HomeMy WebLinkAbout810 GALLERY CT - Building Permitsu
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CCYffNALTORSYNIWG ANAHEIM CA
' �ooeess: 92809
Cl'fY O!� CtJ5'.I'A MESA - IlOILUING PERMIT
UNT: •
PERMIT NO; B 082947 PLAN CHECK NO: 01978-97 L
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR
JOB DESCRIPTION : CONST. 105SF OPOEN TRELLIS PATIO
ue No:
uNr:
(714)750-7577
456773
ua ao:
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PURPOSE: CON
SQ FT: 105
CLAIM VALUE: 1,200.00 CALC-VALUE: 1,692.60 GROUP OCC; R-3 /
COMMENTS: X
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uc.r+.: uc.cuss: uc.No.: �,G. FRNT: F'T IN REAR: FT IN FRNT: FT IN REAR: FT IN
/�� � 1�EFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Dete: S /��� ConV�qw:��/ V � �
OWNER UILDENDECIANRTION:IherebyeffirmunExpeqdydperpry�ha�lememm trommacom�co�+�ba�w�«ine PARKING REQ• PROV: PARCfiL: 00000000 ZNE; PDRL REF NO;
td�o ��o�Is�io��osi.se��a�dRw�io�coea:�oy�ey«oo�oiyMn�n�n���eva�e�oo�wn.en«.imao.e, pLANNING NOTES> OPEN PATIO COVER� 105 SF� MAX HEIGHT 10 FT. LOCATED 7,S FT,
h, a repe'r eny etruclure, p'w lo ila'nai�arce, ebo repuirea ��e epplimnt lor wch permtl to fib e�ipiwC eletemenl �hel he a eM > FROM R EAR P/ L 2 0 F T, FR OM S I D E P/ L,
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.noww�«mc��n�.�a..+aa�s�n�k�..n«n.na«m�nnm«na�amqm�.c.a�a.emm�n ZONING APPROVED HY : DATE: =='�I
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owrorbuilder will heve iM Wrden d qwifq he or she tlid na WiW w impwe la �he pumoae d eeb). F
❑ i.m�,d�n�ww�n.��.d�r���a:rowni�a�,�.m�v�au�ww��s���as.a,���s�a BUILDING APPROVED HY : DATE: i
vra.a,�. coee: rn. convmo�. �x iew aoas �a waM a�, o.nw a ww�r wno d,vu. «�wae� �nereon ena wro
�o��,�.i«.w�woiaas�.;m.�u�a«�s�i��awn�,�,�mmac���aa.���w�. APPLICATION ISSUED BY: DATE:
� iememmpunderSanion: ''8�8P.C..torthbreeeon: 1FiFiFlEifiEiElEififiF�lEiFiFiF1FiE�1E1ElEiE1E �lE1E�1f�lE�IfiEiFiEiFiE7F�3FiFIF'iFiF�lE1E
o�a ''� LEGALI`LATION:N F E E S U M M A R Y STRUCTURAli�SEGMENT;Y
' IdoherebycenirytnvlemeweroduMurderstendtMrequiremenledCeltlomieHeellhvM&eletyCOAeSed'wns25505,25Sa'f,e�M HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
2553a, end ihei I ar e�ry Mure WilEinp oxupent vnll / wWl nM (crcb wn) need to comply wIh eaid Nme mdae erd the requiremend br p ERM I T 5 4. Q �
ad'f ' homin A' u�t en q' p�'e idm�M tl' iromiheee 5�
eparmnlormneirvcianorm iiraiion e v y epement et�w1. i eM iu oneppYratwreeressemq
plOV19Mf19.
ova: avvio�: PLAN 35.10
TSSUE FEE
WONKEN'SCOMFENS�rIONDECLAXATION:IMrebydfirm��rpereM1ydpe�uryawdiheldbxirqdedeie�iwn: BUILDING—DIV-1 PERMIT ISSOE PLAN—CHECK
� IheveeMvrilmeinienece�HiceledconxnitoseHimurafarxvrkma'cwnpametian.apovidedfwbySeaian3]OOdiMlebor TOTALS----> 54 . 50 0, 00 35 , 10
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ing...�e�;e�m.:�.�xa�•�oa����.�w��wa�awms�cem.i«��.�T�ua REVENUE DIVISION TOTALS--> COLLECTED;
work la xfiitli I�ia pmnu o ivuad. My waMen i ud pdiry number are:
c�«: 290-97U0000982 04/01/98 BLDG PMT PLUMHING ELECTRIC MECHANIC
Pdiy Number 5 4, Q �
SMIP/NON—RES
TOTAL PAID DUE
89.60 8,9.60 .00
85,60 OVER/SHORT: 00
FIRE SMIP/TOT GRADING PLAN—CHECK
.50 35.10
(This aedian neeC raf be canpNreE % fhe Prmt k M aw h�ndred ddlas �Sf001 a/ev.)
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�a: S� y "� �(—' �' 'v�' ' TYPE QTY D E S C R I P'P I O N UNIT COST TOTAL COST
We p: Fel n ro�xun woA'ori romperwtlon rovxqpe li unlewN( enE �MII �/sef en smpl ro e�im/ml pawMu enO
IIMs'ybonohundrotlfhouundCW/an(f10QOq0/,Madtl/tlonbM�cwlolrompewtbn,tlemqmaapravMOGbiln SFR 7.05 RES-PATIO COVER-POST 6 TRELLIS 1G, 12 1� 692, 60
sxnon�roso/ms�morcods,�nnnabendarcomeyarw, END �F FEES
ONSTNIICTON LENDINO �GENCY: I hemby elfiim under penely d per'ryry ihm ihen e e conatrWion IeMinp epenry lor tM
nam,enm a ms � m, .n�cn me ro�n �s es�ee lseab� aas�. cN. cl.
LENDEN'S NMIE:
LENDEP'S AOOHE55:
I cerliy thei I heve read ihis epplcmian eM sta�e ihm the eEove inlametion re wned. I epree io camply wilh ell ary arM munry ordiriv�cee
.�e ctaie �ews n�mmy m�99Fiii�°'°'f�iT'L'iii�l�• �w'«emmrve. a mie arnv �o m�a, �w� �n. eewe-meMt�nee piopem
la inspeqion Wrpoue. ,
E�w,��� 'z. Km�wx, i
(5151de.WP) While-Buikiq85a/ary;
S /��97
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Rnk-Revenue;GalEenrod-A+xsmr
�5-16-1997/�3:pt Pfl/i&9.6�
F'ERMITPT082947
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CONSTRUCTION AND PLANNING �� PO�� & SPA
APPROVAL:� Permit #�� Date Inspector p�ppR6VALS Permit # Date Inspector
7. Temporary Eiec2�icat Service or Pole 52. Pooi & Equipment Loca`non '
2. Soil Pipe-U�drgrnd. � 53. Steel Reinforcement
3. Electrical Conduit Ut�lity�Undrgrnd. 54. Forms � . �
4, Electricai Conduit�Undrgrnd. - 55. Electrical Bonding - �.
5. Steel Reinforcement � 56. Rough Plumbing & Pressu�e Test • �
6. Electt�cai UFER G�nd. 5J. APPROVAL TO COVER�GUNI7E
7. Pootings _ ��/j � 58. Electricai Conduit�Undrgmd. �
t�
8. Foundation � 59. Gas Pipe, t7 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Uncirgrnd. �
10. Structural Floor SVstem 61. APPROVAL TO DECK
11. Property Sewer �ine & House Connection � 62. Backwash & Receptor-Pinal . �
12. Sewer Cap � 63. Heater & Vent-Finai
13. Roof Drains 64. Piumbing System - Final '• �
74. Rough Plumbing 65. Elecirical�Final
75. Rough ElectricabConduit ,' 66. Soiar SYstem�Final �
16. Rongh E4ectr:cl^Icing s ' 67. Fencing & Access Approvai
17. Rough Wiring Sign , 68. APPROVED FOR PLASTERING
18. Rough Electrital-T Bar Ceiling 69. POOLISPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQVIREMEN7
20. Rough Factory Firepiace � _ " APPROVAIS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventiiacing . �, 77. Product Piping O Gas ❑ Oii
23. Gas PiPe-Rough & Test � 72. Underground Fiush
24. Roof Framing - 73. Undergrnd. Storaye Tank � Gas O Oii
25. Roof Sheathing � 74. Overhead Hydro
26. T-Bar Cei�ing (Structuraq & Monocoat 75. Dry Chemical
27. Fcame and Flashing 76. Dry Standpipe
28. Lathing & Siding " 77. FIXED SYSTEM FINAL
29. Insulation � 78. FIRE PREV, FINAL -
30. Drywall Nailing HEALTH�DEPT. REQUIREMENT
31. Plastsr 6rown Coat � 79. FINAL INSPECTION
32�. Electricai Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric tJotes:
34. Final Heatiog & Air Conditioning
35. Final Gas Pipe-Tesi , - �
36. Hood or Canopy . .
37. Pinal Factorv Fireplace
38. Final Plumbin9
39. Water Service�Final -
40. Gas Service�Final
47. Solar pomesticFinai
42. Backtlow Preveater
43. Backflow Irrigation
44. Landscape Irrigation SYstem -
45. Sound Aitenuation
46. Hand�cap Regulations .
47. FINALSTRUCTURE&BUILDING I.//d/(,�"? /�%//il�
��� � br, � G-�-
48. FINAL PLANNlNG �
49. Electric Releasa to Edison
50. Gas Release to Southem California Gas Ca
51. CER7IFICATE OF OCCUPANCY
No. Date
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CITY OF COSTA MESA
PLANNiNG DIV.
SUBJECT TO BLDG. DEPT. REG.
m
DATE
fPatl j eovE�
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nesiax d asvas.ore�err cotnpoana�to�f
CONMIIUCTION • D68I011 • tLI1MNIM0 • IMip1011!' �
u]! E. EAIT/.L LOS. . A7l11�7 i QLI2►. W!0! '
re��tmis In�l+eaien � ^_ hCAI.�: ���x 40�
7°*i4=
=-L1'_N.N:�/:W�.M _�L1=_N�=�:RE 5 I.D E M G E
_=8:1.0:�=GA���E►Z1':�-�bAfi�C05TA�.MESA •.CA -92b2�O
_~Coi`�=i_C%-WTRACT_�.1.5:2:1=�y�`LEL,�.fi�4) �68- Yg.98
� � NGTE � -
ADDInONS, DELETIONS, GR Cn�gECTIOP�S SHALL
BE ArPROVEO BY THE PLC„�i�I;VG DI"v'iSION
201t+5.R00F CONNECTION
DETAILS
m
CONT. SOLID BLOCK
LEDGER
RaFrfR
I/2���OIA: X�S��-LAG�SCR.
�T _32�� O:C: �."-� .
�s;�\,
DETAIL I �,��it�
%'t.: �
�iA.. ..,��i� �
� � /Y'. .
CR 9 CL ��TECO��
GRIPS OR JOIST
HANGER
CONT_ /
LEOGER
IA. X 5_
" 0: C.
DETAIL 2
fi.
IOin�OR LIGHT WEIGHT ROOFS
ONLY CONNECTION DETAILS
2�X FACIA-MIN.REO.
RAFTER
APPROVED METCL
HANC�ER
DETAIL 3
DEVEClJPh'�NP
sEmncEs nsaAa7r�tar
BUIId�IldG SAFEPY DIVISZON
OWNER:
, � DRESS •
CCII����CTOR:
ADD�E�S��D� �
oTq' (ryR�
�.•,� . � � �ls n°'� "
«;:
.v� �"wr.; ,
�,y",,�d.�"�fil.cn...�ki , . �'�� 5
'►CAR'POR�' 43t0$�it��OAs�PATIO
A �,.
��IQT SUPP�RT;7��I������NC�
�''''1f ��''!S e � �7L•.����
I ZF��Any �k"�� S
tiu-- s
��G �Yi''ri,;,12"O�:,G `s�'<t!B 9' _6�iY.�,
�°:3.t6,�'G� "5'ap,�.$�r;;,�"
- �: ?=�"�s� �"N f ��e,
2k •:; ��,�, uY 6 (ij,a.,
30�� ����'���'sqc
16" 14'-6"
24" 12'-0"
32" 10'-6"
f48"_ ,8'=0"'�
2"x8" 24" 15'-6"
32" 13'-6"
48" 11'-6"
4"x6" 24" 17'-0"
32" 15'-0"
36" 14'-0"
4"x8" 24" 21'-0„
32" 19'-0"
36" 18'-0"
48" 16'-0"
4"x10" 32" 22'-0"
36" 21'-0"
48" 20'-0"
72" 17'-0"
PATIO COVER
TYP PLANS
DATE � _
PHON E �
LIC. N0.
-- PHONE�
RAFfERS APpROVED FOR
LIGHT WEICHf ROOF COVER OF BUILDING PERMIT
LATH, FIBERGI,ASS, ALUM. By Date
SIZE SPACING SPAN
2"x4" 16"O.C. 9'-6"
24" 8'-0"
32" 6'-6"
48" 5'-6"
2"x6" 16" 16'-6"
24" 14'-6"
32"• 12'-0"
48" 10'-0"
2"x8" 24" 19'-0"
32" 15'-6"
48" 13'-6"
HEADERS
LICHT WEIGHT ROOF ONLY
SIZE POST SPACING
4x4 6'-0"
4x6 9'-0"
4x8 . 12'-0"
4x10' 15'_,O�r
CARPORT, PORCH OR PATiO
SIZE POST SPACINC
4x4 S'-0"
4x6 8'-0"
4x8 LO'-0"
4x10 12'-6"
GEdERAL NOTES:
1. These plans must be
kept on the job a[
all time during
construction,
2. All framing [o be
Douglas Fir N4 �
grade minimum.
3. Raftets may not
a[[ach to facia ex-.
cep[ for IO�beroofs
as shown on details;
2�Ibsroofs must use
a continuous ledger
actached as shown
on de[ails OLG#2,
4. Ligtit aeight roofs
may a[[ach to facia
for 14' span max., .
spans over 14 must
use a continuous
ledger as shown in
detail i13.
I , ����1
NOTE� _SHOW AND DIMENSION PROPOSED
PATIO COVER AND YARO AREAS
�
STREET
PLOT PLAN
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N
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2
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7
m
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SEE DETAILS ON REVERSE SIDE
ROOF SMEATMING
OVERHANG
_X_RAFTERS �
AT_ O.C.
—x— eeaM
T-STRAP EA. SIDE
FOR POST- BEAM g
CONNECTION. o .�
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DROP PATIO W LL i x� i
FLOOR 2' Q� � \ o Z
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SLOPE TO DRAIN al I PLATE 1"��
—T 1 ABOVE SLAB y
�?':_ : c'.:.: . . a. . '`.�.` . � . . . . . .a . . .. .
26 GA. G. I. FLASHING
WOOD FLOOR
CONSTRUCTION
SIDE ELEVATION
I - 1 1 �y
N � �
—1-1 _ _ J
PIERS 12�� SOr�
CONSTRUCTION DETAILS
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owxc;;tw�eiriaowr,: POLYGON SOUTH COAST ASSOC FLOOD: X 47
GpDRE54: 1S%S.I ROCKFIELD BL
UNIT 120
CR��INE; CA 92718 714-452-0600
MPi. MNIPlO �ODNE55:
/JiCNRECTONENfiNEFN: LL MAJOR 6 ASSOCIATES uc.ra.: C-16869
ANCN.OXFIM'41UDXE54: 1SS1 N TUSTIN AV uxr.
SANTA ANA CA 92701
CONfXACTqf4 NA1�
cwmncTorcs Muuxo
moxEss:
uc ra.:
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UCENSEO COMflACTONS OECLAXATION: I heeeby ellim uMm penety d perjury ihet I em IironseE inMm pwiaiom d Cheqx 9
(cwnmantlrp wil� Seclion 1000) M Dirison 3 0( Iha Buaine v eM PMaeuons Code, enE my licenee o in full lorca end eHed.
cmuc.No.:066144 uc.cuss: B uc.No.: 659262 EXP: 11 /96
Oeb: Camreew:
OWNEN BUILDEP DECLANATION: I haraby elfirm uMer penely d perµry the� 1 em uemp hom iM CaNretlan Lirome Lew fa �ha
Idbwip rmwn (�ion )031.5 Bwness arN Proleniom CaEe: AnY c1Y a oountY �� �Quiree e permii lo owo-un. el�er.'vnpova.
demoloh, or repei eny elruciuro, qiw to ils esuenm, e6o repuirm �he epdicen� lor euch pa�mn io file e sqneE etetement thet M a aM
a no,�»a w��d+� io ina ao+�. a�n� comrea«e u�.a �. Icn.aa s(�«wm .un s�o� �oaol a w�e�, a a �ro
Busma eM Prolesaona COEe� a Inel he w Me ia examp iherehom eM iM bavia lor Ihe elbpeE axemqion. My vidation d Seaun
)03t.5 by enY aGVlicenl lor e permn wbjede iM1e epplcem to e uvil panelry d�w mara Ihen Me huiWred ddlen �550011�
❑ 1, m oxmr d �he qoparry a my employeea �tih wepae av Ihei ade mmpanaetian, will Eo tlro v.ork, eM tlw eLuclun e ml intmded
or Mered Iw aele (Se Yion ]Oaa, Buaeaes eM Proleesiona Coda: The Gmiredae Lieenae lew doee mt epply�oen owrier d propeily
who buiM a mpovea ihareon. aM xM dow auM wA IYmsep or Mnell or thraph hb a hm own employxe, prmidsd Ihm wW
'mqwemenls ere rot inteMed a oXered tw eele. M, however, �M buitliip a inpwemeM ia eok wil�in one yev d compbtbn, Me
y axnerbuiNx will heve IM buNen d qwiig he w nha did rot Wild or impo+e la iM Wmae d ede).
jI. ea owner d Ihe peopeM. ��duarvdy mntretlmp vrilh IieenxE mnveeton io eaMeud IM qojeeY (Seelion MM. Bueimn W
Pmlestiwe Cade: The Contredaa lieariae Law Eoae iwt appty b en ownm d prope�Y ��ilde a imqwm �heeeon aM who
wnirecn fn aW V�9eba wnh a mnlretlMel l'r.enmd Wnueni �o �he Convman �iurua lnM.
� 1 em uamp rdar Senion: � 8. 8 P.C.. br ihie oi
oda: �� ti o,�,,,:
i ao nereM �en�y mv i en, a.�.e a.�e �roers�a,a ma rea��,em� a c�e e ene smmr coae s«riom usos. zssx. ena
P55�0, end thm I a eny fWure buildinp oaupent will / will nm (ciicb one) neatl o o w'eh evd eu�a codm eM IM rx�uiremenU M
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Dete: AVd��
WONKEN'S COMPENS�TION DECWIATON: I Mroby eifim� uMx pmelry d pe1jury ms d Ur ldbwiiq dedvmorm:
CITY OF COSTA MESA - BUILDIMG PERMZT
PERM Np: B 078571
PERMIT NO: B 078571 PLAN CHECK NO: 02779-96 A GOVT: N SUPP: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: NEW
JOB DESCRIPTION : 2341 SF LIVING/ 605 SF GARAGE SQ FT; 2,946
CLAIM VALUE: 194,826.00 CALC-VALUE: 194,826.90 GROUP OCC: R-3 /0-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 3
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Z O N I N G R E Q U Z R E M E N T S
S E T H A C It S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: 40 FT IN REAR: 15 FT IN FRNT: FT IN REAR: FT IN
LEFT: 10 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ; 2 PROV; 2 PARCEL; 14151132 ZNE: PDRL REF NO; PA-96-36
PLANNING NOTES> SINGLE-FAMILY HOMEW/ATTACHED 2-CAR GARAGE
D E V E;; L O, P`M
i' "—i
ZONING APPROVED HY'' _
BUILDING APPROVED ,B.Y ,;..
��_,
APPLICATION ISSUED:�BY':
**�r�x�x�at�atie�***it� *iFiriE� ��
LEGALIZATION:N
BLDG PMT
PERMIT 1,362.25
PLAN 221.37
ISSUE FEE
� S E R V I C E 5
5
. a �J
iElE iE iE 1f k iE 1E 1E iF 1E 1E iE iF iE iE iF 1E 1E�1F'iE 1E �E fE ff ff 1f 1E 1F 1f
R E Q U I R E M E N�;T S
DATE: '
DATE; �"'...
�S DATE: � `Il�
F E E S U M M A R Y
PLUMBING ELECTRIC MECHANIC
STRUCTURAL SEGMENT:Y
FIRE SMIP/RES GRADING
19.48
SMIP/NON-RES
� IhevaenEwilmeinteineeeMMieetedoonrntioaell�euurobrxnMeiseompenaelbn,mpwidedlabySeqion3l00dtMlebor $UILDING-DIC�-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
cods,�«msoerta�oewua�on�t«w�mm�a�na��e. TOTALS---> 1381 , 73 0, 00 221 , 37 1603, 10 1603 , 10 , 00
�,] � nev. a�e wi� meima:� xvmm�• oomo�o� ����. �+roa���.d M s.aim a�ao a me �eew coae. ror me w�«me� d ��r
w«klwxfiih�hiepermiluinued.Myworkers��������i��dvwiwo�mne�as: EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 1603, 10 OVER/SHORT: .00
OBTef - - Oi/O1/97 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
PakyN�mn�:
�n,a.,en;o,��,.e�wn,ro,�,d,r,erub�x�:ro.�en��e„eeaw,giw�a�,.� 1362.25 19.48 221 . J7
� IcenN�he�iniheV�amercadthewoAbrwhichthiaPa�meiaucued.lelWlm�amPMenYW�in+Mmenrweomto fEiElfjFiffEfffE�E1F1(-ifiElklEiFfkfkfflFlfiffffE�EfffE1F!!#EikifiEfflElklflFfFiFfEif�lEfEiE�f1EfF1ElEiElE%1lfElFlklE1E1E1fiFfEiFlflflfiE�lkfffEfEiE-0EiflEfflF�lE
beewm +ubjm io iM v.orkma' mnpenutian lev.a d CelGamie. �ree Ihet E I ehouN b evne nmpa to IM MMen'
_° o°^ " o'°"" ^ Qd S°°'°^ 3'°° a'^° �°°' c°°.. "^d y n°° "' '"° v'° .'°"°. I N D I V I D 0 A L F E E B R E A K D O W N
Deb: m �� �" � '1 � Aod�: �
Waming:Fellunroa�c✓nworkw�'rompxwtlonrovsnPo�ivn �,s ��• M+�a+w�oyaroremwo�rum�e TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
c/v119rr� up lo on� hunJrM fMuurk rblYr� (SIOO,OdOA M adtllHon ro• o ruatbn, Wm�ps� u provWM bi In
sKn���oso�m.i.no,coe.,i�r.,s.�,.�e.rcom.v,r».. SFR 2341 DWE-TYPE C�-WOOD FRAME -GOOD 77,90 182,363.90
CONSTRUCTION LENDINO AGENCY: I MreEy elfirm uMar panelry d perN�Y �hel IMre ia e wnatruaian w�d�� p�y ror �rb S FR 6 0 5 R ES-GARAGES TYP E V 2 0. 6 0 12 � 4 6 3. 0 0
�n«m�wm,��iawn�minare���aa�aa�s<ab�xs�.cH.c). " END OF FEES
LENDEN'S N?ME:
LENDEq'S ADONE%:
I cenM Ihel I heva read Ihia epdwmian end elele Ihel Ma ebove inlormqion is wrtea. I egree to wmON �� �I dry end munN �invicee
uM s�e IeW9lBW NB lo WiMvq COIIW�ItlUn ard heraby BulhpRe Rpe9anl8�ivOB d IIYB Oly �o Mter upOn IM GbOV!-MM�1ttilE ptOp011y
'«"�P""°"""'P°�°' BOB YODER
D�,: � I `t ti
Whno-BuiWvp 8 Sefery: Grean-FIe: Cenary-RoNu��: Pi�k-Reven�e; OoWanmaM+evor
COrNSTRUCTiON AND PLANNING P4�- & SPA '
; APPnOVALS Permit # Date 'inspector qppROVALS Permit # Date inspector
i. Temporary Electrical Service or Pole �. 52. Poo! & Equipment Locatiwi
�- _ ,
2. Soil Pipe�Undrgrnd. _ • 53. Steel Reinforcement --^ . ^,-
3. Electrical Conduit Utility�Undrgrnd. ', 54. Forms _-- ;'""
� j�� � - � -�
4. Electricai Co�duit-Undrgmd. � ��' 55. Electrical Bonding �`' �.!' �
.r
5. Steei Reinforcement 56. Rough Piumbing & Pressure l'est "�'
�).` .
6. Elearicai UFER Gmd. � 57. APPROVAL70 COVER�GUNITE �;J
`��i_ s4
7. Footings ��_�� 58. Electrical Conduit-Undrgrnd. M1�
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. 4Yate: Pipe�Undrgrntl. y' &0. Backwash �ines, P-Trap, rJ Un�Jrgrnd.
1�0. Structurai Floor System � 61. APPROVAL TO DECK: � l
,�
7 1. Property Sewer Line & House Connaction - .6?�. Backwash & Receptor�Final;S' '
i
12. Sewer Cap -�"63. Heater & VenrFinai �'`
73. Roof Drains 64. Plumbing System � Final,� ;'
14. Rough P4umbi�g . � 65. Electrical-Finat ^-,`
75. Rough Eiectrica�-Condurt .. � 66. Solar System-Final '
i
16. Rough Eiectric Wiring , 67. Fencing & Access ApProvai , ��
17. Rough Wiring Sig� 68. APPROVED FOR P�ASTERING ,
18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTE�;iS FINAL �
79. Rough Heating & Air Conditio�ing FIqE DEPT. REQUIREMENT
20. Rough Facto�Y Firepiace �, • � APPROVALS Permi2 #
27. Oucts, in Structure . 10.:Underground Hydro
22. Ducts, Ventilating � 77. Product Piping Cl Gas ❑ Oil
23. Gas Pipe-Rough & Tcst � ' ' 72. Underground Flush
24. Roof Framing � - 73. Undergrnd.5torage Tank O Gas ❑ Oil
25. Rooi Sheathing �fa`//� �; � 74. Overhead Hydro
l �y
26. T-Bar Ceiling lStrucwral) & Monocoat �� 75. Dry Chemical � •
27. Frame and Flashing _. �0�'� (� //!fY'� 76. Dry Standpipe .
_ `, �/n�..,�
28. Lathinq & Siding • `Q � 6 //�/' 77. FIXED�SYSTEM FINAL .
v^.
29. Insulation - - _' � D�j . �, 78. FIRE PREV. FINAL
30. Dryv��all Nailing � l�?J' ��//�� HEAITH DEPT. REQUIREMENT
31. Plaster Brown Coat_ f�/� `Y� ' l Y/3� 79, FINAL�INSPECTION �
/ t V'ti
32. Electrical Power Nleter�Final � 80. POOD CERTIFICFlTE ISSUED
33. finai Electric � Notes:
34. Final Heating & Air Cond'rtioning
35. Finai Gas Pipa�Test ' .
36. Hood or CanopY ' .
37. Finai Factory Firepiace � - .
38. Pinai Plu'mbing � , ,
39. Water Se�viCe-Plnai � '
40. Gas Service-Pinai , -
47. Solar pomest�c•Final - � ' �
42. Backflow Preventer �
43. Backflow Irrigation � . � � �
44. Landscape Irci9ation System -� - � � _
45. Sound Attenuation � � � � �
46. Handicap flegulations �
47.FINA�STRUCTUFE&BUILDWG �a,�11-�� ��-
48. FINAL PLANNING '
A9. Electric Rele�se to Edison
50. Gas Release m Southem Califomia Gas Cv
51. fERTIFiCA7E QF OCCUPANCY
No._ Date
��� 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. 1521 I
71
GRA075893
$!O C�4--6I Q�y ��,
4665-GRA ] 0
I certify to the satisfactory completion of grading in accordance wi[h the approved plans,
specifications, local and sta[e 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 strucwres within 5 feet from exterior walls.
I% fall for asphalt surfaces and landscaped areas.
0.5% fall for concrete surfaces to approved disposal areas.
The final monuments as shown on the recorded tract map were set. All final grading elevations are
within ± I/10 of the designed ele�it�ons.
Supervising Civil Engineer
13821 Newport Avenue, Suite 200
Tustin, Calitomia 92780-7803
Tel 714/544-3404
Fax 714/544-3155
No. 37445
7 �O� �
�' r
��E{t P. Yp F4,�
G2 c�
N n
No.37445 '
�• 6/30/Da
�
CIVII �/
rf OF CAL1i0Q?/
�__ _/
.woxEssaewiuxc 810 GALLERY CT urar:
iwxEesruxeiva1wm: POLYGON SOUTH COAST ASSOC FLOOD: X 47
i1DDNESS 15751 ROCKFIELD BL
UNIT 120
RVINE; CA 92718 714-452-0600
�va�. wmuw woncss:
�xcx�croe�+x�n: LL MAJOR 6 ASSOCIATES ucra.: C-16869
acxa+�+.•s�oowEss: 1551 N TUSTIN AV uxT:
SANTA ANA CA 92701
coxm�crars ru�:
caxrn�croas�uuxc
.�sx � uc.ra.:
unr:
UCENSED C01Rfl1CTOFS DECUNATION: I hereby ellim umbr panely d pa�ury thel I em I'cenmE uMx provisiore at Chaqx 9
(commer�a�q Milh Seclion 1000) d Orv'vun 3 M iM Buama erd Pmleavom Cade. vd mY �� u in lull lwca erd afip.
cmuc.r+o.:066144 uc.cuss: B uc.No.: 659262 EXP: 11 /96
ove: comreau:
OWNEN BUILOEF DECLAHATION: I M�eby elFrtn uMer penetly W perj�ry tMt I em axemp Irom IM Contbm licema Lew lar Ihe
lalbxin8 re� (�ion ]W 1.5 Buvirese eM Prolessiona Code: AnY cilY a counry which req�irea e pe�mA lo mmM1ucY. Mar. imprwa.
bmWeh, a rapei eiry aiiucture, pin b na eauence, eho requime �ha eppliran� fw wch permil �o Rk a egrod ateiemenl tlut M a ehe
p IicenseE W��1 �o IM yorisian d IM Cantreeora lironae Lew �Cheqm 9(commewiip xnh Seqion ]Op0) d Oiv'vion 3 M Ihe
Buaineas end Proleabns Cale� or Ine� M w she is axemq Ihaelro,m enE ihe bavo Iw Ihe alleped ex qion. My videlion d Seaion
�ost.s by env evdiceni lor e parmn wbjxb ine epqiram m e wJ perehy d ro� �nora �han ive hu�ddian IswoU.
❑ I, e+awrar W iAe prapeM or my empbyeea wdh waoa%a+�hei ede wmpenemion, xill do tM Mo�k, end iM nrunun e m� imaMed
a oMereE br mle (Setlion')Oad, Busimsa enE Prdeasiona Code: ThaConireqon Licenae lawdoen ml epplyto en wmer d popMy
who buidv or inP�s �hmeon. ad who doea such wak Nmsdl w henel a ihraqh hu or her oxn emWoY�. P�+� Ihel wd�
imprwemenu ere ml in�eMeE a dlered lor eab. tt, however.lhe buikin0 a'vnprovameM e eoN within aie ymr al campbtion, ihe
" owewrbuiMer will heve tha buNen d provinp he ar eha did � build w improva Iw IM WT�ea d eale�.
i� �. m own.r a me wWsro. ��dwrveN ���riro wnn ticemee comrac� �u cunsvud the pqetl (Sadion ]ou. &ainme eM
r,aes.ion. cme: rne comreaon �iceose �ew me. na eodvdo en owner d"wdrony wno eww « �mv�'� �nereon ena wno
mnVecb /a v�d� WMeaa wiM e oonlretlale) I'reved W nuem tM ConireCae Liunee lewl. � �
� I em exemq Mer SeMion: 1 B. 8 P.C., Im. ee on: •�
�a1e: Z I� Y Owmr:
I Eo Mreby catily iM1e� 1 em ewera d erd uMeniend the raquiiementa d C om' vM Safary Cada Seeiom 25505, 2553], vd
25531, eM ihm I a eiry fulure W ikmp ovupent xill / wil irot (a�cb me) wYh ee'd meta oodsa eM IM repuiremoMe M
epermAfwmna�eueiionarmodificetionhwn�MA'v au�ty anapamanlDialn . eeidemielwnn�uGioneppFratbneeraewemqimmthese
om.� aaoiF��:
WOFKEP'8 COYPENS�TION OECLAFATION: I Mreby affmn uMer penelly d perjury ane d Ihe IWowiiq Eede,etom:
� I heva enE wil mainten e carlil'rate d mnaent to eetl-imure b Mwkers compenmlion, m prwketl la by SeAion 3100 d �M Laba
Cotle, la iM peAmwice d Ne xak tor Mich t�u pmmil is baueJ. -
�] 1 heve end vnl meinlen wo�lcere campenaton insurence, av reQuired by Saaim 3]00 d the lebor Cade, M Ihe pe�ormeMe d tM
w«k Iw whM thie pmmn u iasueC. My wakan' cam aetion inwrarice rartiar e�q pdiry numbx ua:
c�,: C7�PRESS INS EXPIRES
va� r+�mna.: - 01 / 01 / 9 7
(Rria ae tion need irot 6e rompbfed / IM1e pem�] is M one huMred Edlers (51001 or bav.)
�� I cerlN �� in Ne peRormenca d tM woA 1« whch this permn ia iaeuetl, I shell mi emptrj e�y pamn in vry mev�x vo m �o
becmre wM� to �M xwken' oomP��etion kwv d CelXanie, eM �ree thet il I ehouM becoma euMeC to iM xoM1aa'
<omwn�uo o�.�a oi saa� a�oo w ine �, coae. i�/�n � m y �in mo� o��,..
Oeie: � Apqicem: I��'
Wemlip: Fellun sxun woAsri rompwuaUon rovsreps /s un/ewl itl 1�WitlJ�ct an employsr ro eNMnel pNWlly en0
c/HI flroi up b aro h�ndretl fMuunO do/bn (SiGqOWJ, M Ntlltlon ro tlr� t a/ rompxwfbn, Wmrp� u poHtlM br In
SxHon J106 0l Ms LeDor Corle, /nbn�l, end ettomsy'a /su.
CONSTPUCTION LENUINO PGENCY: I hereW effi�m uMer pareAy d per'Fvy ihm then u a miaiuqion Wqi�q q�wK.y b ihe
Fl1�01TBfICO O� �fIB MtlIN. �Of M'�IIC�1 Ih6 iAflll� 19 691184 ($BI.'1011 30'�11. r.N. �i�.
�ENDEN'S N4ME:
LENDER'S �DDHE55:
I eMiry ihet 1 have ned thn eppl'raiion eid atate ihet the ebova iMammion n wrtea. I piee lo eampy xich dl r'ay eM mwily wdineeKee
.�a.ime ia.n re�mme �o eunena ��+•�e� e�e n<reM �nnorixe �er,r �emnives a mn cnr ro emm uoa+ine moA.memo�e poo«y
�«io8pedio°P°` H BOB YODER
Dete: � / � �� ��
—T��
(5151de WP) W�ne-BuiNvq 8 Selery: GreerFle: Gerory-Appirant: Rnk-Rwenw: GOldenmE-Aasmeor
CITY OF COSTA MESA - BUILDING PERMIT
PERM NO: P 078574
PERMIT NO: P 078574 PLAN CAECK N0: N GOVT: N SUPP; 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-��'��
it�-+tit+�+t*at*x-*itatx�it�t*�t�t***iE***�-*�t�*iFititatatatieit*ie**�ratet�tatirk�*+�+�+�at x-fe�tiexet**atatatirx��t+t+rie
Z O N I N GS ERTEBQAUCIKRSE M E N T S
------------ MAIN BUILDING --------- --- ----- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARKING RE � PROV; PARCEL: 14151132 ZNE; REF NO;
PLANNING N TES>
� % � !: l � � n '
iE fE fE 1E iE fE if iE ff 1E ff 1E iE fE IE iE fE k!E 1E 1E If iE 1E iE if if 1E if iF jE iE iF 1E fF iE 1E 1E iE 1E fE fE �E fE iE �fF iF �EiE iE 1E'iE fE iE iE��1F fE 1F IE fP fE �F �E 1f �E If !f 1E fE iE jElf iF iE fF fF iE iE
� D_E V E L O P M E N T S E R VrI C E S=� �R E Q U, I,R ,E M E N T S
:ZONING AP,P,ROVED BY �' ' " " ;D�.TE:
BUILDING APPROVED BY : � •'�'' . , DATE:
APPLICATION ISSUED HY: • �� (�L/0✓ �� .,' DATE: �— ��-9�
iF iF ff 1E iklE iE 1f iE jF i(-iE 1E fE * iE IF ik 1E iE iF iE iE fE 1ElE ik �ElE iE if 1fiF��FlE iE
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC� MEC`fiANIL` FIRE SMIP/RES GRADING
PERMIT 198.00
25$ �, .' . �, SMIP/NON-RES
PLAN ;�- • •
ISSUE FEE 22,00 - ; . ,r•
BUILUING-DIV-> PERMIT ISSUE PLAN-C$ECK1' �'�TOTAL PAID DUE
�t�yfi�i;e----_ 1�{i:f?ft ��?:f�f3 r- . fl�f3f3 � -. .<�3V�,�t� �.�+�7.00 .00
REVENUE DIVISION TOTALS--> CO�liECTED:'� ,220,00 OVER/SHORT: ,00
BLDG PMT PLUMHING ELECTRIC MECHAN�IC -•FIRE SMIP/TOT GRADING PLAN-CHECK
220.00 � ,' t
1E iE iE �E iE 1E # �E iE �1[-1E iE �E �1F iF 1E fE fF 1E iF iE if If 1E 1E if 1F 1E iE iE 1f fE 1F 1E 1E )k 1E �1F iF iE dE 7E'lE 1E iE IE 1F IF iE 1F iF fE iE 1f �F fE �E 1E iE 1E iE 1E 1ElE 1F iF ik iE iE 1E 1E fE if iF 1F iF iE 1E 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 -, r�"�� UNIT COST TOTAL COST
PLU 2 BATHTUB '• 8.75 17,50
PLU 1 DISHWASAER '-•� , . 8,75 8,75
PLU 2 LAUNDRY TUB OR WASHER�(v��J • ,�j� 8, 75 17 , 50
'PLU 2 SAOWER " ,,� 8,75 ].7,50
' PLU 1 SINK, KITCHEN -" �,�•� �'� 8,75 8,75
PLU 5 WASH BASIN , II.75 43,75
PLU 3 WATER CLOSET (TOILET) _. - f3,75 26,25
PLU 1 WATER HEATER AND/OR VENT'.- 11,00 ]1,00
PLU 1 WATER SERVICE -� t1,75 II,75
PLU 1 GAS PIPING SYS OF•' 1 TO 4 OUTLETS 5,50 5.50
PLC1 2 GAS PIPING SYS •S+; QUTL-PER OUTLET 7.,00 2,00
~CONSTRUCTION ANDPLANNING POl .SPA �
APPROVALS Permit # Date 'Inspector APPROVALS Permit # Date Inspector
1. Temporary Electriral Service or Pole - 52. Pool & Equipment Locatiori
2. $oil Pipe-Undrgrnd. �C_Ct� ' 53. Steei Reinforcement ''" �� ��
' �
3. Electrical Conduit Utilitv-Undrgrnd. .� 54. Forms `�7 �;�'
4. Electrical�Conduit�Undrgmd.� _ 55. Electrical8onding ;�_ ' �_���-�
5. Steel Re�nforcement � 56. Rough Piumbing & Pressure"Tesi '�T,
6. Electrical UFER Grnd. 57. APPROVAL TO COVER•GUMTE �
7'. Footings ' ' S8. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Waier Pipe-Undrgmd. � '�' -?-�� 60. Backwash Lines, P�Trap, O Uncirgmd.
ti. -;
10. St�uctural Fioor Svstem �� = 6'4. APPROVA� TO DEGK <_� �;�
13. Property Sewer Line & House Connection ���` _ :62. Backwash & Receptor�Pinaf �'�
i�
72. Sewer Cap ' �63. Heater & Veot�Final ',n
H';
13. Roof Drains �1 64. Plumbing SYstem � Final �
(
i4. Rough Plombing - �'Q _"�{-S� �- 65. EfecVicai�Finai •
15. Rough ElectricabCondurt - 66. Solar System-Final -•
i 6. Rough Electric Wiring 67. Fencing & Access Approval
17. Rou9h 4Viring Sign ' 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ce��ing ' , 69. PpO�/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT
20. Rough Factory Firepiace � . • APPROVALS Permit --; - �
27. Ducts, in Structur.e. � - . 70._Underground Hydro
22. Ducts, Ventilating � a 71. Product-Piping C.�'Gas OOiI
23. Gas Pipe•Rough & Test /r.�,r�.9C _/I 6T7,7j1 7p. Under�round Flush
� C��
24. Roof Framing 73. Under�md.SrorageTank G�Gas �Oil
25. Roof Sheathing _ 74. Overhead Flydro
2S. 7-Bar Ceiling (Structural} & h4onocoat � � . 75. Dry Chemicai
27. Frame and Flathing' _ _ 76. Dry Standpipe '
28. Lathing & Siding �� � - 77. FIXED SYSTEM FINAL
29. Insulation ' 78. FIRE PREV. FINAI �
30. �rvwall Nailing � � HERLTH DEPT. REQUIREMENT
37. Piaster Brown Coat . 79. FINAL 1NSPECTION �
� 32. Electricai Power Meter�Final - 80, f00D CERTIFICATE ISSUED
33. Ffnal Electric Notes: �_�_G�'`� ,_ ����_� �✓
34. Final Heating & Air,Cond�tionfn9 �' -
�'.`?_�����n_avN_,[J s�vCl -
35. Final 6as Pipe•Test " ��-�/Cj S.t� Q�Z3 ��-'�/
� �!'�_-5-��
36. Hood or Canopv � � � _
F'-�� LcJ�� N__�- -
37. Pmal Pactory Fireplace - �� d�
t 4��'� 2a_� - - - - - ---
38. Final Plumbing . �� �6 1 _ � ��C�_� ������.T
k
39. N�ater Service-Final �.z',�e� �� 2��/ q� � K'/Ct_
'O �-V
40. Gas Service-Pinal � - ���� ,_ ,f/ � '�
�"�'
41. Sular pomesticFinal � " � � � � �
42. BackflowPreventer' � �Z„f,�� _
43. Backflow Irrigation - ^ �
Gz-� _ L
44. Landscape Irrigation System� , 2_� � � - -
45. Seund Atienuation
46. Hendicap.Regulations � - � � - - -� ,
47,. FiNALSTRUCTURE & f3U1LDiNG ' �
46. FINAL PLANNING �
49. Eleetric Release ro Edison
50. Gas Release to Soathem California Gas Co ' -
51�. CERTIFICATE OF OCCUPANCY , -
No. Date
noonrssa emww:
ONNERS WYE IF pqMN:
r, �ooxEu:
�vr�. �miwo,�oness:
ARCNRECTOPENfdlEEP:
� ox varo �non[ss:
s� o G au,C 2y crr
n:a::�n
CpRPAttqfSu��.
CONfX,�CTOR4Y41fl0
�ooxEsx ue r�o.:
��:
PERMIT NO: P 078574 PLAN CHECK NO: 02815-96 N ._ ,
*+ritiF**+�iF+riE*��at*�**�tit***iEit*at*****iF�*+�it*+�iE*it�rit�ititie+�*+�*�+t�**�r**xit*atat�it+��it**itetat*it*+�
r. ..
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
uur: PLU 1 GAS SERVICE 8.75 6.75
PLU 1 SEWER, BUILDING / TRAILER 22.00 , 22.00
END OF FEES
a�r:
11CFN5E0 CONfPACTONS UECLAN�TION: 1 Mreby dlim udu panely d peryiry tlW 1 em I"r.maeE wder pwu'vv d Gheqr 9
(canmem'uq Mnh Sxtian ]000) d Gviaion J d Me Burinov ud PNna"vm COCe. end my 4omua u m hID bce eM eflad.
CRY tJC. NO.: LIG QASS: IIC. NO.:
'Dete: Cowmu:
OWNER BUILDEH OECL�N�TON: I Mieby dfiem uMx pmely M perNry thN I em eremq Imm IM CoMretlon Lieenw lew ta tM
lo0ornq iea�m (Seaion "!m1 s Buaiima md FMwaiom CoEe: MY NY a owvMY v.fiidi mawm e Dmmi to ouewn. Mer. inVova.
iemdeh, n npei e�ry nrucluie, pia w il� eeuame, ebo �eyuim iM appliunt Iv euch pemiil to Rb e eq�E elalenwM tl�et M w�M
u fmroed pumuru to iM pv+b'vu d tlr Conlratlon lioema lew IChaqm 9(mnmmrinp Mith Seaon lW0) d Div6ian � d tlr
Biu'vien enE Rdeaivu Codel a thtl he a ehe ie uemq �herNmm end Ihe betie tn Ihe aAeped mmmqun. My vioWion d Seaun
]VJ1.5 by e�ry epW'reni la e permil abjetl� Ihe appliunt to e rivil peealy d na mwa tlun 1'vs hwW�ed tld4n �SSOOU.
❑ i.a.w�.,winewow�ramramWm�«aan�..w+..�n«.aeoomv��.�+neomewoa.e�em..wwnem�m.ndae
p MereE b eab (Sacuon laa. Bumrov uM Pmte�ebns Code: TM GaMrepwv Liwnaa lew dou nd epplylo enoxiwr d poperly
Mn buiEa ar inpwm iherson. eM Wa dom �uM xork limeetl a MnN a N�aqh he a her oxn amWvRes. pa'ided ihet wM
impwamenla ara nd imeMed a dlemE lor ede. X. Mwever. �M WiMi�p n inpmvemeM is wld v.ilhin om yw d mmplation, tlia
owinrb�ildar xill heva iM Wrdon d provirq he a Ns did nd buiW u impws Iw �M puryms W eele�.
❑ �, n rnmer d �ne o�W«iv..m �auanWv mnvm'vw wnn �beneae convm�as ro conawe uie wdac (seaon roa. a,riia,e ane
rw...ion. coee:lne c«nreaon �e«�e. le. mn. na ewN �o m, own« a rw�r wno duae « vnwwe. m..o� .�w .no
conlrecte br eudi pqetle wll� a mmrepor(e) IcenroE W�ueni ia iha Comreeare Limme lew).
� I am eaemq �Mer Sxtion: 8. 8 P.C.. M Nb ieeson:
Dete: �a
I do Mreby cMiy ihat I em ewve d uM uMenivM tha rpulromanie d Cellanie HmM1h enE Sefety Cotle Sadbne 25505, u533. eM
25534. eM ihet I a ury Mun Wikirp omlpenl wiil / wil �M (dreb mel ��o cpnply w�h eeid qms ooMe eM tM �eyuiiemmU la
e permn IwmnevuMionar modRe�ationhom IM R'v�epemenl Diatrid. RmiEeMid eanYruqbn eppfutiom w uemq Irom iheee
pwiaiom.
Dele:
ADCIcoM:
WOflKEH'S COMPENS�TION UECUflATON: I hersby elfi�m uMer penony d perjury aw G tM Mbrrirp detleialbm:
� I hevs uM xil meimen e emfiule W m�eni io veM�ieuwe br woMai eompenWian, u pwidd fo by Seeam 3]00 d tM labar
Code, lw �ta pa�iwmence d IM v.ork la which i�ie peimil n iroueE.
� I lwe eM wii meiwn v.vMen' mm0��un mwevwe. m nVuiroE M Safian �)00 d IM Lebor ('.o0e. b IM V� d �M
work Iw xhiM ihia pemiA ie iwued. My workeii canpema�ian inaurenca ramer eM pdiry numEa era:
Cartix:
Poliry Number:
(ThiSlNIAYI /1!T! MI M CpnL�fed l fM �.'IN O b pN hWM/!! 40�9Is rsl W' Cv.Vn.)
❑ I cartty thet in Na pMamence d tM work la which thu parma o isueE, I ehell m� emplv� erry pe�von in my mervw o m �o
Wcmie wbjed �o iM workera' �onqe�ueiian lew+ d Cafdmia, ud ep�ae tlut E I elaWd beconr adjetl to iM xalmn'
campmWian ptovifom d Setlon 3)00 d IM LeEw Gatla. I YWI IarIM1wEM1 mmpl� wN� Ihw� prwienm.
Dma: A� �
Wemlip: i�0un ro iacun woilrwi eonpwu+tlon eov�reW l� unlawNl. uW Wll ub/M en w�ploy�r to eilm'rW perWtls, oW
Gr/l Mu ip ro om Mntlretl flauuM 0o/l�n (S1PO,OOdA ��Itlon ro M� cmf ol romvru�fbR �W u pvvlLH br In
S�ctlm �1P6 0/ tln /a6or Gbd�, /nNnsC W�rtom�Y i Iwa
CONSTHUCf10N LENDIN� �OENCY: 1 ha�eby el�rtn uder peneEy d per'�vy �ha Ihen b e mw�uuion bMvp epon�.y for the
parlormenm d tM xwk la vMdi Ih's pmm� u cuwE (�� �). Crv. CI.
LEN�EN'S NM1E
LENDEP'S AODFESS:
I cMily thm l heva re i Ne epp4aYm ud ame �Mt Ne eboua iNametion u ronw. l epne to oompy Mtl� Y�YyeM cavVy adw�s
uM au�s bwe rNel'vp to CuiNip mwrWion ud Mreby euhor¢e �epeeaenteti+o d Inis cry to omer upon iM ebore�meraoned piapMy
�« imcee� w�v��
vna wm.
Ome:
Sipneturo d OwnerllpmUAppimnULantreaa
(5f51�e.WP) WMa-Buildiq85e1My:OreerFb:Cuury-Appieen�:Pink-Rswriue:(bldeieo�Anomr
�'`
,.
�CO:VSTRUC7�ON AND PLANNING PO� � SPA
APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
1. Temporary �lectrical Service or Pole 52. Pool & Equipment Location
2. �Soil Pipe•Undrgrnd. 53. Steel Reinforcement �
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Elec[rical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Piumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAlTO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgmd.
8. Foundation 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P•Trap, O Undrgrnd.
10. Struaural Floor System 61. APPROVAL TO DECK
17. Property Sewer Line & House Connection 62. Backwash & Receptor�Final
12. Sewer Cap 63. Heater & Vent�Finai
13. Roof Drains 64. Plumbing System � Final
74. flough Plumbing 65. Elettrica6Final .
75. Rough Electrical-Condult � - 66. Solar SYstem-Finai
16. Rough Elect�ic Wiring 67. Fencing & Access Approval
17. Rough Wirin9 5�9� 68. APPROVED FOR PLASTERING
18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning ._ __ FIRE �EPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
� 21. O�cts, in Structure 70. Underground Hydro
22. Ducts, Venti�ating 7i. Product Piping OGas ❑Oil
' 23. Gas-0ipe-Rouyb�& Tesc 72. Underground Flush
I
2A. Roof Fr�amin9� 73. Undergmd. Siorage Tank L] Gas O Oii
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 7$. FIRE PflEV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical PoWer Meter-Final 80. POOD CERTIFICATE ISSUED
33. Final Electric Notes: .
34. F�nal Heatin9 &�Air Conditioning � �
35. Final Gas Pipe-Test � � �
36. Hood or Canopy �
37. Final FactorY Fireplace
38. Final Plumbin9
39. Water Service-Final
40. Gas Service-F�nal
41. Solar pomestic•Final
42. 8ackflow Preventer
43. Backflow Irr�gation
44. Landscape Irrigation SYstem
45. Sound Attenuation
46. Handicap R¢g�lations
47. FINAL STRUCTURE & BUILDING
4�. FINAL PLANNING
49. Electric flelease to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
anonFssa em�oea: B 1 0 GALL ERY C T uxt:
avr�aswweivrourm: POLYGON SOUTH COAST ASSOC FLOOD: X 47
• ` �noxess: 15751 ROCKFIELD BL
UNIT 120
TA.VII�E;�CA 92718 714-452-0600
�vv�. �uur+o wonEss:
�xcxrtEciox��x: LL MAJOR 6 ASSOCIATES uc.xo.: C-16869
urcx.on�o.�s�noxess: 1551 N TUSTIN AV ur�r:
SANTA ANA CA 92701
cor�m�crars N1YG,
cartx�croasuuuxc
�ooxess
IlG N0:
uxr
4CENSED COMR�CTONS OECL�HATION: I Mmby ellim uMm penely W per'ryry Nel I em IicenaeE wMer pwieiane d Cheqm B
(oommaiarq Milh Sectian ]000) d Oiveion 3 W Ihe Bue'vim� W Pmleaaiaa COEe. uM mY 4csiw u in fuY lau eM eNed.
cmuc.No.:066144 uc.cuss: H uc.No.: 659262 EXP: il/96
Dme: Cmumor.
OWNER BUILDEfl UECL�FITON: I Mnby elfi�m uMx penNy d pmWry �het I em uemq /mm IM COMredaa Licame law la Ihe
�dbMiq �encon ISetlian ]OJ15 &nnefa anE Proleviom Cade: A�y rry a muMy Widi �NwM a D�4 b wnsEucl. Ma.'unMwa.
emdeh, or rpei ury ewcture, pior b es uauvKa. e6o requires �M epplidni la mch pmnn �o fib e apired eutemem thm M or eM
. �icrosee w�� m �ne vaieiona a me cwiman lireme tew Ichaq> a(mmmmdiw .nn s.aun �000) d a.vim a d ��r
Buairie a end Prdwbns Codel w ihet ha a eM b ezemp ttwehan eM IM b�s /a Me elbV� eaemqbn. MY violation d Saqion
]W 1.5 W vry eppliuni la e permil vubpe� �he epplrsM 10 a dvi pere�y d na mae �han ive hund�eE EOAus �55W11.
❑ te+mme,winev�Pom«mr�cbY«swlnxap»mme:eobcano��«+.Mamu,axwk.enem.,wmreboaiMmaed
orafleraAbreeb(5 �v�)066.BuarcaardPNeatimaCode:TMCaurmweL.imwlewdroeroteGVNloanowwdpuprry
who budds a inprtrvea Iharem, eM Mo Lroa suM v.ak lunself a Mnel a Nraph he a Mr own emplv�ma. prwideE IMI euch
impwsne�m ere nd Waked a aHaed la aeb. tl. howewr. Ne buitl'up a inpwematl u wld wilh'vi ans yau d canpblbn, ihe
V o�mer-WiNer xill hew IM Wken W pewirq M or aha d'd mi Wik or impro.a la IM Wmaa d eele�.
LJ I. ea owner d �he MWeM. em e�duaivaM oonlredYq xith IiroriaeC wnbeclas to mmNM IM q9� (Satlion 10H. &m'v�ma eM
v,a...m. coes: rne cwu�.ea. ��. me. �,a .cdr ro d, ow�« a wooertr wno naw «�ww.. maeo� w..no
wnvecie Iw e h propas wiN e wvredor(e) Icemed punuent to tM Conireaan lioe�us lew�.
� I em exemq uptler Sxiion: B. 8 P.C., lur Ih' r n:
o�, '7/
N U � i �:
1 tlo heraEy cMiry Ihet I em ewere d ard wdmswd Na npuinme�m d C o He h end Selety COEe SaUiom 25505, �5539, uM
xssu, ene mv �«drv nn�re w�amo �+a.m �n i..a �a tad� �.1 Wr..n .dd mi. ooe...�e in. nawmm«�n ror
awm+arormv��uc�bn«naditmionkan�hs�F3wTTTv�yxnw� ' . Nmmruaionwc�bmarowmq�mmtlws
povivione.
Dele: ApW��
WORKEP'S COYVEN9ATION OECLAfiAl10N: I MreW df wEw pmelly d pajury ons d iM Idbwiiq Eedvefvru:
� I hew enC wJ mainien e ceM' �e d mrtxnl lo �Mi�uun lor MOMen' comperoeiion. m pwketl ia Ey SeGion 3100 d �M Lebar
CoEe.la IM peAmvrca d iM xah ta wNc� �hu pertNl u 6auW.
�i] � nn. ene w meiMan wwke�• oomo�o� u,a�nenm. m ne�:.e M s.am a�ao a m. �ee« coe.. �« me w�«nw�o. a m.
w�i«..mw��nmw�amm.�e.uvw«w.n����.�..�y.mw�r��w.,.: EXPIRES
c'm" _ O1 /O1 /97
aan M,mw�
/mh..nian rn.e �wr es rnnoMw✓ r rA. o�/ e ro. ms nv�sd dm.n /Sraol a �w.l
� I oenA' � in Ne palomurce d tM wak lur xfiirJi tAe prmu 6�pd. I qutl m� empb� erry preon in vry mervw o m to
b«ame .uhjnd io iM workere' mnpeneetbn ler.e a� Cel preetl� tl�I eM1ouk Exmie wbjed to IM xwkan'
comoeiuetbn dwniom d Swun �)00 d �M LeEor Code. I I �A maPi I� ho�s oiowo'+.
ome: (�� L �-1 r MW'vm: w— v —_
Wem/np: F�Nun ro a�eun Morkw�'rompxwtlon rov�� li unYwM, e d e! en Nnp/qn ro alrNrW pwultlp �M
elvll flrwi'p b ons �uMrM flrow�N JWbn (SfOQOdOA N MC/tlon h f st I mpw�uWM1 Wrnp�� u provltlW br In
9ectlon 9106 of M� LsEor COM. Infenif, a�M efbmsy i Iw.
CONSTfiUCfION LENDINO AOENCY: I Mreby dfirm uMar penelry W parNrY �M1e� ihen b a con��udion bMiip apenry br iM
oen��u d ins.�ak m. � iw v�+ e u.uee Iseaon we�. cH. cl.
LENDENB NAYE
LENOEN'S �DDFESS:
1 ceitiy IMt I hme reetl Nb appli�avm end s�e �het Ne abo+e iMmrelion u cwau. l pme to comyy Mnh eA my rd mumy adinuiwe
end altla laxa relalina �o �iMip eanaViMion eeE hereb/ eNha¢s np�amnteuwp ol Ihu dry b enlm upon �M ebv.e-mmlioned papMy
'°'"'pBtl1p1pirpO9e' BOB YODER
N
(5151d6.WP) Whne-BuiIEFp 8 Safery; Grea�b; Cenery-Appicent: Pink�immue; Oolden�obRsaemr
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: M 078573 PLAN CHECK NO: N
CONSTRUCTION TYPE; V-N PERMIT TYPE: MEC
JOB DESCAIPTION ; 2341 SF LIVING/ 605 SF GARAGE
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 3/ REF B-����
ititiFikiEitiklliEiFiElEkftlfiEiElEiElEiEkifiFiElElfitiEiEiEififiFillEifft4iEiEiEitlEikfEiEiEiEif�tkiklEiE k iE iEiFiEiEiEiFikiEitifitiEkkiEil�F
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 5
PERM NO: M 078573
GOVT: N SUPP; N
PURPOSE: NEW
SQ FT:
,------------ MAIN HUILDING -- — ----- -------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGiiT: FT IN LEFT; FT IN RGHT: FT IN
PARRING REQ: PROV: PARCEL: 14151132 ZNE; REF NO;
PLANNING NOTES>
i i
iE fE iE iE �E 1E �E �k iE iE �f �F fklF iE fE iE iF 1ElE iE iE iE ik 1E it 3klE 1E 1k iE iE 1E if 1E 1F iE �E 1E iE 1E fE iE 1E'IE ik if 1E if 1E �f 1E �f'1F 1f 1k 1! 1F fE 1E IE �k f!� iF'lE �f iElE 1ElE iE 1E iE 1E'k!E iE iE 1E
D E V E L O P M E N T S E R'�V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY : i- DATE; /
APPLICATION ISSUED BY; •�� DATE; (�Z' b
iF If iE if if if iF fE 1k iE iE 4 fE iE i! iE iF 1f iE iF iE iE iE If iElE if fk �F fF iE �E��3F1E iE
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTitIC MECHANIC FIRE SMIP/RES GRADING
PERMIT
PLAN
ISSUE FEE
BUILDING-DIV->
TOTALS---->
35.75
- 25R
�.
22.00
PERMIT ISSUE PLAN-CHECK TOTAL
35.75 22.00 • ' 0,00 57.75
SMIP/NON-RES
PAID DUE
57,75 .00
REVENUE DIVISION TOTALS--> COLLECTED: 57.75 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECFiANIC FIRE SMIP/TOT GRADING PLAN-CHECK
57,75
1! ft 1k fk fP 1f 1F 1k if k 1E 1k �E 1k 41E 1E fE iE IE 1f 1E 1E iE it fE 1f fF iE 1F iE 7f 1F 1k fE iklf 1f it 1k 1F 1f 1F 1f 1klf 1f iE IE i! 1F it iE 1klf 1F 1E fk iE ik 1t ik 1F 1f ik 1E fE 1E 1f �E 1E fk �ElE iE if 1E iE ff
I N D I V I D U A�, 'F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
MEC 1 INST FORC-AIR/GRAV FURN <= lU0 K BTU 13.25 13.25
MEC 1 INST HOOD W/DUCTS FED BY MEC EXHAUST 9,50 9,50
MEC 2 VENTILATION FAN CONN TO SINGLE DUCT 6.50 13.00
END•OF FEES
,
CONSTRUCTION ANDPLANNING � POl .SPA
APPROVALS Permit,-'p Date 'i�spector qppROVA_LS Permit# Date Inspector
-�:
7. Temporary Electrical Service or Pole 52. Pool & Equipment Locatio�
. .
2. $oil Pipe�Undrgrnd. - '- 53. Steel fleinforcement . - r�
,
3. Electrical Conduit Utility�Undrgrnd. -1 54. Forms `�1 --
. 4..Elearical Conduit�Undrgrnd. , .-; � 55. Electrical Bonding L- i'�
5. Sreel Reinforcement 56. Rough Plumbi�g & Pressure Test %i
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
�7. Footings 58. Electrical Conduit�Undrgrnd. '
� 8. Foundatioo' » 59. Gas Pipe, O Undrgrnd., Test
:�. Water Pipe•Undr9md. � � .- � 60. Backwash Lines, P�Trap, � UrTdrgmd.
10. St'ructure7 Floor System " �Bb. APPROVAL TO'DECK" '/
11. Properiy Sewer Line & House Connection �f2. Backwash & Receptor-Final�y ,!
12. Sewer Cap � _ � 63. Heater & Vent•Final '� � �� /
13. Roof Dreins \� 64. Plumbing System � Final ��
14. Rough Plumbing . � 65. ElectricabFinal -
15. Rough Electrical-Condui; � 66. Solar System-Final �
76. Rough Electric Wiring 67. Fencing & Acc�ss Approval
17. Rough Wiring Sign 68, APPROVED FOR PLASTERING
78. Rough E�ectrical-T 8ar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Cortditioning l� _� � FIRE DEPT. REQUIREMENT f
20. -Rough Factory Pireplace � � _ - � APPROVALS Permit � � -
2L �ucts, in Structure . . � 70. Underc�round Mydro �
22. Duas, Ventilating � 77. ProduCt Piping �O Gae � Oil
23. Gas Pipe•Rough & Test _ ' 72, Underground Flush
24. Roof_ Freming �. 73. Undergrnd. Storage Tank O Gas ❑O�I
25. Roof Sheathing a� '' 74. Overheaii Nydrp -'
26. T�Bar Ceiling {StrLqturaq & Monocoat � 75. Dry Chemical �- .
27. Frame and Flashing ', 76. Dry Standpipe � ,
28• Lattling_$� Siding �' 77. FIXED SYSTEM FINAL
29. Insulation ' � 78. FIRE PREV. FINAL -
� 30. Drywall Nailing •. HEAL'fH DEPT. REQUIREMENT
37. Plaster Brown Coat' ' 79. FINAL INSPECTION '
32. Electrica(Power Meter-Final � . 80. FOOD CERTIFICATE ISSUED
33. 'Finat Electric ' - - Notes: `� ,_// � � ,!1 �-G�
,.0 Q <
34. Final Heating & Air Cond�tioning
[�--t^' f=7-6 � ('� '�s'1=� � L/_�G.� _ _
35. Finai Gas Pipe�Ten '
. 36. Hood or Canopy ' ' . . . � �� .
37. FinafFactoryFireptace - '^ �
38. Finai Ptumbing � . _ �
39. VJater Service-Finat r � � '
40. Gas Service-Pinal .,� , . -
41. Solar pomestic�Fi�al �
42. Backflow Preventer'
43. Batkflow Irrigation �
44. Landscape Irripation System - , , � �
45. Sound Attenuation ' - - � �
�46.-Handicap Regulations ' , �
47. FINAI STRUCTURE & BUILDING -
48. FINALP�ANNING • .
49. Electric Release to Edison •
50. Gas Release to Sou[hern California Gas Co
51. CERTIFiCATE OF OCCUPANCY
No. Date
�
�
100PFSSOFBUlqNO: 8 1 O GALL ERY C T uNr:
°W"Ea'"""E'°'°'°"":POLYGON SOUTH COAST ASSOC FLOOD: X 47
1D°"��° 15751 ROCKFIELD HL
UNIT 120
RVINE•. CA 92718 714-452-0600
APLXRECTOXFNfiNFER:LL MAJOR 6 ASSOCIATES
�xcxa+�a.�smoxess: 1551 N TUSTIN AV
SANTA ANA
ca+m�crars ru�:
LONINACTORB YYlINO
ADURE54
��� C-16869
UNT:
CA 92701
I1G ND.:
�:
LICENSED COMN�CTOfl4 DECIAHATION: I Mnby dfim uMv perely d per'ryry Ntl I em Icaaed uMer paivam d Cheqar B
(mmmenc�q wilh Seclion ]000) d Oiviaion � d IM Buaimm eed Pmlmauna Code, eM my limme u in hA lace aed s11W.
cmuc.r+o.:066144 uc.cuss:g uc.No.: 659262 EXP: 11/96
Dete: t:amreear.
OWNEN BUILOEH UECIRflAPON: 1 heietry elFrm uMar penely d perjiry Ihet I em mamq han iM Gomreqm liceroe lew Iw tM
blbxnC �eemn (5edion ]W t.5 &»iima end Proleaaoru Code: Any �y v muM' xfi A nV�� a D�Y �o mmvuct. eder.'unpw+.
demdeh. ar rM+u anY svunure. P� W es �ice. a6o IeGwea the ePW� fa wN P� lo fib a s9� Welx�wN Met he a�he
n I'ironeed W�+�t ta the yoritions d Ihe Con�redore l'xenae lew ICheqx 9(mmmma�p wn� Sedion ]000) W Divbion 3 d IM
Businev ud Grdeaiwu Goee� «thm ha a ehe u eumq therahm� aM �he bs o la IM aAeped eaamqun. My vulmun d Seeion
]W 1.5 by xry eppliueu lor a permn wbpaa tM eypliuN to e d� pmeEy d nol mae Ihen Me huntlmtl CdWa �55001).
❑ I.asowrorGIMO�We�YanNemGblaeaxYhweB�nlhweabcam0e��.rnTOotlww�k.aMIMe4Wu�e�m1'vqeMeA
a ollered fa sele (Se lion )OCd. Busneas eM Vrolesaane Code: TM Comrei]ore Lioa/ue lawdaea �wl epplyto en amx d poperly
who buids ar inpovea �hereon. e�d wM Eoea such xak h'vnmtl a he�vel a Uraph he a her own empb�ase. povidad �M wM
imV�*mmn ere nd'vuended a Werad la veb. tl. hows.er. �M budin0 a inpwwnes u edi wuhm aroYw d canW+un. tM
�owmr-builtler will heve tM buMen d pavirq he or aha d"E na dtik or improvs lor ihe pwpoee d aeb).
I. ea ow�er d iM WWeM. em �dutive!/ mnlred'n0 wuh licensed canVeclaa lo canNUC IM pti� (Seeion )OM. &niiwa ud
Proleeeiana COEa: The Gonlredon Licenae Law Eom ml epply b en ow�wr d popMy xM butia « improvee theroon end who
mnvecb br vM w9�e wn� e mvreeMa) fcemed P�ue�u io tM Cauemon liomae law�.
❑ i,,,, ,.,,,, „�a„/S�c��� e. a r.c., ro, w. �:
ove: �1��/ }'O � a"^°� �I�
i eo n,�nv �r u,a i� ew�s a�a �,u�e u,e �.a��,ew a cwo�,e �en.oa smw coa sw�. sssos. uva. �e
255J0, end IM1Po I or any Mura buiWi�p aaupant xiil / wil rwi (arcb om) nsed to canply wYh eek eima mEw erd IM nQuiremeMe br
.�,.�.�.uinm�..�n,n:nnmmifmionkemiAeAi�imL�Iv —enmmwa0ierie.Reddemielmiarueunemfu�ioreerovemdlromtl�ua
ome: �cv�rwm:
WONKER'S COMPENS�TION DECLAN�TION: I hereby elfirm wder peiutly d pe�wy ms d tlw IODoxi�q dWumioro:
❑ � n.�e ene me meimein . cenAlw. d mveni �o.en:vum n..�oner: camro�.mian. ea w�•�d.d �o. W s«fim a�ao a m. �.mr
Cada. la iM pe�ameMe d Ihe wwk la wNc� �1» pe�mn b bauM.
i� C] � n.w.�a x�e meimen Man�.m• como.�on ir�nanw. m nw� W swu, aroo a m. Len« coe.. �« me w�«me�ws a m.
K wak 1« �Midi rt�b D�n u u�ueE. MV watme' mmV��ian mwrerca rnrtier vd V�Y mmibar me:
c�.�: CYPRES5 INS EXPIRES
Pd'ryNumber. W—�i1 (i1 1 1 S O1 /O1 /97
(mia escfion rresC nw De compbroC I tM pemrt o Iur arn hurdred da'len �Sr00J w bu./
❑ I mrlN � in tM peAumence d IM wak br whch Ihu pmut u eeuetl. I WII ria emplq erry pason in eiry meruier o n to
becwne euElea lo iM xvhan' cano�eeiion kxe W Celilomu. arM Wres iMl il I NaiN becoms wbjed ta iM xwkae'
oa�a: ��/�/ /d/70 sm�, a�w a m. ��. i.n,n ionn.m��.-'./
w.minv� F.xun ro ucun wohen' compwuetlon cov.� l. unlMul, uw slWl wd/�er �n wry/oyw ro cNmw pm�ltlu.ne
clvll �iwa up N m� h�ntlreE tMuurtl av/Mn (S1G0,000), M�tltlltlon ro M� roaf ol rompxuatbrt �pu �+ PiorWx/ bi In
swtlar ]106 oI tln LMo. Gb, lirtrat .ne.tromry". Iwa
CONSTIiUCTION LENDINO AOENCY: I he�eby dfi�m uMer penaM1y W pe�jury �lat ihen u e conq�udion bMiip eparry br �M
perlormvim ol iM v.ork la wt�irh I�e M�i u amE (Seaian �091. C'r+. CI.
LENDEF'S NIJIE:
IENDEF'S ADOHE55:
1 CBfll�)' 1� � hBVB fBOd Ih6 B��dipll Blld tl0b ��IBI dl! 8�0.! III�MM�IqI O COIIBtl. � BQRG 10 NIIPA' y11h B�I p1� Nld W11MY OfdIM11CB[
arM stme kx+rebtip ia buik'vq emmWcn end Mraby awlvza �epeosrua6+aa d Ihu euy io xur upon the ebova�meMioneE pioperly
lorirepeaan purposas� �
./:.., F/od✓
�J�� Prvu Nema
/i� �� Dma:__��//��9�
sre�n,re a w�. ,ma
(S151ifi.WP) Whilo-Buik'vq6Selety.G��la:Gere�y-Appiwu:Pink�iwenw:GdEmiiod-Asa�aor
CITY OF COSTA MESA — BOILDING PERMIT
PERMIT NO: M 080240 PLAN CHECK NO; N
CONSTRUCTION TYPE: C'—N PERMIT TYPE: MEC
JOH DESCRIPTION ; 2341 SF LIVING/ 605 SF GARAGE
CLAIM VALUE:
CALC—VALUE:
PERM NO: M 080240
GOVT: N SUPP; Y
PURPOSE: NEW
SQ FT:
GROUP OCC: R-3 /U-1
COMMENTS; NEW SINGLE FAMILY RESIDENCE / PLAN 3/ REF B-78571
1%iE iE iElf if if iE iE if iE if iE')f if if If if iE if if iE if if if if ik if if iE iE iE i%IF # iF iE ih ih i! i! fE iE iE if if ik iE if if i6 ik iE if ik if 1h 1F iE iI")k if if 1f iE il' iE 1h iF 1f ih iE if if il' ft If 1E k
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
----------- MAIN BUILDING ---------- -------- ACCESSORY BUILDING ----- — --
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14151132 ZNE: REF NO:
PLANNING NOTES>
� � �i
1E iE if iFlElF 1E iE iE if iE if 1E 1E iE 1E 1E iE 1E 1E iE 1E iE iElE iE if if if if 1E IE 1E 1E 3E iE IE iE �E 9E 1E k fE 1E 1E 1E iF if 1E if !E 1f iE iE 1f jE if �f iE 1E iE IE iE fE if if if iE iE 3E iE �E 1E iE iE 1E �E 1E 1E
D E V E L O P M E N T S E R�•V I C."E S R E Q U I R E M E N T S
� i� � .
ZONING APPROVED BY '� DATE:
BUILDING APPROVED BY ; - ,. : DATE:
�° 'I.
APPLICATION ISSUED BY: . - '•� DATE: �
iFiklFlEiFkiEiElEfFlEklElEfE1E1EfEiEiEiElE fEkiElEffiEitiEiEiE 1 iEif
LEGALIZATION:N F E E S U M M A R Y STRUCTUAAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 16.00
25Y SMIP/NON—RES
PLAN • '
ISSUE FEE • 6,50
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECH TOTAL PAID DUE
TOTALS----> 16.00 6,50 0,00 22,SU 22.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 22.50 OVER/SHORT: .00
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN—CHECK
12.50
ik iE fk 1E 1E iE 1k iF iE if 1E iE iE 1E 1E iElE iE 1E 1E if iE iF iE if ft if iF k iE k 1f ff ik if'1F ik 1k iF 1F 1F iE iE iE fE iE 1E fE k iE 1E iE ft i! iE fElk 1E fE iE iE 1k iE Ik 1ElE 1k if 1F 1k iF 1E 1k ik 1! 1E 1E iE IE
I N D I V I D U A L; F E E B R E A K D O W N
T'YPE QTY D E S C R I P T I O N' UNIT COST TOT:4L COST
� `.
MEC 1 FACTORY FIREPLAQE ` 9,50 9,50
MEC 1 VENTILATION FAN';CONN TO SINGLE DUCT 6.50 6.50
END� OF FEES
t'
^1 Q0229401—OQZ14401 TQ T 22.50
DATE� 11/18/95 TI(1E- 14:51
COP�STRUCTION AND PLANNING POG SPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
7. TefnPorary Electricat Service or Pole . 52. Pool & Equipment Location _.
2. Soil Pipe•Undrgrnd. ' 53. Steel Reinforcement �; �
3. Electrical Conduit Utility-Undrgrnd. � 54. Forms •
4. EleCtrical Conduit-Undrgrnd. ' 55. Electriwl Bonding
5. Stee� Reinforcement 56. Rough Piumbing & Pressure Test
�• Electrical UFER Grnd. 57. APPROVAL TO COVER•GUN�TE "
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 Floor SYstem � 67. APPROVAL TO DECK �
11. Proqerty Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap • 63. Heater & Vent-Final
13. Roof Drains � 64. Plumbing System � Final ��
14. Rough Plumbing . 65. Electrical�Finai � 1�
15. Rou9h Electrical•Conduit 66. Solar SYstem-Final ' �
16. Rou9h Electric Wiring 67. Fencin9 & Access ApProval �-,;
17. Rough Wiring Sign � 68. APPROVED FOR� PLASTERING y
�� .
18. Rough Electrirai-S Bar CeiYin9 69. POOUSPA SYSTEMS FINAL �
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace ' � t4 �1 APPROVAlS Permit #
21. Dutts, in Structure 70. Underground Hydro
22. DuCts, Ventilating �,.C�6 71. Product Pipinp � Gas D Oil
23. Gas P�Pe-Rou9h & Tesc 72. Underground Fl�sh
24. RoOf Framing � 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Str�ctural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding � 77. FIXED SYSTEM FINAL
29. Insulation , 78. FIRE PflEV. FINAL
30. Drywall Nailin9 HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECT�ON
32. Electrical Power Meter-Final 60. FOOD CERTIFICATE ISSUED
33. Final Electric � Notes: CC,
� IL81J_
34. Fin21 Heating & Air Conditioning �Z,� �6 � 2 �� ,_ � � �L.�- �Z _
35. Final Gas Pipe•iest
36. HoOd or Canopy
37. Fin81 Factorv Fireplace ,..4�
38. Final Plumbing
39. Water $ervice-Finai _
40. Gas Service-Final� - �
41. Sol�r pomesticFinal
42. Backflow Preventer -
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sr�und Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
a6. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern Calitornia Gas Co '
51. CEFTIFICATEOFOCCUPANCY
No. Date
ADDH650FBVILqNG: HZO GALLERY CT ��+*:
axNeirswweiFaavm: POLYGON SOUTH COAST ASSOC FLOOD; X 47
woxess: 15751 ROCKFIELD BL
UNIT 120 N
IRV,2NE,— CA 92718 714-452-0600 a��
WVL. AUIl1NG ADDNESS
/iRCNRECTOXENfiNEEH: LL MAJOR 6 ASSOCIATES uc.r+o.: C-16869
AIICN.OXFNG.'SFWRESS: 1SS1 N TUSTIN AV UNT:
SANTA ANA CA 92701
CON(XRCTOIYS NAME:
ca+rnncrowsxuuxc
�on�ss:
uc xo.:
uxr:
LICENSE� COMNACTOqS DECLANATION: I heraby eflvm under peneEy d perjury thel I em loensad undar prwivione ol Cheqar 9
(wmma�wirp wi�h Senion 1000) ot Dirsian a W iM1e Buainaw vM PMeeeime Code. eM my liunm ia in lull fwca and eHen.
cmuc.No.:066144 uc.cuss: B uc.No.: 659262 EXP: 11/96
ome: com,ma,:
OWNEH BIIILOEP DECLRfl1ilON: I hereby elfiim under peneXy M parlury thel I em eKemq Imm tM COMretlaa Liceme law fa Hro
'Nbvriig reemn (SeGion ]031.5 Buainesa end Pmieasiona Cotle: Any cey a munty xfiidi �aquirw e parmil to consVucl, eXar, impova,
id'oh. a rapai eny swciure, pnor �o ns asuence, eleo requiree tM epplirant lor euch permtl to fib e eg�wd eWemaM Mtl M m eM
xnaeE pureuanl la �he pransims d �he Conlredon Licenea Lew [Chepter 9(camme�tp xilh $ad'qn ]000) W 0'vBbn 3 al ib
.rinese end Prdesaons COEe] or ihm M or ahe is axemq ihaetrom end ihe Eesb In ihe elbped axemqion. My violetbn ot Sedion
]031.5 by eny epplicent br e pe�mil subqde �he epplicaM �o e civil panelly d ml more lhenlrva hundred Eollen �$SOOj).•
� I,eaownerdlhapropenyormyemDW��hwagesaslhe'weolecompansa�ian,vnlldatMxwk,antlihesVucNm'mmlinlaMad
a oRered iw eele (Seclion IOCd, Buw�wss enE Protesaians Cade: TMComre 1oro License lewdoee nM apply�oen ownard prope�ly
.no b�ias o� �o� �na,�. �e � aoas s�n �� Mm�rc o, na�an «m,aan na o� n« ow� emviw�, w�ead mm won
� p10VB111BM98fBfqINIB11dBdIX0/�BIBd�OlSBIB.Ii��IOWBVBf�IhBbYIbI118IXITpIWBTBfl11990u' WI1�1IIIOIIByBVOiWTp�NOtl.��l!
V owner-buiNer willnavetM1e burden d v�'��a ne or sne eid na build «imo���«tna pwpme a sele�.
� I,asowierdthe r g G�I (
0 ape�y. em evdwivety mniredin wilh limmed conlrecbn lo cane4ud iM aG Setlion )Wi. &cei�wea e�d
wwavm�a c«k: rne com,eaors ucer�se �ew aoes nw e�,Wv �o en ow�<r d warem �,�,o nwus « imwa� �nerean ena who
conirecU br audi proi�s'�h a aonvaGor�e) Icensad pureuent to tha Comreaas License Lew). �`., �
� I em aaemq under Section: 1 B. 8 P.C.. M �' n:
Dete: � l I u � j Owner �
i m narenv �v mm i� ew�a d�a ��aarsi�e ma �a��,�a��s a cer Na �e smm c�aa s,ti�,. zsws. zssa�. �e
25534, eM thet I a eny Mure Wildirg oaupent vnll / will rwl (dreb ma) n o comp wnh eeid aiale coEea eM IM reyuiremanb b
epe�milbrmnnrvclbnormodifratianhomlheAi ue�6inyl+renegemaniDistrid.PuidenlielconetiudioneppFra�ionaereeaemqlromiMae
provisiona.
Deb: AVW�:
WOPKER'S COMPENSATION DECLANATION: I Mreby effirm unAer panelly W paijury aw d Me /dlowi�p detlaretiwu:
� I heve vM wil manlein e cenificele d coneent to aeM�insure br xroMars wmpemetion, m prwided f« by Serlim 3)W d iM Lebar
Code, la IM parlormence oi IM vroh la which �his pe�mil ie imued.
n 1 heve end vriA meiMein worke1s' compenee�un insuranro, av reQuiretl by $eGim 3100 d Ne leMr Code. M iM perlwmanm d IM
1F' .�e«.,�ma�m�ve�n�.w.�e.rnr.•«��C`�PRES��NS°��avd�w��mm•��: EXPIRES
c�a.:
. Poikv N„m�,� — 01 / 01 / 9 7
, ihis secfion need nw 6e complefed l llie peim! is bi orro hundred dollers ($f0p/ or bea.J
� 1 canAy thet in ihe pa�lormenca N the work (m whkh thia permn ia iasued, I ehell na emd%' �Y Va�� �� e^Y men�r ao m to
bxoma eubjed ia the woikers campeneetion lewa W Cali(anie, eM aprea � � tl I ehouW become wbpd to iM v.o�ken'
compenmlion provisuna al Sed'wn 3]00 0l ihe Lebor Cade, I ahell 1 wi m � v' h oee provimma.
oma: � 2' g l. nodr���
Wamiry: Fallvro ro securo warkeri rompxue0on rovenPo �+ un/nwlul, entl ell ♦ wt an xnploy�r ro MMIrI psneltls� mL
dvll flms up ro ons nundrstl tMuurM tloll�n lstOq000A /� ���� ro m. cwr e/ compx�s�Wn, am�yer .+peNded ror In
SscHon 9]O6 0l fhs Labor CoOe, lnferost, ena efbmsya lesw
CONSTPUCTION LENOINO RGENCY: I hereby eifirm under perelry d perjury tl� IMre ia a mnstrud'wn bMi�p epeiwry for tlro
�no�� a�na .oM ia .mm� m� re�e �s es�aa (s<ao� aos�, cr. cl.
LENDEP'S NAME: -
LENDER'S RODPE55:
I ceMiy thel I heve reed ihis epplkmian eM sta�e tM1al tha ebave inlamelion is caeree. I egrae to mmpty wilh ell dry eM caumy adinarices
uM atale lexs releling b build'vq comirvdian end hereby aNMr¢e repreeentetivee dihin vry to anter upon tM ebova-mantionetl popeM
Ir°` �°`°�'�°° "°`°°�_ H OB YOD ER
0�,:1 I Z
(St51-IB.WP) Whne-BuilEinq d Sefery:6rearFJe: Cenery-ADN�t: Pink-Revenue: GOldenm�Asaesaor
v_ - CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: E 078572 „ " PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: NEW
JOB DESCRIPTION : 2341 SF LIVING/ 605 SF GARAGE SQ FT:
CLAIM VALUE: CALC—VALUE: GAOUP OCC: R-3 /U-1
COMMENTS: NEW SINGLE FAMILY RESIDENCE / PLAN 3/ REF B—����
�����titat�r�*iE*it��ie**�+��+t�*it***et�ritieieir***+��*�iE+�+��tf*�x���*** it �it*ieio-�rtFiFiEiFieiEat+�+�+�*
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
PERM NO; E 078572
GOVT; N SUPP: N
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGAT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14151132 ZNE: REF NO:
PLANNING NOTES>
%
iE iE 1E if 1E 1E 1E'lE iE ik �E fE * iE jE ik iF 1E iE iE 1f iElE jE iE iE 9E iE iE iE iElE aF 1f iE 1E 1F 1E �E if �E 1F 1E 1E �E �E iE �k �E �E 9E 1f iE 1E iE �E iE iFlf 3E 3E 1F iE 3E iE jf 1E iE if iF ik if iF iE �E if if iF ik
D E V E L 0 P M E N T.r S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY "�, DATE:
BUILDING APPROVED BY :
DATE:
APPLICATION ISSUED BY; v �' ./(�'�� DATE; �—�Z�/
3fiF1f1E1E1EiEiEiEkjEiEiE�EiE�EiFjfiflfjElE IEfE�EiEiEiElE�EjEiE � iEiE
LEGALIZATION;N F•E"E S U M M A R Y STRUCTURAL SEGMENT:N
HLDG PMT PLUMBING EL'ECTR'ZC MECHANIC FIRE SMIP/RES GRADING
PERMIT 120.=10
— 5�0& SMIP/NON—RES
PLAN ��' '
ISSUE FEE �22;-00
BUILDING—DIV—> PERMIT ISSUE P.LAN'—CHECR TOTAL PAID DUE
TOTALS----> 120,10 22.00 ��` 0.00 142,10 142.10 .00
REVENUE DIVISION TOTALS--> COLLECTED; 142,10 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
142.10 ;a �,
if' �)E 1E �)E if if !k if # iE 1E iElf iF iE �IF 3E �E iE iE -0E �lE 1E 3E �F if 1E �lElE jf if 3E iE if 1f if' if iE if 3F 1F iE'lE if iE 3E iE iEl4 iE iE �)F iF �If')f jElE iE� 3f iE 3f !E� dF �E �lE�lElE �IE 1E'lE 3k iE �)E')I-1E iE iF iF IE
I N D I V I D U A-L �:: F E E B R E A K D O W N
:' f''.
TYPE QTY D E S C R I P T I.Q N� UNIT COST TOTAL COST
�, r
ELE 1 FIXTURES, LI(�ATINGr 1 ST 20 EA, 1,00 1,00
ELE 1 RECEPT/OUTLET 1 ST 20 EA. 1,00 1.00
ELE 3 RES APPLIANCE NOT OV�R 1,0 HP 4,25 12,75
ELE 2341 NEW RES BLDG FOR 1 OA,'2 UNITS/ SQ FT ,04 7.05,35
END� OF FEES
'r-� c �:_� ' `
,� ��. _
CONSTRUCTION AND PCANNING POO SPA
APPAOVALS Permit # Date �Inspector p�ppROVALS Permit # Date Inspector
t. Temporary Electriral Service or Poie �_ 52. Pool & Equipment �ocation
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2. Soil Pipe-Undrqrnd. ' 53. Steel Reinforcement -'
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3. Electrical Conduit UtilitY-Undrgrnd. 54. Forms '
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4. Electrical Conduit-Undrgrnd. •- 55. Electricai Bonding '�-
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. 5. Sreet Reinforcement . 56. Rough Plumbing & Pressure Test -� „
6. Electrital UFER G�nd. 57. APPROVAL TO COVER�GUNiTE l'�
7: Footings 58. Electrical Conduit-Undrgrnd. '
8, Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water PiprUndrgrnd. . ' ;� , 60. Backwash Lines, P�Trap, C Undrgrnd.
10. Structurol Floor System "�>, _¢t. APPROVAL TO DECK �-�
1 t. Property Sewe. Line & House Connection _� 62. Backwash & Receptor-Final�,' I
12. Sewer Cap , `63. Heater & Vent•Final
13. Roof Drains -�} � 64. Plumbing System � Pinai
14. Rough Piumbiny , 65. Electrical�Final i
15. Rough Electricai-Condurt 66. Solar System�Final " "
16. Rough Electric W�ring �p_�p 9G ��( 67. Fencing & Access Approvai -_
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17. Rough Wiring Sign 6$. APPROVED FOR PLASTERING " j
78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIqE DEPT. REQUIREMENT
20. Rougb Factory Fireplace - . APPROVALS Permit #
� 21. Dutts, in Structure 70. Underground Hydro
22. Dutts, Ventilating . 71 . Product Piping O Gas O Oil
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' 23. Gas Pipe•Rough & Test . . , 72. Underground Flush "
24. Roof Framing � 73. Undergrnd.StorageTank OGas �Oil
25. Roof Sheathing � 7q. Overhead Hydro ,
26. T�Bar Ceiling �StructuralV & Alonocoat � 75. Dry Chemical � -
27, frame and Flashing ,. 76. Dry Standpipe �
28. Lathing & Siding - � � 77. fIXED SYSTEM FINAL
29. insulation 78. FIRE PflEV. FINAL
30. Drywal� Nailing � HEALTH OEPT. RE�UIREMENT
37. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final `j�/9�( ��./�80. FOOD CERTIFICATE ISSUED
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33. Final Electric - �2 ��;9 �l�otes:�o.g_qb �1/O'r R�AP Y U!`f
34. PinalHeating'&AirConditioning' ' IO•)O_9l� �OUGH �i.�eY� dK Q1V
35. Final Gas Pipe�Test ' �
36. Hood or Canopy
37. Final Factory Fireplace • .
38. Ffnal Plumbing �
39. Water Service-Final . '
40. Gas Service•Final : _ �
41. Solar pomestio-Pinal . �
42. Backflow Preventer .
43. Backflow Irrigation
44. landscape Irripatioo Sys2em - - .
45. Sound Attenuation
46. Handicap Regulations � , " '
47. FINAL STRUCTURE & BUILD�NG
48. FINALPLANNING '
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OP OCCUPANCY
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