HomeMy WebLinkAbout802 GALLERY CT - Building PermitsAOOPESSOFBUILdNO: 8O2 GALLERY CT °NTi CITY OF COSTA MESA — HUILDING PERMIT
ameasruYeir�u+o�vn: RANDY & ROSEMARY HINES PERM NO: M 08904
"0°"� 802 GALLERY CT
C.M. CA 92626 PERMIT NO: M 084044 PLAN CHECK NO: N GOVT: N SUPP: N
�rr�. wma«� �oowEsx
MCXRECf ON FNfdlEEA:
�xcx. on �+.•s �ooxess:
ucr�a
urrt:
�+TM�T�g� CURTIS CUSTOM POOLS ( 9091 969-9608
�d+TM���� 3220 RZVERSIDE DR
�oox�ss: CHINO CA ucw.: 661075
91710 uxr:
LICENSED COMF�CTORS DECLAN�TION: I Mreb/ elitm under penaly d perjury Nm I un Iica�ueE under pwimms d Cheqx e
(mmmsna^0 wGh Setlion )OW) d ONuion � M tM &m�we erd PNasean Code. end my fi�m+e o m Iu0 Wn ed Mlae.
cmuc. o.: 069535 uc.cuss: C 53uc.No.: 661075 � EXP: 03/98
om.: 8 cowmn: ���i l..tA��DM �
NEP BUILDEN OECIAP�TION: I Iveby elfirm uMx perWy al perjiW tM I em nemq hom tM CorcMm liceros lew ta tM
Idb'rm9 rsenn ISeebn J091.5 &roiin� enJ Rdeeeione Coda: R^V ciY a aouM' xt�iN n9wres e V�� to aomtrucY. dlm.'vnVm+.
md'oh. n nper ary evuciwa, prbr lo ila ea�vKe, ebo �ayuirm tM epplir t la such psm�d to fib a vpnsd ewammi tM he a eM
eemeE WnueM to �M pm�mons d IM Cadeatlas Liorua Lew ICheqx 8(evmmenc^V wuh Sedon )W0) d �iv'vim J tl �h
eiiwsa eM Rolaniom Codel a ihet Ir a ehe is e�emq IharMmn eM ihe bese lor Ihe dbpeE a�emqion. My violetion W Sad'an
i031.5 by my epplieeru 1« e permn wbjeds the eppfrani �o e avi perelry d ml mon �hm� frva hwdead ddWa �5500ll.
� I. m owror G iM piapenya my anplv�eee xih wepea m ihei sob mmpe�tim. WI do Ne wk. eM the ewnure e na inteMe!
w ofleraE la mle (Sec�im )OM, Buvimea enE Proleeviom Gode: The CaNrotlae licenes lew Coee not epp!/�oan oxnor d pope�ry
wM WNn a inpovae Ihe�eon. eM wla doee eurh wak NmfeM a Mnetl d Wa� M a het own emObM�. p�� ihe� wrh
impo+amew ua mt inteMeE v dlsed ta eab. tl.lawever. tM WiHirq a inpovemem b sald vrilhm maY� d mmpblion, iM
wrwrWilder will M1uve iha burdan W pro.•inp he w ahe did � buiN w improw lar IM W�e d edel.
� I. m oxmr d �he pW�Y. em oxdvs'Ny mnteeaM Mil� 4eenxE emtraeian �o mmud the p9� (Sed'nn )DII. &ninm eM
Prdeniana Code: The ConVepon Licmae Lew Aoee rwl epp�y lo en owner d popeny wfio Wika a impovm tMreon eM wlw
conirens fa wdi prqwe xnh e mnlredor�e) lcenead Wnuani io �M Coniredon Limnea Lewl.
� I am aaemq uMer Seclion: B. 8 P.C., br ihn reeaan:
De�e: �
I do hareby ceXity Ihet I em ewve W eM umbrmmnd the rpuiremenn d CelAomu HeaXh and Selety Cade Senione 25505, ?5S]3, eM
255N. vM thN I a enY �ure Wiltliiq omipenl will / wtll ml l�b wql �� lo tanply w11� aeid tleb codes end �he reQu'vemwib fa
epeimnlammiMionwrtwEifiulbnhanihe�i e�y anepemeMOietrict.ReaiEemWomn�utlioneppiratomwmemplmmlMea
provisiona.
Dme: Rpplcvp:
WOflKER'S COMVENS�TON DECLARATION: I Mraby elfum urdm penelly d pxryry one d tla ta0ow'vp Aetlartlbn:
❑ ina�,.�ew���oi�a�ennKmeww�wmm.en;�w�.i«woM��omro�.m�.mw��«nrs.e�a�ooam.�e«
COG. lor t!a pMmiuncs d Ihs xak la which Nu pemu u u�ueE.
� I hera aM wil meiMen waken' eanpamelun ienurenee. n npuirsd by Setlim 3)00 d �ha lebor COAa. b �M pMamenes d IM
.�ia..ba�w.w�amn.�.a.Mr.«�.��1°F"�,..�°t97yN°"dww.vN,me>.,.: EXPIRES
�� ;Tg�}}}3�.g� 01/OS/98
Pdiry Number.
,.eea„b.e,�ww vndmwrww�eeao�wnu�m.deou.:lsiaola.roa
❑ � mnh uet lo u» oMomwc. a in..roM ro...ncn ml. vem�n u eewa, �.neA m� .mWur vrv w�.m m.�Y m.me..o .s �o
bemnn v�bpa to iM waM1mn' rdnperoeiion lew+ d Cefdomin. aM eprea Net J I kwM Eecros aibjxJ to iM xvlmn'
o.,rom� � 4,. a s.d�, s�oo a m. �.ae« coas. i.nen � n mom po.�.
me: �l ��{ 11__— ��: �� :�PC�y-�'
iq: FWun ro ueun woA�ri nrrpw�tlon rovoreW la unl�rNl, antl �IWI WtlJ�ct �mploy1r ro aMlnl pmeltlp uN
UHI flnu �q b aw hu�drM tMuvM dNl�n (S10q000A N Wtlltlon ro fM cmt o/ mirywrs�Gbn Wmspn u prvvMW br In
S�ctlon JlP6 0l M� Le6or Cads, /nrensL ���m�Y� I�
CONSTflUCTION LENOINO ROENCY: I hseby eHum �ndr peneW d psrjwy thtl IMn u a wnrt�uCbn bMnp epenry b tlp
parlarmence W IM wark 1« r.fiiM ihu pe�ml'e eweE (Seuion �091, Civ. C�.
LENOEP'S N�/IE
LENOEP'S ADOXE%:
I canilythm 1 hme iatl thu mW' mion eM etele �MI Na aEow iNamtlion u conetl.l pme lo canply xqh ep cly end munly pd'vienree
aM atale 4�w rNmip to bWdiq canauam vd Mreby eWwcs �eprmeNmives d �he my io entm upon tM abaa-msvioned qoperry
'°"^'o°"'°^�"�°°°° CORNELIUS KAYCE
(5151d6.W P) W�na-Buik1p d SdNy: Oieen-Fle: Cenery-Applram; Pink-Rewnue; OOWemu4Manor
CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: ALT
JOH DESCRIPTION : RELOCATE AJC UNIT SQ FT;
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: X
�r�r��r�r��r��r�r*��r�r��r�**�r+r�r�r�r�r�r�t�r�r�r�r�r*�rt��r�e�**��r�r�r�r��**�r��r�r�r�r�r�r+r��r*+r�r�r�r�r�r�*�**x�x�r��r�
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HLIILDING ---------- --------- ACCESSOAY BUILDING ---------
FRNT; FT ZN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PAOV: PARCEL: 14151128 ZNE; REF NO:
PLANNING NOTES>
i
iF if k 1k M'Ik M 1F if 1F 1E iFlF if fF iF if i! if 7E �f iE'IF if iF iF'k if 1E 3E 1E if 1E 1E if 1f iE iEiE if iF ik iF it i(� it iF if iE 1F �f iF iE M ft ik'1(' i4 iF iF iF fF'1E'Ik 1k iE if fh'14 �E'1E iE 1F iF iE i(� 3f if iE
D E V E L O P M E N T S E R V Z C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
HUILDING APPROVED HY : DATE:
APPLICATION ISSUED BY: L/ DATE:
ik�E�FlfitifillEltif3fltMiEMiElEif�FiEitif iF'Sf7f'aF�('iFiflfiFi("N"�fF1F ifi('
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
PERMIT BLDG PMT PLUMBING ELECTRIC MECH9NSC� FIRE SMIP/RES GRADING
25E SMIP/NON—RES
PLAN
ISSUE FEE 22.00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 9.50 22.00 0.00 31.50 31.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 31.50 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/TOT GRADING PLAN—CHECH
31.50
it iF �t if 1E if it �F k 1E if iF ff iF �t 1k iF IE if if �f ik it fF 1t �t 1E 1E ik iF it 1E �E 1E 1f �f if if iF if �f �k �k if iE 1Elf iE 1F iE iF 1f 1E ft if fF iE ft 1f iF if if iF �t iE �E iE �f �f -0f �)E ff �f �f it iE iE iF 1f
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
MEC 1 EACH APPL NOT IN OTHER CAT UNDER FEE 9.50 9,50
END OF FEES
� �� ��
� 0 41997 �
AUG
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.�� L'v�Iii Prrl...
CONSTRUCTION AND PLANNING POO' 'PA
APPROVALS Permit # Date Inspector APPROVALS Permit # Date Vntpector
7, Temporary Elecvical Service or Pote . 52. Poot & Equipment Location �
2. Soil Pipe-lSndrgrnd. -' 53. Steei Reinforcement �� '
.3. Electrical Conduit Utiliry-UnQrgrnd. 54. Forms '"' -•
= 4. Electrical Coodoit+Undrgmd. - 55. Electrical Bonding "' �
.5:�;Steel Reinforcement 56. Rough Plumbing & Pressure Test �
�„6:, Electrical UFER�Grnd. 57. APPROVAL TO COVER�GUNITE •
7. Footings =� - 58. Efectricaf ConrJuit�Undrgmd. �
:�$, Foundation -_ ' 59. Gas Pipe, � Undrgmd., 7esi
9. Water Pipe-Undrgrnd. ' . 60. Backwash LineS,-P�Trap, G Undrgrnd.
1.0. Structural Floor System 67. APPROVAL TO DECK �-- '
h'1. Property Sewer Line & House�Connection 62. Backwash & R2ceptor,FinaP'
12. Sewer Cap - �_ - 63. Heater & Vent�Final •
73. Roof Drains - � 64. Plumbing System - Final �
14. Rough Plumbing' -, �• 65. Electrical�Final '
15. Rough Elearical-Conduit - � 66. Sola� SYstem�Final �� -
16. Rough Electric Wiriny 6�. Fencing & Accesi Approval -�"
17. Rough Wiring Siyn �� ;' � - � 6$, AppROVED FOR PLASTERING �'
1g, Rough Electricai�T Bar Ceiliriq 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- � e
20. .Rough Facrory Fir�place . -� - > � _ ,' .�' APPROVALS .' Permit #t
- . c� �
21, ducts, in Struciure � ,. .�. - 70 � Undecgiound Hydro �
22.Ducts;Ventilating�.� _ " ,<x • 77.producbPipingOGus;OOil
23. Gas Rpe�Rough & l;est .�_ ', :,., 72, Underground Flush � -
24. Roof-Framing�� � - �•�- • � 73. Underymd. SroraJe Tar�k O Gas ❑ 0��
25. Roof^Sheathing � '' �' �; . 74. Overhead Hydro� �
26. T�Bar� Ce�ling (Structural) & Monocoat -- 75. Dry Chemical r�^ �
�
27, Ftame an� Plashingf _ _ ' � 76. Dry Standpip�; ;, ,, ' � ,-
28. Lathip9 &�Siding �� _. • .r `� �� 77. FIXEO SYSTE�(I FINAL `�
29. In:ulation: � • - � ' . , �� � � ' ZS. FlRE PREV. F4l�AL . , -,
n _
" 30. Drywa�l Nailing � � �' e_ � �- � .HEA�LTH DEPT: REQUtREMENT
- 37. Plaster Brown.Coat � � • , � 79. FIhAC'lNSPECx10N i: ' "
t: i - -
� 32. �iectrical Power Meter-.Final � . . 80. FOOD CERTiFtCATE1SSUED '_ 5�,�-=.4
. 33. Final� Eleciric_ ' „ - �� " C�. � Notes: . � . -, � `t"-r` .
.`� 34. FinaS�Heating� Air iCondJtioning _��/�c' t'y�G D� .�/�� ' q� -1 '
.. _ U�Z.L q Ge,
35. fSnal Gas PipL�+Test - ' ' " `'� - �� � �''
r �-..' r' r r
r '�
.� 36. Hoo$�or CanoPY � -r�' _ . � � - _�- o� �-
K•
37. FinaPPactory Flrepface , ="" ' '' - , - - �"�€� .� .
. . - - � . v ;�.._ _ �"--
38. Final Plumbing '. " . • •. ., . , . . t .. r.
39. Water Seroice-Fina1� ., . � ' ' ' - . ' " + `. "f•...
. !r , „
40. Gas Servics-Finat , . - � i � . -. � ' -�
41, Solar pomestic-Final � • ' �
.
42. �ackflow Preventer' �. � ' , -
.. l
.J - .
43. Backflow Irrigation. _ ' � ' ` -
- i •- r �
,A4. Landscape irn'patiol� SYstem_ _ ' �� � - �. " ' • � �
45. $ound AttenUatiom � � - ' � =' - '� ' - � ' , '
� �
46. HandicapRegJlatio�s .� ' ' � " , � � � .
47. FINAL STRUCTURE & BUICDING o � �.
- .
48. FINALPLANNING' � ` ��� `� �
49. Electi+c Reiease to Edlson ' - '
- . �
50. Gas Release to Southem Califomia Gas Co � ��'
51. CERTIFICATE OF OCCUPANCY - _ ;
No. Date
ADDflE550F8111LqN0: tSVL I�HLLt.YCY ll UNT:
oxxexsNu�eira+avr+: RANDY G ROSEMARY HZNES
CooxEss: Ci02 CALLERY CT
i C.M. CA 92626
MPL`. IWIpM /.M`RESy �
�xcxrtccronoim+�n: GREGORY CURD uc.r+o.: 36323
�ptILORFllG'S1WPE53: 1 332 N, MILLEA. S�T urar: 201
ANA CA 921306
coamnc,arswu� CURTIS CUSTOM POOLS ( 909 ) 969-9608
CONf11ACTORSYYIPlO 3220 RIVERSIDE DR
,,�„�; CHINO CA „�.„o,; 661075
91710 uxr:
LICENSED CONfPRRONS DECLAN�TON: I hereby eflim uMer penely d perjury �hm I em IicemeE uMx prwidons d CMqa 9
(mmmendnp wilh Secfwn ]000) d Division J d ihe Busirem enC PMa¢y�s Wda, vM my lioanu ie in full brca eM aHed.
c o.:069535 uc.cuss: C 53 uc.N.: 661075 EXP: 03/98
' �e: cono-eaor. /�
0 BUILDEP D CU1H1 ION: I hereby elfirtn unEar paneYy d pa�'ryry �� �¢m e mp Irom tM Conireqas Lloenae Law lar tM
folbwap reeean (SeGion �031.5 Busneea end Prdauione Coda: Any cny a munty xM1'xi� repuirae e pe�mn �o omsVun, ellx, impava,
Eemolsh, a repair eny ewciure, pnw io na eaueiwe, eleo requires Iha epplimnl lor euch perm� lo file e eiB� etalemen� ihe� M a ehe
• r"�,.s,e o���,�� �� �na v��s�o�. d ina coov,n«a Licenu [ew �Chepter 9(commendip xdh SeUbn )000) d Diviion 3 W �Fr
sinesa eM PrMeuone Gode� or tMl M or eM is eaemq thxelmm �d tM beaie 1« the ellepeA exemption. My vuW un d Sedion
3t.5 by eiry epplrcent la e perm� wbjeds ihe epplicent to e dvil pei�¢ny o/ �q mare ihen live hurMred ddlen �55W¶.
� I,esovrtwrdtheproperlyormyempbyeaewlhwageaav�ha'sapy�mpenution.willdotMwak,eMtMeW�Mureem�imendeE
a oflerad br ule (Seciion la<. BuaneoeM Pmfesaons Code: }ry� ContreGon lironse Lewdoea ml appy io en owner d qopa�ry
who WiIEe w in0�� �herean, enE v.1w doee euch Mwk himeaM n �ymM a thrpqh he or her own emplvyae�, pwkad �hel euc�
' qoremema ma nd inleMed a Wered lar aeb. M. howevar. ihq huiNirp a'vnprwemem u sok wil�in awYw G mmOblun. Ns
owmrbuikm xdl heve tM Wken d qmti'q M w eha d"d m� b�ld or impove tor tM W�e d aeb).
� I. av owrcr d �M V�WeM. am axtl�tivdY wnvedM vrit� 4ce�a9d conirectae ro ca�m�ue iM P�1� (Satlion ]OM. Buairen enE
Prolesawa CaAa: Tha GWreeae Liceiue Law Eom nd eVdY b an owmr d pW�Y v.Ao WJde a impwm thaaon ud who
wntrecb br m�d� V9etla wilh e wNratlor�a) liceruad P�uaN to tM Canlratlas liceree lew).
� I em azamp uMm Seclion: 8. 8 P.C., lar Uq reenon:
Dete: ��
i eo n�reM cenM mm i.m..are a ene �d.�siene ma lem+��am d ceuanu Heem� ene smeiv cods ssa�an uws. zssa�. e�d
2ss9a. eM Mm I«enr hnum wileim oocuaen� vrill / wil mi (dacb one) naea �o campr win eeid vma oodes eiM iM nm+iramem� ror
a0�nlawnvuaionamoElfralionhwntMAi ue�erepemamD"s1ntl.Feaidanlielmmt�uUioneGVkmbmenezemqimm�Mea
a�s�a.
o�a: Aca�:
WONKEN'S COMPENS�TON DECLRfl�TON: I heroEy effim� uMer p�ryy y pdj�y py d Ihe Idbwiep dsdertluro:
❑ IhaveanEwilmeiMenawndirstedwuamtosetlinwreMwpl�e�¢'cpnpeneatimi,aprwkeAfarEySetlion3lODdtMlebor
Cade, tor Ihe parlormence d tM �wrk Iw wluch thia permil u usued.
�� inaw�eme�m�won�.��o�a,m�,.�,oe.��wm�aMsaa�a�oowub�.n«cma.i«mew�ro.��am.
• worxro�wnknin�aPormenioued.Mvw«��CA�LIF��eY`CUMI�r�Pd��Um���: EXPIRES
ceMar:
Pdicy Number: 7/ 1 1 > � U Y 01 / O 1/ 9 8
's secfion need nw be canplefed d �hs pem�A ia br we hurWred CW�ars /Sf00) a Iess.J
� I cenAy �hel in ihe perlormenca ol �he woik tor whkh tAia parmh is i»uetl. I shdl nd empby eny peiron in eny menrw eo s+ to
baeane subied �o tM worker: eanPa��tion lexre N celilanie, eM e0ree inm tl I enouN beeome wMed io tM xoek«e'
compensUim pransuna Sedion 3J00 W Ihe Lebor Cade, I al�� byhwyh py wn ihoae 0���^^e.
// �
nodKenl: `�t
eml : Fsllvls ro xcun wortni rompxwtlon cmenpe li u�HwNl, a sNll aWNef en �rrploy�r ro crIMnlOsneltls� erM
iros up ro ons huntlM fhousnd dolMn /S/OQOOOA In artlltlon b Ms cwf ol rompma�fbrt a�W u qovltlN br In
xtlon 9]O6 al Ms La6or COM. Inesnst, aiW ettomsY'a /esa.
w
CONSTPUCTON LENDINU AQENCY: I hertEy elfirm uMx peneqy d perjury iMl Ihse u e cwtiutlion bndiip epawy M_Ihe
penameMe d �ne .uM ror wnirn inb romiY ia ewea (seaon wsl. c'v. cl.
LENOEH'SNAME: ' �
LENDEN'S ADUNE59: � '
I cerlAy tl� I he�e neE thu npplimion uM 9ele Ral Ihe abv.a iNamm� �y ��y. I epree to wmply wilh M ciry erd munly oN"vien�ws
vM atale lexs Melip to buiMiq wnfbWon eM heraby eulM¢e iapqyenteuvea d Ihe dtyb enter upon tM ebwe-msnliapd popary
�°`"3pBtlwnpufpOe°` CORNELIUS KAYCE
, : ��
\ (5151d6WP)
lD 1
Dme: T� '�
OreeMFle: Cenvy-ppP5raM: Fnk-Rewnue:0akenm�Reveau
CITY OF COSTA MESA - BUILDING PERMIT
� �.
PER�1 NO; B 0834G3
PERMIT NO: H 083463 PLAN CHECK NO: 02496-97 L GOVT: N SUPP: N
CONSTRUCTION TYPE; V-N PERMIT TYPE: STR PURPOSE: CON
JOH DESCRIPTION : IN GROUND GUNITE POOL & SPA��_ SQ FT: 184,000
CLAIM VALUE: � �18,400.00 CALC-VALUE: 18,400.00 GROUP OCC: R-3 /
COt4MENTS: X
iF if �F if jf iF iE iE jE if fE �E 3E jk ik if iE iP iE iE iE 3E jf-�E �h 1F iE 9k jF i't �E iE �f jE iE iE jE?E iE IE 1E iE �f iE iE i(� 3E 3E jf 9f 9h jf if it iE 3E # jE �Ih �F �(- jE i4 if iE 3E jE jf jf- �1E if �E 3f iE IE jE iE'1E j(-
Z O N I N GS ERTE&QAUCIKRSE M E T] T S
------------ MAIN BUILDING ----- --- -------- ACCESSORY HUILDING ---------
FRN1': FT IN REAR: FT IN FRNT: 5 FT IN REAR: 5 FT IN
LEFT: FT IN RGHT; FT IN LEFT; 18 FT 8 SN RGHT: 5 FT IN
PARF(ING REQ: PROV: P:SRCEL: 14151128 ZNE: PDR- REF NO:
PLANNING NOTES> INSTALL A POOL BEHIND AN EXISTING SINGLE FAMILY RESIDENCE.
>
#'.E iF �(' #'K' jE iE i(� IF it iE'k iE if iE iE iE if if'k jE �E 3E �lf iE?E i!!E if iE iE �1F'k *!f iE if iE 3ElF 3E it iE if 1f 1E iF k if i4 iE?E iF iF iE if i4 iE �IE'1F �)E'lE if * if �JE �lE 1F iE �f �)E # 1k ik *�lk # if
D E V E L O P M E N T S E R V Iy ,�Cf E S R E Q U I R E M E N T S
ZONING APPROVED BY VV [7 Y DATE: _�%��-
bUILDING APPROVED BY : DATE; ___�,����O) )�7
� .�
AFPLICATION ISSUED BY: DATE:
if �)E iE �E �E 3k �k f(� iE if iE if iE if iE it �)E iE iE iF 3E 1E . �E 3E 9E �F 3f ?!� # jE iE �)E���if �E
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLD79P75 PLUMBING ELECTRIC MECHANIC FIRE SMIPiR84 GRADING
PERMIT
SMIP/NON-RES
PL�r� 178.59
ISSUE eEE
BUILDING-DI�'-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 276.59 0.00 178.59 455.18 455.1�3 .00
REVENUE DIVISION TOTALS--> COLLECTED: 955.18 OVER/SHORT: 00
BLDG PMT PLUMRING ELECTRIC MECHANIC FIRE SMIP/TOT GRAUING PLAN-CHECK
za4.�s i.s4 178.59
� _.�
it jE iE ## 3E iE Yf �Y."X # iE if 1E if !E i! dE i4 iE if IE �1E'N� if �?E'lE iE iE iE?E iE jF 3E jE �f ?E dh 1Elt �1f fE jf if if i4 iE if if ik iE ik iF if if iE iE i�?E 1E 3F 3E �](-i4 �f 3! # it jf ik dE iE �f jE dF i(-jE �E
I N D I V I D U A L F E E B R E A}C D O�W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 18400 POOL 5 SPA
END OF FEES
i.00 ia,aoo.00
86-25-1997/�E22 PM/N55.19
RCPT#sBi-BABB27B
PERMITz083463
CONSTHUCTION�ANDP�ANNING � P��� A -
APPROVAIS Permit # Date tnspecto� APPROVALS Permit # Date 4nspector
i„Temporary Elearicai Service or Pole 52. Pool & Equipmen: lowtio�_ �
; �a
2. Sc'�°ipe�Undrgrnd. _ �- 53. Steel ReinSorcement -"
3. Electrical Conduit Utility-Undrg"r.rid. 54. Forms � ' "- �
4, Elearical Conduit�Undrgmd. "" 55. Electrical Bonding - � �
5. Steei Reinforcement 56. Rough Plumbin9 & Pre:sure Test
6. Electrical UFER Grnd. 57. APPflOVAL TO COVEP-GUNITE '-�� �
7, Footings 58. Electricai Conduit-Undrgmd. '�
@, Foundation 59. Gas Pipe, � Undrgrnd., Test !
9. Water Pipe-Undrgrnd. - 60. Backwash Lines. P�Trap, C]-Undr9rnd.
70. Structural Floor System _.,.._ � 61. APPROVAL TO DECK � ._
c 11. Properiy Sewer Line & House Connection � 62. Backwash & Receptor-Finet,
� 12. Sewer Cap - 63. Heater & Vent-Finai -
13. Roof Drains ' 64. Plumbing System - Final '
t4. Rough Plumhing fi5. Electricat�Finat '
15. Rough Electrical-Conduit 66. Solar SYstem�Finai � •-
76. Rough Electric Wiring �� 67. Fencing & Access ApProval �'�; _ I
/7f/-i
17. Rough Wiring Sign - ' 68. APPROVED PQR PLASTERING ���
�'v� � ��- -
18. Rough Electrical-T Bar Ceiling • 69. POOL/SAA SYSTEMS FINA� -
19. Rough Neating & Air Conditioning F1RE DEPT: F2EQUTAEMEN7
20. Rough Factory Firepiace APPROVALS Permit #
21. Oucts, in Siructure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping `�!Gas OOiI
23. Gas Pipe�Rough & Test � 72, Underground Flush
24. Roof Framing 73. Undergmd. Storage Tank O Gas ❑ Oil
.
25. Roof Sheathin9 74. Overhead Hydro
Z6. T�Bar Ceilinq (Structurall & Monocoat 75. Ory Chemical
•
z7. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insuiation , 78. FIRE PREV. FINAL �
;�), Drywall Naiiing HEAITH DEPT. REQUIREMENT
?' Pfaster Brown Coat 79. FINAL iNSPECTtON
3�'. Electrical Power MeterFinal 80. FOOD CERTIFICATE ISSUED
33. Finat Electric Notes:
34. Findl He3ting & Air Conditioning .
35. F�nal Gas Pipe-Test
36. Hood or Canopy
37. Final FactorY Fireplace -
38. Finai P`fmbing - ----
39. Water f :rvice�Final
40. Gas Se�vice-Final
47. Solar pomesticFinai
42. Backtlow Preventer
43. Backtlow Irri9ation
44. Landscape Irriqation System
45. Sound Attenuation .'Pso �
46. Handicap Reg�lations � . �� �
47. FINAL STRUCTURE & BUILDING % rZc
:nx�
48. FINALPLANNING .'ru=-"
u1s
49. Electric Release to Edison ���
5�. Gas Release to Southern California Gas Co M1��
51�. CERTIFICATE OF OCCUPANCY , '<`:.
No. Date
�ooxcssaem�dxo: gOi CiALLEFZY CT
avxewswweira+a�m: RANDY 6 ROSEMARY HINES
"DOfl� 802 GALLERY CT
.. '
. ,
�vv�.�i�wa wo�u
� �
�xcxrtecr on �mffn:
WCN ON FNG.'S �OORFSS:
uc r�a:
uNr: � � CITY OF COSTA hiESA - BUILDING PERMIT
PERMIT NO: B 083471 PLAN CHECK NO: 02504-97 L
uwr:
���T�%� CURTIS CUSTOM POOLS ( 909 ) 469-9608
�am�crom�utaa 3220 RIVERSIDE DR
�� CHINO CA �"� 661075
91710 ��
UCENSED COMNACfOflS DEClAP1T10N: 1 Mreby allim uMa panely d prjury Nel I em Iica�roE uMs prwidone d CNqs 9
(mmmawin0 �wlh SMion ]000) W D'rvuion � d tlro BuaMse arM Prdesaims Code. vd mY loenr e in h0 tau W aflatl.
° "0 0695a5 �`'""gg` c 53 �0' '` F5107n5 _ ExP: 03/98
e: � Cmiredoc ,QY—
0 P BUILOEN OECLANITION: I IrWy tlfirm uMer porely W pmFN�Y �� I un mq tmn tM Cw4rrfon licwa lxw la tM
bhvq renvon (Seqion ]OJ1.5 Bueiwas eM Prdeniau Coda: RnYW a mun7 r,fiitli iWu'vee e G�� to oomtruct. allx. inY�.
EemoloM1, w repe'v eiry eVuclure. qia to ne eeueMe, elao reQuirte iM epplimM Im euch ppmn �o fib e epmd vieteme�u the� he a sM
ia limneed W��� to t�e proviaions d iM Conlreqore Licenee Lew �Cheqs B(mmmmaiq xnh SeUon )OW) d Diibim J M IFr
Buainem eM PrWeeeiona Coda� w �het he or eM ie eRemq Iherelmm eM IM bavie la Iha elleped uemp�ion. My violaton d Sedion
)031.5 Ey eiry eppliranl Iw e permil eubjeae Iha eppliceni to a avJ parehy W rw� more Ihen 1'xe huMred tlollen �5500��.
❑ 1, es ownar d Iha pmpeny a my smpbyees wih wpea m Ihe'r ede mmpenaetion, xill Eo tM xwk, anE ihe eVuclura u rwl inlenEed
or ollereE iw Wa (Sacibn i011.8uv�ru enE Pro�eaabnsCode: TMConlredon Liu�us Lewdaea rot apply la en ownard popaM
wtw buiEa a mD�a'as �herean, ud who doea euM wvrk IimeeM a henetl or Ihraph he or her own emplo�ae�, pwiEed ihel uch
improvemeM� ere not i�veMed ar d1seE �a eW, tl, haw�mer, �M Witli�p a'unpwwnen u edd wilhin ms ymr ol aompbtion. Ns
owror-buiNx xill heve IM EUNen W poviip he or ehe Lid nd Wd0 a imqo.e la Ihe puryme d aebl.
❑ �. m oxne, a �na nw.m..m..a�mv.ro wnvmnu.w �imn..a ca,�ecm�. m m�ubw m. o� (s«,vn �a.. a�.:�s..�e
Pmtea'vm Gode: Ths Cau�rfm Licanw lew doee z� eVdY u en ovrtw d popenY who drild� a'vnpwm tMnan uq Mv
cantrena M wdi pM�+ rNh a marmM�) ficemeE WnueN to tln Catlratlas L'vae Le�'1.
� I em e�emq wds Sermn: B. 8 P.C.. tor tliu mmon:
i m n.enr unM �nm i em ewve a.�a ��d.niene me �ew��m a cm�«rc. wadn.�e s.bn coa. s.am, zssm. assw..�e
255�a, vM ihet I«eny Mun buikirq oa�pem xill / wil rwi (dmh one) neeA io camply wih eeid dela mEm and ihe �eW'vemaMs la
epem�nlammVue�ionamodfiemionhanlMAi ue�6i�y 'ae�amam0iprid.RaudemielmnmrudioneppiratiomuseRamqhomlMn
poveioru.
Deta: �Vp4eiY:
WOflKEfl'S COYPENSATION UECUP�TON: I Mreby Mmm ivMr pmietly d per�ry aa d ihe IoOow'vp ddueom:
p in�.�ew��.�cw.a�io.w:�.ro,�a.•�v«„�:.�...a��«nyaw�a�aam.�
Code, la �M palmnenca d Ne xoM1 la wlirh Me permn e ueued.
❑ � nme ena wi� m.�m.�.wen• oomw�.mo� i�m�.�m. o mc�oea M swm mo d mn �ee« coe.. nr m. o�«menm a �n.
1� wwk la xfiitl� I�u pamF is isewd. MY wnbis mmpenaetion imurence fartier eM pdiry numbsr ve:
c�a: rnTTc rnnnn EXPIRES
POIkY Number: �.� O 1 �++� o o n O 1/ O 1/ 9 8
(Tlris aMion rreeC no! be mmplefeE % fM permR ia la one hvMred dolkrs /51001 w bv.)
� I cenAy Nm in tM pallormerce d tha woM br whch ihia peimn ie iseueE. 1 ehell M emplry e�ry peiron In eny men�wr oo ro to
became e�bl� to tM xoAmi canpnwion lewa M CelAwnie, vM eprae Nm ! I MouW Ecome wbjW to iM xoMen'
�JyaTp nae�bn M�bm W SePbn ]]00 d IM LeEa COEe. I WII��1 Acan—N/ MN -IM1,oe.s V����s.
ApplifbrE: JL�
�Ws : F�llu� ro�ocun i M�n'ronqwu�tlon covxp� l� unMHu( uM �IWI ue f ur unplo�sr ro cNmM1rl pwNp �n0
flnu ap b orw hintllN NouuM AO/Nn (JIOqObOA M adll Wn ro M ro�t ot ronpxu�WM1 R�nrp� u povM�tl br In
S�ctlon 3RK o/ tM La4or COJs, IMwv( uM �tromNs ha.
CONSTRUC110N LFNpNO AOENCY: I heraby dfirm uMx pmeAy d peejury �MI Ihae u a m�Aiutlion WMi�p pw.y br ihe
pMamenro d �M xwk tar wNN the permi u eweE (�� �l. CM. Cl.
LENDEN'9 NMIE:
LENDEN'S �UGHESS:
I cMM Ihm I have rseE Nb eDN"ration eM ptls IMt IM eDwe iAmrWun u cortea.l e0� lo camdY Mil� M tlIYaM oouniY ad'v�e�rm
BM t�81G 19'K IGIBIM b WiM�N CpW WiOn GN MfBbl' 9WqfQ0 A�BlM�BNla C/ �hC ILY b eNM YD� IIN GbP'O�TMYItIIlE p1OpNlY
lu impatlian W�V��
CORNELIUS ItAYCE
Dms: '� �
(515148.WP) Whils-B�ildvp 8 Selny; dreerrFle; Canery-Appkum: Nnk-Revenue; (3WAenmE-Neevor
�
PERM NO: B 083471
GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: CON
JOB DESCRIPTION : CONST 9' HIGH EQUIPMENT ENCLOSURE WALL SQ FT: il
CLAIM VALUE: 350.00 CALC-VALUE: 220.00 GROUP OCC: R-3 /
COMMENTS: POOL ENCLOSURE WALL
�r*xx�r****+��r**���*+�*x*�***r�******�**�*�r*+r�r*�*�r��r�**�*����r********x**�r��r**�r�*��r�r*
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
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: 14151128 ZNE: PDR- REF NO:
PLANNING NOTES> 2 SECTIONS OF 48" HIGH BLOCR WALL TO ENCLOSE POOL EQUIPMENT.
i . �
iE 1F 1E �E if jE iE 3E iE if ik ff iE 1f iE �f iE if 1t if �F if iF iE iE iF iF if ik 1P if if if if if iE if iE if k iE 1! jE fE fE 1F 3E 9E 3E 3E if �f 1E iF if fl� iE iE if iE iE if iF iE iE 3E iF iE iE iP �)E iE 1E iE if iE iE if 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 BY �� �i� DATE; p
BUILDING APPROVED BY : DATE: / 77
APPLICATION ISSUED BY: DATE: ,'
1EiEffitiEiFiF3fiE�FififihifiEiEikiE�FiEiFiE �k iE . if iEif ik 3f3fiEiEifiFifiEiFif �f`�'1��fk�1f
LEGALZZATZON:N F E E 5 U M M A R Y STRUCTURAI�'�'EGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 21.00 SO
SMIP/NON—RES
PLAN 13.65
ISSUE FEE
HUILDING—DIV—> PERMZT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 21.50 0.00 13.65 35.15 35.15 .00
REVENUE DIVISZON TOTALS--> COLLECTED: 35.15 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
21.00 .50 13.65
d! iE dE jE dE if if � 3E �f �E iE iE �E �E if * if �F �f iE i4 dE iE iElP �k if aF iE 1k fE 3f 3E 1E dE �k iE �E dE iE dE �E �f �E if 1E jE if iE �%?f �E iE i4 �f iE if 91�i(� iE jf if if �f ik fk If fF �f jF �E jE �E iElE iE fk if'
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY U E 5 C R I P T I O N UNIT COST
SFR 11 RES-CONCRETE BLOCH WALL / FT. 20,00
END OF FEES
TOTAL COST
220.00
es'�i�%ie2izi rn/{�si.is
RCDTi:81�B8A269
PERMITae83471
COiJSTRUCTiON AND PLANNING . � POOL & SPA
qpPfyOVALS Permit �h Date Inspector AppROVALS Permit #,-` Date inspector
1. Te'�Porary Electrical Service or Pole 52. Pool & Equipment Locat�on
2. Soil P��e-Undrgmd. '. 53. Steel Reinforcement "� '•
3. Electrical Conduit Utility-Undrgrrl8�. 54. Forms ' �
4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding -• �
5. St¢el Reintorcement 56. Rough Plumbing & Pressure Test `
6. Electrical UFER Grnd. 57. APPROVAI. TO COVER•GUNITE �
7. Footings 58. Electrical Conduit�Undr9rnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. •, 60. Backwash Lines, P-Trap, Q Llndrgrnd.
10. Structural Floor Svscem �- 61. APPROVAL TO DECK "�
7 t. Prooerty Sewer Line & House Cdnnection 62. Backwash & Receptor•Final
12. Sewer Cap ' 63. Heater & Vent�Final ,
13. fioof Drains � . 64. Plumbinc� System - Final :
14. Rough Plumbing - 65. Electrical�Final . �
15. Rough Electrical-Conduit � ' 66. Solar SYstem-Final �
iG Rough Efettric Wiring 67. Fencing & Access Approval `
17. Rough Wiring Sign 68. APPROVED FOR PLASTEFING �-
18. Raugh Electrica6T Bar Ceiling 69. POOUSPA SYSTEMS FINA�
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Fattory Fireplace APPROVAIS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducis, Ventila2ing 77. Product Pipi�g 0 Gas ❑ Oil
23. Gas Pipe�Rough & Test 72, UndergrounA Flush
24. Roof Framin9 73. Undergrnd.StorageTank OGas DOiI
25. Roof Sheathing 74. Overhead HYdro
� 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
�
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. OrYWall Nailino HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Powe� Meter�Final S0. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Fina� Factory Fireplace 1
38. Fiaal Plumbing �
39. Water Service-Final
40. Gas Service-Pinal
4i. Sofar pomestic-Fina1 ,
42. Backflow Preventer
--43. BaCkflow Irrigation
44. Landscape frrigation System
45; Sound Attenuation
� �
46. Handicap Regulations � �
47. FtNAISTRUCTURE&BUILDING v ,K
%/ � -;Z
48. FINAL PLANNING '� ���+
49; Elearic Release to Edison ,��q
n i � ,
50. Gas Release to Southern Califomia Gas Cn ��4
51. CERTIFICATE OF OCCUPANCY _ �,�.�
No. Date
9
��DDNF55 Oi BWL00l�: O
oxmursxweiva+owr+: RAN
aoxEu .8 0 2
�i"' nI. C.M
.wi. Yuuxo �oowEss
2
C T uxr:
RY HINES
�xcxrtEcrax�n+ffn: GREGORY CURD uc.no: 36323
uicuonexa.�swo�ss: 1332 N. MILLER ST urir: 201
ANA CA 92806
���T�$�u�: CURTIS CUSTOM POOLS ( 909 ) 469-9608
��.�to��u� 3220 RIVERSIDE DR
,�p�� CHINO CA ��, 661075
91710 ��,
LICENSED COMHIICTORS OECL�PRTION: I Iqreby eR'vm under penepY d perjury ihm I em IceneeE uMx poviaion� d CMqx e
(com n wilh Seclion ]000) M Diveon 3 of ihe Buei�rev eM Prdmebne Code. vd mY Ibame ia in tWl face enA aflatl.
uc. .:069535 uc.cuss: C 53 uc.n : F61075 EXP; 03/98
om : cam.eew:
EN BUILOEF ECIAN ION: I heieEy elfirryi uMer penely d per1+�Y �h I em er mq Imm �he Cont�tlae Licenaa law la the
.�ta°"TY reason (Saaun ]031.5 &niess eM Prolmdoro COEe: MY ciY d mum�/ wAi n0u"vea e V�A lo mmwn. Mer. impro.a.
57ptundeh. a rWei M' svucma. YKK b Ls ua+en�. e6o �eVw� ihe eOWiau la wch Oa� lolJe e eqrcE dmeneN Ihtl M a�M
v uom+ee w�a io m. a�++� a n» cmu.mn. uwme �.. �cn.a« s loomm«�a wn swc� �0001 a awion a a �n.
BmMe aM Rdwiom Codel a IIW Ir a Me u ezemp thsehan uM tM hm fa IM e0eped uamqun. My vialelion d beaon
�m�.s M dn aoW� t«. v� ��b acarrav �o e ca o�9 a oa mae �ron Me mvNne mnma Issoop.
❑ �.mown.,a�nenow�v«mr�N^vae+h.nwapeam�na:.dewn,o��.wY�eouewak.enam.a�Nqw.unaw.Mee
aMmaAlavelalSection)Ou.Bmressaq PrdeauonaCods:TheCanlredonLioen»lewdoeamtepplyloenownardpoprry
who Cuids a inpoves itaiam. mM who doea auM xonc NenrM rc MnN u WouM hu a her oxn smWwen. G�'bb ihet ccl�
'unpwa�ava ma nol iMaded a aNaed ta sab. C. Inwavar. tM duNinO a inN��etl o edd wnhin ar Yev W mmOb�ion. Ns
awmr-0uitlx xill heve iM Mrtdm W pmvq M a eM Ak nd ddd a impwa tn tM qvpwe d eeb).
� I. u owmr M �M PW�Y. em uduarM' �nintl^Y xvh IiumeE canbxYan b mn9ruq Ma V9� (Setlian IOM. &v'v�� mE
Pmlwim� Coda: The Lonireda+ L'ceroe Lew doea ria epply W en ovmer d popMy x1a brilds or impwo Ihoreon eM who
conlrecie for euM prqxvn wnh e coniredor�q) Icensed punuant to iha Comreaae llmroe Lewl.
� I em eKempl under Seclbn: B. 8 P.C., la I�n mewn:
Deie: � Ow+wr.
I do Aereby cMily Net I em ewve d erd uManWM Ue repuimmeme d Cdlomie IbM� anE SeMy Code Sedwu 25505. ]55�, aM
25534, eM inel 1 a eny INure EuilEiip occupent vnll / wil na (cvcb one) neetl ro wmply wA eeN mle mEee enE IM �quinmanb br
epermnlaoomVuctionormod'ifraionhan�M�r ��—¢repement0imria.ReeiEenlieloonM�uqioneppf�iaroerememptimmlhw
wwisian.
ome: �cv��:
WORKEN'4 COYPENS�TIOM DEttANAT10N: I �yrsby a1f ivWar psiepy o1 prryry ons d tl+e IOGow'vq detlent'vm:
❑ in�.d,a.a�m�.ane'w.a�,iio.en:�.,nro�.w.�:mmpanWion.nV��blaMSeaion3�OdiMlabor
COM. la tM pe�oemeMe d tlr xvk Iv WJ�:h thia pumd "a u�ueE.
Q IAawaMwJmeimenxaken'mm�nninwrarca.eagn�V��behqc'Senim3)OOdtlrlaborCob.brNSM���dIM
•• wx�«.nid�w.v.mms�uee.Mr'��•'C�i'� IL' .�l(S�•�aw4r�n.re..: EXPZRES
aa��mn,, W7/111JJOY O1/O1/98
(mrs aenion ne.d �d es coma'e�ad r Ue v�• 9 ro. one nuMree edlere �S�ool a w..�
� I mrlh �hm in tM peAaimeze d Iha wak Ior whkh t�ie permil u iuueA. I ehell nd empby eiry penon in ury menmr w m to
euDjee �o tM xorken' compeneelim laxa d Celibmie. enE �M1tl � 1 ehouk become wbjeC to �M wata�'
romion pwieiom d edion 3]00 d�� �por Code, I dWl lonh in wiN Ilaea pwmone.
de:� � Maicenc
em/n �llur� ro xun � rtni mmpelwtlan covsreW I� undwNl. �ntl �N ub/Ict n employsr ro cNMnel pxultlu uM
up ro on� hundretl tMus�rd tlollan (5100.000), M eddltlon ro M� eaf o/ ro�v�rwtbM1 demspsa u pvv/CM br In
Sxtlan ])O6 0/ M� Le6or CoM, Infens4 and ��pmsy'� Iww
CONSTHUCTION LENDINO �6ENCY: I IweW alf urder penMy d pajury ihtl �Mra u e canp�uCion k�d'mp parv.y b tlr
penormeMe w �ne wn� �«.,nie� ihe va^^• n�,.a cseaon �os). cM. cl.
� LENOEH'SN�IAE '
LENOER'S AODNE59: , -
�.
1 cMity ihm I hew reatl Uu epplicabn aM ame 1� ��e iMormetbn e conw. l ayse lo compy wY� eA tlry eM muXy ad'vieMv�
e�aieta bw� mWN w Euild^i w��� vd hareby eiMa¢a rW���etiwa W iks tl1Y b amr w� Na ebme-mrviuiad peopa�ty
�°`""pptlpop"°°°°'"CORNELIUS K�YCE
r .�n� ,�i -
%..t s�-. .
(5151de.WP� While-Buildiqd
Dete: V � /
oreen-Fb: Cenuy-�ppfran�: Pink-Revenue: Oddan�oFbaa�or
CITY OF COSTA MESA BUILDING PERMIT
. PERM NO: E 083464
PERMZT NO; E 083469 PLAN CHECK NO; N� GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: CON
JOB DESCRIPTION : IN GROUND GUNITE POOL 5 SPA SQ FT:
CLAIM VALUE; CALC—VALUE: GROUP OCC: R-3 /
COMMENTS : X � g�y � 3
���*�**�c***�*****�r��*x**********�c**�rr**+�n *** �r*�**�**x***x*�*+�*#**�r****�r*�r*�+��
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT ZN
PARRING REQ: PROV: PARCEL: 14151128 ZNE: REF NO;
PLANNING NOTES>
�
1f iE if i:�?E iE �1f if it if 1E jE �! 1F iE 3E iE if if it if iE �)E jE �f �1! ff �E iE iE iE if iF iE if iE if iE iE iE �1E'1f �If 3! iE 1P jh �E if �E'If 3F iE �7h ik i! jf �E iE ff jE jE 3E �)f �1F'1E iE 9E jE # i! 3f �1K jE iF #�If iE iE
D E V E L O P M E N T S$ 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 :
AF�PLICATIUN ISSUED BY; '�
iE1EiEiEif3E1FiE3EdE1E3kitikikifiFiEiEaklEiEiF'Tf3F7FiFif�3F3F3F�iF���f : 3F�F'iF
LEGALIZATION:N F E E S U M A R' Y
BLDG PMT PLUMBING ELECTRTC M�GHANIC
PERMIT 49.25� ,
50�
PLAN .
ISSUE FEE 22.00
BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK
TOTALS----> 44.25 22.00 ' 0•.00
REVENUE DIVISION TOTALS--> COLLECTED;
BLDG PMT PLUMBING ELECTRIC MECHANZC
66.25
DATE:
DATE
STRUCTURAL �EGMENT:N
FIRE SMIP/RES GRADINC
SMIP/NON—RES
TOTAL PAID DUE
66.25 66.25 .00
66.25 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN—CHECI(
ik i! d!-1t iE �)f 1f'lE iE �Y.- iE'1E'k iE fE iE �t ik 1f if 1E iE if �Ih 1f'lF �F if �IE �IF?E if if 1f 1E iE if f! if if iE �1E 9E'1f if iE �E *�)E jF �E 3E iE if iE if'N' �If jt,')f iE ik iE �1! it if iE ih-1f iE iE iE iE')E �1E �E �IE iE #
I N D I V I D U A L F,E E B R E A R D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
�ELE 1 SWIMMING POOL — IN GROUND — NEW EA. 44,25 49.25
i END OF FEES
. 66�25-1997/8P:23 PM/f66.25
�cvresei-eeee�n
% PERMITaB83464
�•.
�, �
.:
..-.- -
� CONSTRUCTION AND PLANNING PO�_ & SPA .
.t?pROVALS Permit # Date Inspector AppROVALS Permit # ` Date� inspector
r
�«�7emporary Electrical Service o� Po1e 52. Pool & Equipment Location
2. Seii Pipe�Undrgrnd. ' 53. Steel Reinfo�cement .. -- - `- �
3. Etectrical Coaduit Utility-Undrgrp�„ 54. Forms "� �
4. Electrical Cond�it�Undrgrnd. ✓ 55. Electrical Bonding �_(C_C� -�
�
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ,
6. Eltctrical UFER Grnd. 57. APPROVAL TO COVEfl•GUNITE �
7. Footings 58. Electrical Conduit-Undrgmd. Z,,,�,7�-1
- Y+
8. Foundation 59. Gas Pipe, �7 Undrgrnd., Test
9. Water Pipe�Undrgmd. 60: Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Ploor System . 67. APPROVAL TO DECK i �
11. Proverty Sewer Line & House Connection 62. Backwash & ReceptorFinat.;_ -
12. Sewer Cap „� 63. Heater & Vent�Final L�
13. Roof Drains j ' 64. Plum6ing System - Final •-� � j
14. RoughPlumbing . � 65. Electrical-Final �. �{'��1�IQ�
! � l
15. Rough Electrical-Conduit � 66. Solar System-Final � "'�
76. Rough Electric Wiring 67. Fencing & Access Rpproval � �'i
77. Rough Wiring Sign 68: APPROVED FOR PLAS7ERING '
78. Rough Eleccrical•T Bar Ceilinq � 69. POOL/SPA SYSTEPJ�S FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Firep�ace APPROVALS Permit #
21. Ducts, in Struct�re 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping O Gas ❑ Oil
23. Ga5 Pipe•Rough & Test 72. Underground Fiush
24. Roof Framing 73. Undergrnd. Scorege Tank O Gas ❑ Od
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: g_�3-Y � V!V �f0/✓L NOJS��
34. Final Heating & Air Conditioning Wti�( ��Q ��� ,e ur?MC/Y� OfC U/K2�G� CO/lC��7'4-"�
35. Final Gas Pipe�Test /
U� G a,+ � c e�� � P�»c.c� fa�ol,z�t nEeDs �0 6e
36. Hood or Canopy �w,eC� O�
/�. , / �, 7/� y/
37. Final Factory Fireplace - 8 a-� R7 Jl� /`61 �l�/N� OfG (��� --
38. Final Plumbing -
39. Water Service-Final
�4,0. Gat Service-Final �
41. Solar pomesticFinal
q3, gackflow Preventer � \
43. BaCkflow Irrigation
44. Landscape Irrigation System .
45. Sound Attenuation o r
„
46,. Handicap Regulations �;' G
47. PIhJAL STRUCTURE & BUILDING �'� H.
<_
48. FINAL PIANNING �a "
49. Eleccric Release co Edison �=W
50. Gas Release to Southem California Gas Co
^ � ;,.
.,,,..m,
51. CERTIFICATE OF OCCUPANCY .S ?
No. Date
noonessovem�wuc: RANDY S�ROSEMARY HINES
IXMEH'SNSYEIFRlJWN: 8OZ GALLERY CT
u�, �oonE�s: C.M. CA 92626
�.�Y
MPL. M/JIlNO/�WXESk
UNT:
�xcxrtEcr on �mi�n: uc ra.:
�xcx on ��s �ooxess: uxr:
cor�m�cTarsruue: CURTIS CUSTOM POOLS ( 909 ) 969-9608
camAcroRs�uur+c 3220 RIVERSIDE DR
�p�� CHINO CA �� 661075
91710 uM
LICENSED COMNACTOPS DECLAHATION: I hareby eflirm under pere�y M pa�jury thel I em liceneed undar povisions ol Cheqer 9
cm uc. o�h��� �ic. cuss: �n�Pu�. �,`�s`i �'�,°^'"'`�'�P":" °�e'3 / 8
me: Camreua: `•tl+
�0W P BIIILO F UE� RRTION: I Mreby effiim uMer pmely d perN�Y �� �� emmq Imm IM CaMredas Licen lew la Ne
Idlowiq �aeeon�5edion ]031.5 Busiwsa end Profenions Code:Airy cily a oounry whidirequirea e parm�to mnai�ucl.eliar,improva,
demolsh, a rapei eny svuclura, prior b ns esuenca, elso rapuirea �he epd�� �or ach parmn to fib e ag�A slelement ihet M w aM
ia licenseE W�suenl la tM praivma d Ne ContreGwe Lkcue lew �Cheqm 9(commm�vnp xiih Saaion )OW) W Diieion 3 d ihe
B�rinem eM Profesaione Code� or ihel ha m eha in exemq t�selmm eM the Eavb lor ihe alleped uemqbn. Nry vioW un ol Saaian
�. �oai s ey e�y ecvi��,� r« e oe�mn wd�a me wWican io e cn;i neodry d� m«e in.� r e n��,d�ed don.n �Ssoop.
�'� ❑ i.���amawovama,mr�o�a.�,.n�a��me:�mm�w�..aieoina�onc�e���rem�am��me
a ollereC lor eab (Sanion ]Oa4. Buvnewend Prdeesiona Cotle: The Conireaon Limnae Lew doee �wt epph�o en owr�er W propeM
xiw buids a inqoves IMreon. erd who doee sudi wwk limaell or Mnetl a Mrwqh he n hm own emplm�ees. pmided that wch
improvmmenls me iwl intaMed a dlereE la eab. X. howaver. tM buJdinB «'vnpaemeM b eatl wilhin meYw d mmpinion, tlre
owmr-0uiNer xill heve iha burEen d pmvinp ha a she tlk nN builC or improva Iw ihe W�e d aele�.
❑ �. e. o�r a ina wowro..m �a�,�reh o���a�a .,an i�e �veno� �o �w�e me v�daa (saa� �a+. e��...�e
Profeaeions COEe: TM Camredae lienee lew doev rat epply lo en owner d popMy wfio builda a impws themon ard who
coMracp Iw wx3� prqecla wiln a murtla�s) Icensetl punuem �o Ihe Comretlae limnne Lew).
� I em exemp uM« SMian: B. 8 P.C., br ihie reesan:
Oale: ��
I do hereby ceNy thet I em eware d aM urcbnlenE tha repuiremmb W CelLwnu FbaXh and Selety Code SeUione P550S, 2553J, eM
2555s. erd Me� I a enY Mure Wikiiq ocapent vrill / wll iwl (dacb me) �aeE lo mmqy wIM1 eeid qme mdu erd the nqu'vemenb br
e pertniltw camwc�iona madifiraiionhom IhaA'm�y . erepemaM Distnd. Renidemial coneliudion nppimtiwrea�e e�emp /mm these
proWslons. _
oe�<: naW�em:
WORKEH'S COMPENSATIqI DKU1fl4710N: I heraby eifimi uMx penelty d peijwy ane d ihe IWo�inp ANua�iom:
� IheveeMwiPmamaineeenMcmadmneantlovaN-inwrelwxoekera'epnpemmion,eaprwMeEfwbySedion3l00dlMlebar
COEs. lor �he peAmnarice d Ne v.ak tor wNch thia permn ie iaued.
� I heva eM vnl mamen vrorkeie' mmpensmbn inaurerra. u required by Sedion alao d iM lebor COEe. br iM peAormerca d iM
.�x i« �.n�, inm w�n re�.�,ea. My,.o�9 ��.�:�,��e owKr ��mna...a: EX F� I R ES
PdiyNumber: ��Tt�3���— O1 /O1 /98
�nu .,«rm �,�d,�w ee comvb�<e e m. w�x a ro, o,�. nund,ae edws Isiool o. bo.�
� I cenAy thel in ihe perlormvice d tM work Iw whch Ihie permN ia eauetl, I ehell nd employ eny pe�eon in eny mennar eo a� lo
become wbpe to �M v.oMnrs' canpemetion �exs M CefAoeniq ard myea ihm tl I ehouk baeoma euEjetl Io iM xarbn'
compenaei v�Ane ol Saeion �>00 al �he labor Cotle. I M9LLE�hwilh xiih ihwa pwieiona.
( � /"� ����� �
ate: MV�'ram:� t[� ti l.iC� �
Ing: Felluro fo • uro wortrsri eompewtlon rovonp� Is unlawN) entl�Gli MlplOyN M GIMNI pOI1lM!/ IIIE
c/Hl flnu ,q ro om hinOrM fhouuM tloll�n /S/0d,00d1, ��Itlon b IM cal a/ wmpwwtbn� durops u provMW br In
Ssctlon ]]O6 0l Ms Lffior COW, Inbmst, arW ettornsy� Iwi.
CONSTFUCTION LENDINO AGENCY: I Mreby elfi�m i�Mer pereM1y d per'�uy iM1el IMn u e ommeueion kMvq q�en�y la ihe
�lBf�Ot111811t0 Oi1hB MOI�tiIX W�IIC�1lh6 pBf111�19 6WBd�$BCIO11 ' 9�/.:�iN.Ci�.
LENDEfl'S NMIE:
LENDEN'S ADDHE55:
'1 ca�ily ihe� I here read thb apW'ration eik s�e�e thm tha ebova iMamation ia cortatl. I epree lo wmyy xilh ell dry eM munry adirieew.ee
aM elele lexs ralatnp to WildcB ��a���a^ ��reEy eWwrrze repeeanimrvm d ihia ay ia entar upon tM ebv+e-maniv�ed poperty
�L��^s��^^a��. CORNELIUS KAYCE
(S15tJe WP) Whilo-Buildip b Saley:OreeMFle: Gv�e�y-AppSfam: Fnk-Reven�e: (bNenro�Aaxaa
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: E 084045 PLAN CHECK NO: N
• 7 • ♦ � 7 � C :[IL7i�
• t � � • • _
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: ALT
JOH DESCRIPTION : RELOCATE AND REWZRE A/C UNIT SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: X
��r*�*****�r**+r**��**�*****+r***�c*x **�*��r*�*�******�r****+r***x+�********�*+�***�r*****
Z O N Z 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 ---------
FRNT: FT IN AEAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PAAKING REQ: PROV: PARCEL: 14151128 ZNE: REF NO:
PLANNING NOTES>
i
iF'lf �4 if jF �f iE ik fE i! if 1E k iE 3f �F iE'lE iE'1E'k'1E �f'1F �k iF dE 1f if 1E if if iFif iE iF'16-0E if iE if k'1E'IE iE 1k 1E iF iF iE if'IF 1E if iE ih iE'1F iE a(' iE iF iE if'1E ii if iE iE'1F 1E iF'1E iE iE �E �f 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 .
BDILDING APPROVED BY
APPLICATION ISSUED B
iF iF iE if iE �F iE if iE it if ik it iF iF it 3i iF ik iE
LEGALIZATION:N
HLDG PMT
PERMIT
DATE:
F E E S U M M A A Y
PLUMBING ELECTRIC MECHANIC
16.25
SOY
FIRE
iE
STRUCTURAL SEGMENT:N
SMIP/RES GRADING
SMZP/NON—RES
PLAN
ISSUE FEE 22.00
BUILDING—DZV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 16.25 22.00 0.00 38.25 38.25 .00
REVENUE DIVISION TOTALS--> COLLECTED: 38.25 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
36.25
iF iF iF it k iF'1F if'1F'1F if ih if 1E �F �t * it If iE if iE 1E'IE'1E if']E'lE iF fE * iE i(� 1F iF if 1f iE if iE ih iE 9E 1f� iF iF if if ik fF iE �k if iE iE �f iE �f 1@')F iE if �E iE iE iE'�'lE iE 1E jE'1E iE �F i(� if �7F �F *
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 5 C R I P T I O N UNIT COST TOTAL COST
ELE 1 MISC CONDUIT NOT LISTED REQ PERMIT 16.25 16.25
END OF FEES
�D �� j�
0 1997 '
AUG 4
,-
.��r:., i. �:. ,..,.. . i�.� .
\�
Y
�'ONSTNUCTION AND PIANNING � POO� & SPA �
�PPROVA4.S Permit # � Date Inspector p�ppROVALS Permit # ` Date Inspector
`i '
1.'femporary Electrical Service or Pole 52. Pool & Equipment Location
2: Soil Pipe-Undrgrod. .-_ � 53. Steel Reinforcement "`
, 3. Electrical Conduit Utility-Undrgmd. $ ��, � � . _ 54. Forms , " � ""
� 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding �
:
_,�5. Steel Reinforcement 56. Rough Piumbing & Pressure Test - ,
,
6.. Electrical UFER Grnd. _ 57. APPROVAL TO COVER•GUNITE -
_�� 7�. �Footings _. • 58. Electrica� Condu.it-Undrgrnd. r
'. •'8. Foundation ' _ " 59. Gas Pipe, O Undr,grnd., Test .
- 9. Ydater Pipe-Undrgmd.� �� 60. Backwash Linei, P-Trap, O Und«�rnd,
. 10. Struciural Floor SYste"m : ' 61. APPROVAL TO DECK �
� t 1. Property Sewer Line & 4ouse Corinection 62. Backwash & fleceptor-PinaV��
12. Sewer Cap ' -" � 63. Heater & Vent-Finai "
13. Roof Orains -� ' 64. Plum6ing SYetem - Finai '
74. Rough Plumbing � 65. Electrical�Final �' �
15. Rough Electrical-Conduit� _,�--� 66. Solar SYstem�Final .� -- -
16. Rough Electric Wiring �_ � , 67. Fencing & Access Approvai "-
77. Rough Wiring Sign' � ' . -- 68. APPROVED PpR PLASTERING •-
18. Rough Electrica6T Bar Ceiling �. . - 69. POOLlSPA SYSTEMS FINAL �
� 19. Rough HeSting & Air Conditioning � FIRE DEPT. RERUIREMENT
20.� Rou�gh Factory Firepiace - -. � :'t. ��• APPROVALS > Permit #�
�, - .� .
217� Du'cts, in,5tr.uctu're� F'.; ,= - _', � s 7p;,Unde�ground�-Hydro .
22. DuC[s, Verttilatirig i. ._ _ c �. 77, Prod`iYoj�Piping OGas ❑Oii
23. Gas�Pipe�Rough 8i Test _ �. : •' _ +
. x -r �^ �* - 72. UndergroundrF�4�sh . _
24: Roof Framing � �-� � _: Y � 73. Undergrnd.Strn`'a_'qeTarik GGas OOiI
25. Root Sheathing , '
x '� . ` '` H � � i � 7A. Overhead NydrbM �
26w.T-Bar Ceiling IStrucnral) &.�ionocoat .�� ':J ' r�i • 75. Dry Chemical " �� - " -
27= Frame and Flashin� - . `� '' 7$. Dry Stanclpipe �'� � c '
.. � .;
28. LaFAing $ Siding �. --.w'� X T •• •• t ?7, FIXED�SYSTEM FINAL
' 29. Insulatipn . - 3"" ' #�'T � � �8. FIRE PREV. FIA!AL + ;�, - _
- 30. Drywalf:Nailing ;�' �� t.' i �t �-+ •-.HEALTH DEPT: REQU{REMENT
31. Plaster Bro�+n Coat` _ � ��;, .,.. �9. FINA��INSPECT.ION ;' -
� 32:-Electrical Power Meter�Finai ' �; �n/ �Q. FOOD�CEFiTi�ICATE+ISSUED . -
7 . . . . ,�� � . , '
_ 33rtFina,l E(garic ��. ,.. I � -� IJotes: ; -7 �'� F , _ ..
. �.r
� 34: PinalHeat�rig&Ai;Condition;nc�, - : :-�'�.. , . '-� � :-C�; � - �= �
., � . . � _
S .� .. � - ' . ' ' -
35XFinal Gas Pipe•Test4 � - � 1 � • ' -' '�- • ' -
-� t ��c' � 7 .. o � ;7 -
� `, r , � - .. r- :, � . ,
-. 36. Hood o_r�Canopv _ r _ : �� � � _ � � -. . .
37. Final factory Fireplace �' '� "� . � ' � � ; .
R
38. Final Plumbing � . .. .. . �: : � � • `` � ' - -
i t. -
39. Water Service�Final � -� � - ^ �-- "1�'°y "'-
�
40. Gas Service-Finai ' _ � � ' ' ' "� _
. �
�Ii � ' . . , .. _
41. Solar pomesticPinal;= � •• � � ' � /
���`
42: Backflow Preventeri " - -� , _ - _ ' A�.�F ,.,,. �
- 43. Backflow Ireigation � - c. * � • . � � � �? -
44. Landscape Irrigation System. ": '-� - � - � � , . �� ��
�
, a '
�45. �Sovnd Attenuation _. '- _. = '� f . � � ' - ' ' y�: -.
- S
� 46: Handica.p RegulaiiSns � _ ' " �' ` � � ' .- '- � y
47._FINAL S7RUCTURE & BU��LDING ✓ � � � ' . �� '
..48;�FfNALPLANNtNG ', ' �
49. Electric Re�ease to�Edison "-� �
^ _
50. Gas fielease to Southem California Gas Co , : . . ,
57. CERTIFIGATEOPOCCUPANCY ' - -
No. Date
noowEssaem�pxc: CUL I,HLLG7tY L1
av�xse+uieic�wanN: RANDY 6 ROSEMAkY HINES
1DDPESS 802 GALLERY CT �
. C.M, CA 92626 • - '
APPL.IWIING /i00HE53:
u�cxnECToeoxa'�e: GREGORY CURD
,wcx.on�++o.•s�oo�rtss: 1332 N. MILLER ST
ANA
ca�m�cTarsw�: CORTIS CUSTOM POOLS
ca+m�croxs�uuxc 3220 RIVERSIDE DR
,�oopEss: CHINO g1710
110EN5ED COHTHACTOPS OECLRflAT10N: I Mreby efl:m uMar ponely d
(rommentinB m�h Seclion )000) W Divison 3IN �ha Busir�as enC Pmleesiona (
cm�c.No.:069535_ uacuss: C 53 uc.NO.:
ur.r: CZTY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: M 083465 PLAN rHECK NO: N
uc.ra: 36323
uNt: 201
CA 92806
(909)469-9608
CA ucno: 661075
UNi:
y un i.m r�a �oa« aw�.� a cnaq« e
eM my licenae ie in tull brca eM eHen.
1075 EXP: 03/98
NER ILDEN D�CLARAiION: I hereby effirm uMer panely ol parjury ihe� I em a�emq from the Contredas Lkenae Lew la Na
reason (5eabn ]0.'11 5&niess eM PMesvma Cada: My cry a mwry xfiitli raquiree e pertnX lo conaNwl. elia. imprwe.
nh, or repei eiry elructura, pria lo ib eauence, ebo raquirea iM epplirant for euch pmnil ta file e egned etmameM ihm M or eM
u f ensee wreueni �o ine awi�one a Ne ca,vee«s licenae lew fcheq« s(comme�m .mn seaia, �000) d orvelm a a �he
Bwinesa e�M Prdeaona Code� a I�et M1e a Me b ezemp Iherehan eM the besis /a Ne elbped exempion. My violation of Setlion
]031.5 by eny epWirenl lor a permn wbjadr Ihe epqicenl lo e wil perielry d nd mwa than INe hurWred tldlen �5500��.
� I.esoxnerdiMpW�YwmYemPMaesxlhwe9�niheiwbcanP��ion.xilldothewwk.eMlMalriwYureoMiMeiMed
a oflered fa sele (Saction )04<. Buvne� end PMesspns Cotle: Tha Conlredae License lew daea rw� epplyto en ownerd prope�ly
who buiEa w inprwea Iheraon, eM who Eoas sud�+:orM IimsNl or herae� a ihrwqh he a Mr own emplv�eee, pev+ided ihet eueh
impovemeMe are rat inleMeE a dlaeE la eele. p, however. �he Euiki�q a impwement ie eold wilhin aw yev d mmpletun, the
� owner-buildar vrill l�eve Iha WMen d povinp M or aha d'd rwt build a improva lar the WR�e d eeb).
❑ I. es owier a tM o�w�v. em eKdueiwN mntreaM wtlh lioensed cantrmiwa ro wnavua Ne v�M� (Seeion ]aa. Bwi�nee eM
Prolessiaru COEe: TM1e Contreaon L'ransa Lew Coes iwt epdY b en owmr d peapMy who builie or impww Ihereon eM who
wnveas fa vd� prqeW v.iih e mmredor�a) lieeened purtuem to the Camreuon lioaree law).
� I em eFamp unEer Sacfiwi: B. 8 P C.. la �hie reeeon:
Deta: �'^^e�
1 Eo M1ereby ce�ily tl� I em eware d erd �vdersWM iM mpuiremema d Cellpnie IbeXh vd Seley Code Sediam 25505. 25533. md
25534, enE thm I a erc/ hnun WiIEi'q aaupent will / wPl nd (dmb aw) maE lo compty wIh eeN eima oodee e�M IM repuiremanb lur
ePe�mnlamvvuctionamoEifKetionhantAeAi ie�y eroY�memOisfrie.RaakentilmmtrudioneGG�'vreeressemWiromthme
y,widona.
Dma: �Gd�
WOPKEP'S COMPENSATION OECLRN�TION: I Mreby elfi�m uMer per�elly d pmjury me d ihe (dbvn�p derle,mbne:
� 1 heve eM xil meinten e cenJcme M rovem to aeX�imuro M r.aken' canpenaation, n pwkeC /ar by Seqion J)00 d �M labar
Co�e, l« �M parlormenca d �he wok lor which thie peimit u iaeued.
� i neVa e�d m� meima:�.�xe�a� oomoerem�, �re�re�e. m rea���e M seaion woo a m. i.m. ceee. r« me w�«mence a in.
•� work ta wt�ich ihie permn u iwued. My workera' mmpemeiion inw�enw rartier eM poliq number ara:
�,,,;,,, CALI�F. COMP EXPIRES
aakY N�mna: w. i.li i i� o y 01 / O 1/ 9 8
�rr,a �crmn �od m( ae �dmee i rna v�e u ra m. nui�eree eaie�s �S�ro/ a bss.l
❑ I cenily tnm in Ine pe�lamence d iM wak M whbn inia permN is ieeuetl, I ahell � employ eny pe�n in eny menna eo av �o
wq«� io me �n�.• mnverea�ia� m.. d cdmMae. ena m�ea mm c i m,wu nemme .�q.a m in. no�.n•
co peneeiion /'� une oi bn 3]W d Ihe Lebor Cade, I ehell���I' "7p�y wiM �ih�oro �p�witime.
e�e:- . �!/ AOdiceM: O L" W�� —
InO� F�llun ro ecun woilro��'roirywwtlon cwerap l� unl�xYW, end I an �mployr ro ulMlul pmeltlu uM
Ivll Ilrtu up ro me hundrW fMuurd do/Hn (SfOQ000A M a�G/fbn b tlro cwl ol rompawtbM1 Cnrups� u provMM br In
xtlon 9106 of Ms Le6or Code, Infxest, anJ ettomsy's lse�.
CONSTHUCTION LENdNU RGENCY: I Mreby elfiim uMer penely d perN�Y �� ��� b e mnel�uqion bMinB �zY la iM
pertormeMe d ihe xak Iw whiM Iho peemi is osueC (Seeion 309]. CN. C). !
LENpEH'SNRME: � �
LENDEN'S �DONESS: �
I cen'dy IM1m I heve reed this eppl' �ion eM aele �het �he ebove iMorme�ion ia corted. I eprae to compty w�h all ary enE oounry adinenme
eiM sle�e lexs role�ng to buiWvp cons4upion eM Mreby aNMrize reqesenle�ivea d Ihu rilyto enlm upon IM ebv+e-mantioned pmpaM
�°""'°e°�0°`P°�°' CORNEliTUS KAYCE `'
/ `.
(S15td6.WP) WhXe-BuildiqBSefely:
� �
_ ome: �
Pink-Revmue: Oddema�Rcensa
CONSTRUCTION TYF'E:
JOB DESCRIPTION .
C��ifi'ui��lSl�
V-N PERMIT TYPE: MEC
IN GROUND GUNITE POOL 6 SPA
CALC-VALUE;
PERM NO: M 083465
GOVT: N SUPP: N
PURPOSE: CON
SQ FT:
GROUP OCC: R-3 /
COMMENTS: X
*******�**��***�**�**�*�r**��*�***���r�******�*�x**�****�**�*��**�**�*********�**
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN B[JILDING ---------- ---=----- 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: 14151128 ZNE: REF NO:
PLANNING NOTES>
i
ik 9F 1F IE if �E �F �f �! 1k �1F �F jE jE iE i! jf iF iE 1f iE jf jE if iE if'lf iE iE if iE �f iP fF �E 14 �f iE fE af iE �k iE dE �E jf if iE �1E iE IE iE iE �f �)f iE iE iF iE iF 1E if iE iE �E 3E jE �f 3F 9E it iE jk dE iF if if ik 3E
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APFROVED HY ➢ATE:
BUILDING APPROVED BY ; DATE:
APPLICATIOA] LSUED bY; ./L_ PATE: �'J
iEiE�fiE9EiF'1EiEif-1fiEjk3EjEjEjEjEiE�E3Eik1l3F3F�FiF�F3Fit�Fi��FiFiF3F�FiF3F3F - �FiF3F3FiFiF3F�FiF�fiF3FiFiEifiEiEif3f3E3fif3E
LEGALIZATION;N F E E S„ M M A R Y STRUCTURALTSEGME.T:N
BLDG PMT PLUMbING ELECTRIC MECHANIC FIRE SMIP/RES GRAUING
PERMIT � 15.00
25� SMIP/NON-RES
PLAN
ISSUE FEE 22.00
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 15.00 22.00 0.00 37.U0 37.00 ,00
REVENUE DIVISION TOTALS--> COLLEC:TED: 37.00 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANZC FIRE SMIP/TOT GRADING PLAN-CIiECFC
37.00
iE �7P �E jE if iE 1E?E iE 3f dE if jE 3E �E 1E 1F 3E �k jE �E fE 3E iE if iE if iE iE 1E if iE iE 1E iE 1E iE aE �E jE 3E �E i! 3E �! 3f �E �E iE jk if af if iF 1F if �E �f �� iE 3E 3E �1E �Y?F �E iE �f �E jE jE iE �E 3E 3F iE �if iE
I N D I C� 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 0 N UNIT COST TOTAL COST
MEC 1 GAS PIFING SYS 1- 9 OUTLETS 5.50 5.50
MEC 1 EACH APPL NOT IN OTHER CAT UNDER FEE 9.50 9.50
END 'OF FEES
e
B6-PS-1997/B2s22 DM/137.86
RCDT1:81-6BB8271
PERMITae8349S
,
CONSTRUCTION AND PLANNING POOL & SPA
. APPROVALS Permit# Oate Inspector AppROVALS Permit# Date inspector
, 1. Temporary Electricai Service or Pole 52. Pool & Equipme�t location
2, Soii Pipe�Undrgrnd. -- 53. Steei Reinforeement -� 1" �. .
3. Electrical Conduit Utility-Undrg'rnd. 54. Forms " ""' -
4. Electrisai Conduit-Undrgmd. "_ 55. Electrical Bonding -
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ' ^
_�%/,
6. Electrical UFER Gmd. 57. APPROVAI TO COVER-GUNITE �
7. Fooungs 58. Electrical Condui+ "ndrgrnd.
8. Foundation 59. Gas Pipe, �- _^..tl., Test
9. Water Pipe-Undrgrnd. , 1 60. Backwash Lines, P�7rap, � Undrgrnd. 7�" 7
10. Structural Floor System - 61. APPROVAL TO DECK f-
7 7. PropertY Sewer Line & House Connection 62. Backwash & Receptor-Finat��� �
12. Sewer Cap -? � .� /�
".j 63. Heater & Vent�Final �
13. Foof Drains 64. Plum6ing System - Final '
14. Rough Plumbing �, . 65. ElectricabFinal t
75. Rough ElectricabConduit 66. Solar SYstem�Final -----
16. Rough Electric Wiring - 67. Fencing & Access Approval - �
77. Rou�h Wiring Sign 68. APPROVED FOR PLASTERING - "
18. Rouc�h ElectricabT 8ar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rounh Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rouoh Factory Fireplace APPROVALS Permit#
21. Ducts, �n Siructure 70. Underground Hydro
22. DuMs, Ventilating 71. Product Pipin9 OGas ❑pil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Kraming 73. Undergrnd. Storage Tank U' Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Struciural) & Monocoac 75. Dry Chemical
27. Frame and Flashin9 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insuiztion 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH PEPT. REQUIREPAENT
31. Plaster Brown Coa; � 79. FINAL INSPECTION
32. Etectrical Power AJ�eter�Finai 80. FOOD CEIiTtf-ICATE iSSUED
33. Flnal Electric Notes:
34. Flnal Neating & Air Conditioning
��3 `�7 r�le� �c�dsAi! r- -
35. Final Gas Pipe�Test
3$. Hood or Canopy
37. Final Factory Fireplace .
38. Final Plumbing
39. Water 5ervice�Final �
40. Ga: Service-Finai
41. Solar Oomestic•Final
42. BackfiOW Preventer
43. Backfi0w irrigation �
44. Landscaps Irri9ation System
45. Sound Attenuation . �
46. Handicap Regulations �y'n� R!
47. FINAL S7RUCTURE & BUILDING y„
48. FINAL PLANNING �;��F
49', Electric Release to Edison
7'dd
50. Gas Re�ease to Southem California Gas Co � � w�,a
51. CERT�FICATE OF OCCUPANCY 'n
n`_:N
No. Dace
a ew�ou+a: 8 0
+eiviwwm: RAND
moaess 8 0 2
• C.M.
VPL. WJIIIlO Ii00PE41:
LERY CT urt:
�SEMARY HINES
RY CT
2626 '
.ncNnecroeuiou+ern: GREGORY CURD ucxm 36323
urcxon�o.•saoo�ss: 1332 N. MILLER ST uxr: 201
ANA CA 92806
coxm�crarsw� CURTIS CUSTOM POOLS (909)964-9608
CONfBACTOR3YYWq 3220 RIVERSIDE DR
�o�, CHINO CA ucra: 661075
91710 ��;
110ENSEU COHfH�CTOP4 OECIAP�TION: I he�eyy e11im wqv penyy d pvjivy Nm I am IicawA urdr p'wi�iom d CMqer 9
(mmmandn0 xnA Seciim )000 d Divuun 9 d tlN Biuvieu eM Vmlmdan� CoEe. enE mY fmms u M M bcs eM ellaa.
cm c.No.:06953� uc.cuse: C 53 uc.N .�62075 EXP: 03/98
da: I c��
0 N BiIIL�ER OE�O PRTI 1; I heieby elfim� uMx penety d perjury ihel I em eu � Irom tM Canretlon Lironee law la iM
bv.iip �ae.ron ISedion )W 1.5 &piieas aM Rclmo�u Goda: AmW a mivuY xfiirh nQu'um e M�Y to cMOWt�. Ma. MMa+.
tlemdeh, or repar eny euudure, pna b ua ewaKa, elro �epw�m tte epplkzN lor wrJi pamtil b fb a sipnsA eWameN WI M ar ehe
is IicansaC W�a^t io ihe qoviviaro d tlw Conlrep� �i�enae I,ew lCheqs 9l�mend�p wilh Sadion )000) a�'eion J d Ihe
e�sMo �d r�d...oro coeel ��na ne «ab b...ma �nar�no�, �e me e.m i« me meose ...ma�. N,y �ddo�, w s«ao�
�. )W 1.5 M anY eOWim�u la e DamY u�bPti+ Na eppl'ryy lo e oril V�Y d m� mwa ihen IAv MUWeE dolWs �5500�.
u
� I.mownardiMpWNYamysnpbyamwvhwy�mNssdemmVM+�.wYAONevakendNeWucwnum�'vaeMeE
a Meredtor aeb (Ser.Yon ION. Bie'vwv eM Pmleaaions Code: The CWretlm liwnns lawdom nd eDO�Y loen owns d poMM
who EuiEa a inpo.v iMrean. md Mn Jwa wch wak h"vnseE a Mna[ a MdM he a hx wn MnNWem. pa'� �MI wc�
'unpaw�arua ero na�'vueMed a d1saE la �W. �. bwewr.IM GitlmO a in V��xtl e wtl wuhin ar Yea d mnplwun. Ne
owiw-0uJder WI Mw iha EUNen d R�q he ar �M1e Eid nU budd rc imP� Irc Na POVas d eWl.
� I. ea owror W �M V�W�Y. am ssAu'rwM mvrmM wM fn'uad mWeclm b miCrW ihs PA� (Swion IOH. Bu�'urs and
Prdaawns Coee: Tha Caqmqm licros lww� dom m� +OMV n em m�w d i�WMY Ma dnld� a inG�'p �Irem end Mn
canvacb la w,di V�N� wh e mvmaM�) fcmnsd w�+to tlr Commm� limiva 1e+�1.
� 1 em uanq uder SeUion: B.8 P.G.. br Nu �awn:
Ome: �
1 do l+eM �Y Na I am awero al W udenlW IM ieG�Msaa d Callmus MseM ed SaleaY COM SWbu 25:A5. �55]3. eM
P55H. uW thtl I a eny Mun dnldiM �9^b.h0 / wil nal (acb ane) neeE ro ownON M� vd ena mds eM �M �puimmmro ta
eppmllvmmvuctionancEdrtlonbomNaM y�wuDinrca.Raedr,elmmtiudionWpimiarenmemqhomNne
pwuuu.
Dma: AppfrsN:
WORKEN'S CONFENS�t10N OECLAF�TIOH: I�� y�� ��y paW�y d pej�ry aa d Na bAoM'uq Adsreiiom:
� 1 Mve vM wJ meinien s cenJ� tl mme�� io �atlrnvva br xohwi mmpa�uetion, a pwk�d Iv py Bwim J]W d �M LeEa
COM, ta iM pMmnenca d tln xM Ia wNcA Mu psni a WUW.
p � n.vs.M xi� meimen waFen• mnD�on'vmuee�m. n nmvad M saion mo M N. LeEa cod.. br �M W�«muw� d �ha
• wak la whlN Ne Dmme b mueE. MY vaMen' end VdwY �wmber ms:
�,,,;,,; ��'i1°Y��� ;�`�"'V�` E X P I R E 5
Pdic/ Numbr: W ��4 Jf 1 � o y O 1/ O 1/ 9 8
(T1ria ssctim mM rw! w mnWNM / uw O�x 4/w aw nundnE JdWs R�rol w 4nJ
� I mnh � in Uw pMmrerce d iM work Ior wfiYJi t�u peemil b iawetl. I WY np empby ury pscn In ury menror a m ta
become vuEjea to iM xaMa+' mmpenWion kw� d CeNmve. ne thu � 1 tlwuk Eacwne �ubjaa to iM MMa�'
ms ion mri�iom Setlbn �NO d IM LeEa CoM. I duG 1 d mmVH MM Qow pwubro.
me: �wr�wu:
w .ro:aaw. ..c rt..:�o�roM..tlonow..,o.�.w�r..na.� .��.�e c�.�.,n�oy..rocn,nwo.,.mu.ne
HI nma'q ro om ninerW IMuurold4n (sfOV,IXlOA „��n b IM cmt ol ronq�rwtbn dm0+i /s pnMWA ror ln
I 9�ctlm J1P6 0l tln l�Dor CoA. INw4 � lttonry� Iws.
CONSTIIUCf10N LENqNO A6ENCY: 1 IvoDy yfmn uder pe�Wy o1 prjry tM �Mn o e mutiutlbn 4d'vq e�pncy br IM
perlormanw d tM work la Miirh N's D�i u bwM (Seaion �041. C«. GI.
LENDEN'S NAYE �
LENDEN'S �DONEA4:
I ceniN IM1m 1 heva ned Ne WP�es�vi md uma Net IM abow'vdammion e mnaa. I ePM to oomplV wu� e0 aCY aM mnayad'vwce�
entl ewa lew� Metiq m diMiq mumtlion W Areb�' ualnca rtp�a�atlefiw tl Nu ayb W r upan tM eEv.a�meNcewd PW�Y
'°""'0°"'°"w`D°°°' CORNELZU$ KAYCE ' �
I,%
(5t51�a6.WP) WM1�s-��qBSelety:G�em�Fb:CenW-Aw�mn:Pink�in'enue:
CZTY OF COSTA MESA - BUILDING PERMIT
PERM NO: P 083966
PERMIT NO: P 083466 PLAN CHECK N0: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU � PURPOSE: CON
JOB DESCRZPTION : IN GROUND GUNITE POOL 6 SPA SQ FT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /
COMMENTS: REF:B-83963
****�**�t-�**it�t****+t*�rtie*�****r******�t**��****�t�x****��r*+t�**�rx�**�t*�t*�r�#**�tx�*�t�t**�e�t*
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUZLDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT ZN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14151128 ZNE: REF NO:
PLANNING NOTES>
i
�1F �E 3f iE iE iE if 3! if if 1k ik ik 1t ik k if ik if if if �E iF?F iE fE?f iE iE iE jE 3E af �E jE 3f 3k jE jE jf �k iE if �E iE fE k �k �f ff iE if iF iE iE i4 3E iE iF iE iE iF 1f fF 1f iE iE iE * if� �F jE �f �E �E �E i! if jf
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: /'�� I
BUILDING APPROVED BY :
APPLZCATION ISSUED BY:
it?f if ?E iE 1E iflE aE �E i! if �! �! i! if i! if iE ik ik M
LEGALIZATION:N
F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 59.25
252 SMIP/NON-RES
PLAN
ISSUE FEE 22.00
BUILDING-DIV-> PERMIT ISSUE PLAN-CHEC}t TOTAL PAID DUE
TOTALS----> 59,25 22.00 0.00 76.25 76.25 .00
REVENUE DIVISION TOTALS--> COLLECTED: '�76,25 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/TOT GRADING PLAN-CHECK
76.25
if�lf 1f if !k k!f'It if iE i4 if if'lE ifit !f if�! 1k ik lfik if i! illk ik if lkif ik df if !f 1f 1f if ikif ikif lflf')f�lf if it 1l1t IF 1fillf ik 1k�f'If 1k 3fif ff !f ifif')k if if #ib'1E'1f 1k if i! ik# 1E if
I N D I V Z D U A L F E E B R E A K1D O W N
TYFE (JTY D E S C R I P T I O N UNIT COST TOTAL COST
F�LU 1 SWIMMING POOL 59.25 54.25
END OF FEES
86-25-1997RCDTt�B�-9BBB273
PERMITeB83466
� CONSTRUCTION ANO PLANNWG
� APPROVALS Permit #
% 1. Temporary Electrical Service or Pole
2. Soil Pipe-Undrgrnd. � �
3. Electrical Conduit UtilitY-Undrgr�d I
4. Elettriwl Conduit�Undrgrnd. "
5. Steel Reinforcement +� �
6. Electrical UFER Grnd.
7. Footinqs
g, Foundacion
9, Water PiDe�Undrgrnd.
10. Structural Fbor Svstem �
11,'Property Sewer Line & House 6onnection
12. Sewer Cap . ..
13� Roof Drains
14. Rough Plumbin9 i
15. Rough Electrical•Conduit
16. Rough Elearic Wiring
77. Rough Wiring Sign
18. flough Elettrical�T Bar Ceiling
1g. Rough Nea2ing & Air Conditioning
20. Rough Factory Fireplace
21, Ducu, in Sttuccure
22. Ducts, Ventilating
23. Gas Pipe-Rough & Test
24, Roof Framing
25. Roof Sheathing �
26. T•Bar Ceifing (Structurall & Monocoat
27, Frame and Flashing
28. Lathing & Siding
29. Insulation
30. Drywall Nailing
31, Plasier Brown Coat
32. Electrica{ Power ��leier�Finel
33. F�nal Eleciric
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37, Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
qt, Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigat;on
44. Landscape Irriqation System -
45. Sound Attenuatian
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. PINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Souchern Califomia Gas G
Date
Date
POOL a SPA
Inspeetor qppROVALS Permit q�
52. Poo� & Equipment Locatio,n.-�
53. S2eel Reinforcement "
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVALTOCOVEfl�GUNITE
58. Electrical Conduit�Undrgrnd.
59. Gas Pipe, f� 1�,... , r 1., Test
60. Backwash Lines, P�Trap, O Undrgrnd.
61. APPROVALTODECK' �
62. Backwash & Recepior�Final'
`
63. Heater & Vent�Final ..�'
64. Plumbing System � Final y�i
I
65. Electrical�Final �
66. Solar System•Final
67. Fencin� & Access Approval
68, APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FiRE DEPT. REQUIREMEIV7
APPROVALS Permit #
7�. Uadergrou�d Hydro
77. Product Pipin9 � Gas ❑ Oil
72. Underground Flush
73. Undergrnd. Storage Tank � Gas ❑ Oil
74. Overhead Hydro
75. Dry Cheinical
76. Dry Standpipe
77. fIXED SYSTEM FfNAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
80. FOOD CERTIFICATE ISSUED
Notes:
Dace Inspector
r ,
1
s
�
��� .3 73
American Standards Testing Laboratories
8248 PHLOX STREET • DOWNEY, CALIFORNIA 90241 • (S82) 862-3772
COMPRESSION TEST REPORT � � ,(�" ��� � �
��T/ pF COSTA MESA
, ��� .,�nic. n�v�e�nP)
P
TEST MADE FOR: Max Sitter AUG 2 91997
JOB IDENTIFICATION:
LOCATION IN STRiJCTURE:
Mix Deaignation:
Admixture;
Concretc Plant:
Cemeat Typo:
Date Cast: �
LABORATORY DATA
LAB. NO. - MARK
2721 I A
P.O. Box 3454
Fullerton, CA 92631
802 Gallery CC., Costa Mesa
Swimming pool & spa - deep end.
FIELD DATA
4.2-1 Specified P31 Q 28 Daye
None Slump:
Vezn Anthony Ssmples Mede By:
II Date Samplee Delivered:
7-18-97
_ _Gunite__ _ _ _ __
_DATE , AOE AREA _
TBSTED DAYS
- - - - �. -._. _.
Respectfully Subrt
I Liseckes, P.E.
8-5-97 I 18
- - -• --r -----�
`'� ;E'�.
t f e d� Cii;�:�;";"`��
+ _ ;t -.,.�
10.18
_ COMPRESSIVE
STRBNOTH PSI
4420
2000
NI
Pete
8-1-97 by ASTL
REMARKS
i,,..
1I
�oc;asaemiomc: 80"l GALLERY C',[� uwr:
oxr�xsruueiraa�m: POLYGON SOOTH COAST ASSOC FLOOD: X 47
moxEss �5�51 ROCRFIELD HL
CRVINE, CAUN92718� 714-452-0600
wv�. �u�o �oonEss:
�xcxrttcronvuu�r�n: LL MAJOR & ASSOCIATES uuxo.: C-16869
ncx. on wc.•s �oon�ss: 15 51 N T US T I N A�� ur�r:
SANTA ANA CA 92701
CONIMCTIXf4N��c.
cwm�crorcs �uiwc
�ooxEss:
ua xo.:
uHr:
LICENSED COMNACTOFS OECLAHATION: I hareby eflbm uMm panely d perjury ihe� I am IicerueE under pwisima d Chaqx 9
(cammenorp wnh Seclion ]OW) d Oimion � d Iha Buarca eM PMeseians CaAe, erd my licenae e in IuA faca erd alletl.
cmuc.No.:066194 uc.cuss: H uc.No.: 659262 EXP: 11/96
Deb: CanraUor.
OW NEN BUILDEfl DECIARATION: I Mreby dfirm uMer penely al par'ryry Ihe� I em ezemq Iram tM ConVedas License lew la ihs
fdbwiiq renaon (5ed'wn ]W 1.5 &uiws+ end Proleasona Code: /.rry ciY a munty whirA �equiree a pmmil Io muvuci. ellr. impraro.
Eemolvh, a repei am� s1eu�Mure, pior to ils bauaMe, e6a rqWrea iM epplimM la eue� pemul to fik e eipriad eWemeM Net M a�M
o licenaed Wnuent lo Ihe pmiaiau d IM COMredan Liunse law jCAeqer 9(oommerid�p xi�h Sspion )000) d Oivebn 3 W IM
Buvnasa eM PrWassbiu Gode� rn ihel M or she is eaemq Iherehom entl �M bmw Iw IM albpaA a�emqion. My videtion d SaUion
]W1.5 b/ any eppliunl iw e permil wbjeUs IM epd� lo e cnl penelry M nd mae Ihen Me huMmd dotlen �5500�).
� 1. es ox+�m d tM propenY a my mmpbyeea wih wepea ea ihei eob mmparoetion. vrill Eo Ihe xwk, eM IM evw.iuro e iwl NieMeE
w Meead lor sele (Seetion )014. Bwirev end ProleaaiorisCotle: The Cm�nqaa Ueeiva lawdon nd epp�yloan oxnerd pope�ry
wM Wida a inv�� ���^^• �d Mw daee euch woik Nmaell or Mne! ar Nraqh he a Mr own empbyses, pw+EeE �MI wch
imqovemenre ere not inleMed ar dle�ed lor aele. II, however.IM1e buikiiq a inpiwromeN ia edd wnhin one yeerW oompl&bn, ths
V awnar-0uiker xill heva iM WNen d provinB � o� aha d'M m� build a impmve lar IM WNae d eab).
Pj l a. o..,br a ma o�wM. em e.aue�N oomreaina wnn ikemed comreawe ro cmmua ma o� lseeion ra�. Bw�mu ene
Pmfeaioru COEe: The Cantradae Licensa law Eoea 1w1_apqy to en ovmar d propeM ��iNs a impwae thmaon ud r.ho
conlrecd Iw wd� 0�1� �h e mmredoKe) I�icenaed W9� lo IM Conlretlan Liceme Lew).
� I em eaemp under Sectbn: B. d P.C., far thie reeaon:
Dale: Qrmer:
I da hereEy oeNly Ihm I em awua d arM uMemtend tha reQuiremenb d CelAomie Heellh eM Safery Coda 9aeian 25505,?55�3. eM
25534, end ihet I a eny Mure buiki�p oxupem will / wil nd (a�cb ona) mad to cwnply wih wd atals codm uM iM iepuiremmn M
epartnil/ormnawcibnamodifetunhomiMA'v uaTe y.�enepemenlDia�na.ReeidemWcan&iueioneppimioneereexamqimmUwss
a��..
ome: nnnr .�c
WORKER'S COMPENSATON UKLARATION: I Mroby dfi�m under parWiy d pxjury me d the blbxi'p dodara�iwu:
� IheveenAvnlmeiniv�ecerlHicebdmnaentloaell-imurebrMwken'wmpemelion.nyoviAWlarby5etlion3)OOdtMleEor
Code. for �he perlwmeMe ol ihe Mark br wNch Ihia permil is ie+uad.
�i] I hm eM xiE meintem xnMeA oompenamion insurarKe. m iepuiretl by Sedian 9]00 d Me Labor Coda. br iM perbrmmrca d �he
work Iw whidi mie pe�me �a ia+wd. My w«kere' �q����encg�p ene pdi�y numbm are: E X P I R E S
c�a,:
voi�y N�me«: — O 1/ O 1/ 9 7
(mis seaion neee iwr ae mmWeree l Me ro^^e is ra o�m nvne�ed dd�en /s�ool o� hs,.)
� I eenAy thet in Na peeloimenee d iM waek fa wfich ihie permn n iaeued. I Mell �wl emplry enY Vae^^ in enY manMr eo m to
becana eubjea m iM warkera' companaeiion le�w d CdNomie, arM aprea ihn N I MoulA becane euDjep �o iM woA�en'
companx�ion pmviaiona ot Sedion �)OU M ihe Lebor Coda. I ahell foMhvrilh campy wuh thaea prarieian.
ova: Aod�:
Weminy: FaNun ro exuro waMsn'rompxuatlon cnvereps la un/ew/ul, end ahsll aubJect an urploysr to eMMnsl psntltlu enJ
e/Hl flros up ro ons hwtlreJ tMu,eM EOIN�� (StW,000), In edtl/0on ro fh� cwt ol romps�wtbn, enm�pu u pmvlded bi In
9xtlon J106 ollhs LMorCoM, InMuf, entletfomsyl /su.
CONSTNUCl10N IENUINO AGENCY: I hereby elfirm uMer panely W parMrY �� �here ie e wnrruabn bMinp eperKy br tM
�IBf�Of111BfIC0 O� IhB WJf�t �IX W�1IC�1 �h6 �Bl111! I9 b811B'� ($BG1011 301�. CiN. Ci�.
LENDEN'S NPME:
LENDEN'S AODPE55:
I cenily Ihet I have read Ihis epplicetim end pele �hal �he ebave iMarmmion ia wrtaq. I eprea lo camply v.nh ell iily eM couMy adine'wee
enE eleb kvn relatinp b buildap constmdbn eM hemby eNharrze repreeentetives d Ihis dry lo enler upon iM ebwe-mentbneE pmpeM
'°""°°°"'°"v"'"°a°s. BOB YODER
Sipneiure d OwnetlApenVApplirenVConireda
(5151de.WP) Whilo-BuilAinp b Sd�y; GraerFle; Cenery-ADairant; Pink-flavenue; Ooldmeo�M+enor
t: i'rv �n� cr>�; rn MP:!!/� nu i i.n i nu> NI•:RM I"I'
CITY UF CVSTP. I�IE.;A — RUILLIIAIC PERMIT
PERMIT NO: B 078579 PLAN CHECK NO: 02772-96 A
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
JOH DESCRIPTION : 2341 SF LIVING/ 605 SF GARAGE
��t�t� �aF�: � 07�579
GOVT; N SUPP: N
PURPOSE; NEW
SQ FT: 2,946
CLAIM VALUE: 194,826.00 CALC—VALUE: 194,826.90 GROUP OCC: R-3 /O-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 3 .
*�t*etit*i�+f*rt+e�+��+t�t�tat�tat�-at**�r*ft*�r**ititftititatitx-*x��r*it*ft***rt**�t***it******ie�-it*at�atatet*at*�**�at
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN HUILDING ---------- ------- ACCESSORY BUILDING ---------
FRNT: 15 FT IN REAR: 25 PT TN FRNT: FT IN REAR: FT IN
LEFT: 5 FT IN RGHT; 9 FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ � 2 PROV; 2 PARCEL: 14151132 2NE: PDRL REF NO; PA-95-36
PLANNING N6TES> SINGLE—FAMILY FiOMW W/ATTACHED 2—CAR GARAGE
%
iE 1E 1k iF iE iElElE 1f !E 1ElElE 1E iE 3f fE fF 1E 1E�iE iE.lE ik"iElF1k.lk Ik'3E iF"iE iE 1E 1flf if !f iE iE if 1E if ik 1f if iflf 1E 1E 1E 1E 1E ff iF fE fE 1E �E iE iE 1E 1ElElF iF if !f �F dF iE �f �E fE iF iE aE 1E iE
D E V E L O P M-E , T : S E R V I C E 5 R E Q U I R E M E N,T S
ZONING APPROVED BY�" c__�/ DATE; •_
HUILDING APPRO�JED BY t�t'�� DATE:
APPLICATION ISSUED �BY-; ' �A� DATE: � IZ' (�
�u��r�***x*���t***�**x*�* *�r��**�xx*�^��**
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/RES GRADING
PERMIT 1,362.25 19,48
SMIP/NON—RES
PLAN 221.37
ISSUE FEE
HUILC�INr,—�alV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUH
TOTALS----> 1381.73 0.00 221,37 1603,10 1603.10 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 1603.10 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMTP/TOT GRADING PLAN—CHECK
1362.25 19,48 221,37
1f iFlE 1f k 1E 1E iE 1E 1E fE iE �f 1E 1E �f fE fk 1E 1F �t iF fF ff 1F if 1E jF 1E iE fk iF 1k ff 1Elk if fE 1k if !F!f iF iE iE 1E fE 1E IElE 1E fFlE 1F fE iE 1E 1E 1ElF ik ff !f �E 1k iElf if 1E 1FlF 1k 1E fF 1E 1F 1E if 1F
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 2J41 DWE—TYPE V—WOOD FRAME —GOOD 77.90 182,363,90
SFR 605 RES—GARAGES TYPE V 20.60 12,463,00
END OF FEES
CONSTRUCTION AND PLANNING PO� _& SPA
�_
AFPROVALS Permit # Date 'I�spector qppROVALS Permit # Date I❑spector
i. ffemporary Electrical Service or Pole 52. Pool & Equipment Locauon
2.� 5oi7 Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. f{/��C � 54. Forms
`�•l'
4. Electricai Conduit�Undrgrnd. 55. Electrical Bonding �
5. Steei Reinforcement 56. Rough Plumbing & Pressure Test
6. Eiectrical UFER Gmd. ��'/�/�` 57. APPROVALTO COVER•GUNITE
t �
- 7. Footings ` 58. Electricai Conduit-Undrgrnd.
$, Poundation ��j. �� 59. Gas Pipe, O Undrgmd., Test
9. Water Pipe�Undrgrnd. / 60. Backwash Lines, P�Trap, � Undrgrnd. �
10. SiPuctural Ploor System 61. APPROVAI TO�DECK .
11. property Sewer Line & House Conneaion 62. Backwash & Receptor�Finai
12. Sewer Cap 63. Heater & VenDFina�
13. Roof Drains 64. Plumbing System - Final
tA. Rough Plumbing 65. Electricai-Final
15. Rough Electriral•Conduic . 66. Solar System-Final
16. Rough Electric Wiring 67. Fe�cing & Access ApProval
17. Ruugh Wiring Sign � 68. APPROVED FOR PLASTERING I
78. Rouyh Electrica6T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT i
20. �Rnugh Factory Fireplace '� �� - APPROVALS Permit,-� '
27.�Ducts, in Struccure ' 70. Underground Hydro
22. Ducts, Ventilating � . 71. Product Pipin� U Gas ❑ Oil
23. Gas Pipe-Rough & Ten � . 72, Underground Flush-_ i
24. �Foof Framin9 _ 73. Undergrnd. Storage Tank � Gas r Oii
25. Roof Sheathing �/(�� . G7'" .� 74. Overhead HYdro � �
{ �26. T-Bar Celling (Structurall & Monocoat . 75. Dry Chemicai � '
27. Frame and Flashing �/�f /�y�i � 76. Dry Standpipe �. . �
( �7
28. Lathinq & Siding �/'���d � `%'�'��,. 77. FIXED SYSTEM FWAL -
29. Insulation '� `fJ�/6 �c`�- 78. FIRE PREV. FINAL �
30. Drywall Nailing � r� � /G HEAITH DEPT, REQUIREMENT
31. Piaster Brown Coat -�� ��/d _ 79. FINAL INSPECT�ON
�
32. Electrirai Power Meter-Final � 80. FOOD CERTIFICATE ISSUED
33. Finat Electric � . ' Notes: '
34. Fina! Heating & Air,Conditioning - � -
35. Final Gas Pipe-Test
36. Hood or CanopY � . � . -
37. Pinal Factory Fireplace � '
38. Final Plumbing . � '
39. 1Mater Service-Final � �
' 40.-Gas Service-Final
41. Sclar pomestic-F(naI �
42. Bsckflow Preventer '" -
43. 82ckflow Irrigation '
44. LandscaPe Irriqation System . . -
45.�Sound Attenuation �
46. Handicap Regulations � � .
47. FINA�STAUCTURE&BUILDING ,a.�'1_g G='T��
4$. FINAI PLANNING. .
49. Electric Release to Edison -
50. Gas Release to Southem Califomia Gas Cn
5Y. GFRTIEICATE OF �CCUPANCY
No. Date
oOC� Hall & Fbreman, Inc.
�� � e Civil Engineering • Poanning • Surveying • Public Works
December 10, 1996
Building and S�fety Division
City of Costa Mesa
77 Fair Drive
Costa Mesa, CA 92628-1200
Project Address:
Lot Number.
Permit Number:
By Civil Engineer.
Tract No. 15211
73
GRA075893
�Od ��ll evy C.�-�
4665-GRA 10
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% full from structures within 5 feet from exterior walls.
I% Pall for asphalt surfaces and landscaped areas.
0.5% fall for concrete surfaces to approved dispos�l areas.
The final monuments as shown on the recorded tract map were set. All final grading elevations are
within ± I/]0 of the desiened ele4a[ia�ns.
Supervising Civil Engi
13821 Newport Avenue, Suite 200
Tustin, California 92780-7803
Tel 714/5443404
Fax 714/544-3155
37445
�' z /�" 6
P.
� No.37qq5
� �• 6/30/p�
�
monEssaeuim�c: 802 GALLERY CT ���
axxeWswweieaxm+:•POLYGON SOUTH COAST ASSOC FLOOD: X 47
�' �,00ness: 15751 ROCKFIELD HL
UNIT 120
IRVINE, CA 92718 714-452-0600
.��. ��.�� 7 3
��
u�exnecrox�ae+�+: LL MAJOR 6 ASSOCIATES ue.xo: C-16869
�xcx.on�o.�s�,00xess: 1551 N TUSTIN AV unr:
SANTA ANA CA 92701
WNINACTORSNII�
cwm�croas xuiwo
AODPES4
)
11G W.:
uNr:
LICENSEU COMflPCTOp3 DECLAFATION: I heraby ellim u�Mm penely d perjury Nel I am IcenmE unEer prwnbm d Cheqa B
(cmunandM wv� Sxlion ]000) d Oia'vun 9 d Ne Buavnv eM PiWm�ims COEe. uk mY ticmx u m htll lau W aflatl.
cmuc.No.:066144 uc.cuss: B uc.No.: 659262 EXP: 11/96
Dme: CaMeear.
OWNER BUILDEP DECIAflATION: I Miaby elfirtn uMer penely d perjury Ihet I em mmmq /mm tM Con�repm Liunea Lew la Uro
IO�OM1�0 A99M ($ltliC11 JW 15 &tlMfa BM PTiB�o�u Cadl: AT' c�Y a WU1111' w�11f11 TiuiRO e M�Y 10 WrohVtt. eOM. �1�Ip4V1.
Mmdsh, m repv arry evudure. par b 44 "vwelce. ebo nqu've� iM epplimiu td wc� pemu io fib e dpneE petmrN tlW M a�ha
• ficeneed w�t io tta pa.nions d Ihe Camrmoro lioeme lew IChequ B(mmmenenp wu� Swion ]UW) d Oimian 9 d IM
Bwmea eM Pra1e�um CoCal «thet M a ehe o memq IheraM1a+i eM iM Eeois la IM dNpd awamq an. My vbW ion d 6aain
>Wt.5 Ey vry eppGaeu lor e pmm! wbjW� iM eppl'sm �o e dW penelly d nal man �Mn IN� hunNeE dolen �SSOOp.
� I.00wrrrd�MP�We�Y«nNomGM+eswlhwe0e?mlheieobcamG�.�TEolMxwk.enEIM�UWimind'vqeMod
«MereE for vab (5acwn )oU.Buzma aM PrdmavuCadc: TMConirmae Liuru.lawdoa rid eVGNloen oxnera popaRy
who b�dM a inpo+a� Ihateon. vd Wn Eoea eutl� v.ark himaetl a hanM a Waqh he a!s mm emVbYM�. pa'ded IM aith
impmemmu ve nol'vuaded n d1aeE la eeb. 0. Mwmer. IM Gutl'vq a inpaanmtl e wltl wilAm ar Yw d camWMion. tlr
�ow�wr-0uiNx WI hm iM WNen d po+iiq M a ehe d'd m� dnM «imprma la �M µnproa d eeb�.
i. m a.n« a ine ww.ir..m d�N oomrec�a wan cwmea canirecw. m oonaw u» wq.a csw'v, rvu. an:�...�a
Prdmtiom COEe: �The Caureqae limrca lew Aom nd eDDN.b an ow'er d popMY Wn bWtl� a nPa'w Ilwem end Wq
convecb lir axi� popaa wnh e aoMMw�e) Icaroed Wnuem to tM Canimaas liuna lax�:
� lem�� ��:� 8.8�,IarNi ee n
Dme: ��T_
i eo nawr �v ma i�.�+..e a.m �d..�e ub Am,��.w a cwom e sm.n coee sw�. usos. zssb..�d
?551'. W tlW I a mY Mun W2Avq om�peni xiA / wil rwi (mcY an) med wiA uid mi� mdu mM �M �w�memw br
eP��InoonalrunianamodifimtianhanlleAi�iei�Tiy eneW��Dipritl.RmiEmtulamC�ui.tianeVV��iwum�*�mqhomtM�
a��
Dem: �pW�
WOPKEP'S COYVENSATON DECWiAT10N: I Mreb/ df ivdr pra4y d pe'ju�y ans d Ihe IOAow'vq dMvm"au:
� I luva eM W memlain a corlfWe tl odmN Io tetlinsm Iv wqksY mmpenW'cn. n pvridH M by S�tl'vi �]00 d IM LeOa
Coda.lor tM pMamvica d Ne xwk ta wlw�.h i�is permn'v'vaueC.
�7 in..e�dw�vd,w�e„��,v�o�mw�.�os...�ww.eMs«a�,arooam.�w«coa..�m.o.i«+�.�.am.
aM la xfiidi Nu W�� u ivued. MY waMn' ion'umttuica fanix vd V��' mmibat aa:
�,,,;,,_ CI�PRESS INS E7tPIRES
aa�,N�mn« - O1 /O1 /97
This wCiun rped iml be ewnVb�� l Ne Pa'�^l ia M aro hwebed ddlem �5100� ar Np.1
� � CMI�Y �IY 111 �I! �MIIGIIf<OI �M WOI�I iM'M�ICh ��11� plflllll b YtIMI�. ��� fIG M11�' dlY pGlS01� M M/ TW W p tl 10
bcana wbjed lo �M xoAws' compmution lexs d Callomu. aM e0ns iM1tl i I�hadd Ecaro wbPd �o tM wlun'
comro�co w�+oro d ssa�on nao a ins �em. coa.. i nn �in c�� �. po.��.
om.: �J i.i 9� L wd�:
WamNp: HOvn ro.se�n warkw�'rompermtlon rovsnp� li un4wM • �Nef �n urployw roWMrol priWr uW
elNl nnu � ro ms h,srdred HauunA Ao/Yn (sfOqOdOA In atltlltlon e M. e ol nmpsns�tron dem�p� u porltNd ror In
S�ctlon J106 0l tlro Lffior Cods, IMrvL +� ��hV+ �
CONSTflUCIION LplDINO ROENCY: I MreDy dlum uMar pereM1y d perjury ihm tAen u e omal�ion bMup ypicy br rtr
peA«marwe d tM xork fa xfiid� the pmiY u ewed (Sadion 30B]. Crv. Cl.
LENDEfl'S NNIE:
LQlDEN'S ADOflE44:
I ttniN �hel I law eead U�u WP�iwian aM pet� ihm Ur �bove'udomwion u wrrep.l �e� lo eomNY wGh ap W md mmtYa�d'vwm
enE stete kws reWfq b MNdvg em�trumon eM Mreby eulhoeae mpaventetirm al Ria eryto mux upon iM eEm�e�meNivrE papMy
t«�roroa�w,o�. BOH YODER _ . , ..a.. . _.... �.-.__.. .-.-.. -.- �.._.- --_.r
� ` N t{!y�M
/J — De1e: ��
Sq u d er/ApenVAppiruil�tmireqa
(5151�6.WP) WAne-BUJEiq 8 Selny: GreemFb: Ceiwy-Appirant: Pink-Rewnue:OoWemoA-M�evor
/
CITY OF COSTA MESA - BUILDING PERMIT,i" ''�-�
'' PERM NO: P 078582 �
PERMIT NO; P 078582 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V-N PERMZT TYPE: PLU PURPOSE: NEW
JOB DESCRIPTION : 2341 SF LIVING/ 605 SF GARAGE SQ FT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 3/ REF B�%� 7�
�F�F�EIFlFlE#7ElF�F�E�F�FIFIFIEIFIEIf�E1FIFIFiFiEiFiF�EiF1FIF�i4iFiFaFiFiFiE�F�FaFiF1FIFKIF�4MIFIFIFaFiFiF�F iFiF 1f�fiFMMitMiEiFiEiEKafitiEiEiF
Z O N I N GS ERTEB�AUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT ZN FRNT: FT � IN REAR; FT IN
LEFT: FT IN RGHT; FT SN LEFT: FT IN RGHT; FT IN
PARKING REO• PROV; PARCEL: 14151132 ZNE: REF NO:
PLANNING NOTES>
% � a �� -
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D E V E L O P M E N T. S E R V I C E S• R E Q U�I.R E M E N T S
ZONING APPROVED BY , '� � DATE:
. �
BUILDING,APPROVED BY : • �� DATE:
��.� /,' (.
APPLICAT^ION ISSUED BY: �' (�/� � - � " DATE: 7' �Z'9
M1f1Fik1l1E7F1t1F1E1F1kIE1FM1F1l1F1E1F1kik 1EIikiEMlElElkikik �E1F
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
�. i � .
BLDG PMT pLUMBING ELECTt2IC MECHANIC FIRE SMIP/RES GRADING
PERMIT 198.00 - �
r � �' .
PLAN z5t . r. _ �„ �� SMIP/NON-RES
ISSUE FEE 22.00 ` . � •� • �
BUILDING-DIV-> PEAMIT ISSUE PLAN-CHECK �TOTAL PAID DUE
TOTALS----> 198,00 22,00 '. , 0.00 ! 220.00 220.00 ,00
.�
REVENUE DIVISION TOTALS--> COLLECTEU::�',. ,220,,00 OVER/SHORT; ,00
BLDG PMT PLUMHING ELECTRIC MECHANIC' �'FIRE SMIP/TOT GRADING PLAN-CHECK
220.00 -
� �.I
�
*�'K'�****�'��'**'**�'**��{'****K'K'*K'K'***��'K'*�'K'**�{'*�**�'.'��'�*�K'�*X'**�'**X'*****�'**�{'*�'**K'K'X'*�'
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
, � R A
PLU 2. BATHTUB `' 8.75 17,50
PLU 1 DISHWASHER - - '� � � �` � 8 , 75 8 , 75
PLU 2 LAUNDRY TUB OR WASHER, ;", _,; r� �" ' 8, 75 17 , 50
PLU 2 SHOWER , ! _ •; _Y � „' . _ . 8 , 75 , _ 17 , 50
PLU 1 SINK, KITCHEN � ' , �.�, __,.,�, . _ � � 8.75 ��, , ' , � 8,75
PLU - 5 ,"WATERBCLOSET_ (TOILET; "'" "" �' "�`- "" '- 8•�5 � - '43,75
PLU . . _ 3 )._�.._... � 8.75_...�.. ._�......._....� 26..25.. .'.
PLU_ . _ _ 1 ,,,_ _ WATER HEATER _AND_/OR _VENT__, v -`y...`�� �,: _�"�11,, 00,,, _,�_,_,_ 11 , 00___
PLU . 1 WATER SERVICfi " 8,75 �`—" 8 75 �
PLU � 1 ,GAS„PIPING._SYS OF' 1_T0=4,�OUTLETS�`�"""5,50 ����"'"� 5 50�,-_
,PLU „ ��,2,,�„ GAS„ PIPING SYS__.�5+,� OUTL �PER„OUTLET`~,�,� �:�1:�,00, �„__„�`�;;�'; "'y 2,00�-,
'\ .
t
CC1jUSTRUCTION AND PLANNING POC iPA
� , AP�OVA�5 Permit # Date `Inspector qppROVALS ~ Permit # Date Inspector
, i..Temporary Electrical Service or Pole 52. Pool & EUuipment Location
,,,...
•2. ,�oil Pipe-Undrgrnd. r � � _�G �.� 53. Steel Reinforcement ��'- -' �}
" )
� �"3: IectricaT"�on�uic Uulity�Un�rgrnd. - 54. Forms . ' � G' -
�. ry
'"]'-- , G +y �' r •- �
,y�_rE�e�tricai{G�_o�uit�Undrgmd. . ��,f 55. Electrical Bonding - �
%5.'$Ceei Reirifo�c�rment 56. Rou9h Pl�mbing & Pressure Test C ��" �
�rSV.C� �\'
-;,Cs���ElectricaiklF,�R Gmd. 57. APPROVAL TO COVER�GUNITE T �
i�hi Footings �c1 - 58. Electriral CondGR�Undrgmd. �'�
��
^�i Foundatfo�. 59. Gas Pipe, � U�drgrnd., 7est
. W,ater Pipe�Plndrgrnd. q/ � 60. Backwash Linas;f'-Trap, �.4lndr�md.
,.. '2--/�C
,:1� St uctur� Floor System ' 67. APPROVAL TQ;OECK -�
d 1. Pro.Perty�$ewer line & Hous,e_Connection �-rz3-�YG - ��gZ. gackwash & Receptor�Final •-;
�12. Sewer Cap � �" ---_ %63. Heater & Vent-Final .. '
� r
`13. RQot Drains ; � � ' '�=' 64, Plumbing Syttem � Final `•� .
'J4. Rough Plumbing �, ��-� �C 65. Electrical�Final '
�75. Rough 2�ectricai-Conduit ..,. 66. Solar System�Final . ="'
`6. Rough E�ectric Wiring 67. Fencing & AccesTApproval
77. Rough Wring Sign " gg, qPPROVED �$PLASTERING '•
�-18. Rough Electrical-T Bar Ceilin�g 69. POOLlSPA S`FS?EMS FINAI.
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20.,=Fto ` h hactoi�Y Fire �lace �. � , �. ' , � ^, ^ c�r+.oF ct L _ „ �rc-�-,�-^ _ - _
ug P � C� T= APPROV�AiSSC Permit# • �.7-_:�-+ �
L T : -.•3 �+`".rH 'l
21.F{.�l iLJti� �ia .. . T< � � � ' � �� � �
Du s, i` tu ,� � F .�.5 • S O ��� �O.�.UnderQr�ou�d dro ;
,_
22. OuG�s, �{fnti(�tir.g, � .`S x � S �a: *% 71. ProdJEt�ipiny�TlGas LlOil
23.'.GasEf'ipc�'rioy�h &"f�;sc � ';,, � !� ;/_46 * . 72. Undeiyr�su�d f�'� ; �
24.:}iod-Frazning. ? ; � �� -_ ,: � `; - 'r �'" 7�, Underg�nd.St� Tank OGas �.C�'+F- :'-�' �--- -
-�
25. Ro�YShg�thing � ti • �' � 74, Overhea� Hyd�aF' :h
v.a ` i _. �� �.
26.;7�Ba� Ceiling (Strec�uraq & &tonocoat _ � ti ;n� P5�. Dry Chemical -� .� .- _ -� � � ::33 � -�
27."Frameand Flashr�' r � y 7�'. Dry Sta�ipe=�E'� "= '-�`� `� �-�`�F^ `` ":
r 1 . 4 r, �� Y r'.7t t-�qG k 1�.SC7CT1
'; 28.`"latldin Sidin f-Yy ^,'�` " v • • �a- • � . ... -s *: .
� 9�F 4_ v `.�tS .� F . .'..r 7J'. FIXEQ��'SSTE1�,$FJNFtl.✓ ='tGR: S -
��
g a �1 r-: .: .. '� .Y. 6: ' I . . -...
29. Insulatiqn ,y.� � � i �` 7$�IRE PREV. �'�I�L x^ �- '� Fi�'vd .��
5-
r _ 9 � .. � _ � � ~ �e v x i , � �
� 30. Drywall Nailing y t r � � .. •_ •�kfEAL . DEf�T�..REQIJIRENF�N'�-�rr;-;�-+
31. Plaster �bw Co�" ' _ _ � I �, 73�'.�'tNA��.N�PEC'pON � = "' - �� ' ;`�-'`.
, 32.�Elec[ricajPe�?ri�Ler�inal. rE c;v i .ti 89� FOODCE TIF��ATE�55�UED ` -
99�iniTFlnnt.ir :TI%� �T +:" I , �' nTn�oclf r�G/�'�E �'n� _ h'Iii�I'/1�1 %/I�
r . v' ' �, r u, i , - .- r: [*1 [ � a t'
34..Fina!-He`dung&Air; o 'tion' ;_ �; � -
� �= � � , � , � {' -6-`lG � C�R=:q-�sT�-�=�_c�-vz.' z-�m.�_.�
35.;Rin3hGasPip�•Test'� �' "'�/J" G��J �T K Q� ns ^ ''*i5 �x /� -
-i �' .. �a �? CI�LL- _K L _ � ^ O-C-L� �I� ���� �t=��j�{ -
36.'}ioo`"� orCanopY °',t, ^ � � .' - * ; , � � '* �c �r� �� / ,,dR�
- - �=23-�1 �✓_ ��wo -
37.'Fin2I:FaGtory Fir§'fli9ce' � �- " f -' � F' � � `*_��- =
.. .., k � � � ` z rJ � y �T3i �'j�T ^%uf.rC�.� � «5�� .�---
38. Fina}Pl�bing „ � '� ���-� _-
_ �z�--�6 2�-t� ����� - -
39. Watei Service-Finel � � � .� � "'
� -- c �a� � k' ? Il� � - �� y_4-s^�-�5��r
-r v i a. r•= #. � r
40. Gas Service-Finai; ;� z. tf�,�,. �
�z'�i'r!_ -- r Z` fi ��--�-���L�.._iTZ_
41. Solar pomeSticFinaJ ,r •� > � 'y� ¢o ,�. r.
i-ri e �s: - `-: c x
42.�ackflow Preventer � °"' �� * `- ' �; �, �� ` =
7�-4 -sr L F c ^ �
`€-a'-'�- -
43. Backflow Irr�tiony � ='�s� JZ�.1z I ;. x!- a n _ �w�--= = -. = - .-
�44. Landsca Ir atio'`S srerr�,��.y.� ` �- °� - ��, '. �� -. _�� -, _
�� .LiQ 2 Y ¢: �� �-4� �� k _ tti :.i _.� �: r. 't,; ., ��-.: ' _�..
�.45. $ound litte�aiion� :� � i- r !< t- F t' r^ �-+ c• �� �; * y
� r ir . r rT �-. p «
�6.`-iiandicap Regulatio�s � � * �' ' " '•' � � � '�_ ••" `
� 7� r. "c 'r S •:
47.,FIMflL STRdCTURE & BUI�DiNG r � .� S � a
x c. � �� �- �.r c,
46. FIN�L PLAHNINGY �;;m ; c. i � ry rt :., �, ; F;
. "
-99.�IecGic Release to fidison �r � z �� � �-;
'50. Gas Belease to Sout�iern Californ� Gas Cn ; � � :. ;r. ' � ` ". .'
..
51. CER7IFICATEOF .CCUPANCY' , , . � �,_ � . _ ; , _ � , _
No____.. Date __.
�oonrss a aw�owo: O L G�QLi,�%Lt� �
OMNEa'S IWIE IF plOYIN: �
JUDXE55:
�rr�. wuwm �oo�ss:
YMXRECT OR Blf�NHA:
1PCR OH FNO.'S AODf1E54:
uc. ra.:
CONff1ACTOWS NAME:
CONfNACTOflSNYf1N0
�UONESi 11L.N0.:
uHr:
uxr:
UM:
LICENSE� COMFACTOFS DECLANATION: I hereby � uMx parely W pa�ury Nm 1 em licenaed uMar prwiaiau tl Cheqr 9
(mmmemiip xiih Seciion )000) W Diviaun � d ihe &roi�reas e�M Profeeaions Coda. arM mY limnae a in lull beca erW eMed.
CITY LIC. NO.: LIQ CLA4S: LIC. NO.:
De�e: Comrea«:
OWNEP BUIIDER DECLANRTION: I hareb/ elfirm under penaly d perjury �hq I em ezemp Imn ihe Conveaon liuma lew la Me
idbwip raemn (�im'l031.5 &�e'viess arM Pmfeasbiu COEe: Airy cYY a mun7 �� �0�� e pa�mil lo comVucY. ellx. impo.e.
demd'eh, a repei eny nvuctun, pmr b Gs'oN�erKe, abo ropuirea the epqkaM /a such pemi! lo fib e eqind atabment Met M a she
s IicemaE W n�e^I �o tM pw'vions W IM ConVeqom Licenu lew �Cheplm 9(commena�p vrilh Sedpn )000) d Diveon � d IM
Buainess erd Prafaasiona Coda� or IMt he or ehe ia examq therehan end �M beso la the ellped uemq'vi. My vidmion d Seaion
)031.5 by eny applirant lor e parmn wbpde iM epd�� lo e avil penelry ol iwl mwe Ihen Me huMreE Eollen �f500��.
� I, av ownm d iha propany ar my emD�M'�a �h wegae ea thei eab campenee�bn, vrill da tha xwk, end iM etrucluro e �wt interidad
w dteeed la eele (SeGian ]w6, Busimse entl Professbns Code: TM Conlredon lironse lawtloee iat epplyloen ownerd popary
who Witla ar inprwea IMreon, end xAw doae auch waAc Nmsell rc henetl a Jvouph he a her own ampbyaes, qovidsd Ihet wch
impwementa ere rot inteMeE a Weiad Irn eda. X, Mwevar, ihe W itliip a inprwemam u edd xnhin wre yaer d mmpinon, the
awner�Luilder will lave IM burden d poriip he w slia d'M m� buiN a impo.e for iM purywe d eab�.
� 6 m owrer d �M vw�H. em ud�eN mntreaiq wnh IiceivaE comredae to mruvua Me VM� (Seaion ]oU. Bus"vme aM
Prole�ma Coda: Tha CaNratla+ licmae lew doae na epply w en oxirer d popany Ma builds n impovw Iheraan and who
wnttacl5 (a wM pqeda wnA e conlreda�e) liensed Wnuenl to �M Caniretlas Limnee Lax�.
❑ I em exempt uMer Saclbn: B. 8 P.C.. br ihie reeaon:
I do hareby uNy Ihet I em ewera d vd urderelend Ne rx�uiramenta d Cel/omie HeeXh vd Sdery Cada Sedioeu 255M5. 25533, erd
255�1. eM Mei I a enY �ure buikup xnpent will / wil M(d�cb aw) med lo comply wlh eek qela cotlm arM the iepuimn Ws br
eG��formce�n�ionamodifmtbnhomiheAr +�anepertem0imiia.ReddmioloonmvaionePW'�iomenexemqhomtlree
qwisims.
Dele: ACd��
WOHKEN'S COMPENS�TION DEttAH�TION: I hareby alFrtn unEer penetly W pa�ury one d ihe bllowi�p Aetiveliane:
� I have and wil meinien e cMificaie d mneani �a eaHiroure la wakeii mmpe�wtion, u yovidad Iw by Seabn 9T10 d �M lebor
Cade, lor IM pe�amance d Ihe xvrk Iw Mich thia peimit ie 6vued.
� 1 Mn W v.il meimen v.wken' oxnpmue�un imure�. m roqu'vad by $edion 3)00 d Me laba Cade. far tM pulormenae d IM
work ta wh'rA ihia G�� o�uad. My waken' canDa�emion inwrenr,e ferrier vk V^�wY riumber ara:
Cemu:
Pdicy Number:
,lhi9 aMion need na be complBfeE! fhB pemrs %a br onB hunCreC EWIen (S100f W bsvJ
� I ronN �� in ihe pMormeue d �he wak la whch thie pe�mil ie iaeueE. I eMll iwl empby eny pe�aon m eny meniwr eo m lo
Exoma euNae �o iM xoAen' comoa���ian lewe a celil«nie, uk earee thm R I MouM bacome wM«f �o iM woiken'
mmpensetbn provieiau ol5eeion 3ro0 d ihe Lebor Cada, I ehdl lonhxilh mmpy xiN thws pm.�uions.
Oma: AGd�:
Wemllp: Fellun ro ueuro worteri rompaiuetlon rovsraps L unkwN( entl ahel/WbJect an mp/oyer ro cNMnsl poneMu aM
clHl flms up ro aro h�nOretl tMuurMWllan (StOq000A �� +��tlon ro fh� cwt ol ro�vwvatlon, La�nps� u povlEW ror In
9�ctlon 31P6 0l Ms Le6or COM, l�rtau( entl ettomsyl Isu.
CONSTFUCTION LENDINO AGENCY: I hereby eifi�m undar penely o/ perjury ihel Ihem u e conArudion bMirp epenry la Ms
p„fama,ce d ine .on �« wnim ina oa�� re a•�d (swon �os�. cH. c).
LENOEqB NAME:
LENUEP'S ADOPE55:
I cenM �� I heve med ihis epplimtion eM ste�e 11�e� iM1e abave inlorme�ion ia conatl. I aprae to comply wilh ell ay aM oounry adiroMes
eM ewe levn relelm0 �o buildvp construqion e�d Mreby eWharae ropexntmivea d thu ary to anter upan the abrna�memionad poperly
brinapedan vurposes.
Dme:
$prWure dOxradAgmVApplranVComm]a
(S151JB.WP� Whib-Buikmg85dety:Oreee�Fle;Cenary-ApplimM;Rnk-Ravenue:OddeniaE-Aamseor
PERMIT NO: P_,,078582 PLAN CHECK NO; 02809-96 N ,
x �rx��rxx�rx�r*�r***x*�r�r�r*�*��x�*�r�r+r��r�r�r**�r*rx*x��r�r�r�r�r**�rx�+r�rx�r�r�*�rx�**x�*xxxr�rx****�r�r**+r
TYPE (JTY D E S C A I P T I O N UNIT COST TOTAL COST
PLU 1 GAS SERVICE 8,7$
PLU 1 SEWER, CONNECTION TO HUILDING EACH 22.00
END OF FEES
T
�,^,i{"�_ , r _ _- ii, � .
8.75
22,00
' CONSTRUCTION AND PLANNING POO >PA
�� APPROVALS Permit # Date Inspector qppROVALS Permit # Date lnspector
; 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
°2. >�il Pipe•Undrgrnd. 53. Steel Reinforcement
3. Electricai Conduit Utility�Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrica! Bondiny
5. Sieei Reinforcement 56. Rough Plumbing & Pressure Test
6. Elettrical UFER Gmd. 57. APPROVAL TO COVER�GUNITE
7. Foatings 58. Electrical Conduit-Undrgmd.
8. Poundation 59. Gas Pipe, � Undrgrnd., Test
9. Waier Pipe�Undrgrnd. , 60. Backwash lines, P�Trap, 0 Undrgmd.
10. Structural Floor Svstem 67. APPROVAL TO DECK
1 t. Property Sewer Line & Nouse Connection 62. Backwash & Receptar�Finai
12. Sewer Cap 63. Heater & Vent-Final
i3. Roof Dreins 64. Plumbing System � Finat
14. Rough Plumbing 65. Electrical�Final
15. flough Electrica6Conduit . 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access AnProvai
77. Rough Wiring Sign 68. APPROVED FOR� PLASTERING
18. Rough Electrical-T 6ar Ceiiinc� , 69. POOL,'SPA SYSTEMS FINAI.
19. Rough Heating & Air Conditioning ��� FIRE DEPT. REQUIREMENT
2f3. Rougti;Faeto`ry Fireplace �- APPROVALS Permit �
2�; DL,^s;en Structure �-�- 70. Underground Hydro
�-
��L Qkcts,.V.entilating �-- 77. ProductPipingDGas ❑Oil
24:-G�sPtpe-Rou§h&Tesc "� 72. UndergroundFlush
�' R'ti�,�-€rdming 73. Undergrnd. Storage Tank `J Gas ❑ 6i1
5. R6o` Sheathing 74. Overhead HYdro
,
2§, T`BarGe�ling�Structural) & Monocoat 75. Dry Chemical
2R. Fram2T2nrrFlashin9 76. Dry Standpipe �
�
28'. Lything&�d.ing 77. FIXEDSYSTEMFINAL -
29. IAsula�jonF � 78. FIRE PREV. FINAI.
30. Drym�all N.a�+',�Img HEAITH DEPT. REQUIREMENT
31. PISsre� Brow`�Coat 79. FINAL INSPECTION
32. E�ectrlcai Po�er 0.Aexer-Final 80. POOD CERTIFICATE iSSUED _
33'. Final Electric Notes:
34'. F�al Heatin��Air Conditioning
3.� Finai 6as PiQe�Test
r r
3��'. HQod or Canap,y
�
3T F7nal Factor�P'vepiace
�•
3$: F�al Piumbing
33� Vs�eter ServiccFinai
4�Pi,. G'�s Service-F�inai
4.i. Salar pomestic•Finai
42, B�ckfbw Preventer
_ ✓
43. Backfiow h.rigation
44. Lpndsiape'�t4�gation System
45. So�nd Attenuation
46. H�ndicap Regulations
r
4�: FlNAL STRUCTURE & BUILDING
4�: FfNAE'PLANNING
49. Electrro Release to Edison
50. G�s R'elease to Southern California Gas Co
51. CERTIFICATE OP OCCUPANCY
No. � Date
/
enonessaemiowo: 802 GALLERY CT � uxT:
a�xsicweivaaxx: POLYGON SOUTH COAST ASSOC FLOOD: X 47
mo� 15751 ROCKFIELD BL
ONIT 120
IRVINE, CA 92718 714-452-0600
uv�. Yma+n �ooness
un.w�crone+mi�nn: LL MAJOR 6 ASSOCIATES uc.xa: C-16869
,�,op�u,•g,��: 1551 N TUSTIN AV uNr:
SANTA ANA CA 92701
w�m�crarsruxE NOVA PLUMBING INC ( 714 ) 556-6682
cwm�croxswuw+o 3103 W CENTRAL AV
��� SANTA ANA CA ��; 457898
92704 �;
UCENSEU COHTN�CTOPS OECIAR�TION: I Mreby ellim uMx ponely d pujury Uel I em licsneed wdx prwiev�s M Cheqr 9
(mmmmdn0 wah S�nian )000) d Oi."vion 3 d tlw Bwi�av enE PNaaiuv COEe. eM mY �ww e m hA bm erd aRW.
cmuc.No 066546 uc.cuss: C 36 u,c.1No.: 457898 EXP: O1 /97
om.: li c�a« NbUIQ �[ IA� ���
OW NER BUIL EN DECLAHATION: 1 haaby etfum wiEer peu�Y d parjuy �het I em eramp han iM Caqretlm lim�ue la�' la Ns
Idbwiq �aeaon (SeUbn )0�1.5 Bus'vreee eM Proleaoin Cade: �M c1Y a oouMy �Mirh repuiree s perme to oomWCY. Mx.'vnprws.
demd'eh, a repei my evucture: pbr l0 4� iweMa. eL+o rtQuirm �he appl'v»ni la au li permn to fJe e eqned Mlamenl pui he n eM
s licenwd W�e�� to �he pwmum d ihe Conirmon t'xems law �Ghepls 9(wmmevry x'v� Sarlion 1000) d Oi+eian 3 d Ne
Bwirieu eM Prdenune COEe� or iMt he a ehe is ezomq �hsehan end tha basu la iha elbpeE mamqion. My vidmion d Setlbn
�m� s M a�r wWKam �o� e oe�ma wqea� me eror � �o a wi� oeneM d na m«e ihen r e hu�d.ad ed�en �swop.
� I, ee ovmer d ihe popeMy or my ampbyaea wiih wepm ee thei ede rompenealion. will do �M xwk, aiM iM nructure e �wl in�eMed
wdlaredlareele�Section'lOCi,Budneaevd PrdevaioneCode:TheConirmon Lbneslewtloee1wtappF/banownerd propary
wM Wide a inP�'� IMreon. uN Mn doee euch xdk NmeM a hene� or iMwph hi rt Mr oxn amOb/+a. paddad il� a�M
imOp+�ems are M inlended «dleraE la wla. H. however.lhe WiHi�p a'anqwemer� u eotl rmhin ona yw d mmpbton. tM
owirnEuiMW vrill heva tM WNen d pv.•iiq M a eM d'd ml Wik a impove la IM purywe d veb�.
� I. m ownar d ihe pW^M, em mCumalY mntretlYq x�lh 5uvad connxae m m�ubutl Ihe M9b (Saqun MM. BuaFm eM
prdeamma COJa: Tlw Contretlas L'cmae Lew Eom rwi epply w en awrier M prtpeny wlw Witls a'viwovw Ihxeon end who
cmVxU la utli p9�o wuh a mNretlMe) licanaed WnueN to �he CaNratlara limrea lew�.
� I em eaemq uMx Sectbn: B. 8 P.G., la Nu newn:
i a n.�nr �r �nm i� a�e d�a �.w�e m. roo��.�,�n a cd�o� w.dn.�d smw coa. sw�. usos. us�u.."a
PSSN. W Nei I a enV Mun drikuq ommani vnA / wil iM (orcb me) maE w comDN r.Y� md ptle codss eM �M nawnmmb la
epumillamreWClbnwmodifiratianhomlMAr e�iy enepemeniDie�rid.Reskeniieloonarvr�ioneppiWiomveaismphdnNna
paNeqnt.
Dets: AVdicem:
WOflKEP'S COMPENSATION DECL�fl�TON: I Mreby elfirtn under pwidiy d pajuy ww d tM 1oDowi�p E�derm'nu:
� I hew vd �HI mein�ei� e canilirate d mment m uM�irouro br xakaa' comperu�ion, n povidad fa Ey Satlbn 3ro0 d �M Labar
Code, la tM pxlmnerice d Na vM la wlic� Nb pamu u mued.
�] I Mw vd wi1 meimem xvrFen' mmDemeiion im�ranca. m nVui�ad M Sedim J]OO W �M Lebor CoM. br the W�ormentt d IM
woM la vA�iM Nb D�e u mued. MY walun' odn0�ion'vwrancs famx and V�Y numbr uv.
c.�:
POGry Numbar:
(fi'v vYib� nes! ro1 bs [anO�eC / tlw M�nl'u b ora �u�ed do0en �%100) b bn.f
� I cenry tlW n Na pMmronce d tM wark br xfich the parmn u uunE. I ehe0 nal amplq vy perm in em/ mwier c m to
becpm aEjetl 1 �M xoM1.e�s' mnqs�eqion N�n al CaNave, prw tl� i bemi� Mptl to tM wkn�'
com vation P� e'ww d Secion �]00 d iM lebor COEe. I Mell l h h camqy wilh pa»io�ro./'� �
De1s: C MW�� � ��y�../�! �
Wemllp: F�Yun ro weun workwi romperwtlon eorenp� l� unNwNl, uM Nsll a,b/�et an �mployw ro eMMml pwvltlu aM
nwi n�.. w ro a» n�a.w rroua.r�e ewrn pioa.000l, in saaiwn ro m. co.� o� m�rom..�ron a.�w u prov�e.e ror �n
9�ctlon JM6 0l Ms Lebor CoW, Infenst, end ettornsya Is�a
CONSTfiUCTON LENDING RGENCV: I MreW dfi'm uMm penMy d per'�vy tha iMn o e mMeWion IrNiiq epen.y br tlw
penam�oe a me � ro� .n�d� mo w�� n ewed Is.aon aoe�. c�. cl.
LENDEN'S NM1E:
LENOEfl'S 40DFE%:
I cantly INI I hava neE iho eppfcetion eM eWe iAel tM aEow'uJmiwion u mreu. I p�ee to campfy xvh eE my W mNy ordew�
uq steta le�.e mldiq to buikiq mncm�eion eM MraEy einhar¢e repxmtmrvaa d �hia eryro eNs upon iM Wwa�memixied piopa�ry
�°" °ipipufpOfe9 RO ROBHINS
�S}��^/\N� `
Dme:
Sq�atum 1 Oxeb Ape pp ranuConlrada
(5�51-,B.WP) Whna-Buildip 8 SdMy:Oreerr-Fle; Cewy-�ppYrenl: Rnk�levenue:0akbnme-bwaw
CITY OF COSTA MESA - BUILDING PERMIT
PERM NO: IP 078846
PERMIT NO: IP 078846 PLAN CHECK NO: N GOVT: N SUPP: Y
CONSTRUCTION TYPE: V-N PERMIT TYPE: OTH PLU PURPOSE: NEW
JOB DESCRIPTION : 2341 SF LZVING/ 605 SF GARAGE SQ FT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE REINSPECTION FOR HP78582
x�x��rit*i�-x�it*�-x-�x-�t*�***x��rx�x�*�t+r***�r*�t�t*x�*x�rt*�itx�itit*it+�*x�x��x�x�*�rx�x�**x�+tit+t-*i�*x��r�ri�*�t�***�r�-***
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 14151132 ZNE: REF NO:
PLANNING NbTES>
%
14 iE iE IF iE iE iF if iE iF 1E iE 1E 1E 1E IE iE 1E iE iE iE i8 ff� 1E ih iE 1E iF 1k iE iE 1E ik iE ik 1f if 1E iE 1F �E iF i6 iF jE'k iF 1E k 1E if 1f 1E ik 1k 1E it ik iE �F 1E �E �)E fE 1E iE iE �IE fF 1f IE iE df 1E IE 1E �E iE 1E
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
1E1E1EiE�lEfEfElElfiEifififlEfEifiE1E'Ik1k1E
L�C3AL I Z AT 2�7N : N
BLUG PMT PLUFIBINC'�
PERMIT 44.25
252
F E E' S U M M A R Y
ELECTRIC MECHANIC
PLAN li ,
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE E�liAN—CHECK
TOTALS----> 44.25 0.00 0,00
REVENUE DIVISION TOTALS--> COLL'ECTED;
BLDG PMT PLUMBING ELECTRIC MECHANIC
44,25
^ '
TYPE QTY
PLU
1
FIRE
DATE
L
STRUCTURAL SEGMENT:N
SMIP/RES GRADING
SMIP/NON—RES
TOTAL PAID DUE
44.25 44.25 ,00
44.25 OVER/SHORT: ,00
FIRE SMIP/TOT GRADING PLAN—CHECK
1E if 1E 1E if iE 1E fE IE 1E iE iE if iF 1k 1E 1E 1E iEfElE �E if iF 1F iF 1k ff 1E iE 1F iF 1! 1E if iE 1E IE 1E if iE 1E iE iE jE IE iF �)F fE iE 1E 1E 3F ik iE iE iF iF f! iE 3E iF if
I N D I V I D U A L �F E E B R E A K D O W N
D E S C R I P T I O NC UNIT COST TOTAL COST
PLUMBING RE-INSPEC,TION FEE 44.25 44,25
END OE FEES
f
! . �
CONSTAUCTION ANDPLANNING � P�C SPA
APPROVALS Permit # Date Inspector AppROVALS Permit # Oate lnspector
t. T2mporary Electriwi Service or Pole 52. Pool & Equipment Location • (
2. Soil Pipe-Undrgmd. ' 53. Steel Reinforcement � '
' 3. ElectriCai Conduit Utiliry-Undrgmd. 54. Forms
4. Eiecirital Conduit-Undrgrnd. 55. Elearical Bonding ' •
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF. ER Grnd. 57. APPROVAL TO COVER�GUNITE �
7. Footings . 58. Electricai Conduit-Undrgrnd.
'$. Found2tion � 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Und�grnd._ - 60. Backwash Lines, P�Trap, G Undrgrnd.
10. Structurel Floor System 61. APPROVAL TO DECK �- �
.11. Properri Sewer Line & House Connection 62. Backwash & Receptor�Final '
12. Sewer Cap • - - • 63. Heater & Vent-Final
13. Roof Drains� , 64. Plumbing System � Final �
14. Rou3h Piumbing _ � 65. ElectricabFinal '.j
�15. Rouyh Elecerical-Candutt � ' 66. Solar SYstem-Final � ;
16. Rough Etectric Wiring 67. Fencing & Access Approval ' •
17. Rough Wiring Sign �� 68. APPROVED FOR PLASTERING �
18. Rough Electr+cat-T Bar Ceiling 69. POOL/SQA SYSTEMS FYNAL
19. Rouyh Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Pirepiace - ,- : - APPROVALS Permit #
21.'_Duets, in Structure ; � � � 70:.Unclerground Hydro
22. Oucls, Ventilatin4 . ' _ � 71. Product Piping O- Gas ❑Oil
23..Gas Pipe-fiough & Test ' . . 72. Underground Flush .
24. Roof Framin9 '� • . 73. Undergrnd. Storage Tank O Gas O Oil
25. Roof ShEathing y � , 74, Overhead Hydvo
26. 7�Bar Gefling IStructural} & Monocoat - '� -- 75. Dry Chemical �
27. Frame 8nd Flashing � 76. Dry Standj5ipe .
28. �athing & Siding _ � : 77. FIXED�SYSTENt FINAL
29. Insulat�on - - �� . 78, FIRE PREV. FINAL -
30. Drywall Nailing � � - HEALTH DEPT: REQUIREMENT
31. Plasrer Brown Coai' _ - 79. FINAL I.NSPECTION '
32. Electrital Power \Aeter-Final . 80, FOOD CERTIFICATE ISSUED -
33.-Final ElectriF • - ' Notes: _�Q _ �
,. '? Q,'-�?2�z
34. Final Heating & Air'.Conditioning , 'Z�e�.S��, - ( 2 �,_�� - ,�L-+�'-r�-�
i �
35. Finaf Gas Pipe-Test . � � -
36. Hood or CanopY = � �' - - - � � �
- 37. Finat Facmrv Fireplece_, - " ,' `. ' . - -
38. Final Pl�mbing "- �� � .__ , - -
39. Water 5ervice•Final• . � ' ' '
� 40. Gas Service-Final , , �
- 41. Solar pomestic-Final ' ' " -
42. Backflo�' Preventer` " � � .
43. Backflaw Irrigation � - ' - . � ;
44. Landscape Irrigation System � . � . � �
45. Sound Attenuaiion � • -. � • :
�-46. Handic2p Regulations � � � � - - . � � �
47. FINAL STRUCTURE & BUILDING ' " " '-
48.-FIMALpLANNiNG . -
49. Electric Release to Edison •
50. Gas Release to Southern California Gas ('n - � "
51. CERTIFICATE OF,OCCUPANCY � .
No. Da[e
loonessovea�oc+c: .802 GALLERY CT urn:,__
avxEaaruu��caxem: POLYGON SOUTH COAST ASSOC � FLOOD: X� 47
eooness 15751 ROCKFIELD BL
UNIT 120
I�RVINE, CA 92718 714-452-0600
�DPL.IWIMG ADDRE54:
�xcxrtecTonexa/an LL MAJOR 6 ASSOCIATES ucxo: C-16869
YKN.OP EqG'41UDNE55: S S S S N TUS T I N AV ur�r:
SANTA ANA CA 92701
coxrx�cTars wue:
CONfPACTO%SMNINO
1UDXF54
�:.]I:.:xl
uNr:
LICENSED CONTXACTONS UECLAPATION: I hemby eflFm uMa penely d pajury Net I em licw�wd uMx pw�oru d Cheqr B
(mmmeritln9 wilh See�ion 1000) W Gveion 3 d Ns Buamn enE Vrdeaeoen Cade. erd mY limma o in tu0 brea enE etlrf.
cmuc.No.: 066144 uc.cu.ss: B uc.No.: 659262 EXP; 11 /96
Dme: Comream:
OWNEN BUILDEN DECIARRTION: I Mreby dfimi uMer parely d perj.uy tIW I em exemq Imm the Cmlretlaa limnea lew la IM
.�Wbwn9 �aemn (Setlion 1W 1.5 &pime and Rdeeabns Code: AnY uY a oouny whid� nW'vee e G�G lo aoroW[t. eds.'vnpo.a.
,#*��.emdoh n repei anY evuqun. yw b Ca iwerce. etro repuires tM epplimN Iw weh paeme to fib a dprod+wminu tlw M n�M
g: Icemed Wnuent io ihe Ma+�% W ihe C«uredaa limnae law IChaqs 9(rnvneronC wuh Sadion ]000) d Oivebn 9 d Ns
e'9uairbas vd Prdeniwu COEeI a IM1et he a ehe u exemq tMrehvm vW IM bsva lar ihe elb0� ewemqion. MY vnlmun d Sea'vn �
)031.5 by eiry epplirsnt la e permn subjetle tha epplirant to e tivil penelry d na mae ihen fxa huMmd ddlen R500�1.
� I.asovmerdthaqapanyarmyempbiaeewvhwepesav�Miademmpeneelion,willEOlMwoA.eMtMaWdunenoliManded
«allered b eab (SMion loa6. Buwmu eM Prda+aioru Code: TM CoMreaon Limnss Lew Gom M npply�oen ovnierd popeny
who Wida «inprn'o tMreon. eM Mo doee euM Mak NmaeX or Mnatl ar Wnqh he a Mr mm emdor�. Gp+bb IMt wch
1111pfpI8111eftll Ve fld INNIDBd p CHNBj iOfle�B. tl. �1OWB'/BI.I�1B �YlbiflY U RIP���dM O tOb WIIhN CVN YM! C� COIII�UUII. nl!
��«�n,ue«�un�mew�d.�awa+�rons«�»ea�ndu«�mwo,+m.mewmo..ame).
I. m ox�w d iM pWaM, am utluareN murmiq wEh IiceneeE murecton m aruvW Ns pM� (Senun ION. &s'vm� end
rida�vn coa.:lne cwnaav. �s.w �e. ao.. na epWr m en o.n. a a�w«�r wno w�a. « mwo+o ms.on .na wno
conhe[Ia la aWi pqeqa xvh e mMreda(a) licensad Wnuenl lo �M Con��epae Limma lawl.
� I am exemq uMer Senion: B. 8 P.C..Ia IM1 eeson:
o�e: 'j�2 � S �, aM,,,:
i eo n«�sv �«iM �n.� i� e.aa a�e �.i�d m. �a���n a c.0 d,a sdm coaa saao�, uws. zssxi. �a
25531. W Nel I a vy Mwe buik'vq ampen� xill / wil M(� �) �d Io co wih seid qma mdw vd tlr �pu'vmmres b
a Ge�^� lamuwniona modfretionhan iM Ai�eroBe� D'o�nd. RUNsdiel ompiutlion eppimtiwnan uanW ham IMw
a�.
Dme� Aodcem:
WOflKER'S CONPENS�TION UEClM�T10N: I MreEy etfi'm uMer penelly W puj�vy one d tla IOAowi�p EeWtliom:
� I heve eM xil meimen e cMRr,ele d mwni ta eaMiruwa M v.orkeri campeneation. m pmkeE 1« by &etlim �100 d IM lebar
Code, ta the perlormence d �Iw xak In Mich No paimE b roueE.
�] I Mw eM wJ me'vuen waken' canD�+mion iwrerce. m n0u'vad M Saeion 3100 tl Ne lebor Coda. br Ne P�m� af tM
.�ra.nb,u�o�a�a.Mr.«�*'����.mow.rwme...�.: EXPIRES
c�..:
Pdey Numbar — � 1� � 1� 9 7
�m;s .ecion rreed imr ne comMe�ee 1 rh w�x u ra orn nuw�ee edwe /S�w/ a bsv!
� I eenAy ihet in rtw pMormenee G iM wM �« xAch �hie pamin 6 aaued. I dW iM ampby ery pr�n in mry mener w n �o
Wm�e mM� �o �M v.oM1ara' mmWroeiion kxa d Ge1EmYe. mla mrea d I elwk becanr wN� �o �M wahan'
compeme�ion poNe'are d Sedion 9)00 d iM labar Coda. I ehe0 f irmh w ' h Na���v�O u.
�i.
Dme: —�,�ZI�i� L �ww�:
W�m/ip: Fe9vrs ro iseun worten'rorrpwwtlon eo✓enps la unl�wM, �n sl/ eef �n Imployr M MM�uI pniWqW
clHl flnu up b ons �intlis0 fhoua�d CWI+n (f10d,OtldA M eWltbn ro tln cwt o mmpwwtbM1 Ganupn u pvHEM br In
S�ctlon 3]06 0l M� lebor Catls, /nronst, and �ttomsy'� Iwa
CONSTtiU4TON LENDINO A6ENCY: I haeby effi�m urds pe�uXy d perjury Ihel lhem 6 e wnp�upion bMirp apercy tur ihe
cen�e�ce a me ..wic ror �nd, mm w�� e ewee lseaon aw�. ci.. cl.
LENDEN'S NAYE
LENOEP'S ADDflE55:
1 cenily Rai I hew reW �ho appfe�on eM qele ihel tlro ebv.e inimmtion u ewna. I piee 10 canply MVh eE ay eM cauNy ad'vwaes
eM etate le++a reWiq to Euildip conaVutlion e�d hereby aWv¢a repeeentmiras d Ila dry to emx upon �M ebma�memivrE qopany
�°`��'°°°�0�`D°'°' BOH YODER
� A -
Dms:1( (2-� 9�•
(AStdB.WP) W�Ae-B ldiq 8 Selny: ��eao-Fb: Ce�ary-�ppiraeu: Rnk-Rmenue: (ioksvo�Asaeoor
_ _.___ _ �_ . _. CITY_.OF COSTA MESA_— . HUILDING..PERMIT.__
__--- _ _____ ,. --- — --_ .. . . .. . PERM NO: M 078581
PERMIT NO: M 078581 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PEAMIT TYPE: MEC PUAPOSE; NEW
JOB DESCRIPTION : 2341 SF LIVING/ 605 SF GAAAGE SQ FT:
CLAIM VALUE: , CALC—VALUE: GROUP OCC: R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 3/ REF H—� ����
1E1E1f1Fifi41E1kiF7EiE1%1E7h1E1F1F1k1t7F747F1f'1F1i'1f1t7Fif1tiF71'1f7h1f1E1F1k1tikll'itif141F1E1E1EM1t1tiF1l/fif iF 1f 1tiF7I'1f11'ik1k11'1Eik1Eik1l1liliF
Z O N I N G R E(J U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PAAKING REQ• PROV: PARCEL: 14151132 ZNE: REF NO;
PLANNING Nt5'TES>
' � I
1f 1@ 1k 16�ik iE if ik M 11� 1F 1f iF 1F 1f if 1f if 1f M M ik IE 1F IF iF 1f ik 1f iE 1E iE 1f� IE IF 1k 1f 1E if fi 1E fF fE 1f 1E 1f iE 1F 1F 1f if 1E 1k M iE 1E 7F iE 1E 1k M ik 1k M IF IE If 1t 1t 1F k k 1f i6 i! 1k iF 1k ik
D E V E L O P M E N T S E R1.V I C E S R E(7 U I R E M E N T S
ZONING APPROVED HY �� DATE:
BU3LDING APPROVED BY
LEGALIZATION:N
F E E S U M M A R Y
HLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 35.75
PLAN i ,. 252
i'
ISSUE FEE 22,00
DATE:
DATE: %' �2
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GAADING
SMIP/NON—RES
BUILDING—DIV—> PEAMZT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 35,75 22.00 0.00 57,75 57,75 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 57.75 OVER/SHOAT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
57.75
k k 1t 1E 1f k if k 1F if k k!k ik ik ik 1F k 1k iF fk if iE iE fE iE 1t it 1t 1f 1f 1f 1f 1f 1F i! iF 1k k/f 1k if 1k 1f ik IE iF 1E k iElE 1E iE 1E iE k 1E 1! 1k if 1E 1f 1E iE iF If 1f 1k 1F fE 1F 1! if iE 1f 1F ik 1F k
I N D I V I D U A L . F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNZT COST TOTAL COST
MEC 1 INST FORC—AIR/GRAV'FURN <= 100 K BTU 13.25
MEC 1 INST HOOD W/DUCTS FED BY MEC EXHAUST 9,50
MEC 2 VENTILATION FAN CONN,�TO SINGLE DUCT 6.50
END, OF FEES
i.
13.25
9.50
13.00
�� CC�NSTRUCTION ANO PLANNING POC SPA
•
AP�20VALS Permit # Date "Inspector qppROVA�S y Permit # Oate Inspector
: 7. Tmnporary Electriral Service or Pole �_ 52. Pool & Equipment Locat�o��
� 2. $oil Pipe�Undrgrnd. n ' 53. Steel Aeinforcement �
c '.
'-T9:�Iectricai%Cofiduit Utility-UrMrgrnd. 54. Forms ' " '-' j
-.� -ti.. 4,�
` "i.�i,�gctricak6o¢�Iuit�Undrgrnd� �� 55. Elect�ical Bonding �> � `'
�� S.�Steel Reiliforcement 56. Rough Plumbing & Pressure Test C l, 1•'
: ^ �' � ^
`_ �_ G,�'Electrica�tl�R Grnd. 57. APPROVAL TO COVER-GUNITE �"
;;p�=. Footings^:i; G; 58. ElectricalCondu't[�Undrgrnd. ;
=Q; Foundatib� � 59. Gas Pipe, O Und�grnd., Test •
� 9J Wazer Pi n�.lndr md.
-G 0 9 � 60. Backwash Unei,�R-Trap, � Undrqrnd.
a0. SfiLctur� Floor System "' 61. APPROVAL TC)�DECK =� ti
,.17. Propert�Sewer �ine & Hous,g,Connection . ,G2. Backwash & Receptor�Pinal,�"'
_d2. Sewer Cap rt - -��63. Heater & Vent-Final
G rc ,J, . .
� 13.e f Dra�ns- `�'
�P �' 64. Plumbing System � Final �F
=14. Rough Plumbing � 65. Electrical�Final �,
�5. Rough E�ectrical-Conduic � 66. $olar System-Finai ' •
16. Rough Etectric Wiring 67. Fencing & Acces's ApProval -
A77. Rough 1�ring Sign ` 68. APPROVED FO$� PLASTERING �"
�18. Rough Electrical�T Bar Ceiling 69. POOUSPA SYSFEMS FINAL
19. Rough Heating & Air Cqnditioning Q, _�6 FIRE DEPT. REQUIREMENT
� . . . .. � _T H.0 • i }' F� �'T
20.�=Rough , ctoFjr F:Replace G-r; �- � .L - - ,� � APHHOd�A�l:S � Permit,'� - -� � =��
n (� R ('. �
Z�.�U<S,1 tl�U�K �� =�S Y ti.'_.x�C �r' � Y: ;r
F, ,�..,T `Y*S < �.+: .. . _- fQ_L� � �y - 70�t1ndEf�c$u?fd N'ydro ,.
22'�uc�,�}e1�ti4.gting.� , ;_ �.. � 77. ProdJCt�iping-C3tias �Oil
- L�� ' -
23.�2'ias`�ipe"'Ho�h &•aesc �' '� "'''-' 72. Undei und F ush ` `�'
^S" ��r < _#� 9W _S, a:
24.`fioo�FFratniri�r,'. r� �c.� _ i� �� e �S 7.3. U�dergd+d.Stora�eTankOGas C}O�Ica
25. Rooyf'Sh� thing 1�* a �•% �* T' V ti ti� � 7.�{. Overhead HVdFo°' i
.�
26.�'-B,�,�, Ceiling (Str�c,turall &`�Ipr�o,coai » rw+ � t.'�-�,x a5. Dry Chemical x�� O ;-�ti�
27.'lrame and Fiashr � - � M = � 7b. Dry Sta�clp.ipe�� x �`' '"`Ur
- x - - r T ,.^, s
� t Y r'•!� Ci' # t �- X. J r
_ 28.�1..atbing�4 Siding�..; �_ �.%_ .,- t� . ..� 7.�. FIXED-$'YSTEft'tFINAYL � Ci'-'.
� p: ;� r� .. .. � > m i �c c ¢�.J F
-' 29. Insu�ati Hx. } 7�. FIRE PflEV. FI�.lf�1L r; x �,�_,
� 30. Drywall Nailing j# S `` ,' i � ,�HEAL�.H DEF%T�.RE�UIR.E�.�NT
�' 31. Plaster�rbw Coati# _ � � « ' Ey� , x9. FINAL�SPEC�CtON �7 0' rXC�
(,'. Y " x I i-*� R � t�. _ r_._4�(Ji i>
32.�Electricaa�Pov�J_er Ode,je��Final , a, ;;. � � 80:. FOOD CERTIFI��TE ��UED v;e.
. -«-c; .
33.�in4T ElectriC c^; *• ' � r' (tJ�tes: O Q;� fi ^ �, �
- � ' 'S_6 l�a-�c,�r�-
34.,-�in� H�in�� �3y�ition� � ' s � , ''; ' -
' ('�z_��r__-�L� t2`Z �� ..:.c�r f{�CZ= �
35.bEin6kGa5 P�Pe-Teac> � � x --+ =- [� - r s • K t- sz �„
t �, i i:^ --C �-�r✓ T. 'r r
38.THoo� or�anoPY:, k .^. � '. t*�- �- x � ' ! `« _ .-r . . t -� � ,^ ' `� �
• 37. Fin31'FaAtory FirFplace ' S:^ -- •: t*7 i 'r � i . � �-i '.r
�' 4 c� r C• �CS
/ W'Y. MY .. .. � M.� � � � i y - u 'r, 1 t.,. _-_
38. Fina�P14tY7�bing � �� t ^ ^ � ,4...� . x C �C
39. Wat�i Service-Finalx � , v �k I �t � C+vi • r * z a�
r- x �
� 40. Gas Service-Final`_'� i ,,, ,� r., , y " ' `� � ' _ ' "�
v- •-� � - �--
41. Solar pomestic-Final _ � •• � �. � �* �� q M
' 42.�$ackflow Preventery� �" �' ; = �� � ; - -
_`
�: x � a; - E-� �
43. Backflow Ir `� ation�: c 5 s M * � �� O �--a =
'+ T k ('
^l ir '� # K F- • -� • . '.n:'.i�li
:d4. Landscape Im4atiop Systert�;: � ,, �,- 7 e Cx cU �:1 x i. :G
, , J � .
:45.'�ound A��teqLationc -. t' �- � � F f- e� F 4 � ; �: ` _ - � �C = V
., ... �. -.- .-. .. ..
i. m m m s• t* G' r- �"I f'
-46.�Flandicap:Reg'ulatiot,s • S �Y � ' • ••;. �� i ; .��" •��-` '
i' C k �� K 7:t. S a�
�47._FI � _ �� _
N�+L STR�CTU9E & BURDING . !u <. s
r =, i x �-
4K.�IN�1L PLANNINC'i,. `''�' '- I t � - . , �
_� i L�'- �: �a . Q t. '��-
49.:Electrie Release to Edison r. y�: w � _ .
a
=50. GasRelease to Sou�ern California Gas Co ' � � - _ _ - " ' �� _'' '
;x n v^
_51. CEFYTIFICATE OF,'OCCUPANCY• , Y, , ? -_ _ ,, �. � �=
No. Date `
7
�
eoowessaem�nwc: g02 GALLERY CT °�`
aamercsx,L�eivaiavx: pOLYGON SOUTH COAST ASSOC FLOOD; X 47
'0°"� 15751 ROCKFIELD BL
UNIT 120
ktt�IF1E, CA 92718 714-452—U600
�vv�.�uuxc�ss:
""�"��T�p�'ff" LL MAJOR 6 ASSOCIATES
�wcx.on�swoxEss: 1551 N TUSTIN AV
SANTA ANA
cor+m�crars rux�:
CONiPACT0A3 YNIWO
wo�ss:
��� C-16869
uHr:
CA 92701
uc. ra.:
UNT:
UCENSED COMflACTONS UECLRflATION: I Mreby ell'rm uMx pene�y d pe�ury thm I em IcareeE uMar qovimme al Cheqm 9
(wmmencnp with Saction'/000) d Drvison 3 a/ lha Buunev end Proleeeiona Code, erd my licenae is in lull face aM elletl.
emuc.No.:p66144 uc.cuss: g uc.No.: 659262 EXP: 11 /96
De1e: conVeqa:
OWNEN BUILOEH DECIAflATION: I Mreby elfirm undar penely W parN�Y �� I em e[emq Iran tM Convatlae Liceme Lew la Ihe
Iolbwin0 re%9� (�w^ �031.5 &uirose end Pmlessiom Code: R�ry c1y a munly xfiiM iequiree e permil lo caneVucl, elltt, impove,
emde�, a repni e�ry eieueWn, prior to ea'ewe�we, ebo reQuirea iM eppl'xznl fa m�ch permil to fib a eqmd Mlement tlW he a ehe
i licenaed W���� �o ihe proNsio�u d tM Coniredwe liceme law �Chepter e(comme�a�q Milh Sedion ]000) d D'veun 3 d the
Bminea eM Pmleasone Cade� or Ihel M or ahe ie exemp therehom end tha beaia lw the elbped exemqbn. My videtbn d Setlion
)031.5 by enY aGWirani iw a permn wbjeda IM epplicen� �o e dvil pereMy d �wl mwe Ihen frve huMred ddlen �550Dll.
� I. m ovmer dtM propanY or mY emvbl'� �'^�n weaea ea tM� eala rompanmtion. wJl da ihe wnrk, eM Ne ebuctun u na imenEeE
«oflerad lor sda (Seetion )04a. B�sim� end Prolearione Code: The CaMredon lieense Lew Eoee ml applyto en ownerd peopary
who buida a inqwes �herem. eM who dom %udi xak Ivmdt or harmer «Nraqh he a her own ampbym. piw�iAed ihet ach
imP��anw ere iwl inieMed or dlae� for eab. X. howewr. tM buiMirq a inprwamem ie eold r.ilhin one Y� d oomplelion. IM
�ownm-0uiNer will heve iM burden d qoviip M or e!re d'M ml W ik or improve la tM WT�e d eeb).
�... o.*�x a �ne wowro. � aTausi+eh ���a�ro �vl, �iuroee cano-ecia. m muo-w ine wq� (smun rou. anme.. ena
a,aessim,e coee: rna com,eaa. uce�ee �a. doan �a aaWr m en om,> a wow�r wno wma « impw.e meieon ene wno
conVacb Iw ew3� prqeda wilh e mnvetlor�s) IkaneeE punuen� to iM Coniretlae licenee law).
� I em exemp uM« Section: B. 8 P.C.. M �no reeaon:
o�a: /// � /�6 �.,,,,: Il�- �
I do Mreby ceniy iha I em awere N arM urcbnteM Ne requirem nre d ce�aanie Meenn ene se�v code sx,�. asws, usv, �a
2553C, and Mel I a eny lulure buikin0 �Pa^� mll / wil nM (tlrcb one) neeE to canply wYh eeid &ete codm aM ihe �eWiremm4 M
.Bameni Dimiic. Ravdemi.l m�mwion roG�iauen ezemq han mms
p��.
Dma: AOd���
WONKEH'S COMPENS�TION DECLAHATION: I hereby etfi�m undx panelly W pa�ury om d ihe blbxirp EeWueliom:
❑ � ne.r ena w maini.:i e�anifrate a oo�»n� m.en:ruw. �« xorkan comw�+v�... aovdea �ar W seeim aloo a �ne lebar
Cotle. la IM1e peAarmence d tM woA iw wldch thia pemi� u iaued.
�I heve eM witl meimen wakere mmpensetion iruurence. ea required by Secion 3)00 d Me Lebor Code. ior tM pMamenro d tM
wwk tw whiM Iho qrmn ia iesueE. My wwken' mmpenaelion inaurerica faner eM pdicy number ara:
c�.�: CYPRESS INS EXPIRES
PdiryNumber W-F+1 (11 1 1 S 01 /O1 /97
(This secfiar neeJ rrof be comdefeA / �Ae pamrl is M orro hundred Edlers (S1001 a Iw.J
� 1 cenM ��� in the pMamence ol tln wwk fa xfic� ihie permN ie iaeued. I shell rat empby erry pceon in anv men�r eo m to
bac«,n eudM io iha xwkn.• cm+o«iwian m�,. d celilorttie. ena ea� mm il �.nwk e.cmie wEjetl io �ne .�oiks.�
compenmtion v�s�/ol Sedion 3]00 M the L.ebor Cade. I ehell tanhrmh mmpN �h �hoea /q�w��ie'ioro. /)
Deta: I%II�I�JI ACWiceni:� ��/l�+�
�, Warnlnp: Falluro ro ucuro worken'rompauetlon roveraps nbwlW, all`I` ntlW/l �ubJee! �n �mployx to MMlul pin�ltlu erW
�� e�W� nnsa up ro wro nu�droe mouwM dwdn (5+�4�A �n em�uon ro m. co.� o� rompwwuon d+m.w. +. v��wn ror ln
� Sxtlon 91(I6 0l tlro Le6or Cotle, /ntaut, antl ettomsyi /w.
CONSTNUCTON LENDING AGENCY: I Mnby �rm uMer penaliy d parNrY �� �M1e�e u e eonnfuqion knEieq peM.y M Ne
pmformeMe d Ihe xork Iw which Ihe prml b eaued (Seeion ]09]. Civ. Cl.
LENOEF'S NPME:
LENUEN'S ADUHESS:
1 cendy ihet I heva reed Ihis epWicetion end e�ma ihel ihe ebove iMorme�ion is cortea. I eprea lo camply wilh ell dry aM mumy ordinencee
9�M 9�GI018wB fBla�ip 10 W INinp wnaVYtlMlI vd hefBby w11KKRB e9pfebn�9livm ol�hp Gly IO Bn19I11pOn IhB BMIB�TGn�IOtIC� qOpG�ly
iwinspeeian purposes�
6�n��� Jr.,n ��
� /� oma�.-1Y//b/f�
s�s���e a inq.�vn vcomreca
(S15t<8 WP) WhGe-8uild'mp d Sefery: GrearFle; Cariery-Appirant; Pink-Rerenue; OoMeniaA-Aaaaasa
CITY OF COS'TA MESA — BUII,DING PERMIT
PERMIT NO: M 080238 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE; MEC
PERM NO; M U8U238
GOVT; N SUPP; Y
PURPOSE; NEW
JOB DESCRIPTION : SOPPLEMENTAL TO M-78581 SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1
COMMEN'PS: NEW SINGLE FAMILY R£SIDENCE / PLAN 3/ REF B-78579
iE iE iE iE if iE 1E 1E �1f IE iE iE 1F iE iE 1E # 1E if iF if 1f iE if 1E 1E IE 1FlE'lE iE if 1E iF 1f iE if iE iE �f fE IE iF 1E iE 1E if 1E fE if 1E 3E IE If 1E fE'1F 1E iE iF 1f !E fF 1E iF if 1E 1E �E 1E IE �E �)E iE 1F IF 1E iE'k
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 HUILDING ---------
FANT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14151132 ZNE: REF NO:
PLANNING NOTES>
7 a. �
ifiE�lElElEfEfEfElEfEiE*ilIE3E1E1EiElEfE1EfE1E*iE1ElEiF9ElEfE3EfkiEfEiE1F1E1EiE1ElEifiElEiE1E1F�flflFiElE�EiEiEfE1ElE1F�E�EiE1ElE�F1EIEIEIE�FfF1EiEfk�EfE1ElE
+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 BY DATE:
BUILDING APPROVED BY : DATE:
APPLZGATION ISSUED BY; "� ."`t•' DATE: ��y�� 9�
iE iE iF 3E iF 1F 1E 1E iE �E iE iE iE IE'k �E 1E iE if �E 1E 7E �E iF 1ElE 1f if iF 1E 1E if���iFif dE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTR�IC MECHANIC FIRE SMIP/RES GRADING
PERMIT 16.00
. 25� SMIP/NON—RES
PLAN
ISSUE FEE 6.50
HUILDING-DIV—> PERMIT ISSUE P,LAN—CHECK TOTAL PAID DUE
TOTALS----> 16.00 6.50 � 0.00 22,50 22,50 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 22,50 OVER/SHORT; ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
22,50
�E iE fF 1E 1E �E 1E �E iE iE IE 3E iE iE jE iE if iF iF 1E 3F 1E 3F iE iE 1f 1E iE �E 1E * 1klE iE fE 1ElE iE 1E 1k iE iE 1E 1E iE iE jE 1E iE if iE iE Ik iE 1E fE �E iE iE 1E 1E iE �E 1f 1F ff iE fE fE iF iE 1E �F iE 1E 1F 1E 1E �E
I N D I V I D U A I, fF E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N� UNIT COST TOTAL COST
MEC 1 FACTORY FIREPLACE 9,50 9,50
MEC 1 VENTILATION FAN CONN•TO SINGLE DUCT 6.50 6.50
,END OF FEES
.i :
O1 0�21�403-00219403 T O T 22.50
tlATE: 11/lE/95 TIME: 14:52
• CONSTRUCTION RNOPLANNING POC SPA
APPROVALS �Permit# Data Inspactor APPROVALS Permit# Date inspector
i. 7emporary Electrical Service or pole ; 52. Pool & Equipment Location . �� !
2. $oii Pipe-Undrgrnd. �� 53, Steel Reinforcement ;;� l, i'
3. Electricaf Conduit Utility-Undrgrnd. � 5A. Forms �
4. Electrical Conduit�Und�grnd. � 55. Electricai Bonding � �
5. Steei Reinforcement 56. Rough Plumbing & Pressure Test .� �
6. Electrical UFER Gind. 57. APPROVAL TO COVER�GUNITE -�,�
� 7. Footings 58. Electrical Conduit-Undrgrnd. -�
8. Foundation 59. Gas Pipe, � Undrgrnd., Test .
9. Water Pipe�Undrgrnd. � 64. Backwash Lines, P-Trap, � UnUrgrnd. -
70. StruMurai Floor SYstem - �� � 67. APPROVAL TO DECK : r
t t. Property Sewer �ine & House Cqnnection , 62. Backwash & ftecepcor-Final ; '�t .�
12. Sewer Cap ;' 63. Heater & Vent-Final
73. Roof Drains '. � 64. Plumbing System - Final
14. Rough Pi�mbing o' 65. Elettrical�Finat �
15. Rough Electrical-CUnduit 66. Solar SYstem-Finai J �-
16. Rough Electric Wirin9 67. Fencing & Access ApProval � `�' �
17. Rough W�ring Si9^ 68. APPROVED FOR- PLASTEHING �' �
l8. flough Eiec[rical-T Bar Ceifing 69. POOL'SPA SYSTEMS FINRL
19. Rough Heating & A�r Conditioning PIRE DEPT, REQUIREMENT
20, Rough Factory Fireplace � � APPROVALS , Permit # .
21. Oucts, in Structure 70. Unclergro�nd Hydro
22. Docts, Ventilating �G(G,.� � 71. Product Pipin9 � Gas ❑ Oil
/
23. Gas Pipe-flough & 7est ' 72. Underground Fiush
24. Roof F.aming � � 73. Undergrnd.StorageTank �Gas u0il
25. Roof Sheathing � 74. Overhead Hydro
26. T-Bar Geliing (Structuraq & Monocoat 75. Ory Chemicai I
27. Frame and Flashing . . 76. Ory Standpipe ��
28. Lathing & Sidin9 • 77. FIXED SYSTENt FINAL
29. Insulatton 78. FIRE PfiEV. FINAL
� 30. Drywail Nailing - �HEALTN DEPT. REQUIRENtENT
37. Piaster Brown Coat - 79. FINAL tNSPECTION I
32. Electrical Power Mt?ter-Final 80: FOOD CERTIFICATE lSSUED -
33. Final Electric . � Notes: � �„ �c2 ' _ �
34. Final Heating�& Ai� Conditioning 2� � tZ„�[ �� � k
��-
35. Final Gas Pipe�Test
36. Hood or Canopy ._�,5� _
37. Final Paaory Fireplace - 2 ,� _ _ �__ _ I
38. Final Plumbing .
39. Wate� Service-Pinal �
40. Gas Service-Finai .
41. Solar pomestic-Fi�al � , '
42. Backflow Preventer -
43. Backflow Irrigation
44. Landscape irrigatien System . - �
45. So�nd Attenuation "
46. Handicap Regulatio�s
47. FINALSTRUCTUftE&BUILDING
48. FINAL PLANNING
49. Electrie Release ta Edison
50. Gas Release to $outhern California Gas Co � � -
51. CERTIFICATE OF OCCUPANCY
No Date
/�DFESSOFBUlqHO: 8 O Z GALL ERY CT uN*:
avaeasruMeiFoawr�: pOLYGON SOUTH COAST ASSOC FLOOD: X
" �ooness: 15751 ROCKFIELD BL
UNIT 120
ZRVINE, GA 92718 714-452-0600
�vr�. �uwa �no�ss
un.w�rEcrone+r��n: LL MAJOR 6 ASSOCIATES
�xcx.oxu+o.•swoxus: 1551 N TUSTIN AV
SANTA ANA
wxm�cTars ruuE
CONfNACTONS MYIINfi
�oo�ss:
uc.ra: C-16869
uxr:
CA 92701
ua rio.:
4%
uxr:
LICENSED COMPACTONS DECIAHATION: I Mreby Nim uMer pemly d peryry Nel I em Icmasd uMer po�aau d Cheqr e
(wmmarbn0 Mh Seclion'l000) d Oivuion � d Ne &uinen end Piaf»eiw CaEe. end mY G�wros u in IiA bw e�d M1aa.
cmuc.No.:066144 uc.cuss: H uc.No.: 659262 EXP: 11/96
Iome: cawmor.
OW NEH BUILDEX OEttARATION: I he�Wy elfirm urder penNy W pmNry tl� I am e�emq Imm tM Cwretlon liwros lew la Ihe
taOowiW �wm (Setlbn JW1.5 Buerost eM Adaadam Cods: AM M' a couM/ W�'v3� AVwu s P��C lo mm0ucl. dlx. rtnqw+.
�damofe�. a repai my ewctun. prior b b'savioe. ebo npu'vu tM eppliroN la ach penM to Ns a vyrod Nmmiaa tlw M a Me
is IicemW punueni to tha pv.'viom W Iln Camreaae licema lew �CMqm 8(mmmendrq wd� Sedian )00%d Dveion ] d tM
Buwieae eM RWaeiore CaAal a IhY M n ehe u uemq �herfian ud tM buu ta tM dbWd uemqion. AM' videtion W SWion
)0]1.5 by eiry eppiraN Irc e pxmu adjetle ihe eppl'rsm to a dW penMy d nd mas ihen frve himJnE do0en �SS000.
❑ i.�o.",a.dinawov�+ramv«�cbvManw�mm.:.d.�o��..uieoin..onc�din..mmAeoamiw.a
«Mered br seb (Sec4on )oM.9usiron aM PMmdan Code: The Catlreum Limnse lewdw na1 eDDhtoenoxir d popaity
who Euid+n in0� �henan. rd Ma Eoee vurh xak Icnaep a MnN a Mud� Ab a Mr am einplv�aa�. qw'ideE ihet wKh
impowinmw ere np inlendeE u oHaM la �ab. tl. lrowswr, iM ditlinp a inpw�pnM e edd wukn ane yam d mmpNlian, Ihs
�owner-0uiltler WI Mra ihe WNen W pv+iiq M a Me Etl iwl Wik a imqove lor IM pu�pme d eab).
l o mm« d �ne ww�f..m..� mareano ..dn Ycwn.d emo-eda. w mmm,n me aela (swion )ow. &m:rs.d
Pmlamau COEe: TM1s Caueadwe lieais lew does m� WMY b en oww tl G�W�Y who delde IX unpwm ihoraon xk Mn
eoniraeb la wdi prqwa wiN a mqemor(e) IiesneeE punuem lo Ihe Conire na �ioems lew�. .
� I un uemp uMs SM'vn: 8. 8 P.c.. b. .
om,: `�,� z I 4�_ �: �
i ao n�er �v mm i� aw� a w ed..i.�e me ���,e. a c o' .�a sdmr eoa. s.ao�. asos. usaa. �a
R553a. ud Net I a+nY Mun buildiiN mamen� xiA / wil m� (artb an) rri� eeid peb codn end iM �N��ams br
epe�mnl«mmvuaionamoEiRcmionhwn�M�i e�iy enaYameMOinrip. WoonnvaioneWN'�iomenerwnqtmmUaea
uwi�m+.
oda: �od�:
WORKEN'S COYPENSATION UKL�N�TON: I hersby elfum uder pm�etly d prNny ans d IM Idbwinp dedvmun+:
� 1 hevs end rnl meintan e centlicals d ooiw�u io �ellimun lar xaken' compenee�on. m prwked la by 6ed'vi J]00 d Na leEa
Code. iw ihe peAarmance W IM xwk 1« wlich ��ie peimM1 u iveued.
�] inw.wwume�m.�.,wa.�mmv���,.e�po�.�.�m�rsa.�.dMswo�aaodm.i.mcoe..brmeo�nm.
WOfI{IIXWM1III�M11lpMIM01Y1ME.MYWa�AC1C1tESS IN��'�'��a�: EXPIRES
c�: -
" Polic�' Number. ' � 1� � 1� 9%
(�his mdion rieeC raf M cwnplereE % tM pemrif w/w wro hundred dd/us �51W1 aW.)
� I eMty ihet in the peRoimenes d lhe xroek br v.fich t�ie pxmk ia isweE. I�MII ml empby enY W� N�Y mervnr eo m lo
n.co�b w4«a �o m. .w�w�: canw�wion mw. d c.womi.. y�e e0m. � u �.nwb n«o�w wq.a �o �he wn..�
�a«�� o��. a see� aaa d iM tmo. cee.. l wo�rn.yn m e.Knj .. �
Dve: '7� IZIgT A,��t: /��• •��
W�m/n0: F�llun b�xun wwkm' mmpwwtlon cm�rep� M1 un1�rN1, �n s el �n �mploy�r ro cr/minl prultlu �iM
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S�ctlm 31a6 0/ tln Lebo� CoM. Infwf. m0 �ttomsYY lsu.
CONSTNUCTION LENDINO POENCY: I hareby elfirm unEer penely M perNrv �� Ihan ia e mn�ruaion WMinp epeMy br IM
perlormeMe d Ihs wrk I« which ihe peimi i� usuad �Seeion 90B'!. C'v. C�.
LENDEN'S NAME:
LENDEF'S AODflE9S:
I ceNM �Mt 1 M1ew nad wu e0d'cmion vM pete �lal �he ebws inlarmetian u conen. I Wne lo mmVF/ vril� M ely vd muM' ad"vienoee
ard atets kwe mlelinp �o builAvq mnelrWian end M1ereby euthm¢e iepraeentetivea W ihu tlty io anier upon IM ebousmanlianed popeery
i°""°°°°�,o"`°°°°a. BOB„_YODER ,
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Dete: �'L�_
,� �5t5tJ6.WP) Whne-Buikip 8 SdW; Gnsrr-Fle: Cenery-�ppicenl: Pink-Rewru»; (ioldenmo-Nesav
� � CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: E 078580 PLAN CHECK NO: N
CONSTRUCTION TYPE: V-NT � PERMIT TYPE: ELE
JOB DESCRIPTION : 2341 SF LIVING/ 605 SF GARAGE �-oT 7�J
PERM NO: E 078580
GOVT: N SUPP; N
PURPOSE: NEW
SQ FT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESZDENCE / PLAN 3/ REF B-� ��7�
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Z O N I N G R E(? 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 N61'ES>
i �
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D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPAOVED BY �.�~ � DATE:
BUILDING APPROVED BY : DATE:
APPLZCATION ISSUED HY: ' DATE: 7—�Z�gL
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LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC ,MECHANIC FIRE SMIP/AES GRADING
PERMIT 120:10
SOt SMIP/NON-RES
PLAN
ZSSUE FEE 22.00
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 120.10 22,00 . 0.00 142,10 142,10 .00
REVENUE DIVISION TOTALS--> COLLECTED: 142.10 OVEA/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
142.10 '
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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$ C R I P T I O N. . UNIT COST TOTAL COST
• .1
ELE 1,. . FIXTURES LIGHTING _'�1 ST 20 EA. .,, _1 , 00 1,.00
ELE .. ... _.
1, _ , ,RECEPT/O TLET „ 1 ST , 20 _ . EA. ._,_ 1 .00� ._„ ,,,_ ._,.,. _., � � . 1 .00 . ;
ELE 3 RES._APPLIANCE NOT OVER 1,0 HP„__„ __ 4,.25 1,2.,75,,,,,,
ELE . 2341_, . NEW,.RES BLDG FOR.,1 OR _2 UNITSY_ SQ. FT , �� �'�� "
.._ ....04 _..... �. ue....105. 35_
, , END .OF .FEES, �
CiSAJSTRUGTION AND PLANNING � POI.,,& SPA
APf'�iOVALS Permit �p Date Inspector qppROVALS x Permit # Date Inspector
7. 'i'emporary Electrical Service or Pole � 52: Pool & Equipment �ocatiop
2. Soil Pipe-Undrgrnd. `� :;, 53. Steel Reinforcement -" i.- �'
="N IectricaTiio�uit Utility•Un�rgrnd. --- 54. Forms � � " ) ..; J
�,'�;�� Ftggtricaf;Gpr�uit-Undrgrnd� '�� 55. Electrica! Bonding '� ` 1� :� �
v5.,yteel Re�torc�ment 56. Rough Plumbing & Pressure Test ��' .� �
.;p��;�Electrica?UfERGrnd. 57. APPROVALTOCOVER•GUNITE 1��
:^3a Footings ,N c 58. Electricai Condu�Undrgrnd. �
µ'�; PoundatiQ� 59. Gas Pipe, O U6d�rnd., Test
1
i�•G�� V'Aater PiQedJndrgrnd. ,,,-. ' 60. Backwash Linat; P.Trap, O Undrgmd.
� M1I
1
�b' St uctury� Floor System �Q}. APPROVAL TOUECK ��
�7. Property-Sewer �ine & House Connection ti�_'62. Backwash & Receptor�Final ' %
C2. Sei,ver Cap �• �� " ,. '-
,_ % 63. Heater & Vent-Final ' i�
�13. RQpf Drains y �`� � , 64. Plumbing SYstem � Final �� ',
ri4. Rough Plumb`+ng _ � 65. Electrical�Final
�5. Rough Ectriwl-Conduit ',.'`', fi6. SolarSYstem-Final "�,
76. Rough Etectric Wiring "7 Fencin & Acc'2sTA
V Id•�� s nP�o��i
17. Roughl�mingSign - 68. APPROVEDF�B,PLASTEflING
�
�a8. Rough Electrical-T Bar Ceilirtg 69. PQOUSPA SY$'PfMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. � o ` h ctoi F� lace . _-= `� � : . . . Q' ��r �-'mF - +- F -M�', �
t�? ug �, Y 6� v;- .: C�x APPROVHI�O �tmit #•
Y w '� n, r-� ,- -
21._DuG?s,inStrGEtuCC�� ^'r x.5 x -� '7 "7c<: <�.~ r [n
t . * .. . r S �' '- < 70.�ncT'e�,euAd �dro
r
22. DuGtS, Venti�ting,�: << vc `° S�C* 77. ProdttCL�iping�7i'ias �Oil
23.�2'iasPiPe+RaVgh&"Pest � G� : ~ °' ^ "'�E 72. Undei'raund � t 'F-', '':
.% -� x T i: �3 Ct r� g�. . ��
24.rRoof;Fra�ming: ,:,�� �� F �:.� �: _, p e *` 7�. Undergaed. Stas�re Tank O Gas Q�Ek1- -
25. Rod�'Sh�thing ''' � �� � m � ��� ` y�q, Overhea`� Hyd�r' �
p' r
.�
26.iJ-Baj� Celling (Sir`�;ura1) &:jloctocoat �� z; �,+ 7�5•. Dry Chemical � y� - ^ c�'-� -
27.'6rameand Flashi, x '_' � � rn �'�' _„x 75'. Dry Sta��peE m .r j r ��: -
- >
Ft .�RLu 7' 7 � 7' .. ...J„-
28.`txtpin9Bt Sidin9r• a:.: ^.e'S � � L . ..r 7d'. FIXEO-S�STE}�FINP�L e,:.-
-. - .
• 29. In4ulatiq9 f� O -.. .. j r r . .,. - ,• K uC . f
�y. � .� i ,« 7$. FIRE PREV. FI(1lAL x � .J'..,�
- 30. Dr} wall Nailin � � .� . r ` � � U �
� 9>�r y i �x � �,EiEALF1iDEI�T..AE.9UIF� f}jT
(� 31. Plaster Qrbwp.Co�r K � .� � 79. FINAL;INSPEC�QN -,�'� �� C� `,."t',`"'• ^
f 32._Electrica`}Pow�, r�er,fi�. � r � i ,. 8� FOOD CEvTIF1�l�E /SSUE�_ p�..�
IZ=cl��E �� -
<4 � �i CJ p/�� �
I 33.�inYElectric_ n� m�'�.��._`� l:Z��'-`�(�0' . f�o�es:�Z'"_f'b� A/�
:;- ` � � -9 /' �- t`�
`: 34. Fina�He'a�in9;& n(i,GSr�Slition�a� '^ r" , ' c � cr,� �
` � ' l�.,ll ���%�?�-T,,�izs- ' - - `" -
35.[final�GaSPipe�Teet• �. �' * � i ``'� �`_*= �"^ �J= '.!T' `�'.0
: r� .. n .. r Ac TG /-l'��- > .^��; ("'
c: 36.'�-loo`�orCanoPY.7x �� r"^- " '�' c'y � � � . I�--�C� a!E'� V'` -v,5`' � � U�O�IrY`:7��
� [ ""�
- 37.�TinfiCFae&o�Y Fir�iiafe 5C '- >, [': � - * e'C �.^J
t-� r �r # t R { C.. `
r' �.J !: TTT ... .. +. Y QJ I F ` Y � --_
' 38. FinaLPl�Uin9 � ��. _, �, S „ ,. m �.
: 39. Water. Service•Finalr � . �� �c I . , .a.;r a c� = G
i T • � �. r.
, 40. Gas Service-Finalr'� '' � 1 � �"i ' � �`� '4,` _ �
�*� r ,2T� s = M � _.c^ -��N • �F
� 41. Solar pomestic-Final � %: ' �.. • r'- � �: e-• « '
r T G > .'C"
' 42.$ackfiow Preventer� F = � I � i• �- ' ��- �k �
r. + :. c 7 r-. .. p
lu •J �-
43. Backflow Irr�ation:r � xSS � � �- x O `-- -
- a � n
xr
�4. Landscape ir�igatioq System...�,.��-. ,_. + n d q 7x n; ,,; _ �",� `'S -`�'�.
x ;C ;,.-
;45.�Sound A�tterrLatiorw -G� .- x<^ t-� h E�a� r �� cv: e,a; : J
L m m m i t,^ [^ �Q L• A
-_46.�flandica fle ulatio2�s - S r p" ..' - � i '"'-, ..,"' "
P. g. � x �� s � Q S oe e �e
• .47.�FIfV�AL STRFiCTURE & BUC�DING � i �a: :� S � +
> cJ a F.
48.;EINAL PLANNINCtx ='�• * ,-. � P; r � ,".
r=
�g9.=Eleovie Release to Edison ; I � �n _ c '� +: � _
50. SGas Belease to Southern California Gas Co " 7 _ ''''' : n-' '-'
..r : G
51. CER7IFICATEOF,OCCUPANCY' ,; ' ` F. , -"
. C .� -. K -�i^
NO Date