Drywa�l Nailing � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat.' 79. FINAL INSPECTION ' �
32. Electrical Power Meter�Final • ' 80. FQOD CERTIFICATE ISSUED
33. Final ��ectric ' Notes: �(��<� _�����_
L
34. FinaF Heating & Air Conditioning- ' ' � �
� � .=1'rc�
35. Final Gas Pipe-Test ,
38. Hood or Canopy - _2 S. �
� 37. Final Factory Fireplace 2,-�y -S I
38. Final P�umbin9
39. Water Service-Finai �
40. Gas Service•finaV - �
.41, Solar pomesticFinal
42. Backflow Preventer
43. Backflow �rrigation -
44. Landscape Irripation System �
45. Sou�d Attenuation
46. Handicap Regulations
47. F�NAL S7RUCTURE & BUILDING �
48. FINAI. PLANNING �
49. Electric Release to Edison
50. Gas Reiease to $outhern California Gas Cv
51. CERTIFICATE OF OCCUPANCY
Np. Date
�nonessaem�nxa: 801 GALLERY CT uxr:
OYMEFSy�WEIFqpW11 POLYGON SOUTH COAST ASSOC FLOOD; X 47
.00xEss: 15751 ROCKFIELD BL
UNIT 120
CRC�INE, CA 92718 714-452-0600
�vx. xu�+�ooncss:
�xcxrtecroxerrx�x: LL MAJOR & ASSOCIATES
1MCM.OPF1l�.'SADDPE55: ZSSL N TUSTIN AV
SANTA ANA
caxrn�crarswu�:
cam�croas yuiwc
�woxEss:
uar+o: C-16869
uxr: 6 4 0
CA 92701
uera.:
uxr:
LJCENSED COMRRCTONS DECLAPATION: I henEy efl'em uMs penely d pajury Net I un licenead uMx powbm d Chaqx 9
(wmmendnp x'vh Seciion )a0D) d Oi.'vion a d tM Buvmn ud Vmlaaaiona COEe. uM mY licmae "v in hll Mw W efled.
cmuc.No.: qb61.44 uc.cuss: B uc.No.: 659262 EXP: 11 /96
�,OWNEP BUILOEP DECLARATION: I hereby dfi�m uMer penaly d perjury thet I em exemq tmn �ha Contreaon Lioenee lew In tln
��yly�mp �esmn lSWian ]W 1.5 Bueiroee enE Prdeeaione Code: AnY ciY a cauNy whid� reQuirea e peimil lo crosWct. Mx. impran.
'�;;Jemd'ah, a rapei em/ NrucWn, pin to m eeuerce, e6o raquirea iM epplimni la euch peim! lo fib e aprcd sblemem Met M a aM
� if IiCGM!'� W��I lo IM p�Wi4onf d IM �iOnlretlM LIGMa law �C�IBNM 9(fM�mlllGlp Wllh $Btlbll ]WO) d Olvsion 3 W �1!
Bwmme uM Rdecims Codel a Ihm he a ehe u eRemq �Mrelmm eM IM bmu �a Ma dk9ad memqun. MY volmion ol Seaion
10J1.5 by eny eppliunl �or a permu eubjecle IM epplicenl lo e cml parely W ml mwa �hen INe �uMreE Edlare �5500��.
� I, m owror d iM propeily a my «npbyaee wih wapae u �Mi ede mmpanution, xill do tM uork, end iM el�ucture e ml inleMad
or olle�ad M eeb (SMim ]OM, Busirooend Protaeeions Code: The Contretlae licenae Lew doee m� epplyto en ow�rer d pmpeity
who buiEs « inv�'� �herean. end who Aoee euch wuk himeell or henell a ihraqh he or Mr oxn emplvyeea. pwided ihm vuch
impmvemema ve mt imerMed a dlereE la eab. H. Mwever. ihe Wikiip a inpnwemeM o eoltl wilhin are Yeer d mmWe�un. Me
�owrror-0uilder will heve tha WMen d qwi�p M or eM d'd mt buik a impwe lar tM W�e d eab).
I. ea owrer d tM OmGaM. em eKdudwN mnveam0 wilh licenead conVUVon ro cona�ruq the pN� (Seaion 1W6.�&»iMea e�M
. a�re��. coea: me com�more u�.�b �w aoe. �a wdv �o .� o..,�« d ww�r w�o w�ua «�wa» �� .o� �e wno
conlrects Iw wM O�W� �h e mnlredar�e) liceneed Wnuenl lo IM ConVetlon Lironea Lewl.
� I em uemp under Sxtian: B. d P.C., br ihie . �
od.: '� 2/ 9T L o�„�<,: +
i eo hareW �+M �+� �� e.�.a w ene u�dere��a ine reQu�ramems w ce�e ni ae ene sek�y coee sea�. zsws, zss3a, ane
zssaa, e�a m� i«�r nn�re n�ua�� o�o�� ��i i wai �m Ictib o�al � oma w.n .�a mme �. �e me rew��, b.
epermnlormnMruclionormod'ifirelionlromlhaRir ue�epemenlDietnd.ReekmtielcmpiudionappYmtimseraevamphamthsea
pW1910M.
oele: Aodbem:
WOHKEH'S COMPENSATION DECLI�N�TION: I hereby etfi�m under panaXy d peijury me d tha blbwi�p datlareliom:
� I heve aM wil meintem e cMXce�a d mneenl to eetl�inwre br �wrkeii companmtion, m prwided la by Sariim 3)00 d IM Lebar
Code. lar tM perlomunce af �M waM lor which Ihia permil ie ivued.
r] i ne.m.�a wie meimen woaen� wnw�,emun I�m,renm. ea nc��..e M s.eion a)oo d un Laba, cum. br me wnamenro a me
�t wak Iw wM1M ihie permit ia iasueE. My waken' com naelion inwrenc r eM pdiry mimber va:
• cerriar. C1�PRESS �lI�SQ EXPIRES
Pdicy Number: — � 1� � 1� 9 7
(inr:.ealon n.ed nw be comWeree � m. w�x u rw w'e hune.od dd�.l. (s�al o. we.)
� I oulLy Ihel in �he perlamence d the work br xfich thia parmn u inuad. I Mdl iwl empby e�ry pason n vry men�r ao n lo
t«an. .ubjw m �ne won�ere� canv�� mwe a cetifanu. .m ro� um a �.nowa n.�ome wbjetl �o �ne woM1a.�
�o�� o�od.� a sm� a�oo d m. �n« �. i.ndi i rymp w� .;mJ�oaa ww�+.
oma: % / L °�T� CJ�
Wamliy: Fe/lun ro ucun wolken'rompwuetlon tovereps l� unYrNl, en �ll ecf an smployn ro MMroI pevWtles eM
cIM nnw �p ro om nuntl�ed thous�nOOa/bn fJ�OqOWA m WNtlon ro M cw� o rompaueWn, Osnrpn u pvNtlM lw In
Sactlon 910G ol Ms Le4or COW, IMwst. �M �fromsyi /ssa.
CONSTRUC110N LENDINO ROENCY: I ha�aby elfirm uMer penelly d peejwy �he� IMn u a mmtrutlian Nnd"eq egeewy W IM
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LENDEN'S NI1ME:
LENDEH'S RDDNESS:
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� -CITY OF COSTA MESA — BUILDING PERMIT
PERMI7� NO: E 078558 PLAN CHECK NO: N
PERM NG: E 078558
GOVT: N SUPP; N
CONSTRUCTION TYPE: V—N PERMIT TYPE; ELE PURPOSE: NEW
JOB DESCRIPTION ; 2129 SF LIVING/ 562 SF GARAGE SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1
COMMENTS; NEW SINGLE FAMILY RESIDENCE / PLAN 2/ REF B-78555
*�****fe**it�x��**it�r*u�t��*�**at�*ie�r+t*it**itit�*�*iEiFx+�+�+r�**x+r�***itiEitx�x��it*itetie�itititit�ititie
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING RE�• PROV; PARCEL: 14151132 ZNE; REF NO:
PLANNING N TES>
%
iE 1E 1ElE fE 1E iE iE ik 1E 1E fE 1E 1E 1F 1F iFlk if if 1E iE 1E 1F iE iE iE iE iE iE 1kaE 1E 1E jE iE iE iE iE fE iE iE iE fElE iF 7F iE iE fE if iE ff �E IE iE If 1f 1E IE 1f iF iE iklE 1F 1F 1f ik 1E iF 1E fE 1E iE iE if 1k iE
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 : � ' DATE;
APPLICATION ISSUED BY: _ 'v DATE: ��
IE�f1EiE�1E�FlEiEiE�E9EiEiE�ElEi61Fif1EiE1EiE 1EIEIEIElEiEfEfEiFiE 1E�E
LEGALIZATION:N F E E7 S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING �ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT' 110'.56
50� SMIP/NON—RES
PLAN
ISSUE FEE 22:00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 110,56 22.00 � 0.00 132.56 132.56 .00
REVENUE DIVISION TOTALS--> COLLECTED: 132.56 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/TOT GRADING PLAN—CHECK
132,56
!F!E 1E if iE iE 1ElE iE �E iE iE k if �f iE 1ElE 1E fE 1k fE ff ff 1E 1E ff fE 1f !k iE 1E if 1E iE iF iE if 1E iF fE iE 1F �E-IE �E �E 1Elf !F 1f 1F iF 1E IF it if ik 1E 1f 1k 1f iE 1f 1k if iE ik 1E ik 1E if IE 1E if if iE 1E if
I N D Z V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 1 FIXTURES, LIGHTING 1 ST 20 EA. 1.00 1,00
ELE 1 RECEPT/OUTLET 1�ST 20 EA, 1.00 1,00
ELE 3 RES APPLIANCE NOT OVER 1.0 HP 4,25 12,75
ELE 2129 NEW RES BLDG FOR l�,OR 2 UNITS/ SQ FT .04 95,87
END� OF FEES
, -�- � . PC 9 SPA
CONSTRUCTION AND PIANNi G -
• APPROVALS Permit #.-- Date 'I�spector qppROVALS Permit # Date inspector
.
1. 7emporary Electricai Service o� Pole; , 52. Pool & Equipment Location
2. $oil Pipe�Undrgrnd. � ' 53. Steel Reinforcement �
` .z
, 3�. Electrical Conduit Utilitv-Un�tgrnd. ' 54. Forms ^--•' �- �
''R�'
•.,4; �Electrical Conduit�Undrgrnd. � ' `f 55. Electrical Bonding ,-s ��; �i !
5. Steei Refniorcement 56. Rough Plumbing & Pressure Test �' �") �
i
6. �Electrical UF.ER Gmd. 57. APPROVAL 70 COVER-GUNITE �~ ��" I
.- i
;
7. footings - 58. Electrical Conduit-Undrgmd. �l
8. Foundation 59. Gas P.ipe, � Undrgrnd., Test . �
9. Water Pipe•Undrgrnd. ,i 6p. Backwash Lines, P-Trap, � Undrgrnd.
]0. Structural Fbor System "^ �_,� ,§,7. APPROVAL TO DECK .:-�-.
77. Property Sewer Line & HouseConnection /:', '62. Backwash & Receptor�FinaC! �
12. Sewer Cap � `' :'63. Heater & Vent�Final � �
13. Rpof prains i� 64. PlomUing System � Finat
74. Rough Piumbing ~� 65. Electrical•Final �,
15. ROugh Electrical-Conduii 66 ",lar System-Final • � �
i6. Rough Electric W�rin9 �B�j/y ,F�/ � „�, Fenciag & Access Appsovat • I
�1I7Li �(t
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � i
7$, Rough Electrical-T Bar Ceilin9 69. POOL/SPA SYSFEAAS FINAL �
79. ROu9h Heating & Air Conditioni�g FIRE DEP7. REQUIREMENT
i
201 Rough Factory Fireplace _ APPROVALS Permit #� �
� 27,�DuC[s, in Structure ; . 70. Underground Hydro �
22.'Ducts, Ventilating � 71. Product Piping Cl Gas U O�I
23. Gas Pipe-Rough & Tes: _ . 7p, Underground Fiush
24. Roof Framing� -� . 73. Undergrnd. Smrage Tank � Gas Q Oil
25. Roof Sheathing - � , 7q, Overhead Hydro
�
" 26. T�Bar Ceiling (Structurall & Monocoat 75. Dry Chemical -
:� 27. Frame and Plashing � 76. Dry Standpipe � -
28. Lathing & Siding- � . � � �� 7i. FIXED SYSTEM FINAL
29. Insulation �' � � 7$. FIRE PREV. fINAL �
30. DtY�'all Nailin� HEALTH DEPT. REQtJIREMENT
37. Plaste.r Brown.Coat _ , 79. FINAL INSPECTION I
32. Electrical Power MeterFinal �Z�� S� _ � 8�. FOOD CERTIFICATE kSSUED
33. Final Electric ' _ ��q� � .�ojes: �-
G'
34. Final Heating & Air'.Conditioning
�Z=��-�`C��I�'Gt� - -
35. Final Gas Pipe-Test �
' � �{�-�
36. HOod or Canopy � � � - , 'a,-�ct -(�(� �j�� �j � (�pC�j/7� /l'C
37. Final Factory Fireptace _ ' / ��
--- -
.. 38. Final Ptumbing � -
39. WBter Service-Final '
40. G�s Service�Final _ ; � �
41. Solar pomestic-Final -
42. Backf�ow Preventer .
43. Ba�kflow Irrigation . -
44. Ldndscape Irrigation SYstem � � -_ �
�4�. Sound Attenuation� � � � � � -
46. Handicap Regulations �� . - - � �
47. FINAL STRUC7URE & BUILDING �
48. F�NALPLANNING' . � �
49. Electrie Release to Edison .
50. Gas Re�ease to Southern California Gas Co .� .
51. C�RTIFICATE OF OCCUPANCY
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