HomeMy WebLinkAbout3127 ENCORE CT - Building PermitsP
; �nonessoFem�axc: 3127 P.NCURE CT uNT:
am-RsruuEiFa+owi+: NELSON & CAMILLE ALVAREZ
•DDRE55: 31'17 ENCORE CT
COSTA MESA, CA 92626 714-540-3904
�rr�. xuuxc �oonEss:
IiXCHRELT OX FNtlNEEX:
i AP[Il OP FNG.'S AUUNE55:
11L N0:
coxm�cTars ruuE:
cam�crars�uiwc
�noxEsx uu No.:
UNT:
uxT:
LICFNSED CONfflACTOfl3 DECLAflATION: I hneby tllim uMer pene�y d pmjwy Nel I em IicenxE uMa pm+evic d Cheqm 8
(mmmenriM wilh Section 1000) d Oiroion 3 d Na Buairov vd Vrdme'vu Code. end mY limnm e N tWl face end elleq.
cmuc.No.: uc.cuss: uc.No.: EXP:
OWNER BUILDEN UECLAPATION: I hereby elfiim uMx panelly d perN�Y �� I am aiemq tmn iha Cant�ae«a Licema law Ip tM
Idbwiq ree.von (�� )031.5 Buairfa eM Rolefebne Coda: Mry cIy a oounlY �� �0uire5 e paimil lo canshucl. Mx. impove.
'�md'sh, or repei any aWcture. qior lo ila a+uarca, e6o rapuiroe tM eppliunt Im wch parmu lo fib e apind at&arent Met M a eha
iceneed punueni m the pwisions d �he Canveaore licenee Lew ICheqer 9 lcommmdiq wnh Seaion lW0) d D'v4ion 3 d iM
uiwn enE Prdwiom CaAe� w tlw he a ehe b exemq iherehom vM ihe bsvb for Ihe ellepeE exemption. My videtion of Setlion
.03i 5 by eny eppliram Iw e permil wbpde iha epplcent to e civil panelry d na mora Ihen I've huMred ddbn �SSOOj�.
� I,eeowrrerdthapropenyormyempbyeeev.vhwepaeeatheiedecompeneelion,willtlotMxork.eM�MaWcturebnotinlended
or oilereE br seb (SeMbn 10Ga, Buanen end Proteasoro COEe: The Comredan Liceme Lew dxa mt epplyto en oxnard v�M
wM W ilds a inprovm theieon, eM wlw Eoae euch wak MmeeH or Mnetl w throuBh he a her own empiv�aea, proWEeE ihel euch
improvemenle are mt interded a WereA la eale. H, howevar, lhe buikirq a improvemeM ie aok wilhin me yeer d mmpblian, ihe
�awner-buiMer vnll heva Ihe W Nan W pmvi�p M or eM dk rwi buik w improve for �he WT�e d ede).
I. av owner d the P�PaM. � eKdusrveN �nlreclinB'�h IiceneaE canirectae lo consVud iM Orol� (Setlion )041. Busirwes eM
. Prolesaiare Code: The Cantredon license law tloea nM epply lo en owmer d pmpa�y wM buitls a imqoves iheraon eM who
eonireen ia aW prqeds xilh e mmreqar(e) Iceneed punuent �o the Contre � ieeene
� I em aremq uMer Sa Iian B. d P.C../m Ihie reswn:
. Deie: � Owner: �
i de na� � mm i� ew� a�a wb.�.�d ma,�a���ew d c omm H,.nn �d smmr ceda �,. zsws, usaa. �e
2553C.B11d IIX eflY �YfB WlWlflj OOLYIpBM 'MII/ Wlllfld (PfCIO O11lI�4 10 <OT�'WIIIBBIE 6�8�0 MJM ME�IMIlQVllelllllll8 M
e V�n IorcanslrucMion or modifiralianhomthe �r�anepemenl Distiia. Reaidaniiel crost�wion eOG�ureen uemp /mm IMw
provisions.
Dete: ADpIkeM:
W ORKEN'S COMVEN4�TON DECWiATION: I MraEy elfirm uMer pmMy d pxjwy wn d Ma tdbvneq dadarmiom:
� IhereeMMilmeinlenecmlifcetedmwni�osaMi�wnlurxaken'oompemYion.oprwidedtaby5emm3'roOd�Mlebv
cm.. �« ma v�o�� d ub ..on� ia.d:u� mti v� e n.�a.
❑ in...�ew�men,ron�•o�o�mo���w�....�.a���.enrs«��,a�ooame�no.coea.ramew���dm.
wak fa whidi Mie P�� ie mued. MY waken' mm0avelon imureMe rarrix enE OdkY wmEer are:
c�,:
vdcrN�mn.r
.;:.maim neee �mr ae canmared i rn. �.;, ro, on. nune.ee damn Is,00l w b...�
'�' I cenily Nm in ma perloimenca d tM wak fa wTich Ihie peimN ie eeueE, I ehaA m1 emq un m eny menner eo m Io
e��e auqae io me �nere �w�.v�, �we a cdna��a. .�d � ind a i a wdea m ma ..on�en•
�man� � a�(jm saa� a�oo w me �mo, cods. i.ndi ton m �� o� rq ��.
Dme: V IM Applcant: II
Wem 0� F llun ro sxun wohei�' comperuetlon roverps la un/a , siW alWl �u6/sef en employe crlM�xl penalHs� anJ
c/v/l � ro ons huntlre0 OrouanM Gd/en (Sf00,000), ln etldltbn ro Ms cwf ol rompwuet/ort tlamep� n provldetl bi In
SxHon 3]O6 olMs LebaiCorb,lnfeiea( entlettornsy'� /�es. -
CONSTNUCTION LENDINU AGENCY: I hereby �rm under penelry d perjury ihel lhere ie a consiNdion biMi�p egeuy br �M
i»namance a ina wonc ro� .nw, mm ��e �. icauad Iseuim aw�. cH. c).
LENDEfl'S NNAE:
LENDEN'S RDDPE55:
I cenity thm I heva reaE Nb epplcetion eM e�ete thei the ebova inlormmion iv m�ne. I qree to canpy wilh ell tlly mM mumy adinentte
eM e�ale lewn eNe��p la butld'rq eonavuman end Mreby ei�lwr¢e repeaenlalivea ol lhb dlyto enlm upon the ebme-menliarotl propeM
lorinspeqion Wrposea. .
CAMILLE ALVAREZ�
oma:
(5t51d6.WP) While-BuiMiq 8 Sa/ary: QreaMFle: Cenery-Appiram: Fnk-Revenw: f3alEmraE�-Aamsmr
CITY OF COS'TA MESA — HUILDING PERMIT
PERMIT NO: & 083167 PLAN CHECK NO; N
PERM NO; B U8316"
GOVT: N SUPP; N
CUNSTRUCTION 'TYPE: PERMIT 'TYPE: STR PURPOS�:: OTA
JOB DESCRIPTIUN ; INSTALLATION OE BUILT IN BAR—B—QUE SQ F'f: 5,000
CL:SIM VALUE: 5,000.00 CALC—C�ALUE: 5,000_00 GROUP OCC: R-3 /
COMMENTS: "LEGALiZE BAR H QUE INSTALLATION"
at3t�t*�r�*�+�+��t*at��#x��rit*it*�**�x�atx�x*�**it�atat**x-��*��t �x�*�*x�x**��itit**�e� x�x�itx�xxx �atat**�
Z O N I N G R E Q U Z R E M E N T S
S E T H A C K 5
------------ MAIN BUILDiNG ---------- --------- ACCESSORY BOILDING ---------
FftNT: FT IN REAR: FT IN �'RNT: FT IN REAR: 1 F"T IN
LEFT: FT IN RGH't: FT ZN LEFTc FT IN RGHT: FT IN
PARKING REQ• PftOV: PARCEL: 14151133 ZNE: PDRL REF NO:
PLI�NNING NaTES? CONSTRUCT A ki13Q IN REAR YAHD AREA. LESS THAN 6 FT ZN HEIGH'P,
?
iF ik if 3E if �lf ik if iF iF # iF if ik iE k if it iE }f it it �lF iF �lf ## iE ik if �lE ik �F iF it iE iE if it if k iF 1E if ik ik it ik i! �lf it iE �l(� i! it �� �1f if #!F �%iF 3t!! iE if it ik �1F% X� � ik �N� iE ## if iE
D E V E L O I� M E N'I' S E R V I C E S R E(,� U I R E M E N T S
ZONING APPROC��:U BY DATE;
BUILDING APPROVE'D BY ; DATE: �
APPLICATION ISSUED BY: DATE;
iflt'k1FillfiFiEiljkiFlEiFik)F#k1FiE##i! � � .,. iEkjflf�lE�F1i1!'Ik'k . ... ifiF
LEGALIZATION:N r' E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/R�.S GRADING
PERMIT 99.75 ,50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TO'PAL PAIll DUE•
TOT:ALS----> 100.25 0,00 0.00 100,25 100.25 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 100.25 OVER/SHORT: ,00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TO'P GRADING PLAN—CH�,CK
99.75 ,50
�E it �1! it �lE ik iE jt �1f �1E �1F 3F �lE �E %� 3E %� iE � iF 3F %� iF �)f if 3E 1k %iE 34 �1E fE if ff �1F �k ik if iE iF iE �M� �%if 3t iF 3E k iE iE iE 3f iF �%�lk �% %� � iE if dE 3E M�)k iE iE Jt ��1F �JE aE if �E %iE # if if iE
I N D I V I D U A L F E E H R E A K D O W N
TYI�E QTY D E S C R I P T I O N UNIT CO5T TOTAL COST
SFR 5000 ALTEk BY VALUE RESIUENTIAL NO'LUNE 1,00 5,000.00
END OF F�.ES
EXPI�ED
DATE � — I1 ' � O
00-84-1997/12:34 PR/SiEr9.25
RCDTk:6]-�Ga72a�
P'ERMIT_083iE7
� CONSTRUCTION AND PLANNING ._ POO' 'A � '
' APPROVALS Permit # Date Inspeaor '- qppROVALS Permit # Date , Inspector
7. Temporary Electrical Service or Pole � . 62. Pool & Equipment Locationy -% ' , --- %�
2. Soil Pipe-Undrgrnd. � . -';� 53. Steel Reinforcemenc �'h '�
3. Electriwl Condu�t Utility�Undrgrnd. � 54. Forms � . '
4. Electrical Condu�t�Undrgmd. � 55. Electrical Bonding ': - '�
�. • i
5. Sreel Reintorcement ' _ 56: Rough Plumbing & Pressure Test � j; ✓'�
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUIVITE , ,. _;
. 7. Footings 58. Electrical-�Conduit-Undrgrnd. ; ,• -f_'�
' "�'� /
8. Foundation - - 59. Gas Pipe,'�� Undrgrnd�„�Test. ,���
9. 4Nater Pipe-Undrgrnd. 60. Backwash Lines,'P-7rap, O Undrgrnd. �=,
10. Structural F�oor System � �'" ) 61. APPROVAL TO'DECK � �� �. '�;
11. Proper[y Sewer Line & House Connection � �� 1 62. Backwash & Receptor-Final�} � '
r . ,
12. Sewer Cap . ' -- � 63. Heater & Vent�Finai ;��
13. Roof Drains . -.. �'� - 64. Plumbing System = Final _
!
14. Rough Plumbing 65. Electrical-Final '. %~�
� 15. Rough ElectricabConduit � , - - �� �� �66. SolarSystem-Pinai � ��-�l �
16. Rough Electric Wiring . � - �67. Fencing & Access ApProval '
17. Rough Wiring Si9� � � 68. APPROVED FOR PLASTERING
78. RoughElectrical-TBarCeiling , '69. POOVSPASYSTEMS.FINAL � . �
79. Rough Heating & A�r Conditioning - � FIRE �EPT. REQUIREMENT -
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. U�derground Hydro
22. Ducts, Veniilating 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73: Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling {Structuraq & Monocoat � 75. Dry Chemica{
27. Frame and Flashing 76. Dry Sta�dpipe �
28. Lything & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT �r Z.
31. Plaster 8rown Coat 79. FINAL WSPECT�ON :;„�
r.
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED -�
33. Finai Electric NoteS: -' i
34. Final Heating & Air Conditioning r;
35. Final Gas Pipe�7est ` , ,
36. Hood or Canopy
37. Final Factory F��eplace
38. Final Plumbing
39. Water Service-Fina�
40. Gas Service�Fi�al
41. Solar pomesiic-Finai
42. Backf�ow Preventer
43. Backflow Irrigation
44. Landscape Irripation System
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING
48. FINAL PLANNING
49. Electric Retease to Edison
50. Gas Release to $outhem California Gas Cn -
51. CERTIFICATE Of OCCUPANCY
No. Date
�1_t�'��. �
CI7Y Or COSTA MESA
PLANN1fJG DlV.
SUBJECT TO BLDG. DEPT, REG.
L••�i
�3�fn �
�yn2rGt`a�
�o P��
C�yn m2r�c �
1T�
DIVISION OF BI�1ILDfTG SAFETY
ClTY OF CpSTA MESA
fiis sel ot plans and speciC�caHorts MUST be kapf on this �t et qB �
an0 it is unlaw4ui io make arry changes ar attewUon on same �ad �p�llh
pertni;;ian trom Ne Division ct 8uitdmg and Satery, Ciry af Cas� df0e6
The stamping of this plan and speciticaf.bns SHAI,L NOT be 1� b pa1N
a to be an aPO+o�a1 of Ne viotatior af arry ptovisio�ts 0} gny Clly p1(iDp�
Mesa Dr�nartce ancllar Stats law.
These �_rs 2nd oermrc shall er.�ire by Ilmitatbn a� become nWl and vo� �
the buildpig or work is noi cOmmenced ��d maintained aclNe psr UBC §303
(d) within i BO tlays of issuanca
(�OT�
ADDITIONS, DELETIONS, OR CORRECTIONS SNALL
BE APPROVED BY THE PLANNIt�G DIVISION
'l V����Q,�.
W"-
�
�ooxEssavem�axo: $127 ENCORE :CT ; ' - uNT:
ow"Eas""uE;:'°'""": NELSON & CAMI.LLE pUlAREZ
AD°"�u 3127 ENCORE t�T '�
COSTA MESA, CA 92626 719-540-3904
�vv�. Wu�c �oo�ss
uicxrtEcronwm��n: . uawo.:
MCX.OPFIM.'SIDDXE55: �� , IINT:
coxrn�crarsrw�: '�
�
coxrn�croxs wuia+c
dDDNESS 11C.N0_ .
� um:
� LICENSED COMRACTOHS OECLIHATION: I hereby eAem undar penaYy d paejury �hel I am IcemeE uMar pwieiae o/ Chepm 9
(oommend�p wilh Section ]OW) d Oiveion 3 d �he Buairoa eeM Pmfeasiw Code. enE my 4oeiue o in tull laro eM eXed.
cm uc. No.: uc. cuss: uc. No.: EX P;
o�e: � cow.da: '. � i
OWNEX BUILUEF OEGLAPRTIIXI: I lw'eby alhrm untler parely d perN�Y �hel I em naempl ��wn �M Con�reqas Liceroa Lew /w �he
lolbwinp reeson (Setlion ]W 1.5 Buaneas end Vrolesnions COEe: Any c1y a munty whidi rxryirea e parmn to coreWcl, ellar, imprare,
'emd'oA. ar repv eny ai�ucwn, prior w ns awence. abo m�uime Ihe applimnl la such peimil to fJe a spnetl statemant Met he a eM
IicmesC purnieni �o the pm�ma d tM CaMredan Limme lew �Cheqm 91�maidnp wi�� Seaion )aoo) d Di.�6ion J d iM
�ainese end Prol»eior�s CaEej or Ihel he w eha ia exemq theralmn end the beaie fw �ha dbpad uemption. My voletion M Smian
/031.5 by eny epplicenl Iw e permn eubpGa iM epplicen� to a rnil panely of ral maa tlan INs huiMreE Edlen �5500�).
❑ i.mow�ainev�w�r«mr•mc�m�•w�n..��ma:.da�v���.wieomewax.�eubm��em�m�e
w dfered M eeb (��� ]oeb. Busi�ross eiM PMmeione Code: The ConVeaon lioensa Lew doae ml epplyto en ownerd popeM
who bulds or inprovea ihareon, end x1w daes euch Mak IimeeX or Mnell or thrwqh hi ar her own am0�s. D�'�ded ihet euch
impwemenn ere �c1 inlended a dle�ad la eeb. X, howe`x, tM buJdieq or inpo.emem e edd wnhin ore yaer d mmpbtion, the
�ow�wrLuildm will hero iM burden d povirp M or eha d'd nal bnk a impow la iM qnpoae al eeb).
I. ee ovmer W the propeily. em ezduaivety caniredinp with liceneed mnvec�we io wnav�w iM prqed (Sedion )OOd. Buei�va erd
Pmlweiwre Code: TM Conlratlwa licerw lew dam nd epply �o en ovmer d'popeny x1a buiWa « imprava thereon enE who
comracb la wM propqa wuh e mmretlor(e) IicemeG Wnuenl �o IM Cont�atlon lioeme Le�.
� I em uampt un x Saclian: B. 8 P.C., fm ihis re
� D�,: e � IQA� a.,,,, %��
I do he cerliy Ihn I am eware d vd unAanlentl IM requirem d Celilomie Hmtlh enE Sdery Catle Seqione 25505. 2553J, vM
YS53d. end tlwi I or enY M1�un WiWinp omupant will / wYl rwl (tlrcb aro) naed to canPM w'th eeiE pele oodee eM IM �equiremenb br
e paimil laconavuctun a modifretion hamiMAi�v�ameni Oim�iq. Remdailil cm9ruq'vn eppicmiaman eaemqtmn Nw
OroWsiona. 1y1 /��
Dele: _\ I�M� qpW�:
W OHK 5 COMPENSATION DKLAN�TION: I heroby eifiem uMx pnWly d pmjwy aro d IM Idbwirq dederNuna:
� I heve enE xil meininn e unAcue d oonaent lo seM-ineuro br workms' canpemetion, m pwkeE /a by Setlian �]00 d �he Lebar
Code. la iM peAmwce M tlr wak fa Mic� �hu pemi4 ia us�ad.
❑ in��a�;��m��n�.•�v�oo�re��,�.��.a��reenrs.u�aiaoam.�n«coee./«meoa�«�am.
wark Im which Ihis pertnA is iaued. My wwFan' mmpanaeiion inauraica mmer aM pdiry numbe� ma:
c�:
Pdiry Number:
(Tiris sMion need nw ba canWered i the paimrt is Iw oIro hunered ddlers /S�OpJ w bee.)
� 1 mnh' � in tM pMamence W iM1a work br whch Ihw pe�mn o mued. 1 e1W m� em Jp, emy paeon m ury memer eo m lo
becoma wbjaa m tM xoM1e'a' canpaneetion kwe d Cdilomia, arMpptle Nm ' ib N become euEjec ta the r.orbii
� nsalion �;we� N� ion 310U ol lha labor Code. I ehell l0 1(w I m ' ih e�a�.
i�%t
om<: 'r't n,a�,�:
Wam elluis ro swun woilreri mmpemeHon roverps L unlawNl, entl �hs/l aub�ecf en emp/oyx to MrM�ul psneMu enJ
e/v/l A� uy ro ons huntlrM fhouunE tloll�n (5100,OOd1, M M11tlon b fM roat o/ rompxu�tbM1 tlamep� u qovltlW br In
Sxtlon 31f16 0l Ms La6ar Cotls, /nMa4 /�d ettomsy'� Isu.
CONSTRUCTION LENDINO AOENCY: I hereby ��m �ntlar penely d perjury thm iMre ia-a'cansliud'wn bnCinp epency M ihe
penomierca d me woM �« .nim ine verm� a awad (swa, xs�, cN. cl.
LENOER'S N11ME:
LENUEfl'S RDDNES4:
I CBrUIy Ihm I hew med Nia epplralbn eM 9etB IMI ihe abwB inlormetion b c�rtaC.l epreelo cpnpy xnh ell ay end oouNy adiriam.e�
eM atma leMs releinB �o Wik'vp cona�eumon eed Mreby eutlar¢e rtprasemmives dthie tlty ro eMer upon the abv.e�mentunad propeny
, forimpedion Durpoeea.
CAMILL• ALVAREZ
� �a �
'� oma:
q u / wA radar
(5151d6 WP) WhFe-Buikiq 8 Setery: GreerFle; Carary-Appiranl; Hnk-Heuenue; OokenioaA*eema
CITY OF COSTA MESA - BUILDING PERMZT
PERM NO: M 083169
F'�.t2MIT NO: M 083169 F�LAN CHECK NO; N GOV'f: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: MEC PUItYOSE: OTH
JUB DESCRIP'I'ION : INSTALLATiON OF bUILT IN BAR-B-QUE SQ FT:
CLAIM VALUE: CALC-VALOE; GROUP OCC: R-3 /
COMMENTS: "LEGALIZE HAR B QUE INSTALLATIUN" / REF B-83167
iF if 3F jf iE �F if dk �E �E if jf if �f 3E �7f JE k��k if )E jf jE it iF ik �lf iE iF if if iE i! jk ik ik ik ff -Ik iF 1F if �f iE iF if %i! iE iF 3k k Ik �E k 9E 9k )E 9E iE iE iE �f ik fE iF !E k ik if %i! �If %� 3f 3f jf
Z O N I N G R E Q U I R E M E N T S
S E T B A C H S '
------------ MAIN BUiLDING --------- --------- ACCES50RY HUILDING ---------
FRNT: FT IN REAR: PT TN FRNT; FT IN REAR: FT IN
L�FT: FT IN RGHT: FT IN L�FT: FT IN RGHT: FT IN
ri h
F'I�R}CING RE • PROV: PAACEL: 14151133 ZNE; REF NO:
PLANNING N�TES>
i j
ik #'%jf iF iF jf ik iE if i! i4 iF i! 7E �k 9f �1F �lf k if ik iE 3F if iE k 1t ## if'1E jElf ik'k ff �!' if ff if 1E # tf if if iE iE iE iE 1t iF iF iF It'k �%3f �1E �IF 1f �)t IE iE fk �k k�# IE �7f if if -Ik %'k -IE ik'k
D E V E L O P M E N T S� R V I C E S R E Q U I it E M E N T S
ZONINV APPROVED BY DATE:
HUZLDING APPROVED BY : DATE:
AYF+LICATION ISSU6D HY: ��� DATE:
*�*x�*�*�,�*��*,e*�����r������'������������������'��r�**�e*�*x� , , **
LEGALIZATION:N F E E S U M M A R Y S'fROCTU1tA'L SEGMSNT:N
BLDG PMT PLUMBING ELEC'fRIC MECHANIC FIRE SMIP/1tE5 GRADING
P�.kMIT 15 . 00
25k SMIP/NON-RES
PLAN ,^,.
ISSOE FEE � 22.00
BUILDING-DIV-> PERMIT ISS'UE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 15.00 22.00 0.00 37.00 37.00 ,00
y
REVENUE DIVISIUN TOTALS--> COliI;ECTED; 37.00 OVER/SHORT; ,00
BLDG PMT PLUMbiNG ELECTHIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
37.00
jf 1F � 3f iE iE �F 1E iE �1t� �lk �E �f �)f �`k iF if if jf 1F if 1E jf dk iE if if �1E 3E iF ik iE if l^f 3E if dF iE if k iE'%if iE iE it if jF iE �I(� if if 3E if'k N� iE # iF i! 9k iE 3E �E iE%�%%%�lE �%dF lE �lf df iE iE k
I N D i V I D U A!I,� F E� B R E A K D O W N
�
TYf�E QTY D E S C R 1 P T I O N UNIT COST fOTAT, COST
MEC 1 GAS PIPING SYS 1-'"4 OUTLETS 5.50 5.50
MEC 1 EACH APPL NOT IN OTHER CAT UNDER FEE 9,50 9,50
END OF FEES
�
f
, � EXPI�ED
� `�� � DATE � - I � ""t'(J
. -
05-84-1997/12:35 PHJ537.a�
RCDT�:�1-3Za7231
REkt�iIT:083169
CONSTRUCTION AND PLANNING - POO� ,PA -
• APPROVALS Permit �F Date Inspector qppROVALS Permit # Date Inspector
t. Temporary Electrical Service or Pole . _�52. Pool & Equipment Location=- � � .-�
2. Soil Pipe-Und�gmd. . - �.ti 53. SYael Reinforcement . �'. � � ��: '
3. Electrical Conduit Utility-Undrgrnd. -- 54. Forms '
�{ 1 ~
4. E�ectrical Co�duit�Undrgrnd. • ;r- 55. �IE.ctrical Bonding _ ' `-�; �
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - fi�..'�
_�
6. Electrical UFER Grnd. - .57. APPROVAL TO COVER�GUNITE '
7. Footings • . 58. Electrical Conduic�Undrgrnd. -. 1,� .
•Sf•Foundatiort � 59. Gas Pipe, Ci Undrgrnd., Test, j
9. Water Pipe-Undrgrnd. � ��60. Backwash Lines,�P-Trap, O Uqdrgrnd.
f0. Structural F�oor System - ���% 61. APPROVALTO DECK ;f �
.')
11. Property Sewer Line & House Connection , "- 62. Backwash & ReceptorFinai�::,`•, .
12. Sewer Cap � � � 63. Heater & Vent�Final �� r'
,� �)
13. Roof Drains � �, 64, Plumbing System - Final �^ -
14. Rough Plumb�ng , �� fi5. E�ectrical-Final +,�
�
15. Rough Elec;rical�Conduit 66. Solar System•Final � �
�
16. Rough Electr�c Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign . -� 68. APPROVED FOR PIASTERING T
18. Rou9h Electrical-T Bar Ceiling � 69. POOUSPA SYSTEMS FINAL �� -�'"
19. Rough Heating & Air Conditionin9 � FIRE DEPT. AEQUIREMENT
20. Rough Factory Fireplace APPROVAIS Permit #
21. Ducts, in StNc[ure 70. Underground Hydro
22. Ducts, Ventilating 77. Produci Piping �Gas ❑Oil
23. Gas Pipe-Ro�gh & Test 72. Underground P�ush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structurall & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Or�ywaii Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coai 79. FINAI INSPECTION
32. Electrical Power Meter�F(nal 80. FOOD CERTIFICATE ISSUED
33.FinalElectriG Notes: ^_/A_G'f� �����,.,
4_/ -
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Tes[ - `�
° w
36. Hood or Canopy �_�'
37. Final Factory Fireplace � •
38. Final Plumbing � �
39. Wacer Service�Finai ��
40. Gas Service-Final
41. Solar pomesT�c•Final
42. Backf�ow Preventer
43. Backflow Irri9ation
44. Landscape Irripation System
45. Sound Attenuation
46. Handicap Regulations �
47. fINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Cn
51. CERTIFICATE OF OCCUPANCY
No. __ Oate
�oonessaew�w+� 3127 ENCORE C't u"T:
°�""Eas"""E'°'a°"": NELSON & CAMILLE ALVARE2
'°o"Eu: 3127 ENCORE CT
MESA, CA 92626
MOqE55
�xcxrtccrox e�xiffn:
�NCN.OX ENG'S AUORE55:
CONINACTqfS W4E:
cwm�croxs uuuxc
�ooxess:
719-590-3904
uc xo_
UNT:
lIG NO.:
UNT:
UCENSED COHfR/CTOHS DECU�XATION: I Mreby eflim uMx perely d pnjury Net I em IicmveA uMx proriaiona d C�eper 9
(eommeruvq wilh Seetion ]OW) d Orvoun 3 d the &ama enE Prdeeeions COEe. enE mY �+a o in lull twea eed elletl.
cm uc. No.: � uc. cuss: uc. No.: EXP :
Dale: Camreum:
OWNEN BUILDEX DEGLAXATION: I Mreby ��m untler peneXy W parlury Ihei 1 em e:�amq Irom �he Contredore Licenee lew la iM
Idbwinp reeaon (Setlion ]0�1.5 Buaineva end Profeasiona Code� A�ry c1Y a�my which requima e parmil �o romVucl, Mer, impwe,
Aemdah, n repei eny aviwWra, piior lo its bauence, ebo repuirea �he applimM la euch pe�mil lo fib e sipried atalemant ihPo he or sM
�icenaed pun�enl b the pro�sma d Ihe CanlreGon Licenx Lew �Cheqer 9(mmmerurnp xith Setlian JOW) d D'vebn � d Ihe
nmaa eM Prdesabu Cadal u IMt he a ahe a azamq tAselmn erM �M Eava /a Ihe dkG� exe^W�bn. �M'vialation d Sedion
i1.5 by enY eOW�� lar e permu wbpaa tM epplicent to e evil penelry d rw� more �hen INa huMred ddlan �5500�)..
❑ I, m owrer W Ihe popany a my emWryees wih wepe� av ihei ade mmpensaiion, rrill do tM wak, eM tha awnun e nd imaMed
n MareE ra uk (SxYion ]oM.6uvrbss eM PMessiona Code: The Conireuon Licenae lnw Ews �a1 ePONto en owiwra popaily
wM W ide w'unqovea thnean, end who doee audi MVA� Nmeetl a henell a ihraph ho a her ovm employeae, pv+ided ihet ach
im0�mame ere rot imeMed a dlerad br aele. H, howavar, iM buiMing a imqwemeM ia soM wilhin one yeer W completun. Na
ownerbuitler Mill have iM buNen d proving he or eha EiE iwl Wik or improve la ihe WR�e d seb).
� I. es ovmer N IM1e D�oPaM. � eKtluarvey wnireeirp wnh licenaed wntrecbre to cansVud �M qqed (Sedian ]ON: Buainma eM
vrw<seiom com: m. comreeon ucmx Le. doe. �a wWv �e � ownm a o�oanr �•�no wms a imv�« �ne�ew� end w�o
wnvecb la wN popda wuh e mmredor(s) IicansaA W��t to tM Conom�licerae 7 �'
� I em eaemq uM> S cibm B. 8 P.C.. M i�u �eaaon: �� �
�om.: - � �' o.,�,: : ')
i
i eo na �M wv i� e....s a�e �rsw,a ma rea���am. a ca �roma Ha d,e s�erv c ea smoo; uws. zss:n, �e
2553a, m I or eny M1nure buiMirq ar.vpeni will / wil nd (drcb one) need to canply wih uid mme wdm vd tM rapuiromaMa b
epemiitlorrona�rucUonwmodiRretionhan�MRi e�y enepeman�Diatrip.RmiEanlielcaM�ud'nnappimtiamenezemqtmmihene
prwisione.
Deb: Applicenl:
WORKEH'S COYiplS�TON DECL�X1T10N: I MreEy etF�m uMer panelly af {wjury ans d Ne tdbwiip Eedereluru:
❑ inw.enewi�meimewecen�r�w.aoo�i�o..n,nunwwmce�s•m�w«�..��,..awiaed�«Ms.mo�a�aoam.iee«
coee. �« me parto�me�w a m. won� �« wnon ma pmmn re iwuse.
❑ i new m,e �;� meime:� wona.� ca�ro�� ��,.aMe. m rw��d W saa�m a�oo w m. �.no, coe.. b, m. w�ro,man�e d m.
woek Im wh'rh thie pa�mn ia iuueA. My worken' cwnpenaelion imurenea ramer enE pdiq numbar ere:
c��:
Policy Numbar:
'a secYion neeC nIN be romqefeE / the pwmk is lor a�e hunEred dollers �S/00) w bn.f
d I cenly tlw in tha perlomarce d Ihe wark la xlic� Ihia peimil ia issueE. I ehell nol ampby eraon in arry mwror eo m to
bscame wbjad� °I'o� 1!w xvekers' canpense�ion lewe d CelAanie. ad e e ihn d I e ome wEjw lo the v.aNe�a'
— n Yle �k' �`7�-0� s�oo d ma �.e« cea.. i.ndi renn � �" o �a�.,.
Dme: Apqicenl:
Wem 0� F/lun N�xvn woAror�'ronperuetlon roverep� la unN , ane �hsll �ub/�c! en empl r fo crlMrul pmeMu uM
clv/l up ro om hunerW fhouund OO/Hn (310µ00pJ, M etlrllHon ro tlis roaf ol comy�erwfbn, damsys� a� provltlM br In
SscHon 31P6 0l Ms LMorCods, Infs�u( antl attomey'� /�.
CONSTNUCTON LENDINO AOENCY: I hereby aifi�m under pendry d perryry Ihel IMm b e mnatrudian bMi�p parKy 1« tM
panamenu a ina woix �ar wnid� ma vmm� � asuee (seaon 9os1, cH. cl.
LENUEP'S NRNE:
LFNDER'S ADDNE95:
I cenM tMt I heve read ihis aPWiceiion and ame thm Ne ebova im«mation is cortae. l euree to comdY wnn ell aY eM oounry adinenwe
arM atae lewe relelinp lo buildmp conaVudan eM Mraby aullror¢e repraaentatrves of ihc cily �o enter upon Iha ebo.e-menlioned D�PaM
�OI1119�BLYqlIpllfPJeB9.
CAMiLLE AL AREZ.
� / /1 1/1JIA.� � �L / Dal� ! . � • ' �
Sgn r/ Appiren Ireda , ��-
V
(5151de.WP) Whna-Buik'vp85efery;�reerFlb;Cenery-AppimM:Rnk-Rewnue:OOldanro�Asaesmr
CTTY OF COSTA MESA — BUILDING PEkMIT
PERMIT NO: E 083168 PLAN CAECK NO: N
CONSTRUCTION TYPE: PERMIT TYP£: ELE
JOB DESCRIPTION : INSTALLATION OF BUIL'I' IN BAR—B—QOE
CLAIM VALUE: CALC—VALUE:
PERM NU; E U8316
GUV1': Pl SUPt�: N
P URPOSE : O'I'H
SQ FT:
GROUP OCC: R-3 /
COMMENTS: "LEGALIZE HAR B QUE INSTALLATION" / REF B-83167
�lE if jf �k 3E i! it iF �)f �lE �lt ik ik if dt il� �%iF i! if iE iF �If iF �IE jk if df k 7! k if �k fE fE 3E iE 1F i!� )t �k if �If k�IF if 1E 1E M� 1f ik 1t iF 3E iE it i!�!f iE �lf �lf iE iE if iE # fE # lk if �lf jE ik iE �% IFlt if if
Z O N I N G R E Q U I R E M E N T S
s E T�� c x s
------------ MAIN HUTLDING ---------- --------- ACC�.SSOAY HUILDING ---------
FkNT; FT IN REAft; FT IN F'RNT: FT IN REAR: F'I' IN
LEFT; FT IN RGAT: F'f IN L�FT: FT IN AGHT: FT ZN
PA1tKING REQ: PROV: PARCEL: 14151133 2NE: REF NO:
PLANNING NOTES>
� /�
if i! 7k'k iE �)E 3F fE ik at jk ff jE jE jE iE if if if !f 3f if if �k �k 1f iF if;k if k dt 1t iE 3E k� if dk ik d! 1t * 1k 1E jE �f 3k 3f �k if �E iE iE jk ��1E i! ik ik �k if �t if �E if k k 1E k�k %� �k fE �%� 3E �k iE 1F jE
U 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'f S
ZONING APPROVED BY �'-' DATE:
HUILDING APPROVED HY : �? DATE:
l . � �FJR�lF
APPLICATION ISSUED BY: "' DATE:
it�titttatatitat3ti�it�ititlt�tx��lt*�x3tit�it3F3F�F�fiF3F3F'iFiFiFiFiFiFiF3F3F3F�F'iF7FiFiF'iFiF fF iF'iFfFiF7F5FiF�t**�t*��**�IE�IE �t-�7F
LEGALIZATION:N F E E� S U M M A R Y STRUCTURAL SEVMENT:N
HLDG PMT FLUMBING ELECTRIC MEC'HANTC FZTtE SMIP/RES GRADING
PE27MIT 1 . 00
SOR SMIP/NUN—RES
PLAN
ISSUE FEE 22,00
HUILDING—DIV—> PERMIT IS50E PLAN—CHECK TOT:�L PAIll DUE
TOTALS----> 1,00 22.00 0.00 23.00 23.00 .00
REVENUE DIVISION 'TOTALS--> COLLECTED: 23.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIF/'POT GRADING PLAN—CHECK
23,00
iF K' 3E 3E iE dE jE iE j! -0t if 1E iE jE �%if%�lE � jf iF if -k 3f iE iE jE N' � ik Jk 3k fE �E 3E �1f dF �f af iE 3f 3E if'%iE iE �%if ik iF jF iE 1E iE 3E iE 1E iE iE 3F lE dE il-if if jf k iE ik % If it 3F #�E-%iE 1E �E
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY ll E S C R I P T I O N UNIT COST TOTAL COST
ELE 1 RECEPT/UU'PLET 1 ST 20 EA, 1.00
END OF FEES
1.00
66-�4-1997/12:35 Ga!€23.��
PEkMIT�:�08316g
CONSTRUCTION AND PLANNING _ POOL 'A � �
' APPROVALS Permit # Date inspector qppROVALS Permit # ' Date inspector
t. Temporary Electrical Service or Pole �.. � 52. Pool & Equipment Locati n��>-�
2. Soil Pipe•Undrgrnd. . . a� 53. Steel Reinforcement -`� ,�
3. Electrical Conduit Utility-Undrgrnd.-; _ 54. Forms � -'- - ,'�
4. Electrical ConduirUndrgrnd. � �.• 55. Electrical Bonding ' T11, ' �.�
5. Steel Reinforcement '"'" 56. Rough Plumhing & PressurelTest ��
6. Electrital UFER Grnd. ' ' S7. APPROVAL TO COVEft-GUNITE � �". %
7. Footings . - - 58. Electrical ConduirUndrgrnd. =,�
8. Foundation � 59. Gas Pipe; L-1 Undrgrod., Test� . '�
9. Water Pipe-Undrgrnd. � - 60. Backwash Lines, P�Trap, t7 Undrgrnd:
�
�
10. Structural Floor System , � ��61. APPROVAL TO DECK �
.
11. Property Sewer Line & Ho�se Connection �- ��', _ 62. Backwash &.ReceptorF,inaL �
12. Sewer Cap ' ' �=-� 63. Heater & Vent•Final � �" ' - �
73. Roof Drains � { � 64. Plumbin9 System - Finai �' +� - .
14. Rough Plumbing .� �� 65: Eleitrical-Final � �if n- �
�.
75. Rough Electrical�Conduit• . " 66. Solar System-Final - ✓� �
4')
16. Rough Electric Wiring ���.� � 67. Fencing & Access Approval ' � �':.
17. Rough Wirinq Sign _ - =gg. APPROVED FOR PLASTERING � r�
18. Rough Electrical-T Bar CeJing - � 69. POOLlSPA SYSTEMSFINAL - ' ��
79. Rough Heating�& Air Conditioning *� " ' FIRE DEPT. REQUIREMENT � "
20. Rough Factory Fireplace � APPROVALS Permit #
21. Ducts, in StruMure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping OGas �Oil
23. Gas Pipe-Rough & Test 72, Underground Fluth
24. Roof Praming 73. Undergrnd. Storage Tank O Gas ❑ Oii
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structuraq & Monocoat ' 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding �. 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. F�NAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat -� 79. FINAL INSPECTION
32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED
33. Final Eleciric �.��'J Notes:
.s
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
- 36. Hood or Canopy - -
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service�Final
40. Gas Service-Final
47. Solar pomesticFinal .
42. Backflow Preventei
43. Backflow Irrigation
44. �andscape �rrigation SYstem
45. Sound Atcenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING .
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co �
51. CERTIFICATE OF OCCUPANCY
No. Date
noon�sscvam�axc: 3 1 2 7 ENCORE CT uNr:
an+EasruuEi��wr+:pOLYGON PAOPERTIES FLOOD: X 47
.40DPESS:1S%Z�I ROCKEIELD HL
RVINE, CA 92718 714-452-0600
�vri. �wunc �oow�ss:
�RCNRECiONFN(iNEFP:LL MAJOR & ASSOCIATES ����� C-16869
N
�PCN.OX FNG'S ADDIIE55: 1 S S 1 N`f US T I N AV UNT:
SANTA ANA CA 92701
coxm�crarsruuePOLYGON SOUTH COAST ASSOC ( 714 ) 452-0600
camucron�sxuuxc15751 ROCKFIELD
woxess IRVINE CA uaxo.: 659262
92718 uxr: 120
LICENSED COHfP4CTOF5 OECLAHATION: I Mroby eflim uMm peraly d perjury Nm I em Icanxd uMer povivons al Cheqer 9
(mnmer�aep wilh Saelbn ]000) W Dmaion 3 d �he Buaimu aM Pmimaona Coda, vk my limnsa ia in tull bree anE efierJ.
cmuc.No.p66144 uc.cuss:g uc.No.:659262 EXP: 11/96
Dete: Contmdor:
OW NEP BUILDEP DECIANATION: 1 Mreby elfiim uMer pene�y d perN�Y �� I em eRamp Irom tha CwNrepon licenea law la IM
�alo�me �m.m (smbn �m�s eusmss ane Fraessions coda: nm �n a coumr wniei �eauires a oermu m om.wn. ene.. Imaw..
demolivh, or repei eny sVucluro, pior io ila oaue�e, e6o reQuirm iM epplira�t for auch permn to file a egiwE elelameM ihet M a sM
IiceneeE W�uent lo ihe poWsions ol Ne Conlreqon licensa law �CAeqer 9(wmmenarp wi�h Sedon ]000) of Dvaion 3 M Ihe
sinem end PrWesaiona Code� w ihe� he n aha ia examp therehom end iha besis ta Iha elleped exempfwn. Any vuletpn M Sedpn
.YJ1.5 by eny epplicenl for e parmtl eubjacU Ihe epplcent �o a dNl panelry IN rd more �hen liva hundretl Eollen �5500j).
� I, es ovmer d Ihe O��Y ar my empbyeea weh wapea es Ihe'r wle mmpemetion, will do ihe xwk, eM IM elructure e� intanded
w Merad la mla (Seclion )Oai, Buaresc arM ProluaiwnCode: The Conirmas Licenae lew doea ml xpply�o en owier d properry
who WiM or inv�a ���. �'� � etiM work Nmmll a Mna� ar Mroiqh he a hm own empbyeea, pwided �hat auch
'mpiwamema ere rot imaMeE a dlered �w eeb. M. Mwever, tM buikirq w inqwemeM ia edd wilhin om year d mmpl&ion, tM
owner-0uiqer vAll heve IM buNen d pwinp he or ahe did irot builC w imp�we Iw �ha puryoea d mle).
� I, ea awner ol the propeM� em exdusNety conireclinp wil� liceneed conveciore lo canelrud ihe Orol� (Seaon ]000, Buainse end
PMeasiona Code: TM Conlredors Lbense Lew tloes ral epply to en awrier of properly who buika or impovea Ihereon vM who
conVecte Iw mxh pol�a wiU e mni�for�s) Ikensed punuent to Ihe ConlraGore Lioeroa lewl.
� I em m uM ni : B. 8 P.G., Im Nu reeeon:
o�, �,� 4�i219b
I do hemb/ canity t r d uM uManteM iha requiramente ol CdAomie Hml�h enE Sefely Code SaGiona 25505, 255t3, and
25534, enE Ihel I or eny fulu e ilAing omupeni will I wNl nM (dmb one) med to mmply wih veid e�ete codee end iM reQuinmanb la
epermnlorcanairvciionarmodiireiimhan�haAi ue�6Tityl.renegamamDiatnq.Residenlielcanaliud'anepphraionaeraavemptlmmiMaa
prwiaione.
Date: Apqicant:
WOHKER'S COMPENSATION DECLAXRTION: I Mroby etFrm uMer penely d pe1jury me d �he blbwi�p Aetlareiione:
❑ I heve end xil mamen a ronJcme d mneenuo eeX�inwm br wuken' compenaeibn, m pmvided fw by Sqion 3)00 d ihe Lebor
Goda, lor tM pa�iwmenca ol tM xoA lor which Ihia permn ie iwued.
• 11 I heve end xil mein�en xoMen' mmpamtlion imueenm. sv rpuirsd by Seeim J)00 d the lnbor CoEe, br IM perlwmenw af iM
�� � worklawhiMNispartnniviaeueE.Mywar CY�RESSMINS������m��: EXPIRES
c��:
ad� N�mna�: — O L/ O 1/ 9 7
a extiwr need nw be comdsred e tM permAie lor ona hundred dollem (St001 w Nse )
�] I cenily thel in the peAormence o/ iM work Iw xhc� ihis permn ia laeuad, I ahell nd emdoY aM' Pe�� �� �Y menner eo ea to
becwna subjee ta iM xorkara mmpenaeiion lexv d Celilanie, aM egrea tMi X I a�ould baoma wbjee to Ihe xorken'
companaalbn pmvisiane d Sedion 3)00 d iM Lebor Code. I ehel nhv.'nh m N' h t ee o'�
o�e: '���Z �4s A�w�,�:
Waminp: Falluro ro ueuro woikxi rompsiwHon covereps b un/ewlul, tl a ef en unploy�r to etlMru/ penelN�� end
civll Hro� up ro ons hwtlrM llwauM tlo/bn (5100,0001, ln �tltl/flon ro o�f nmp�nutlon, tlarrupu u provltlM br In
Sxtlon 9)O6 0l Me lebor Coae, InNnat, antl eMrnsy i/sea.
CONSTRUCTION IENUINO AOENCY: I MreEy �rm uMer penehy ol per'ryry the� Ihem u e consl�uqbn bMi�p egency M ihe
�n�d,oa a ina,wn� �« ..n� ma va�� �, e.�me �sm�, ao��. c:. q.
LENDEfl'S N4YE:
LENOEF'S �OOHE55:
I cerlily ��et I hew reed Ihia epdK�w� �d mata ihet ihe ebove informalion ia cortetl. I epree m compty wnh ell cey eM munty ordinenoee
end ste�e laws rNe�inO �a buildinp conslrudion eM Mreby aNhorae repreeentetivea W ihia dry �o enter upon iM ebove-mentoned properry
brinapeabn purposes.� �nn � is� ,A
�li lI_MQ A� \ V u �i�
oe�e:
(5151d6.WP) Whno-Euikiq 8 SNery:OrearFle: Canery-Appfcent: Pink-Revenua: GdEenrod-Nseaor
. CIT.Y OF COSTA MESA —,BUILDID7G PERMIT
PERMIT NO: B 077229 PLAN CHECK NO; 01217-96 A
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
JOB DESCRIPTION : 2341 SF LIVING/ 605 SF GARAGE
CLAIM VALUE: CALC—VALUE; 194,826.90
.PERM NO: B 077229
/
GOVT: N SUPP: N
PURPOSE: NEW
SQ FT: 2,946
GROUP OCC: R-3 /U-1
COMMENTS: PLAN 3 NEW SINGLE FAMILY RESIDENCE
*�**���**�*�x��*�����*�*�r**��****�����****��***x��**+��*+�*��**+�**�*�*****��***��*�
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT; 32 FT 6 IN REAR: 15 FT IN FRNT; FT IN REAR: FT IN
LEFT: 10 FT 5 IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: 2 PROV: 2 PARCEL: 19151132 ZNE; PDR— REF NO: PA-95-36
PLANNING NOTES> SINGLE FAMILY RESIDENCE WITH ATTACHED 2 CAR GARAGE. PARK/
>'TRANSPORTATION,�,FEES DEFERRED TO OCCUPANCY. P,F,E
'IE 1F iE �IE �E'k iE �E 1E fE iE'lE if 1F,iE.iF iF if 1E 1E iE 1E 1E iE iE k iE iE jE 1F if iE iF iE iE1E'k �IF �IE 4 iF-IE iF 1E 1f iE iE if 1F iF if iE iE iE if� jE 1E 1E iE iE iE 1E iE f! iE iF 1E iE 1E iE ik iE iF �IE'IE jF iE jE iE
D E V E; li 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 � : "M'R ' DATE: '�7�g6
BUILDING APPROVED BY : V� DATE: �ls �9�0
APPLICATION ISSUED BY: ` ' � ' DATE: ��'9�
��,��*,�,�,�*�,�*��*��,�****����������������������� ��,�,���*��*�� �*�
LEGALIZATION:N F E E S U M M A it Y STRUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 1,362.25 19.48
SMIP/NON—RES
PLAN 221.37 '
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 1381,73 0.00 221.37 1603.10 1603.10 .00
REVENUE DIVISION TOTALS--> COLLECTED: 1445.15 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
1362.25 19.48 63.42
iElEftiElkiEiElE3E1Eif�fEil��EiI��ElFifififlEiflEiEIkIElElElElElEffiEiEfE1EfEIEiEfEiEiE3E1E1EiEiE3EfE1E�E�IEiFIE1F1EIEifiElE1E1EIEiElFlEiEiE1E1EiF1EiEiEIEIEi4i(�3E
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
SFR
2341 DWE—TYPE V—WOOD FRAME —GOOD
605 RES—GARAGES TYPE V •
END OF FEES
0
77.90 182,363.90
20.60 12,463.00
. j ll�' 11'. ' j�} j�' •
C4�?.`. �.r...e,. �::�_a �. ,
CONSTRUCTION AND PLANNING POOI 'A
APPROVALS Permit # Date . Inspecior qppROVAIS Permit # Date Inspector
� 1:� Temporary Electrlcal Service or Pole �' 52. Poot & Equipment Location �. - "
a
2. Soi! Pipe-Undrgrnd. - �� .53. Steel Reinforcement .� �
3. Electrical Coniluit Utillty•Undigmd. l ,b4� Porms, -� '• M��••;l�
4. Electrical Conduit-Undrgrnd, � '� - 55. Eiectricai Bonding . :�
��. Stee1 Re�ntorcement �Z1 � 56. Rough Pfumbing & Pressure Test '� ,i^
� 6.� Electrical UFER Grnd. /, � 57. APPROVAL TO COVER-GUNITE _ 1
"�7. Footings ��'' '' S8. Electrical Condiiii';Undrgrnd.' �
_8. � Foundation �� " � 59. Gas Pipe, O Undrgrnd., Test �_�
. 9. Water Pipe-Undrgrnd. - : 6p. Backwash Lines; P=Trap, iw�"Crdrgrnd. �';
I ,10. Stcucturel,ftoorSystem � 67. APPROVALTQDECK _�1
11. PropertySewer:Line.&HouseConnection l 62. Backwash&Receptor�Final�,.!�
�2• SQ"re� Cap 63. Heater & Vent-Final ,ii-
13. Roof Drains . 64. P�umbing System.- �inaV '��
74. Rough Plumbing _ 65. Electrical-Final ��
15. Rough Electrical;Conduit .. 66. Solar System-Final ''
i
16. ftough Elec[ric Wiring' ' 67. Fencing & Access"Approval
17. Rough W+cing Sign " 68. APPROVE4 FOR PLASTERING
78. Rough ElectricaGT Bar Ceiting " '69. POOL/5PA SYSTEMS FINAI '
19. Rough Heating & AiyCondition�ng: -- ,� 1 - FIRE DEPT.:REQUIREMENT „c-
- - - , , n�rt
20. Rough Factory Ficeplace -- �. � - : � � :APPFipV�I�SJ;F P�`rmit # .
21. Ducts; iP Structure . �� -_ ; - - �z 70. Undergromid Hqdro
22. Ducts. Ven[ilating.." - �-- i r u. �- '� 71. Product Piping.�.fas L,'l Oil .
�
23. Gas Pip¢-Rough & Test __ r� � : `-'� 72, Undergrouud FJus6�� . _ �.
24. Roof Framing �� r �,_ ,� 73�. Undergrnd. Stor''age Tank � Gas ❑ Oil
25. Roof_Sbeathing ; "� �' T Q.` 74. �Ovei�head HVdro. -
r���'_ _
26. LBar Ceiling (Structuraq & Mor�acoat _. f,'� ' 75. _Dry�Chemical - ' _ - �
27. Frame and Flashing , _ � ' � �rG p� y 76. Dry Staqdpipe _ ^ ;� �-- -
l•
. 28. Lathing & Siding •- r_ C•?'F _ S+�f��l6 77�, FIXED Sl`$TEM FINAL r' __
29. Insulation� -;�R _ ��� �' (o ' � ; 7$, FIRE PREV. FINAL t : -
' 30. Drywall Nailing r . ���� ([ C. ' ^HEALTN�DEPT. REQUIR'EMENT
.
� ��31. Plasier Brown CoaC �, - _''_' .� ��S�b �' � 79. FINAL INSPECTION E� _ _ ' -
32. Electrical`Power Meter�-Finai �^� �� *� S0: FOOD CERT CATE ISSUED' '
-� -
33. FinaLEtearir,,. � ; _ _ � �- � ' ^ � Nbtes: ^� � � �
.. - � _
34. FinaLHeating`& Air Cond�tioningY' .=,: x� �• � t� 1S 9 - (�
_ ,,, ,
35. final Gas Pipe=Tesi ' •� "_ ��`� ` :* ��� _�, ;. � _ '
36. Hood-or Canopy � . - � - - x � � p� � '-..J .
- � r+ • : •
" 37. Final Factory Firepiace. `� `" r ` � � � "
.: -* -
38. FinalPlurnbing � ' � --,
39. Water Service-Final i ' ` �` � ' � . ". . C
'40. Gas Service-Pinal ; � ; F _ ;-, `� .� � - , + �
- 41. Solar pomestio-Fina4 - � - • - �� � . '
r �
42. Backflow Preventer � : _ ' � , �: - - ; . .
.,
43. Backflow Irriqation � � " . ' ` _ �
-., x . .
h �
44. LandscaPe Irrigation System _ � '; �. � � `-: ; � f _ .: C' -' z -
45. Sound Attenuation � • '• � ' - � �` ' - • ` - • - • x
46. Handicap Regulations - . � - .� . , - - ; �.
47. FINALSTRUCTURE&BUILDING ,-1,'!b-7_SG * - � _
48. FINAL PLANNING � � � � . , _ . : �
.
49. Electric Release to Edison ' . - � - ' ' - -
r .
50. Gas Release to Southem California Gae 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:
Lot Number:
Tract No. 15211
41 31�% �NC�re Gou.vf
Permit Number: GRA075893
By Civil Gngineer:
4665-GRA08
L certify to the satisfactory completion of grading in accordance with the approved plans,
specifications, local and state codes. All drainage devices required by the grading permit, grading
plan and grading a�dinance have been installed. Adequate provisions have been made for drainage
of surface water from each building site.
The minimums are:
2% i'all from structures within 5 feet from exterior walls.
1% fall for asphalt surfaces and landscaped areas.
OS% fall 1'or concrete surfaces to approved disposal areas.
The final monuments as shown on the recorded tract map were set. All finnl grading elevations are
within ± 1/10 of the designed elevat�ons.
Supervising Civil Engineer
13827 Newport Avenue, Suite 200
Tustin, Califomia 92680-7603
Tel 714I544-3404
Fax 714I5443155
No. 37445
-`���l�
�
P.
No. 374q5
Exp. 6/30/CE+
a
City of Costa Mesa
Collfornie 92828�1200 P.O.Bo: 1100
Insulation Certificate
� Permit NUmDer
3127 ENCORE COURT COSTA MESA, CA
Number enU Slroet Cily
41
ounry 9ubolvls:on Lol Numne!
ROOF
Material � y
Thicknes9 (InCh09) ._
DescrlpNon of Instaltation
Brand Name _____ "
Thermal Resistance (F-Value)_=
EXTERIOR WALL
Material . BATT INSULATION Brand Name SCHULLER
Thickness (inches) 6 3/4"_ / 3 5/8" Thermal Resistance (R-Value) , R— R-13
CEILING
Batt or Blanket Type _ BATT INSULATION Brand Name . SCHULLER
7hickness (Inches) 11�� Thermal Resistance (R-Value) R-30
Loose Fill Type Brand Name ___...____..._._.,.._.__ _
Contractor's minimum installed weight/ft�_Ib. Minimum thlckness- �nches
ManutaCturer'S in5talled weight per equare foot to achleve Thermal Resistance (R-Value)
RAISED FLOOR
Material .
Thickness (inches)
SLAB FLOOR
Ma�erial
Thickness (inches)..
Width (inches)-•
FOUNDATION WAIL
Material
Thickness (inches)
Brand Name
Thermal Resistance (R-Value)
Brand Name
7hermal Resistance (R-Value)
Brdnd Name .
Thermal Resistance (R-Value)
Dec�aration
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the wrrent Building Energy Efficiency Standards for new resid2ntial buildings contained in Title 24 of the
CaUfornia Adminstrative Code.
(lxneral Conlradcr (ew1aV)
Si6nature antl Tltla
WESTERN INSULATION, INC
SuG-Contracto� pnSu1d00� In9I0110p
� _�L ,t3�a� - P�a����� mGn.
�—� Sipnatore and Tltla
ieoi.e
Z0"d
L¢nnso �m er
481278
License NumGar
SEPTII{BER 12, 1996
Dae
W7 bS:TT 9o—ZT—d3S
�
�
-�o'or.�ssoFem�anc: 3127 ENCORE CT uNr:
avNErcsNnue�Faaxm:POLYGON PROPERTIES FLOOD: X 47
' �woxEss:15717 ROCKFIELD HL
:�?INE, CA 92718 714-452-0600
APPL.1Wl1NGRODMESS �a y�l .
�
ANCXrtECTOXFNtlNEFA:LL MAJOR 6 ASSOCIATES uc.no.: C-16869
41CX.OXENG'S�WFE55: LSSL N TUSTIN AV uNr:
SANTA ANA CA 92701
caNm�crarsru�:NOVA PLUMBING INC ( 714 ) 556-6682
CONfilACT01f5YNIlNG 3103 W CENTRAL AV
moness:SANTA ANA CA uc.ra.: 457898
92704 uxr:
LICENSED WMRACTOFS OECLAF�TION: 1 Mreby eflvm uMer peneXy d pe�ury ihal I am Ikenaed uMm pro-nsione o/ Cheqer 8
(wmmendrg wi�h Senion ]000) ol Divieun 3 d the Bueiness entl Pml one Code, vM my I' x e m lull brce xM eHeq.
cmuc.N :06 54q6� uc.cuss:C 36 uc�q57898 EXP: O1/97
oe�e:� LL� com,ea«: �� � ,�.� �
OWNEP BUILUEfl D LAflRTION: I Mraby effirtn untlar penefy d perN�Y �M1e� � em eRemq fmm IM Gonlrarfon L'aeroe law la IM
fWbwip reaaon (5ed'an )W t.5 Bwi�ms eM Prdessbns COEe: AnY cYY a countY �� �Vuim e partnil to conslruct. aM1x. improve.
Eemdsh, w rapei any airvc�ure, priw �o ns awema, e6o requires ihe epd�� �a+�h pmnn io file e vpmd eWemanl ihel M a aM
y i�,�d w�� �e �n. a�, w o» e�v�e� lirama Lew (CheWer 9(mmmeriaeq wilh Setlion )000) d DN6bn � d IM
uai� eM Prdes.tione COEe� ar �het ha or she is exemp �herehan arM IM baw lor iM elbgad avemqion. My vulmun d Sedan
mis M�v eod�c.m tw e Pe�na wde�+s �ne eaoi�� �o e c�a peneny d �a mae men r e nu�drea edwe Ifsoop.
❑ I, av ovmer d iM popeM w my empb/eae v.vh wagea m ihei ede oompenm�ion. xill Eo IM xoA. eM Ilie el�ucture e na imended
w oRered tor aele (`�ion )OM. Buainasa eM ProtessiauCada: Tha Conireaon Lioanse Lewdoea mfapplyto en ovmerd propeM
who WJM w mprwea Ihereon, end Wa doea such work Fimeell or hane� w ihrwiBh he a her oxn employeee, potided thm wch
improvamenU ere ml in�eMeC a oHereE lor aele. H, however, iM buiNinB or improvemeM is edd within one yaer d wmpbiion, Ne
owererbuitler will fieva iha burden d proving he or she did nm buiM or improve lor �M purposa d We).'
❑ I, as owner W �he propeM� � eRClvaiveFy ronirading xilh limneed conveciae lo construd IM prol� (Sedion ]OGO, Buainse eM
Profegsiona Gode:SThe Cmlredae L'r.enae lew daee �wl epph/ lo en owror ol prope�Y � b�iltle w`mpmvee I�e�aon eM x1w
convecu i«`wrh'prqene wdh e oonveaoKs) IcenseE pursueni iStM Comreaon Lioense lew). �,�
❑ I em ezemq uMer�Seciion: B. 8 P.G, lar �hn reeeon: b� ,.
Dete:
I Eo MreM ����Y tMi l em ewue a aW undersbM
2S53C. eM �he� 1 a e'ry Mure WiWiiq om�pent will
e p emin Iu own W c1ion a maEifiul ion han IM Aiaii
P`nx:
d Celfomu Haellh enC Se/ey COEe Sedioro 25505, 25St3, vd
ro) need lo canply wYh aeid meie mda ard iM �epuiremaMe br
Oimn�a. Rpidm�iel e�nsUuqon MV��iom us uaenW Irom Uiae
Deb: ApplcenL
W ORKENB COMVEN9ATION �ECLIN�TION: I hereW eifirm unEer psnelry W Po�ury aw d ihe blloxirp Jetleratbns:
� I hava eM wil mainlein e ceMilirs�a d mnsent lo eell-inwre br workeie' campenW ion, ea povided la by Swion 3)00 d Ihe Lebor
COEe, lor iM pe�ormence ol ihs woM br which �his permit i� imuad.
-11 I heve end witl meintam v.oMsn' cvmpenaetion inaurenro, ea rpuired by Sepim 9)00 d the Lebar Cade, br the Po��menca W Ihe
�c-�' w�m��.n�nm�a'e„�„n��.�e.Mvw��ULI'�CO��CASU Ti�'���m��� EXPIRES
ra� N�mna� - 0 6/ O L/ 9 6
his sedion rieeJ irof be rompb�edY the paml 'z Iw one hundreE Cdbn (StOp/ w bss.l
� I cerldy pie� in tM pe�lortnerr.e d IM work for whch �hie pormil muad. I Mdl M emplvy eiy pnson in enY men�r eo n �o
become aubjeC to iM warkera' compenselion kwe d Celilanie. d eprpee Nm houk become wEjw ta tM xwl�s'
^/��V 1tion ' iom o/ Seeion 3]00 d tM labor Coda. I ehell �rl�mpty ' th sa m'e
�e�e: �C l� � APWcenL
Werninp: FeNun ro�wun woikn�'rompans�tlon covsrep� b un/awlul, end sMll �uD/ecf en �mp/oyx ro ctlMlul penaltls� aM
clvll HMa up ro on� hunJrM tMuuM Aollen (Sf00,000). In edl/Hon ro fh� cwt ol compxuafron, Cam�q� u provMN ror In
SwOon 9105 0l Ms Lebor Cods, Inlensl, md ifrornsyL M�.
CONSTFUCTION LENDINO AOENCY: I Mreby �rtn under penely d perlury ihel Ihere is e mnslrutlion landinp epency br iM
parbrtnenm W ihe vrork lor which �h6 perml ia ssued (Sequn 308>, Civ. C).
LENDEP'S NGYE:
LEN�EN'S �ODRES3:
I cenily thai I heve reed ihis eppliceiion eM state Ihe� Ne ebove in/ameiion ia co�na. I epiee �o canply xnh dl ay vM counry adi�s
eM s�ale lewa Melip lo Wildvq eontrWion eM hereby eulha¢e �eqaeentelivee d ihe uly b enter upon IM eEove�menluned peoperry
IOl1119�IA.YMIIW�WbB�R ROHBINS
1Pnn1 Name
�.i\ o�e: ��
� siCneWro W nerlABenvnovlicenVComrea«
(515t-afi.WP) Whne-Buildiiq 8 Sefety; Graeo-Fle; Cenery-AppFceni; Rnk-Revenue: Gddenro�Aeaeaea
PERMIT NO: P
CITY OF COSTA MESA - BUILDING PERMIT
077268 PLAN CHECK NO: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU
JOB DESCRIPTION : 2341 SF LIVING/ 605 SF GARAGE
CLAIM VALOE:
CALC-VALUE:
%
PERM NO: P 077268
GOVT: N SUPP: N
PURPOSE: NF.W
SQ FT:
GROUP OCC: R-3 /U-1
COMMENTS: PLAN 3 NEW SINGLE FAMILY RESIDENCE REF: B-77229
*�+����*+�*�*����*�*�************�*�****�+��+�***�*��+�*��*******��r*x���***��****�*�*
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN 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 NOTES� ^� ,; � ,_ ,�
if i61f if iE 1E iE iE �f iE iE iF fE iE iE iE 3E iE iE IE 1E 1E IE �E 1E iF iE 1E iF iE ik 1f 1E 1f iE IE iE 3E fE iE � iE 3E'IE'lE if iE ik 1E'1FiE 3E iE IE 9E iE 1E 1E 1f iE 1E 3E 1f i(-iE 1(' dE fE iF IE 1E �E iE �E If ik iF iE 1E
D E V E L O P M E N T S E R V I C E S � R E, Q.0 I" R� E M E N T S
i�' 1.`.��% .'il , �" .
ZONING APPROVED BY ^.' '� ( •`" ' DATE:
HUZLDING APPROVED BY : /,T/ I '•�'�.�:•� fi.�%DATE:
�j -�� � ��r � `5;1 � �
APPLICATION ISSUED BY: K.��',✓ '�i4G` '� :i;:.1 . DATE: "�T 9-g`
aE 1E iE iF 1E ik if iE iE 1E 3E 1E iE 1E 1Elf !E fE iE 1E 1E iE iE if if ik iE 1E 1E iE 1E if��FiFiF iE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
r„ ., ;�
( :_. �
BLDG PMT PLUMBING ELECTRIC ,MECHANIC�' FIRE SMIP/RES GRADING
PERMIT 139.00 � :� �, �
25� � SMIP/NON-RES
PLAN ' ..'a r` �,� �� �� .'✓
ISSUE FEE 20.00 � '� -� i.
BUILDING-DIV-> PERMIT ISSUE PLtAN-CHECK TOTAL PAID DUE
TOTALS----> 139.00 20.00 !,�,0.00� 159,00 159.00 .00
REVENUE DIVISION TOTALS--> COLL�ECTED:, ��� 1�59,.00 OVER/SHORT: 00
BLDG PMT PLUMHING ELECTRZC MECHANIC� � FIRE �'SMIP/TOT GRADING PLAN-CHECK
159.00 •: � ,•� � N �
iE iE 1E 1E 1E 16 if if 1ElE iE if iF iF iE iE K f! 9E iE IE fE 3E fE 1E iE iElE fE 1E IE iE 1ElF iE iE 1E ik iE dE IE13E �)E iE �E �E iE fElF 1E iE,lF iE iE iE fE �E �E 9E 3E 9E 1E iF jf if 1E 1E iE 3E �E fE �E 3E 1E 1E iF 1k iE 3E
I N D I V I D U A L' F E, E,, rB R E A K D O W N
: 1 iI
TYPE QTY D E S C R I P T I O, N^� �y, �, � UNIT COST TOTAL COST
.t
PLU 2 BATHTUB ` j/' ���' 7,00 14.00
PLU 1 DISHWASHER Y' ; :� �" 7,00 7.00
PLU
PLU
PLU
PLU
PLU
PLU
PLU
PLU
PLU
2
z
1
5
3
1
1
1
1
LAUNDRY TUB OR WASHER �1 -
sxowsx � , -•- :
SINK, KITCHEN ,i �r %'' ^y�\
�. . a, ,,�. .
WASH HASIN e:' ,;�:^'�F•
WATER CLOSET (TOILET)� .
WATER HEATER AND/OR�VENT ��
WATER SERVICE �/:�1;,
GAS PIPING SYS OF��cs -1^•.TO �} OUTLETS
GAS PIPING SYS 5+ OUTL-P�ER OUTLET
7.00
7.00
7.00
7.00
7.00
7.00
7.00
5.00
1.00
14.00
14.00
7.00
35.00
21.00
7.00
7,00
5,00
1,00
�r'f
CO,tvSTRUCTION AND PLANNING POOL . A .
� � Date Inspector � - Date Inspector
�APPBOVAIS Permit # - APPROVALS Permit #
1. Temporary Electrical Service or Pole 52. Pooi &' Equipment Location � `
2. Soil Pip¢-Undrgrnd. � �'� � 53. Steel Reinforcement �
3. Electrical Conduit Uiility-Undrgrnd. 54. Forms
4. E�ectrica� Conduit-Undrgrnd. 55. Electricai Bonding .
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - '
�•6. ElectricahUFER-Grnd. 57. APPROVALTOCOVER�GUNITE �
7.. Fooungs-� �_ - � 58. Electrical Condu�t:Undrgrnd.
_.8, Foun�ation _ � - 59. Gas Pipe, O Undrgmd., Test
9. Water Pipe-Undrgrnd. � . , ,rl ..5�6 -6p. Backwash lines, P-Trap, � Undrgmd.
10. Structurel F�oor System 61. APPROVAL TO DECK � �
11. PropertY Sewer �ine & House Connection�_2 1�� 62. Backwash & Receptor-Finai
52. Sewer CaP 63. Heater & Vent-Finai - '
13. Roof Dreins , 64. Plumbing System - Final ,
i4. Rough Plumbing . � � 65. Electrical-Final I
15. Fough Electrical-Conduit I 66. Solar System�F�nal �
16. Rough E�ectric Wiring 67. Fencing & Acce'ss: Approval
77. Rough Wiring Sign _ , � 68. APPROVED FOR PLASTERING.
18. Rough E�ectrical�T Bar Ceiling � 69. POOLlSPA SYSTEh9S FINAL
79. Rough Heating & Air Conditioning - � . . - FIRE �DEPT..REQUIREMENT . . � ' -
20. Rough Factory Fireplace - � � - � _ . ' ��APP{�OVAL,S-' Permit# - - �
21. Duc(5, in Structure � _- • � .�- 70. Underground Hydro
22. Ducts, Ven[ilating ' '� 71 . Product Piping � Gas ❑ Oil -
23. Gas Pipe-Rough & Test _ - � 72. Underground FWsh
24. Roof Framing -� _ ' � 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing ' . � � 73'. Overhead Hydro
26. T-Bar Ceili�g (Structuraq & Monocoat - - � 75. Dry Chemical ,-",- ' "'� � .
2�. Frame and Flashing , � ' ' ' , 76. Dry StaRdpipe - . � �� _ .
28. Lathing & Siding � . � . � � � 77. FIXED SYSTEM�FINAL' � -� ' '
r-
29. insulatian� - ' • 78. .FIRE PflEV. FIN�AL `- "
30. Drywall Nailing � - _ _ - �_HEALTH DEPT. REQUIREMENT " _ -
31. Plaster Brqwn Coat , � 79. FINAL INSPECTdON . .
32. Electrical Power Mecer�Final 80: FOOD CERTiFICATE ISSUED
33. FinaLElectric. , _. - . - . _ ` Notes: � �
- . 4-'�-`ib � o w✓ C�'-,t2a�r�� - -- -
34. Final Heating & Air Conditionirig - . ' �
'S-Z �i�i1 c_-e__+� � Q-!� -
35. Final Gas Pipe�Test ����Q � Z�Z �' . -
. L_ _ , �-lcZ-�c� �_
36. Hood or Canopy c ���_ � -�.
- '1-�"� t,���� 5_�-z���c,�- -
..37. Final'Factory Fireplace ' �` • �
�2Z` C6 ei�i'+-2c'�?'ldJvB '
38. Finat Plumbing � 1���_ � � ^� "-
39. Water Service�Final - `f ����u� � -
. R�l!- E ��.:-�«�-
40. Gas Service-Final , . Q, � - . , . .
41. Solar pomestio-Final � _ '- . - , �-
42. Backflow Preventer . .. � . -
43. Backflow Irrigation - . _ . � '.� ' _ . ' . _
r �. . _
44. Landscape Irrigation System =. � .i � � , _ . . � � ! '-
45. Sound Attenuation • ` , � � , ; ' ; ' `, _
46. Handicap Regulations . __ �, . -� �
47. FINAL STRUCTURE & BUILDING � ' ,
48. FINA� PLANNING ,
49. Eteccric 4�elease to Edison '. � " "
50. Gas Release to Southem California Gas Co _ �. -
51.' CERTIF�CATE OF OCCUPANCY
No. Date
noan�ss ov euaqxc:
• OYMEH'SILWEIFIQION'N:
- ��nowess:
► �
APPL. IW 11NG ADDRE55:
ARCXIiECT ON ENf�NFFA:
�PCX.OH ENG.'S ADURE55:
conm�cTars xwe:
caNm�ctoxs �uw+c
AOOflE55:
uc. xo:
uc xo.:
UNT:
PERMIT NO: P 077268 PLAN CHECK NO: 01473-96 N ,
**ieiF+��*�iF� �itat***et� *at��+r��*ie*� at*�iE+e**x �***�t***at+r*�it�*�it�r*x ****+�ie****ie******+�*�**
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
uNr. �PLU 1 GAS SERVICE
UNT:
LICENSED COHfflACTONS UECIAPRTION: I hereby efl'rm unEer ps�Y d perryry Ntl I em IcenseE uMer povisona ol Cheqer 9
�oommendrp xilh Seclion ]W0) d Drveion ] d iha Buairom eM Prda++ana Coda. arM mY Ikensa e in lull lorce eM eHep.
CRY LIC. NO.: 11Q CLpSS: LIC. NO.:
Dele: Conlreaoc
OWNEfl BUILDEfl DEGIAq�TION: I hemby elfirtn under p�rWy d p�N�Y �htl I am eiumq Irom tM Comredon Lieanee taw la the
idbwiq �aeaon (�� )�1 5 Bus'rreaa end Profeaona GoEe: Am/ ery a oounry wfiitli reyuiees e permil �o muVuel. Mm. imprare.
demdnh, a repei eny sbuclure, priar lo ila eweMe, ebo rpuiiae thB ePd�� lor wch pemiit to fib e ayneA ewement thal he w eha
re licervaetl punuenl to IM p'wiebrva d IM ConlreCora liceme law lChapter 9l�ma��9'�+�h Seqion TOOp) d Orvwbn 3 0/ the
Wsinew entl PrMeasiona CoCe� or �he� he a eha ie axemp �hareimn� enE ths beeie fw IM dlepeE exemqion. My videtbn M Seaion
:031.5 by eny epdirenl for e parmn eubjeae �he epplirent to e avil p6��ellY �� mora then 1'va hundred ddlen �$500]).
� I, en owrer d ihe propany w my empbyeee wih wepm m Ihei eae mmpenaetion, xill do �M vrork, eM Ihe elriMure b� inieMeE
a Mered la seb (Secibn )066. Busmss eM Prdessbna Code: The Coniretlas Liceme law dma m� epply�o en awner d pWeM
wM WiEa w inpoves tlwraon, and who does such xorlc NmxN a �ane� «Mrpph he a her own employeea, prwNeA ihet wch
impravemmis ere ml inteMeE ar Weretl for sab. H, however, lhe buiMinO o� imqovamenl ia eald wilhin one yaer ot mmpletion, tha
ownar-buiker xill heve tha buNen d O�a'ing he or she did nd Huil� or im0�e la iha W m�e d eele).
� I. ea owwr M Ihe propeM. ��duaively ronlredinp wil� IicenseE conveclon to canelrud ihe prqetl (Seeion ]OId. Bueinma erd
Proleamona Code: TAe Conlredae licenae Lew tloee rwl epply to en awiwr J propehY who buiHa or impv.•ea thaeon uM who
cnnvetla I« sdi prqaes wnA e mrureaor(s) Icemed punuem ta ine Conirmas Lioenaa lnwl.
� I em axamq unCer SxYia¢ B. 8 P.Q, br I�is reemn�.
Dete: Oxnec
I do hereby ceniry tl� I em ewve d vd uikerstand tM repuiramenw d CalAomie Heehh eM Selery Cade Sepions 25505, 25593, enE
n530. eM ihet I or enY �ura Wikiiq oowpeni will l wil �(tlrcb a�e) � to canpty wih aeitl slaie ootlm eM tM repuiramenb for
apermelwmnavuc�mnamodifiraionhan�heAi w�y e�agamenlamna.Residenlielconativaioneppf�etoruereaxemq/mmlMae
pravisions.
Deta: Apd���
W ORKEN'S COMPEN51T10N OECLAFATION: I hereby elfimi wNx pe�Y a peryury one d iM fdbxi�q dederetnru:
� I M1se enE xil mantem e caNfrale d mneant �o neM-imura /w W�kers cwnPe�W ion. m perided �n by SeUbn 3100 d �M laba
Cade, la IM perlormenro af IM v.oik lor wFich thia permn ia iasuad.
� I heve enC wil maintem workers' compenuton inaurence, es reQuired by Sedim 3)00 d �he Labor COEe, fa Ihe pallormence d the
wak la which thia peimn is iscueE. My wnkers mmpeneetion i�rence rartier erd poliry numbar ere:
Cemm:
PWicy Number:
Tis aectiwr nead nor be complered! tFe parmAis /w one hwCreJ da�ers /S�OJ/ w bseJ
�] I cenM ihet in �he perloimence M tM work for whch Ihie paim� is iseuetl, I shell iwl emplay eny panon in eny menner m� to
bacome aubjee io iM woMxa wmpenaetion lewe d Celilamie, eM apree ihn il I ehouW baome wbl� to Ihe workers'
�oe�sd�a, w�s�. d sea� a�oo d n» �no, coae. i sre�i �onn.mn �oN wun mose ww�sian.
ove: nod��:
Waminp: F�llum ro axun wortws' compens�Xon rovereps b utl�ewlul, antl sMll �ubJw! en xrrp/oy�r ro ctlMnil p�n�ttiw mtl
civll MMa up ro one huntlrs! tMuund doll�n (SfOq000), In MM�� ro fhs cwf ol compsiuetbn, Cemipu u prvv/tle0 ror /n
Sxtlm 9106 oI tlro laDor Cods, Intws�q entl etromsy i Is�a.
CONSTHUCTION LENDINQ AGENCY: I Mreby eifirm uMer penaM d perN'Y �� ��n i� e wnsfruaion bMnp epem.y iw Iha
pertormence N IM wwk br whiM Iha pe,mR is bwed (Sed'qn 3091. CN. C).
LENDEN'S NAME:
LENOEH'S ADDRE55:
I eenity �het I heva reaE Nc epplicatan eM sme Ihet iha ebova iniame�ion ia rortaq. I epeee lo wmply wil� all my eM munry adi�a
azM 91818 lewe tele�'vp �O bulldiq conStrYpnn 9id herBby BNMriiB fB{xB9M1911v05 af Ihis tily�0 Bn�ef YpOn IhB e� -menlunBE prpperly
lor inspeabn purposes.
Si9newra oi Owner/RpenURpPlcenUConlreao!
(5t5t-a6 WP) Whne-Buildinp 8 Selmy; GraemFle; Cerery-�PPW'snl: Rnk-Fevenua: Goldenmd-Acaessar
END OF FEES
8
7.00
0: 0:�:�15;��'-CD:�G; ,.n - - -�_
"rii�t C;!1<'%4=• i1'.7E. iMo._�,
7.00
� ^". _, .
' CO��STRUCTION AND PLANNING POOL 1 A
�� /•APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector
' 1.�Temporary Electrical Service or Pole . 52. Pool & Equipment Location -
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrica� Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit�Undrgrnd. 55. Electrical 6onding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Gmd. , 57. APPROVRI TO COVER-GUNITE �
7. Footings 56. Electrical Conduit-Undrgrnd. �
8. Foundation 59. Gas Pipe, C] Undrgrnd., Test
9. Water Pipe�Undrgmd. � - . 60. Backwash lines, P-Trap, � Undrgrnd.
10. Svuctural Floor System 61. APPROVALTO DECK
11. PropertY 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. Electricai-Final
15. Rough Electriral-Conduit � 66.'Soiar System-Final
16. Rough Electric Wiring � 67. Fencing & Access Approval
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rouqh E�ectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning '- " - � FIRE DEPT. REQUIREMENT
20. Rough�FactoryFireplace APPROVALS Permit#
21. DuFts, in Structure 70. Underground Hydro
22..Ducts, Ventilati�g 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Undeiground Flush
24. Roof Framing 73. Undergrnd. Storage Tank L, Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
� 26. T�Bar Ceiling (Strucmrap & Mo�ocoat � 75. Dry ChemicaV
i
i27.'FrameandFlashing 76. DryStandpipe
i 28. Lathing & Siding 77. FIXED SYSTEM FINAL �
i29. Insulati0n - 7g, FIRE PREV. FINAI
I 30. Drywall Nailing HEALTH DEPT. REQUIREMENT
I 31. Pla�ter Brown Coat 79. FINAL INSPECTION
I 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED � -
� 33.= Final Electric Notes:
I� 34. Final Heating & Air Conditioning �
li 35. Final Gas Pipe�Test
�I 36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41 �Solar pomesticFinal
42: Backflow Preventer
43. Backflow Irrigation
44. LandscaPe trripat{on System �
45. Sound Attenuation
46. Handicap Regulations
47.-.FINAL,STRUCTUfiE & BUI�DING
48. FINAL`PLANNING
49. Electric Release to Edison
50.� Gas Release to Southern Califomia Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
I
�
P� A�l 3
I,b3
Lo � ��I-I
31a� �N�-�
- -�
Aw.
No F�s
ap �-
�
PLAN 3
�03
�/� �� ,F
,� �
V , '� � 'Y
M° ti3°� ,
=,ds y�,
a° ti' �
IQ 4-5-q�
0 � -e-q�
5�'
�
�,��
ao �_ \�
� ���
ti
,� 'I�y
Fv
DRY1
RA
F�
rR
Ng
�
�,oT
�
(�A9
SEaJie.E
I i4�
13`9�� 1'�4N1 x3i�q
g� p" �LL C LaosE E�L�cAP vP
l0-5� ELL ' b
2� D�� �,LL �q�
�_ ii
►0-6% Ix�4x3'4
3-3� IXhxl Ra��
BULLHEAD N
�-�
2-�yiN ELi• /
ZI`O�� $ANDEO CP�
3� ii 3/4 x Ya x yz
3�-$�„ �I.L �
4- �/y a''9 X'�'4 x �i.
3; $'' �LL
2-0" E�l-�G^P �P
I =1 I'fy ELL
I� O" Gap
, �i� ��L
�1��p�� �aP
d _3" E��
y��
�-
g� �o , ����ca P vP
1 - 8rz ��-L
B ;- fo" �l. L
�- b" ELL/LAP v
2 - (o'�z �l.L
I = 8'' LL�
2-4�' GAp
I = I �� EL�
, �,
�'S EI.L
�-2'%i E��
� -�d�z ���
�� •_ o„
i � i
PLAN 3
�0 3
.�
'0
,
�oonessaem�a�31,2]._ENCORE CT � _ ... . ,._ uNT: _ _ _�
owxerrsruMeiviadv'+:pOLYGON PROPERTIES __ FLOOD: R 47�
��op� 15717 ROCKFIELD BL
�. RVINE, CA 92718 .�.__ 714-952-0600 .
�vv�. uuiu+c �oo�ss:
excxrtecroeexu+�n:,LL MAJOR_6_ASSOCIATES _ __ uc.ra_: C-16869 _
AXCIIOPENO.'SADDNESS: LSSI, N TUSTIN AV - uxT:
SANTA ANA CA 92701
coxm�crarsru�:RESIDENTIAL ELECTRIC ( 714 ) 556-381 3
COHfpACT0A5M11l1Nfi 3240 S STANDAAD.AVE
�noxEss:SANTA ANA CA uGra.: 334362
92705 _.. .. .. -urar:
LICENSEU CONTNACTONS DECL1p�TI0N: I Mrepy ellFm uMx peeWy d pe�ury thm I em IieeneeE uMer povieiona d Cheqx 9
(commend�p with Sxtion ]000) W DiNson � o/ ihe Busineu end PrNaeeiona COEa, eM my liceme ia in lull lorce end etlae.
uc.No.:014395 .uc;cuss:C 10 uc.No_ .:334362 �XP:�O1/97..=
ome: � ' � com�a«: � �S1L\ (`�. � 1✓��Ok���..
O EN BUILDEF DECIAHATION: I hemby elfirm uMx peraly d perjury ihet I em ezemq Irom tM Gamnqon �icenae Lew t« iM
olloxing reeson (Sedion ]03t.5 Bueinesa eM Profesaiana Code: Airy cily ar couny whidi requirea e pe�mit lo corebun, Mx, unprava,
'��emofah, or repv eny eleuemre, pior lo Aa 6aueMe, eko requiree iha epplieent for eueh pemiil to fila e upned a�emen� Ihel M or ehe
licenaed Wnuen� �o IM provimona d IM Conlradas license lew [Chepm 9(oommentiip wilh Satlon ]00p) oi D'vebn 9 d IM
i�""'3uaiewss arM PrWesebns Codaj or Oat he a nha ia eRemW Iherehom end the beaie for Ihe allepeC exampibn. My violefwn d 6equn
I]0]t.5 by arry eppliunt tw e permn eubpua IM epplicent to e ovil pareMy d �wl moro �hen frve hurdred dd4re �5500�1..
❑ I, ee ownar W ihe peopany w my empbyeea wnh weges ea thei eole mmpenaelion, vnll do the wwk, end Ihe sirueNre e nd inlendeA
impoveman�s ere rot inleMeE a attereE for sele. tt, M1owarar, iha buiNirp a'vnprwamen� ia eok within aro yeer d mmplelbn, Iha
a.ne.�b�ibar win neva �ne wben a omvire ne o� sne dd na wiu « imvrove �« �ne wmone d.dal. -
❑ I, av ov.ner o/ �he propeily, em udiuivey mnveqinB �h IioenseE conVecion ro wne�rud �ha proptl (Sedion )061. Businesa end
Proleaiare Code: Tha Gontradore Licenae law doea m� eppty lo en owrer d prope�y who builde a imqwm ihaeon end xfio
convecu lor swh prol�s wilh e mnlradals) IkanseE Ounuent lo ihe Gonlredors License lewl. .
❑ I em exemq under $ectim. B. d P.C., la thz mswn: ��
i
oma: o�.,: - _
i do nae�y unM � i em eware a ene u�aenw�e �ne �cu�remenro a ce�aom�a Heenn e„d sdmy coae seaiom zssos, zssaa, end
2555a, eM thm I a erry Mum Wildirq oowpem will / wYl nm (arck ma) neeE to campy wYh aeiE aata mdu ud ihe requiromente br
epermAfwconeVuctionorrroERWionhwnlhaA'r'Ou ni�y %epemenlDitlnd.ReaidentielconatiupbneppFrationsereaxemptimmthme
pra;4on..
oma: ncvi�,�:
WOflKER'3 COYFENSATION DECLAX4TION: I Mreby effirm unEer paneXy M parjury aro A Ihe lollowiip Eetleietons:
� I �eve eM wil meintein e ceMdceb d coneenl to eell-inwro M warken' eompen�etion, sv pwiieE lor by Se�m ])00 d ihs lebor
,�/ LoCe, tw IM pe�armence d ihe woA for which Ihis pertnil u i»ued.
�heve enE wil meiMen woMae' wmpemetion inaureMQee, m rpuirsd by SaUion 3]00 M tM lebor Cade. tor the paAvmeMe d IM
wktor which this aermn ie wsued. My worke CAL I F� I�COMP ,"�d po�i�y number ma: EXP IRES
c�a.:
Pw�r N�me�= 0 6/ O 1/ 9 7
mre a.n� �«e �or ae �obrae r rn. w•mR re ro. o�e n��d�.d dw� Isiool w�..�
� I eMh � in iM pmfomiariea d ihe woek Iw whkh thia prmA u oeueJ. I e1Wl iro1 mmpby anY V�� in enY menrwr w u lo
becwne eubl� to t�a xorken' wmpeneetion levn d CelAomie. eM pise Ihet X I ahouk bacama wb�w m �M v.orbis'
compenml' n 0�(�� (oi�Setlim 3)00 W tM lebor Cab, I e �I forlhwi/lh� mmp�y wMh th Drowwne. �1 /�
Dete: � "1. � ` �� AVGlcenl: � 7i � �L�i� � Q � .�[)�l�%�{/`
� t
� W5p ip: F�llun roM( ��cun wo�lt�n'rompruatlon rowrry� b vnbwNl, �ntl sMl/ a.d/�cNn �mplqw ro ctlMnl p�ruMq m0
�ll nrM� up ro on� hunarM thouurrd aolln� lSIOq W01, In adJltlon ro M� awr ol romp�rustbn, demspu �� provldW ror In
S�ctlon 9M8 0l M� Labor CoW, /ntMu4 �� etbm�y'� I�u.
I, CONSTflUC710N LENDINO AOENCY; I hereby elfiim uMar peneMy d perlNry �IW Ihere is a mna�rvaion bMirp apericy lar �M
�. ppf�Of1119fICB O� INB WOf�[ �p W�IIC�I �h6 Pl1111119 681M4 ��lUI011' 9l� riM. Ci�.
LENDEN'S NM1E:
LENOEF'S RDDqE34:
I I cerlM tl� I Mve neE ihis eppliceiion ud atma thel tM ebova inipme�ion ia carted. l epiee to camply wilh all rily enAmunry adinantte
and awe lewa relminp lo buildinp con&mdion eiM hereby eutMrae mpnwntetivea d thia dty m enter upon �he ebove�mentuned pmperry
�«��'0"'p�°�`0�"9ANDREA SUSTAITA
Dele:
(St51d6.WP) Whne-Buildvq d Selery:Oreeo-Flle; Cenary-Rppliranl: Pink-Revenue; GoldenroF/useswr
- - - -- -.-_ _
• -- ----
_ ._ __ . _._ P. . ... .____ CITY. OF. .COSTA ME�A„-_,BUILDING._PERMIT. _. -'
. _ _ .. . - --_._--,-. _ ERM NO: E 077606
PERMIT NO: E 077606 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: _ V—N _ . ,,._,_.,._.__ .PERMIT .TYPE: _,ELE _.�... _ ...,.__.-,..PURP.O,$E.::,..NEW
JOH DESCRIPTION : 2341 SF LIVING/ 605 SF GARAGE .,._._ .._SQ.FT,:.._
CLAIM VALUE: ._. CALC—VALUE: . _ GROUP OCC: R-3 /U-1
*�*�****i�x**�x���r***x+sr*******�+�r+�r**�***D+Er***(�x�***ir*B*�*****x�+r*� �Ix�**+r****x�x*
Z O N I.N G R E Q U I R E M E N T S
S E T B A C K S
---.--------- MAIN 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
PARRING REQ• PROV: PARCEL: 14151132 ZNE: REF NO:
PLANNING NdTES>
% • _ i/ i
iE it iE iF iE ik 1E iE 1E 1E iE f! 1F iE iE 1E fE 1E 1E �! iF �E iE 1E 1E 1E iE 1E 1! 14 if iE 1f 1F iE iE iE if 1f IE iF 1F ik if� 1F Ikl61E 1E i! 1E 1I' 1ik 1E 1E 1f 1E 1f if IE IE 1E 1E if� if� 1f� 1E 1E if df iE IE 1h 1E iE i!� 1E 1E
D E V. E L O P M E N T .S;,E. [2;� V I C E S R E(j U I R E M E N T S
ZONING APPROVED BY_. �7 � DATE;
BUILDING APPROVED_BY : ��<- DATE:
APPLICATION_ISSUED BY: �i I' �� (/'�
�tft�r�tx��t�t********ir****x�*if�F�FiF"iFiFiF�F�FiFttiF .'�R� iFiF3F'iFiFiF�fiF�iF*�c**D***�rx� � +tii�
LEGALIZATION:N F E E",� S U M M A R Y STRUCTURAL EGMENT:N
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT . . _ . . _. 92. 44
SOt SMIP/NON—AES
PLAN
ISSUE FEE.. 15.00
HCTILDING—DIV—>��.PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> ... 92.44 15.00 0,00 107.44 107.44 .00
REVENUE DIVISION TOTALS--> COLLECTED: 107.44 OVER/SHORT: 00
HLDG PMT_.PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
_. 107.44
1E If 1E 1E 1E iEiE IE 1E if 1E iE 1f 1F 1E 1E iE 1E if iF iE 1E iE 1E iE 1E 1E 1f 1E iE iE if if iE if 1f IE 1f 1f� 1f ik ik M 1E 1E 1E iE 1E 1(� Ik 1t ik1E IE iF k 1E iE 1E iE 1E iE iE 1E iE 16161E'If IE 1k iE 1k 1E iE 1f iF 1E iF
'� I� �N D., I, V I D U A L F E E H R E A K D O W N
TYPE. ,_QTY___.. _D E S C R I P T I O N UNIT COST TOTAL COST
ELE
ELE
ELE
ELE
1._ FIXTURES LIGHTING 1 ST 20 EA.
1 _. , _RECEPT/S�JITCH 1 ST .20 EA.
3 .AES APPLIANCE NOT OVER 1.0 HP
2341 NEW RES HLDG FOA 1 OR 2 UNITS/ SQ FT
END OF FEES
.75 ,75
3.00 9.00
.03 81.94
i� t DG'?U6235-�DG?Ub??b �' �-a T ��� �>
CAlE: G5:49��5 1I1;E: 11'•:'
CONSTRUGTION AND PLANNING : � POOL _ SPA � '
' APRROVALS Permit # Date Inspector qppROVALS Permit #� /
1" Tefiporary Elecvical Service o,r,Poie 52. Pool & Equipment Location
2. Soif Pipe�Undrymd. �� 53. Steel Reinforcement .
r n
�_C'3'ElectricalCo��+;t"�Iity-Un�gr�nd. 54. Forms
r �� "
-:.4.� EleetricakConflult�Uadrgmd. . _� 55. Electrical Bonding
K-�. �i�
_•=�Steel Rei�tprE,'e��nts 56. Rough Pl�mbing & Pressure Test
'� ElectricaklJFERC6.nd. 57. APPROVAL TO COVER-GUNITE
%� 7-!Footingz'�;�" �S 58. Electrical Conqij�;Undrgrnd.
- f�,- C.. �
-F� Foundauon' �.i y � 59. Gas Pipe, � Ui+drgmd., Test.
�� W4 r Piprx'Jnd'grrad. �J �:' 60. Backwash.Line�'� 7rap, � Undrgrnd.
10. Str.ucturai-Flooc'�qscem .,, 61. APPROVALT$.{lECK
71. Property�5ew�? Line & HouselnAnection 62. Backwash & Receptor�Final
12. Se�er Cap `� -
�v c,i . �63. Heater & VenbFinal
t13. RoDf Drains %^ � 64. Plumbing System - Finai �
��
�J4. Rough Pl�umbTng � .,'�'�� 65. Electrical�Final �
�15. Rough Electricai:Conduit .• , 66: Solar System�Fiui€f �
r.,
��6. Rough E�ctric Wirir?g `� ' 'J 67. Fencin & Acce;S PP�oval .�
� lo�.9L 9 �
,.1.7. Rough Wiiing Stgn �._ ' 68. APPROVED F�E?'PLASTERING
78. Rough Electrical�T Bar Ceiling � 69. POOUSPA SYSi�E0.AS FINAL "
19. �2,oueh H�gtirtg &�4ii Conditiorst�g: a; y � a; s� � F3PrE�N'T.-rtiEQUIfiEMEFtT �:.�, - tY:
"` [*S "N�O kT .X i� '7"I
20. TougB F�tto�"y Fi��lace � ��� �eL ; S �* ; APP�'OV��"� � P�mit #�F� T �hr �'
21. �uc�� in, t�ucturr j, � s'' x �.=a r;:� . 7p,�ndergrc�ilccl N�dro �
... r. r
22. Ouct"s�, VFr�til5_Qing'�*: n'+ �'C :� F"*'. 71. Prod� !'�.'`piping..�.�{'� as j`j Oil
••T I .i r: x r T.` , �. "L" ?" (� C.:
23.Gas 'pe�a h sc ; '�� �� �� a u+� �., o r, �
Ri . �, � !"M C3G "� � S'x 72. UndergreuadFJush < :� �
24. fioofuFraming a: * N � � � w �*' 7� Undergr�d. Sto%a� Tan� O Gas ❑ Oii
25. Aoo he3thin r T •` `�'� " '' , ' " .-', �
fj�$ 9,.,� r. i-, +�-^ tr; _, x 74. Overhead HydC� �- :x
26. J Bar�Ceiling (StrfRtural) & Mc�i6coat k G 7+ �' * 7�: Dr Che' al �� ' � �'�'�' •`"'
�*• i� �' i,1 :k r+ Y ,T."�' �r 7 i �'� S r: :Cr� 3
_ 27. �Yam'�arid Flashin �` ^�� '� � '' '"` � �"' . s '� � •
i ..., 9i. yt-,r� �r a, rx 76. Dry Sta�p�Pe.;;;-� > G n: �a� �
� 28. Lathing & Siding r�* r� '7c('-. p k" ! � � 7Z FIXE05�'!'ST�(t1�INP,�"� i1 ��� ' n'
` 29. Insulatiosi; r�� S �� x � 1 � ��� 7�i FIRE PREV. FYfd-�L x� r � �� `:
. , ; , 'rr-
30. Drywall M1Smiling �' �-' � �r F � 1 } S [48EALTA�EPR',jiE�,UI�IV�
x i 1 i�.. ^� r.: *-:% -`:
. 37. Plaster 8(pwrl-Coa� �' �=c, �; � t I� � . FINAL [�V�ECT N x;, r-. E; p
; 32. �lectrica['Yo�Gar Metpr�f9zial , /B`�� � ,.F p � FOOD C,E�,RTIF TE t$$�JEL^' S
_ 33. �Finai.�iec�rf�y; ccr. � � : ;� � � <� � I �� � W�� �, � t•'� : O
� i. . , . � � � �.. ,-. _ , '..� 4' _ c=.�:.
; 34. �naf3leatinc,� Atc £o�ditioning ;.; _ � I � �.� r � :-� c.o o � F-. G �.z -.�+�
�r ;ln� e�:1 YS � C^ :il
35. �jnal Gas fipe=fe{ht �'� " �. f' I ._,� ;�o "� , � E,_
r. �-- �
i . • ^
� 36. Hoo •or;F�noPY :1x �:? �+`-.cT! 4 Y�� i � F.� m z:c .� b1 :n�n F'
< �- x � �.ti .r, C O i--
= 37. Final'Fa ry FirePl�'ce.r � F�"' r� ti' � r x � `�
� �.. �.... y:: j �� 6 r x i
�- 38. Fina -Plu�rr�jb�ng ria: i*7 y r w * J ! � � - �-.�.�',, �R •N
K i � !'� J. s R' O �.
� 39. Water Service�Finai'" � , ,w '� � � � � ' '� s' '' �"''
,r � r f �-,O • � ^i YS;Q�I"
�. I "4r • .:� . . � � " .
'�� 40. Gas Service-Final �y �;�.c, ,:� ,; � , ;�- ' - as� � Q
M6 H Y.
� 41. Solar DOmestic-Firtat, � � rt J � � � �, �` V� *� S
�
I 42. Backflow Prevente��� �'� � � � " �. � �
t,: c_ � N= � �. `. �: i:, G !-
k !l �
l 43. Backflow Il�i�ation" >' ^ Y ^ �' �' �~ ' ' � ' " ' '
�. -^ � � N ��k � C � c� o c
F - ^:J _ , . v - . . _.
Ig4..�andscap_�g,Iriiqat;orxSYstempa;� n >��� y K Qt, � E E o i,cC x.s !-
Y .
I 45. So�nd P�ften('i,etion* J.. .. � � C, '-� r-1 r•�+. � c� �. F^ �
r •• K i i .�. s.
I 46. Handicap�Regulatior� _ Y. z_, ; J I* � � � ` ..,� x
t
I 49. FIN/SL STRUCTUR£ & BUILDING *�-' I j� ��* � Q' '� `--
cu w . r• : »: cc a� c,
I48. F!N/{LPLANNING= i`~ x� �` ��� i C� ^� _ +� �
� �
I49. Electric Rele�'se to EtJison x I`::% q .� � x � s
: - � r x� I � C c.^,: r C'� a. �•
I50. Gas Release to�SoutFiem CaliformaGasCo �: � �•�- 3o ii * :� ���o�
- v� !1 R:'J O a
�51. CERTIfICATE OP OCCUPANCY
o. Date
Date �I irspector I I
; _.
�oonaaoFem�w�a 3127 ENCORE CT uxT:
wrt+�asruwEiF�w�r+: pOLYGON PROPERTIES FLOOD: X 47
�oa+Ess 157�? ROCKFIELD HL
IRVINE, CA 92718 714-452-0600
,wr�. uuuxo �ooxess:
��Ta+�+�^ LL MAJOR & ASSOCIATES ��.: C-16869
ApCH.ORENO.'SAOOPE55: SSSL N TUSTIN AV uxr:
SANTA ANA CA 92701 �5 OGOO
camucrarsw� POLYGON COMMUNITIES ( 714 ) �—L2-66
catm�croxs�muxc 15751 ROCKFIELD
woxess: IRVINE CA uc.ra.: 659262
92718 wn: 120
LICENSED CONTRACTOflS DECLAXATION: I hereby M'rm unEer perely d perjury tlie� 1 am liceneed uMer prwieione M Cheqr 9
(mmma�nB �h Senion )000) d Oiviaion 3 d Hro &ninen enE PMmaimre CoEe, eM my Gceme ie in lull lace uM eltatl.
crrvuc.po.: uc.cuss: C 20 uc.No.: 659262 EXP: 04/97
fo I
Dete� � Conlreda:
OWNER BUILOEP OECU�fl1TI0N: I Mreby etl�rm untler penely d parNrv �� � em uemq �rom tM Cont�rfas L'reiue Law la tlw
Idbwiq renwn (Setlion ]031.5 Bueinesa end Prolessiane Cade: Any c�y a caunty whiM repuiree e pe'mil �o mmM1u[I, ellx, impeva,
mdoh, a repe'r e�ry ewclure, qbr lo ila ewenoe, e6o raquiroe Ihe epd�� �a euc� pmmil to fib a eqirod etebment Met M a ehe
liceneed W��� �o tM provobna d Ne Conlredoro lironse lew �Cheqar B(cammemriq w�h Sedian 1000) d Div'sion 3 d Ihs
uainao eM PrWessbns Cotle� or �he� M w aha ia exemq Iherahan aM ihe bue la Ne elbped ssemqion. My viole�ion d Saqion
)0�1.$ b/ enY eCV�ran11IX e GafTn BUEI�� �M eODlicenl 10 e trvil P��'/ d iwl Taa Ihen INe hUnEreE Edlen �SSWj�.
� 1. m ovmar d the pmpeny w my empbyees wIh weges av Ihen eda mmpenealian, xill Eo iM woM, eM IM etruclum 6 �wl inteMeA
a aRxedM eeb (Seetian )014. Bus�wea eM PmlwaionsCotla: TM Coniredaea L'xsue Lew doee mI+NGNto an ownar d pW�Y
who buJds a vnprovee Iherean, end who doae auch woik himaeM or heneX a iMauph h6 a her own empbyeee, qovkeE Ihel euch
impravemmis ere nd in�eMed «dlered fa eeb. tl. Mwever. tha buiNi'p a unpanmeM ie aold Milhin ore Y� d mmplmion. ihe
�ownar�buiMar will heve ihe buNen d 0�'��B he or she Ek irot Euild or impove fa IM purpoee d eeb).
I. m oxnx d ihe Orope�y. em eiduaiveFy mntred�q xnh IicenaeE conVadon to mnarue M (Secnn ]OM. &n'vwe erd
Peofesvons Code: The Conlredae Lieenx law dwa mt apply to en owner of Y buiW impovr IMraan ud who
conVecis la eu h P wah e oonVaGor(e) IcenaeE W�� �o e Cant Lew).
� I em uemp/�m�der q B. 8 P.C., lur thu .
Dete: �i% L/% L ��_ Ovmx:
I Ao haeW eenEy thel 1 em ewere d and uMeieiend iM reyuiremeMa oi Celiana IMeXh eed SeinY �a Saqiom 25505. 2553i. eM
25536, enE ihet I ar eny Mure buiWi�q rcapent will / wil na (drcM arn) naed b comply Mh eeid qale oodee eM iM �epuiremeMs br
epermnlormmVuclionormotlifimtionhanihaA'r�y anepement0ietrid.Rasidentialoonat�udioneppFmianmauamqimm�haes
proviaiona.
om.: AvW�
WORNEX'S COMPEN511TION DECL1fl�TI0N: I haraby dfirm uMa penMy d yrjury ore d Ma Idbw'vp dsdermiau:
� I hen ud wJ meinten a ceM'rae d cansenl to aelfinw�e for wv�ken' eampaneetion, m prwked lor by Sadian �100 d IM lebar
Coda, lor Iha pe�lormenca ol iM wak lor which Ihie pa�mil is ieeuad.
lg i neve.�e �e mdmem �n�n �w��,+M���e. a. r.a��d M s.a�an a�ao a u,e �eeor coee. r« me w��� a m.
n wak 1« xhM mb w� ie eaued. Mr warken' mmPanee�ion imurenm ranier end WIkY number are:
c�,.: LI ERTY MUTUAL EXPIRES
Pa� N�mn« wc' 1 i-7S'�T'Si'A�SSS— 0 7/ 01 / 9 7
is ,eaiw, neee rior ne ewnvb�ed � rhe rerm!'z �a a�e nvne.ee edlerslsiool w�s.l
� I eerlly Ilw in ihe pehoimenu W tlw woek Iw whch thin paimil ia issi� em loy eny pseon in any memwr ao m to
Eecome wdea to �he wrkns' comv�seiion lev.e a celiiomie. mre N J I houk/6ecome wEjetl to iM v.wYan•
campenaetp pr/o�vi' na M Sedion 3100 otthaleborCode,lehdll hxilh c m wil hoes �mrisom.
Uete: �0�// � / 7 �s AVDIcenL ri
Weminp: Fe/lun fo �ec�ro woAen'rompwetlon eovxap� Is unlawNl, mtl aMl/ H.b/set en smp/oyer ro eNm�MpsneMq eM
eM/ nnu up ro a's n,ndroe flauuM ddl�n lSfoqaooA �n er/dltlon ro N. cwt or rompxueWn d+�W aa proHdetl br In
SxHon 3]P6 0l Ms Labor COW, Intensf, eiM atromsy'a Inw
CONSTNUCTON LENDING AOENCY: I hefeby elfirm uMer paneXy d perlNry �hel ihere e e eare�iud'an Wdiep apeney br tM
y.�ImneM. a �ne wwM �« wnitli �ne w�� a ewea (smon aosl. cN. c�. .
LENDEN'9 NIIME:
LENDEN'S RDONE35:
I cenily Ihet I hme reed iho eppl�ion vd mma ihei iM ebove iMametion u wrtw. I qyae to canply vrilh ell ary and countyadinanws
eM etetelews mletinplo buildinp conslruGion end herebyeNhorrza re0�eaenlalivee WthiaMytoenlerupontMabova�mentionaE pmpe�ty
lor impeeion purpmea. � - ` \
�c. - v �
Pnnt Neme
D�e I e � Y
SipneNre d r/ApmVAppfcenUConlrepa
(5151�AB.WP) WhAe-Buik'vq d Selery:�reeMFlle:Cenery-Appicent: Pink-Revenue:(bldenroE-rleseeear
CITY OF COSTA MESA — BUILDZNG PERMIT- ` ---
,�PERM NO: M 079875I
PERMIT NO: M 079875 PLAN CHECK NO:
CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC
JOB DESCRIPTION : 2341 SF LIVING/ 605 SF GARAGE
CLAIM VALUE: CALC—VALUE:
N GO��T: N SUPP: Y
PURPOSE: NEW
SQ FT:
GROUP OCC: R-3 /U-1
COMMENTS: PLAN 3 NEW SINGLE FAMILY RESIDENCE / REF B-77229
�*�x�x�**�*�******���**��**�****+��*�*����****���x��r*�*****�****�***��*�***�****�**
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN 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 NOTES>
i .J
jF iF iF 1E'lE �E �k 1E 1E iE 1E iE iE 1E 1E �E �F if iE 1E 1f iE iE 1E 1ElE iFlk if iE 1F if iE 1E iE 1E 1E iE iF iE if IE if-1E if if if if If �E iEif ik if 1E fE iE iE iE IE �E iE 14 iE iF IE if iE'lElE 1f iE 1E ik 1E fE'lf 1E iF
D E V E L O P M E N T S E R�V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY . . :, � DATE:
BUILDING APPROVED HY :
APPLICATION ISSUED HY
iE IF iE IE iE 1E 1F ib �E iF �f if iF 1F iE if iE 1E 1f iF 1E
LEGALIZATION:N
F E E S U M M A R Y
DATE:
f0—
STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 38.50
258 SMIP/NON—RES
PLAN
ISSUE FEE 6.50
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 38.50 6.50 0,00 45.00 45.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 45,00 OVER/SHORT; ,00
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
45.00
if !E ik ik ik if !E!E if ik 1f 1E if IE 1F if jE fE jF if it if if !t iflt If iF if iF ib jk if IF Ik it iE * 3E 1E iE iE if iE iE fE fElE 1E iE 1E ff 3E �E aE 1E iE iE iE 1E IE iE �)E IE iElE �E iE iF if IE iF if jF 1E 1E af �E fE
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
MEC 1 FACTORY FIREPLACE 9.50
MEC 1 INST HOOD W/DUCTS FED BY MEC EXHAUST 9.50
MEC 3 VENTILATION FAN CONN TO SINGLE DUCT G,50
END OF FEES
9.50
9.50
19,50
01 UD217350-0�21]35U T OT 45.Q0
DATE: 10/17/95 tIttE: 12:45
CONSTRUCTION ANd PLANNING . P001 'PA
i
APPROVALS Permit # Date '�`hspector qppROVALS � Permit # Date Inspector
7. Temporary Electriral 5ervice or Pole ' ' �
52. Pool & Equipment Location. �.'
2. Soil Pipe-Undrgmd. �;�.-_ . 53. Steel fteinforcement .� . '
_3. ElectricalConduit�UtiUtyUndrgmd. 54. Forms � ' - -,��--
�
. 4..Electrical_Con`duibUod�grnd. �" ' S5. Electrical Bondiny ,.ci_
5. Sreel Reintorcement � 56. Rough Plumbing & Pressure Test - �, '
6. Electrical UFER Gind. 57. APPROVAL70 COVER�GUNITE
�7. Footings " _ � 56. Electrical Cond�it:Undrgmd. � i
8.. Foundation. - 59. Gas Pipe, O Undrgmd., Test
9. Water Pipe•Undrgrnd. �� 60. Backwash Lines�, P�Trap, L� Undrgrnd.
10. Structural Floor�Svstem !� 61. APPROVAL TO DECK�� ��.
71. Property Sewer �ine & House Connection � ' 62. Backwash & Receptor�Fjnel"
12. Sewer Cap � _ 63. Heater & Vent�Finat '
13. Roof Dreins � � 64. Plumbing System � Final '
14. Rough Plumbing - ��, 65. ElectricabFinal � -
-7.5. Rough Electrical-Conduit ; � 66. Solar System-Pinal , . �
16. Rough Electric Wiring 67. Fencing & Acce'ss� ApP�oval �
17. Rough Wiring Sign ' 68, qPPROVED FOR PLASTERING '�
18. Rough ElectricaFT Bar Ceiiing - 69. POpUSPA SYSTEP�S FINAL
19. Rough Heating & Air Co�ditioning F1AE DEPT. REQUtREMENT -
. � _
20. Rough Pactory Fireplace . .. �� � qppROVALS_ = Permit # -
' 21. Duas, in_Strucwre , � _ � ,' ! 70.'Underground Hydro ,
i ' - . _
! 22. DuRS,Ventilatin4 � - ' ' � 71. Produci:Piping'O'Gas rJOil
i � � _
I 23. Gas Pipe•Rough & Test _ "_ _ -�` 72. Undergro�nd Flush
i .
�24. Roof Framin9 • -- • - - : 73. Undergrnd� Srorage Tank O Gas ❑ Oil
25. Roof Sheathing '_ . _ _ ' 7q. Overhead Hydro - .'
' 26. T-Bar Ceiling (Struciurai) & Monocoat � 75. Dry Chemicai -
27. Frame and Flashing - _ '_ � 76. Dry Standpipe •
28. Lathin9&Siding� . - � - � �•f 77. FIXEDSYSTEM�F�NA�I
' 29. insulation -� ' ;� " 78. FIRE PiiEV. FINAL
30. Drywall Nailing -- � � �� � - HEALTH DEPT. PE�UIREMENT
31. Plaster Brown Coa'Z . '. ,;. _ 79. FINAL'INSPECTION -
32. Electricai Power Meter,Final ' - � :. - 80. POOD CERTIFICATE ISSUED `
33. final Eleciric - � Notes: ` _ -
34. Final Heating & Air Conditioning_ _ j ZS...- (� � , �
� 35. Finai Gas Pipe-Test = � � ;� • ' - ' •
I 36. Hood or Canopy - , - J • _ . � � � _ _ -
}-d'Z5` G
37. Final Faetory Fireplace _ _ - , 'a:..,,..�c�, ,r i7 � - � . .
� -L. T'7P
I 38. Final Plumbing � -. . _ , - � �. � . . . --
I 39. Water Service-Final - " � - �
i�
� 40. Gas Service-Pinai : ' _ -. ' , _ ' -� ` - � . �
i
I41. Solar pomesticFinal . � "- � � �
I42. Backflow Preventer• . ' - .`. - _ :
I43. Backflow Irrigation - -- F -- _ � � '
`.44. Landscape Irripation SYstem � - , _ -`' _ � ' • .
I45. Sound Attenuation� � � � _ : _ ' " " .'
I46. Handicap,Regulatio�s _ � � � � - - - '
I47. FINAI STRUCTUfiE & BUItDING � � _ „ �
.
�48. FINALPLANNING' . - -
`49. Electric Release to Edison � - > .
��50. Gas Release to Southern California Gas CD _
I51,. CERTIFICATEOFOCCUPANCY
o. Oace
�
.�6n� a amiae�c: 312 7 E
axr�xs ruwe iv �wavn: p OL YGON
' � ; �ooness:l5 717 R
,.,► .
�UINE, CA 92718
�vr�, xaiuxc �ooxess:
E cT ��t:
PERTIES FLOOD: X 47
IELD BL
714-452-0600
MCNRELTOPFNtlNEER:LL MAJOR & ASSOCIATES uc.no.: C-16869
uicx.oxEnc�swoe�ss: 1551 N TUSTIN AV uar:
SANTA ANA CA 92701
cw�m�crarsruwe:AL2S0 AIR ( 714 ) 951-1266
camucrarswuuac29736 AVE DE LAS BANDERAS
aooness:RANCHO SANTA MARG CA ��,,,o,; 526420
92688 u�:
110EN5ED CONTNACTOqS DECUNATION: I Mreby efl'em ��der penely d pepury Ow I em Icemed uMaz po.�imons o/ Cheper 9
(mmmena�q wilh Seclion 1000) W Division 3 d Ne Businea end Pmteub Coda, eM my limrua b in IUA �ce eM elled.
cmuc.No.: q9763 uc.cuss:C 20 uc.No.: 26420 {: 04/96
Dme: � ConVeaor. eL
OWNEP BIlILOE DECLANATION: I hareby effirtn untler panely d perjury ihe� I em aeempt Irom ihe bnvmfon Lianae Lew lor the
lolbwiq reesan (Senion ]dJ1.5 Busiiefs eM Rolettbna COde: Airy eiy a munry wh'vA reyuirea e peemil lo eauW�t. eller. impove.
iemolsh, or rapei any simclure, O�or lo Ba bsuence, abo reQuires Ihe epplifant lor wch pertnA lo file e si0�� s�emam thai he or eM
lironaed W��^� lo IM pwisbm d IM ConVedae Licenae lew jCheqer 9(canmenti�p wil� SeUion ]OW) d Ovuion 3 d the
usiriess arM PrWeuuna Coda� w thei he or ahe ia exemq iherahan enE iM besia la iM dbped ezemqion. My violetnn al5eaian
lIX1t.5 by any eppli'ent Iw e permit aubjeeU Ihe applieaM lo d Ghl penelry d ew mwe Ihen Me hwWWred dollen �5500��.
� I,esowneroliheprope�lyamyempbyeesxlhwapesa+��eWemmpamelion,wi11Eo1Mxnrk,andtMeVucturaemtimmded
w MereC ror mle (Sec�ion ]060, Busirea end PrWeesiana Code: The Contrenore Licensa Lew doas nM eppty b en owner ol propeity
wM bulda a inv�� �hereon. eM Ww Eo» euch wuM M1�sell w hemN a ihrap� he n her oxn empbyeea, pwided �he1 vuch
improvemema are rot intended w dlerad br eale. M, hoW�ar, the buiMinp or inOrovemem ia soM wnhin wn yeer d completion, IM
owror-0uiHer will Mva IM W Nan d povi�q M ar eha dtl ml WiM w impeove for ihe W�e d sele�.
� 1, m owner W iM propany, em evdusrvely mnlreclinB �h lironaed comrecton lo conArup the pajea (Sedon )OaO, Bueineas eM
Prdwioeu Cade: TM Conireeon Lranse law Eoas � epPN �o en ox+wr d prapxly who buiMa or impwm tha�eon aM who
convacb fa euch prol�a wi�n e mnvetlarta) IcemeE W�uenl lo ihe Convedae liceme law).
� I em exemq uMer Saaian: � B. 8 P.G.. la Nu reeaon:
Dete: Ownef:
I do hareby cenity ihet I em eware af arM underslend the requiremante oi CelAomie HeeM1h eM Selery Code Sedpne 25505. 2553�, eM
u55a. eM iMl I a eny Mure WiWi�p ocapem will l wil rid (dmle orie) rimd to canply wih seN Wele mEm eM the requiremenie la
epermnlormnswci'wnormodifrationhomlhaA'v-0 eEy�PpememDiatnd.ReaiAantielwnstrudioneppiratiomereevemq/mm�hesa
o�a: nvvi��c
WOFKEN'S COMPENS�TION OECL�N�TION: I Mmby effi� ��der pendly d pe�jury me d the bllowiip dec4rmvm:
� I han uM xil meimen a cenifraie M mmeni to nWimure �« v.akers compenaetion. m ywidsd Ia by Setlbn �100 d ihe leEn
c�. i« ma aen�� d m. � �� � m�. v�..^M1 ��,�aa.
� i neve d,e �ii me�me:�.once�s� mmw��, ��s��e. m�awred M sea� s�oo d ine �enw coee. ror me ronamd,oa a m.
.�xm,wnKnm�.�r�r�n�a��e.Myw«�LI�ERTY��MUTUA����um�r�� EXPIRES
c�a:
aoiKv N�mn�,: 0 7/ O 1/ 9 6
m;s mapn ,�d „n w�peree i� w�x �: ro, on. no�e,ad ed�. Isiool w bs../
❑ I oenry �he1 in tha paAorme�e ol iM xrork br which IF�e peemn is neued, I ehell m1 emdW �Y � u` in eny menner w u �o
n.came ubjea �o �ne .wmm�• aompanse�ia, �ewa d celAwn�'e�a eQrea inm il �.nwk ecom. wbjad �o ine waMen•
rom na lion pmNeion W Senbn 3]00 0l lhe Lebor COEe. I eh `tll lonh h compA wn ihasa 0 o�iaiom.
1 r
oma: I nvWicenc • �
Weminp: Fe/lun ro sxun wortni rompnwtlon roverep� b unkwlu( entl �hll xtl/�cf an • 10��1 f0 CIIMM/OMIMblIM
dvn nr.s up ro om nunerse mou.end dousn �s+aaoan�, In atltllHon ro Ms eoaf of eompsn'etbn, tlamepu u provltlsC br In
Saetlon 91G5 ot M� LaborCoW, Infxs�f, �ntl �ttom�y'a /Iu.
CONSTRUCTION LENOINO RGENCY: I hereby elfi�m urdnr panelry ol per'ryry ihm theea u e ronatrudion bMiiq egency br Ihe
periormenm d ihe MOA la xfiich t�e partnY b eaueE (`�qn 309). Civ. CI.
LENUEX'4 NI1ME:
LENUEN'S ADDNESS:
� CBfll�y ��101 � �10W fBel� Ihl9 0�F6�1O11 Bib qB18 ��I01 �IB eNOYB 1II�MM�U1119 COIIBH. � B�fBB �O Cqll�' Mt��l B�� On' Blld mllll�y OfdINMBf
enE slele lexs releling lo builAinB connmabn arM hereby eulhorize mpreaemefnen af �hia cny to emar upon Ihe ebove-mentoneE prtpaM
�����°�p�°��°�9ROSS FERGU
nn� N
Dme:
�e�a��a a ow� i�e u� ,an �
(StSt<6 W�) WhXo-Buildvq 8 Salely: Greeo-Fle: Canery-ADpX�4 Pink-Revenue; Goldemob-Aase�ar
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: M 077304
PLAN CHECK NO:
W
PERM NO: M 077304 `
GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: NEW
JOB DESCRIPTION : 2341 SF LIVING/ 605 SF GARAGE SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1
COMMENTS: PLAN 3 NEW SINGLE FAMILY RESIDENCE / REF B-77229
x **x *+�******��x�***�**+t+t+t***�+�� �t *� **�*�**�***��*+t+�*��*+�**�tx **x ****+t*x � *� ********
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY 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> _ �
% (�) r
!E ik iE * if IElf iE af 1ElE iE 9E iE iElE 1E 1E 1E �E 1E iE'lE ik i(� 1E if 1f IE if 1E iE i! iElflE iE ik 1E 1E 3E iE 1E'1F iE iF �E iflElf� �IE iE IF iE fE 1E IE 1E iE jE 1f !E If� 3E iE 1E iE'lE'1E iE iE if iE iF 1E 1E �7(- iE 1E
•'- D E V E L O P M E N T S E R V� I C�E 5 R E Q U I R E M E N T S
� �.
ZONING APPROVED BY —;� � �; DATE:
�;UILDING APPEiOVED BY : %!�,•�� DATE:
.. i
APPLICATION ISSUED BY
iEiEiE3E1ElE3EIEIE3ElE163EiE3E1EiEiEIEfEfE
LEGALIZATION:N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTREC MECHANIC
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
PERMIT 9.00
' 25$ SMIP/NON—RES
PLAN ,'_ .
ISSUE FEE � '� 15.00
BUILDING—DIV—> PERMIT ISSUE PLANICHECK TOTAL PAID DUE
TOTALS----> 9.00 15.00 0,00 24.00 24.00 .00
1,
REVENUE DIVISION TOTALS--> COLLECTED: 24.00 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
2 4,: 0 0
i
IE �E 9E 1E IE �E �E 1E 3E 1E iE 1E �ElE iE 1E iE iFlE iE iF iE if 1k iE i!!E jf fE iE 1E iE iE aE 3E iE �E 1E iE 1E 3E iE �E'IE 3E iE dElF 1E 1E iE'1E IE 1E iE 1ElE iE �f iF 1E �f iE 3E 1E �E jE 1E ib iE 1E iE if if iElE 1E �E 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
� �S'\
MEC 1 INST FORC—AIR/GRAV FURN�<= 100 K BTU 9.00 9,00
END 'OF FEES
07 �7O:4•tiYE—G132QY=58 f��_I"i' _,.l�t,
D„ic: 04':?:•^,� TI�E: ;�:Y�'
R� �CONSTRUCTION ANDPLANNING - P��� 'PA
�• � Date Inspector Date Inspector
�APPROVALS Permit # APPROVALS- Permit #
1� Temporary Electrical Service or PoVe � . 52, pool & Equipment Location _ �
�
2. Soil Pipe-Undrgrnd. �, 53. Steei Reinforcement . _ a
� .
, -3. Electrical Coridui.�„Ufility-Undrgrnd. - 54. Forms - _ -
C 4,Electrical�Conduit•Undrgmd. �S � 55. Electrical Bonding '-� -�
�5. Steel Reinforcement 56. Rough Plumbing & Pressure Test � ,
- 6�. Electric2l UFE�R Grnd. 57. APPROVAL TO COVER-GUNITE _�
7. Footings , -' - 58. Electrical Conduit�Undrgrnd. -�,
`_
8. Foundat�on 59. Gas Pipe, O Undrgrnd., Test � ' -�
� -9. Water P�Pe-Llndrgrnd: �. � 60. Backwash Lines; P�Trap, O Uodrgmd. �
10. Strucmral,fioor Sy`stem - 67. APPROVAL TO DECK �� �
11. Property Sewer Line & House�.Connection� -, 62. Backwash & RecAptor-Finai
12. Se�er Cap ;. :_- 63. Heater & Vent-Finai ��
'13. Roof.Arains -- 64. Plumbing System � Final .. ..
74. Rough Plumbingi -• 65. Electrical-Ftaal
15. Rough Electrical-Conduit � •• 66. Solar SYstem-F�tnal � -
16. Rough Efecvic Wiring - - 67. Fencing & Acce'ss-ADProval � -�
77. Rough Wiring Sig'n _ 68. APPROVED FOR PLASTERWG •�
18. Rough ElectrtcaFf Bar Ceiling 69. POOUSPA SYSTEMS FINAL
79. ;Rough Meatir�&AK��nditioning - �4 . - - - pifl-E'OEPTfREQU1FEMENT
� � ^�D:' x
20. �Rough Fa2tot�i Fiieptace -�- -_'= " - � : � � AppROVqL'S'.�, Pe�mit # ;
21. Oucty in�$t�ucture - -= � - � '• � 70. Underground Hydro
22. Du��, V?��tilai�ing '� �' 71, Producj'Piping.G,'.Gas ❑ Oil
23. Gas Pape-Rough &.Test .. - - : 72. Underground Fiush �
24. Root Framing a "�� , � ' 73. Undergrnd. Storage Tank O Gas ❑ Ol
25. ,Foof_Sheathing . i.: . , 74. Overhead Hydro �
26. T�Bar�Ce�li�g (Structural) & Monocoat • ' 75. Dry Chemicai ` . �
- ,
27. Frameand Flashing„ � .. � ".,. 76. DryStandpipe�J� -
• 28. Lathing & Siding - � '""' _ � ' 77; FIXED SYSTENI FINAL ' .
29. InsulatiO4 -� - -� 79: FIRE PREV. FINAL � � �
30. Drywall Nailing � + - � _ 'HEALTH DEPT.�REQUIREMENT �
31. Plaster Br'owr�Coax• ` ' � ' �. � � , 79. FINAL INSPECTION �- . -
32. Electriwl�Power Meter�Final 80: FOOD CERTIPICA7E ISSUED "
33. Final Etectric� � � ` Notes:
. . �. . tA-ht - . �=L�_��6�/�+=c - �
I 34. Final. Heating & Air Conditioning Q__� .�� �
� - � / �ffi=CZ- _
I35. Final Gas Pipe=Test ' � ' � �� � ' „ _ ,
`36. Hood-orCanopy " - � ' � , � _ �• -- � �
I 37. FinaPFactory Pireplace � ' � _�; /��� . � ,. , �
' [ '
I 38. Final�Plumbing . � , � •i � : r � ' ' �
i
l39. Water Service�Final "" � � T ��` � , „ �
� 40. Gas Service-Final ` 1 . , : , • . �. - � . .. - . .
I41. Solar pomesticFiaal= - ' _ � �' _ - " - _
I42. Backflow Preventei:;. • _ • �= -
I43. Backflow Irrigation � _ � - _ � . _ . _
�44. l.andscaPe Irripation Syscem T -^ �� � � . � r . _ . � � > -
I45. Sound Attenuation + r '• � ' . : :. "�
I46. Handicap Regulations .. _ . ;� - - -
f 47. PINAt STRUCTURE & 9UIlDING ' : " : '
I48. FINAL PLANNING ` � � _ . ,
49. Electric Release to Edison • -. •
50. Gas Release to Southern Califomia Gas Co ' � . - � � �
51. CERTIFVCATE OF OCCISPANCY
Date
�
._r. ,
Polygon Lifestyles
in Costa 6Aesa
Plan 3 Lower Floor
HVAC Layout
�oT � u )
-IASE �
3 I a 7 cn�c orc c��.
�QDVlDE (c � 7� �l�7 SIDE
F�.ESH AIQ W ITH MAf�IUAL
CDNT2DL DAMPE�, Al�1D
FILTt� RA�.IC.. LD75 I-1938•41 44-59
r �
1�l/�s I �c. Z ��'�'�
- - .,..�: / i
%
G
��p�Z
�i"
IZzb FB
g.4 RB
SEPV
�zx� eB
�r3
�•
�
7�
, � ��
rr q" �
BA3�
�4Y5 e��E�..
3p%,..14'�L QAFi�
IN FL. 7015T
� .�
��i�Ly �bM
G 3
io~i
IZ"�a4
� IZYI� CAP
I
� �r
i/
�w at � ` -
�
Polygon Lifestyles
in Costa Mesa
P�_ . 3 Upper Floor
HVAC Layout
LOT �-�' �/%
PHASE /
�A SNa�T WIT:�
A MIN il+ 1l„
C�=A2 ir� �u�
! ���� '�r ��.,�� ��,�
��
�� �—
�Q���
��� �'�'
��� �� � �_ �ZX✓r,�
{ I��
. �. � =
; •
; 14F(o FB
' f`�"bC �`' ,�
�:
�
0
iz�A
9�
CDIL
T� �(:
�����,,
G? %
. . p ,. :�1��
? : :,,' ..„;�:�:
\ 1.:;��' 3 ;'�;;
c�' � �
.f � �
- `f
yr3 >_'.fi.IT:YT:+.N:Sf>�Z
� y
, :;
- �
■:=i -_= -
�
��
�
�Y. �. ;,..'��I
����
�e�vi�= �-
F�LSH Alr
C�NTic�'_
�ILTEIZ rc