HomeMy WebLinkAbout805 GALLERY CT - Building Permits►�
— ,.yiox�SaFi�moc«+: 805 GALLERY CT ��*:
o,vxexc,:�vqawx: POLYGON SOUTH COAST ASSOC FLOOD: X 97
�� �p�: 15751 ROrKP'T�Lt� �1;
IT �
IRVINE, CA��N927 8�- 714-452-0600
MPL. WRINO ADDPE54
AIMXAECTOPFNOIMffA: LL MAJOR 6 ASSOCIATES uc.no.: C-16�869
uwx.oneno.•s�oonEss: 1551 N TUSTIN AV urr:
SANTA ANA CA 92701
CONfPACTqI'SNAYE
CONfPACTOR'4YYIIINi
LOORE55:
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LICENSEO COMFACrOflS DECLAXATION: I hereby affrm uMx penNy d per'ryry tl� I em licemed uMx prwbions d Gheqer B
(canmendnp �mh Senion ]oW) d Dnuun 9 d the Buamev uW Pmludms CaEe. uM my licaua u in Iu0 bce and Wsq.
cmuc.No.:066144 uc.cuss: H uc.No.: 659262 EXP: I1/96
Dme: Gonuerlar:
OWNEN BUILOEH OECLAPATION: I MiWy eRum under pero�y W perjvy Ihet 1 em eumq han IM Capretlae Liceree lew la IM
'JbxinO renvan lSedion ]03t S&unesa vW Fdeaiona Code: RM uY a coun�Y whidi mVuirea e pmnn io mmbun. aM1w. imVova.
nNeh, a reper eny emicture, prior W es'swrKn, ebo repuine the epplirem ta aW pe�m's io fib a egneE etmameN Mm he a sM
cemeE W�aenl �o �M PONsims W the CaNretlas lirortx law jCAeqr 9(mmmeritiq wuh Setlion ]OW) W D'veon 9 al �he
av end PrWmsioru Lodel ar �hei he a ehe is awemq ihaehwn uM tM bsvo lor Ne elbpeC eaemqbn. Nry vdqion d Sedion
)0'J1�5 by enY eGW�� !a e perm8 wbpee ihe epp4eN to e aA pmelly d na mora thm (xe hunmeE daAen �550011�
❑ I.mox�wrd�Mpape'lyamy«npb/eeswihwapeamlhssabmmpemetian.w�TEotheMak.enENetluNneMinteMeE
«Merod br eab (Swion )ou.6usiroa eM Pmleaaiom Code: TM1e Caureuua Limrue lewdoss mt evPNtoen owner d popvry
who buide a inpwea �herean, eM Wa Eoae sueh v.M Ivm+att a hereel a Nraqh he a hm own empb/eae, peovidad �hel eueh
imV�menh ere nal iMeMd u dtreE la seb. tl. Iwwewr. IM hdldi�q a inpwaneN u�dd witldn aa Yev d mmdMion. tM
y ownxbuiNs will hew �M WNen d pwi�q M u ahe did nal WYd or imprwa In Na pupoes d eeb).
PI. u owmr d IM VrW�Y. em utl tiveM eoMretlnY xM 4wmed eonleeetas b mmtrutl Ihe Y9b (SW ian ]OM. &vinms aM
aiwmsonn coen: n,e com,mon �ceoee �e. aoa. �a wWr ro.� owmr a aarom •no wnae «:�pw« ma.o� .�a .Mo
wnvacta la wdi prqwa vNh a marma(a) ticemW pn to �M Cwrerms lirorae lew�.
� I em exem u'Mm/ �: B. 8 P.C., m:
OUe: �I �l � ' Owiw:
i ao ns�eny �.n�y ine� i em ewme a w wd.n�e me reou'uem«ro d a�� n eiw smby coee Seabna 2sso5, zssx, ana
25SM. eM tliei I a enY Muro buikiq oavpem rriA / wil r�d (artY an) m mmVh wiA eeid ewe mEe� md iM �aquirammh M
a V�e tormmt�ucYan a modiRwionhom�heN3�wLiy7.ia�pvn� D'u�riq. RoridaitilmW�ud'on WG�ivaeneiemq Iron thu�
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� I hers aM wil meinlan s canSrau tl mnxM io wtlinwaa Por wkas' oompematian, n Va'� la M Sediai a]OOd �M leba
cad.. ia ins va+w�,.�K. a me .wx i« �n w. v.� o m.�ea.
�i] I Mw vd xil meiruen waMen' canD�ion'um�ence. m�u'veE M' Swion a)oo d tM leEor CoG. br tM M�am� d tM
.axra�.�nwnm�.vmmna:.�e.rav.�«k.�.'��5���•�aw�r��mb«��: EXPIRES
P,�, N,„,b,, — O 1/ O 1/ 9 7
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� 1 mnN � m �lie peAmiwice al �M wwk br xfiiN the pame e oausd. I ehe0 mi amplq ury person in ury mennx o n lo
becama eubjee io iM wakss' canoen+e�ian ievn d Cafnm�ia. eM epres �� u i enwld becwns wbjea m tM xwFen'
canpenwion p^w,u'vy/n� d Sepcn �]OU d iM leEor COEe. I on� l� m � uah � o�s rowiau.
Dma: 7//�I ( L RVGfi�iN: `�
W�mlip: F�Uun ro ue�n woilrni rompxuatlon eov�� l� un4wNl, sl 1 cf �n wrp/oyw ro erlMrol pwMu ena
c/v0 MIi up ro ons mnlred thouunC JolYn (SIOO,OaOA H�Itlon m 1 mmpwns0on� tlump� n povMM br /n
9�ctlan 9IOK o/ tln L�boi Cob, lmwu4 uM �ttomeV� Iw.
CONSTNUCTION LENDIN� AOENCY: I heiaby elfirm uMx pareMy d pmjuey iM1q ihen b e wmrudian bMieq epe y br Ne
perlortnenee d iM xak la whid� �Ne peemt e uauetl (SaUion 9�9'!. Ci+. C).
LENDEH'S NNIE:
LENDEH'S AOUHE54:
I earNy ihet I heve raeE Nb eppl'ratim eed sWs �htl tha ebvn iName�ian b eanetl.l epiee lo oomply x41� M ery md muvy adiro��e
'' :.iE stete lewe rele�in9 w WIWvp conwiwvn eM Mreby euihor¢e nqeaenivrva d the dry io enur upon tM eEove-memioned qopeM
ji«'"'°°°'°"°"`°°'°°. BOB YODER
M • ��
Dme: ` ��
: (515t-de.WP) While-Buikiq 8 Safety: GmeMFb: Gv�my-Appiran�: Rnk�iwenue: Cioldmro�Avamv
CITY OF COSTA MESA — HUII,DING P�RMIT
PERM NO: H 078563
PERMIT NO: H 078563 PLAN CHECK NO; 02781-96 A GOVT; N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: NEW
JOB DESCRIPTION : 2341 SF LIVING/ 605 SF GARAGE SQ FT: 2,94G
CLAIM VALUE; 194,826,00 CALC—VALUE: 194,826.90 GROUP OCC: R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 3��� �'7�R
1EiE1E1EiEiE�FiEfEfE�EiEiElFiEkifitiEiEiE4lEiEkiEiEkiEiEiEiElEiEiEifitiEiEiEifiEiElEk1E 1EiEiEfF1EiE fE�E iE#�**�-i�x�***+r�-*�r**rt***
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: 15 FT IN REAR: 15 FT IN FRNT: FT IN REAR; FT IN
LEFT: 5 FT IN RGHT: 5 FT IN LEFT; FT IN RGHT: FT IN
PARKING REp • 2 PROV; 2 PARCEL; 14151132 ZNE; PDRL REF NO; PA-95-36
PLANNING NdTES> SINGLE—FAMILY HOME W/ATTACAED 2—CAR GARAGE
i.
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D E V�E_'L O_P M E nN.,,,�T'f:'S E R V I C E S R E Q U I R E M E N"T S
ZONING APPROVED BY� .I�F�`'1.1�.' DATE: '
HUILDING APPROVED BY :
APPLICATION ISSUED BY:
1f1!lEitiflElEiEiEiEiE1E1F1flElElflFlE1E1k1k�iFiF3F3F3F3F7FiF3F3F3F�F3FiFiF�F��FiF�����F{F 3F �f��F��f
LEGALIZATION:N F E E S U M M A R Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE
PERMIT 1,362.25
PLAN 221.37
ISSUE FEE
'HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL
ITOTALS----> 1381.73 0.00 221,37 1603.10
DATE: '
DATE: " �� IZ 9�0
1t 1k 1E 1E ik fE iE 7f��{F!E iE
STRUCTURAL SEGMENT:Y
SMIP/RES GRADING
19.48
SMIP/NON—RES
PAID DUE
1603.10 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 1603.10 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
1362.25 19.48 221.37
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I N D I V I D U A L F E E B R E A K D 0 W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 2341 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
I ,ONSTRUCTION ANOP�ANNING - P�� SPA
'� � Date 'Inspector � Date Inspector
APPROVAIS Permit # APPROVAIS Permit #
�� �Temporary Electrical Service or Pole i._. 52. Pool & Equipment Locanon
2. Soil Pipe�Undrgrnd. �; 53. Steel Reinforcement ���'
3. Electrical Conduit Utility•Undrgrnd. �-���'/l. 54. Forms ,
4. Electrical Conduit�Undrgrnd, 55. Electrical Bonding ' •"/
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test _
6. Electrical UFER Gmd. �/� yIC�,( �' 57. APPROVAL TO COVER�GUNITE `.'"�
7. Footings ' �'�frjL 58. Electrical Conduit-Undrgrnd. -,�
�
$. Foundation �/� 2 59, Gas Pipe, O Undrgrnd., Test �
� 9. Water Pipe�Undrgrnd. ( -� � 60. Backwash �ines, P-Trap, O„Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK %
1 7. Property Sewe� Line & House Connection _ �, 62. Backwash & Receptor�Fina4�. �
r
12, Sewer Cap -��•r 63. Heater & Vent�Final � �
��� :
13. Roof Drains 64. Plumbing System - Final I)
14. Rough Plumbing 65. Electrical�Finel �
15. Rough Eleccrical�Conduit 66. Solar SYstem-Final '
16, ftou9h Electric Wiring 67. Fencing & Access ApProval '�
17. Rough Wiring Sign - 68. APPROVED FOR� PLASTERING �
78. Rough Electrical-T Bar Ceiiing 69. POOUSPA SYSTERAS FINAL
19. Rou9h Heating & Air Cond(tioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVAlS Permit �
21. Ducts, in Struaure . . 70. Underground Hydro
22. Ducts,.Ventilating 71. Product Piping OGas OOiI
23. Gas Pipe•Rou9h & Test 72. Underground Fiush
24. RoofFraming � 73. U�dergrnd.StorageTaok�Gas ❑Oil
25. Roof Sheathing . �/�/ Ij_ 74. Overhead Hydro
Y(Y
26. T�Ba� Ceiling (Stwcwrall & Monocoat 75. Dry Chemicai
27. Frame and Flashing `� �? 76. Dry Standpipe.
28. Lathing & Siding � � 3/ 77. FIXED SYSTEM FINAL
29. Insulation � � � v 23 78. FIRE PREV. FINAL
30. Drywall Nailing `� �/ HEALTN DEPT. RE�UIREMENT
37. Plaster Brown Coat � I/�cr/6 79. FINAL INSPECT�ON
32. Electrical Power Meter�Final � 80. FOOD CERTIFICATE ISSUED
33. Final Electric ' Notes: �
34. Final Heating& Air Conditi0ning
35. Final Gas Pipe�Test . -
36. Hood or Canopy .
37. Fina! Factoiy Fireplace ` �
3$. Final Plumbing .
39. Water Service-Final
40. Gas Service-Final ' . �
47. Solar pomestic-Final
42. Backflow Preventer .
43. Backflow Irrigation
44. Landscape irrigation System
45. Sound Attenuation
46. Handicap Regulations / /J%�/��
47. FINAL STRUCTURE & BUILDING �GN/. /�//,f/
�"Y (,.��7
48. .FINAL PLANNING
A9. Electric Release to Edison
50. Gas Release to Southern Cafifornia Gas Co
51. CERTIFICATE OF OCCUPANCY
N0. Date
o��� Hall & Fbreman, Inc.
e Civil Engineering • Planning • Surveying • Public Works
December 10, 1996
Building and Safety Division
City of Costa Mesa
77 Fair Drive
Costa Mesa, CA 92628-1200
Project Address:
Lot Number:
Permit Number:
By Civil Engineer:
Tract No. 15211
::
GRA075893
gos- �iie�.y �-�.
4665-GRA 10
1 certify to the satisPactory completion of grading in accordance with the approved plans,
specifications, local and state codes. All drainage devices required by the grading permit, grading
plan and grading ordinance have been installed. Adequate provisions have been made for drainage
of surface water from each building site.
The minimums are:
2% fall from structures within 5 feet from exterior walls.
I%o fall for asphalt surfaces and landscaped areas.
0.5% fall for concrete surfaces to approved disposal areas.
The tinal monuments as shown on the recorded tract map were set All final grading elevations are
wi[hin ± 1/10 of the designed e�Gati�ns. /f
Supervising Civil Engi
13827 Newpad Avenue, Suite 200
Tustin, Califomia 92780-7803
Tel 714/544-3404
Fax 714/544-3155
�� ��f � _ �
� y i
P.
No.37445
E�. sraoroB
f'_�
�,,.obncssaem�urio: f305 GALLERY CT ux.:
., avxexsru�eivaavm: POLYGON SOUTH COAST ASSOC FLOOD: X 47
�� ,�oi�ess: 15751 ROCKFIELD BL
UNIT 120
IRVINE;� CA 92718 714-452-0600
AYVL.1WlMGAWPESR �a *- �g
UMNRELTOXFNOP�EER: LL MAJOR & ASSOCIATES uc.xo.: C-16869
�xcx.onao�s�ooxess: 1551 N TUSTIN AV urir:
SANTA ANA CA 92701
cor+rx�cTars wu�:
coxrn�croxs �uura
ADDXESS:
uc. rq.:
uxr:
LICENSED CONfRACTONS DECLRNATION: I hereby efl'vm uiWaz peretly d pe�jury Nm I em ticen�eE undar provieiona d Chepx 9
(cpnmerra�g wilh Swlion )OW) d Orviaion � d Ne Busirien aM Prdeasions Cade. erd mY license b in /WI face eM e%etl.
cmuc.No.:066144 uc.cuss: B uc.No.: 659262 EXP: 11/96
ome: comraa«:
OW NEN BUILDEN OECLARATION: I Meaby eifirm wWer peneXy ol perjury ihel l em eRemq Imm iM COMredae Linnea lew M tM
Ibwnp �maon (Seuion 1W 1.5 Buainas eM Pmlessiona Cade: AM c1Y n munlY xfi'rh re9uime e V�a to muWn. eYer. imParo.
emoleh, or repei eiry ei�uctun, prior lo Xs eauenca, ebo repuirea ihe epplirant br auch pe�mA to file e eip'red eletemeM ihel M a ahe
ro IimnaW W�e^� �o IM pomims d Iha Cantreewa License Lew ICheper 91�manap v.il� Setlion ]000) d Orviion 3 d tlr
Buai�rem arM Prolesaiona CaEe� m �hei he a she b exemq tMrehwn end tM1e basia lar �M1e elbped exempion. My vidmion cf SeUon
)0]1.5 by eny epdiceni iw e permit wqadn ihe epplirant to e civY penelly d ml mwe then I'rve huMred Eollen �5500�.
� I. ea owiwr d iha propenY or my empbyaea vAh wapes m tMi wle campanealion. will Eo IM v.wk, vM �M ewnu�e o m� inleMeE
w aReeed lor aele (Saetion]006. Busimro eM PMeaeions Code: TMCOMreawe Lioense Lewdoea iwt epptyloan owmrd qopery
W�10 b11aE9IX �IIMw� ��MIBqI. tlld Mip 40G9 BUC�1 MIX�. �1IT98� M �1l9lr IX �IfQIQfI �1tl IX �IBf OMTlTpO)!!9. QIWbl� �� RW`�1
imqwemenre ere not inleMed «oilared la eale. tl, lrowaver, the buiNi�p w improvemenl ie eoN wnhin ons year d complNbn, tlro
V owmr-0uiMer will heva iM burEm d po+in0 ha or Me d"M nal WN or impove ta iM WT�e M eeN).
Lj I. m ovmer W iM D��b. ��dusiveN �nireGvp wilh liceruad coniruYae b con&rud Ihe pmjw (Seuion ]W0. &ni�wes arM
Ptdew'w�s Code: The Canlre�wa License Lew does M eppFy.b an owrw af popeny Mn builde or'vnpww IM'mi entl Mq
convecla �w euch prqeds with e caNredw(s) lcenead punuent �o ihe CIantrecro 'mnee Lewl:' �.�
❑ 1 an q Mm Sec' B. 8 P.C.. la Ni �ec�:, , �
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Deie: �� —/ ` Ownar: V
i do n�W �n�rv mm i� ew�a a�d ��d��a me .�a��� a a cma � sd�r coe. saa�. uws, zssaa: �a
2553a. arM thet I a enY �ure WiNiip oavpant will / wil �(�b me) lo ' h eeN etete ootlee eM �Ir rtp�vesmrrce b
epermillamnevunionmmotlificeiionhwn�heAb-6ueTiy�%repamentDimna idaMielmnstvfionappiraiamanexemqimmlheae
woNson•.
Dete: ApplicenC
W OHNEfl'S COMPEHSATION DECL�RATION: I heraby elfiim u�der paraM1y d parjury me d tM bllowiip Eetleretiom:
� I hew aM xil meinlew e cerUfrata d mreent lo eellirmure for xakera' canpenW ion, ea provided la fy Ssuion 9]OO W �he leba
Code, lor tM pa�lame�we ol tha wak lor wNch �hin permn ie iauad.
� �,�i°:n�m�a�v n�":m�M � °�°�i���°S�'S�`i�fa�����.w�EX�P RES
c°�"` _ O1/O1/97
Poliry Number:
(ihis mfian neeE irof 6e mmWs�ed % tM pemit ia M me huMmd dallars /SIP01 a Isss.)
❑ I cMh � in Ne perlamence W iM wak la wfikh iM1n pcmX c bcueE. I ahell M emplvy enY Ge� � eM mennar eo m lo
bemme wbleil to tM woMen' compeneetion lewe ol Calilwnu. en pn hm il aik b come aubjetl to tM xwksa'
com � wn�pAmJo� ayl�ao of �M1e lebor Cade. I ehdi l0 1 Ih c py ' a p ieioi .
Deta: ; �' ( DdicenL
Wun/np: F�llun ro sxuro wortxa' mmpruetlon cw�rep h unlnrNl, �na �NI • c�n loyp b cNrNnl pN�aMa �nJ
elW/ flro� up ro an himtlred fMua�M 0ollen (Sf00,000), In edlltlon ro M� c ro tbn, tlemspu u povlAsd bi In
9xtlon 9106 0l M� labor todr, Int�4 � aRumsy'� Isu.
CONSTNUCiION LENDING ROENCC: I henby elfirm uMm panelry d perN�Y �� �� b e mnetrudion bMiiq epem.y br tlr
perlormeMe d IM wwk M which the Pa�mi ia vwed (Seaion �09). CH. CI.
LENDEF'S NM1E:
LENOEfl'S AODRE55:
��enM �net � nere mee �nrc endKm�m d,a mda mm �ne emve imom�mon c conea. � eane �o comMr wnn en cev.�d muMr oiav�a�ba.
ene s�de ie�re re�ama �o bund�a ���,�aion ena ne,eW aNno,ae rewa�metnea amn an �o eme, �w� �ne move.memonee v�wro
i«tr�vm�wro�s. HOB YODER
i_
oda: t% 2 V
(5151i6 WP) WAXe-Build'vp 8 Selery; OrearFle; Cenery-Appkem: Pink-Ravenue; Golden�oFReaeasa
CITY OE COSTA MESA - BUILDING PfiRMIT
PERM NO: P 07856G
PERMIT NO: P 078566 PLAN CHECK NO: N GOVT; N SOPP: N
CONSTRUCTION TYPE: V-N PERMIT 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-
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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 ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING RE�• PROV: PARCEL: 14151132 ZNE: REF NO:
PLANNING N TES>
> !' 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 APPROVED BY � ' '�� DATE:
BUILDING.APPROVED BY : , -. , DATE;
APPLICATZON ISSUED HY: �� ° � � � '� �� �' � DATE: %/�
iF1E1EiE1FiEiFiEiFiEiEff1E1E1E1E�E1FiF1F�F1E - . 1E1fiEiflElkfEfElffE�F�IF � 1Flf
LEGALIZATION:N F E E S 0 M M A R Y` STRUCTURAL SEGMENT;N
�•'. ;:
BLDG PMT PLUMBING ELECTRIC' MECHANIC FIRE SMIP/RES GRADING
PERMIT 198.00 ` •„
25R �; -� • •� SMIP/NON-RES
PLAN �ti �, . ,' L' .
ISSUE FEE 22.00 ,
BUILDING-DIV-> PERMIT ISSUE P,LAN-CHECiC' �• TOTAL PAID DUE
TOTALS----> 198.00 22.00 (�1^0.00 220,00 220,00 ,00
REVENUE DIVISION TOTALS —> COIsLECTED;,r ",�220.00 OVER/SHORT: ,00
BLDG PMT PLUMBING fiLECTRIC MECHP.NIC � FIRE. SMIP/TVT GRADING PLAN-CHECK
??Q.�� '{ i �.
/.` "�/ �� � '
iE
TYPE
PLU
PLU
PLU
PLU
PLU
PLU
PLU
PLU
PLO
PLO
PLU
QTY
2
1
2
2
1
5
�
1
1
1
2
1E 1E 1E 1E 1E 1E fE 1E IF jF �E k �E fE fE iE IElE K-1E'iF if if iElE iE if if !E if if 1E k iE iFlE fE ik iF 1ElE 1E iE iF 1f �f 1E iE 3E �E fE �E fE �E iE �f �E iE ik if iE fE �E
I N D I V I D U A L• .'"' F" E E'� B' R' E A K D O W N
� n . . 9
D E S C R I P T I O N ` , UNIT COST TOTAL COST
�
BATHTUB � rl � ' ,
DISHWASHER . ,.�
LAUNDRY TUB OR WASHE��,� " •,,
SHOWER � �•• � i :'
SINK, KITCHEN 9 �• � .
WASH BASIN ;s , '
WATER CLOSET ( TOILET ) ,�_, �=
WATER HEATER AND/OR�VENT..�•
WATER SERVICE (�'^ � "
GAS PIPING SYS �OF' 1 TO 4 OUTLETS
GAS PIPING SYS 5+ OUTL-PER OUTLET
8.75
8.75
8.75
8,75
8.75
8,75
8.75
11.00
8.75
5.50
1.00
17,50
8.75
17.50
17,50
8.75
43,75
26.25
11.00
8.75
5.50
2,00
,
� CONSTRUCTION AND PIANNiNG P� & SPA
r Date 'Inspector ' Date Inspector
-�' ��FPPROVALS Permit# APPROVALS Permit#
,' i. Temporary Electriral Service or Pole , 52. Pool & Equfpment �ocatioh
� �- .
f'Soil Pipe�Undrg�nd. !�_ �^-�G - 53. Steel fleinforcement "'
�,..
3. Electrical Conduit Utility-Undr9rnd. �� 54. Forms - '{ �, ��
A. Eleetrical Conduit�Undrgrnd. 55. Electricai Bonding • i_��'�
- 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ���
6.' Electrical UFER Grnd. 57. APPRQVAL TO COVER�GUNITE _-'
.
� 7. Footings 58. Electrical Conduit-Undrgrnd. - '
�
' 8. Pounilation 59. Gas Pipe, � Undrgmd., Test
9. Water Pipe-Undrgrnd. _�-E� S>/ 60. Backwash Lines, P-Trap, G� Undrgmd.
�e
10. Structural Floor SYstem �; 61,., APPRQVAL TOiDECK ����_
1 i. Property�Sewer �ine & House Connection .,2� � �62, Backwash & Receptor�Fjna4,
72. Sewer Cap '" ;63. Neater & Vent-Finai -
i
13. Roof Drains � �- � 64. Plumbing Syscem � Final'_,' i
14. Rough Plumbing C.G,� � v� 65. Electrical�Final '• " � `
L---
� 15. Rough Eiectrical-Conduit - 66. Solar SYstem�Finai � - .
�
16. Rough Electric W�ring 67. Pencing & Access Approvai � �
17. Rough Wiring Sign � 68. APPROVED FOR� PLASTERING
18. Rough Electrical-T 9ar Ceiling 69. POOUSPA SYSTEMS FINAI. �
79. Rough Heating & Afr Conditioning FIRE DEPT. i7EQUIREMENT
20. Rough Fac;ory Firaplace . . � - APPROVALS Permit # �� ' �
21. Ducts, in Struccure„ "�_ , - 70: Underground Hydro
22. Ducts, Vemilating 77. Product Pipinp �� Gas �J Oii
23. Gas Pipe-Rough & Test _ / c� t 72. Under�round F(ush .
. /'4-7- - -
24. Roof Framing � - � _ 73. Undergrnd. Smrage Tank C� Gas ❑ OiI
25. Roof Sheathing ' � '� 74. Overhead Hydro
26. T-Bar Cellio9 (Structurall & Monocoat - 75. Dry Chemicai
27. Frame and Flashing 76. Dry Standpipe � - -
28. Lathing & SidinB .- - • • � 77. FIXED SYS7EM FINAL �
29. Insulation - . � � 78, PIRE PREV. FINAL � � �
30. Drywaii Nailing - �HEALTH DEPT.�REQUIREMENT
31. Pia;ter Brown Coat 79. FINAL LNSPECTION
32. C-lectriral Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. final Eleciric ' � . - Notes:
. � - t -g � C'�z�,,� l�l� _ _
34. Final Heating & Air Conditioning- '; .�..� „� / ��� [�, i9i/
'd t/W �� _
35. Final Gas Pipe-7est //_�G,�/ �' - �-Z3 �-^-�� _ ����_ _ _ _
1/ [- e G
36. Hood or ('anopy . , � -��
��-vsh-r� s:sa�'��
37. Finat FaCtorV Fireplace
- rb .�t_-�� 1'?e=✓��t-�l� - --
38. Finai Plumbing i�Z _..�s.�� _ /���_S� �.�-,��`�„ _
39. Water Sarvice-Final TS �g f�6
12,._-i'� �1.� `/_�__ _ _.
40. GasSe{vice-Pina� , -
i2``c��
41. Solar pomesticFinal � � �
42. Backflow Preventer 'z �+,�cG .
Z_G
43. Backflow Irrigation ,1�_rt.�� -
! _ _
44. Landscape IrripStion System � - � �
45. Sound Attenuation - � "
46. Handicap Regulations �
47. FINAL STRUCTURE & BUItDING - -
48.�FINALPLANNING � � .
A9. Electrie Release to Edison
50. Gas Release to 5outhern California Gas Cv �
51. CERTIFICATE OF OCCUPANCY -
NO. Date
, ..AO PE540FBNLpWO:
� �aWNEKSN.WE1Fp10'NN:
�oor�ss:
�vr�. wuuxa �nonEss:
YMNRECT OP FIMdIffA:
,wcx.onv+a�s,�oon�ss:
coarx�crars ru�:
L WIPICTORS YYIII10
�ooxess:
So5 G4u-��y ��
uc. w_
ua xo:
UNT:
PERMIT NO: P 078566 PLAN CHECK NO: 02834-96 N ,
iE***�r***+t*�t�it�**�itit�itxit��rxet*xxftit�txft��rxx*�t*��*�*itit*it��r****xit�tftit��x��+Eitkit+eftxitft*itit*
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
uxr: I PLU 1 GAS SERVICE
PLU 1 SEWER, CONNECTION
UNT:
LICENSED COMFRttOPS DECL�NATION: I M�eby eflim uMs penNy d perpuy ihtl I em ficsnesd uMar prwiebna oi CMpm 9
(commarid�q wilh Section )000) d Drvieun 9 d Na Bueinev enE Pmlesw�v CoEe. vM mf' liwnse b in IW lacs eM sllea.
CffY UC. NOa LIQ CLASS: IIC. NO.:
Dde:
Cmvedar
�W NEH BUILDER DECIANATION: I Iweby affum uMa penelly d pmjury �MI I em exemq imm iM CoMretlon Ucenes law for tM
'A��O �eewn (Sadan l0'JI.S &reiiasa enE Hdefdme Coda: R^f'WY a muMy wlJch nVui�r a V�Y �o wuWc1. Mx.'unPove.
md'ah. n repei enY aWtlure. prior w!a owerca. deo reQwa+the eppliau fa aUi pmmu to fJe e sqroE �t&emeN ihel he a�M
�8 licensed pursuanl to IM pv+'vima d IM Gontredon li�nae Law ICheqm 9(�mentiq Milh Satlon'l000) al Orvebn 9 d iM
Buv�waa eM Prdeaiwu COCeI or �M1ei he « Me "n xemq therdmn vM �he bam fa Ne elbY� vemqion. MiY videtion d Smion
]031.5 by eny epplicen� f« e parmn wbjwU IM1e � 1 to e avi penelry ol nu mare Ihen fHe hunEred EOAen �5500�).
� I. e� ovmer diM Vw�Ya mY emVbY�a wih apea ea �hei eale mnV�. �wT Eo tlw v.wk. eM tlw slNclun e mI mleMed
a Mxed la eeb l5ectbn )ou. Bus'vasa vk PmlaammaCade: The Caareewa limme lew Eom nd ePdYto en owmrd O�GeM
who WdM a inww++�hmeon. ud wfio does euM v.ak F8nae0 a MnN a Nra� he a her own emVM'�a. pa'� tAm wch
impwemeMs ara ml iMendeE a dised lu sab. X. howmm.IM WiNitq n inpwemaM b wltl xilhin aw Y� d mmGwon.IM
owmr.WiNr xill heve IM buNen d pmnnp M oe aha did m� bWi m impme 1« �M puryoea d eeNl.
� I. m owror d ihe pWaH. em mdi+cnN mureen0 � YmmeE mnvec6�� ro oa�ww Ns pol� (Seaion Au. Bus'vwe ud
PMeseiom Code: TM Conlretlae Lianae Lew doea nal epply lo en owiwr M prtpe�ty x1ro WBda a imqwx �Mraon eed who
canirecta la euN p9�+ wdh e mmronMal4e�ued w�*� m �he Caureaus Lim�ee lew'1.
� I em uemq uMu Seclian: B. d P.C.. br tNa �savon: .�
Deie: �
i eo ne�M �+M u,d i.m a.are a d,e wd�.��d ma na���«ne�n d ce�i�i. Hamn a�,e smar coa. seao�e zsws, zsss�. �d
25551, eM Mm I« e�ry Mum buiWiiq omipent will / wil riq (artb an) emE b eomply wih veid nae mdu erd tM �epwrtmeM� br
aM��laconsvuciionamodAkelianhomtMAi�ty emO��D'atntl.ReddxYUlcvnprutlianeGVkdiaawexemqlromtM�
provisione.
Dva: �Od�
WORKEF'4 COMGENS�TION DECLAPATON: I MraEy elfirm ivMr penMy W psjuy ans d tlw Idbwiiq detivabro:
� I hma ud wil mmnten e eenA"ule d mwu io setlavcsa tar wkers' oompeemetion. m pwidH la by 9 Wim J]00 d �ha LaEu
Coda. lor iM perlomwica d Ne wak la whirJi iho peimu u ueueE.
� I have vM xil meinlain xvM1en' mmpemNo� imurvxa. ea myu"vad by Swim J'!W d �M LaEor CoCs. M iM palormem.e d 1M
wak lor wliich iM WmN is uausd. My worVan' mmp�atlian inavancs onier md V��' mmber aa:
Cemer:
Pdiry Number:
(tiu'a asnian nseE iwtW camde�b ] Ns vs'm)'s ror uro huMrW GoOem IStal a Nn.)
� I eanh � in �ne peelomurx:e d iM wark br wM1ch �ks pmw u imuetl, I WII m� employ vy pereon in e�ry me�vier eo ea lo
become wbjsa io IM v.vrkxe' mnWeneetion �e�w d CafAamb, eM eprea Na Y I ehouM bemme wbpp to IM xwkse'
comCe�m�bn Wwaure W Seabn a100 d tM labar COM. I tlull lanhxdh mmW xah tMm p�aria'vm.
Dete: MW�
W�mlip: Fe/lun ro reun work�n' crompwuetlon mr�reW la unMrNl, �ntlWll �WJ�ef �n Mnplo�r ro eAml�ul p.ruMu �nl
e/vll flma up ro ms ��ntlnd thourn0 tlalMn (fIOqOWA M�Itlon b M� rost ol rompmutbM1 Gmipi u proHtlM br In
S�etlon �1fA5 0l !M L�bor Catle, lnfwuC � ettomsy'� Iwi
CONSTNUCl10N LENOINO AOENCY: I hseEy eKvm undar penMy d per''vy ihet �Mn o e wnAiurlian bWinp epwicy br tlr
psrlormeMe ol the v.wk i« whitli ihe peiml u'vwed (Seeion �W], CN. C).
LENOEP'S NAME
LENUEF'S �DOFE54:
I cenity Ihet I M1eve reW Nia epplicetion vd nma thm ihe eEove iMarmdian e cortea. I epree lo comply wilh NI ay end counry adirorau
eM nttle lewe rele�M W deWn9 cmNWbn atl IweM eiNv¢e �eV��d^+e d �Ns c5Y b mlx uG� IM ebove�menlioneJ popeR/
Iw ir�spetlion puepoma.
Dme:
59�ture d OwnatlAganVACG�����redn
(St51ie.WP) Whne-Build"vpdSelery;GraeMFle:Canery-Appiranl:Pink-Rermue;Galdemod-0.veessa
8.75
TO BUILDING EACH 22.00
END OF FEES
8.75
22.00
�- J CONSTRUCTION AND PIANNING PC & SPA
t pA,PPROVALS Permit# Date Inspector qppROVALS Permit# Oate Inspector
1. Temporary Electrical Seroice or Pofe 52. Pool & Equipment Location
2`.�Soii Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utilitv-Undrgrnd. 54. Forms
'' 4. Electricat Conduit�Undrqrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER•GUNITE
7. Pootings 58. Electrical ConduibUndrgrnd.
8. Poundation 59. Gas Pipe, O Undrgmd., 7esi
9. Water Pipe�Undrgrnd. 60. Backwesh Lines, P�Trap, � Undrgmd.
� 10. Structural Floor System 61. APPROVAL TO DECK
1 t. Property Sewer Line & House Connection 62. Backwash & Receptor�Final
12. Sewer Cap � 63. Heater & Vent-Final
13. Roof Drains 64. Ptumbing System - Final
14. flough Plumbing 65. Electrical�Final
15. Rough Electricai-Conduit 66. Solar System�Finai
76. Rough Electric W�ring 67. Fencing & Access Approvul
17. Rough Wiring Sign 68. APPROVED FOR PI.ASTERING
78. Rough ElectricabT Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & A�� Conditionin9 FIRE DEPT, REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
27. Ducts, in Struaure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas OOiI
� 23. Gas Pipe�Rouqh & Test 72. Underground Flush
�_.. ..
� 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Fiydro
26. T-Bar Ceiling ISt�ucturall & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lath'ing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
, 30. �rywall Nailing HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: � � - -
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Nood or Canopy
37. Final Faaory Fi.eplace
38. Final Piumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-final
42. Backftow Preventer
43. Backflow lrrigat�on
44. Landscape Irripation SYstem
45. Sound Attenuat�on
46. Handlcap Regulations
47,. FINAL STRUC7URE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50, G�s Release to Southern Calitornia Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
�oonEsslrwniowa: 805 GALLERY CT ��:
�nxweivaaAm: POLYGON SOUTH COAST ASSOC FLOOD: X 47
:^ bAPi59: SS%SL ROCKFIELD BL
� UNIT 120
CRVINE, CA 92718 714-452-0600
�vv�. xuuxo �ooxEss:
urcxirecTon�awun: LL MAJOR & ASSOCIATES
'urcx.on�a.•swowess: 1551 N TUSTIN AV
SANTA ANA
COHipACTqf4NAYE:
cam�crorcs�uuxo
��ss:
ucw.: C-16869
UNT:
CA 92701
uc. ra.:
uxT:
IJCENSED COMNRCTONS UECLPfl�TION: I Mreby eftim wdm pm�y d pajury thu I em IceweC uMs pwiaom d Cheqm e
(epnmeMiiq wil� SeeYon ]000) d Division 3 d Ne Busimv and Ptatestotu Coda. eed mY �s d in IW taee end atletl.
cmuc.No.:066144 uc.cuss: B uc.No.: 659262 EXP: 11/96
Dme: Garc'sCa:
�W NEN BUILOEN DECIAHATON: 1 hueby alfirtn uMm pe�uly d qrjwy �hat 1 em eaemq fmm �he Cpvreqon Lioaims tew lu iAe
�Ibw'vq roa5on I�ion JW 1.5 Bueireaa e�d PMemoro Coda: R�ry [YY v munry whid� rquine e permn �o aomWM. allx. impare.
nmd'eh, a rapai erry suuaure. pna W i+ usuence. eba'eqwm iM appGra'u tor wW peimG lo fJe a aqmd pabmeN Net he a�M
is I'icensaE Wnuent io the povisiona d Iha Canirmors Licertsa law �Claqer 9 �mmmendip Milh Setlbn ]U00) d Diveion � d tha
Buaress erd Rdmeiore Codal a thm he n eha c uamq Iherehom vW iM bese la Ihe dbped ezeiMian. My vioWian W Seaian
]031.5 by enY aD0licenl lor a permit wbjMs �ha epWi�ani io e tivil pe�alry d m� more then fwe hundreE Edlen �E500�.
� I.maw�wrdlMq^OeMamYemDbY�+x'vhwape!mtheiedemmPe��.xiYdothewwk.eMNeetuYumwnaeneMaJ
or dimed Iw eeb (Sectian )oaa. Buairss end PMessoa Cotle: The Contmtlas lironse lew Goes rot wWYb n owror d D�De�Y
who buiM a inW�s therean. entl Mw daea vuN waklimsetl a Mnel a Waqh ho a hm am emDbM�. pa'� thel wM
impmeemenU ere rot ieueMed a Wered In aele. tl. lawo-rer.IM buiNi'p a mprnaneM is eatl Mnhin ons ym ot oompblion. Ne
a' owrorbudder hill heve iM buNen A pwfnp M a ehe did ew� bidd rc'vnpws fa �M pvpw d eeb).
LJ 1. m ox.wr d �ne vrw�Y. em ecrLmrM' mmraeno wdh G�wued contrenm b mmma Ne wd� 13wion �ou. Buei�a sd
aAi��. c�: rna comreaon �� �w eo» m=odr io .o o�,w a a�wenv wno d,ad. «�wo.�. m.�.m .�a .,no
mnirem I« wrl� wd�++ xiN e mxredv(e) Iceeued wnuem m �Ae Cam�ms lxenae lewl.
� I em eaemq mMa'r SeIcti/o�n: 8. 8 P.G.. la mb ree '
De�e: � � �-I —1�, � Omiar:
I do Mreby eanity thel I em ewere dW �ndenivM the requieammn d Callwni h efary Coda Seaiam?5505. 2553�. enJ
25531, eM IIW I a ury Mu2 btiNvp ompent wW / wil M(�b me) �� b wih �eid pe�e aoda� aM IM ipwismenb b
e0emmlummi�uclionwmodifrmionhanlM� +e�vieYememOivria. ieloonp�ione00��iomenuanNlmmtMea
a�.
ome: Aoas.m:
WONKEP'S COYPENSATON OECL�FATION: I Mnby el(um uMar psuRy d pe�wy one M IM IoOowi'p dedertlba:
� I heva erb xil meimen e cMilicele d mnxnt io eell♦num br wakss ednpeneeiian. ro pwidsE for by Seubn 9]W W iM Labor
Code.la IM peAmre'cs d Na wk fa w1irA Nu penw u muaE.
�] � n.v..�e wie meim.:, wa�ken• cano«maio� ��ww�u�. m�w���d M swm a�oo a m. lan« cod.. b m. w�ro.m.no. d m.
.�n�«..nKninno«mam�,.a.�+rw«��'C�1�R��S��ISenew�.v�mna.�.: EXPIRES
c.�;e,:
Pdicy NumEer — � 1� � 1� 9 7
�rn;. eea�on ,�..e,�a e. �o,�am,e � w v�x o ro. �. m,w,.e em.,. mml a w..�
� I mnM ��� �M porlamence M IM wak lor whkh tM pamu o usuaE, 1 �heA nd amplvy erry paeon in eny menMr o n lo
n«ome .�4«� �o �ne won�.n mmpemetron b., a c.raomi.. ena w�. uw a �.nw� nx me wa.a m m. ,ron.n•
�,v«�w'`��c/�,+ �+aswI:.�a�aoam.im«coe..i.n.ui wG v �nin. ��o' �..
Dale: ` / / / � Y �DdKap:
r��
W�mlrrp: F�Ilun ro�xun worken' compau�tlon rovxep� l� un wfu( �ntl utll ��ployx ro MMrW pm�ltlu �rM
e/MI nn�s w ro m. h�nend tlaunMW/6n lsfaqoaoA �+m�tlon ro eM em� or eanrpwu�ebn �W u pov/h0 ror In
Sectlon 9)O6 0l tl�s Le4orCOW, Infaul, �nA ettomey'� lsu.
CONSTPUCTION LENDINO POENCY: I Irenby effirtn uiMer penelry d perj�ry �hm ihre is e mipruabn bMinp epeM.y br tM
�nameM. d me w* ro..nd� iw v�i u oana Is.a� am�. cH. cl.
LENDER'4 NMIE:
LENDEfl'4 ADORE59:
I cenily ilat I hew ntl Ne epplicetion eM qme thm tha eEove'uJametion e mnea. I epiae �o wmyy �rith el eryenE camly atlimncea
d,e e�me r...�m�o �o wudo-w ��,.vw� �e n«anr.�nno.¢e �wo.�m,�„ d ino av ro«,�« uoo� ms wwa-m.ma,.d a�m
�0`"'0°"°°°°`°°'°' �JOB YODER
Deta: • � •�
(5151 de WP) WM1ue-b+iWvq d Selaty; Grean-Fb: Cemry-Appirant: Fnk-Rmanue: Gotlen�obAa+eeeor
CITY OF COSTA MESA — BUILDING PEAMIT
PERMIT NO: M 078565 PLAN CHECK NO: N
PERM NO: M 078565
GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: NEW
JOB DESCRIPTION ; 2341 SF LIVING/ 605 SF GARAGE SQ FT:
CLAIM VALUE; CALC—VALUE: GROUP OCC; R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 3/ REF B—���
�tatx�*x�***it*itit�tit�r***it�tit�t*�r*x�x�*�r*at�r**�r**x�at�rx��r**x�*�r�r**+t�tetit�r �r �ret�riEi�*at�t�tat+titit**it*x�
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BOILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARKING RE • PROV; PARCEL: 14151132 ZNE: REF NO:
PLANNING N TES>
'
'1E iE ih'Ik iF 1f iF ik 1E �E 1E fE 1k 1E fE 1E If 1E If if 1E iF fE iE f(� 1F IE iF 1k fE iF fE 1E-0E iE iE 1E 1E'lE �lE'lF'lE'lE iE iF iF iE iE if iFlF 1f�lf 1E 1E 1F iE 1E 1E 1E 1E if if 1f 1F iE 1E ff �)f fElE 1E iE if 1f iF 1E IE 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:
�
BUILDING APPROVED BY ; DATE:
APPLICATION ISSUED BY: - ��� DATE: %—�Z—G%�
�iEiEiElEiElEaEiE3E1EiE3E�E1E1EifiEaE k9EfEfF3FiF7FTF7FiFTfiFiF7FfF�FibdF.ifiFiF�iF�FiF3F3F�if7F 3F 7F7F7FiFlEiFiE3E!lIFIEiElfiEiF�'{F�iFiFiE
LEGALIZATION;N F E E S 0 M M A R Y STRUCTURAL SEGMENT:N
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 35.75
25t SMIP/NON—RES
PLAN
ISSUE FEE 22,00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 35.75 22.00 0.00 57.75 57.75 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 57.75 OVER/SHORT: ,00
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
57,"IS
iF1F1EfEiEiEiFiE1F1E1EifitlklfiFlEifIE1E1EiE1Efk1Ei(-1fiElEif1E1F�EfEfEfkfEltiEfEIE�EIE�EfE1E�E1E1FifiFiflbfEiklElfiElElfiEfEfFiEiEIEIEjEIFiEiEiE1EiF141EiE1E1E
I N D I V I D U A L F E E B R E A K D O W N
TYPE
MEC
MEC
MEC
QTY D E S C R I P T I O N UNIT COST
1 INST FORC—AIR/GRAV FURN <= 100 K BTU 13.25
1 INST HOOD W/DUCTS FED BY MEC EXHAUST 9,50
2 VENTILATION FAN CONN TO SINGLE DUCT 6.50
END OF FEES
Y
TOTAL COST
73,25
9,50
13.00
" COIVSTRUCTION AND PLANNING Pl. -& SPA
-�4PVROVALS Permit # Date 'Inspector ' qppROVALS Permit # Oate Inspector
�i i� 7emporary Electriral Service or Pole � 52. Pool & Equipment Locatio�
2:' $oil Pipe-Undrqrnd. ` 53. Steet Reinforcemen[ �-•
3. Electrical Conduit Utility-Undrgmd. - 54. Forms � ,� ,S,I
.a.
..4. Electricai.Coriduit�Undrgrnd. .�y 55. Electrical Bonding � � ( � ,
5. Steei Reinforcement 56. Rough Plumbing & Pretsure jest
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE � �•
- Y, Footings 58. Electaical Cor�duit-Undrgrnd.
�'6. Foundatian 59. Gas Pipe, O Undrgrnd., Test
•�9. Water Pipe•Undrgmd. 60. Backwash Lines, P-Trap, O Un;lrgmd.
10. Structural Floor System �-�� 61. APPROVAL TO DECK `
1 t. Property Sewer Line & House Connection �-� '62. Backwash & Receptor�Final •�
12. Sewer Cap '-� '_63. Heater & Vent�Final �.�'" _
13. Roof Drains ��64, Plumbing System � Final '� ;
i
14. Rough Piumbing . 65. Electrical�Final i
15. Rough Electrical-Condurt . 66. Solar SYstem�Finai ,i "
16. Rough Electric W�ring 67. Fencing & Access Approval ',
77. Rough 4Viring Sig� 68. APPROVED FOR PLASTERING
i8. Rough Electrica6T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rou9h Heating & Air Conditioning /D I PIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace : - APPROVALS Permit �
27. Du�;, in.Structure �' 70. Underground Flydro
22. Duas, Ven2ilating `��lS61 � 77. Product Piping OGas OOi1
23. Gas Pipe�Rough & Test . . 72. Underground Flush �
24, RooE Framing � 73. Undergrnd.StorageTank OGas ❑Oii
25. Roof Sheathing ' � � � - � 74. Overhead Hydro � .
26. T�Ba� Celling (Strucivral) & Monocoat . 75. Drv Chemical �
27. �Frame and Flashing 76. Dry Standpipe �
. 2$. Lathing & Siding . _ � . • 77. FIXED SYSTfM FINAL
29. Insulation � 78. FIRE PREV. FINAL �
30. Drywall Nailing _ HEALTH OEPT. REQUIREMENT
31. Piaster Brown Coat 79. PINAL INSPECTION �
32. Electrical Power Meter�Final . 80. FOOD CERTIFICATE ISSUED �
33. Finai Electric � Notes: �p _5.` �6 � Z��
34. Final Heating-& Air Conditioning � I .
( 2-`L�'G6- - -
35. Final Gas Pipe-Test �
36. Hood or Canopy _ - . � - � -
37. Finat Factory Firep�ace '
. 38. Final Piumbing .
39. V4'ater Service�Final � � � -
4Q. GasService-Finai_ � - . .�
47. Solar pomestic-Final '
42. Backfiow Preventer � '
43. Backflow Irrigation ' �
44. Landscape Irripation System � -
45. Sound Attenuation �
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Reiease to Edison
50. Gas Release to Southern California Gas Cn �
51. CERTIFICATE OF OCCUPANCY
No. Date
AUDNRSQFBUILORI�: 8OS GALLERY CT °M`
0
°"'"Ea°"""E'°'o+o�`": pOLYGON SOUTH COAST ASSOC FLOOD: X 47
' '0°"� 15751 ROCKFIELD BL
UNIT 120
RVINE, CA 92718 714-452-0600
uv�. uuiwa wonEss:
"'w"rtEM°"�r'r� LL MAJOR 6 ASSOCIATES
""�"0"�8D°"� 1551 N TUSTIN AV
SANTA ANA
cann�nare �•�.
cwm�cTan �uiwo
�oo�ss
�ND= C-16869
uwr:
CA 92701
uc no:
uwr:
110ENSEO COMNACTONS DECL�R�TON: I Aaeby � �vMw psuly d pepvy tlW I mn fmnsM uidw pwirioia d GMpa B
(�munsndnY xeA Sctiv� 10W) tl OMubn � d Ne Bud�wv W Pmlwdnu COAe. W mY &rue u in I� brte end aMW.
cmuc.wo.:066144 uc.cuss: B uc.No.: 659262 EXP: 11 /96
Dme: ���^�:
OWNEN BUILOEN OECIAflAAON: I hueby dfirm uMr pxWy d per"'vy �lut I mn easnq han �M Cam�edm l'om� law la IM
Idbwi9 �seean (Setlian ]W 13 &niqs� rd Rdmiotm COM: MJW a muNY MfiiN �epimm e De�G b aomWp. edx.'viwae.
demdeh. a ropei enY evucture. priw ro ia b�uance. ebo m�uiree �ha eppfrani la wch pannu ta fib e ai�rod atmameru Uw he a�M
e i��a w�u �o in. v�+ a m. com�e«. �� i.. Icnaq« 9(��o .an seao� �000t a a.ew� a w n.
e��e...�w r,w...o�, coe.l «inv ne «.n, o��q mQ.m,� �d me n.m �a w..mow �.�ao�. Mr •wmo� a s.a�
)W 1.5 by ury eppliunl la e pmmil wbpde �M eppfiu'u �o e dvd qroly d na mae ihm IHe hunEmtl EOEu� �f500�.
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: M 080243 PLAN CHECK NO: N
PERM NO: M 080243
GOVT; N SUPP: Y
CONSTRUCTZON TYPE: V—N PERMIT TYPE: MEC PURPOSE: NEW
JOB DESCRIPTION : 2341 SF LIVING/ 605 SF GARAGE SQ FT;
CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 3/ REF B-78563
at�t�ititit**� *x ��r�**+f**�r+��+�***itrt+r*+�+��r�+r+r+t***�itat��r�ratat******x�*+t**r*�+t�r�ritit���*ftit*atx�+��
Z O N I N G R E Q U Z R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ: PROV: PARCEL: 14151132 ZNE: REF NO:
PLANNING NOTES>
> - i (•
i,
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aMereElaveblS«tion)aa.eu�'unweMProtodmaCade:TMCwreaasLimnselawdoaemtwWYtoenownerapWeM � 1�
who Wide a inpm+! �haeon. uM xM dou euM xak limeell a hene� a tivuq� he a her oxn amWoY��. v�+bed the euch .' `� ��
impwernWaararo�watledvoHsedlnWe.tl.Mxawr,IMWJCinpainpewwnMmeddw4hmmeywdoompbtbn,Ns ZONING APPROVED BY DATE:
oxmer-builder will have tM Wrden W prwiiq M a ehe did nd drik or imqo.a tor tM puryme d eeb�.
�] I. ea mwwr d iM P�M. em u�m+N conirapiq wnA f ed cantrenaa ro m�mua Ma p9� (Swion'roN. &rinrs uM . s ..i `,' .
a,a..,�.caa.:�cwnea.u�«n.�.�.m.maAheo+�dc�c.�r.+�w�t+«mwo...in«.�.�ewro BUILDZNG• APPROVED BY • - DATE•
wmrern Iw wcM1 pqeaa v�M e mMema�e) I"v:emad qmueM to IM Capraaae Lioeiue Levr�. -
❑ei��yw'�•���: e.��«��� �APPLICATION ISSUED BY
� ao nxew o.nM �m �.m ...,. d.ne ima«.wd mme na�am d c.uomm Iisaen ene smw coe. s.aion. uws. nsu..ne
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ome: �w�F.m:
� WOFKEP'SCOMVEN9APp10ECWiAT10N:IMr�bydhmudvpwtlydper'�eyonodthelobx'vpdWeimvu:
� IAeveaMwJmeintenecMScmadmuent�o�opirmvobrv.aMen'mnpenWian.uYwidedlvMBWian�]OOd�Mlabor
coe.. ia n+o«'w�wK. a a..,on i«.�n w wme o�w.a.
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WOIY.IIX M�1IVI I�M DM�M X WIIld. �' W VMOI�� W�11�OIWlM NNVICO 0rtY Ni D�Y NNIblf Y!:
c.�;.: ('VPRFSS TNS EXPIRES
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n«om. wq.0 io �ns .m�..• canw�w� e.. w c�ra�:.. d,a m... mr a i.naae e.�» «nia �o m. .on�e�.�
cw„O,nwW pn y,o,Miaropl s.aion aroo a �n. l.m� ced.. � dw eunn � thn. proviydu. _
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w.m/iq: F.nun ro wcun workwi m�i�tlon carwapr b w4�Nl, .M 4WI s�e/�er �n.mplo� ro eAMirl p�n�Itla.iW
e/Hl Arrs iq ro an� h,ntliM tlauaud tlai4n (SIOqP00A a�l�n ro tln rosl al mmpwwWM1 Eem�p�� u poHdM br In
9�etlon J]G6 0l ttr� L�6orCOA, /nfwul, iM �t1omW� /�u.
u
CONSTNUCTION LENDINO �OENCY: I Mreby elfirm uMer penMy d ps�m/ tMt then u e mnp�udion bMiip apenry lor �M
perlormarvx d tM hak la xfiitli Ih's pamY u eweE (Saaion �09). Cw. C�.
LENOEP'S N�11E
LENDER'S AOORESS:
I cenily Ihd I heve ned Ihn epplir.Nbn �nd Ye�a IMI Ns ebwe iNamNcn b cand. I eyse lo mnply wil
eMatmeleweMmiproWJdvqcauo-wimudMrWYvWar¢eieqeeeeuetiwdth'vinyioeeu upon
IairoVatln^wrWm+ �/ ` �/�
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tM ebo`a�men�oneEp�opeRy
(S15tJ6.WP) �s-��O85e1My;O�semFla:Cenery-�ppivN:Rnk-Reuenue:Oddenmd-A+romor
1 �+' .i
LEGALIZATION:N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 16.00
25a
DATE : I�—�
��*���*+r��r�rx� *�
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
PLAN ' �,
ISSUE FEE - _ 6.50
BUILDING—DIV—> PERMIT ISSUE PLAN=CHECK TOTAL
TOTALS----> 16.00 6.50 "' 0.00 22.50
SMIP/NON—RES
PAID DUE
22,50 .00
REVENUE DIVISION TOTALS--> COLLECTED; 22.50 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECFiANIC FIRE SMIP/TOT GRADING PLAN—CHECK
' 22,50
if 1E 1t it 1f 1E k 1f 1F 1f IE iE 1E 1E iF iF 1F 1ElElf k k if k k 1f IE IE 1f k iE 1E 1E M IE ik 1f�E Ik 7f k 1E 1F 1f 1E iE 1E if if if iE 1F if 1f 1k 1k 1k ik 1k iE it if iF 1! 1f 1E if iE 1! 1! ik i! 41f if 1F fk if iE
I N D I V I D U A L �F E E B R E A K D O W N
TYPE (JTY 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
"i QL��29;98—OQ219398 T�] T 22.50
DATE: 11/18/95 TItIE: 14:`0
• CONSTRUCTION AND PIANNING POt�� & SPA
APVROVALS Permit # Pate inspector APpROVALS Permit � Date Inspector
• 1. Temporary Elearical Service or Pole � 52. Pool & Equipment Locacion -
2. Soil Pipe-Undrgrnd. .%� 53. Steel fteinforcement
' 3. Electrical Conduit UtilitY-Undrgrnd. 54. Forms �' �
4. EI¢ctrical Conduit�llndrgrnd. 55. Electrical Bonding
5. S[eel Reintorcement 56. Rough Plumbing & Pressure Test -
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE ,
7. Footiogs 58. Electrical ConduibUndrgrnd. ,`�
8. Foundation 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. -
70. Structural Floor System � 61. APPROVAI. TO DECK �' ;
11. PrOPerty Sewer Line & House Connection �� gz, Backwash & Receptor�Final r
72. Sewer Cap ' 63. Heater & Vent•Final � :
i • �
13. Roof Drains � �' .
64. Plumbing System • Final
14. Rough Plumbing f 65. Electrical�Final
75. Rough Electrical•Conduit 66. Solar Systr,m•Final i a '
16. Rough Electric Wiring 67. Fencing & Access ApProval! '� �
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING '
18. Rough Electrical-T Bar Ceiiing 69. POOL/SPA SYSTEMS FINAL
19. Ro��9h Heating & Air Conditioning FIRE DEPT. REdUIREMENT
20. Rough Factory Fireplace �_ _ i APPROVALS Permit � .
21. Outts, in Strutture 70. Underground Hydro
22. Oucts, Ventilating ��-� _� 77. Product Piping OGas DOiI
23. Gas Pipe�Rough & Test 7z, Underground Flush
24. Roof Framing 73. U�dergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Structuraq & Monoeoat 75. Dry Chemical
27. FrBme and Flashing _ 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. InSulation . 78. FIRE PFEV. FINAf.
30. DrYwall Nailing HEALTH DEPT. RE�UIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power �4eter�Final 80. FOOD CERTiFICATE ISSUED
33. Final Eiectric �. � Notes: jl-�� g( .�V €�---
34. Final Heating & Air Conditioning ., Z��/ r,Z „4. � �(�L
L�
35. Final Gas Pipe�Test ' . .
36. Hood or CanopV R L•r6 .
37. Final Factory Fireplace 2,:C� _4
38. Final Plumbing
39. Water Service�Final
40. Gas Service-Final �
41. Solar pomestic-Final .
42. Backflow Preventer .
43. Ba6kflow Irrigation _ � - ,
44. Landscape Irriqation System
45. Sound Attenuation ' -
46. Handicap Regulacions
47. PINAL STRUCTURE & BUILDING
46. FINAL PLANNING -
49. Electric Refease to Edison
50. Gas Release to Southern California Gas Co
51. CEflTIFICATE OF OCCUPANCY
No._ Date
ADDNESSOF0111LdNG: (}OS GALLERY CT uNT:
oaxexsxiyeTF�aorm: POLYGON SOUTH COAST ASSOC FLOOD: X 47
wonFss: 15751 ROCKFIELD HL
UNIT 120
IRVINE, CA 92718 714-452-0600
1DPL.NALLllW ADDNE53:
APCXRECTONFNtlNEEfl: LL MAJOR 6 ASSOCIATES uc.no.: C-1GS69
uaw.on�+�c•sAoonEss: 1551 N TUSTIN AV urar:
SANTA ANA CA 92701
CONIIi1CTd1'SNAME:
cam�croas �uw+c
�ooe�ss
uc. xo.:
uNr:
LICFNSEU CONfNRCTOHS �ECLAflATION: I Mreby eA'em unEer panely d pe�ury Nel I em licerreed undar povama d Chapla 9
(mmmer�dip xilh Samm� ]000) ol Divisun 3 d tM Businea aM Pmleaaims Cade. eM mY limnae w in /ull facs vW slled.
cmuc.No.:066144 uc.cuss: B uc.No.: 659262 EXP: 11 /96
oma: comrea«:
OWNEH BUILDEX DECLAHITION: I Mreby etfim �nder peneMy d perNrv �� �� e��V� �� �� �mreUae licems lew lar ihe
Idbwig reeaon (`�� )�t.5 Busiim eM Prdmaione Coda: AnY W a aounry xfiidi npuire.v e pennG to ornsWCY. alls, imprwe.
aamd'mh, or repev eny awciure, O�or lo ils ueuenca, ebo reQuirea IM epplimnl lor wch peimil lo fib e eqmd elelement Mtl M a eM
�d Wrouen� io tM Pr��9 d IM Coniraeon licenae law ICheqer 9loommme^0 wuh Sedion ]000) d D'veion 3 d Ihe
ineva aM Prdaaaiau Codel a that M a eM is ezemq �herehan aM �ha beaia fa Iha dbpad uemqian. My videtion of Satlion
.31.5 by eiry eppliren� Iw e parmn eubjeqe �he epplicent to a anl penelry d ml mare tlan live hunErad tlollen �5500�.
� I, es owewr d Ihe qopeM or my empbyeae v.iih wegas es �hei ada mmpeneetion, will Eo iha xwk, aM �he alnicNn e iwl intendad
w oMered lor seb (�Ibn )006. Busiron eM Protecaiona Ccda: TAa Cantredwn Lirenea Lew Ama �wt epplyto en owiwrd qope'ly
wlw WiJs « inqwea iherean, md who doee sucM1 xwk IimseM a Mne� a tliraph ho n Mr arm mmployw, pv.•ded thet ach
imD�'emante ere nd intaMed «dlered for aeb. H. hawavar. tM buiNinp «inP�'emam ia sdd wnhin one Y� d mmplMion.lhe
V owrix-0uiNm xdl here �M WrEm d povieq M or eM Eid nal Wik a impove la IM W�s d eds�.
¢� I, m oxnm d Ihe utirey mnlree' wnh limnsad canvectan ta mnarud the
LJ ProGaM. em extl vw WM� (Seaon lo6a: Bwi�wee end
Pmfamme Code: TM Coniradan liceme Lew does rwi eGWY �o en owrr W VW�Y xfio builds or'unDp+� Iheraan end who
conVeMs for euch pmjeds wil� e wntredo�(e) liceneed Wnuanl lo IM Coniredon Limme� �-
� I em uemp uMm Seclionq: B. 8 P.C., lor ihu '�n: � � � �
Oate: � Z/ /_�_ Om�er: Y%•^ ' •�,
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25534. uM itw I a erry Muea buiWi�p omipen� xill / wel rw� (�6 are) rieed t ply wih eeid pate mEee erd tlie repu'vemeMs br
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WOFKEP'S COMPENS�TION DECLAP�TION: I heraby dfi�m under peneliy d pxjury pro d Hw /ollowi�p EstleMiwu:
❑ � new d,d �� meime:i. �eni�cm. a cmmm m.w,m�re �« work.: camv��. e v� r« M s.mm aroo a m. �.nar
Code, la iM pe�farmence d ihe vroh lor which thia peimn u ievueA.
� wukfawhM�huDs�mil�nieauad.Mywake�e'I.YYIIC.SS�INS3'�a�w�cv'.�'EXPIRES
c�a,:
Pdicy Number: — Q 1� Q 1� 9 7
d: sen�o., �eed �w na �nd•rad i rn. c�x � m. � n��d,ad ddi.,s rs,00l o, bc../
� I cerlry Ihat in Ne pMwmerce d Ihe wpk /a whch thie pamin is �euaE. I Mell M empby eiry penm in eny mennr n o to
became wbpif b Iha xwke�e' campenselion lewe d Celil«nia �4 epree ihet A I ehwl Eerome euEjxf lo �M xoM1an'
oom�w� IOVI9DIIBMSM�911310DMIM1BLBWfCpIB.I8M10III � WII�C011 �F� �BB if�W�}.�
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Wem/np: Fellun ro ixv �warkws' compxuetlon covenp� b unbwNl, en • ef en wlp/oyx roWMNI prultlp nM
clvll Anu p� ro aro hundro! tMuuM dolMn (Stoo,000A �� ���� ro m � mpxue�an aerrops a. provrese ror �n
9xtlon JlP6 0/ fM LeDor Cods, Infensf, siM attom�y'a fsu.
CONSTRUCTON LENDINO ROENCY: I MrabY �� uMer peneXy d perjury thm there u a consliutlbn bMi�p aysiwy br tlw
wnamvKe a ine won �or wnia� �ne oa�� y enued (seeun ao9]. c'v. c).
LENDER'S NAME:
LENOER'S 110DRE55:
I cerlity ihet I ham neE I�ie epd'emian eM qma ihm the ebove intamelian ia mrted. I eprea to canply xilh dl ay eM mwiy wd'v�enoee
eM stme lewe rele�in0 �o WiWirp conavuaion entl hereby eWwrae repreaemetivee W thie cily lo enler upon IM ebwe-meMioned popeM
�«"spe°""°"`°°'°g BOB YODER
C "'� �
om<:
S' n re er/ApenUApDbcenUGomreqor
(5151-K.WP) Whna-BuilEvp85elery:Oreen-FIe;Cenery-AppYrenl:%nk-Hevenue;Oddanrod-beeemr
�� CITY OE COSTA MESA — BUILDING PERMIT
PERMIT NO: E 078564. PLAN CHECK NO:
�
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE
JOB DESCRIPTION : 2341 SF LZVING/ 605 SF GARAGE
CLAIM VALUE: CALC—VALUE:
I�
PERM NO: E 078564
GOVT: N SUPP; N
PURPOSE: NEW
SQ FT;
GROUP OCC: R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 3/ REF 8-78563
***iF�r***�at�etitiEiek*�*�*ft�it�it�*�**�x�it***+�x**+�**itiE*+�*it*u**x�*�*xetit*at�r�rx�at**et+Fie�it#ititif
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
PARRING REA; PROV: PARCEL: 14151132 ZNE: REF NO:
PLANNING NOTES>
i
fE 3E fF 1k!!!F!E 1t 1F k 1E iE iE 1F iE iE iE iE iF iElE 1ElE 1E �1P if 1E iE 1E IE iE 1E iF 1E iE iElf 1f if k if k 1F iE iF 1E 1k 1f 1k iF if ik if �E IE 1F fE 1E fE iE fE ik 1E fE iE iF 1E 1f 1F iF 1F fE 1f iE 1f iE 1F iE 1E
D E C� E L O P M E N T S E.R V I C E S R E Q U I R E M E N T S
ZONING APPR0�7ED BY ' DATE:
BUILDING APPAOVED BY ; � DATE
APPLICATION ISSUED HY:
LEGALIZATION:N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE
PERMIT 120.10
508
PLAN
ISSUE FEE 22,00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL
TOTALS----> 120.10 22.00 0.00 142.10
DATE: '" IZ'��o
iE�FiF�ElflEifikiE iFik
STRUCTURAL SEGMENT:N
SMIP/RES GRADING
SMIP/NON—RES
PAID DUE
142.10 .00
REVENUE DIVISION TOTALS--> COLLECTED: 142.10 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
142.10
iE iE IF fF i! ik 1F ik ik iE IE 1E 1k 1E iF iE ik k ik 1f aE 1f 1E fE 1f 1F fF 1F iE iE 1E 1f IF 1E iF fk iF iF ik ff 7f �F if fE fE 1E iE 1E k iE �lE 1k �f !f 1F 1E 1F ik iE iF 1F 1k fE 1t fE 1E 1E fE if if !f IE 1f iE k 1E ik fE 1E
I N D I V I D U A L F E E B A E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 1 FIXTORES, LIGHTING 1 ST 20 EA. 1.00 1,00
ELE 1 RECEPT/OOTLET 1 ST 20 EA, 1,00 1.00
ELE 3 RES APPLIANCE NOT OVER 1.0 HP 4.25 12,75
ELE 2341 NEW RES HLDG FOR 1 OR 2 UNITS/ SQ FT .04 105.35
END OF FEES
d
CONSTRUCTION ANDPLANNING POOL PA �
APPROVALS Permit# . Date 'Inspector qppROVRLS Perfrlit# Date Inspecmr
y i. 1'emporary Electriral Service or Pole 52. Pool & Equipment Location
2. Soil Pipe�Undrg�nd. ' 53. Steel Reinforcement ' �
3.=E�ectrical Conduit UtiGry-Undrqmd. `'I 54. Forms � `•'
4. Electrical Conduit�Und�grnd. ' 55. Electricai Bonding '-- �-
_ 5. Steel Reinforcemer,t 56. Rough Plumbing & Pressure Test ,r'�,
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE �;
7. Footings . . 58. Electrical Conduit-Undrgrnd.
'� 8. Foundation 59. Gas Pipe, C� Undrgrnd., 7esi
9. Water Pipe-Undrgmd. ,. 60. Backwash Lines, P-Trap, O Undrgrnd.
70. Structural Floor Svstem 61. APPROVAL TO DECK =
11. Property Sewer line & House Connection 62. Backwash & RecePtor�Final ��.
� 72. Sewer Cap � �63. Heater & Vent-Final �� �.�% � �
13. Roof Drains - 9� 64. Plumbing SYstem � Final ��
74. Rough Plumbing ' 65. Electrical�Fina1 �
_15. Rough Electrical-Conduit 66. ��lar System�Final j
76. Rough Electric Wiring �/y�� � f� i, pe�cing & Access Approval :._
17. Rough Wiring Sfgn - 68. APPflOVED FOR� PLASTERING `.��
Y
78. Fiough Electrical-T Bar Ceiling 69. POOUSPA SYSTEPnS PINAL
79. Rough Heating & Air Conditioning FIRE DEPT. NEQUIREMENT i
20. Rough Faaory Fireplace . APPROVALS Permit #
21. Oucts, in Siructure =
70.-Underground Hydro
�, 22. Duas, Ventiiating � 71. Product Piping �'-�l' Gas fJ Oil
23.-Gas Pipe-Rough & Test . 72, Underground F�fush
� 24. Roof Framing •� 73. Undergrnd. Storage Tank O Ga5 ❑ Oil
25. Roof Sheathing . 74. Overhead Hydro '
26. T�Bar Ceiling (Structurall & Monocoat 75. Dry Chemical " .�-
27. Frame and Flashing 76. Dry Standpipe �
28.-Lathing&Siding � ?7. FIXEDSYSTEMFWAL
29. Irtsulation �� _ 78, FIRE PREV. FINAL �
30. Drywall Nailing � � HEAITH DEPT. AEQUIftEMENT
�
31. Plester Bro�vn Coat' . ' 79. FINAL INSPECTION '
32. Electrical Power Meter-Final � 'Z �Q � 80. FOOD CERTIFICATE ISSUED
33. 'Finai Electric � 6����� � otes: - � .
./ �
34. Final Heating & Air:Conditioning . -� : �
35. Final Gas Pipe�Test _ � - ,
36. Hood or CanopY . ,. �
37. Final Factory Fireplace ' � .
38. Finai Plumbing �
39. Water Service-�inal �
an r � co.,,��e.cinal � - ' � . ,
ticFinal
�venter . ,-
�
igation � . -
'rigation System. ' . � - " -
ivat�on -
gul&iions - � - ., �
UC7URE & BUILDWG
VNING
ase to Edison -
,o Southern California Gas Co ' '
TE OF OCCUPANCY -
Date