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,CA 92626
,
uxr:, ..,,, _ ._ ._ _._. __ _. . _. CITY.OF,�COSTA MESA _ —. BUILDING PERMIT _
�� `�._ _ ,- PERM NO: B 0818]2
PERMIT NO: B 081832 � PLAN CHECK NO: N GOVT: N SUPP; N
CONSTRUCTION TYPE: '. PERMIT TYPE: STR PURPOSE: OTH
uc.ea: JOB DESCRIPTION : FOOTINGS FOR FUTURE PATIO COVER SQ FT: 500
urr: CLAIM VALUE: 500.00 CALC—VALUE: 500.00 GROUP OCC: R-3 /
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keneed pureueni to the Orwisiona d iha Conlrxloro Licenee lew �Chepter 9(mmme�rp wilh Sed'on J(100) ot Divoim 3 d ihe
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impovemmta ere nd imaMed a dla¢d lar eele. tl, howewr, �M Wikiiq a inpwemeM u eoM Milhin ore yw d mmplelian, Ne
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comrecte lar wdi pajeW wiN a mmreCor(e) licanaed pumuenllo � t liowe Law�.
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WONKER'S COMPENSATION OKL�X�TION: I Mrsby elfi�m unEer penelly d pmjury ma d iM Idlowuq ddermiw:
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(rni: senim ne.d na ee cwndaree l tn. ronn! ie k. one nunema ealers B�aol a ren.)
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beemia eubjed to the xwkare' eompenx�ion lewe M Celibmia, eM apes Nel il I ehould beoma eubjetl to iM xwken'
companselion qwiabns of Seaion 3'I00 0l �he labor Cade, I Mell loMhxilh comp�y xdh thoee provieiom.
Dete: ApplienC
Weminy: F�llun ro ixun woM'eri rompayeHon covsnPo �i un/svNl, aMSMII auDfset an �mployer ro criMns/ pxuMu �nG
clvll llnu up b om hundrs! thouurq p�Nn (S1PO,OOOA M adrl/tlon b fhs cw! al romp�rwtlon, demrypi u povlCsd br In
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CONSTRUCTION LENDING AOENCY: � Ip�eby eifi�m uMer penehy M par'Wy ihel IMm u e mnm�utlion ImG�q �arry M tM
peelwmaMe d iM xwk lar whiM Ihi pp�i u'waued (Setlion �081. Civ. C).
LENOEN'S NAYE:
. LENDEN'S ADOHE55:
I cenM tMl I Mve reeE Nia epplcmion eM qaie �hel �he ebave inlwmmion ia canw. I epree lo wmply wn� ell My eM couruy oNinvkee
end elele lex� nlelin0 �e a+ikvp conehunpn end haraby eWhw¢e reprasenle�ives W ��ie ary to aMer upon �M ebwe-meNoneE popeM
r«m.�a�w�w��ERNON SMITH
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(St51<B.WP) Whilo-BuiW'vqd5afery:O�eer�Fb:Cenery-AOP���:Rnk-Revenue:Odden�od-bxaeor
ENTS: FOOTINGS FOR PATIO PATIO COVER TO BE PERMITTED SEPARATELY
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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 BUILDZNG ---------
FRNT:. .PT IN REAR: 7 FT 6 IN FRNT: ET IN REAR: FT IN
LEFT: 18 FT IN RGHT: 18 FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14151128 ZNE: PDA— REF NO;
PLANNING NOTES> INSTALL PATIO SLAH AND FOOTINGS FOR FUTURE LATTICE PATIO
> COVER, /
1ElE 1E iE iF ik iE iE fE 1E 1E if�lE iflf !E if iF 1E 1E 1! 1E if fE iE IE 1E iE 1E 1F 1E iE 1E 1E 1E 1E 1l' Ih 1E 1E iE iE 1F N� 1E 1E 1f iE 1f 1f if 161f 1E iE 1E iF if 1E 1f 1E 1E 1E 1(' iE iE iE i! i! i(' 1E k iF 1E IElE 1k fE IE
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N'T,S
ZONING APPROVED BY l.0 �J�L DATE: Z Z.(Q
HUILDING APPROVED BY : �C, DATE: �
APPLICATION ISSUED BY: �hM— DATE: ��
�t x�itiEftitiEiFit*it* *�itiEit�x-itiE�r�tiF7F�FiF3F3F3F7F3FiF�FfF{F7F7FiF3FiFiF'iF'iSiF3F3F7FiFiF3FfF3FiF3F3F *ititititiEiEiFirit at
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL�SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES' GRADING
PERMIT 21,00 .50,
�� SMIP/NON—AES
ISSUE FEE r
HUILDING—DIV—> PERMIT ISSUE PLAN=CHECK TOTAL PAID DUE
TOTALS----> 21.50 0.00 0.00 21.50 21.50 .00
REVENUE DIVISION TOTALS--> COLLEC.TED; 21,50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
21,�� •. .5�
iF iF 1E iE 1F 1E f! iE fE 1E!(�!f 1E 1E If 1E 1E 1k 1E 1f iF iF 1E if iE 1E iE iE fE iElf 1E 1k 1E 1f IElk 1E iE 1F iE iE 1E 1E'k 1E dE 1E 1E 1f' iF �f iflf'k 1E'k �(' 1E ik 1E fE iE 1F k 1k 1k iE 1ElE iE iE iE 1E 1f k Ik 1k 1E
I N D I V I D U A L.��,F E E B R E A K D O W N
;
TYPE QTY D E S C ft I P T I O N UNIT COST TOTAL COST
FR 500 ALTER BY VALUE
RESIDENTIAL NOZONE
END-'OF FEES
i'
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1 . 00 �0 , 00
^ � _•-- �
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FEB 2s 1997 �..
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CONSTRUCTION ANO PLANNING '` P�O iPA
APPROVALS Permit#� Date Inspector APPROVAIS Permit54E Date Inspector
t. Temporary Electrirai Service or Pole ' S2. Pool & Equipment Location '
2, Soil Pipe�Undrgrnd. 53. Steel Reinforcement
V �- . � �
?'3. flectrical Conduit Ut�litY-Undrgrnd. 54. Forms r
:.4. yElectricai Conduit�U�drgmd. � � 55. Electrical Bonding = .-
! 5;;$teei Reinforcement 56. Rough Piumbing & Pressure Test
���"§�+'Electricai UFER Grnd. � 57. APPROVALTO COVER_GUNITE =� �'
r,��:
� �.:Footings 3-'7--g'� �G%�- 58. Electricai Conduit�Undrgrnd. =�
8'. Foundation 59. Gas Pipe, L7 Undrgrnd., Tesi ��
e_
- 9. Water Pipe-Undrgrnd. ' gp. $ackwash Lines, P�Trap, � Undrgmd,
10.�tructurai Floor System � 61. APPROVAL TO D�ECK
1 i.`�Properry Sewer Line & House Connection � � 62. Back4vash & Receptor�pinai �
72. 5ewer Cap 63. Heater & Vent•Finai ,
73. Roof Drains 64. Plumbing System - Finai '
14. Rough Plumbing � 65. Electrical-Final
�
15. Rou9h Electrical-Conduit : _ 66. Solar System•Finai -
16. Pough Electric Wiring 67. Pencing & Access Approvat (
17. flough Wiring Sign � � 66. APPROVED FOR P�ASTERING
18. Rougb Electrica!�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL .
79. Rovyh NeaUng & Air Cqnditior ing � � A FIRE�FEPTMREQUIREMENT �
� ^ � ,� ^ ' . - ,.
20.�Rough FactQrY Flrepiace -. �r K � ':; :. r" APP�20`1,1YL5��, �tmit # � - .
21.�-Ouas, in'StrliciU'�2': .. � � ; - � ; * � 7Q."Undergrou�nd dYdro .e
22..pucts, V€ntilatin�;�� " = _ ' '� �'�L ~ ^ �.^ � �:.� r
9 ,. -.- .r, -: r; 77. Produ.e�'iping �-Gas �Oil
23.��Gas-PiprRotigh & 7est � ^��,� -K ra =^ ��` �� � 72, UndergFound F9Gsh� E" "-
m�- ir h " l- n• r,
24��ioof Framing �'�` ' '�F � ' `_-� a. ,.,M S �. Undergmd,Stpgage_Tarik OGas ��'pil
25. floo5 Sheathing _• C �-� 4� C� � i'_ K� 7qyp�erhead Hyd`w� �
26.�7-Bar Ceiling (Structurall &�rtocoat �-' '-f -, �': � � x y "
,;., �, . �5,_DryChemicalc„� r
27 �Freme and Flashittg: "r^ r! .1 t' %� - . 76�Dry Sta�dpiPe-'x � ,� .: `
T
" 28. Lathing�& Sitling�`�.". � � �µ� m�3 ..': = • • " ^ �`'' �`
� �_ _ .�. ,� . . ..ry; 77,. FIXECL�ST.��FINAL. {, r
, _, . .. . . ..
29. Insulati6n y� = S ✓•'a r� 1 � �r '�8, FIRE PREV. FI�1'qL �` = "�
�.' i
� 30. Drywall�Nailing `k � �" ;" �. r_ � �i: vHEALTH DE�T"RE'-QUI,"�6EMENT
+ � - � '.
' 31. P�aster 8tow�i Coata a i T.-^ , ;�-. - 79. PINAL�NSPECLYON •� [*.
32,��Iectricai,Power'tcie�erFinal' ;� ` '"'T BSI. FOOD CERTI�IC,'ATE ~ll
�5�, � s
� c' � ' r.` - " . ' ." -_ .. ,.
- 33�Pina� Electric +�;> ¢�� � I 'c LVotes: hr - -` � .n
3q �'�inal He`aUng;& it;ConditionFng• ,_;�. ` � , �;; , _ � � -'
� ,; ���:. _ I � 3,-3-�7�- �.-swlt' ��s- �w�-
_ ...
35.�'Final Gas�Pipe-Tesir; �.' _ _ { ' - �i�= � F-1;:
- 36. hlood or�CanoPY •.y' ' n'" "�J r i� I i� 't' ..T. tl0 � M r T
G-'x JC' ' GP' c'r x .�� ^O Y iT:
i-. � v _.. . ;
37 �:�ina� FactorY Fiiepiace- [-�-. -�s -� � 7: rt �'�
� ,� r
' 38. Fin�l Piumbing ';T � c�. -rt r. � � S .: c ', -
- a, i e f :
' � - =� - : � -,r � �� . . . = -
39. Watei Sesvice,Piraai; g _ � � l.r � .J �: y =
> • .�
-- 40. Gas Service-PinaCS..'� �:: �•'^ - "r: . ,=i'-' "�',L ` �
.-+ F - � '�: �- � i � '�
� 41. 5olar pomesticF�qal` ;��` `'F � �.'' � I 'i: �:c r �. . -
ir -
A2.�6ackfiow Preyenier� �ti * � � , •. c' `•`- ' -
r. �� � r-i� �T - �;r c^�.,'..
.5,:.,. �, �_ -, , N � _.
43. 6ackflow Irirqa2ip�, ,.' : � > p; - - •
c�44. LandscS@e Ii�igatYo� Systerrr� �� 's r' r - = �: r _. �� ' � �; ^6. ' � - '� j .
r. � r: � r F
e• r �- r,�4:._. m�- '- t, F �. r. r- w , _..
'45.✓$ound Attetruattdn -... �. m-1 c*i+ i-+ � _ e; N = a " r .
46. Nandicap Reguiai'idr�s s, '- T* V r c cc � = o s x c„ .-
-- � `•: .• �n - �. :. C� ,
.A7.-FINAL STRUCTU E & BU'ILDING �' x � �� ' "` . ` �'�'
48.=FINALP�ANNINCt �'-�i- r�� � I ^ ..i � r- �`--�' � �:
r i I.ti� (� e o
=qg;'�IecFric.Rel�se to Edison � � � q*,. r• G •t' ;; ' ^ ' '� �'
. � ,• : _._ " �
=�50._LiasReiease to Southern Califomia Gas Co � ' x-� - _• o-: x �-��� "-'- �„
c � �r r �: c c -
5t. CEF?TIFICATE OF`QCCUPANCY x ` =' `� `•� � ' � ` '
No. Date
�DDHLSSOiBNLpNO: 8O6 GALLERY C'I'
HEReNAMEI� : SMITH VERNON
806 GALLERY CT
COSTA MESA,CA 92626
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penam.io d �ne roA �a Mvtl� �n: v� e erwe (saahn mr. cN. c1.
LENDEfl'S NIJIE
LENOEH'S AUUflE54:
I cenM I�m I New ne0 Nu eGWiration eM aw Ihel Ns ebava'vJamW ian is oonW. I Wrro �o mmVN wuh dl cN' erd counlY adinanm�
end etms lewe reW ip io briMiq emmwim aM MrebY �Qe �apasuqi`m M thu ory b eMm upan IM ebwe�meniidieE peopeM
lar iropadion u ow�.
VERNON SMITH
P Neme �
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CITY OF COSTA MESA — HUILDING PERMIT
PERM NO• B 08314'
PERMIT NO: B 083192 PLAN CHECK NO: 02140-97 L GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT 'CYPE: STR PURPOSE: ADD
JOB DESCRIPTZON : PATIO COVER W/TILE ROOF ICHO k3748 SQ FT: 266
CL:4IM VALUE: 1,500.00 CALC—VALUE: 4,287.92 GROUP OC�: R-3 /
COMMENTS: FOOTINGS PREVIOUSLY INSPECTED/ REF B— 81832
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2 O N I N G R E Q U I R E M E N T S
s E T B� c x s
------------ MAIN BOILDING ---------- --------- ACCESSORY BUILDING --------
FRNT; FT IN REAR: 7 FT 6 IN FRNT: FT IN AEAR; FT IN
LEFT: 18 FT 6 IN RGHT: 15 FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV; PARCEL: 14151128 ZNE; PDRL REF NO:
PLANNING NOTES> CONSTRUCT SOLID ROOF PATZO COVER.
% �
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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
� fn � "
ZONING APPROVED BY : WB� DATE: ��Z '�
HUILDING APPROVED,'&Y `:, N%UJJ DA'tE: �p� 2—g�
APPLiCATION ISSUED BY; DATE: ` -�� Q
�FlF if af ik 1k iE 1k 1E IE ik M 1E ik'� i! # ik'k if 1E 3f if jf iF iF iF iE if iF iE jfi#CN $FlFs4 3F it iE�iF iF
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 99,75 ,50
SMIP/NON—RES
PLAN 64.84
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHBCH TOTF�L PAID DUE
TOTALS----> 100.25 0.00 64.84 165.09 165.09 .00
REVENUE DIVISION TOTALS--> COLLECTED: 165.09 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/'fOT GAADING PLAN—CHECK
99.75 .50 64.84
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I N D I V I D U A L F E E B R E A IC D O W N
TYPE QTY D E S C R I P T I O N ONIT COST TOTAL COST
SFR 266 RES-PATIO COVER-POST s SOLID ROOF 16.12 4,287,92
END OF FEES
65-�2-1997/�1:;1/ J,7/4165.23
fiCLl".ci'ucdlB:�C
PERf7YTi c08314�
CONSTRUCTION AND PLANNING POO. ;PA
APPROVALS Permit # Date Inspettor pppROVALS Permit # Date Inspector
i. TemPorary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe•Undrgmd. � 53. Steel Fieinforcement �
3. Elec4rital Conduit Utility-Undrgrnd. 54. Forms '
4. Elecuical ContluibUndrgrnd. 55. Etectrical 9onding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER•GUNITE
7. Fooungs 58. Electrical CAnduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap, O Undrgrnd.
10. StruCtural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewsr Cap � 63. Heater & Vent•Finai •
13. fioot Drains ' 64. Plumbing SYstem - Final �
14. Rough Plumbing 65. Electrical•Final
�-15. Rough Electrical�Conduit 66. Solar SYstem-Final
76. Rough Electric 4Viring 67. Fencing & Access Approval
77. Rough Wirin9 Sign 68. APPROVED FOR PLAS7ER�NG -
' 18. Rough Electrical�T Bar Ceiiing 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Firep�ace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts. Ventilating 77. Product Piping O Ga: ❑ Oil
23. Gas Pipe•Rouqh & Test 72. Undergrounci Flush
24. Roof Framing 73. Underyrnd. Stora�e Tank � Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structurall & Monocoat 75. Ory Chemical
27. Frame and Flashing r�y/�' � 76. Dry Standpipe
28 wthing & Siding �'y ��� 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PFEV. 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:
34. Final Heating & Air Condiuonin9
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Flnal Factory Fireplace
38. Finai Plumbing
39. Water Service�Finai
40. Gas 5ervice•Final
41. Solar pomesticFinal
42. Backflow Preventer
43. Backfiow frrigation
44. Landscape Irrigation System .
45. Sound Attenuation
46. Hand�cav Regulations
47. FINALSTRUCTURE&BUILD�NG I•1��� IN/R
�i{M
48. FtNAL PLANNING
49. Electric Release ro Edison
50. Gas Release to Southern California Gas Ca
51. CERTIFICATE OF OCCUPANCY
No Da[e
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monessaea�owo: g06 GALLERY CT
ONMFA'SNAYEIFpqM1 SMITH VERNON
1DDXES4: 8OE G'ALLERY CT
COSTA MESA,CA 92626
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I�PCNffECTOH FNfdlEEN:
�acx. on �ra.•s �noxEss:
uc. w.:
CONiFACTON'S NAYE:
cam�ctoxs xuuxo
AUUPESX uc. ra.:
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UNT:
�ICENSEU COMXACTONS DECLRNATION: I heraby eflim u�ker penely of perjury thet I em Icemetl uMm povieions d Cheptm 9
(cwnmenciip wi�h Section 1000) d Dinaon � W �he Buainesc end Profeatima Code, eM my licenx ie in lull brce end eHed.
CRY UC. NO.: lJQ CU1SS: L1C. NO.: EXP ;
Dele: Conlretlm:
OWNEN BUILDEN DECIAPATION: 1 hereby elfi�m under panelly d perlury tliet I em eicemp imm ihe Canvedas Liurue lew lor IM
lolbwinq roeson (Setlan 1031.5 Busnace eM Prol�n Coda: Any cIy a counry which reyuiree e pnmil lo oonahucl, ellx, imprwe,
emoloh, or ropei eny sVuduro, pior io na 6auence, elso repuirea �he eppl'vant lor wch pa'mil to file e dB� e�ebmen� Ne� ha a oM
, iK,o„d W��i �o ma wo��a d me comreao� u�� law �Cheqx 9(mmmantlip wil� Sedion ]000) d Divoion 3 d �M
9uainm erd Prdmeions Coda� a thel M a eha e examp ihereimn anE ihe batis (a iM elbpad ssampion. My viole�bn d Seaion
]U'Jt.S W eny epWirani 1« e permil subjMe the epplicaM b e avil parelry d ml more �henlHa hundreE Edlan �5500��. �
� I. av owror W �M propeM a�' emplvyaea wIh wegw m �hae aob canpanmiim. xill do Yro wak. end iM Nruclure b 1wt inleMeU
or dlered la eeb (Seclion 101d. BusromeM PMesams Code: The Canlrmon licenae lewdoae m� eVGN�o en ovmx d qapeny
wM Wida a inprovae ihereon. vM Ma dms aucM1 xwk limsall or haneC a throuph he ar Iwr own empbyees. povNeE �I� euc�
imqwemaMe ara iw imanEeE aW«ed la sab. tl. horrv.x. tM buiNieq a inpowineM e aold wilhin one Y� d wmpblion. tM
e.���w��a« w�n n,.-. me w,�a«� a wwma ne «� aw �a w�w «�mwa» �w ma wm�e a..b1. .
� I. m ox�nr d iM p1opeily, em �dusnely convmfq xnh licanxd conoedaa �o conffiW Ihe proptl (Seqion ION. Bueiroee vd
Pmleviona COEe: TM Coniemon lieense Lew dou ria epply lo d papeity who WiICe a impwm �hseon ud Wa
emlrecb la adi pqws wiN e wureeoe�s) fKereaC Wnuaa �o � Cmt aa Liom+e lewl. /� '. r
p i� y�y.,me.���: e. a P.c.. e« � .� :�r �i�/
i eo nmaW �M ✓� �� awme a ena wd�+iene me rea���am a cmeomie Heenn.�a s.r«r cod. s.aim. uws. zssn..ne
zi53a. vM thm I a em 1Nwe buiNim ooulrenl will / wil �(a�ck me) need ro canW wi� aeN etate codee eM IM reQuimname br
Dma: AOd�
WOAKEN'S COMVENS�TION DECLIHATION: I heraby alfimi unEer penelty W pa�ury ane d IM1e Idbxi'q dedarmbn:
� I hero eM wil meinlen a cenEi�ate d wmant to eeMimure br xakera' canpaiumbn. u prwked Iw by Sepion 3)00 d tM Laba
coe.. i« ms rort�a m m. w«x i« w�m m� ��a �. ��e.
� I hew enE wil mein�en vrorksie' mmpen�eton insurarim, m reQui�ed by Saqion �)00 d the leEor COEs. br IM perbrmenca d iM
wwk /or whM ihie pertnit is imueE. My wmkon' wmpenaetbn insurence rerrier enA poliry numbar are:
Cemer:
Policy Number:
(Thia eection nwd na be complefeE X tM pemirt is Ia are hundred dolbrs /$f001 w boJ
� I centy Ihat in ihe paAormence d tM vrork br wAch Ihis pertnit ia i l e�ell �wl employ erry pemon in eny menrw ao u �o
bacome eubi� lo tM xnrkere' wmpanaetion lexa d Celilomie, d eprea Ihm B I ehouk bec wbjed lo iM vrorlrois'
comoe�mtl n o� o�. m seabn a�oo a �ne lanor coee. �.nel nnwnn mmaN Mm�v�w .
�Oeie�. ApqicanL �
WeminO� llun �wunw rtx�'comperwtlonrovereysbunNwNl,GlldlblllYb/KIlIIM1p/0yNt0CIIMM/pMlIfIMI/IG
elvllllrps up ro ons h�nJrM fho�untl Eollen (5f00.0W/, M eJ!lfbn ro Ms roaf ol ror�vxwfbr5 Wm�p�� �� poHtlN br In
Sxtlon J106 0/ Ui� Lebor Cab, InMut, end etfomey i/su.
CONSTFUCTON LENDINO ?GENCY: I hereby affiim uMar penelry d perlNiY �� �� ie e conatiudion bMiip eponry br tM
� peAoemercn d iM wk M whitli Ihu Vsmii u esued (Seevn 309). CW. CI.
LENDEN'S NMIE:
LENDEP'S ADOFE55:
I roniN IMt I Mve reW Nis applir�ion uk stme ihei tM ebova inlametbn o mrtatl. I eyree to comply xilh dl cry md cwmiy adinvioes
erd eima lewa mlmip to Witliq constnimon end hereby einhorrze repeeumetivee d �ho reyto anix upon IM eEv.�a�meMionetl qopery
fa inspetli r o»s.
VERN SMITH
nM Neme-�/
?,1�f2�rn n�ri��fr/ od,:
s�e� �re u e irwmunw � vma
wnaae„��anu a smmr: crea�ia: c�v-aoc�c A�k-a��: cade��oa-rv.�..«
CITY OF COSTA MESA — BUILDZNG PERMIT
PERM NO: E 08314
PERMIT NO: E 083143 PLAN CHECK NO: N GOVT: N SUPP; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: ADD
JOH DESCRIPTION : PATIO COVER W/TILE ROOF ICBO #3748 SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS; FOOTSNGS PREVIOUSLY INSPECTED/ REF H— 81832 // REF B-83142
ititxxititx*it+�tr*atit*r�xatit�rit�ir*x*xx�r�r+r*ititit�*�at*�r#�r��rx��itieit*at�r*xit�r*at��r*at�rit�*��r�x x�x x**�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 REAA: FT IN
LEFT; FT IN RGHT: FT IN LHFT: FT IN RGHT: FT IN
PARKING REQ; PROV; PARCEL: 14151128 ZNE: REF NO:'
PLANNING NOTES> '
� . .
i! if ik if iF iE 1f if 3k iE �E iE �f jf �E jf 3f !f 1k iF if iE if !k ik i! ik if 1f if dk if 1E.iE if �E if �f iE 1E jF 1E jf 9E'X 7E �K-if fE if iE �F dElE if )F �E 1E if if 3E �f 1k �E �k �F if'1E if ik'IE # k k df i! 1E ik jF
D E V E L O P M E N'P S E�R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY : ' ____ _ DATE:
BUILDiNG APPROVED BY ;
APPLICATION ISSUED BY
*�t**�t*�t�r�t*******�t#�r**
i
,;
DATE: ///���
DATE: J�
*��t*�t**�t *�
LEGALIZATION:N F E E��. S U M M A R Y STRUCTUAAL SEGMENT:N
BLDG PMT PLUMHING ELECTRIC; MECHANIC FIRE SMZP/RES GRADZNG
PERMIT 6.00j
SOY SMIP/NON—RES
PLAN '
ISSUE FEE � '22.00i�
BUTLDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTP,LS----> 6.00 22,00 �- 0.00 28,00 28.00 .00
REVENUE DIVISION TOTALS--> COliLECTED: 28.00 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANPC FIRE SMIP/'POT GRADING PLAN—CAECK
28. �Q �.? '
9f'%iE % iE iE 3E iE iE �lE if ff jE jE iE iE 3E �%1E iE if �! if IE �E �k ik %� iF �Ik iE ik iE ik.ik iE ik iFlf 3f iE #'%�k iE iE iElf 3F �k �)E 3E iF * 3E jE �E 9E �)f iE iFjE iE iF iE ik �� jE %� �F lf'%�k 1! iF 3F iF *
I N D I V I D U A L F�E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N� � UNIT COST TOTAL COST
ELE 6 FI�CTURES, LIGH'CING 1 ST 20 EA. 1.00 6.00
END—OF FEES
1
L6-82-1997/01:Q6 P7U528.d3
RCPTH:@1-;"37695
PEkf'iIT: �83143
� '
\
CONSTRUCTIO ANOPLkNNiNG POG .SPA Y' '"'
APPROVALS Permit #' Daie inspector APPRQVALS Permit # Date Inspector
1. Temporary ElectrPcai 5ervice or Pole � 52. Pool & Equipment Location .
Z. Soil Pipe�Undrgrnd. 53. Steel Reinforcement -
3. Electrical Conduit Utiliry�Undrgrnd. ' 54. Forms
4. Electricai Conduit-Undrgrnd. � 55. Electrical Bonding '
5. Steel Reinforcement 56. Rough Piumbing & Pressure Test
6. Electrical UFER Gmd. 57. APPROVAL TO COVER-GUN17E
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation � 59. Gas Pipe, t� Undrgrnd., Test �
9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P�TraR L Undrgrnd.
10. Structural Floor System ' 61. APPROVAL TO DECK .
1 i. Property Sewer Line & House Connection . 62. Back�vash &'Recepior=Final
12. Sewer Cap ' -' � 63. Heater & Vent�Finai �
13. Roof Drains 64. Plumbing SYstem - F�na! •�
14. Rough Plumbing � 65. Electrical-Finai
15. Rough Electrical-Conduit . 6. Solar System�Fina! �
16. Rough Electric4Viring .�$.�, 67. Fencing & Access Approval
t�. Rough Wiring Sign 68. APPROVED FOR PlAS7Ef21NG
18. Rough Electrical�7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL '.
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Fough Factory Fireplaee APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping C Gas �� Oil
23. Gas Pipe-flough & Test 72, Underground Flush
24. Roof Framing 73. Underyrnd. Storare Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structure�l & Monocoat 75. �ry Chemical
27. FrameandFlashing 76. DryStandpipe
28. Lathing & Siding 77. FiXED SYSTER9 FfNAL
29. Insulation 78. FIRE PREV. FINAL
30. �rywall Nailiny HEAITH DEPT. REQUIREMENT
31. Plaster Brown Coat 79, FINAL INSPECTION
32. Electricai Power MeterFinal 80. FOOD CERTIPtCATE ISSUED
33. Final Electric '�_zL ? � Notes: 7- Z Z-L 7 0� � Cas�./Q/f �
34. Final Heacing & Air Conditioning �
o� �'o he c<cl�e� Ort {� dG-f�c�r��'t
35. Finai Gas Pipe-Test �a,,�-�e� p��p ��CCJ� !'c_t������_(
36. Hood or Canopy �
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
47. Sular pomestio-Final
42. Backflpw Preventer
43. Backflow Irriqation
44. Landscape Irripation System
i
45. Sound Attenuation �
46. Handicap Regulations
47. FINAL S7RUCTURE & BUILDlNG
48. FINAL PLANNING
.49. Electric Release to Edison
� 50. Gas Release to Southern California Gas Co .
51. CERTIFICATE OF OCCUPANCY
No. Date
�
�oOnE�sarea�oca: 806 GALLERY CT uxr:
aviriursr+aei��wwvn: POLYGON SOUTH COAST ASSOC FLOOD: X 47
� ` ,uoxEss: 15751 ROCKFIELD HL
UNIT 120
CRt/INE, CA 9271f1 714-452-0600
�vr�. �uura woness:
u�cxrrenon�axr�n: LL MAJOA 6 ASSOCIATES uc.no: C-16869
urcwon�o.�smoxEss: 1551 N TUSTIN AV uNr: 640
SANTA ANA CA 92701
CONLIIACTd78 NY�:
cwm�cmxs �uuxa
ADDRESS
uc. xo.:
uxr:
110EN5ED COMNACTONS UECIANATION: I Aanby elfnn uMar pvWy M pmjwy Ne� I em liwrwd �mder paivons d Cheqr 9
(mmmendna wnn sediw,laaol a oivoon s H Y,e aiaron e�a Rdeaerore code. ena mv �eme u v� lun rom .�a ansa.
cmuc.No.: 066144 uc.cuss: B uc.No.: 659262 EXP: 11 /96
ode: comme«:
OW NEF BUILDEP OECLAFATION: I Mmby elfum untler peiWy d per''vy ihet I em eumq Imn IM CoNreqaa �ironss Lew la iM
'Mb'rm9 isemn (seuion ]mi s Bus:ma eM PMw'vu Code: nm �r n eouniy xhieh eaeu'vae . v�n m oauwn. enx. unorova.
�mdah, a repei e�ry svucwie, p'v b Ca'saiema. ebo repu'va+iM epp5iani trn vW pwm's to fib a epneE etetemeN tlal te a eM
, �immsd wnueni �o me aovuima a me canveaa.s Lionua lew fcMqa s(mmm«,dm wnn seuon ]aaa) a oMebn a a �ne
B�msn ene araev'vn coEel «inm he «ane u exemp insdmm end tne nem t« m. aGea� uemqim. Nn vowun a seai�n
)031.5 W enY eVP�iunt lor a parmu eubptls iha epW�am to e fivJ parelry d nq mwe Ihen fve huM�ed ddlve �550D�.
� I.eaoxireroflMqWaMwmYemNW�avnhwaga+eitheisobmmW��. Tdothexak.aMtheavunuroam�imandeA
adtereE M aeb (Seaion )Daa. Bmreo eM PMeamme Cotle: The Catlredon Licxise Law Eoes nol eOWY lo m ow�wrd piope'y
who Wida or inpowe �Mreon. end Ma Eaes vurh xak 1"vnaW «henN ar Nrouph h"v a her own emWuY'�. p�� thel wM
impwemeNe ero mt iniended a dlaeC fa e+b, tl, howaver. iM buitl'up or inpvmnem u sold wnhin ar ymr d aompbtion. tM
v ow�wra��b« mn ne.e me andm� d wa+�a ne « ene m�a wud «�mwa+�v me wm�• d.d.l.
�] I. ro ovmer d �ne nW?�tl. em mtluawlY murmn0 M'uh 6mnesJ mntrenm m canmua ihe pM� (SW'vn 1oH. &n'uma W
PMeesione CoEa: Tha Comraaan Licenu lew Eoee nol apply ro en owrord piapMy who Wild� aimpovolheraon end wlw
cmo- v ror n,e� �wwm..w . mmreaan.) ��+aa w��•ueia m m. cw�a�a, um�.. Lew1.
� I am uem u/yda�r Sxtio�n�" �. �� B. 8 P.G., tor Ni eao
Da1s: � 1 1 ZI CT y Oxner:
c-�
I Eo Meeby eeniN �� I em ewve d vd uMenbM IM �ayuimnanU d Cello 4 d Seftly Cade Saeioru?5505, 25533, uM
255�. enE Nq 1 n emV Mwe dalduq wa�eea. will / wa M(dreb one) neeE ' � aid mte oods� erN IM �Mw�Ws br
a permn IaooneM1uctim a modifirationhomlM Ar�arapemeni Oixna. Reudamial miw�ueian appkatiom en emmq Imm Neee
Dms: Md �
WOPKEH'4 COYPENSATION OECL�N�TON: I Mreby elfvm uMr pa�Myd pe�vy ans W Ne Idbw'up Asduelnm:
� Iheve ud xi0 meiruein acmilicele W camm�ita eWimunlav.orkars'cwnpeneetim,n providWlorb�6anian 9100dths LeEor
Code. ta the pMamence d Ne wk Iv whirli Nu pemd u wmuW.
�] � n....ne w m.vitei,.�aika,� oomv�b^ �^+�,rence.., �.m�b M seaian �)oo a u» l.m. cod.. fo. �ne v.��� d in.
.�i«„i,KninAv.�am4.�.a.Mv.,w�+'��S��g��ew�.r��mn«�e: EXPIRES
a� „mb,,: — 01 / O 1/ 9 7
(rhis aaian rreed rMW cdnONteJ! tM Pa'^�; u b ms hwMisd da0ers R�WJ a bv.)
� I oenN � in Uw pMamerca al tM wak lor v.fiirli thu pamu e eeueE. I tlxY nq empb� erry pason in ury menrw n n lo
become eubl� to iM xwke�e' mmpn�eto� �ax� d GafA«nu. d y�ee qq ' I YwuM Eecwna ab�w io iM ��ahas'
mmpem� pwiebm d Setlion J]00 d iM Lebor Code. I Mell 1 nilh omq ui t or pv 'ria�a.
i �
om.: i 2� 9 y ���: �
W�mMp: FeNun b�ecun work1n'rompwwtlon rov�rp� la unNwNl, �nJ • I / r �.mo�o�w ro�nmw p.�.ro...�e
nvn nnu w ro on. nuwr.e �rouvnd daw. (r�ac4anA M.de�don ro m. r m «u.uon ✓+�.w a pvvww ror �n
3sctlon J106 0l Ih� Lebor Cotls. Infenst ���mry'� M1u.
CONSTPUCTION LENqNO �OEHCY: I MraW eH�m uMx pe�uM1y d perjury �het iM u e m�ut�uaion kMieq epeMy lar Ns
o.no�� a me � ia.nu� �� v�� e e�.a ts,a� aoa�. c;.. cl.
LENDEH'S NWE:
LENDEfl'S AOOFE55:
I ce�ity Ihet I hm�e ned No eppli�ation end sttls ihm iM eba+'udametion e cane.l epma io eamply wnh eA dryeed eavXy ad'mmme
anA ewa le�v relding Io buJd'rp conwwvn aM M�ebY eu1Mr¢e reprmentwwa d �ho ary io mux upon the ebwe-mwunad propeM
10rn8pedionpurpoaB9 HOB YODER
IA .
om,: � 2 .(,
`(5151�1E.WP1 WMa-BuiIEM 8 SefelY:OreeMFb: Cero�'-ADG���: Pink-Rs.enua:OdderuoaMaeew
�
CITY OF C�JSTA MESA — BOILDING PERMIT
PERMIT NO: B 0785G7
PLAN CHECK NO: 02773-96 A
PERM NO: B 078567 •
GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: NEW
JOH DESCRIPTION : 2129 SF LZVING/ 562 SF GARAGE SQ FT: 2,691
CLAIM VALUE: 177,426.00 CALC—VALUE: 177,426.30 GROOP OCC: R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 2
iE*iEu�x��-+e+�*�ieatat***�-**iE****it�-*�+�it�r*�r*****�-it*at*x�*�ru��-�t*x*+rititfr*at****at**ieit�**�t*iEx�et*+�*+�
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: 19 FT IN FRNT: FT IN REAR: FT IN
LEFT: 5 FT IN RGHT: 5 FT IN LEFT: FT IN RGAT: FT IN
PARi(ING REQ: 2 PROV: 2 PARCEL; 14151132 ZNE: PDRL REF NO: PA-95-36
PLANNING NOTES> SINGLE—FAMILY HOMW W/ATTACHED 2—CAR GARAGE
' '% .
iE 1F aE �F iE iF i(-if 1E 3E fE 1f iE iE iE 1E iE 1E,761ElE'1E,i61ElE iF iE 1ElE if if iE fE 1E 1E jE iE iE iE 1E iE it 1F 1F iE 1E dE 9F 1F IE �f iE 1E iF iF * if 1E fE IE IE 1ElE iE fF If 1E fE ff.3E jE iF iE iF 1E �E if �E *
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' ; R�'� DATE: =�
BUILDING APPROVED BY ::' - �-, DATE;
APPLICATION ISSUED,��BY:' � �� W�J DATE: %�`� 2-9
iEfE1ElEiffFifitiEiFiElEiEiEfE1E1EfEfEfEiE�E �E1E1EiFlEifiEitfEiE �3Fik1!
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 1,277.25 17,74
SMIP/NON—RES
PLAN 207.55
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 1294,99 0,00 207.55 1502.54 1502.54 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 1502.54 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN—CHECK
1277.25 17.74 207.55
iEitlElEfE1E1k1ElEifiEiE1E1F1k1f1F1kiE1E1Fif1FlEififfEiEikiEiElEiEiE1EfE1E1E1EiEifiElElkiklkiEffiElflklffElElfiFlEfkiklflFiEiFiEitdElFfFifiElE1E!llklkfEifiE1E
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 2129 DWE—TYPE V—WOOD FRAME —GOOD 77,90 165,849,10
SFR 562 RES—GARAGES TYPE V 20.60 11,577,20
END OF FEES
�, s ONSTRUCTION AND PLANNING PO� SPA
'` APPROVALS Permit# Date 'Inspector qppROVAIS Permii# Date Inspector
�
�. Temporary Electrical Service or Pole 52. Pooi & Equipment Location
2. Soii Pipe•Undrqmd. �-�� 53. Steel Reinforcement -' �
3. Electrical Conduit Utility-Undrgrnd. g�7�y'(� /y�� ' 1. 54. Forms .�•,
l (�'•[L° ' " - � .,
4. Electrical Conduit�Undrgrnd. t�. 55. Electrical Honding -y' "�
� i
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test r. i�
6. Electrical UfER Grnd. $�/�yb 57. APPROVALTO COVER•GUNtTE ':�
7. Footi�gs & ��f�s � 58. Etecirical Conduit�Undrgrnd. �
B. Foundation . /�t l!`'G ,�0� 59. Gas Pipe, O Undrgrnd., Test '
��.
9. Water Pipe�Undrgrnd. ( � 60. Backwash Lines, P-Trap, C] Undrgrnd.
10. Structurel Floor System _ � 61. APPROVAL TO DECK ��
11. Property Sewer Line & House Connection �, 62. Backwash & Receptor�Finai, .•
12. Sewer Cap �� �'.63. Heater & Vent-Final
13. Roof Drains " 64. Plumbing Sysiem • Final`, �'
14. Rough Plumbing � 65. Electrical�Finai �
15. Rough Electrical•Conduh � 66. Solar System-Final � -'
76. Rough Electric Wiring 67. Fencing & Access ApProval
77. Rough W'iring Sign 68. APPROVED FOR� PLASTERING
78. Rough Electrical�T Bar Ceilin9 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Condition�ng FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplac=_ APPROVALS Permit �
21. Ducts, in Struc[ure 70. Underground Nydro
22. Ducts, Ventilating ' 77. Product Piping O G. s❑ Oil
23. Gas Pipe-Rough & Test � 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing Ct�d��-� �� 74, Overhead Hydro
26. T-ear Ceilin9 (Structurai) & Monocoat `' 75. �ry Chemical
27. Frame and Flashing -��j/� �� 76. Dry Standpipe
28. Lathing & Siding �Q ��/qL 77. FIXED SYSTEM FINAL
I /J�/,�
29. Insulation ' !� �/(�' _!�U{� 78. FIRE PREV. FINAL
(/...
r � -
30. Drywall Nailing Q� (�� HEALTH DEPT. REQUIREMENT
. 31. Plasrer Brown Coat � CE2� 79. FINAL INSPECTION
32. Electrical Power Meter�Final �� S0. FOOD CERTIFICATE ISSUED
33. final Electric Notes: -
34. -Final Heating & Air Conditioning . . -
35. Pinal Gas Pipe�Test � .
36. Hood or Canopy .
37. Fina� FactorY Fireplate
38. Final Piumbing - .
39. Water Service-Final �
40. Gas Service-Final
47. Solar pomesticFinal � ' -
42. Backflow Preventer �
43. Backflow Irrigation '" �
44. Landscape Irriqation System �� � -
45. Sound Attenuation � �
46. Handicap Regulations
47. FINAL STflUCTURE & BUILDING f!j -�,��
/O`
48. FINAL PLANNING
49. Electric Release to Edison �
50. Gat Release to $outhern California Gas Co
51. CERTIFICATEOFOCCUPANGI'
No. Date
�\ �
1
�o��� Hall & Fbreman, Inc.
�0� 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
72
GRA075893
g�� v�iie�y �,
4665-GRA 10
I certify to the satisfactory completion of grading in accorda�ce 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 feetfrom exterior walls.
1% fall for asphalt surfaces and landscaped azeas.
0.5% fall for concrete surfaces to approved disposal azeas.
The final monuments as shown on the recorded tract map were set. All final grading elevations are
within ± I/10 of the designed eleevati,ons.
Supervising Civil Engineer
13821 Newport Avenue, Suite 200
Tustin, Calitomia 92780-7803
Tel 714/5443404
Fax 714/5443155
37445
. L e �/if�
P.
� No.37445
� �P� 6/30/96
:' CF
�}
�w+a 806 GALLERY CT ��:
.� a, +ic�wavw: POLYGON SOUTH COAST ASSOC FLOOD; X 47
" 'wo�ss: 15751 ROCKFIELD BL
UNIT 120
IAVINE, CA 92718 714-452-0600
�vv�.wmmo�uoness ,�,r��i
�xcxfrzcroneiax�x: LL MAJOR 6 ASSOCIATES uc.w.: C-168640
�xcxon�•s�ooxess: 1551 N TUSTIN AV uNr:
SANTA ANA CA 92701
CONfp1CTOP'SNAYE:
ca+m�crons �uuNc
wo�ss: ua ra.:
uNr:
LICENSED COMNACTONS DECLANATION: 1 hereby eflvm under pe�y d peejury the� I em lironeed uMer povlaona ol Gheqer 9
(aommeridnp wXh Seciim ]000) d Oivbion � d �he Buvmv erd Vrofaseima Cade. ud mY limrue n in hll lwtt eM eRed.
cmuc.no.:066144 uc.cuss: H uc.r+o.: 659262 EXP: 11/96
OWNER 9UILOEF �ECIAPRTON: I hanby effirtn uMm pandy d perjury �hal I am eRmmq han the Comrrfaa Licems Lew In IM
lolloxing reesan (Sadion )03�.5 Bueiiwsa end Prolesaiom Code: R�ry cdy a mumy xAich reQuirea e permil lo ooneVUC, eller, impow,
demdah, w repei eny avunure, piior to ia owence, ebo reQuiree iha epplrcanl lor wch peimY to fila a sqrod eletemeM tlW he «ehe
ia licemeE W�s��e^�,�a tM povisbm d iM Caniraraas liceme lew �Chepm 91�mend�p xilh Setlion 1000) d Diviian 3�d the
Buainess end PrWenbns Codej a �het he or sM ia esamp �herehop� enC �ha besie Iw �ha dbpai eaemption. My videlon ol SerJion
1031.5 by enY eCW� f« e permn aubjede tha eppl'ram to a cvtl {»�aM1y ot m� mae then IHe huntlreJ Edkn �f500U.
� I.esownerMiM1eP�GaMormY�WW�a�hwepeaavlheiede"mmpenamion.xillEo�Mxvrk.enElMSVucluroemlmleMed
w dlered lar eeb (Sxtion l01<, BuareaseM Pm/eesona Code: The Cantreclon Licenea tewdoee nm epply �oen ownerd prapeRy
who Wlds a inpwa iMreon, arq x10 doae euM Moek NmsNf w MnN ar ihiaph he a Mr own employees, pwids0 thm weh
impmvemenle are mt inteeded a oHered lor eele. X. howevee Iha buikinp a inpiwemenl ie eoN wilhin aro yam d mmple�ion, �M
�o.�,-w�a. �;n na� me d�b� a o��,p na o, .ne ad �a w�u o, �mw� ra m. w�cose a�e).
I. av ovmer d iM P�vaM. am ssauarvelY oontraan0 wiN licensa0 contraclon b wnmue IM pajad,lSedion )ou. &nirms enE
Protessione Code: The Conirepon License law tloes nd epply lo en owner d papeny x1w builda a impov» thneon eM x1w
mnirecn br eWi prqeda xnh a oW reqar(el Icanaed punuent to tM Cont�etlore Lioeme law�. .
� I em amp/1 unEer Seclion: B. 8 P.G.. br Nie �so�
Dme: � I � ZI �� Owner. W�/
e
I do henby cenily Nel 1 em ewera W aM uMarmtvM Me repuimmenn d CelAo ie Sefely Cade Sedione 25505, 25533. eM
255�0. vd Me� i n elry future WiMiiq ooaipenl wiil / xil ew� (vaeb wnl �eed ON �h eeid mma mdas erd tM rpwmmeNa br
eosminlaconervuciionormod'RralionhomiMAi ueSl�iyl.r�epemenlDietrid.ReaidemielconeVud'nneppFcetiomene�amqlmm�heea
ova: Aoo�����
WOPKER'S COMPENS�TON OECIAPATION: I Mreby affirm uMar pereliy d pajw/ me d tha b0owirp datlerm've:
� I heva vd wil meintein e cMilceia d mmenl to eetl�iruuro fa workers compenmtion, m povided far by Sadim 3�D A tha lebor
Cade. br the Va�amance d Na xak tar wNch Nie V�^A w asueE.
�] I l�ew eM vnE meinlen woMe�e' mmpense�bn imurence, m requireE by Saeim 3]UO d tha Lebor CoEe. M ihe perlormenca d �M
w��«�.nknmrep.�nnb.�,ae.rnvw«�'C1�P ESS I I�S`�°��um��� EXPIRES
c�m:
Pa�Y N„my,, — 01 / 01 / 9 7
(rhis s«fion rieee not W complafed i tne penn! is ror are hunEred EWlers (Staol or bs,.)
❑ I eeniy thei in �ha pe�omumw d �M work Iw xfikh �hie peemn ia ieauetl, I ehell m� employ e�ry pe�von in eny menrwr eo u lo
e�o�,. wqse m in� won��s• �re�� �w. a ceur«��. le e���pp9� in � i.nwa na«�, dniw m me ��.�
compenmtion rovi_aion1a d Seaian �100 W ihe Lebor Coda, I ahell 1�comp wi a• pr 'eione.
DNe: � �U �T� AGW�'aN: -
�.��
i Wem/ny: F�Ilun ro ucun woMcw�' compxwtlon covsrps h un/ewlu( entl lull h N�➢loyx fo MMiul p�n�ltlp �M
'� dw n�.. w ro o,�. m,�e..e moww awr.. lsraaaool, ��.m�ao� ro m�o, i rro�, wm.w .. arova.e ro. ��
Sxtlon 3]O6 0l Ms Lebor COM, /nfxwt, antl ettomsy'� Isss.
CONSTNUCTION LENDIN� AOENCY: I Aereby eifirm uMer peralry d perjury �het �hen u a ow�vivaion MMirq epen.y ior IM
qAormenm d IM1e wrnk lor xfiiM Ih's paeml ia anued (Seelion 309]. Cv. C).
LENOER'S NGME:
LENOEN'S AODHESS:
� cenM �nm � neve reed inb mW� �e aate inm ma ebwa mtormmion u m.w. �.yn. m wmdr wun e0 ar eiw mumv aainencae
enE etele lewe rele�sB �o builCmg camtrudion W MreEy euthmrze raprexntalives d Ihb tlry lo enlm upon �he ebwe-memnned paperry
�«�°'°°"�p1D°'°' BOB YODER
om,: l�j �--���
(5151�18.WP) Wh�e-Buikip b Selery; Greer�-Fle: Cenery-ADN��: R�k-Revenue: Gdden�a�Mma+a
CITY OF COSTA MESA - BUILDING PERMIT
PERM NO: P 078570
PERMIT NO: P 078570 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE; V-N PERMIT TYPE; PLU PURPOSE: NEW
JOB DESCRIPTION : 2124 SF LIVING/ 562 SF GARAGE SQ FT:
t_LAIP4 VALUE: CALC-VALUE: GROUP OCC: R-3 /U-1
��MMENTS: NEW SjNGLE FAMILY RESIDENCE / PLAN 2/ REF B-%��(o-7
����r***�**�**�*�*��*�******���r***�*x***�*�**�**�***�***x*+�*+r�F**x*�r���*�����rz��*
Z O N I N G R E Q U I R E M E N T S
5 E T B A C K S
FRNT: -----FT MAIINBREARING --F1,----IN FRNT; _-- �T�"�''��TN�R�ARL��tj�%7 FT----IN-
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 14151132 ZNE: REF NO;
PLANNING Nd'I'ES>
� � u + . . ,
1F if 1F 1t 1f 1f 1f 1f if 1FlklklE 1f !f iE iE 1f 1E 1k iE iF 1FlE 1k * 1E 1F 1E iE fE fF iE �E if 1f 1E 1E iE fF iElE 1E 1E 1E iF iE 1E 1E fF iE 1E iE 1F 1E 1E�3flk 1E 1k fk fE iE iE 1E 1E iE k 1E 1F iE fE 1E k�)E 1E if IE 1E
D E V E L Q P M E N T S E R V• I C E S` �R E Q U I,A E M E N T S
ZONING APPROVED HY � �� ' •. DATE:
BUILDING APPROVED BY : � � - DATE:
APPLICATION ISSUED BY: `' ' �' c/ 't - DATE: 7'�
iE�E1ElEfEiEiElfiFikifikfE*iE3E1E1EiElfiEiE iklfiflEiFiEiE3E�EiE 1EdE
LEGALIZATION:N F E E S U M M A A Y� STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC.�MEC:HANIC ��l FIRE SMIP/RES GRADING
PERMIT 198.00 ' „ . :�
25� '• � " ' � SMIP/NON—RES
PLAN ;.. . ,. . ,
ISSUE FEE 22.00 • �;, „ , '
BUILDING—DIV—> PERMIT ISSOE P.LAN—CHECK TOTAL PAID DUE
TOTALS----> 198.00 22.00 '• 0.00 220,00 220.00 ,00
.� :
REV£NUE DIVISION TOTALS--> COLLECTED:�' '22'0.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANTC•: -FIRE SMIP/TOT GRADING PLAN—CHECK
220.00 .
iE fE 1E ff !E iE 1E iE iE iE iE iE iElE iE iElE iE �E �)E 1E iElE �E iE �E 1E iE fE �E �E ik 1E iE if iF iE if iE� i4 iE 1Elf ik iE If ff iElE 1E �E iE fE ff !f fE iF fE �E �F �E fE iE �E 3ElE 1E �)E iF if ik iE ib iF �Flf iF * 3E
I N D I V I D U A L F E�:E B R�.E A K D O W N �
I
TYPE QTY D E S C R I P T I O N � UNIT COST TOTAL COST
�L� 2 I,����YHTUB OR WASHER �,� ,' ;� . 8.75 1.7,�0
` g:3� � i�:��
PLU 2 SHOWER ' ' . ' 6.75 ]7,50
PLU ] SINK, KITCHEN �,. �. £.75 1 8,75
PLU 5 WASH BASIN ,,. '- ' fl.75 43,75
PLU 3 WATER CLOSET (TOI-LET) ' G.75 26,25
PLU 1 WATER HEATER AND/OR VENT ' 11.00 � 11,00
PLU J. WATER SERVICE ' 8,75 � 8.75
PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 5.50 5,
PLU 7 GAS PIPING SYS S+ OUTL—PER OU'TLET 1,00 �, 0
��QNSTRUCTION AND PLANNING PO� . SPA
PPROVALS Permic # � Date 'Inspector APPROVALS Permit # Oate Lnspector
a_
:. Temporary Eleci��ca� Service or Pole �. 52. Pool & Equipmem Location
2. Soil Pipe-Undrqrnd. �-( ajG �� 53. Steei Reinforcement .. �� � y
3. Electrical Conduit Ut(litv-Undrgrnd. n 54. Forms '?
_
- 4. Electrical Cooduit•Undr9md. � 55. Electrical Bonding �' ��/;
.5. Steei Reinforcement . 56. Rough Ptumbing & Pressure Test -
6. Electrical UPER Grnd. 57. APPROVAL TO COVER-GUNITE /
� 7. Footings 58. Electrical Conduit-Undrgrnd. �
8. Foundation 59. Gas Pipe, � Undrgrnd., 7est
9. Water Pipe�Undrgrnd. � et6 l_== 60. Backwash Lines, P�Trap, � Undrgrnd.
,
10. Svuctural Floor SYe.em r 67. APPROVAL TO DECK ="�
71. Property Sewer Line & House Connection .62. Backwash & Receptor�Finai', "
rir 'Z4 4 E
12 Sewer Cap � ��- 63. Heater & Vent-Final � � -
13. Roof Drains -- 64. Plum6ing System - Final .-=��k;
74. Rough Plumbing d���G 65. Electrical�Final �
15. Reugh Electrical-Condu�t 66. Solar System-Final • � •
16. Rouqh HectriclNiring 67. Fencing & Access Approval �
1�. Rough lNiring Sig� 68. APPROVED FOR PLASTERING --'
. .. {
78. Rough Electrical�T 6ar Ceiling 69. POOUSPqSYSTEMS FINAL
19. Rough Heating & Air Conditioning PIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure ; - � 70. Underground Hydro
22. Onc[s, Ven2itatin9 71. Product Plping � Gas O 011
23. Gas Pipe-Rough & Tesc �d,_�_Ci6 � 72. Underground Flush
V
24, Roof Framing • 73. Undergrnd.SmrageTank OGas ❑Oil
25. Roof Sheathing : ' 74. Overhead Hydro
26. T�Bar Ceiling (St�ucc�ral) & Monocoat � 75. Dry Chemicai
27. Frame and Flashing . � 76. Dry Standpipe .
2$. l.athing & Siding � �' ' - 77. FIXED SYSTEM FiNAL
29. Insulation 78. FIRE PREV. FINAL - �
�, e
30. Drywail Nailino HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ` 79. FINAL 1NSPECTION
32. Electrical Power Meter�Final .. 80. FOOD CERTIFICATE iSSUED
33. Final Electric -' ' Notes: g_r_C�6_���� t1 �� �'
v
34. Final Heating & Air Conditioning � t�
�6=G C � �lt-k� 2t%/��'�c+-t� �
35. Final Gas Pipe-Test ��'�'.�j.� _ �r.�Z3-ib
- - a-�C-�-+'��-- - -
3fi. Hood or Canopy =� Q��a7}- f� �,u��y ,-�}�2�/2�,
� 37. Final Factory Firepiace - � ' .'� _�
`�-z6 iz.�lcvr�,8%� - -
38. FinalPiumbing . . ��1��_� � �`_�5.��� �� --
. 39. Water Service-Firiai �� �
- � �G_ 1 - - 12�'�� ���.�-�.- - -
40. GasService•Final � j2�,�� _ ,�-
47. Solar pomesticFinal
42, Backflow Prevenler ' 2 e..C�
4 T
43. Backflow trrigat�on�� ZL � �
L
44. Landscape Irrigation SYsiem. � .
45. Saund Attenuation � • � -
46. Handicap Regulatiohs
47. FINALSTRUC7URE&BUILDING
4$..FINA� PLANNING
49. Electric Re�ease to Edison
50. Gas Release to Southern Califomia Gas Co . . .
51. CERTIFICATEOFpCCUPANCY
No. Date
�' woxr�soFeuudra:
qYNER5IJNE Ii pqNM:
"NUPESS:
APPL. YAll1N0 AOUIIE55:
ANCXRECT OP ENf�NEEN:
MCN. OR FNO.'4 AOOPES4:
axrxAcrars w�we:
carn�croxs �uin�c
ADONESS:
� uxr:
uc. xo.:
uxr:
uc. xo.:
UNT:
110ENSED COMHRCTOq4 OECLAXATION: I hereby eflim uMx panely d perjury thel I em Icaruad uMa povivbm d Cheqm 9
(mmmenarg �h Section IOW) d Oiwaun 3 d i�a Busm» vW PMessiona Code. end mY lioeroe e in tu0 brce anE ellea.
CT' 11C. NO.: 11Q C1A55: LIC. NO.:
Dme:
ConVmw
OWNEH BUII�ER DECIAPRTION: I hereby elfiim undar penely d perjury thei 1 em axamq Imm IM COMretlae Lironsa l.aw far Ihe
tdbw^V raexn (SeUbn )031.5 &nibsa end Prdeasbns Code: AM c�Y n ooun�y v.Titli rt0uirea e G�G to crostrucY. eller. imMo.e.
demd'mh, or repeir eny nVuciure, pnor lo in oauenw, a6o rpuiree the applicent Ia euch permil �o file e eg�red eta�ameM Mtl M a eM
o lieenxd W�+�t lo iha pwieoeu d IM Conlredae Ueenee Lew �Cheqer 9(mmmmidnp xilh Saqbn )000) d Oiviion 3 d Iha
Bueinma vk Rdeaeiona Cedel a ihm M or nM ia vemq tMreimm eM tM buie fw iha elleqed uemqun. My vidmion of Seabn
]0'l1.5 W eiry eppliunt la e parm� eubjeCs Ihe epd� lo e civil penelry d ml mae Ihen I'va huMred tloYen �5500�.
❑ I.mawnard�hepropMYormyempbyaeawlhwepasaslheiedemmpeneetion.vrilldotMMwk.eMiMMnwturebiwl"vNerMed
or oflereE for ede �Section )006. Busirean eM Pmiessians Cade: The Contrmws Liceme lawdwa rwt epplyta en ownard pope�y
wM buida ar inM� Ilwiem. vd rAa Eoee eucM1 xwk IimaeM n he�+e� n Ihraqh he a har own mmW^Y�a. pA'� �IW wdi
imprwements ere not inteMed w d1ereE lor eele. H, howaver, tM buiMinp a'unpovemem is soN wnhin ma yeer d wmpk�ion, tM
owmrb�ilder xill heva iha WrEm d poriep M a ehe tlitl nd buik a imqove lor IM puryme W eeb�.
� I. ea o�mer d iM propeny. em e�dusirelY �nirmvq wnh licenaed convecion m wnm�ua tha prqetl (�� ��. �einme erd
Pmtesdma Code: The Comretlon Licenae lew dom ria epPM �o en owrr d PW�Y Ma buitle or'unpa'a+ tlrean enE who
camfecn Iw wM prol�a wdh e mmreaor(e) IcanaeC W�uant lo IM1e ConlreGae Licenee Lew�.
❑ I em e�anq �ider Sanion: B. 8 P.C.. M Niv reewn:
Due: Owner
I Co hareby cerlity Ihat I em ewere ol uM uMerslenE ihe reQuiremenie d Cellanu NeeXh eM Sefaty COEe Sedions 25505, 25533, vd
3551a. eM tlw I a enY �ure Wikirp arvpem_xill / wil rwl (rircb aie) ��o cwnply wih eeN uma mEea enE IM �equi�mnmb br
epe�mnlorconeVuctionormodifira�ionhanlheA uei�y enepamentDiatria.Reaidemielmnn�ud'unappfu�ioneereeumptlrom�hpa
ponsbm.
Dme: AVGlicenC
WOpKER'S COMVENSATION OECI�NATION: I hereby etFrm uMer periel�y W perjury one d IM bAowi�q derlaretiom:
� IhB/evdr.ilm01n1eneCBNflCatadmruanllaseX-ireuRlwMYxkBn'canpenv�ion.mpOVidedlMbySMli]n'JTMd�MIGhY
Code. lor tM pe�lameue o/ Uro v.wk iw which thie pe�mn is ieeued.
� 1 heve vd xil meinten v.orkero oompenutun irourviee. ea repuired by Seqion T/W d tlp Labor Code. br �M peeMme�aa N IM
wark fa whiW ihia permn ie iaued. My warkere mmpeneetian insurence rartbr enE poliq number ara:
Cemx:
Pdicy Numbar:
�inrs aenim need �a ee canW�ee r ma ro�e rs ro� are nvndree ddmrs /siaol � bs,.�
❑ i mnh me� �� me o�om�e�e d m...«x r« wncn mu ro�*n c�.uee. i.ne�i �a emdw �r o� ��r m��« eo n w
become eubjee �o iM xorken' wmpaive�ion lews d Cal'dana. e�d epree Nm il I ahouk beconr aubjetl to tM r.arFeis'
compenselion provisone W Seeion 3]UO ol lhe Lebor Cada, I ehelllanhxilM1 compry xnh thoae pmviabm.
Dela: Applcenl:
W�m/np: Fallun ro ucuro worteri mmpeiwtlon coverap� h unlewNl, �nE Mell ��b/�cf en �mplqw ro Mmlrol penaltlq nW
e/N/ flrros up ro ons hundrsd fMus�id tlolln� lSf00,000), In Mtlltlon ro Ms ewt ol rompxueflon, demspu u provltletl ror In
3actlon J106 0l tlrs Lebor Cods, lntxest, enJ attomsy'� fw.
CONSTNUCTION LENDING ROENCY: I hareby eifi�m unEer qnelly d perjury Ihet iMre 6 e m�rueian NMinp epem.y far Ma
periormenm d ihe wM br wfiiW ihe parml is aauad (Seaion �09], CN. C�.
LENOEN'S NRNE:
LENDEN'S AUDHESS:
1 cenily thm I heve reaE I�e epplKation vd pme Ihet Ihe above intormelbn is mrtea. I eyree b cwnqy wilh eA ary eM muniy ad'vwKea
end sleb kx+reletinp �a buildm0 ����utlion erd Mreby eWwrae represemeiivea d Ihie ory io anter upon �ha ebave�memioneE poparry
fa ivpen'an purposas.
PnntName
Dme:
SiB��ura W Oxner/ApanVAppFranUConVedor
(5151d6.WP) While-Buildip85e1Ny;OreemFle;Carwry-ROM��:Pink-Hevenue;GolCenro�Asxea
PERMIT NO; P 078570 PLAN CHECK NO; 02812-96 N _,
1f iE 1E �E iE iE 1F iF iF 1ElElE ik iF 1E 1F jtlf !F iF iE fE fE 1E fE 1F iE it if 1f !f iE iE fF fE fE iE 1E 1f !F 1E iElf iElFlf iF i! ff ik 1E 1f !E iE iE 1flE 1E 1E �E fE 1E fE if ik iF 1k 1k if 1E fElE iE iE if 1E if IE 1E
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU 1 GAS SERVICE 8,75
PLU 1 SEWER, CONNECTION TO HUILDING EACH 22,00
END OF FEES
8.75
22.00
' � ':ONS7RUCTION AND P�ANNING � P0� . SPA�
� � APPROVALS Permit # Date Inspector - APPROVALS Permit # Date Inspector �
'. Temporary Electriral Service or Pole 52. Pool & Equipment Location
2. Soil Pipe�Undrqmd, 53. Steel Reinforcement
3. Electricat Conduit Utility-Undrgrnd. 54. Forms
. 4. Electrical ConduibUndrgrnd. 55. Electrical Bonding
5. Steel Reinforcement - 56. Rough Plumbing & Pressure 7est
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Fooxings . 58. Electricai ConduibUndrgmd.
$. Foundation 59. Gas Pipe, O Undrg�nd., Test
9. Water Pipe-Undrgrnd. - 60. Backwash l.ines, P�Trap, C� Undrgmd.
10. Structural Floor SYstem 61. APPROVAL TO DECK
t t. Property Sewer Line & House CAnnection 62. Backwash & Receptor-Final
i
72. SeK�er Cap fi3. Heater & Vent-Final
73. Roof Drains 64. Plumbing System - Final .
i4. Rough Plumbing � 65. Electrical�Finai
15. Rough Electricai�Condui2 66. Solar System�Pinal
76. Rough EleMric Wiring � 67. Fencing & Access AnProvai
17. Rough W'i.ing Sign � � 68. APPROVED FQR P�ASTERING
78. Rcugh Electrica6T Bar Ceiling - 69. POOUSPA SYSTEMS FINAL
79. Reugh Heating & Air Conditioning -' FIRE DEPT. REQUIREMENT �
. 20. Ro�gh Factory-Firepiace ---- APPROVALS Permit # �
27. Ducts, in�Structure `--' 70. Underground Hydro �
22. D�cts; VentNating � -� - 71. Product Pipin� O Gas O Oil
23. Gas Pipe Fiough & Test � 72. Underground Fiush
24. Rooi�r�aming 73. Undergmd. Srorage Tank � Gas ❑ Oil
25. Roof SMeathing 74. Overhead Hydro
� 26. T�Bar Geiling-IStructural) & Monocoat 75. Dry Chemical �
27. Frame and Flashing 76. Dry Standpipe ��
I
28. Lathing & Siding 77. FIXED SYSTEM F�NAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailinq HEALTN DEPT. REQUIREMENT
31. Plaster Brown Coar 79. FINAL WSPECTIQN , �
32. Electrical Power Meter�Final 80. F000 CERTIFICATE ISSUED
33. Pinal Electric _ Notes: . . - (
34. Fjnal Heating & Air Conditioning �
35. Fi�al Gas Pipe-Test �
36. Hood or Canopy
37. Final Factory. Fireplace
38. Finai Plumbing �
39. Wa:er Service-Final .
40. Gas Service-Final
41. Solar pomestic�Final
_ �
42. Backfiow Preventer �
i
43. Backflow Irrigation �
44. Landscape Irri9ation System
45. Sound Attenuation
46. Handiwp Regulations
47. FINAL STRUCTURE & BUIL�ING
4�. FINAL PLANNING
49. Electrie Release to Edison
50. Gas Release to Southem California Gas Co
51. CERTIFICATEOFOCCUPANGY
No. Date
�
anonessaew�m+o: 806 GALLERY CT urir:
rnvxeasxweiva+avx: POLYGON SOUTH COAST ASSOC FLOOD; }C 47
� ADDNE54: LS%SI. ROCKFIELD BL
' UNIT 120
[RVINE, CA 92718 714-452-0600
�vr�. uuuxo �ooness:
urcxirccron�m+�+: LL MAJOR 6 ASSOCIATES ucxo, C-16869
wcx.on�a.•s�ooi+�ss: 1551 N TUSTIN AV uxr: 640
SANTA ANA CA 92701
ca+m�cTarswu�: NOVA PLUMBING INC ( 714 ) 556-66B2
c«+rn�croxs�u�n/c 3103 W CENTRAL AV
�Eu, SANTA ANA 92704 CA ��: 457898
urn:
LICENSED CONfR�CTOPS OECLPfl�TION: I he�Wy ellim uMx perW y d pnjwy thm I em finmed ivdx peaie'vn d Cheqs e
�mmmaM.irq wNh Seeiion )000 M Di�vion 3 d ihe &uiroa eM Pmteaeau fade. ud mY 4meoe u in hJl taee rd Mloq.
cmuc. 0.:06654G uc.cuss: C 36 uc.No.: 4578 8 EXP: O1/97
ode: c�«��DU(�}_ il N�,�i.^(fe�s
OWNEP BUILDEP ECLAP�TION: I Mmby etNm uMer pmely W per'ryry Ihel I am ammq hom �he CaMretlas Liceme law fa ihe
IdbwFO �eeson (Setlion 10J1.5 Bu+iieaa end Phda�ions Code: AMW a wuniY whieh �W���e a Psrmu �o oomvue,i. d1x.'vnWovl.
demdon, «rqai any sleueiive, pbr ro da wa�e�ce, etro repwa+the epplira4ln wdi peem'a to fiM e apned atmm�ent Oal M«aM
ia licenaed Wm+�� lo IM pwisiwia d Ihe Conlretlas t'xenfa lew �Cheqer 9(cpnmerviiq xilh Setlion 1UW) tl �wiion � d tM
Bue'vm ene Rdea'vre Coeel «t1w he n sM e uemq iherdran ene �M b�e 1« the +OepeE memqnn. My vblmun d Seaia+
�aai s ey drv ecvii�m �« e re.mu wdeae ma eaW�� �o. aw va�nr d m� mas �hv� r a num�e ddi.�. I�D.
❑ �.movme.a�neworom«mvemWoree•...nw�e.aa�ne:.dewmwvmion..a�mm..ork.endu�e.YWurau�auu.M.e
a Mered br eeb (5eelbn ]Du. Buarcv eed Profm»ma Code: The Commaon lioeroe lew Eroe nol eONYto en oxewd p'ope'ly
W�10 dl�Ee IX TpIP/Bi I�1BIBd1.01b M�q �Ob9 f1Y�1 Nqf hlfll!!M 0! hBf!!� Of UYOl9�1 b R �IM OMT MIGbY�d. PT�� �� WC�1
'unp�o�mnxua ere nd imeMed a atlxeE Ia eW. tl. hor.mer. tM buitlirq a mqmemem u sdd wehin arY� d mmpbtM, tM
owmr-0uiNn xiA heve IM WNm d p�oviip he or eha diE nd bWd a unpws /a �he purywe d We).
� I. n oMne� W IM G�PaH. am mdua'dY mMretlM v.Sh 6cemeE mihMm b mmV W IM Y9ed (Setlun 10{I. Bufinws eM
Pmlaseiau Code: The Coniradon l'senx lew doea nal xpply to en oxner W propMy xM WYCe a impwm Ihenan end wlw
wntrxta M uM pqeaa xah e mMretloe�a) li;enasd purswm to iM ComeaCas l'mua law).
� I em ezemp wdr Sxfion: 8. d P.C..lar Nb ieesm:
Dels: �
I do Mraby cenAY Uat I em awa d vd wdaebM Na na�remws d Callarrve IbNN ud Sdely Cods Seaiaro 25505. u5Si. aM
2551a, vd Nel I a ury Mure WiMirp ommant wiA / wii rw� (dicb ane) neaE w ednpty wM roid pe�e ooEes eM tM mqu'vameM M
..,.�.�n�,.�.u�n.rimo.mod'd �ionFanilieA3'wTi .l�vmenwu0iurid.Reddruwlrma�ueuneoofrdiwuerauemdlmnNma
om.: rov��:
WONKER'S COMPENS�TION DEC4P�TON: I Mraby eifvm wdw paieEy d prjuy ms d Na blbr."np datle'mum:
❑ �nere.nexi�meone:,e�.nscmeaow.vio..n;mu.w..wa.•canv��.mwwu.a�wMa.mo�a�oodm.�.mr
Code.la tM pMormeMe d tlw wM fa wHch thu pamtl u InuW.
� i n.w d,e wie meimei� .oMen oomo.�+do� �muren�. m �ea��� M sa�im amo d m. leeo, eoe.. ro, in. w�ro.meno. a m.
wwk la xfiiN Me V�e u baued. MY waFen' mmV��bn inaaenca �en4r W D�Y number ue:
c.m.,:
Pdicy Number:
�rnis .«van �.d �a w m�dw.d r w v�+A ro. o,�. w�ee am.,. Isiool �,m.�
� I eanN � in ths pMoemenee d tM work M whcA i16w pmtit e ueueA. I Metl rcu ampb� ury perwn N eiry men�wr o n to
pecpm eubl� lo tM xvM1en' compeme�ian kw d vM ep�ee d I 4wk becoms aEjW to iM xwM�e'
mn nW ian rabum d Sstlion ])00 d �M Lebor CaEe. I I vA� mm ihws prmirioro.
ode: � �od�+na: � � 11.IG7
W�mInO: F�Nun wcun woikNi eanpru�tlon covwap� l� unYHW, mtl aIWI utl/M �n wrplqw ro erlMiul pwMp uM
c/vll Iln�� up b on� �,ntlrsE tlauun0 0dl�n (S1GqP00A M tlC/tlen ro Mr cwl ol mmpwuetbM1 Canrp� u pvvldM br In
Sxtlon �IOB ol M� L�bor Cob. InMuG �� attomsy'� Iww
CONSTflUCiION LFNDINO AOENCY: I hseEy etfirtn uMer pneEy d peejvy �hm iAra u e ommvfion bNirp e�pev.y br Ne
perlpmeze W tM MOM br whiM ihe pami u ewad (�� ��. Crv. CI.
LENOEH'S N�ME
LENDER'4 ADOHE%:
I cani7 �het I heve reW No eDdicelion aM ne�a �hel the eEo.v vdametion e cmw. I nWb �o comdY wp� eA'iY erd muM' adinencm
swe bxe rele�ne w 4 iMna cwuo-urnan ene narebv uNwee nw��etives d ihu wv w aus uv� �M ebae�memiw�od wwenr
'°' °°"'°"°"'°°°°' R ROBHINS
��
Dme:
Sgreturo W O+rtatlApeWAppirawCwmea
(5151-68 WP) WnGe-Build'uq d Sefery: GreamFle: Cerery-AppicenC PiNc-Ra+enue; OokenmFMaeaaor
CITY OF COSTA MESA - BUILDING PERMIT
PERM NO: IP 07804'7
PERMIT NO: IP 078847 PLAN CHECK NO: N GOVT: N SUPP; Y
CONSTRUCTION TYPE: V-N PERMIT TYPE: OTH PLU PURPOSE: NEW
JOH DESCRIPTION : 2129 SF LIVING/ 562 SF GARAGE SQ FT:
CLAIM VALUE: CALC-VALUE; GROUP OCC: R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE , REINSPECTION FOR #P78570
*�*�*x�**x x ����r�***x �***�*��**�**��**�x+�� �rx � x **��r��x�**� ****+��***�*� x�**�r*�*x �r****
Z O N I N GS ERTEH�AUCIKRSE M E N T 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 �
1E 1E 1k iE iE iE 1E f! fE 4 fE IE 1f IE 1E fE ik �E 1E 1E fE 3E fE fE ff iE iE 1E 1f 1E IE 1E iE 1E 1E iE IE 1E 1E iF 1ElE iElE if !f iE fE If iE iE iE 1E 1E iE iE iE �)E!E 1E iE iE iE 1E iElE 1E fk 1E iE fE 1F 1E IE fE iE 1E iflE
D E V E L O P M E N T S E R C� I C E S�- R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
��f�tifC�� l����f���Cl �'is ? DATE:
�I�11�1¢� ¢�_�i� �4. '�'��� �i= ' DATfi;
i� iF i��?i� i� i�i� �# ��'R�'IF * i: � # s i� i�s7�s7�7�7�7�7�7F3E�F3F iri� ,r .3r'ir"fr�7FiFiF7FSFtf3FiF� * * �c-* * i�+[� * * � � *I* * 1 i�#�� #
LEGALIZATION:N F E E S� � M A R Y STRUCTURAL SEGMEN'1"6�1
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 44.25 ,
25t SMIP/NON-RES
PLAN
ISSUE FEE �
BUILDING-DIV-> PERMIT ISSUE "PLAN-CHECK TOTAL PAID DUE
TOTALS----> 44,25 0,00 ,-, 0.00 44.25 44.25 .00
REVENUE DIVISION TOTALS--> COLLECTED: 44.25 OVER/SHORT; ,00
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
44.25 ,'
iE ib iE iF iE 1E iE iF iF iE iE iE �f iE iE iE 1E 1E iE 1E iE ik iE 1E k ik it it k ik if it fE 1f 3E iE 1E 1E 1E fE iE �E iE iE iE IE IE ikib iF iE 1F iE iE i! iE iE 1E iE iE iE fE iF iE 1E iE iE k 1E iE it iE iE 1E it iE IF iE fE
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
�jilij
1 PLUMBING RE-INSPECT�ION FEE
END, OF FEES
' �
�.�
�� ;
44.25 44.25
CONSTRUCTION AND PLANNING POOL & SPA
� APPROVALS Permit # Date inspector qpPROVALS Permit # Date Inspector
t.,Temporary Electriwl Service or Poie 52. Pool & Equipment Locatitln � .
2. Soi� Pipe-Undrgrnd, : 53. Steel Reinforcement �
3. Electrical Conduit Utiliry-Undrgrn�. 54. Porms �
4. Electrical-Conduit�Undrgrnd.• 55. Electrical Bonding
5, Steel Reinforcement 56. Rough Plumbing & Pressure Test �
6. Elect�ical Uf�R 6rnd. 57. APPROVALTO COVER�GUNITE
. 7. Fuotings �- - . 58. Electrical Conduit-Undrgrnd.
8. Foundation � 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe•Undlgrnd. . 60. Backwash Lines, P-Trap- O Un�rgmd.
10. St�ucture� Floor System � 67. APPROVAL TO DECK �
11. Property Sewer �ine & House Connection g2, Backwash & Receptor•Final
12. Sewer Cap ' . 63. Heater & Vent-Final �
13. Roo( Dreins i 64. Plumbing System • Final .
14. flough Plumbing � 65. Elecvical�Final :
15. Rough Electrical•Conduii ' 66. Solar SVstem�Final . ,
16. Rough EtectriciNiring � 67. Fencing & Access ApProval
17. Rough Wiring Sign gg, APPROVED FOR P�ASTERING �
18, Ro�gh Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. RE�UIREMENT
20. Rough Factory Firepiace - APPROVAIS Permit #
21. Oucts, ia Struccure - -- 70. Underground Hydro
22. Oucts, Ventilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Ten 72. Underground Plush
24. Roof F�aming. . ' 73. Undergmd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing . 7q, pverhead Hydro
26. T�Bar Ceiling (Structurall & Monocoat 75. Dry Chemical
27. FramC and Flashing " _ 7$. Dry Standpipe .- �
28. Lathing & Siding ' ' 77. FIXED SYSTEM FINAL
29. Insuletion � � 78. FIRE PREV. FINAL -�
30. Drywall Nailing - HEALTH DEPT. PEQUIHEMENT
31. Plaster Brown Coat .. 79. F�NAL INSPECTION
32. Elect�ica{ power MeterFinal .� 80. FOOD CERTIFICATElSSUED �
33.-Final Electric -_ ' Notes: �_'�� g� e��� �,_�
�C�'
34. Final Heating & Air Conditioning � �'
c2--�' �_ _�G,w.�- �
35. Final Gas Pipe•Test _
36. Hooc1 0{ Canopy _
37. Finai FaCtory Firaplace
38. Fina� Plumbing ._ �
i2^! -�GL
39. Water Service-Finai
40. Gas S�rvice-Final: .. �
41. Solar pomestic-Final _
42. Backflow Preventer - .
43. Backflow Irrigation
44. Landscape Irripation Svstem � -
45. Sound Attenuation ' •
46. Handicap Regulations � �
47. FINAL ST(iUCTURE & BUILDING '
48. FINAL PLANNING
49. Efectric Release to Edison � �
50. Gas Release to Southern California Gas Co . �
51. CER7IFICATE OF OCCUPANCY -
No. Date
�
�
�oonrssaemim'm g06 GALLERY CT 01f`
°"'"E"°""'E�'wa`'"'POLYGON SOUTH COAST ASSOC FLOOD: X 47
� 10°"�A 15751 ROCKFIELD BL
UNIT 120
RVINE. CA 92718 714-452-0600
urcN�aoaexn+rrn:LL MAJOR 6 ASSOCIATES
'���'g�� 1551 N TUSTIN AV
SANTA ANA
cwm�crare Y�uc.
carm�croas�uuNa
�ss
�"o- C-16869
u�: 640
CA 92701
uc. ra:
uwr:
LICENSED COHfPRCTOF9 OECL�PATION: I Mnb/ Nim �nder qnNy d pmryry tlW I em feaived uMx qwidm� d CMqw B
(oommera�q vmh SMian IOW) tl Oiwion � d Na Bua'visw md Pedwv'au Code. W mY Gceme u m hA law eM ellae.
cmuc.No.:066144 uc.cuss:B uc.No.: 659262 EXP: 11/96
Dme: Cmbaaor
OW NER BUILUEN OECIAPATION: 1 Mrtby elfim� under paWy N perjW tha I em aramq han �M CaN�etlan Licama lew la IM
�bwip raefon ISadqn )OJI.S &niiw� ud Fdeafcm COEe: MY uY w miWy wh'rh �Wwe+ e Ve�4 �o comtrutl. Mx. imprOva.
mialuh, or repei wy ewnuro, prior to ea ce�em:a, eho eeQuirea Ihe applimn� Iw weh peemn to fib e aq�d etalennnt Ihm M ar �M
. licanead W�N�� lo �M pwivians d Ne CaMrmae L'mue Lew jGhepm 9(wmmoncnp wdh Sedm 10W) d Dwebn ] at tb
Bueiiwa aM Prdme'ma Codal a �hu he a 4w b ezemq ihselmn eM the be� lor tM ellepeE mempion. My videlion d SeAbn
]W t.5 by enY eCWK^^� Iw e pemm abjqe �ha epplirsrv �o e wi penMy d nal mae ihen fwe hwdeed CaOen �5500n.
� I.mo�.nerdiMpW�YamYemployeaewihwepeamtheiwlecomperoetion.wOdolMxak.andlMebudunuM'vnaMed
«dlerod M eeb (Seetion )oa. eu�'uwa eed Pmlua'vu Cade: The Cwurmas Li�w lewdom na eVdYto en bwiwrd piopsily
.no wiE. «inw� maeon..nd.ro eoe,.ucn.wx hm..rc «nenM «wwp� he «n« o�.n «�qw. w� �nn .,�n
�mvm+e*ame... �a wenesd «d�.w �« we. tl, rowwe.. ine MdHlm «:nw�em u.dd wnnw ar rw d om�W+on, ur
�owner.buiNer will hew �M EuNen a� pwinp he a ehe diE na dnk a impo.e ta the puryme d We).
I. m oxmr d �M D�D�'/. am uducMY wnhWYq xdA 6unad mnVadae b mmtrw Ne P9� (Safon ]WI. &wirm vk
Pmlwmn+Cab: TM Caq�adm licam lew Ow m apply b an oww d popeny xta ddlde a imqwm tiwaon end who
con�reaa M acA prqee� wnh e aombor(e) GcameE qnueN to IM Cam�atlare Licenee law�.
� 1 em a p unMr SecUm: B. d P.C.. In Nu �umn:
oma: _//�/R�9: ����
1 Ao MWY a��M Nel I am ewue tl end uMeiswd Ne iW���ema tl Celiorrie /IeeEh enE Se1W CoM Setlbm 25505. 25St�. md
255]�. eM tlu� I a M' Mun W'IJmC � rM / rA M(crtb ar) roM b wniVN WA vid qva mdu mW �M n0uinmmb br
•prmelamro4wAimamoACreliontrwntMl�i�y wpenaND'etntl.WddantWmmiMbneppir�iwwerse�snphomNr�
ov<: �ca�.:
WOPKEN'9 COMPEN4�TON OECWi�TION: I MrW/ Nfirm uda pauEy d pxpvy ar d tM IOGow'vq drLreiom:
� I Mw vd W meinun a caWkete d odemi to wtlwwe br rakeri m�pawtbn. m prorided I> py Bqim J'ro0 d tM lebor
Cod�. fa iM pe�m�una tl tlr vk br w1iN Nu pemY u muM.
i7 in...wwm.vuen.aan•mmo.�mo�:.e.m....�.m:wMs.�im�oodm.�eacro..�orm.wmm,.b.am.
1� vork r« wnirh �N. v� u u.iwe. Mv W«Men� Wmpaiwbn i�m.ze mrt'w .m w�r �ee....:
c�«: ('VPRRSS TNS EXPIRES
ro�rr�,c« w-�t n� � � S O1 /01 /97
(tlw oaim Iwd na w mryYMW i tM a«m! u M w luMee mwa R��1 n bn�
�� I canh Yw In tM Mmiurc� d Ur Mak br w/iiM Ilu D��W'v �rd. I tlu0 nal anWby M' Vd� n mY mww n n lo
becarc wEjed lo iM wta�' oomDaiaelo� lew d CeNmue, aM epna tlW ! I�foutl becmM �uEjW b IM walmn'
m�.+jp� aa++4+. a s.a� aroo a u» � coe.. i.n.o ionn.an �cN .am m/�.P�/y
Deb: ��/�'/9� �od�'+m.� �/M"",>
r
W�m/ip: F�Nun ro reun wortwi compwwtlon rovwep� l� wY�M1q urtl MN �L/,cY en rrylqrr ro erMYml pruftlu �M
dvll nns iq ro aw n,ntlr�C tnouuM EWhn lJroq000A n�A1ltlon m tM ewt ol mmpwu�tbR Lirrvpu u prvrWW tw In
9�ctlon J]G6 ollM LNor Cab, IntwL ���mryY /�u.
coNsrnucnon �enou+a �aeNcr: i ro�W �� w�v a o«iwy mm mae e e�n�w� wwy .o.kr ro. in.
p.n,�� w in. wo� w..na �w o�� o m•a ts«soo 3an. c�. c).
IENDEN'S N111E
LENDEN'9 AD�NE44:
1 canity ihtl I hm nW Ne eppra�ian W nw Ihet Ne eEoue'udametian o aorted. l ep�se to camply xvh d ary and muniy ad4wiou
eM etme levn iNtliq ro dnM'rq caunwim utl AeraM ewlv¢e npsameaa N �M aYu emr u0� tM ebova�maMiwrd p�ope�y
la'vnpeqion pvpwea.
F/
Peui Nan a
Dma: � �
Si9�ure W Oxnar/RpenUAppf�ent�CmVmn
(5i51<B.WP) N'�na-BuikiqdSetery:GraemFb:Cenary-Appirani:Pink�le�enue:(3dEervoo-Meeasor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: M 080239 PLAN CHECK NO: N
PERM NO: M 080239
GOVT: N SUPP: Y
CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PUAPOSE: NEW
JOB DESCRIPTION : SUPPLEMENTAL TO M-78569 SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1
COMMENTS; NEW SINGLE FAMILY RESIDENCE / PLAN 2/ REF B-78567
at+r��+�it*it**x**ie*+�+�+r�r**+�+�****�*�****�r�r+�*+�ie**�**�it���e*�r**it**xat*�et�**fax�et**ieitititat*���
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 N6TES>
' � — . .w
iE 1E 1F iF 1E iE if !f df 1ElF iE 1E ii iE if 1f 1E 1E iE iE iFlF if iE 1k k ik 1flf k i! ik if 1E iF iE 1E 1F 1E iE 1E'fE fE`iE fElE If 1E iElE iE !E 1E 1E if IF iF k 1E iF Ik if iE 1E iE 1F If if ik if if ik 1F 1E 1E 1E iElE
• D E V E L O P M E N T S E R V I G-E_S R E Q U I R E M E N T S
ZONING'APPROVED HY �• �� � DATE:
BUI-LDING APPRt7VED BY : •
APPLICATION ISSUED BY; t' "-s �
_.
****+�******�*����**�*�
LEGALIZATION:N F E E S 0 M M A R Y
HLDG PMT PLUMBING ELECTI2IC MECHANIC
PERMIT
PLAN
ISSUE FEE
BUILDING—DIV—>
TOTALS---->
16.00
, 25a
FIRE
DATE:
//-/8- 96
STRUCTURAL SEGMENT:N
SMIP/RES GRADING
SMIP/NON—RES
6.50
PERMIT ISSUE RLAN—CHECK TOTAL PAID DUE
16.00 6.50 0.00 22.50 22,50 .00
REVENUE DIVISION TOTALS--> COLL'ECTED: 22.50 OVER/SHORT; ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
� 22.50
ik 1E ik k iE if 1f if M k 1f 1f it 1E 1F i! IE if ik iE 1F iE 1F if iE 1E iF iE iE 1F fE 1E 1F 1E 1E 1E 1E 7E iE if IE if it ff iE 1E ik 1f ik iE M iE fE i! 1f k fE 1F 1E ik 1E iE ik iF ik 7E 1E k 1! it iF 1E IE 1k IE fE 1E �E iE
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N' UNIT COST TOTAL COST
MEC 1 FACTORY FIREPLACE, 9.50 9,50
MEC 1 VENTILATION FAN CONN"TO SINGLE DOCT 6,50 6,50
END OF FEES
�2 U0219402-00219402 T OT 22.50
DATE: 1!/18/9S TIME: 14:52
• CONSTRUCTION AND PIANNING PO i SPA
qPpROVALS Permit # Date Inspector qppROVAlS Permit # Date Inspector
1. Temporary Electrical Service or Pole ' 52. Pool & Equipment Location. ;
2, $oilPipe-Undrgrnd. ��'. 53. Steel Reinforcement '� �
�..
3. Electrical Conduic Utility-Undrgrnd. i� 54. Forms '✓'
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Refnlorcement 56. Rough Plumbing & Pressure Test .
6. Electrical UFER Grnd. 57. APPROVAL TO COVER•GUNITE ;
7. Footings 58. Electrical Conduit-Undrgrnd. :��
8. Foundation 59. Gas Pipe, O Undrgrnd., Test /
9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P•Trap, O Undrgrnd. �'/
10. Structural Fioor System 67. APPROVAL TO DECK �
t t. PrOPerty Sewer Line & House Connection � 62. Backwash & Receptor�Fina},
12. Sewer Cap 63. Heater & Vent-Final _
13. Roof Drains 64. Piumbing SYstem � Final 'i v
14. flough Plumbing ' 65. Electrical�Final �
15. Reugh Electriwl-Condu�t 66. Solar System�Final � �
76. Rough Electric Wiring 67. Fencing & Access ApProval ''
17. Rough Wiring Sign 68. APPqOVEO FOR PLASTERING ��
78. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIflE DEPT. REQUIREMENT
20. Rough Factory Fireplace �,� � APPROVALS Permit #
21. OUcts, in Structura 70. Underground Hydro
22. DU�cs, Ven[ilating r_ 4 �� 71, Produci Piping O Gas D Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas OOiI
25. Roof Sheathing 74, Overhead Hydro
26. T�Bar Ceiling �Strucwral) & 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 DEP7. RE�UIREMENT
31. Plasrer 8rown Coat 79. FINAL 1NSPECTtON
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: .��_��.+ _C� (L� ��
(.=4
34. Final Heating & Air Conditioning Z_ ,t�� �Z ��^� f�-�l��_
35. Finai Gas Pipe-Test
36. Hood or Canopy �,�+�
37. FinaV Factorv Fireplace
��
38. Final Plumbing
39. Water Service�Final
40. Gas Service-Final
41. Solar pomestic•Final
42. Backflow Prevente�
43. Backflow Irrigation
44. La�dscape Irripation SYstem
45. Sound Attenuation.
46. Ha�dicap Regulations
47. FINAL STRUC7URE & BUiLDING
48. FINALPLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Cq
51. CERTIFICATEOFOCCUPANCY
N0. Date
aoonEssaeunanc: 806 GALLERY CT ur�r:
oxmercsruxe�aimvn: POLYGON SOUTH COAST ASSOC FLOOD: X 47
'.uw�ss 15751 ROCKFIELD BL
UNIT 120
IRVZNE, CA 92718 714-452-0600 a�—N
AYFL. WllalO dWRE55:
i,xcxnwroxc�mx�x. LL MAJOR S ASSOCIATES uc.xo.: C-16S69
�pCNONFNp.'4ADDNE�� ZSS1 N TUSTIN AV uxr: 640
SANTA ANA CA 9'1701
CONfIIACTpfS W11��
CONffl�CT0A5 YYI➢�
AUORE�
uc. xo.:
uxr:
LICENSE� CONTflP�TOFS OECLIPATION: I hereby eNsm uMm peraly W per'ryry tM� I em licareed imdx poviaime d Cheqw 9
(mnmmonp wilh S�� 1000) d Oivision 3 d Iha &ism» eM PNeaeima CoEe. aM my liomee u in lull Ipce end Moa.
cmuc.No.:066194 uc.cuss: H uc.No.: 659262 EXP: 11/96
Dale: convaaor.
OWNEN BUILOEN PECL�HATION: I hereby alfirm under panelly d perN�Y �� I em eicemq Irom tM COMreuon Licenee law la Ne
IbxmO rseson (Seaion )o�t.5 &reiresa end vroleauona Cada: Anv cIv «ooum�/ xAich �e9�iree e VermE to omabud. eb«.'vnMa+.
�md'oh, n repei MY a��unuro, prior b Ls'ewence, ebo rayuirea iM epp1�M ta wch permG to Rb a eymd MtemeN ihel he or slr
,, rc,n..a w�� io ine aow� a ine cwnreaoro umma i.. �chep« s(oommr�ro wun seeo, �000l a or.eion a a m.
Buainep eM Nde9sion.+ Code� a Ihel M a eha is exemq Ihaeham erd IM besis la IM eAeped eRemqun. My vide�ion al Setlion
]W 1.5 by eny epplice�x la e qrmn aubpaa �M epvlicent to e ovil penelry d na m«e �henlrve huiMrtE Adlen �55007);)
❑ I, m ownar W tha propeny a my empbyeee wYh weges es thei wle compenselion, will do iha xwk, end IM M�ucture u na imeMed
or Meretl iw yple (Section l0aa, Businaw end Proleesiona Cotle: The Camrman Liunae lewtloes nM epplyto an ovnqr d piapeRy
who Wids w impro.'<e �heraon. end w1w Eoee auch wwk Nmaell or haneY a ihrauph he ar Mr own employees, pi�wiEaA Ihel wch
impovemenp e�e nd inleMaA ar atleretl Iw eeb. ll, lwwewr, iM buiNirp a inqovemeM ie edd vmhin wp yw d canpbtion. Ne
" avnxbuiMx �� hero tM WNen d poviiq M or eM did rwi buiW or impove /w tM Wrpaee d aebl.
LJ 1. u oxmr d IM popeM. em e*tlim�ely wniredeq �wlh IittnaeE cantraCon ro wnMrutl IM qopa (Senion ]OH. Bueinw enA
Pmlaeebre Caea: The CoMradors l'eenae Law tloea mi npply to en awmr d qape�ly who Wiks ar imqwp Ihaeon eM who
conirecn la sutli Prol� �h e mMredor(e) licenaed W�� to ihe CaMreGore Licenae Lewl.
❑ I am eaemq undm Sec�ion: B. 8 P.C.. br Nia V�-�
Dete: �Zl�i� �a: �
I do haeEy wrNy UW I em ewue d xd iMeialard tM reQuiremmU d Cellor ie Mh Sdery Code Satliom 25505. 2553�. md
25.U6. uM HW I a e�Y Mure WiWiip amrpent will / wil rw (dreb me) need pty eek alate mde� ud �M requi�anaib la
epermAlwmnsl�ucP�amodifratbnhwnlMAi i-SieTil�anepementDietrip.Reskenlielmm�uauneppfutiaroenezamqimmthess
a���a.
Deb: APMiunc
WOPKER'S COYPRu�nON DKLARATON: 1 hxeby alfvm uMm peraEy d pa�jury one W IM /dbxinp AWumiom:
❑ in,V,.�e���m�e�nrcwaww�bm�oeerc:��«won�.�;�pn0eneelbn,mWaidedforMSatlion3)OOWtMlabor
Cads, la �ha pa��eMe o/ IM wak Iw wFich �ho pmnG ie ueued.
�] I Mve anE wil meinten woMers mmpenuton insurence. ea rp�ired by SeUim 3)00 d ihe Labar Cods. lor IM pe�lwmenoe d tM
wax �« whid� mm pemin is io�d. My warkan'�m��mi��eyJ�{er�c��r�g e�d udicy number are: E X P I R E S
Cemac lt
Pd'ry Number — Q i� � 1� 9 7
(This esdian meC m� 6e mnda�� r�heC�k is M are hum)reE ddbn (f�wl w bss.l
� I ceniy Net in IM pMorme�e d Ihe wwk la vfich ihis permit u ueued, I ehell �M emWq ary pemn in ury menrier n n lo
became wbje�l to tM xvrMrs' campenealion kwe oi CelAamie. an aprea ih il I MauW become eubjxl lo Ihe woMri
compenseiion P�+aiom d Seaim 3J00 d tha Labor Cade, I ehell lo �own ' h a qwieione.
Dete: � I I /� i AGW'ram:
WemMp: FeNun Itl uc✓n workwi ronpsn,atlon covwaps l� unkwM, aM Ixll �n wiployer fo tilrNrcl peneMpW
GM 11ns� �q ro ms hurCrM flauamd EO/Nr� (3100.0WA In bClfbn ro o/ R d+�p+ u provlWAbr In
Sxtlon JlP6 0/ Ms �� �otls, Intrest aM affomsyi leea.
CONSTIiUCTION LENDINO p6ENCY: 1 hereby elfiim uMer panelry d perNrv �� �heia ia e mn�ruann bMirp epe�y M tM
a.n�,��, d�n> wo�x ro� wn�d, ino aa�e �a �a�a �seao� ws�, cH. cl.
LENDEN'S NAME:
�Q�DEF'S MDflE%:
I cMily thm I have reed Me epdu�ian end aeia thei tM ebwa inlpmelbn 6 mneq. I eyee to campy wnh M wy aM mivtly atlinenwe
eeN eW e bwa releti�8 ro Wikep mnsVuelion and hereby eWhar¢e iepseentetrves d �he aryto emm upon tM eEo.e�menioned pmporly
�«109pBtl�P"`°pyeH BOP YODER
(5151dB WP) WhAe-BuilEiip 8 Selety; Oreer�Fle; Cenery-ApO�C Pink-Revenue; (3oldenrad-Aeemwr
� t CITY OF COSTA MESA — BUILDING PERMIT
PERMST NO: E 078568 PLAN CHECK NO: N
CONSTROCTION TYPE: V—N PERMIT TYPE: ELE
JOB DESCRIPTIOI3 : 2129 SF LIVING/ Sfi2 SF GARAGE
PERM NO; E 078568
GOVT: N SUPP; N
SQ FT:
PURPOSE: NEW
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 2/ REF B—� ����
9EiE3EiFiflflfiEjEfEfkfFlElEfEiElF1ElEiE�FlElEiEfEfE�ElE�EifiFfE�klEik�ElEiEiEiE1E1ElElFiEikihlEifjFlEfElEiEiE fE iFfEiElEiElEjEiEiE3EfEiEiklfifiEiEjE
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
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>
>
IF ft iE �E iE iElE 1E 3F 1F 1k iElE 1ElElf IE iE 1(� iE iE iE 1E IE if !f 1E 7k 1E 1E'IE iE iE 1E iE 1E 1E'lE 1E if iE 1E iE 1E if if if iE iE k 1E IE 1F 1f fk fE �E �F iE 1E 1f iE �E iE iF 1E �E iF 1Elk 1F iElE fFlk iF fF 1Flf
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 ,
BUILDING APPROVED BY :
DATE:
DATE:
APPLICATION ISSUED BY: � �� DATE: 'IZ��J �
�c-*�t*x�******+��t**ir***�-**7FiF3F3F'iF'iF�F'�F�F�7FiF7F�'�#'iF�F7F3F���F'iF�FiFiF �S �7�FTF�F'i�**rt***x-*** e ta a **
LErALIZAT2�JN.id F' E E 5 U M M A A Y STRUCTURAL SE<�MENT,N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 110.56
50� SMIP/NON—RES
PLAN
ISSUE FEE 22,00
BUZLDING—DIV—> PERMIT IS5UE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 110,56 22,00 0.00 132,56 132,56 .00
REVENUE DIVISION TOTALS--> COLLECTED: 132.56 OVER/SIiORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
132.56
1E fE aE 1E 1F iE 1f 1E if !t ff �E fF �E 3E iE 1E if ikl61F 1E dk ff fE 1ElE 1E iF 1E Ik i4 iE iE fFlF iE ik if 1f iE fE IE df 1ElE if iF if fE �)E fE 1E iklk 3E 1f iE �E 1f if 1E ff iF iF �k iE IE IE iE iElE iE iE 1E ff iF 1E� ik
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 5 C R I P T I O N UNIT COST TOTAL COST
ELE ]. FIXTORES, LIGH'I'ING 1 ST 20 EA. 1.00 7,00
ELE 1 RECEPT/OUTLET 1 ST 20 EA, ].,00 1.00
ELE 3 RES APPLIANCE NOT OVER ].0 HP 4,25 7.2,75
ELE 2129 NEW RES HLDG FOR 1 OR 2 UNITS/ SQ FT .04 95.81
END OF FEES
��
CONSTRUCTION AND PLANNING PC 1 SPA � T-
APPROVALS Permit � Date 'Inspector qppROVALS �Permit # Oate Inspector
,
,7. 7emporary Electrirai Service or Pole 52. Pool & Equipment Locatiork^' F.�
2. Soil Pipe-Undrgrnd. "` 53. Steel Reinforcement !a � -1
3. Electrical Conduit Utility-Undrgrnd. � �� 54. Forms �-'�
. -
4. Electrical Conduit�Undrgrnd. '. 55. Electricai Bonding =-��'
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test .
6. Eiectrical UFER Grnd. � 5�. APPROVALTO COVER�GUNITE
7. Footings 58. Eleatrcal Conduit-Undrgmd.
'8. Foundation 59. Gas Pipe, (� Undrgrnd., Test
9. Water Pipe�Undrgrnd. • 60. Backwash �ines, P-Trap, O Undrgrnd.
10. Structural Floor Svstem .� 67. APPROVAL TO,OECK ;��,
77. Property Sewer Line & HouseConnection ,62. Backwash & Receptor�Final',' ,
�2• SQ'^'e� CaP � �63. Heater & Vent�Final -�
. `
73. Roof Drains �
64. Piumbing System � Final ,�''
14. Rough Plumbing 65. Electrica6Pinal t
15. Rough Electrical-Condurt . 66. Solar System�Finai �
16. Rough Electric Wiring ��_?.�(� �� 67. Fencinq & Access Approval .�.'
17. Rough Wiring Sign 68. APPROVED FOR P�ASTERING �'
76. Rough Electricai•T Bar Ceiling . � 69. PpOLISPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning PIRE DEPT. REQUIREMENT
20. �Rough Factory Fireplace APPROVALS . Permit #
21. Oucts, in Structure . � � 70. Underground Hydro
22. Oucis, Ventilaiing 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Ten - � 72. Uoderground Fiush
24. Roof Framing - � � 73. Undergmd.SmrageTank QGas ❑Dil
, 25. Roof Sheathing . � 74. Overhead Hydro -
2fi. T�Bar Ceiling (Structural) & Monocoat . 75. Dry Chemicai .
27. Frame and Fiashing . � 76. Dry Standpipe .
28. Lathing & Siding .� � 77t FIXED SYSTEM FINA�
29. lnsulation � 78. FIRE PREV. FINAL
30. Drywall N�ing - � HEALTH DEPT. REQUIREMENT
31. Piaster Bro n Coat 79. FINAL INSPECTION
32. Eiectrical ower MeterFinal �(.�'� ��80. FOOD CERTtFiCATE ISSUED
33. Finai Elettric ' ' �`�9� y.� � Notes: � .
34. Final Heating-& Air Conditioni�g �
35. �Fin31 Gas Pipe�Test . -
36. Hood or Canopy - `� �
� 37. Final Factory Fireplace � . .
38. Final Piumbing � - . '
39. N'ater Service-Final � ' �-
40. Gas Service-Final - . _
. 47. Solar pomestic-Final �
42. Backfiow Preven(er .
43. Backflow Irrigation �
44. Landscape Irrigation Sys[em
45. Sound Attenuation � � ��
46. Handicap Regulations - - �
A7. FlNA� STRUCTURE & BUILDING
48. FINAI.PLANNING
49. Electric Release to Edison
50. Gas Release to Southem California Gas Co
57. CERTIPICATE OF OCCUPANCY
No. Dafe
i
Sa�ssasm�axo: � 806 GALLERY CT urn:
�sxiaeicaa�vx: POLYGON SOUTH COAST ASSOC FLOOD: X 47
i�ooxess:' 15751' ROCKFIELD BL
UNIT 120
�INE, CA 92718 714-452-0600
.-xuuxc �ooness: . . - .
w�cKXon�.s�on�: }'�5��'}KI�TtlsiTl�dE�AC�'�'�'°�� . •uc.ao.: E-'uxr,Fs'(j�$0
SANTA,ANA CA 92701
CONIIUCTqf3N�11E ' -
CONIM�CTONSMNIlNO � . . . ' .
ADOXESS:. . UC. NO.:
UNT:
110EN5ED COMH�CTOPS DECLAF�TION: I hmeby ellim uMx penely d pe�ury Ihet I em licenaed uMer pmbiem W Cheqx G
(mmmandip wnh Se Mion )000) d Diviaun � d I�a Businesa enE Prdeaebns Cade. eM mY licenee b in lull b�cs uM eHop.
cmuc.No.:06614'4' uc.cuss: B uc.No.: 659262 EXP: 11/96
. om.: cooiree«:
OWNEP 6UILUEN �ECLAHATION: I hereby etFim uMer per�ely d perlNiY �� I em exemp Imm iM GoMredon Lican�s Lew lor tlr
pwip reaun (Seeion 103t.5 Bus'vwss eM Prolmaiaeu Cade: My ciY a�nry xfiid� iapuiree e pem�n �o oonewn. eller. impv.a.
d'eh, or reyei eiry nvucture, pbr to ea iavenca, abo requirea iM applimM la wch pe�mil lo fib e eipneE statemeM tlul M a shs
IianaeE Wnuen� ta tM Vovisian d Mr Coniredon Lironse Law IChepler 9(commendn0 wilh Sedion 1000) W Diveion 3 d �Ir
6ub�as and r.a.asiw wdel a�mm �e «aM ia exemq �nadmm end �ne wu. �« the elbo� �«nqo�. Mv ��dmia, a s.ao�
�131.5 by eiry Mplieem tn e pxmil fubptla IM epplieenl lo a evJ penelry ol M mps Ihen (rve hued�ad ddlen �5500�. .
� I.avowrorW�MP�MamY�PM�wihwaB�nthaiedemmpa�ion.wJldoihswk.eMtMewclu�eenol'uMaMeE
a dlered for sele ISxiion ]oM.Busmes ard P�WansomCOEe: The Contrmon Limnse lewtlom na npplytoan ow�wd papeny
impoveinmb ere nd inleMad n dleieE lor sab. II. Mwewr. tM Euitlmp a mpowmom w votl xnM1m aw Y� d mmpelun. tlr
X owrierbuiker witl here the buMen d pwirq he a she EN ml WiM a imprwe In iM puryme W sele�.
❑� �. m oxm. or �na wowm. an edu�wN oo��reame .;w li�,be cono-.na. �o wm„d in. vaw (s«,o� ra.. e�.me.. ena .
� Pmresaon+coee: rne wm�maa �icense �e. dom m� acpr m en e.,,e, d wwMv .,no wue. « impw« ms.n, .iw wno .,
canuecH br mxi� W9�s xiN a �auredMa) IkenmE Wn�aN �o iM nlratlan '�roe LeM� �
❑� 1 an exemp uMx Secnon: � B. d P.C.. lor ih'w re : 1 •
Dffia: "] �y.� Ig�_ �« �.
i do ne,aM �nav wm i� a.,a,e a�e �u�a me rea����n a cd�ome mav ca. sw�. uws. zssx+..�e .
P553a, eM Uut 1 or arry INure buildirq oodwent xill / wil rwt (afcb are) med �a wih " mle mAu enA tM npu'vem Ws br
eWrmnlwwuwctianormodifimtionhvm�MAi u3�%+reyen!+mDimrid.RaNeMWmmUuqioneGV�iwane�emqhamNm�
ao„,�,.. . .
Dma: � . Apqicem:
WOPKER'S COMGFNSATION DKWI�TON:_I haraby aMum wMx perelty d parjury one d Ne Idbw'vp JxLrtliom: _,
� I hava enE wil meinten e eenifrata d mnxnt �o aeMimum 1« xvrkeee' eanpenatbn. m paideE la Ey Sadion 3)OOd IM lebar
coea �« m, vano��oa a� woM i« �n mv va�m m �.�e. .
� n.b ena wie meimai�.Anw.• ownvaMmion imwence. m ma���ee M seaion moo a ub �.ne, coe.. w me ro�anww. a m.
wpk la xfiiM Mis permil'n iasued. My wnkeis enE pdiq numbor ve:
c,,,;,,: �����°'S�'�`�� EXPIRES
" Poliry Number � Q 1� � 1� 9 7
Rnis aea� need nw ae comdxae i r�a n?�x o ro. a�e n��dred ddr.�. Riool a bu.�
� I cenAy Nel in iM1e paAormeMe d IM work lor which thia psimX e beueE, I Nell iwl amplry eiry pe1ean in erry men�ror m n to
bacame adm �o tFe warkerv' cwn0�+�bn levn W cdilamu. e�k eYree N il I�Iwuk bacoma wbl� lo iM xoM1en'
- canpenselbn ^io1n�e W{ Seeion 3]00 d the lebor COEe. I ehell 1 hMilh m ' �h e pr Neiann.
Dete: ���y - [r� AVdcent: � •
T'
Wam/ny: Fallun ro axuro wo�lrwi compsn.etlon covsreps Is unl rl, uM � sib en smploysr ro erM1llnsl puWMu uW
elWl flms yo ro ons M1unJretl flwuaerd JO/Nn (510q000A In aetlltlon b M� t ol c awtb� damryp� u pvvMM br In
Sxtlon 3]06 0/ Ms La6or CaW, lnfenaf, erM ettomsyi Nu.
CONSTRUCTION LENUINO AOENCY: I Mraby elfirtn uMer pendry M perlury �het �Mrt o a mnatiudion biMirq epancy br tM
perrorme� of ine wonc ror wnidi �no wmii ie eeued (s«aon aos�. cw. cl. .
� LENDEN'SNAME: -
LENDEP'S ADDPE55: ' ' • �
I cenily ihel I heve reed ihis epd�e�ion and e�ma the� the ebove iniorme�bn i� cwrM. I epree lo wmply wi�h dl dry vM munry adinenw� �
, eM¢�etelev.srelPonO�obuikinB����d��herebyeu0wrixareprevemetiveaWihiearyioentarupon�heebove�menlionedpmpMy
Ir«i��a�o�w.w�. BOH YODER
Ome: � ' • Y
�S151de.WP) ' While-Buildip 8 Sefety; Greao-Fb; Cenery-Apptirenl: Rnk-Nevenue:OolEemotl-Neeav
. CITY OF COSTA MESA - BUILDING PERMIT
� , PERM NO: M 078569
PERMIT NO; M 078569 PLAN.CHECK NO; N GOVT: N SUPP: N
C�NnTB.U�"TIhN TYPE: V-N ., PERMIT TYPE: MEC PURPOSE: NEW
�i(�B �f��'k_j�IT�TI��N : 21'29 SF LIVING/ 562 SF GARAGE � „ SQ FT_: •� '
CLAIM VALUE:� � CALC-VALUEi GROUP OCC: R-3 /U-1 .
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 2/ REF B-��(��
fE�EfEfElE�EiE1EfElEfkfkiEiEikdtiFjfiFiFlEiF�FffiF1E1E1fik1ElEif�FiEiFiEiF1EiE1FiEffiEiEiFiElEifiE1ElEfFftiEif ifiFlFiFlFdf1f1f1FfE1F�E1fiflkiflFiF �
Z O N I N GS ERTEBQAUCIKRSE M E N T 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
PARRING REp • PROV: PARCEL: 14151132 ZNE: REF NO;
PLANNING NrSTES> '
. M1 . f f� % . .' . . �..� . _ .
� i�'x�'�'�'��+t'x�*'�'�'�*+�*'��-*'�'�'x-'�'�ie'if'�'�*'�af*�-�-+�ie'�'��'�**it*'�'if'�x-i��t****'x�*'�x'***'�'�'�'rt�x'**�*'�+�'x�'x*x��rx"x�'iE*'x'
� 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
l '1 .{�I
�ZONING,�,APPROVED BY `��-, DATE:
rBtJIliDING, APPRQVED BY ; �- DATE:
� ..; ' ' f,-... i
%APPLICATION ISSUED BY: i x t , DATE: 7�/Z-9(O
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 '-i 42.25. .
�
25R ' SMIP/NON-RES
PLAN . . /� � '
ZSSUE-. FEE_- -- -- `- ' °°— , ._-` __ -,.--' h`-f• -- _ ' -'22.00�<. ,. ' --' - '-. . ` ' ' `-`_�-
BUILDING-DIV-> PERMIT ISSUE PLANt,-,CHECK TOTAL PAID DUE
TOTALS----> 42.25. 22.00 , � 0,00. 64.25 , 64..25 ,00
REVENUE DIVISION TOTALS--> COLliECTED: .64,25 OVER/SHOAT; ,00
BLDG PMT PLUMBING ELECTRIC:MECHANIC FIRE SMIP/TOT GRADING PLAN-CAECK
6'4.25 ,
' . � ' 1 . ;.i, � � �
1EffiflElEiFiEiFIFlffkfE�Eit41EiE1E1E9EiEiEiEiEfflFiEjFiElFjE'1F�EiFiEiEiF-lEfEiEffiFfEltiEiflEiFlFiFlfif'iE�EfEfElFiEiElElfiEfklEiE1F1FlFfklFlEiElEiE1EiE1FlEiF
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 5 C R I P T I�O�.N�� UNIT COST TOTAL COST
, -(,' i:�'� • � .
MEC 1 INST FORC-AIR/GRAV-FURN <= L00 K BTO 13.25 13,25
MEC 1 INST HOOD W/DUCTS FED�BY MEC EXHAUST 9,50 � 9.50
MEC 3 VENTILATION FAN CONN TO SINGLE DUCT 6.50 19,50
, ' ::.END OF .FEES
•„ • ,
1 . � �-� . . • � .
N
u±�aa:�iab6�-no�ice�4 -r���� �._�
C�A7=� �?; i.19; TI7iE: ,31s:w4 �
. i
-._-.'�� .:rr;._.z:'-�-'a�.-r�.;c...-�-r: . �-�_._._ c'-. s.�:�-�.,x_ ' _ 'r'. _ "' . _ t _ _- a _ __ , _
, . _..� _
� ' � CONSTRUCTIpN ANO PIANNING p ,�r ,� ..� � PO' `. SPA'" `� ` �. ��
�� 3 F..Date �'Ins ector t���� "� �'-,' � - Oate' Inspectors •
.�,�� APP(iOVA'LS, Permit #` _QP . '�APPROVALS Permit # " � i
� - ' y < - -'2t�" .� f +"
�� � t. Temporary �EIec2�icai Service or Pole -.A t. � '' ' s: .�! 52�' Poo�l & Equipment Loc5tio� j ' �
I. :
�� �. �2. Soil'Pipe�Undrgrnd.' � ��'r e � � '. '53. Steel Reinforcement= '. .�`. � s . .. j� � ;�
" 3.«Electrical'Conduit Utility}U�drgrnd r't.,; 4;, , �'I 54. Forins' � ' ' , � ~-- � Z - � 7!',•
.�'4.�_Elecirical�Coniiui?�Undr md.L � "� � � ' �
g � _ _ . ""'; 55: Electri,cel•Bonding. , ��` � , c.% �/, ��
� 5. �Stee� Reinforcement _ t -� � � 5fi; Rough Plumbing & Pressure Tes't ,�� � j.
:t,., 6.-ElectricalUFERGrnd. ^ 4 _n . i _ � 57. APPROVALTOCOVER•GUNITE' '. � �,'. '+ �
: 7: Pootings � - , .c - ' _ �58:. Electrical ConduiPUndrgmd. . , � ;
�, ��8. Foundation. - 3 : � , � - � 59: Gas Pipe, O Undigmd�.,,T,est • �� � "
, - ,-
r
-9. 4Vater Pipe:Undrgrnd. . � � _:�,, = - 60: Backwash �ines,�P-Trap, O Undrgmd: �. -
10. Struciurai �Floor Syscem � .� � � r. " � ' c-l?� .67: APPROVAL-T,��D,ECK � -'"-=� � • '
� ,�;t 7. Property Sewer Line & House Connection- � ' ` '`,/ � -62. Backwash & Recepior�Finai '---� " '` `
�i�
72 Sewer Cap . . - � .. � �f �, � . ' � . . �-.���' ' � F � � ,
. � - � 63: Heater & VenoFinal .�1 _
� 13. Roof.Drains . . r�� � � .� : � , -, 1`� 64. Plumbing System �.Finai -'�"(� ,. +` -
, li '
_t4. flough Piumbin9 � ' �. . - � � �� .65. Electrical-Final . � ' "1 .
,
- 75. Rough Electrical-Conduit.' � � � si - ( , � �� ` ' . °'� '
, - , 66�. Sola� System�FiriaC , `.�; '� �
� 16. Rough Electric Wiring ' � � � ' 't'' � ' 67. Fencing;& Access Approval � �: � ' - ,�-i �� �
� 17. Rou9hWiringSign : � � �• - ':�= ;�6$; AppROVEDFOR�PLASTERING� • , i � .
� �- s.
' ..18. Rough Electrica6T Bar Ceiling �:- s� i � 5' � _g9; POOL/SPA $YSTEMS FINAL y,�:
' . 79. Rough Heating�& Air Gonditioning- , C - - - FIRE DEPT. REQUIREMENT' - - - �- � - �- • i
Q=%-�S - �
20,� Rough Factory fireplace � � �6 � � �'. �„ ApPROVACS �_ Permit # � _ �
_ .: � _ ,- �- _. �
21. _Duc�s, in,Structure,� -: �, '., I 70.: Underground Hydro � �
- '�_/ Sd
22. Ducts, Ven2ilating.' C+�� � f'� 77. Product_Piping'O��Gas ❑Oil
- .. _ . . ---=,�'_1_l_ _ _ _ �. _.. .
23.�Gas �Pipe'Rough & Test � 1, (, y,', 72, Unde ground Flush _ ' �
24:__Roof �Framin9. . • _ - -� T:' 73. Undergrnd. Storage Tank O Gas O Oi{�-. �
1
25. Roqf'Sheathing .. �_ ,s "�", - 74, Overhea8 Hyclro`- '�
26. T-Ba Ceiiing (Strvcturall &,Monocoat , .: ' --+ �i e 75. Dry Chemicai - - • - .
27.'�Frame and Flasn�ngi_ '==�A,,,r, '� _„ ;; 76. Dry Standpipe_ �' - " _ �i_ .
'. � 28.'Lathing &,Sidingr r , -..:;%=' �. _ ���. 77, FIXED-S.Y.STEM FINAL t_'r.'
' 29. Insulation ��" � - .:.. ' �'. ' ' '-. • . `. � �' -.-..
_ � , 78. FIRE PFEV. FINAL �
�w'�
� 30. Drym�ail Nailing :. '- � • + :-.iHEALTM DEP�T�.-REQUIREMENT
37. Plaster Brown Coatt- ,.., _ • � "� 79. FINAL�INSPECTION " �' - �� ''�
32.-Elecvical-Power Me'.ter;Final ���� � S.� `;; r 80. FOOD CERTIFIGATE ISSUED -
33.�FinaPElectric '�•'� � � Notes: �
: , -�, :: � /_d�=�:6-=�m' - - -
� � 34. �Pinal; Hea{ing�& Air,�Conditioning� �? " � -
= - - JZ_�- �6 _ _ 12� �6-.� - - -
35. Final�Gas Pipe�Test � '� r -+ • � - � -
36.�`Hood or CanoPY 7. � - ` - - . :y [x ^ r, .. . , � .. .
P' i
� 37. Fina�:Factbry Pireplace � - '. � � • . ^ : ,:-
� C -. _-
38. Fina6Plumbinq " , " ' - � ! . �. � '. ._� . - "' ,�
, � 39. Water Sei4ice-Final ' - i � • - � = _ . ' ^' -
Y. TT
4Q. Gas Service-Pinai�.,. y �;, - ' % _ .. - . '
s ''
� 41. Sola� Domestio-F.inai � ' • •� .+ : , , _ .
" 42. �Backftow Preventer " -" -' � ' , � _,
43. Backflow Irrigation• - = c ' - ' � - - -
�44. Landscape Irrigation System,-;y'-: �� �' _�t. : ' . :.•
, � - -
=45.�_Sound Attenuation -+ �'- , - • - ^ ;' -• .- � -- _:: 1
� � - .�. - �-. n �
�46. "Handirap'Regulatiohs ` `-, ';: -"'� � '� ��': � � � . i: �� ,
47.-FINAI STRUCTURE & BU�CDING � • ' ! . .. _ �
.� i �
48. FINAL PLANNING' �' � ' �' � �'
- � . -� ,.
--49.- Electrie Release to Edison � � ' �� .
- i �.
50. Gas.6elease to Southem Ca��fornia Gas Co * � �, ' ^� , , ` . � ' ' �. �
,51�. CERTIFIGATEOF;OCCUPANCY = ,_ �
__� . . _ .. � .
No. Date
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