HomeMy WebLinkAbout3124 ENCORE CT - Building PermitsADDFE55 �F BUILdNG:
QYNEAS NlME IF IP10WN:
�ooness:
CA 92718
nooncss:
CT uNr:
RTIES FLOOD; X 47
LD BL
714-452-0600
ANCNRECTORENtlNEEN:LL MAJOR 6 ASSOCIATES ��� C-16869
1fMX.OHENO.'SWDNE55: 1SS1 N TUSTIN AV uN*:
SANTA ANA CA 92701
car+m�crarswwePOLYGON SOUTH COAST ASSOC ( 714 ) 380-2011
coNrn�croas�uuxc15751 ROCKFIELD
�noxEss:IR CA uc.e+o.: 659262
9 2 718 uNr: 12 0
LICENSED COHfPACTONS UECLAHITION: I hareby eflirm uMm penelly d peejury ihet I am lieenead uMm povisione W Chaper e
(mmmend�p wilh SMian ]W0) d Divrsion 3 d IM Bwiiwss aM Prdmsbm Cotle, enE my liceme o in lull lace eM elletl.
cmuc.No.066144 uc.cuss:g uc.No.:659262 EXP: 11 /96
Deb: Conlreqa:
OWNEN BUILDEN DECLANRTION: I Mreby etfirtn under parely d parjury �hal I am eaemq irom iM COMredae Lkense law la iha
Idbwip renaon (�� ]W 1.5 &ni�esa erM PMmsbns COEe: AM cry a wunN �� �eVuirea e paimil to mnshuc1. eller. improve.
'yndoh, or repev eny slrucNre, pior lo Xs baueMe, abo requiree Ihe appliraM fw euch permn to fib e vqmd ete�emanl ihat M w eM
iceneed pwauenl lo Iha prwisiona d tbe Conlreclon Liceme Law �Chep�er 9(mmma�nB'�h Sedion ]000) d DNoion 3 W IM
sirien enE PrWexona Godej m ihel ha w slie ia eaemq Iherelian end I�e baiia lw the elbpeE exemqun. My violeion d Sedan
,031.5 by enY eGWke^t lor e pertnn aubjma �M eppliram �o e tivil parely d iwl mae �Mn �ve huMmC Edlen IS500�.
� I, es ovmer W �he prope�y w my empby wnh w\e9ee ea ihe'v eola mmpensetion, will Eo Ihe work, arM IM eVuaun w rw1 imendeE
«oMaradror aeb (Senion'loaa, euaness ena PMesebnscoC•: Tne con�redon Lioanse Lew Eaes rrot eppry io en ownx W peopeery
who Wids a in0�� ���. �� does such wJrk limmll or hene� a throuph h'a a har own empbyeee. prwiEeE Ihet wch
improvemema are not imeMed ar dlereE lor sele. tl, howaver, lhe Widinp a'unpwemem a edd xilhin om yeer ol mmpinbn. iM
ownerbuiMar vnll heve iha buken d pmvin0�he or ahe did nm build or improve Iw Ihe W�a of eeb).
� I. m oxmr d iM popeiry. am e�tlusively �onirediq wilh lioensed conirenwn io wnsvup ihe pqetl (Seeion �Oea. Busi�rosa eM
Pmleaions Coda: The Con�radon Licanae Lew Aoes rwl npply to en awrer d popeny wM10 WiNe w impwm ihereon erM who
conlrens ior such prqena wnh e mmretla(s�;licensed pursuent io ihe Contreclors Liceme lew).
I em exemp uMer Section: !� B. 8 P.G, la Ih e
oe � 1 7� g l �„�: �
i m n�nr �nM �nm i� ewara a�a ��aam�d o» �a�+��� a c om� �d sr�r cma sea�,. zsws, us.v. �a
2553C. entl inel I a eny Mure Wikirp oaupenl will / wll 1w1(tlrcb ore) wiM1 eeW slete mEes aM IM �equi'emeMs far
epe�mnbrcansVunionormodifi<atimhwntheRi�egemen�Diatnd.Resida wnnrudoneppfutionaereaumpilmmNeae
prwisions.
oe�e: naa�:
WORKEN'S COMVENSATION DECL�NATION: I Mreby effirm uMm penelly d pe�ury are M tha lollowiip deduetiom:
� I haw arM vlil mvnten e cenXicele d mnaent lo aeX-inwre br wotkaii cwnpanWun, n prwked Ip by $eclon 3>00 d iM Leba
CaEe, la �ha paAortnence ot �M woM1 lor wNcM1 �M1in parm� ia iuueE.
_ l�l I heve aM xil meinlen worke�s' wmpenfelon in5urence. av required by Setlim 3>W d IM Lnbor Code. iw IM perlormence d IM
�� wak ta whiM Ihis peimX is mued. MY wakers canpensaiian inauruwe ramer enE pdiry number ere:
ce,�a.: CYPRESS INS EXPIRES
vwKy N�mea,: O 1/ 01 / 9 7
�c seniar neea �w aa �cbred r rna c�.;+ ro. o�a n��d�.d edws /siwl a iess.�
� I centy tM1ei in �ha pedormence d Ihe wod for whkh this permn ie ieaueE, I ehell iwl employ eny person in eny menner ao m m
become suCletl ia �M workere canpeneetian lewe of Cdilomie, enE epree th ' I zhouk become wbjed ta iM woMen'
mpms9ti patlsiona d Sad'an 3100 d Ihe Lebor COEe. I ahall t xnh mm a pwisons.
Date: � AVPliceni:
aminy: Fallun ro ixuro worksn'ronpmutlon roverps 4 u wNl, e sh an rriploysr ro MMroI penaltlu and
elvll flrna up ro on� hundrM tMuurM Oollan (Sf00,0001, In M�ltlon b t ol �tbn, Mmep� �s povltlstl br In
SxUan 3)O6 0l MsleborCorb, Inferest, end attornsy'a /sea.
CONSTFUCTION LENDINO AGENCY: I hmeby �rtn uMer peneM1y d perNrv �� ��e u a conalrudion bMi�p apeir.y br IM
�no�e� a m< wo� ia.n��n ma w�+ n ms�ad (s�e� aos�, c�. c�.
LENOEH'S NRME:
LENDEF'S RUDRESS:
I cenity thm I have reaE Ihia eppliceiim end ae�e �hei the ebave inloimetion ia corted. I eprea lo canpy with ell tlty eM munly oNinenms
antl aiete levrs relevq �o Wiking construcHon end Mreby eNMr¢e represenieirvea d �his ary io entar upon �he ebwa-mentionad proparty
������°��O��D�HOB YODER
_ �.
�' o�a:
(5151-ae WP) Whna-Buildin0 8 Seley: GreerrFle; Cenery-ADPlicenl; Pink-Revenue: GOWenroJ-Aaxsmr
CITY OF'COSTA MESA — BUILDING PERMIT �
PERM NO: B 077223
PERMIT NO: B 077223 PLAN CHECK NO: 01220-96 A GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: NEW
JOB DESCRIPTION ; 1901 SF LIVING/ 476 SF GARAGE SQ FT: 2,377
CLAIM VALUE; CALC—VALUE: 157,893.50 GROUP OCC: R-3 /U-1
COMMENTS: PLAN 1 NEW SZNGLE FAMILY RESIDENCE
*+�+�+e�+�*+�x�*�**ft**��**�ie� �**�**at��x *� �atet*�***x ***x �*******atet**�x+�*+eet*atat�t*�**�*�t*�
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 HUILDING ---------
FRNT: SO FT IN REAR: 10 FT IN FRNT: FT IN REAR; FT IN
LEFT; 7 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN
PARKING RE�• 2 PROV: 2 PARCEL; 14151132 ZNE: PDR— REF NO: PA-95-36
PLANNING N TES> SINGLE FAMILY RESIDENCE WITH ATTACHED 2 CAR GARAGE. PARK/
>%TRANSPORTATION FEES DEFERRED TO OCCUPANCY. P,F,E
3E fE iE iE iE 1F 1h iE �E �E jE �IE if� it fE jE iE IE jE iE 1(� �E iE iE 1E iE iE 1E dE iF 1E 1E 1F fE * iE ik ff� iF if iE 1E iF iE iF iE �IE'1E �E iE 1E iE 1E �E iE iF iE iE if k iE 1E 1E �k if iE 16 iF i(-ik iF iE 1E 3E fE 1E i! iE �lE
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 APPROVEDrBY : �- �' DATE: �
.� �
HUILDING APPROVED BY : I% �� DATE.
APPLICATION ISSUED HY: ' �/�YL— DATE;
�**���*�**���*��***�**������������� ���������������**�*���������**
LEGALIZATION:N F E E S U M M A R Y STRDCTURAL SEGMENT:Y
PERMIT
BLDG PMT PLUMBING ELECTRIC MECHANIC
1,177.25 •
PLAN 191.30 �'
ZSSUE FEE •-
BUILDING—DIV—> PERMIT ISSUE PLAN=CHECK
TOTALS----> 1193.04 0.00 191.30
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMHING ELECTRIC MECHANIC
1177.25
FIRE SMIP/RES GRADING
15.79
SMIP/NON—RES
TOTAL PAID DUE
1384.34 1384.34 .00
1247.43 OVER/SHORT; .00
FIRE SMIP/TOT GRADING PLAN—CHECK
15.79 54.39
1E iE if 1f !E 1E 3E 1F 1E 3E 1F iF 1E 1E iE 1E 1E iE iE iE iE 3E 1f if 1E IE 1F 1E IE 1E 1E 1E 1E fElE 1E 1E 1E fE iElE �E fE iE fE fE 1E �E iE iE inf 1E 1E 3f iE 9E 1E 1E aE iE iE 1E 1E iE iE 1E 9E iF iE 1E if 1F 1E ik df iE 1E if -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 R I P T I O N' UNIT COST TOTAL COST
SFR 1901 DWE—TYPE V—WOOD FRAME, =GOOD 77.90 148,087.90
SFR 476 RES—GARAGES TYPE V � 20.60 9,805.60
END;OF FEES
. Q
�I " ,.� .• G-
CONSTFUCTION AND P4ANNING -' P��� �A
• Date Inspector " • Date Inspector
APPROVALS Permit # APPROVALS Permit #
1. Temporary Elecir(cal Service or Pole _ 52. Pool & Equipment Locatioo.•.
2. Soil Pipe-Undrgrnd. '� 53. Steel Reinforcement �.., (r. j
�..
' 3: Electrical Conduit,Uti�ity�Undigrnd. -� 54. Forms ^;� � ,; �i y
"4�. Elettric3l Cooduit-Undrgrnd. - 55. Electrical Bonding � - - `-i �•j
�-5'xSteel Rei "rLf.orceme�t . � rz�sG ' 56. Rough Plumbing & Pressure Test ''�"
1
� ,"6. Electrical�UFERGrnd. _l�=l�- 57. APPROVALTOCOVER-GUNITE �i
^`9.'Footings?� ' - 58: ElectricalConduit_Undrgrnd.
„
_.8? Founda[ion' , 59. Gas Pipe, � Undrgrnd.; Test '
'9.. Water Pipe�Undrgrnd. r ��� 60. Backwash Lines; P�Trap, � Urxirgmd.
T. �
10. Strucmral,floor System �� 6}. APPROVAI TO DECK "�% �
17. Pr¢perty Sew�f line�& House,Connection � Br�-: Backwash & Recepior-Finai;� /
12. Sewer Gp ' - - .J-' 63. Heater & Vent-Finai �-= �.' �' .
13. Roof Orains � •' 64.� Plumbing System � Final ��'�� .
14. Rough PlumbinJ' t • � i 65.� Etectrical-Final 1
1:5. Rough E�ectrira6Con[luit .. . 66. Solar SYstem-FinaL � � -•
1-6. Rough E�ectric Wiring � .- 67. Fencing & Access Approval "'
1i7. Rough Wiring Siyn ' " - 68. APPROVED FO�R PLASTERING _
18. Rough Electrical=T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �
19. Rough Heating & Air Conditioning. Q._ , • FlRE:DEPT. REQUIREMENS
, _ . _ _ �_r. r . _._
20. Rough Fattory.,Fia-eplace �F � . _ _ _"� : APPROVALS� y PeFmit �F - -
2L CTucts, i� Struc[ure= ; �� � - �� " �� .� 70. Undergrouna HYdro y
22. Ducts, Ventilating. � � � � � � _ � � - 77, Produci:Piping OGas QOiI
...
23. GSs Pipe•f�ougt� & Test , ,. - ; ` r :. =.t � 72. Underground Flusfi � � ,
24. Roof`Framing � * :��� 73: Undergrnd. Storage�Tank Q Gas O Oil
25. 9oof Sheathing ` ��' `� �'G-' ,., 74: _Ovechead Hydro- - .
26. T�Bar.Ceilin9 (Strvctural} & Monasoat � ? _ � 75F Bry �Chen5ical - ' ' `
2Z Frame and-Flashing`� ; - Y � ,� �g-���` � e- { 76. Dry Stan�pipe ;; ,_ �
1 4 - '
_ 28. Lathing & Siding �� _ � • _ _�!/� � .: 77J pIXED 3YSTEM FINAL� ' � �
29. Insulatipn' ": . -_ ' ' . �fG �T 78 PIRE PREV. FINAL • � -
, 30. Drywall Nailing - » .. . : �� �.b « _ .HEALTH DEPT. REQUIREMENT
. 31. Plaster 0rown4(�p32r�' - • � '�//�` '� �79. PINAL INSPECTION '` _ _, - "
32. Electrical.Power MecerP�nal � . SOrF00D CERTIF�CATE 19SUED � �
- 33. Fina�Electric �, _ •�� - ' _ � _ Notes: - :. =
' 34. F_inal H¢afing & Ai� G�ond(tioning " _ , � sr �p ) �/�4 . � � �
35. Final Gas Pipe�Test. Y " ;Y ; ' . � ' ". - ` �
r -
36. Hood or CanoPY . ` , i - .s� � c - °-�
"'37. Final Factory Firepl�ee_^ "' ' �
� r � .
-38. Final-Plumbing . . .� �_. ', . . '-r � •
39. Water Service-Finai - �� � " ' - +
.40. Gas Service-Final - - , . r. _ , T
41. Solar pomesticFinaP - � f � - "' • - �
r.
42. Backflow Preventer - -. � ' ` ' �`- .
•1 � T _
43. Backflow Irrigition -� - �
44. LandscaPe'Irripation�System - __ ; � - , ' , _
45. Sound Attenuation r �• • y -- - =" "' • -
� Y �' 4L� '
46. Handicap Regulations � - � � - ` .;,
47. FINAL STRUCTURE & BUILDING - ��`yJ(�'� _ . _
48. FtNAL PLANNING , � � ` ' .
49. Electric Release to Edison �
,
50. Gas Release to Southem Calitornia Gas Co _, -� -
51. CERTIF�CATE OF OCCUPANCY
No. Date
.�
�� Hall & Fbreman, Inc.
e Civil Engineering • Planning • Surveying • Public Works
September 23, 1996
Building and Safety Division
City of Costa Mesa
77 Fair Drive
Costa Mesa, CA 92628-1200
Project Address
Lol Number:
Tract No. 15211
38 3ia ti ENco�'e G�.
Permit Number. GRA075893
By Civil Engineer:
4665-GRA08
I certify to the satisfactory completion of gruding in accordance with thc 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 surPace water from each building site.
The minimums are:
2% fall from structures within 5 feet from exterior walls.
1% fall for aspholt surfaces and landscaped areas.
0.5°/o fall for concrete surfaces to approved disposal areas.
The Enal monuments as shown on the recorded tract map were set. All final grading elevations are
within ± �/10 of [he designed elevations.
Supervising Civil
13621 Newpart Avenue, Suite 200
Tustin, California 92680-7803
Tel 714/544-3404
Fax 714/544-3155
�eg. No. 37445
Date ���
P.
No. 37445
� Exp.6/30/88 �
,
r
�
�
�
�
AODflES$OFBUILqNG: 3 S Z'�I ENCORE CT
av�RsruuEiFa�apOLYGON PROPERTIES
d00RE55:1S%1% ROCKFIELD BL
UNT:
FLOOD: X 47
RVINE CA 92718 714-452-0600
APPL.M�IIIWIADOXE55: �
�qCNRECTONEWiNFFR:LL MAJOR 6 ASSOCIATES ���� C-16869
1pCH.OHF.HG'S4UDNE55: 1SS1 N TUSTIN AV ux.:
SANTA ANA CA 92701
ca+m�cTarsx��e:RESIDENTIAL ELECTRIC ( 714 ) 556-381 3
coxm�croxs �uuxc 3 2 4 0 S S TANDARD AV E
woxess:SANTA ANA CA uc.no: 334362
92705 uNr:
LICENSEU COIRflACTOFS OECLAflAT10N: I Mreby aflim urMer panely d pnjury the� I em lienxtl undar po-risuns d Chepm 9
(commencing wilh Sedion'l000) M Oivision 3 0/ �he Busimse eM Prdessiona Cade, eM my licerue o in tull brce eM eflen.
cmuc.No.014395 uc.cuss:C 10 uc. 0.:33 362 XP: 1/9
P�a ������ �o�„�o,: � no �1, a �,.: a
OWNEfl 9UILDEfl DECIAFATION: I Mreby effi�m uMm parely d perjury Ihet I em asamq Irom �M Conlratlae license law lor the
following reeaon (Seaion'l031.5 Buamass eM Prdeasions Cade: Rny cny « county whitli reyuirea a permil to mmVucl, dler, impove.
damd'eh, or ropei any simdure, pia lo da osuence, ebo reQuims Ihe eppli�eni tw auch parmd lo fib e sigr�ed slelement thm ha or ehe
licensed punuent lo iM povisbns d IM Gonlradors limnse lew ICheqer 9(cammmbiq wilh Seaion )OW) d D'vvion 3 d �ha
aviness aM Prdessiwu Code� or �M1et he w sha ia exemq Ihae4om eM Ihe baav Iw ihe dbpetl uemqion. My videtion d Sedion
)03i.5 by eny epplirani for a permn subpcls Ihe epplicen� lo e civil panalry oi nW moro ihen 1'He huMred ddlen �5500]).�, •
� I, m oxnar d �ha propeny «my empbyma wih wepea m ihai wb compemetim, xill do the wwk. eM Na elr�dure b nd inteMeE
ar oflereE lar sale (Saclion ]044. Buvmss eM Professbns COEe: The Conlradon l'xeroe lawdoea rd eppyto en ownar d popa�ly
wno e�am o� �mn�o.�s m,,,o�. �a � a� a��n �M nm„n o� nenan w m,o�on na o� na ow� amvioy�., o'o�dea mm .�,�n
imprwemems ere nM inieMed a dlared lor eeb. M, however. Ihe buikinp a'unpeovemem ia edd wilhin aw yaer d eom0��. �he
awrerbuilier xill heve tM WrEm d poviip M w she d'd nd Wild «impova la iM WN�e d aeb).
❑ I. es owiwr W the DropeM. em exduarvaty mntrmirq v.nh IicenaeE conVectwa to conatrve IM P�I� ISadion 1014: Businme arM
Pro�ma�one cade: ma com,ana. uce�sa Le. aoe. �a mWr �o an own.r a worem �.no nWb. «�mwo.m mercon ana wno
mnvern lor wM pqeds wilh e mnlreear�e) Icanaetl W��I �o �M Cantreqore Licenea lew�. ''�
� I em eRampt uMar Sac�bn: 8. 8 P.C., for �hie raeaon: �
De�e: Oxner:
I da hareby ronity thei l em eware d eM urvJerslerM Iha reyuiremame d Cellomia Hmlih eM Sefety Cada Senione 25505, 25533, enE
?SSM. eM inel I or eiry hnun buiWirp oaupent will / wil nd (arcb a�a) need to wmply wih eeM slete mEes enE iM requiremente for
apermnlaconairvnionorrroEifra�ianhomiMAi eu�aagemant0is�riq.Pesidmlielmna�uaianappkmiomenssamqfmmlMae
p.a�isio�s.
Dme: ApplcenC
WORKEN'S COMPENS�TION DECLAN�TION: I �ereby eifi�m under panelty d perjury aw M ihe idloxirq dadermnna:
❑ I heve eM W meintan e cenEiuta W mnmm io aeXimure br xpken' compenution. u qwided fw by Sedion 3�00 0l ihe labor
Gotle. lw tM peAarmeze af the wwk fa Mich ihis pe�mn n ia�.
❑ i ne�> �a �:n m,�m� .on�� mmo��A� ms�.��, �.,amrea er saa�� a�oo w in, �,e« coaa, ro� ina oan«m�,� a ma �
wak /w whiM Ihie peimX is asueE. My warkars compensalion inwrarica cemer enE poliry number ere:
c��: CALIF COMP_ EXPIRES
voiicyNumber. W95617 06/01/97
nis sedion imed rat 6e canplarod / tM perml is /a are hundred dolbrs /5100/ a bss.)
❑ I cerlity I�et in IM parloimenca ol iM woA fa whkh Ihis permn e isaueE. 1 ahell iwl employ erry pamn in enY menner so av to
bacwme aubpa to tM woikera' companseiian lewe d Celifomie, enA egree ihet il I ehauld become eubl� to iha wakers'
oe�a: �5 � �Q \ � � ��� d ��, �, �,. �\ ,��,�� c�n Q o. ��.�,�.n�C�"a
Wemlrp: F�llun ro azoro workxi rompeiwtlon cm�rps b unl�wNl, enJ sNll utl)wf en emp/qx ro ctlMiul pxuMu mtl
clvll Illns up ro on� I��ndrotl thouaaid tlo/Mri /Sf00,00p). In MO/fbn (o tli� eost o/ compsluaflon, darrvpa u proHdW br In
SxHon 9)O6 0/ tlie LMor Cotle, Infenal, arM ettomey'a lesa.
CONSTRUCTION LENDING AGENCY: I hereby eifirm uMer penely d perlNrv �� �ha'e e e mnwruUun bMirp epercy I« Ua
perlormence ol Ihe v.n�c br which �ha paimn is ceued (Seaon 309], Giv. C�. '
LENDEP'S NAME:
LENDEfl'S ADUflE55:
I cenM �� ��'e reeE Ihia epplication eM cieta thet iM ebove iniwmelion ia mrteU. I epree io mmpry vrith ell tlty end counry ardinenms
eM eteie lexs �Ne�'vq m Wikmy construaion end Mreby eu�harce representefrvee d ihie dry io enter upon �he ebv.•e�memioneE propeM
br inspec�ion purpwea.
� , ANDREA SUSTAITA ., , ._, _
Dela: �
(5151dfi.WP) Whna-B�ildvq 8 Sefely: Grear�-Fle: Canery-Rpplicent; Rnk-Ravenue: GoldenmA-Anaenor
CITY OF COSTA MESA — BUfLDING PERMIT �
PERM NO: E 077611
PERMIT NO: E 077611 PLAN CHECK NO: N GOVT: N.SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: NEW
JOB DESCRIPTION : 1901 SF LIVING/ 476 SF GARAGE �g�-'� SQ FT:
�iCLAIM VALUE; CALC—VALUE: GROUP OCC: R-3 /U-1
COMMENTS: PLAN 1 NEW SINGLE FAMILY RESIDENCE REF: B-77223
*x�r�r*�r*x�x�*�x�rx�r�x*�rx�x�x��x�x�+r�r�rx**xx�r�r*****�rx**�rx�x�xx�*��+�+r+�+�+�*�r�+� *x�*xx�*�r+rx�***+��r*xx
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 14151132 ZNE: REF NO;
PLANNING NdTES>
% l; . !
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D E V E L O P M E N T S;�E R V I C E S A E Q U T A E M E N T S
ZONING APPROVED BY � � DATE:
f /
BUILDING APPROVED BY :
APPLICATION ISSUED BY: 7 1��
it *ititiFitiEiEieiEitiFitititiEiEiEitiEitx��FiFIFiF�FiF3F�F;F3F7F'ifTF3F3F TFiF3F3F767f�f7�
LEGALIZATION:N F E E' S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 77.04
SOE
DATE,:
DATE:
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
SMIP/NON—RES
PLAN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 77.04 15.00 0.00 92.04 92.04 .00
REVENUE DIVISION TOTALS--> COLLECTED: 92.04 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
92.04
iE IE iE ih i(' iE 1E iE iE iE iE 1E 1f iE if if �F 1f IE iE If IE 1F iF If� If if K 1F * iF 3E �E 1F �E if ih ih IE 1E iE 1F 1E 1F iE iE 141E 14 iE 1f 1F if if ii 1F iF if iF if� iF IF iE iE IE 1F iE if iF iE iE 1F 1E IE if iF af' if'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 1,. FIXTURES LIGHTING 1 ST 20
EA. .75
ELE RECEPT/S�IITCH_ 1 ST 20 EA. .75 ,75
ELE. ,. .,.. 3,_.., NON—RES APPLIANCE,NOT OVER 1.0 HP � 3.00 9.00
ELE _ 1901. . NEW AES HLDG FOR 1 OR 2 UNITS/ SQ FT .03 66.54
END OF.FEES
U: CL'i'3:;�..i . ;r,.,,>0 — - , �
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-
COjJSTRUCTION AND PLANNING
APP�OVALS Permit# Date Inspector
1. Temporary Electrical Service Qr Pole
J
2. SoilPipe-Und�grnd. a_ -
3ayaprgrno. �
ieitt�
C�ana -
a�a n
-'� a: �
} � •J.
lS o
�rnd. `-� � r
POOI PA
APPR0�IALS Permit #
52. Pool & Equipment Locacion �
53. Steel Reinforcement
54. Forms . '
�55. Electrical Bonding �
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVEft�GUtVITE-
58. Eiectrical CondSi�ilndrgrnd.
59:_ Gas Pipe, O Und'rgrnd., Test
60. Backwash Line� ��Trap, O,UM1drgrnd.
Date Inspector
�.�
\
c ' �
n -
n
10. Svjpctura,'F,-Floor�$"qptem ,� -� 61. APPROVAL TO"�ECK �
17. Praperty �Sewcm Line,�& House.Connection 62. Backwash & Receptor-Final' �
c w �
12. Sev,�er Cap � '� --• 63. Hea[er & Vent-Final r
Y3. flaof Dralns �-� ^ . � 64. Plumbing System - Final
4�4. Rough Piumbing�; w �•„ ' 65. Electrical�Final �'•;
t5. Rough Electricai,Coof'Juit �:. - 66. Solar SYstem-Fh�fi� �
76. Rough El�ctric V'4iriT �+4 /�� � 67. Fencing & Acce�is;Approval
� ��
77. Rough ving $yn J � . � 68. APPROVED F�°IASTER!'NG
18. Rough ElectricaV-T Bar Ceiling '�- 69. POOUSPA SYSTEMS PINAL
19. Bou� ki�atirtg,& Air,Conditioniuc. C. x v. m�� �� � FtRF<BF.BT.rREQUIREMEt�}-T t*;c< :r�
. .. . ' . . .. � r, �'1 SU :J J !*i .F �.. .� � .-
20. ftbugti F�tor9. Fi�place SC' �- y' �-' 7'� 'APPF�QV94CS�!-' Pec'Tnit #* �" '-'r:: ��'
r ri y '; f. � i-�:� �. ^,x� S: "� v�. c :�7
�r; . � .. .. r+� z: � �.r. � . .- ..a �
21. [�ucG§t in�tru turA-_�; � ti i , - ;, w.. 70. it�nderyreenci FtPdro •
22. �J:uCtSi VFntil3Ein �: ,r, i k r Q i� F�:
� �, 9• � H� �71. Produ Piping�7LCia5 �Oil
23. Gas .+ e- ou � &S'st �`-` * �`�• a C * � � r
� � � � : r:+- � .=. S * i 72. Undergrpyqd F�s� �, .
24.�ioof raming S�• � � � a� � �-+x -7�Undergma.Sroia�ATanf�f�,OGas ❑Oil
c. s v�n Nt v v r.�
25. ,H�oo�'Sheathin " '�' `' M �'- '
9�. �p. y �., �x 74. Overhead Hydrge
26. T Ba�•Ceiling (StruCWra1) & MOIIcEoat '� :� ?+ � � * 7� Dry Chee7�'ical E"D � ` ^r' ,
� : rr nt' # �r >•;•
27. F,harn'e afid' Flashin'g * `�=,C.i > V ., j.x 76. Dry Stan�Pine �'.�'�, ;� r n; ^p� .c,
�.28. LathingBiSidingi-;.� -�'�� � ' � 7T FIXEDSYSTEM�INA�" '� T+i;'ti
- ra
. 29. Insulatiop`; `ti}� S � � K 5 ; i 7� FlRE PREV. Fl%�L �� � r ^
30. Drywall ftlailing ��r ••- !� F � � _ oBtEALTFi���EP�. REQUIREIGtEN7
,: F-. c,- s -'= r-
! 31. Plas[er BSowrr�T•oa�.r � ; ��E;_, �: � � 9�. FINAL I�SPECT��,W X - �, ;_. '�
• 32. �lectrica('�'ower tvteterFinal ' �B� �� � � FOOD CERTIF�ATE ISS'�cJE� -
` '3`-•=: - � y � _ ` .. _ . ' ..,
:33. F-ina��lerSric;y c;t�r i "... ; l6`� � � �Es: ��� r.�; '-� O �' ;:
.. O ^
� 34. Fna�Hea`t�ing� A{G �o:�itioniri'g.- Y� i .� c- ,00 c � f-c: '9 � �- _ y
�1'�S T }"Yti :�t`1
35. �ina�Gas'Pipe=Tes�?; G •• r,r� � .L: ^�o O^ x n:tu� r•
;� r , � ,. .; � M �,[^r•. =
; 36. Hoo�or �anaPv [-�• ` , ` �-^+ � � � ^70 > r: cao�.� � HtT
'" - x OC
=37. Flnal'Fa�(pry Firepl�ce� � r; ;' �' j �t .; '��'nd
z r1: x ., i
; 38. Final-Plumbing r.�-.,� �. r.^, �`� w a � x c, : c ��y �'
I �, m f^ fl
� 39. Water�Service-Finat•'' <- . * = " c^ ^: r�^•
r r� .� �t � c..:� • * rs; r^'� � ��
G..% •. --. • '_ ' v: i v... .. :
?40.GasService-Final ,�r t�E,� � �: � �, . �r i:�
� 41. Solar OomesticFinal' ' F`' ,'' '""� " ' x ='
� k � ! i�, �-i �< �
42. Backflow Preyenter; a;, `• �,�, y: H � * ;r =:0 x`� p-
--- � .
43. Backflow Irri�tion r • � ' a * -' �' r ^ ' � ' ' ' '
::�-,-. »: x• fti r � � t��o�
I"' lli C' K � r"L.' •' • .� `J �� r tY - v�+v.`.
44. �andsca� Irripation�System ��- ,-., .,: � •� �c, d;�� � r g ;, 1� �.� �� F
_ �. ,
t . .
45.S,oundAFtenuation* J^ S K +��!�r� � H� ^� �
N Y' .. Y
r.
46. Handicap'Regulation�s ' � *�- �* :r :� `" �
47. FINRL STRUCTURf & BUILDING ' `- � -�4'.. • � a' ': �,
rt r i .^r . x � y+ (' G; "7 � i�
46. FINq-L PLANNING # ;" i , .: ;; ,, c� s x 'c.
� t ...
48. Ekctr•ic Releaie to Edison � e: i' i tl: •^ * �
�' 1� C.v : G o^ F �, c, r,�.
'• i�-� Y � f.0 M V�
��0. Gas F�4lease to"Soutfjr;m Cafifor�a.;.Gas Co r r� �=� ; t x na �.� �;,�
Y r. i n a.
1. CERTIFICATE OF OCCUPANCY
No. Date
�
�
ADDNE440FBUILpNO: 3ZZ4 ENCORE CT ur+r:
avr+EaeNu�EiF�vr+:pOLYGON PROPERTIES FLOOD: X 47
., �, �—moness:15717 ROCKFIELD BL
RVINE, CA 92718 714-452-0600
,VPL.YNIlNG1UDFE55: '
ANCXRECTOPFNOINEEF:LL MASOR 6 ASSOCIATES uc.wo.: C-16869
wcxon¢++a•s�nox�ss: 1551 N TUSTIN AV uxr:
SANTA ANA CA 92701
caxrnncrarswve:ALI50 AIR ( 714 ) 951-1266
cwm�croxs�uimc29736 AVE DE LAS BANDERAS
�oox�ss:RANCHO SANTA MARG CA uc.ra.: 526420
92688 uxr:
LICENSED COMFACTONS DECL�NATION: I Mreby efl'vm uMer penety d parjury Ihel I em licenxd under qanaam d Cheqr B
(commenung wiih Seclion )000) W DNiaon 3 W Iha Busineas eM ProJaeam�l4ED e, eM my licansa'�+ylull larce e�M eHeq.
cmuc.r+o. 49 63 �����S�C 20 ����N ��S .64/��2/0� IIXP: 09/96
Dale�. � Conveeoc I� Y l
OWNEN BUILUEX DECLANATION: I hareby alfiim uMer peealy d perNrv �� � em exemp Irom M nvmon Lieensa l.ew f« tM
tolbwirq reavon (Sedan 10�1.5 Bus'viess aM PMmaiona COJa: Any c1y a wumy xfiich reQuiree e permA to moVucl, eller, improve,
bmolbh, or repei eny e�mclure, pnor �o ns oaueme, eha requiree ihe applicent for euch permtl m file e egned aieiament �hel he or eM
IicenseE Wnuenl �o �he praneione d Na Coniredore Licenae tew �Chepter 9(canmenarp vmh Seqpn )000) d Di+oion 9 q Ihe
.uinesa ard Prdeasions Cade� a the� he a ehe is exemq �hereimm eM �he bmis far Iha elbpeE avemqun. My vuletion d Sed'on
]W 1.5 by eny eppliwil lor a permil suUpde IM epdtie�i lo a avil penel�y of m� mpe Ihen live hurMred tldlan �5500]).
� I, ea ox�r al ihe propany or my empbyaes wilh weBes av Iheir ede mmpeneaibn, vnll Eo IM wak, end tM slmcmre e na imended
or oflereC tor sab (Seclion )Oaa, Bu�rea eM Pmleasionn COJe: The Contrwon Limnae Lew doea iwt epplyto en ownerd propeity
wlw buide «mpaves �Mreon, eM who Eoes suM waA NmeeM «hemel a ihraqh h6 a her ovm empbyeea, pwkad thm auch
improvamema era rot intaMed a oilereC la sele. II, howeveq ihe buiNinp or inpravemeM ie soH wiihin one ymr d mmpinioq iM
o.���ewaa �n na�e ina b�ma� d ap.ma na o, ena d�a �a a,�ie o� �mwo�,e io, ma wm�a d.dal.
❑ i. m o�., d m. wow�r. � e.a�v ��rea�o wnn i���e �,v�i� ro����a ine ww� (saa� �aa. an��. �d
Prdeasione Code: TM COMreaon l'nensa law Eoas iwt epply w an owrer W propenY ��iNe a imqovea IMroon eM Ma
<onlraMs fa wch prol�a `^��h e canvedor(s) Icanaed v���� �o the Conlredon License lew�.
� 1 em exemq urder Senbn: B. 8 P C., Iw No reexn: ,
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: M 077307
PERMIT NO: M 077307 PLAN CAECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: NEW
JOB DESCRIPTION : 1901 SF LIVING/ 476 SF GARAGE , SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1
COMMENTS: PLAN 1 NEW SINGLE FAMILY RESIDENCE / REF B-77223
�**********�*+�+�***�t*�+�**�***********+�***x�**���**�**�t+���*****+�+�x�+��**+�*�**��c ***�*
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: 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 N<3TES>
� � ?' .. n
ik iE!(� if !E 1f 3E iElE iE * iE if fE iklE if 3E 1ElE iI� IE fE iF iE 1E IElE IElF 1E i! IE'lE 1E'1@ 3E fE,1E 1E')E iE iElF'1F iE iE 1E 1E 1E 1E1E ik if if� fE iE 1E 3E iE iE 1E'IE IE dE 1E iElE iE 161f iE i41E fE if iE 1f iE
V D E V E L O P M E N T S E R��_I C_,E S R E Q U I R E M E N T 5
. �i
ZONING APPROVED BY . .. DATE:
ILDING APPROVED BY :
LEGALIZATION:N
*B*
��
�'t: ,
�, �� �
F E E S U M M A R Y
I do Mreby eenily thal I am ewareW eM uMen�arM Me mQuiremenb d Celtomie Hml�h aed Sefary Cade Sadiww 25505, 25533. aM '
2553a,aMtheilaenyMurebuikirpampentwill/wllrwi(arcbwn�neeElowmpywYheeksteleoodasanCtherepuinmmbM BLDG PMT PLUMBING ELECTRIC MECHANIC
e parmn famnaVunion or moEifmiionhanlheAi��eneBement Disind. Residmtiel wnavudion eppicetiom ero ezempt Imm iheee
P���sa�s. P ERM I T , 9, 0 0
Dale: Applcent:
WOHKEH'S COMPENSATION UECL�HPTION: I hereW effiim uMer penelly d perjury ma d �he Idloxiip daderetions:
❑ i n� �d me �m� a�na�me a oo��m io e<n;�re r« �x� cwnP�ee�ion, m povkeE lor M Seabn 3)(10 d ihe LeEa
c�, ro� ma �no��a a�n� won m� wm<n m�s ��n �a ��ee.
xp i n� �e �� mdmd,.wn�n �w�.mbo ��s�.�. �. ,�v��,ae W saa�o� e�ao a ina �eo� cme. ro, me va�ro,� d m.
wonc i« wnicn mre vem�u ro b.�ee. My wm�• �caM1,m� ��.e�ce mrn« .�d kr ��mn....a:
c�m: LIBERTY MUTUA� EXPIRES
aw�v N�mea= 0 7/ 01 / 9 6
.ds seaim neee iror be cmnc�erea l rne re�. n�w are nu�a�ee ed�arsls�ool a bas.)
� 1 cenity thet in ihe pe�formence d iM work lor xfich �hie paimil' ' J, I ehell � amploy eny pa�mn in erry meniwr eo es to
becoma aubjatl io the xvrkan' companealion lewe d Cel' ie, end ree Ihat A I hwlQ bacome eubl� �o tM worke'e'
cwnpen an uns1(^d Seaian 3)00 W the labor Cade. lorlh �h oompy v.ill hone pmvuiw�v.
De�e: �����ar� ApplceM:
r
Wam/np: Fallun ro ucun wortx�'rompwuetlon covmps b un/awlu( enC ibll wd/x an s roy.r ro cnmrw pen.mu ene
c/vll flrns �p ro me huntlrs0 tlrouaantl Ja/Mn (S1PO, WOA �� �Itlon ro ths cw( a/ rompsivatbR a�W u prov/dsrl br /n
SxHon 9)O6 0l Me LffiorCOM, Inferoaq end ettorns/e less.
CONSTfiUCT10N LENqNO 1GENCY: 1 Mreby etfiem uMer perelry W parjury �liat Ihere u e mrstrudion bMi�p epercy la �he
parlormenm d Ihe woM1 iw wAi h �ne pem�1 is swed ($etlnn �O9J. Cv. C).
LENOEWS NAME: ,
LENUEN'S ADONE55:
i enE etete Ihet Uw ebove inl«mmion ia corten. I epree ta cwnPN �Ih ell ory antl wunry ordineMea
v�ew� end ne,eM amnorize rewesen�e�rvea a mb cny io eme, uro� me aeove.memio�ea vmvem
F GUSON
PnnlNama
Dme:
'AypF� onlre or .
(5t5t-ae.WP) Whna-Buildiq 8 Sefery: GraemFb: Cenery-AppGcenq Pink-Revenue; GdEenm�Asaeawr
DATE:
� DATE: —�rgh
�7F iE IE iE iF if iE 3F if IE��F IE 1E
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
PLAN ti� � 25R SMIP/NON—RES
ISSUE FEE ' �� 15.00
BUILDING—DIV—> PERMIT ISSUE PL�P.N—'CHECK TOTAL PAID DUE
TOTALS----> 9.00 15.00 0.00 24,00 24,00 ,00
REVENUE DIVISION TOTALS--> COLLEC'I'ED: 24.00 OVER/SHORT: ,00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECR
24�..�0
�.
iE ik 1E 1E if 1E iF if if 1f iE if iE 1E 1Elf iE iE if if if i(� if ik iE If !f iE iE ik iE iElE 3E iE 3E 3E if� iElf if !k ik if IE �E 9E iF ih iE iE 1EiE �E iE iE 1E iE'%iE iE �E iE'lE 1E iE')E iE iE if iE 1E if 1E iE IE iE iE 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 INST FORC—AIR/GRAV FURN�<= 100 K HTU 9.00 9.00
END`OF FEES
; i �'�.-'."_: � �.'=95: —' :�r.a_�.
Da.?�- ;�'.i_: ,-- iSi'E: sc.:,s
�
�I
�i�t9iJSTRUCTION AND PIANNING . POOI PA . .
!#PF�ROVALS Permit # Date Inspector •pppROVALS Permit # Date inspector
I
l�,Tealpo�ary Electrical Service qr Pole 52. Pool & EquiQmert location , �
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement • '
3. Electrical Conduit.Utility�Undrgrnd. 54. Forms � _ r '
4. Electrical Conduit�Undrgmd. 55. Electrical Bonding
5.'Steel Reinforcemeot 56. Rough Piumbing & Pressure Test �
6. Etectrical UFER Grnd. 57. APPROVA� TO COVER�GUNITE -"�
7: Footings � ' 58. Electrical CondLit-Undrgrnd. � �
,�8. Foundation . 59. Gas Pipe, � Undr,grnd., Test �
�.
9: Water PiPe-Undrgmd. 60. 8ackwash Linei; P�TTap, C� Undrgmd. �
10. Structural Floor Syscem ,- 61. APPROVAL TO'DECK� -- �
�
11. Property Sewer Line & House�Conrrection 62. Backwash & Receptor�Final � ,
12. Sewer CaP " ' 63. Heater & Vent•Final �' �
13. Roof D*ains , � � 6A. Pl�mbing System - Finat � -
14. Rough Plumbing' � ' 65. Electrical�Finai • .
15. Rough Eiectrical-Conduit � ' 66. Solar SYstem�Finai '
76. Rough Electric Wiring 67. Fencing & Access;Appro'val . �
17. Rough Wiring Sign 68. APAflOVED FOR PLASTERI(VG •
18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning �_ � �/,{'QjJ� - FIRE.DEPT. REQUIREMEN7 -
23 - 6 �
20. Rough Pactory Ficeplace ' • � � AppROVALS Permit #
- � • -: ,.
21. Ducts, in $truciure ' _ , _' - 70. Undergro�nd HXdro
22. Ducts, Ventilaiing •� ' � ■ 77. Product Piping OGas OOiI
23. Gas Pipe-Qough &,Test �� -. ' 72. Underground Flusii -
24. Roof F�aming � � . =_ �,� 73.. Undergrnd. Storage Tank.O Gas ❑ Oil
25. Roof'Sheathing __ �-_ � _ , 7q. Overhead Hydro_ _� x
26. T•Bar Ceiling (Structural) & Nlonocoat - * 75: Dry Chemical -, � --
27. Frame and Flashirig ' - _ ' . � ' �� 76. Dry Standpipe • _ . � .
' 28. Lathing & Siding - � �- - � � , 77. FIXED SYSTEM•FINAL � �
29. Insulation� _ ; . - ' � ' 78. PIRE PREV. FINRL � ��
30. Drywall Nailing �,- � , _ HEA�TH DEPT. REQUIREMENT
31. Plaster Brown Cqat-'. � ; �' ' � , 79. FINAI INSPECTION -, - ,-,
�32. ElectriCal Power Meter-Finai . � � 80._POOD CERTIFICATE �SSUED� '�
33. Final EVectric ' ' � Notes: _�7�.er�-.. ,� .-
� 34. Final�Heating&Air.Conditionirig _ Q_��` � u
. - - - -�_ ��-��,s2�._ - - -
35. Final Gas Pipe=Test� " ' . � . `�
36. Hood�orCanoPY ' . " - ro_��c�� . - • � • -
"�37. Final'FactoryFireplace � - �' '
• 10����_� �
�38. FinaGPlumbing � - .
39. Water 5ervice-Fina�l�- � Y ' - �
. 40. Gas Service-Final � � _ _ - ' . � _ � , . ..
41. Solar pomesticFinal• � - '. _- - �
42. BackfloW Preventer�'� _ � . � -
43. BackfloW Irrigation _ ' ' ,-. �
2 r
44. Landscape Irriga[ion Sys[em ; - . . ' � � - _ �-
45. Sound Attenuation • ' , " � ' '
46. Handicap Regulations ' -• � � � ` - �
47. FINAL STRUCTURE & BUILDING � ' ' • - -
48. FINAL PIANNING . . .
49. Electrie Release to Edison . r " �
50. Gas Re�ease to Southem California Gas Co , <. _ -- ,
51. CERTIFICATEOFOCCUPANCY
No. Date
�.�..--.
Polygon Lifestyles
�n Cosia Mesa
Plan 1 Lower Floor
HVAC Layout
LOT �
PHASE
��ay �-��J�� G�F.
�eF� a�� �o
FI�:T FLGDR..
�AF(i -
�L
Pbiygon Lifestyles
in Costa Mesa
Plan 1 Upper Floor
HVAC Layout
LOT 5 d
PHASE )
-K 1�Oie - i�C55lE_E LNkRIL�
ID • 8= 8 w ITN 8 DDvJnI
An1D 8" TD t4'� EISr2.
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N00�
FAM�LY QM
14 = (� PCB
� W/en
��
z.�"�Y zo � eaF�
Y
14y� FB
DINING �M
LIVING �M
14x6 FB
o� � Po75�ir1T
��
A
kITCHEN
Gt�S.
� s'c
�I DDWDEIZ
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GA�AGE
� � � �.,. �
acor+Essaemiaw: 3129 ENCORE CT
NEfl5NM1EIFp10WN:POLYGON PROPERTIES
� :� Ii:ORE55:1S%.I% ROCKFIELD BL
UNT:
FLOOD: X 47
RVINE, CA 92718 714-95?.-0600
APPI.IWlINOADUHE54: (�'�' ��
u�cxnEc.on��+:LL MASOR & ASSOCIATES uc.ra.: C-16869
�xcx.one++crs�ooness: 1551 N TUSTZN AV uHT:
SANTA ANA CA 92701
coxmuron�sruue:NOVA PLUMBING INC ( 714 ) 556-6682
conm�croaswuuxa 3103 W CENTRAL AV
��SANTA ANA CA �G�, 457898
92704 u�:
LICENSED CONfP�CTORS DECLANATION: I hereW N'rm unEer penety ol perjury �Ae� I em IbeneeE unAer provieiona W Chapter B
(mmmendnB m�h Seclion ]000) of Divieion 3 d Ihe Bueineo enC P 'ona Cade, uM my li! ae u in lull larca eM aflea.
cmuc.w A6p6 n96 uc.cusa:C 36 uc. 0..9 7898 3P: O1/97
/ me: -`, ry comreaor:
OWJI N BUILOEP DECIAflATION: I Mreby dfirm undar penetly d perlury ihet I em evwmq tmm Ihe Comreaa� Lkense Lew ta iha
�4Wwip reeaon (�an ]031.5 Bueiiaea enE Prolaauona Coda: R�ry cry a muMY �� �Quiiee e pe�mn b comwct. Mx. improw.
ndch, a repei vry Nruclure, qnW Ae eweMe, eleo repuiree iM eppiront Iw euch pamiA lo fib e epiwE etelement IIW M a eAe
mneetl W�� �o IM pa'vione d iM Coniredas Lioensa Lew jC�eqm B(comme��p xilh Setlion ]OW) W Divebn 3 M tlr
.eineee anE ProfeWone Godej or ihel ha or ahe ie atemq �hxehom`enC iha beeie Inr ihe alleped exomption. My viole�un ol Sedion
ldl1.5 by eny eppli�ant la e parmil wbjade Iha eppliceM to e civil penelry of �wl maro ihan frva huMreE Eollen j5500��.
❑ I, u ovmer d Ihs properry or my ompbyeee wY� wepea ee thei wlerompeneetion; will Eo Na wak, and �hs eVudure i rw1 imended
w MereE M eeb (5xibn ]oM. Bumrwes eM Pmfeeeims Cods: The Contrapon License Lewdoee iat epply Ioen ownerd property
wlw Wide « inP�wT+Ihe�eon. ud vAa doee euM Mark NmceM or lienall a Mraqh �b a Mr own empWw�, D�+betl Ihet euc�
impmvamems vs M iMaMeU a oHxeC ta eele. M, Mwewr, �M buikiip a'vnproremem ie soN wnhin aro yw d complMon, Ns
ownxbuiNer will heve Ihe buMen W 0�'i'p he or ehe EiE nM builE or imqove lor �M WNae W aele).
❑I.eeownardiM �
D�GeM. em wduaively mnVediny wnh licanead conVmlae lo cansVud IM D�Ib (Smun )OM, Buair�ws uM
Prolmeions Coda: The Lonveaae L'crose Law Eop eal epply to on ovmer d piupeily w1w Wika ar imqovm tMreon eM xho
cmirecn for wdi prqeds vrilh e wmreaor(e) Icenaad W nuent to,the Contrmas Lioanee lewl.
� I em eumq under Secibn: B. 8 P.C., fa Ihu reeeon: � �
Date�, Ownx:
I do Mroby eerlily Ihtl I em eware d eM uMeniend �hs eeyuiramanb d CelAoma HaeXh uM $afsry Gode Sediaa 25505. 25539, W
255J6. enE the� I ar enY �� �iki'p axupent will / wil iwlltlrcY ma) �d lo comply wY� aeiE elate wEa end iM rpuimnsms b
epmmdlwmimwclionamodif�ionkaniMA'r e�iy enapomonlD'mVid.ReeiEemWmnmruquneppimtiomersaasmpiimmiMw
prwieione.
ome: ' noW�x: "
WOflKEN'S COMPENSATION DECLARATION: I MraEy effirm uider penelly W prjury ona W tM Idbvriiq dsdve�ione:
� I heve vM wii maintan a ceMicels d wnwn� to soHlneum lur xmken'rompanwion, u pwided Iw by Sad'wn �100 al l�a leErc
Cods, iw iha padormance d Ihe Mwk lor which �hie permu i� luued.
- n I hero end wil mainivn vroMen' oompnmlion ineurarce, m rpulreE by Sxtim �]00 0l ths Lebor Cade, M iM qilormanca d Ihs
�5��� xrohbrwhiWihiap�miluMwE.MywarkeUL�CO �CASUALT�'��um��v: EXPIRES
c�
ra�N�me.,: - 06/O1/96
.nia asction neee nor es canolered r rh.W�x n ror w. hunersd dallere Rfool w Hea.)
� nily ihm in Ihe perlwmena d Iha xroM br whieh ihie pa ' e Neued, I Mdl na ploy eny peeem In eny mennm w m to
me ubjsa �o iha xorken' eompemetbn levn d Cd'Aan aM prss tlW N hwk becoms waW lo IM MaMen'
pe bn qa ie'om at SaUian 3]00 d IM lebar CaEa. I I nhwp oomp�y Mil tl �s N one. i
Dtle: � APplirsm:
eminp: pllun ro ��eun woiltp�' eompvwpan covepp� b unbwlu( entl �lull �ub/�ct �n �mp/oyn ro etlMn�l p�mNu mE
elvll nnu w ro om niner�d thouuritl dolNn (t/UF00o1, m.dtl/tlon ro tlr. ewt ol romP�wt/en, am�w� u MovwM ro.ln
9�ctlon ]1f18 0l M� 1.�6or Cotls, InfMuL �S ��m�y'� lw.
CONSTNUCIION LENUINO AOENCY: I Mnby elfiim under p�nely d perN�Y �hel t�en u e aonpmdion NndlnO apanty br IM
peAormenw ol lha vmrk br which ihi parmA ie bewd (9opion 30W, CM. C).
LENDEP'8 NAME:
�exoen•s �oonsas:
I cMily ihtl I have neE iho eppliWim end pns tIW ihs ebove infamellon ie coinp. I epne to compy vMn NI ary eM muMy ordinenms
enE etme k� roluinp �o buildrp mnNutlbn eM hereby eNhorae ropsron�etivse olt�is dty to enlx upon Ihe ebove�memiansd pmparry
brinepxlioypurpoeee,ROB F�HBINS
I\
Dme: ����
(StStdE.WP) Whne-Buildip d Sdery: �reaMFle: Cenery-AOD��t: Gink-Pwenw:Oddevo�Aewemr
CITY OF COSTA MESA - BOILDING PERMIT
PERMIT NO: P 077279 PLAN CHECK NO: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU
JOB DESCRIPTION : 1901 SF LIVING/ 476 SF GARAGE
PERM NO: P 077279
GOVT: N SUPP: N
SQ FT:
PORPOSE: NEW
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /fJ-1
COMMENTS: PLAN 1 NEW SINGLE FAMILY RESIDENCE REF: B-77223 �'
*******�***�**� **+c �**�*��***�t+t�r***x *****��+F�t+t *+�***x ****�*�*****�*+�*+�+� x ****x �x *+�
Z O N I N GS ERTEB�AUCIKRSE 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
PARRING REQ: PROV: PARCEL: 14151132 ZNE: REF NO;
PLANNING NOTES> ,nr -r . s
i , �1 li / ',�y {
1ElE 1f 1ElE 1E jE iE iE iE iE 1E iE 1E 1f 1f IE 1f !E iE iE 3E iE iE iE 1ElE jf 1E 1E iE iE jE 1E iE iF if iflE ik�if iE iE 1ElE * iE 3E �E iE.lE 1E iE if 1F if 1E iE 1(� iE 1E IE IE 9ElE 3E iE fE iE �E iE 1E if * iE �E iE �E 7E
D E V E L O P M E N T S E R C� IjC E S � R E�Q U I R E�M E N T S
ZONING APPftOVED BY �� �� �'r' �' I�-. r+DATE:
BUILDING APPROVED BY : /3: � �%�!.�i.'i .r I.-,,� �DATE;
�.t•_., : 1� .
APPLICATION ISSUED BY: �% �•� � `T ' -i� " DATE:
3EiEififiFiElfiElEiElF1EiElfiEdE1ElE1kif3E3E�F3F7�3F��'JF��F�f��f3f�� ��F�E�f3F3F��f�i���f�F�F7��iEiflElEiEiE9EiEjEif � � �
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL EGMENT:N
� ' /. ' � J' � !�l N
BLDG PMT PLUMBING ELECTRIC MECHANZC � FIRE SMIP/RES GRADING
PERMIT 125.00 �; ,- " '�'
258 <� -' ` SMIP/NON-RES
PLAN �� ^'� ; .-.� :� %v' �.
ISSUE FEE 20.00 �, •_i�
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK. TOTAL PAID DUE
TOTALS----> 125.00 20.00 ^�.;0.00 145.00 145.00 .00
REVENUE DIVISION TOTALS--> COLLECTED:_ -� 'n 451:00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC�i ,� F-IR�E� SMIP/TOT GRADING PLAN-CAECK
145.00 � • ' _
. i
� ': �_ .
iE 1E iE 3E dElE iE if iElE iE iE �E iE iE IE iE iE iE IElE 1E iElE iE jE if i! iF iE iE 1Elf i! i! IE IE IE iE IE iE,9E 3E * IE IE 1E iE�if IElf if iE iE iE it ib iE iF �E �ElE IE fElE IE 1E IE �E iF iF 1f iE iF iE �E Ib if iE
I N D I V I D U A L F E;,E`, ;B R E. A K D O W N
TYPE QTY D E S C R I P T I O•�N � � r, w UNIT COST TOTAL COST
Y- -
PLU
PLU
PLU
PLU
PLU
PLU
PLU
PLU
PLU
PLU
PLU
2
i
1
1
1
5
3
1
1
1
i
BATHTUB " i ., ,F�
DISHWASHER ' r t � �•�
LAUNDRY TUB OR WASHER ,, , .��`�,� , <�Y�!
SHOWER s- � ',�r -
SINK, KITCHEN � •
WASH BASIN `"�
WATER CLOSET (TOILET)/��
WATER HEATER AND/OR VENT
WATER SERVICE
GAS PIPING SYS OF 1 TO 4 OUTLETS
GAS PIPING SYS 5+ OUTL-PER�OUTLET
7.00
7.00
7.00
7,00
7.00
7.00
7.00
7.00
7,00
5.00
1.00
14.00
7.00
7.00
7.00
7,00
35.00
21.00
7.00
7.00
5.00
1.00
_r
��- :ONSTRUCTION AND PLANNING ' POO >PA •
.� APPROVALS Permit# � Date Inspector qppROVALS Permit# Date Inspector
i.� Temporery Electriral Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. � " , :�Q_ G 53. Steel Reinforcement . .
3. Electric8l Conduit Utility-Undrgrnd. _ 54. Forms .
'4. Electric2l ConduibUndrgrnd. 55. Electric2l Bonding .
-5. Steel R¢inforcement 56. Rough Plumbing & Pressure Test
� 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE �
7. Footings -� � 58. Electrical Conduit�Undrgrnd.
8: Poundation '.. �- 59. Gas Pipe, � Undrgrnd., Test � �
9. Wateu Pipe�Ondrgrnd. , . S�-�� 60. Backwash �ines, P�Trap,-O Un�drgmd. � -
10. Structurol-Floor Sysiem �,� 67. APPROVAL TO DECK . �
1 i. Propertv Sewer Line & House Connection C��_f7 62. Backwash & Recepmr-Final
12. Sewer Cap , , . 63. Heater & Vent-Pinal ` - - �
13. Roof Drains I . 64. Plumbing System � Final, �
14. Rough Plumtiing � � � -65. Electricai-Pinal ' . ,
15. Rough Electrical,CoPduit .. 66. Solar SYstem-Finah
76. Fough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign - 68. APPROVED FOR PLRS7ERING
18. Rough Electrical-T Bar Ceiling - 69. POOUSPA SYSTEMS FINAL
19. Rough Neating & Air Conditionin9 FPRE DEPT.�ftEQUIREMENT � ^' •
20. Rough Factory' Fireplace � - APPROVALS - Peqnit #�
27. Oucts,in Structure � � -- - � - 70.-Underground Hydro •
22. Ducts, Ven[ilating _ � _ -• 71, Product Piping �.Gas OOiI
23. Gas Pipe-Rough & Test ; � � � _ " - 72. Underground Flush �
24. Roof Framing '_ _ 'r 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. floot Sheathing ,_ ,- . - y 74. Overhead Hydro •.- .
26. T-flar Ceiling {Strecturel) & Monocoat . 75: Dry Chemicat '. . : . . ' � ' �
27. �Freme snd Flashing � . � " ' � 76. Dry Sta4dpipe .• � - . .
28. Lathing&Siding - - - - 77. FIXED�SYSTEMFINAL '_
. �_
29. Insulatiori� . '' - - � . 78; ;FIRE PREV. FINAL � . .
30. Drywall Nailing �- � - . HEALTH DEPT. REQUIREMENT" �
37. Ptaster 6rown Coat �- _ , - ' 79. FINAL INSPECTION . �
32. Electrical Powzr Meter-Pinal - 80. FOOD CERTIFICATE ISSUED , -
33. Final Electric _ - ' ; ' Noies:�� tr6 (��� �,��u.�
34. Final Heating & Air Gonditionirig - - ^ ' -
S' L�l Co�+�.b � ¢6'f�P�'s�-c_'EiL -
35. Final Gbs Pipe�Test
- 4�5� � =z2�� �s.��,;� _
� 36. Hood or Canopy - - . . - I1 ; I C
' � '! �-l.u�Te7L s£L� L"�-
37. Final Fectory Fireplace . � �,�.Z � ' � -
_ c-�'LR�ZK-CLAu 4_
38. Final Plumhing � . , _� �� % '
-s � c�15 ��r _
39. Water $ervice-Final �- !') � S� / • D _/ -e�.�, ' � _,
( 6 �
40. Gas Service-Final _ ' _ _ _� 6 ' � .
41. Solar pomesticFinal � - .� '
42. Backflow Preventer' - Q_� -�" 6 , - '
. 43. Backflow Irrigation ' _ �( ����( ` . '
, . .,
�44. LandscaPe IrriQation System: � - - _ - -
45.�Sound Attenuation ' _ � � - -
46. Handicap Regulations - . - � - - •
47. FINAI STRUCTURE & BUILDING ., . '
48. FINAL PLANNING . _ � • �
49. Electric Release to Edison . . ' �� �
50. Gas Release to Southem Caiitomia Gas Co ' _ _
51. CERTIFICATE OP OCCUPANCY
No. Date
� 1GDXE55:
RPPL. M�IIING 100RE55:
ARCXRECT ON FNtlNEFR:
ACX.OH EN0.'SAOOPE55:
uc. ra.:
UN7:
PERMIT NO: P 077279 PLAN CHECK NO: 01484-96 N
1E if iE 3f !E iE fE if� 1E 1E 1E �1E iF if if iE �E iE if iE 3E 1E if ik iE 1E iElF 1ElE iE iE iE 3E iE iE fE iE 3E fE fE 1E �E 1E')E!E iE iE fE iE 1E iE 1E 1ElE iE 1E iE 1E iE 1E 1E 1E if 1f� if jElf 1E iE if 3E fE fE IE if iF 1E 1F
TYPE QTY D E S C A I P T I O N ONIT COST TOTAL COST
uxr: �PLU 1 GAS SERVICE
END OF FEES
coxm�aoxsruuE:
CONIPACTOASM41lllG
1DDRE55: 11G NO.:
UNT:
LICENSEU COMRACTONS UECLAflATION: 1 hereby eilkm under penatly M perjury thet I em licensed uMer qoviabna d Cheqx B
(mmmendrp wilh Sectian )000) d Oiviaion � ol the Businex uM Profestima Coda, ard my license is in hll larce arM eHed.
CRY 11C. NO.: LIG CLASS LIC. NO.:
Dete: Comreaor:
OWNEN BUILOEX DECLARRTION: I hereby eifirm untler penelly d perN6' �hm I em eRempt imm �ha Conlredae Liceme Lew fa tha
lollowing reeson (SeUion ]W 1.5 Bueiiwaa end Prafesaione Code: Any cily a counq whiM rpuiree e paimu to mnawn, eXar, improve.
bmofah, or repeir any swcwre, pior m na esuenca, also requirea the epplicent lor euc� permB to file a sigriad cletement thm he or aM
IicanseE Wnuen� lo ihe D�b+siona d ihe Comreaara Licenae Lew �Chepler 9(commeMiip Milh Seeion )000) at Div'son 3 0l the
�usinesa eM Prdasaions Coda� or ihe� M a sM is examp Ihnahom end the bavu lor IM dlapeE ezemqion. My vbleton of Seaian
)031.5 by eny eppliranl !a e pa�mil aubpQa Ihe epplicaM �o e tivil pe�ally d ml more Ihan fne huMred ddlan �5500��.
❑ i.�o�,.,ameomwmamvemWweaswnwxees�ine:adaom,rere��.wnmubwak.anameawnuree�,amimwee
m Meted fa 5ab (�lon 10M. Bueire� arM PNeasma Cada: The Conlredas Lirome law doea ml epplyta en ovmaraf qopeM
who buids w'vnprovae iharaon, end who does such waA Nmsell or Mrsatl n ihrouph he a her ovm empbyem, provideE thm auch
impmremanm are id inteMed a oiluaE for sale. It, however. �M buiNirg w improvemenl u aoltl wilhin am yeer ol mmpletion, �M
owner-0uiker vAll heve Ihe buNan d proving he ar ehe did nm buik or im0� �a �he W m�e d sele).
� I, m awner ol �he pmpeM� em exduaively conireqinp wilh licensed mnVac�an b con�rud �ha pmjetl (Setlion )060, Buainma eM
Pmlenaiona Code: The Conlredon Leense Law does nm epqy to an ovmer d popeny who builda w impavm therean eM x1w
coM�acla lor wM prqetls xilh e mnlmdm(s) I[enseE Wnuan� �o Ihe ConVetlors Licanae Lew).
� I em exemp uMer Seclion�. B. 8 P.C., la ihn reason:
Dale: Owner:
I da heieby ceMily ihat I em aware d and uMemend tM reyuiramenre d Celdomie HaeM1h enE Sefery Code Sadione 25505, 25533, eM
25534, end Ihel I w eny Mure buiMinp o¢upenl will / will no1 (drcb one) need ta com0ly w1h eaid elela catles eM Ihe repuiremenh for
e parmn lormnevuction or motlifraiionlromtM Ru�uelny�epemani Distriq. ResiEenliel consliud'pn epplifatime ere exemq Imm thme
provisiom.
Dete: Applcent
WORKEN'S COMPEN5ITION DECL1flATI0N: I Mreby elflm uMer per�al�y d pmjury me d Ne Mbwi�q detivmioru:
� I hare vM xil meimen e cenEi�ate d mnmm ta eeXinwre /a xorken' compenamion, ea povided la by Ssqion 3)00 d �he labor
coa., i« ine wna,m�e w m. w� i�..m�n in�a ro�n �. �m�,a.
❑ i ne�e �e �;� �ma:,.�,on�a�n� w�oe���, �m�,re�ca, ��vamree M s.a�� a�ao a m. �m, c�, �or me rono,me�m a me
wak lor whiM ihis permit is iwued. My warkers' mmpenulbn insuraice rarner end poliry numbar ara:
Camec
Polcy Number:
� lliis secfion need �rol be cromdeleC l fM perm<'s la orre hundred ddlars (StOpJ w bss.J
❑ I cerlH � in Un pMormerice d iha work Ior v,hch ihie peimn is im�eE. I ahell iwl emplvy anY persm in enY menner m av to
ber.ome wMetl to tM wnhsrs canP��ion lexc d CelAwnia. eM e0rea ihm ii l ehouk bxvm w4� to �he x«kne'
COTV0119B11011 M0�81q19 O� �� M11'.1�00 O/ �M lAbJf (�iCdB. � B�1B�� iplNWll�l WT� Mllh ��1080 P��SWM.
Dete: Applicenc
W�m/ny: F/lm ro amum wonFn�' comperunHon covx�pe 4 unbwNl, anC alull �ub/ecNn �mp/oysr fo ctlMvl peneMu �nd
nvn mre. up ro on. nunerae moua.rd eonan (S1oa,PoOA In �dtl/non ro Ms coar ol romp�ns�rron, wm�p� u prov/tlea ror /n
SxHon 9]OS ol fhe laborCods, /nfsroap entl attomsy'i Ira.
CONSTRUCTION LENDING AGENCY: I hereby aifirm urder pe�aly d parjury �t� IMn ia a canstiudan bMiip epmry fa tM
paAamaKe d iM wA (a whiW Ih6 iermi in eeuad (Sadion 309). C'v. Cl.
LENDEH'S NMIE:
LEN�EF'S A�DRESS:
I cenity I�el I heve reed ihis eppikeibn enA slele ��e� Ihe ebove in/ormelion is cortea. I eprea m mmpy wnh ell cny end coumy ordinencea
end stete kwa relming io WiMinB �����p� � hereby emhor¢e mpesemeiives d ��ie dly to anlar upan ihe aEwe�mentbrwE D�VeM
�Of1�9P0C110110UfpM05.
Dma:
Signawre M O.merlRpenUApplicenVConvenor
(5151dfi.WP) WhBe-Buildip 8 Selely: GreeirFle; Cenery-Apdicenl; Pink-Revenue; GWdanmd-rlsaevaor
7.00
Rt �l,.. .,.�t ,���:�;t� '^g�,_r'
Jr�c:«U4••.i�-" ;T'"_ ]j:ij
7.00
,•� 1ii
_/
lL. :ONS7RUCTION AND PIANNING � . POO. ;PR
,�', APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
I
1; Temporory Electrical Service or Pole . � 52. Poof & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electricai Conduit Utility-Undrgr�d. 54. Forms
4. Electrical ConduibUndrgrnd. 55. Electrical Bonding
5. Steel fleinforcement � 56. Rough Pium6ing & Pressure Test
6. Electr�cal UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrlcal Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe�Undrgrnd. � � 60. Backwash Lines, P•Trap, � Undrgrnd.
10. Structural Floor SYstem ' 61. APPROVAL TO DECK .
11. Property Sewer Line & House Connection _ sp, Backwash & RecepiorFinal
12. Sewer Cap ' . 63. Heater& Vent•Final
13. Foof D�ains 64. Plumbing System � Final
14. Rough Plumbing � 65. Electricai-Final �
15. Rough Electrical-Conduit � 66. Solar SYstem-Final
76. Rough Electric Wiring 67. Fencing & Access Approvai
77. flougM Wiring Sign � 6g, APPROVED FOR PIASTERING
18. Rough Electrica6T Bar Ceiling . - 69. POOL/SPA SYSTE&1S FINAI
19., Rough Heating & Air Conditioning �' �' „,. FIRE DEPT. REQUIREMENT
20.� Rougb Factory Firepiace APPROVALS Permit #
2t, Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Pipin9 � Gas � OiI
23.'Gas PiPe•Rou9h & Test 72. Underground Flush
24. Roof framing 73. Undergmd.StorageTank OGas n0i1
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Struct�ral) & 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. Drywa�l Nailing HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat 79. FINAL INSPECTION
32. EleMrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric , Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe�Test
36. Hood or Canopy
37. Firfal Factory�Firepiace
38. Final Plumbing '
39. �Vater Service•Final
40. Gas Service-Final
41.- Solar pomesticFinal
42. Backflow Preventer -
43. Backflow Irrigation
44. Landscape Irripation System
45. Sound Attenuation
46. Handicap Regulations
47. FVNALSTRUCTURE & BUlLDfNG
48. FINALPLANNING
49. Eleclric�Fielease to Edison
' 50. Gas Release to Southem Califomia Gas.Co
51. CERTIFlCATE OF OCCUPANCY
No Date
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ox�Rsru�EiFa�x: pOLYGON PROPERTIES
�uoxEss 15717 ROCKFIELD HL
UNT:
FLOOD: X 47
CRVINE, CA 92718 714-452-0600
wx. iwimc �oo�ss:
urcxrtecrox�ax�nn: LL MAJOR & ASSOCIATES ��� C-16869
uwxon�crs.noness: 1551 N TUSTIN AV �M:
SANTA ANA CA 92701
ca+m�cTarswu�: pOLYGON COMMUNITIES ( 714 ) 452-0600
CQRR�CTORSNNl1N0 15751 ROCKFIELD BL
aoo�ss: IRVINE CA ucr+o.: 659262
9 2 718 u�r:
� LICENSED COHfF�CTOPS DECLAHAPON: I Mreby eflim uMm parely d parjury Me� I em licenasd uMer prwiaona d Gheqw 9
(oommend,p wilh Saciion )000) oi Orvision 3 W IM Bueinma enE Pm/eaeona Coda, vM my licenea re in full tace aM eMea.
cmuc.Ho.:066144 uc.cuss: g uc.No.: 659262 EXP: 11/96
Dma: Conveaor:
OWNEF BUILDEfl DECIARATION: I hereby effi�m �nEer penelly d per'ryry Ihet I em exemq hom Iha CaMretlae lirorea law la IM
idbwip �eeson (Seeion ]031.5 Bueiiaw eM Prdeaiana Code: Rm NY a counry whidi myuima e permG to canO�wY. eller. imprwe.
ldemdwh, w rapeir any sVucNra, prior �o ne iasuenca, ebo reyuires the eppliunt br euch pwmn lo file e eigmd etaiement �hel M p ehe
r is lieensed W�uenl to iM 0�%+%�s d IM Comreame Lieensa law [Cheqx 9(epnms��p xnh Sse}ion ]000) d Di+eion 3 af tM
Buaie� erd Prdeseions Code� a �het M n Ma o examp iherehom eM t�e be�ie lor IM elleped exemqion. My vidmion d Setlon
)031.5 by eny epdicent br e permX eubl� �he epolient ta e avil peneXy of rwl mon Ihen frve huMred ddlen �SSOOj).
❑ �. m ow�wr a me wow�v «mv �Worem win wapm a, me: ede oomo�ion. win eo u,e wonc. d,e ms emcn,re e na imeneee
a oMared la We (Seciion )OIa, Buvmas end Pmlaesiona Cade: The Cantreciore Licenae lewdaee ro� epplyto an ovmer W poperry
who WiEe or inD�as Iherean. eM who Eoea suM xwk h'unsNl a henM ar Ihraph he a Mr own emplv�eee. pwiAeE thel wM
' povemeMs ere ml imeMad a dlereE fa aeb. ll. however. ihe Wikirq a'vnpovameM u sok wil�in ms yaer d oompblion, Ihe
ow�rorbviNer will heve Ihe buNan d provinp he or eha dN iwt buiM w impwre la IM WNae d+eb).
� I. m ovmer d tM poWM. em eaCusiveN conired'vq wlh 4cemeC wnVecMae lo canetrud ihe ryol� (Sadion ]W0. &ro'vims uM
Proleesiona Cade: The COMredore Licensa Lew tloae nat epqy �o n ovme ro y xfio 4iNe a imqwm tharaon aM x1w
mnVacU br mKh prqeae wilh e aMraGa(e) IicemeE punuaM to M Co s w).
❑ '�d/��o��s/�v�:� e.a�v'.wc.ro�m� a�
Dele. (
i eo n�nr �n�r uw i.m e.�.a w.m ��i�e me �a����u a cdao�,e �nn �a sa.r cma s.a�o�,. uws. zssaa..oe
Y5536, eM Met I or eiry Mure Wikirp om�pent vrill / wil nm (a�cb me) neaC b campy w1� aeid etate codw eM Ihe �equiremend far
a pertnX /orconawnion or modifi�atimhwn IheAk�Gly .�enepemenl Dislntl. Reaidential oonmrutlion epplreliaawavamqtmm iheaa
povisime.
Deta: Applicem:
WOflKEN'S COMiENSATION DECL�RATION: I �ereby e/firtn under panelly M parjury ww d the Idloxiep dWumbru:
❑ in�.�ew���m�e�nnKmaa�.«nm.an;�,Aro,.on���w�.m�.�ww+asar«as.mo�a�ooam.�
COAe, la IM pe�lormence d ihe xork lar xlich thie pe�mu ie iaued.
f'I i n.V..�e w�� �o�� wo�a.• oomo�o� ���... rea���.e nr sea� aroo a m. �mor coe..,« me o«io�.�oe a �ne
7C work i« xfiich Mu paimn ia iaewd. My warkere mmpenealion ineurance remer erd policy n�mbar are:
c�..: CYPRESS INS EXPIRES
Palicy Numbar: — � 1� Q 1� 9%
(This aection med nd M comderoC i ms pvml is ror one hvnErod Solbrs R�wl w Im J
� I cently thet in IM pe�formence W tM xroA for whkh ihia paimil ie ixueE. I ell n em any pa�mn in eny manner eo d to
became eubl� to the vroMen' canpenae�bn lewe d Celibmie. I N becanie wbjea to tM waM1en'
canDe�s+i n pm+su ol5edion 3)00 d iM lebor Coda. I ehal orlh ' t po+iaone.
o,�e: Co ( g �nd�w:
Wam/ny: FeNun ro axuro worteri rompxuatlon covsrap� b unMwlu( eml alull sub(sef en smploysr b er/M�ul penWu aM �
clvll flnu up ro wro h,ntlrW fho�wd dolNn (SfOq000A M s001tlon ro tln cwt ol rompxueWM1 Camep� n porlded br In
S�ctlon J1(I6 0l tl�s Lebor COM, lnfensf, ens efromsy'a /eas.
CONSTi1UCT10H LENqNO AGENCY: I MreDy elfiim uMar penely d perjuy ihat then u a omw'utlion Iwdinp epanry M ihe
peAamanca W IM'�wrk br v.fiiW Ihe perml ia asued (Sedion 309). Civ. C).
LENDEP'S N4ME:
LENDER'S AODPESS:
I eenity iMl I heve reaE Nc epplicatian eM peta ihet Me above iniwmelian w eaneq, l pree io eanpy wnA all ory eed muMy oMmerime
eM e�ata lexa nlm'np ia buildine ro���� � �ereby aNlwrize repreeenletivea d Ihn dly lo anter upon iM ebove-meMior�od propMy
la impedion WrWses.
G L AQUINO
Pnnl Nema
QD�,: I
'. ' s�ow�,� a uaaounvoi�ucoovm«
(5151-ae.WP) Whna-Buikiq 8 Selety:Oreen-Fle; Cenery-ApPliceni; Pink-ilavenue; OoldenroE-Aaaeeear
CITY OF CO5TA MESA — BUILDING PERMIT �
PERM NO: M 079891
PERMIT NO: M 07989] PLAN CHECK NO: N GOVT: N SUPP: Y
CONSTRUCTION TYPE; C�—N PERMIT TYPE: MEC PURPOSE: NEW
JOH DESCRIPTION .: SUPPLEMENTAL TO M-77307 SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1
COMMENTS: PLAN 1 NEW SINGLE FAMILY RESIDENCE / REF H-77223
*+tie*iEi�i�**�-�*x-�t-�-i�it*it�tit****i�**+t�t�c******�t+t�-+�*�t*****�*****�t*�t****ie**i�*atit*et��t*ie**atrt�t
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY 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>
% A r
'N' -0E iE iE if� iE iE ik 1E iElF * iE iF 1E iE 1E ff� If IF 1E 1F iE iE iE 1f� 1k iE ik if iE iE 1E 1E �E if iE 1E i61F if� if fF iE 1E 1E �E 1E 3E 3! 1E 3E iE'1E IE �E 7F �E 1E 1E 3E if if fk ik it IE 1h iE'lE 3E IE iE iE 1F Ik'lE 1F iE
D E V E L O P M E N T S E R�V I C E+'S R E Q U I R E M E N T S
ZONING APPROVED BY • �� �'" DATE:
BUILDING APPROVED BY : . :.,',' DATE:
APPLICATION ISSUED BY: " ''���' DATE: �� � ��
�ratet�*�*�**at��***it*it+�+�ie �irx*atit�itrt���� if*
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 32.00
258 SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 32,00 6.50 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
38.50
'�'�
TOTAL PAID DUE
38.50 38.50 .00
38.50 OVER/SHORT: ,00
FIRE SMIP/TOT GRADING PLAN—CHECK
1t iE 1E 1E iE 1E iE iE 1E jE IE �E 1E iE �E iE aE IE iE IE �E iE i! * iF �E k 1E fk iE fE iE fE IE fE iE iE fE fE iE �E 3E �E iE jF IE fE iE 1E iE �E iE iE iE iE iElE IE 1E jE �E jE 1E 3E 1E 1E 1E �E iE 1E iE �f 1E �E iE fE 1F jF 1f
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
MEC 1 FACTORY FIREPLACE � 9,50 9,50
MEC 1 INST HOOD W/DUCTS FED BY MEC EXHAUST 9.50 9,50
MEC 2 VENTILATION FAN CONN TO SINGLE DUCT 6,50 9.3,00
END OF FEES
Of 00217351—a0217351 T GT 3g.5p
DATE: IO/17/95 TItIE: 12:46
' POG SPA
CONSTRUCTION AND PLANNING - � � . . :
Date �Ihspector Date Inspector
APPROVALS Permit # APPROVALS Permit �F _
i. Temporary Elet[riwl Service or Pole , � 52. Pool & Equipmem Location � . ��'
, i: ,
2. Soil Pipe-Undrgrnd. . . � ��. 53. Steel Reinforcement ' - ."� ,
3. Electrical=Conduit UtilityUndrgrnd. / 54. Forms , '.
�� 4. ElectricabConduit•Undrgmd. ' . � 55. Electrical Bonding _ "
_ J,
5. Steel Reinforcement 56. Rough Piumbing & Pressure Test � �
i
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
�7. Footings � " -' 56. Electrical ConduiFUndrgmd: _
8. Foundation . 59. Gas Pipe, O�Undrgmd., Test
9. Water Pipe•Undrgrnd. . ;', 60. Backwash Lines, P•Trap, � Undrgmd.
10. Structurel Floor System � 61. APPROVAL TO DECK � �
17. Property Sewer Line & House Connection ,� � 62. Backwash & Receptor�Final _
12. Sewer Cap - • ' �='�� , 63. Heater & Vent-Pinal - �
13. Roof Drains - 64. Plumbing System � FiiwY'" �
r,
14. fiough Plumbfng �� 65. Electrical-Final
-75. Rough Electrical-Conduit � , 66. Solar System�Final
i6. Rough Etectric Wiring . , 67. Fencin & Access A '
g pproval � � '
17. Rough 4Viring Sign 68, APPflOVED FOR.PLASTERING� �
.i
18. Rough ElectricabT Bar Ceiling 69. POOL/SPASYSTEhnS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace . � � - � � � APPROVALS'. ' Permit # .
21. DuC[s, in Structure � � � - � Y 70.`Underground Nydro
22. Ducts, Ventilating - 71. Product�Piping'aGas 'C'i0il
23. Gas Pipe-Rough & Test " . �.; � 7y. Underground Flush -
24. _Roof Framing - .- �- �� - > > ' � 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing -� , � - : _ � `- 74. Overhead Hydro
26. T�Bar Ceiling (5tructuraq & Monocoat . .z - 75. Dry Chemical = - '
27. Fremeand Flashing` - � _� � _ �. 76. DryStandpiper.� �� '_ _ -
28. tathing&Siding- � � _ • 77. FIXED�SY.STEiVIFINAL
29. Insulation - - ' � . ' ' 78. PIRE PREV. FIN.AL - ' _
: _
� 30. Drywall�Nailing ^�. . - - -HEALTHDEP.T.�REDUIBEMENT
37. Plaster Brown Coat � ._ � ', 79. FINAL INSPECT_ION
32. Electricai Power Meter•Final � . �. .- 80. FOOD CERTIFICATE ISSUED �
33.:Pinal Electric ' ` _ " � Notes: ' .. `
34. Final Heating`& Air Conditioning - ' �:?S�� _ ,' _. ' -
35. Final Gas Pipe•Test � _ � � � � " _ _
36. Hood or'CanoPY � � " - . -� �� _ -
37. Final Factory Fireplace � ' � 4 � �
Q_� -
38. Final Plumbing �� �� -. � ^ �
39. Water Service-Final � • • - - �
40. Gas Service-Final ' ; ` . _ '
41. Solar pomestio-Fina� -- � - . .. - ,
42. Backflow Preventer � ' ' � : � �
43. Backfiow irrigation � � -
44. Landscape irridation Syscem . ". � � - - � - � �. -
�45. Sound Attenuation� � � ' � �
, . -
46. Handicap Regulations " � � � _ - -
47. FINALSTRUCTURE&BUILDING � ' � �
48. F1NAL PLANNING , � -
49. Electric Release to Edison - .. ,
50. Gas Release to Southern California,Gas Co � � .'
51. CERTIFICATE OF OCCUPANCY '
No. �ate